Vista Medical Center East
Vista Medical Center East in Waukegan, IL publishes cash prices for 245 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 224 of 243 procedures and below it for 18. By typical cash price it ranks #114 of 114 Illinois hospitals and #62 of 63 hospitals in the Chicago, IL area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1324 North Sheridan Road, Waukegan, IL 60085 Collected Sep 27, 2026 Source price file (847) 360-3000
Acute care hospital Emergency department CMS star rating 2 of 5 CCN 140084 · CMS hospital register
The price file shows no self-pay discount
For 318 of the 318 prices listed here, the cash price in Vista Medical Center East's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Vista Medical Center East in Waukegan, IL:
- Mar 8, 2024 Warning notice
- Jun 11, 2024 Case closed
- Jul 15, 2025 Warning notice
- Oct 30, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 LE-ANKLE 3VPLUS DR | $1,070.51 | $1,070.51 | $38.94–$245.00 | 182% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-EXT ARTERIAL LTD | $439.19 | $439.19 | $26.35–$800.00 | 8% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 NI-EXT ARTERIAL LTD | $1,616.44 | $1,616.44 | $96.99–$800.00 | 297% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 FL-ESOPHAGUS | $2,151.16 | $2,151.16 | $94.95–$269.01 | 228% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN BODY | $4,344.90 | $4,344.90 | $260.69–$887.00 | 175% above | — |
| Breast ultrasound, complete, one breast CPT 76641 US-BREAST COMPLETE | $1,008.86 | $1,008.86 | $93.59–$764.00 | 92% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US-BREAST LIMITED | $1,008.86 | $1,008.86 | $72.65–$764.00 | 130% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST | $8,574.69 | $8,574.69 | $189.45–$958.16 | 190% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT-HT CARD FUNC W | $2,350.52 | $2,350.52 | $189.45–$649.00 | 38% above | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT-HEART WO QUAL | $759.75 | $759.75 | $81.29–$649.00 | 244% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT-ABD PELVIS WO | $10,852.76 | $10,852.76 | $145.73–$1,212.72 | 191% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT-ABD PELVIS W | $14,738.49 | $14,738.49 | $309.66–$1,646.92 | 228% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT-ABD PELVIS WWO | $17,532.30 | $17,532.30 | $349.98–$1,959.11 | 237% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN W | $7,369.24 | $7,369.24 | $189.45–$823.46 | 203% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN WO | $5,426.98 | $5,426.98 | $115.44–$649.00 | 174% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT-MAXILLOFACIAL WO | $5,426.98 | $5,426.98 | $115.47–$649.00 | 215% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD WO | $5,426.98 | $5,426.98 | $94.50–$649.00 | 185% above | — |
| CT scan of the head with contrast CPT 70460 CT-HEAD W | $7,369.24 | $7,369.24 | $135.48–$823.46 | 255% above | — |
| CT scan of the head without and with contrast CPT 70470 CT-HEAD WWO | $8,766.75 | $8,766.75 | $162.12–$979.49 | 252% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMB SPINE WO | $5,426.98 | $5,426.98 | $115.47–$649.00 | 141% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERV SPINE WO | $5,426.98 | $5,426.98 | $115.47–$649.00 | 130% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS W | $7,369.24 | $7,369.24 | $189.45–$979.49 | 235% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CAROTID DPLX SCAN | $2,819.52 | $2,819.52 | $169.17–$800.00 | 226% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US-CRAN DPLX SCN BIL | $2,819.52 | $2,819.52 | $169.17–$800.00 | 226% above | — |
| Chest X-ray, 2 views CPT 71046 CH-CHEST 2V DR | $1,070.51 | $1,070.51 | $32.12–$245.00 | 247% above | — |
| Chest X-ray, single view CPT 71045 CH-CHEST 1V DR | $1,070.51 | $1,070.51 | $23.91–$245.00 | 329% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER | $1,900.39 | $1,900.39 | $100.88–$764.00 | 127% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-ABDOMEN RETROPER | $1,900.39 | $1,900.39 | $100.88–$764.00 | 127% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL | $1,667.32 | $1,667.32 | $40.76–$245.00 | 237% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA PERIPHERAL | $1,667.32 | $1,667.32 | $30.75–$245.00 | 609% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US-PLV PRG 2T DETAIL | $2,684.24 | $2,684.24 | $121.38–$764.00 | 178% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-CHEST DIAG WO | $5,426.98 | $5,426.98 | $115.47–$649.00 | 187% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-CHEST DIAG W | $7,369.24 | $7,369.24 | $159.86–$823.46 | 203% above | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 BR-DIG MAMMO BILAT | $1,004.79 | $1,004.79 | $0.01–$432.06 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 BR-DIG MAMMO UNILAT | $892.68 | $892.68 | $0.01–$357.44 | 197% above | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 NI-LW EXT DPX ART BI | $2,847.25 | $2,847.25 | $170.84–$800.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US-LW EXT DPX ART BI | $3,057.65 | $3,057.65 | $183.46–$800.00 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US-EXT VEINS DPLX WC | $2,819.52 | $2,819.52 | $169.17–$800.00 | 96% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 NI-EXT VEINS DPLX WC | $2,819.52 | $2,819.52 | $169.17–$800.00 | 96% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE STRESS WWO | $3,232.88 | $3,232.88 | $193.97–$932.67 | 51% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP | $6,614.66 | $6,614.66 | $193.97–$932.67 | 208% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US-TTE 2D W DOPP WO | $7,171.33 | $7,171.33 | $266.00–$1,011.16 | 234% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 NI-TTE 2D W DOPP WWO | $7,171.33 | $7,171.33 | $266.00–$1,011.16 | 234% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US-TTE 2D W DOPP WWO | $7,171.33 | $7,171.33 | $266.00–$1,011.16 | 234% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM-HEPATOBILIARY SYS | $4,692.30 | $4,692.30 | $281.54–$887.00 | 210% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLPSTDY UNATT RS EFF | $811.01 | $811.01 | $48.66–$300.00 | 39% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYS-CPAP GT4 GE6YO | $11,588.70 | $11,588.70 | $695.32–$1,634.01 | 141% above | — |
| Knee X-ray, 3 views CPT 73562 LE-KNEE 3V DR | $1,070.51 | $1,070.51 | $43.95–$245.00 | 174% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO | $1,900.39 | $1,900.39 | $107.94–$764.00 | 166% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN LTD WO | $1,900.39 | $1,900.39 | $107.94–$764.00 | 166% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LOW DOSE CNCR SCR | $2,487.00 | $2,487.00 | $115.47–$649.00 | 340% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT-LUNG LOWDSE SC WO | $2,487.00 | $2,487.00 | $115.47–$649.00 | 340% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR-LW JOINT WO | $6,027.87 | $6,027.87 | $198.11–$1,345.00 | 109% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR-LW JOINT WWO | $8,738.12 | $8,738.12 | $390.55–$1,345.00 | 136% above | — |
| MRI of the abdomen without contrast CPT 74181 MR-ABDOMEN WO | $6,027.87 | $6,027.87 | $182.16–$1,345.00 | 118% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MR-ABDOMEN WWO | $8,738.12 | $8,738.12 | $335.40–$1,345.00 | 133% above | — |
| MRI of the brain, no contrast dye CPT 70551 MR-BRAIN WO | $6,027.87 | $6,027.87 | $181.25–$1,345.00 | 105% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MR-BRAIN WWO | $8,738.12 | $8,738.12 | $301.71–$1,345.00 | 110% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MR-LUMB SPINE WO | $6,027.87 | $6,027.87 | $173.97–$1,345.00 | 98% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MR-LUMB SPINE WWO | $8,738.12 | $8,738.12 | $303.53–$1,345.00 | 110% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR-THOR SPINE WO | $6,027.87 | $6,027.87 | $173.06–$1,345.00 | 101% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MR-CERV SPINE WWO | $8,738.12 | $8,738.12 | $303.53–$1,345.00 | 114% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MR-CERV SPINE WO | $6,027.87 | $6,027.87 | $173.51–$1,345.00 | 101% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MR-PELVIS WWO | $8,738.12 | $8,738.12 | $333.59–$1,345.00 | 134% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MR-PELVIS WO | $6,027.87 | $6,027.87 | $228.62–$1,345.00 | 122% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR-UPPER JOINT WO | $6,027.87 | $6,027.87 | $198.56–$1,347.01 | 105% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYOCRD SPECT MULT | $9,261.60 | $9,261.60 | $555.70–$1,968.05 | 146% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-IMG /CT SKL-THI | $14,668.20 | $14,668.20 | $880.09–$2,228.97 | 148% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS NON OB FU | $1,106.55 | $1,106.55 | $115.47–$764.00 | 99% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS NON OB | $1,846.33 | $1,846.33 | $100.41–$764.00 | 125% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US-PELVIS PREG | $1,846.33 | $1,846.33 | $115.47–$764.00 | 148% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US-PELV PREG 14 WKS | $1,900.39 | $1,900.39 | $97.23–$764.00 | 179% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-PELVIS PREG LTD | $1,074.41 | $1,074.41 | $69.45–$764.00 | 113% above | — |
| Screening mammogram, both breasts both sides CPT 77067 BR-DIG MAMMO SCRN BI | $961.70 | $961.70 | $0.01–$385.07 | — | — |
| Screening mammogram, both breasts CPT 77067 BR-DIG MAMMO SCRN UN | $756.94 | $756.94 | $0.01–$303.09 | 178% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 UE-SHLDR 2VW PLUS DR | $1,070.51 | $1,070.51 | $35.76–$245.00 | 188% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNO GT4 GE6YO | $9,851.66 | $9,851.66 | $591.10–$1,570.95 | 145% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 FL-MOD BA SWALLOW | $2,151.16 | $2,151.16 | $94.95–$269.01 | 226% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL | $1,900.39 | $1,900.39 | $115.47–$982.14 | 187% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US-PLV PRG TRNSV | $1,900.39 | $1,900.39 | $78.56–$764.00 | 263% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO | $1,900.39 | $1,900.39 | $107.94–$764.00 | 79% above | — |
| Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN COMP WO | $1,900.39 | $1,900.39 | $107.94–$764.00 | 79% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM | $1,846.33 | $1,846.33 | $96.32–$764.00 | 144% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US-HEAD NECK SFT TIS | $1,900.39 | $1,900.39 | $114.99–$764.00 | 177% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FL-UPPER GI SINGLE | $2,151.16 | $2,151.16 | $94.95–$269.01 | 173% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-EXT VEINS DPX LTD | $1,632.51 | $1,632.51 | $97.95–$800.00 | 121% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 UE-WRIST 3V PLUS DR | $1,070.51 | $1,070.51 | $45.32–$245.00 | 198% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 LE-HIP PV UN2OR3V DR | $1,003.46 | $1,003.46 | $50.78–$245.00 | 211% above | — |
| X-ray of the abdomen, 1 view CPT 74018 CH-ABDOMEN 1 VIEW DR | $1,070.51 | $1,070.51 | $29.84–$245.00 | 301% above | — |
| X-ray of the ankle, 2 views CPT 73600 LE-ANKLE 2V DR | $1,070.51 | $1,070.51 | $33.93–$245.00 | 271% above | — |
| X-ray of the finger(s), 2 or more views CPT 73140 UE-FINGER S 2VPLS DR | $1,070.51 | $1,070.51 | $43.50–$245.00 | 270% above | — |
| X-ray of the foot, 2 views CPT 73620 LE-FOOT 2V DR | $1,070.51 | $1,070.51 | $29.39–$245.00 | 273% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 LE-FOOT 3V PLUS DR | $1,070.51 | $1,070.51 | $36.21–$245.00 | 193% above | — |
| X-ray of the hand, 3 or more views CPT 73130 UE-HAND 3V DR | $1,070.51 | $1,070.51 | $39.86–$245.00 | 196% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 LE-KNEE 1 TO 2V DR | $1,070.51 | $1,070.51 | $36.21–$245.00 | 227% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SP-LS SPN 2 TO 3V DR | $1,070.51 | $1,070.51 | $40.31–$245.00 | 137% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 SP-LS SPNE 4VPLUS DR | $1,818.36 | $1,818.36 | $54.42–$245.00 | 215% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HE-NASAL BONES DR | $1,070.51 | $1,070.51 | $40.76–$245.00 | 254% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SP-CERV SP 2TO3VW DR | $1,070.51 | $1,070.51 | $39.86–$245.00 | 191% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 LE-PELVIS DR | $1,070.51 | $1,070.51 | $27.11–$245.00 | 206% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SP-SCRM COCCYX 2V DR | $1,070.51 | $1,070.51 | $33.48–$245.00 | 197% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALT | $170.86 | $170.86 | $5.30–$24.09 | 225% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE AST | $167.31 | $167.31 | $5.18–$23.59 | 219% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANE | $1,180.67 | $1,180.67 | $47.63–$166.47 | 353% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q26018 ALG E1 IGE | $25.91 | $25.91 | $1.55–$8.40 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE QUANT | $25.91 | $25.91 | $1.55–$8.40 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q10659 ALLERGEN IGE | $25.91 | $25.91 | $1.55–$8.40 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q10715 ALLERGEN IGE | $25.91 | $25.91 | $1.55–$8.40 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q8927 ALG K82 IGE IA | $25.91 | $25.91 | $1.55–$8.40 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Q79118 ALG IGE QT | $25.91 | $25.91 | $1.55–$8.40 | at median | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $226.23 | $226.23 | $12.95–$31.90 | 169% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Q249 ANA SCRN IFA | $70.70 | $70.70 | $4.24–$19.46 | 21% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $70.70 | $70.70 | $4.24–$19.46 | 21% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $723.48 | $723.48 | $39.26–$102.01 | 283% above | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABO CA TOTA | $275.72 | $275.72 | $8.46–$38.88 | 115% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH GROSS LVL4 | $605.23 | $605.23 | $36.31–$85.34 | 153% above | — |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD BACTER | $334.64 | $334.64 | $10.32–$47.18 | 118% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE,ROUTINE | $60.09 | $60.09 | $3.00–$25.84 | 156% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUANT | $126.07 | $126.07 | $0.01–$17.78 | 178% above | — |
| Blood lead test CPT 83655 Q7655 LEAD | $51.50 | $51.50 | $3.09–$29.74 | 8% below | — |
| Blood lead test CPT 83655 LEAD | $210.91 | $210.91 | $3.09–$29.74 | 276% above | — |
| Blood lead test CPT 83655 Q599 PB BL ICP/MS | $210.91 | $210.91 | $3.09–$29.74 | 276% above | — |
| Blood lead test CPT 83655 Q7507 LEAD | $210.91 | $210.91 | $3.09–$29.74 | 276% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL | $242.73 | $242.73 | $7.52–$34.22 | 167% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO | $166.14 | $166.14 | $3.32–$192.54 | 97% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $149.64 | $149.64 | $5.18–$21.10 | 104% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLI PROBE | $425.37 | $425.37 | $25.52–$60.00 | 131% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 TUMOR AG CA 19-9 | $362.92 | $362.92 | $20.81–$61.31 | 228% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR AG CA 125 | $392.38 | $392.38 | $20.81–$55.33 | 144% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB | $171.60 | $171.60 | $10.30–$82.61 | 49% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID19 PRB | $176.75 | $176.75 | $10.61–$82.61 | 53% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP | $122.54 | $122.54 | $7.35–$56.49 | 1% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $226.23 | $226.23 | $13.39–$31.90 | 76% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W-PLT AUTO COMPD | $252.15 | $252.15 | $7.77–$35.55 | 222% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC W-PLT | $209.74 | $209.74 | $6.47–$29.57 | 222% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METAB PANEL | $344.06 | $344.06 | $10.56–$31.90 | 116% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT | $275.72 | $275.72 | $10.18–$38.88 | 128% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $435.98 | $435.98 | $22.23–$61.47 | 306% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Q1452 DHEA SULF | $435.98 | $435.98 | $22.23–$61.47 | 306% above | — |
| Estradiol blood test CPT 82670 Q30289 ESTRADIOL US | $106.05 | $106.05 | $6.36–$44.98 | at median | — |
| Estradiol blood test CPT 82670 ESTRADIOL TOTAL | $222.70 | $222.70 | $6.36–$44.98 | 110% above | — |
| Estradiol blood test CPT 82670 Q4021 ESTRADIOL IA | $222.70 | $222.70 | $6.36–$44.98 | 110% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORM | $129.62 | $129.62 | $7.78–$55.74 | 10% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Q16796 CALPRO STL IA | $89.55 | $89.55 | $5.37–$21.81 | 48% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $89.55 | $89.55 | $5.37–$21.81 | 48% below | — |
| Ferritin blood test (iron stores) CPT 82728 Q17365 FERRITIN | $441.87 | $441.87 | $13.63–$62.30 | 234% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $441.87 | $441.87 | $13.63–$62.30 | 234% above | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $109.58 | $109.58 | $6.57–$67.29 | 2% below | — |
| Free T3 thyroid hormone test CPT 84481 T3,FREE | $222.70 | $222.70 | $13.08–$31.40 | 86% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE T4, FREE | $292.22 | $292.22 | $9.02–$41.20 | 151% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $444.22 | $444.22 | $25.47–$62.64 | 263% above | — |
| Free testosterone test CPT 84402 Q36170 TESTOST FREE | $444.22 | $444.22 | $25.47–$62.64 | 263% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $1,140.61 | $1,140.61 | $0.01–$160.83 | 244% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST DOSE | $153.18 | $153.18 | $4.75–$21.60 | 170% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC | $418.30 | $418.30 | $12.87–$58.98 | 210% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHO,DNA,AMPPR | $122.54 | $122.54 | $7.35–$56.49 | 1% below | — |
| H. pylori antibody blood test CPT 86677 H PYLORI AB QL | $471.33 | $471.33 | $16.85–$66.46 | 312% above | — |
| H. pylori stool antigen test CPT 87338 HPYLORI,STOOL,EIA | $250.98 | $250.98 | $14.38–$35.39 | 116% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Q40085 HIV1RNA RTPCR | $1,483.50 | $1,483.50 | $85.10–$209.17 | 336% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1, DNA, QUANT | $1,483.50 | $1,483.50 | $85.10–$209.17 | 336% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $89.55 | $89.55 | $5.37–$56.49 | 39% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $313.43 | $313.43 | $9.71–$44.19 | 252% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB | $347.60 | $347.60 | $10.74–$49.01 | 271% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $334.64 | $334.64 | $10.33–$47.18 | 277% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $463.08 | $463.08 | $14.27–$65.29 | 313% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C,RNA,QUAN | $609.18 | $609.18 | $36.55–$85.89 | 130% above | — |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 Q35645 HCV RNAQT RT- | $609.18 | $609.18 | $36.55–$85.89 | 130% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Q6447 HERPES SMP TP1 | $229.77 | $229.77 | $13.19–$32.40 | 253% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Q3636 HSV1 IGG IA | $229.77 | $229.77 | $13.19–$32.40 | 253% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1 | $229.77 | $229.77 | $13.19–$32.40 | 253% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Q900972HSV1 IGM TITR | $229.77 | $229.77 | $13.19–$32.40 | 253% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Q90849HERPES SMP TP1 | $229.77 | $229.77 | $13.19–$32.40 | 253% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Q6447 HERPES SMP TP2 | $223.70 | $223.70 | $13.42–$31.54 | 179% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Q3640 HSV 2 SPEC AB | $337.00 | $337.00 | $19.35–$47.52 | 320% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2 | $337.00 | $337.00 | $19.35–$47.52 | 320% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Q90849HERPES SMP TP2 | $337.00 | $337.00 | $19.35–$47.52 | 320% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Q900973HSV2 IGM TITR | $337.00 | $337.00 | $19.35–$47.52 | 320% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGHLY SENS | $419.48 | $419.48 | $12.95–$59.15 | 354% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $331.10 | $331.10 | $3.89–$46.69 | 175% above | — |
| Insulin blood test CPT 83525 Q561 INSULIN IA | $223.88 | $223.88 | $11.43–$31.57 | 208% above | — |
| Insulin blood test CPT 83525 INSULIN, TOTAL | $223.88 | $223.88 | $11.43–$31.57 | 208% above | — |
| Iron blood test (serum iron) CPT 83540 IRON | $209.74 | $209.74 | $6.47–$29.57 | 165% above | — |
| Iron blood test (serum iron) CPT 83540 Q3893 IRON LIVER | $209.74 | $209.74 | $6.47–$29.57 | 165% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACIT | $282.80 | $282.80 | $8.74–$39.87 | 277% above | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $280.44 | $280.44 | $8.68–$39.54 | 89% above | — |
| LH (luteinizing hormone) test CPT 83002 LEUTEINIZING HORMONE | $129.62 | $129.62 | $7.78–$55.74 | 13% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $212.10 | $212.10 | $6.89–$29.91 | 127% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN | $265.12 | $265.12 | $8.17–$37.38 | 92% above | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $296.93 | $296.93 | $17.03–$41.87 | 310% above | — |
| Lyme disease antibody test CPT 86618 Q6646 LYM AB IGG/IGM | $296.93 | $296.93 | $17.03–$41.87 | 310% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $217.99 | $217.99 | $6.70–$30.74 | 211% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $418.30 | $418.30 | $12.88–$58.98 | 477% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREE | $168.50 | $168.50 | $5.18–$23.76 | 108% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Q31348 PSA, FREE | $320.49 | $320.49 | $18.39–$45.19 | 246% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $320.49 | $320.49 | $18.39–$45.19 | 246% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Q31348 PSA, TOTAL | $295.75 | $295.75 | $17.75–$41.70 | 161% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $295.75 | $295.75 | $17.75–$41.70 | 161% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP DIAG AUTO MAN RS | $637.36 | $637.36 | $26.61–$89.87 | 365% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP THINLAY LIQ DIAG | $81.41 | $81.41 | $4.88–$32.62 | 26% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE PTH | $809.50 | $809.50 | $41.28–$114.14 | 272% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Q7079 THROMBOPLAST T | $56.65 | $56.65 | $3.40–$9.68 | 19% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAST TIMEPTT | $194.42 | $194.42 | $6.01–$27.41 | 179% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FET ANEUP GSA PN | $936.23 | $936.23 | $56.17–$1,222.07 | 6% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $146.11 | $146.11 | $8.77–$23.18 | 8% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $135.51 | $135.51 | $8.13–$21.53 | 7% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $127.26 | $127.26 | $4.29–$17.94 | 231% above | — |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRS DRG IA VIS | $67.16 | $67.16 | $4.03–$20.28 | 18% below | — |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W-OP | $388.85 | $388.85 | $16.55–$54.83 | 392% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W-OPTI | $388.85 | $388.85 | $16.53–$54.83 | 537% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT QUAN | $184.99 | $184.99 | $5.67–$26.08 | 192% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $466.61 | $466.61 | $14.39–$65.79 | 512% above | — |
| Rubella antibody test (immunity check) CPT 86762 Q4422 RUBELLA IGM IA | $466.61 | $466.61 | $14.39–$65.79 | 512% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, AUTOMATED | $95.44 | $95.44 | $2.70–$13.46 | 107% above | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANYL COMP-WDIF | $326.39 | $326.39 | $12.31–$46.02 | 124% above | — |
| Stool ova and parasites exam CPT 87177 OVA-PARASITES SMEARS | $281.61 | $281.61 | $8.90–$39.71 | 276% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FECES 1-3 | $106.05 | $106.05 | $4.38–$45.60 | 268% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCCULT FECES EIA | $162.61 | $162.61 | $9.76–$25.63 | 125% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Q14395 FECAL GLOB IC | $162.61 | $162.61 | $9.76–$25.63 | 125% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST, QUAL | $139.04 | $139.04 | $4.27–$19.60 | 172% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Q4128 VDRL CSF SLDMF | $139.04 | $139.04 | $4.27–$19.60 | 172% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Q36971 TB QFT PL 4TU | $486.64 | $486.64 | $29.20–$99.78 | 120% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IM MEAS | $486.64 | $486.64 | $29.20–$99.78 | 120% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $180.28 | $180.28 | $10.82–$41.55 | 44% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Q36170 TESTOST TOTAL | $180.28 | $180.28 | $10.82–$41.55 | 44% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Q5081 TPO AB IA | $419.48 | $419.48 | $14.55–$59.15 | 425% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB | $419.48 | $419.48 | $14.55–$59.15 | 425% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Q15038 LKM1 AB IGG | $419.48 | $419.48 | $14.55–$59.15 | 425% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM TSH | $544.38 | $544.38 | $16.80–$76.76 | 327% above | — |
| Trichomonas test (NAAT) CPT 87661 Q15509 T VAGINALIS A | $64.81 | $64.81 | $3.89–$56.49 | 48% below | — |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS AMP | $281.61 | $281.61 | $16.90–$56.49 | 126% above | — |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $146.11 | $146.11 | $4.52–$20.60 | 100% above | — |
| Urinalysis with microscope exam, automated CPT 81001 UA, AUTO W-SCOPE | $102.51 | $102.51 | $3.17–$14.45 | 59% above | — |
| Urinalysis without microscope exam, automated CPT 81003 UA, AUTO, W-O SCOPE | $73.05 | $73.05 | $2.25–$10.30 | 192% above | — |
| Urinalysis without microscope exam, manual CPT 81002 UA NONAUTO W-O SCOPE | $12.96 | $12.96 | $0.78–$5.57 | 48% below | — |
| Urine culture for bacteria, with colony count CPT 87086 CULT URINE-COLONY CT | $262.76 | $262.76 | $8.07–$37.05 | 187% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QL | $32.99 | $32.99 | $1.98–$14.19 | 56% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $113.11 | $113.11 | $6.79–$68.95 | 13% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25OH | $558.52 | $558.52 | $29.60–$78.75 | 207% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Q17306 25(OH)D LCMSM | $558.52 | $558.52 | $29.60–$78.75 | 207% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Q92888 25-HYD D(2/3) | $558.52 | $558.52 | $29.60–$78.75 | 207% above | — |
| Zinc blood test CPT 84630 ZINC | $196.77 | $196.77 | $11.39–$27.74 | 180% above | — |
| Zinc blood test CPT 84630 Q945 ZN ICP/MS AS | $196.77 | $196.77 | $11.39–$27.74 | 180% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Q8396 HCG TOT QT IA | $80.12 | $80.12 | $4.81–$16.73 | 24% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $80.12 | $80.12 | $4.81–$16.73 | 24% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 CC-L HRT ARTERY-VENT | $35,720.89 | $35,720.89 | $2,143.25–$6,451.00 | 251% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 NI-CARDIOVERSION | $6,512.17 | $6,512.17 | $390.73–$2,111.00 | 469% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 EP-ATR FIB PULM VN I | $19,105.92 | $19,105.92 | $1,146.36–$36,641.10 | 31% below | — |
| Coronary stent placement, one artery CPT 92928 IC-PRQ CRD STN W-ANG | $70,016.49 | $70,016.49 | $4,200.99–$16,874.41 | 398% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRCT PREMAL LES | $763.00 | $763.00 | $107.58–$310.79 | 338% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 S-INJ CATH HYSTERSO | $1,306.75 | $1,306.75 | $0.01–$561.90 | 238% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCS SMPL/SGL | $763.00 | $763.00 | $107.58–$281.55 | 90% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 S-JOINT ASP-INJ IM | $1,111.25 | $1,111.25 | $124.17–$393.47 | 186% above | — |
| Left heart catheterization, diagnostic CPT 93452 CC-LHC VENT PUNC | $31,977.63 | $31,977.63 | $1,918.66–$6,451.00 | 336% above | — |
| Nail removal (partial or complete), one nail CPT 11730 RMV NAIL PLATE SGL | $763.00 | $763.00 | $107.58–$310.79 | 171% above | — |
| Paracentesis with imaging guidance CPT 49083 US-ABD PARACEN W IMG | $4,714.35 | $4,714.35 | $504.44–$1,218.61 | 226% above | — |
| Paracentesis with imaging guidance CPT 49083 IR-ABD PARACEN W IMG | $5,568.99 | $5,568.99 | $245.00–$1,218.61 | 285% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 BILAT LITHOTRIPSY | $34,984.32 | $34,984.32 | $3,260.81–$7,004.00 | — | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY | $23,324.31 | $23,324.31 | $2,495.70–$7,004.00 | 266% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKN SGL LES | $1,520.00 | $1,520.00 | $214.32–$619.01 | 294% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 S-SPINAL TAP DIAGNST | $1,744.98 | $1,744.98 | $186.71–$2,111.00 | 94% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TAGNT BX SKN SNG LES | $406.31 | $406.31 | $149.93–$375.00 | 35% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TNGNTL BX SKN SGL LES | $763.00 | $763.00 | $57.29–$310.79 | 154% above | — |
| Thoracentesis with imaging guidance CPT 32555 CT-THORACNTSIS W IMG | $6,145.68 | $6,145.68 | $573.27–$2,111.00 | 415% above | — |
| Thoracentesis with imaging guidance CPT 32555 US-THORACNTSIS W IMG | $6,285.56 | $6,285.56 | $245.00–$886.26 | 427% above | — |
| Thoracentesis with imaging guidance CPT 32555 IR-THORACNTSIS W IMG | $6,914.10 | $6,914.10 | $245.00–$974.89 | 479% above | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 S-CYSTO W/LITHOTRIPS | $25,047.88 | $25,047.88 | $2,680.12–$6,644.44 | 338% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUB TIS 20 SQ CM< | $1,520.00 | $1,520.00 | $214.32–$619.01 | 129% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $1,535.03 | $1,535.03 | $164.25–$597.76 | 64% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMT INI | $381.92 | $381.92 | $22.92–$320.95 | 104% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFU 1ST HR | $1,527.53 | $1,527.53 | $91.65–$544.44 | 141% above | — |
| Critical care, first 30 to 74 minutes one side CPT 99291 CRITICAL CARE LT 74M | $6,610.21 | $6,610.21 | $61.28–$2,439.17 | 243% above | — |
| Critical care, first 30 to 74 minutes one side CPT 99291 ED-CRIT CARE LT 74M | $6,610.21 | $6,610.21 | $61.28–$2,439.17 | 243% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE DROWSY | $811.97 | $811.97 | $48.72–$451.91 | 3% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD ED STAFF | $457.19 | $457.19 | $27.43–$203.00 | 97% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NI-EKG, 12 LEADS | $489.70 | $489.70 | $29.38–$203.00 | 111% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROSHOCK THERAPY | $2,782.98 | $2,782.98 | $0.01–$833.50 | 204% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED-BRIEF ED VISIT | $765.96 | $765.96 | $45.96–$961.00 | 272% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 BRIEF ED VISIT | $765.96 | $765.96 | $45.96–$961.00 | 272% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED-LIMITED ED VISIT | $1,021.28 | $1,021.28 | $61.28–$961.00 | 162% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LIMITED ED VISIT | $1,021.28 | $1,021.28 | $61.28–$961.00 | 162% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED-INTERMED ED VIST | $3,495.00 | $3,495.00 | $61.28–$961.00 | 403% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 INTERMEDIATE ED VIST | $3,495.00 | $3,495.00 | $61.28–$961.00 | 403% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EXTENDED ED VISIT | $6,500.00 | $6,500.00 | $61.28–$961.00 | 477% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED-EXTENDED ED VISIT | $6,500.00 | $6,500.00 | $61.28–$961.00 | 477% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 COMPREHENSIVE ED VST | $12,285.00 | $12,285.00 | $61.28–$1,732.18 | 634% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED-COMPREHEN ED VST | $12,285.00 | $12,285.00 | $61.28–$1,732.18 | 634% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NM-STRESS TEST | $2,509.82 | $2,509.82 | $150.59–$847.00 | 163% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NI-STRESS TEST | $2,941.47 | $2,941.47 | $176.49–$847.00 | 208% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 FAM THERAPY W/PATIEN | $949.08 | $949.08 | $0.01–$228.47 | 430% above | — |
| Group psychotherapy session CPT 90853 PSYCH GROUP THERAPY | $567.74 | $567.74 | $0.01–$127.77 | 363% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1 HR | $1,522.18 | $1,522.18 | $91.33–$349.32 | 336% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED-IV HYDRATION 1 HR | $1,671.39 | $1,671.39 | $0.01–$349.32 | 379% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV THERAPY DX 1 HR | $1,522.18 | $1,522.18 | $91.33–$349.32 | 262% above | — |
| IV infusion of a medicine, first hour CPT 96365 ED-IV THERAPY DX 1HR | $1,671.39 | $1,671.39 | $100.28–$349.32 | 297% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED-INJ THER DX SQ IM | $322.80 | $322.80 | $0.01–$119.11 | 196% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC DX SQ IM | $330.15 | $330.15 | $19.81–$105.87 | 202% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAG EVAL | $663.75 | $663.75 | $39.83–$228.47 | 162% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EA 15 MN | $56.37 | $56.37 | $0.01–$84.00 | 4% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN | $500.25 | $500.25 | $0.01–$228.47 | 147% above | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN | $559.17 | $559.17 | $0.01–$228.47 | 85% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHG SMOKE U 10 | $115.04 | $115.04 | $6.90–$84.00 | 238% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $702.86 | $702.86 | $42.17–$238.39 | 130% above | — |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHO EVAL PRE/PST | $682.16 | $682.16 | $40.93–$452.75 | 30% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT | $360.99 | $360.99 | $21.66–$195.95 | 74% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP-A HEP-B VAC ADUL | $628.34 | $628.34 | $0.01–$314.17 | 209% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEP A VIRUS VACCINE | $431.41 | $431.41 | $25.88–$115.29 | 258% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VAC ADULT IM | $287.46 | $287.46 | $17.25–$113.31 | 166% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC NOPRSV ANTIG | $188.53 | $188.53 | $11.31–$118.74 | 145% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II INJ | $486.90 | $486.90 | $0.01–$243.45 | 145% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC A,C,Y,W-135 | $685.68 | $685.68 | $0.01–$342.84 | 177% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGO B REC VAC.5M | $1,070.12 | $1,070.12 | $0.01–$535.06 | 196% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMO CONJ VAC 20IM | $1,493.94 | $1,493.94 | $89.64–$479.84 | 236% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMO-VAC 2YR-ADULT | $662.23 | $662.23 | $39.73–$214.89 | 260% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VAC IM | $2,100.19 | $2,100.19 | $126.01–$527.72 | 179% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC IM INJ | $1,130.12 | $1,130.12 | $0.01–$565.06 | 282% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH/TET/ACPERT .5ML | $238.63 | $238.63 | $14.32–$62.19 | 137% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM 1ST VACCINE | $298.48 | $298.48 | $17.91–$105.87 | 418% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADD VACC | $298.48 | $298.48 | $0.01–$56.00 | 661% above | — |
Source file: https://vistahealth.com//wp-content/uploads/2025/06/203978521_VISTA-MEDICAL-CENTER_standardcharges.csv