Kell West Regional Hospital
Kell West Regional Hospital in Wichita Falls, TX publishes cash prices for 195 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 Texas median for 151 of 194 procedures and above it for 43. By typical cash price it ranks #73 of 305 Texas hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
5420 KELL WEST BLVD, WICHITA FALLS, TX 76310 Collected Sep 27, 2026 Source price file
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 6 actions for a hospital named Kell West Regional Hospital in Wichita Falls, TX:
- Jul 27, 2022 Warning notice
- Nov 7, 2022 Corrective action plan requested
- Apr 19, 2023 Civil money penalty
- May 4, 2023 Case closed
- Mar 14, 2025 Warning notice
- Mar 20, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Civil money penalty: CMS fined the hospital for not complying. 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 Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS | $176.80 | $265.00 | $30.93–$265.00 | 46% below | 33% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS LEFT | $212.00 | $265.00 | $30.93–$265.00 | 35% below | 20% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3 VIEWS RIGHT | $212.00 | $265.00 | $30.93–$265.00 | 35% below | 20% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS ESPOHAGUS | $2,425.60 | $607.00 | $78.81–$607.00 | 384% above | -300% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT | $296.00 | $370.00 | $57.61–$370.00 | 14% below | 20% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LIMTED LEFT US BREAST UNI LIMITED LEFT | $380.00 | $370.00 | $57.61–$370.00 | 10% above | -3% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W CON INCL NONCONT | $1,984.80 | $4,576.00 | $163.81–$3,889.60 | 30% below | 57% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PEL WO CONTRAST | $1,852.00 | $2,541.00 | $127.57–$2,159.85 | 45% below | 27% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PEL WITH CONTRAST | $2,032.80 | $2,937.00 | $280.62–$2,496.45 | 48% below | 31% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PEL W-WO CONTRAST | $2,349.60 | $3,721.00 | $300.00–$3,162.85 | 44% below | 37% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAST | $169.60 | $1,958.00 | $163.81–$1,664.30 | 94% below | 91% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W O CONTRAST | $335.20 | $1,694.00 | $97.85–$1,439.90 | 84% below | 80% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD W O CONTRAST | $1,355.20 | $212.00 | $97.85–$600.00 | 34% below | -539% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W O CONTRAST | $1,596.00 | $1,357.00 | $97.85–$1,200.00 | 4% below | -18% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN W O CONTRAST | $189.60 | $1,475.00 | $82.61–$1,253.75 | 90% below | 87% |
| CT scan of the head with contrast CPT 70460 CT BRAIN W CONTRAST CT BRAIN W CONTRAST | $1,180.00 | $1,740.00 | $119.62–$1,479.00 | 33% below | 32% |
| CT scan of the head without and with contrast CPT 70470 CT BRAIN W W O CONTRAST | $1,392.00 | $2,355.00 | $143.49–$2,001.75 | 40% below | 41% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W O CONTRAST | $1,481.60 | $1,523.00 | $97.85–$1,294.55 | 28% below | 3% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W O CONTRAST | $314.40 | $1,523.00 | $97.85–$1,294.55 | 85% below | 79% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $1,355.20 | $1,958.00 | $163.81–$1,664.30 | 38% below | 31% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX SCAN EXTRACRANIAL CMPL | $546.40 | $1,185.00 | $192.07–$1,185.00 | 60% below | 54% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $128.00 | $276.00 | $25.07–$276.00 | 67% below | 54% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $176.80 | $160.00 | $18.49–$208.30 | 45% below | -11% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERIOTONEALB-SCAN RENAL SONO | $284.00 | $491.00 | $81.37–$491.00 | 62% below | 42% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W O CONTRAST | $216.00 | $1,694.00 | $97.85–$1,439.90 | 87% below | 87% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST | $1,355.20 | $1,958.00 | $140.70–$1,664.30 | 37% below | 31% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX SCAN LOWER EXT COMPLETE DUPLEX SCAN BILATERAL STUDY | $948.00 | $1,185.00 | $222.43–$1,185.00 | — | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXT VEINS COMPLETE | $677.60 | $1,185.00 | $194.14–$1,185.00 | 66% below | 43% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS UPPER EXT BIL COMPLETE | $948.00 | $1,185.00 | $194.14–$1,185.00 | 53% below | 20% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS LOWER EXT BIL COMPLETE | $948.00 | $1,185.00 | $194.14–$1,185.00 | 53% below | 20% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY INC GALLBLADDER | $1,448.80 | $1,489.00 | $298.28–$1,265.65 | 10% below | 3% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED HOME | $2,100.00 | $800.00 | $64.41–$800.00 | 177% above | -163% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING 4> W CPAP THERAP | $3,192.00 | $3,990.00 | $698.81–$3,391.50 | 27% below | 20% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $268.80 | $331.00 | $34.58–$336.00 | 19% below | 19% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LEFT | $202.40 | $336.00 | $34.58–$336.00 | 39% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RIGHT | $264.80 | $336.00 | $34.58–$336.00 | 20% below | 21% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO ABDOMINAL LIMITED | $621.60 | $551.00 | $65.65–$551.00 | 1% below | -13% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W O CONT | $1,499.20 | $1,874.00 | $172.73–$1,592.90 | 27% below | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JNT WO LEFT | $1,499.20 | $1,874.00 | $172.73–$1,592.90 | 27% below | 20% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JNT WO RIGHT | $2,135.20 | $1,874.00 | $172.73–$1,592.90 | 5% above | -14% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JOINT W WO CONT | $2,134.40 | $2,669.00 | $328.63–$2,268.65 | 24% below | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JNT W WO LEFT | $1,711.20 | $2,668.00 | $328.63–$2,268.65 | 39% below | 36% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JNT W WO RIGHT | $2,135.20 | $2,668.00 | $328.63–$2,268.65 | 24% below | 20% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W O CONT | $2,976.80 | $2,245.00 | $160.71–$1,908.25 | 35% above | -33% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W WO CONT | $2,008.00 | $3,032.00 | $299.07–$2,577.20 | 38% below | 34% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN IAC WO | $1,984.80 | $2,578.00 | $158.58–$2,191.30 | 9% below | 23% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W O CONTRAST | $2,062.40 | $2,578.00 | $158.58–$2,191.30 | 6% below | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W WO CONTRAST | $2,273.60 | $3,458.00 | $266.43–$2,939.30 | 25% below | 34% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN IAC W WO | $2,766.40 | $3,458.00 | $266.43–$2,939.30 | 8% below | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W O CONTRAST | $2,050.40 | $2,073.00 | $153.08–$1,762.05 | 10% below | 1% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W WO CONT. MRI LUMBAR SPINE W WO CONT | $2,253.60 | $2,817.00 | $267.92–$2,394.45 | 29% below | 20% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W O CONTRAST | $2,050.40 | $2,073.00 | $152.68–$1,762.05 | 4% below | 1% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV. SPINE W WO CONTRAST | $2,050.40 | $2,817.00 | $269.09–$2,394.45 | 37% below | 27% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W O CONT | $1,746.40 | $2,073.00 | $152.68–$1,762.05 | 25% below | 16% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W WO CONT | $2,008.00 | $3,032.00 | $297.89–$2,577.20 | 41% below | 34% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W O | $1,984.80 | $2,245.00 | $203.81–$1,908.25 | 19% below | 12% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W O CONT | $1,499.20 | $1,874.00 | $173.14–$1,592.90 | 16% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JNT WO LEFT | $1,499.20 | $1,874.00 | $173.14–$1,592.90 | 16% below | 20% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JNT WO RIGHT | $2,134.40 | $1,874.00 | $173.14–$1,592.90 | 19% above | -14% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CTSKULL BASE- MID THIGH PET CTSKULL BASE-MID THIGH | $5,528.00 | $7,773.00 | $1,100.00–$6,607.05 | 17% above | 29% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 ECHO PELVIC NON OB LIMITED ECHO PELVIC NON-OB LIMITED | $352.80 | $310.00 | $26.54–$310.00 | 27% below | -14% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULTRASOUND PELVIC NON OB | $423.20 | $441.00 | $80.64–$441.00 | 51% below | 4% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ECHO PREGNANCY COMPLETE | $161.60 | $662.00 | $96.73–$662.00 | 75% below | 76% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRIMESTER ULTRASOUND | $529.60 | $419.00 | $77.71–$419.00 | 14% below | -26% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ECHO PREGNANCY LIMITED | $253.60 | $458.00 | $55.41–$458.00 | 45% below | 45% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VIEWS COMPLETE | $218.40 | $268.00 | $27.64–$273.00 | 29% below | 19% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS RIGHT | $180.80 | $273.00 | $27.64–$273.00 | 41% below | 34% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER MIN 2 VIEWS LEFT | $218.40 | $273.00 | $27.64–$273.00 | 29% below | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING W 4 OR MORE PARA | $1,967.20 | $3,990.00 | $668.46–$3,391.50 | 52% below | 51% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOW FUNCTION STUDY | $485.60 | $599.00 | $114.63–$599.00 | 19% below | 19% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL | $459.20 | $585.00 | $95.98–$585.00 | 29% below | 22% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANS-VAG OB ULTRASOUND | $300.00 | $441.00 | $62.73–$441.00 | 41% below | 32% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDB-SCAN OR REAL TIME W IMAGE DOC COMPLETE | $407.20 | $777.00 | $87.22–$777.00 | 53% below | 48% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAMSCROTUM CONTENTS | $248.00 | $610.00 | $77.71–$610.00 | 60% below | 59% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK B-SCAN OR REAL TIMEW IMAGE | $458.40 | $730.00 | $93.44–$730.00 | 27% below | 37% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID SONO | $584.00 | $620.00 | $93.44–$730.00 | 7% below | 6% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI SERIES WO KUB | $479.20 | $794.00 | $96.36–$794.00 | 35% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LOWER EXT LEFT | $729.60 | $912.00 | $97.85–$912.00 | 9% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LOWER EXT RIGHT | $729.60 | $912.00 | $97.85–$912.00 | 9% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 D-S EXT VEINS UNILAT LIMITED | $729.60 | $912.00 | $97.85–$912.00 | 9% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER EXT RIGHT | $729.60 | $912.00 | $97.85–$912.00 | 9% below | 20% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER EXT LEFT | $948.00 | $912.00 | $97.85–$912.00 | 18% above | -4% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 OR MORE VIEWS | $204.80 | $250.00 | $35.31–$256.00 | 34% below | 18% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS LEFT | $194.40 | $256.00 | $35.31–$256.00 | 37% below | 24% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST MIN 3 VIEWS RIGHT | $200.00 | $256.00 | $35.31–$256.00 | 36% below | 22% |
| X-ray of the abdomen, 1 view CPT 74018 KUB ABDOMEN 1 VIEW | $168.00 | $253.00 | $23.25–$253.00 | 50% below | 34% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW KUB | $2,134.40 | $210.00 | $23.25–$253.00 | 529% above | -916% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LEFT | $176.80 | $221.00 | $26.54–$221.00 | 37% below | 20% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RIGHT | $253.60 | $221.00 | $26.54–$221.00 | 10% below | -15% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS MIN 2 VIEWS LEFT | $201.60 | $253.00 | $33.49–$253.00 | 16% below | 20% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS MIN 2 VIEWS RIGHT | $202.40 | $253.00 | $33.49–$253.00 | 16% below | 20% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $529.60 | $248.00 | $22.53–$253.00 | 84% above | -114% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RIGHT | $198.40 | $253.00 | $22.53–$253.00 | 31% below | 22% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LEFT | $202.40 | $253.00 | $22.53–$253.00 | 30% below | 20% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS | $202.40 | $259.00 | $28.73–$265.00 | 45% below | 22% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS RIGHT | $207.20 | $265.00 | $28.73–$265.00 | 43% below | 22% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT MIN 3 VIEWS LEFT | $212.00 | $265.00 | $28.73–$265.00 | 42% below | 20% |
| X-ray of the hand, 3 or more views one side CPT 73130 H MIN 3 VIEWS LEFT H MIN 3 VIEW LEFT | $194.40 | $265.00 | $30.56–$265.00 | 39% below | 27% |
| X-ray of the hand, 3 or more views one side CPT 73130 H MIN 3 VIEWS RIGHT | $212.00 | $252.00 | $30.56–$265.00 | 33% below | 16% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEWS | $224.80 | $248.00 | $28.36–$253.00 | 19% below | 9% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS LEFT | $198.40 | $253.00 | $28.36–$253.00 | 28% below | 22% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1-2 VIEWS RIGHT | $202.40 | $253.00 | $28.36–$253.00 | 27% below | 20% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE 2-3 VIEWS | $275.20 | $317.00 | $31.65–$317.00 | 41% below | 13% |
| X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MINIMUM OF 4 VIEWS | $253.60 | $436.00 | $42.25–$436.00 | 60% below | 42% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC AP LAT | $344.80 | $312.00 | $25.07–$312.00 | 14% below | -11% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3 VIEWS | $350.40 | $253.00 | $32.40–$253.00 | 20% above | -38% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERV 2 OR 3 VIEWS | $168.80 | $296.00 | $31.29–$296.00 | 55% below | 43% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEW | $2,253.60 | $201.00 | $21.06–$292.53 | 507% above | -1021% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX | $163.20 | $184.00 | $26.18–$208.30 | 50% below | 11% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX 2 VIEWS | $194.40 | $204.00 | $26.18–$208.30 | 41% below | 5% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT | $80.00 | $40.00 | $4.20–$100.00 | 36% above | -100% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST SGOT | $80.78 | $13.00 | $4.35–$100.00 | 39% above | -521% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $134.40 | $409.20 | $40.01–$409.20 | 65% below | 67% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $327.36 | $275.00 | $40.01–$409.20 | 16% below | -19% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN AB | $28.00 | $75.00 | $4.38–$347.92 | 1% above | 63% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PANEL CENTRAL TEXAS | $60.00 | $309.26 | $4.38–$347.92 | 116% above | 81% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PANELCENTRAL TEXAS | $67.44 | $347.92 | $4.38–$347.92 | 143% above | 81% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN - GLUTEN AB | $120.00 | $35.00 | $4.38–$347.92 | 333% above | -243% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC EQUAN | $278.34 | $295.85 | $4.38–$347.92 | 904% above | 6% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTICENTROMERE AB | $56.00 | $80.00 | $10.16–$90.00 | 37% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR AB W REFLEX | $133.00 | $70.00 | $10.16–$90.00 | 50% above | -90% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NTBNP-B-NATRIURETIC PEPTIDE | $60.00 | $79.50 | $26.25–$299.00 | 68% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE | $101.40 | $123.50 | $26.25–$299.00 | 45% below | 18% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNPTRIAGE | $160.00 | $97.50 | $26.25–$299.00 | 14% below | -64% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL SURVEY 8 | $6,390.40 | $66.00 | $7.35–$66.00 | 2560% above | -9582% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SUR PATH GROSS MICRO | $128.00 | $180.00 | $28.57–$180.00 | 57% below | 29% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CYTO CELL BLOCK PREP | $136.00 | $160.00 | $28.57–$160.00 | 54% below | 15% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $38.80 | $150.00 | $8.67–$150.00 | 84% below | 74% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $24.00 | $75.00 | $3.30–$79.64 | 46% below | 68% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE URINE | $60.00 | $50.00 | $3.30–$79.64 | 35% above | -20% |
| Blood glucose (sugar) test CPT 82947 BODY FLUID GLUCOSE | $62.40 | $30.00 | $3.30–$79.64 | 40% above | -108% |
| Blood glucose (sugar) test CPT 82947 CSF GLUCOSE | $128.00 | $78.00 | $3.30–$79.64 | 188% above | -64% |
| Blood lead test CPT 83655 LEAD LEVEL | $99.80 | $80.00 | $10.17–$89.00 | 88% above | -25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QUALITATIVE | $72.00 | $144.00 | $6.32–$144.00 | 48% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO | $132.80 | $15.00 | $2.51–$343.44 | 50% above | -785% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $40.00 | $60.00 | $4.35–$60.00 | 31% below | 33% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TMA URINE | $48.00 | $70.50 | $24.68–$110.53 | 62% below | 32% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CULTURE CHLAMYDIA TRACHOMATIS | $72.80 | $105.00 | $24.68–$110.53 | 42% below | 31% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $200.00 | $120.00 | $10.50–$198.00 | 3% above | -67% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO DIFF | $32.00 | $142.00 | $5.25–$142.00 | 65% below | 77% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $12.00 | $93.00 | $3.50–$93.00 | 87% below | 87% |
| Complete blood count (CBC), no differential CPT 85027 CBC W MANUAL DIFFERENTIAL | $39.60 | $45.00 | $3.50–$93.00 | 59% below | 12% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL SURVEY 14 | $48.00 | $68.00 | $9.17–$68.00 | 84% below | 29% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $36.00 | $152.00 | $8.55–$152.00 | 79% below | 76% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $116.00 | $130.56 | $18.67–$146.88 | 25% below | 11% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $206.20 | $90.00 | $23.47–$190.00 | 42% above | -129% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $12.00 | $59.00 | $13.30–$85.00 | 93% below | 80% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $134.10 | $28.00 | $9.80–$180.00 | 30% above | -379% |
| Ferritin blood test (iron stores) CPT 82728 HEMOCHROMATOSIS GENE | $144.00 | $74.00 | $9.80–$180.00 | 39% above | -95% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM (FOLIC ACID) | $24.00 | $110.00 | $11.45–$110.00 | 75% below | 78% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $32.00 | $136.50 | $14.23–$136.50 | 77% below | 77% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (THYROXINE) | $20.00 | $35.00 | $7.58–$180.00 | 77% below | 43% |
| Free testosterone test CPT 84402 TESTOSTERONEFREE | $50.40 | $111.00 | $21.39–$124.89 | 54% below | 55% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC TMA URINE | $35.20 | $102.38 | $24.68–$110.53 | 75% below | 66% |
| H. pylori antibody blood test CPT 86677 H.PYLORIIGM | $40.00 | $68.26 | $14.15–$160.00 | 69% below | 41% |
| H. pylori antibody blood test CPT 86677 H PYLORI SERUM IGG | $244.80 | $50.00 | $14.15–$160.00 | 87% above | -390% |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN EIA STOOL | $56.00 | $192.50 | $12.08–$192.50 | 44% below | 71% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANITATIVE BY PCR | $570.38 | $583.88 | $71.48–$583.88 | 77% above | 2% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 2 | $28.00 | $216.50 | $11.52–$216.50 | 73% below | 87% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $40.00 | $120.00 | $8.16–$180.00 | 57% below | 67% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $72.00 | $45.00 | $9.02–$150.00 | 9% above | -60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AB | $96.40 | $170.00 | $8.68–$170.00 | 24% above | 43% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $36.00 | $225.50 | $11.99–$225.50 | 59% below | 84% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIRAL QUANT PCR SERUM | $232.00 | $300.00 | $35.99–$803.25 | 21% below | 23% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNAPCR QUANAT. | $236.00 | $382.00 | $35.99–$803.25 | 20% below | 38% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA BY PCR | $240.00 | $295.00 | $35.99–$803.25 | 18% below | 19% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS IGG-IGM | $60.00 | $100.63 | $11.08–$100.63 | 24% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS IGG-IGM | $80.50 | $129.38 | $16.25–$129.38 | 11% below | 38% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP-HIGH SENSITIVITY CRP | $32.00 | $59.00 | $10.88–$60.00 | 60% below | 46% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HI-SENSIT. | $47.20 | $46.00 | $10.88–$60.00 | 41% below | -3% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM | $135.20 | $150.00 | $15.05–$169.00 | 10% below | 10% |
| Homocysteine blood test CPT 83090 HEMOCYSTEINE LEVEL | $264.00 | $169.00 | $15.05–$169.00 | 76% above | -56% |
| Insulin blood test CPT 83525 INSULIN | $106.20 | $97.31 | $9.60–$97.31 | 26% above | -9% |
| Iron blood test (serum iron) CPT 83540 QUANT. IRON ON LIVER TISSUE | $99.20 | $360.00 | $5.43–$360.00 | 14% above | 72% |
| Iron blood test (serum iron) CPT 83540 IRON - SERUM | $125.08 | $124.00 | $5.43–$360.00 | 44% above | -1% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC IRON BINDING CAPACITY | $280.00 | $100.00 | $6.65–$147.00 | 186% above | -180% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $24.00 | $168.00 | $7.53–$168.00 | 86% below | 86% |
| LH (luteinizing hormone) test CPT 83002 LH (LUTEINIZING HORMONE) | $30.40 | $75.00 | $14.00–$75.00 | 80% below | 59% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $60.00 | $132.00 | $5.60–$132.00 | 37% below | 55% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $120.00 | $90.00 | $6.30–$90.00 | 44% below | -33% |
| Lyme disease antibody test CPT 86618 B. BURGDOFERI TOT AB | $64.00 | $250.00 | $14.31–$274.05 | 23% below | 74% |
| Lyme disease antibody test CPT 86618 B.BURGDOFERI AB (IGGIGM) I | $80.00 | $150.00 | $14.31–$274.05 | 3% below | 47% |
| Lyme disease antibody test CPT 86618 LYME DISEASE TITER | $97.76 | $80.00 | $14.31–$274.05 | 18% above | -22% |
| Lyme disease antibody test CPT 86618 LYM DISEIAW REFLEX IGGIGM | $104.00 | $264.00 | $14.31–$274.05 | 26% above | 61% |
| Lyme disease antibody test CPT 86618 B.BURGDOFERI IFA | $120.00 | $130.00 | $14.31–$274.05 | 45% above | 8% |
| Lyme disease antibody test CPT 86618 B.BURGDOFERI AB EARLY W RFX | $200.00 | $100.00 | $14.31–$274.05 | 142% above | -100% |
| Lyme disease antibody test CPT 86618 LYMES ANTIBODY CSF | $211.20 | $274.05 | $14.31–$274.05 | 155% above | 23% |
| Magnesium blood test CPT 83735 MAGNESIUM | $44.00 | $14.00 | $4.90–$70.00 | 11% below | -214% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR | $96.00 | $55.00 | $4.90–$70.00 | 94% above | -75% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGB | $16.00 | $66.63 | $10.82–$93.65 | 56% below | 76% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHIL ANTIBODY W REF.TIT. | $80.00 | $42.75 | $4.20–$100.00 | 6% below | -87% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO-SPOT | $194.40 | $100.00 | $4.20–$100.00 | 129% above | -94% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $76.00 | $248.06 | $15.45–$248.06 | 33% below | 69% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSAICMA | $28.80 | $45.66 | $14.00–$220.00 | 68% below | 37% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC PSA TOAL DIAGNOSTIC | $36.53 | $200.00 | $14.00–$220.00 | 59% below | 82% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC | $160.00 | $40.00 | $14.00–$220.00 | 79% above | -300% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ULTRA SENSITIVE PSA | $160.00 | $220.00 | $14.00–$220.00 | 79% above | 27% |
| Parathyroid hormone (PTH) blood test CPT 83970 IPTH PARATHYROID HORMONE INTAC | $90.00 | $205.00 | $34.68–$205.00 | 58% below | 56% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $164.00 | $171.29 | $34.68–$205.00 | 24% below | 4% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROBOPLASTIN (PTT) | $48.00 | $25.00 | $5.05–$655.31 | 11% below | -92% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VON WILLEBR PANEL | $104.00 | $582.50 | $5.05–$655.31 | 92% above | 82% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN (PTT) PARTIAL THROMBOPLASTIN(PTT) | $466.00 | $110.00 | $5.05–$655.31 | 762% above | -324% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN (PTT) | $524.25 | $60.00 | $5.05–$655.31 | 869% above | -774% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21 | $321.58 | $610.00 | $213.50–$2,656.68 | 63% below | 47% |
| Progesterone blood test CPT 84144 PROGESTERONE PROGESTERON | $63.15 | $69.07 | $17.52–$88.81 | 45% below | 9% |
| Progesterone blood test CPT 84144 PROGESTERONE | $131.28 | $88.81 | $17.52–$88.81 | 14% above | -48% |
| Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY | $32.40 | $72.76 | $12.60–$72.76 | 72% below | 55% |
| Prolactin blood test CPT 84146 PROLACTIN SERUM | $55.26 | $36.00 | $12.60–$72.76 | 52% below | -54% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAGULANT | $9.60 | $405.56 | $3.60–$405.56 | 80% below | 98% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $324.45 | $11.00 | $3.60–$405.56 | 587% above | -2850% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN RAPID | $30.40 | $87.00 | $10.58–$87.00 | 75% below | 65% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN NON-DOT | $69.60 | $38.00 | $10.58–$87.00 | 43% below | -83% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN DOT | $75.75 | $42.75 | $10.58–$87.00 | 38% below | -77% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZAE A B RAPID | $355.42 | $60.00 | $10.50–$90.00 | 273% above | -492% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A | $24.00 | $110.00 | $13.89–$110.00 | 76% below | 78% |
| Rheumatoid factor (RF) test CPT 86431 RF (QUALITATIVE) | $44.80 | $70.00 | $4.76–$80.00 | 19% below | 36% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QT | $56.00 | $80.00 | $4.76–$80.00 | 2% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $153.60 | $229.50 | $7.00–$229.50 | 216% above | 33% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN | $183.60 | $25.00 | $7.00–$229.50 | 277% above | -634% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE | $288.40 | $40.00 | $2.27–$80.00 | 414% above | -621% |
| Stool ova and parasites exam CPT 87177 OVA PARASITE EXAM | $60.00 | $50.00 | $7.48–$50.00 | 33% below | -20% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT FECES 1-3 DETERM | $76.80 | $9.00 | $3.15–$70.00 | 100% above | -753% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUALITATIVE NON TREPONEMAL | $12.00 | $25.00 | $3.59–$65.10 | 77% below | 52% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRLCSF NON TREPONEMAL ANTIBO | $20.00 | $65.10 | $3.59–$65.10 | 62% below | 69% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TESTCELL MEDIATED IMMUNITY | $24.00 | $310.96 | $52.06–$336.34 | 88% below | 92% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLDONE TUBE TB GOLD ONE TUBE | $248.77 | $336.34 | $52.06–$336.34 | 22% above | 26% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $64.40 | $31.50 | $9.80–$81.30 | 36% below | -104% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LKM-1 AB IGG | $48.00 | $95.00 | $12.22–$240.00 | 46% below | 49% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO | $48.00 | $60.00 | $12.22–$240.00 | 46% below | 20% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY | $76.00 | $55.25 | $12.22–$240.00 | 15% below | -38% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HEPATIC FUNCTION PANEL | $96.00 | $176.00 | $12.22–$240.00 | 7% above | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI TPO AB | $107.10 | $60.00 | $12.22–$240.00 | 20% above | -79% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH-THYROID STIM HORMONE | $133.60 | $270.00 | $14.00–$270.00 | 9% above | 51% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $54.40 | $12.00 | $3.80–$86.00 | 40% below | -353% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE | $84.15 | $10.00 | $2.66–$80.00 | 22% below | -742% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS MACROSCOPIC ONLY | $6.40 | $24.00 | $1.89–$50.00 | 87% below | 73% |
| Urinalysis without microscope exam, automated CPT 81003 URINE PH | $19.20 | $10.00 | $1.89–$50.00 | 62% below | -92% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSISNON-AUTO W O MICROS | $64.00 | $60.00 | $2.80–$60.00 | 79% above | -7% |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE | $19.20 | $120.00 | $7.23–$120.00 | 77% below | 84% |
| Vitamin B12 (cobalamin) blood test CPT 82607 B 12 | $57.60 | $130.00 | $12.60–$174.30 | 37% below | 56% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 CARDIO IQ | $72.00 | $285.85 | $24.86–$285.85 | 42% below | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXYINCL FRACTION | $209.48 | $232.75 | $24.86–$285.85 | 70% above | 10% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROXY INCL FRACTION | $228.68 | $261.85 | $24.86–$285.85 | 86% above | 13% |
| Zinc blood test CPT 84630 ZINC | $83.60 | $100.00 | $9.57–$140.70 | 21% above | 16% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER SERUM | $152.00 | $101.25 | $12.25–$190.00 | 35% above | -50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QUANTITATIVE | $468.00 | $190.00 | $12.25–$190.00 | 317% above | -146% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TX COLLES W O MAN | $298.40 | $373.00 | $130.55–$373.00 | 42% below | 20% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL IMPACTED CERUM | $149.60 | $187.00 | $54.66–$187.00 | 6% below | 20% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I D ABSCESS SIMPLE OR SINGLE | $632.00 | $295.00 | $103.25–$295.00 | 35% above | -114% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ATHROC. MAJOR JOINT BURSA | $497.60 | $622.00 | $136.00–$622.00 | 16% below | 20% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROC INTERM. JOINT | $497.60 | $622.00 | $136.00–$622.00 | 15% below | 20% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ATHROCSMALL JOINT OR BURSA | $1,122.40 | $622.00 | $136.00–$622.00 | 214% above | -80% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE 2.5CM OR LESS | $507.20 | $335.00 | $117.25–$375.15 | 5% below | -51% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION <0.5 | $132.80 | $549.00 | $192.15–$660.66 | 84% below | 76% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL COMPLETE SIMPLE | $439.20 | $383.00 | $134.05–$383.00 | 44% above | -15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL MATRIX COMPLETE | $80.80 | $606.00 | $136.00–$606.00 | 85% below | 87% |
| Removal of a foreign object under the skin, simple CPT 10120 I R FOREIGN BODY - SIMPLE | $973.60 | $295.00 | $103.25–$375.15 | 83% above | -230% |
| Short leg cast (below the knee) CPT 29405 APP. SHORT LEG CAST | $385.60 | $482.00 | $136.00–$482.00 | 14% above | 20% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR 2.5CM OR LESS | $188.80 | $243.00 | $85.05–$243.00 | 48% below | 22% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS ANY AREA | $476.00 | $207.00 | $72.45–$207.00 | 49% above | -130% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCT LUMBAR DIAGNOSTIC | $312.80 | $697.00 | $136.00–$697.00 | 70% below | 55% |
| 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 | $194.40 | $243.00 | $85.05–$243.00 | 57% below | 20% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR 2.5CM OR LESS | $194.40 | $243.00 | $85.05–$243.00 | 50% below | 20% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENTSKIN | $1,543.20 | $595.00 | $136.00–$595.00 | 53% above | -159% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER-PEDI | $300.80 | $14.77 | $3.34–$373.44 | 48% above | -1937% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG RECORDING AWAKE DROWSY | $3,192.00 | $875.00 | $286.55–$875.00 | 226% above | -265% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $221.60 | $136.00 | $6.85–$136.00 | 22% below | -63% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION 31MIN-1HR | $560.00 | $300.00 | $67.77–$300.00 | 25% above | -87% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC INJ | $32.00 | $32.00 | $11.20–$122.75 | 79% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN FEE THERAPEUTICPROPHYLA ADMIN FEE THEREAPETICPROPHYLA | $60.00 | $40.00 | $14.00–$167.75 | 61% below | -50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION | $72.80 | $91.00 | $20.56–$91.00 | 35% below | 20% |
| Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY EVAL | $110.40 | $297.00 | $64.39–$297.00 | 55% below | 63% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVAL | $132.00 | $297.00 | $63.97–$297.00 | 34% below | 56% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY RE-VAL | $237.60 | $138.00 | $31.17–$175.57 | 6% below | -72% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY LYMPH DRAINAGE | $118.40 | $165.00 | $17.29–$165.00 | 6% above | 28% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERA EXERCISE EACH 15 MIN | $56.00 | $91.00 | $18.80–$91.00 | 50% below | 38% |
| Speech and language evaluation CPT 92523 EVAL LANGUAGE COMPREHENSION | $224.80 | $584.00 | $204.40–$584.00 | 47% below | 62% |
| Speech therapy session, individual CPT 92507 TREATMENT SPEECHLANGUAGECOMM | $308.00 | $244.00 | $72.63–$244.00 | 42% above | -26% |
| Speech therapy session, individual CPT 92507 TREATMENT SPEECH HEARING | $348.00 | $385.00 | $72.63–$385.00 | 61% above | 10% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY(PRE POST)BRONCHODIL SPIROMETRY (PRE POST) | $258.40 | $376.00 | $90.64–$376.00 | 57% below | 31% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERA ACT PT CONTACT 15 MIN | $237.60 | $91.00 | $20.56–$91.00 | 112% above | -161% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VIAL | $32.00 | $538.96 | $72.32–$538.96 | 91% below | 94% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VIAL | $32.00 | $538.96 | $72.32–$538.96 | — | 94% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE | $36.00 | $40.00 | $9.04–$105.50 | 86% below | 10% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNU-IMUNE 23 PNEUMOCC VAC INJ PNEUMOCOCCAL VACCINE INJ | $135.55 | $45.00 | $10.17–$105.50 | 46% below | -201% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE | $36.00 | $40.00 | $9.04–$105.50 | — | 10% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS TOXOID ADSORB >7YRS | $629.00 | $86.60 | $15.76–$86.60 | 408% above | -626% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE(BOOSTRIX) | $69.28 | $169.44 | $33.59–$169.44 | 55% below | 59% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION VACCINE TOXOID | $10.14 | $32.00 | $11.20–$122.75 | 86% below | 68% |
Source file: https://345b7257-5e90-4194-94c2-5fea41a44dc6.usrfiles.com/ugd/345b72_fbd63326b89f4304afd8af8ddb892451.csv