Delta Health Hospital
Delta Health Hospital in Delta, CO publishes cash prices for 252 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 Colorado median for 239 of 248 procedures and above it for 8. By typical cash price it ranks #11 of 50 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1501 E 3RD ST, DELTA, CO 81416 Collected Sep 27, 2026 Source price file (970) 874-7681
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 060071 · CMS hospital register NPI 1417935446
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS LT | $192.15 | $320.25 | $91.80–$313.85 | 42% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS RT | $192.15 | $320.25 | $91.80–$313.85 | 42% below | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM | $297.75 | $496.25 | $185.03–$486.33 | 62% below | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE WHOLE BODY (BONW) | $1,088.55 | $1,814.25 | $421.71–$1,777.97 | 40% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE RT | $176.10 | $293.50 | $110.28–$287.63 | 62% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 BREAST COMPLETE LT | $176.10 | $293.50 | $110.28–$287.63 | 62% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED RT | $117.75 | $196.25 | $91.80–$192.33 | 73% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST LIMITED LT | $117.75 | $196.25 | $91.80–$192.33 | 73% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED UNILAT | $117.75 | $196.25 | $91.80–$192.33 | 73% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST ANGIO(PEAORTA)(CTAC) | $1,209.90 | $2,016.50 | $185.03–$1,976.17 | 50% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O | $1,847.70 | $3,079.50 | $251.70–$3,017.91 | 10% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W CONTRAST | $2,239.05 | $3,731.75 | $368.02–$3,657.12 | 18% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/CONT (ABPE) | $2,239.05 | $3,731.75 | $368.02–$3,657.12 | 18% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS W/WO CONTRAST | $2,557.65 | $4,262.75 | $368.02–$4,177.50 | 27% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO HEMATURIA(APWW | $2,557.65 | $4,262.75 | $368.02–$4,177.50 | 27% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,198.05 | $1,996.75 | $185.03–$1,956.82 | 43% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT (ABDW) | $1,198.05 | $1,996.75 | $185.03–$1,956.82 | 43% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST (ABWO) | $1,023.15 | $1,705.25 | $110.28–$1,671.15 | 28% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLO FACIAL W/O CONT | $720.00 | $1,200.00 | $110.28–$2,080.54 | 46% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS (SINU) | $1,273.80 | $2,123.00 | $110.28–$2,080.54 | 4% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST (HDWO) | $915.00 | $1,525.00 | $110.28–$1,651.00 | 28% below | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST (HDWC) | $1,126.50 | $1,877.50 | $185.03–$1,839.95 | 30% below | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST (HDWW) | $1,268.25 | $2,113.75 | $185.03–$2,071.48 | 33% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONT (LSWO | $1,061.55 | $1,769.25 | $110.28–$1,733.87 | 28% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CNT(CSWO | $1,273.80 | $2,123.00 | $110.28–$2,080.54 | 14% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST (PELW) | $1,122.60 | $1,871.00 | $185.03–$1,833.58 | 46% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US HEAD DUP EXTRACRANIAL ARTER | $809.85 | $1,349.75 | $251.70–$1,322.76 | 57% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX | $809.85 | $1,349.75 | $251.70–$1,322.76 | 57% below | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST DECUBITUS | $146.10 | $243.50 | $91.80–$326.83 | 53% below | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $200.10 | $333.50 | $91.80–$326.83 | 35% below | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST (MINE) 2 VIEWS PRE-EMP | $200.10 | $333.50 | $91.80–$326.83 | 35% below | 40% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $90.00 | $150.00 | $91.80–$317.28 | 66% below | 40% |
| Chest X-ray, single view CPT 71045 CHEST (MINE) | $194.25 | $323.75 | $91.80–$317.28 | 27% below | 40% |
| Chest X-ray, single view CPT 71045 BABYGRAM | $194.25 | $323.75 | $91.80–$317.28 | 27% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $561.45 | $935.75 | $110.28–$917.04 | 18% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMPLETE | $561.45 | $935.75 | $110.28–$917.04 | 18% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA W/O WRIST | $256.80 | $428.00 | $110.28–$419.44 | 49% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) one side CPT 77081 DEXA/ARM W/WRIST RT | $125.40 | $209.00 | $91.80–$204.82 | 70% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) one side CPT 77081 DEXA/ARM W/WRIST LT | $125.40 | $209.00 | $91.80–$204.82 | 70% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST (THWO) | $938.10 | $1,563.50 | $110.28–$1,651.00 | 38% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST (THWC) | $1,151.10 | $1,918.50 | $185.03–$1,880.13 | 39% below | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMM BILATERAL DIAG | $146.75 | $244.58 | $113.96–$239.69 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMM UNILAT LT DIAG | $115.80 | $193.00 | $89.44–$189.14 | 64% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMM UNILAT RT DIAG | $115.80 | $193.00 | $89.44–$189.14 | 64% below | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 US DUPLEX V/A FLOW BIL | $575.55 | $959.25 | $251.70–$940.07 | 70% below | 40% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VEN DOPPLER BILATERAL | $775.95 | $1,293.25 | $251.70–$1,267.39 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D/M MODE AND COLOR DOPPLER | $1,557.30 | $2,595.50 | $576.40–$2,543.59 | 26% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D/M MODEANDCOLOR DOP W/C | $1,557.30 | $2,595.50 | $576.40–$2,543.59 | 26% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA W/O | $571.35 | $952.25 | $421.71–$933.21 | 72% below | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED | $166.89 | $278.15 | $178.02–$272.59 | 70% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM CPAP-STAGING | $2,579.40 | $4,299.00 | $905.87–$4,213.02 | 28% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM W/CPAP | $2,579.40 | $4,299.00 | $905.87–$4,213.02 | 28% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT | $225.00 | $375.00 | $91.80–$367.50 | 39% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT | $225.00 | $375.00 | $91.80–$367.50 | 39% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 BEDSIDE ABDOMEN LIMITED | $282.90 | $471.50 | $110.28–$462.07 | 51% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL LIMITED | $282.90 | $471.50 | $110.28–$462.07 | 51% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIVER ONLY | $372.54 | $620.90 | $110.28–$608.48 | 36% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOWDOSE LUNG SCREENING | $938.10 | $1,563.50 | $110.28–$1,651.00 | 206% above | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILATERAL W/WO | $2,435.55 | $4,059.25 | $248.49–$3,978.07 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WO CONT RT | $1,292.70 | $2,154.50 | $251.70–$2,111.41 | 36% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONT RT | $1,292.70 | $2,154.50 | $251.70–$2,111.41 | 36% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONT LT | $1,292.70 | $2,154.50 | $251.70–$2,111.41 | 36% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WO CONT LT | $1,292.70 | $2,154.50 | $251.70–$2,111.41 | 36% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CONT RT | $1,292.70 | $2,154.50 | $251.70–$2,111.41 | 36% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CONT LT | $1,292.70 | $2,154.50 | $251.70–$2,111.41 | 36% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/WO CONT LT | $2,010.30 | $3,350.50 | $368.02–$3,283.49 | 41% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/WO CONT RT | $2,010.30 | $3,350.50 | $368.02–$3,283.49 | 41% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/WO CONT LT | $2,010.30 | $3,350.50 | $368.02–$3,283.49 | 41% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/WO CONT LT | $2,010.30 | $3,350.50 | $368.02–$3,283.49 | 41% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/WO CONT RT | $2,010.30 | $3,350.50 | $368.02–$3,283.49 | 41% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W/WO CONT RT | $2,010.30 | $3,350.50 | $368.02–$3,283.49 | 41% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $2,014.80 | $3,358.00 | $251.70–$3,290.84 | 11% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST | $2,382.45 | $3,970.75 | $368.02–$3,891.34 | 26% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD W/O CONTRAST | $1,733.10 | $2,888.50 | $251.70–$2,830.73 | 15% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/WO CONTRAST | $2,204.85 | $3,674.75 | $368.02–$5,069.54 | 31% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI PITUITARY/IAC W/WO CONTRST | $3,103.80 | $5,173.00 | $368.02–$5,069.54 | 3% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST | $1,758.90 | $2,931.50 | $251.70–$2,872.87 | 12% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST | $2,136.45 | $3,560.75 | $368.02–$3,489.54 | 34% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRST | $1,758.60 | $2,931.00 | $251.70–$2,872.38 | 25% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/WO CONTRT | $2,259.45 | $3,765.75 | $368.02–$3,690.44 | 30% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRST | $1,684.95 | $2,808.25 | $251.70–$2,752.09 | 18% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $2,946.15 | $4,910.25 | $368.02–$4,812.05 | 13% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRA ANGIO PELVIS W/WO CONTRAST | $2,946.15 | $4,910.25 | $368.02–$4,812.05 | 13% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRA ANGIO PELVIS W/O CONTRAST | $2,088.00 | $3,480.00 | $251.70–$3,410.40 | 11% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $2,088.00 | $3,480.00 | $251.70–$3,410.40 | 11% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WO CONT LT | $1,418.40 | $2,364.00 | $251.70–$2,316.72 | 31% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WO CONT RT | $1,418.40 | $2,364.00 | $251.70–$2,316.72 | 31% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WO CONT LT | $1,418.40 | $2,364.00 | $251.70–$2,316.72 | 31% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER WO CONT RT | $1,418.40 | $2,364.00 | $251.70–$2,316.72 | 31% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER WO CONT LT | $1,418.40 | $2,364.00 | $251.70–$2,316.72 | 31% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WO CONT RT | $1,418.40 | $2,364.00 | $251.70–$2,316.72 | 31% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION | $2,388.45 | $3,980.75 | $1,365.70–$3,901.14 | 52% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN PROSTATE PSMA INITIAL | $5,017.20 | $8,362.00 | $1,508.43–$8,194.76 | 29% below | 40% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SCAN PROSTATE PSMA SUBSQNT | $5,017.20 | $8,362.00 | $1,508.43–$8,194.76 | 29% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED | $383.55 | $639.25 | $110.28–$626.47 | 23% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS LIMITED | $383.55 | $639.25 | $110.28–$626.47 | 23% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC | $512.40 | $854.00 | $110.28–$836.92 | 24% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB TRAB>14 WKS DETAILED | $462.45 | $770.75 | $110.28–$755.34 | 37% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US TRANSABD OB <14 WKS | $409.35 | $682.25 | $110.28–$668.61 | 30% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) BEDSIDE | $130.32 | $217.20 | $110.28–$462.07 | 70% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED | $130.32 | $217.20 | $110.28–$462.07 | 70% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB VERSION | $251.25 | $418.75 | $110.28–$462.07 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB CERVIX LENGTH | $251.25 | $418.75 | $110.28–$462.07 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED POST PARTUM | $251.25 | $418.75 | $110.28–$462.07 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $251.25 | $418.75 | $110.28–$462.07 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED TWINS | $251.25 | $418.75 | $110.28–$462.07 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB AFI/PLACENTA/HR/POS/E.G. | $251.25 | $418.75 | $110.28–$462.07 | 42% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 BEDSIDE US PREGNANT UTERUS | $282.90 | $471.50 | $110.28–$462.07 | 35% below | 40% |
| Screening mammogram, both breasts both sides CPT 77067 DIGITAL MAM BILAT SCREENING | $130.50 | $217.50 | $94.28–$213.15 | — | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 OR MORE VIEWS RT | $209.10 | $348.50 | $91.80–$341.53 | 33% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2 OR MORE VIEWS LT | $209.10 | $348.50 | $91.80–$341.53 | 33% below | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM STAGING | $2,339.70 | $3,899.50 | $905.87–$3,821.51 | 26% below | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $218.05 | $363.42 | $185.03–$356.15 | 68% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $228.17 | $380.28 | $110.28–$372.67 | 62% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $369.75 | $616.25 | $110.28–$603.93 | 39% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $363.30 | $605.50 | $110.28–$593.39 | 49% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 BEDSIDE US ABDOMEN COMPLETE | $363.30 | $605.50 | $110.28–$593.39 | 49% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $439.20 | $732.00 | $110.28–$717.36 | 34% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $477.00 | $795.00 | $110.28–$779.10 | 24% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUE | $477.00 | $795.00 | $110.28–$779.10 | 24% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $477.00 | $795.00 | $110.28–$779.10 | 24% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES | $416.85 | $694.75 | $185.03–$728.39 | 50% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI/SMALL BOWEL-NO AIR | $445.95 | $743.25 | $185.03–$728.39 | 47% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS LIMITED - BEDSIDE | $557.10 | $928.50 | $110.28–$909.93 | 1% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DOPPLER UNILATERAL | $557.10 | $928.50 | $110.28–$909.93 | 1% above | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT | $147.30 | $245.50 | $91.80–$240.59 | 56% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT | $147.30 | $245.50 | $91.80–$240.59 | 56% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP/PELVIS CHILD 2 VIEWS | $164.25 | $273.75 | $91.80–$268.28 | 53% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEW LT | $187.50 | $312.50 | $91.80–$626.71 | 46% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEW RT | $187.50 | $312.50 | $91.80–$626.71 | 46% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP LT | $383.70 | $639.50 | $91.80–$626.71 | 10% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP RT | $383.70 | $639.50 | $91.80–$626.71 | 10% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 SITZ MARKER KUB SUBSEQUENT | $218.10 | $363.50 | $91.80–$356.23 | 23% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW/KUB | $218.10 | $363.50 | $91.80–$356.23 | 23% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 KUB | $218.10 | $363.50 | $91.80–$356.23 | 23% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 GASTROGRAFIN ABDOMEN 1 VIEW | $218.10 | $363.50 | $91.80–$356.23 | 23% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT | $130.80 | $218.00 | $91.80–$213.64 | 57% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT | $130.80 | $218.00 | $91.80–$213.64 | 57% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT | $128.25 | $213.75 | $91.80–$209.48 | 57% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LT | $128.25 | $213.75 | $91.80–$209.48 | 57% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS RT | $202.65 | $337.75 | $91.80–$331.00 | 35% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3 VIEWS LT | $202.65 | $337.75 | $91.80–$331.00 | 35% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LT | $202.65 | $337.75 | $91.80–$331.00 | 39% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RT | $202.65 | $337.75 | $91.80–$331.00 | 39% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS LT | $147.30 | $245.50 | $91.80–$240.59 | 54% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEWS RT | $147.30 | $245.50 | $91.80–$240.59 | 54% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR AP AND LAT 2 OR 3 VIEWS | $265.50 | $442.50 | $110.28–$433.65 | 28% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR 4 VIEWS | $357.00 | $595.00 | $110.28–$583.10 | 29% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2VIEWS | $183.45 | $305.75 | $110.28–$299.64 | 42% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $175.20 | $292.00 | $91.80–$286.16 | 45% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 3 VIEWS | $218.40 | $364.00 | $91.80–$356.72 | 36% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP | $149.55 | $249.25 | $110.28–$244.27 | 50% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 2 VIEWS | $217.20 | $362.00 | $91.80–$354.76 | 29% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Z SGPT/ALT | $6.36 | $10.60 | $5.30–$50.23 | 91% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 EMPLOYEE SGPT | $30.75 | $51.25 | $5.30–$50.23 | 58% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT | $30.75 | $51.25 | $5.30–$50.23 | 58% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT EMPLOYEE | $30.75 | $51.25 | $5.30–$50.23 | 58% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Z SGOT/AST | $6.22 | $10.36 | $5.18–$88.69 | 90% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST | $54.30 | $90.50 | $5.18–$88.69 | 11% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE | $116.25 | $193.75 | $47.63–$189.88 | 76% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL DOG DANDER IGE | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT IGE ALLERGEN | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE ALLERGEN | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL POTATO | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE COMPONENTS REFLEX | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW EPITHELIUM | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW IGE ALLERGEN | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL WASP VENOM | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL SQUASH | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL ROUGH PIGWEED IGE | $6.26 | $10.44 | $5.22–$205.80 | 85% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EASTERN SYCAMORE IGE ALLERGEN | $7.20 | $12.00 | $5.22–$205.80 | 83% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSONS GRASS IGE ALLERGEN | $7.20 | $12.00 | $5.22–$205.80 | 83% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTER IGE ALLERGEN | $7.20 | $12.00 | $5.22–$205.80 | 83% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD MEAT PANEL | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COCONUT IGE | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DAIRY AND GRAIN PANEL | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FLAXSEED | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD AND GRAIN | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LATEX | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEANUT | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PECAN-FOOD IGE | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PISTACHIO | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SESAME SEED | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SOYBEAN | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WALNUT-FOOD IGE | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS-SINGLE ASSAY | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMPREHENSIVE ANTIBODY ASSMNT | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR IGE | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN EPITHELIA PANEL I | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN GRASS PANEL I | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN GRASS PANEL II | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN GRASS PANEL III | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN HOUSE DUST PANEL I | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN SPECIFIC | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN SPECIFIC IGE | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN TREE PANEL I | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN TREE PANEL II | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN TREE PANEL III | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN WEED PANEL I | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Z ALLERGEN WEED PANEL III | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL AVOCADO IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL BLACK/WHITE PEPPER IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL CARROT IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL CHILI PEPPER IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL CURRY IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL GARLIC IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL GINGER IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL GREEN PEPPER IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL GREEN STRING BEAN IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL LENTIL IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL LETTUCE IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL OLIVE FOOD IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALL ONION IGE | $21.90 | $36.50 | $5.22–$205.80 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HAZELNUT TEST | $21.90 | $36.50 | $5.22–$568.40 | 49% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FEATHER PANEL 2 ALLERGENS | $31.69 | $52.82 | $5.22–$205.80 | 26% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $31.95 | $53.25 | $5.22–$568.40 | 26% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TAPIOCA IGE ALLERGEN | $34.45 | $57.41 | $5.22–$205.80 | 20% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOCUST BLACK IGE | $53.23 | $88.72 | $5.22–$205.80 | 24% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO CHIPOTLE IGE | $57.60 | $96.00 | $5.22–$205.80 | 34% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ZMEAT ALERGY | $126.00 | $210.00 | $5.22–$205.80 | 194% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP AB | $67.05 | $111.75 | $12.95–$109.52 | 46% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Z ANTINUCLEAR ANTIBODIES | $21.70 | $36.17 | $12.09–$107.80 | 79% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Z ANA 2 | $33.90 | $56.50 | $12.09–$123.48 | 67% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ZANTINUCLEAR ANTIBODIES | $66.00 | $110.00 | $12.09–$107.80 | 36% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $75.60 | $126.00 | $12.09–$123.48 | 27% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NATRIURECTIC PEPTIDE | $285.30 | $475.50 | $39.26–$465.99 | 16% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 Z BASIC METABOLIC PANEL | $10.15 | $16.92 | $8.46–$94.33 | 94% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $57.75 | $96.25 | $8.46–$94.33 | 63% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW ANALYSIS | $87.60 | $146.00 | $54.97–$143.08 | 82% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE 2 COMPLEX TECHNICAL | $87.60 | $146.00 | $54.97–$143.08 | 82% below | 40% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $127.20 | $212.00 | $10.32–$207.76 | 50% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $4.80 | $8.00 | $4.00–$25.48 | 86% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL OF BLOOD BY VENI PUNCTUR | $15.60 | $26.00 | $9.34–$25.48 | 53% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $15.60 | $26.00 | $4.00–$25.48 | 53% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM | $25.80 | $43.00 | $3.49–$42.14 | 63% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE - INSULIN RATIO | $25.80 | $43.00 | $3.49–$42.14 | 63% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR POST/MEAL | $25.80 | $43.00 | $3.49–$42.14 | 63% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $25.80 | $43.00 | $3.49–$42.14 | 63% below | 40% |
| Blood lead test CPT 83655 Z LEAD | $21.90 | $36.50 | $12.11–$35.77 | 80% below | 40% |
| Blood lead test CPT 83655 HF LEAD WITH DEMOGRAPHICS | $23.25 | $38.75 | $12.11–$90.16 | 79% below | 40% |
| Blood lead test CPT 83655 LEAD LEVEL BLOOD | $55.20 | $92.00 | $12.11–$90.16 | 50% below | 40% |
| Blood lead test CPT 83655 LEAD URINE | $55.20 | $92.00 | $12.11–$90.16 | 50% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM-QUAL | $37.80 | $63.00 | $7.52–$61.74 | 68% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO (BLOOD TYPING) | $133.88 | $223.13 | $2.99–$218.67 | 23% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING | $133.88 | $223.13 | $2.99–$218.67 | 23% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $54.30 | $90.50 | $5.18–$88.69 | 43% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN (BABY) | $54.30 | $90.50 | $5.18–$88.69 | 43% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICLE TOXIN PCR | $178.09 | $296.82 | $37.27–$290.88 | 49% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA19-9 (GI) | $48.45 | $80.75 | $20.81–$79.14 | 77% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $59.40 | $99.00 | $20.81–$97.02 | 71% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR TEST | $45.00 | $75.00 | $45.50–$176.40 | 64% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 POC RAPID | $48.00 | $80.00 | $45.50–$176.40 | 62% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 COVID19 SARS2 RNA QUAL RT PCR | $60.12 | $100.20 | $45.50–$176.40 | 52% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PROBE | $57.75 | $96.25 | $35.09–$94.33 | 81% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Z LIPID PANEL | $82.80 | $138.00 | $11.87–$135.24 | 35% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $82.80 | $138.00 | $11.87–$135.24 | 35% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $40.95 | $68.25 | $7.77–$66.89 | 48% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $35.25 | $58.75 | $6.47–$57.58 | 57% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $80.10 | $133.50 | $10.56–$130.83 | 60% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 Z D DIMER | $32.40 | $54.00 | $10.18–$166.11 | 79% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 R D-DIMER | $101.70 | $169.50 | $10.18–$166.11 | 34% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $101.70 | $169.50 | $10.18–$166.11 | 34% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $129.90 | $216.50 | $22.23–$212.17 | 37% below | 40% |
| Estradiol blood test CPT 82670 Z ESTRADIOL ENHANCED | $123.90 | $206.50 | $27.94–$202.37 | 56% below | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $123.90 | $206.50 | $27.94–$202.37 | 56% below | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL SERUM | $123.90 | $206.50 | $27.94–$202.37 | 56% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH FOLLICLE STIMULATING HARMO | $43.50 | $72.50 | $18.58–$71.05 | 77% below | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $261.00 | $435.00 | $19.63–$426.30 | 3% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $87.60 | $146.00 | $13.63–$143.08 | 32% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 Z ASSAY OF FERRITIN | $87.60 | $146.00 | $13.63–$143.08 | 32% below | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $95.70 | $159.50 | $14.70–$156.31 | 35% below | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $56.55 | $94.25 | $16.94–$92.37 | 67% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY DIALYSIS | $75.60 | $126.00 | $9.02–$123.48 | 27% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 THYROXINE | $75.60 | $126.00 | $9.02–$123.48 | 27% below | 40% |
| Free testosterone test CPT 84402 Z TESTOSTERONE-FREE | $45.60 | $76.00 | $25.47–$160.48 | 79% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE-FREE | $98.25 | $163.75 | $25.47–$160.48 | 55% below | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $194.85 | $324.75 | $56.51–$318.26 | 53% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR POST/GLUCOSE | $40.35 | $67.25 | $4.21–$65.91 | 60% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE SCREENING 1 HOUR | $40.35 | $67.25 | $4.21–$65.91 | 60% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 2 HOUR | $81.90 | $136.50 | $11.41–$133.77 | 26% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Z TOLERANCE TEST (GTT) 3 SPEC | $81.90 | $136.50 | $11.41–$133.77 | 26% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 Z TOLERANCE TEST 3 SPEC | $81.90 | $136.50 | $11.41–$133.77 | 26% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHEA DNA PROBE | $54.90 | $91.50 | $35.09–$89.67 | 82% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 URINE NEISSERIA GONORRHEA DNA | $54.90 | $91.50 | $35.09–$89.67 | 82% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA DNA AMP PROBE | $54.90 | $91.50 | $35.09–$89.67 | 82% below | 40% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IGM | $36.00 | $60.00 | $16.85–$58.80 | 81% below | 40% |
| H. pylori antibody blood test CPT 86677 Z HELICOBACTER PYLORI IGG | $36.00 | $60.00 | $16.85–$58.80 | 81% below | 40% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN | $133.65 | $222.75 | $14.38–$218.30 | 8% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV ULTRA SENSITIVE RNA QNT | $268.95 | $448.25 | $85.10–$439.29 | 62% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT BY PCR | $268.95 | $448.25 | $85.10–$439.29 | 62% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 Z EH HIV | $92.70 | $154.50 | $13.71–$151.41 | 32% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 EH HIV NEEDLESTICK F/U | $92.70 | $154.50 | $13.71–$151.41 | 32% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB. EVALUATION SCREEN | $92.70 | $154.50 | $13.71–$151.41 | 32% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 | $92.70 | $154.50 | $13.71–$151.41 | 32% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 AB. EVALUATION DIAGNOS | $92.70 | $154.50 | $13.71–$151.41 | 32% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HVCOP BILL TEST | $24.00 | $40.00 | $24.08–$50.47 | 84% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 AG AB EVAL | $30.90 | $51.50 | $24.08–$50.47 | 79% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN HGB (A1C) | $19.80 | $33.00 | $9.71–$102.17 | 80% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $71.40 | $119.00 | $10.74–$116.62 | 36% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Z HBS AB QUAL QUANT | $71.40 | $119.00 | $10.74–$116.62 | 36% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Z EH HEP B SURFACE AB | $71.40 | $119.00 | $10.74–$116.62 | 36% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Z EH HEP B SURFACE ANTIGEN | $67.95 | $113.25 | $10.33–$110.99 | 48% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Z HBS ANTIGEN | $67.95 | $113.25 | $10.33–$110.99 | 48% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $67.95 | $113.25 | $10.33–$110.99 | 48% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 Z HCV | $98.25 | $163.75 | $14.27–$160.48 | 31% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 Z EH HEPATITIS C VIRUS | $98.25 | $163.75 | $14.27–$160.48 | 31% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB | $98.25 | $163.75 | $14.27–$160.48 | 31% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV NEEDLESTICK F/U | $98.25 | $163.75 | $14.27–$160.48 | 31% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA AMP PROBE | $278.40 | $464.00 | $42.84–$454.72 | 25% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA QUANT | $278.40 | $464.00 | $42.84–$454.72 | 25% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS TYPE 1 | $21.00 | $35.00 | $13.19–$34.30 | 79% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS TYPE 2 | $28.65 | $47.75 | $19.35–$46.80 | 78% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN | $25.26 | $42.10 | $12.95–$41.26 | 80% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $75.45 | $125.75 | $12.95–$123.24 | 42% below | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE TOTAL URINE | $112.50 | $187.50 | $17.92–$183.75 | 46% below | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE TOTAL | $112.50 | $187.50 | $17.92–$183.75 | 46% below | 40% |
| Homocysteine blood test CPT 83090 THCY | $112.50 | $187.50 | $17.92–$183.75 | 46% below | 40% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $66.60 | $111.00 | $11.43–$108.78 | 42% below | 40% |
| Insulin blood test CPT 83525 INSULIN | $66.60 | $111.00 | $11.43–$108.78 | 42% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.55 | $54.25 | $6.47–$53.17 | 61% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY TOTAL | $35.25 | $58.75 | $8.74–$57.58 | 61% below | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $111.90 | $186.50 | $8.68–$182.77 | 50% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LH LUTEINIZING HORMONE | $105.30 | $175.50 | $18.52–$171.99 | 43% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE BY ICMA | $105.30 | $175.50 | $18.52–$171.99 | 43% below | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $63.60 | $106.00 | $6.89–$103.88 | 44% below | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL (LIVER) | $89.85 | $149.75 | $8.17–$146.76 | 68% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY SERUM | $98.25 | $163.75 | $17.03–$160.48 | 33% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY CSF | $98.25 | $163.75 | $17.03–$160.48 | 33% below | 40% |
| Magnesium blood test CPT 83735 Z URINE MAGNESIUM | $9.69 | $16.15 | $6.70–$87.47 | 88% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $53.55 | $89.25 | $6.70–$87.47 | 35% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $53.55 | $89.25 | $6.70–$87.47 | 35% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC'S | $53.55 | $89.25 | $6.70–$87.47 | 35% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM QUANTITATIVE FECES | $53.55 | $89.25 | $6.70–$87.47 | 35% below | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $80.10 | $133.50 | $12.88–$130.83 | 28% below | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTIBODY | $80.10 | $133.50 | $12.88–$130.83 | 28% below | 40% |
| Measles (rubeola) antibody test CPT 86765 Z EH MEASLES | $80.10 | $133.50 | $12.88–$130.83 | 28% below | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA AB IGM | $80.10 | $133.50 | $12.88–$130.83 | 28% below | 40% |
| Measles (rubeola) antibody test CPT 86765 MEASLES RUBEOLA AB IGG | $80.10 | $133.50 | $12.88–$130.83 | 28% below | 40% |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $290.55 | $484.25 | $47.81–$474.57 | 29% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA-FREE DIAGNOSTIC | $94.95 | $158.25 | $18.39–$155.09 | 48% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Z TOTAL PSA | $37.35 | $62.25 | $18.39–$164.40 | 79% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 MAYO PSAD SENDOUT | $90.60 | $151.00 | $18.39–$164.40 | 50% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC | $100.65 | $167.75 | $18.39–$164.40 | 45% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THINPREP SCREEN W/O PHYS INTR | $64.95 | $108.25 | $20.26–$106.09 | 63% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 Z PARATHORMONE | $65.55 | $109.25 | $41.28–$297.92 | 82% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT MOLECULE CALCIUM | $182.40 | $304.00 | $41.28–$297.92 | 49% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $182.40 | $304.00 | $41.28–$297.92 | 49% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Z APTT | $32.40 | $54.00 | $6.01–$52.92 | 51% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (PARTIAL THROMBO TIME) | $60.30 | $100.50 | $6.01–$98.49 | 8% below | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $47.70 | $79.50 | $20.86–$77.91 | 73% below | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $47.70 | $79.50 | $19.38–$130.34 | 75% below | 40% |
| Prolactin blood test CPT 84146 MACROPROLACTIN S | $79.80 | $133.00 | $19.38–$130.34 | 59% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $7.80 | $13.00 | $4.29–$46.31 | 85% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 I-STAT PT (INR) | $28.35 | $47.25 | $4.29–$46.31 | 47% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Z PT (PROTIME) | $28.35 | $47.25 | $4.29–$46.31 | 47% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFCT ANTIGEN INFLUENZA | $24.60 | $41.00 | $16.55–$40.18 | 75% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ANTIGEN | $23.25 | $38.75 | $16.53–$46.06 | 84% below | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFCTS ANTIGN STREPTOCOCCUS A | $28.20 | $47.00 | $16.53–$46.06 | 80% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $33.90 | $56.50 | $5.67–$55.37 | 40% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Z RUBELLA IGM | $60.30 | $100.50 | $14.39–$98.49 | 51% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 Z EH RUBELLA | $60.30 | $100.50 | $14.39–$98.49 | 51% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $60.30 | $100.50 | $14.39–$98.49 | 51% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR (AUTO) | $56.55 | $94.25 | $2.70–$92.37 | at median | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS COMPLETE | $121.50 | $202.50 | $12.31–$198.45 | 32% below | 40% |
| Stool ova and parasites exam CPT 87177 Z OVA PARASITES DIRECT SMEARS | $29.25 | $48.75 | $8.90–$47.78 | 67% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREENING | $27.15 | $45.25 | $3.88–$44.35 | 39% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLD IMM | $123.75 | $206.25 | $15.92–$202.13 | 18% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Z SYPHILIS AB IGG | $40.20 | $67.00 | $3.79–$65.66 | 43% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 R.P.R. | $40.20 | $67.00 | $3.79–$65.66 | 43% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $40.20 | $67.00 | $3.79–$65.66 | 43% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD BLOOD | $120.00 | $200.00 | $61.98–$196.00 | 60% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Z TESTOSTERONE-TOTAL | $46.20 | $77.00 | $25.81–$192.57 | 82% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $117.90 | $196.50 | $25.81–$192.57 | 54% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE-TOTAL | $117.90 | $196.50 | $25.81–$192.57 | 54% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Z THYROGLOBULIN AB | $22.65 | $37.75 | $14.55–$120.30 | 84% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY | $73.65 | $122.75 | $14.55–$263.62 | 49% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL ANTBDS | $73.65 | $122.75 | $14.55–$120.30 | 49% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AUTOANTIBODIES | $161.40 | $269.00 | $14.55–$263.62 | 11% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 P TSH | $25.05 | $41.75 | $16.80–$120.54 | 85% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH - THYROID STIMU HORMONE | $73.80 | $123.00 | $16.80–$120.54 | 56% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SENSITIVE | $73.80 | $123.00 | $16.80–$120.54 | 56% below | 40% |
| Trichomonas test (NAAT) CPT 87661 Z TRICHOMONAS VAGINALIS AMPLIF | $42.11 | $70.18 | $35.09–$68.78 | 56% below | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP RNA | $146.10 | $243.50 | $35.09–$238.63 | 53% above | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $54.30 | $90.50 | $4.52–$88.69 | 28% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE | $5.40 | $9.00 | $3.17–$69.83 | 94% below | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS/COMPLETE | $42.75 | $71.25 | $3.17–$69.83 | 55% below | 40% |
| Urinalysis with microscope exam, manual CPT 81000 UA NON AUTOMATED W/MICRO | $6.60 | $11.00 | $4.02–$10.78 | 84% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $33.90 | $56.50 | $2.25–$55.37 | 21% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE CHEM STRIP AUTO | $33.90 | $56.50 | $2.25–$55.37 | 21% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE KETONES | $33.90 | $56.50 | $2.25–$55.37 | 21% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTOMATED | $5.40 | $9.00 | $3.48–$37.49 | 90% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 URINE DIP | $22.95 | $38.25 | $3.48–$37.49 | 57% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON AUTOMATED NO MICRO | $26.25 | $43.75 | $3.48–$42.88 | 51% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $13.20 | $22.00 | $8.61–$44.10 | 82% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE QUALATATIVE | $27.00 | $45.00 | $8.61–$44.10 | 64% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 PERNICIOUS ANEMIA CASCADE | $85.95 | $143.25 | $15.08–$140.39 | 43% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $85.95 | $143.25 | $15.08–$140.39 | 43% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D HYDROXY | $61.95 | $103.25 | $29.60–$101.19 | 68% below | 40% |
| Zinc blood test CPT 84630 ZINC | $58.20 | $97.00 | $11.39–$95.06 | 40% below | 40% |
| Zinc blood test CPT 84630 ZINC URINE | $58.20 | $97.00 | $11.39–$95.06 | 40% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Z HCG | $25.05 | $41.75 | $15.05–$190.37 | 84% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTATATIVE | $116.55 | $194.25 | $15.05–$190.37 | 24% below | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $316.81 | $528.02 | $323.80–$517.46 | 66% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $1,742.70 | $2,904.50 | $1,742.24–$2,846.41 | 33% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREO CORE BX RT | $1,742.70 | $2,904.50 | $1,742.24–$2,846.41 | 33% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 STEREO CORE BX LT | $1,742.70 | $2,904.50 | $1,742.24–$2,846.41 | 33% below | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLSD TRMT DISTAL FIBULAR FX WO | $258.00 | $430.00 | $260.21–$421.40 | 53% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION (PACU) | $888.90 | $1,481.50 | $697.22–$1,451.87 | 49% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE | $888.90 | $1,481.50 | $697.22–$1,451.87 | 49% below | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE (ICU) | $888.90 | $1,481.50 | $697.22–$1,451.87 | 49% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $782.70 | $1,304.50 | $834.88–$2,361.67 | 61% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TRT CLSD COLLES FX W/O MANIP | $345.00 | $575.00 | $260.21–$563.50 | 41% below | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $69.50 | $115.84 | $62.23–$113.52 | 43% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX | $76.20 | $127.00 | $62.23–$124.46 | 52% below | 40% |
| Earwax removal with instruments, one ear CPT 69210 REM IMPACTED EAR WAX | $169.95 | $283.25 | $62.23–$277.59 | 7% above | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $758.90 | $1,264.84 | $744.62–$1,239.54 | 49% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FLUORO GUIDED FACET JOINT INJ | $1,018.98 | $1,698.30 | $933.02–$1,664.33 | 14% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,018.98 | $1,698.30 | $933.02–$1,664.33 | 14% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT FACET INJ 1 LEVEL | $1,066.20 | $1,777.00 | $933.02–$1,741.71 | 10% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT FACET INJ LEVEL 1 | $1,066.35 | $1,777.25 | $933.02–$1,741.71 | 10% below | 40% |
| Gallbladder removal, laparoscopic CPT 47562 LAPCHOL | $5,742.60 | $9,571.00 | $6,125.44–$9,379.58 | 24% below | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPCHOL W/CHOLANGIOGRAPHY | $7,669.80 | $12,783.00 | $6,377.33–$12,527.34 | 26% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $268.50 | $447.50 | $286.40–$438.55 | 23% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEO INJECTION | $311.85 | $519.75 | $332.64–$509.36 | 10% below | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCIS/DRAIN ABCESS SIMPLE | $320.70 | $534.50 | $211.65–$523.81 | 4% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDONS/LIGAMENTS SINGLE | $336.75 | $561.25 | $323.80–$550.03 | 11% below | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH LIGAMENT | $378.60 | $631.00 | $323.80–$1,651.00 | at median | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ NEEDLE PLACEMENT | $378.60 | $631.00 | $323.80–$618.38 | at median | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $312.34 | $520.56 | $323.80–$510.15 | 8% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 STEROID/CONTRAST INJ LG JOINT | $378.60 | $631.00 | $323.80–$649.50 | 11% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 REMOVAL MJR JOINT OR BURSA | $397.65 | $662.75 | $323.80–$649.50 | 17% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 STEROID/CONTRAST INJECTION | $397.65 | $662.75 | $323.80–$649.50 | 17% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT ARTHOCENTESIS ASSIST LG | $397.65 | $662.75 | $323.80–$649.50 | 17% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 SHOULDER INJECT RT | $312.33 | $520.55 | $323.80–$649.50 | 8% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 SHOULDER INJECT LT | $312.33 | $520.55 | $323.80–$649.50 | 8% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ/DRAIN MAJOR JOINT LT | $397.65 | $662.75 | $323.80–$649.50 | 17% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 INJ/DRAIN MAJOR JOINT RT | $397.65 | $662.75 | $323.80–$649.50 | 17% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT ARTHOCENTESIS ASSIST MED | $354.30 | $590.50 | $323.80–$578.69 | 6% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 JOINT ARTHROCENTISIS ASSIST ME | $354.30 | $590.50 | $323.80–$578.69 | 6% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRAIN/INJECT JOINT/BURSA | $354.30 | $590.50 | $323.80–$578.69 | 6% below | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 DRAIN/INJECT JOINT/BURSA LT | $354.30 | $590.50 | $323.80–$578.69 | 6% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $330.00 | $550.00 | $323.80–$539.00 | 1% below | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 JOINT ARTHOCENTESIS ASSIST SM | $354.30 | $590.50 | $323.80–$578.69 | 7% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMED REPAIR > 2.5 CM | $464.10 | $773.50 | $428.83–$758.03 | 2% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJECTION | $758.90 | $1,264.84 | $744.62–$1,651.00 | 42% below | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $758.90 | $1,264.84 | $744.62–$1,239.54 | 42% below | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $758.90 | $1,264.84 | $809.50–$1,239.54 | 32% below | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AAAND/STRD TFRM EPI L/S 1 | $1,015.98 | $1,693.30 | $933.02–$1,659.43 | 31% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE SINGLE | $214.72 | $357.87 | $211.65–$350.71 | 31% below | 40% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE SINGLE | $214.72 | $357.87 | $211.65–$350.71 | 31% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AAAND/STRD GR OCPL NRV | $312.34 | $520.56 | $323.80–$510.15 | 56% below | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL | $320.70 | $534.50 | $323.80–$523.81 | 55% below | 40% |
| Paracentesis with imaging guidance CPT 49083 CT GUIDED PARACENTESIS | $968.20 | $1,613.66 | $956.76–$1,651.00 | 41% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAG GUIDAN | $968.20 | $1,613.66 | $956.76–$1,581.39 | 41% below | 40% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGE GUIDANCE | $968.20 | $1,613.66 | $956.76–$1,581.39 | 41% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL PERM RM | $632.70 | $1,054.50 | $428.83–$1,033.41 | 11% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $2,098.07 | $3,496.78 | $2,059.90–$3,426.84 | 28% below | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIM | $413.59 | $689.31 | $428.83–$675.52 | at median | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 REM FOREIGN BODY SUB-Q SIMPLE | $413.59 | $689.31 | $428.83–$675.52 | at median | 40% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION SHORT ARM CAST | $288.41 | $480.69 | $295.04–$471.08 | 1% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $133.88 | $223.13 | $140.35–$218.67 | 54% below | 40% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM | $198.45 | $330.75 | $140.35–$324.14 | 32% below | 40% |
| Short leg cast (below the knee) CPT 29405 APPLICATION SHORT LEG CAST | $273.45 | $455.75 | $291.68–$446.64 | 25% below | 40% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $168.83 | $281.39 | $171.42–$275.76 | 17% below | 40% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG | $216.60 | $361.00 | $171.42–$353.78 | 7% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR SF WOUND TR 2.5CM/< | $214.72 | $357.87 | $211.65–$350.71 | 52% below | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5 CM OR LESS | $400.35 | $667.25 | $211.65–$653.91 | 10% below | 40% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15 | $320.70 | $534.50 | $211.65–$523.81 | 12% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE SPINAL | $758.90 | $1,264.84 | $744.62–$1,239.54 | 17% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $758.90 | $1,264.84 | $744.62–$1,239.54 | 17% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR SF WOUND TRNK 2.6-7.5CM | $214.72 | $357.87 | $211.65–$350.71 | 46% below | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR 2.6CM TO 7.5CM | $400.35 | $667.25 | $211.65–$653.91 | 1% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SF WOUND FA 2.5 CM/< | $214.72 | $357.87 | $211.65–$350.71 | 31% below | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR FACE <2.5CM | $400.35 | $667.25 | $211.65–$653.91 | 29% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS (BNSP) | $1,179.00 | $1,965.00 | $661.73–$1,925.70 | 12% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING | $1,179.00 | $1,965.00 | $661.73–$1,925.70 | 12% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS | $1,179.00 | $1,965.00 | $661.73–$1,925.70 | 12% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $312.34 | $520.56 | $323.80–$510.15 | 35% below | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SGL/MULT TRIGGER PTS 1OR2 | $336.75 | $561.25 | $323.80–$550.03 | 30% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 US BIOPSY BREAST BILATERAL 1EA | $1,235.40 | $2,059.00 | $1,254.88–$4,035.15 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 BX BREAST 1ST LESION BI | $2,353.05 | $3,921.75 | $1,254.88–$4,035.15 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BX BREAST 1ST LESION | $1,176.45 | $1,960.75 | $1,254.88–$4,035.15 | 41% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BRST BX VAC ASSIST L 1 SITE | $1,694.25 | $2,823.75 | $1,254.88–$4,035.15 | 15% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BRST BX VAC ASSIST R 1 SITE | $1,694.25 | $2,823.75 | $1,254.88–$4,035.15 | 15% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION LT | $1,235.40 | $2,059.00 | $1,317.76–$2,017.82 | 38% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION RT | $1,235.40 | $2,059.00 | $1,254.88–$4,035.15 | 38% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION STEREO RT | $1,694.25 | $2,823.75 | $1,742.24–$2,767.28 | 15% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION STEREO LT | $1,694.25 | $2,823.75 | $1,742.24–$2,767.28 | 15% below | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SUBQ TISSUE 20 SQ | $558.90 | $931.50 | $428.83–$912.87 | 5% below | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS BLD OR COMP | $602.25 | $1,003.75 | $465.39–$1,420.76 | 59% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS SER 0-1 HOUR | $629.85 | $1,049.75 | $465.39–$1,420.76 | 57% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 0-1 HR | $629.85 | $1,049.75 | $465.39–$1,420.76 | 57% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (0-1HRS) | $629.85 | $1,049.75 | $465.39–$1,420.76 | 57% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 1-2 HR | $689.85 | $1,149.75 | $465.39–$1,420.76 | 53% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS SER 1-2 HOURS | $689.85 | $1,149.75 | $465.39–$1,420.76 | 53% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (1-2HRS) | $689.85 | $1,149.75 | $465.39–$1,420.76 | 53% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (2-4HRS) | $749.85 | $1,249.75 | $465.39–$1,420.76 | 49% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 2-4 HR | $749.85 | $1,249.75 | $465.39–$1,420.76 | 49% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS SER 2-4 HOURS | $749.85 | $1,249.75 | $465.39–$1,420.76 | 49% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM ONC (4-8HRS) | $869.85 | $1,449.75 | $465.39–$1,420.76 | 41% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERV 4-8 HR | $869.85 | $1,449.75 | $465.39–$1,420.76 | 41% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS SER 4-8 HOURS | $869.85 | $1,449.75 | $465.39–$1,420.76 | 41% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN MED AEROSOL SUBSEQUENT | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INHALER TX SUBSEQUENT | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AE MDI INHALER TX SUBSEQUENT | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AE NEB SUBSEQUENT MED AEROSOL | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL DAILY | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $224.68 | $374.47 | $231.00–$366.98 | 31% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL IV | $397.20 | $662.00 | $348.43–$777.39 | 67% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL II | $416.40 | $694.00 | $348.43–$777.39 | 65% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL III | $444.45 | $740.75 | $348.43–$777.39 | 63% below | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 IV INFUS CHEMO INIT LEVEL I | $475.95 | $793.25 | $348.43–$777.39 | 60% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE | $942.60 | $1,571.00 | $871.36–$1,539.58 | 73% below | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ELECTROENCEPHALOGRAM | $637.80 | $1,063.00 | $227.77–$1,041.74 | 82% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $217.35 | $362.25 | $14.08–$355.01 | 15% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ACUITY 1 | $168.75 | $281.25 | $88.95–$275.63 | 52% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER ACUITY 1 W/O MODIFIER | $168.75 | $281.25 | $88.95–$275.63 | 52% below | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER ACUITY 2 W/O MODIFIER | $222.75 | $371.25 | $161.97–$363.83 | 64% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER ACUITY 3 W/O MODIFIER | $276.97 | $461.62 | $287.96–$452.39 | 75% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER ACUITY 4 W/O MODIFIER | $492.15 | $820.25 | $440.16–$803.85 | 71% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER ACUITY 5 W/O MODIFIER | $869.10 | $1,448.50 | $628.22–$1,419.53 | 67% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARM STRESS TEST BUNDLE | $696.75 | $1,161.25 | $227.77–$1,138.03 | 43% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GRADED EXERCISE BUNDLE | $696.75 | $1,161.25 | $227.77–$1,138.03 | 43% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GRADED EXERCISE TEST | $696.75 | $1,161.25 | $227.77–$1,138.03 | 43% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GXT STD THREADMILL WALKING | $696.75 | $1,161.25 | $227.77–$1,138.03 | 43% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION INITIAL 31-60 MINS | $243.37 | $405.61 | $224.38–$439.04 | 44% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL | $268.80 | $448.00 | $224.38–$439.04 | 38% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBS IV HYDRATION (INITIAL) | $268.80 | $448.00 | $224.38–$439.04 | 38% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION (INITIAL) | $268.80 | $448.00 | $224.38–$439.04 | 38% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL LEVEL II | $313.50 | $522.50 | $224.38–$578.69 | 28% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL LEVEL III | $319.35 | $532.25 | $224.38–$578.69 | 27% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL LEVEL I | $354.30 | $590.50 | $224.38–$578.69 | 19% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 OBS IV INFUS > 16 MINS INITIAL | $285.45 | $475.75 | $224.38–$605.89 | 45% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION >16 MINS INITIAL | $285.45 | $475.75 | $224.38–$466.24 | 45% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $285.45 | $475.75 | $224.38–$466.24 | 45% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION THERAPY | $297.75 | $496.25 | $224.38–$486.33 | 43% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS THERAPY INIT LVL II | $330.15 | $550.25 | $224.38–$605.89 | 37% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFU THERAPY INIT LVL III | $337.65 | $562.75 | $224.38–$605.89 | 35% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS THERAPY INIT LVL I | $370.95 | $618.25 | $224.38–$605.89 | 29% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THERAPEUTIC OR DIAGNOSTIC | $74.11 | $123.52 | $75.95–$121.05 | 53% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SQ/IM | $94.20 | $157.00 | $75.95–$153.86 | 40% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ LEVEL II | $97.35 | $162.25 | $75.95–$267.05 | 38% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBS IM/SQ INJ | $114.30 | $190.50 | $75.95–$267.05 | 28% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION PROCEDURE | $114.30 | $190.50 | $75.95–$267.05 | 28% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/PROPH/DIAG SQ/IM | $114.30 | $190.50 | $75.95–$267.05 | 28% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC/DIAG INJ LEVEL I | $163.50 | $272.50 | $75.95–$267.05 | 4% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OP VISIT NEW MOD | $166.20 | $277.00 | $140.44–$271.46 | 30% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OP VISIT NEW MOD | $252.60 | $421.00 | $140.44–$412.58 | 23% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OP VISIT NEW | $114.00 | $190.00 | $121.60–$186.20 | 26% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST | $222.60 | $371.00 | $140.44–$363.58 | 15% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OP VISIT EST HIGH | $222.60 | $371.00 | $140.44–$363.58 | 15% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OP VISIT EST MOD | $111.00 | $185.00 | $118.40–$181.30 | 32% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST | $111.00 | $185.00 | $118.40–$181.30 | 32% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OP VISIT EST MOD | $164.40 | $274.00 | $140.44–$268.52 | 35% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST | $164.40 | $274.00 | $140.44–$268.52 | 35% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST | $67.20 | $112.00 | $71.68–$140.44 | 47% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OP VISIT EST LOW | $67.20 | $112.00 | $71.68–$140.44 | 47% below | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY PRE ONLY | $194.40 | $324.00 | $207.36–$317.52 | 41% below | 40% |
| Spirometry (breathing test) CPT 94010 AE PFT SPIROMETRY PRE ONLY | $194.40 | $324.00 | $207.36–$317.52 | 41% below | 40% |
| Spirometry (breathing test) CPT 94010 PFT SPIROMETRY PRE ONLY | $194.40 | $324.00 | $207.36–$317.52 | 41% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 AE PFT SPIROMETRY PRE/POST BRD | $360.00 | $600.00 | $384.00–$588.00 | 17% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 PFT SPIROMETRY PRE/POST BRDIA | $360.00 | $600.00 | $384.00–$588.00 | 17% below | 40% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE/POST BRDIAL | $360.00 | $600.00 | $384.00–$588.00 | 17% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $159.60 | $266.00 | $140.35–$260.68 | 61% below | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY | $159.60 | $266.00 | $140.35–$260.68 | 61% below | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE NO PRSRV 7/> IM | $31.80 | $53.00 | $41.34–$76.90 | 89% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP IMMUNIZATION | $47.40 | $79.00 | $61.62–$96.34 | 82% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPTH/PERTUSSIS/TET VAC >7 | $80.09 | $133.48 | $45.78–$130.81 | 70% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPTH/PERTUSSIS/TET VAC >7 | $80.09 | $133.48 | $45.78–$130.81 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN 1 VAC SNGL/COMBO | $74.11 | $123.52 | $75.95–$121.05 | 6% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $86.40 | $144.00 | $75.95–$141.12 | 9% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS IM/SQ VACCINE | $86.40 | $144.00 | $75.95–$141.12 | 9% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OB IM/SQ VACCINE | $86.40 | $144.00 | $75.95–$141.12 | 9% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM/SQ VACCINATION 1ST | $86.40 | $144.00 | $75.95–$141.12 | 9% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $55.05 | $91.75 | $58.72–$89.92 | 32% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IM/SQ VACCINATION EA ADD'L | $55.05 | $91.75 | $58.72–$89.92 | 32% below | 40% |
Source file: https://deltahealthco.org/840428757_delta-health_standard-charges.csv