Hospital Boston-Cambridge-Newton, MA-NH

PAM Health Specialty Hospital of Stoughton

Listed in its price file as “Curahealth Stoughton LLC”.

PAM Health Specialty Hospital of Stoughton in Stoughton, MA publishes cash prices for 316 common procedures listed here, from its own machine-readable price file updated Aug 6, 2026. Click a procedure to compare it with other hospitals nearby.

909 Sumner Street Stoughton, MA 02072 Collected Sep 29, 2026 Source price file

The price file shows no self-pay discount

For 388 of the 388 prices listed here, the cash price in PAM Health Specialty Hospital of Stoughton's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Scans and imaging

ProcedureCash price List priceInsurers payOff list
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W/O & W/Contrast $821.33 $821.33 $574.93–$698.13 —
Abdominal X-ray, 2 views inpatient CPT 74019 RAD Abdomen 2 Vws $589.00 $589.00 $412.30–$500.65 —
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 RAD Ankle 3 Views Bilat $201.00 $201.00 $140.70–$170.85 —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 RAD Ankle 3 Views Rt $201.00 $201.00 $140.70–$170.85 —
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 RAD Ankle 3 Views Lt $201.00 $201.00 $140.70–$170.85 —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Tcpo2 Multi Modfr 52 $514.97 $514.97 $360.48–$437.72 —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TCPO2 Multi Modfr 52 $529.74 $529.74 $370.82–$450.28 —
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Extrm Art Stdies 1-2lvls $529.74 $529.74 $370.82–$450.28 —
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extremities w/o dye $501.26 $501.26 $350.88–$426.07 —
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrm W/O Dye Rt $501.26 $501.26 $350.88–$426.07 —
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 RAD Contrast Exam of Esophagus $821.33 $821.33 $574.93–$698.13 —
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Scan Whole B $3,785.00 $3,785.00 $2,649.50–$3,217.25 —
Breast ultrasound, complete, one breast inpatient CPT 76641 US Ultrasound Breast Complete $501.26 $501.26 $350.88–$426.07 —
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Limited $372.14 $372.14 $260.50–$316.32 —
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abd&pelv W/O&w/Contra $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
CT angiography (CTA) of the head inpatient CPT 70496 CT Spiral Angiography Head $821.33 $821.33 $574.93–$698.13 —
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiography Neck $821.33 $821.33 $574.93–$698.13 —
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography Chest w/Contras $821.33 $821.33 $574.93–$698.13 —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Angio Hrt W/3d Image $821.33 $821.33 $574.93–$698.13 —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd & Pelvis W/O Contrast $1,058.60 $1,058.60 $741.02–$899.81 —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis w/Contrast $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd & Pelv 1/> Regns w/wo c $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast $821.33 $821.33 $574.93–$698.13 —
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast $501.26 $501.26 $350.88–$426.07 —
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o contrast $501.26 $501.26 $350.88–$426.07 —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Dye $501.26 $501.26 $350.88–$426.07 —
CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/Contrast $821.33 $821.33 $574.93–$698.13 —
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/O & W/Dye $821.33 $821.33 $574.93–$698.13 —
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Dye $501.26 $501.26 $350.88–$426.07 —
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-Spine W/O Dye $501.26 $501.26 $350.88–$426.07 —
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Dye $821.33 $821.33 $574.93–$698.13 —
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Duplex Scan/Carotid $1,058.60 $1,058.60 $741.02–$899.81 —
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest W/O & W/Dye $821.33 $821.33 $574.93–$698.13 —
Chest X-ray, 2 views inpatient CPT 71046 RAD Chest 2 Views $372.14 $372.14 $260.50–$316.32 —
Chest X-ray, single view inpatient CPT 71045 RAD Chest 1 View $372.14 $372.14 $260.50–$316.32 —
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 RAD Clavicle Comp Bilat $380.00 $380.00 $266.00–$323.00 —
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 RAD Clavicle 2 Views $1,001.00 $1,001.00 $700.70–$850.85 —
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 RAD Clavicle Comp R $1,001.00 $1,001.00 $700.70–$850.85 —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Exam Abdo Back Wall Comp $501.26 $501.26 $350.88–$426.07 —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Renal Ultrasound Complete $1,415.51 $1,415.51 $990.86–$1,203.18 —
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Axial $501.26 $501.26 $350.88–$426.07 —
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest w/o Dye $501.26 $501.26 $350.88–$426.07 —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest W/ Dye $821.33 $821.33 $574.93–$698.13 —
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Noninv Extreme Art L $1,058.60 $1,058.60 $741.02–$899.81 —
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Doppler Upper Extrem bilat $1,058.60 $1,058.60 $741.02–$899.81 —
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthoracic 2d $2,221.29 $2,221.29 $1,554.90–$1,888.10 —
Elbow X-ray, 2 views inpatient both sides CPT 73070 RAD Elbow 2 Vw Bilat $291.00 $291.00 $203.70–$247.35 —
Elbow X-ray, 2 views inpatient one side CPT 73070 RAD Elbow 2 Views Lt $291.00 $291.00 $203.70–$247.35 —
Elbow X-ray, 2 views inpatient one side CPT 73070 RAD Elbow 2 Views Rt $291.00 $291.00 $203.70–$247.35 —
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 RAD Elbow 3 Views Lt $186.00 $186.00 $130.20–$158.10 —
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 RAD Elbow 3 Views Rt $186.00 $186.00 $130.20–$158.10 —
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit/Ear/Fossa W/O Dye $501.26 $501.26 $350.88–$426.07 —
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 RAD Facial Bones 3 Views $501.26 $501.26 $350.88–$426.07 —
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 RAD Forearm 2 Views Rt $372.14 $372.14 $260.50–$316.32 —
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 RAD Forearm 2 Views Lt $372.14 $372.14 $260.50–$316.32 —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary $1,734.75 $1,734.75 $1,214.33–$1,474.54 —
Hand X-ray, 2 views inpatient both sides CPT 73120 RAD Hand 2+ Views Bilat $193.00 $193.00 $135.10–$164.05 —
Hand X-ray, 2 views inpatient one side CPT 73120 RAD Hand 2+ Views Rt $193.00 $193.00 $135.10–$164.05 —
Hand X-ray, 2 views inpatient one side CPT 73120 RAD Hand 2+ Views Lt $193.00 $193.00 $135.10–$164.05 —
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 RAD CalcaneUS 2+ View Bilat $291.00 $291.00 $203.70–$247.35 —
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 RAD CalcaneUS 2+ View Rt $291.00 $291.00 $203.70–$247.35 —
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 RAD CalcaneUS 2+ View Lt $291.00 $291.00 $203.70–$247.35 —
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 EEG Sleep Study Unatt&resp Eff $641.93 $641.93 $449.35–$545.64 —
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 EEG Split Night Study $4,231.17 $4,231.17 $2,961.82–$3,596.49 —
Knee X-ray, 3 views inpatient both sides CPT 73562 RAD Knee 3 Views Bilat $189.00 $189.00 $132.30–$160.65 —
Knee X-ray, 3 views inpatient one side CPT 73562 RAD Knee 3 Views Rt $189.00 $189.00 $132.30–$160.65 —
Knee X-ray, 3 views inpatient one side CPT 73562 RAD Knee 3 Views Lt $189.00 $189.00 $132.30–$160.65 —
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 RAD Knee 4+ Views-Right $291.00 $291.00 $203.70–$247.35 —
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 RAD Knee 4+ Views-Left $291.00 $291.00 $203.70–$247.35 —
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Lo Extrm Wo Cont Bilat $454.00 $454.00 $317.80–$385.90 —
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 73700ct Lo Extrm Wo Cont Bilat $454.00 $454.00 $317.80–$385.90 —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity W/O Dye Lt $454.00 $454.00 $317.80–$385.90 —
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity W/O Dye Rt $454.00 $454.00 $317.80–$385.90 —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Exam Abdomen Limited $501.26 $501.26 $350.88–$426.07 —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Gallbladder $501.26 $501.26 $350.88–$426.07 —
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Xtr Non Vasc Lmtd $362.00 $362.00 $253.40–$307.70 —
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extrem LimitED Rt $362.00 $362.00 $253.40–$307.70 —
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extrem LimitED Lt $362.00 $362.00 $253.40–$307.70 —
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RAD Tib Fib Ap&lat $291.00 $291.00 $203.70–$247.35 —
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 RAD Tibia/Fibula 2 Vw Bil $291.00 $291.00 $203.70–$247.35 —
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 RAD Tibia/Fibula Lt $236.40 $236.40 $165.48–$200.94 —
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 RAD Tibia/Fibula Rt $291.00 $291.00 $203.70–$247.35 —
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRI Angiography Head W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Jnt of Lwr Extre W/O Dye $2,650.00 $2,650.00 $1,855.00–$2,252.50 —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extr W/O&w/Dye R $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Joint Lwr Extr W/O&w/Dye L $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Angio Abdom W Orw/O Dye $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/O & W/Dye $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Stem W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Stem W/O & W/Dye $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Lumbar Spine W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Lumbar Spine W/O & W/Dye $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Chest Spine W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Neck Spine W/O & W/Dye $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Neck Spine W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O & W/Dye $1,693.35 $1,693.35 $1,185.35–$1,439.35 —
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Upper Ext Jnt $1,058.60 $1,058.60 $741.02–$899.81 —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Uppr Ext Jnt W/O Dye $1,058.60 $1,058.60 $741.02–$899.81 —
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 RAD Exam Neck Spine 4/5vws $501.26 $501.26 $350.88–$426.07 —
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tiss W/ $821.33 $821.33 $574.93–$698.13 —
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck W/O Dye $501.26 $501.26 $350.88–$426.07 —
Neck soft tissue X-ray inpatient CPT 70360 RAD Neck Soft Tissue $372.14 $372.14 $260.50–$316.32 —
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Hrt Muscle Image Spect $6,007.32 $6,007.32 $4,205.12–$5,106.22 —
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM Tumor Image Pet/CT Skul-T $6,809.56 $6,809.56 $4,766.69–$5,788.13 —
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Dye $501.26 $501.26 $350.88–$426.07 —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Exam Pelvic Limited $501.26 $501.26 $350.88–$426.07 —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Exam Pelvic Complete $501.26 $501.26 $350.88–$426.07 —
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RAD Ribs Unilat 2 Vws Lt $321.00 $321.00 $224.70–$272.85 —
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RAD Ribs Unilat 2 Vws Rt $321.00 $321.00 $224.70–$272.85 —
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RAD Ribs Uni W/Pa Cht Rt $442.00 $442.00 $309.40–$375.70 —
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RAD Ribs Uni W/Pa Cht Lt $442.00 $442.00 $309.40–$375.70 —
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammo Bilat $444.59 $444.59 $311.21–$377.90 —
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 RAD Shoulder bilat comp 2vw $365.00 $365.00 $255.50–$310.25 —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 RAD Shoulder Complete $365.00 $365.00 $255.50–$310.25 —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RAD Shoulder 2 Views Rt $365.00 $365.00 $255.50–$310.25 —
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 RAD Shoulder 2 Views Lt $365.00 $365.00 $255.50–$310.25 —
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 RAD Sinuses Paranasal $372.14 $372.14 $260.50–$316.32 —
Skull X-ray, fewer than 4 views inpatient CPT 70250 RAD Exam of Skull 1 View $501.26 $501.26 $350.88–$426.07 —
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 RAD Cine/Vid Throat/Esoph MBSS $854.45 $854.45 $598.12–$726.28 —
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD Exam Femur 2 View Bil $322.00 $322.00 $225.40–$273.70 —
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 RAD Femur Ap&lat $322.00 $322.00 $225.40–$273.70 —
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 RAD Exam Femur 2 View Rt $322.00 $322.00 $225.40–$273.70 —
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 RAD Exam Femur 2 View Lt $322.00 $322.00 $225.40–$273.70 —
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine W/O Dye $501.26 $501.26 $350.88–$426.07 —
Toe X-ray, 2 or more views inpatient CPT 73660 RAD Toes 2+ Views $181.00 $181.00 $126.70–$153.85 —
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-Ob $501.26 $501.26 $350.88–$426.07 —
Ultrasound of the abdomen, complete inpatient CPT 76700 US Exam Abdom Complete $501.26 $501.26 $350.88–$426.07 —
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Exam Scrotum $501.26 $501.26 $350.88–$426.07 —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Exam of Head and Neck $501.26 $501.26 $350.88–$426.07 —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD Upper Gi Delay W/O Kub $1,523.00 $1,523.00 $1,066.10–$1,294.55 —
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 RAD Upper Gi Delay Single Cont $1,523.00 $1,523.00 $1,066.10–$1,294.55 —
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 RAD HumerUS 2+ Views Rt $352.00 $352.00 $246.40–$299.20 —
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 RAD HumerUS 2+ Views Lt $352.00 $352.00 $246.40–$299.20 —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplx Scan Ext Veins Unil $1,055.00 $1,055.00 $738.50–$896.75 —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Doppler Extremity Vein Ltd RT $1,055.00 $1,055.00 $738.50–$896.75 —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Doppler Extremity Vein Ltd Lt $1,055.00 $1,055.00 $738.50–$896.75 —
Wrist X-ray, 2 views inpatient one side CPT 73100 RAD Wrist 2 Views Rt $291.00 $291.00 $203.70–$247.35 —
Wrist X-ray, 2 views inpatient one side CPT 73100 RAD Wrist 2 Views Lt $291.00 $291.00 $203.70–$247.35 —
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 RAD Wrist Comp 3>vw Bilat $320.00 $320.00 $224.00–$272.00 —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 RAD Wrist 3+ Views Lt $320.00 $320.00 $224.00–$272.00 —
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 RAD Wrist 3+ Views Rt $320.00 $320.00 $224.00–$272.00 —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD Hip 2-3 Views Unil Lt $217.00 $217.00 $151.90–$184.45 —
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 RAD Hip 2-3 Views Unil Rt $217.00 $217.00 $151.90–$184.45 —
X-ray of the abdomen, 1 view inpatient CPT 74018 RAD Exam Abdomen 1 View $372.14 $372.14 $260.50–$316.32 —
X-ray of the abdomen, 1 view inpatient CPT 74018 RAD Abdomen 1 Vw $372.14 $372.14 $260.50–$316.32 —
X-ray of the abdomen, 1 view inpatient CPT 74018 MRI Joint Lwr Extr W/O&w/Dye $372.14 $372.14 $260.50–$316.32 —
X-ray of the ankle, 2 views inpatient both sides CPT 73600 RAD Ankle 2 Views Bilat $364.00 $364.00 $254.80–$309.40 —
X-ray of the ankle, 2 views inpatient one side CPT 73600 RAD Ankle 2 Views Rt $364.00 $364.00 $254.80–$309.40 —
X-ray of the ankle, 2 views inpatient one side CPT 73600 RAD Ankle 2 Views Lt $364.00 $364.00 $254.80–$309.40 —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RAD Finger(S) 2+ View Rt $243.00 $243.00 $170.10–$206.55 —
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RAD Finger(S) 2+ View Lt $243.00 $243.00 $170.10–$206.55 —
X-ray of the foot, 2 views inpatient CPT 73620 RAD Foot 2 Views Bilater $340.00 $340.00 $238.00–$289.00 —
X-ray of the foot, 2 views inpatient one side CPT 73620 RAD Foot 2 Views Rt $340.00 $340.00 $238.00–$289.00 —
X-ray of the foot, 2 views inpatient one side CPT 73620 RAD Foot 2 Views Lt $340.00 $340.00 $238.00–$289.00 —
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 RAD Foot 3 Views Bilater $328.00 $328.00 $229.60–$278.80 —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 RAD Foot 3 Views Lt $328.00 $328.00 $229.60–$278.80 —
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 RAD Foot 3 Views Rt $328.00 $328.00 $229.60–$278.80 —
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 RAD Hand 3>vw Bilat $444.00 $444.00 $310.80–$377.40 —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 RAD Hand 3 Views Rt $444.00 $444.00 $310.80–$377.40 —
X-ray of the hand, 3 or more views inpatient one side CPT 73130 RAD Hand 3 Views Lt $444.00 $444.00 $310.80–$377.40 —
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 RAD Knee 1-2 Views Bilat $321.00 $321.00 $224.70–$272.85 —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 RAD Knee/Patella 2 View $321.00 $321.00 $224.70–$272.85 —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RAD Knee 1-2 Views Lt $321.00 $321.00 $224.70–$272.85 —
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 RAD Knee 1-2 Views Rt $321.00 $321.00 $224.70–$272.85 —
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 RAD Exam L-S Spine 2/3 Vws $501.26 $501.26 $350.88–$426.07 —
X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD Exam L-2 Spine 4/>vws $501.26 $501.26 $350.88–$426.07 —
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 RAD Exam Thorac Spine 2vws $501.26 $501.26 $350.88–$426.07 —
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 RAD Nasal Bones 3 Views $372.14 $372.14 $260.50–$316.32 —
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 RAD Exam Neck Spine 2-3 Vw $372.14 $372.14 $260.50–$316.32 —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 RAD Exam of Pelvis $501.26 $501.26 $350.88–$426.07 —
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 RAD Exam Sacrum Tailbone $372.14 $372.14 $260.50–$316.32 —

Lab tests

ProcedureCash price List priceInsurers payOff list
ACTH blood test inpatient CPT 82024 Acth $386.20 $386.20 $270.34–$328.27 —
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Amino (ALT) (SGPT) $53.00 $53.00 $37.10–$45.05 —
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (AST) (SGOT) $51.80 $51.80 $36.26–$44.03 —
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel $476.30 $476.30 $333.41–$404.86 —
Albumin blood test inpatient CPT 82040 Serum Albumin $49.50 $49.50 $34.65–$42.08 —
Aldosterone blood test inpatient CPT 82088 Aldosterone $407.50 $407.50 $285.25–$346.38 —
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase $51.80 $51.80 $36.26–$44.03 —
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg Spec Ige Crude Xtrc Ea $52.20 $52.20 $36.54–$44.37 —
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein Serum $167.70 $167.70 $117.39–$142.55 —
Ammonia blood test inpatient CPT 82140 Ammonia $145.70 $145.70 $101.99–$123.85 —
Amylase blood test inpatient CPT 82150 Amylase $64.80 $64.80 $45.36–$55.08 —
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibody $129.50 $129.50 $90.65–$110.08 —
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA Antinuclear Antibodies $120.90 $120.90 $84.63–$102.77 —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PROBNP $265.20 $265.20 $185.64–$225.42 —
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP Natriuretic Peptide $392.60 $392.60 $274.82–$333.71 —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic culture $86.20 $86.20 $60.34–$73.27 —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture $86.20 $86.20 $60.34–$73.27 —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Wound Aerobic $86.20 $86.20 $60.34–$73.27 —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture $86.20 $86.20 $60.34–$73.27 —
Basic metabolic panel (blood test) inpatient CPT 80048 BMP with Total Calcium $84.60 $84.60 $59.22–$71.91 —
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total $50.20 $50.20 $35.14–$42.67 —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Tissue Exam By Path $228.90 $228.90 $160.23–$194.57 —
Blood culture for bacteria inpatient CPT 87040 Blood Culture For Bacteria $103.20 $103.20 $72.24–$87.72 —
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture $30.00 $30.00 $21.00–$25.50 —
Blood glucose (sugar) test inpatient CPT 82947 Glucose Blood Quant $39.30 $39.30 $27.51–$33.41 —
Blood lead test inpatient CPT 83655 Lead $121.10 $121.10 $84.77–$102.94 —
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic Gonadotropin $75.20 $75.20 $52.64–$63.92 —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic ABO $514.97 $514.97 $360.48–$437.72 —
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen $39.50 $39.50 $27.65–$33.58 —
C-peptide blood test inpatient CPT 84681 C-Peptide $208.10 $208.10 $145.67–$176.89 —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP C-Reactive Protein $51.80 $51.80 $36.26–$44.03 —
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium AmpProbe Cdiff $372.70 $372.70 $260.89–$316.80 —
CA 19-9 blood test (tumor marker) inpatient CPT 86301 ImmunoTumor CA 19-9 $208.10 $208.10 $145.67–$176.89 —
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 ImmunoTumor CA 125 $208.10 $208.10 $145.67–$176.89 —
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-Cov-2 Cov10-19 $188.80 $188.80 $132.16–$160.48 —
Calcium blood test, total inpatient CPT 82310 Calcium $51.60 $51.60 $36.12–$43.86 —
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (CEA) $180.96 $180.96 $126.67–$153.82 —
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Antibody $128.80 $128.80 $90.16–$109.48 —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd Trach DNA Amp Probe $350.90 $350.90 $245.63–$298.27 —
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $133.90 $133.90 $93.73–$113.82 —
Complete blood count (CBC) with differential inpatient CPT 85025 Complete CBC W/Auto Diff $77.70 $77.70 $54.39–$66.05 —
Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/o differential $64.70 $64.70 $45.29–$55.00 —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen Metabolic Panel CMP $105.60 $105.60 $73.92–$89.76 —
Cortisol blood test, total inpatient CPT 82533 Total Cortisol $163.00 $163.00 $114.10–$138.55 —
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK) Creatine Kinase $65.10 $65.10 $45.57–$55.34 —
Creatinine blood test inpatient CPT 82565 Creatinine $51.20 $51.20 $35.84–$43.52 —
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV Antibody $143.90 $143.90 $100.73–$122.32 —
D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP -D-dimer Quantitative $101.80 $101.80 $71.26–$86.53 —
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone-Sulphat $222.30 $222.30 $155.61–$188.96 —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Abuse Profile, Urine $621.40 $621.40 $434.98–$528.19 —
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel $70.10 $70.10 $49.07–$59.59 —
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-Barr Capsid VCA $181.40 $181.40 $126.98–$154.19 —
Estradiol blood test inpatient CPT 82670 Estradiol $279.40 $279.40 $195.58–$237.49 —
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin (Fsh) $185.80 $185.80 $130.06–$157.93 —
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 For Calprotectin Fecal $196.30 $196.30 $137.41–$166.86 —
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin $136.30 $136.30 $95.41–$115.86 —
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity $97.20 $97.20 $68.04–$82.62 —
Folate (folic acid) blood test inpatient CPT 82746 Folate Folic Acid Serum $147.00 $147.00 $102.90–$124.95 —
Free T3 thyroid hormone test inpatient CPT 84481 Free (FT-3) $169.40 $169.40 $118.58–$143.99 —
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free Thyroxine $90.20 $90.20 $63.14–$76.67 —
Free testosterone test inpatient CPT 84402 Free Testosterone $254.70 $254.70 $178.29–$216.50 —
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT $72.00 $72.00 $50.40–$61.20 —
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Glucose Test $47.50 $47.50 $33.25–$40.38 —
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test (Gtt) $128.70 $128.70 $90.09–$109.40 —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae DNA Amp Prob $350.90 $350.90 $245.63–$298.27 —
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody $168.50 $168.50 $117.95–$143.23 —
H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool IA $143.80 $143.80 $100.66–$122.23 —
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 Quant&Revrse Trnscrpj $851.00 $851.00 $595.70–$723.35 —
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 1 Result Antbdy $137.10 $137.10 $95.97–$116.54 —
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 Ab $240.80 $240.80 $168.56–$204.68 —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Glycosylated HGBA1C $97.10 $97.10 $67.97–$82.54 —
Hemoglobin blood test inpatient CPT 85018 Hemoglobin $23.70 $23.70 $16.59–$20.15 —
Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Antibody Total $120.50 $120.50 $84.35–$102.43 —
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Antibody $107.40 $107.40 $75.18–$91.29 —
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface AG IA $103.30 $103.30 $72.31–$87.81 —
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C AB Test $142.70 $142.70 $99.89–$121.30 —
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Revrs Trnscrpj $428.40 $428.40 $299.88–$364.14 —
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Type 1 Test $131.90 $131.90 $92.33–$112.12 —
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Type 2 Test $193.50 $193.50 $135.45–$164.48 —
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein HS $129.50 $129.50 $90.65–$110.08 —
Homocysteine blood test inpatient CPT 83090 Homocysteine $179.20 $179.20 $125.44–$152.32 —
Insulin blood test inpatient CPT 83525 Insulin $114.30 $114.30 $80.01–$97.16 —
Iron blood test (serum iron) inpatient CPT 83540 Iron $64.70 $64.70 $45.29–$55.00 —
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC Iron Binding Capacity $87.40 $87.40 $61.18–$74.29 —
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $86.80 $86.80 $60.76–$73.78 —
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin (Lh) $185.20 $185.20 $129.64–$157.42 —
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid $115.70 $115.70 $80.99–$98.35 —
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (LD) (LDH) Enzyme $60.40 $60.40 $42.28–$51.34 —
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase $68.90 $68.90 $48.23–$58.57 —
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $81.70 $81.70 $57.19–$69.45 —
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibody $170.30 $170.30 $119.21–$144.76 —
Magnesium blood test inpatient CPT 83735 Magnesium $67.00 $67.00 $46.90–$56.95 —
Measles (rubeola) antibody test inpatient CPT 86765 Antibody Rubeola $128.80 $128.80 $90.16–$109.48 —
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibody Screen $51.80 $51.80 $36.26–$44.03 —
Mumps immunity blood test inpatient CPT 86735 Mumps Antibody $130.50 $130.50 $91.35–$110.93 —
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA Free $183.90 $183.90 $128.73–$156.32 —
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total $183.90 $183.90 $128.73–$156.32 —
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (PTH) $412.80 $412.80 $288.96–$350.88 —
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT Thromboplastin Time Partia $60.10 $60.10 $42.07–$51.09 —
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus $47.40 $47.40 $33.18–$40.29 —
Potassium blood test inpatient CPT 84132 Serum Potassium $47.60 $47.60 $33.32–$40.46 —
Progesterone blood test inpatient CPT 84144 Progesterone $208.60 $208.60 $146.02–$177.31 —
Prolactin blood test inpatient CPT 84146 Prolactin $193.80 $193.80 $135.66–$164.73 —
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time PT/INR $42.90 $42.90 $30.03–$36.47 —
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Dir Opt Obs $126.00 $126.00 $88.20–$107.10 —
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay w/Optic Swab $165.50 $165.50 $115.85–$140.68 —
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A W/Optic $165.30 $165.30 $115.71–$140.51 —
Renin blood test inpatient CPT 84244 Renin $219.90 $219.90 $153.93–$186.92 —
Rh blood typing inpatient CPT 86901 Blood Typing Serologic Rh(D) $155.66 $155.66 $108.96–$132.31 —
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quant $56.70 $56.70 $39.69–$48.20 —
Rubella antibody test (immunity check) inpatient CPT 86762 Antibody Rubella $143.90 $143.90 $100.73–$122.32 —
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED Rate Automated (ESR) $27.00 $27.00 $18.90–$22.95 —
Sodium blood test inpatient CPT 84295 Serum Sodium $48.10 $48.10 $33.67–$40.89 —
Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites Smears $89.00 $89.00 $62.30–$75.65 —
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Feces $43.80 $43.80 $30.66–$37.23 —
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood Fecal 1-3 $159.20 $159.20 $111.44–$135.32 —
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum FTA ABS $193.50 $193.50 $135.45–$164.48 —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test NonTrep Qual RPR $87.90 $87.90 $61.53–$74.72 —
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Test Cell - Quantiferon $619.80 $619.80 $433.86–$526.83 —
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Total Testosterone $258.10 $258.10 $180.67–$219.39 —
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibody Each $145.50 $145.50 $101.85–$123.68 —
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stim Hormone $168.00 $168.00 $117.60–$142.80 —
Total IgE blood test inpatient CPT 82785 Gammaglobulin IgE $164.60 $164.60 $115.22–$139.91 —
Total cholesterol blood test inpatient CPT 82465 Bld/Serum Cholesterol $43.50 $43.50 $30.45–$36.98 —
Total thyroxine (T4) blood test inpatient CPT 84436 Total Thyroxine $68.70 $68.70 $48.09–$58.40 —
Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) $141.80 $141.80 $99.26–$120.53 —
Transferrin blood test inpatient CPT 84466 Transferrin $127.60 $127.60 $89.32–$108.46 —
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Amplif $350.90 $350.90 $245.63–$298.27 —
Triglycerides blood test inpatient CPT 84478 Triglycerides $57.40 $57.40 $40.18–$48.79 —
Troponin test, quantitative inpatient CPT 84484 Troponin Quant $124.70 $124.70 $87.29–$106.00 —
Uric acid blood test inpatient CPT 84550 Blood/Uric Acid $45.20 $45.20 $31.64–$38.42 —
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Scope UA $31.70 $31.70 $22.19–$26.95 —
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Nonauto W/Scope $40.20 $40.20 $28.14–$34.17 —
Urinalysis with microscope exam, manual inpatient CPT 81000 Body Fluid Specific Gravity $40.20 $40.20 $28.14–$34.17 —
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope UA $22.50 $22.50 $15.75–$19.13 —
Urinalysis without microscope exam, automated inpatient CPT 81003 UA Reflex to Microscopic $22.50 $22.50 $15.75–$19.13 —
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Non-Auto W/O Scope $34.80 $34.80 $24.36–$29.58 —
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture/Colony Count $80.70 $80.70 $56.49–$68.60 —
Urine microalbumin (albumin) test inpatient CPT 82043 UR Albumin Quantitative $57.80 $57.80 $40.46–$49.13 —
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test $86.10 $86.10 $60.27–$73.19 —
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 $150.80 $150.80 $105.56–$128.18 —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy $296.00 $296.00 $207.20–$251.60 —
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit D 1 25-Dihydroxy $385.00 $385.00 $269.50–$327.25 —
Zinc blood test inpatient CPT 84630 Zinc $113.90 $113.90 $79.73–$96.82 —
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic Gonadotropin Test $150.50 $150.50 $105.35–$127.93 —

Surgery and procedures

ProcedureCash price List priceInsurers payOff list
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Ext $2,639.16 $2,639.16 $1,847.41–$2,243.29 —
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy W/Lesion Removal $4,871.68 $4,871.68 $3,410.18–$4,140.93 —
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and Biopsy $4,871.68 $4,871.68 $3,410.18–$4,140.93 —
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Terminated $3,728.21 $3,728.21 $2,609.75–$3,168.98 —
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic Colonoscopy $3,728.21 $3,728.21 $2,609.75–$3,168.98 —
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cysturthrscpy Sep Prcdr $2,702.78 $2,702.78 $1,891.95–$2,297.36 —
Earwax removal with instruments, one ear inpatient CPT 69210 Remove ImpactED Ear Wax Uni $261.51 $261.51 $183.06–$222.28 —
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Sigmoidoscopy $3,728.21 $3,728.21 $2,609.75–$3,168.98 —
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of Hemorrhoid(S) $3,728.21 $3,728.21 $2,609.75–$3,168.98 —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Absc Smpl/1 $414.00 $414.00 $289.80–$351.90 —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthro, Asp, and/or Inj w/o US $1,227.42 $1,227.42 $859.19–$1,043.31 —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Joint/Bursa W/O Us $1,227.42 $1,227.42 $859.19–$1,043.31 —
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate $843.64 $843.64 $590.55–$717.09 —
Pacemaker implant (dual chamber) inpatient CPT 33208 Ins/Rplc Pacemkr; Atr+vnt $48,848.87 $48,848.87 $34,194.21–$41,521.54 —
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Img $3,801.39 $3,801.39 $2,660.97–$3,231.18 —
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail & Nail $1,623.80 $1,623.80 $1,136.66–$1,380.23 —
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Foreign Body $1,623.80 $1,623.80 $1,136.66–$1,380.23 —
Short arm cast (elbow to hand) inpatient CPT 29075 UE cast application $1,133.35 $1,133.35 $793.35–$963.35 —
Short arm splint (forearm and hand) inpatient CPT 29125 Wrist/hand splint application $122.00 $122.00 $85.40–$103.70 —
Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast $1,133.35 $1,133.35 $793.35–$963.35 —
Short leg splint (calf to foot) inpatient CPT 29515 Distal LE splint application $122.00 $122.00 $85.40–$103.70 —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR S/N/Ax/Gen/Trnk 2.5cm/< $843.64 $843.64 $590.55–$717.09 —
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch BX Skin Single Lesion $1,623.80 $1,623.80 $1,136.66–$1,380.23 —
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of Skin Tags $843.64 $843.64 $590.55–$717.09 —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Fluid Tap Diagnostic $2,983.19 $2,983.19 $2,088.23–$2,535.71 —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR S/N/Ax/Gen/Trnk2.6-7.5cm $843.64 $843.64 $590.55–$717.09 —
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl BX Skin Single Les $843.64 $843.64 $590.55–$717.09 —
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis asp w/Imaging $2,539.38 $2,539.38 $1,777.57–$2,158.47 —
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscles $1,227.42 $1,227.42 $859.19–$1,043.31 —
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph EGD Dilation $7,630.53 $7,630.53 $5,341.37–$6,485.95 —
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD Biopsy Single/Multi $3,801.39 $3,801.39 $2,660.97–$3,231.18 —
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr Gi Scope W/Submuc Inj $3,801.39 $3,801.39 $2,660.97–$3,231.18 —
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD Remove Lesion Snare $7,630.53 $7,630.53 $5,341.37–$6,485.95 —
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD Guide Wire Insertion $3,801.39 $3,801.39 $2,660.97–$3,231.18 —
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD Diagnostic Brush Wash $3,801.39 $3,801.39 $2,660.97–$3,231.18 —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tis <=20 Sq $810.00 $810.00 $567.00–$688.50 —

Doctor visits and therapy

ProcedureCash price List priceInsurers payOff list
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Fee $1,826.48 $1,826.48 $1,278.54–$1,552.51 —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin Fee Surgery $1,864.70 $1,864.70 $1,305.29–$1,585.00 —
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion 1hr $1,497.94 $1,497.94 $1,048.56–$1,273.25 —
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Audiometry threshold eval $655.91 $655.91 $459.14–$557.52 —
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Init 30-74 Min $3,499.40 $3,499.40 $2,449.58–$2,974.49 —
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Photo Stimulatio $1,216.47 $1,216.47 $851.53–$1,034.00 —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG W/O Interpre and Repo-(RT) $256.04 $256.04 $179.23–$217.63 —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit $340.77 $340.77 $238.54–$289.65 —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Visit Level 2 $617.09 $617.09 $431.96–$524.53 —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Visit Level 3 $1,087.21 $1,087.21 $761.05–$924.13 —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Visit Level 4 $1,708.99 $1,708.99 $1,196.29–$1,452.64 —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Visit Level 5 $2,451.80 $2,451.80 $1,716.26–$2,084.03 —
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test $1,216.47 $1,216.47 $851.53–$1,034.00 —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im $291.27 $291.27 $203.89–$247.58 —
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular re-ED 15 min $134.00 $134.00 $93.80–$113.90 —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT Assessment 15 min $147.20 $147.20 $103.04–$125.12 —
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval- Low Complexity $474.38 $474.38 $332.07–$403.22 —
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval- High Complexity $471.20 $471.20 $329.84–$400.52 —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Low Complexity $471.20 $471.20 $329.84–$400.52 —
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval - Low Complexity $471.20 $471.20 $329.84–$400.52 —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval -Moderate Complexity $471.20 $471.20 $329.84–$400.52 —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 15 min $122.00 $122.00 $85.40–$103.70 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ther procedure exercise 15 min $134.00 $134.00 $93.80–$113.90 —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic proc/exer 15 min $134.00 $134.00 $93.80–$113.90 —
Speech and language evaluation inpatient CPT 92523 Eval of speech/language comp $104.00 $104.00 $72.80–$88.40 —
Speech therapy session, individual inpatient CPT 92507 Speech/auditory tx individual $316.00 $316.00 $221.20–$268.60 —
Spirometry (breathing test) inpatient CPT 94010 PFT W/Graphical Records $641.93 $641.93 $449.35–$545.64 —
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT W/ Pre/Post Brochodilator $1,216.47 $1,216.47 $851.53–$1,034.00 —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities 15 min $134.00 $134.00 $93.80–$113.90 —
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities 15 min $134.00 $134.00 $93.80–$113.90 —
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebototomy $514.97 $514.97 $360.48–$437.72 —

Vaccines

ProcedureCash price List priceInsurers payOff list
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VAC QUAD 2022-23 240MCG $136.29 $136.29 $95.40–$115.85 —
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Prevnar 13 .5 mL $859.34 $859.34 $601.54–$730.44 —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 25 mcg $435.49 $435.49 $304.84–$370.17 —

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/9961/812244858_curahealth-stoughton-llc_standardcharges.csv