Auburn Community Hospital
Auburn Community Hospital in Auburn, NY publishes cash prices for 330 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 255 of 328 procedures and above it for 72. By typical cash price it ranks #39 of 114 New York hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
17 LANSING ST, AUBURN, NY 13021 Collected Sep 27, 2026 Source price file (315) 255-7011
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 330235 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Auburn Community Hospital in Auburn, NY:
- Aug 25, 2021 Warning notice
- Jan 27, 2022 Case closed
- Sep 5, 2025 Warning notice
- Nov 26, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O FOLLOWED BY CONTRAST | $983.86 | $2,457.53 | $140.28–$1,548.24 | 24% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $101.70 | $217.35 | $15.00–$370.70 | 60% below | 53% |
| Ankle X-ray, complete, 3 or more views CPT 73610 RADIOLOGIC EXAM ANKLE COMPLETE | $88.36 | $249.38 | $12.50–$313.02 | 56% below | 65% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 RADIOLOGIC EXAM ANKLE COMPLETE | $112.22 | $249.38 | $12.50–$313.02 | 44% below | 55% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI | $146.36 | $454.91 | $72.00–$538.44 | 51% below | 68% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 RADIOLOGIC EXAM ESOPHAGUS | $123.09 | $402.41 | $20.00–$619.51 | 64% below | 69% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE /JOINT IMAGING WHOLE BODY | $551.65 | $1,553.74 | $60.00–$1,390.67 | 42% below | 64% |
| Breast ultrasound, complete, one breast one side CPT 76641 ULTRASOUND BREAST UNILATERAL COMPLETE | $180.61 | $548.10 | $32.47–$538.44 | 42% below | 67% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRASOUND BREAST UNILATERAL LIMITED | $246.65 | $339.68 | $26.66–$538.44 | at median | 27% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN PELVIS W/ CONTRAST | $1,105.89 | $2,769.64 | $177.48–$1,744.87 | 29% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $999.22 | $1,273.39 | $140.28–$994.40 | 5% below | 22% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $573.03 | $3,343.99 | $140.28–$2,106.71 | 50% below | 83% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART AND CORONARY ARTERIES W/CONT | $206.18 | $458.17 | $126.31–$994.40 | 80% below | 55% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CORONARY CALCIUM SCORE EVAL | $154.86 | $220.74 | $22.22–$306.39 | 6% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS W/O CONTRAST | $1,246.34 | $2,155.39 | $68.69–$1,357.90 | 16% above | 42% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W/ CONTRAST | $969.93 | $2,155.39 | $107.93–$1,357.90 | 38% below | 55% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS W/O FLWD BY CONTR | $969.93 | $2,155.39 | $136.74–$1,357.90 | 45% below | 55% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST | $759.07 | $2,186.36 | $140.28–$1,377.41 | 31% below | 65% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $128.71 | $1,686.83 | $83.79–$1,062.70 | 85% below | 92% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $957.52 | $1,844.59 | $83.79–$1,162.09 | 23% above | 48% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/ CONTRAST | $854.87 | $2,220.49 | $140.28–$1,398.91 | 8% below | 62% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O FOLLOWED BY CONTRAST | $999.22 | $2,406.86 | $140.28–$1,516.32 | 4% below | 58% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMB SPINE W/O CONTRAST | $999.22 | $1,942.76 | $83.79–$1,223.94 | 20% above | 49% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $188.06 | $1,942.76 | $83.79–$1,223.94 | 79% below | 90% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST MAKO PROTOCOL | $973.47 | $303.19 | $140.28–$1,362.85 | 3% above | -221% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX-CAROTIDS-COMPLETE | $381.07 | $846.83 | $108.00–$1,520.93 | 37% below | 55% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/O FOLLOWED BY CONTRAST | $1,070.69 | $2,379.30 | $140.28–$1,498.96 | 14% below | 55% |
| Chest X-ray, 2 views CPT 71046 RADIOLOGIC EXAM CHEST TWO VIEWS | $96.27 | $285.60 | $15.00–$313.02 | 52% below | 66% |
| Chest X-ray, single view CPT 71045 RADIOLOGIC EXAM CHEST SINGLE VIEW | $179.19 | $213.94 | $10.00–$313.02 | 4% below | 16% |
| Collarbone (clavicle) X-ray, complete CPT 73000 RADIOLOGIC EXAM CLAVICLE COMPLETE | $1,477.51 | $219.45 | $10.00–$313.02 | 632% above | -573% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ULTRASOUND RETROPERITONEAL COMPLETE | $359.22 | $730.01 | $60.00–$1,520.93 | 10% below | 51% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE MINERAL DENSITY STUDY AXIAL | $577.98 | $273.53 | $74.49–$570.81 | 116% above | -111% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY STUDY PERIPHERAL | $123.09 | $273.53 | $52.00–$570.81 | 15% below | 55% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $130.53 | $1,143.58 | $83.79–$835.80 | 84% below | 89% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST | $514.61 | $2,379.30 | $140.28–$1,498.96 | 55% below | 78% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAGNOSTIC MAMMOGRAPHY INCL CAD BILAT | $105.25 | $276.94 | $78.06–$487.26 | — | 62% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX-LOWER EXT-ARTERY | $204.71 | $344.14 | $108.00–$1,520.93 | 58% below | 41% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXT VEIN BIL | $446.51 | $992.25 | $108.00–$1,520.93 | 33% below | 55% |
| Elbow X-ray, 2 views CPT 73070 RADIOLOGIC EXAM ELBOW 2 VIEWS | $111.15 | $207.38 | $10.00–$313.02 | 44% below | 46% |
| Elbow X-ray, complete, 3 or more views CPT 73080 RADIOLOGIC EXAM ELBOW COMPLETE | $99.81 | $242.55 | $12.50–$313.02 | 51% below | 59% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 RADIOLOGIC EXAM ELBOW COMPLETE | $109.15 | $242.55 | $12.50–$313.02 | 46% below | 55% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC W/O CONTRAST | $1,083.09 | $1,746.41 | $83.79–$1,100.24 | 47% above | 38% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 RADIOLOGIC EXAM FACIAL BONES COMPLETE | $102.30 | $335.21 | $25.00–$370.70 | 61% below | 69% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 RADIOLOGIC EXAM FOREARM 2 VIEWS | $251.61 | $219.45 | $10.00–$313.02 | 25% above | -15% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $502.15 | $1,138.20 | $103.74–$1,390.67 | 50% below | 56% |
| Hand X-ray, 2 views CPT 73120 RADIOLOGIC EXAM HAND 2 VIEWS | $251.61 | $250.43 | $10.00–$370.70 | 34% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 RADIOLOGIC EXAM CALCANEUS 2=< VIEWS | $119.07 | $196.35 | $10.00–$313.02 | 35% below | 39% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGE/AIRW/PRESSURE | $1,707.26 | $4,030.69 | $729.48–$3,525.34 | 13% below | 58% |
| Knee X-ray, 3 views CPT 73562 RADIOLOGIC EXAM KNEE 3 VIEWS | $106.20 | $343.09 | $15.00–$313.02 | 47% below | 69% |
| Knee X-ray, complete, 4 or more views CPT 73564 RADIOLOGIC EXAM KNEE 4=< VIEWS | $118.13 | $262.50 | $20.00–$370.70 | 57% below | 55% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O CONTRAST MAKO | $844.47 | $303.19 | $83.79–$1,182.26 | 18% above | -179% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMEN LIMITED | $508.53 | $322.35 | $40.00–$538.44 | 55% above | -58% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ULTRASOUND LIMITED JT/NONVASCUL EXTREM | $266.49 | $190.05 | $9.87–$538.44 | 9% above | -40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCREENING | $1,070.69 | $286.02 | $34.83–$835.80 | 146% above | -274% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 RADIOLOGIC EXAM TIBIA FIBULA 2 VIEWS | $260.46 | $311.06 | $10.00–$313.02 | 29% above | 16% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST | $1,304.34 | $1,792.88 | $190.47–$1,353.02 | 5% above | 27% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST WO/W CONT INCL CAD BILATERAL | $1,018.59 | $2,263.54 | $166.69–$1,550.17 | — | 55% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREMITY JOINT W/O CONTRAST | $1,238.42 | $3,239.25 | $190.47–$2,040.73 | 23% above | 62% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTREM JT W/O FLWD BY CONTR | $1,457.66 | $2,703.49 | $281.42–$1,703.20 | 20% below | 46% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $969.93 | $2,131.24 | $190.47–$1,342.68 | 6% below | 54% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O FOLLOWED BY CONTRAST | $1,114.87 | $3,123.49 | $281.42–$1,967.80 | 32% below | 64% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,162.94 | $1,886.59 | $190.47–$1,188.55 | 12% above | 38% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O FOLLOWED BY CONTRAST | $1,297.96 | $2,884.35 | $281.42–$1,817.14 | 21% below | 55% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,123.72 | $2,188.46 | $190.47–$1,378.73 | 1% below | 49% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMB SPINE W/O FOLLOWED BY CONTRAST | $1,448.21 | $3,200.66 | $281.42–$2,016.42 | 13% below | 55% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRAST | $1,059.23 | $2,280.08 | $190.47–$1,436.45 | 4% above | 54% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE W/O FOLLOWED BY CONTRAST | $1,106.36 | $3,053.93 | $281.42–$1,923.98 | 32% below | 64% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERV SPINE W/O CONTRAST | $999.22 | $2,099.21 | $190.47–$1,322.50 | 1% below | 52% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O FOLLOWED BY CONTRAST | $1,101.40 | $3,120.08 | $281.42–$1,965.65 | 29% below | 65% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $1,070.69 | $2,118.11 | $190.47–$1,334.41 | 4% above | 49% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT OF UPPER EXTREMITY W/O CONTR | $1,125.73 | $1,886.59 | $190.47–$1,188.55 | 6% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 RADIOLOGIC EXAM SPINE CERVICAL 4-5 VIEW | $136.44 | $387.19 | $20.00–$370.70 | 50% below | 65% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/ CONTRAST | $742.30 | $2,137.80 | $140.28–$1,346.81 | 25% below | 65% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRAST | $916.89 | $1,649.55 | $83.79–$1,039.22 | 15% above | 44% |
| Neck soft tissue X-ray CPT 70360 RADIOLOGIC EXAM NECK SOFT TISSUE | $762.62 | $312.11 | $10.00–$313.02 | 296% above | -144% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET W/ CT- SKULL BASE TO MID THIGH | $631.14 | $2,654.91 | $676.00–$5,275.03 | 84% below | 76% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $573.03 | $1,875.56 | $83.79–$1,181.60 | 30% below | 69% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST MAKO PROTOCOL | $844.00 | $303.19 | $83.79–$1,181.60 | 3% above | -178% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ULTRASOUND PELVIC NON-OB LIMITED | $308.19 | $402.41 | $40.00–$538.44 | 13% above | 23% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIC NON-OB COMPLETE | $254.09 | $684.86 | $55.00–$1,520.93 | 36% below | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND PREGNANT UTERUS 14<WKS | $240.15 | $654.94 | $55.00–$498.44 | 31% below | 63% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND PREGNANT UTERUS 14>WKS | $229.75 | $654.94 | $55.00–$498.44 | 26% below | 65% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND PREGNANT UTERUS LIMITED | $240.15 | $348.60 | $25.00–$498.44 | 17% below | 31% |
| Rib X-ray, one side, 2 views one side CPT 71100 RADIOLOGIC EXAM RIBS UNILATERAL 2 VIEW | $123.56 | $202.91 | $15.00–$313.02 | 39% below | 39% |
| Rib X-ray, one side, 2 views one side CPT 71100 RADIOLOGIC EXAM RIBS UNILATERAL 2 VIEW | $308.19 | $274.58 | $15.00–$313.02 | 53% above | -12% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RADIOLOGIC EXAM RIB PA CHEST UNI 3=<VIEW | $123.56 | $335.21 | $17.50–$370.70 | 44% below | 63% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RADIOLOGIC EXAM RIB PA CHEST UNI 3=<VIEW | $150.84 | $307.65 | $17.50–$370.70 | 32% below | 51% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY INCL CAD BILATER | $124.62 | $276.94 | $64.59–$487.26 | 35% below | 55% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 RADIOLOGIC EXAM SHOULDER 2=< VIEWS | $109.15 | $276.94 | $15.00–$313.02 | 47% below | 61% |
| Sinus X-ray, complete, 3 or more views CPT 70220 RADIOLOGIC EXAM SINUSES PARANASAL COMP | $90.84 | $394.80 | $20.00–$313.02 | 55% below | 77% |
| Skull X-ray, fewer than 4 views CPT 70250 RADIOLOGIC EXAM SKULL PARTIAL 4>VIEWS | $98.75 | $328.65 | $15.00–$370.70 | 53% below | 70% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGE/4+ PARAMETERS | $1,245.98 | $3,793.91 | $729.48–$3,525.34 | 33% below | 67% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/ INTER REPORT | $520.11 | $1,381.28 | $142.00–$1,860.13 | 49% below | 62% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO W/MONITORING SUPERVISION | $621.58 | $106.58 | $67.15–$1,860.13 | 39% below | -483% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCT W CINE/VIDEORADIOGRAPHY | $230.22 | $654.94 | $20.00–$753.46 | 32% below | 65% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 RADIOLOGIC EXAM FEMUR 2=< VIEWS | $145.41 | $709.01 | $9.78–$446.68 | 21% below | 79% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST | $999.22 | $1,875.56 | $83.79–$1,181.60 | 15% above | 47% |
| Toe X-ray, 2 or more views CPT 73660 RADIOLOGIC EXAM TOE(S) 2=< VIEWS | $88.36 | $186.38 | $7.50–$313.02 | 50% below | 53% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL | $239.67 | $682.50 | $60.00–$538.44 | 36% below | 65% |
| Transvaginal ultrasound during pregnancy CPT 76817 ULTRASOUND PREGNANT UTERUS TRANSVAGINAL | $254.09 | $522.64 | $60.00–$498.44 | 12% below | 51% |
| Ultrasound of the abdomen, complete CPT 76700 ULTRASOUND ABDOMEN COMPLETE | $152.86 | $1,130.06 | $60.00–$1,520.93 | 66% below | 86% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCROTUM AND CONTENTS | $125.92 | $619.76 | $30.00–$538.44 | 64% below | 80% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SOFT TISSUE OF HEAD NECK | $118.13 | $605.33 | $30.00–$538.44 | 64% below | 80% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RADIOLOGIC EXAM UGI | $258.57 | $574.61 | $30.00–$753.46 | 38% below | 55% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 RADIOLOGIC EXAM UGI W/O KUB | $294.72 | $574.61 | $30.00–$753.46 | 30% below | 49% |
| Upper arm X-ray (humerus), 2 views CPT 73060 RADIOLOGIC EXAM HUMERUS 2=< VIEWS | $124.62 | $247.01 | $10.00–$313.02 | 35% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXT VEIN LMT UNI | $371.62 | $825.83 | $83.79–$644.15 | 2% above | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPL EXTRIM VEINS-LT | $150.84 | $335.21 | $83.79–$538.44 | 59% below | 55% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPL EXTRIM VEINS-LT | $371.62 | $335.21 | $83.79–$644.15 | 2% above | -11% |
| Wrist X-ray, 2 views CPT 73100 RADIOLOGIC EXAM WRIST 2 VIEWS | $76.90 | $221.81 | $10.00–$313.02 | 58% below | 65% |
| Wrist X-ray, complete, 3 or more views CPT 73110 RADIOLOGIC EXAM WRIST COMPLETE | $97.81 | $256.99 | $12.50–$313.02 | 52% below | 62% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 RADIOLOGIC EXAM WRIST COMPLETE | $150.37 | $256.99 | $12.50–$313.02 | 25% below | 41% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 RADIOLOGIC EXAM HIP UNILAT 2-3 VIEW | $130.53 | $313.16 | $12.47–$313.02 | 35% below | 58% |
| X-ray of the abdomen, 1 view CPT 74018 RADIOLOGIC EXAM ABDOMEN 1 VIEW | $844.00 | $226.01 | $10.00–$313.02 | 318% above | -273% |
| X-ray of the ankle, 2 views CPT 73600 RADIOLOGIC EXAM ANKLE 2 VIEWS | $139.98 | $233.89 | $10.00–$313.02 | 27% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 RADIOLOGIC EXAM FINGER(S) 2=< VIEWS | $112.69 | $183.23 | $7.50–$313.02 | 35% below | 38% |
| X-ray of the foot, 2 views CPT 73620 RADIOLOGIC EXAM FOOT 2 VIEWS | $286.34 | $219.45 | $10.00–$313.02 | 56% above | -30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 RADIOLOGIC EXAM FOOT COMPLETE | $98.75 | $264.60 | $12.50–$313.02 | 49% below | 63% |
| X-ray of the hand, 3 or more views CPT 73130 RADIOLOGIC EXAM HAND 3=< VIEWS | $112.69 | $250.43 | $12.50–$313.02 | 44% below | 55% |
| X-ray of the knee, 1 or 2 views CPT 73560 RADIOLOGIC EXAM KNEE 1-2 VIEWS | $319.05 | $235.99 | $10.00–$313.02 | 58% above | -35% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 RADIOLOGIC EXAM LUMBOSACRAL 2-3 VIEWS | $294.25 | $374.85 | $15.00–$370.70 | 7% above | 22% |
| X-ray of the lower back, 4 or more views CPT 72110 RADIOLOGIC EXAM LUMBOSACRAL 4-5 VIEWS | $168.68 | $481.95 | $30.00–$370.70 | 44% below | 65% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 RADIOLOGIC EXAM SPINE THORACIC 2 VIEW | $154.86 | $280.09 | $15.00–$370.70 | 31% below | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 RADIOLOGIC EXAM NASAL BONES COMPLETE | $150.84 | $266.96 | $15.00–$313.02 | 17% below | 43% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 RADIOLOGIC EXAM SPINE CERVICAL 2-3 VIEW | $53.16 | $303.19 | $15.00–$313.02 | 74% below | 82% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 RADIOLOGIC EXAM PELVIS 1-2 VIEWS | $1,440.30 | $237.04 | $12.50–$370.70 | 541% above | -508% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RADIOLOGIC EXAM SACRUM COCCYX 2 VIEWS | $126.04 | $276.94 | $15.00–$313.02 | 31% below | 54% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH @ | $105.96 | $165.38 | $32.83–$324.84 | 24% below | 36% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $35.08 | $68.51 | $4.51–$259.24 | 56% above | 49% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $27.41 | $77.96 | $4.40–$259.24 | 25% above | 65% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $239.09 | $199.24 | $40.49–$310.08 | 39% above | -20% |
| Albumin blood test CPT 82040 FLUID ALBUMIN | $21.50 | $21.53 | $4.21–$259.24 | 18% above | — |
| Albumin blood test CPT 82040 ALBUMIN | $74.42 | $47.78 | $4.21–$259.24 | 307% above | -56% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $18.78 | $174.56 | $34.64–$324.84 | 86% below | 89% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE | $18.67 | $21.79 | $4.40–$259.24 | 4% below | 14% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F086-IGE PARSLEY | $9.45 | $21.00 | $3.65–$267.86 | 35% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F261- IGE ASPARAGUS | $9.45 | $21.00 | $3.65–$267.86 | 35% below | 55% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GUM GUAR IGE | $9.69 | $21.00 | $3.65–$267.86 | 33% below | 54% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY SPECIFIC IGE | $24.34 | $21.53 | $3.65–$267.86 | 68% above | -13% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP- TUMOR MARKER @ | $24.45 | $71.93 | $6.50–$268.51 | 61% below | 66% |
| Ammonia blood test CPT 82140 AMMONIA | $27.76 | $112.09 | $12.38–$268.51 | 47% below | 75% |
| Amylase blood test CPT 82150 AMYLASE URINE | $25.04 | $64.84 | $5.03–$259.24 | 17% below | 61% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $29.18 | $87.41 | $5.03–$259.24 | 3% below | 67% |
| Amylase blood test CPT 82150 AMYLASE | $29.18 | $87.41 | $5.03–$259.24 | 3% below | 67% |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES | $39.33 | $55.65 | $5.03–$259.24 | 30% above | 29% |
| Amylase blood test CPT 82150 AMYLASE URINE RANDOM | $50.44 | $64.84 | $5.03–$259.24 | 67% above | 22% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY IGG | $39.22 | $55.65 | $11.01–$267.86 | 16% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $17.25 | $128.10 | $5.20–$267.86 | 61% below | 87% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTINUCLEAR ANTIBODIES IFA | $57.65 | $118.13 | $5.20–$267.86 | 30% above | 51% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATRIURETIC PEPTID | $26.70 | $147.53 | $33.37–$320.33 | 78% below | 82% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PROBNP | $66.39 | $190.84 | $33.37–$320.33 | 46% below | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $16.78 | $108.15 | $7.33–$266.04 | 58% below | 84% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SKIN/SOFT TISSUE | $19.14 | $108.15 | $7.33–$266.04 | 52% below | 82% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NOSE | $25.04 | $108.15 | $7.33–$266.04 | 37% below | 77% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FOREIGN BODY | $25.04 | $108.15 | $7.33–$266.04 | 37% below | 77% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $35.08 | $108.15 | $7.33–$266.04 | 11% below | 68% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VAGINAL CULTURE | $41.46 | $102.90 | $7.33–$266.04 | 5% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MRSA PLATE | $46.31 | $55.65 | $7.33–$266.04 | 17% above | 17% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $46.31 | $102.90 | $7.33–$266.04 | 17% above | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MRSA SCREEN | $48.67 | $55.65 | $7.33–$266.04 | 23% above | 13% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $48.67 | $108.15 | $7.33–$266.04 | 23% above | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $48.67 | $77.96 | $7.33–$266.04 | 23% above | 38% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRONCHIAL | $48.67 | $108.15 | $7.33–$266.04 | 23% above | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURGICAL | $48.67 | $108.15 | $7.33–$266.04 | 23% above | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GROUP A STREP | $48.67 | $42.53 | $7.33–$266.04 | 23% above | -14% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE | $48.67 | $37.28 | $7.33–$266.04 | 23% above | -31% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $48.67 | $108.15 | $7.33–$266.04 | 23% above | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR | $48.67 | $108.15 | $7.33–$266.04 | 23% above | 55% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE FLUID | $48.67 | $108.15 | $7.33–$266.04 | 23% above | 55% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PNL>2000 | $55.28 | $141.23 | $7.19–$244.08 | 9% below | 61% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL NEONATAL | $23.63 | $59.33 | $4.27–$259.24 | 14% above | 60% |
| Bilirubin blood test, total CPT 82247 BILLRUBIN BODY FLUID | $26.70 | $59.33 | $4.27–$259.24 | 29% above | 55% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $26.82 | $59.33 | $4.27–$259.24 | 30% above | 55% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL IV TC | $65.44 | $293.48 | $42.10–$357.22 | 55% below | 78% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LIGHT MICROSCOPY | $88.83 | $145.43 | $42.10–$357.22 | 39% below | 39% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION VENOUS BLOOD BY VENIPUNCTURE | $12.40 | $24.15 | $7.73–$260.17 | 16% below | 49% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $111.63 | $27.56 | $7.73–$260.17 | 655% above | -305% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $23.86 | $53.03 | $3.34–$259.24 | 33% above | 55% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE NONFAST | $32.72 | $53.03 | $3.34–$259.24 | 82% above | 38% |
| Blood lead test CPT 83655 LEAD | $37.09 | $81.90 | $10.29–$244.08 | 14% below | 55% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST-SERUM | $66.39 | $92.14 | $2.00–$259.24 | 104% above | 28% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO | $13.47 | $56.96 | $2.99–$430.71 | 91% below | 76% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB REFERENCE TEST BLOOD TYPE ABO | $58.71 | $29.93 | $2.99–$430.71 | 62% below | -96% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NIT (BUN) | $58.71 | $55.65 | $3.36–$259.24 | 171% above | -5% |
| C-peptide blood test CPT 84681 C PEPTIDE | $14.29 | $89.25 | $17.69–$268.51 | 81% below | 84% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN RCRP | $14.18 | $83.48 | $4.10–$267.86 | 46% below | 83% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE | $56.23 | $141.23 | $31.68–$331.09 | 54% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE NAA | $63.55 | $151.99 | $31.68–$331.09 | 47% below | 58% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 @ | $40.16 | $89.25 | $17.69–$267.86 | 47% below | 55% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 @ | $38.98 | $89.25 | $17.69–$267.86 | 49% below | 56% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 | $40.16 | $86.63 | $17.69–$267.86 | 48% below | 54% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 NAA BDMAX | $63.32 | $275.63 | $22.22–$244.08 | 30% below | 77% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 NAA HOLOGIC | $82.93 | $275.63 | $22.22–$244.08 | 8% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 NOVEL CORONA VIRUS | $124.03 | $105.00 | $22.22–$244.08 | 38% above | -18% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 NAA | $124.03 | $140.70 | $22.22–$244.08 | 38% above | 12% |
| Calcium blood test, total CPT 82310 CALCIUM | $51.62 | $55.65 | $4.39–$259.24 | 171% above | 7% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA 2003 | $36.62 | $79.28 | $16.12–$268.51 | 48% below | 54% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA FLUID | $61.66 | $81.38 | $16.12–$268.51 | 12% below | 24% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB | $10.98 | $24.94 | $8.03–$267.86 | 74% below | 56% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED ASSAY | $45.24 | $124.95 | $21.43–$331.09 | 46% below | 64% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $69.34 | $162.49 | $6.04–$302.77 | 3% above | 57% |
| Complete blood count (CBC) with differential CPT 85025 CBC\ DIFF\ AUTO | $15.36 | $35.18 | $3.17–$269.20 | 60% below | 56% |
| Complete blood count (CBC), no differential CPT 85027 CELL PROFILE | $15.83 | $59.06 | $3.17–$269.20 | 44% below | 73% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL>2000 | $235.07 | $50.66 | $8.98–$329.10 | 188% above | -364% |
| Cortisol blood test, total CPT 82533 CORTISOL AM | $31.07 | $170.89 | $13.86–$301.42 | 39% below | 82% |
| Cortisol blood test, total CPT 82533 SALIVARY CORTISOL | $32.25 | $69.04 | $13.86–$301.42 | 37% below | 53% |
| Cortisol blood test, total CPT 82533 CORTISOL | $76.90 | $170.89 | $13.86–$301.42 | 51% above | 55% |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $76.90 | $170.89 | $13.86–$301.42 | 51% above | 55% |
| Creatine kinase (CK) blood test, total CPT 82550 CK | $107.37 | $77.96 | $5.03–$259.24 | 311% above | -38% |
| Creatinine blood test CPT 82565 CREATININE | $64.50 | $71.14 | $4.35–$259.24 | 176% above | 9% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AB @ | $17.84 | $61.69 | $12.23–$267.86 | 64% below | 71% |
| D-dimer blood test (blood clot marker) CPT 85379 D- DIMER | $72.29 | $142.80 | $8.65–$274.30 | 94% above | 49% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE @ | $48.78 | $95.29 | $18.90–$301.42 | 41% below | 49% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE UR | $20.25 | $122.59 | $7.50–$351.44 | 83% below | 83% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM PANEL 10 | $55.17 | $180.86 | $7.50–$351.44 | 55% below | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCR ONLY 10 WB | $63.90 | $299.25 | $7.50–$351.44 | 48% below | 79% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URN | $81.39 | $142.01 | $7.50–$351.44 | 33% below | 43% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS VC IGG | $25.28 | $77.96 | $15.42–$267.86 | 43% below | 68% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS VC IGM | $35.08 | $77.96 | $15.42–$267.86 | 20% below | 55% |
| Estradiol blood test CPT 82670 ESTRADIOL | $36.27 | $129.68 | $23.75–$301.42 | 63% below | 72% |
| Estradiol blood test CPT 82670 ESTRADIOL @ | $58.36 | $119.70 | $23.75–$301.42 | 40% below | 51% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $29.06 | $128.10 | $15.79–$301.42 | 58% below | 77% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $29.18 | $273.53 | $11.28–$268.51 | 68% below | 89% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $131.71 | $190.84 | $11.59–$268.51 | 137% above | 31% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $64.26 | $97.91 | $6.90–$274.30 | 70% above | 34% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $313.15 | $229.16 | $12.50–$268.51 | 477% above | -37% |
| Free T3 thyroid hormone test CPT 84481 FT3 | $26.82 | $133.35 | $9.00–$301.42 | 64% below | 80% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 DIALYSIS | $42.88 | $268.01 | $7.67–$301.42 | 12% below | 84% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4- FREE | $120.60 | $144.90 | $7.67–$301.42 | 149% above | 17% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $9.69 | $109.20 | $21.65–$301.42 | 89% below | 91% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUT TRANS | $18.78 | $68.51 | $5.03–$259.24 | 29% below | 73% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $63.55 | $3.15 | $1.98–$302.77 | 49% below | -1917% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR POST PRAN | $23.86 | $64.84 | $4.04–$259.24 | 34% above | 63% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR POST PRAN | $29.18 | $64.84 | $4.04–$259.24 | 64% above | 55% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE | $29.18 | $196.09 | $6.84–$268.51 | 42% below | 85% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE | $88.24 | $196.09 | $6.84–$268.51 | 74% above | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED ASSAY | $44.53 | $124.95 | $21.43–$331.09 | 52% below | 64% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB IGM | $11.22 | $24.94 | $8.03–$267.86 | 79% below | 55% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB IGG | $11.22 | $24.94 | $8.03–$267.86 | 79% below | 55% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG | $30.71 | $333.11 | $8.03–$267.86 | 42% below | 91% |
| H. pylori antibody blood test CPT 86677 H PYLORI AB IGA | $149.90 | $24.94 | $8.03–$267.86 | 185% above | -501% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG | $36.62 | $61.69 | $8.03–$266.04 | 33% below | 41% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT PCR | $67.68 | $364.09 | $22.22–$244.08 | 70% below | 81% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 ANTIBODIES | $25.28 | $104.48 | $11.65–$279.16 | 49% below | 76% |
| HIV-1 and HIV-2 antibody test CPT 86703 RAPID ANTIBODY ASSAY | $47.02 | $118.65 | $11.65–$279.16 | 5% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB | $16.54 | $114.71 | $18.49–$266.04 | 80% below | 86% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HUMAN PAPILLOMAVIRUS | $56.23 | $170.89 | $27.85–$331.09 | 27% below | 67% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO HEMOG A1C | $33.79 | $105.53 | $8.25–$259.24 | 6% below | 68% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $14.76 | $34.13 | $2.00–$269.20 | 2% above | 57% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $53.39 | $51.98 | $10.10–$267.86 | 22% above | -3% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $22.68 | $133.35 | $9.13–$267.86 | 42% below | 83% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN | $27.76 | $133.35 | $8.78–$266.04 | 26% below | 79% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $31.07 | $124.16 | $10.00–$267.86 | 42% below | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB @ | $55.87 | $61.16 | $10.00–$267.86 | 4% above | 9% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS QUANTASURE | $66.74 | $304.76 | $36.41–$331.09 | 49% below | 78% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT BDNA | $80.68 | $183.23 | $36.41–$331.09 | 38% below | 56% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR QN RFX GENO | $82.45 | $179.29 | $36.41–$331.09 | 37% below | 54% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA QT PCR | $137.14 | $183.23 | $36.41–$331.09 | 5% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 GLYCO G IGG | $27.17 | $82.95 | $11.21–$267.86 | 22% below | 67% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV1 IGM | $37.33 | $85.31 | $11.21–$267.86 | 7% above | 56% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2 IGM | $37.33 | $85.31 | $14.50–$267.86 | 33% below | 56% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV2 GLYCO G IGG | $38.39 | $82.95 | $14.50–$267.86 | 31% below | 54% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN (HS) | $37.57 | $83.48 | $10.25–$267.86 | 20% below | 55% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $56.94 | $72.45 | $15.23–$301.42 | 14% below | 21% |
| Insulin blood test CPT 83525 INSULIN | $27.64 | $107.10 | $9.72–$301.42 | 34% below | 74% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $45.83 | $94.24 | $9.72–$301.42 | 9% above | 51% |
| Insulin blood test CPT 83525 INSULIN TOLERANCE SPECIMENS | $48.20 | $101.85 | $9.72–$301.42 | 14% above | 53% |
| Iron blood test (serum iron) CPT 83540 IRON | $42.41 | $75.34 | $5.03–$259.24 | 63% above | 44% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BIND CAPACITY | $33.90 | $64.84 | $5.03–$259.24 | 11% below | 48% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $82.93 | $531.30 | $7.38–$334.72 | 23% above | 84% |
| LH (luteinizing hormone) test CPT 83002 LH | $57.65 | $128.10 | $15.74–$301.42 | 16% below | 55% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $29.18 | $129.41 | $9.30–$268.51 | 27% below | 77% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $26.70 | $29.14 | $5.03–$259.24 | 21% above | 8% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY FLUID | $29.41 | $59.33 | $5.03–$259.24 | 33% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 SYNOVIAL FLUID LDH | $33.31 | $3.76 | $2.37–$259.24 | 51% above | -786% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF | $58.23 | $74.03 | $5.03–$259.24 | 164% above | 21% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $25.04 | $75.34 | $5.75–$259.24 | 11% below | 67% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $221.49 | $37.28 | $6.94–$302.77 | 266% above | -494% |
| Lyme disease antibody test CPT 86618 LYME DISEASEBORRELIA BURG C6 | $29.18 | $231.53 | $14.48–$267.86 | 36% below | 87% |
| Lyme disease antibody test CPT 86618 LYME IGM/IGG AB | $104.19 | $72.98 | $14.48–$267.86 | 127% above | -43% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $32.72 | $29.40 | $5.03–$259.24 | 32% above | -11% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE RANDOM | $49.97 | $115.76 | $5.03–$259.24 | 102% above | 57% |
| Magnesium blood test CPT 83735 MAGNESIUM | $52.09 | $72.71 | $5.03–$259.24 | 111% above | 28% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM AB | $24.93 | $27.04 | $10.95–$267.86 | 44% below | 8% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG AB @ | $45.24 | $55.39 | $10.95–$267.86 | 1% above | 18% |
| Mono test (heterophile antibody, Monospot) CPT 86308 INFECT MONO/MONO TEST | $40.16 | $121.28 | $4.40–$267.86 | 22% above | 67% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $11.22 | $24.94 | $8.03–$267.86 | 74% below | 55% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $21.26 | $24.94 | $8.03–$267.86 | 50% below | 15% |
| Obstetric blood test panel CPT 80055 OBSTETRICAL PANEL | $235.07 | $154.09 | $40.64–$302.77 | 122% above | -53% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 DO NOT USE WRONG NRV CODE PSA FREE | $34.73 | $87.41 | $15.63–$268.51 | 41% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIF ANTIGEN FREE | $34.73 | $77.18 | $15.63–$268.51 | 41% below | 55% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIF ANTIGEN FREE REFLEX | $39.33 | $77.18 | $15.63–$268.51 | 34% below | 49% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIFIC ANTIG FREE | $66.39 | $77.18 | $15.63–$268.51 | 12% above | 14% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIG | $47.84 | $147.53 | $15.63–$268.51 | 27% below | 68% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA-SENSITIVE | $47.84 | $106.31 | $15.63–$268.51 | 27% below | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL ( REFLEX TO FREE ) | $47.84 | $106.31 | $15.63–$268.51 | 27% below | 55% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $51.62 | $106.31 | $15.63–$268.51 | 21% below | 51% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP-LIQUID BASE-DIAG/TC | $40.99 | $135.71 | $17.22–$309.82 | 42% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTAC | $21.38 | $277.73 | $35.09–$324.84 | 83% below | 92% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-HEPARIN | $11.22 | $61.69 | $5.11–$274.30 | 51% below | 82% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $27.76 | $57.49 | $5.11–$274.30 | 22% above | 52% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $11.70 | $55.65 | $4.03–$259.24 | 43% below | 79% |
| Potassium blood test CPT 84132 POTASSIUM BODY FLUID | $26.10 | $58.01 | $4.05–$259.24 | 15% above | 55% |
| Potassium blood test CPT 84132 POTASSIUM | $27.76 | $58.01 | $4.05–$259.24 | 22% above | 52% |
| Progesterone blood test CPT 84144 PROGESTERONE @ | $43.11 | $89.51 | $17.73–$301.42 | 50% below | 52% |
| Prolactin blood test CPT 84146 PROLACTIN | $158.17 | $114.71 | $16.47–$301.42 | 121% above | -38% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME/INR | $34.02 | $51.71 | $3.65–$244.08 | 113% above | 34% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST ANY DRUG / ANY DEVICE | $11.81 | $142.01 | $5.00–$244.08 | 66% below | 92% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A POCT | $72.41 | $160.91 | $14.07–$266.04 | 78% above | 55% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN | $72.41 | $160.91 | $14.07–$266.04 | 78% above | 55% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN | $72.41 | $160.91 | $14.07–$266.04 | 78% above | 55% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B POCT | $112.93 | $160.91 | $14.07–$266.04 | 177% above | 30% |
| Renin blood test CPT 84244 RENIN ACTIVITY | $21.03 | $94.24 | $18.69–$301.42 | 74% below | 78% |
| Rh blood typing CPT 86901 BLOOD TYPE RH | $13.47 | $54.34 | $2.99–$337.95 | 71% below | 75% |
| Rh blood typing CPT 86901 BB REFERENCE TEST BLOOD TYPE RH | $25.63 | $29.93 | $2.99–$337.95 | 45% below | 14% |
| Rheumatoid factor (RF) test CPT 86431 RA LATEX TURBID | $28.47 | $74.03 | $2.78–$267.86 | 36% above | 62% |
| Rheumatoid factor (RF) test CPT 86431 RF TITER | $33.31 | $80.59 | $4.82–$267.86 | 59% above | 59% |
| Rheumatoid factor (RF) test CPT 86431 LABCORP RHEUMATOID FACTOR | $36.27 | $4.41 | $2.78–$267.86 | 73% above | -722% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNITY STATUS | $27.76 | $100.54 | $12.23–$267.86 | 35% below | 72% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB | $36.27 | $61.69 | $12.23–$267.86 | 16% below | 41% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $47.49 | $195.56 | $10.46–$328.58 | 26% above | 76% |
| Sodium blood test CPT 84295 SODIUM | $25.16 | $59.33 | $4.09–$259.24 | 33% above | 58% |
| Stool ova and parasites exam CPT 87177 PARASITE COMPREHENSIVE | $25.63 | $129.41 | $7.57–$266.04 | 22% below | 80% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD IMMUNOCHEM | $13.82 | $84.53 | $3.40–$268.51 | 69% below | 84% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM ABS IGM BY ELISA | $24.69 | $128.89 | $11.25–$267.86 | 41% below | 81% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM ABS IGG BY ELISA | $27.76 | $128.89 | $11.25–$267.86 | 34% below | 78% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL ABS | $58.00 | $59.33 | $11.25–$267.86 | 38% above | 2% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODIES | $58.00 | $54.86 | $11.25–$267.86 | 38% above | -6% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS/RPR CSF | $25.63 | $48.83 | $3.27–$267.86 | 63% above | 48% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS/RPR | $133.83 | $56.96 | $3.27–$267.86 | 749% above | -135% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $49.14 | $124.95 | $21.94–$301.42 | 43% below | 61% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $56.23 | $110.78 | $21.94–$301.42 | 35% below | 49% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES | $308.31 | $62.74 | $12.37–$267.86 | 486% above | -391% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $28.59 | $80.33 | $9.00–$301.42 | 61% below | 64% |
| Total IgE blood test CPT 82785 IGE @ | $18.07 | $70.88 | $12.50–$268.51 | 70% below | 75% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $44.42 | $62.21 | $3.70–$259.24 | 120% above | 29% |
| Total thyroxine (T4) blood test CPT 84436 T4 | $31.07 | $95.29 | $5.70–$301.42 | 9% above | 67% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 | $36.86 | $136.76 | $5.70–$301.42 | 35% below | 73% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE | $37.57 | $59.59 | $5.70–$301.42 | 34% below | 37% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $35.08 | $54.86 | $10.85–$268.51 | 25% below | 36% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS | $26.10 | $124.95 | $21.43–$331.09 | 63% below | 79% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $13.23 | $81.90 | $4.88–$259.24 | 49% below | 84% |
| Triglycerides blood test CPT 84478 FLUID TRIGLYCERIDES | $24.69 | $29.40 | $4.88–$259.24 | 5% below | 16% |
| Troponin test, quantitative CPT 84484 TROPONIN I HIGH SENSITIVITY | $14.89 | $130.46 | $8.05–$268.51 | 64% below | 89% |
| Troponin test, quantitative CPT 84484 TROPININ T | $58.71 | $130.46 | $8.05–$268.51 | 43% above | 55% |
| Troponin test, quantitative CPT 84484 TROPONIN I | $58.71 | $130.46 | $8.05–$268.51 | 43% above | 55% |
| Uric acid blood test CPT 84550 URIC ACID | $12.52 | $55.65 | $3.84–$259.24 | 47% below | 78% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO | $36.62 | $59.06 | $2.69–$268.04 | 36% above | 38% |
| Urinalysis without microscope exam, automated CPT 81003 UROBILINOGEN URINE | $11.34 | $50.40 | $1.91–$268.04 | 10% below | 78% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES URINE | $13.59 | $30.71 | $1.91–$268.04 | 8% above | 56% |
| Urinalysis without microscope exam, automated CPT 81003 BILE URINE | $13.82 | $25.20 | $1.91–$268.04 | 10% above | 45% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $19.26 | $30.19 | $1.91–$268.04 | 53% above | 36% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS ROUTINE | $22.68 | $42.79 | $1.91–$268.04 | 80% above | 47% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $22.68 | $30.19 | $1.91–$268.04 | 80% above | 25% |
| Urinalysis without microscope exam, manual CPT 81002 GLUCOSE URINE RANDOM | $13.59 | $50.40 | $2.00–$268.04 | 31% above | 73% |
| Urinalysis without microscope exam, manual CPT 81002 GLUCOSE URINE DIPSTICK | $19.61 | $30.19 | $2.00–$268.04 | 88% above | 35% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIPSTICK | $26.58 | $43.58 | $2.00–$268.04 | 155% above | 39% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $27.99 | $113.40 | $6.86–$266.04 | 27% below | 75% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE LABCORP | $51.03 | $56.70 | $6.86–$266.04 | 34% above | 10% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN | $12.17 | $71.14 | $4.91–$268.04 | 57% below | 83% |
| Urine microalbumin (albumin) test CPT 82043 24HR URINE ALBUMIN | $32.01 | $24.94 | $4.91–$268.04 | 13% above | -28% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY/URINE- ER | $7.33 | $98.96 | $2.00–$251.33 | 72% below | 93% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY/URINE | $44.53 | $93.71 | $2.00–$251.33 | 69% above | 52% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $12.29 | $256.73 | $12.50–$301.42 | 78% below | 95% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY VITD | $38.04 | $221.55 | $25.16–$320.33 | 57% below | 83% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY D2 + D3 SO | $99.70 | $435.49 | $25.16–$320.33 | 12% above | 77% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 DIHYDROXY VIT D | $48.67 | $164.85 | $32.73–$320.33 | 51% below | 70% |
| Zinc blood test CPT 84630 ZINC SERUM | $109.50 | $31.76 | $7.90–$287.06 | 222% above | -245% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $40.16 | $129.68 | $12.37–$301.42 | 28% below | 69% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERVATION OF MUSCLE(S) | $313.98 | $700.09 | $232.61–$1,168.24 | 22% below | 55% |
| Botox injections for chronic migraine CPT 64615 BOTOX MSCL FACIAL/TRIG/CERV/SPINAL/ACC | $313.98 | $697.73 | $232.61–$1,168.24 | 22% below | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $215.10 | $2,778.30 | $460.90–$2,194.45 | 73% below | 92% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ECU CARDIOVERSION | $238.73 | $562.80 | $334.22–$2,194.45 | 70% below | 58% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $253.26 | $151.99 | $95.75–$2,194.45 | 68% below | -67% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ECU MD-CARDIOVERSION | $1,250.24 | $530.51 | $334.22–$2,194.45 | 56% above | -136% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISION OLDER THAN 28 DAYS | $1,238.12 | $2,827.48 | $802.46–$6,867.73 | 60% below | 56% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX DISTAL RADIAL ULNAR STYLOID FX | $193.49 | $744.71 | $189.02–$1,247.26 | 65% below | 74% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $209.91 | $953.23 | $525.96–$3,479.46 | 85% below | 78% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST PREMALIG LESION 1ST | $228.81 | $583.80 | $156.57–$886.38 | 12% below | 61% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LAV | $158.53 | $214.99 | $22.22–$244.08 | 31% above | 26% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DX/THERAPEUTIC SUBSTANCE CERV W/ G | $313.98 | $1,132.95 | $479.37–$2,331.76 | 71% below | 72% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF DIAGNOSTIC/THERAPEUTIC ANES | $509.83 | $1,987.91 | $479.37–$2,331.76 | 52% below | 74% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ DX/THR AGENT LUMBAR SINGLE LEVEL | $188.29 | $769.65 | $479.37–$3,073.33 | 91% below | 76% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH INTRO CONTRAST MATERIAL FOR SIS | $183.10 | $572.25 | $360.52–$1,169.23 | 40% below | 68% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I D ABSCESS SIMPLE/SINGLE | $102.30 | $583.80 | $156.57–$886.38 | 74% below | 82% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH/LIG APONEUROSIS | $125.10 | $140.70 | $83.68–$998.67 | 74% below | 11% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT W/O GUIDANCE | $183.10 | $818.74 | $232.61–$998.67 | 60% below | 78% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INT JOINT W/O GUIDANCE | $236.72 | $818.74 | $207.55–$998.67 | 41% below | 71% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SMALL JOINT W/O GUIDANCE | $125.69 | $818.74 | $207.55–$998.67 | 70% below | 85% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIRATION AND/OR INJECT | $148.25 | $722.14 | $207.55–$998.67 | 65% below | 79% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INT WOUND S/A/T/E <25CM | $467.54 | $352.54 | $222.10–$1,635.67 | 21% below | -33% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ DX/THERAPEUTIC SUBSTANCES LUMB W/ G | $313.98 | $1,132.95 | $479.37–$2,331.76 | 79% below | 72% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ DX/THERAPEUTIC SUBSTANCES LUMBAR | $894.56 | $697.73 | $439.57–$3,073.33 | 39% below | -28% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 ANEST AGNT/TRANSFORAMINAL LUMB SNGL LVL | $973.21 | $460.95 | $290.40–$3,073.33 | 33% below | -111% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGLE | $65.80 | $245.96 | $97.94–$675.04 | 80% below | 73% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTHESIA AGENT GREATER OCCIPITAL | $53.28 | $697.73 | $232.61–$1,168.24 | 87% below | 92% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/ IMAGING GUIDE | $188.29 | $488.51 | $307.76–$3,056.48 | 87% below | 61% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL AND NAIL MATRIX PERM REMOVAL | $158.53 | $1,038.98 | $314.83–$1,500.56 | 78% below | 85% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST NEUROLYTIC AGENT LUMB SINGL JOINT | $272.87 | $1,186.24 | $481.11–$6,510.20 | 92% below | 77% |
| Removal of a foreign object under the skin, simple CPT 10120 I R FOREIGN BODY SUBCUTANEOUS SIMPLE | $467.54 | $574.61 | $287.73–$1,344.48 | 27% below | 19% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF SHORT ARM SPLINT | $200.46 | $352.28 | $101.57–$667.23 | 3% below | 43% |
| Short leg splint (calf to foot) CPT 29515 APPL SHORT LEG SPLINT | $200.46 | $146.21 | $92.11–$667.23 | 16% below | -37% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SUPERFICIAL WOUNDS <25CM | $304.27 | $306.60 | $156.57–$1,158.07 | 20% below | 1% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX OF SKIN | $46.07 | $141.23 | $88.97–$1,500.56 | 93% below | 67% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 LESIONS | $145.41 | $583.80 | $156.57–$886.38 | 58% below | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $531.45 | $285.86 | $180.09–$2,331.76 | 53% below | -86% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP REPAIR SUPERFICIAL WOUND 26-75CM | $262.71 | $583.80 | $156.57–$1,158.07 | 33% below | 55% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR WOUND F/E/E/N/L/M <25CM | $79.74 | $583.80 | $156.57–$1,158.07 | 79% below | 86% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGE GUIDANCE | $313.51 | $926.10 | $487.18–$2,118.19 | 75% below | 66% |
| Trigger finger release surgery CPT 26055 TENDON SHEATH INCISION (TRIGGER FINGER) | $217.82 | $1,522.08 | $958.91–$5,419.17 | 90% below | 86% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION 1-2 MUSCLES | $225.38 | $217.09 | $136.77–$998.67 | 46% below | -4% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBCUT TISSUE =<20 SQ CM | $65.21 | $1,038.98 | $314.83–$1,635.67 | 92% below | 94% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MEDICATED AEROSOL- SUBS | $33.31 | $74.03 | $3.00–$719.17 | 82% below | 55% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CONT NEB THER-SUB-DAILY | $70.64 | $687.49 | $3.00–$719.17 | 63% below | 90% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $104.19 | $507.15 | $3.00–$719.17 | 45% below | 79% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPAG AEROSOL-SUB-DAILY | $285.27 | $687.49 | $3.00–$719.17 | 51% above | 59% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREAT | $309.37 | $74.03 | $3.00–$719.17 | 64% above | -318% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV UP TO 1 HOUR | $89.30 | $826.88 | $35.00–$1,141.92 | 85% below | 89% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF 1 HR | $372.10 | $854.44 | $35.00–$1,141.92 | 39% below | 56% |
| Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE | $270.27 | $1,706.78 | $119.37–$2,992.04 | 83% below | 84% |
| Critical care, first 30 to 74 minutes CPT 99291 CARDIOLOGY | $649.80 | $275.63 | $119.37–$2,992.04 | 60% below | -136% |
| Critical care, first 30 to 74 minutes CPT 99291 HEM/ON- CRITICAL CARE INT 30- 74 MIN | $723.99 | $600.60 | $119.37–$2,992.04 | 55% below | -21% |
| Critical care, first 30 to 74 minutes CPT 99291 ECU MD-CRITICAL 1ST HR | $768.05 | $1,444.01 | $119.37–$2,992.04 | 53% below | 47% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG W/ RECORDING AWAKE AND DROWSY | $376.94 | $628.95 | $35.00–$1,058.33 | 43% below | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG- ROUTINE SERVICE | $65.68 | $145.95 | $10.10–$327.78 | 7% above | 55% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG ROUTINE | $603.50 | $145.95 | $10.10–$327.78 | 885% above | -313% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $65.68 | $192.94 | $7.50–$327.78 | 52% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $65.68 | $192.94 | $7.50–$327.78 | 52% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTINE | $83.28 | $145.95 | $7.50–$327.78 | 40% below | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTNE EKG TRACING/NO RPT | $83.28 | $145.95 | $7.50–$327.78 | 40% below | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM | $86.82 | $185.06 | $7.50–$327.78 | 37% below | 53% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HOSP- PSYCH ER CONSULT LEVEL 1 | $64.26 | $57.49 | $36.22–$479.10 | 74% below | -12% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED CONSULT | $68.75 | $59.33 | $36.22–$479.10 | 72% below | -16% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER PHYSICIAN-LEVEL I | $101.47 | $152.78 | $69.38–$479.10 | 59% below | 34% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ECU-SCREENING SERVICE | $165.85 | $91.61 | $57.71–$479.10 | 33% below | -81% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E M LOW COMPLEXITY | $62.49 | $345.98 | $119.37–$551.46 | 83% below | 82% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HOSP/PSYCH ER CONSULT LEVEL 2 | $72.77 | $138.86 | $46.97–$551.46 | 80% below | 48% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HOSP- PSYCH ER CONSULT LEVEL 2 | $155.69 | $76.91 | $46.97–$551.46 | 57% below | -102% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HOSPITALIST- ER CONSULT LEVEL 2 | $155.69 | $74.55 | $46.97–$551.46 | 57% below | -109% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III NS DISCH | $83.28 | $450.71 | $119.37–$962.04 | 84% below | 82% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E M MODERATE COMPLEXITY | $83.75 | $450.71 | $119.37–$962.04 | 84% below | 81% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HOSPITALIST- ER CONSULT LEVEL 3 | $92.38 | $120.49 | $75.91–$962.04 | 83% below | 23% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER PHYSICIAN-LEVEL III | $152.26 | $205.28 | $119.37–$962.04 | 71% below | 26% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HEM/ON- ER CONSULT LEVEL 3 | $202.82 | $120.49 | $75.91–$962.04 | 62% below | -68% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL III | $202.82 | $450.71 | $119.37–$962.04 | 62% below | 55% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CONSULT LEVEL 3 | $202.82 | $124.16 | $75.91–$962.04 | 62% below | -63% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV | $148.37 | $720.04 | $119.37–$1,493.40 | 82% below | 79% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL IV NS ADMIT | $162.18 | $720.04 | $119.37–$1,493.40 | 80% below | 77% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HOSP/PSYCH ER CONSULT LEVEL 4 | $242.98 | $329.70 | $117.42–$1,493.40 | 71% below | 26% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV-TYPE B | $324.02 | $539.96 | $119.37–$1,493.40 | 61% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL V | $183.33 | $1,061.03 | $119.37–$2,165.75 | 84% below | 83% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E M HIGH COMPLEXITY | $216.17 | $1,061.03 | $119.37–$2,165.75 | 81% below | 80% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER CONSULT LEVEL 5 | $324.02 | $309.75 | $119.37–$2,165.75 | 72% below | -5% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HOSP- PSYCH ER CONSULT LEVEL 5 | $477.46 | $300.56 | $119.37–$2,165.75 | 59% below | -59% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE 31 MIN-1HR | $59.18 | $619.24 | $35.00–$778.84 | 83% below | 90% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL | $228.22 | $617.40 | $35.00–$778.84 | 35% below | 63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 31MIN-1HR | $277.83 | $617.40 | $35.00–$778.84 | 21% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV PUSH 31M-1HR | $277.83 | $619.24 | $35.00–$778.84 | 21% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 31 MIN- 1 HOUR | $277.83 | $617.40 | $35.00–$778.84 | 21% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION FLUIDS 1 HOUR | $277.83 | $617.40 | $35.00–$778.84 | 21% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS 31 MIN-1HR | $278.66 | $619.24 | $35.00–$778.84 | 21% below | 55% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION INITIAL HOUR | $278.66 | $507.15 | $35.00–$778.84 | 21% below | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV 31 MIN- 1 HOUR | $278.66 | $617.40 | $35.00–$778.84 | 21% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY 1ST HR | $56.58 | $619.24 | $35.00–$778.84 | 87% below | 91% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY FIRST HR | $277.83 | $617.40 | $35.00–$778.84 | 35% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY 1ST HOUR | $277.83 | $619.24 | $35.00–$778.84 | 35% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 INTRAVENOUS INFUS INITIAL | $277.83 | $617.40 | $35.00–$778.84 | 35% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL HOUR | $277.83 | $507.15 | $35.00–$778.84 | 35% below | 45% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL | $277.83 | $617.40 | $35.00–$778.84 | 35% below | 55% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS DRUG THER 1ST HR | $278.66 | $617.40 | $35.00–$778.84 | 35% below | 55% |
| IV push of a medicine, first drug CPT 96374 IV PUSH DRUG | $72.29 | $619.24 | $22.22–$722.71 | 72% below | 88% |
| IV push of a medicine, first drug CPT 96374 IV PUSH | $88.95 | $160.65 | $22.22–$722.71 | 65% below | 45% |
| IV push of a medicine, first drug CPT 96374 IV PUSH MED | $180.38 | $163.54 | $22.22–$722.71 | 29% below | -10% |
| IV push of a medicine, first drug CPT 96374 IV DRUG PUSH | $278.66 | $400.84 | $22.22–$722.71 | 9% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT SUBQ/IM | $41.70 | $197.66 | $13.23–$274.14 | 58% below | 79% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJ IM/SUBQ | $72.29 | $165.38 | $13.23–$274.14 | 28% below | 56% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT SUBQ / IM | $73.59 | $197.66 | $13.23–$274.14 | 26% below | 63% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM | $74.42 | $197.66 | $13.23–$274.14 | 26% below | 62% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INTRAMUSCULAR OR SUBCUTANEOUS INJECTION | $74.42 | $208.43 | $13.23–$274.14 | 26% below | 64% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ORSQ MED | $88.95 | $163.80 | $13.23–$274.14 | 11% below | 46% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPUTIC INJECTION IM/SUBQ | $88.95 | $165.38 | $13.23–$274.14 | 11% below | 46% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJECT | $93.79 | $160.65 | $13.23–$274.14 | 6% below | 42% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAG EVAL (NON-PHYSICIAN) ED | $136.32 | $302.93 | $126.61–$622.33 | 43% below | 55% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAG EVALUATION (NON-PHYSICIAN) | $136.32 | $302.93 | $126.61–$622.33 | 43% below | 55% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OR OTHER OUTPTLEVL 3 | $69.46 | $204.75 | $35.39–$479.10 | 66% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 EXAM-EMPLOYMENT | $77.13 | $365.93 | $35.39–$479.10 | 62% below | 79% |
| New patient office visit, about 30 minutes CPT 99203 FACILITY NEW LEVEL 3 | $92.14 | $171.39 | $35.39–$479.10 | 55% below | 46% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE | $92.14 | $365.93 | $35.39–$479.10 | 55% below | 75% |
| New patient office visit, about 30 minutes CPT 99203 EXAM-COMPLETE PHYSICIAL | $92.14 | $246.23 | $35.39–$479.10 | 55% below | 63% |
| New patient office visit, about 30 minutes CPT 99203 NEW EXPANDED FACILITY | $94.86 | $198.45 | $35.39–$479.10 | 54% below | 52% |
| New patient office visit, about 30 minutes CPT 99203 EXAM-COMPLETE PHYSICAL | $104.19 | $365.93 | $35.39–$479.10 | 49% below | 72% |
| New patient office visit, about 30 minutes CPT 99203 NEW VISIT INTERMEDIATE | $104.19 | $365.93 | $35.39–$479.10 | 49% below | 72% |
| New patient office visit, about 30 minutes CPT 99203 HOSPITALIST-OFFICE OR OTHER OUTPTLEVL 3 | $110.80 | $204.75 | $35.39–$479.10 | 46% below | 46% |
| New patient office visit, about 30 minutes CPT 99203 HEM/ON-OFFICE OR OTHER OUTPTLEVL 3 | $110.80 | $204.75 | $35.39–$479.10 | 46% below | 46% |
| New patient office visit, about 30 minutes CPT 99203 EXAM-INSURANCE | $110.80 | $365.93 | $35.39–$479.10 | 46% below | 70% |
| New patient office visit, about 30 minutes CPT 99203 VISIT-NEW-LEVEL III | $148.37 | $365.93 | $35.39–$479.10 | 28% below | 59% |
| New patient office visit, about 30 minutes CPT 99203 RADONC- NEW PATIENT PHYSICIAN | $164.67 | $231.53 | $35.39–$479.10 | 20% below | 29% |
| New patient office visit, about 30 minutes CPT 99203 FACILITY NEW VISIT INTERMEDIATE | $164.67 | $171.39 | $35.39–$479.10 | 20% below | 4% |
| New patient office visit, about 30 minutes CPT 99203 EXAM INSURANCE | $164.67 | $246.23 | $35.39–$479.10 | 20% below | 33% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT PHYSICIAN | $164.67 | $210.79 | $35.39–$479.10 | 20% below | 22% |
| New patient office visit, about 30 minutes CPT 99203 RADONC- NEW PATIENT OFFICE | $164.67 | $365.93 | $35.39–$479.10 | 20% below | 55% |
| New patient office visit, about 45 minutes CPT 99204 FACILITY NEW VISIT COMPLEX | $110.80 | $255.09 | $58.81–$479.10 | 63% below | 57% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE | $114.79 | $421.05 | $58.81–$479.10 | 61% below | 73% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT PHYSICIAN | $114.79 | $293.21 | $58.81–$479.10 | 61% below | 61% |
| New patient office visit, about 45 minutes CPT 99204 RADONC- NEW PATIENT PHYSICIAN | $132.54 | $293.21 | $58.81–$479.10 | 56% below | 55% |
| New patient office visit, about 45 minutes CPT 99204 NEW LEVEL 4 FACILITY | $136.44 | $358.82 | $58.81–$479.10 | 54% below | 62% |
| New patient office visit, about 45 minutes CPT 99204 HOSPITALIST-OFFICE OR OTHER OUTPT LEVL 4 | $148.37 | $294.53 | $58.81–$479.10 | 50% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 FACILITY NEW LEVEL 4 | $161.47 | $255.09 | $58.81–$479.10 | 46% below | 37% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OR OTHER OUTPT LEVL 4 | $188.06 | $294.53 | $58.81–$479.10 | 37% below | 36% |
| New patient office visit, about 45 minutes CPT 99204 VISIT-NEW-LEVEL IV | $189.47 | $421.05 | $58.81–$479.10 | 36% below | 55% |
| New patient office visit, about 45 minutes CPT 99204 RADONC- NEW PATIENT OFFICE | $189.47 | $421.05 | $58.81–$479.10 | 36% below | 55% |
| New patient office visit, about 45 minutes CPT 99204 NEW VISIT COMPLEX | $189.47 | $421.05 | $58.81–$479.10 | 36% below | 55% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT PHYSICIAN | $132.54 | $414.75 | $76.87–$479.10 | 59% below | 68% |
| New patient office visit, about 60 minutes CPT 99205 NEW VISIT COMPREHENSIVE | $136.67 | $476.18 | $85.24–$479.10 | 58% below | 71% |
| New patient office visit, about 60 minutes CPT 99205 VISIT-NEW-LEVEL V | $151.56 | $476.18 | $85.24–$479.10 | 54% below | 68% |
| New patient office visit, about 60 minutes CPT 99205 RADONC- NEW PATIENT PHYSICIAN | $181.32 | $303.71 | $76.87–$479.10 | 44% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 FACILITY NEW LEVEL 5 | $186.64 | $336.79 | $85.24–$479.10 | 43% below | 45% |
| New patient office visit, about 60 minutes CPT 99205 HOSPITALIST-OFFICE OR OTHER OUTPT LEVL5 | $214.28 | $402.94 | $101.98–$479.10 | 34% below | 47% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE | $214.28 | $476.18 | $85.24–$479.10 | 34% below | 55% |
| New patient office visit, about 60 minutes CPT 99205 RADONC- NEW PATIENT OFFICE | $214.28 | $476.18 | $85.24–$479.10 | 34% below | 55% |
| New patient office visit, about 60 minutes CPT 99205 FACILITY NEW VISIT COMPREHENSIVE | $245.47 | $336.79 | $85.24–$479.10 | 25% below | 27% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RADONC- NEW PATIENT OFFICE | $67.46 | $310.80 | $23.06–$479.10 | 58% below | 78% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HEM/ON-OFFICE OR OTHER OUTPT LEVL 4 | $69.10 | $294.53 | $23.06–$479.10 | 57% below | 77% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW EXPANDED FACILITY | $70.99 | $154.35 | $23.06–$479.10 | 56% below | 54% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FACILITY NEW LEVEL 2 | $70.99 | $149.91 | $23.06–$479.10 | 56% below | 53% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HEM/ON-OFFICE OR OTHER OUTPT LEVL5 | $73.95 | $402.94 | $23.06–$479.10 | 54% below | 82% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 FACILITY NEW VISIT LIMITED | $92.02 | $149.91 | $23.06–$479.10 | 43% below | 39% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OR OTHER OUTPT LEVL 2 | $92.02 | $153.56 | $23.06–$479.10 | 43% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HEM/ON-OFFICE OR OTHER OUTPT LEVL 2 | $132.54 | $153.56 | $23.06–$479.10 | 18% below | 14% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT-NEW-LEVEL II | $139.86 | $310.80 | $23.06–$479.10 | 13% below | 55% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE | $139.86 | $310.80 | $23.06–$479.10 | 13% below | 55% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT FACILITY | $139.86 | $157.76 | $23.06–$479.10 | 13% below | 11% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 RADONC- NEW PATIENT PHYSICIAN | $139.86 | $204.49 | $23.06–$479.10 | 13% below | 32% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HOSPITALIST-OFFICE OR OTHER OUTPT LEVL 2 | $139.86 | $153.56 | $23.06–$479.10 | 13% below | 9% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT LIMITED | $181.32 | $310.80 | $23.06–$479.10 | 13% above | 42% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT PHYSICIAN | $192.78 | $204.49 | $23.06–$479.10 | 20% above | 6% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL ASSESS-15 MIN | $49.14 | $29.66 | $18.69–$244.08 | 9% below | -66% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY | $46.78 | $196.88 | $67.15–$422.71 | 73% below | 76% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVALUATION W/MED SERV BY PHYS | $136.32 | $320.25 | $126.61–$622.33 | 53% below | 57% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED PHYS SNF | $144.11 | $320.25 | $126.61–$622.33 | 50% below | 55% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED PHYS ED | $144.11 | $320.25 | $126.61–$622.33 | 50% below | 55% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN | $144.59 | $171.94 | $108.32–$537.59 | 25% below | 16% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN | $77.37 | $290.85 | $126.61–$546.67 | 70% below | 73% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN | $130.88 | $355.43 | $126.61–$546.67 | 56% below | 63% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $26.82 | $18.64 | $11.74–$581.59 | 40% below | -44% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT PHYSICIAN | $111.63 | $275.63 | $50.83–$479.10 | 55% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE | $123.61 | $421.05 | $50.83–$479.10 | 50% below | 71% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST VISIT COMPREHENSIVE | $124.03 | $421.05 | $50.83–$479.10 | 50% below | 71% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT-EST-LEVEL V | $136.67 | $421.05 | $50.83–$479.10 | 45% below | 68% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FACILITY EST VISIT COMPREHENSIVE | $148.37 | $274.68 | $50.83–$479.10 | 40% below | 46% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HOSP- OFFICE/OP VISIT LEVEL 5 | $162.42 | $421.05 | $50.83–$479.10 | 34% below | 61% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 REPOSITIONING OF PREVIOUSLY IMPLANTED | $189.47 | $303.71 | $50.83–$479.10 | 24% below | 38% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 RADONC- ESTABLISHED PATIENT PHYSICIAN | $189.47 | $275.63 | $50.83–$479.10 | 24% below | 31% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 RADONC- ESTABLISHED PATIENT OFFICE | $189.47 | $421.05 | $50.83–$479.10 | 24% below | 55% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PATIENT LEVEL V | $189.47 | $421.05 | $50.83–$479.10 | 24% below | 55% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FACILITY EST LEVEL 5 | $189.47 | $274.68 | $50.83–$479.10 | 24% below | 31% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PATIENT LEVEL III | $44.53 | $310.80 | $22.62–$479.10 | 76% below | 86% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FACILITY EST VISIT INTERMEDIATE | $44.53 | $149.91 | $22.62–$479.10 | 76% below | 70% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RADONC- ESTABLISHED PATIENT OFFICE | $67.46 | $310.80 | $22.62–$479.10 | 63% below | 78% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST VISIT INTERMEDIATE | $67.46 | $310.80 | $22.62–$479.10 | 63% below | 78% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 E/M | $71.82 | $319.73 | $22.62–$479.10 | 61% below | 78% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT PHYSICIAN | $86.82 | $192.94 | $22.62–$479.10 | 53% below | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RADONC- ESTABLISHED PATIENT PHYSICIAN | $89.30 | $192.94 | $22.62–$479.10 | 51% below | 54% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE / OP VISIT LEVEL 3 | $115.06 | $98.96 | $22.62–$479.10 | 37% below | -16% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HEM/ON- OFFICE VISIT EST LEVEL 3 | $139.86 | $310.80 | $22.62–$479.10 | 24% below | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST DETAILED FACILITY | $139.86 | $310.80 | $22.62–$479.10 | 24% below | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE | $139.86 | $310.80 | $22.62–$479.10 | 24% below | 55% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PSYCH OFFICE/OUTPATIENT VISIT LEVEL 3 | $139.86 | $159.60 | $22.62–$479.10 | 24% below | 12% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FACILITY EST LEVEL 3 | $139.86 | $149.91 | $22.62–$479.10 | 24% below | 7% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HOSP- OFFICE / OP VISIT LEVEL 3 | $139.86 | $98.96 | $22.62–$479.10 | 24% below | -41% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT-EST-LEVEL III | $143.88 | $310.80 | $22.62–$479.10 | 21% below | 54% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT PHYSICIAN | $74.66 | $210.79 | $22.62–$479.10 | 63% below | 65% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST DETAILED FACILITY | $88.16 | $366.45 | $22.62–$479.10 | 56% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST VISIT COMPLEX | $88.16 | $365.93 | $22.62–$479.10 | 56% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PATIENT LEVEL IV | $88.16 | $365.93 | $22.62–$479.10 | 56% below | 76% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RADONC- ESTABLISHED PATIENT OFFICE | $92.14 | $365.93 | $22.62–$479.10 | 54% below | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FACILITY EST LEVEL 4 | $92.14 | $195.92 | $22.62–$479.10 | 54% below | 53% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RADONC- ESTABLISHED PATIENT PHYSICIAN | $94.86 | $248.06 | $22.62–$479.10 | 53% below | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PSYCH OFFICE/OUTPATIENT VISIT LEVEL 5 | $95.33 | $302.93 | $22.62–$479.10 | 53% below | 69% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OUTPATIENT VISIT FOR THE E M OF AN ESTAB | $111.63 | $366.45 | $22.62–$479.10 | 45% below | 70% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PSYCH OFFICE/OUTPATIENT VISIT LEVEL 4 | $131.94 | $211.84 | $22.62–$479.10 | 35% below | 38% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE | $136.32 | $365.93 | $22.62–$479.10 | 33% below | 63% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT-EST-LEVEL IV | $164.67 | $365.93 | $22.62–$479.10 | 18% below | 55% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OP VISIT EST LEVEL 4 | $164.67 | $204.75 | $22.62–$479.10 | 18% below | 20% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FACILITY EST VISIT COMPLEX | $164.67 | $195.92 | $22.62–$479.10 | 18% below | 16% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HOSP- OFFICE/OP VISIT EST LEVEL 4 | $164.90 | $204.75 | $22.62–$479.10 | 18% below | 19% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HOSP- OFFICE/OP VISIT LEVEL 2 | $31.90 | $70.88 | $11.93–$479.10 | 75% below | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RADONC- ESTABLISHED PATIENT OFFICE | $31.90 | $255.68 | $11.93–$479.10 | 75% below | 88% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FACILITY EST LEVE 2 | $32.84 | $139.41 | $11.93–$479.10 | 75% below | 76% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PSYCH OFFICE/OUTPATIENT VISIT LEVEL 2 | $37.21 | $106.31 | $11.93–$479.10 | 71% below | 65% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RADONC- ESTABLISHED PATIENT PHYSICIAN | $47.84 | $165.38 | $11.93–$479.10 | 63% below | 71% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OP VISIT LEVEL 2 | $49.61 | $70.88 | $11.93–$479.10 | 62% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PATIENT LEVEL II | $62.73 | $255.68 | $11.93–$479.10 | 51% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE | $62.73 | $255.68 | $11.93–$479.10 | 51% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST DETAILED FACILITY | $62.73 | $110.25 | $11.93–$479.10 | 51% below | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT PHYSICIAN | $62.73 | $72.98 | $11.93–$479.10 | 51% below | 14% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HEM/ON- OFFICE VISIT EST LEVEL 2 | $74.42 | $70.88 | $11.93–$479.10 | 42% below | -5% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E/M | $92.02 | $263.55 | $11.93–$479.10 | 29% below | 65% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EVAL MANG L2 IR | $115.06 | $263.55 | $11.93–$479.10 | 11% below | 56% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FACILITY EST VISIT LIMITED | $115.06 | $139.41 | $11.93–$479.10 | 11% below | 17% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST VISIT LIMITED | $115.06 | $255.68 | $11.93–$479.10 | 11% below | 55% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT-EST-LEVEL II | $118.60 | $255.68 | $11.93–$479.10 | 8% below | 54% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FACILITY EST LEVEL 2 | $197.27 | $139.41 | $11.93–$479.10 | 53% above | -42% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE/ER CONSULT LEVEL 3 | $77.37 | $230.48 | $119.37–$479.10 | 74% below | 66% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HOSP- PSYCH OFFICE/ER CONSULT LEVEL 3 | $100.76 | $229.95 | $119.37–$479.10 | 66% below | 56% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HEM/ON- OFFICE/ER CONSULT LEVEL 3 | $103.48 | $223.91 | $119.37–$479.10 | 65% below | 54% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HOSPITALIST- OFFICE/ER CONSULT LEVEL 3 | $103.48 | $223.91 | $119.37–$479.10 | 65% below | 54% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HOSP/PSYCH ED CONSULT | $103.72 | $229.95 | $119.37–$479.10 | 65% below | 55% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HOSP/PSYCH ED CONSULT | $100.76 | $326.29 | $119.37–$479.10 | 66% below | 69% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE/ER CONSULT LEVEL 4 | $142.93 | $327.34 | $119.37–$479.10 | 52% below | 56% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HOSP- PSYCH OFFICE/ER CONSULT LEVEL 4 | $142.93 | $326.29 | $119.37–$479.10 | 52% below | 56% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HEM/ON- OFFICE/ER CONSULT LEVEL 4 | $146.83 | $317.63 | $119.37–$479.10 | 51% below | 54% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HOSPITALIST- OFFICE/ER CONSULT LEVEL 4 | $146.83 | $317.63 | $119.37–$479.10 | 51% below | 54% |
| Spirometry (breathing test) CPT 94010 EXPIRATORY FLOWRATE | $131.36 | $45.68 | $15.00–$526.69 | 40% below | -188% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $324.02 | $291.90 | $15.00–$526.69 | 48% above | -11% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTIVITY 15 MIN | $53.63 | $119.18 | $2.35–$327.31 | 38% below | 55% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $44.65 | $428.40 | $10.00–$430.71 | 79% below | 90% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THER SPX | $66.86 | $99.23 | $10.00–$430.71 | 69% below | 33% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PLEBOTOMY | $192.78 | $428.40 | $10.00–$430.71 | 9% below | 55% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST | $26.10 | $536.81 | $57.77–$576.29 | 92% below | 95% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOLOGY NUCLEAR STRESS TEST | $241.56 | $92.66 | $23.45–$576.29 | 30% below | -161% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FOR IMMUNIZATION | $23.51 | $275.63 | $13.23–$244.08 | 72% below | 91% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION 1 VACCINE | $26.10 | $52.24 | $13.23–$244.08 | 69% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUNIZATION EACH ADTL VACCINE | $124.03 | $52.24 | $13.23–$274.32 | 176% above | -137% |
Source file: https://www.auburnhospital.org/wp-content/uploads/2025/01/150532054_auburn-community-hospital_standardcharges-2.zip