Nacogdoches Memorial Hospital
Nacogdoches Memorial Hospital in Nacogdoches, TX publishes cash prices for 484 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 470 of 481 procedures and above it for 10. By typical cash price it ranks #17 of 288 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1204 Mound St, Nacogdoches, TX 75961 Collected Oct 3, 2026 Source price file Check a bill from this hospital (936) 564-4611
Acute care hospital For-profit hospital Emergency department CMS star rating 2 of 5 CCN 450508 · CMS hospital register
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Nacogdoches Memorial Hospital in Nacogdoches, TX:
- Apr 28, 2023 Warning notice
- Aug 16, 2023 Corrective action plan requested
- Dec 1, 2023 Case closed
- Mar 20, 2026 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Scan Abdomen Wwo Contrast | $1,442.00 | $4,807.00 | $175.00–$4,807.00 | 50% below | 70% |
| Abdominal X-ray, 2 views CPT 74019 Abdomen Xray 2 Views | $115.00 | $382.00 | $105.00–$382.00 | 70% below | 70% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 Ankle 3 View Complete Bilat | $297.00 | $990.00 | $87.00–$990.00 | — | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 View Complete Lt | $198.00 | $660.00 | $87.00–$660.00 | 44% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 View Complete Rt | $198.00 | $660.00 | $87.00–$660.00 | 44% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Ankle-brachial Index Bilat Single L | $120.00 | $401.00 | $133.00–$529.00 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non Invasive Arterial Study Upr Or Lwr Ext Single | $49.00 | $163.00 | $90.00–$529.00 | 92% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Wrist-brachial Index Bil Wo Stress | $120.00 | $401.00 | $133.00–$529.00 | 80% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Scan Up Ext Wo C Bilatera | $500.00 | $1,667.00 | $105.00–$1,667.00 | 70% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Scan Up Ext Wo C Rt | $350.00 | $1,167.00 | $105.00–$1,167.00 | 79% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Scan Up Ext Wo C Lt | $350.00 | $1,167.00 | $105.00–$1,167.00 | 79% below | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Contrast X-ray- Esophagus | $58.00 | $192.00 | $106.00–$223.00 | 88% below | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus Barium Swallow | $190.00 | $632.00 | $175.00–$632.00 | 62% below | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Imaging- Whole Body | $172.00 | $573.00 | $315.00–$573.00 | 89% below | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone Scan Whole Body | $354.00 | $1,181.00 | $400.00–$1,181.00 | 77% below | 70% |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound Breast Complete | $61.00 | $202.00 | $105.00–$202.00 | 86% below | 70% |
| Breast ultrasound, complete, one breast CPT 76641 Breast Us Bil Complete | $174.00 | $580.00 | $105.00–$580.00 | 61% below | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 Breast Sonogram Rt Complete | $116.00 | $387.00 | $105.00–$387.00 | 74% below | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 Breast Sonogram Lt Complete | $116.00 | $387.00 | $105.00–$387.00 | 74% below | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 Breast Us Right Complete | $116.00 | $387.00 | $105.00–$387.00 | 74% below | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 Breast Us Left Complete | $116.00 | $387.00 | $105.00–$387.00 | 74% below | 70% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast Limited | $50.00 | $166.00 | $87.00–$166.00 | 86% below | 70% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Breast Us Bil Limited | $145.00 | $482.00 | $87.00–$482.00 | 58% below | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Breast Us Left Limited | $97.00 | $322.00 | $87.00–$322.00 | 72% below | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Breast Us Right Limited | $97.00 | $322.00 | $87.00–$322.00 | 72% below | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Breast Sonogram Lt Limited | $97.00 | $322.00 | $87.00–$322.00 | 72% below | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Breast Sonogram Rt Limited | $97.00 | $322.00 | $87.00–$322.00 | 72% below | 70% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angiography Abd & Pelvis | $1,455.00 | $4,851.00 | $349.00–$4,851.00 | 64% below | 70% |
| CT angiography (CTA) of the head CPT 70496 Ct Angiography Head | $1,627.00 | $5,423.00 | $175.00–$5,423.00 | 32% below | 70% |
| CT angiography (CTA) of the neck CPT 70498 Ct Angiography Neck | $1,522.00 | $5,072.00 | $175.00–$5,072.00 | 36% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest Ct Abd/pel W Cntrst | $1,452.00 | $4,840.00 | $175.00–$4,840.00 | 44% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiography Chest | $1,452.00 | $4,840.00 | $175.00–$4,840.00 | 44% below | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Angio Hrt W/3d Image | $228.00 | $760.00 | $349.00–$760.00 | 86% below | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Angiography Heart | $320.00 | $1,066.00 | $349.00–$1,066.00 | 81% below | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Hrt W/o Dye W/ca Test | $60.00 | $201.00 | $87.00–$391.00 | 68% below | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Heart Calcium Scoring | $62.00 | $205.00 | $87.00–$391.00 | 67% below | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/pelvis Wo Contrast | $1,954.00 | $6,513.00 | $239.00–$6,513.00 | 31% below | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $2,267.00 | $7,558.00 | $349.00–$7,558.00 | 40% below | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/pelvis Wwo Contrast | $2,420.00 | $8,066.00 | $349.00–$8,066.00 | 36% below | 70% |
| CT scan of the abdomen with contrast CPT 74160 Ct Scan Abdomen W Cont | $1,285.00 | $4,284.00 | $175.00–$4,284.00 | 51% below | 70% |
| CT scan of the abdomen without contrast CPT 74150 Ct Scan Abdomen Wo Cont | $877.00 | $2,923.00 | $105.00–$2,923.00 | 56% below | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Scan Face Wo Cont | $409.00 | $1,363.00 | $105.00–$1,363.00 | 75% below | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Scan Sinus Wo Cont | $409.00 | $1,363.00 | $105.00–$1,363.00 | 75% below | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $916.00 | $3,053.00 | $105.00–$3,053.00 | 45% below | 70% |
| CT scan of the head with contrast CPT 70460 Ct Scan Head W Cont | $1,240.00 | $4,134.00 | $175.00–$4,134.00 | 26% below | 70% |
| CT scan of the head without and with contrast CPT 70470 Ct Scan Head Wwo Contrast | $1,256.00 | $4,185.00 | $175.00–$4,185.00 | 38% below | 70% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Scan L Spine Wo Cont | $989.00 | $3,297.00 | $105.00–$3,297.00 | 43% below | 70% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Scan C Spine Wo Contrast | $989.00 | $3,297.00 | $105.00–$3,297.00 | 52% below | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $1,303.00 | $4,342.00 | $175.00–$4,342.00 | 40% below | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Carotid Artery Bilateral | $115.00 | $384.00 | $211.00–$529.00 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Carotid Doppler Bilateral Comp | $725.00 | $2,417.00 | $239.00–$2,417.00 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Duplex Scan Carotid Art Comp | $725.00 | $2,417.00 | $239.00–$2,417.00 | 36% below | 70% |
| Chest CT scan without and with contrast CPT 71270 Ct Scan Chest Wwo Contrast | $1,421.00 | $4,737.00 | $175.00–$4,737.00 | 44% below | 70% |
| Chest CT scan without and with contrast CPT 71270 Ct Cap W Wo Contrast | $1,421.00 | $4,737.00 | $175.00–$4,737.00 | 44% below | 70% |
| Chest X-ray, 2 views CPT 71046 Chest Xray 2 Views | $63.00 | $210.00 | $87.00–$223.00 | 84% below | 70% |
| Chest X-ray, single view CPT 71045 Chest Xray Single View | $63.00 | $210.00 | $87.00–$223.00 | 81% below | 70% |
| Chest X-ray, single view CPT 71045 Infant Chest Abd Xray 1 View | $63.00 | $210.00 | $87.00–$223.00 | 81% below | 70% |
| Chest X-ray, single view CPT 71045 Neonate Chest Abd Xray 1 View | $63.00 | $210.00 | $87.00–$223.00 | 81% below | 70% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 Clavicle 2 View Bilat | $247.00 | $822.00 | $87.00–$822.00 | — | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle 2 View Lt | $164.00 | $548.00 | $87.00–$548.00 | 45% below | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle 2 View Rt | $164.00 | $548.00 | $87.00–$548.00 | 45% below | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Exam Abdo Back Wall- Comp | $65.00 | $215.00 | $105.00–$215.00 | 91% below | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Echo Retroperitoneal Complete | $153.00 | $510.00 | $105.00–$510.00 | 78% below | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Axial 1+ Sites | $112.00 | $374.00 | $105.00–$374.00 | 72% below | 70% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Density Appendicular | $61.00 | $203.00 | $87.00–$223.00 | 72% below | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us- Detailed- Sngl Fetus | $103.00 | $342.00 | $188.00–$342.00 | 85% below | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Evaluation Hr Pregnancy | $191.00 | $638.00 | $194.00–$638.00 | 72% below | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Cap And Spine Recons Wo Contrast | $1,011.00 | $3,369.00 | $105.00–$3,369.00 | 32% below | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Abdomen Wo Contrast | $1,011.00 | $3,369.00 | $105.00–$3,369.00 | 32% below | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Scan Chest Wo Cont | $1,011.00 | $3,369.00 | $105.00–$3,369.00 | 32% below | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Cap Wo Contrast | $1,011.00 | $3,369.00 | $105.00–$3,369.00 | 32% below | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Cap And Spine Recons W Contrast | $1,250.00 | $4,167.00 | $175.00–$4,167.00 | 38% below | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Scan Chest W Cont | $1,250.00 | $4,167.00 | $175.00–$4,167.00 | 38% below | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest Abdomen W Contrast | $1,250.00 | $4,167.00 | $175.00–$4,167.00 | 38% below | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Cap W Contrast | $1,250.00 | $4,167.00 | $175.00–$4,167.00 | 38% below | 70% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $142.00 | $474.00 | $111.00–$474.00 | 61% below | 70% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $112.00 | $373.00 | $111.00–$373.00 | 59% below | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Scan Arterial Lower Extremity Bilateral | $146.00 | $488.00 | $239.00–$529.00 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Art Dplx Dppl Le Complete Bilat | $231.00 | $770.00 | $239.00–$770.00 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Scan Extremity Veins Complete Bilateral | $112.00 | $374.00 | $206.00–$529.00 | — | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Extrimity Scan Veins Bila | $681.00 | $2,271.00 | $239.00–$2,271.00 | 57% below | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Vein Mapping Low Ext Bil Non Hemo | $681.00 | $2,271.00 | $239.00–$2,271.00 | 57% below | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Venous Us Up Ext Bil Complete | $681.00 | $2,271.00 | $239.00–$2,271.00 | 57% below | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Venous Us Low Ext Bil Complete | $681.00 | $2,271.00 | $239.00–$2,271.00 | 57% below | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte With Doppler Complete | $1,041.00 | $3,471.00 | $445.00–$3,471.00 | 45% below | 70% |
| Elbow X-ray, 2 views both sides CPT 73070 Elbow 2 View Bilateral | $240.00 | $800.00 | $87.00–$800.00 | — | 70% |
| Elbow X-ray, 2 views both sides CPT 73070 Elbow 2 View Bilat | $249.00 | $831.00 | $87.00–$831.00 | — | 70% |
| Elbow X-ray, 2 views one side CPT 73070 Elbow 2 View Right | $160.00 | $533.00 | $87.00–$533.00 | 49% below | 70% |
| Elbow X-ray, 2 views one side CPT 73070 Elbow 2 View Left | $160.00 | $533.00 | $87.00–$533.00 | 49% below | 70% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 Elbow Complete Min 3v Bilat | $350.00 | $1,168.00 | $87.00–$1,168.00 | — | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Complete Min 3v Lt | $234.00 | $779.00 | $87.00–$779.00 | 39% below | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Complete Min 3v Rt | $234.00 | $779.00 | $87.00–$779.00 | 39% below | 70% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Scan Sella Wo Cont | $394.00 | $1,314.00 | $105.00–$1,314.00 | 73% below | 70% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Scan Post Fossa Wo Cont | $394.00 | $1,314.00 | $105.00–$1,314.00 | 73% below | 70% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct Scan Orbit Wo Cont | $394.00 | $1,314.00 | $105.00–$1,314.00 | 73% below | 70% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Min 3 Views Complete | $152.00 | $508.00 | $105.00–$508.00 | 61% below | 70% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 Forearm 2 View Bilat | $262.00 | $873.00 | $87.00–$873.00 | — | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm 2 View Lt | $175.00 | $582.00 | $87.00–$582.00 | 53% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm 2 View Rt | $175.00 | $582.00 | $87.00–$582.00 | 53% below | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging | $188.00 | $626.00 | $344.00–$626.00 | 88% below | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Imaging | $402.00 | $1,341.00 | $400.00–$1,341.00 | 75% below | 70% |
| Hand X-ray, 2 views both sides CPT 73120 Hand 2 View Bilateral | $255.00 | $850.00 | $105.00–$850.00 | — | 70% |
| Hand X-ray, 2 views one side CPT 73120 Hand 2 View Right | $170.00 | $566.00 | $105.00–$566.00 | 47% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 Hand 2 View Left | $170.00 | $566.00 | $105.00–$566.00 | 47% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 Os Calcis 3 View Bilateral | $219.00 | $730.00 | $87.00–$730.00 | — | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Os Calcis 3 View Lt | $146.00 | $485.00 | $87.00–$485.00 | 49% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Os Calcis 3 View Rt | $146.00 | $485.00 | $87.00–$485.00 | 49% below | 70% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study- Unattended | $56.00 | $187.00 | $103.00–$227.00 | 92% below | 70% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography W/cpap | $371.00 | $1,237.00 | $680.00–$1,237.00 | 91% below | 70% |
| Knee X-ray, 3 views CPT 73562 Knee 3 View Bilaterial | $305.00 | $1,018.00 | $87.00–$1,018.00 | 19% below | 70% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3 Views Left | $204.00 | $679.00 | $87.00–$679.00 | 46% below | 70% |
| Knee X-ray, 3 views one side CPT 73562 Knee 3 Views Right | $204.00 | $679.00 | $87.00–$679.00 | 46% below | 70% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 Knee 4 View Complete Bilateral | $293.00 | $978.00 | $105.00–$978.00 | — | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4 Views Complete Rt | $237.00 | $791.00 | $105.00–$791.00 | 44% below | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4 View Complete Lt | $237.00 | $791.00 | $105.00–$791.00 | 44% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Scan Low Ext Wo Contrast Bil | $408.00 | $1,360.00 | $105.00–$1,360.00 | 76% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Low Ext Wo Contrast Lt | $272.00 | $908.00 | $105.00–$908.00 | 84% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Scan Lower Ext Wo Cont Rt | $272.00 | $908.00 | $105.00–$908.00 | 84% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Exam Of Abdomen | $52.00 | $173.00 | $95.00–$194.00 | 91% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Abdomen Limited | $345.00 | $1,151.00 | $105.00–$1,151.00 | 43% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Xtr Non-vasc Lmtd | $32.00 | $107.00 | $59.00–$194.00 | 92% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Joint Limited Or Nonvasc | $83.00 | $278.00 | $105.00–$278.00 | 80% below | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C- | $84.00 | $280.00 | $105.00–$391.00 | 65% below | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Lw Dose Lung Ca Screen Thorax Wo | $85.00 | $282.00 | $105.00–$391.00 | 65% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 Leg 2 View Bilateral | $296.00 | $986.00 | $87.00–$986.00 | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Leg 2 View Rt | $197.00 | $658.00 | $87.00–$658.00 | 43% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Leg 2 View Lt | $197.00 | $658.00 | $87.00–$658.00 | 43% below | 70% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head Wo Contrast | $845.00 | $2,817.00 | $239.00–$2,817.00 | 53% below | 70% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast C-+ W/cad Bi | $221.00 | $736.00 | $326.00–$736.00 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $901.00 | $3,003.00 | $239.00–$3,003.00 | 58% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Low Ext Jnt Wwo C Bil | $1,287.00 | $4,290.00 | $349.00–$4,290.00 | 57% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Low Ext Jnt Wwo C Lt | $901.00 | $3,003.00 | $349.00–$3,003.00 | 70% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Low Ext Jnt Wwo C Rt | $901.00 | $3,003.00 | $349.00–$3,003.00 | 70% below | 70% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen Wo Contrast | $956.00 | $3,187.00 | $239.00–$3,187.00 | 53% below | 70% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen Wwo Contrast | $1,320.00 | $4,399.00 | $349.00–$4,399.00 | 57% below | 70% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain Wo Contrast | $602.00 | $2,006.00 | $239.00–$2,006.00 | 67% below | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $2,081.00 | $6,937.00 | $349.00–$6,937.00 | 26% below | 70% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $704.00 | $2,347.00 | $239.00–$2,347.00 | 68% below | 70% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar Wwo C Limited | $566.00 | $1,888.00 | $349.00–$1,888.00 | 82% below | 70% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar Wwo Contrast | $920.00 | $3,068.00 | $349.00–$3,068.00 | 71% below | 70% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic Wo Contrast | $602.00 | $2,006.00 | $239.00–$2,006.00 | 70% below | 70% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cerv Wwo C Limited | $892.00 | $2,973.00 | $349.00–$2,973.00 | 73% below | 70% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cerv Wwo Contrast | $1,170.00 | $3,901.00 | $349.00–$3,901.00 | 64% below | 70% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cerv Wo Contrast | $647.00 | $2,158.00 | $239.00–$2,158.00 | 71% below | 70% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Wwo Contrast | $1,197.00 | $3,990.00 | $349.00–$3,990.00 | 62% below | 70% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Wo Contrast | $885.00 | $2,950.00 | $239.00–$2,950.00 | 63% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Jnt Up Ext Wo C Bil | $816.00 | $2,720.00 | $239.00–$2,720.00 | 54% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Jnt Up Ext Wo C Lt | $544.00 | $1,814.00 | $239.00–$1,814.00 | 70% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Jnt Up Ext Wo C Rt | $544.00 | $1,814.00 | $239.00–$1,814.00 | 70% below | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical 4 Or 5 Views | $126.00 | $420.00 | $105.00–$420.00 | 77% below | 70% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Scan Neck W Cont | $1,151.00 | $3,836.00 | $175.00–$3,836.00 | 42% below | 70% |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Scan Neck Wo Cont | $1,037.00 | $3,458.00 | $105.00–$3,458.00 | 33% below | 70% |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue Study | $148.00 | $493.00 | $87.00–$493.00 | 38% below | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Perf Spect Multiple | $1,947.00 | $6,489.00 | $445.00–$6,489.00 | 53% below | 70% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr Ophth Dx Img Post Segmt | $23.00 | $76.00 | $42.00–$76.00 | 86% below | 70% |
| Pelvic CT scan without contrast CPT 72192 Ct Scan Pelvis Wo Cont | $943.00 | $3,142.00 | $105.00–$3,142.00 | 42% below | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Bladder Ultrasound | $116.00 | $386.00 | $105.00–$386.00 | 76% below | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Echography Pelvis Limited | $116.00 | $386.00 | $105.00–$386.00 | 76% below | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Exam- Pelvic- Complete | $63.00 | $210.00 | $105.00–$210.00 | 92% below | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvis | $128.00 | $425.00 | $105.00–$425.00 | 83% below | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvis Us And Intraluminal Transvag | $128.00 | $425.00 | $105.00–$425.00 | 83% below | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $128.00 | $425.00 | $105.00–$425.00 | 79% below | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks- Single Fetus | $70.00 | $234.00 | $105.00–$234.00 | 88% below | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Ultrasound, 1st Trimester | $128.00 | $425.00 | $105.00–$425.00 | 78% below | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us 1st Trimest And Ob Transvag | $128.00 | $425.00 | $105.00–$425.00 | 78% below | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Us- Limited- Fetus(s) | $49.00 | $162.00 | $89.00–$194.00 | 89% below | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Echo Pregnancy Limited | $116.00 | $386.00 | $105.00–$386.00 | 75% below | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs 2 View Rt | $201.00 | $670.00 | $87.00–$670.00 | 33% below | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs 2 View Lt | $201.00 | $670.00 | $87.00–$670.00 | 33% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs W Pa Chest 3v Uni Rt | $263.00 | $877.00 | $105.00–$877.00 | 33% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs W Pa Chest 3v Uni Lt | $263.00 | $877.00 | $105.00–$877.00 | 33% below | 70% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $162.00 | $539.00 | $111.00–$539.00 | — | 70% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Shoulder Bil Min 2v Complete | $290.00 | $966.00 | $87.00–$966.00 | 13% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2v Comp Lt | $193.00 | $644.00 | $87.00–$644.00 | 42% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2v Comp Rt | $193.00 | $644.00 | $87.00–$644.00 | 42% below | 70% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinus Compl Min 3 Views | $215.00 | $716.00 | $87.00–$716.00 | 47% below | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull 2 Views | $110.00 | $367.00 | $105.00–$367.00 | 66% below | 70% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $356.00 | $1,186.00 | $557.00–$1,186.00 | 91% below | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Cine/vid X-ray- Throat/esoph | $76.00 | $254.00 | $140.00–$254.00 | 87% below | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Func Pharynx And Or Esop | $186.00 | $621.00 | $175.00–$621.00 | 69% below | 70% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 Femur Bilat Min 2 Views | $111.00 | $371.00 | $87.00–$371.00 | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Unil Right Min 2 Views | $74.00 | $247.00 | $87.00–$247.00 | 77% below | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Unil Left Min 2 Views | $74.00 | $247.00 | $87.00–$247.00 | 77% below | 70% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Scan T Spine Wo Cont | $989.00 | $3,297.00 | $105.00–$3,297.00 | 48% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 Toes Min 2 View Lt | $168.00 | $561.00 | $87.00–$561.00 | 39% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 Toes Min 2 View Rt | $168.00 | $561.00 | $87.00–$561.00 | 39% below | 70% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $128.00 | $425.00 | $105.00–$425.00 | 79% below | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal Us- Obstetric | $56.00 | $185.00 | $102.00–$194.00 | 89% below | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 Ob Us Transvag W Fetal Bpp Nst | $116.00 | $386.00 | $105.00–$386.00 | 77% below | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Trans Vaginal | $116.00 | $386.00 | $105.00–$386.00 | 77% below | 70% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $425.00 | $1,417.00 | $105.00–$1,417.00 | 46% below | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Exam- Scrotum | $60.00 | $200.00 | $105.00–$200.00 | 90% below | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 Testicular Echo | $128.00 | $425.00 | $105.00–$425.00 | 79% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Exam Of Head And Neck | $67.00 | $222.00 | $105.00–$222.00 | 89% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Echography Soft Tissues Of Head Nec | $128.00 | $425.00 | $105.00–$425.00 | 80% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Thyroid Sonogram | $128.00 | $425.00 | $105.00–$425.00 | 80% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray Exam- Upper Gi Tract | $72.00 | $240.00 | $132.00–$240.00 | 90% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi | $378.00 | $1,259.00 | $175.00–$1,259.00 | 49% below | 70% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 Humerus Min 2 View Bilat | $281.00 | $936.00 | $87.00–$936.00 | — | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Min 2 View Lt | $187.00 | $624.00 | $87.00–$624.00 | 47% below | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Min 2 View Rt | $187.00 | $624.00 | $87.00–$624.00 | 47% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Scan Extremity Veins- Complete Uni Or Lim Bil | $71.00 | $235.00 | $105.00–$529.00 | 91% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Venous Us Low Ext Bil Limited | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Ext Veins Bil Limit | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Venous Us Up Ext Bil Limited | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Vein Mapping Low Ext Unil Non Hemo | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Us Low Ext Left | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Ext Veins Unil Rt | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Ext Veins Unit Lt | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Us Up Ext Left | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Us Up Ext Right | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Us Low Ext Right | $447.00 | $1,491.00 | $105.00–$1,491.00 | 43% below | 70% |
| Wrist X-ray, 2 views both sides CPT 73100 Wrist 2 View Bilat | $249.00 | $829.00 | $87.00–$829.00 | — | 70% |
| Wrist X-ray, 2 views one side CPT 73100 Wrist 2 View Rt | $166.00 | $553.00 | $87.00–$553.00 | 44% below | 70% |
| Wrist X-ray, 2 views one side CPT 73100 Wrist 2 View Lt | $166.00 | $553.00 | $87.00–$553.00 | 44% below | 70% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Wrist 3 View Complete Bil | $272.00 | $908.00 | $87.00–$908.00 | 27% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3 View Comp Lt | $182.00 | $605.00 | $87.00–$605.00 | 51% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3 View Comp Rt | $182.00 | $605.00 | $87.00–$605.00 | 51% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray Exam Hip Uni 2-3 Views | $27.00 | $89.00 | $49.00–$91.00 | 93% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unil Left 2 Or 3 Views | $76.00 | $252.00 | $87.00–$252.00 | 79% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unil Right 2 Or 3 Views | $76.00 | $252.00 | $87.00–$252.00 | 79% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unil Left W Pelvis 2 Or 3 Vws | $80.00 | $268.00 | $87.00–$268.00 | 78% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Unil Right W Pelvis 2 Or 3 Vws | $80.00 | $268.00 | $87.00–$268.00 | 78% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen Xray 1 View | $63.00 | $210.00 | $87.00–$223.00 | 81% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 Contrast Abd Xray 1 View | $63.00 | $210.00 | $87.00–$223.00 | 81% below | 70% |
| X-ray of the ankle, 2 views both sides CPT 73600 Ankle 2 View Bilat | $230.00 | $768.00 | $87.00–$768.00 | — | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View Lt | $154.00 | $512.00 | $87.00–$512.00 | 49% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View Rt | $154.00 | $512.00 | $87.00–$512.00 | 49% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers 3 View Rt | $146.00 | $488.00 | $87.00–$488.00 | 39% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Fingers 3 View Lt | $146.00 | $488.00 | $87.00–$488.00 | 39% below | 70% |
| X-ray of the foot, 2 views both sides CPT 73620 Foot 2 View Bilateral | $212.00 | $708.00 | $87.00–$708.00 | — | 70% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Left | $142.00 | $472.00 | $87.00–$472.00 | 57% below | 70% |
| X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Right | $142.00 | $472.00 | $87.00–$472.00 | 57% below | 70% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Foot 3 View Compltete Bil | $278.00 | $927.00 | $87.00–$927.00 | 25% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3v Complete Lt | $185.00 | $618.00 | $87.00–$618.00 | 50% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3v Complete Rt | $185.00 | $618.00 | $87.00–$618.00 | 50% below | 70% |
| X-ray of the hand, 3 or more views both sides CPT 73130 Hand Min 3 View Bilateral | $274.00 | $914.00 | $87.00–$914.00 | — | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 View Right | $182.00 | $606.00 | $87.00–$606.00 | 53% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Min 3 View Lt | $182.00 | $606.00 | $87.00–$606.00 | 53% below | 70% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Knee 2 View Bilateral | $287.00 | $957.00 | $87.00–$957.00 | — | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2 View Lt | $191.00 | $638.00 | $87.00–$638.00 | 35% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 2 View Rt | $191.00 | $638.00 | $87.00–$638.00 | 35% below | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar 2/3 Views | $221.00 | $735.00 | $105.00–$735.00 | 50% below | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $331.00 | $1,103.00 | $105.00–$1,103.00 | 41% below | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 Views | $260.00 | $868.00 | $105.00–$868.00 | 36% below | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nose Min 3 Views | $162.00 | $540.00 | $87.00–$540.00 | 41% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical 2 Or 3 Views | $88.00 | $292.00 | $87.00–$292.00 | 76% below | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 View | $110.00 | $367.00 | $105.00–$367.00 | 65% below | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx Min 2 Views | $59.00 | $195.00 | $87.00–$223.00 | 81% below | 70% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Acth | $130.00 | $432.00 | $39.00–$432.00 | 39% below | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Amino (Alt) (Sgpt) | $17.00 | $58.00 | $5.00–$58.00 | 67% below | 71% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt | $35.00 | $115.00 | $5.00–$115.00 | 31% below | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot | $41.00 | $137.00 | $5.00–$137.00 | 20% below | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Excelacute Hepatitis Panel | $30.00 | $100.00 | $36.00–$100.00 | 92% below | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel | $132.00 | $441.00 | $48.00–$441.00 | 66% below | 70% |
| Albumin blood test CPT 82040 Ms Alb Serum Panel | $20.00 | $66.00 | $5.00–$66.00 | 46% below | 70% |
| Albumin blood test CPT 82040 Albumin Serum | $21.00 | $69.00 | $5.00–$69.00 | 44% below | 70% |
| Aldosterone blood test CPT 82088 Aldosterone Serum | $118.00 | $394.00 | $41.00–$394.00 | 5% below | 70% |
| Aldosterone blood test CPT 82088 Aldosterone Urine | $130.00 | $432.00 | $41.00–$432.00 | 5% above | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos | $18.00 | $61.00 | $5.00–$61.00 | 62% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Crude Extrc E | $6.00 | $20.00 | $5.00–$20.00 | 74% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chymopapain Sensitivity | $84.00 | $280.00 | $5.00–$280.00 | 257% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein- Serum | $11.00 | $35.00 | $17.00–$84.00 | 90% below | 69% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Serum | $70.00 | $233.00 | $17.00–$233.00 | 36% below | 70% |
| Ammonia blood test CPT 82140 Assay Of Ammonia | $9.00 | $31.00 | $15.00–$31.00 | 94% below | 71% |
| Ammonia blood test CPT 82140 Ammonium Stone Risk | $20.00 | $67.00 | $15.00–$67.00 | 86% below | 70% |
| Ammonia blood test CPT 82140 Ammonia | $49.00 | $164.00 | $15.00–$164.00 | 65% below | 70% |
| Amylase blood test CPT 82150 Amylase Timed Urine | $23.00 | $75.00 | $6.00–$75.00 | 70% below | 69% |
| Amylase blood test CPT 82150 Amylase Fluid | $25.00 | $83.00 | $6.00–$83.00 | 67% below | 70% |
| Amylase blood test CPT 82150 Macro Amylase | $41.00 | $138.00 | $6.00–$138.00 | 46% below | 70% |
| Amylase blood test CPT 82150 Amylase Serum | $48.00 | $159.00 | $6.00–$159.00 | 37% below | 70% |
| Amylase blood test CPT 82150 Amylase Urine | $48.00 | $159.00 | $6.00–$159.00 | 37% below | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp Igg Anitbody | $18.00 | $60.00 | $13.00–$60.00 | 66% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies | $8.00 | $26.00 | $12.00–$26.00 | 90% below | 69% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Excelantinuclear Antibody | $12.00 | $40.00 | $12.00–$40.00 | 84% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Ifa Lupus Panel | $19.00 | $62.00 | $12.00–$62.00 | 75% below | 69% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Centromere B Antibody | $30.00 | $100.00 | $12.00–$100.00 | 61% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody | $65.00 | $217.00 | $12.00–$217.00 | 16% below | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Excelbnp | $17.00 | $56.00 | $20.00–$56.00 | 89% below | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B Type Natriuretic Peptide | $47.00 | $157.00 | $39.00–$157.00 | 69% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture- Bacteria- Other | $14.00 | $48.00 | $5.00–$48.00 | 79% below | 71% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Nasopharyngeal | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Cath Tip | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Placenta | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Environmental | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Misc | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Gastric | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Eye | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Ear | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Csf Spinalfluid | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Bronch Wash | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Body Fluid | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Respiratory | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Gc | $61.00 | $202.00 | $9.00–$202.00 | 9% below | 70% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $60.00 | $200.00 | $8.00–$200.00 | 72% below | 70% |
| Bilirubin blood test, total CPT 82247 Assay Of Apolipoprotein | $16.00 | $52.00 | $5.00–$52.00 | 72% below | 69% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $19.00 | $63.00 | $5.00–$63.00 | 67% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lvl 4 Gross N Micro | $171.00 | $569.00 | $52.00–$569.00 | 42% below | 70% |
| Blood culture for bacteria CPT 87040 Culture Blood | $98.00 | $326.00 | $10.00–$326.00 | 52% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipunct- Routine* | $2.00 | $6.00 | $3.00–$10.00 | 89% below | 67% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Lab Venipuncture | $7.00 | $23.00 | $8.00–$23.00 | 61% below | 70% |
| Blood glucose (sugar) test CPT 82947 Assay- Glucose- Blood Quant | $9.00 | $31.00 | $4.00–$31.00 | 78% below | 71% |
| Blood glucose (sugar) test CPT 82947 Glucose-hairston | $17.00 | $58.00 | $4.00–$58.00 | 59% below | 71% |
| Blood glucose (sugar) test CPT 82947 Glucose 2 Hr | $24.00 | $79.00 | $4.00–$79.00 | 42% below | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose O Sullivan | $24.00 | $79.00 | $4.00–$79.00 | 42% below | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose Quant | $24.00 | $79.00 | $4.00–$79.00 | 42% below | 70% |
| Blood lead test CPT 83655 Lead Heavy Metal Urine | $20.00 | $65.00 | $12.00–$65.00 | 57% below | 69% |
| Blood lead test CPT 83655 Assay Of Lead | $25.00 | $82.00 | $12.00–$82.00 | 46% below | 70% |
| Blood lead test CPT 83655 Lead Urine | $32.00 | $108.00 | $12.00–$108.00 | 31% below | 70% |
| Blood lead test CPT 83655 Heavy Metals Blood Lead | $36.00 | $121.00 | $12.00–$121.00 | 23% below | 70% |
| Blood lead test CPT 83655 Lead Blood | $37.00 | $124.00 | $12.00–$124.00 | 21% below | 70% |
| Blood lead test CPT 83655 Lead 24 Hr Urine | $37.00 | $124.00 | $12.00–$124.00 | 21% below | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic Gonadotropin Assay | $22.00 | $72.00 | $8.00–$72.00 | 84% below | 69% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Serum Qualitative | $62.00 | $207.00 | $8.00–$207.00 | 55% below | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Gcrbc Abo | $11.00 | $35.00 | $3.00–$35.00 | 88% below | 69% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Product Re-type Abo | $116.00 | $387.00 | $3.00–$387.00 | 31% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Type Abo | $116.00 | $387.00 | $3.00–$387.00 | 31% above | 70% |
| Blood urea nitrogen (BUN) test CPT 84520 Assay Of Urea Nitrogen | $17.00 | $58.00 | $4.00–$58.00 | 69% below | 71% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun Quant | $53.00 | $177.00 | $4.00–$177.00 | 5% below | 70% |
| C-peptide blood test CPT 84681 Assay Of C-peptide | $34.00 | $113.00 | $21.00–$113.00 | 53% below | 70% |
| C-peptide blood test CPT 84681 C Peptide | $89.00 | $296.00 | $21.00–$296.00 | 22% above | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Excelcrp Quant | $7.00 | $22.00 | $5.00–$22.00 | 86% below | 68% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein | $9.00 | $31.00 | $5.00–$31.00 | 82% below | 71% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp, C Reactive Protein | $21.00 | $71.00 | $5.00–$71.00 | 59% below | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Excelstool C-diff | $17.00 | $58.00 | $21.00–$58.00 | 90% below | 71% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium Difficile (Naat) | $66.00 | $221.00 | $37.00–$221.00 | 62% below | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19 9 | $64.00 | $213.00 | $21.00–$213.00 | 51% below | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $64.00 | $213.00 | $21.00–$213.00 | 57% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus (Covid-19), To Nmch | $16.00 | $54.00 | $19.00–$54.00 | 82% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Coronavirus (Covid-19), To Luf Mem | $24.00 | $81.00 | $29.00–$81.00 | 73% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 Covid-19 Amp Prb | $32.00 | $106.00 | $19.00–$106.00 | 64% below | 70% |
| Calcium blood test, total CPT 82310 Assay Of Calcium | $9.00 | $31.00 | $5.00–$31.00 | 84% below | 71% |
| Calcium blood test, total CPT 82310 Calcium Total | $56.00 | $187.00 | $5.00–$187.00 | 3% below | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea Antigen | $81.00 | $271.00 | $19.00–$271.00 | 39% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster Antibody | $47.00 | $155.00 | $13.00–$155.00 | 20% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Igm | $54.00 | $179.00 | $13.00–$179.00 | 8% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Igg | $54.00 | $179.00 | $13.00–$179.00 | 8% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Excelchlamydia Dna Probe | $17.00 | $57.00 | $21.00–$57.00 | 86% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct-cash | $22.00 | $72.00 | $21.00–$72.00 | 82% below | 69% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd Trach- Dna- Amp Probe | $31.00 | $103.00 | $21.00–$103.00 | 75% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C Trachomatis, Rna, Tma | $55.00 | $182.00 | $35.00–$182.00 | 56% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $70.00 | $233.00 | $13.00–$233.00 | 53% below | 70% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $40.00 | $132.00 | $8.00–$132.00 | 56% below | 70% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $26.00 | $87.00 | $6.00–$87.00 | 72% below | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $105.00 | $351.00 | $11.00–$351.00 | 58% below | 70% |
| Cortisol blood test, total CPT 82533 Cortisol Total | $52.00 | $174.00 | $16.00–$174.00 | 37% below | 70% |
| Cortisol blood test, total CPT 82533 Cortisol Pm | $70.00 | $233.00 | $16.00–$233.00 | 15% below | 70% |
| Cortisol blood test, total CPT 82533 Cortisol Am | $70.00 | $233.00 | $16.00–$233.00 | 15% below | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 Ck | $64.00 | $213.00 | $7.00–$213.00 | 4% above | 70% |
| Creatinine blood test CPT 82565 Assay Of Creatinine | $17.00 | $58.00 | $5.00–$58.00 | 68% below | 71% |
| Creatinine blood test CPT 82565 Creatinine | $25.00 | $84.00 | $5.00–$84.00 | 53% below | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg | $28.00 | $92.00 | $14.00–$92.00 | 61% below | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hsv I&ii Draw-cash | $108.00 | $361.00 | $14.00–$361.00 | 52% above | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer Assay | $66.00 | $219.00 | $10.00–$219.00 | 61% below | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate | $55.00 | $182.00 | $22.00–$182.00 | 64% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Anlyzr | $22.00 | $72.00 | $30.00–$72.00 | 65% below | 69% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Excelethyl Alcohol | $25.00 | $84.00 | $30.00–$84.00 | 60% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Excelsalicylate | $25.00 | $84.00 | $30.00–$84.00 | 60% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Excelurine Drug Screen | $25.00 | $84.00 | $30.00–$84.00 | 60% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Excelacetaminophen | $25.00 | $84.00 | $30.00–$84.00 | 60% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Drug Screen, Panel 9 | $65.00 | $218.00 | $62.00–$218.00 | 5% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol Ethyl Level | $82.00 | $273.00 | $62.00–$273.00 | 32% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium Drug Screen | $131.00 | $436.00 | $62.00–$436.00 | 111% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Blood | $183.00 | $611.00 | $62.00–$611.00 | 195% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Oji Drug Screening | $183.00 | $611.00 | $62.00–$611.00 | 195% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine | $183.00 | $611.00 | $62.00–$611.00 | 195% above | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $83.00 | $276.00 | $7.00–$276.00 | 57% below | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Vca Igg | $35.00 | $115.00 | $18.00–$115.00 | 59% below | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Vca Igm | $35.00 | $115.00 | $18.00–$115.00 | 59% below | 70% |
| Estradiol blood test CPT 82670 Estradiol | $12.00 | $41.00 | $23.00–$92.00 | 90% below | 71% |
| Estradiol blood test CPT 82670 Estradiol-cash | $28.00 | $93.00 | $28.00–$93.00 | 77% below | 70% |
| Estradiol blood test CPT 82670 Estradiol Serum | $77.00 | $255.00 | $28.00–$255.00 | 37% below | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin (Fsh) | $30.00 | $99.00 | $19.00–$99.00 | 81% below | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh Serum | $74.00 | $246.00 | $19.00–$246.00 | 54% below | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool | $80.00 | $265.00 | $20.00–$265.00 | 63% below | 70% |
| Ferritin blood test (iron stores) CPT 82728 Assay Of Ferritin | $16.00 | $52.00 | $14.00–$66.00 | 83% below | 69% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $55.00 | $182.00 | $14.00–$182.00 | 43% below | 70% |
| Fibrinogen blood test CPT 85384 Fibrinogen Quant | $32.00 | $105.00 | $10.00–$105.00 | 63% below | 70% |
| Folate (folic acid) blood test CPT 82746 Blood Folic Acid Serum | $25.00 | $82.00 | $15.00–$82.00 | 68% below | 70% |
| Folate (folic acid) blood test CPT 82746 Folic Acid Serum | $61.00 | $202.00 | $15.00–$202.00 | 21% below | 70% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $78.00 | $261.00 | $17.00–$261.00 | 44% below | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free Thyroxine | $9.00 | $31.00 | $5.00–$31.00 | 88% below | 71% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free | $45.00 | $149.00 | $9.00–$149.00 | 39% below | 70% |
| Free testosterone test CPT 84402 Testosterone Free | $84.00 | $281.00 | $25.00–$281.00 | 20% below | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay Of Ggt | $16.00 | $52.00 | $7.00–$52.00 | 73% below | 69% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Gt | $20.00 | $65.00 | $7.00–$65.00 | 66% below | 69% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $231.00 | $769.00 | $277.00–$769.00 | 43% below | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose | $25.00 | $84.00 | $5.00–$84.00 | 68% below | 70% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (Gtt) | $22.00 | $72.00 | $13.00–$72.00 | 86% below | 69% |
| Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Specimens | $88.00 | $292.00 | $13.00–$292.00 | 42% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Excelgonorrhea Dna Probe | $17.00 | $57.00 | $21.00–$57.00 | 87% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae- Dna- Amp Prob | $19.00 | $62.00 | $21.00–$62.00 | 85% below | 69% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc-cash | $22.00 | $72.00 | $21.00–$72.00 | 83% below | 69% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N Gonorrhoeae, Rna, Tma | $55.00 | $182.00 | $35.00–$182.00 | 57% below | 70% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori | $37.00 | $124.00 | $17.00–$124.00 | 71% below | 70% |
| H. pylori antibody blood test CPT 86677 H Pylori Antibody | $83.00 | $277.00 | $17.00–$277.00 | 34% below | 70% |
| H. pylori stool antigen test CPT 87338 H Pylori Stool Antigen | $59.00 | $197.00 | $14.00–$197.00 | 25% below | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 Viral Load Hiv 1 Quant & Rt | $116.00 | $388.00 | $85.00–$388.00 | 62% below | 70% |
| HIV-1 and HIV-2 antibody test CPT 86703 Rapid Hiv 1 & 2 Antibody | $19.00 | $63.00 | $14.00–$63.00 | 76% below | 70% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv 12 Antibody Screen | $41.00 | $138.00 | $14.00–$138.00 | 48% below | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1&2 Ab Screen, 4th Generation | $41.00 | $138.00 | $24.00–$138.00 | 70% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c Cash | $9.00 | $31.00 | $10.00–$31.00 | 89% below | 71% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycated Hemoglobin Test | $16.00 | $52.00 | $10.00–$52.00 | 81% below | 69% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c-hairston | $25.00 | $82.00 | $10.00–$82.00 | 70% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycohemoglobin | $45.00 | $151.00 | $10.00–$151.00 | 47% below | 70% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $13.00 | $43.00 | $2.00–$43.00 | 70% below | 70% |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Ab, Total | $17.00 | $56.00 | $12.00–$56.00 | 77% below | 70% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab | $43.00 | $144.00 | $12.00–$144.00 | 41% below | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody | $37.00 | $124.00 | $11.00–$124.00 | 42% below | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab Quant | $38.00 | $126.00 | $11.00–$126.00 | 40% below | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Ab Qual | $41.00 | $136.00 | $11.00–$136.00 | 36% below | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen | $41.00 | $136.00 | $10.00–$136.00 | 41% below | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Ab Test | $23.00 | $78.00 | $14.00–$78.00 | 73% below | 71% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $60.00 | $200.00 | $14.00–$200.00 | 29% below | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Pcr Quantification | $120.00 | $399.00 | $43.00–$399.00 | 48% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type 1 Igm | $25.00 | $84.00 | $13.00–$84.00 | 65% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type 1 Igg | $25.00 | $84.00 | $13.00–$84.00 | 65% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type 2 Igm | $27.00 | $89.00 | $19.00–$89.00 | 68% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type 2 Igg | $37.00 | $123.00 | $19.00–$123.00 | 55% below | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio Crp Hi Sens C Reactive Prot | $28.00 | $94.00 | $13.00–$94.00 | 61% below | 70% |
| Homocysteine blood test CPT 83090 Homocysteine | $77.00 | $257.00 | $18.00–$257.00 | 49% below | 70% |
| Insulin blood test CPT 83525 Insulin | $58.00 | $193.00 | $11.00–$193.00 | 15% below | 70% |
| Iron blood test (serum iron) CPT 83540 Assay Of Iron | $11.00 | $37.00 | $4.00–$37.00 | 84% below | 70% |
| Iron blood test (serum iron) CPT 83540 Iron | $32.00 | $108.00 | $6.00–$108.00 | 55% below | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Test | $14.00 | $47.00 | $5.00–$47.00 | 84% below | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $34.00 | $114.00 | $9.00–$114.00 | 62% below | 70% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $61.00 | $204.00 | $9.00–$204.00 | 66% below | 70% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $74.00 | $246.00 | $19.00–$246.00 | 48% below | 70% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Fluid | $35.00 | $116.00 | $12.00–$116.00 | 60% below | 70% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $47.00 | $158.00 | $12.00–$158.00 | 46% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh | $35.00 | $116.00 | $6.00–$116.00 | 11% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Fluid | $35.00 | $116.00 | $6.00–$116.00 | 11% below | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay Of Lipase | $12.00 | $41.00 | $4.00–$41.00 | 84% below | 71% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $44.00 | $145.00 | $7.00–$145.00 | 42% below | 70% |
| Liver function blood test panel CPT 80076 Liver function blood test | $60.00 | $201.00 | $8.00–$201.00 | 69% below | 70% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi Igm Ab Csf | $29.00 | $98.00 | $17.00–$98.00 | 65% below | 70% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi Igg Ab Csf | $29.00 | $98.00 | $17.00–$98.00 | 65% below | 70% |
| Lyme disease antibody test CPT 86618 Lyme Titer | $61.00 | $203.00 | $17.00–$203.00 | 26% below | 70% |
| Magnesium blood test CPT 83735 Magnesium Stone Risk | $17.00 | $56.00 | $7.00–$56.00 | 60% below | 70% |
| Magnesium blood test CPT 83735 Magnesium 24 Hr Urine | $24.00 | $81.00 | $7.00–$81.00 | 43% below | 70% |
| Magnesium blood test CPT 83735 Magnesium | $41.00 | $136.00 | $7.00–$136.00 | 3% below | 70% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibody | $25.00 | $82.00 | $13.00–$82.00 | 13% below | 70% |
| Measles (rubeola) antibody test CPT 86765 Rubeola | $61.00 | $203.00 | $13.00–$203.00 | 112% above | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibodies | $19.00 | $62.00 | $5.00–$62.00 | 78% below | 69% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen Titer | $26.00 | $86.00 | $5.00–$86.00 | 69% below | 70% |
| Mumps immunity blood test CPT 86735 Mumps Antibody | $25.00 | $82.00 | $13.00–$82.00 | 58% below | 70% |
| Mumps immunity blood test CPT 86735 Mumps Virus Soluble | $26.00 | $86.00 | $13.00–$86.00 | 56% below | 70% |
| Mumps immunity blood test CPT 86735 Mumps Virus Viral | $26.00 | $86.00 | $13.00–$86.00 | 56% below | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $25.00 | $84.00 | $18.00–$84.00 | 78% below | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $74.00 | $246.00 | $18.00–$246.00 | 9% below | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath- C/v- Thin Layer | $35.00 | $117.00 | $20.00–$117.00 | 60% below | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap&thin Prep-cash | $74.00 | $247.00 | $20.00–$247.00 | 15% below | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Papsmearwellwomantotalcash | $124.00 | $412.00 | $20.00–$412.00 | 43% above | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay Of Parathormone | $50.00 | $165.00 | $41.00–$165.00 | 75% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact, W/o Calcium | $99.00 | $329.00 | $41.00–$329.00 | 51% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth N Terminal | $126.00 | $419.00 | $41.00–$419.00 | 37% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $37.00 | $124.00 | $6.00–$124.00 | 24% below | 70% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Inorganic | $35.00 | $115.00 | $5.00–$115.00 | 44% below | 70% |
| Potassium blood test CPT 84132 Assay Of Serum Potassium | $8.00 | $25.00 | $5.00–$25.00 | 87% below | 68% |
| Potassium blood test CPT 84132 Potassium Serum | $35.00 | $116.00 | $5.00–$116.00 | 42% below | 70% |
| Progesterone blood test CPT 84144 Progesterone-cash | $25.00 | $82.00 | $21.00–$92.00 | 75% below | 70% |
| Progesterone blood test CPT 84144 Assay Of Progesterone | $34.00 | $113.00 | $21.00–$113.00 | 66% below | 70% |
| Progesterone blood test CPT 84144 Progesterone | $77.00 | $255.00 | $21.00–$255.00 | 23% below | 70% |
| Prolactin blood test CPT 84146 Prolactin | $74.00 | $246.00 | $19.00–$246.00 | 33% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $38.00 | $126.00 | $4.00–$126.00 | 16% below | 70% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen One/mult Class | $12.00 | $41.00 | $13.00–$41.00 | 89% below | 71% |
| Rapid flu test (influenza antigen) CPT 87804 Flu B Screen-direct Optical Obsv | $26.00 | $88.00 | $32.00–$88.00 | 72% below | 70% |
| Rapid flu test (influenza antigen) CPT 87804 Flu A Screen-direct Optical Obsv | $26.00 | $88.00 | $17.00–$88.00 | 72% below | 70% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A | $28.00 | $93.00 | $17.00–$93.00 | 70% below | 70% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B | $28.00 | $93.00 | $51.00–$93.00 | 70% below | 70% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A&b-hairston | $43.00 | $144.00 | $17.00–$144.00 | 54% below | 70% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Excelrapid Strep Tst W/rflx Cult | $6.00 | $20.00 | $7.00–$20.00 | 94% below | 70% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W/optic | $20.00 | $68.00 | $17.00–$68.00 | 80% below | 71% |
| Renin blood test CPT 84244 Renin | $94.00 | $314.00 | $22.00–$314.00 | 6% below | 70% |
| Rh blood typing CPT 86901 Gcrbc Rh Neonatal | $6.00 | $21.00 | $3.00–$21.00 | 90% below | 71% |
| Rh blood typing CPT 86901 Gcrbc Rh | $15.00 | $49.00 | $3.00–$49.00 | 76% below | 69% |
| Rh blood typing CPT 86901 Blood Type Rh | $35.00 | $118.00 | $3.00–$118.00 | 44% below | 70% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor, Quantitative | $21.00 | $71.00 | $6.00–$71.00 | 53% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody | $25.00 | $82.00 | $14.00–$82.00 | 37% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igg | $31.00 | $104.00 | $14.00–$104.00 | 22% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Igm | $56.00 | $186.00 | $14.00–$186.00 | 41% above | 70% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate | $20.00 | $65.00 | $3.00–$65.00 | 67% below | 69% |
| Sodium blood test CPT 84295 Sodium Serum | $26.00 | $86.00 | $5.00–$86.00 | 58% below | 70% |
| Stool ova and parasites exam CPT 87177 Excel Ova And Parasites | $12.00 | $40.00 | $9.00–$40.00 | 82% below | 70% |
| Stool ova and parasites exam CPT 87177 Ova And Parasites | $41.00 | $138.00 | $9.00–$138.00 | 40% below | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Exceloccult Blood Feces | $5.00 | $18.00 | $4.00–$18.00 | 87% below | 72% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Test For Blood- Feces | $8.00 | $25.00 | $4.00–$25.00 | 78% below | 68% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool | $26.00 | $88.00 | $4.00–$88.00 | 30% below | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Bld Fecal 3 Spec (Screen) | $79.00 | $262.00 | $4.00–$262.00 | 113% above | 70% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay Test For Blood- Fecal | $22.00 | $72.00 | $16.00–$72.00 | 67% below | 69% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum | $26.00 | $88.00 | $13.00–$88.00 | 44% below | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Excelrpr | $4.00 | $14.00 | $4.00–$14.00 | 91% below | 71% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Blood Serology- Qualitative | $22.00 | $72.00 | $4.00–$72.00 | 48% below | 69% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $25.00 | $84.00 | $4.00–$84.00 | 41% below | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Tdh Test- Hairston | $31.00 | $103.00 | $4.00–$103.00 | 27% below | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Test- Cell Immun Measure | $37.00 | $124.00 | $62.00–$124.00 | 82% below | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold | $85.00 | $283.00 | $62.00–$283.00 | 58% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Serum | $81.00 | $271.00 | $26.00–$271.00 | 13% below | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase | $22.00 | $74.00 | $15.00–$74.00 | 74% below | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $75.00 | $249.00 | $17.00–$249.00 | 32% below | 70% |
| Total IgE blood test CPT 82785 Immunoglobulin E | $61.00 | $202.00 | $16.00–$202.00 | 24% below | 70% |
| Total cholesterol blood test CPT 82465 Assay- Bld/serum Cholesterol | $12.00 | $41.00 | $4.00–$41.00 | 79% below | 71% |
| Total cholesterol blood test CPT 82465 Cholesterol Total Serum | $29.00 | $96.00 | $4.00–$96.00 | 48% below | 70% |
| Total thyroxine (T4) blood test CPT 84436 Total Thyroxine | $12.00 | $41.00 | $4.00–$41.00 | 85% below | 71% |
| Total thyroxine (T4) blood test CPT 84436 T4 Total | $64.00 | $212.00 | $7.00–$212.00 | 19% below | 70% |
| Total triiodothyronine (T3) blood test CPT 84480 Assay- Triiodothyronine (T3) | $23.00 | $76.00 | $14.00–$76.00 | 82% below | 70% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $41.00 | $138.00 | $14.00–$138.00 | 67% below | 70% |
| Transferrin blood test CPT 84466 Transferrin | $52.00 | $173.00 | $13.00–$173.00 | 56% below | 70% |
| Triglycerides blood test CPT 84478 Assay Of Triglycerides | $9.00 | $31.00 | $6.00–$31.00 | 87% below | 71% |
| Triglycerides blood test CPT 84478 Triglycerides Fluid | $55.00 | $183.00 | $6.00–$183.00 | 19% below | 70% |
| Triglycerides blood test CPT 84478 Triglycerides | $55.00 | $183.00 | $6.00–$183.00 | 19% below | 70% |
| Troponin test, quantitative CPT 84484 Troponin Cardiac | $67.00 | $222.00 | $12.00–$222.00 | 40% below | 70% |
| Uric acid blood test CPT 84550 Uric Acid | $52.00 | $172.00 | $5.00–$172.00 | 34% below | 70% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $29.00 | $96.00 | $3.00–$96.00 | 70% below | 70% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $12.00 | $41.00 | $4.00–$41.00 | 69% below | 71% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $12.00 | $40.00 | $2.00–$40.00 | 76% below | 70% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $6.00 | $21.00 | $3.00–$21.00 | 81% below | 71% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Cx-cash | $9.00 | $31.00 | $5.00–$31.00 | 93% below | 71% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture/colony Count | $16.00 | $52.00 | $5.00–$52.00 | 88% below | 69% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine Quant | $54.00 | $181.00 | $8.00–$181.00 | 58% below | 70% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hr Ur | $27.00 | $89.00 | $6.00–$89.00 | 47% below | 70% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Random | $31.00 | $102.00 | $6.00–$102.00 | 39% below | 70% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy-cash | $6.00 | $21.00 | $4.00–$21.00 | 93% below | 71% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $16.00 | $52.00 | $4.00–$52.00 | 80% below | 69% |
| Urine pregnancy test, read by color change CPT 81025 Hcg Qual Urine | $35.00 | $115.00 | $9.00–$115.00 | 57% below | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 (Cynocobalamin) | $25.00 | $82.00 | $15.00–$82.00 | 72% below | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $56.00 | $187.00 | $15.00–$187.00 | 38% below | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Assay Of Vitamin D | $47.00 | $155.00 | $30.00–$155.00 | 59% below | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-oh D3 | $56.00 | $185.00 | $30.00–$185.00 | 52% below | 70% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D, 1,25 Dihydroxy | $56.00 | $185.00 | $39.00–$185.00 | 63% below | 70% |
| Zinc blood test CPT 84630 Zinc | $39.00 | $131.00 | $11.00–$131.00 | 43% below | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic Gonadotropin Test | $16.00 | $52.00 | $5.00–$52.00 | 85% below | 69% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant Serum | $59.00 | $197.00 | $15.00–$197.00 | 45% below | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Neck Spine Fuse&remove Addl | $924.00 | $3,081.00 | $1,695.00–$13,476.00 | 87% below | 70% |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy | $482.00 | $1,607.00 | $884.00–$1,607.00 | 85% below | 70% |
| Appendectomy, open surgery CPT 44950 Appendectomy | $354.00 | $1,180.00 | $649.00–$6,795.00 | 94% below | 70% |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee Arthroscopy/surgery | $542.00 | $1,807.00 | $994.00–$7,616.00 | 93% below | 70% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop Rotator Cuff Repr | $593.00 | $1,976.00 | $1,087.00–$7,616.00 | 89% below | 70% |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 Sinus Endo W/balloon Dil | $1,129.00 | $3,762.00 | $2,069.00–$7,408.00 | 78% below | 70% |
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine | $85.00 | $284.00 | $156.00–$322.00 | 85% below | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc | $328.00 | $1,094.00 | $602.00–$1,734.00 | 91% below | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast Left Stereo Guidance | $1,461.00 | $4,870.00 | $1,651.00–$4,870.00 | 58% below | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast Right Stereo Guidance | $1,461.00 | $4,870.00 | $1,651.00–$4,870.00 | 58% below | 70% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture | $179.00 | $595.00 | $247.00–$595.00 | 62% below | 70% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat Metatarsal Fracture | $124.00 | $413.00 | $227.00–$525.00 | 56% below | 70% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Trt Closed Metatarsal Fx Wo Manip E | $197.00 | $656.00 | $247.00–$656.00 | 30% below | 70% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction Of Bunion | $519.00 | $1,729.00 | $951.00–$3,434.00 | 87% below | 70% |
| Bunion correction with removal of part of the big toe joint CPT 28292 Correction Of Bunion | $405.00 | $1,350.00 | $743.00–$3,434.00 | 90% below | 70% |
| Cardiac catheterization with coronary angiogram CPT 93458 Lhc W Coronary & Lv | $3,448.00 | $11,493.00 | $3,241.00–$11,493.00 | 65% below | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $586.00 | $1,953.00 | $445.00–$1,953.00 | 56% below | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External | $586.00 | $1,953.00 | $445.00–$1,953.00 | 56% below | 70% |
| Carpal tunnel release, open surgery CPT 64721 Carpal Tunnel Surgery | $247.00 | $822.00 | $452.00–$2,050.00 | 92% below | 70% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $301.00 | $1,003.00 | $552.00–$2,422.00 | 92% below | 70% |
| Catheter ablation for atrial fibrillation CPT 93656 Tx Atrial Fib Pulm Vein Isol | $13,194.00 | $43,980.00 | $3,327.00–$43,980.00 | 56% below | 70% |
| Cervical biopsy CPT 57500 Biopsy Of Cervix | $90.00 | $299.00 | $164.00–$967.00 | 92% below | 70% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery | $1,463.00 | $4,876.00 | $2,397.00–$4,876.00 | 65% below | 70% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision (Outpatient) | $88.00 | $293.00 | $161.00–$2,194.00 | 93% below | 70% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision (Inpatient) | $88.00 | $293.00 | $161.00–$2,194.00 | 93% below | 70% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision | $130.00 | $432.00 | $238.00–$732.00 | 94% below | 70% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate <= 28 Days | $2,278.00 | $7,593.00 | $697.00–$7,593.00 | 1% above | 70% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat Fracture Radius/ulna | $192.00 | $639.00 | $247.00–$639.00 | 61% below | 70% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Trt Distal Rad/epiphyseal Sep Wo Mn | $197.00 | $656.00 | $247.00–$656.00 | 60% below | 70% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Ultrasound examination of lower large bowel using an endoscope | $143.00 | $475.00 | $261.00–$1,256.00 | 83% below | 70% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $264.00 | $881.00 | $485.00–$1,256.00 | 78% below | 70% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $256.00 | $853.00 | $469.00–$1,256.00 | 79% below | 70% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $197.00 | $657.00 | $361.00–$976.00 | 87% below | 70% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx Of Cervix W/scope- Leep | $186.00 | $621.00 | $342.00–$3,398.00 | 95% below | 70% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett Of Cervix W/scope | $96.00 | $320.00 | $176.00–$320.00 | 64% below | 70% |
| Complex cataract surgery with lens implant CPT 66982 Cataract Surgery- Complex | $412.00 | $1,374.00 | $756.00–$2,422.00 | 91% below | 70% |
| Coronary stent placement, one artery CPT 92928 Ptca/stent Sngl Vessel | $9,493.00 | $31,643.00 | $11,540.00–$31,643.00 | 19% below | 70% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $138.00 | $460.00 | $253.00–$732.00 | 88% below | 70% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destroy Benign/premlg Lesion/actinic Keratosis | $38.00 | $125.00 | $69.00–$211.00 | 81% below | 70% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Create Eardrum Opening | $118.00 | $394.00 | $217.00–$566.00 | 85% below | 70% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni | $69.00 | $230.00 | $59.00–$230.00 | 38% below | 70% |
| Earwax removal with instruments, one ear both sides CPT 69210 Rmve Impact Cerumen Bilat | $91.00 | $303.00 | $59.00–$303.00 | — | 70% |
| Earwax removal with instruments, one ear CPT 69210 Ear Irrigation | $27.00 | $90.00 | $50.00–$162.00 | 78% below | 70% |
| Earwax removal with instruments, one ear CPT 69210 Simple Ear Irrigation-hairston | $27.00 | $90.00 | $50.00–$162.00 | 78% below | 70% |
| Earwax removal with instruments, one ear one side CPT 69210 Rmve Impact Cerumen Unilat | $61.00 | $202.00 | $59.00–$202.00 | 51% below | 70% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterus Lining | $59.00 | $195.00 | $107.00–$212.00 | 84% below | 70% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/thrc | $157.00 | $523.00 | $288.00–$741.00 | 89% below | 70% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection Eye Drug | $63.00 | $211.00 | $116.00–$347.00 | 88% below | 70% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Sigmoidoscopy | $109.00 | $363.00 | $200.00–$976.00 | 85% below | 70% |
| Gallbladder removal, open surgery through a larger incision CPT 47600 Removal Of Gallbladder | $589.00 | $1,962.00 | $1,079.00–$1,962.00 | 82% below | 70% |
| Hammertoe correction surgery CPT 28285 Repair Of Hammertoe | $307.00 | $1,023.00 | $563.00–$3,434.00 | 91% below | 70% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation Of Hemorrhoid(s) | $166.00 | $553.00 | $304.00–$976.00 | 81% below | 70% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy | $301.00 | $1,004.00 | $552.00–$2,913.00 | 92% below | 70% |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Total Hip Arthroplasty | $921.00 | $3,069.00 | $1,688.00–$13,476.00 | 72% below | 70% |
| Hysterectomy through an abdominal incision (total) CPT 58150 Total Hysterectomy | $570.00 | $1,901.00 | $1,046.00–$1,901.00 | 86% below | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Injection Hysterosalpingogram | $102.00 | $340.00 | $187.00–$340.00 | 73% below | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter For Hysterography | $137.00 | $457.00 | $251.00–$457.00 | 64% below | 70% |
| Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy- Ablation | $1,300.00 | $4,333.00 | $2,383.00–$5,251.00 | 78% below | 70% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy- Biopsy | $859.00 | $2,863.00 | $1,575.00–$3,398.00 | 82% below | 70% |
| IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device | $96.00 | $319.00 | $175.00–$319.00 | 75% below | 70% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D Skin Abscess- Simple | $70.00 | $234.00 | $129.00–$607.00 | 83% below | 70% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Abscess Simple Or Single | $228.00 | $759.00 | $201.00–$759.00 | 46% below | 70% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj &/Or Asp Single Tend Or Ligamnt | $230.00 | $765.00 | $307.00–$765.00 | 43% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Major Jnt | $287.00 | $958.00 | $307.00–$958.00 | 52% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Inj And/or Asp Major Joint | $309.00 | $1,029.00 | $307.00–$1,029.00 | 48% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Xr Jt/bursa Major Arthr/asp/inj Lt | $262.00 | $873.00 | $307.00–$873.00 | 56% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Xr Jt/bursa Major Arthr/asp/inj Rt | $262.00 | $873.00 | $307.00–$873.00 | 56% below | 70% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device | $58.00 | $194.00 | $107.00–$194.00 | 76% below | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Inj &/Or Asp Intermediate Joint | $293.00 | $977.00 | $307.00–$977.00 | 50% below | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Inj &/Or Asp Sm Joint Or Bursa | $230.00 | $765.00 | $307.00–$765.00 | 45% below | 70% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee Arthroscopy/surgery | $384.00 | $1,280.00 | $704.00–$3,434.00 | 93% below | 70% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $302.00 | $1,006.00 | $553.00–$3,434.00 | 95% below | 70% |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee Arthroscopy/surgery | $313.00 | $1,043.00 | $574.00–$3,434.00 | 95% below | 70% |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee Arthroscopy/surgery | $346.00 | $1,152.00 | $634.00–$3,434.00 | 93% below | 70% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Lap Gastric Bypass/roux-en-y | $951.00 | $3,171.00 | $1,744.00–$3,171.00 | 82% below | 70% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laparoscopy- Fundoplasty | $592.00 | $1,973.00 | $1,085.00–$11,158.00 | 95% below | 70% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Tlh- Uterus 250 G Or Less | $454.00 | $1,512.00 | $832.00–$11,158.00 | 94% below | 70% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh W/t/o 250 G Or Less | $511.00 | $1,702.00 | $936.00–$11,158.00 | 95% below | 70% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparo Hernia Repair Initial | $239.00 | $797.00 | $438.00–$6,346.00 | 98% below | 70% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laparo Hernia Repair Recur | $311.00 | $1,037.00 | $570.00–$6,346.00 | 96% below | 70% |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Lap Remov Adj Gast Band/port | $528.00 | $1,760.00 | $968.00–$4,047.00 | 86% below | 70% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy- Remove Adnexa | $368.00 | $1,226.00 | $674.00–$6,346.00 | 96% below | 70% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Lap Sleeve Gastrectomy | $606.00 | $2,020.00 | $1,111.00–$2,020.00 | 94% below | 70% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using laser | $187.00 | $624.00 | $343.00–$624.00 | 86% below | 70% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Closure Of Wound(s) | $150.00 | $501.00 | $276.00–$950.00 | 72% below | 70% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rpr Interm Sclp Trnk Ext <2.5cm | $356.00 | $1,187.00 | $406.00–$1,187.00 | 33% below | 70% |
| Left heart catheterization, diagnostic one side CPT 93452 Insertion of catheter into left heart for diagnosis | $2,758.00 | $9,194.00 | $3,241.00–$9,194.00 | 70% below | 70% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $503.00 | $1,678.00 | $706.00–$1,678.00 | 69% below | 70% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $144.00 | $481.00 | $265.00–$928.00 | 90% below | 70% |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Lumbar Spine Fusion Combined | $1,007.00 | $3,355.00 | $1,845.00–$28,481.00 | 91% below | 70% |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Lumbar Spine Fusion | $857.00 | $2,858.00 | $1,572.00–$28,481.00 | 85% below | 70% |
| Lumbar spinal fusion (posterior), one level CPT 22612 Lumbar Spine Fusion | $867.00 | $2,889.00 | $1,589.00–$18,404.00 | 92% below | 70% |
| Lumpectomy (partial mastectomy) CPT 19301 Partical Mastectomy | $363.00 | $1,211.00 | $666.00–$4,110.00 | 92% below | 70% |
| Mastectomy (total removal of the breast) CPT 19303 Mast- Simple- Complete | $528.00 | $1,759.00 | $967.00–$6,970.00 | 91% below | 70% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs- 1 Stage- H/n/hf/g | $380.00 | $1,267.00 | $697.00–$1,267.00 | 70% below | 70% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-ext B9 Marg 0.5 < Cm | $74.00 | $245.00 | $135.00–$1,685.00 | 91% below | 70% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Benign Lesion T/a/l 0.5cm/< | $632.00 | $2,106.00 | $708.00–$2,106.00 | 22% below | 70% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-mm B9 Marg 0.5 < Cm | $82.00 | $273.00 | $150.00–$743.00 | 91% below | 70% |
| Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate | $66.00 | $220.00 | $121.00–$558.00 | 76% below | 70% |
| Nail removal (partial or complete), one nail CPT 11730 Avulse Nailplate Single/simple | $209.00 | $697.00 | $201.00–$697.00 | 24% below | 70% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 Gastric Bypass For Obesity | $906.00 | $3,021.00 | $1,662.00–$3,021.00 | 73% below | 70% |
| Pacemaker implant (dual chamber) CPT 33208 Ins/rep Perm Pm Vent&atr | $15,030.00 | $50,101.00 | $10,449.00–$50,101.00 | 21% below | 70% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis With Guidance | $896.00 | $2,985.00 | $194.00–$2,985.00 | 39% below | 70% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/imaging | $896.00 | $2,985.00 | $194.00–$2,985.00 | 39% below | 70% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentsis Us Non Rad | $923.00 | $3,076.00 | $194.00–$3,076.00 | 37% below | 70% |
| Partial knee replacement (one compartment) CPT 27446 Revision Of Knee Joint | $638.00 | $2,126.00 | $1,169.00–$13,476.00 | 95% below | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Cantu-removal Of Nail Bed | $92.00 | $307.00 | $169.00–$967.00 | 80% below | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $92.00 | $307.00 | $169.00–$967.00 | 80% below | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Removal Of Nail Bed | $363.00 | $1,209.00 | $406.00–$1,209.00 | 22% below | 70% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/sac Facet Jnt | $245.00 | $815.00 | $448.00–$2,050.00 | 91% below | 70% |
| Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure | $289.00 | $963.00 | $530.00–$4,110.00 | 94% below | 70% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body- Simple | $87.00 | $291.00 | $160.00–$1,042.00 | 83% below | 70% |
| Removal of a foreign object under the skin, simple CPT 10120 Rmve Fb Subq Simple | $391.00 | $1,302.00 | $406.00–$1,302.00 | 23% below | 70% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial Removal Of Thyroid | $395.00 | $1,317.00 | $724.00–$6,346.00 | 95% below | 70% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colorec Cncr Scr;colnscpy No Hi Rsk | $197.00 | $657.00 | $361.00–$976.00 | 75% below | 70% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorec Cancr Scr; Colnscpy Hi Risk | $197.00 | $657.00 | $361.00–$976.00 | 80% below | 70% |
| Septoplasty to straighten the nasal septum CPT 30520 Repair Of Nasal Septum | $392.00 | $1,306.00 | $718.00–$3,480.00 | 89% below | 70% |
| Short arm cast (elbow to hand) CPT 29075 Application Of Forearm Cast | $48.00 | $161.00 | $89.00–$294.00 | 83% below | 70% |
| Short arm splint (forearm and hand) CPT 29125 Apply Forearm Splint | $37.00 | $122.00 | $67.00–$304.00 | 84% below | 70% |
| Short arm splint (forearm and hand) CPT 29125 Splint Arm Short Apply | $114.00 | $380.00 | $133.00–$380.00 | 50% below | 70% |
| Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast | $44.00 | $147.00 | $81.00–$294.00 | 87% below | 70% |
| Short leg splint (calf to foot) CPT 29515 Application Lower Leg Splint | $40.00 | $132.00 | $73.00–$326.00 | 85% below | 70% |
| Short leg splint (calf to foot) CPT 29515 Splint Leg Short Apply | $122.00 | $407.00 | $162.00–$407.00 | 53% below | 70% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder Arthroscopy/surgery | $377.00 | $1,256.00 | $691.00–$3,434.00 | 91% below | 70% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Laceration Repair 2.5 Cm Or Less | $54.00 | $179.00 | $98.00–$498.00 | 85% below | 70% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr Simple Scalp Neck Trunk <2.5cm | $187.00 | $623.00 | $201.00–$623.00 | 48% below | 70% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $74.00 | $245.00 | $135.00–$427.00 | 82% below | 70% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-ext Mlg Marg 0.5 < Cm | $115.00 | $382.00 | $210.00–$743.00 | 91% below | 70% |
| Skin tag removal, up to 15 tags CPT 11200 Cash--removal Of Skin Tags; Up To 15 | $51.00 | $170.00 | $94.00–$318.00 | 83% below | 70% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tags; Up To 15 | $62.00 | $206.00 | $113.00–$211.00 | 80% below | 70% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Of Skin Tag 1-15 Simple | $119.00 | $398.00 | $201.00–$398.00 | 61% below | 70% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diag | $494.00 | $1,647.00 | $706.00–$1,647.00 | 53% below | 70% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diagnostic | $617.00 | $2,058.00 | $706.00–$2,058.00 | 41% below | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Laceration Repair 2.6 To 7.5 Cm | $65.00 | $215.00 | $118.00–$498.00 | 86% below | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr Simple Sclp Nck Trnk 2.6-7.5cm | $187.00 | $623.00 | $201.00–$623.00 | 59% below | 70% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Superficial Wound(s) | $65.00 | $215.00 | $118.00–$498.00 | 83% below | 70% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr Smpl Face Ear Elid <2.5cm | $187.00 | $623.00 | $201.00–$623.00 | 52% below | 70% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les | $59.00 | $198.00 | $109.00–$427.00 | 84% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging | $187.00 | $623.00 | $194.00–$658.00 | 87% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentsis W Us Non Rad | $609.00 | $2,029.00 | $194.00–$2,029.00 | 57% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis Asp W Imaging | $833.00 | $2,777.00 | $194.00–$2,777.00 | 41% below | 70% |
| Total hip replacement CPT 27130 Total Hip Arthroplasty | $709.00 | $2,364.00 | $1,300.00–$13,476.00 | 94% below | 70% |
| Total knee replacement CPT 27447 Total Knee Arthroplasty | $709.00 | $2,362.00 | $1,299.00–$13,476.00 | 94% below | 70% |
| Total shoulder replacement CPT 23472 Reconstruct Shoulder Joint | $800.00 | $2,665.00 | $1,466.00–$18,404.00 | 95% below | 70% |
| Total thyroid removal (thyroidectomy) CPT 60240 Removal Of Thyroid | $511.00 | $1,702.00 | $936.00–$6,346.00 | 95% below | 70% |
| Trigger finger release surgery CPT 26055 Incise Finger Tendon Sheath | $336.00 | $1,121.00 | $617.00–$1,688.00 | 88% below | 70% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl | $281.00 | $938.00 | $307.00–$938.00 | 36% below | 70% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy- Tubal Cautery | $212.00 | $705.00 | $388.00–$6,346.00 | 96% below | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion Us Imag | $329.00 | $1,095.00 | $602.00–$1,734.00 | 88% below | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast Left Us Guidance | $1,461.00 | $4,870.00 | $1,651.00–$4,870.00 | 47% below | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Bx Breast Right Us Guidance | $1,461.00 | $4,870.00 | $1,651.00–$4,870.00 | 47% below | 70% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph Endoscopy- Dilation | $673.00 | $2,243.00 | $1,234.00–$2,243.00 | 54% below | 70% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $223.00 | $744.00 | $409.00–$952.00 | 78% below | 70% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr Gi Scope W/submuc Inj | $235.00 | $783.00 | $431.00–$952.00 | 68% below | 70% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Operative Upper Gi Endoscopy | $294.00 | $979.00 | $538.00–$2,014.00 | 74% below | 70% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Uppr Gi Endoscopy/guide Wire | $241.00 | $802.00 | $441.00–$952.00 | 67% below | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $796.00 | $2,652.00 | $907.00–$2,652.00 | 26% below | 70% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Obstetric care, planned vaginal delivery (post delivery by cesarean section) | $1,384.00 | $4,613.00 | $2,259.00–$4,613.00 | 83% below | 70% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery | $1,331.00 | $4,435.00 | $2,148.00–$4,435.00 | 50% below | 70% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Duct(s) | $206.00 | $687.00 | $378.00–$2,194.00 | 95% below | 70% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf Ablation- 1st Vein | $739.00 | $2,463.00 | $1,355.00–$3,314.00 | 82% below | 70% |
| Wart removal, up to 14 warts CPT 17110 Destruction Of Lesion- 1-14 | $65.00 | $215.00 | $118.00–$215.00 | 68% below | 70% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Of Skin/subcutaneous Tissue | $74.00 | $247.00 | $136.00–$1,042.00 | 93% below | 70% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin Subq 20 Sq Cm/< | $391.00 | $1,302.00 | $406.00–$1,302.00 | 61% below | 70% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat Fx Rad Extra-articul | $411.00 | $1,371.00 | $754.00–$7,616.00 | 95% below | 70% |
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 Of Blood Or Blood Prod | $335.00 | $1,118.00 | $69.00–$1,118.00 | 56% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion, Blood Or Blood Compnts | $335.00 | $1,118.00 | $69.00–$1,118.00 | 56% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Initial | $216.00 | $721.00 | $219.00–$721.00 | 6% above | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $216.00 | $721.00 | $219.00–$721.00 | 6% above | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Multidose Inhaler | $216.00 | $721.00 | $219.00–$721.00 | 6% above | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation Treatment Additional | $216.00 | $721.00 | $219.00–$721.00 | 6% above | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo- Iv Infusion- 1 Hr | $86.00 | $286.00 | $157.00–$347.00 | 84% below | 70% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Comprehensive | $85.00 | $282.00 | $133.00–$282.00 | 65% below | 70% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam- New Patient | $85.00 | $282.00 | $133.00–$282.00 | 65% below | 70% |
| Comprehensive eye exam, returning patient CPT 92014 Eye Exam | $71.00 | $238.00 | $131.00–$238.00 | 69% below | 70% |
| Comprehensive eye exam, returning patient CPT 92014 Comprehensive | $71.00 | $238.00 | $131.00–$238.00 | 69% below | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Hearing Test | $21.00 | $71.00 | $39.00–$135.00 | 93% below | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care 30-74 | $1,508.00 | $5,027.00 | $826.00–$5,027.00 | 41% below | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg- Awake And Drowsy | $222.00 | $740.00 | $216.00–$740.00 | 76% below | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake And Drowsy | $601.00 | $2,003.00 | $216.00–$2,003.00 | 34% below | 70% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $8.00 | $28.00 | $15.00–$179.00 | 94% below | 71% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg W Rhythm Strip | $155.00 | $518.00 | $59.00–$518.00 | 43% below | 70% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Electroconvulsive Therapy | $100.00 | $334.00 | $184.00–$901.00 | 91% below | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Visit Level 1 | $103.00 | $344.00 | $84.00–$344.00 | 56% below | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit Level 2 | $194.00 | $646.00 | $153.00–$646.00 | 57% below | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit Level 3 | $416.00 | $1,386.00 | $273.00–$1,386.00 | 46% below | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Visit Level 4 | $512.00 | $1,706.00 | $417.00–$1,706.00 | 60% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Visit Level 5 | $822.00 | $2,741.00 | $595.00–$2,741.00 | 54% below | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test Tracing Only | $846.00 | $2,819.00 | $216.00–$2,819.00 | 32% below | 70% |
| Eye exam, returning patient, intermediate CPT 92012 Eye Exam Established Pat | $50.00 | $168.00 | $92.00–$168.00 | 75% below | 70% |
| Eye exam, returning patient, intermediate CPT 92012 Intermediate | $50.00 | $168.00 | $92.00–$168.00 | 75% below | 70% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min | $58.00 | $192.00 | $83.00–$192.00 | 79% below | 70% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min | $55.00 | $184.00 | $83.00–$186.00 | 79% below | 70% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg Monitor/report- 24 Hrs | $46.00 | $153.00 | $84.00–$153.00 | 86% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion, Hydration 31-90 Min | $167.00 | $556.00 | $49.00–$584.00 | 63% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration 31-60 Min | $167.00 | $556.00 | $49.00–$584.00 | 63% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion Hydration 31-60min | $167.00 | $556.00 | $49.00–$584.00 | 63% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infusion Init 31-60min | $167.00 | $556.00 | $49.00–$584.00 | 63% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration Infusion Initial 31-60 | $219.00 | $730.00 | $49.00–$730.00 | 51% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag Iv Inf- Init | $43.00 | $142.00 | $49.00–$584.00 | 91% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Initial Non Chemo 16-90 | $167.00 | $556.00 | $49.00–$584.00 | 64% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 In Inf Ther/proph/dx 1st To 1 Hr | $167.00 | $556.00 | $49.00–$584.00 | 64% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag Iv Inf Init =< 1 Hr | $219.00 | $730.00 | $49.00–$730.00 | 53% below | 70% |
| IV push of a medicine, first drug CPT 96374 Ther/proph/diag Inj- Iv Push | $24.00 | $79.00 | $43.00–$584.00 | 89% below | 70% |
| IV push of a medicine, first drug CPT 96374 Iv Push Initial/single Non Chemo | $167.00 | $556.00 | $49.00–$584.00 | 27% below | 70% |
| IV push of a medicine, first drug CPT 96374 Iv Push Single/initial Substance | $201.00 | $669.00 | $49.00–$669.00 | 12% below | 70% |
| IV push of a medicine, first drug CPT 96374 Iv Push Initial Or Single Non Chemo | $201.00 | $669.00 | $49.00–$669.00 | 12% below | 70% |
| IV push of a medicine, first drug CPT 96374 Ther/proph/diag Inj Iv Push | $219.00 | $730.00 | $49.00–$730.00 | 4% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Subq/im Injection | $50.00 | $165.00 | $49.00–$202.00 | 66% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag Inj Sc/im | $76.00 | $252.00 | $49.00–$252.00 | 48% below | 70% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation | $101.00 | $337.00 | $177.00–$337.00 | 74% below | 70% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies | $108.00 | $359.00 | $197.00–$392.00 | 86% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation | $20.00 | $65.00 | $32.00–$65.00 | 82% below | 69% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pta Neuromuscular Re Ed Ea 15 Min | $34.00 | $112.00 | $32.00–$134.00 | 70% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Cota Neuromuscular Re Ed Ea 15 Min | $35.00 | $118.00 | $32.00–$134.00 | 69% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuscular Re Ed Ea 15 Min | $35.00 | $118.00 | $32.00–$134.00 | 69% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re Ed 15 Min | $35.00 | $118.00 | $32.00–$134.00 | 69% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Ot Neuromuschular Re Ed 15 Min | $35.00 | $118.00 | $32.00–$134.00 | 69% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Pt Neuromuscular Re Ed Ea 15 Min | $35.00 | $118.00 | $32.00–$134.00 | 69% below | 70% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $52.00 | $172.00 | $95.00–$172.00 | 75% below | 70% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $94.00 | $314.00 | $172.00–$314.00 | 68% below | 70% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $125.00 | $415.00 | $228.00–$415.00 | 57% below | 70% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit- New Ptlevel 2 | $41.00 | $136.00 | $73.00–$136.00 | 72% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition- Indiv- In | $23.00 | $75.00 | $41.00–$75.00 | 54% below | 69% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex | $81.00 | $271.00 | $98.00–$271.00 | 67% below | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min | $81.00 | $271.00 | $98.00–$271.00 | 67% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min | $84.00 | $280.00 | $95.00–$280.00 | 71% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex | $115.00 | $382.00 | $95.00–$382.00 | 60% below | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min | $84.00 | $280.00 | $95.00–$280.00 | 58% below | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex | $84.00 | $280.00 | $95.00–$280.00 | 58% below | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min | $84.00 | $280.00 | $95.00–$280.00 | 65% below | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex | $86.00 | $285.00 | $95.00–$285.00 | 64% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy | $16.00 | $52.00 | $27.00–$52.00 | 86% below | 69% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Cota Manual Therapy Ea 15 Min | $30.00 | $99.00 | $27.00–$134.00 | 73% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt Manual Therapy Ea 15 Min | $31.00 | $104.00 | $27.00–$134.00 | 72% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pta Manual Therapy Ea 15 Min | $31.00 | $104.00 | $27.00–$134.00 | 72% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot Manual Therapy Ea 15 Min | $31.00 | $104.00 | $27.00–$134.00 | 72% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $34.00 | $114.00 | $28.00–$134.00 | 70% below | 70% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $170.00 | $567.00 | $312.00–$567.00 | 23% above | 70% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $185.00 | $618.00 | $340.00–$618.00 | 31% above | 70% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Preventive Care New Pt. Age 65 And Over | $198.00 | $659.00 | $362.00–$659.00 | 28% above | 70% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Preventive Care Est Pt. Age 18-39 | $142.00 | $474.00 | $261.00–$474.00 | 33% above | 70% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Preventive Care Est Pt. Age 40-64 | $185.00 | $618.00 | $340.00–$618.00 | 21% above | 70% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Preventive Care Est Pt. Age 65 And Over | $219.00 | $731.00 | $402.00–$731.00 | 32% above | 70% |
| Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/med Srvcs | $113.00 | $377.00 | $177.00–$377.00 | 66% below | 70% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Tst Eval Phys/qhp 1st | $68.00 | $225.00 | $124.00–$227.00 | 78% below | 70% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min | $81.00 | $270.00 | $149.00–$270.00 | 75% below | 70% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $44.00 | $146.00 | $80.00–$186.00 | 77% below | 70% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $58.00 | $193.00 | $83.00–$193.00 | 78% below | 70% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $85.00 | $283.00 | $83.00–$283.00 | 69% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking And Tobacco Use Cessation Counseling 3-10 Min | $9.00 | $29.00 | $16.00–$39.00 | 79% below | 69% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit- Est Ptlevel 5 | $102.00 | $341.00 | $187.00–$341.00 | 63% below | 70% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Treatment Rm Established Pt Level 1 | $40.00 | $134.00 | $74.00–$134.00 | 75% below | 70% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit- Est Ptlevel 3 | $52.00 | $172.00 | $92.00–$172.00 | 68% below | 70% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit- Est Ptlevel 4 | $73.00 | $244.00 | $132.00–$244.00 | 62% below | 70% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit- Est Ptlevel 2 | $32.00 | $106.00 | $58.00–$106.00 | 74% below | 70% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $184.00 | $612.00 | $337.00–$612.00 | 106% above | 70% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $223.00 | $742.00 | $408.00–$742.00 | 37% above | 70% |
| Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen | $130.00 | $434.00 | $221.00–$434.00 | 62% below | 70% |
| Speech and language evaluation CPT 92523 Eval Lang Comp And Expression | $208.00 | $694.00 | $134.00–$694.00 | 39% below | 70% |
| Speech and language evaluation CPT 92523 Telemed St Speech Snd Lang Compreh | $219.00 | $729.00 | $134.00–$729.00 | 36% below | 70% |
| Speech and language evaluation CPT 92523 St Speech Sound Lang Comprehen | $219.00 | $729.00 | $134.00–$729.00 | 36% below | 70% |
| Speech therapy session, individual CPT 92507 Speech/hearing Therapy | $43.00 | $144.00 | $74.00–$144.00 | 80% below | 70% |
| Speech therapy session, individual CPT 92507 Telemed St Tx Spch Lang Voice Comm | $78.00 | $261.00 | $74.00–$261.00 | 64% below | 70% |
| Speech therapy session, individual CPT 92507 St Tx Speech Language Voice Comm | $83.00 | $275.00 | $74.00–$275.00 | 62% below | 70% |
| Speech therapy session, individual CPT 92507 St Treatment 15 Min | $95.00 | $316.00 | $74.00–$316.00 | 56% below | 70% |
| Speech therapy session, individual CPT 92507 St Treatment 30 Min | $109.00 | $363.00 | $74.00–$363.00 | 50% below | 70% |
| Speech therapy session, individual CPT 92507 St Treatment 45 Min | $125.00 | $416.00 | $74.00–$416.00 | 42% below | 70% |
| Speech therapy session, individual CPT 92507 St Treatment 60 Min | $144.00 | $479.00 | $74.00–$479.00 | 33% below | 70% |
| Spirometry (breathing test) CPT 94010 Spirometry/pulm Funct Wo Bronch | $134.00 | $445.00 | $194.00–$445.00 | 62% below | 70% |
| Spirometry before and after a bronchodilator CPT 94060 Pulmonary Funct Comp | $231.00 | $769.00 | $194.00–$769.00 | 61% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities | $22.00 | $73.00 | $34.00–$73.00 | 80% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activity Ea 15 Min | $36.00 | $121.00 | $34.00–$134.00 | 68% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pta Therapeutic Activities Ea 15 Mi | $36.00 | $121.00 | $34.00–$134.00 | 68% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Cota Therapuetic Activities Ea 15m | $36.00 | $121.00 | $34.00–$134.00 | 68% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Pt Therapeutic Activities Ea 15 Min | $36.00 | $121.00 | $34.00–$134.00 | 68% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapuetic Activities Ea 15 Min | $36.00 | $121.00 | $34.00–$134.00 | 68% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Ot Therapeutic Activity Ea 15 Min | $36.00 | $121.00 | $34.00–$134.00 | 68% below | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $63.00 | $210.00 | $88.00–$210.00 | 69% below | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $85.00 | $284.00 | $88.00–$284.00 | 59% below | 70% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular Stress Test | $41.00 | $135.00 | $71.00–$135.00 | 96% below | 70% |
| Visual field test, extended CPT 92083 Visual Field Examination(s) | $35.00 | $118.00 | $65.00–$140.00 | 86% below | 70% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella | $133.00 | $443.00 | $244.00–$443.00 | 73% below | 70% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-ipv Vacc 4-6 Yr Im | $68.00 | $227.00 | $125.00–$227.00 | at median | 70% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap | $56.00 | $185.00 | $102.00–$185.00 | 38% below | 70% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Vaccine- Im | $56.00 | $185.00 | $102.00–$185.00 | 38% below | 70% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix Dtap-ipv-hep B | $121.00 | $402.00 | $221.00–$402.00 | 31% below | 70% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-hep B-ipv Vaccine- Im | $121.00 | $402.00 | $221.00–$402.00 | 31% below | 70% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-hib-ip Vaccine- Im | $47.00 | $156.00 | $86.00–$156.00 | 83% below | 70% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv Virus Vaccine 9 Val Im | $155.00 | $515.00 | $283.00–$515.00 | 70% below | 70% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv 9 Gardasil | $173.00 | $577.00 | $317.00–$577.00 | 67% below | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A (Adult) | $48.00 | $159.00 | $87.00–$159.00 | 75% below | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 Hep A Vaccine- Adult Im | $48.00 | $159.00 | $87.00–$159.00 | 75% below | 70% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hep A Vacc- Ped/adol- 2 Dose | $47.00 | $155.00 | $85.00–$155.00 | 50% below | 70% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A (Ped) | $47.00 | $155.00 | $85.00–$155.00 | 50% below | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B (20 And More) | $54.00 | $179.00 | $98.00–$179.00 | 69% below | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vaccine- Adult- Im | $54.00 | $179.00 | $98.00–$179.00 | 69% below | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B | $53.00 | $177.00 | $97.00–$177.00 | 37% below | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib 4 Dose | $31.00 | $103.00 | $57.00–$103.00 | 34% below | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-dose | $50.00 | $167.00 | $92.00–$167.00 | 66% below | 70% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr | $83.00 | $278.00 | $153.00–$278.00 | 66% below | 70% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Mmrv Vaccine- Sc | $130.00 | $433.00 | $238.00–$433.00 | 47% below | 70% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Mmrv | $130.00 | $433.00 | $238.00–$433.00 | 47% below | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mcv4 Menveo | $86.00 | $288.00 | $158.00–$288.00 | 76% below | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vaccine- Im | $86.00 | $288.00 | $158.00–$288.00 | 76% below | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mcv4 Menactra | $86.00 | $288.00 | $158.00–$288.00 | 76% below | 70% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 | $142.00 | $474.00 | $261.00–$474.00 | 71% below | 70% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 (Medicare) | $142.00 | $474.00 | $261.00–$474.00 | 71% below | 70% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal Vacc 13 Val Im | $143.00 | $476.00 | $262.00–$476.00 | 71% below | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine Im | $175.00 | $584.00 | $321.00–$584.00 | 69% below | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax Ppsv | $74.00 | $247.00 | $136.00–$247.00 | 71% below | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax Ppsv (Medicare) | $74.00 | $247.00 | $136.00–$247.00 | 71% below | 70% |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipv | $47.00 | $155.00 | $85.00–$155.00 | 86% below | 70% |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies Vaccine | $234.00 | $779.00 | $332.00–$779.00 | 77% below | 70% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine For Intramuscular Us | $244.00 | $812.00 | $332.00–$812.00 | 76% below | 70% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine For Im Use | $244.00 | $812.00 | $332.00–$812.00 | 76% below | 70% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotavirus Vacc 2 Dose Oral | $105.00 | $350.00 | $193.00–$350.00 | 21% below | 70% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix | $105.00 | $350.00 | $193.00–$350.00 | 21% below | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine No Prsrv >= 7 Im | $12.00 | $40.00 | $19.00–$40.00 | 90% below | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine No Prsrv >/= 7 Im | $19.00 | $62.00 | $19.00–$62.00 | 83% below | 69% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap | $23.00 | $78.00 | $37.00–$78.00 | 82% below | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel-tdap Toxoid Product | $23.00 | $78.00 | $37.00–$78.00 | 82% below | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Im | $62.00 | $206.00 | $37.00–$206.00 | 52% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Fee/im Inj | $10.00 | $33.00 | $18.00–$76.00 | 87% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Subq/im Injection | $62.00 | $207.00 | $49.00–$207.00 | 17% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq Id Subq/im Njxs | $65.00 | $217.00 | $24.00–$217.00 | 13% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1st Vacc | $65.00 | $217.00 | $24.00–$217.00 | 13% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vaccine | $65.00 | $218.00 | $24.00–$218.00 | 13% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1st Vaccine | $65.00 | $218.00 | $24.00–$218.00 | 13% below | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin- Each Add | $8.00 | $26.00 | $14.00–$26.00 | 83% below | 69% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Ea Addl Vacc | $29.00 | $98.00 | $24.00–$98.00 | 39% below | 70% |