The Hospital at Westlake Medical Center
The Hospital at Westlake Medical Center in Austin, TX publishes cash prices for 302 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 255 of 301 procedures and above it for 46. By typical cash price it ranks #46 of 305 Texas hospitals and #4 of 31 hospitals in the Austin, TX area, cheapest first. Click a procedure to compare it with other hospitals nearby.
5656 BEE CAVES RD, AUSTIN, TX 78746 Collected Sep 27, 2026 Source price file (512) 327-0000
Acute care hospital Emergency department CCN 670006 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | $179.13 | $504.99 | $32.36–$353.49 | 53% below | 65% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT 3 OR MORE V | $179.13 | $504.99 | $32.36–$353.49 | 53% below | 65% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT 3 OR MORE V | $179.13 | $504.99 | $32.36–$353.49 | 53% below | 65% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPPER/LOWER EXT ARTE | $245.59 | $698.82 | $114.26–$492.06 | 60% below | 65% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS - BARIUM S | $367.01 | $1,114.55 | $78.51–$780.19 | 27% below | 67% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY | $807.19 | $2,354.06 | $238.87–$1,902.14 | 53% below | 66% |
| Bone scan, whole body (nuclear medicine) CPT 78306 TC BONE SCAN WHOLE B | $807.19 | $2,354.06 | $238.87–$1,902.14 | 53% below | 66% |
| Breast ultrasound, complete, one breast CPT 76641 US BREASTS UNILATERA | $218.55 | $680.21 | $98.34–$559.05 | 51% below | 68% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILAT OR | $218.55 | $680.21 | $98.34–$559.05 | 51% below | 68% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL | $218.55 | $680.21 | $98.34–$559.05 | 51% below | 68% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL | $179.13 | $504.99 | $80.55–$409.43 | 52% below | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | $367.01 | $2,507.00 | $164.35–$1,754.90 | 87% below | 85% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CARD/MORPH/CTA CORO/ | $367.01 | $1,978.00 | $164.35–$1,388.56 | 78% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARIES | $367.01 | $1,978.00 | $164.35–$1,388.56 | 78% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY W/O CAL | $367.01 | $1,978.00 | $164.35–$1,388.56 | 78% below | 81% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY CARDIAC | $367.01 | $1,978.00 | $164.35–$1,388.56 | 78% below | 81% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONTRAS | $179.13 | $651.00 | $71.48–$651.00 | 5% below | 72% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS W/O CONTRAST MATERIAL | $482.25 | $1,436.52 | $189.79–$1,174.61 | 86% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W/CONTRAST MATERIAL | $758.86 | $2,297.88 | $318.09–$1,893.88 | 80% below | 67% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS W/O CONTRST 1/> BODY RE | $758.86 | $2,457.00 | $344.00–$1,981.40 | 82% below | 69% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $367.01 | $1,893.00 | $164.35–$1,341.81 | 86% below | 81% |
| CT scan of the abdomen without contrast CPT 74150 CTA RENALS | $218.55 | $1,596.00 | $98.34–$1,117.20 | 89% below | 86% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $218.55 | $1,396.00 | $98.34–$1,117.20 | 89% below | 84% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/SINUS W/O | $218.55 | $1,396.00 | $98.34–$977.20 | 87% below | 84% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O | $218.55 | $1,396.00 | $98.34–$977.20 | 89% below | 84% |
| CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/C | $367.01 | $1,880.00 | $153.36–$1,334.66 | 79% below | 80% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O W/CONTRAST MATERIAL | $367.01 | $2,256.00 | $164.35–$1,579.20 | 84% below | 84% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O | $218.55 | $1,396.00 | $98.34–$977.20 | 89% below | 84% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/ | $218.55 | $1,396.00 | $98.34–$977.20 | 90% below | 84% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT | $367.01 | $1,893.00 | $164.35–$1,341.81 | 83% below | 81% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID COMPLETE | $482.25 | $1,436.52 | $191.46–$1,072.62 | 64% below | 66% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA ULTRASOUND | $218.55 | $680.21 | $98.34–$559.05 | 70% below | 68% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL C | $218.55 | $680.21 | $98.34–$559.05 | 70% below | 68% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEY ULTRASOUND | $218.55 | $680.21 | $98.34–$559.05 | 70% below | 68% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | $482.25 | $1,436.52 | $86.38–$1,174.61 | 30% below | 66% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONT | $218.55 | $1,396.00 | $98.34–$977.20 | 87% below | 84% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH-RES | $218.55 | $1,396.00 | $98.34–$977.20 | 87% below | 84% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST PE PROTOCOL | $367.01 | $1,893.00 | $164.35–$1,341.81 | 83% below | 81% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONT | $367.01 | $1,893.00 | $164.35–$1,341.81 | 83% below | 81% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | $482.25 | $1,588.00 | $219.18–$1,152.90 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILAT LOW | $482.25 | $1,588.00 | $188.79–$1,111.60 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS BILAT UPP | $482.25 | $1,588.00 | $188.79–$1,111.60 | — | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VEIN MAPPING COMP | $482.25 | $1,436.52 | $188.79–$1,111.60 | 76% below | 66% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE 2D COMPLETE W/C | $1,062.38 | $3,014.30 | $446.00–$2,110.01 | 55% below | 65% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $1,993.66 | $5,741.71 | $475.52–$4,019.20 | 55% below | 65% |
| Knee X-ray, 3 views one side CPT 73562 KNEE LT 3 VWS | $179.13 | $504.99 | $35.49–$353.49 | 56% below | 65% |
| Knee X-ray, 3 views one side CPT 73562 KNEE RT 3 VWS | $179.13 | $504.99 | $35.49–$353.49 | 56% below | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LMTD/SNGL | $218.55 | $680.21 | $88.55–$559.05 | 65% below | 68% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER ULTR | $218.55 | $680.21 | $88.55–$559.05 | 65% below | 68% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOWER EXT BILAT | $482.25 | $4,395.00 | $210.84–$3,076.50 | — | 89% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOW EXT BILAT JO | $482.25 | $4,395.00 | $210.84–$3,076.50 | — | 89% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT LT JOI | $482.25 | $2,197.00 | $210.84–$3,076.50 | 78% below | 78% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT RT JOI | $482.25 | $2,197.00 | $210.84–$3,076.50 | 78% below | 78% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXTR BILT | $758.86 | $6,285.00 | $344.00–$4,399.50 | 76% below | 88% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT BIL ANY | $758.86 | $6,285.00 | $344.00–$4,399.50 | 76% below | 88% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTR LT AN | $758.86 | $3,290.00 | $344.00–$4,399.50 | 76% below | 77% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXTR RT AN | $758.86 | $3,290.00 | $344.00–$4,399.50 | 76% below | 77% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD WO CONTRAST | $482.25 | $2,197.00 | $204.83–$1,592.87 | 78% below | 78% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $482.25 | $2,197.00 | $204.83–$1,592.87 | 78% below | 78% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O W/CONTRAST MATERIAL | $758.86 | $3,290.00 | $344.00–$2,439.55 | 76% below | 77% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRA | $482.25 | $2,197.00 | $204.15–$1,592.87 | 78% below | 78% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI IAC | $758.86 | $3,290.00 | $332.80–$2,439.55 | 75% below | 77% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | $758.86 | $3,290.00 | $332.80–$2,439.55 | 75% below | 77% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O | $482.25 | $2,197.00 | $199.14–$1,592.87 | 79% below | 78% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUM SPINE W/O CO | $482.25 | $2,197.00 | $199.14–$1,592.87 | 79% below | 78% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINAL CANAL LUMBAR W/O W/CONTR MATRL | $758.86 | $3,290.00 | $333.80–$2,439.55 | 76% below | 77% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W | $482.25 | $2,197.00 | $198.48–$1,592.87 | 77% below | 78% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THOR SPINE W/O C | $482.25 | $2,197.00 | $198.48–$1,592.87 | 77% below | 78% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W | $758.86 | $3,290.00 | $334.46–$2,439.55 | 77% below | 77% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINAL CANAL CERVICAL W/O W/CONTR MATRL | $758.86 | $3,290.00 | $334.46–$2,439.55 | 77% below | 77% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W | $482.25 | $2,197.00 | $198.48–$1,592.87 | 79% below | 78% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERV SPINE W/O C | $482.25 | $2,197.00 | $198.48–$1,592.87 | 79% below | 78% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O W/CONTRAST MATERIAL | $758.86 | $3,290.00 | $344.00–$2,439.55 | 78% below | 77% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/OUT CON | $482.25 | $2,197.00 | $219.18–$1,592.87 | 80% below | 78% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI UPPER EXT BILAT | $482.25 | $4,395.00 | $211.18–$3,076.50 | — | 89% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT RT JOINTS | $482.25 | $2,197.00 | $211.18–$3,076.50 | 79% below | 78% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT RT JOI | $482.25 | $2,197.00 | $211.18–$3,076.50 | 79% below | 78% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP EXT LT JOINTS | $482.25 | $2,197.00 | $211.18–$3,076.50 | 79% below | 78% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT LT JOI | $482.25 | $2,197.00 | $211.18–$3,076.50 | 79% below | 78% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 TC MYOCARDIO SPECT R | $2,767.79 | $8,151.95 | $417.59–$6,582.68 | 36% below | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIO SPECT REST | $2,767.79 | $8,151.95 | $417.59–$6,582.68 | 36% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD F/U | $218.55 | $680.21 | $33.41–$559.05 | 55% below | 68% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | $218.55 | $680.21 | $96.28–$559.05 | 75% below | 68% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG DIAG-UNDER 1 | $218.55 | $680.21 | $93.37–$559.05 | 66% below | 68% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTERUS <14WK | $218.55 | $680.21 | $74.99–$559.05 | 64% below | 68% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG UTERUS 1 OR | $218.55 | $680.21 | $66.66–$559.05 | 52% below | 68% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT 2 + VWS | $179.13 | $504.99 | $27.63–$353.49 | 48% below | 65% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT 2 + VWS | $179.13 | $504.99 | $27.63–$353.49 | 48% below | 65% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $1,993.66 | $5,741.71 | $935.21–$4,019.20 | 52% below | 65% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED BA SWALLOW | $367.01 | $1,114.55 | $74.44–$780.19 | 39% below | 67% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON | $218.55 | $680.21 | $47.40–$559.05 | 66% below | 68% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $218.55 | $680.21 | $73.69–$559.05 | 57% below | 68% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $218.55 | $680.21 | $98.34–$559.05 | 75% below | 68% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $218.55 | $680.21 | $51.73–$559.05 | 64% below | 68% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD NECK REAL TIME IMGE DOCM | $218.55 | $680.21 | $98.34–$559.05 | 65% below | 68% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SBFT NO FLUOROSCOPY | $367.01 | $1,121.77 | $91.10–$785.24 | 50% below | 67% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI (DONE W/ ESOPHAG | $367.01 | $1,114.55 | $91.10–$785.24 | 50% below | 67% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI | $367.01 | $1,114.55 | $91.10–$785.24 | 50% below | 67% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS LOWER | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN MAPPING LIMI | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX SCAN EXTREMY | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS UPPER | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER LT | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER LT | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS UPPER RT | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LOWER RT | $218.55 | $680.21 | $98.34–$501.81 | 73% below | 68% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT 3 VWS | $179.13 | $504.99 | $38.12–$353.49 | 53% below | 65% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT 3 OR MORE V | $179.13 | $504.99 | $38.12–$353.49 | 53% below | 65% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT 3 VWS | $179.13 | $504.99 | $38.12–$353.49 | 53% below | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2-3 VW INCL P | $179.13 | $504.99 | $47.11–$353.49 | 56% below | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2-3 VW INCL P | $179.13 | $504.99 | $47.11–$353.49 | 56% below | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEWS | $179.13 | $504.99 | $27.11–$353.49 | 40% below | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEWS | $179.13 | $504.99 | $27.11–$353.49 | 40% below | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW LEFT | $179.13 | $504.99 | $27.11–$353.49 | 40% below | 65% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 1 VIEW RIGHT | $179.13 | $504.99 | $27.11–$353.49 | 40% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VW LT 5 | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VW LT 2 | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VW RT T | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 V RT 4T | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VW RT 3 | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 V LT TH | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 V RT 5T | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VW RT 2 | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VW LT 3 | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER MIN 2 VW LT 4 | $179.13 | $504.99 | $34.97–$353.49 | 32% below | 65% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VWS | $179.13 | $504.99 | $26.06–$353.49 | 46% below | 65% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VWS | $179.13 | $504.99 | $26.06–$353.49 | 46% below | 65% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3 OR MORE VI | $179.13 | $504.99 | $29.73–$353.49 | 52% below | 65% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT 3VWS | $179.13 | $504.99 | $29.73–$353.49 | 52% below | 65% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT 3 VWS | $179.13 | $504.99 | $29.73–$353.49 | 52% below | 65% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND LT 3+ VWS | $179.13 | $504.99 | $31.31–$353.49 | 54% below | 65% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RT 3 + VWS | $179.13 | $504.99 | $31.31–$353.49 | 54% below | 65% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEES LT 2 VWS | $179.13 | $504.99 | $28.68–$353.49 | 39% below | 65% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEES RT 2 VWS | $179.13 | $504.99 | $28.68–$353.49 | 39% below | 65% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2-3 VIE | $218.55 | $680.21 | $33.93–$559.05 | 53% below | 68% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE MINIMUM | $218.55 | $680.21 | $47.55–$476.15 | 65% below | 68% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIE | $218.55 | $680.21 | $28.68–$476.15 | 46% below | 68% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN | $179.13 | $504.99 | $34.44–$353.49 | 39% below | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2-3 V | $179.13 | $504.99 | $31.31–$353.49 | 52% below | 65% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VS | $218.55 | $680.21 | $26.58–$476.15 | 41% below | 68% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 VIEW AP | $218.55 | $680.21 | $26.58–$476.15 | 41% below | 68% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 RADEX SACRUM COCCYX MINIMUM 2 VIEWS | $179.13 | $504.99 | $27.63–$353.49 | 45% below | 65% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 FLUID ALT | $5.83 | $38.65 | $4.45–$27.06 | 90% below | 85% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $5.83 | $38.65 | $4.45–$27.06 | 90% below | 85% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $5.70 | $37.75 | $4.35–$26.43 | 90% below | 85% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FLUID AST | $5.70 | $37.75 | $4.35–$26.43 | 90% below | 85% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANE | $52.39 | $467.18 | $40.01–$327.03 | 86% below | 89% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IG | $5.74 | $33.93 | $4.38–$23.75 | 79% below | 83% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IGG | $14.25 | $90.45 | $10.88–$63.32 | 77% below | 84% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $13.30 | $118.23 | $10.16–$84.91 | 85% below | 89% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA FLUID SCREEN | $13.30 | $121.30 | $10.16–$84.91 | 85% below | 89% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $43.19 | $474.30 | $32.98–$332.01 | 77% below | 91% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV SURG PATHOLOGY GROSSMICROSCOPIC EXAM | $105.09 | $1,050.00 | $26.71–$735.00 | 65% below | 90% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $9.71 | $19.50 | $2.70–$13.65 | 51% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $4.32 | $37.25 | $3.30–$26.08 | 90% below | 88% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $4.32 | $25.55 | $3.30–$26.08 | 90% below | 83% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $4.32 | $28.65 | $3.30–$26.08 | 90% below | 85% |
| Blood glucose (sugar) test CPT 82947 2HR PP GLUCOSE | $4.32 | $37.25 | $3.30–$26.08 | 90% below | 88% |
| Blood lead test CPT 83655 LEAD BLOOD | $13.32 | $88.35 | $10.17–$61.85 | 75% below | 85% |
| Blood lead test CPT 83655 LEAD | $13.32 | $88.35 | $10.17–$61.85 | 75% below | 85% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREGNANCY-QUAL | $8.27 | $54.85 | $6.32–$38.40 | 94% below | 85% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP ABO | $245.59 | $698.82 | $2.51–$489.17 | 178% above | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE ABO | $245.59 | $698.82 | $2.51–$489.17 | 178% above | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN | $5.70 | $50.61 | $4.35–$35.43 | 90% below | 89% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $22.89 | $135.27 | $17.48–$94.69 | 83% below | 83% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $22.89 | $203.49 | $17.48–$142.44 | 86% below | 89% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019-NCOVCORONAVIRUS | $56.44 | $350.00 | $47.21–$245.00 | 37% below | 84% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 | $56.44 | $153.95 | $47.21–$107.77 | 37% below | 63% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATI | $38.60 | $228.09 | $29.48–$159.66 | 69% below | 83% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $14.73 | $187.20 | $11.25–$131.04 | 92% below | 92% |
| Complete blood count (CBC) with differential CPT 85025 CBC AUTO DIFF | $8.55 | $54.30 | $6.53–$38.01 | 91% below | 84% |
| Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF | $7.12 | $45.20 | $5.43–$31.64 | 93% below | 84% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANT | $11.20 | $130.00 | $8.55–$91.00 | 94% below | 91% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $24.45 | $162.50 | $18.67–$113.75 | 84% below | 85% |
| Estradiol blood test CPT 82670 ESTRADIOL | $30.73 | $200.40 | $23.47–$140.28 | 79% below | 85% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMON | $20.44 | $135.70 | $15.61–$94.99 | 87% below | 85% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $14.99 | $99.45 | $11.45–$69.62 | 86% below | 85% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM | $16.17 | $150.29 | $12.35–$105.20 | 83% below | 89% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $18.63 | $165.69 | $14.23–$115.98 | 87% below | 89% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE | $9.92 | $92.19 | $7.58–$64.53 | 89% below | 89% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $28.02 | $165.56 | $21.39–$115.89 | 75% below | 83% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE QUANT POST G | $5.23 | $38.12 | $3.99–$26.68 | 94% below | 86% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | $14.16 | $94.00 | $10.81–$132.16 | 91% below | 85% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL 90 MIN | $14.16 | $94.00 | $10.81–$132.16 | 91% below | 85% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL 30 MIN | $14.16 | $94.00 | $10.81–$132.16 | 91% below | 85% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE FASTING | $14.16 | $188.80 | $10.81–$132.16 | 91% below | 93% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL 60 MIN | $14.16 | $94.00 | $10.81–$132.16 | 91% below | 85% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 | $14.16 | $94.00 | $10.81–$132.16 | 91% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEA | $38.60 | $228.09 | $29.48–$159.66 | 73% below | 83% |
| H. pylori antibody blood test CPT 86677 H. PYLORI IGM AB | $18.54 | $282.33 | $8.57–$197.63 | 86% below | 93% |
| H. pylori antibody blood test CPT 86677 H PYLORI IGG AB | $18.54 | $282.33 | $8.57–$197.63 | 86% below | 93% |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN ST | $15.82 | $260.20 | $12.08–$182.14 | 84% below | 94% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 IADNA HIV-1 QUANT REVERSE TRANSCRIPTION | $93.61 | $602.15 | $71.48–$1,060.36 | 71% below | 84% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA ULTRA-QUAN | $93.61 | $1,514.80 | $71.48–$1,060.36 | 71% below | 94% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND 2 ANTIBODY SCR | $15.08 | $95.85 | $11.52–$67.10 | 86% below | 84% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C (GLYCO-HGB) | $10.68 | $70.85 | $8.16–$49.60 | 88% below | 85% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF AB | $11.81 | $105.07 | $9.02–$73.55 | 82% below | 89% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG | $11.36 | $144.30 | $8.68–$101.01 | 85% below | 92% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB | $15.70 | $139.58 | $11.99–$97.71 | 82% below | 89% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUAN | $47.12 | $278.46 | $29.74–$194.92 | 84% below | 83% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IGG | $14.51 | $93.50 | $11.08–$65.45 | 82% below | 84% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IGG | $21.29 | $125.78 | $16.25–$88.05 | 76% below | 83% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES IGG PROFILE | $21.29 | $125.78 | $16.25–$88.05 | 76% below | 83% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN H | $14.25 | $132.37 | $10.88–$92.66 | 82% below | 89% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $19.71 | $164.99 | $15.05–$115.49 | 87% below | 88% |
| Insulin blood test CPT 83525 INSULIN | $12.57 | $83.45 | $9.60–$58.42 | 85% below | 85% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE | $7.12 | $99.33 | $5.43–$69.53 | 92% below | 93% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $7.12 | $47.30 | $5.43–$69.53 | 92% below | 85% |
| Iron blood test (serum iron) CPT 83540 IRON PROFILE | $7.12 | $61.49 | $5.43–$69.53 | 92% below | 88% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $9.61 | $99.05 | $7.34–$69.34 | 90% below | 90% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $20.37 | $135.20 | $15.56–$94.64 | 87% below | 85% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $7.58 | $70.42 | $5.79–$49.29 | 92% below | 89% |
| Lipase blood test (pancreas enzyme) CPT 83690 FLUID LIPASE | $7.58 | $44.79 | $5.79–$49.29 | 92% below | 83% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $18.73 | $166.60 | $14.31–$116.62 | 77% below | 89% |
| Lyme disease antibody test CPT 86618 ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $18.73 | $166.60 | $14.31–$116.62 | 77% below | 89% |
| Magnesium blood test CPT 83735 MAGNESIUM IONIZED | $7.37 | $82.35 | $5.63–$57.65 | 85% below | 91% |
| Magnesium blood test CPT 83735 MAGNESIUM | $7.37 | $48.90 | $5.63–$57.65 | 85% below | 85% |
| Magnesium blood test CPT 83735 24 HR UR MAGNESIUM | $7.37 | $63.57 | $5.63–$57.65 | 85% below | 88% |
| Magnesium blood test CPT 83735 URINE MAG RANDOM | $7.37 | $43.55 | $5.63–$57.65 | 85% below | 83% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB SCREEN | $14.17 | $100.15 | $10.82–$70.11 | 61% below | 86% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $5.70 | $33.67 | $4.35–$23.57 | 93% below | 83% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $20.23 | $245.95 | $15.45–$172.17 | 82% below | 92% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA SCREEN | $20.23 | $153.60 | $15.45–$107.52 | 77% below | 87% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $20.23 | $134.25 | $15.45–$107.52 | 77% below | 85% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR BY THIN PR | $22.29 | $131.69 | $17.02–$92.18 | 75% below | 83% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $45.41 | $403.69 | $34.68–$295.32 | 79% below | 89% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH (IRMA) | $45.41 | $421.89 | $34.68–$295.32 | 79% below | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $6.61 | $41.90 | $5.05–$29.33 | 88% below | 84% |
| Progesterone blood test CPT 84144 PROGESTERONE | $22.95 | $204.05 | $17.52–$142.84 | 80% below | 89% |
| Prolactin blood test CPT 84146 PROLACTIN | $21.32 | $141.50 | $16.28–$99.05 | 82% below | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAGULANT | $4.72 | $230.04 | $3.60–$161.03 | 90% below | 98% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME AND INR | $4.72 | $27.89 | $3.60–$161.03 | 90% below | 83% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B SWAB | $18.21 | $107.58 | $12.57–$75.31 | 81% below | 83% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A SWAB | $18.21 | $107.58 | $12.57–$75.31 | 81% below | 83% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DIRECT STREP A NURSI | $18.18 | $107.45 | $12.57–$117.32 | 82% below | 83% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DIRECT STREP A | $18.18 | $167.60 | $12.57–$117.32 | 82% below | 89% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QU | $6.24 | $72.45 | $4.76–$50.72 | 89% below | 91% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB SCREEN | $15.83 | $93.54 | $12.09–$65.48 | 67% below | 83% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY RUBELLA | $15.83 | $93.54 | $12.09–$65.48 | 67% below | 83% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $15.83 | $93.54 | $12.09–$65.48 | 67% below | 83% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS - COM | $13.54 | $136.90 | $9.17–$95.83 | 90% below | 90% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $9.79 | $122.20 | $7.48–$85.54 | 89% below | 92% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD | $4.82 | $28.47 | $3.42–$19.93 | 87% below | 83% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL QUAL | $4.70 | $126.90 | $3.59–$88.83 | 91% below | 96% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN | $4.70 | $27.76 | $3.59–$88.83 | 91% below | 83% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 GAMMA INTERFERON TB | $68.18 | $440.00 | $52.06–$308.00 | 67% below | 85% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $28.39 | $263.90 | $21.68–$184.73 | 72% below | 89% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROIDPEROXIDASE AB | $16.01 | $101.65 | $12.22–$71.16 | 82% below | 84% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY | $16.01 | $94.58 | $12.22–$71.16 | 82% below | 83% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH 3RD GENERATION | $18.48 | $116.85 | $14.11–$120.20 | 85% below | 84% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $18.48 | $171.71 | $14.11–$120.20 | 85% below | 89% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $4.97 | $36.25 | $3.80–$46.13 | 95% below | 86% |
| Uric acid blood test CPT 84550 URIC ACID OTHER | $4.97 | $65.90 | $3.80–$46.13 | 95% below | 92% |
| Urinalysis with microscope exam, manual CPT 81000 URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $4.42 | $26.13 | $3.32–$18.29 | 89% below | 83% |
| Urinalysis without microscope exam, manual CPT 81002 UA MACROSCOPIC NURSI | $3.83 | $22.62 | $2.92–$15.83 | 89% below | 83% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE CYSTO BLADDE | $8.88 | $121.30 | $6.78–$84.91 | 94% below | 93% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $8.88 | $112.80 | $6.78–$84.91 | 94% below | 92% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY | $9.47 | $55.97 | $6.64–$39.18 | 89% below | 83% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $16.59 | $148.57 | $12.67–$104.00 | 82% below | 89% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY | $32.56 | $265.72 | $24.86–$186.00 | 74% below | 88% |
| Zinc blood test CPT 84630 ZINC | $12.53 | $83.15 | $9.57–$58.21 | 82% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC QUANTITATIVE | $16.56 | $109.90 | $12.64–$76.93 | 85% below | 85% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $16.56 | $97.83 | $12.64–$76.93 | 85% below | 83% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $2,670.91 | $15,767.19 | $886.62–$11,037.03 | 29% below | 83% |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $12,249.54 | $70,958.14 | $1,778.00–$49,670.70 | 74% above | 83% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $967.25 | $5,159.22 | $604.40–$3,611.45 | 71% below | 81% |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $3,325.16 | $22,032.14 | $1,061.00–$15,422.50 | 43% below | 85% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SUR | $6,209.81 | $36,098.89 | $1,778.00–$25,269.22 | 14% below | 83% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR | $6,209.81 | $36,098.89 | $1,976.00–$25,269.22 | 8% above | 83% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG M | $5,808.43 | $33,550.98 | $1,061.00–$23,485.69 | 14% above | 83% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 CORRECT HALLUX VALGU | $2,794.49 | $16,308.88 | $910.00–$11,416.22 | 33% below | 83% |
| Bunion correction with removal of part of the big toe joint CPT 28292 CORRECTION HALLUX VA | $2,794.49 | $18,012.48 | $827.00–$12,608.74 | 32% below | 84% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 CATH HEART LT PERC R | $2,777.40 | $18,096.29 | $1,061.00–$12,667.40 | 77% below | 85% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,247.73 | $3,507.56 | $555.60–$2,455.29 | 13% below | 64% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGER | $1,687.51 | $10,108.87 | $659.94–$7,076.21 | 50% below | 83% |
| Catheter ablation for atrial fibrillation CPT 93656 AFIB ABLATION PULM V | $22,044.24 | $99,999.00 | $0.01–$69,999.30 | 39% below | 78% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OL | $1,741.36 | $10,331.28 | $652.80–$7,231.90 | 47% below | 83% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FRACTURE RADIU | $445.81 | $1,188.08 | $71.91–$1,188.08 | 13% below | 62% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE | $2,279.41 | $6,472.92 | $662.79–$4,715.26 | 90% above | 65% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION | $2,279.41 | $6,736.08 | $662.79–$4,715.26 | 90% above | 66% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $2,279.41 | $6,472.92 | $662.79–$4,531.04 | 73% above | 65% |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,757.47 | $4,954.13 | $504.16–$3,467.89 | 14% above | 65% |
| Coronary stent placement, one artery CPT 92928 PCI STENT W/ANGIO | $9,965.65 | $62,690.14 | $1,061.00–$43,883.10 | 15% below | 84% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOURETHROSCOPY W/ | $3,008.97 | $19,203.16 | $827.00–$13,442.21 | 31% below | 84% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $587.07 | $3,587.84 | $238.15–$2,511.49 | 49% below | 84% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENI | $1,303.19 | $7,794.83 | $420.64–$5,456.38 | 62% below | 83% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR | $119.54 | $320.72 | $54.71–$224.50 | 2% below | 63% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT | $5,808.43 | $33,550.98 | $1,238.00–$23,485.69 | 14% above | 83% |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT T | $5,808.43 | $33,550.98 | $910.00–$23,485.69 | 14% above | 83% |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLAR | $3,129.63 | $17,850.92 | $910.00–$12,495.64 | 9% below | 82% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY | $5,808.43 | $33,550.98 | $910.00–$23,485.69 | 19% above | 83% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL INJ CERVICA | $1,345.83 | $3,961.24 | $55.00–$2,772.87 | 6% below | 66% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | $1,776.86 | $5,133.97 | $55.00–$3,593.78 | at median | 65% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 | $3,325.16 | $22,032.14 | $1,061.00–$15,422.50 | 58% below | 85% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR HRN ST<3 CM RDC | $3,325.16 | $22,032.14 | $1,061.00–$15,422.50 | 48% below | 85% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOS | $1,757.47 | $4,573.04 | $95.99–$3,201.13 | 91% above | 62% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECY | $4,893.17 | $32,183.24 | $1,888.85–$22,528.27 | 40% below | 85% |
| Gallbladder removal, laparoscopic CPT 47562 LAPARO CHOLECYSTECTO | $4,893.17 | $31,588.33 | $1,976.00–$22,111.83 | 40% below | 85% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTO | $4,893.17 | $32,183.24 | $1,888.85–$22,528.27 | 41% below | 85% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $2,794.49 | $16,308.88 | $910.00–$11,416.22 | 20% below | 83% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHO | $1,757.47 | $5,047.49 | $122.91–$3,533.24 | 97% above | 65% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REM INT/EXT HEM 1 GR | $2,412.22 | $14,078.91 | $910.00–$9,855.24 | 34% below | 83% |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $1,129.55 | $5,929.32 | $692.17–$4,280.00 | 73% below | 81% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATIO | $4,351.44 | $25,407.95 | $988.00–$17,785.57 | 26% below | 83% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABS | $383.47 | $1,142.17 | $49.78–$1,142.17 | 18% below | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN OF SKIN ABSCES | $383.47 | $1,034.57 | $179.08–$724.20 | 18% below | 63% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDU | $3,325.16 | $18,342.94 | $1,061.00–$12,840.06 | 46% below | 82% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | $572.20 | $1,630.28 | $55.00–$1,141.20 | 30% above | 65% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LI | $572.20 | $1,661.76 | $17.15–$1,661.76 | 30% above | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURS | $572.20 | $1,659.13 | $20.49–$1,659.13 | 13% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS ASPIR/INJ MAJOR JT/BURSA W/O US | $572.20 | $1,630.28 | $55.00–$1,141.20 | 13% below | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS ASPIR/INJ INTERM JT/BURS W/O US | $572.20 | $1,630.28 | $55.00–$1,141.20 | 3% below | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRIATION MINOR JO | $572.20 | $1,875.00 | $17.15–$1,875.00 | 3% below | 69% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURS | $572.20 | $1,691.24 | $16.43–$1,691.24 | 31% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS ASPIR/INJ SMALL JT/BURSA W/O US | $572.20 | $1,630.28 | $55.00–$1,141.20 | 31% above | 65% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SUR | $2,794.49 | $16,308.88 | $1,088.27–$11,416.22 | 51% below | 83% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SUR | $2,794.49 | $16,308.88 | $1,088.27–$11,416.22 | 53% below | 83% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SUR | $2,794.49 | $16,308.88 | $1,088.27–$11,416.22 | 51% below | 83% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SUR | $2,794.49 | $16,308.88 | $1,088.27–$11,416.22 | 41% below | 83% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROS APPENDECTOMY | $4,893.17 | $29,158.46 | $1,236.00–$20,410.92 | 31% below | 83% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR L | $8,531.16 | $55,603.48 | $1,965.00–$38,922.44 | 21% below | 85% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAI | $4,893.17 | $29,158.46 | $1,888.85–$20,410.92 | 61% below | 83% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTO | $1,205.61 | $6,580.20 | $769.71–$5,400.00 | 93% below | 82% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR 2.5 CM/< | $777.60 | $1,992.74 | $106.56–$1,992.74 | 46% above | 61% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH W/VE | $2,777.40 | $18,096.29 | $1,061.00–$12,667.40 | 71% below | 85% |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJ LUMBAR/ | $1,345.83 | $3,961.24 | $55.00–$2,772.87 | 20% below | 66% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL | $1,776.86 | $5,133.97 | $55.00–$3,593.78 | 20% above | 65% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGER | $6,209.81 | $36,098.89 | $1,778.00–$25,269.22 | 29% below | 83% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 LUMBAR SPINE FUSION | $20,557.50 | $70,958.14 | $1,778.00–$49,670.70 | 76% above | 71% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVE SPINE LAMINA | $6,209.81 | $36,098.89 | $1,778.00–$25,269.22 | 30% below | 83% |
| Lumbar spinal fusion (posterior), one level CPT 22612 LUMBAR SPINE FUSION | $20,557.50 | $70,958.14 | $1,061.00–$49,670.70 | 93% above | 71% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $3,227.41 | $18,195.02 | $910.00–$12,736.51 | 32% below | 82% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $5,579.43 | $31,886.78 | $1,061.00–$22,320.75 | 8% below | 83% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9+MARG 0.5 CM< | $1,362.44 | $3,583.82 | $60.98–$2,508.67 | 69% above | 62% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM 0.5 CM/< | $1,362.44 | $3,583.82 | $66.93–$2,508.67 | 53% above | 62% |
| Nail removal (partial or complete), one nail CPT 11730 REM OF NAIL PLATE | $383.47 | $1,034.57 | $179.08–$724.20 | 26% above | 63% |
| Occipital nerve block (injection for headaches) CPT 64405 INJECTION ANESTHETIC AGENT GREATER OCCIPITAL NRV | $572.20 | $1,661.76 | $21.91–$1,661.76 | 34% above | 66% |
| Pacemaker implant (dual chamber) CPT 33208 PPM DUAL CHAMBER | $9,696.65 | $64,919.92 | $1,061.00–$45,443.94 | 49% below | 85% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOI | $12,249.54 | $70,958.14 | $1,061.00–$49,670.70 | 5% below | 83% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $777.60 | $2,320.63 | $65.51–$2,115.00 | 48% above | 66% |
| Prostate biopsy CPT 55700 BX PROSTATE ANY APPR | $1,741.36 | $11,192.22 | $652.80–$7,834.55 | 34% below | 84% |
| Removal of a breast lump, open surgery CPT 19120 REM OF BREAST LESION | $3,227.41 | $18,195.02 | $910.00–$12,736.51 | 34% below | 82% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $777.60 | $2,320.63 | $70.51–$1,965.00 | 46% above | 66% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF T | $4,893.17 | $29,158.46 | $1,061.00–$20,410.92 | 38% below | 83% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI | $1,757.47 | $5,169.39 | $504.16–$3,618.57 | 125% above | 66% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR | $1,757.47 | $5,158.73 | $55.00–$3,611.11 | 125% above | 66% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCREEN | $1,757.47 | $5,158.73 | $55.00–$3,611.11 | 75% above | 66% |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPT | $2,670.91 | $15,767.19 | $886.62–$11,037.03 | 27% below | 83% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 LITHOTRIPSY XTRCORP SHOCK WAVE | $3,008.97 | $19,203.16 | $1,992.24–$13,442.21 | 58% below | 84% |
| Short arm cast (elbow to hand) CPT 29075 CAST SHORT ARM | $512.00 | $1,505.43 | $95.86–$1,053.80 | 85% above | 66% |
| Short arm splint (forearm and hand) CPT 29125 SPLINT OF SHORT ARM | $245.59 | $698.82 | $59.99–$489.17 | 4% above | 65% |
| Short leg cast (below the knee) CPT 29405 SPLINT/CAST LEG | $512.00 | $1,505.43 | $240.22–$1,053.80 | 52% above | 66% |
| Short leg splint (calf to foot) CPT 29515 APPL LOWER LEG SPLIN | $305.56 | $813.48 | $140.94–$569.44 | 17% above | 62% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL | $2,794.49 | $16,308.88 | $1,088.27–$11,416.22 | 34% below | 83% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK | $383.47 | $1,034.57 | $179.08–$724.20 | 6% above | 63% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVE OF SKIN TAGS | $383.47 | $1,034.57 | $115.32–$1,034.57 | 20% above | 63% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $1,345.83 | $3,961.24 | $618.58–$2,772.87 | 29% above | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2 | $383.47 | $1,034.57 | $179.08–$724.20 | 16% below | 63% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 | $383.47 | $1,034.57 | $179.08–$724.20 | 2% below | 63% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $4,414.41 | $29,249.29 | $1,061.00–$20,474.50 | 37% below | 85% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND A | $2,670.91 | $15,767.19 | $886.62–$11,037.03 | 29% below | 83% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND A | $5,012.88 | $29,306.02 | $910.00–$20,514.21 | 5% above | 83% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $2,670.91 | $15,767.19 | $886.62–$11,037.03 | 40% below | 83% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $5,012.88 | $29,306.02 | $1,061.00–$20,514.21 | 10% above | 83% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLAS | $12,249.54 | $70,958.14 | $1,061.00–$49,670.70 | 5% below | 83% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLA | $12,249.54 | $70,958.14 | $1,061.00–$49,670.70 | 5% below | 83% |
| Total shoulder replacement CPT 23472 RECON SHOULDER JOINT | $12,249.54 | $70,958.14 | $997.34–$49,670.70 | 30% below | 83% |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $4,893.17 | $29,158.46 | $1,061.00–$20,410.92 | 48% below | 83% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON | $1,346.73 | $8,022.78 | $593.04–$5,615.95 | 60% below | 83% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT 1 OR 2 | $572.20 | $1,630.28 | $55.00–$1,141.20 | 1% below | 65% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/ | $572.20 | $1,661.76 | $20.01–$1,661.76 | 1% below | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BST 1ST LES US IM | $1,407.78 | $8,107.19 | $486.45–$5,675.03 | 49% below | 83% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UPPER GI ENDOSCOPY W | $1,635.00 | $10,143.72 | $827.00–$7,100.60 | 11% above | 84% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,744.40 | $5,053.69 | $518.71–$3,537.58 | 19% above | 65% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY M | $1,744.40 | $5,053.69 | $518.71–$3,537.58 | 19% above | 65% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBM | $1,744.40 | $5,053.69 | $518.71–$3,537.58 | 138% above | 65% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD CAUTERY TUMOR PO | $1,635.00 | $10,143.72 | $827.00–$7,100.60 | 44% above | 84% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDEWIRE INSERT | $1,744.40 | $5,053.69 | $518.71–$3,537.58 | 138% above | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY W | $1,744.40 | $5,053.69 | $518.71–$3,537.58 | 20% above | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY I | $1,744.40 | $5,053.69 | $518.71–$3,537.58 | 20% above | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | $1,744.40 | $5,053.69 | $518.71–$3,537.58 | 20% above | 65% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETHROSCOPY W/ | $4,414.41 | $27,552.49 | $1,689.43–$19,286.74 | 41% below | 84% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITH | $4,414.41 | $25,433.07 | $1,689.43–$17,803.15 | 18% below | 83% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VE | $2,796.66 | $18,530.27 | $1,118.22–$12,971.19 | 33% below | 85% |
| Wart removal, up to 14 warts CPT 17110 DEST B9 LESION 1-14 | $383.47 | $1,034.57 | $115.32–$1,034.57 | 92% above | 63% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB TISSUE 20 SQ CM< | $777.60 | $1,992.74 | $143.08–$1,685.00 | 23% below | 61% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-A | $6,209.81 | $36,098.89 | $1,238.00–$25,269.22 | 22% below | 83% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMPONENTS | $848.21 | $2,478.53 | $284.00–$2,405.00 | 4% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEBULIZER | $407.62 | $1,172.79 | $81.00–$820.95 | 100% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN SUB | $407.62 | $1,172.79 | $81.00–$820.95 | 100% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB-SUB | $407.62 | $1,172.79 | $81.00–$820.95 | 100% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION | $407.62 | $1,172.79 | $81.00–$820.95 | 100% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHAL TREATME | $407.62 | $1,172.79 | $28.67–$820.95 | 100% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ULTRASONIC NEB SUBSE | $407.62 | $1,172.79 | $190.78–$820.95 | 100% above | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI - SUB | $407.62 | $1,172.79 | $81.00–$820.95 | 100% above | 65% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HO | $1,665.92 | $4,323.85 | $793.74–$3,026.70 | 36% below | 61% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $598.05 | $1,650.75 | $280.76–$1,405.91 | 39% below | 64% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $119.54 | $347.44 | $54.71–$243.21 | 58% below | 66% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE TH | $1,026.59 | $3,044.83 | $479.43–$2,131.38 | 28% below | 66% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT F/UP ASSESS | $164.89 | $453.18 | $51.36–$453.18 | 37% below | 64% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $164.89 | $453.18 | $51.36–$453.18 | 37% below | 64% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $305.18 | $821.41 | $51.36–$821.41 | 35% below | 63% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $533.77 | $1,445.70 | $51.36–$1,445.70 | 35% below | 63% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $829.88 | $2,270.54 | $359.65–$2,270.54 | 37% below | 63% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $1,198.02 | $3,259.18 | $516.25–$3,054.47 | 40% below | 63% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS TES | $598.05 | $1,650.75 | $209.00–$1,155.53 | 53% below | 64% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | $424.22 | $1,270.29 | $31.62–$889.20 | 6% below | 67% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THERAP 1ST HR | $424.22 | $1,270.29 | $191.72–$889.20 | 9% below | 67% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | $424.22 | $1,270.29 | $59.70–$889.20 | 9% below | 67% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $138.99 | $386.83 | $38.21–$270.78 | 9% below | 64% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION 7-8 | $598.05 | $1,650.75 | $280.76–$1,155.53 | 21% below | 64% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEURO RE-EDU EA 15 | $37.80 | $233.55 | $28.83–$163.49 | 66% below | 84% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REED15 | $37.80 | $233.55 | $28.83–$163.49 | 66% below | 84% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRI ASSESS X15MIN | $34.69 | $218.73 | $31.54–$164.21 | 40% below | 84% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL-MOD | $112.50 | $674.83 | $70.92–$472.38 | 55% below | 83% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY EA 15 | $30.25 | $184.02 | $23.35–$128.81 | 73% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 P.R. PHASE I PER 15 | $32.90 | $200.59 | $29.90–$153.58 | 71% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EX EA 15 MINS | $32.90 | $200.59 | $25.71–$140.41 | 71% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CPM INITIAL APPLICAT | $32.90 | $200.59 | $25.71–$140.41 | 71% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP PROC STRG END | $32.90 | $200.59 | $29.90–$153.58 | 71% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EX EA 15MINS | $32.90 | $200.59 | $25.71–$140.41 | 71% below | 84% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP PROC EA 15MIN | $32.90 | $200.59 | $25.71–$140.41 | 71% below | 84% |
| Speech therapy session, individual CPT 92507 SP/LANG TX 15MIN | $85.37 | $514.74 | $61.96–$360.32 | 61% below | 83% |
| Spirometry (breathing test) CPT 94010 INCENTIVE SPRIROMETR | $303.88 | $871.10 | $139.72–$609.77 | 15% below | 65% |
| Spirometry (breathing test) CPT 94010 PEAK FLOW RATE INI | $303.88 | $871.10 | $139.72–$609.77 | 15% below | 65% |
| Spirometry (breathing test) CPT 94010 FULL PFT W/WO MVV | $303.88 | $871.10 | $139.72–$609.77 | 15% below | 65% |
| Spirometry before and after a bronchodilator CPT 94060 FULL PFT W PRE/POST- | $598.05 | $1,650.75 | $203.00–$1,155.53 | 1% above | 64% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACT EA 15MIN | $41.34 | $263.19 | $30.07–$184.23 | 63% below | 84% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACT 15M | $41.34 | $263.19 | $30.07–$184.23 | 63% below | 84% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 TC CARDIOVASCULAR ST | $81.27 | $478.86 | $73.88–$393.26 | 93% below | 83% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRES | $81.27 | $520.00 | $73.88–$393.26 | 93% below | 84% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 SDV | $309.10 | $702.50 | $111.28–$491.75 | 22% above | 56% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $739.17 | $1,892.89 | $299.83–$1,892.89 | 28% below | 61% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION ADMIN VACC | $138.99 | $386.83 | $38.21–$270.78 | 86% above | 64% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | $138.99 | $386.83 | $24.00–$270.78 | 86% above | 64% |
Source file: https://www.westlakemedical.com/wp-content/uploads/2024/10/820578078_westlake-surgical_standardcharges.csv