Clifton-Fine Healthcare
Listed in its price file as “Clifton-Fine Healthcare Corporation”.
Clifton-Fine Healthcare in Star Lake, NY publishes cash prices for 216 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 151 of 214 procedures and below it for 61. By typical cash price it ranks #62 of 104 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1014 OSWEGATCHIE TRAIL ROAD, STAR LAKE, NY, 13690 Collected Sep 29, 2026 Source price file (315) 848-4205
Rural emergency hospital Emergency department CCN 330799 · CMS hospital register NPI 1235184649
The price file shows no self-pay discount
For 482 of the 482 prices listed here, the cash price in Clifton-Fine Healthcare'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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXREMITY ARTIERIAL STUDY (NON INVASIVE) | $308.40 | $308.40 | $133.24–$262.14 | 14% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XRAY ESOPHAGUS | $320.36 | $320.36 | $175.65–$272.31 | 2% below | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST UNILAT OR BILAT | $275.16 | $275.16 | $104.69–$233.89 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED | $224.33 | $224.33 | $87.15–$190.68 | 1% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WITH CONTRAST | $896.25 | $896.25 | $175.65–$1,584.07 | 14% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT PE Study | $1,863.62 | $1,863.62 | $175.65–$1,584.07 | 78% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CONTRAST | $2,830.95 | $2,830.95 | $238.94–$2,406.31 | 182% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS WITH CONTRAST | $3,054.64 | $3,054.64 | $349.37–$2,596.44 | 103% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/O & W CONTRAST | $3,366.00 | $3,366.00 | $349.37–$2,861.10 | 106% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,768.34 | $1,768.34 | $175.65–$1,503.09 | 85% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,531.94 | $1,531.94 | $104.69–$1,302.15 | 85% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL W/O CONTRAST | $1,341.70 | $1,341.70 | $104.69–$1,140.44 | 100% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $1,340.90 | $1,340.90 | $104.69–$1,139.76 | 107% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST | $1,545.65 | $1,545.65 | $175.65–$1,313.80 | 83% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/O AND WITH CONTRAST | $1,808.13 | $1,808.13 | $175.65–$1,536.91 | 75% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $1,534.18 | $1,534.18 | $104.69–$1,304.06 | 84% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $1,534.18 | $1,534.18 | $104.69–$1,304.06 | 84% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $1,755.91 | $1,755.91 | $175.65–$1,492.52 | 104% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DOPPLER CAROTIDS | $590.58 | $590.58 | $238.94–$811.23 | 6% above | — |
| Chest X-ray, 2 views CPT 71046 XRAY CHEST 2 VIEW PA - LATERAL | $225.17 | $225.17 | $87.15–$191.39 | 21% above | — |
| Chest X-ray, single view CPT 71045 XRAY CHEST - SINGLE | $180.27 | $180.27 | $87.15–$153.23 | 2% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XRAY DENSITOMETRY | $259.75 | $259.75 | $104.69–$220.79 | 25% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DETAILED SINGLE FETUS | $851.48 | $851.48 | $238.94–$723.76 | 72% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $1,518.94 | $1,518.94 | $104.69–$1,291.10 | 89% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $1,790.82 | $1,790.82 | $175.65–$1,522.19 | 83% above | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DOPPLER EXTREM VEINS BILAT | $631.98 | $631.98 | $238.94–$899.51 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER STUDY | $380.19 | $380.19 | $104.69–$385.13 | 24% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN STUDY | $427.94 | $427.94 | $104.69–$385.13 | 39% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $453.10 | $453.10 | $104.69–$385.13 | 48% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW-DOSE LUNG CANCER SCREENING | $351.33 | $351.33 | $104.69–$298.63 | 19% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PRE AND POST BLADDER | $342.20 | $342.20 | $104.69–$290.87 | 35% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED OR F/U | $342.20 | $342.20 | $104.69–$290.87 | 35% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMPL | $242.49 | $242.49 | $104.69–$411.37 | 29% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 14 WK SINGLE FETUS | $311.10 | $311.10 | $104.69–$264.43 | 1% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED FETUS | $213.97 | $213.97 | $104.69–$181.88 | 26% below | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON PREGNANT | $314.89 | $314.89 | $104.69–$360.20 | 4% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $245.67 | $245.67 | $104.69–$208.82 | 3% below | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $651.07 | $651.07 | $104.69–$553.41 | 53% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTAL | $331.96 | $331.96 | $104.69–$282.17 | 6% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID STUDY | $491.82 | $491.82 | $104.69–$418.05 | 57% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK/HEAD | $491.82 | $491.82 | $104.69–$418.05 | 57% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XRAY KUB | $211.53 | $211.53 | $87.15–$179.80 | 12% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XRAY ABDOMEN SINGLE | $211.53 | $211.53 | $87.15–$179.80 | 12% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY SPINE LUMBAR 2 VIEWS | $225.97 | $225.97 | $104.69–$192.07 | 1% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XRAY SPINE L/S COMPLETE MIN 4V | $351.85 | $351.85 | $104.69–$299.07 | 28% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE MIN 2 VIEWS | $227.72 | $227.72 | $104.69–$193.56 | 14% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES MIN 3V | $174.45 | $174.45 | $87.15–$148.29 | 5% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY SPINE CERVICAL AP & LAT | $203.33 | $203.33 | $87.15–$172.83 | 1% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS AP 1 OR 2 V | $196.43 | $196.43 | $104.69–$166.97 | 6% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SPINE COCCYX/SACRUM MIN2V | $173.77 | $173.77 | $87.15–$147.71 | at median | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT(SGPT) | $53.08 | $53.08 | $45.12 | 136% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $53.08 | $53.08 | $45.12 | 126% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $456.78 | $456.78 | $388.26 | 193% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HALIBUT IgE LC602831 | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SALMON IgE LC602507 | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TROUT IgE LC602523 | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IgE | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE IgG | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HADDOCK IgE LC602720 | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE HORSE w COMPONENT RFx | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE MACADAMIA NUT | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TUNA IgE LC602510 | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE LC602465 | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CATFISH IgE LC602845 | $13.98 | $13.98 | $1,172.38 | 2% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE HORSE DANDER | $15.53 | $15.53 | $1,172.38 | 9% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE COW DANDER | $15.53 | $15.53 | $1,172.38 | 9% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM (M2) | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK (T7) IGE | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA ALLERGEN | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER (E1) IGE | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTERS IGE | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS (KENTUCKY BLUE) | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERGEN | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER(E5) IGE | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARTINAE | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RADWEED(SHORT)IGE | $29.78 | $29.78 | $1,172.38 | 109% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST INDIVIDUAL | $49.17 | $49.17 | $1,172.38 | 246% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MITOCHONDRIAL ALLERGEN | $49.67 | $49.67 | $1,172.38 | 249% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE ALMOND | $51.06 | $51.06 | $1,172.38 | 259% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE BRAZIL NUT | $51.06 | $51.06 | $1,172.38 | 259% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE CASHEW NUT | $51.06 | $51.06 | $1,172.38 | 259% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE PECAN NUT | $51.06 | $51.06 | $1,172.38 | 259% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORMODENDRUM HORDEI IGE LC067660 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PHOMABETAE IGE LC067447 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO IGE LC060053 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE LC069575 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT IGE LC601542 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 KIWI IGE LC064766 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDIUM PULLULANS IGE LC067330 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE BLUE MOLD IGE LC064758 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE CHEDDAR IGE LC061507 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS IGE LC069278 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPURASCENS IGE LC069948 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME IGE LC612218 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM HALODES IGE LC612234 | $53.56 | $53.56 | $1,172.38 | 277% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD GRAIN | $58.65 | $58.65 | $1,172.38 | 312% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE LATEX LC650390 | $59.13 | $59.13 | $1,172.38 | 316% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IgE WHEY | $59.13 | $59.13 | $1,172.38 | 316% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE POPPY SEED | $59.13 | $59.13 | $1,172.38 | 316% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE SUNFLOWER SEED | $59.13 | $59.13 | $1,172.38 | 316% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE SESAME SEED | $59.13 | $59.13 | $1,172.38 | 316% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM AMERICAN WHITE ALLERGN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG EPITHELIA ALERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE MITE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD TREE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH AMERICAN ALLERGN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADISPORIUM HERB ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR MOUNTAIN ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER HAIR ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH WHITE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEECH AMERICAN ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMA ALLERGE | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASH WHITE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK COW ALLERGEN LC | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FISH SHELL MIX ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE COCOA ALLERG | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW BLACK ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT POLLEN ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE AMERICAN ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM BOTRY ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL DOCK ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED SHORT ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED FALSE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN ENGLISH ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED ROUGH ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTAT ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK WHITE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY WHITE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE AND BOX ELDER ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTER ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 KENTUCKY BLUEGRASS ALLERGN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY WHITE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT TREE ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD ALLERGEN | $62.50 | $62.50 | $1,172.38 | 340% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD NUTS 671926 | $68.43 | $68.43 | $1,172.38 | 381% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST INDIVIDUAL X3 CHARGE | $119.02 | $119.02 | $1,172.38 | 737% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROF MOLD LC062448 | $128.60 | $128.60 | $1,172.38 | 804% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX SPECIFIC IGE PANEL LC807008 | $151.68 | $151.68 | $1,172.38 | 967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PERENNIAL PANEL | $215.67 | $215.67 | $1,172.38 | 1417% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST INDIVIDUAL x 16 CHARGE | $248.52 | $248.52 | $1,172.38 | 1648% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SHELLFISH PANEL | $295.01 | $295.01 | $1,172.38 | 1975% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HYMENOPTERA PROFILE 2 | $305.93 | $305.93 | $1,172.38 | 2051% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST INDIVIDUAL X 9 CHARGE | $357.06 | $357.06 | $1,172.38 | 2411% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BASIC FOOD PANEL | $381.82 | $381.82 | $1,172.38 | 2585% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 IGE FOOD PROFILE 12 | $898.74 | $898.74 | $1,172.38 | 6220% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOOD NUTS | $941.58 | $941.58 | $1,172.38 | 6522% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGENS ZONE 1 COMPREHENSIVE | $1,379.27 | $1,379.27 | $1,172.38 | 9600% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Ab IGG AND IGA LC164914 | $129.83 | $129.83 | $110.36 | 177% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR Ab REFLEX CASCADE | $110.55 | $110.55 | $228.40 | 153% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA wREFLEX LC164962 | $110.55 | $110.55 | $228.40 | 153% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY IFA | $115.88 | $115.88 | $228.40 | 165% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY DIREC | $119.09 | $119.09 | $228.40 | 172% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP LAB CORP | $105.14 | $105.14 | $239.47 | 13% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO BNP | $281.73 | $281.73 | $239.47 | 134% above | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $134.48 | $134.48 | $114.31 | 117% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD REFERENCE LAB | $27.63 | $27.63 | $67.15 | 63% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $16.83 | $16.83 | $28.62 | 12% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $16.83 | $16.83 | $28.62 | 12% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE COLLECTION | $16.83 | $16.83 | $28.62 | 12% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR POST PRANDIAL | $35.18 | $35.18 | $29.92 | 95% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $35.20 | $35.20 | $29.92 | 96% above | — |
| Blood glucose (sugar) test CPT 82947 ER POC GLUCOSE PICCOLO | $35.20 | $35.20 | $29.92 | 96% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE LAB CORP | $35.20 | $35.20 | $29.92 | 96% above | — |
| Blood lead test CPT 83655 LEAD BLOOD ADULT | $32.43 | $32.43 | $80.85 | 22% below | — |
| Blood lead test CPT 83655 LEAD URINE RANDOM | $32.43 | $32.43 | $80.85 | 22% below | — |
| Blood lead test CPT 83655 LEAD BLOOD PEDIATRIC | $95.12 | $95.12 | $80.85 | 128% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL SERUM | $62.90 | $62.90 | $53.47 | 58% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 URINE HCG | $62.90 | $62.90 | $53.47 | 58% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB TYPE ABO | $308.40 | $308.40 | $133.24–$262.14 | 102% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN QUANT | $71.05 | $71.05 | $60.39 | 129% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE NAA LC183988 | $192.82 | $192.82 | $163.90 | 68% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9 | $85.27 | $85.27 | $72.48 | 25% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARs COV2 PCR | $137.41 | $137.41 | $116.80 | 40% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA NUCLEIC ACID | $105.97 | $105.97 | $263.70 | 37% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $160.68 | $160.68 | $136.58 | 128% above | — |
| Complete blood count (CBC) with differential CPT 85025 ER POC CBC W/AUTO DIFF | $71.77 | $71.77 | $61.00 | 74% above | — |
| Complete blood count (CBC), no differential CPT 85027 ER POC CBC WITHOUT DIFFERENTIAL | $63.20 | $63.20 | $53.72 | 121% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE CHEM PROFILE | $263.74 | $263.74 | $224.18 | 172% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 ER POC D-DIMER | $214.66 | $214.66 | $184.21 | 483% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT | $214.66 | $214.66 | $184.21 | 483% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA S | $119.09 | $119.09 | $101.23 | 31% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL LC | $97.05 | $97.05 | $239.28 | 4% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE | $281.51 | $281.51 | $239.28 | 201% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE LC | $130.05 | $130.05 | $110.54 | 90% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL LC | $311.01 | $311.01 | $264.36 | 238% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN LAB CORP | $36.50 | $36.50 | $91.11 | 37% below | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN SERUM | $107.19 | $107.19 | $91.11 | 85% above | — |
| Folate (folic acid) blood test CPT 82746 FOLATE FOLIC ACID LC | $39.37 | $39.37 | $99.68 | 29% below | — |
| Free T3 thyroid hormone test CPT 84481 FREE T3 LC010389 | $281.51 | $281.51 | $239.28 | 231% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4 FREE LAB CORP | $24.15 | $24.15 | $122.22 | 62% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 FREE THYROXINE | $143.79 | $143.79 | $122.22 | 128% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE FREE SERUM | $130.22 | $130.22 | $342.95 | 63% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 2 HOUR | $130.05 | $130.05 | $113.31 | 132% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 1 HOUR | $130.05 | $130.05 | $113.31 | 132% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 HOUR | $130.05 | $130.05 | $113.31 | 132% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT (3 HR.) - 1ST 3 SPEC'S | $133.30 | $133.30 | $113.31 | 138% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 TRICH VAG NAA | $37.58 | $37.58 | $31.94 | 57% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE NAA 188086 | $37.58 | $37.58 | $31.94 | 57% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI ANTIBODIES | $135.38 | $135.38 | $255.67 | 159% above | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGG | $150.40 | $150.40 | $255.67 | 188% above | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGA | $150.40 | $150.40 | $255.67 | 188% above | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IgM Ab | $150.40 | $150.40 | $255.67 | 188% above | — |
| H. pylori antibody blood test CPT 86677 HELIOBACTER PYLORI IgA AND IgG | $300.79 | $300.79 | $255.67 | 476% above | — |
| H. pylori stool antigen test CPT 87338 HELICOBACTER STOOL AG | $253.69 | $253.69 | $215.64 | 339% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 QUANT RT PCR W GRAPH | $678.71 | $678.71 | $576.90 | 222% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 0 2 AB AND AG NY ONLY | $344.49 | $344.49 | $292.82 | 343% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV TYPES 16 AND 18 Rfx | $187.94 | $187.94 | $221.80 | 156% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $260.94 | $260.94 | $221.80 | 256% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $88.00 | $88.00 | $74.80 | 126% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $118.53 | $118.53 | $100.75 | 199% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $81.53 | $81.53 | $69.30 | 118% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS Ab LC140659 | $137.55 | $137.55 | $178.13 | 133% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY wRFX TO QUANT PCR | $137.55 | $137.55 | $178.13 | 133% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA DIAGNOSIS | $114.72 | $114.72 | $850.06 | 6% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS QNT RTPCR LC550070 | $114.72 | $114.72 | $850.06 | 6% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QNRFXGENO | $141.77 | $141.77 | $850.06 | 16% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV NGI QUANTASURE LC | $1,000.07 | $1,000.07 | $850.06 | 720% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR QNT CHARGE | $114.72 | $114.72 | $850.06 | 6% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE I | $14.13 | $14.13 | $288.40 | 57% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG | $35.33 | $35.33 | $288.40 | 7% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE II | $20.72 | $20.72 | $102.00 | 62% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 REFLEX HSV-IgG CHARGE | $51.83 | $51.83 | $102.00 | 5% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG | $51.83 | $51.83 | $102.00 | 5% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIAC LC120766 | $94.78 | $94.78 | $80.56 | 102% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $212.25 | $212.25 | $180.41 | 182% above | — |
| Insulin blood test CPT 83525 INSULIN FASTING | $49.17 | $49.17 | $175.92 | 19% above | — |
| Insulin blood test CPT 83525 INSULIN SPEC 3 AT 1 HOUR | $49.17 | $49.17 | $175.92 | 19% above | — |
| Insulin blood test CPT 83525 INSULIN 5 SPECIMEN PANEL | $99.68 | $99.68 | $175.92 | 141% above | — |
| Insulin blood test CPT 83525 INSULIN LC00433 | $107.97 | $107.97 | $175.92 | 161% above | — |
| Insulin blood test CPT 83525 INSULIN 2ND SPEC LC146902 | $206.96 | $206.96 | $175.92 | 400% above | — |
| Iron blood test (serum iron) CPT 83540 IRON LAB CORP | $6.93 | $6.93 | $38.64 | 75% below | — |
| Iron blood test (serum iron) CPT 83540 IRON SERUM | $45.46 | $45.46 | $38.64 | 61% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $45.46 | $45.46 | $83.70 | 10% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $124.25 | $124.25 | $105.61 | 84% above | — |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $73.80 | $73.80 | $62.73 | at median | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM | $64.70 | $64.70 | $55.00 | 106% above | — |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $138.26 | $138.26 | $117.52 | 93% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W RFX | $45.61 | $45.61 | $162.32 | 1% above | — |
| Lyme disease antibody test CPT 86618 LYME REFLEX IMMUNOASSAY | $155.63 | $155.63 | $162.32 | 245% above | — |
| Lyme disease antibody test CPT 86618 LYME AB IGM EARLY TEST wRFLX LC160333 | $174.82 | $174.82 | $162.32 | 288% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $53.42 | $53.42 | $117.27 | 96% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE | $53.42 | $53.42 | $117.27 | 96% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM RBC LC080283 | $137.97 | $137.97 | $117.27 | 406% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG AB | $41.46 | $41.46 | $98.34 | 5% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM | $115.69 | $115.69 | $98.34 | 165% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT HETEROPHILE | $47.93 | $47.93 | $40.74 | 32% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $100.26 | $100.26 | $85.22 | 82% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIF ANTI TOTAL | $76.69 | $76.69 | $213.06 | 18% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SERUM SERIAL LC480145 | $170.96 | $170.96 | $213.06 | 162% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA wSERIAL LC140723 | $250.66 | $250.66 | $213.06 | 284% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 IMAGE GUIDED PAP CHARGE | $71.27 | $71.27 | $60.58 | 17% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $201.15 | $201.15 | $170.98 | 62% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN | $41.46 | $41.46 | $35.24 | 67% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ER PTT | $41.46 | $41.46 | $35.24 | 67% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $89.25 | $89.25 | $75.86 | 4% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $125.57 | $125.57 | $106.73 | 79% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $36.26 | $36.26 | $39.34 | 107% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 ER POC PROTIME | $36.26 | $36.26 | $39.34 | 107% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME LC | $46.28 | $46.28 | $39.34 | 165% above | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A AND B RAPID AG SCRN | $197.64 | $197.64 | $167.99 | 518% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A AG SCR | $62.11 | $62.11 | $52.79 | 62% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $59.13 | $59.13 | $50.26 | 179% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER | $50.51 | $50.51 | $154.56 | 23% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ABS IGM ACUTE LCM096537 | $181.83 | $181.83 | $154.56 | 342% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $38.07 | $38.07 | $32.36 | 54% above | — |
| Stool ova and parasites exam CPT 87177 O&P CONCENTRATION | $23.83 | $23.83 | $64.14 | 28% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HEMOCCULT X 1 CLINIC 3 CARDS | $29.54 | $29.54 | $43.08 | 112% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECES 3 CARDs | $88.63 | $88.63 | $99.48 | 119% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD FECAL IA COLOFIT | $117.03 | $117.03 | $99.48 | 189% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $41.46 | $41.46 | $42.61 | 162% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR RFX QN RPR CONFIRM LC006072 | $50.13 | $50.13 | $42.61 | 217% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB QUANTIFERON GOLD PLUS | $291.80 | $291.80 | $248.03 | 139% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL SERUM | $103.12 | $103.12 | $87.65 | 29% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE WOMEN + CHILDREN LC | $103.12 | $103.12 | $87.65 | 29% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBOD | $108.74 | $108.74 | $111.97 | 131% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID ANTIBODIES | $127.71 | $127.71 | $111.97 | 172% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL LIVER AND KIDNEY AB | $131.73 | $131.73 | $111.97 | 180% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LAB CORP | $44.99 | $44.99 | $164.44 | 41% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE PROFILE | $44.99 | $44.99 | $164.44 | 41% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRASENSITIVE | $193.46 | $193.46 | $164.44 | 152% above | — |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $44.02 | $44.02 | $37.42 | 78% above | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS w/REFLX MICROSCOPIC | $8.50 | $8.50 | $7.23 | 69% below | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUTINE wMICRO RFLX TO CX | $8.50 | $8.50 | $7.23 | 69% below | — |
| Urinalysis without microscope exam, manual CPT 81002 CLINIC URINE DIP | $29.54 | $29.54 | $25.11 | 190% above | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COMPREHENSIVE | $21.62 | $21.62 | $54.12 | 45% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LAB CORP | $40.39 | $40.39 | $111.21 | 27% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D LCMS D2+D3 | $79.27 | $79.27 | $94.61 | 2% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D LAB CORP | $79.27 | $79.27 | $94.61 | 2% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $111.31 | $111.31 | $94.61 | 43% above | — |
| Zinc blood test CPT 84630 ZINC RBC | $97.48 | $97.48 | $115.91 | 222% above | — |
| Zinc blood test CPT 84630 ZINC PLASMA | $136.37 | $136.37 | $115.91 | 350% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT (QUANT) | $62.90 | $62.90 | $132.34 | 3% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT QNT SERUM | $154.25 | $154.25 | $132.34 | 152% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE | $155.69 | $155.69 | $132.34 | 155% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT DISTAL FIB FX | $738.30 | $738.30 | $247.02–$1,323.47 | 55% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TX FX METATARSAL | $400.67 | $400.67 | $247.02–$718.79 | 6% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNL | $524.46 | $524.46 | $661.89–$755.17 | 36% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX OF DISTAL RADIAL FX | $800.11 | $800.11 | $247.02–$1,399.45 | 68% above | — |
| Colonoscopy with polyp removal CPT 45385 DX COLON W/REMOVAL SNARE TECH | $2,874.28 | $2,874.28 | $1,198.35–$4,090.03 | 106% above | — |
| Colonoscopy with tissue sample CPT 45380 DX COLONOSCOPY WITH BIOPSY | $1,472.45 | $1,472.45 | $1,198.35–$2,513.14 | 6% above | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONSCOPY | $1,359.97 | $1,359.97 | $931.28–$2,264.46 | 26% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT BENIGN/PRE LESION (1) | $210.47 | $210.47 | $200.92–$834.96 | 10% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PRE MAL LESION 1 | $472.77 | $472.77 | $200.92–$834.96 | 101% above | — |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL (ONE OR BOTH) | $83.12 | $83.12 | $59.08–$184.95 | 31% below | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $134.47 | $134.47 | $59.08–$184.95 | 12% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY | $224.58 | $224.58 | $202.46–$429.06 | 37% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY FLEX DIAGNOSTIC | $2,170.47 | $2,170.47 | $931.28–$2,105.10 | 101% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCIS/DRAIN ABCESS SKIN;SIMPLE | $248.20 | $248.20 | $200.92–$499.75 | 26% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SIMPLE | $288.40 | $288.40 | $200.92–$499.75 | 14% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN ABCESS SKIN;SIMPLE/SINGL | $299.54 | $299.54 | $200.92–$499.75 | 10% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIG POINT INJ | $95.79 | $95.79 | $307.39–$733.67 | 73% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIG POINT INJ 20550 | $687.01 | $687.01 | $307.39–$733.67 | 93% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION SINGLE TENDON SHEATH | $714.57 | $714.57 | $307.39–$733.67 | 101% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TENDON SHEATH LIGAMENT | $714.57 | $714.57 | $307.39–$733.67 | 101% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJECT MAJOR JOINT/BURSA | $714.57 | $714.57 | $307.39–$1,214.76 | 100% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ANKLE INJECTION | $90.77 | $90.77 | $307.39–$748.86 | 74% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASPIR AND/OR INJ | $166.45 | $166.45 | $307.39–$748.86 | 52% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ANKLE INJECTION 20605 | $687.01 | $687.01 | $307.39–$748.86 | 97% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS (WRIST/ELBOWS) | $714.57 | $714.57 | $307.39–$748.86 | 105% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION SM JOINT | $88.25 | $88.25 | $307.39–$709.54 | 75% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION SM JOINT 20600 | $687.01 | $687.01 | $307.39–$709.54 | 97% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS (FINGERS/TOES) | $714.57 | $714.57 | $307.39–$709.54 | 105% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT SMALL JOINT/BURSA | $714.57 | $714.57 | $307.39–$709.54 | 105% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED REPR SCALP/BODY <2.5 | $393.70 | $393.70 | $407.10–$1,350.12 | 26% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP/BODY <2.5 | $973.95 | $973.95 | $407.10–$1,350.12 | 82% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN LESION <0.5CM | $1,701.97 | $1,701.97 | $709.14–$1,718.67 | 104% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE; SIMPLE | $254.04 | $254.04 | $200.92–$633.41 | 10% below | — |
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVULS | $472.26 | $472.26 | $200.92–$633.41 | 67% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL | $491.15 | $491.15 | $200.92–$633.41 | 74% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLATE;PRTL/CMPLT -1 | $491.15 | $491.15 | $200.92–$633.41 | 74% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK OCCIPITAL-THERAPUTIC | $138.02 | $138.02 | $223.97–$307.39 | 62% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCIS OF NAIL/MATRIX PRTL/CMPL | $446.96 | $446.96 | $407.10–$1,043.25 | 5% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 MATRIXECTOMY | $973.95 | $973.95 | $407.10–$1,043.25 | 106% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 FB REMOVAL SIMPLE | $857.99 | $857.99 | $407.10–$1,138.42 | 78% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 I/R FOREIGN BODY;SIMPLE | $945.33 | $945.33 | $407.10–$1,138.42 | 96% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INCIS/REMOVE FOREIGN BODY;SMPL | $945.33 | $945.33 | $407.10–$1,138.42 | 96% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY LONG LEG SPLINT | $101.85 | $101.85 | $133.24–$524.28 | 33% below | — |
| Short arm splint (forearm and hand) CPT 29125 APP FOREARM SPLINT-FOREARM/HND | $308.40 | $308.40 | $133.24–$524.28 | 102% above | — |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST | $211.99 | $211.99 | $730.50 | 33% below | — |
| Short leg cast (below the knee) CPT 29405 B KNEE CAST | $647.42 | $647.42 | $730.50 | 106% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT | $386.41 | $386.41 | $162.73–$487.52 | 103% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLINT | $386.41 | $386.41 | $162.73–$487.52 | 103% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLNT-CALF/FT | $386.41 | $386.41 | $162.73–$487.52 | 103% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP REPR SCALP/BODY WND <2.5 | $491.15 | $491.15 | $200.92–$615.18 | 74% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPR WOUND SCALP/BODY<2.5 | $491.15 | $491.15 | $200.92–$615.18 | 74% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR WOUND SCALP, NECK, TRUNK <2.5CM | $491.15 | $491.15 | $200.92–$615.18 | 74% above | — |
| Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL <=15 LESIONS | $225.79 | $225.79 | $200.92–$609.40 | 4% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOS | $1,736.73 | $1,736.73 | $706.89–$1,825.77 | 99% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR WOUND,SCALP,NECK,TRUNK <2.5CM | $281.29 | $281.29 | $200.92–$656.58 | 7% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SUPR RPR WOUND HEAD TRUNK EXT 2.6-7.5 CM | $281.29 | $281.29 | $200.92–$656.58 | 7% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP REPR SCALP/BODY 2.6-7.5CM | $491.15 | $491.15 | $200.92–$656.58 | 62% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPR WOUNDSCALP/BODY 2.6-7.5CM | $491.15 | $491.15 | $200.92–$656.58 | 62% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR FACE/PARTS <2.5 CM | $491.15 | $491.15 | $200.92–$658.44 | 70% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP REPR FACE/PARTS <2.5 CM | $491.15 | $491.15 | $200.92–$658.44 | 70% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1 OR 2 | $141.40 | $141.40 | $307.39–$727.73 | 60% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MULTI TRIGGER POINT | $141.59 | $141.59 | $307.39–$727.73 | 59% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION SINGLE/MULT TRIGGER POINT | $714.57 | $714.57 | $307.39–$727.73 | 105% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY W/BIOPSY | $1,275.85 | $1,275.85 | $908.28–$1,750.68 | 15% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY DIAGNOSIS | $1,275.85 | $1,275.85 | $908.28–$1,698.45 | 15% above | — |
| Wart removal, up to 14 warts CPT 17110 WARTS UP TO 14 | $277.07 | $277.07 | $200.92–$834.96 | 18% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT BENGN LESION 1-4 | $288.62 | $288.62 | $200.92–$834.96 | 23% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ ULCER | $909.49 | $909.49 | $407.10–$1,061.21 | 26% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUTANEOUS | $945.33 | $945.33 | $407.10–$1,061.21 | 31% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION; > 3HRS-6HRS | $864.80 | $864.80 | $441.80–$1,837.70 | 30% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION; > 1HR-3HRS | $1,085.59 | $1,085.59 | $441.80–$1,837.70 | 63% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION; UP TO/= 1HR | $1,085.59 | $1,085.59 | $441.80–$1,837.70 | 63% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION; > 6HRS-9HRS | $1,297.20 | $1,297.20 | $441.80–$1,837.70 | 95% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION; > 9HRS-12HR | $1,729.61 | $1,729.61 | $441.80–$1,837.70 | 159% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION; > 12HR-15HR | $2,162.00 | $2,162.00 | $441.80–$1,837.70 | 224% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PRESSURIZED/NONPRESSURIZED INH | $48.42 | $48.42 | $78.24–$219.29 | 79% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE;FIRST 74 MINS | $2,037.26 | $2,037.26 | $827.21–$2,344.32 | 32% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING ONLY | $152.25 | $152.25 | $59.08–$336.69 | 8% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIGRAM | $152.25 | $152.25 | $59.08–$336.69 | 8% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 FOCUSED SIMPLE PROBLM | $140.23 | $140.23 | $84.44–$204.35 | 4% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 EXPANDED >1 PROBLEM | $213.59 | $213.59 | $153.76–$304.77 | 25% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 DETAILED (MULTIPLES) | $229.08 | $229.08 | $273.37–$768.45 | 47% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 DETAILED (MULTILPES) | $674.98 | $674.98 | $273.37–$768.45 | 56% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 MODERATELY COMPLICATED | $1,038.03 | $1,038.03 | $417.86–$1,166.09 | 71% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 HIGHLY COMPLICATED | $1,428.11 | $1,428.11 | $596.38–$1,616.28 | 71% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCHOTHERAPY FAMILY W PT | $122.69 | $122.69 | $104.29–$177.75 | 42% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCHOTHERAPY FAMILY WO PT | $118.10 | $118.10 | $100.39–$177.75 | 44% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION / 1 HOUR | $59.25 | $59.25 | $213.01–$475.59 | 83% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION/HYDRATION TO 1 HR | $559.52 | $559.52 | $213.01–$475.59 | 61% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HOUR INTIAL | $559.52 | $559.52 | $213.01–$475.59 | 61% above | — |
| IV infusion of a medicine, first hour CPT 96365 INJECTION; IV UP TO 1 HR | $559.52 | $559.52 | $213.01–$553.73 | 50% above | — |
| IV infusion of a medicine, first hour CPT 96365 INJ IV UP TO 1 HOUR | $559.52 | $559.52 | $213.01–$553.73 | 50% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY INITIAL HR | $559.52 | $559.52 | $213.01–$553.73 | 50% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY 1 HOUR | $559.52 | $559.52 | $213.01–$553.73 | 50% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC INJ | $169.57 | $169.57 | $72.10–$288.26 | 101% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM | $169.57 | $169.57 | $72.10–$288.26 | 101% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC OF D | $169.57 | $169.57 | $72.10–$288.26 | 101% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION; SC IM | $169.57 | $169.57 | $72.10–$288.26 | 101% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC IM | $169.57 | $169.57 | $72.10–$288.26 | 101% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 DIAGNOSTIC INTAKE | $390.29 | $390.29 | $177.75–$678.20 | 85% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 INTAKE DIAGNOSTIC INTERVIEW | $407.59 | $407.59 | $177.75–$678.20 | 93% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT EARLY INTERVENTION | $22.89 | $22.89 | $77.39 | 72% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT CPSE LEWIS | $39.63 | $39.63 | $77.39 | 52% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PRE PTA NEURO RE-RED | $65.34 | $65.34 | $77.39 | 20% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PRE NEURO RE-ED | $65.34 | $65.34 | $77.39 | 20% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PRE OTA NEURO RE-ED | $73.91 | $73.91 | $77.39 | 10% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PRE OT NEURO RE-ED | $73.91 | $73.91 | $77.39 | 10% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 PT CSE EK | $91.05 | $91.05 | $77.39 | 11% above | — |
| New patient office visit, about 30 minutes CPT 99203 POD NEW PT EXP 99203 | $184.37 | $184.37 | $397.21 | 3% below | — |
| New patient office visit, about 30 minutes CPT 99203 CC NEW MODERATE 30-44 MIN | $192.18 | $192.18 | $397.21 | 1% above | — |
| New patient office visit, about 30 minutes CPT 99203 POD NEW PT EXP | $202.50 | $202.50 | $397.21 | 6% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT MOD CC 30-44 MIN | $275.13 | $275.13 | $397.21 | 44% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT MODERATE | $401.10 | $401.10 | $397.21 | 110% above | — |
| New patient office visit, about 45 minutes CPT 99204 CC COMPREHENSIVE NEW 45-59 MIN | $328.16 | $328.16 | $635.68 | 14% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT COMPREHENSIVE | $747.85 | $747.85 | $635.68 | 160% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT COMPLEX | $943.24 | $943.24 | $801.76 | 212% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 POD NEW PT DET | $117.27 | $117.27 | $269.06 | 25% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 POD NEW PT DET 99202 | $121.54 | $121.54 | $269.06 | 23% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CC LOW NEW 15-29 MIN | $126.40 | $126.40 | $269.06 | 20% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT LOW | $316.11 | $316.11 | $269.06 | 101% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL THERAPY INITIAL | $79.60 | $79.60 | $67.66 | 44% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PRE PT ACTIVITIES | $65.34 | $65.34 | $62.82 | 13% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PRE PTA ACTIVITIES | $65.34 | $65.34 | $62.82 | 13% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PRE OT THER EX | $73.91 | $73.91 | $62.82 | 2% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PRE OTA THER EX | $73.91 | $73.91 | $62.82 | 2% below | — |
| Psychiatric evaluation with medical services CPT 90792 INTAKE DIAG W RX MGMT | $463.75 | $463.75 | $177.75–$394.19 | 83% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY IND 30 | $194.46 | $194.46 | $165.29–$177.75 | 2% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY 30 MIN | $180.55 | $180.55 | $177.75–$451.93 | 22% below | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY IND 45 | $246.93 | $246.93 | $177.75–$451.93 | 6% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY 45 MIN | $284.75 | $284.75 | $177.75–$451.93 | 23% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYCH IND 60 MIN | $417.50 | $417.50 | $177.75–$709.76 | 45% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY IND 60 | $417.50 | $417.50 | $177.75–$709.76 | 45% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION >3MIN->10MIN | $40.47 | $40.47 | $34.40–$37.52 | 1% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT VISIT: COM | $644.39 | $644.39 | $547.73 | 174% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 POD EST PT EXP 99213 | $122.57 | $122.57 | $266.88 | 24% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CC MODERATE EST 30-44 MIN | $127.91 | $127.91 | $266.88 | 20% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 POD EST PT EXP | $163.26 | $163.26 | $266.88 | 2% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT VISIT: DET | $313.97 | $313.97 | $266.88 | 96% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CC COMPREHENSIVE >30 MIN | $197.40 | $197.40 | $400.32 | 3% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT VISIT: COM | $470.97 | $470.97 | $400.32 | 145% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 POD EST PT DET 99212 | $60.77 | $60.77 | $154.48 | 51% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT VISIT MINOR | $62.91 | $62.91 | $154.48 | 49% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CC LOW ESTABLISHED 15-29 MIN | $62.91 | $62.91 | $154.48 | 49% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT VISIT: FAC | $62.91 | $62.91 | $154.48 | 49% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 POD EST PT DET | $87.34 | $87.34 | $154.48 | 29% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CC LOW EST 15-29 MIN | $111.67 | $111.67 | $154.48 | 10% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT VISIT: EXP | $174.59 | $174.59 | $154.48 | 41% above | — |
| Spirometry (breathing test) CPT 94010 PULM BASELINE SPIROMETRY | $289.87 | $289.87 | $216.23–$326.60 | 32% above | — |
| Spirometry before and after a bronchodilator CPT 94060 PULM BRONCHODILATOR W/BASELIN | $416.70 | $416.70 | $354.20–$373.69 | 13% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $256.66 | $256.66 | $133.24–$436.32 | 23% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL PF TRIVALENT | $58.35 | $58.35 | $49.60 | 88% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV9 (GARDASIL 9) VACCINE 0.5ML | $855.31 | $855.31 | $727.01 | 46% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HepA ADULT (HAVRIX) VACCINE 1ML | $226.91 | $226.91 | $192.87 | 121% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HepB ADULT(ENGERIX-B) VACCINE 1 ML | $151.05 | $151.05 | $128.39 | 74% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH DOSE PF TRIVALENT | $189.98 | $189.98 | $161.48 | 70% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA (PRIORIX)VAC 0.5ML | $271.46 | $271.46 | $250.27 | 140% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA (MMR II)VAC 0.5ML | $294.43 | $294.43 | $250.27 | 160% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL(MENVEO) VACCINE 0.5ML | $357.46 | $357.46 | $303.84 | 78% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B (BEXSERO) VACCINE 0.5ML | $568.87 | $568.87 | $483.54 | 72% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 (PREVNAR 20) VAC 0.5ML | $833.12 | $833.12 | $708.15 | 95% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $915.71 | $915.71 | $313.42–$838.20 | 94% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER RECOMBINANT (SHINGRIX) VAC 0.5ML | $476.43 | $476.43 | $404.97 | 45% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 7 YRS OR OLDER IM | $46.61 | $46.61 | $104.84 | 16% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap (BOOSTRIX) VACCINE 0.5ML | $123.34 | $123.34 | $104.84 | 122% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC IMMUN ADMINISTRATION | $25.10 | $25.10 | $72.10–$144.13 | 67% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $169.57 | $169.57 | $72.10–$144.13 | 121% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION S | $169.57 | $169.57 | $72.10–$144.13 | 121% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION EA | $22.79 | $22.79 | $27.32 | 39% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION | $32.14 | $32.14 | $27.32 | 14% below | — |