SelfPayRates
Hospital Stockton-Lodi, CA

St Joseph's Medical Center of Stockton

Listed in its price file as “Port City Operating Company, LLC”.

St Joseph's Medical Center of Stockton in Stockton, CA publishes cash prices for 228 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 191 of 225 procedures and above it for 34. By typical cash price it ranks #33 of 217 California hospitals and #1 of 5 hospitals in the Stockton, CA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

1800 N California St, Stockton, CA 95204 Collected Sep 27, 2026 Source price file (209) 943-2000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 050084 · CMS hospital register NPI 1528190931

Scans and imaging

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $889.06 $3,024.00 $59.79–$26,377.00 — 71%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US DOP ART EXT 1-2 LVL BI $889.06 $3,024.00 $2,177.28–$2,479.68 — 71%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPH SCOUT CHST W CON $195.22 $664.00 $54.64–$1,909.10 68% below 71%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPH SCOUT CHST W CON $195.22 $664.00 $478.08–$544.48 — 71%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JOINT WHOLE BODY $1,763.42 $5,998.00 $202.29–$4,918.36 17% below 71%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY $3,526.83 $11,996.00 $8,637.12–$9,836.72 — 71%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W CON $979.32 $3,331.00 $214.68–$3,330.00 73% below 71%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W CON $979.32 $3,331.00 $2,398.32–$2,731.42 — 71%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT/COR ART 3D W $1,240.98 $4,221.00 $312.13–$3,725.82 54% below 71%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT/COR ART 3D W $1,240.98 $4,221.00 $3,039.12–$3,461.22 — 71%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT EVAL COR CA WO CON $295.47 $1,005.00 $81.33–$824.10 29% below 71%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HRT EVAL COR CA WO CON $295.47 $1,005.00 $723.60–$824.10 — 71%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO CON $431.30 $1,467.00 $174.31–$3,330.00 85% below 71%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO CON $431.30 $1,467.00 $1,056.24–$1,202.94 — 71%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CON $862.89 $2,935.00 $281.80–$3,330.00 79% below 71%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CON $862.89 $2,935.00 $2,113.20–$2,406.70 — 71%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WWO CON $1,132.49 $3,852.00 $319.24–$3,330.00 75% below 71%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS WWO CON $1,132.49 $3,852.00 $2,773.44–$3,158.64 — 71%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON $707.37 $2,406.00 $214.68–$3,330.00 72% below 71%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON $707.37 $2,406.00 $1,732.32–$1,972.92 — 71%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON $499.22 $1,698.00 $128.25–$3,330.00 74% below 71%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON $499.22 $1,698.00 $1,222.56–$1,392.36 — 71%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON $511.56 $1,740.00 $128.25–$3,330.00 77% below 71%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON $511.56 $1,740.00 $1,252.80–$1,426.80 — 71%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CON $378.09 $1,286.00 $128.25–$3,330.00 83% below 71%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CON $378.09 $1,286.00 $925.92–$1,054.52 — 71%
CT scan of the head with contrast CPT 70460 CT HEAD W CON $543.32 $1,848.00 $204.88–$3,330.00 80% below 71%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CON $543.32 $1,848.00 $1,330.56–$1,515.36 — 71%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO AND W CON $661.50 $2,250.00 $214.68–$3,330.00 79% below 71%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO AND W CON $661.50 $2,250.00 $1,620.00–$1,845.00 — 71%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON $530.09 $1,803.00 $128.25–$3,330.00 81% below 71%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON $530.09 $1,803.00 $1,298.16–$1,478.46 — 71%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON $530.09 $1,803.00 $128.25–$3,330.00 82% below 71%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON $530.09 $1,803.00 $1,298.16–$1,478.46 — 71%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON $631.22 $2,147.00 $214.68–$3,330.00 75% below 71%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON $631.22 $2,147.00 $1,545.84–$1,760.54 — 71%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DPLX EXTRACRAN CMP BIL $1,165.42 $3,964.00 $179.75–$26,377.00 5% below 71%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DPLX EXTRACRAN CMP BIL $1,165.42 $3,964.00 $2,854.08–$3,250.48 — 71%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS $72.03 $245.00 $27.47–$864.52 82% below 71%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS $72.03 $245.00 $176.40–$200.90 — 71%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW $55.86 $190.00 $17.65–$864.52 85% below 71%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW $55.86 $190.00 $136.80–$155.80 — 71%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPL $264.90 $901.00 $115.78–$1,163.63 69% below 71%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPL $264.90 $901.00 $648.72–$738.82 — 71%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITY(DXA)AXAL $251.67 $856.00 $34.27–$1,163.63 50% below 71%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITY(DXA)AXAL $251.67 $856.00 $616.32–$701.92 — 71%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITY(DXA)APEND $55.28 $188.00 $25.10–$864.52 80% below 71%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITY(DXA)APEND $55.28 $188.00 $135.36–$154.16 — 71%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG+DETL SNGL1ST GEST $231.68 $788.00 $158.68–$2,459.28 74% below 71%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG+DETL SNGL1ST GEST $231.68 $788.00 $567.36–$646.16 — 71%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CON $490.40 $1,668.00 $128.25–$3,330.00 76% below 71%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CON $490.40 $1,668.00 $1,200.96–$1,367.76 — 71%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CON $613.29 $2,086.00 $214.68–$3,330.00 79% below 71%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CON $613.29 $2,086.00 $1,501.92–$1,710.52 — 71%
Diagnostic mammogram, both breasts both sides CPT 77066 MA MAMMO DIAG W CAD BI FY $163.17 $555.00 $116.55–$1,107.94 — 71%
Diagnostic mammogram, both breasts CPT 77066 MA MAMMO DIAG W CAD BIL $179.05 $609.00 $127.89–$1,107.94 64% below 71%
Diagnostic mammogram, both breasts inpatient CPT 77066 MA MAMMO DIAG W CAD BIL $197.28 $671.00 $483.12–$550.22 — 71%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX ART LOW EXT BIL $707.96 $2,408.00 $111.16–$26,377.00 28% below 71%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US V DPLX ART LOW EXT BIL $2,831.81 $9,632.00 $111.16–$26,377.00 188% above 71%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DUPLEX ART LOW EXT BIL $707.96 $2,408.00 $1,733.76–$1,974.56 — 71%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX VENOUS EXT BIL $706.78 $2,404.00 $193.06–$26,377.00 38% below 71%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX VENOUS EXT BIL $706.78 $2,404.00 $1,730.88–$1,971.28 — 71%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $1,895.42 $6,447.00 $239.76–$26,377.00 29% below 71%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE $1,895.42 $6,447.00 $4,641.84–$5,286.54 — 71%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM $1,686.09 $5,735.00 $291.01–$4,702.70 8% below 71%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM $3,371.89 $11,469.00 $8,257.68–$9,404.58 — 71%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN WO CON LTD $216.98 $738.00 $87.13–$1,163.63 74% below 71%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN WO CON LTD $216.98 $738.00 $531.36–$605.16 — 71%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREEN LOW DOSE $214.62 $730.00 $128.25–$3,330.00 33% below 71%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREEN LOW DOSE $214.62 $730.00 $525.60–$598.60 — 71%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO CON $924.05 $3,143.00 $273.91–$4,941.00 68% below 71%
MRI of the abdomen without contrast CPT 74181 MR CHOLANGIO MRCP WO CON $975.20 $3,317.00 $273.91–$4,941.00 66% below 71%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO CON $924.05 $3,143.00 $2,262.96–$2,577.26 — 71%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN WO AND W CON $1,437.37 $4,889.00 $333.52–$4,941.00 67% below 71%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR CHOLANGI MRCP WO W CON $4,311.51 $14,665.00 $333.52–$12,025.30 1% below 71%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN WO AND W CON $1,437.37 $4,889.00 $3,520.08–$4,008.98 — 71%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON $1,077.51 $3,665.00 $272.77–$4,941.00 63% below 71%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON $1,077.51 $3,665.00 $2,638.80–$3,005.30 — 71%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WO AND W CON $1,360.93 $4,629.00 $430.69–$4,941.00 69% below 71%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WO AND W CON $1,360.93 $4,629.00 $3,332.88–$3,795.78 — 71%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO CON $885.24 $3,011.00 $266.80–$4,941.00 72% below 71%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO CON $885.24 $3,011.00 $2,167.92–$2,469.02 — 71%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE WO AND W CON $1,287.43 $4,379.00 $430.69–$4,941.00 72% below 71%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE WO AND W CON $1,287.43 $4,379.00 $3,152.88–$3,590.78 — 71%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO CON $888.47 $3,022.00 $265.87–$4,941.00 72% below 71%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO CON $888.47 $3,022.00 $2,175.84–$2,478.04 — 71%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE WO AND W CON $1,288.90 $4,384.00 $430.69–$4,941.00 71% below 71%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE WO AND W CON $1,288.90 $4,384.00 $3,156.48–$3,594.88 — 71%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO CON $886.12 $3,014.00 $266.30–$4,941.00 71% below 71%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO CON $886.12 $3,014.00 $2,170.08–$2,471.48 — 71%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WO AND W CON $1,406.50 $4,784.00 $332.91–$4,941.00 67% below 71%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WO AND W CON $1,406.50 $4,784.00 $3,444.48–$3,922.88 — 71%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO CON $1,031.65 $3,509.00 $226.34–$4,941.00 60% below 71%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO CON $1,031.65 $3,509.00 $2,526.48–$2,877.38 — 71%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCAR SPECT WALL MULT $3,224.89 $10,969.00 $348.12–$13,966.71 21% below 71%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCAR SPECT WALL MULT $6,449.48 $21,937.00 $15,794.64–$17,988.34 — 71%
OCT scan of the retina (optical coherence tomography) both sides CPT 92134 IMG OPH RET POS DX UNI/BI $100.85 $343.00 $37.01–$7,731.00 — 71%
OCT scan of the retina (optical coherence tomography) inpatient both sides CPT 92134 IMG OPH RET POS DX UNI/BI $100.85 $343.00 $246.96–$281.26 — 71%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD F/U $224.91 $765.00 $60.49–$1,163.63 63% below 71%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD F/U $224.91 $765.00 $550.80–$627.30 — 71%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB COMP $255.20 $868.00 $97.04–$1,163.63 73% below 71%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB COMP $255.20 $868.00 $624.96–$711.76 — 71%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG=>14WK SNG 1ST GES $309.29 $1,052.00 $128.25–$1,163.63 66% below 71%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG=>14WK SNG 1ST GES $309.29 $1,052.00 $757.44–$862.64 — 71%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG<14WK SNGL1ST GEST $231.97 $789.00 $78.42–$1,163.63 72% below 71%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG<14WK SNGL1ST GEST $231.97 $789.00 $568.08–$646.98 — 71%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG 1 OR >FETUSES LTD $161.12 $548.00 $90.30–$1,163.63 73% below 71%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG 1 OR >FETUSES LTD $161.12 $548.00 $394.56–$449.36 — 71%
Screening mammogram, both breasts CPT 77067 MA MAMMO SCREEN W CAD BIL $125.54 $427.00 $89.67–$915.26 59% below 71%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWL FNC/CN/VD/SCT WCON $925.81 $3,149.00 $74.46–$2,582.18 38% above 71%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWL FNC/CN/VD/SCT WCON $925.81 $3,149.00 $2,267.28–$2,582.18 — 71%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $283.13 $963.00 $97.04–$1,163.63 61% below 71%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $283.13 $963.00 $693.36–$789.66 — 71%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAGINAL $182.58 $621.00 $82.17–$1,163.63 73% below 71%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAGINAL $182.58 $621.00 $447.12–$509.22 — 71%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE WO CON $293.42 $998.00 $119.34–$1,163.63 74% below 71%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE WO CON $293.42 $998.00 $718.56–$818.36 — 71%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $197.57 $672.00 $85.75–$1,163.63 78% below 71%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $197.57 $672.00 $483.84–$551.04 — 71%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISS HEAD NECK $182.87 $622.00 $85.69–$1,163.63 78% below 71%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISS HEAD NECK $182.87 $622.00 $447.84–$510.04 — 71%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI/SCOUT ABD W CON $222.86 $758.00 $146.35–$1,909.10 64% below 71%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI/SCOUT ABD W CON $222.86 $758.00 $545.76–$621.56 — 71%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VENOUS EXT UNI $353.39 $1,202.00 $97.03–$26,377.00 58% below 71%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VENOUS EXT UNI $353.39 $1,202.00 $865.44–$985.64 — 71%
X-ray of the abdomen, 1 view CPT 74018 IR ABDOMEN 1 VIEW FY $46.75 $159.00 $24.60–$864.52 85% below 71%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW $165.23 $562.00 $24.60–$864.52 46% below 71%
X-ray of the abdomen, 1 view CPT 74018 IR ABDOMEN 1 VIEW $367.21 $1,249.00 $24.60–$1,024.18 21% above 71%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW $165.23 $562.00 $404.64–$460.84 — 71%
X-ray of the abdomen, 1 view inpatient CPT 74018 IR ABDOMEN 1 VIEW $367.21 $1,249.00 $899.28–$1,024.18 — 71%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $90.56 $308.00 $43.45–$1,163.63 81% below 71%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VW $90.56 $308.00 $221.76–$252.56 — 71%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4+ VIEWS $127.89 $435.00 $62.90–$1,163.63 81% below 71%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4+ VIEWS $127.89 $435.00 $313.20–$356.70 — 71%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS $87.03 $296.00 $40.22–$1,163.63 81% below 71%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS $87.03 $296.00 $213.12–$242.72 — 71%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3+ VIEWS $75.27 $256.00 $35.56–$864.52 83% below 71%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3+ VIEWS $75.27 $256.00 $184.32–$209.92 — 71%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 IR CERVICAL SPINE 2-3 VW $85.85 $292.00 $37.27–$864.52 82% below 71%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2-3 VW $103.49 $352.00 $37.27–$864.52 78% below 71%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2-3 VW $103.49 $352.00 $253.44–$288.64 — 71%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS FY $51.75 $176.00 $31.01–$1,163.63 87% below 71%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS $56.16 $191.00 $31.01–$1,163.63 86% below 71%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS FY $51.75 $176.00 $126.72–$144.32 — 71%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS $234.62 $798.00 $574.56–$654.36 — 71%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2+ VWS $65.57 $223.00 $35.89–$864.52 86% below 71%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2+ VWS $65.57 $223.00 $160.56–$182.86 — 71%

Lab tests

ProcedureCash price List priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 RL-A-FIBRO V 2005661B $5.00 $17.00 $3.57–$31.09 88% below 71%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT $135.24 $460.00 $4.50–$377.20 214% above 71%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 RL-A-FIBRO V 2005661B $5.00 $17.00 $12.24–$13.94 — 71%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT $135.24 $460.00 $331.20–$377.20 — 71%
AST (aspartate aminotransferase) enzyme test CPT 84450 RL-A-FIBRO V 2005661A $5.00 $17.00 $3.57–$30.37 89% below 71%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT $170.82 $581.00 $4.40–$476.42 277% above 71%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 RL-A-FIBRO V 2005661A $5.00 $17.00 $12.24–$13.94 — 71%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT $170.82 $581.00 $418.32–$476.42 — 71%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $145.24 $494.00 $40.49–$494.00 47% below 71%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 H-HEPATITIS PNL 8216 $230.50 $784.00 $40.49–$764.69 15% below 71%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 BM-ACUTE HEPATITIS PANEL $348.39 $1,185.00 $40.49–$971.70 28% above 71%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL $145.24 $494.00 $355.68–$405.08 — 71%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 H-HEPATITIS PNL 8216 $230.50 $784.00 $564.48–$642.88 — 71%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 BM-ACUTE HEPATITIS PANEL $348.39 $1,185.00 $853.20–$971.70 — 71%
Allergy blood test, specific IgE, per allergen CPT 86003 RL-Q-ALLERGN ASPRGILUS SP $15.29 $52.00 $4.44–$52.00 84% above 71%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RL-Q-ALLERGN ASPRGILUS SP $15.29 $52.00 $37.44–$42.64 — 71%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RL-A-RA PNL 3016634A $6.67 $22.66 $4.76–$75.88 78% below 71%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RL-A-RA PNL 3016634A $6.67 $22.66 $16.32–$18.59 — 71%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-Q-ANA AB PLEURAL FLUID $14.70 $50.00 $10.28–$70.83 72% below 71%
Antinuclear antibody (ANA) blood test, screen CPT 86038 RL-Q-ANA SCREEN IFA $16.17 $55.00 $10.28–$70.83 70% below 71%
Antinuclear antibody (ANA) blood test, screen CPT 86038 H-ANA ANTINUCAB BLOOD8005 $149.65 $509.00 $10.28–$417.38 181% above 71%
Antinuclear antibody (ANA) blood test, screen CPT 86038 H-ANA REFLEX T 8100 $179.34 $610.00 $10.28–$500.20 237% above 71%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-Q-ANA AB PLEURAL FLUID $14.70 $50.00 $36.00–$41.00 — 71%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 RL-Q-ANA SCREEN IFA $16.17 $55.00 $39.60–$45.10 — 71%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 H-ANA ANTINUCAB BLOOD8005 $149.65 $509.00 $366.48–$417.38 — 71%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 H-ANA REFLEX T 8100 $179.34 $610.00 $439.20–$500.20 — 71%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE $228.15 $776.00 $30.15–$641.97 9% above 71%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE $228.15 $776.00 $558.72–$636.32 — 71%
Basic metabolic panel (blood test) CPT 80048 SJM-BASIC METABOLIC PANEL $224.03 $762.00 $7.19–$624.84 16% above 71%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $356.04 $1,211.00 $7.19–$993.02 84% above 71%
Basic metabolic panel (blood test) inpatient CPT 80048 SJM-BASIC METABOLIC PANEL $224.03 $762.00 $548.64–$624.84 — 71%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $356.04 $1,211.00 $871.92–$993.02 — 71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-I-GRSS MIC LVL IV88305 $20.58 $70.00 $14.70–$202.68 84% below 71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-PO-GRSS&MICLVL IV88305 $21.51 $73.14 $15.36–$202.68 83% below 71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-PA-GROSS MCRO LVL IV $28.23 $96.00 $20.16–$202.68 78% below 71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-T-GRSS MIC LVL IV88305 $36.75 $125.00 $26.25–$202.68 72% below 71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-DV-GROSS/MICROSCP EXAM $42.61 $144.93 $30.44–$202.68 67% below 71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 RL-MD-GROS MICRO LVL IV $78.80 $268.00 $56.28–$268.00 39% below 71%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS MICRO LEVEL IV $230.50 $784.00 $58.80–$642.88 78% above 71%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-I-GRSS MIC LVL IV88305 $20.58 $70.00 $50.40–$57.40 — 71%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-PO-GRSS&MICLVL IV88305 $21.51 $73.14 $52.67–$59.98 — 71%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-PA-GROSS MCRO LVL IV $28.23 $96.00 $69.12–$78.72 — 71%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-T-GRSS MIC LVL IV88305 $36.75 $125.00 $90.00–$102.50 — 71%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-DV-GROSS/MICROSCP EXAM $42.61 $144.93 $104.35–$118.85 — 71%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RL-MD-GROS MICRO LVL IV $78.80 $268.00 $192.96–$219.76 — 71%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS MICRO LEVEL IV $230.50 $784.00 $564.48–$642.88 — 71%
Blood culture for bacteria CPT 87040 CULT BLOOD $151.71 $516.00 $8.77–$423.12 44% below 71%
Blood culture for bacteria CPT 87040 SJM-CULT BLOOD $164.06 $558.00 $8.77–$457.56 40% below 71%
Blood culture for bacteria CPT 87040 BM-CULT BLOOD $193.46 $658.00 $8.77–$539.56 29% below 71%
Blood culture for bacteria inpatient CPT 87040 CULT BLOOD $151.71 $516.00 $371.52–$423.12 — 71%
Blood culture for bacteria inpatient CPT 87040 SJM-CULT BLOOD $164.06 $558.00 $401.76–$457.56 — 71%
Blood culture for bacteria inpatient CPT 87040 BM-CULT BLOOD $193.46 $658.00 $473.76–$539.56 — 71%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE OP $20.00 $68.00 $3.60–$11,328.00 1% below 71%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE OP $20.00 $68.00 $48.96–$55.76 — 71%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD $169.94 $578.00 $3.34–$473.96 353% above 71%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD $169.94 $578.00 $416.16–$473.96 — 71%
Blood lead test CPT 83655 RL-Q-LEAD URINE/BLOOD $5.46 $18.55 $3.90–$70.92 54% below 71%
Blood lead test inpatient CPT 83655 RL-Q-LEAD URINE/BLOOD $5.46 $18.55 $13.36–$15.22 — 71%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL URINE LAB $12.65 $43.00 $6.39–$44.07 93% below 71%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SJM-HCG PREG QL SERUM $44.99 $153.00 $6.39–$142.07 74% below 71%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL SERUM $97.02 $330.00 $6.39–$270.60 44% below 71%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG PREG QL $133.77 $455.00 $6.39–$373.10 23% below 71%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL URINE LAB $12.65 $43.00 $30.96–$35.26 — 71%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SJM-HCG PREG QL SERUM $44.99 $153.00 $110.16–$125.46 — 71%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL SERUM $97.02 $330.00 $237.60–$270.60 — 71%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG PREG QL $133.77 $455.00 $327.60–$373.10 — 71%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BC-ABORH A $8.49 $28.87 $3.41–$182.88 92% below 71%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 RL-BS-BLOOD TYPING ABO $9.41 $32.00 $3.41–$182.88 91% below 71%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO $112.90 $384.00 $3.41–$314.88 3% above 71%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BC-ABORH A $8.49 $28.87 $20.79–$23.68 — 71%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 RL-BS-BLOOD TYPING ABO $9.41 $32.00 $23.04–$26.24 — 71%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO $112.90 $384.00 $276.48–$314.88 — 71%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN $140.83 $479.00 $4.40–$392.78 103% above 71%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN $140.83 $479.00 $344.88–$392.78 — 71%
C. difficile toxin gene test (stool PCR) CPT 87493 IA CLOS DIFF TOXN AMP PRB $34.40 $117.00 $24.57–$218.36 77% below 71%
C. difficile toxin gene test (stool PCR) CPT 87493 BM-CLOS DIFF TOXIN AMP PB $34.70 $118.00 $24.78–$218.36 77% below 71%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 IA CLOS DIFF TOXN AMP PRB $34.40 $117.00 $84.24–$95.94 — 71%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 BM-CLOS DIFF TOXIN AMP PB $34.70 $118.00 $84.96–$96.76 — 71%
CA 19-9 blood test (tumor marker) CPT 86301 IA TUMOR AG CA 19-9 $55.57 $189.00 $17.69–$189.00 3% below 71%
CA 19-9 blood test (tumor marker) CPT 86301 H-CA 19 98055 $184.93 $629.00 $17.69–$515.78 224% above 71%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IA TUMOR AG CA 19-9 $55.57 $189.00 $136.08–$154.98 — 71%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 H-CA 19 98055 $184.93 $629.00 $452.88–$515.78 — 71%
CA-125 blood test (ovarian cancer marker) CPT 86304 IA TUMOR AG CA 125 $57.04 $194.00 $17.69–$194.00 59% below 71%
CA-125 blood test (ovarian cancer marker) CPT 86304 H-CA 125 8051 $285.77 $972.00 $17.69–$797.04 107% above 71%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IA TUMOR AG CA 125 $57.04 $194.00 $139.68–$159.08 — 71%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 H-CA 125 8051 $285.77 $972.00 $699.84–$797.04 — 71%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RL-A-COVID19NAA 3002638 $22.00 $74.80 $15.71–$74.80 76% below 71%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 H-COVID-19 6631 & 6639 $60.57 $206.00 $43.26–$206.00 34% below 71%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 RL-A-COVID19NAA 3002638 $22.00 $74.80 $53.86–$61.34 — 71%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 H-COVID-19 6631 & 6639 $60.57 $206.00 $148.32–$168.92 — 71%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 H-CHLAMYDIA 8089 $35.58 $121.00 $25.41–$205.56 35% below 71%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IA CHLAMYD TRACH AMP PRB $91.44 $311.00 $29.83–$311.00 67% above 71%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 H-CHLAMYDIA 8089 $35.58 $121.00 $87.12–$99.22 — 71%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IA CHLAMYD TRACH AMP PRB $91.44 $311.00 $223.92–$255.02 — 71%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SJM-LIPID PANEL $186.99 $636.00 $11.38–$521.52 63% above 71%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $298.41 $1,015.00 $11.38–$832.30 161% above 71%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SJM-LIPID PANEL $186.99 $636.00 $457.92–$521.52 — 71%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $298.41 $1,015.00 $730.80–$832.30 — 71%
Complete blood count (CBC) with differential CPT 85025 SJM-CBC AUTO W DIFF $129.66 $441.00 $6.60–$361.62 17% above 71%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF $192.57 $655.00 $6.60–$537.10 74% above 71%
Complete blood count (CBC) with differential inpatient CPT 85025 SJM-CBC AUTO W DIFF $129.66 $441.00 $317.52–$361.62 — 71%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF $192.57 $655.00 $471.60–$537.10 — 71%
Complete blood count (CBC), no differential CPT 85027 SJM-CBC AUTO WO DIFF $138.18 $470.00 $5.50–$385.40 57% above 71%
Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF $171.99 $585.00 $5.50–$479.70 95% above 71%
Complete blood count (CBC), no differential inpatient CPT 85027 SJM-CBC AUTO WO DIFF $138.18 $470.00 $338.40–$385.40 — 71%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF $171.99 $585.00 $421.20–$479.70 — 71%
Comprehensive metabolic panel (blood test) CPT 80053 SJM-COMP METABOLIC PNL $276.66 $941.00 $8.98–$771.62 8% above 71%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL $463.05 $1,575.00 $8.98–$1,291.50 81% above 71%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 SJM-COMP METABOLIC PNL $276.66 $941.00 $677.52–$771.62 — 71%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL $463.05 $1,575.00 $1,134.00–$1,291.50 — 71%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QN $227.27 $773.00 $8.65–$633.86 58% above 71%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QN $227.27 $773.00 $556.56–$633.86 — 71%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL $89.09 $303.00 $23.75–$303.00 3% below 71%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL $89.09 $303.00 $218.16–$248.46 — 71%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMONE $89.09 $303.00 $15.79–$303.00 14% below 71%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMONE $89.09 $303.00 $218.16–$248.46 — 71%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $89.09 $303.00 $11.59–$257.66 18% below 71%
Ferritin blood test (iron stores) CPT 82728 H-FERRITIN 7577 $99.96 $340.00 $11.59–$278.80 7% below 71%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $89.09 $303.00 $218.16–$248.46 — 71%
Ferritin blood test (iron stores) inpatient CPT 82728 H-FERRITIN 7577 $99.96 $340.00 $244.80–$278.80 — 71%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM $52.92 $180.00 $12.49–$180.00 52% below 71%
Folate (folic acid) blood test CPT 82746 H-FOLATE SERUM 7579 $99.96 $340.00 $12.49–$278.80 8% below 71%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM $52.92 $180.00 $129.60–$147.60 — 71%
Folate (folic acid) blood test inpatient CPT 82746 H-FOLATE SERUM 7579 $99.96 $340.00 $244.80–$278.80 — 71%
Free T3 thyroid hormone test CPT 84481 H-T3 FREE 7843 $56.45 $192.00 $14.40–$192.00 45% below 71%
Free T3 thyroid hormone test inpatient CPT 84481 H-T3 FREE 7843 $56.45 $192.00 $138.24–$157.44 — 71%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE $41.46 $141.00 $7.67–$141.00 39% below 71%
Free T4 (free thyroxine) thyroid blood test CPT 84439 MH-THYROXINE FREE $64.68 $220.00 $7.67–$180.40 5% below 71%
Free T4 (free thyroxine) thyroid blood test CPT 84439 H-T4 FREE 7842 $259.02 $881.00 $7.67–$722.42 280% above 71%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE $41.46 $141.00 $101.52–$115.62 — 71%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 MH-THYROXINE FREE $64.68 $220.00 $158.40–$180.40 — 71%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 H-T4 FREE 7842 $259.02 $881.00 $634.32–$722.42 — 71%
Free testosterone test CPT 84402 RL-A-TESTOS FR 81059 $9.71 $33.00 $6.93–$149.24 77% below 71%
Free testosterone test inpatient CPT 84402 RL-A-TESTOS FR 81059 $9.71 $33.00 $23.76–$27.06 — 71%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE $17.35 $59.00 $4.04–$59.00 65% below 71%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PP $36.17 $123.00 $4.04–$100.86 27% below 71%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE $17.35 $59.00 $42.48–$48.38 — 71%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PP $36.17 $123.00 $88.56–$100.86 — 71%
Glucose tolerance test, 3 samples CPT 82951 GTT 1ST 3 SPEC $54.39 $185.00 $10.94–$185.00 60% below 71%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 1ST 3 SPEC $54.39 $185.00 $133.20–$151.70 — 71%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 H-NEISSERIA GONORRHEA8089 $35.58 $121.00 $25.41–$205.56 46% below 71%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IA NEISSERIA GONO AMP PRB $91.44 $311.00 $29.83–$311.00 39% above 71%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 H-NEISSERIA GONORRHEA8089 $35.58 $121.00 $87.12–$99.22 — 71%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IA NEISSERIA GONO AMP PRB $91.44 $311.00 $223.92–$255.02 — 71%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 H-HIV1 QNT RNA PCR 6600 $33.23 $113.00 $23.73–$498.54 70% below 71%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 RL-Q-HIV1 RNA Q RT PR CSF $31.05 $105.60 $22.18–$498.54 72% below 71%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 IA HIV1 QN RT PCR $321.05 $1,092.00 $72.33–$895.44 189% above 71%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 H-HIV1 QNT RNA PCR 6600 $33.23 $113.00 $81.36–$92.66 — 71%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 RL-Q-HIV1 RNA Q RT PR CSF $31.05 $105.60 $76.04–$86.60 — 71%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 IA HIV1 QN RT PCR $321.05 $1,092.00 $786.24–$895.44 — 71%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB RAPID $19.11 $65.00 $11.65–$80.30 68% below 71%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 HIV-2 AB SINGLE $57.92 $197.00 $11.65–$197.00 3% below 71%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB RAPID $19.11 $65.00 $46.80–$53.30 — 71%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 HIV-2 AB SINGLE $57.92 $197.00 $141.84–$161.54 — 71%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 H-HIV AG/AB 8289 $45.57 $155.00 $20.26–$155.00 48% below 71%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV1 AG W HIV1 HIV2 AB $83.50 $284.00 $20.26–$284.00 4% below 71%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 H-HIV AG/AB 8289 $45.57 $155.00 $111.60–$127.10 — 71%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 IA HIV1 AG W HIV1 HIV2 AB $83.50 $284.00 $204.48–$232.88 — 71%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $61.16 $208.00 $8.25–$183.57 6% below 71%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 H-HEMOGLOBIN A1C 7623 $124.95 $425.00 $8.25–$348.50 91% above 71%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $61.16 $208.00 $149.76–$170.56 — 71%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 H-HEMOGLOBIN A1C 7623 $124.95 $425.00 $306.00–$348.50 — 71%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 H-HEP SCRN PNL 8220 $10.29 $35.00 $7.35–$62.90 77% below 71%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 H-HEP B SURFACE AB 8223 $34.11 $116.00 $9.13–$116.00 23% below 71%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB $63.51 $216.00 $9.13–$196.42 43% above 71%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 H-HEP SCRN PNL 8220 $10.29 $35.00 $25.20–$28.70 — 71%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 H-HEP B SURFACE AB 8223 $34.11 $116.00 $83.52–$95.12 — 71%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB $63.51 $216.00 $155.52–$177.12 — 71%
Hepatitis B surface antigen (HBsAg) test CPT 87340 IA HEP B SURFACE AG QL $59.39 $202.00 $8.78–$188.91 17% below 71%
Hepatitis B surface antigen (HBsAg) test CPT 87340 H-HEPB SURFACE ANTGN 8072 $259.02 $881.00 $8.78–$722.42 261% above 71%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 IA HEP B SURFACE AG QL $59.39 $202.00 $145.44–$165.64 — 71%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 H-HEPB SURFACE ANTGN 8072 $259.02 $881.00 $634.32–$722.42 — 71%
Hepatitis C antibody blood test (screening) CPT 86803 H-HEP C ANTIBODY 8060 $55.57 $189.00 $12.13–$189.00 8% below 71%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB $65.57 $223.00 $12.13–$223.00 8% above 71%
Hepatitis C antibody blood test (screening) CPT 86803 BM-HEPATITIS C AB $79.97 $272.00 $12.13–$261.22 32% above 71%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 H-HEP C ANTIBODY 8060 $55.57 $189.00 $136.08–$154.98 — 71%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB $65.57 $223.00 $160.56–$182.86 — 71%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 BM-HEPATITIS C AB $79.97 $272.00 $195.84–$223.04 — 71%
Hepatitis C viral load (HCV RNA) test CPT 87522 H-HCV RNA QNT PCR 6610 $26.76 $91.00 $19.11–$250.98 70% below 71%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 IA HEPATITIS C QN RT $322.82 $1,098.00 $36.41–$900.36 267% above 71%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 H-HCV RNA QNT PCR 6610 $26.76 $91.00 $65.52–$74.62 — 71%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 IA HEPATITIS C QN RT $322.82 $1,098.00 $790.56–$900.36 — 71%
High-sensitivity CRP (hs-CRP) test CPT 86141 RL-Q-HSCRP H95080 $7.71 $26.20 $5.51–$75.88 89% below 71%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY $30.29 $103.00 $11.01–$103.00 56% below 71%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 RL-Q-HSCRP H95080 $7.71 $26.20 $18.87–$21.49 — 71%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY $30.29 $103.00 $74.16–$84.46 — 71%
Homocysteine blood test CPT 83090 H-HOMOCYSTEINE 7624 $87.91 $299.00 $14.99–$299.00 23% above 71%
Homocysteine blood test inpatient CPT 83090 H-HOMOCYSTEINE 7624 $87.91 $299.00 $215.28–$245.18 — 71%
Insulin blood test CPT 83525 H-INSULIN FASTING 7630 $17.35 $59.00 $9.72–$66.96 62% below 71%
Insulin blood test inpatient CPT 83525 H-INSULIN FASTING 7630 $17.35 $59.00 $42.48–$48.38 — 71%
Iron blood test (serum iron) CPT 83540 H-IRON 8194 $162.88 $554.00 $5.50–$454.28 178% above 71%
Iron blood test (serum iron) CPT 83540 IRON $179.05 $609.00 $5.50–$499.38 206% above 71%
Iron blood test (serum iron) inpatient CPT 83540 H-IRON 8194 $162.88 $554.00 $398.88–$454.28 — 71%
Iron blood test (serum iron) inpatient CPT 83540 IRON $179.05 $609.00 $438.48–$499.38 — 71%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $80.27 $273.00 $7.43–$223.86 8% above 71%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $80.27 $273.00 $196.56–$223.86 — 71%
Kidney function blood test panel CPT 80069 SJM-RENAL FUNCT PANEL $276.66 $941.00 $7.38–$771.62 95% above 71%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $463.05 $1,575.00 $7.38–$1,291.50 226% above 71%
Kidney function blood test panel inpatient CPT 80069 SJM-RENAL FUNCT PANEL $276.66 $941.00 $677.52–$771.62 — 71%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $463.05 $1,575.00 $1,134.00–$1,291.50 — 71%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE $89.09 $303.00 $15.74–$303.00 20% below 71%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE $89.09 $303.00 $218.16–$248.46 — 71%
Lipase blood test (pancreas enzyme) CPT 83690 SJM-LIPASE $166.11 $565.00 $5.86–$463.30 40% above 71%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $224.33 $763.00 $5.86–$625.66 89% above 71%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 SJM-LIPASE $166.11 $565.00 $406.80–$463.30 — 71%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $224.33 $763.00 $549.36–$625.66 — 71%
Liver function blood test panel CPT 80076 SJM-HEP FUNCT PANEL $228.15 $776.00 $6.94–$636.32 51% above 71%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $382.79 $1,302.00 $6.94–$1,067.64 153% above 71%
Liver function blood test panel inpatient CPT 80076 SJM-HEP FUNCT PANEL $228.15 $776.00 $558.72–$636.32 — 71%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $382.79 $1,302.00 $937.44–$1,067.64 — 71%
Lyme disease antibody test CPT 86618 RL-Q-B BURGD IGG 95873 $8.24 $28.00 $5.88–$99.76 64% below 71%
Lyme disease antibody test CPT 86618 RL-Q-B BURGDORFERI IGG $8.53 $29.00 $6.09–$99.76 63% below 71%
Lyme disease antibody test CPT 86618 RL-A-LYME MTTT 3006053 $14.27 $48.51 $10.19–$99.76 38% below 71%
Lyme disease antibody test CPT 86618 RL-A-LYME STTTC 3016760 $14.70 $50.00 $10.50–$99.76 37% below 71%
Lyme disease antibody test inpatient CPT 86618 RL-Q-B BURGD IGG 95873 $8.24 $28.00 $20.16–$22.96 — 71%
Lyme disease antibody test inpatient CPT 86618 RL-Q-B BURGDORFERI IGG $8.53 $29.00 $20.88–$23.78 — 71%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME MTTT 3006053 $14.27 $48.51 $34.93–$39.78 — 71%
Lyme disease antibody test inpatient CPT 86618 RL-A-LYME STTTC 3016760 $14.70 $50.00 $36.00–$41.00 — 71%
Magnesium blood test CPT 83735 RL-A-MG RBC 92079 $7.06 $24.00 $5.04–$39.29 91% below 71%
Magnesium blood test CPT 83735 MAGNESIUM UR 24HR $48.51 $165.00 $5.70–$135.30 39% below 71%
Magnesium blood test CPT 83735 H-URN MAGNESIUM 24HR 7688 $149.65 $509.00 $5.70–$417.38 89% above 71%
Magnesium blood test CPT 83735 MAGNESIUM $172.88 $588.00 $5.70–$482.16 118% above 71%
Magnesium blood test inpatient CPT 83735 RL-A-MG RBC 92079 $7.06 $24.00 $17.28–$19.68 — 71%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR 24HR $48.51 $165.00 $118.80–$135.30 — 71%
Magnesium blood test inpatient CPT 83735 H-URN MAGNESIUM 24HR 7688 $149.65 $509.00 $366.48–$417.38 — 71%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $172.88 $588.00 $423.36–$482.16 — 71%
Measles (rubeola) antibody test CPT 86765 RL-Q-MESLES RUBELA AB IGG $6.36 $21.62 $4.55–$75.43 81% below 71%
Measles (rubeola) antibody test CPT 86765 H-RUBEOLA IGG 8142 $88.20 $300.00 $10.95–$246.00 165% above 71%
Measles (rubeola) antibody test inpatient CPT 86765 RL-Q-MESLES RUBELA AB IGG $6.36 $21.62 $15.57–$17.73 — 71%
Measles (rubeola) antibody test inpatient CPT 86765 H-RUBEOLA IGG 8142 $88.20 $300.00 $216.00–$246.00 — 71%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCR $193.16 $657.00 $4.40–$538.74 84% above 71%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCR $193.16 $657.00 $473.04–$538.74 — 71%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL $169.35 $576.00 $40.64–$472.32 26% below 71%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL $169.35 $576.00 $414.72–$472.32 — 71%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $67.04 $228.00 $15.63–$228.00 17% above 71%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $67.04 $228.00 $164.16–$186.96 — 71%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL $88.79 $302.00 $15.63–$302.00 48% above 71%
PSA (prostate-specific antigen) blood test, total CPT 84153 MH-ASSAY OF PSA TOTAL $91.73 $312.00 $15.63–$312.00 53% above 71%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL $88.79 $302.00 $217.44–$247.64 — 71%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 MH-ASSAY OF PSA TOTAL $91.73 $312.00 $224.64–$255.84 — 71%
Parathyroid hormone (PTH) blood test CPT 83970 BM-PTH-INTRAOP $50.28 $171.00 $35.09–$241.79 54% below 71%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTACT $54.10 $184.00 $35.09–$241.79 51% below 71%
Parathyroid hormone (PTH) blood test CPT 83970 PTH-INTRAOP $65.57 $223.00 $35.09–$241.79 40% below 71%
Parathyroid hormone (PTH) blood test CPT 83970 H-PTH INTACT 8119 $128.78 $438.00 $35.09–$438.00 17% above 71%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 BM-PTH-INTRAOP $50.28 $171.00 $123.12–$140.22 — 71%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTACT $54.10 $184.00 $132.48–$150.88 — 71%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-INTRAOP $65.57 $223.00 $160.56–$182.86 — 71%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 H-PTH INTACT 8119 $128.78 $438.00 $315.36–$359.16 — 71%
Partial thromboplastin time (PTT) clotting test CPT 85730 RL-A-RF BILL PTTT 3017033 $9.06 $30.80 $5.11–$35.24 88% below 71%
Partial thromboplastin time (PTT) clotting test CPT 85730 SJM-PTT $134.07 $456.00 $5.11–$373.92 84% above 71%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO TIME $216.68 $737.00 $5.11–$604.34 197% above 71%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 RL-A-RF BILL PTTT 3017033 $9.06 $30.80 $22.18–$25.26 — 71%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 SJM-PTT $134.07 $456.00 $328.32–$373.92 — 71%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO TIME $216.68 $737.00 $530.64–$604.34 — 71%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 RL-Q-MATERNIT21 PLUS $182.28 $620.00 $130.20–$4,446.34 90% below 71%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 RL-Q-MATERNIT21 PLUS $182.28 $620.00 $446.40–$508.40 — 71%
Progesterone blood test CPT 84144 PROGESTERONE $85.56 $291.00 $17.73–$291.00 8% below 71%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $85.56 $291.00 $209.52–$238.62 — 71%
Prolactin blood test CPT 84146 PROLACTIN $89.97 $306.00 $16.47–$306.00 16% below 71%
Prolactin blood test inpatient CPT 84146 PROLACTIN $89.97 $306.00 $220.32–$250.92 — 71%
Prothrombin time (PT/INR) clotting test CPT 85610 RL-A-PT INHIB 2003260 $3.96 $13.46 $2.83–$25.14 94% below 71%
Prothrombin time (PT/INR) clotting test CPT 85610 SJM-PROTIME PT $106.43 $362.00 $3.65–$296.84 61% above 71%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $160.82 $547.00 $3.65–$448.54 144% above 71%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RL-A-PT INHIB 2003260 $3.96 $13.46 $9.70–$11.04 — 71%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SJM-PROTIME PT $106.43 $362.00 $260.64–$296.84 — 71%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $160.82 $547.00 $393.84–$448.54 — 71%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRG SCRN PRESUMPT OPTICAL $231.09 $786.00 $10.08–$644.52 173% above 71%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRG SCRN PRESUMPT OPTICAL $231.09 $786.00 $565.92–$644.52 — 71%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA AG OPTIC $59.39 $202.00 $8.85–$169.95 21% below 71%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA AG OPTIC $59.39 $202.00 $145.44–$165.64 — 71%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA AG OPTIC $66.74 $227.00 $10.03–$186.14 40% below 71%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA AG OPTIC $66.74 $227.00 $163.44–$186.14 — 71%
Rheumatoid factor (RF) test CPT 86431 RL-A-RA PNL 3016634B $6.67 $22.66 $4.76–$33.25 49% below 71%
Rheumatoid factor (RF) test CPT 86431 H-RHEUMATOID FACT QN 8120 $45.57 $155.00 $4.82–$127.10 245% above 71%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN $74.68 $254.00 $4.82–$208.28 466% above 71%
Rheumatoid factor (RF) test inpatient CPT 86431 RL-A-RA PNL 3016634B $6.67 $22.66 $16.32–$18.59 — 71%
Rheumatoid factor (RF) test inpatient CPT 86431 H-RHEUMATOID FACT QN 8120 $45.57 $155.00 $111.60–$127.10 — 71%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN $74.68 $254.00 $182.88–$208.28 — 71%
Rubella antibody test (immunity check) CPT 86762 RL-Q-RUBELLA AB IGM $6.36 $21.62 $4.55–$84.26 90% below 71%
Rubella antibody test (immunity check) CPT 86762 H-RUBELLA IGG 8145 $36.46 $124.00 $12.23–$124.00 40% below 71%
Rubella antibody test (immunity check) CPT 86762 MH-RUBELLA AB $50.28 $171.00 $12.23–$171.00 17% below 71%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB $52.63 $179.00 $12.23–$179.00 14% below 71%
Rubella antibody test (immunity check) inpatient CPT 86762 RL-Q-RUBELLA AB IGM $6.36 $21.62 $15.57–$17.73 — 71%
Rubella antibody test (immunity check) inpatient CPT 86762 H-RUBELLA IGG 8145 $36.46 $124.00 $89.28–$101.68 — 71%
Rubella antibody test (immunity check) inpatient CPT 86762 MH-RUBELLA AB $50.28 $171.00 $123.12–$140.22 — 71%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB $52.63 $179.00 $128.88–$146.78 — 71%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SJM-SED RATE RBC AUTO $85.85 $292.00 $2.30–$239.44 53% above 71%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTO $124.37 $423.00 $2.30–$346.86 122% above 71%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SJM-SED RATE RBC AUTO $85.85 $292.00 $210.24–$239.44 — 71%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE RBC AUTO $124.37 $423.00 $304.56–$346.86 — 71%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE $158.76 $540.00 $10.46–$442.80 14% above 71%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS COMPLETE $158.76 $540.00 $388.80–$442.80 — 71%
Stool ova and parasites exam CPT 87177 SJM-O P SMEAR PARASITE $35.58 $121.00 $7.57–$121.00 70% above 71%
Stool ova and parasites exam CPT 87177 O P CONCENTRATE ID $54.39 $185.00 $7.57–$167.40 160% above 71%
Stool ova and parasites exam inpatient CPT 87177 SJM-O P SMEAR PARASITE $35.58 $121.00 $87.12–$99.22 — 71%
Stool ova and parasites exam inpatient CPT 87177 O P CONCENTRATE ID $54.39 $185.00 $133.20–$151.70 — 71%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC QL 3 SPEC $41.75 $142.00 $3.72–$116.44 7% above 71%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD FEC 3SPEC LAB $48.22 $164.00 $3.72–$134.48 24% above 71%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC QL 3 SPEC $41.75 $142.00 $102.24–$116.44 — 71%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD FEC 3SPEC LAB $48.22 $164.00 $118.08–$134.48 — 71%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL BLOOD ASSAY QL $18.23 $62.00 $13.02–$93.27 53% below 71%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL BLOOD ASSAY QL $18.23 $62.00 $44.64–$50.84 — 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RL-Q-SYPHILIS VDRL RPR QL $4.61 $15.66 $3.29–$25.05 80% below 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 MH-SYPHIL VDRL/RPR QL $33.52 $114.00 $3.63–$93.48 45% above 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHIL VDRL/RPR QL $34.70 $118.00 $3.63–$96.76 50% above 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 H-RPR 8140 $134.07 $456.00 $3.63–$373.92 480% above 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RL-Q-SYPHILIS VDRL RPR QL $4.61 $15.66 $11.28–$12.85 — 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 MH-SYPHIL VDRL/RPR QL $33.52 $114.00 $82.08–$93.48 — 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHIL VDRL/RPR QL $34.70 $118.00 $84.96–$96.76 — 71%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 H-RPR 8140 $134.07 $456.00 $328.32–$373.92 — 71%
Testosterone blood test, total (not free testosterone) CPT 84403 H-FREE TESTOSTERONE 7708 $10.00 $34.00 $7.14–$151.22 80% below 71%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $42.05 $143.00 $21.94–$151.22 15% below 71%
Testosterone blood test, total (not free testosterone) CPT 84403 H-TSTSTRN TOT ONLY 7707 $102.90 $350.00 $21.94–$350.00 109% above 71%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 H-FREE TESTOSTERONE 7708 $10.00 $34.00 $24.48–$27.88 — 71%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $42.05 $143.00 $102.96–$117.26 — 71%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 H-TSTSTRN TOT ONLY 7707 $102.90 $350.00 $252.00–$287.00 — 71%
Thyroid peroxidase (TPO) antibody test CPT 86376 RL-Q-LVR-KDNY MCRO AB IGG $10.23 $34.78 $7.31–$85.25 55% below 71%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 RL-Q-LVR-KDNY MCRO AB IGG $10.23 $34.78 $25.05–$28.52 — 71%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM HORMONE $90.85 $309.00 $14.28–$309.00 16% below 71%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 H-TSH 7827 $362.80 $1,234.00 $14.28–$1,011.88 234% above 71%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM HORMONE $90.85 $309.00 $222.48–$253.38 — 71%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 H-TSH 7827 $362.80 $1,234.00 $888.48–$1,011.88 — 71%
Trichomonas test (NAAT) CPT 87661 RL-A-VPAN TMA 3002581C $12.13 $41.25 $8.67–$205.56 88% below 71%
Trichomonas test (NAAT) CPT 87661 IA TRICHOMON VAG AMP PRB $50.28 $171.00 $29.83–$205.56 50% below 71%
Trichomonas test (NAAT) inpatient CPT 87661 RL-A-VPAN TMA 3002581C $12.13 $41.25 $29.70–$33.83 — 71%
Trichomonas test (NAAT) inpatient CPT 87661 IA TRICHOMON VAG AMP PRB $50.28 $171.00 $123.12–$140.22 — 71%
Uric acid blood test CPT 84550 URIC ACID BLOOD $140.24 $477.00 $3.84–$391.14 112% above 71%
Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD $140.24 $477.00 $343.44–$391.14 — 71%
Urinalysis with microscope exam, automated CPT 81001 SJM-UA AUTO W MICRO $106.43 $362.00 $2.69–$296.84 28% above 71%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MICRO $161.41 $549.00 $2.69–$450.18 95% above 71%
Urinalysis with microscope exam, automated inpatient CPT 81001 SJM-UA AUTO W MICRO $106.43 $362.00 $260.64–$296.84 — 71%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W MICRO $161.41 $549.00 $395.28–$450.18 — 71%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO LAB $32.05 $109.00 $1.91–$89.38 43% below 71%
Urinalysis without microscope exam, automated CPT 81003 UA AUTO WO MICRO $47.34 $161.00 $1.91–$132.02 15% below 71%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO LAB $32.05 $109.00 $78.48–$89.38 — 71%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO WO MICRO $47.34 $161.00 $115.92–$132.02 — 71%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO WO MICRO $24.99 $85.00 $2.96–$69.70 30% below 71%
Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W/O MICRO NONL $26.17 $89.00 $2.96–$72.98 27% below 71%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO WO MICRO $24.99 $85.00 $61.20–$69.70 — 71%
Urinalysis without microscope exam, manual inpatient CPT 81002 UA NONAUTO W/O MICRO NONL $26.17 $89.00 $64.08–$72.98 — 71%
Urine culture for bacteria, with colony count CPT 87086 SJM-CULT UR W CLNY CNT $77.91 $265.00 $6.86–$217.30 44% below 71%
Urine culture for bacteria, with colony count CPT 87086 CULT UR W COLONY CNT $94.08 $320.00 $6.86–$262.40 32% below 71%
Urine culture for bacteria, with colony count CPT 87086 BM-CULT UR W/COLONY CNT $113.78 $387.00 $6.86–$317.34 18% below 71%
Urine culture for bacteria, with colony count inpatient CPT 87086 SJM-CULT UR W CLNY CNT $77.91 $265.00 $190.80–$217.30 — 71%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT UR W COLONY CNT $94.08 $320.00 $230.40–$262.40 — 71%
Urine culture for bacteria, with colony count inpatient CPT 87086 BM-CULT UR W/COLONY CNT $113.78 $387.00 $278.64–$317.34 — 71%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL LAB $55.28 $188.00 $4.02–$154.16 37% below 71%
Urine pregnancy test, read by color change CPT 81025 PREG URINE VISUAL $58.22 $198.00 $4.02–$162.36 34% below 71%
Urine pregnancy test, read by color change CPT 81025 SJM-PREGNANCY VISUAL URN $106.43 $362.00 $4.02–$296.84 21% above 71%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL LAB $55.28 $188.00 $135.36–$154.16 — 71%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG URINE VISUAL $58.22 $198.00 $142.56–$162.36 — 71%
Urine pregnancy test, read by color change inpatient CPT 81025 SJM-PREGNANCY VISUAL URN $106.43 $362.00 $260.64–$296.84 — 71%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 $79.97 $272.00 $12.82–$272.00 14% below 71%
Vitamin B12 (cobalamin) blood test CPT 82607 BM-VITAMIN B-12 $80.27 $273.00 $12.82–$273.00 14% below 71%
Vitamin B12 (cobalamin) blood test CPT 82607 H-VITAMIN B12 7870 $99.96 $340.00 $12.82–$285.02 7% above 71%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 $79.97 $272.00 $195.84–$223.04 — 71%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 BM-VITAMIN B-12 $80.27 $273.00 $196.56–$223.86 — 71%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 H-VITAMIN B12 7870 $99.96 $340.00 $244.80–$278.80 — 71%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 H-VIT D 25 HYDROXY 7850 $17.94 $61.00 $12.81–$173.39 72% below 71%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY $209.92 $714.00 $25.16–$585.48 228% above 71%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 H-VIT D 25 HYDROXY 7850 $17.94 $61.00 $43.92–$50.02 — 71%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY $209.92 $714.00 $514.08–$585.48 — 71%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG PREG QN $117.60 $400.00 $12.79–$328.00 34% below 71%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG PREG QN $117.60 $400.00 $288.00–$328.00 — 71%

Surgery and procedures

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BRST STERO PRC 1ST UNI $654.74 $2,227.00 $467.67–$8,422.00 85% below 71%
Cardiac catheterization with coronary angiogram CPT 93458 LT HRT CTH COR ANG VNTRCU $13,340.84 $45,377.00 $950.01–$45,377.00 3% above 71%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 LT HRT CTH COR ANG VNTRCU $13,340.84 $45,377.00 $32,671.44–$37,209.14 — 71%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELCTIVE EXT $3,200.19 $10,885.00 $175.66–$10,885.00 70% above 71%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELCTIVE EXT $3,200.19 $10,885.00 $7,837.20–$8,925.70 — 71%
Catheter ablation for atrial fibrillation CPT 93656 EP AFIB ABL PV ISOL 3DMAP $19,486.91 $66,282.00 $880.47–$66,282.00 42% below 71%
Catheter ablation for atrial fibrillation inpatient CPT 93656 EP AFIB ABL PV ISOL 3DMAP $19,486.91 $66,282.00 $47,723.04–$54,351.24 — 71%
Cervical biopsy CPT 57500 BIOPSY CERVIX $475.70 $1,618.00 $46.52–$6,009.00 70% below 71%
Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX $475.70 $1,618.00 $1,164.96–$1,326.76 — 71%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION $767.34 $2,610.00 $548.10–$8,209.00 26% below 71%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION $767.34 $2,610.00 $1,879.20–$2,140.20 — 71%
Cystoscopy with ureteral stent placement CPT 52332 CYSTO W STENT URETERL INS $692.37 $2,355.00 $494.55–$9,771.00 88% below 71%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ EPI/SUBAR C/T W IMAG $753.82 $2,564.00 $223.38–$6,009.00 61% below 71%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ EPI/SUBAR C/T W IMAG $753.82 $2,564.00 $1,846.08–$2,102.48 — 71%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG INJ $440.42 $1,498.00 $144.45–$6,897.00 79% below 71%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET JT/NRV L/S SNG BIL $595.94 $2,027.00 $144.45–$6,897.00 71% below 71%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 FACET JT/NRV L/S SNG BIL $2,630.72 $8,948.00 $6,442.56–$7,337.36 — 71%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO NS/CON INTRO $52.34 $178.00 $128.16–$145.96 — 71%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE $703.84 $2,394.00 $48.70–$8,422.00 50% above 71%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I AND D ABSCESS SIMPLE $1,449.42 $4,930.00 $3,549.60–$4,042.60 — 71%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHTH/LIG $472.76 $1,608.00 $52.54–$6,009.00 28% below 71%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHTH/LIG $472.76 $1,608.00 $1,157.76–$1,318.56 — 71%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTH ASP MJR JT WO US UNI $317.23 $1,079.00 $52.54–$10,813.00 67% below 71%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN ASP MAJOR JT WO $659.74 $2,244.00 $52.54–$10,813.00 31% below 71%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTH ASP MJR JT WO US UNI $659.74 $2,244.00 $1,615.68–$1,840.08 — 71%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN ASP MAJOR JT WO $659.74 $2,244.00 $1,615.68–$1,840.08 — 71%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCEN ASP INTER JT WO $258.72 $880.00 $43.57–$8,422.00 57% below 71%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCEN ASP INTER JT WO $534.50 $1,818.00 $1,308.96–$1,490.76 — 71%
Left heart catheterization, diagnostic CPT 93452 LT HRT CTH VENTRICULGRPHY $5,667.74 $19,278.00 $762.86–$19,837.00 43% below 71%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HRT CTH VENTRICULGRPHY $5,667.74 $19,278.00 $13,880.16–$15,807.96 — 71%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ EPI/SUBAR L/S W IMAG $549.49 $1,869.00 $220.03–$6,009.00 75% below 71%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ EPI/SUBAR L/S W IMAG $549.49 $1,869.00 $1,345.68–$1,532.58 — 71%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ EPI/SUBAR L/S WO IMAG $744.12 $2,531.00 $138.50–$6,009.00 56% below 71%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ EPI/SUBAR L/S WO IMAG $744.12 $2,531.00 $1,822.32–$2,075.42 — 71%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANES/STE EPI L/S SNGL INJ $796.16 $2,708.00 $164.49–$6,897.00 59% below 71%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 ANES/STE EPI L/S SNGL INJ $1,641.11 $5,582.00 $4,019.04–$4,577.24 — 71%
Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPITAL NRV $486.28 $1,654.00 $72.20–$6,009.00 45% below 71%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ GREATER OCCIPITAL NRV $486.28 $1,654.00 $1,190.88–$1,356.28 — 71%
Pacemaker implant (dual chamber) CPT 33208 PACEMAKER INS/REPL A/V $11,098.50 $37,750.00 $854.44–$37,750.00 33% below 71%
Pacemaker implant (dual chamber) inpatient CPT 33208 PACEMAKER INS/REPL A/V $11,098.50 $37,750.00 $27,180.00–$30,955.00 — 71%
Paracentesis with imaging guidance CPT 49083 PARACENTSIS ABD W IMAGING $503.33 $1,712.00 $89.85–$8,422.00 73% below 71%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING $503.33 $1,712.00 $1,232.64–$1,403.84 — 71%
Prostate biopsy CPT 55700 BIOPSY PROSTATE NDL/PUNCH $1,024.30 $3,484.00 $100.40–$8,422.00 74% below 71%
Prostate biopsy inpatient CPT 55700 BIOPSY PROSTATE NDL/PUNCH $2,109.45 $7,175.00 $5,166.00–$5,883.50 — 71%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 FACET JT NRV L/S DEST SNG $1,529.69 $5,203.00 $195.34–$8,209.00 56% below 71%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 FACET JT NRV L/S DEST SNG $1,529.69 $5,203.00 $3,746.16–$4,266.46 — 71%
Removal of a foreign object under the skin, simple CPT 10120 I AND R FB SUBQ SIMPLE $154.06 $524.00 $59.38–$6,009.00 84% below 71%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I AND R FB SUBQ SIMPLE $316.64 $1,077.00 $775.44–$883.14 — 71%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX $560.37 $1,906.00 $93.99–$6,009.00 58% below 71%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBER DX $1,150.72 $3,914.00 $93.99–$6,009.00 13% below 71%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCTURE SPINAL LUMBAR DX $1,150.72 $3,914.00 $2,818.08–$3,209.48 — 71%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKN TANGENTIAL SNG LES $322.82 $1,098.00 $71.48–$6,009.00 42% below 71%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKN TANGENTIAL SNG LES $322.82 $1,098.00 $790.56–$900.36 — 71%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMG UNI $366.92 $1,248.00 $92.33–$6,009.00 82% below 71%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAG BIL $550.37 $1,872.00 $92.33–$6,009.00 73% below 71%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING $1,600.83 $5,445.00 $92.33–$6,009.00 21% below 71%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAGING $1,600.83 $5,445.00 $3,920.40–$4,464.90 — 71%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W IMAG BIL $2,401.40 $8,168.00 $5,880.96–$6,697.76 — 71%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST US PERC 1ST UNI $591.53 $2,012.00 $422.52–$8,422.00 82% below 71%
Vein ablation, radiofrequency, first vein CPT 36475 EXTRM VEIN ABLAT RF 1ST $1,830.74 $6,227.00 $1,307.67–$10,813.00 74% below 71%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $667.09 $2,269.00 $119.19–$8,422.00 2% below 71%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SUBQ TISS 1ST 20SQCM $667.09 $2,269.00 $1,633.68–$1,860.58 — 71%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMP $1,031.36 $3,508.00 $527.23–$28,686.00 18% above 71%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS BLD/BLD COMP $1,031.36 $3,508.00 $2,525.76–$2,876.56 — 71%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INH TX INITIAL EA DAY $118.19 $402.00 $16.78–$28,686.00 64% below 71%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 BLAND AERO TX INIT EA DAY $157.88 $537.00 $16.78–$28,686.00 52% below 71%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INH TX INITIAL EA DAY $118.19 $402.00 $289.44–$329.64 — 71%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 BLAND AERO TX INIT EA DAY $157.88 $537.00 $386.64–$440.34 — 71%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF INIT 1ST HR $603.59 $2,053.00 $28.59–$15,595.00 31% below 71%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF INIT 1ST HR $603.59 $2,053.00 $1,478.16–$1,683.46 — 71%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 30-74MIN $3,790.84 $12,894.00 $174.42–$24,771.00 18% below 71%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CRITICAL CARE 30-74MIN $3,790.84 $12,894.00 $9,283.68–$10,573.08 — 71%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY $574.77 $1,955.00 $86.73–$26,377.00 44% below 71%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY $574.77 $1,955.00 $1,407.60–$1,603.10 — 71%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY $220.21 $749.00 $10.66–$26,377.00 35% below 71%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD TRACING ONLY $220.21 $749.00 $539.28–$614.18 — 71%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 $351.33 $1,195.00 $21.77–$7,731.00 16% below 71%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1 $351.33 $1,195.00 $860.40–$979.90 — 71%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 $724.42 $2,464.00 $34.97–$7,731.00 8% below 71%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2 $724.42 $2,464.00 $1,774.08–$2,020.48 — 71%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 $1,053.70 $3,584.00 $63.97–$24,771.00 24% below 71%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3 $1,053.70 $3,584.00 $2,580.48–$2,938.88 — 71%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 $1,624.35 $5,525.00 $98.04–$24,771.00 22% below 71%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4 $1,624.35 $5,525.00 $3,978.00–$4,530.50 — 71%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 $2,195.01 $7,466.00 $155.03–$24,771.00 33% below 71%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5 $2,195.01 $7,466.00 $5,375.52–$6,122.12 — 71%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM CARDIOVAS STRES TEST $1,083.39 $3,685.00 $60.24–$26,377.00 20% below 71%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM CARDIOVAS STRES TEST $1,083.39 $3,685.00 $2,653.20–$3,021.70 — 71%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRA INIT 31-60MN $360.45 $1,226.00 $51.30–$1,657.00 28% below 71%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRA INIT 31-60MN $360.45 $1,226.00 $882.72–$1,005.32 — 71%
IV infusion of a medicine, first hour CPT 96365 INF TX/DX/PRO INIT 1ST HR $427.77 $1,455.00 $62.60–$1,657.00 27% below 71%
IV infusion of a medicine, first hour inpatient CPT 96365 INF TX/DX/PRO INIT 1ST HR $427.77 $1,455.00 $1,047.60–$1,193.10 — 71%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/DX/PROPH SUBQ/IM $62.33 $212.00 $18.75–$2,227.00 65% below 71%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/DX/PROPH SUBQ/IM $62.33 $212.00 $152.64–$173.84 — 71%
New patient office visit, about 30 minutes CPT 99203 VISIT LOW 30MN NW PT $198.75 $676.00 $82.05–$676.00 7% below 71%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT LOW 30MN NW PT $198.75 $676.00 $486.72–$554.32 — 71%
New patient office visit, about 45 minutes CPT 99204 VISIT MDT 45MN NW PT $132.60 $451.00 $94.71–$451.00 46% below 71%
New patient office visit, about 45 minutes CPT 99204 FETAL DEMISE <23WK NEW PT $132.60 $451.00 $94.71–$26,377.00 46% below 71%
New patient office visit, about 45 minutes inpatient CPT 99204 FETAL DEMISE <23WK NEW PT $132.60 $451.00 $324.72–$369.82 — 71%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT MDT 45MN NW PT $132.60 $451.00 $324.72–$369.82 — 71%
New patient office visit, about 60 minutes CPT 99205 VISIT HIGH 60MN NW PT $264.90 $901.00 $118.62–$901.00 13% below 71%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT HIGH 60MN NW PT $264.90 $901.00 $648.72–$738.82 — 71%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT/FETAL MONITR NEW $55.57 $189.00 $39.69–$26,377.00 62% below 71%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT STFD 15MIN NW PT $60.86 $207.00 $43.47–$233.00 59% below 71%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OB VISIT/FETAL MONITR NEW $55.57 $189.00 $136.08–$154.98 — 71%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT STFD 15MIN NW PT $60.86 $207.00 $149.04–$169.74 — 71%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSELING 3-10MN $46.46 $158.00 $10.41–$28,686.00 37% below 71%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSELING 3-10MN $46.46 $158.00 $113.76–$129.56 — 71%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT HIGH 40MN EST PT $143.18 $487.00 $82.05–$487.00 35% below 71%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT HIGH 40MN EST PT $143.18 $487.00 $350.64–$399.34 — 71%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT LOW 20MN EST PT $198.75 $676.00 $34.43–$676.00 37% above 71%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT LOW 20MN EST PT $198.75 $676.00 $486.72–$554.32 — 71%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT MDT 30MN EST PT $238.44 $811.00 $53.79–$811.00 27% above 71%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FETAL DEMISE <23WK EST PT $238.44 $811.00 $53.79–$26,377.00 27% above 71%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FETAL DEMISE <23WK EST PT $238.44 $811.00 $583.92–$665.02 — 71%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT MDT 30MN EST PT $238.44 $811.00 $583.92–$665.02 — 71%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT STFD 10MN EST PT $143.18 $487.00 $16.37–$487.00 29% above 71%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT STFD 10MN EST PT $143.18 $487.00 $350.64–$399.34 — 71%
Spirometry (breathing test) CPT 94010 SPIROMETRY $187.87 $639.00 $28.23–$639.00 47% below 71%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY $187.87 $639.00 $460.08–$523.98 — 71%
Spirometry before and after a bronchodilator CPT 94060 BRNCHSPASM EVAL PRE/POST $441.59 $1,502.00 $51.67–$1,502.00 45% below 71%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRNCHSPASM EVAL PRE/POST $441.59 $1,502.00 $1,081.44–$1,231.64 — 71%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT $321.05 $1,092.00 $18.82–$26,377.00 1% below 71%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT $321.05 $1,092.00 $786.24–$895.44 — 71%

Vaccines

ProcedureCash price List priceInsurers payvs CaliforniaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VAC TR ADJ 0.5MLPFS $19.11 $65.00 $10.50–$271.29 86% below 71%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VAC TR ADJ 0.5MLPFS $19.11 $65.00 $10.50–$53.30 — 71%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC PF TR SV 0.5MLPFS $22.64 $77.00 $12.44–$77.00 42% below 71%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC PF TR SV 0.5MLPFS $22.64 $77.00 $12.44–$63.14 — 71%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U 1ML IN $65.86 $224.00 $58.24–$300.75 53% below 71%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U 1ML IN $65.86 $224.00 $58.24–$183.68 — 71%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPAT B VACC 20MCG 1ML IN $59.39 $202.00 $32.63–$254.49 46% below 71%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPAT B VACC 20MCG 1ML IN $59.39 $202.00 $32.63–$165.64 — 71%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC $94.38 $321.00 $83.46–$352.06 31% below 71%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC $94.38 $321.00 $83.46–$263.22 — 71%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC ACYW PF0.5MLIM $134.66 $458.00 $119.08–$616.68 48% below 71%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC ACYW PF0.5MLIM $134.66 $458.00 $119.08–$375.56 — 71%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOC B OMV 0.5MLVACC $184.34 $627.00 $163.02–$876.98 43% below 71%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOC B OMV 0.5MLVACC $184.34 $627.00 $163.02–$514.14 — 71%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOC VACC 20 VALENT $285.48 $971.00 $100.00–$971.00 43% below 71%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOC VACC 20 VALENT $285.48 $971.00 $252.46–$796.22 — 71%
Rabies vaccine, one dose CPT 90675 RABIES VACC 2.5IU/ML 1ML $321.35 $1,093.00 $284.18–$1,530.74 55% below 71%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC 2.5IU/ML 1ML $321.35 $1,093.00 $284.18–$896.26 — 71%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP 0.5ML >=7YR IM $40.58 $138.00 $35.88–$180.29 65% below 71%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP 0.5ML >=7YR IM $40.58 $138.00 $35.88–$113.16 — 71%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B VACCINE $74.39 $253.00 $4.46–$253.00 28% below 71%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B VACCINE $74.39 $253.00 $182.16–$207.46 — 71%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN OTHER IMMUN VAC ADD $74.39 $253.00 $4.46–$253.00 4% below 71%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN OTHER IMMUN VAC ADD $74.39 $253.00 $182.16–$207.46 — 71%

Source file: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/price-transparency/465322209-1528190931_port-city-operating-company-llc_standardcharges.json