Memorial Hospital Los Banos
Memorial Hospital Los Banos in Los Banos, CA publishes cash prices for 238 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 220 of 233 procedures and below it for 11. By typical cash price it ranks #195 of 214 California hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
520 West I St, Los Banos, CA 93635 Collected Sep 29, 2026 Source price file (209) 826-0591
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050528 · CMS hospital register NPI 1366896300
The price file shows no self-pay discount
For 661 of the 661 prices listed here, the cash price in Memorial Hospital Los Banos's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Memorial Hospital Los Banos in Los Banos, CA:
- Nov 13, 2024 Met requirements
- Aug 1, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG NI EXTREMITY ARTERIAL 1 LEVEL BILATERAL LTD | $1,030.00 | $1,030.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG NI EXTREMITY ARTERIAL 1 LEVEL BILATERAL LTD | $1,030.00 | $1,030.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW) | $1,339.00 | $1,339.00 | — | 123% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG XR ESOPHAGUS 1CNTRST STUDY (BARIUM SWALLOW) | $1,339.00 | $1,339.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CTA CHEST W AND WO CONTR | $6,885.00 | $6,885.00 | — | 100% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CTA CHEST W AND WO CONTR | $6,885.00 | $6,885.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT ABD & PELVIS W/O CON | $6,374.00 | $6,374.00 | — | 122% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT ABD & PELVIS W/O CON | $6,374.00 | $6,374.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT ABD & PELVIS W/CON | $8,287.00 | $8,287.00 | — | 107% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABD & PELVIS W/CON | $8,287.00 | $8,287.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT ABD & PELVIS 1+ REGION W/WO CONTRAST | $8,994.00 | $8,994.00 | — | 101% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT ABD & PELVIS 1+ REGION W/WO CONTRAST | $8,994.00 | $8,994.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HCHG CT ABD W CONTR | $4,755.00 | $4,755.00 | — | 89% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT ABD W CONTR | $4,755.00 | $4,755.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 HCHG CT ABD WO CONTR | $4,058.00 | $4,058.00 | — | 113% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT ABD WO CONTR | $4,058.00 | $4,058.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAXILLOFACIAL WO CONTR | $4,272.00 | $4,272.00 | — | 96% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAXILLOFACIAL WO CONTR | $4,272.00 | $4,272.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT BRAIN WO CONTR | $4,312.00 | $4,312.00 | — | 88% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT BRAIN WO CONTR | $4,312.00 | $4,312.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 HCHG CT BRAIN W CONTR | $4,869.00 | $4,869.00 | — | 80% above | — |
| CT scan of the head with contrast inpatient CPT 70460 HCHG CT BRAIN W CONTR | $4,869.00 | $4,869.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HCHG CT BRAIN W AND WO CONTR | $5,345.00 | $5,345.00 | — | 73% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT BRAIN W AND WO CONTR | $5,345.00 | $5,345.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT SPINE LUMB WO CONTR | $4,803.00 | $4,803.00 | — | 68% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT SPINE LUMB WO CONTR | $4,803.00 | $4,803.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT SPINE CERV WO CONTR | $5,058.00 | $5,058.00 | — | 74% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT SPINE CERV WO CONTR | $5,058.00 | $5,058.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W CONTR | $5,746.00 | $5,746.00 | — | 126% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W CONTR | $5,746.00 | $5,746.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HCHG NI DUPLEX EXTRACRANIAL BILATERAL | $2,747.00 | $2,747.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HCHG NI DUPLEX EXTRACRANIAL BILATERAL | $2,747.00 | $2,747.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HCHG XR CHEST SPECIAL VIEWS 2 VIEW | $804.00 | $804.00 | — | 97% above | — |
| Chest X-ray, 2 views CPT 71046 HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW | $804.00 | $804.00 | — | 97% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST FRONTAL AND LATERAL 2 VIEW | $804.00 | $804.00 | — | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 HCHG XR CHEST SPECIAL VIEWS 2 VIEW | $804.00 | $804.00 | — | — | — |
| Chest X-ray, single view CPT 71045 HCHG XR CHEST FRONTAL 1 VIEW | $738.00 | $738.00 | — | 103% above | — |
| Chest X-ray, single view inpatient CPT 71045 HCHG XR CHEST FRONTAL 1 VIEW | $738.00 | $738.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONEUM COMPLETE | $1,568.00 | $1,568.00 | — | 84% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONEUM COMPLETE | $1,568.00 | $1,568.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG XR DEXA HIP, SPINE, AND/OR PELVIS | $913.00 | $913.00 | — | 81% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG XR DEXA HIP, SPINE, AND/OR PELVIS | $913.00 | $913.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HCHG XR DEXA APPEN | $447.00 | $447.00 | — | 62% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HCHG XR DEXA APPEN | $447.00 | $447.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG US OB DETAILED SINGLE FETUS | $1,568.00 | $1,568.00 | — | 74% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HCHG US OB DETAILED SINGLE FETUS | $1,568.00 | $1,568.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT THORAX DX W/O CNTRST | $4,097.00 | $4,097.00 | — | 114% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT THORAX DX W/O CNTRST | $4,097.00 | $4,097.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CT THORAX DX W/CONTRAST | $5,153.00 | $5,153.00 | — | 77% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CT THORAX DX W/CONTRAST | $5,153.00 | $5,153.00 | — | — | — |
| Diagnostic mammogram, both breasts CPT 77066 HCHG XR MAMMO DX W/WO CAD BIL | $929.00 | $929.00 | — | 84% above | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 HCHG XR MAMMO DX W/WO CAD BIL | $929.00 | $929.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG NI DUPLEX EXTREMITY LOW BILATERAL | $2,598.00 | $2,598.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG NI DUPLEX EXTREMITY LOW BILATERAL | $2,598.00 | $2,598.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG NI DUPLEX EXTREMITY VEINS BILATERAL | $2,704.00 | $2,704.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG NI DUPLEX EXTREMITY VEINS BILATERAL | $2,704.00 | $2,704.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG CA TTE W/DOPPLER COMPLETE | $4,223.00 | $4,223.00 | — | 57% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG CA TTE W/DOPPLER COMPLETE | $4,223.00 | $4,223.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG US ABD LTD | $1,656.00 | $1,656.00 | — | 100% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG US ABD LTD | $1,656.00 | $1,656.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG CT THORAX LW DOSE LUNG CANCER SCR W/O CONTRAST | $304.00 | $304.00 | — | 3% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG CT THORAX LW DOSE LUNG CANCER SCR W/O CONTRAST | $304.00 | $304.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 HCHG MRI ABDOMEN WO CONTR | $5,217.00 | $5,217.00 | — | 95% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI ABDOMEN WO CONTR | $5,217.00 | $5,217.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI ABDOMEN W AND WO CONTR | $7,262.00 | $7,262.00 | — | 66% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI ABDOMEN W AND WO CONTR | $7,262.00 | $7,262.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN W STEM WO CONTR | $5,481.00 | $5,481.00 | — | 89% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN W STEM WO CONTR | $5,481.00 | $5,481.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI BRAIN W STEM W AND WO CONTR | $8,334.00 | $8,334.00 | — | 91% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI BRAIN W STEM W AND WO CONTR | $8,334.00 | $8,334.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HCHG MRI SPINE LUMB WO CONTR | $5,217.00 | $5,217.00 | — | 68% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI SPINE LUMB WO CONTR | $5,217.00 | $5,217.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI SPINE LUMB W AND WO CONTR | $8,441.00 | $8,441.00 | — | 86% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI SPINE LUMB W AND WO CONTR | $8,441.00 | $8,441.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI SPINE THOR WO CONTR | $5,458.00 | $5,458.00 | — | 80% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI SPINE THOR WO CONTR | $5,458.00 | $5,458.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI SPINE CERV W AND WO CONTR | $8,560.00 | $8,560.00 | — | 94% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI SPINE CERV W AND WO CONTR | $8,560.00 | $8,560.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI SPINE CERV WO CONTR | $5,265.00 | $5,265.00 | — | 73% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI SPINE CERV WO CONTR | $5,265.00 | $5,265.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W AND WO CONTR | $8,535.00 | $8,535.00 | — | 101% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W AND WO CONTR | $8,535.00 | $8,535.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS WO CONTR | $5,735.00 | $5,735.00 | — | 123% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS WO CONTR | $5,735.00 | $5,735.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG NM MYOCARDIAL PERFUSION SPECT MULTI ACQ | $9,698.00 | $9,698.00 | — | 140% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG NM MYOCARDIAL PERFUSION SPECT MULTI ACQ | $9,698.00 | $9,698.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG US PELVIC LTD FOLLOW-UP NON-OB | $944.00 | $944.00 | — | 66% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG US PELVIC LTD FOLLOW-UP NON-OB | $944.00 | $944.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELVIC COMPLETE NON-OB | $1,596.00 | $1,596.00 | — | 70% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELVIC COMPLETE NON-OB | $1,596.00 | $1,596.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US OB > 14 WEEKS SINGLE FETUS | $1,479.00 | $1,479.00 | — | 63% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US OB > 14 WEEKS SINGLE FETUS | $1,479.00 | $1,479.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG US OB < 14 WEEKS SINGLE FETUS | $1,625.00 | $1,625.00 | — | 100% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG US OB < 14 WEEKS SINGLE FETUS | $1,625.00 | $1,625.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG US OB LTD 1 OR MORE FETUS | $1,194.00 | $1,194.00 | — | 97% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG US OB LTD 1 OR MORE FETUS | $1,194.00 | $1,194.00 | — | — | — |
| Screening mammogram, both breasts CPT 77067 HCHG XR MAMMO SCREENING W/WO CAD BIL | $602.00 | $602.00 | — | 97% above | — |
| Screening mammogram, both breasts inpatient CPT 77067 HCHG XR MAMMO SCREENING W/WO CAD BIL | $602.00 | $602.00 | — | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HCHG CA ECHO TTE 2D W/WO M-MODE REST&STRS CONT ECG | $4,006.00 | $4,006.00 | — | 65% above | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HCHG CA ECHO TTE 2D W/WO M-MODE REST&STRS CONT ECG | $4,329.00 | $4,329.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG XR SWALLOWING FUNCTION CONTRAST STUDY | $1,480.00 | $1,480.00 | — | 122% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG XR SWALLOWING FUNCTION CONTRAST STUDY | $1,480.00 | $1,480.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANSVAGINAL NON-OB | $1,310.00 | $1,310.00 | — | 83% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANSVAGINAL NON-OB | $1,310.00 | $1,310.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HCHG US OB TRANSVAGINAL | $1,457.00 | $1,457.00 | — | 119% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG US OB TRANSVAGINAL | $1,457.00 | $1,457.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HCHG US ABD COMPLETE | $1,887.00 | $1,887.00 | — | 66% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABD COMPLETE | $1,887.00 | $1,887.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HCHG US TESTICULAR SCROTUM | $1,448.00 | $1,448.00 | — | 63% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US TESTICULAR SCROTUM | $1,448.00 | $1,448.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US HEAD AND NECK SOFT TISSUE | $1,368.00 | $1,368.00 | — | 63% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US HEAD AND NECK SOFT TISSUE | $1,368.00 | $1,368.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG XR UGI TRC SINGLE CONTRAST STUDY | $1,561.00 | $1,561.00 | — | 153% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG XR UGI TRC SINGLE CONTRAST STUDY | $1,561.00 | $1,561.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS | $768.00 | $768.00 | — | 82% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HCHG XR HIP UNI W/WO PELVIS 2-3 VIEWS | $768.00 | $768.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HCHG XR ABD AP 1 VIEW | $666.00 | $666.00 | — | 119% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG XR ABD AP 1 VIEW | $666.00 | $666.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG XR SPINE LUMB 2 OR 3 VIEW | $966.00 | $966.00 | — | 108% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG XR SPINE LUMB 2 OR 3 VIEW | $966.00 | $966.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HCHG XR SPINE LUMB 4 VIEW OR MORE | $1,151.00 | $1,151.00 | — | 76% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG XR SPINE LUMB 4 VIEW OR MORE | $1,151.00 | $1,151.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG XR SPINE THOR 2 VIEW | $932.00 | $932.00 | — | 99% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG XR SPINE THOR 2 VIEW | $932.00 | $932.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HCHG XR NASAL BONES 3 VIEW OR MORE | $818.00 | $818.00 | — | 83% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG XR NASAL BONES 3 VIEW OR MORE | $818.00 | $818.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS | $864.00 | $864.00 | — | 87% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG XR SPINE CERVICAL 2-3 VIEWS | $864.00 | $864.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG XR PELVIC 1 OR 2 VIEW | $770.00 | $770.00 | — | 94% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG XR PELVIC 1 OR 2 VIEW | $770.00 | $770.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG XR SACRUM COCCYX | $874.00 | $874.00 | — | 81% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG XR SACRUM COCCYX | $874.00 | $874.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG CORE ALT (SGPT) | $112.00 | $112.00 | — | 160% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG ALT (SGPT) | $113.00 | $113.00 | — | 162% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG CORE ALT (SGPT) | $112.00 | $112.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG ALT (SGPT) | $113.00 | $113.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG CORE AST (SGOT) | $114.00 | $114.00 | — | 151% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG AST (SGOT) | $114.00 | $114.00 | — | 151% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG AST (SGOT) | $114.00 | $114.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG CORE AST (SGOT) | $114.00 | $114.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG CORE HEPATITIS PNL ACUTE | $391.00 | $391.00 | — | 44% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG HEPATITIS PANEL ACUTE | $391.00 | $391.00 | — | 44% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG CORE HEPATITIS PNL ACUTE | $391.00 | $391.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG HEPATITIS PANEL ACUTE | $391.00 | $391.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HCHG CORE ALLERGEN SPECIFIC IGE QN/SEMI CRUDE EXT | $78.00 | $78.00 | — | 838% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG CORE ALLERGEN SPECIFIC IGE QN/SEMI CRUDE EXT | $78.00 | $78.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HCHG CORE CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $50.00 | $50.00 | — | 68% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HCHG CORE CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $50.00 | $50.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG CORE ANA (ANTI NUCLEAR AB) | $98.00 | $98.00 | — | 84% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG CORE ANA (ANTI NUCLEAR AB) | $98.00 | $98.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG NATRIURETIC PEPTIDE | $566.00 | $566.00 | — | 170% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG NATRIURETIC PEPTIDE | $566.00 | $566.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL | $383.00 | $383.00 | — | 98% above | — |
| Basic metabolic panel (blood test) CPT 80048 HCHG CORE BASIC METBLC PNL TOTAL CA | $383.00 | $383.00 | — | 98% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL | $383.00 | $383.00 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HCHG CORE BASIC METBLC PNL TOTAL CA | $383.00 | $383.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG REF CYTO CL BLK 5 CNT/1 KARY | $122.00 | $122.00 | — | 5% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG REF SURGICAL PATHOLOGY LEVEL IV | $126.90 | $126.90 | — | 2% below | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG REF CYTO CL BLK 5 CNT/1 KARY | $122.00 | $122.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG REF SURGICAL PATHOLOGY LEVEL IV | $126.90 | $126.90 | — | — | — |
| Blood culture for bacteria CPT 87040 HCHG CULTURE BLOOD | $443.00 | $443.00 | — | 63% above | — |
| Blood culture for bacteria CPT 87040 HCHG CORE CULT BLD BACTERIA | $443.00 | $443.00 | — | 63% above | — |
| Blood culture for bacteria inpatient CPT 87040 HCHG CORE CULT BLD BACTERIA | $443.00 | $443.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 HCHG CULTURE BLOOD | $443.00 | $443.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE CDPH PRENATAL | $6.00 | $6.00 | — | 70% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE | $50.00 | $50.00 | — | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG RHC VENIPUNCTURE | $50.00 | $50.00 | — | 150% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE CDPH PRENATAL | $6.00 | $6.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE | $50.00 | $50.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG RHC VENIPUNCTURE | $50.00 | $50.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE | $114.00 | $114.00 | — | 204% above | — |
| Blood glucose (sugar) test CPT 82947 HCHG POCT GLUCOSE | $114.00 | $114.00 | — | 204% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG POCT GLUCOSE | $114.00 | $114.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE | $114.00 | $114.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG BETA HCG QUALITATIVE | $278.00 | $278.00 | — | 60% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG CHORIONIC GONADOTROPIN ASSAY | $278.00 | $278.00 | — | 60% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG CHORIONIC GONADOTROPIN ASSAY | $278.00 | $278.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG BETA HCG QUALITATIVE | $278.00 | $278.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG ABO RECHECK UNIT/PATIENT | $205.00 | $205.00 | — | 95% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG BLOOD TYPING ABO | $205.00 | $205.00 | — | 95% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG ABO TYPE SEROLOGIC | $205.00 | $205.00 | — | 95% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG ABO RECHECK UNIT/PATIENT | $205.00 | $205.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG BLOOD TYPING ABO | $205.00 | $205.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG ABO TYPE SEROLOGIC | $205.00 | $205.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG CORE C REACTIVE PROTEIN | $177.00 | $177.00 | — | 150% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG C REACTIVE PROTEIN | $177.00 | $177.00 | — | 150% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG C REACTIVE PROTEIN | $177.00 | $177.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG CORE C REACTIVE PROTEIN | $177.00 | $177.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HCHG C DIFF AMPLIFIED PROBE | $363.00 | $363.00 | — | 137% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | — | 160% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG C DIFF AMPLIFIED PROBE | $363.00 | $363.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG CORE C DIFF AMPLIFIED PROBE | $397.00 | $397.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HCHG CORE CA 19 9 | $212.00 | $212.00 | — | 284% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HCHG CORE CA 19 9 | $212.00 | $212.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG CORE CA 125 | $257.00 | $257.00 | — | 87% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG CA 125 | $257.00 | $257.00 | — | 87% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG CA 125 | $257.00 | $257.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG CORE CA 125 | $257.00 | $257.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ | $360.00 | $360.00 | — | 288% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ | $360.00 | $360.00 | — | 288% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG IADNA SARS-COV-2 COVID-19 AMP PROBE TQ | $360.00 | $360.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG CORE IADNA SARS-COV-2 COVID-19 AMP PROBE TQ | $360.00 | $360.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG CORE CHLAMYDIA TRACH AMP PRB | $275.00 | $275.00 | — | 404% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HCHG CORE CHLAMYDIA TRACH AMP PRB | $275.00 | $275.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG CORE LIPID PNL | $343.00 | $343.00 | — | 216% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL | $343.00 | $343.00 | — | 216% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG CORE LIPID PNL | $343.00 | $343.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL | $343.00 | $343.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL | $217.00 | $217.00 | — | 96% above | — |
| Complete blood count (CBC) with differential CPT 85025 HCHG CORE CBC AUTO W AUTO DIFF WBC | $217.00 | $217.00 | — | 96% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CORE CBC AUTO W AUTO DIFF WBC | $217.00 | $217.00 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL | $217.00 | $217.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HCHG CBC AUTOMATED | $178.00 | $178.00 | — | 105% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HCHG CBC AUTOMATED | $178.00 | $178.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL | $471.00 | $471.00 | — | 84% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HCHG CORE COMPR MET PNL | $471.00 | $471.00 | — | 84% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG CORE COMPR MET PNL | $471.00 | $471.00 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL | $471.00 | $471.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HCHG D DIMER QUANTITATIVE | $349.00 | $349.00 | — | 143% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HCHG D DIMER QUANTITATIVE | $349.00 | $349.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG CORE DHEA SULFATE | $144.00 | $144.00 | — | 43% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG CORE DHEA SULFATE | $144.00 | $144.00 | — | — | — |
| Estradiol blood test CPT 82670 HCHG ASSAY OF TOTAL ESTRADIOL | $256.00 | $256.00 | — | 179% above | — |
| Estradiol blood test inpatient CPT 82670 HCHG ASSAY OF TOTAL ESTRADIOL | $256.00 | $256.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HCHG FSH | $234.00 | $234.00 | — | 118% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HCHG CORE FSH | $234.00 | $234.00 | — | 118% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG CORE FSH | $234.00 | $234.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG FSH | $234.00 | $234.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HCHG CORE FERRITIN | $256.00 | $256.00 | — | 135% above | — |
| Ferritin blood test (iron stores) CPT 82728 HCHG FERRITIN | $256.00 | $256.00 | — | 135% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HCHG CORE FERRITIN | $256.00 | $256.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HCHG FERRITIN | $256.00 | $256.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HCHG CORE FOLATE | $231.00 | $231.00 | — | 112% above | — |
| Folate (folic acid) blood test CPT 82746 HCHG FOLATE | $231.00 | $231.00 | — | 112% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 HCHG CORE FOLATE | $231.00 | $231.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 HCHG FOLATE | $231.00 | $231.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HCHG CORE T3 FREE | $226.00 | $226.00 | — | 114% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HCHG CORE T3 FREE | $226.00 | $226.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG FREE T4 | $231.00 | $231.00 | — | 239% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG CORE FREE T4 | $231.00 | $231.00 | — | 239% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG CORE FREE T4 | $231.00 | $231.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG FREE T4 | $231.00 | $231.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 1HR PP | $102.00 | $102.00 | — | 100% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG CORE GLUCOSE PRENATAL 50 GRAM SCREEN | $102.00 | $102.00 | — | 100% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE 2HR PP | $102.00 | $102.00 | — | 100% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE PRENATAL 50 GRAM SCREEN | $102.00 | $102.00 | — | 100% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE TOL TEST 1 HR | $102.00 | $102.00 | — | 100% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG CORE GLUCOSE PRENATAL 50 GRAM SCREEN | $102.00 | $102.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE TOL TEST 1 HR | $102.00 | $102.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE 1HR PP | $102.00 | $102.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE 2HR PP | $102.00 | $102.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE PRENATAL 50 GRAM SCREEN | $102.00 | $102.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOLERANCE TEST (GTT) | $178.00 | $178.00 | — | 30% above | — |
| Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOLERANCE FIRST 3 SPECIMENS | $178.00 | $178.00 | — | 30% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GLUCOSE TOLERANCE FIRST 3 SPECIMENS | $178.00 | $178.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GLUCOSE TOLERANCE TEST (GTT) | $178.00 | $178.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG CORE GC AMP PRB | $285.00 | $285.00 | — | 347% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HCHG CORE GC AMP PRB | $285.00 | $285.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 HCHG CORE H PYLORI AB TOTAL | $139.00 | $139.00 | — | 22% above | — |
| H. pylori antibody blood test CPT 86677 HCHG H PYLORI AB TOTAL | $139.00 | $139.00 | — | 22% above | — |
| H. pylori antibody blood test CPT 86677 HCHG CORE H PYLORI AB IGG | $139.00 | $139.00 | — | 22% above | — |
| H. pylori antibody blood test inpatient CPT 86677 HCHG H PYLORI AB TOTAL | $139.00 | $139.00 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HCHG CORE H PYLORI AB IGG | $139.00 | $139.00 | — | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HCHG CORE H PYLORI AB TOTAL | $139.00 | $139.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 HCHG CORE H PYLORI STL EIA | $213.00 | $213.00 | — | 154% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HCHG CORE H PYLORI STL EIA | $213.00 | $213.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG CORE HIV 1 RNA QN PCR W/WO REVRS TRNSCRP | $539.00 | $539.00 | — | 355% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG CORE HIV 1 RNA QN PCR W/WO REVRS TRNSCRP | $539.00 | $539.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HCHG HIV 1/HIV 2 AB | $172.00 | $172.00 | — | 178% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HCHG CORE HIV 1/HIV 2 AB | $172.00 | $172.00 | — | 178% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG HIV 1/HIV 2 AB | $172.00 | $172.00 | — | — | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG CORE HIV 1/HIV 2 AB | $172.00 | $172.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV-1 AG W/HIV-1/HIV-2 AB | $299.00 | $299.00 | — | 242% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB | $299.00 | $299.00 | — | 242% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG CORE HIV-1 AG W/HIV-1/HIV-2 AB | $299.00 | $299.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG HIV-1 AG W/HIV-1/HIV-2 AB | $299.00 | $299.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HCHG CORE HPV HIGH-RISK TYPES W/ POOLED RESULTS | $545.00 | $545.00 | — | 303% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HCHG CORE HPV HIGH-RISK TYPES W/ POOLED RESULTS | $545.00 | $545.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG HEMOGLOBIN GLYCOSYLATED A1C | $203.00 | $203.00 | — | 211% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C | $203.00 | $203.00 | — | 211% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG POCT HEMOGLOBIN GLYCOSYLATED A1C | $203.00 | $203.00 | — | 211% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG POCT HEMOGLOBIN GLYCOSYLATED A1C | $203.00 | $203.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG CORE HEMOGLOBIN GLYCOSYLTD A1C | $203.00 | $203.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG HEMOGLOBIN GLYCOSYLATED A1C | $203.00 | $203.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG HEPATITIS B SURFACE AB | $137.00 | $137.00 | — | 221% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG CORE HBS AB | $139.00 | $139.00 | — | 226% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG HEPATITIS B SURFACE AB | $137.00 | $137.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG CORE HBS AB | $139.00 | $139.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG HEPATITIS B SURFACE AG | $147.00 | $147.00 | — | 105% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG CORE HBS AG | $147.00 | $147.00 | — | 105% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG HEPATITIS B SURFACE AG | $147.00 | $147.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG CORE HBS AG | $147.00 | $147.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCHG CORE HCV AB | $182.00 | $182.00 | — | 223% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C AB | $182.00 | $182.00 | — | 223% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG HEPATITIS C AB | $182.00 | $182.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG CORE HCV AB | $182.00 | $182.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG CORE HEP C VIRUS PCR QN W/WO REV TRNS | $432.00 | $432.00 | — | 392% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG CORE HEP C VIRUS PCR QN W/WO REV TRNS | $432.00 | $432.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HCHG CORE HSV 1 AB IGG TYPE SPECIFIC | $25.00 | $25.00 | — | 14% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG CORE HSV 1 AB IGG TYPE SPECIFIC | $25.00 | $25.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HCHG CORE HSV 2 AB IGG TYPE SPECIFIC | $24.00 | $24.00 | — | at median | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HCHG CORE HSV 2 AB IGG TYPE SPECIFIC | $24.00 | $24.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG CORE C REACTIVE PROTEIN HS | $227.00 | $227.00 | — | 222% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY | $227.00 | $227.00 | — | 222% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG C-REACTIVE PROTEIN HIGH SENSITIVITY | $227.00 | $227.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG CORE C REACTIVE PROTEIN HS | $227.00 | $227.00 | — | — | — |
| Homocysteine blood test CPT 83090 HCHG HOMOCYSTINE | $300.00 | $300.00 | — | 319% above | — |
| Homocysteine blood test CPT 83090 HCHG CORE HOMOCYSTINE | $300.00 | $300.00 | — | 319% above | — |
| Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTINE | $300.00 | $300.00 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 HCHG CORE HOMOCYSTINE | $300.00 | $300.00 | — | — | — |
| Insulin blood test CPT 83525 HCHG CORE INSULIN | $210.00 | $210.00 | — | 339% above | — |
| Insulin blood test inpatient CPT 83525 HCHG CORE INSULIN | $210.00 | $210.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HCHG CORE IRON | $140.00 | $140.00 | — | 139% above | — |
| Iron blood test (serum iron) CPT 83540 HCHG IRON | $140.00 | $140.00 | — | 139% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HCHG IRON | $140.00 | $140.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HCHG CORE IRON | $140.00 | $140.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HCHG IRON BINDING CAPACITY | $135.00 | $135.00 | — | 86% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 HCHG CORE IRON BINDING CAPACITY | $135.00 | $135.00 | — | 86% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG CORE IRON BINDING CAPACITY | $135.00 | $135.00 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG IRON BINDING CAPACITY | $135.00 | $135.00 | — | — | — |
| Kidney function blood test panel CPT 80069 HCHG RENAL FUNCTION PANEL | $275.00 | $275.00 | — | 93% above | — |
| Kidney function blood test panel inpatient CPT 80069 HCHG RENAL FUNCTION PANEL | $275.00 | $275.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HCHG LH | $314.00 | $314.00 | — | 171% above | — |
| LH (luteinizing hormone) test CPT 83002 HCHG CORE LH | $314.00 | $314.00 | — | 171% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HCHG LH | $314.00 | $314.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HCHG CORE LH | $314.00 | $314.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HCHG CORE LIPASE | $275.00 | $275.00 | — | 128% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE | $275.00 | $275.00 | — | 128% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG CORE LIPASE | $275.00 | $275.00 | — | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE | $275.00 | $275.00 | — | — | — |
| Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL | $309.00 | $309.00 | — | 104% above | — |
| Liver function blood test panel CPT 80076 HCHG CORE HEPATIC FUNCTION PNL | $309.00 | $309.00 | — | 104% above | — |
| Liver function blood test panel inpatient CPT 80076 HCHG CORE HEPATIC FUNCTION PNL | $309.00 | $309.00 | — | — | — |
| Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL | $309.00 | $309.00 | — | — | — |
| Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM UR RAN | $219.00 | $219.00 | — | 179% above | — |
| Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM | $219.00 | $219.00 | — | 179% above | — |
| Magnesium blood test CPT 83735 HCHG CORE MAGNESIUM UR TIM | $219.00 | $219.00 | — | 179% above | — |
| Magnesium blood test CPT 83735 HCHG MAGNESIUM | $219.00 | $219.00 | — | 179% above | — |
| Magnesium blood test CPT 83735 HCHG ASSAY OF MAGNESIUM | $219.00 | $219.00 | — | 179% above | — |
| Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM UR RAN | $219.00 | $219.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM | $219.00 | $219.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HCHG ASSAY OF MAGNESIUM | $219.00 | $219.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM | $219.00 | $219.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 HCHG CORE MAGNESIUM UR TIM | $219.00 | $219.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HCHG CORE RUBEOLA AB IGM | $99.00 | $99.00 | — | 197% above | — |
| Measles (rubeola) antibody test CPT 86765 HCHG CORE RUBEOLA AB IGG | $99.00 | $99.00 | — | 197% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HCHG CORE RUBEOLA AB IGM | $99.00 | $99.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HCHG CORE RUBEOLA AB IGG | $99.00 | $99.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HCHG MONO TEST SCREEN | $205.00 | $205.00 | — | 95% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HCHG HETEROPHILE AB SCREEN | $205.00 | $205.00 | — | 95% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HCHG HETEROPHILE ANTIBODIES SCREENING | $205.00 | $205.00 | — | 95% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG HETEROPHILE ANTIBODIES SCREENING | $205.00 | $205.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG HETEROPHILE AB SCREEN | $205.00 | $205.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG MONO TEST SCREEN | $205.00 | $205.00 | — | — | — |
| Obstetric blood test panel CPT 80055 HCHG PRENATAL PANEL | $139.00 | $139.00 | — | 34% below | — |
| Obstetric blood test panel CPT 80055 HCHG CORE PRENATAL PNL | $139.00 | $139.00 | — | 34% below | — |
| Obstetric blood test panel inpatient CPT 80055 HCHG PRENATAL PANEL | $139.00 | $139.00 | — | — | — |
| Obstetric blood test panel inpatient CPT 80055 HCHG CORE PRENATAL PNL | $139.00 | $139.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA FREE | $238.00 | $238.00 | — | 311% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG CORE PSA FREE | $238.00 | $238.00 | — | 311% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA FREE | $238.00 | $238.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG CORE PSA FREE | $238.00 | $238.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA TOTAL DIAGNOSTIC | $231.00 | $231.00 | — | 275% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG CORE PSA TOTAL DIAGNOSTIC | $242.00 | $242.00 | — | 293% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA TOTAL DIAGNOSTIC | $231.00 | $231.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG CORE PSA TOTAL DIAGNOSTIC | $242.00 | $242.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HCHG REF CYTOPATHOLGY CERV/VAG THIN LAYER PREP MANL RESN | $26.61 | $26.61 | — | 68% below | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HCHG REF CYTOPATHOLGY CERV/VAG THIN LAYER PREP MANL RESN | $26.61 | $26.61 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HCHG REF CYTOPATHOLGY CERVICAL/VAGINAL THIN LAYER PREP | $20.26 | $20.26 | — | 78% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HCHG REF CYTOPATHOLGY CERVICAL/VAGINAL THIN LAYER PREP | $20.26 | $20.26 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HCHG PTH | $400.00 | $400.00 | — | 264% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HCHG CORE PTH INTACT | $400.00 | $400.00 | — | 264% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG PTH | $400.00 | $400.00 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG CORE PTH INTACT | $400.00 | $400.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG CORE PTT PLAS OR WB | $221.00 | $221.00 | — | 207% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT PLASMA OR WHOLE BLOOD | $221.00 | $221.00 | — | 207% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT PLASMA OR WHOLE BLOOD | $221.00 | $221.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG CORE PTT PLAS OR WB | $221.00 | $221.00 | — | — | — |
| Progesterone blood test CPT 84144 HCHG PROGESTERONE | $275.00 | $275.00 | — | 184% above | — |
| Progesterone blood test CPT 84144 HCHG CORE PROGESTERONE | $275.00 | $275.00 | — | 184% above | — |
| Progesterone blood test inpatient CPT 84144 HCHG CORE PROGESTERONE | $275.00 | $275.00 | — | — | — |
| Progesterone blood test inpatient CPT 84144 HCHG PROGESTERONE | $275.00 | $275.00 | — | — | — |
| Prolactin blood test CPT 84146 HCHG PROLACTIN | $262.00 | $262.00 | — | 145% above | — |
| Prolactin blood test CPT 84146 HCHG CORE PROLACTIN | $262.00 | $262.00 | — | 145% above | — |
| Prolactin blood test inpatient CPT 84146 HCHG CORE PROLACTIN | $262.00 | $262.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 HCHG PROLACTIN | $262.00 | $262.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTHROMBIN TIME | $158.00 | $158.00 | — | 143% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HCHG CORE PROTHROMBIN TIME | $158.00 | $158.00 | — | 143% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTHROMBIN TIME | $158.00 | $158.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG CORE PROTHROMBIN TIME | $158.00 | $158.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 HCHG INFLUENZA ASSAY W/ DIRECT OPTICAL OBSERVATION | $156.00 | $156.00 | — | 107% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG INFLUENZA ASSAY W/ DIRECT OPTICAL OBSERVATION | $156.00 | $156.00 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HCHG STREPTOCOCCUS A BY IMMUNOASSAY W/ DIRECT OPTICAL OBSERVATION | $209.00 | $209.00 | — | 90% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HCHG STREPTOCOCCUS A BY IMMUNOASSAY W/ DIRECT OPTICAL OBSERVATION | $209.00 | $209.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HCHG RHEUMATOID FACTOR QUANTITATIVE | $78.00 | $78.00 | — | 491% above | — |
| Rheumatoid factor (RF) test CPT 86431 HCHG CORE RHEUMATOID FCTR QN | $79.00 | $79.00 | — | 498% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUMATOID FACTOR QUANTITATIVE | $78.00 | $78.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HCHG CORE RHEUMATOID FCTR QN | $79.00 | $79.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HCHG CORE RUBELLA AB | $115.00 | $115.00 | — | 81% above | — |
| Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA AB | $115.00 | $115.00 | — | 81% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG CORE RUBELLA AB | $115.00 | $115.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA AB | $115.00 | $115.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HCHG SEDIMENTATION RATE AUTOMATED | $95.00 | $95.00 | — | 70% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HCHG SEDIMENTATION RATE AUTOMATED | $95.00 | $95.00 | — | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HCHG SEMEN ANALYSIS COMPLETE | $239.00 | $239.00 | — | 72% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HCHG SEMEN ANALYSIS COMPLETE | $239.00 | $239.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG CORE OCCLT BLD STL QL MULT SPC | $87.00 | $87.00 | — | 123% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG OCCULT BLOOD FECES MULTIPLE SPECIMENS SCREENING | $96.00 | $96.00 | — | 146% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG CORE OCCLT BLD STL QL MULT SPC | $87.00 | $87.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG OCCULT BLOOD FECES MULTIPLE SPECIMENS SCREENING | $96.00 | $96.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG TEST BLOOD FECAL ASSAY | $114.00 | $114.00 | — | 146% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG TEST BLOOD FECAL ASSAY | $114.00 | $114.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG BLOOD SEROLOGY QUALITATIVE | $101.00 | $101.00 | — | 291% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG CORE RPR NON-TREPNML AB QL | $101.00 | $101.00 | — | 291% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG CORE RPR NON-TREPNML AB QL | $101.00 | $101.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG BLOOD SEROLOGY QUALITATIVE | $101.00 | $101.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HCHG CORE TB TST CELL IMM MS | $783.00 | $783.00 | — | 710% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HCHG CORE TB TST CELL IMM MS | $783.00 | $783.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HCHG CORE TESTOSTERONE TOTAL | $141.00 | $141.00 | — | 169% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG CORE TESTOSTERONE TOTAL | $141.00 | $141.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG CORE MICROSOMAL AB | $110.00 | $110.00 | — | 381% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG CORE MICROSOMAL AB | $110.00 | $110.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG CORE TSH | $313.00 | $313.00 | — | 188% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH | $313.00 | $313.00 | — | 188% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH | $313.00 | $313.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG CORE TSH | $313.00 | $313.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 HCHG CORE TRICHOMONAS VAGINALIS AMPLIFIED PROBE | $116.00 | $116.00 | — | 16% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 HCHG CORE TRICHOMONAS VAGINALIS AMPLIFIED PROBE | $116.00 | $116.00 | — | — | — |
| Uric acid blood test CPT 84550 HCHG URIC ACID | $134.00 | $134.00 | — | 102% above | — |
| Uric acid blood test inpatient CPT 84550 HCHG URIC ACID | $134.00 | $134.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM | $141.00 | $141.00 | — | 70% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS AUTOMATED W/ MICROSCOPIC EXAM | $141.00 | $141.00 | — | — | — |
| Urinalysis with microscope exam, manual CPT 81000 HCHG URINALYSIS MANUAL W/ MICROSCOPIC EXAM | $31.00 | $31.00 | — | 2% below | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG URINALYSIS MANUAL W/ MICROSCOPIC EXAM | $31.00 | $31.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS AUTOMATED W/OUT MICROSCOPIC EXAM | $96.00 | $96.00 | — | 71% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HCHG POCT URINALYSIS AUTO W/O MICRO | $96.00 | $96.00 | — | 71% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS AUTOMATED W/OUT MICROSCOPIC EXAM | $96.00 | $96.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG POCT URINALYSIS AUTO W/O MICRO | $96.00 | $96.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HCHG URINALYSIS DIP W/O SCOPE | $42.00 | $42.00 | — | 20% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HCHG URINALYSIS MANUAL W/OUT MICROSCOPIC EXAM | $47.00 | $47.00 | — | 34% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HCHG CORE URNALYSIS SGL ASSAY | $47.00 | $47.00 | — | 34% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HCHG POCT URNALYSIS MAN W/O MICRO | $47.00 | $47.00 | — | 34% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HCHG URINALYSIS SINGLE ASSAY | $49.00 | $49.00 | — | 40% above | — |
| Urinalysis without microscope exam, manual CPT 81002 HCHG SPECIFIC GRAVITY URINE | $49.00 | $49.00 | — | 40% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINALYSIS DIP W/O SCOPE | $42.00 | $42.00 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG POCT URNALYSIS MAN W/O MICRO | $47.00 | $47.00 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG CORE URNALYSIS SGL ASSAY | $47.00 | $47.00 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINALYSIS MANUAL W/OUT MICROSCOPIC EXAM | $47.00 | $47.00 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG SPECIFIC GRAVITY URINE | $49.00 | $49.00 | — | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINALYSIS SINGLE ASSAY | $49.00 | $49.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HCHG CULTURE URINE COLONY COUNT ONLY | $237.00 | $237.00 | — | 70% above | — |
| Urine culture for bacteria, with colony count CPT 87086 HCHG CORE CULT UR COLONY CT ONLY | $237.00 | $237.00 | — | 70% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HCHG CORE CULT UR COLONY CT ONLY | $237.00 | $237.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HCHG CULTURE URINE COLONY COUNT ONLY | $237.00 | $237.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 HCHG PREGNANCY SCREEN URINE | $190.00 | $190.00 | — | 116% above | — |
| Urine pregnancy test, read by color change CPT 81025 HCHG POCT PREGNANCY SCREEN URINE | $190.00 | $190.00 | — | 116% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCHG POCT PREGNANCY SCREEN URINE | $190.00 | $190.00 | — | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCHG PREGNANCY SCREEN URINE | $190.00 | $190.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HCHG CORE VITAMIN B12 | $228.00 | $228.00 | — | 147% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HCHG VITAMIN B12 | $228.00 | $228.00 | — | 147% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG CORE VITAMIN B12 | $228.00 | $228.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG VITAMIN B12 | $228.00 | $228.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG CORE VITAMIN D 25HYDROXY | $274.00 | $274.00 | — | 310% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG CORE VITAMIN D 25HYDROXY | $274.00 | $274.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG BETA HCG QUANTITATIVE | $395.00 | $395.00 | — | 120% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG CORE BETA HCG QUAN | $395.00 | $395.00 | — | 120% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG CHORIONIC GONADOTROPIN TEST | $395.00 | $395.00 | — | 120% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG BETA HCG QUANTITATIVE | $395.00 | $395.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG CORE BETA HCG QUAN | $395.00 | $395.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG CHORIONIC GONADOTROPIN TEST | $395.00 | $395.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HCHG RHC CL TX METATARSAL FX WO MANIP | $1,093.00 | $1,093.00 | — | 102% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HCHG RHC CL TX METATARSAL FX WO MANIP | $1,093.00 | $1,093.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION ELECTRIC EXTERNAL | $2,619.00 | $2,619.00 | — | 40% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CA CARDIOVERSION ELECTRIC EXTERNAL | $4,095.00 | $4,095.00 | — | 119% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CARDIOVERSION ELECTRIC EXTERNAL | $2,619.00 | $2,619.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CA CARDIOVERSION ELECTRIC EXTERNAL | $4,095.00 | $4,095.00 | — | — | — |
| Cervical biopsy CPT 57500 HCHG RHC BX/LOCAL EXCSN CERV LSION | $5,379.00 | $5,379.00 | — | 212% above | — |
| Cervical biopsy inpatient CPT 57500 HCHG RHC BX/LOCAL EXCSN CERV LSION | $5,379.00 | $5,379.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HCHG CIRCUMCISION NEWBORN | $553.00 | $553.00 | — | 41% below | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HCHG CIRCUMCISION NEWBORN | $553.00 | $553.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HCHG RHC COLP CERVIX W BX & CURETT | $3,442.00 | $3,442.00 | — | 264% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HCHG RHC COLP CERVIX W BX & CURETT | $3,442.00 | $3,442.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HCHG RHC DESTRUCT 1ST PREMAL LSION | $320.00 | $320.00 | — | at median | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HCHG RHC DESTRUCT 1ST PREMAL LSION | $383.00 | $383.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HCHG RMVL IMPACTED CERUMEN IRR/LAV UNI | $395.00 | $395.00 | — | 123% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HCHG RMVL IMPACTED CERUMEN IRR/LAV UNI | $395.00 | $395.00 | — | — | — |
| Earwax removal with instruments, one ear both sides CPT 69210 HCHG RHC RMVL IMPACTED CERUMEN BILATERAL | $449.00 | $449.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient both sides CPT 69210 HCHG RHC RMVL IMPACTED CERUMEN BILATERAL | $534.00 | $534.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE | $4,678.00 | $4,678.00 | — | 142% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJ INTER CERVICAL/THORACIC EPID W IMAGE | $4,678.00 | $4,678.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJECTION FACET L/S 1 LVL | $4,713.00 | $4,713.00 | — | 129% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJECTION FACET L/S 1 LVL | $4,713.00 | $4,713.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG INJECTION HYSTEROSONOGRAM/SALPINGOGRAPY | $823.00 | $823.00 | — | 33% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG INJECTION HYSTEROSONOGRAM/SALPINGOGRAPY | $823.00 | $823.00 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 HCHG RHC INSERT IUD | $5,810.00 | $5,810.00 | — | 889% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HCHG RHC INSERT IUD | $5,810.00 | $5,810.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HCHG RHC DRAIN ABSCESS SIMPLE/SINGLE | $1,241.00 | $1,241.00 | — | 165% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG RHC DRAIN ABSCESS SIMPLE/SINGLE | $1,268.00 | $1,268.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG INJECTION TENDON SHEATH OR LIGAMENT SINGLE | $1,600.00 | $1,600.00 | — | 142% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG INJECTION TENDON SHEATH OR LIGAMENT SINGLE | $1,727.00 | $1,727.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 HCHG RHC DRAIN/INJ MAJOR JOINT/BURSA W/O US BI | $1,865.00 | $1,865.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HCHG RHC DRAIN/INJ MAJOR JOINT/BURSA W/O US RT | $1,865.00 | $1,865.00 | — | 96% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HCHG RHC DRAIN/INJ MAJOR JOINT/BURSA W/O US LT | $1,865.00 | $1,865.00 | — | 96% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 HCHG RHC DRAIN/INJ MAJOR JOINT/BURSA W/O US BI | $2,239.00 | $2,239.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HCHG RHC DRAIN/INJ MAJOR JOINT/BURSA W/O US RT | $1,979.00 | $1,979.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HCHG RHC DRAIN/INJ MAJOR JOINT/BURSA W/O US LT | $1,979.00 | $1,979.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US | $1,808.00 | $1,808.00 | — | 197% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG DRAIN/INJ INTERMEDIATE JOINT/BURSA W/O US | $1,808.00 | $1,808.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG DRAIN/INJ SMALL JOINT/BURSA W/O US | $1,751.00 | $1,751.00 | — | 141% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG DRAIN/INJ SMALL JOINT/BURSA W/O US | $1,850.00 | $1,850.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HCHG RHC INTMD WND REPAIR S/A/T/EXT | $2,238.00 | $2,238.00 | — | 158% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HCHG RHC INTMD WND REPAIR S/A/T/EXT | $2,238.00 | $2,238.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE | $5,134.00 | $5,134.00 | — | 131% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJ INTER LUMBAR/SACRAL EPID W IMAGE | $5,134.00 | $5,134.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE | $6,624.00 | $6,624.00 | — | 302% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HCHG INJ INTER LUMBAR/SACRAL EPID WO IMAGE | $6,624.00 | $6,624.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $4,617.00 | $4,617.00 | — | 138% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJS ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $4,617.00 | $4,617.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HCHG RHC EXC TR-EXT B9+MARG 0.5CM/< | $6,246.00 | $6,246.00 | — | 371% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HCHG RHC EXC TR-EXT B9+MARG 0.5CM/< | $6,246.00 | $6,246.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HCHG RHC EXC FACE-MM B9+MARG 0.5CM/< | $5,150.00 | $5,150.00 | — | 249% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HCHG RHC EXC FACE-MM B9+MARG 0.5CM/< | $5,150.00 | $5,150.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HCHG RHC REMOVE NAIL PLATE SINGLE | $938.00 | $938.00 | — | 79% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG RHC REMOVE NAIL PLATE SINGLE | $938.00 | $938.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 HCHG INJ NRV AA/STRD GREATER OCCIPITAL | $1,548.00 | $1,548.00 | — | 76% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HCHG INJ NRV AA/STRD GREATER OCCIPITAL | $1,548.00 | $1,548.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HCHG ABD PARACENTESIS W/IMAGING | $3,722.00 | $3,722.00 | — | 103% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HCHG ABD PARACENTESIS W/IMAGING | $3,722.00 | $3,722.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HCHG RHC REMOVAL NAIL BED | $2,368.00 | $2,368.00 | — | 87% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HCHG RHC REMOVAL NAIL BED | $2,368.00 | $2,368.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HCHG RHC REMOVAL FB SUBQ TISS SMPL | $1,656.00 | $1,656.00 | — | 71% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG RHC REMOVAL FB SUBQ TISS SMPL | $1,656.00 | $1,656.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HCHG RHC APP SPLNT SHRT ARM STA | $824.00 | $824.00 | — | 103% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HCHG RHC APP SPLNT SHRT ARM STA | $824.00 | $824.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HCHG RHC APP LOW LEG SPLNT | $891.00 | $891.00 | — | 80% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HCHG RHC APP LOW LEG SPLNT | $891.00 | $891.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HCHG RHC LAC SMPL 2.5CM/LESS | $1,125.00 | $1,125.00 | — | 104% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HCHG RHC LAC SMPL 2.5CM/LESS | $1,125.00 | $1,125.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HCHG RHC PUNCH BX SKIN SINGLE LESION | $1,019.00 | $1,019.00 | — | 41% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HCHG RHC PUNCH BX SKIN SINGLE LESION | $1,223.00 | $1,223.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 HCHG RHC RMV SKIN TGS UP TO 15 LES | $1,598.00 | $1,598.00 | — | 304% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HCHG RHC RMV SKIN TGS UP TO 15 LES | $1,598.00 | $1,598.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG LUMBAR PUNCTURE DX | $2,877.00 | $2,877.00 | — | 118% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG LUMBAR PUNCTURE DX | $2,877.00 | $2,877.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HCHG RHC LAC SMPL 2.6-7.5CM | $1,110.00 | $1,110.00 | — | 48% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HCHG RHC LAC SMPL 2.6-7.5CM | $1,110.00 | $1,110.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HCHG RHC LAC SMPL/F,E,N 2.5CM/LESS | $1,094.00 | $1,094.00 | — | 66% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HCHG RHC LAC SMPL/F,E,N 2.5CM/LESS | $1,094.00 | $1,094.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HCHG RHC TANGNTL BX SKIN SINGLE LES | $888.00 | $888.00 | — | 57% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HCHG RHC TANGNTL BX SKIN SINGLE LES | $888.00 | $888.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HCHG OBS THORACENTESIS W/IMAG | $3,570.00 | $3,570.00 | — | 76% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HCHG OBS THORACENTESIS W/IMAG | $3,570.00 | $3,570.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HCHG RHC INJ TRIGGER PT 1 OR 2 MCL | $1,466.00 | $1,466.00 | — | 135% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES | $1,466.00 | $1,466.00 | — | 135% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG RHC INJ TRIGGER PT 1 OR 2 MCL | $1,466.00 | $1,466.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJECTION TRIGGER POINT 1 TO 2 MUSCLES | $1,466.00 | $1,466.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 HCHG RHC DSTR BENIGN LESION 1-14 | $881.00 | $881.00 | — | 146% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 HCHG RHC DSTR BENIGN LESION 1-14 | $881.00 | $881.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HCHG RHC DEB SUBQ TISSUE 20 SQ CM/< | $2,640.00 | $2,640.00 | — | 288% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HCHG RHC DEB SUBQ TISSUE 20 SQ CM/< | $2,640.00 | $2,640.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION <=2 HRS | $807.00 | $807.00 | — | 8% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 2-4 HRS | $1,613.00 | $1,613.00 | — | 85% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION 4-6 HRS | $2,420.00 | $2,420.00 | — | 177% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION > 6 HRS | $3,226.00 | $3,226.00 | — | 269% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION <=2 HRS | $807.00 | $807.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION 2-4 HRS | $1,613.00 | $1,613.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION 4-6 HRS | $2,420.00 | $2,420.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION > 6 HRS | $3,226.00 | $3,226.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL TX INITIAL | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AIRWAY INHALATION TREATMENT | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPV INITIAL | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI/NEB INITIAL | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG RHC MDI/NEB SUBSQ | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPV TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB TX INITIAL | $685.00 | $685.00 | — | 111% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPV INITIAL | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPV TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AIRWAY INHALATION TREATMENT | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI/NEBULIZER TREATMENT SUBSEQUENT | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL TX INITIAL | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB TX INITIAL | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI/NEB INITIAL | $685.00 | $685.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG RHC MDI/NEB SUBSQ | $685.00 | $685.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 HCHG CHEMO INFUSION INITIAL UP TO 1 HR | $1,666.00 | $1,666.00 | — | 91% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HCHG CHEMO INFUSION INITIAL UP TO 1 HR | $1,666.00 | $1,666.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HCHG ED CRIT CARE 1ST 30-74 MN | $9,840.00 | $9,840.00 | — | 114% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG ED CRIT CARE 1ST 30-74 MN | $9,840.00 | $9,840.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HCHG EEG AWAKE AND DROWSY RECORDS 20-40 MIN | $2,034.00 | $2,034.00 | — | 107% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HCHG EEG AWAKE AND DROWSY RECORDS 20-40 MIN | $2,034.00 | $2,034.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG 12 LEAD TRACING ONLY | $614.00 | $614.00 | — | 82% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG 12 LEAD TRACING ONLY | $614.00 | $614.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG ED LEVEL 1 | $603.00 | $603.00 | — | 43% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG ED LEVEL 1 | $603.00 | $603.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG ED LEVEL 2 | $1,527.00 | $1,527.00 | — | 95% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG ED LEVEL 2 | $1,527.00 | $1,527.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG ED LEVEL 3 | $2,882.00 | $2,882.00 | — | 109% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG ED LEVEL 3 | $2,882.00 | $2,882.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG ED LEVEL 4 | $4,634.00 | $4,634.00 | — | 124% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG ED LEVEL 4 | $4,634.00 | $4,634.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG ED LEVEL 5 | $6,672.00 | $6,672.00 | — | 103% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG ED LEVEL 5 | $6,672.00 | $6,672.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG CA CARDIAC STRESS TEST | $2,345.00 | $2,345.00 | — | 66% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG CA CARDIAC STRESS TEST | $2,345.00 | $2,345.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INFUSION HYDRATION INITIAL UP TO 1 HR | $1,091.00 | $1,091.00 | — | 121% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG INFUSION HYDRATION INITIAL UP TO 1 HR | $1,091.00 | $1,091.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HCHG INFUSION INITIAL W/MED UP TO 1 HR | $1,143.00 | $1,143.00 | — | 94% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INFUSION INITIAL W/MED UP TO 1 HR | $1,143.00 | $1,143.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJECTION IM/SQ EA | $325.00 | $325.00 | — | 81% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG RHC INJECTION IM/SQ EACH | $325.00 | $325.00 | — | 81% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJECTION IM/SQ EA | $325.00 | $325.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG RHC INJECTION IM/SQ EACH | $325.00 | $325.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 HCHG RHC LEVEL 3 NEW PATIENT | $282.00 | $282.00 | — | 32% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HCHG RHC LEVEL 3 NEW PATIENT | $282.00 | $282.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HCHG RHC LEVEL 4 NEW PATIENT | $282.00 | $282.00 | — | 14% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HCHG RHC LEVEL 4 NEW PATIENT | $282.00 | $282.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 HCHG RHC LEVEL 5 NEW PATIENT | $287.00 | $287.00 | — | 5% below | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HCHG RHC LEVEL 5 NEW PATIENT | $287.00 | $287.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG RHC LEVEL 2 NEW PATIENT | $277.00 | $277.00 | — | 88% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG RHC LEVEL 2 NEW PATIENT | $277.00 | $277.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HCHG RHC TOBACCO COUNSELING SYMPTOMATIC 3-10 MIN | $125.00 | $125.00 | — | 70% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HCHG RHC TOBACCO COUNSELING SYMPTOMATIC 3-10 MIN | $125.00 | $125.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG RHC LEVEL 5 ESTABLISHED PATIENT | $272.00 | $272.00 | — | 24% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG RHC LEVEL 5 ESTABLISHED PATIENT | $272.00 | $272.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG RHC LEVEL 3 ESTABLISHED PATIENT | $267.00 | $267.00 | — | 84% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG RHC LEVEL 3 ESTABLISHED PATIENT | $267.00 | $267.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG RHC LEVEL 4 ESTABLISHED PATIENT | $259.00 | $259.00 | — | 48% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG RHC LEVEL 4 ESTABLISHED PATIENT | $259.00 | $259.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG RHC LEVEL 2 ESTABLISHED PATIENT | $262.00 | $262.00 | — | 137% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG RHC LEVEL 2 ESTABLISHED PATIENT | $262.00 | $262.00 | — | — | — |
| Spirometry (breathing test) CPT 94010 HCHG SPIROMETRY | $653.00 | $653.00 | — | 84% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HCHG SPIROMETRY | $653.00 | $653.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 HCHG SPIROMETRY PRE AND POST BRONCHODILATOR | $1,449.00 | $1,449.00 | — | 81% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG SPIROMETRY PRE AND POST BRONCHODILATOR | $1,449.00 | $1,449.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs California | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $631.57 | $631.57 | — | 347% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $671.62 | $671.62 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $171.06 | $171.06 | — | 363% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $171.06 | $171.06 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY | $1,520.43 | $1,520.43 | — | 262% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP | $1,844.91 | $1,844.91 | — | 339% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP | $304.21 | $304.21 | — | 118% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $671.00 | $671.00 | — | 381% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP | $558.44 | $558.44 | — | 427% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 TETANUS CONJ IM SOLN | $655.75 | $655.75 | — | 151% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $1,422.01 | $1,422.01 | — | 349% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $239.88 | $239.88 | — | 52% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $1,698.50 | $1,698.50 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $2,500.00 | $2,500.00 | — | 158% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $380.84 | $380.84 | — | 228% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG INITIAL IMMUNIZATION ADMINISTRATION | $192.00 | $192.00 | — | 85% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG RHC IM ADMIN 1 VACCINE | $192.00 | $192.00 | — | 85% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG RHC IM ADMIN 1 VACCINE | $192.00 | $192.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG INITIAL IMMUNIZATION ADMINISTRATION | $192.00 | $192.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG RHC IM ADMIN EA ADD VACCINE | $142.00 | $142.00 | — | 82% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG EACH ADDITIONAL IMMUNIZATION ADMINISTRATION | $142.00 | $142.00 | — | 82% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG RHC IM ADMIN EA ADD VACCINE | $142.00 | $142.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG EACH ADDITIONAL IMMUNIZATION ADMINISTRATION | $142.00 | $142.00 | — | — | — |