UT Health Rehabilitation Hospital
Listed in its price file as “Rehabilitation Hospital, LLC”.
UT Health Rehabilitation Hospital in Tyler, TX publishes cash prices for 156 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 148 of 154 procedures and above it for 6. By typical cash price it ranks #25 of 301 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
701 Olympic Plaza Circle, Tyler, TX 75701 Collected Sep 29, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $707.80 | $7,078.00 | $169.94–$3,616.86 | 75% 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 | $707.80 | $7,078.00 | $169.94–$3,616.86 | — | 90% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $854.40 | $8,544.00 | $230.75–$4,365.98 | 75% below | 90% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis without contrast | $854.40 | $8,544.00 | $230.75–$4,365.98 | — | 90% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $1,116.30 | $11,163.00 | $340.93–$5,704.29 | 71% below | 90% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT scan of abdomen and pelvis with contrast | $1,116.30 | $11,163.00 | $340.93–$5,704.29 | — | 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 | $1,808.40 | $18,084.00 | $340.93–$9,240.92 | 57% 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 | $1,808.40 | $18,084.00 | $340.93–$9,240.92 | — | 90% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $412.00 | $4,120.00 | $101.52–$2,105.32 | 78% below | 90% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain without contrast | $412.00 | $4,120.00 | $101.52–$2,105.32 | — | 90% |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $871.70 | $8,717.00 | $169.94–$4,454.39 | 63% below | 90% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT scan of head or brain before and after contrast | $871.70 | $8,717.00 | $169.94–$4,454.39 | — | 90% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $610.30 | $6,103.00 | $101.52–$3,118.63 | 70% below | 90% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine without contrast | $610.30 | $6,103.00 | $101.52–$3,118.63 | — | 90% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $797.30 | $7,973.00 | $169.94–$4,074.20 | 64% below | 90% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan of pelvis with contrast | $797.30 | $7,973.00 | $169.94–$4,074.20 | — | 90% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $433.50 | $4,335.00 | $230.75–$2,904.45 | 69% below | 90% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound of both sides of head and neck blood flow | $433.50 | $4,335.00 | $230.75–$2,904.45 | — | 90% |
| Chest X-ray, 2 views CPT 71046 HC Chest 2 Views | $103.50 | $1,035.00 | $14.70–$693.45 | 74% below | 90% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Chest 2 Views | $103.50 | $1,035.00 | $14.70–$693.45 | — | 90% |
| Chest X-ray, single view CPT 71045 HC Chest Single View | $78.90 | $789.00 | $8.02–$528.63 | 76% below | 90% |
| Chest X-ray, single view inpatient CPT 71045 HC Chest Single View | $78.90 | $789.00 | $8.02–$528.63 | — | 90% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $427.20 | $4,272.00 | $101.52–$2,182.99 | 77% below | 90% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan of chest without contrast | $427.20 | $4,272.00 | $101.52–$2,182.99 | — | 90% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $797.30 | $7,973.00 | $169.94–$4,074.20 | 65% below | 90% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan of chest with contrast | $797.30 | $7,973.00 | $169.94–$4,074.20 | — | 90% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Arterial Low Extrem Complete Bilat | $431.20 | $4,312.00 | $230.75–$2,889.04 | — | 90% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Arterial Low Extrem Complete Bilat | $431.20 | $4,312.00 | $230.75–$2,889.04 | — | 90% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Venous Extremity Bilat | $411.10 | $4,111.00 | $230.75–$2,754.37 | — | 90% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Duplex Venous Extremity Bilat | $411.10 | $4,111.00 | $230.75–$2,754.37 | — | 90% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $450.20 | $4,502.00 | $394.00–$3,016.34 | 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 | $450.20 | $4,502.00 | $394.00–$3,016.34 | — | 90% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system | $330.00 | $3,300.00 | $383.60–$2,211.00 | 79% below | 90% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nuclear medicine study of liver and bile duct system | $330.00 | $3,300.00 | $383.60–$2,211.00 | — | 90% |
| Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views | $108.80 | $1,088.00 | $84.05–$728.96 | 68% below | 90% |
| Knee X-ray, 3 views inpatient CPT 73562 X-ray of knee, 3 views | $108.80 | $1,088.00 | $84.05–$728.96 | — | 90% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $97.10 | $971.00 | $101.52–$500.15 | 85% below | 90% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited ultrasound scan of abdomen | $97.10 | $971.00 | $101.52–$500.15 | — | 90% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $637.40 | $6,374.00 | $230.75–$3,257.11 | 69% below | 90% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI scan of leg joint without contrast | $637.40 | $6,374.00 | $230.75–$3,257.11 | — | 90% |
| MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast | $910.50 | $9,105.00 | $230.75–$4,652.66 | 59% below | 90% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI scan of abdomen without contrast | $910.50 | $9,105.00 | $230.75–$4,652.66 | — | 90% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $1,026.50 | $10,265.00 | $340.93–$5,245.42 | 68% below | 90% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI scan of abdomen before and after contrast | $1,026.50 | $10,265.00 | $340.93–$5,245.42 | — | 90% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $452.10 | $4,521.00 | $230.75–$2,310.23 | 79% below | 90% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI scan of brain without contrast | $452.10 | $4,521.00 | $230.75–$2,310.23 | — | 90% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $611.70 | $6,117.00 | $340.93–$3,125.79 | 80% below | 90% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI scan of brain before and after contrast | $611.70 | $6,117.00 | $340.93–$3,125.79 | — | 90% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $910.50 | $9,105.00 | $230.75–$4,652.66 | 60% below | 90% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI scan of lower spinal canal without contrast | $910.50 | $9,105.00 | $230.75–$4,652.66 | — | 90% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $1,231.70 | $12,317.00 | $340.93–$6,293.99 | 61% 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 | $1,231.70 | $12,317.00 | $340.93–$6,293.99 | — | 90% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $910.50 | $9,105.00 | $230.75–$4,652.66 | 58% below | 90% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI scan of middle spinal canal without contrast | $910.50 | $9,105.00 | $230.75–$4,652.66 | — | 90% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $611.70 | $6,117.00 | $340.93–$3,125.79 | 81% 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 | $611.70 | $6,117.00 | $340.93–$3,125.79 | — | 90% |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $1,231.70 | $12,317.00 | $340.93–$6,293.99 | 64% below | 90% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI scan of pelvis before and after contrast | $1,231.70 | $12,317.00 | $340.93–$6,293.99 | — | 90% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $117.60 | $1,176.00 | $101.52–$600.94 | 76% below | 90% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited ultrasound scan of pelvis | $117.60 | $1,176.00 | $101.52–$600.94 | — | 90% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $98.30 | $983.00 | $84.05–$658.61 | 68% below | 90% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray of shoulder, minimum of 2 views | $98.30 | $983.00 | $84.05–$658.61 | — | 90% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $133.60 | $1,336.00 | $142.64–$895.12 | 78% below | 90% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function | $133.60 | $1,336.00 | $142.64–$895.12 | — | 90% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $146.80 | $1,468.00 | $101.52–$750.15 | 83% below | 90% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Complete ultrasound scan of abdomen | $146.80 | $1,468.00 | $101.52–$750.15 | — | 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 | $107.90 | $1,079.00 | $101.52–$722.93 | 83% 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 | $107.90 | $1,079.00 | $101.52–$722.93 | — | 90% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract | $126.70 | $1,267.00 | $142.64–$848.89 | 83% below | 90% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Single contrast X-ray of upper digestive tract | $126.70 | $1,267.00 | $142.64–$848.89 | — | 90% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Venous Extremity Unilat | $248.00 | $2,480.00 | $101.52–$1,661.60 | 69% below | 90% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Duplex Venous Extremity Unilat | $248.00 | $2,480.00 | $101.52–$1,661.60 | — | 90% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views | $108.80 | $1,088.00 | $84.05–$728.96 | 65% below | 90% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray of wrist, minimum of 3 views | $108.80 | $1,088.00 | $84.05–$728.96 | — | 90% |
| X-ray of the abdomen, 1 view CPT 74018 HC Abdomen 1 View | $62.20 | $622.00 | $84.05–$416.74 | 82% below | 90% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Abdomen 1 View | $62.20 | $622.00 | $84.05–$416.74 | — | 90% |
| X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views | $98.30 | $983.00 | $84.05–$658.61 | 65% below | 90% |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-ray of ankle, 2 views | $98.30 | $983.00 | $84.05–$658.61 | — | 90% |
| X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views | $98.30 | $983.00 | $84.05–$658.61 | 66% below | 90% |
| X-ray of the foot, 2 views inpatient CPT 73620 X-ray of foot, 2 views | $98.30 | $983.00 | $84.05–$658.61 | — | 90% |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $108.80 | $1,088.00 | $84.05–$728.96 | 67% below | 90% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray of hand, minimum of 3 views | $108.80 | $1,088.00 | $84.05–$728.96 | — | 90% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views | $86.10 | $861.00 | $84.05–$576.87 | 69% below | 90% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray of knee, 1-2 views | $86.10 | $861.00 | $84.05–$576.87 | — | 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 | $98.30 | $983.00 | $101.52–$658.61 | 79% 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 | $98.30 | $983.00 | $101.52–$658.61 | — | 90% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $98.30 | $983.00 | $101.52–$658.61 | 76% below | 90% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray of middle spine, 2 views | $98.30 | $983.00 | $101.52–$658.61 | — | 90% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $98.30 | $983.00 | $84.05–$658.61 | 74% below | 90% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of upper spine, 2-3 views | $98.30 | $983.00 | $84.05–$658.61 | — | 90% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $24.70 | $247.00 | $5.18–$165.49 | 56% below | 90% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT), level | $24.70 | $247.00 | $5.18–$165.49 | — | 90% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $249.60 | $2,496.00 | $47.63–$1,672.32 | 36% below | 90% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel | $249.60 | $2,496.00 | $47.63–$1,672.32 | — | 90% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $61.50 | $615.00 | $12.95–$412.05 | 12% above | 90% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $61.50 | $615.00 | $12.95–$412.05 | — | 90% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder | $57.50 | $575.00 | $12.09–$385.25 | 37% below | 90% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder | $57.50 | $575.00 | $12.09–$385.25 | — | 90% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $61.50 | $615.00 | $39.26–$412.05 | 67% below | 90% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $61.50 | $615.00 | $39.26–$412.05 | — | 90% |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $19.80 | $198.00 | $8.46–$132.66 | 92% below | 90% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $19.80 | $198.00 | $8.46–$132.66 | — | 90% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity | $112.40 | $1,124.00 | $39.29–$753.08 | 62% below | 90% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity | $112.40 | $1,124.00 | $39.29–$753.08 | — | 90% |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $80.20 | $802.00 | $10.32–$537.34 | 66% below | 90% |
| Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture | $80.20 | $802.00 | $10.32–$537.34 | — | 90% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $6.90 | $69.00 | $6.45–$46.23 | 66% below | 90% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion of needle into vein for collection of blood sample | $6.90 | $69.00 | $6.45–$46.23 | — | 90% |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $9.50 | $95.00 | $3.93–$63.65 | 79% below | 90% |
| Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level | $9.50 | $95.00 | $3.93–$63.65 | — | 90% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $18.20 | $182.00 | $7.52–$121.94 | 87% below | 90% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis | $18.20 | $182.00 | $7.52–$121.94 | — | 90% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $21.80 | $218.00 | $2.99–$246.11 | 75% below | 90% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO) | $21.80 | $218.00 | $2.99–$246.11 | — | 90% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $12.30 | $123.00 | $5.18–$82.41 | 79% below | 90% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein | $12.30 | $123.00 | $5.18–$82.41 | — | 90% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique | $15.20 | $152.00 | $37.27–$102.84 | 91% below | 90% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique | $15.20 | $152.00 | $37.27–$102.84 | — | 90% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $266.90 | $2,669.00 | $35.09–$1,788.23 | 112% 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 | $266.90 | $2,669.00 | $35.09–$1,788.23 | — | 90% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $63.80 | $638.00 | $13.39–$427.46 | 68% below | 90% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $63.80 | $638.00 | $13.39–$427.46 | — | 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 | $26.60 | $266.00 | $7.77–$178.22 | 72% 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 | $26.60 | $266.00 | $7.77–$178.22 | — | 90% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $48.70 | $487.00 | $6.47–$326.29 | 50% below | 90% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $48.70 | $487.00 | $6.47–$326.29 | — | 90% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $29.00 | $290.00 | $10.56–$194.30 | 91% below | 90% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood test, comprehensive group of blood chemicals | $29.00 | $290.00 | $10.56–$194.30 | — | 90% |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $53.60 | $536.00 | $10.18–$359.12 | 69% below | 90% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement, D-dimer; quantitative | $53.60 | $536.00 | $10.18–$359.12 | — | 90% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level | $30.60 | $306.00 | $19.63–$205.02 | 86% below | 90% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level | $30.60 | $306.00 | $19.63–$205.02 | — | 90% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $36.10 | $361.00 | $13.63–$241.87 | 65% below | 90% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level | $36.10 | $361.00 | $13.63–$241.87 | — | 90% |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $69.90 | $699.00 | $14.70–$468.33 | 25% below | 90% |
| Folate (folic acid) blood test inpatient CPT 82746 Folic acid level, serum | $69.90 | $699.00 | $14.70–$468.33 | — | 90% |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $80.50 | $805.00 | $16.94–$539.35 | 42% below | 90% |
| Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone, T3 measurement, free | $80.50 | $805.00 | $16.94–$539.35 | — | 90% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $42.80 | $428.00 | $9.02–$286.76 | 52% below | 90% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical), free | $42.80 | $428.00 | $9.02–$286.76 | — | 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 | $266.90 | $2,669.00 | $35.09–$1,788.23 | 88% above | 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 | $266.90 | $2,669.00 | $35.09–$1,788.23 | — | 90% |
| H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool | $24.60 | $246.00 | $14.38–$164.82 | 74% below | 90% |
| H. pylori stool antigen test inpatient CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool | $24.60 | $246.00 | $14.38–$164.82 | — | 90% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification | $386.80 | $3,868.00 | $85.10–$2,591.56 | 20% above | 90% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification | $386.80 | $3,868.00 | $85.10–$2,591.56 | — | 90% |
| HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus | $23.00 | $230.00 | $13.71–$154.10 | 78% below | 90% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus | $23.00 | $230.00 | $13.71–$154.10 | — | 90% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $16.50 | $165.00 | $9.71–$110.55 | 82% below | 90% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level | $16.50 | $165.00 | $9.71–$110.55 | — | 90% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement | $51.10 | $511.00 | $10.74–$342.37 | 21% below | 90% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement | $51.10 | $511.00 | $10.74–$342.37 | — | 90% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen | $88.40 | $884.00 | $10.33–$592.28 | 13% above | 90% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen | $88.40 | $884.00 | $10.33–$592.28 | — | 90% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement | $36.90 | $369.00 | $14.27–$247.23 | 58% below | 90% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement | $36.90 | $369.00 | $14.27–$247.23 | — | 90% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification | $134.70 | $1,347.00 | $42.84–$902.49 | 54% below | 90% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification | $134.70 | $1,347.00 | $42.84–$902.49 | — | 90% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity | $60.40 | $604.00 | $12.95–$404.68 | 24% below | 90% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity | $60.40 | $604.00 | $12.95–$404.68 | — | 90% |
| Homocysteine blood test CPT 83090 Homocysteine (amino acid) level | $80.10 | $801.00 | $17.92–$536.67 | 47% below | 90% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level | $80.10 | $801.00 | $17.92–$536.67 | — | 90% |
| Insulin blood test CPT 83525 Insulin measurement, total | $54.30 | $543.00 | $11.43–$363.81 | 35% below | 90% |
| Insulin blood test inpatient CPT 83525 Insulin measurement, total | $54.30 | $543.00 | $11.43–$363.81 | — | 90% |
| Iron blood test (serum iron) CPT 83540 Iron level | $15.70 | $157.00 | $6.47–$105.19 | 82% below | 90% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron level | $15.70 | $157.00 | $6.47–$105.19 | — | 90% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $21.20 | $212.00 | $8.74–$142.04 | 78% below | 90% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding capacity | $21.20 | $212.00 | $8.74–$142.04 | — | 90% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $29.00 | $290.00 | $8.68–$194.30 | 85% below | 90% |
| Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel | $29.00 | $290.00 | $8.68–$194.30 | — | 90% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $16.60 | $166.00 | $6.89–$111.22 | 83% below | 90% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level | $16.60 | $166.00 | $6.89–$111.22 | — | 90% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $39.00 | $390.00 | $8.17–$261.30 | 85% below | 90% |
| Liver function blood test panel inpatient CPT 80076 Liver function blood test panel | $39.00 | $390.00 | $8.17–$261.30 | — | 90% |
| Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $81.00 | $810.00 | $17.03–$542.70 | 2% below | 90% |
| Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $81.00 | $810.00 | $17.03–$542.70 | — | 90% |
| Magnesium blood test CPT 83735 Magnesium level | $11.40 | $114.00 | $6.70–$76.38 | 77% below | 90% |
| Magnesium blood test inpatient CPT 83735 Magnesium level | $11.40 | $114.00 | $6.70–$76.38 | — | 90% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free | $84.60 | $846.00 | $18.39–$566.82 | 25% below | 90% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement, free | $84.60 | $846.00 | $18.39–$566.82 | — | 90% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $48.70 | $487.00 | $18.39–$326.29 | 46% below | 90% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement, total | $48.70 | $487.00 | $18.39–$326.29 | — | 90% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level | $166.00 | $1,660.00 | $41.28–$1,112.20 | 24% below | 90% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level | $166.00 | $1,660.00 | $41.28–$1,112.20 | — | 90% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $28.60 | $286.00 | $6.01–$191.62 | 47% below | 90% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test, plasma or whole blood | $28.60 | $286.00 | $6.01–$191.62 | — | 90% |
| Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level | $51.30 | $513.00 | $19.38–$343.71 | 56% below | 90% |
| Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level | $51.30 | $513.00 | $19.38–$343.71 | — | 90% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $18.70 | $187.00 | $4.29–$125.29 | 60% below | 90% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time | $18.70 | $187.00 | $4.29–$125.29 | — | 90% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated | $26.70 | $267.00 | $2.70–$178.89 | 52% below | 90% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated | $26.70 | $267.00 | $2.70–$178.89 | — | 90% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors | $15.60 | $156.00 | $4.38–$104.52 | 59% below | 90% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool analysis for blood to screen for colon tumors | $15.60 | $156.00 | $4.38–$104.52 | — | 90% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test | $10.20 | $102.00 | $4.27–$68.34 | 81% below | 90% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test | $10.20 | $102.00 | $4.27–$68.34 | — | 90% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon | $175.70 | $1,757.00 | $61.98–$1,177.19 | 18% below | 90% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test, gamma interferon | $175.70 | $1,757.00 | $61.98–$1,177.19 | — | 90% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total | $68.40 | $684.00 | $25.81–$458.28 | 31% below | 90% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level, total | $68.40 | $684.00 | $25.81–$458.28 | — | 90% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement | $60.10 | $601.00 | $14.55–$402.67 | 33% below | 90% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement | $60.10 | $601.00 | $14.55–$402.67 | — | 90% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $44.50 | $445.00 | $16.80–$298.15 | 64% below | 90% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $44.50 | $445.00 | $16.80–$298.15 | — | 90% |
| Uric acid blood test CPT 84550 Uric acid level, blood | $10.90 | $109.00 | $4.52–$73.03 | 88% below | 90% |
| Uric acid blood test inpatient CPT 84550 Uric acid level, blood | $10.90 | $109.00 | $4.52–$73.03 | — | 90% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $19.50 | $195.00 | $3.17–$130.65 | 82% below | 90% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test with examination using microscope, automated | $19.50 | $195.00 | $3.17–$130.65 | — | 90% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $15.20 | $152.00 | $2.25–$101.84 | 70% below | 90% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Automated urinalysis test | $15.20 | $152.00 | $2.25–$101.84 | — | 90% |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $31.60 | $316.00 | $8.07–$211.72 | 78% below | 90% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count, urine | $31.60 | $316.00 | $8.07–$211.72 | — | 90% |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $41.00 | $410.00 | $8.61–$274.70 | 52% below | 90% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test | $41.00 | $410.00 | $8.61–$274.70 | — | 90% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $71.70 | $717.00 | $15.08–$480.39 | 21% below | 90% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (vitamin B-12) level | $71.70 | $717.00 | $15.08–$480.39 | — | 90% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $129.00 | $1,290.00 | $29.60–$864.30 | 5% above | 90% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level | $129.00 | $1,290.00 | $29.60–$864.30 | — | 90% |
| Zinc blood test CPT 84630 Zinc level | $27.50 | $275.00 | $11.39–$184.25 | 60% below | 90% |
| Zinc blood test inpatient CPT 84630 Zinc level | $27.50 | $275.00 | $11.39–$184.25 | — | 90% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram one side CPT 93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | $3,501.60 | $35,016.00 | $3,070.52–$23,460.72 | 71% below | 90% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | $3,501.60 | $35,016.00 | $3,070.52–$23,460.72 | — | 90% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $638.10 | $6,381.00 | $926.85–$3,260.69 | 47% below | 90% |
| Colonoscopy with polyp removal inpatient CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $638.10 | $6,381.00 | $926.85–$3,260.69 | — | 90% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $605.00 | $6,050.00 | $926.85–$3,091.55 | 52% below | 90% |
| Colonoscopy with tissue sample inpatient CPT 45380 Biopsy of large bowel using a flexible endoscope | $605.00 | $6,050.00 | $926.85–$3,091.55 | — | 90% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope | $488.20 | $4,882.00 | $587.83–$2,494.70 | 47% below | 90% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope | $488.20 | $4,882.00 | $587.83–$2,494.70 | — | 90% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $179.40 | $1,794.00 | $148.18–$916.73 | 62% below | 90% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess | $179.40 | $1,794.00 | $148.18–$916.73 | — | 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 | $148.60 | $1,486.00 | $260.17–$1,930.00 | 75% below | 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 | $148.60 | $1,486.00 | $260.17–$1,930.00 | — | 90% |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $153.50 | $1,535.00 | $89.46–$822.00 | 47% below | 90% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $153.50 | $1,535.00 | $89.46–$822.00 | — | 90% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W/Imaging | $255.10 | $2,551.00 | $560.18–$1,930.00 | 84% below | 90% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W/Imaging | $255.10 | $2,551.00 | $560.18–$1,930.00 | — | 90% |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $70.10 | $701.00 | $123.06–$469.67 | 71% below | 90% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint | $70.10 | $701.00 | $123.06–$469.67 | — | 90% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $173.30 | $1,733.00 | $266.47–$885.56 | 61% below | 90% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion | $173.30 | $1,733.00 | $266.47–$885.56 | — | 90% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion | $88.40 | $884.00 | $189.69–$822.00 | 75% below | 90% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion | $88.40 | $884.00 | $189.69–$822.00 | — | 90% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Biopsy Single/Multiple | $353.20 | $3,532.00 | $883.00–$1,985.00 | 73% below | 90% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC Egd Biopsy Single/Multiple | $353.20 | $3,532.00 | $883.00–$1,985.00 | — | 90% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $321.10 | $3,211.00 | $802.75–$1,930.00 | 78% below | 90% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $321.10 | $3,211.00 | $802.75–$1,930.00 | — | 90% |
| Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths | $64.70 | $647.00 | $160.45–$822.00 | 68% below | 90% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruction of skin growth, 1-14 growths | $64.70 | $647.00 | $160.45–$822.00 | — | 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 | $340.60 | $3,406.00 | $284.85–$1,985.00 | 66% 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 | $340.60 | $3,406.00 | $284.85–$1,985.00 | — | 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 | $145.10 | $1,451.00 | $362.75–$1,680.00 | 84% below | 90% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion of blood or blood products | $145.10 | $1,451.00 | $362.75–$1,680.00 | — | 90% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production | $33.20 | $332.00 | $83.00–$394.00 | 84% below | 90% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction or sputum production | $33.20 | $332.00 | $83.00–$394.00 | — | 90% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement of brain wave activity (EEG), awake and drowsy | $283.00 | $2,830.00 | $264.10–$1,896.10 | 71% below | 90% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measurement of brain wave activity (EEG), awake and drowsy | $283.00 | $2,830.00 | $264.10–$1,896.10 | — | 90% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $86.40 | $864.00 | $56.70–$578.88 | 70% below | 90% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $86.40 | $864.00 | $56.70–$578.88 | — | 90% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $249.50 | $2,495.00 | $363.67–$1,671.65 | 81% 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 | $249.50 | $2,495.00 | $363.67–$1,671.65 | — | 90% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $274.50 | $2,745.00 | $537.33–$4,190.00 | 86% 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 | $274.50 | $2,745.00 | $537.33–$4,190.00 | — | 90% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) | $422.60 | $4,226.00 | $297.27–$2,831.42 | 67% below | 90% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) | $422.60 | $4,226.00 | $297.27–$2,831.42 | — | 90% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $110.90 | $1,109.00 | $123.34–$781.00 | 75% 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 | $110.90 | $1,109.00 | $123.34–$781.00 | — | 90% |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $160.30 | $1,603.00 | $201.13–$1,074.01 | 66% 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 | $160.30 | $1,603.00 | $201.13–$1,074.01 | — | 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 | $44.40 | $444.00 | $41.83–$781.00 | 71% 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 | $44.40 | $444.00 | $41.83–$781.00 | — | 90% |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $32.40 | $324.00 | $30.92–$203.00 | 72% below | 90% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $32.40 | $324.00 | $30.92–$203.00 | — | 90% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $11.80 | $118.00 | $26.79–$126.00 | 80% below | 90% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $11.80 | $118.00 | $26.79–$126.00 | — | 90% |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes | $56.70 | $567.00 | $40.19–$289.74 | 77% below | 90% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for occupational therapy, typically 30 minutes | $56.70 | $567.00 | $40.19–$289.74 | — | 90% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes | $89.00 | $890.00 | $94.65–$454.79 | 71% below | 90% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for physical therapy, typically 45 minutes | $89.00 | $890.00 | $94.65–$454.79 | — | 90% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes | $68.20 | $682.00 | $37.11–$348.50 | 67% below | 90% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for physical therapy, typically 20 minutes | $68.20 | $682.00 | $37.11–$348.50 | — | 90% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Moderate Complexity | $87.40 | $874.00 | $74.20–$446.61 | 67% below | 90% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Moderate Complexity | $87.40 | $874.00 | $74.20–$446.61 | — | 90% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes | $23.70 | $237.00 | $26.24–$203.00 | 79% below | 90% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Therapy procedure using manual technique, each 15 minutes | $23.70 | $237.00 | $26.24–$203.00 | — | 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 | $27.10 | $271.00 | $27.80–$203.00 | 76% 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 | $27.10 | $271.00 | $27.80–$203.00 | — | 90% |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression | $132.90 | $1,329.00 | $192.12–$679.12 | 69% below | 90% |
| Speech and language evaluation inpatient CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression | $132.90 | $1,329.00 | $192.12–$679.12 | — | 90% |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder | $84.60 | $846.00 | $72.63–$432.31 | 61% below | 90% |
| Speech therapy session, individual inpatient CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder | $84.60 | $846.00 | $72.63–$432.31 | — | 90% |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $242.10 | $2,421.00 | $149.36–$1,237.13 | 32% below | 90% |
| Spirometry (breathing test) inpatient CPT 94010 Test to measure expiratory airflow and volume | $242.10 | $2,421.00 | $149.36–$1,237.13 | — | 90% |
| Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $242.10 | $2,421.00 | $155.35–$1,622.07 | 59% below | 90% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $242.10 | $2,421.00 | $155.35–$1,622.07 | — | 90% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $36.80 | $368.00 | $33.29–$203.00 | 67% below | 90% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy procedure using functional activities | $36.80 | $368.00 | $33.29–$203.00 | — | 90% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $99.03 | $990.35 | $100.17–$687.20 | 45% below | 90% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $99.03 | $990.35 | $100.17–$687.20 | 45% below | 90% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $99.03 | $990.35 | $100.17–$687.20 | — | 90% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $99.03 | $990.35 | $100.17–$687.20 | — | 90% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $123.81 | $1,238.11 | $309.53–$829.53 | 50% 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 | $123.81 | $1,238.11 | $309.53–$829.53 | — | 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 | $117.08 | $1,170.83 | $152.89–$1,570.33 | 67% 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) | $234.38 | $2,343.77 | $152.89–$1,570.33 | 34% 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 | $117.08 | $1,170.83 | $152.89–$1,570.33 | — | 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) | $234.38 | $2,343.77 | $152.89–$1,570.33 | — | 90% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $397.60 | $3,976.00 | $994.00–$2,758.95 | 29% below | 90% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $397.60 | $3,976.00 | $994.00–$2,758.95 | — | 90% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAP | $155.95 | $1,559.52 | $161.09–$1,082.15 | 38% below | 90% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION WRAP | $155.95 | $1,559.52 | $161.09–$1,082.15 | — | 90% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $792.62 | $7,926.20 | $1,981.55–$5,310.55 | 19% below | 90% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $792.62 | $7,926.20 | $1,981.55–$5,310.55 | — | 90% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $578.90 | $5,789.01 | $312.03–$4,187.42 | 44% below | 90% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $624.99 | $6,249.88 | $312.03–$4,187.42 | 39% below | 90% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $578.90 | $5,789.01 | $312.03–$4,187.42 | — | 90% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $624.99 | $6,249.88 | $312.03–$4,187.42 | — | 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 | $59.16 | $591.59 | $147.90–$396.37 | 53% below | 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 SYRINGE | $59.16 | $591.59 | $147.90–$396.37 | 53% 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 SYRINGE | $59.16 | $591.59 | $147.90–$396.37 | — | 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 | $59.16 | $591.59 | $147.90–$396.37 | — | 90% |
Source file: https://cdn.ardenthealthservices.com/price-transparency/82-3913174_UT-Health-Rehabilitation_standardcharges.csv