Hospital Sweetwater, TX

Rolling Plains Memorial Hospital

Rolling Plains Memorial Hospital in Sweetwater, TX publishes cash prices for 400 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 349 of 396 procedures and above it for 46. By typical cash price it ranks #70 of 288 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

200 E Arizona, Sweetwater, TX 79556 Collected Oct 3, 2026 Source price file Check a bill from this hospital (325) 235-1701

Acute care hospital Government-owned hospital Emergency department CCN 450055 · CMS hospital register

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Rolling Plains Memorial Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

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 3 actions for a hospital named Rolling Plains Memorial Hospital in Sweetwater, TX:

Feb 1, 2024 Warning notice
May 8, 2024 Case closed
Mar 5, 2026 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. 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 A,l,k, W&w/o Contrast	$1,698.00	$2,612.00	$1,828.00–$2,220.00	41% below	35%
Abdominal X-ray, 2 views CPT 74019 Rhc Abdomen 2 View	$151.00	$233.00	$163.00–$198.00	60% below	35%
Abdominal X-ray, 2 views CPT 74019 Abdomen 2 View	$205.00	$315.00	$221.00–$268.00	46% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Rhc Ankle 3 View Left	$146.00	$224.00	$157.00–$190.00	59% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Rhc Ankle 3 View Right	$146.00	$224.00	$157.00–$190.00	59% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 View Right	$189.00	$291.00	$204.00–$247.00	47% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 View Left	$189.00	$291.00	$204.00–$247.00	47% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Abi Limited Doppler	$237.00	$365.00	$255.00–$310.00	61% below	35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extremeties W/o	$1,284.00	$1,975.00	$1,383.00–$1,679.00	22% below	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Eso Bari Swall	$414.00	$637.00	$446.00–$541.00	17% below	35%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm Bone Scan, Whole Body	$1,035.00	$1,593.00	$1,115.00–$1,354.00	34% below	35%
Breast ultrasound, complete, one breast CPT 76641 Us Echography Bil Breast	$354.00	$544.00	$381.00–$462.00	20% below	35%
Breast ultrasound, complete, one breast one side CPT 76641 Us Echography Right Breast	$354.00	$544.00	$381.00–$462.00	20% below	35%
Breast ultrasound, complete, one breast one side CPT 76641 Us Echography Left Breast	$354.00	$544.00	$381.00–$462.00	20% below	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd And Pelvis W Contrast	$2,865.00	$4,408.00	$3,086.00–$3,747.00	29% below	35%
CT angiography (CTA) of the head CPT 70496 Cta Head Stroke W	$1,690.00	$2,600.00	$1,820.00–$2,210.00	29% below	35%
CT angiography (CTA) of the head CPT 70496 Ct Angiography Head With Contrast	$1,690.00	$2,600.00	$1,820.00–$2,210.00	29% below	35%
CT angiography (CTA) of the neck both sides CPT 70498 Ct Angiography Carotid Bilateral	$2,428.00	$3,735.00	$2,615.00–$3,175.00	—	35%
CT angiography (CTA) of the neck CPT 70498 Cta Carotid Stroke	$2,428.00	$3,735.00	$2,615.00–$3,175.00	2% above	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest W/	$1,651.00	$2,540.00	$1,778.00–$2,159.00	36% below	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd And Pelvis Renal Stone Protocol	$2,569.00	$3,952.00	$2,766.00–$3,359.00	9% below	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd And Pelvis W/o Contrast	$2,569.00	$3,952.00	$2,766.00–$3,359.00	9% below	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$3,028.00	$4,658.00	$3,261.00–$3,959.00	20% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd And Pelvis W&w/o Contrast	$3,393.00	$5,220.00	$3,654.00–$4,437.00	10% below	35%
CT scan of the abdomen with contrast CPT 74160 Ct A,l,k, W/ Contrast	$1,513.00	$2,328.00	$1,630.00–$1,979.00	42% below	35%
CT scan of the abdomen without contrast CPT 74150 Ct A,l,k, W/o Contrast	$1,284.00	$1,975.00	$1,383.00–$1,679.00	36% below	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Facial Bones Axial W/o Contrast	$1,030.00	$1,584.00	$1,109.00–$1,346.00	37% below	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Sinus Axial W/o Contrast	$1,030.00	$1,584.00	$1,109.00–$1,346.00	37% below	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan	$1,342.00	$2,065.00	$1,446.00–$1,755.00	19% below	35%
CT scan of the head with contrast CPT 70460 Ct Head W/contrast	$1,622.00	$2,496.00	$1,747.00–$2,122.00	4% below	35%
CT scan of the head without and with contrast CPT 70470 Ct Head W&w/o Contrast	$1,698.00	$2,612.00	$1,828.00–$2,220.00	17% below	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct L-spine W/o Contrast	$1,433.00	$2,204.00	$1,543.00–$1,873.00	17% below	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct C-spine W/o Contrast	$1,433.00	$2,204.00	$1,543.00–$1,873.00	30% below	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast	$1,513.00	$2,328.00	$1,630.00–$1,979.00	31% below	35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us Carotid Arteries Duplex Bilateral	$611.00	$940.00	$658.00–$799.00	—	35%
Chest CT scan without and with contrast CPT 71270 Ct Chest W&w/o Contrast	$1,698.00	$2,612.00	$1,828.00–$2,220.00	33% below	35%
Chest X-ray, 2 views CPT 71046 Rhc Chest 2 View	$180.00	$277.00	$194.00–$235.00	54% below	35%
Chest X-ray, 2 views CPT 71046 Chest 2 View	$234.00	$360.00	$252.00–$306.00	40% below	35%
Chest X-ray, single view CPT 71045 Rhc Chest 1 View	$146.00	$224.00	$157.00–$190.00	55% below	35%
Chest X-ray, single view CPT 71045 Chest 1 View	$189.00	$291.00	$204.00–$247.00	42% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Rhc Clavicle 1 View Right	$146.00	$224.00	$157.00–$190.00	51% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Rhc Clavicle 1 View Left	$146.00	$224.00	$157.00–$190.00	51% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Rhc Clavicle 2 View Left	$153.00	$236.00	$165.00–$201.00	49% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Rhc Clavicle 2 View Right	$153.00	$236.00	$165.00–$201.00	49% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle 1 View Left	$189.00	$291.00	$204.00–$247.00	37% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle 1 View Right	$189.00	$291.00	$204.00–$247.00	37% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle 2 View Left	$199.00	$306.00	$214.00–$260.00	34% below	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle 2 View Right	$199.00	$306.00	$214.00–$260.00	34% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Aorta Abd Echo	$411.00	$633.00	$443.00–$538.00	41% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Kidney Nephor Echo	$411.00	$633.00	$443.00–$538.00	41% below	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Scan Bone Density Hips Pelvis Spine	$359.00	$552.00	$386.00–$469.00	10% below	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Rhc Dexa Scan Bone Density Radius Wrist	$192.00	$295.00	$207.00–$251.00	13% below	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest W/o Contrast	$1,377.00	$2,119.00	$1,483.00–$1,801.00	8% below	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W Contrast	$1,513.00	$2,328.00	$1,630.00–$1,979.00	24% below	35%
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts	$265.00	$407.00	$285.00–$346.00	28% below	35%
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast	$213.00	$327.00	$229.00–$278.00	22% below	35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Lower Extremity Artery-bilateral	$582.00	$895.00	$627.00–$761.00	—	35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Doppler-bilateral	$611.00	$940.00	$658.00–$799.00	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo M Mode Complete	$461.00	$709.00	$496.00–$603.00	76% below	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echocardiogramcomplete	$1,196.00	$1,840.00	$1,288.00–$1,564.00	37% below	35%
Elbow X-ray, 2 views one side CPT 73070 Rhc Elbow 2 View Left	$129.00	$199.00	$139.00–$169.00	59% below	35%
Elbow X-ray, 2 views one side CPT 73070 Rhc Elbow 2 View Right	$129.00	$199.00	$139.00–$169.00	59% below	35%
Elbow X-ray, 2 views one side CPT 73070 Elbow 2 View Right	$169.00	$260.00	$182.00–$221.00	46% below	35%
Elbow X-ray, 2 views one side CPT 73070 Elbow 2 View Left	$169.00	$260.00	$182.00–$221.00	46% below	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Rhc Elbow 3 View Left	$146.00	$224.00	$157.00–$190.00	62% below	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Rhc Elbow 3 View Right	$146.00	$224.00	$157.00–$190.00	62% below	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3 View Left	$189.00	$291.00	$204.00–$247.00	51% below	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3 View Right	$189.00	$291.00	$204.00–$247.00	51% below	35%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Temporal Bones W/o Contrast	$1,069.00	$1,645.00	$1,152.00–$1,398.00	27% below	35%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbits Axial W/o Contrast	$1,069.00	$1,645.00	$1,152.00–$1,398.00	27% below	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 Rhc Facial Bones Comp Series	$146.00	$224.00	$157.00–$190.00	63% below	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Comp Series	$205.00	$315.00	$221.00–$268.00	48% below	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Rhc Forearm Left	$138.00	$212.00	$148.00–$180.00	63% below	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Rhc Forearm Right	$138.00	$212.00	$148.00–$180.00	63% below	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Right	$169.00	$260.00	$182.00–$221.00	55% below	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Left	$169.00	$260.00	$182.00–$221.00	55% below	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm Biliary Scan Wo	$1,197.00	$1,842.00	$1,289.00–$1,566.00	25% below	35%
Hand X-ray, 2 views one side CPT 73120 Rhc Hand 2 View Left	$146.00	$224.00	$157.00–$190.00	54% below	35%
Hand X-ray, 2 views one side CPT 73120 Rhc Hand 2 View Right	$146.00	$224.00	$157.00–$190.00	54% below	35%
Hand X-ray, 2 views one side CPT 73120 Hand 2 View Left	$205.00	$315.00	$221.00–$268.00	36% below	35%
Hand X-ray, 2 views one side CPT 73120 Hand 2 View Right	$205.00	$315.00	$221.00–$268.00	36% below	35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Rhc Os Calcis Right	$146.00	$224.00	$157.00–$190.00	49% below	35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Rhc Os Calcis Left	$146.00	$224.00	$157.00–$190.00	49% below	35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Os Calcis Left	$189.00	$291.00	$204.00–$247.00	34% below	35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Os Calcis Right	$189.00	$291.00	$204.00–$247.00	34% below	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Therapeutic Polysomnogram Split	$2,646.00	$4,070.00	$2,849.00–$3,460.00	37% below	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Asv Adaptive Servo Ventilation	$2,646.00	$4,070.00	$2,849.00–$3,460.00	37% below	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Cpap Polysomnogram	$2,646.00	$4,070.00	$2,849.00–$3,460.00	37% below	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Bi Pap Polysomnogram	$2,646.00	$4,070.00	$2,849.00–$3,460.00	37% below	35%
Knee X-ray, 3 views one side CPT 73562 Rhc Knee 3 View Right	$146.00	$224.00	$157.00–$190.00	61% below	35%
Knee X-ray, 3 views one side CPT 73562 Rhc Knee 3 View Left	$146.00	$224.00	$157.00–$190.00	61% below	35%
Knee X-ray, 3 views one side CPT 73562 Knee 3 View Left	$189.00	$291.00	$204.00–$247.00	50% below	35%
Knee X-ray, 3 views one side CPT 73562 Knee 3 View Right	$189.00	$291.00	$204.00–$247.00	50% below	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 Rhc Knee 4 View Right	$177.00	$273.00	$191.00–$232.00	58% below	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 Rhc Knee 4 View Left	$177.00	$273.00	$191.00–$232.00	58% below	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4 View Left	$231.00	$355.00	$248.00–$302.00	46% below	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee 4 View Right	$231.00	$355.00	$248.00–$302.00	46% below	35%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extrem W/o Contrast	$1,284.00	$1,975.00	$1,383.00–$1,679.00	24% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Gallbladder Echo	$388.00	$597.00	$418.00–$507.00	36% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abd Lim Echo	$388.00	$597.00	$418.00–$507.00	36% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Spleen Echo	$411.00	$633.00	$443.00–$538.00	32% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Gallbladder, Liver, Pancreas	$614.00	$945.00	$662.00–$803.00	2% above	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Axilla	$306.00	$471.00	$330.00–$400.00	25% below	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Extremity Soft Tissue	$306.00	$471.00	$330.00–$400.00	25% below	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Chest Low Dose	$926.00	$1,425.00	$997.00–$1,211.00	285% above	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Rhc Leg/tibia & Fibula Right	$153.00	$235.00	$165.00–$200.00	56% below	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Rhc Leg/tibia & Fibula Left	$153.00	$235.00	$165.00–$200.00	56% below	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Leg/tibia & Fibula Right	$198.00	$305.00	$214.00–$259.00	43% below	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Leg/tibia & Fibula Left	$198.00	$305.00	$214.00–$259.00	43% below	35%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Brain	$1,676.00	$2,578.00	$1,805.00–$2,191.00	6% below	35%
MR angiography (MRA) of the head without contrast CPT 70544 Mrv Brain	$1,676.00	$2,578.00	$1,805.00–$2,191.00	6% below	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint	$1,676.00	$2,578.00	$1,805.00–$2,191.00	22% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Joint Right W&w/o C	$2,265.00	$3,484.00	$2,439.00–$2,961.00	25% below	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Joint Left W&w/o C	$2,265.00	$3,484.00	$2,439.00–$2,961.00	25% below	35%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o Contrast	$1,676.00	$2,578.00	$1,805.00–$2,191.00	18% below	35%
MRI of the abdomen without contrast one side CPT 74181 Mrcp Right	$1,363.00	$2,097.00	$1,468.00–$1,782.00	33% below	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W & W/o Contrast	$2,265.00	$3,484.00	$2,439.00–$2,961.00	26% below	35%
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o Contrast	$1,676.00	$2,578.00	$1,805.00–$2,191.00	9% below	35%
MRI of the brain, with and without contrast dye CPT 70553 MRI Scan	$2,265.00	$3,484.00	$2,439.00–$2,961.00	20% below	35%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal	$1,676.00	$2,578.00	$1,805.00–$2,191.00	23% below	35%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W/o & W/ C	$2,265.00	$3,484.00	$2,439.00–$2,961.00	29% below	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/o Cont	$1,676.00	$2,578.00	$1,805.00–$2,191.00	18% below	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical Spine W & W/o Contrast	$2,265.00	$3,484.00	$2,439.00–$2,961.00	31% below	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine W/o Cont	$1,676.00	$2,578.00	$1,805.00–$2,191.00	26% below	35%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/ & W/o Contrast	$2,265.00	$3,484.00	$2,439.00–$2,961.00	29% below	35%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o Contrast	$1,676.00	$2,578.00	$1,805.00–$2,191.00	29% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Joint Right W/o Contrast	$1,676.00	$2,578.00	$1,805.00–$2,191.00	6% below	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Joint Left W/o Contrast	$1,676.00	$2,578.00	$1,805.00–$2,191.00	6% below	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Rhc Spine Cervical 4-5 Views	$195.00	$300.00	$210.00–$255.00	64% below	35%
Neck soft tissue CT scan with contrast CPT 70491 Ct Neck W/contrast	$1,491.00	$2,294.00	$1,606.00–$1,950.00	25% below	35%
Neck soft tissue CT scan without contrast CPT 70490 Ct Neck W/o Contrast	$1,376.00	$2,117.00	$1,482.00–$1,799.00	11% below	35%
Neck soft tissue X-ray CPT 70360 Rhc Neck Soft Tisssue	$146.00	$224.00	$157.00–$190.00	39% below	35%
Neck soft tissue X-ray CPT 70360 Neck Soft Tisssue	$189.00	$291.00	$204.00–$247.00	21% below	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm Mycardial Perfussion Multi	$2,633.00	$4,050.00	$2,835.00–$3,443.00	36% below	35%
Pelvic CT scan without contrast CPT 72192 Ct Pelvic W/o Contrast	$1,284.00	$1,975.00	$1,383.00–$1,679.00	21% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Rhc Non Ob Ultrasound	$317.00	$487.00	$341.00–$414.00	58% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Iud Echo	$411.00	$632.00	$442.00–$537.00	46% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Echo	$447.00	$688.00	$482.00–$585.00	41% below	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus	$413.00	$636.00	$445.00–$541.00	32% below	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Rhc Ob Us <14 Weeks	$233.00	$358.00	$251.00–$304.00	61% below	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Fetal Age Determination Echo	$413.00	$636.00	$445.00–$541.00	30% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Rhc Ob Us Limited	$178.00	$274.00	$192.00–$233.00	61% below	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited	$205.00	$315.00	$221.00–$268.00	55% below	35%
Rib X-ray, one side, 2 views one side CPT 71100 Rhc Ribs 1 Side 2 View Right	$146.00	$224.00	$157.00–$190.00	51% below	35%
Rib X-ray, one side, 2 views one side CPT 71100 Rhc Ribs 1 Side 2 View Left	$146.00	$224.00	$157.00–$190.00	51% below	35%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs 1 Side 2 View Left	$189.00	$291.00	$204.00–$247.00	37% below	35%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs 1 Side 2 View Right	$189.00	$291.00	$204.00–$247.00	37% below	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Rhc Ribs 1 Side 2 View Left W/1 Vw Chest	$196.00	$301.00	$211.00–$256.00	50% below	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Rhc Ribs 1 Side 2 View Right W/1 Vw Chst	$196.00	$301.00	$211.00–$256.00	50% below	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs 1 Side 2 View Left W/1 View Chest	$254.00	$391.00	$274.00–$332.00	36% below	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs 1 Side 2 View Right W/1 View Chest	$254.00	$391.00	$274.00–$332.00	36% below	35%
Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral	$231.00	$355.00	$248.00–$302.00	—	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Rhc Shoulder 2 View Left	$166.00	$255.00	$179.00–$217.00	50% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Rhc Shoulder 2 View Right	$166.00	$255.00	$179.00–$217.00	50% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Rhc Shoulder 3 View Right	$177.00	$273.00	$191.00–$232.00	47% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Rhc Shoulder 3 View Left	$195.00	$300.00	$210.00–$255.00	41% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 View Right	$215.00	$330.00	$231.00–$281.00	35% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 2 View Left	$215.00	$330.00	$231.00–$281.00	35% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 3 View Right	$231.00	$355.00	$248.00–$302.00	31% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder 3 View Left	$231.00	$355.00	$248.00–$302.00	31% below	35%
Sinus X-ray, complete, 3 or more views CPT 70220 Rhc Sinus Paranasal Complete	$146.00	$224.00	$157.00–$190.00	64% below	35%
Sinus X-ray, complete, 3 or more views CPT 70220 Sinus Paranasal Complete	$189.00	$291.00	$204.00–$247.00	53% below	35%
Skull X-ray, fewer than 4 views CPT 70250 Rhc Skull Less Than 4 View	$153.00	$236.00	$165.00–$201.00	52% below	35%
Skull X-ray, fewer than 4 views CPT 70250 Skull Less Than 4 View	$205.00	$315.00	$221.00–$268.00	36% below	35%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$2,360.00	$3,630.00	$2,541.00–$3,086.00	43% below	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified Bari Swall W/flu W/vide	$341.00	$525.00	$368.00–$446.00	43% below	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Rhc Femur 2 View Left	$146.00	$224.00	$157.00–$190.00	55% below	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Rhc Femur 2 View Right	$146.00	$224.00	$157.00–$190.00	55% below	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur 2 View Right	$189.00	$291.00	$204.00–$247.00	42% below	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur 2 View Left	$189.00	$291.00	$204.00–$247.00	42% below	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct T-spine W/o Contrast	$1,433.00	$2,204.00	$1,543.00–$1,873.00	24% below	35%
Toe X-ray, 2 or more views one side CPT 73660 Rhc Toes 2-3 Views Left	$146.00	$224.00	$157.00–$190.00	47% below	35%
Toe X-ray, 2 or more views one side CPT 73660 Rhc Toes 2-3 Views Right	$146.00	$224.00	$157.00–$190.00	47% below	35%
Toe X-ray, 2 or more views one side CPT 73660 Toes 2-3 Views Left	$189.00	$291.00	$204.00–$247.00	32% below	35%
Toe X-ray, 2 or more views one side CPT 73660 Toes 2-3 Views Right	$189.00	$291.00	$204.00–$247.00	32% below	35%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina	$393.00	$605.00	$424.00–$514.00	35% below	35%
Transvaginal ultrasound during pregnancy CPT 76817 Rhc Ob Us Transvaginal	$199.00	$306.00	$214.00–$260.00	61% below	35%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen	$654.00	$1,006.00	$704.00–$855.00	17% below	35%
Ultrasound of the scrotum and testicles CPT 76870 Us Testicular Sonogram	$411.00	$632.00	$442.00–$537.00	33% below	35%
Ultrasound of the scrotum and testicles CPT 76870 Us Echography Scrotum	$519.00	$798.00	$559.00–$678.00	15% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid	$411.00	$633.00	$443.00–$538.00	35% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head, Neck Soft Tissue	$411.00	$633.00	$443.00–$538.00	35% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi	$377.00	$580.00	$406.00–$493.00	49% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Eso Bari Swall Flu	$426.00	$655.00	$458.00–$557.00	42% below	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Rhc Humerus 2 View Right	$146.00	$224.00	$157.00–$190.00	58% below	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Rhc Humerus 2 View Left	$146.00	$224.00	$157.00–$190.00	58% below	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus 2 View Left	$189.00	$291.00	$204.00–$247.00	46% below	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus 2 View Right	$189.00	$291.00	$204.00–$247.00	46% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Doppler-unilateral	$611.00	$940.00	$658.00–$799.00	22% below	35%
Wrist X-ray, 2 views one side CPT 73100 Rhc Wrist 2 View Left	$137.00	$210.00	$147.00–$179.00	53% below	35%
Wrist X-ray, 2 views one side CPT 73100 Rhc Wrist 2 View Right	$137.00	$210.00	$147.00–$179.00	53% below	35%
Wrist X-ray, 2 views one side CPT 73100 Wrist 2 View Left	$169.00	$260.00	$182.00–$221.00	43% below	35%
Wrist X-ray, 2 views one side CPT 73100 Wrist 2 View Right	$169.00	$260.00	$182.00–$221.00	43% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Rhc Wrist 3 View Left	$146.00	$224.00	$157.00–$190.00	61% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Rhc Wrist 3 View Right	$146.00	$224.00	$157.00–$190.00	61% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3 View Left	$189.00	$291.00	$204.00–$247.00	49% below	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist 3 View Right	$189.00	$291.00	$204.00–$247.00	49% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Rhc Hip Joint 2 View Left	$160.00	$246.00	$172.00–$209.00	56% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Rhc Hip Joint 2 View Right	$160.00	$246.00	$172.00–$209.00	56% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Joint 2 View Right	$207.00	$319.00	$223.00–$271.00	44% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip Joint 2 View Left	$207.00	$319.00	$223.00–$271.00	44% below	35%
X-ray of the abdomen, 1 view CPT 74018 Rhc Abdomen 1 View	$146.00	$224.00	$157.00–$190.00	57% below	35%
X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View	$189.00	$291.00	$204.00–$247.00	44% below	35%
X-ray of the abdomen, 1 view CPT 74018 Kub	$189.00	$291.00	$204.00–$247.00	44% below	35%
X-ray of the ankle, 2 views one side CPT 73600 Rhc Ankle 2 View Right	$146.00	$224.00	$157.00–$190.00	51% below	35%
X-ray of the ankle, 2 views one side CPT 73600 Rhc Ankle 2 View-left	$146.00	$224.00	$157.00–$190.00	51% below	35%
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View-left	$189.00	$291.00	$204.00–$247.00	37% below	35%
X-ray of the ankle, 2 views one side CPT 73600 Ankle 2 View Right	$189.00	$291.00	$204.00–$247.00	37% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 Rhc Finger 2-3 Views Left	$146.00	$224.00	$157.00–$190.00	39% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 Rhc Finger 2-3 Views Right	$146.00	$224.00	$157.00–$190.00	39% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger 2-3 Views Left	$189.00	$291.00	$204.00–$247.00	22% below	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger 2-3 Views Right	$189.00	$291.00	$204.00–$247.00	22% below	35%
X-ray of the foot, 2 views one side CPT 73620 Rhc Foot 2 View Right	$135.00	$207.00	$145.00–$176.00	59% below	35%
X-ray of the foot, 2 views one side CPT 73620 Rhc Foot 2 View Left	$135.00	$207.00	$145.00–$176.00	59% below	35%
X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Left	$169.00	$260.00	$182.00–$221.00	49% below	35%
X-ray of the foot, 2 views one side CPT 73620 Foot 2 View Right	$169.00	$260.00	$182.00–$221.00	49% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Rhc Foot 3 View Left	$156.00	$240.00	$168.00–$204.00	58% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Rhc Foot 3 View Right	$156.00	$240.00	$168.00–$204.00	58% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3 View Right	$203.00	$312.00	$218.00–$265.00	45% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3 View Left	$203.00	$312.00	$218.00–$265.00	45% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 Rhc Hand 3 View Left	$151.00	$232.00	$162.00–$197.00	61% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 Rhc Hand 3 View Right	$151.00	$232.00	$162.00–$197.00	61% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 Hand 3 View Left	$196.00	$302.00	$211.00–$257.00	49% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 Hand 3 View Right	$196.00	$302.00	$211.00–$257.00	49% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 Rhc Knee 1-2 View Right	$138.00	$212.00	$148.00–$180.00	53% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 Rhc Knee 1-2 View Left	$138.00	$212.00	$148.00–$180.00	53% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1-2 View Left	$169.00	$260.00	$182.00–$221.00	43% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee 1-2 View Right	$169.00	$260.00	$182.00–$221.00	43% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Rhc Spine Lumbo-sacral 2 View	$146.00	$224.00	$157.00–$190.00	67% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbo-sacral 2 View	$205.00	$315.00	$221.00–$268.00	54% below	35%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back	$411.00	$633.00	$443.00–$538.00	27% below	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Rhc Spine Dorsal 2 View	$146.00	$224.00	$157.00–$190.00	64% below	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Dorsal 2 View	$205.00	$315.00	$221.00–$268.00	49% below	35%
X-ray of the nasal bones, 3 or more views CPT 70160 Rhc Nose	$146.00	$224.00	$157.00–$190.00	47% below	35%
X-ray of the nasal bones, 3 or more views CPT 70160 Nose	$189.00	$291.00	$204.00–$247.00	31% below	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Rhc Spine Cervical 2-3 Views	$146.00	$224.00	$157.00–$190.00	60% below	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical Ap & Lateral	$189.00	$291.00	$204.00–$247.00	48% below	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 Rhc Pelvis 1 View	$146.00	$224.00	$157.00–$190.00	53% below	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 Rhc Pelvis 2 View	$153.00	$236.00	$165.00–$201.00	51% below	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 Rhc Pelvis Standing	$153.00	$236.00	$165.00–$201.00	51% below	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis Standing	$199.00	$306.00	$214.00–$260.00	37% below	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 View	$205.00	$315.00	$221.00–$268.00	35% below	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 2 View	$205.00	$315.00	$221.00–$268.00	35% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Rhc Sacrum	$146.00	$224.00	$157.00–$190.00	52% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Rhc Coccyx 2 View	$146.00	$224.00	$157.00–$190.00	52% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum And Coccyx Min 2 Views	$189.00	$291.00	$204.00–$247.00	38% below	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 Acth	$166.00	$255.00	$179.00–$217.00	22% below	35%
ACTH blood test CPT 82024 Adrenocorticotropic Hormone	$166.00	$255.00	$179.00–$217.00	22% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Rhc Alt (Sgpt)	$47.00	$72.00	$50.00–$61.00	8% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt)	$52.00	$80.00	$56.00–$68.00	2% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 Rhc Ast (Sgot)	$47.00	$72.00	$50.00–$61.00	8% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast (Sgot)	$52.00	$80.00	$56.00–$68.00	1% above	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis A B C	$192.00	$296.00	$207.00–$252.00	50% below	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel Ii	$259.00	$398.00	$279.00–$338.00	33% below	35%
Albumin blood test CPT 82040 Rhc Albumin Serum	$47.00	$72.00	$50.00–$61.00	26% above	35%
Albumin blood test CPT 82040 Albumin Serum	$52.00	$80.00	$56.00–$68.00	40% above	35%
Aldosterone blood test CPT 82088 Aldosterone 24h Urine	$131.00	$202.00	$141.00–$172.00	5% above	35%
Aldosterone blood test CPT 82088 Aldosterone Serum	$174.00	$267.00	$187.00–$227.00	40% above	35%
Alkaline phosphatase (ALP) blood test CPT 84075 Rhc Alkaline Phosphatase	$47.00	$72.00	$50.00–$61.00	2% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$47.00	$72.00	$50.00–$61.00	2% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast/allergy Region 6 (29)	$13.00	$20.00	$14.00–$17.00	45% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergychicken (Quest)	$24.00	$37.00	$26.00–$31.00	2% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergychocolate (Quest)	$24.00	$37.00	$26.00–$31.00	2% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycorn (Quest)	$24.00	$37.00	$26.00–$31.00	2% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergybanana (Quest)	$24.00	$37.00	$26.00–$31.00	2% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyorange Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyparsley Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergypea Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergywhite Bean Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyalmond Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycashew Nut Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergywheat Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycodfish Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycow Milk Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyegg White Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyhazelnut Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergypeanut Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergysalmon Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyscallop Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergysesame Seed Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyshrimp Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergysoybean Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergytuna Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergywalnut Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Stachybotrys Atra- Black Mold	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile 91682(quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergychicken	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergytomato Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergylettuce Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycelery Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycarrot Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycorn Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergypotato Ige (Quest)	$25.00	$39.00	$27.00–$33.00	6% above	36%
Allergy blood test, specific IgE, per allergen CPT 86003 Alpha-galactose 1,3 Ige	$26.00	$40.00	$28.00–$34.00	11% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast/ Food Panel (20 Most Common Foods)	$26.00	$40.00	$28.00–$34.00	11% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast/allergy Testing Region 10 Tx/ok	$26.00	$40.00	$28.00–$34.00	11% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast/allergy 25 Screen (Ental)	$26.00	$40.00	$28.00–$34.00	11% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyduck Feathers	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Hazelnut/filbert	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Cashew	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Brazil Nut	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Almond	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergydog	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergycat	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyegg	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergymesquite	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergygoat Epithelium	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyrabbit Epithelium	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen- Milk With Component	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen- Egg White With Components	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergychicken Feathers	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast/allergen Each	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Pecan	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Walnut	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergywheat	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Staphylococcus Enterotoxin A	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergyhoneybee	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Peanut	$31.00	$48.00	$34.00–$41.00	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Immunocap 628	$32.00	$49.00	$34.00–$42.00	36% above	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 Trisomy Profile	$84.00	$129.00	$90.00–$110.00	23% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp(tumor)	$105.00	$162.00	$113.00–$138.00	4% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (Afp), Serum (Serial)	$105.00	$162.00	$113.00–$138.00	4% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein (Afp), Spina Bifida	$105.00	$162.00	$113.00–$138.00	4% below	35%
Ammonia blood test CPT 82140 Ammonia	$97.00	$149.00	$104.00–$127.00	31% below	35%
Amylase blood test CPT 82150 Amylase, Body Fluid	$62.00	$95.00	$67.00–$81.00	19% below	35%
Amylase blood test CPT 82150 Amylase Urine	$62.00	$95.00	$67.00–$81.00	19% below	35%
Amylase blood test CPT 82150 Amylase 24hr Urine	$62.00	$95.00	$67.00–$81.00	19% below	35%
Amylase blood test CPT 82150 Rhc Amylase Serum	$73.00	$112.00	$78.00–$95.00	4% below	35%
Amylase blood test CPT 82150 Amylase Serum	$81.00	$124.00	$87.00–$105.00	6% above	35%
Amylase blood test CPT 82150 Amylase Isoenzymes	$81.00	$124.00	$87.00–$105.00	6% above	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-ccp	$61.00	$94.00	$66.00–$80.00	15% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies-arup	$70.00	$107.00	$75.00–$91.00	9% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (Ana) Ife Relex Bio-11	$70.00	$107.00	$75.00–$91.00	9% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab By Multi- Reflex 9 Bio	$70.00	$107.00	$75.00–$91.00	9% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Ab (Ana) Ife With Reflex	$70.00	$107.00	$75.00–$91.00	9% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody (Ana) With Reflex	$70.00	$107.00	$75.00–$91.00	9% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody (Ana) Direct	$70.00	$107.00	$75.00–$91.00	9% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody (Ana)	$70.00	$107.00	$75.00–$91.00	9% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp Pro Nt-type	$144.00	$222.00	$155.00–$189.00	6% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Aerobic	$63.00	$97.00	$68.00–$82.00	6% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat	$63.00	$97.00	$68.00–$82.00	6% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital	$63.00	$97.00	$68.00–$82.00	6% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum	$70.00	$107.00	$75.00–$91.00	4% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Routine (Wound)	$70.00	$107.00	$75.00–$91.00	4% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Environmental	$81.00	$124.00	$87.00–$105.00	21% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital, Routine (Labcorp)	$82.00	$126.00	$88.00–$107.00	22% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bordetella Pertussis, Nasopharyngeal Cul	$82.00	$126.00	$88.00–$107.00	22% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound	$86.00	$132.00	$92.00–$112.00	28% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sterile Body Fluid	$86.00	$132.00	$92.00–$112.00	28% above	35%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel	$131.00	$202.00	$141.00–$172.00	39% below	35%
Bilirubin blood test, total CPT 82247 Rhc Bilirubin Neonatal	$47.00	$72.00	$50.00–$61.00	18% below	35%
Bilirubin blood test, total CPT 82247 Rhc Bilirubin,total	$47.00	$72.00	$50.00–$61.00	18% below	35%
Bilirubin blood test, total CPT 82247 Bilirubin,total	$52.00	$80.00	$56.00–$68.00	9% below	35%
Bilirubin blood test, total CPT 82247 Bilirubin Neonatal	$52.00	$80.00	$56.00–$68.00	9% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Pathologist	$129.00	$198.00	$139.00–$168.00	56% below	35%
Blood culture for bacteria CPT 87040 Culture Blood	$111.00	$170.00	$119.00–$145.00	46% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Rhc Venipuncture	$4.00	$6.00	$4.00–$5.00	78% below	33%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$5.00	$7.00	$5.00–$6.00	72% below	29%
Blood glucose (sugar) test CPT 82947 Rhc Glucose Serum	$29.00	$45.00	$31.00–$38.00	30% below	36%
Blood glucose (sugar) test CPT 82947 Glucose Serum	$33.00	$50.00	$35.00–$43.00	21% below	34%
Blood lead test CPT 83655 Rhc Waived Lead	$16.00	$24.00	$17.00–$20.00	66% below	33%
Blood lead test CPT 83655 Rhc Lead Industrial	$16.00	$24.00	$17.00–$20.00	66% below	33%
Blood lead test CPT 83655 Rhc Lead Adult	$16.00	$24.00	$17.00–$20.00	66% below	33%
Blood lead test CPT 83655 Rhc Lead Pedi	$16.00	$24.00	$17.00–$20.00	66% below	33%
Blood lead test CPT 83655 Lead Blood, Capillary	$53.00	$82.00	$57.00–$70.00	14% above	35%
Blood lead test CPT 83655 Lead Blood, Pedi, Labcorp	$53.00	$82.00	$57.00–$70.00	14% above	35%
Blood lead test CPT 83655 Lead Urine	$53.00	$82.00	$57.00–$70.00	14% above	35%
Blood lead test CPT 83655 Lead Blood, Pediatric	$53.00	$82.00	$57.00–$70.00	14% above	35%
Blood lead test CPT 83655 Lead Blood, Adult	$53.00	$82.00	$57.00–$70.00	14% above	35%
Blood lead test CPT 83655 Lead Blood, Hrl	$53.00	$82.00	$57.00–$70.00	14% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Rhc Pregnancy Serum (Qual)	$43.00	$66.00	$46.00–$56.00	69% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Serum Qual	$47.00	$73.00	$51.00–$62.00	66% below	36%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Group	$38.00	$59.00	$41.00–$50.00	57% below	36%
Blood urea nitrogen (BUN) test CPT 84520 Rhc Bun	$27.00	$41.00	$29.00–$35.00	52% below	34%
Blood urea nitrogen (BUN) test CPT 84520 Bun	$30.00	$46.00	$32.00–$39.00	46% below	35%
C-peptide blood test CPT 84681 C-peptide	$62.00	$95.00	$67.00–$81.00	15% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein	$47.00	$73.00	$51.00–$62.00	8% below	36%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Naa	$152.00	$234.00	$164.00–$199.00	13% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$89.00	$137.00	$96.00–$116.00	32% below	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125	$125.00	$193.00	$135.00–$164.00	16% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Microgen	$101.00	$156.00	$109.00–$133.00	13% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19	$101.00	$156.00	$109.00–$133.00	13% above	35%
Calcium blood test, total CPT 82310 Rhc Calcium Serum	$40.00	$62.00	$43.00–$53.00	31% below	35%
Calcium blood test, total CPT 82310 Calcium Serum	$45.00	$69.00	$48.00–$59.00	22% below	35%
Calcium blood test, total CPT 82310 Calcium, Urine (Random)	$52.00	$80.00	$56.00–$68.00	10% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea	$82.00	$126.00	$88.00–$107.00	38% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea, Fluid	$82.00	$126.00	$88.00–$107.00	38% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Igm	$77.00	$119.00	$83.00–$101.00	31% above	35%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Igg	$86.00	$132.00	$92.00–$112.00	46% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/dna Probe	$111.00	$171.00	$120.00–$145.00	11% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids	$92.00	$142.00	$99.00–$121.00	38% below	35%
Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated	$62.00	$96.00	$67.00–$82.00	32% below	35%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated	$48.00	$74.00	$52.00–$63.00	49% below	35%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$140.00	$216.00	$151.00–$184.00	44% below	35%
Cortisol blood test, total CPT 82533 Cortisol Am, Lab Corp	$93.00	$143.00	$100.00–$122.00	13% above	35%
Cortisol blood test, total CPT 82533 Cortisol Pm, Lab Corp	$93.00	$143.00	$100.00–$122.00	13% above	35%
Cortisol blood test, total CPT 82533 Dexamethasone Suppression Test	$93.00	$143.00	$100.00–$122.00	13% above	35%
Cortisol blood test, total CPT 82533 Cortisol Am	$93.00	$143.00	$100.00–$122.00	13% above	35%
Cortisol blood test, total CPT 82533 Cortisol Pm	$93.00	$143.00	$100.00–$122.00	13% above	35%
Cortisol blood test, total CPT 82533 Cortisol	$93.00	$143.00	$100.00–$122.00	13% above	35%
Cortisol blood test, total CPT 82533 Salivary Cortisol	$112.00	$173.00	$121.00–$147.00	37% above	35%
Creatine kinase (CK) blood test, total CPT 82550 Rhc Cpk	$65.00	$100.00	$70.00–$85.00	5% above	35%
Creatine kinase (CK) blood test, total CPT 82550 Cpk	$72.00	$110.00	$77.00–$94.00	17% above	35%
Creatinine blood test CPT 82565 Creatinine	$28.00	$43.00	$30.00–$37.00	48% below	35%
Creatinine blood test CPT 82565 Rhc Creatinine, Serum	$30.00	$46.00	$32.00–$39.00	44% below	35%
Creatinine blood test CPT 82565 Creatinine, Serum	$33.00	$51.00	$36.00–$43.00	38% below	35%
Creatinine blood test CPT 82565 Glomerular Filtration Rate	$34.00	$53.00	$37.00–$45.00	37% below	36%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg	$68.00	$105.00	$74.00–$89.00	4% below	35%
D-dimer blood test (blood clot marker) CPT 85379 D-dimer	$96.00	$147.00	$103.00–$125.00	43% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-s	$96.00	$148.00	$104.00–$126.00	37% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Chain Of Custody- Legal	$21.00	$32.00	$22.00–$27.00	66% below	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Level Each Drug (Do Not Order)	$27.00	$41.00	$29.00–$35.00	56% below	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine Metabolite Screen, Urine	$27.00	$41.00	$29.00–$35.00	56% below	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine With Reflex-serum	$32.00	$49.00	$34.00–$42.00	48% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Tramadol Screen With Confirmation Urine	$32.00	$49.00	$34.00–$42.00	48% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen And Confirmurine	$32.00	$49.00	$34.00–$42.00	48% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Thc Screen, Confirmation	$39.00	$60.00	$42.00–$51.00	37% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Med Professional Profile 12 Drugs	$57.00	$87.00	$61.00–$74.00	8% below	34%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Mdma Urine	$70.00	$107.00	$75.00–$91.00	13% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Anabolic Steroids, Screen And Confirm	$70.00	$107.00	$75.00–$91.00	13% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen And Confirm- Urine	$94.00	$145.00	$102.00–$123.00	52% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Abuse Profile+etoh, Urine	$152.00	$234.00	$164.00–$199.00	145% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Pain Management Profile (13 Drugs)	$152.00	$234.00	$164.00–$199.00	145% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen-serum- 10 With Confirmation	$152.00	$234.00	$164.00–$199.00	145% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Nicotine/cotinine Confirm, Urine	$152.00	$234.00	$164.00–$199.00	145% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Serum Drug Screen 13 Panel	$152.00	$234.00	$164.00–$199.00	145% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine	$218.00	$336.00	$235.00–$286.00	252% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Thc Serum, Confirmation	$236.00	$363.00	$254.00–$309.00	281% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Tetrahydrocannabinol Screen With Confirm	$236.00	$363.00	$254.00–$309.00	281% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Whole Blood	$237.00	$365.00	$255.00–$310.00	282% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Synthetic Cannabinoids(k2,spice) Relex	$257.00	$395.00	$277.00–$336.00	315% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes	$44.00	$68.00	$48.00–$58.00	77% below	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes,stool	$56.00	$86.00	$60.00–$73.00	71% below	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Rhc Electrolytes Serum	$120.00	$184.00	$129.00–$156.00	37% below	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Serum	$132.00	$203.00	$142.00–$173.00	31% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv-vca Igm	$80.00	$123.00	$86.00–$105.00	6% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv-vca Igg	$80.00	$123.00	$86.00–$105.00	6% below	35%
Estradiol blood test CPT 82670 Estradiol, Lc/ms	$120.00	$184.00	$129.00–$156.00	2% below	35%
Estradiol blood test CPT 82670 Estradiol	$120.00	$184.00	$129.00–$156.00	2% below	35%
Estradiol blood test CPT 82670 Estradiol, Sensitive	$156.00	$240.00	$168.00–$204.00	28% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$92.00	$141.00	$99.00–$120.00	42% below	35%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh- Pediatric	$92.00	$141.00	$99.00–$120.00	42% below	35%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal	$199.00	$306.00	$214.00–$260.00	7% below	35%
Ferritin blood test (iron stores) CPT 82728 Rhc Ferritin	$75.00	$116.00	$81.00–$99.00	22% below	35%
Ferritin blood test (iron stores) CPT 82728 Ferritin (Labcorp-sendout)	$83.00	$128.00	$90.00–$109.00	14% below	35%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$83.00	$128.00	$90.00–$109.00	14% below	35%
Fibrinogen blood test CPT 85384 Fibrinogen	$68.00	$105.00	$74.00–$89.00	21% below	35%
Fibrinogen blood test CPT 85384 Fibrinogen Activity	$74.00	$114.00	$80.00–$97.00	15% below	35%
Folate (folic acid) blood test CPT 82746 Folic Acid	$81.00	$125.00	$88.00–$106.00	5% above	35%
Free T3 thyroid hormone test CPT 84481 T3 Free	$94.00	$145.00	$102.00–$123.00	33% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$46.00	$70.00	$49.00–$60.00	38% below	34%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Rhc Ft4	$64.00	$98.00	$69.00–$83.00	14% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free	$70.00	$108.00	$76.00–$92.00	5% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Free, Dialysis/mass Spectrometry	$70.00	$108.00	$76.00–$92.00	5% below	35%
Free testosterone test CPT 84402 Testosterone, Free	$96.00	$147.00	$103.00–$125.00	9% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggtp	$59.00	$90.00	$63.00–$77.00	at median	34%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Rhc Glucose 2 Hour Pp	$40.00	$62.00	$43.00–$53.00	49% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Pp	$45.00	$69.00	$48.00–$59.00	42% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Rhc Glucose, 50 Gram	$51.00	$78.00	$55.00–$66.00	35% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 50 Gram	$56.00	$86.00	$60.00–$73.00	28% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gtt 1 Hour, 1 Specimen	$56.00	$86.00	$60.00–$73.00	28% below	35%
Glucose tolerance test, 3 samples CPT 82951 Rhc Gtt 6 Hour	$52.00	$80.00	$56.00–$68.00	66% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gtt 2 Hour	$73.00	$112.00	$78.00–$95.00	52% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gtt 1 Hour	$73.00	$112.00	$78.00–$95.00	52% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Hour	$73.00	$112.00	$78.00–$95.00	52% below	35%
Glucose tolerance test, 3 samples CPT 82951 Rhc Gtt 1 Hour, 1 Specimen	$77.00	$119.00	$83.00–$101.00	49% below	35%
Glucose tolerance test, 3 samples CPT 82951 Rhc Gtt 3 Hour, 4 Specimens	$77.00	$119.00	$83.00–$101.00	49% below	35%
Glucose tolerance test, 3 samples CPT 82951 Rhc Gtt 2 Hour, 3 Specimen	$102.00	$157.00	$110.00–$133.00	33% below	35%
Glucose tolerance test, 3 samples CPT 82951 Rhc Gestational Glucose Tolerance	$112.00	$173.00	$121.00–$147.00	26% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gtt 2 Hour, 3 Specimens	$112.00	$173.00	$121.00–$147.00	26% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gtt 3 Hour, 4 Specimens	$112.00	$173.00	$121.00–$147.00	26% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gtt 4 Hour, 5 Specimens	$112.00	$173.00	$121.00–$147.00	26% below	35%
Glucose tolerance test, 3 samples CPT 82951 Gtt 5 Hour, 6 Specimens	$112.00	$173.00	$121.00–$147.00	26% below	35%
Glucose tolerance test, 3 samples CPT 82951 Rhc Gtt 4 Hour, 5 Specimens	$159.00	$245.00	$172.00–$208.00	5% above	35%
Glucose tolerance test, 3 samples CPT 82951 Rhc Gtt Max	$201.00	$309.00	$216.00–$263.00	32% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhoea/dna Probe	$109.00	$168.00	$118.00–$143.00	16% below	35%
H. pylori antibody blood test CPT 86677 Rhc H. Pylori Antibody Ig(serum)-inhouse	$56.00	$86.00	$60.00–$73.00	56% below	35%
H. pylori antibody blood test CPT 86677 H Pylori Antibody Ig Serum Inhouse	$62.00	$95.00	$67.00–$81.00	51% below	35%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibodies, Iga	$62.00	$95.00	$67.00–$81.00	51% below	35%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibodies, Igm	$62.00	$95.00	$67.00–$81.00	51% below	35%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibodies, Igg	$62.00	$95.00	$67.00–$81.00	51% below	35%
H. pylori antibody blood test CPT 86677 H. Pylori Urease Screen	$88.00	$135.00	$95.00–$115.00	30% below	35%
H. pylori stool antigen test CPT 87338 H Pylori Stool Antigen	$97.00	$149.00	$104.00–$127.00	23% above	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quantitative Reflex Genotype	$270.00	$415.00	$291.00–$353.00	11% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Quantitative, Real Time Pcr-graph	$270.00	$415.00	$291.00–$353.00	11% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Rna Quantitative	$285.00	$438.00	$307.00–$372.00	6% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/0/2 Antibodies With Confirmation	$66.00	$101.00	$71.00–$86.00	17% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 Immune Defiency Profile Vii	$77.00	$119.00	$83.00–$101.00	3% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Rhc Hemoglobin A1c	$55.00	$85.00	$59.00–$72.00	35% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$61.00	$94.00	$66.00–$80.00	28% below	35%
Hemoglobin blood test CPT 85018 Rhc Waived Hemoglobin	$17.00	$26.00	$18.00–$22.00	61% below	35%
Hemoglobin blood test CPT 85018 Hemoglobin	$20.00	$31.00	$22.00–$26.00	54% below	35%
Hemoglobin blood test CPT 85018 Rhc Hemoglobin	$23.00	$36.00	$25.00–$31.00	47% below	36%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody, Reflex Igm	$83.00	$128.00	$90.00–$109.00	14% above	35%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody	$83.00	$128.00	$90.00–$109.00	14% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab	$42.00	$64.00	$45.00–$54.00	34% below	34%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surf Ab (Lab Corp)	$66.00	$101.00	$71.00–$86.00	3% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Ag (Labcorp)	$64.00	$99.00	$69.00–$84.00	9% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surf Ag	$64.00	$99.00	$69.00–$84.00	9% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus Qual, Reflex Quant Pcr	$235.00	$362.00	$253.00–$308.00	180% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab (Hcv)	$315.00	$484.00	$339.00–$411.00	275% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Pcr Antibody With Reflex Quant	$54.00	$83.00	$58.00–$71.00	77% below	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Pcr Qual	$85.00	$130.00	$91.00–$111.00	63% below	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Virus, Qn By Pcr, Reflex Genotype	$250.00	$385.00	$270.00–$327.00	8% above	35%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type I (Igm) Non-orderable	$70.00	$107.00	$75.00–$91.00	3% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type I (Igg)	$70.00	$107.00	$75.00–$91.00	3% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type Ii (Igm) Non-orderable	$70.00	$107.00	$75.00–$91.00	16% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type Ii (Igg)	$82.00	$126.00	$88.00–$107.00	1% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type I, Ii(igm)not Orderable	$82.00	$126.00	$88.00–$107.00	1% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive Protein (Cardiac)	$64.00	$99.00	$69.00–$84.00	11% below	35%
Insulin blood test CPT 83525 Insulin Level	$38.00	$58.00	$41.00–$49.00	45% below	34%
Iron blood test (serum iron) CPT 83540 Rhc Iron	$40.00	$62.00	$43.00–$53.00	43% below	35%
Iron blood test (serum iron) CPT 83540 Iron	$45.00	$69.00	$48.00–$59.00	36% below	35%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$51.00	$79.00	$55.00–$67.00	43% below	35%
Iron-binding capacity (TIBC) test CPT 83550 Rhc Iron Binding Capacity (Tibc	$57.00	$87.00	$61.00–$74.00	36% below	34%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity Tibc	$62.00	$96.00	$67.00–$82.00	31% below	35%
Kidney function blood test panel CPT 80069 Kidney function panel test	$138.00	$213.00	$149.00–$181.00	22% below	35%
LH (luteinizing hormone) test CPT 83002 Lh (Luteinizing Hormone)pediatric	$97.00	$149.00	$104.00–$127.00	31% below	35%
LH (luteinizing hormone) test CPT 83002 Lh (Luteinizing Hormone)	$97.00	$149.00	$104.00–$127.00	31% below	35%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid, Second Specimen	$64.00	$99.00	$69.00–$84.00	27% below	35%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$64.00	$99.00	$69.00–$84.00	27% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh, Body Fluid (Labcorp)	$41.00	$63.00	$44.00–$54.00	4% above	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh, Body Fluid	$62.00	$96.00	$67.00–$82.00	57% above	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh	$62.00	$96.00	$67.00–$82.00	57% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase/lip	$86.00	$132.00	$92.00–$112.00	14% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Not Orderable	$86.00	$132.00	$92.00–$112.00	14% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase, (Lab Corp)	$86.00	$132.00	$92.00–$112.00	14% above	35%
Liver function blood test panel CPT 80076 Liver function blood test	$123.00	$189.00	$132.00–$161.00	36% below	35%
Lyme disease antibody test CPT 86618 Lyme Disease Ab, Reflex To Western Blot	$133.00	$205.00	$144.00–$174.00	61% above	35%
Lyme disease antibody test CPT 86618 Lyme Disease Antibodies, Igm	$133.00	$205.00	$144.00–$174.00	61% above	35%
Lyme disease antibody test CPT 86618 Lyme Disease Antibody With Reflex	$133.00	$205.00	$144.00–$174.00	61% above	35%
Magnesium blood test CPT 83735 Rhc Magnesium	$51.00	$79.00	$55.00–$67.00	21% above	35%
Magnesium blood test CPT 83735 Urine Magnesium, 24 Hr	$57.00	$87.00	$61.00–$74.00	35% above	34%
Magnesium blood test CPT 83735 Magnesium, Rbc	$57.00	$87.00	$61.00–$74.00	35% above	34%
Magnesium blood test CPT 83735 Magnesium	$57.00	$87.00	$61.00–$74.00	35% above	34%
Magnesium blood test CPT 83735 Urine Magnesium, Random	$71.00	$109.00	$76.00–$93.00	68% above	35%
Measles (rubeola) antibody test CPT 86765 Rubeola Abs, Igm	$60.00	$93.00	$65.00–$79.00	108% above	35%
Measles (rubeola) antibody test CPT 86765 Rubeola Abs, Igg	$77.00	$119.00	$83.00–$101.00	167% above	35%
Mono test (heterophile antibody, Monospot) CPT 86308 Rpma Mono Test	$40.00	$62.00	$43.00–$53.00	53% below	35%
Mono test (heterophile antibody, Monospot) CPT 86308 Rhc Mono Test	$51.00	$79.00	$55.00–$67.00	40% below	35%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test	$57.00	$87.00	$61.00–$74.00	33% below	34%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test With Reflex (Labcorp)	$57.00	$87.00	$61.00–$74.00	33% below	34%
Mumps immunity blood test CPT 86735 Mumps Antibodies, Igm	$59.00	$90.00	$63.00–$77.00	1% below	34%
Mumps immunity blood test CPT 86735 Mumps Virus Immuno Status I	$59.00	$90.00	$63.00–$77.00	1% below	34%
Mumps immunity blood test CPT 86735 Mumps Antibodies, Igg	$77.00	$118.00	$83.00–$100.00	29% above	35%
Obstetric blood test panel CPT 80055 Obstetric blood test panel	$205.00	$316.00	$221.00–$269.00	19% below	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test	$71.00	$109.00	$76.00–$93.00	37% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test	$89.00	$137.00	$96.00–$116.00	10% above	35%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone-intact	$176.00	$270.00	$189.00–$230.00	12% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Assay	$176.00	$270.00	$189.00–$230.00	12% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test	$54.00	$83.00	$58.00–$71.00	10% above	35%
Phosphorus (phosphate) blood test CPT 84100 Rhc Phosphorus Serum	$47.00	$72.00	$50.00–$61.00	25% below	35%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Serum	$52.00	$80.00	$56.00–$68.00	17% below	35%
Potassium blood test CPT 84132 Rhc Potassium Serum	$34.00	$52.00	$36.00–$44.00	43% below	35%
Potassium blood test CPT 84132 Potassium Serum	$38.00	$58.00	$41.00–$49.00	37% below	34%
Progesterone blood test CPT 84144 Progesterone Serum	$89.00	$137.00	$96.00–$116.00	11% below	35%
Prolactin blood test CPT 84146 Progesterone 100mg Cap (Prometrium)	$28.00	$43.00	$30.00–$37.00	75% below	35%
Prolactin blood test CPT 84146 Macroprolactin	$111.00	$171.00	$120.00–$145.00	1% above	35%
Prolactin blood test CPT 84146 Prolactin	$111.00	$171.00	$120.00–$145.00	1% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$40.00	$61.00	$43.00–$52.00	11% below	34%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Rhc Drug Screen	$23.00	$36.00	$25.00–$31.00	78% below	36%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Rpma Drug Screen	$26.00	$40.00	$28.00–$34.00	76% below	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 12 Panel Drug Screen In-house	$87.00	$134.00	$94.00–$114.00	18% below	35%
Rapid flu test (influenza antigen) CPT 87804 Rhc Waived Flu A B	$13.00	$20.00	$14.00–$17.00	86% below	35%
Rapid flu test (influenza antigen) CPT 87804 Rpma Influenza Screen A B	$26.00	$40.00	$28.00–$34.00	72% below	35%
Rapid flu test (influenza antigen) CPT 87804 Rhc Influenza Screen A B	$35.00	$54.00	$38.00–$46.00	62% below	35%
Rapid flu test (influenza antigen) CPT 87804 Influenza Screen A B	$39.00	$60.00	$42.00–$51.00	58% below	35%
Renin blood test CPT 84244 Angiotension	$233.00	$359.00	$251.00–$305.00	132% above	35%
Renin blood test CPT 84244 Renin Activity, Plasma	$233.00	$359.00	$251.00–$305.00	132% above	35%
Rh blood typing CPT 86901 Rh Type	$25.00	$38.00	$27.00–$32.00	60% below	34%
Rheumatoid factor (RF) test CPT 86431 Rhc Ra Titer	$42.00	$65.00	$46.00–$55.00	6% below	35%
Rheumatoid factor (RF) test CPT 86431 Ra Latex	$43.00	$66.00	$46.00–$56.00	4% below	35%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Iga By Eia	$61.00	$94.00	$66.00–$80.00	36% above	35%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Igg By Eia	$61.00	$94.00	$66.00–$80.00	36% above	35%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Igm By Eia	$61.00	$94.00	$66.00–$80.00	36% above	35%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Isotypes Iga,igm,igm	$61.00	$94.00	$66.00–$80.00	36% above	35%
Rheumatoid factor (RF) test CPT 86431 Ra Factor	$72.00	$110.00	$77.00–$94.00	61% above	35%
Rubella antibody test (immunity check) CPT 86762 Rubella	$68.00	$104.00	$73.00–$88.00	72% above	35%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, Igm	$68.00	$104.00	$73.00–$88.00	72% above	35%
Rubella antibody test (immunity check) CPT 86762 Rubella, Labcorp	$82.00	$126.00	$88.00–$107.00	107% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rhc Sed Rate	$35.00	$54.00	$38.00–$46.00	43% below	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sed Rate Esr	$39.00	$60.00	$42.00–$51.00	36% below	35%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis (Fertility)	$105.00	$162.00	$113.00–$138.00	19% below	35%
Sodium blood test CPT 84295 Rhc Sodium, Serum	$34.00	$52.00	$36.00–$44.00	45% below	35%
Sodium blood test CPT 84295 Sodium, Serum	$38.00	$58.00	$41.00–$49.00	39% below	34%
Stool ova and parasites exam CPT 87177 Ova And Parasite Examination, Urine	$64.00	$99.00	$69.00–$84.00	7% below	35%
Stool ova and parasites exam CPT 87177 Ova And Parasite Examination	$64.00	$99.00	$69.00–$84.00	7% below	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Rhc Waived Occult Blood	$14.00	$21.00	$15.00–$18.00	62% below	33%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Rhc Occ Bld Stool	$30.00	$46.00	$32.00–$39.00	55% below	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occ Bld Stool	$31.00	$48.00	$34.00–$41.00	54% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Abfta-abs	$37.00	$57.00	$40.00–$48.00	20% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum Ab	$37.00	$57.00	$40.00–$48.00	20% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 Mha-tp Syphillis	$85.00	$131.00	$92.00–$111.00	84% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr, Quant	$18.00	$28.00	$20.00–$24.00	57% below	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Csf, Vdrl	$34.00	$53.00	$37.00–$45.00	20% below	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr Titer	$41.00	$63.00	$44.00–$54.00	3% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr	$41.00	$63.00	$44.00–$54.00	3% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr, Rfx Qn / Confirm Tp-pa	$41.00	$63.00	$44.00–$54.00	3% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-tb Gold	$135.00	$207.00	$145.00–$176.00	33% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon-client Inc	$135.00	$207.00	$145.00–$176.00	33% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Cannabidiol Cbd/thc Ratio	$97.00	$149.00	$104.00–$127.00	4% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Phosphatidylethanol (Peth)	$101.00	$156.00	$109.00–$133.00	8% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone	$135.00	$207.00	$145.00–$176.00	45% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total Women, Children	$135.00	$207.00	$145.00–$176.00	45% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Urine	$204.00	$314.00	$220.00–$267.00	119% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase	$60.00	$93.00	$65.00–$79.00	29% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Antibody(lkm)	$60.00	$93.00	$65.00–$79.00	29% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Anti-microsomal Antibody	$104.00	$160.00	$112.00–$136.00	23% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$117.00	$180.00	$126.00–$153.00	7% above	35%
Total IgE blood test CPT 82785 Ige	$77.00	$119.00	$83.00–$101.00	4% below	35%
Total IgE blood test CPT 82785 Igd	$77.00	$119.00	$83.00–$101.00	4% below	35%
Total cholesterol blood test CPT 82465 Rhc Cholesterol Total	$47.00	$72.00	$50.00–$61.00	16% below	35%
Total cholesterol blood test CPT 82465 Cholesterol Total	$52.00	$80.00	$56.00–$68.00	8% below	35%
Total thyroxine (T4) blood test CPT 84436 T4 Thyroxine	$53.00	$82.00	$57.00–$70.00	33% below	35%
Total thyroxine (T4) blood test CPT 84436 T4 Ria	$59.00	$90.00	$63.00–$77.00	26% below	34%
Total triiodothyronine (T3) blood test CPT 84480 Total T3 Ria	$93.00	$143.00	$100.00–$122.00	25% below	35%
Transferrin blood test CPT 84466 Transferrin	$52.00	$80.00	$56.00–$68.00	56% below	35%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis, Naa	$118.00	$181.00	$127.00–$154.00	35% above	35%
Triglycerides blood test CPT 84478 Rhc Triglyceride	$47.00	$72.00	$50.00–$61.00	31% below	35%
Triglycerides blood test CPT 84478 Triglyceride	$52.00	$80.00	$56.00–$68.00	24% below	35%
Triglycerides blood test CPT 84478 Lipoprotein Fractionation	$80.00	$123.00	$86.00–$105.00	18% above	35%
Troponin test, quantitative CPT 84484 Troponin.hs	$111.00	$171.00	$120.00–$145.00	1% below	35%
Troponin test, quantitative CPT 84484 Troponin-i(do Not Order)	$111.00	$171.00	$120.00–$145.00	1% below	35%
Uric acid blood test CPT 84550 Rhc Uric Acid, Serum	$47.00	$72.00	$50.00–$61.00	40% below	35%
Uric acid blood test CPT 84550 Uric Acid, Serum	$52.00	$80.00	$56.00–$68.00	34% below	35%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope	$42.00	$65.00	$46.00–$55.00	56% below	35%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope	$13.00	$20.00	$14.00–$17.00	67% below	35%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis test	$33.00	$50.00	$35.00–$43.00	33% below	34%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis test	$23.00	$35.00	$25.00–$30.00	26% below	34%
Urine culture for bacteria, with colony count CPT 87086 New Urine C/s	$60.00	$93.00	$65.00–$79.00	54% below	35%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine	$60.00	$93.00	$65.00–$79.00	54% below	35%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine Random	$53.00	$81.00	$57.00–$69.00	4% above	35%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Urine 24 Hour	$53.00	$81.00	$57.00–$69.00	4% above	35%
Urine pregnancy test, read by color change CPT 81025 Rhc Waived Urine Hcg	$20.00	$31.00	$22.00–$26.00	75% below	35%
Urine pregnancy test, read by color change CPT 81025 Rpma Pregnancy Urine Qual	$39.00	$60.00	$42.00–$51.00	52% below	35%
Urine pregnancy test, read by color change CPT 81025 Preg Test Urine (Qual)	$47.00	$72.00	$50.00–$61.00	42% below	35%
Urine pregnancy test, read by color change CPT 81025 Preg Test Serum (Qual)	$47.00	$72.00	$50.00–$61.00	42% below	35%
Urine pregnancy test, read by color change CPT 81025 Rhc Pregnancy Urine (Qual)	$50.00	$77.00	$54.00–$65.00	38% below	35%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Urine Qual	$55.00	$85.00	$59.00–$72.00	32% below	35%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$86.00	$132.00	$92.00–$112.00	5% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hydroxyvitamin D 25d3	$124.00	$191.00	$134.00–$162.00	7% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-hydroxy	$124.00	$191.00	$134.00–$162.00	7% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hydroxy-25-vitamin D2+d3 Fractionated	$124.00	$191.00	$134.00–$162.00	7% above	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxy Vit D 1,25	$145.00	$223.00	$156.00–$190.00	4% below	35%
Zinc blood test CPT 84630 Zinc, Rbc	$57.00	$87.00	$61.00–$74.00	16% below	34%
Zinc blood test CPT 84630 Zinc, Whole Blood	$57.00	$87.00	$61.00–$74.00	16% below	34%
Zinc blood test CPT 84630 Zinc,serum	$57.00	$87.00	$61.00–$74.00	16% below	34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcgb Quant	$100.00	$154.00	$108.00–$131.00	7% below	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Rhc Clsd Tx Dist Fibula Wo/man	$124.00	$191.00	$134.00–$162.00	73% below	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Trmt Distal Fibular Fx W/o Manipu	$233.00	$359.00	$251.00–$305.00	50% below	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Rhc Clsd Tx Metatarsal Fx Wo	$120.00	$184.00	$129.00–$156.00	57% below	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elect Elec Conversion Arrh	$629.00	$968.00	$678.00–$823.00	53% below	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electrical Conversion	$1,209.00	$1,860.00	$1,302.00–$1,581.00	9% below	35%
Cervical biopsy CPT 57500 Rhc Biopsy, Cervix	$184.00	$283.00	$198.00–$241.00	84% below	35%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Obstetric care, planned cesarean delivery	$3,625.00	$5,577.00	$3,904.00–$4,740.00	13% below	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision,clamp/devise,except Newborn	$575.00	$884.00	$619.00–$751.00	53% below	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Rhc Circumcision, Clamp, Nb	$1,329.00	$2,045.00	$1,432.00–$1,738.00	8% above	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Rhc Clsd Tx Distal Radius Wo/m	$131.00	$201.00	$141.00–$171.00	73% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Trmt Radial Fx W/manipulation	$233.00	$359.00	$251.00–$305.00	52% below	35%
Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope	$2,707.00	$4,164.00	$2,915.00–$3,539.00	126% above	35%
Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope	$2,484.00	$3,822.00	$2,675.00–$3,249.00	108% above	35%
Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope	$2,200.00	$3,385.00	$2,370.00–$2,877.00	43% above	35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Rhc D&c Diagnostic/ther (Non-ob)	$1,873.00	$2,882.00	$2,017.00–$2,450.00	55% below	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Rhc Destruct First Lesion	$49.00	$76.00	$53.00–$65.00	75% below	36%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Rhc Remove Cerumen W/irrigation/lavage	$53.00	$81.00	$57.00–$69.00	52% below	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impacted Ear Wax Unilateral	$83.00	$127.00	$89.00–$108.00	25% below	35%
Earwax removal with instruments, one ear CPT 69210 Rhc Rem Cerumen W/ Instrument	$53.00	$81.00	$57.00–$69.00	57% below	35%
Earwax removal with instruments, one ear CPT 69210 Remov Impacted Cerumen (Sep Pro)1/both E	$57.00	$88.00	$62.00–$75.00	54% below	35%
Earwax removal with instruments, one ear CPT 69210 Removal Impacted Cerumen,one Or Both Ear	$83.00	$128.00	$90.00–$109.00	33% below	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Rhc Endometrial Biopsy	$137.00	$211.00	$148.00–$179.00	63% below	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Sampling(biopsy)w/wo Endocer	$142.00	$218.00	$153.00–$185.00	61% below	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Dx/ther Sbst Intrlmnr Crv/thrc W/img	$1,056.00	$1,625.00	$1,138.00–$1,381.00	25% below	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Paravert F Jnt L/s 1 Lev W/guidance	$1,203.00	$1,850.00	$1,295.00–$1,573.00	31% below	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy, Flexible; Diagnostic	$456.00	$702.00	$491.00–$597.00	39% below	35%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope	$4,897.00	$7,534.00	$5,274.00–$6,404.00	40% below	35%
IUD insertion (the device itself billed separately) CPT 58300 Rhc Iud Insertion	$60.00	$92.00	$64.00–$78.00	84% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Of Abscess	$98.00	$150.00	$105.00–$128.00	77% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 Rhc I&d Abcess Simple/single	$166.00	$256.00	$179.00–$218.00	60% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple/single	$196.00	$302.00	$211.00–$257.00	53% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simpl/sngl	$372.00	$572.00	$400.00–$486.00	11% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess, Simple	$372.00	$572.00	$400.00–$486.00	11% below	35%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older	$4,434.00	$6,821.00	$4,775.00–$5,798.00	29% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Rhc Inj Tendon Sheath	$100.00	$154.00	$108.00–$131.00	75% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath,ligament,trigger Point	$145.00	$223.00	$156.00–$190.00	64% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, Aspiration And/or Inject	$104.00	$160.00	$112.00–$136.00	82% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis/aspir/inj Major Jt/bursa	$213.00	$327.00	$229.00–$278.00	64% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis/inj Major Joint Xray Dept	$512.00	$787.00	$551.00–$669.00	14% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Rhc Inj/asp Major Joint Lt	$149.00	$229.00	$160.00–$195.00	75% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Rhc Inj/asp Major Joint Rt	$149.00	$229.00	$160.00–$195.00	75% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis, Aspiration And/or Inject	$104.00	$160.00	$112.00–$136.00	82% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis/aspir/inj Intermed Jt/bur	$159.00	$245.00	$172.00–$208.00	73% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Rhc Inj/asp Inter Joint Rt	$149.00	$229.00	$160.00–$195.00	75% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 Rhc Inj/asp Inter Joint Lt	$149.00	$229.00	$160.00–$195.00	75% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis, Aspiration And/or Inject	$104.00	$160.00	$112.00–$136.00	75% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis/aspir/inj Sm Jt/bursa/cys	$196.00	$302.00	$211.00–$257.00	53% below	35%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Rhc Inj/asp Small Joint Rt	$118.00	$182.00	$127.00–$155.00	72% below	35%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 Rhc Inj/asp Small Joint Lt	$118.00	$182.00	$127.00–$155.00	72% below	35%
Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope	$3,626.00	$5,579.00	$3,905.00–$4,742.00	39% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer Clo Sclp/ax/trunk/extrem 2.5 Cm/le	$184.00	$283.00	$198.00–$241.00	65% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Rhc Inter Repair 2.5 Cm Or Less	$191.00	$294.00	$206.00–$250.00	64% below	35%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance	$900.00	$1,385.00	$969.00–$1,177.00	45% below	35%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection(s) of therapeutic substance	$402.00	$618.00	$433.00–$525.00	68% below	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance	$1,138.00	$1,750.00	$1,225.00–$1,488.00	22% below	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Rhc Excision-benign Lesion .5 Or Less	$207.00	$319.00	$223.00–$271.00	74% below	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Rhc Excision-benign Lesion 0.5cm Or Less	$190.00	$292.00	$204.00–$248.00	79% below	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Excision Benign Lesion Including Margins	$388.00	$597.00	$418.00–$507.00	57% below	35%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate, Each Addl Nail	$60.00	$92.00	$64.00–$78.00	78% below	35%
Nail removal (partial or complete), one nail CPT 11730 Rhc Removal Of Nail	$105.00	$162.00	$113.00–$138.00	62% below	35%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Part Complt Simpl	$133.00	$204.00	$143.00–$173.00	52% below	35%
Occipital nerve block (injection for headaches) CPT 64405 Inj, Anesthetic Agent, Occipital Nerve	$300.00	$462.00	$323.00–$393.00	30% below	35%
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis	$449.00	$691.00	$484.00–$587.00	69% below	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Rhc Exc & Matrix/ingrown Nail	$226.00	$347.00	$243.00–$295.00	51% below	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail&nail Matrix Partial/comple	$384.00	$590.00	$413.00–$502.00	17% below	35%
Removal of a breast lump, open surgery CPT 19120 Removal of one or more breast growth, open procedure	$3,255.00	$5,008.00	$3,506.00–$4,257.00	34% below	35%
Removal of a foreign object under the skin, simple CPT 10120 Rhc Inc & Rem F/b Simple	$177.00	$273.00	$191.00–$232.00	65% below	35%
Removal of a foreign object under the skin, simple CPT 10120 Incs & Remov Fb Subq Tiss Simpl	$254.00	$391.00	$274.00–$332.00	50% below	35%
Short arm cast (elbow to hand) CPT 29075 Rhc Apply Short Arm Cast	$97.00	$149.00	$104.00–$127.00	65% below	35%
Short arm cast (elbow to hand) CPT 29075 Cast Short Arm	$103.00	$159.00	$111.00–$135.00	63% below	35%
Short arm cast (elbow to hand) CPT 29075 Application;elbow To Finger(short Arm)	$145.00	$223.00	$156.00–$190.00	48% below	35%
Short arm cast (elbow to hand) CPT 29075 Ot/applic Cast; Elbow To Finger	$152.00	$234.00	$164.00–$199.00	46% below	35%
Short arm cast (elbow to hand) CPT 29075 Application;elbow To Finger (Short Arm)	$153.00	$235.00	$165.00–$200.00	45% below	35%
Short arm splint (forearm and hand) CPT 29125 Splint Short Arm	$46.00	$70.00	$49.00–$60.00	80% below	34%
Short arm splint (forearm and hand) CPT 29125 Rhc Apply Short Arm Splint	$110.00	$169.00	$118.00–$144.00	51% below	35%
Short arm splint (forearm and hand) CPT 29125 Applic Short Arm Splint Static	$118.00	$182.00	$127.00–$155.00	48% below	35%
Short arm splint (forearm and hand) CPT 29125 Ot/applic Short Arm Splint; Forearm-hand	$146.00	$225.00	$158.00–$191.00	35% below	35%
Short leg cast (below the knee) CPT 29405 Rhc Apply Short Leg Cast	$103.00	$159.00	$111.00–$135.00	70% below	35%
Short leg cast (below the knee) CPT 29405 Cast Short Leg	$105.00	$161.00	$113.00–$137.00	69% below	35%
Short leg cast (below the knee) CPT 29405 Applic Of Short Leg Cast-below Knee To T	$117.00	$180.00	$126.00–$153.00	66% below	35%
Short leg cast (below the knee) CPT 29405 Ot/applic Short Leg Cast, Knee-toes	$168.00	$259.00	$181.00–$220.00	50% below	35%
Short leg splint (calf to foot) CPT 29515 Splint Short Leg	$46.00	$70.00	$49.00–$60.00	82% below	34%
Short leg splint (calf to foot) CPT 29515 Rhc Apply Short Leg Splint	$112.00	$172.00	$120.00–$146.00	57% below	35%
Short leg splint (calf to foot) CPT 29515 Applic Short Leg Splint	$133.00	$205.00	$144.00–$174.00	49% below	35%
Short leg splint (calf to foot) CPT 29515 Ot/applic Short Leg Splint, Calf-foot	$149.00	$229.00	$160.00–$195.00	43% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rhc Simple Repair 2.5 Cm Or Less	$139.00	$214.00	$150.00–$182.00	62% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simpl Repr Sclp/ax/genit/trunk/extrem 2.	$164.00	$253.00	$177.00–$215.00	55% below	35%
Skin biopsy, punch, one lesion CPT 11104 Rhc Punch Biopsy Of Skin	$170.00	$261.00	$183.00–$222.00	59% below	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Rhc Excision-malig Lesion .5cm Or Less	$235.00	$361.00	$253.00–$307.00	81% below	35%
Skin tag removal, up to 15 tags CPT 11200 Rhc Remove Skin Tags Up To 15	$63.00	$97.00	$68.00–$82.00	79% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture, Diagnostic	$267.00	$411.00	$288.00–$349.00	74% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Dx	$371.00	$570.00	$399.00–$485.00	65% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Punct Lumbar Dx	$449.00	$690.00	$483.00–$587.00	57% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Rhc Lumbar Puncture	$472.00	$726.00	$508.00–$617.00	55% below	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rhc Simple Repair 2.6 Cm To 7.5 Cm	$147.00	$226.00	$158.00–$192.00	68% below	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simpl Repr Sclp/ax/genit/trunk/extrem 2.	$171.00	$263.00	$184.00–$224.00	62% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rhc Simple Repair 12.6 Cm To 20 Cm	$139.00	$214.00	$150.00–$182.00	64% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rhc Simple Repair 2.5 Cm Or Less	$147.00	$226.00	$158.00–$192.00	62% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simpl Repr Face/ears/nose/mucous Memb 2.	$164.00	$253.00	$177.00–$215.00	58% below	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Rhc Tangential Biopsy Of Skin Single Les	$143.00	$220.00	$154.00–$187.00	60% below	35%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis For Aspiration W/imaging	$865.00	$1,331.00	$932.00–$1,131.00	39% below	35%
Trigger finger release surgery CPT 26055 Rhc Tendon Sheath Incision	$1,037.00	$1,595.00	$1,117.00–$1,356.00	64% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point Sing/mult 1 Or 2muscle	$124.00	$190.00	$133.00–$162.00	72% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 Rhc Trigger Point Injection	$155.00	$238.00	$167.00–$202.00	65% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Single/mult Trigger Points 1-2 Muscl	$193.00	$297.00	$208.00–$252.00	56% below	35%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope	$2,464.00	$3,791.00	$2,654.00–$3,222.00	139% above	35%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$3,386.00	$5,209.00	$3,646.00–$4,428.00	216% above	35%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Obstetric care, planned vaginal delivery (post delivery by cesarean section)	$3,444.00	$5,298.00	$3,709.00–$4,503.00	57% below	35%
Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetric care, planned vaginal delivery	$3,218.00	$4,950.00	$3,465.00–$4,208.00	20% above	35%
Wart removal, up to 14 warts CPT 17110 Destruct Lesion 1-14	$49.00	$75.00	$53.00–$64.00	76% below	35%
Wart removal, up to 14 warts CPT 17110 Rhc Destruct 1-14 Flat Warts	$66.00	$102.00	$71.00–$87.00	67% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal Of Skin & Tissue 20 Sq Cm/<	$114.00	$175.00	$122.00–$149.00	89% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrid Skin & Subq Tiss	$315.00	$484.00	$339.00–$411.00	69% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20 Sq Cm/<	$436.00	$670.00	$469.00–$570.00	57% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Rhc Debridement, Subq Tissue 1st 20 Cm	$493.00	$759.00	$531.00–$645.00	51% below	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Bb Administrative Fee Per U	$780.00	$1,200.00	$840.00–$1,020.00	2% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rhc Nebulizer Treatment	$46.00	$70.00	$49.00–$60.00	77% below	34%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rhc Hand Held Nebulizer	$62.00	$95.00	$67.00–$81.00	70% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi W/aerosol Subsequent 2	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi W/aerosol	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi W/o Aerosol	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Trmt W/heliox	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ez Pap Treatment-initial	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ez Pap Treatment-subsequent	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi W/aerosol Subsequent 1	$397.00	$610.00	$427.00–$519.00	95% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol Treatment Additional	$397.00	$610.00	$427.00–$519.00	95% above	35%
Critical care, first 30 to 74 minutes CPT 99291 Er Critical Care Initial	$1,648.00	$2,535.00	$1,775.00–$2,155.00	35% below	35%
Critical care, first 30 to 74 minutes CPT 99291 Er Critical Care Initial Mod	$1,648.00	$2,535.00	$1,775.00–$2,155.00	35% below	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake And Drowsy	$601.00	$925.00	$648.00–$786.00	34% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Rhc Ekg	$117.00	$180.00	$126.00–$153.00	57% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg-routine W/12 Leads Interpt & Report	$142.00	$218.00	$153.00–$185.00	48% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg	$152.00	$234.00	$164.00–$199.00	44% below	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Visit E&m L1 Mod	$118.00	$182.00	$127.00–$155.00	50% below	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Visit E&m L1	$166.00	$255.00	$179.00–$217.00	29% below	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit E&m L2 Mod	$302.00	$465.00	$326.00–$395.00	33% below	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Visit E&m L2	$302.00	$465.00	$326.00–$395.00	33% below	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Sexual Assault Exam	$183.00	$282.00	$197.00–$240.00	76% below	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit E&m L3	$530.00	$815.00	$571.00–$693.00	31% below	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Visit E&m L3 Mod	$530.00	$815.00	$571.00–$693.00	31% below	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Visit E&m L4	$530.00	$815.00	$571.00–$693.00	59% below	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Visit E&m L4 Mod	$822.00	$1,265.00	$886.00–$1,075.00	37% below	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Visit E&m L5	$822.00	$1,265.00	$886.00–$1,075.00	54% below	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Visit E&m L5 Mod	$1,193.00	$1,835.00	$1,285.00–$1,560.00	33% below	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test	$652.00	$1,003.00	$702.00–$853.00	48% below	35%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy, including patient, 50 min	$130.00	$200.00	$140.00–$170.00	54% below	35%
Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy, not including patient, 50 min	$130.00	$200.00	$140.00–$170.00	50% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Infusion, Hydration	$133.00	$204.00	$143.00–$173.00	70% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Rhc Iv Infusion, Hydration 31-60 Min	$148.00	$227.00	$159.00–$193.00	67% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Intravenous Infusion, Hydration	$206.00	$317.00	$222.00–$269.00	54% below	35%
IV infusion of a medicine, first hour CPT 96365 Infus Therapy, Up To One Hour	$114.00	$176.00	$123.00–$150.00	75% below	35%
IV infusion of a medicine, first hour CPT 96365 Iv Infus Therap/dx-by Phys/supervs To 1	$143.00	$220.00	$154.00–$187.00	69% below	35%
IV infusion of a medicine, first hour CPT 96365 Rhc Iv Infusion, Therapy Up To 1 Hr	$166.00	$255.00	$179.00–$217.00	64% below	35%
IV infusion of a medicine, first hour CPT 96365 Infusion Therapy Other Than Chemo	$218.00	$335.00	$234.00–$285.00	53% below	35%
IV push of a medicine, first drug CPT 96374 Therapeutic,prophylatic,or Dx Injection	$133.00	$204.00	$143.00–$173.00	42% below	35%
IV push of a medicine, first drug CPT 96374 Therapeutic,prophylactic,or Dx Injection	$150.00	$231.00	$162.00–$196.00	34% below	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Dx Injection	$20.00	$30.00	$21.00–$26.00	86% below	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Rhc Inj Admin Im/subq	$20.00	$30.00	$21.00–$26.00	86% below	33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inj,subcutaneous Or Intramuscular	$49.00	$75.00	$53.00–$64.00	67% below	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection	$55.00	$85.00	$59.00–$72.00	63% below	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag Inj Sc/im	$59.00	$90.00	$63.00–$77.00	60% below	34%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Of Antibiotic	$104.00	$160.00	$112.00–$136.00	29% below	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Rhc Psychiatric Diagnostic Eval	$159.00	$244.00	$171.00–$207.00	59% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reeducation	$79.00	$121.00	$85.00–$103.00	30% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 Ot/neuromuscular Re-education	$86.00	$132.00	$92.00–$112.00	24% below	35%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min	$137.00	$210.00	$147.00–$179.00	34% below	35%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min	$211.00	$324.00	$227.00–$275.00	28% below	35%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min	$273.00	$420.00	$294.00–$357.00	5% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit Level 1 New Pt	$39.00	$60.00	$42.00–$51.00	74% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Visit Level 2 New Pt	$52.00	$80.00	$56.00–$68.00	65% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Rhc 99201 New Office Visit Limited	$55.00	$84.00	$59.00–$71.00	63% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Minimal Op Visit W/procedure	$68.00	$104.00	$73.00–$88.00	54% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Minimal Op Visit	$75.00	$116.00	$81.00–$99.00	50% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Rhc 99202 New Office Visit Expanded	$94.00	$144.00	$101.00–$122.00	37% below	35%
Occupational therapy evaluation, low complexity CPT 97165 Ot/eval Low Complex 30 Min	$164.00	$253.00	$177.00–$215.00	33% below	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min	$182.00	$280.00	$196.00–$238.00	37% below	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min	$140.00	$215.00	$151.00–$183.00	29% below	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min	$161.00	$247.00	$173.00–$210.00	32% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Joint Mobilize Per Unit	$57.00	$87.00	$61.00–$74.00	49% below	34%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot/manual Therapy 1/> Regions, Ea15mins	$68.00	$105.00	$74.00–$89.00	39% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Traction Set Up Min	$83.00	$128.00	$90.00–$109.00	25% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise	$72.00	$110.00	$77.00–$94.00	36% below	35%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years)	$159.00	$244.00	$171.00–$207.00	15% above	35%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years)	$194.00	$299.00	$209.00–$254.00	38% above	35%
Preventive checkup, new patient aged 65 or older CPT 99387 Int Preventive Visit New Pt Age 65-older	$39.00	$60.00	$42.00–$51.00	75% below	35%
Preventive checkup, new patient aged 65 or older CPT 99387 Rhc 99387 Prev Exam New Pt 65 Yrs And >	$205.00	$315.00	$221.00–$268.00	33% above	35%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Est Pt Age 18-39	$39.00	$60.00	$42.00–$51.00	63% below	35%
Preventive checkup, returning patient aged 18–39 CPT 99395 Rhc 99395 Prev Exam Est Pt 18-39 Yrs	$147.00	$226.00	$158.00–$192.00	38% above	35%
Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Preventive Est Pt Age 40-64	$39.00	$60.00	$42.00–$51.00	75% below	35%
Preventive checkup, returning patient aged 40–64 CPT 99396 Rhc 99396 Prev Exam Est Pt 40-64 Yrs	$156.00	$240.00	$168.00–$204.00	2% above	35%
Preventive checkup, returning patient aged 65 or older CPT 99397 Rhc 99397 Prev Exam Est Pt 65 Yrs And >	$164.00	$253.00	$177.00–$215.00	2% below	35%
Psychiatric evaluation with medical services CPT 90792 Rhc Psych Diag Eval W/med Services	$129.00	$198.00	$139.00–$168.00	61% below	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 Rhc Bh Psychotherapy, Crisis 60 Min	$156.00	$240.00	$168.00–$204.00	52% below	35%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min	$81.00	$124.00	$87.00–$105.00	57% below	35%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min	$111.00	$170.00	$119.00–$145.00	58% below	35%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min	$130.00	$200.00	$140.00–$170.00	53% below	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Rhc Smoke Cessation 3-10mins	$16.00	$24.00	$17.00–$20.00	63% below	33%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Visit Level 5 Est Pt	$65.00	$100.00	$70.00–$85.00	76% below	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Rhc 99215 Est Office Visit Comprehensive	$182.00	$280.00	$196.00–$238.00	33% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit Level 3 Est Pt	$52.00	$80.00	$56.00–$68.00	68% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Rhc 99213 Est Office Visit Expanded	$91.00	$140.00	$98.00–$119.00	44% below	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Visit Level 4 Est Pt	$59.00	$90.00	$63.00–$77.00	69% below	34%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Rhc 99214 Est Office Visit Detailed	$137.00	$210.00	$147.00–$179.00	29% below	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Visit Level 2 Est Pt	$46.00	$70.00	$49.00–$60.00	63% below	34%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Rhc 99212 Est Office Visit Limited	$55.00	$84.00	$59.00–$71.00	56% below	35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min	$139.00	$214.00	$150.00–$182.00	56% above	35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min	$198.00	$305.00	$214.00–$259.00	22% above	35%
Speech and language evaluation CPT 92523 Speech Therapy- Eval Of Language	$211.00	$325.00	$227.00–$276.00	38% below	35%
Speech and language evaluation CPT 92523 Speech Therapy- Evaluation	$296.00	$455.00	$319.00–$387.00	13% below	35%
Speech therapy session, individual CPT 92507 Speech Therapy- Per Visit	$164.00	$253.00	$177.00–$215.00	24% below	35%
Spirometry (breathing test) CPT 94010 Rhc Spirometry	$79.00	$122.00	$85.00–$104.00	78% below	35%
Spirometry (breathing test) CPT 94010 Pulmonary Function	$289.00	$445.00	$312.00–$378.00	19% below	35%
Spirometry before and after a bronchodilator CPT 94060 Bronchospsm Eval Spirom Pre & Post Bronc	$260.00	$400.00	$280.00–$340.00	56% below	35%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary Function B/abd	$585.00	$900.00	$630.00–$765.00	1% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pre-op Instruc	$50.00	$77.00	$54.00–$65.00	56% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot/therapeutic Activity/kinetic,ea 15min	$68.00	$105.00	$74.00–$89.00	40% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic/functional Training	$70.00	$107.00	$75.00–$91.00	38% below	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy, Therapeutic(seperate Proc)	$92.00	$142.00	$99.00–$121.00	55% below	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$237.00	$365.00	$255.00–$310.00	15% above	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Cl Varivax Subq Soln 1350pfu	$350.00	$539.00	$377.00–$458.00	29% below	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Cl Kinrix Im Susp 4-6 Years Only	$213.00	$327.00	$229.00–$278.00	213% above	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Cl Infanrix Im 25lfu-10lfu-58mcg/0.5ml	$39.00	$60.00	$42.00–$51.00	57% below	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Cl Daptacel Im Suspension	$155.00	$238.00	$167.00–$202.00	72% above	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphth Pertuss Acelltet < 7 Yrs	$157.00	$241.00	$169.00–$205.00	74% above	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Cl Pediarix Im Suspension	$223.00	$343.00	$240.00–$292.00	27% above	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 **Hep B/dp(a)/tet/polio(pediarix)clini	$223.00	$343.00	$240.00–$292.00	27% above	35%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Cl Pentacel Im Kit 6 Mos4 Years	$282.00	$434.00	$304.00–$369.00	1% above	35%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Cl Dtap/polio/hb/hep B (Vaxelis)	$114.00	$176.00	$123.00–$150.00	49% below	35%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Flu Blok 2024-25 (18+)	$90.00	$139.00	$97.00–$118.00	67% below	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Cl Hvp9 (Gardasil 9 Im Susp)	$572.00	$880.00	$616.00–$748.00	9% above	35%
Hepatitis A vaccine, adult dose CPT 90632 Cl Havrix Adult Inj 1440el U/ml	$49.00	$76.00	$53.00–$65.00	74% below	36%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Cl Vaqta Pedi Im Suspension 25u/0.5ml	$59.00	$91.00	$64.00–$77.00	37% below	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Cl Vaqta Pedi Im Sdv 25u/0.5ml	$129.00	$199.00	$139.00–$169.00	37% above	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hep A Pediatric 720el U/0.5ml (Havrix)	$140.00	$215.00	$151.00–$183.00	49% above	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Cl Engerix-b Im Adult 20mcg/1ml	$171.00	$263.00	$184.00–$224.00	2% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vacc 20mcg/1ml (Engerix)	$177.00	$272.00	$190.00–$231.00	2% above	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hypaque Per Bottle	$18.00	$28.00	$20.00–$24.00	79% below	36%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Cl Engerix-b Pediatric Im 10mcg/0.5ml	$72.00	$111.00	$78.00–$94.00	15% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B Vacc 10mcg/0.5ml Ped (Engerix-b)	$75.00	$116.00	$81.00–$99.00	11% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B Vacc 10mcg/0.5ml Inj (Engerix-b)	$79.00	$122.00	$85.00–$104.00	6% below	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib 3 Im Vacc (Pedvax)	$111.00	$171.00	$120.00–$145.00	52% above	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Cl Pedvaxhib Im Solution 7.5mcg/0.5ml	$283.00	$436.00	$305.00–$371.00	288% above	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Cl Acthib 3 Dose For Inj 10mcg	$68.00	$104.00	$73.00–$88.00	45% above	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Cl Acthib Powder For Inj 10mcg	$130.00	$200.00	$140.00–$170.00	177% above	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Zone Hd 2024-25 (65+)	$92.00	$141.00	$99.00–$120.00	38% below	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Cl Fluzone Hd Im Syr 180mcg/0.7ml	$146.00	$224.00	$157.00–$190.00	2% below	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Cl M-m-r Ii Subq Powder For Solution	$61.00	$94.00	$66.00–$80.00	75% below	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles,mumps & Rubella Vaccine	$220.00	$338.00	$237.00–$287.00	9% below	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Cl Proquad Subq Soln	$586.00	$901.00	$631.00–$766.00	140% above	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Cl Proquad Subq Powder For Suspension	$586.00	$901.00	$631.00–$766.00	140% above	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Cl Menactra Intramuscular Sus	$353.00	$543.00	$380.00–$462.00	at median	35%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Cl Menquadfi Sf 0.5 Ml	$98.00	$151.00	$106.00–$128.00	85% below	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Cl Meningococcal B (Bexsero)	$129.00	$199.00	$139.00–$169.00	79% below	35%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Cl Prevnar 13 Intramuscular Suspension	$244.00	$375.00	$263.00–$319.00	50% below	35%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13val Conj Vacc (Prevnar13)	$290.00	$446.00	$312.00–$379.00	41% below	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Cl Prevnar 20 Intramuscular Suspension	$212.00	$326.00	$228.00–$277.00	62% below	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20val Conj Vacc (Prevnar20)	$350.00	$539.00	$377.00–$458.00	38% below	35%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Cl Capvaxive Im (Pcv-21)	$366.00	$563.00	$394.00–$479.00	at median	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 0.5ml Vaccine (Pneumovax)	$171.00	$263.00	$184.00–$224.00	32% below	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumoccoccal 0.5ml Vaccine (Pneumovax)	$171.00	$263.00	$184.00–$224.00	32% below	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Cl Ppsv 23 (Pneumovax 23) Im	$252.00	$387.00	$271.00–$329.00	at median	35%
Polio vaccine, inactivated (IPV) CPT 90713 Cl Ipol Injection 80 D Antigen U/0.5ml	$59.00	$91.00	$64.00–$77.00	82% below	35%
Polio vaccine, inactivated (IPV) CPT 90713 Polio Vacc Killed (Ipol U/0.5ml-5 Ml)	$132.00	$203.00	$142.00–$173.00	60% below	35%
Rabies vaccine, one dose CPT 90675 Rabvert Vaccine	$95.00	$146.00	$102.00–$124.00	91% below	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Cl Rotateq Oral Suspension	$92.00	$141.00	$99.00–$120.00	11% below	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus Vac Oral Susp (Rotateq)	$149.00	$229.00	$160.00–$195.00	45% above	35%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Cl Zoster Susp 50mcg/0.5ml (Shingrix)	$133.00	$204.00	$143.00–$173.00	42% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Cl Tetanus/diphth Toxoids Ads(grifols)	$26.00	$40.00	$28.00–$34.00	77% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Cl Tetanus/diphther Im 5lf U-2lf U/0.5ml	$49.00	$76.00	$53.00–$65.00	57% below	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus/diphtheria Toxoid 0.5ml Charge	$137.00	$210.00	$147.00–$179.00	20% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl Adacel Im Susp >7yrs	$69.00	$106.00	$74.00–$90.00	46% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl Adacel Intramuscular Susp	$85.00	$130.00	$91.00–$111.00	34% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphth Pertuss Acell Tet > 7 Yrs	$88.00	$135.00	$95.00–$115.00	31% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Cl Boostrix Im Sus Adolescent/adult	$155.00	$238.00	$167.00–$202.00	21% above	35%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Cl Typhoid Vaccine Capsular (Typhim Vi)	$96.00	$148.00	$104.00–$126.00	78% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rhc Im Admin W/o Counseling 1st	$9.00	$14.00	$10.00–$12.00	88% below	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration	$44.00	$68.00	$48.00–$58.00	41% below	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Rhc Im Admin Each Addl	$10.00	$16.00	$11.00–$14.00	79% below	38%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://secure.claraprice.net/price-transparency/NWM3481600293/machine-readable/756003896_rolling-plains-memorial-hospital_standardcharges.json