SelfPayRates
Hospital Albany-Schenectady-Troy, NY

Cobleskill Regional Hospital

Cobleskill Regional Hospital in Cobleskill, NY publishes cash prices for 368 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 321 of 365 procedures and above it for 29. By typical cash price it ranks #29 of 115 New York hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

178 Grandview Drive Cobleskill, NY 12043 Collected Oct 20, 2026 Source price file Check a bill from this hospital (518) 254-3456

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 331320 · CMS hospital register NPI 1891862579

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Cobleskill Regional Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.

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 Cobleskill Regional Hospital in Cobleskill, NY:

  • Sep 17, 2024 Warning notice
  • Dec 17, 2024 Case closed
  • Jun 5, 2025 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

ProcedureCash priceList priceInsurers payvs New YorkOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abd W/O Foll by W/Cont $904.50 $3,350.00 $1,022.75–$997.68 31% below 73%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views $194.24 $719.40 $106.34–$9.41 24% below 73%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Ankle, Comp, Min 3 Views $131.94 $488.65 $111.59–$88.05 35% below 73%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Dop Art Ext 1-2 Levels Bil $141.75 $525.00 $128.90–$98.17 56% below 73%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/Out Contrast $678.05 $2,511.30 $106.34–$967.35 9% below 73%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esoph Scout Chst Sng Con $264.01 $977.82 $108.42–$977.82 23% below 73%
Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete $274.59 $1,017.00 $1,017.00–$988.38 15% below 73%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited $202.50 $750.00 $1,049.40–$991.10 20% below 73%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd & Pelv WO W Con $1,593.00 $5,900.00 $107.55–$8,270.00 9% below 73%
CT angiography (CTA) of the head CPT 70496 HC CT Angiography, Head $796.50 $2,950.00 $1,003.00–$991.20 35% below 73%
CT angiography (CTA) of the neck CPT 70498 HC CT Angiography Neck $1,003.44 $3,716.44 $1,040.60–$577.22 19% below 73%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angiography,Chest W&W/O Con $945.00 $3,500.00 $1,000.53–$970.21 27% below 73%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast $1,134.00 $4,200.00 $1,168.48–$93.66 1% below 73%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast $1,431.00 $5,300.00 $109.01–$6,823.00 9% below 73%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen Pelvis Wwo Con $1,566.00 $5,800.00 $138.11–$85.77 23% below 73%
CT scan of the abdomen with contrast CPT 74160 HC CT Abd W Contrast $833.65 $3,087.58 $1,017.67–$997.91 28% below 73%
CT scan of the abdomen without contrast CPT 74150 HC CT Abd W/O Contrast $678.05 $2,511.30 $1,048.73–$967.35 18% below 73%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/Out Contrast $654.54 $2,424.21 $106.34–$933.81 18% below 73%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain WO Contrast $648.00 $2,400.00 $106.34–$958.21 22% below 73%
CT scan of the head with contrast CPT 70460 HC CT Head/Brain W Contrast $837.00 $3,100.00 $1,001.92–$995.10 14% below 73%
CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain/W/O and W Contrast $1,081.13 $4,004.17 $1,193.19–$932.15 2% above 73%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine, W/O Contrast $702.00 $2,600.00 $1,001.52–$962.00 21% below 73%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine,W/O Contrast $648.00 $2,400.00 $106.34–$924.48 30% below 73%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast $742.50 $2,750.00 $1,000.45–$981.75 28% below 73%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Duplex Extracranial Cmp Bil $431.44 $1,597.92 $1,064.06–$919.76 34% below 73%
Chest CT scan without and with contrast CPT 71270 HC CT Thorax Diag WO W Con $810.00 $3,000.00 $1,008.00–$988.80 38% below 73%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views $114.48 $424.00 $111.59–$9.41 43% below 73%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View $93.96 $348.00 $10.10–$98.34 53% below 73%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Clavicle Complete $111.36 $412.46 $10.10–$88.05 45% below 73%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit,Real Time,Complete $314.25 $1,163.90 $1,047.48–$989.32 25% below 73%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Bone Density Total Body $199.57 $739.16 $101.00–$828.00 27% below 73%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Bone Density Peripheral $100.77 $373.24 $102.18–$99.20 30% below 73%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Preg+Detl Sngl1st Gest $110.16 $408.00 $1,023.00–$990.00 81% below 73%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diag WO Con $688.50 $2,550.00 $106.34–$982.26 20% below 73%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diag W Con $796.50 $2,950.00 $1,003.00–$991.20 39% below 73%
Diagnostic mammogram, both breasts CPT 77066 HC Mammo Diagnositc W Cad Bil $186.77 $691.74 $101.40–$97.97 21% below 73%
Diagnostic mammogram, one breast CPT 77065 HC Mammo Diagnositc W Cad Uni $148.36 $549.48 $101.40–$97.97 47% below 73%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Arterial Duplex Lower Extrem.(Bilat.) $445.81 $1,651.15 $1,041.20–$950.40 — 73%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Venous Duplex Scan Lower or Upper Extrem Bilat $445.81 $1,651.15 $1,082.96–$950.40 — 73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W or WO Fol W Con Doppler $688.35 $2,549.45 $1,001.31–$943.30 38% below 73%
Elbow X-ray, 2 views CPT 73070 HC Elbow, 2 Views, Ap & Lat $91.25 $337.96 $10.10–$99.36 55% below 73%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow,Comp, Min 3 Views $113.06 $418.74 $111.59–$88.05 44% below 73%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Ear/Fossa WO Con $641.87 $2,377.29 $1,048.73–$915.73 14% below 73%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones 3+ Views $136.00 $503.72 $106.34–$752.82 50% below 73%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm, 2 Views, Ap & Lat $108.28 $401.03 $10.10–$88.05 46% below 73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary System Imaging $432.00 $1,600.01 $104.78–$920.97 58% below 73%
Hand X-ray, 2 views CPT 73120 HC Hand Two Views $83.70 $310.00 $10.10–$99.20 60% below 73%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Calcaneus 2 Views $90.59 $335.53 $10.10–$98.65 53% below 73%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study,Unattended $296.58 $1,098.44 $1,021.52–$988.60 25% below 73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W/Cpap 6 Yrs or Older $774.08 $2,866.97 $1,017.39–$990.82 64% below 73%
Knee X-ray, 3 views CPT 73562 HC Knee 3 Views $128.04 $474.22 $111.59–$9.41 38% below 73%
Knee X-ray, complete, 4 or more views CPT 73564 HC Knee Complete 4 Views $157.86 $584.65 $106.34–$688.00 43% below 73%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Ext,W/O Contrast $634.50 $2,350.00 $1,048.73–$905.22 15% below 73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited $276.96 $1,025.76 $1,025.76–$98.30 27% below 73%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Xtr Non-Vasc Lmtd $205.97 $762.86 $10.32–$9.97 24% below 73%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thor Lung Ca Scr WO Con $784.89 $2,907.00 $1,004.66–$998.26 80% above 73%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Tibia/Fibula 2 Views $108.28 $401.03 $10.10–$88.05 46% below 73%
MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angiography Head WO Con $955.84 $3,540.16 $1,010.00–$991.24 24% below 73%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Low Extrem Jnt WO Con $994.95 $3,685.00 $1,001.32–$972.16 17% below 73%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Low Extrm Jnt WO W Con $1,175.85 $4,354.99 $1,010.00–$681.75 42% below 73%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Contrast $1,034.61 $3,831.90 $1,010.00–$681.75 5% below 73%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen WO W Contrast $1,214.98 $4,499.94 $1,010.00–$681.75 28% below 73%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast $913.26 $3,382.43 $1,010.00–$994.43 22% below 73%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O Follwed by W/Contrast $1,215.21 $4,500.78 $1,010.00–$681.75 31% below 73%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast $919.38 $3,405.11 $1,001.10–$982.03 30% below 73%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine Canal, W/WO Contrast $1,232.24 $4,563.85 $1,010.00–$681.75 31% below 73%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contrast $877.50 $3,250.00 $1,007.50–$963.60 32% below 73%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cerv Spine Canal W/WO Contrast $1,278.17 $4,733.95 $1,010.00–$681.75 23% below 73%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine Canal W/O Contrast $929.68 $3,443.25 $1,010.00–$993.03 30% below 73%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/WO Contrast $1,175.85 $4,354.99 $1,010.00–$681.75 27% below 73%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast $876.15 $3,245.00 $1,005.95–$997.58 18% below 73%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upp Extrem Jnt WO Contrast $891.00 $3,300.00 $1,010.00–$989.00 31% below 73%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Spine Cervical 4 or 5 Viewsher $200.97 $744.32 $106.34–$76.85 29% below 73%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Soft Tissue Neck,W/Contrast $727.65 $2,695.00 $103.02–$997.15 28% below 73%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Soft Tissue Neck,W/O Contrast $655.97 $2,429.52 $106.34–$940.23 19% below 73%
Neck soft tissue X-ray CPT 70360 HC Neck Soft Tissue $120.80 $447.42 $10.10–$88.05 40% below 73%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast $705.47 $2,612.85 $1,006.47–$966.75 15% below 73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US,Pelvic (Nonobstetric),Real Time,Limited $242.72 $898.96 $106.34–$951.00 19% below 73%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US,Pelvic (Nonobstetric),Real Time,Complete $302.01 $1,118.54 $1,006.69–$98.30 24% below 73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Preg=>14wk Sng 1st Ges $222.75 $825.00 $1,012.79–$98.30 41% below 73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Preg<14wk Sngl1st Gest $209.25 $775.00 $1,049.40–$991.10 41% below 73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Preg 1 or >Fetuses Ltd $144.45 $535.00 $106.34–$758.00 50% below 73%
Rib X-ray, one side, 2 views CPT 71100 HC Ribs 2 Views Uni $145.48 $538.83 $111.59–$9.41 31% below 73%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Ribs/Chest 3 Views Uni $186.54 $690.89 $10.61–$690.89 29% below 73%
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad $165.57 $613.23 $101.40–$97.97 — 73%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Comp, Min 2 Views $204.10 $755.92 $111.59–$9.41 3% below 73%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses 3+ Views $129.43 $479.37 $111.59–$88.05 38% below 73%
Skull X-ray, fewer than 4 views CPT 70250 HC Skull <4 Views $116.31 $430.77 $103.85–$9.41 50% below 73%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysom >6yr W 4/> Param $732.61 $2,713.36 $1,003.94–$937.74 65% below 73%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallow Func Cine/Video Wcon $175.50 $650.00 $12.12–$933.00 52% below 73%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-Ray Exam of Femur 2 Minimum $120.42 $445.99 $11.86–$9.88 38% below 73%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine,W/O Contrast $673.88 $2,495.84 $1,012.46–$961.40 24% below 73%
Toe X-ray, 2 or more views CPT 73660 HC Toes, Min 2 Views $79.65 $295.00 $10.23–$99.12 53% below 73%
Transvaginal pelvic ultrasound CPT 76830 HC Ultrasound Pelvis,Transvaginal $268.05 $992.77 $1,005.75–$992.77 30% below 73%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US, Obstetric $168.75 $625.00 $106.34–$98.30 42% below 73%
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete $425.03 $1,574.20 $106.34–$98.30 10% below 73%
Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents $252.32 $934.52 $1,022.92–$98.30 31% below 73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time $243.00 $900.00 $1,053.30–$987.83 34% below 73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi/Scout Abd Sng Con $261.37 $968.03 $1,003.00–$968.03 38% below 73%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus Min 2 Views $109.67 $406.18 $10.10–$88.05 46% below 73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Venous Duplex Scan Lower or Upper Extrem Unilat $317.59 $1,176.27 $1,005.75–$999.83 13% below 73%
Wrist X-ray, 2 views CPT 73100 HC Wrist, 2 Views, Ap & Lat $89.10 $330.00 $10.10–$99.64 54% below 73%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist, Comp, Min 3 Views $113.06 $418.74 $111.59–$88.05 44% below 73%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views $165.89 $614.42 $111.59–$88.05 28% below 73%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View $112.73 $417.52 $10.10–$88.05 46% below 73%
X-ray of the ankle, 2 views CPT 73600 HC Ankle Two Views $104.78 $388.08 $10.10–$88.05 46% below 73%
X-ray of the finger(s), 2 or more views CPT 73140 HC Finger, Min 2 Views $86.40 $320.00 $10.23–$99.20 52% below 73%
X-ray of the foot, 2 views CPT 73620 HC Foot Two Views $100.48 $372.16 $10.10–$88.05 49% below 73%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Foot Comp, Min 3 Views $131.66 $487.62 $111.59–$88.05 35% below 73%
X-ray of the hand, 3 or more views CPT 73130 HC Hand Two Views $113.06 $418.74 $111.59–$88.05 46% below 73%
X-ray of the knee, 1 or 2 views CPT 73560 HC Knee 1 or 2 Views $96.33 $356.77 $10.10–$99.96 53% below 73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Spine Lumbosacral 2 or 3 View $145.02 $537.11 $106.34–$9.41 47% below 73%
X-ray of the lower back, 4 or more views CPT 72110 HC Spine Lumbosacral 4+ Views $232.60 $861.47 $106.34–$933.00 23% below 73%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Spine Thoracic Two Views Her $111.06 $411.33 $106.34–$9.41 50% below 73%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones 3+ Views $109.17 $404.34 $111.59–$9.41 46% below 73%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Spine Cervical 2-3 Vws $129.17 $478.41 $111.59–$9.41 39% below 73%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis 1 or 2 View $129.99 $481.44 $106.34–$7.84 43% below 73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacroiliac, Min 3 Views $96.33 $356.77 $102.96–$99.96 52% below 73%

Lab tests

ProcedureCash priceList priceInsurers payvs New YorkOff list
ACTH blood test CPT 82024 HC Adrneocorticotrophic Hormone(Acth) $71.31 $264.10 $151.57–$97.72 50% below 73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Aminot(Alt/Sgpt) $25.08 $92.90 $10.16–$92.90 8% above 73%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase, Aspartate $25.08 $92.90 $10.16–$92.90 4% above 73%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel $82.42 $305.25 $100.61–$98.66 53% below 73%
Albumin blood test CPT 82040 HC Albumin Ref $7.09 $26.25 $10.64–$9.90 61% below 73%
Albumin blood test CPT 82040 HC Albumin $12.92 $47.84 $10.64–$9.90 29% below 73%
Aldosterone blood test CPT 82088 HC Aldosterone (Serum) $89.06 $329.86 $102.26–$99.75 29% below 73%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Phosphatase,Alkaline Ref $10.75 $39.80 $10.16–$6.86 47% below 73%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Phosphatase,Alkaline $14.89 $55.15 $10.16–$6.86 26% below 73%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Assay of Glycated Protein $4.68 $17.32 $11.29–$9.97 71% below 73%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allg Spec Ige Crude Xtrc Ea Ref $12.14 $44.97 $12.59–$8.29 24% below 73%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige Each Allergen $12.14 $44.97 $12.59–$8.29 24% below 73%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha Fetoprotein - Tm $49.55 $183.53 $105.33–$9.84 20% below 73%
Ammonia blood test CPT 82140 HC Ammonia (Sat24) $50.10 $185.56 $106.49–$8.55 7% below 73%
Ammonia blood test CPT 82140 HC Ammonia $50.10 $185.56 $106.49–$8.55 7% below 73%
Amylase blood test CPT 82150 HC Amylase, Pancreatic Cyst Ref $30.23 $111.98 $10.16–$95.18 at median 73%
Amylase blood test CPT 82150 HC Amylase $30.23 $111.98 $10.16–$95.18 at median 73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODIES,IgG $16.14 $59.79 $11.27–$7.80 66% below 73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide (CCP) Antibodies $29.84 $110.53 $102.79–$99.48 38% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Ab S $8.92 $33.03 $10.24–$9.99 80% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies $41.19 $152.57 $10.50–$99.41 8% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Aild $41.20 $152.58 $10.50–$99.42 8% below 73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies, HEp-2 Substrate, IgG, S REF $41.20 $152.58 $10.50–$99.42 8% below 73%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide $57.62 $213.40 $122.47–$78.96 53% below 73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Bact Any Other Source $55.53 $205.67 $11.11–$9.88 74% above 73%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel $62.07 $229.89 $131.93–$9.89 7% above 73%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total, Fibrotest $4.07 $15.07 $10.04–$9.82 82% below 73%
Bilirubin blood test, total CPT 82247 HC Bilirubin,Total $14.89 $55.15 $10.04–$6.78 34% below 73%
Bilirubin blood test, total CPT 82247 HC Bilirubin,Total Body Fluid Qual $14.89 $55.15 $10.04–$6.78 34% below 73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Level IV Gross & Micro $106.05 $392.78 $109.98–$98.15 31% below 73%
Blood culture for bacteria CPT 87040 HC Culture Bact Blood $53.72 $198.97 $10.32–$9.88 20% below 73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Lab Specimen Collection $9.19 $34.02 $1.28–$9.82 39% below 73%
Blood glucose (sugar) test CPT 82947 HC Glucose,Quantitative Blood $26.57 $98.40 $2.30–$98.40 48% above 73%
Blood lead test CPT 83655 HC Lead -POCT $5.63 $20.84 $10.54–$7.71 87% below 73%
Blood lead test CPT 83655 HC Lead Heavymetals Screen $5.63 $20.84 $10.54–$7.71 87% below 73%
Blood lead test CPT 83655 HC Lead, Capillary, w/ Demographics, B REF $8.10 $30.00 $10.08–$9.89 82% below 73%
Blood lead test CPT 83655 HC Heavy Metals Scrn, Occ Exp, Ru $47.05 $174.27 $10.54–$7.10 7% above 73%
Blood lead test CPT 83655 HC Assay of Lead Ref $47.05 $174.27 $10.54–$7.10 7% above 73%
Blood lead test CPT 83655 HC Heavy Metals, 24 Hr Urine $47.05 $174.27 $10.54–$7.10 7% above 73%
Blood lead test CPT 83655 HC Lead,Venous, W/Demographics B Ref $47.05 $174.27 $10.54–$7.10 7% above 73%
Blood lead test CPT 83655 HC Heavy Metals Screen $47.05 $174.27 $10.54–$7.10 7% above 73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin Chorionic Qualitative $15.93 $58.99 $16.52–$8.12 50% below 73%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin Chorionic Qual-Serum $49.27 $182.47 $104.72–$8.12 54% above 73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo $35.63 $131.96 $1.75–$99.66 77% below 73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo (Forward) $35.63 $131.96 $1.75–$99.66 77% below 73%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen;Quantitative(Sidl-Istat) POC $23.38 $86.58 $2.31–$86.58 5% above 73%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen;Quant (Post Dialysis) $23.38 $86.58 $2.31–$86.58 5% above 73%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen;Quantitative $23.38 $86.58 $2.31–$86.58 5% above 73%
C-peptide blood test CPT 84681 HC C-Peptide $43.72 $161.92 $105.51–$93.20 49% below 73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein $26.44 $97.94 $27.42–$97.94 at median 73%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe Ref $31.05 $115.00 $103.50–$97.75 75% below 73%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Direct (Diasorin) $40.35 $149.46 $101.59–$97.39 68% below 73%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Infectious Agent Ag-C Diff Toxin $100.19 $371.07 $103.90–$40.25 20% below 73%
CA 19-9 blood test (tumor marker) CPT 86301 HC Ca 19-19,Pancreatic Cyst Ref $21.15 $78.34 $12.21–$78.34 72% below 73%
CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Antigen 19-9 $47.63 $176.42 $101.25–$65.28 37% below 73%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay-Tumor Ag Ca-125 $40.95 $151.68 $103.10–$98.83 47% below 73%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Cancer Antigen 125, Serum $40.95 $151.68 $103.10–$98.83 47% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR REF $25.65 $95.00 $26.60–$95.00 73% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR (Quest - Emp) REF $35.10 $130.00 $102.14–$98.18 63% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-CoV-2 by PCR (Quest - Res) REF $35.10 $130.00 $102.14–$98.18 63% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid-19 Direct (Diasorin) $49.53 $183.45 $105.28–$69.28 47% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19-ID NOW - Community Testing $57.90 $214.43 $123.06–$78.74 38% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid19 $57.90 $214.43 $123.06–$78.74 38% below 73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID 19(ADSCIS) ref $57.90 $214.43 $123.06–$78.74 38% below 73%
Calcium blood test, total CPT 82310 HC Calcium Total $17.54 $64.95 $10.16–$64.95 31% below 73%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembyonic Antigen-Ref (Mib) Lab721 $47.95 $177.60 $124.59–$65.71 41% below 73%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembyonic Antigen-Misc $47.95 $177.60 $101.92–$65.71 41% below 73%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembyonic Antigen-Ref (Mib) Lab721 $47.95 $177.60 $124.59–$65.71 41% below 73%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Cea, Pancreatic Cyst Ref $64.99 $240.72 $11.13–$89.07 20% below 73%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembyonic Antigen $64.99 $240.72 $11.13–$89.07 20% below 73%
Chickenpox (varicella) immunity blood test CPT 86787 HC Antibody, Varicella-Zoster, Ref $41.61 $154.12 $10.95–$9.73 8% below 73%
Chickenpox (varicella) immunity blood test CPT 86787 HC Herpes Zoster Iggigm $41.61 $154.12 $10.95–$9.73 8% below 73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Trach,Misc, Amplified Rna Ref $10.94 $40.50 $11.34–$48.70 88% below 73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C Trach Misc Amplified Rna $51.77 $191.75 $110.05–$70.95 45% below 73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Trachomatis $51.77 $191.75 $110.05–$70.95 45% below 73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C.Trach,Misc,Amplified Rna Ref $51.77 $191.75 $110.05–$70.95 45% below 73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel(Cvp) $90.19 $334.02 $100.07–$98.20 33% above 73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid REF $90.19 $334.02 $100.07–$98.20 33% above 73%
Complete blood count (CBC) with differential CPT 85025 HC Blood Count Auto W/Auto Diff $41.47 $153.61 $100.09–$88.42 1% above 73%
Complete blood count (CBC), no differential CPT 85027 HC Blood Count Automated $28.39 $105.15 $105.15–$97.79 1% below 73%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel $97.04 $359.42 $10.10–$9.19 35% above 73%
Cortisol blood test, total CPT 82533 HC Cortisol, Serum $8.76 $32.46 $10.06–$9.82 82% below 73%
Cortisol blood test, total CPT 82533 HC Cortisol Total Saliva $50.80 $188.14 $107.97–$9.57 4% above 73%
Cortisol blood test, total CPT 82533 HC Cortisol Serum $50.80 $188.14 $107.97–$9.57 4% above 73%
Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase(CK),S Ref $24.96 $92.46 $10.16–$92.46 at median 73%
Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase (CK)(Cpk)Total $24.96 $92.46 $10.16–$92.46 at median 73%
Creatinine blood test CPT 82565 HC Creatinine Blood $23.38 $86.58 $10.16–$86.58 5% below 73%
Creatinine blood test CPT 82565 HC Creatinine,Blood $23.38 $86.58 $10.16–$86.58 5% below 73%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Torch Profile,Igg,S $15.15 $56.12 $12.53–$8.48 71% below 73%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cytomegalovirus Ab Igg $33.89 $125.51 $100.41–$98.61 35% below 73%
D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer, P $35.07 $129.90 $10.18–$98.10 7% below 73%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Deg Prob;D-Dimer Quant $38.11 $141.15 $10.18–$99.02 1% above 73%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone(Dhea,Sulfate) $69.59 $257.73 $13.05–$95.36 18% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethyl Glucuronide Screen, U REF $17.34 $64.21 $10.23–$9.09 86% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Controlled Substance Monitoring, U REF $31.92 $118.24 $10.23–$99.61 74% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Hypoglycemic Agent Scrn,S $33.52 $124.15 $10.23–$99.32 73% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen, Prescription/Otc, S $91.85 $340.20 $10.23–$98.11 25% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drugs of Abuse Screen, Meconium 5 $91.85 $340.20 $10.23–$98.11 25% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Drug Test(S) Presumptive-Ref $91.85 $340.20 $10.23–$98.11 25% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Screen, Presc/Otc, U $91.85 $340.20 $10.23–$98.11 25% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC-Pain Management Drug Panel (Arup) $91.85 $340.19 $10.23–$98.11 25% below 73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Ethyl Glucuronide Screen, U REF $91.85 $340.20 $10.23–$98.11 25% below 73%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electroylte Panel $30.90 $114.43 $102.99–$97.27 1% below 73%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Antibody Evbcapsid(Ebvc) $28.95 $107.21 $10.05–$99.71 36% below 73%
Estradiol blood test CPT 82670 HC Estradiol, Mass Spectrometry, S $13.04 $48.29 $13.52–$62.87 87% below 73%
Estradiol blood test CPT 82670 HC Estradiol $66.53 $246.39 $141.40–$91.16 35% below 73%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Horm $79.05 $292.78 $10.91–$99.55 5% above 73%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin,Fecal $90.74 $336.08 $100.69–$98.81 at median 73%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin-Serum $55.67 $206.18 $11.86–$76.29 8% below 73%
Fibrinogen blood test CPT 85384 HC Fibrinogen $37.85 $140.20 $10.01–$98.35 at median 73%
Fibrinogen blood test CPT 85384 HC Fibrinogen Quant $75.43 $279.36 $10.01–$99.73 99% above 73%
Folate (folic acid) blood test CPT 82746 HC Folic Acid-Serum $51.36 $190.24 $109.18–$8.83 7% below 73%
Free T3 thyroid hormone test CPT 84481 HC T3 (Triiodothyronine), Free, Serum $32.71 $121.13 $10.91–$96.90 56% below 73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Thyroxin Free $63.19 $234.02 $10.80–$9.74 32% above 73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 (Thyroxine), Free by Dialysis, Serum $63.19 $234.02 $10.80–$9.74 32% above 73%
Free testosterone test CPT 84402 HC Testosterone Free $22.09 $81.80 $14.94–$81.80 76% below 73%
Free testosterone test CPT 84402 HC Testosterone, Total, Bio, Free $38.13 $141.24 $105.93–$99.08 59% below 73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Glutamyl Transferase Gamma(Ggt) $22.13 $81.96 $10.16–$81.96 18% below 73%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel $156.81 $580.77 $116.15–$580.77 at median 73%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose;Post Glucose Dose $50.19 $185.90 $10.21–$9.50 137% above 73%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tol Test 3 Spec $68.95 $255.38 $11.20–$94.49 20% above 73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorr,Misc,Amplified Rna Ref $50.94 $188.66 $108.27–$69.80 49% below 73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Detection;Ng;Amp Pro $50.94 $188.66 $108.27–$69.80 49% below 73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Iadna Neisseria Gonorrhoeae Amplified Probe Tq Cgrna $50.94 $188.66 $108.27–$69.80 49% below 73%
H. pylori antibody blood test CPT 86677 HC Antibody H Pylori Igg $9.13 $33.81 $10.13–$9.94 83% below 73%
H. pylori antibody blood test CPT 86677 HC Antibody H Pylori Igm $15.39 $57.00 $10.95–$8.82 71% below 73%
H. pylori antibody blood test CPT 86677 HC H. Pylori Ab Igg Igm Iga S $15.39 $57.00 $10.95–$8.82 71% below 73%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Ab $35.97 $133.24 $10.95–$99.93 31% below 73%
H. pylori stool antigen test CPT 87338 HC Infectious Agnet-Ag H Pylori Stool(Hpag) $41.47 $153.61 $10.95–$9.73 22% below 73%
HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody, Hiv-1 and Hiv-2,Single Assay $24.39 $90.35 $104.84–$93.93 51% below 73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W Hiv-1/2 Abs, Expidited $24.39 $90.35 $18.67–$90.35 66% below 73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1/-2 Ag & Ab Screen, P $28.67 $106.18 $106.18–$98.75 60% below 73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Ag W Hiv-1/2 Abs, Single $28.67 $106.18 $106.18–$98.75 60% below 73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Human Papillomavirus High Risk $50.66 $187.63 $107.68–$69.42 47% below 73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin;Glycated $30.34 $112.37 $10.00–$95.51 15% below 73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin;Glycated POC $30.34 $112.37 $10.00–$95.51 15% below 73%
Hemoglobin blood test CPT 85018 HC Blood Count Hemoglobin $14.43 $53.45 $1.39–$53.45 at median 73%
Hemoglobin blood test CPT 85018 HC POCT Hemoglobin Hemocue $14.43 $53.45 $1.39–$58.80 at median 73%
Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis Bc Ab, Igg & Igm $8.74 $32.36 $10.03–$9.79 80% below 73%
Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Ab Total $29.58 $109.56 $10.20–$98.60 34% below 73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody, Qual/Quant, Serum $9.20 $34.08 $10.02–$9.83 77% below 73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab $37.30 $138.14 $10.20–$96.91 5% below 73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen, Serum $8.76 $32.46 $10.06–$9.82 77% below 73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Infectious Agent(HEP B SURF AG) $42.17 $156.18 $10.33–$89.90 13% above 73%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody $59.57 $220.62 $10.10–$81.63 13% above 73%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody W/ Reflex to Hcv Pcr, Serum $59.57 $220.62 $10.10–$81.63 13% above 73%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Infectious Agent;Hep C Rna-Quant $74.32 $275.26 $100.14–$99.09 45% below 73%
Herpes blood test, HSV-1 antibody CPT 86695 HC Hsv Types 1 and 2 Ab Igg $21.62 $80.09 $11.48–$80.09 45% below 73%
Herpes blood test, HSV-1 antibody CPT 86695 HC Torch Profile,Igg,S $21.62 $80.09 $11.48–$80.09 45% below 73%
Herpes blood test, HSV-2 antibody CPT 86696 HC Hsv Types 1 and 2 Ab Igg $41.27 $152.86 $103.90–$99.60 29% below 73%
Herpes blood test, HSV-2 antibody CPT 86696 HC Torch Profile,Igg,S $41.27 $152.86 $103.90–$99.60 29% below 73%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity $22.27 $82.47 $10.35–$82.47 53% below 73%
Homocysteine blood test CPT 83090 HC Homocystine (Urine) $25.00 $92.60 $15.60–$92.60 66% below 73%
Homocysteine blood test CPT 83090 HC Homocystine(Hcs/Mahcs) $31.73 $117.52 $105.77–$99.89 57% below 73%
Insulin blood test CPT 83525 HC Insulin, Total $32.29 $119.59 $101.64–$95.67 23% below 73%
Insulin blood test CPT 83525 HC Insulin, Total, S Ref $32.29 $119.59 $101.65–$95.67 23% below 73%
Iron blood test (serum iron) CPT 83540 HC Ironliver Tissue $23.40 $86.65 $10.16–$86.65 9% below 73%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron (REF) $30.34 $112.37 $10.16–$95.51 18% above 73%
Iron blood test (serum iron) CPT 83540 HC Iron $30.34 $112.37 $10.16–$95.51 18% above 73%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity(Tibc) $35.75 $132.39 $10.16–$99.98 11% below 73%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test (REF) $35.75 $132.39 $10.16–$99.98 11% below 73%
Kidney function blood test panel CPT 80069 HC Renal Function Panel $74.32 $275.25 $10.42–$99.09 10% above 73%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone $77.16 $285.79 $10.87–$98.77 at median 73%
Lactate (lactic acid) blood test CPT 83605 HC Lactate POC $24.77 $91.75 $10.07–$91.75 39% below 73%
Lactate (lactic acid) blood test CPT 83605 HC Lactate $24.77 $91.75 $10.07–$91.75 39% below 73%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lacate Dehydrogenase (Ld/Ldh) $20.60 $76.29 $10.16–$76.29 8% below 73%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase $28.11 $104.12 $104.12–$96.83 at median 73%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel $55.11 $204.12 $117.14–$9.89 3% below 73%
Lyme disease antibody test CPT 86618 HC Lyme Disease Serology, S Ref(Ticks) $45.93 $170.10 $10.00–$97.91 at median 73%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibodies (Igg/Igm) $45.93 $170.10 $10.00–$97.91 at median 73%
Lyme disease antibody test CPT 86618 HC Lyme Disease Serology Eval $45.93 $170.10 $10.00–$97.91 at median 73%
Magnesium blood test CPT 83735 HC Magnesium(Sat24) $21.71 $80.41 $10.16–$80.41 12% below 73%
Magnesium blood test CPT 83735 HC Magnesium $21.71 $80.41 $10.16–$80.41 12% below 73%
Measles (rubeola) antibody test CPT 86765 HC Antibody,Rubeola $15.72 $58.23 $12.88–$58.23 66% below 73%
Measles (rubeola) antibody test CPT 86765 HC Measles (Rubeola) Antibody Igg $44.65 $165.37 $107.76–$95.19 3% below 73%
Measles (rubeola) antibody test CPT 86765 HC Rubeola Ab (Igm) Titer, If $44.65 $165.37 $107.76–$95.19 3% below 73%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Ab,Screen $37.58 $139.17 $10.27–$97.63 7% above 73%
Mumps immunity blood test CPT 86735 HC Antibody Mumps(Serum) $42.43 $157.16 $10.95–$90.46 at median 73%
Mumps immunity blood test CPT 86735 HC Antibody Mumps(Igg) $42.43 $157.16 $10.95–$90.46 at median 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen Free Monitoring $49.82 $184.53 $10.79–$68.28 25% below 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Spec Ag Free Ref $49.82 $184.53 $10.79–$68.28 25% below 73%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Spec Ag Free Screening $49.82 $184.53 $10.79–$68.28 25% below 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Ag; Total,Monitoring $49.69 $184.02 $10.79–$68.09 25% below 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa, Total Ref $49.69 $184.02 $10.79–$68.09 25% below 73%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Ag; Total,Screen $49.69 $184.02 $10.79–$68.09 25% below 73%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath W/Auto Sc- Routine (Cerv or Vag) $64.38 $238.44 $136.84–$88.22 5% below 73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Scrn Pap,Thinprep W/Reflx $38.97 $144.33 $101.02–$99.57 44% below 73%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathyroid Hormone (Pth) $59.11 $218.93 $125.64–$92.88 60% below 73%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone(Parathyroid Hormone) $59.11 $218.93 $125.64–$92.88 60% below 73%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial $29.78 $110.31 $102.59–$99.28 29% above 73%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lupus Anticoagulant Profile $29.78 $110.31 $102.59–$99.28 29% above 73%
Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus Inorganic(Phosphate) $18.65 $69.07 $10.19–$9.48 8% below 73%
Potassium blood test CPT 84132 HC Potassium Serum $16.70 $61.85 $10.23–$9.52 27% below 73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Non-Invasive Prenatal Testing for Fetal Aneuploidy REF $695.06 $2,574.30 $1,477.39–$952.49 39% below 73%
Progesterone blood test CPT 84144 HC Progesterone Serum $85.73 $317.52 $101.61–$98.43 at median 73%
Progesterone blood test CPT 84144 HC Progesterone $85.73 $317.52 $101.61–$98.43 at median 73%
Prolactin blood test CPT 84146 HC Prolactin $65.69 $243.30 $11.37–$90.02 9% below 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time Fspt $14.33 $53.08 $13.74–$8.89 4% below 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time $24.22 $89.69 $2.31–$89.69 61% above 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Ref $24.22 $89.69 $2.31–$89.69 61% above 73%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Pt/Inr Coagucheck $24.22 $89.69 $2.31–$89.69 61% above 73%
Rapid flu test (influenza antigen) CPT 87804 HC Infectious Agent Ag - Flu $22.32 $82.66 $14.41–$82.66 45% below 73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC POCT Rapid Strep A $13.01 $48.19 $13.49–$8.52 67% below 73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Infectious Agentstrep Group A $13.01 $48.19 $13.49–$8.52 67% below 73%
Renin blood test CPT 84244 HC Renin Activity $81.14 $300.51 $100.97–$99.05 at median 73%
Rh blood typing CPT 86901 HC Arc Rh Charge $6.08 $22.50 $12.91–$8.33 88% below 73%
Rh blood typing CPT 86901 HC Blood Typing Rh(D) $23.94 $88.66 $2.99–$88.66 52% below 73%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatiod Factor Quant REF $7.44 $27.54 $10.02–$9.91 64% below 73%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatiod Factor Quantitative $27.56 $102.06 $10.50–$94.92 32% above 73%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab, Igg, S $8.64 $32.00 $10.24–$9.92 80% below 73%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Ref $25.05 $92.78 $12.53–$92.78 43% below 73%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Ab Igg $25.05 $92.78 $12.53–$92.78 43% below 73%
Rubella antibody test (immunity check) CPT 86762 HC Torch Profile,Igg,S $25.05 $92.78 $12.53–$92.78 43% below 73%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate $24.77 $91.75 $1.58–$91.75 at median 73%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis Complete Lab $25.47 $94.33 $10.72–$94.33 32% below 73%
Sodium blood test CPT 84295 HC Sodium Serum $13.57 $50.27 $10.34–$9.62 38% below 73%
Sodium blood test CPT 84295 HC Sodium Serum POC $22.26 $82.46 $10.34–$9.62 2% above 73%
Stool ova and parasites exam CPT 87177 HC Ova & Para Direct Smear Conc/Ident $27.77 $102.87 $10.68–$95.67 15% below 73%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC - Blood, Occult Feces, Screening Triple Card $24.22 $89.69 $1.91–$89.69 70% above 73%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood Occult Feces;Immunoassay (1-3) $12.80 $47.42 $13.28–$9.33 74% below 73%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum $34.79 $128.86 $101.25–$97.32 18% below 73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl, CSF $20.48 $75.86 $2.50–$75.86 30% above 73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Qual (Rpr) $20.48 $75.86 $2.50–$75.86 30% above 73%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Mediated Immunity $75.95 $281.28 $100.42–$98.50 53% below 73%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone,Total $57.34 $212.37 $121.88–$78.58 39% below 73%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone, Total $57.34 $212.37 $121.88–$78.58 39% below 73%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone,Total,Bio $57.34 $212.37 $121.88–$78.58 39% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroperoxidase Ab $21.57 $79.90 $12.67–$8.54 59% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Liver/Kidney Microsomal Ab $21.57 $79.90 $12.67–$8.54 59% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyrogl Ab W Thyroid Perox Ab $21.57 $79.90 $12.67–$8.54 59% below 73%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Thyroid Peroxidase Antibody $21.57 $79.90 $12.67–$8.54 59% below 73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone $73.21 $271.13 $10.91–$99.56 at median 73%
Total IgE blood test CPT 82785 HC Gammaglobulin Quant Ea (Ige) $43.98 $162.88 $106.13–$93.75 28% below 73%
Total cholesterol blood test CPT 82465 HC Cholesterol, Serum, Total $48.87 $181.01 $103.88–$9.79 116% above 73%
Total thyroxine (T4) blood test CPT 84436 HC Thyroxin Total (T4t) $5.75 $21.28 $11.51–$7.87 80% below 73%
Total thyroxine (T4) blood test CPT 84436 HC T4 (Thyroxine), Total Only, Serum $43.56 $161.34 $105.13–$92.87 49% above 73%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 (Triiodothyronine), Total Only, Serum $8.82 $32.65 $10.12–$9.87 86% below 73%
Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine T3 Total $33.68 $124.74 $106.03–$99.79 47% below 73%
Transferrin blood test CPT 84466 HC Transferrin-S $10.04 $37.20 $10.42–$7.49 79% below 73%
Transferrin blood test CPT 84466 HC Transferrin $36.77 $136.18 $102.14–$95.53 22% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif (Male) Ref $50.10 $185.56 $106.49–$68.66 34% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif Ref $50.10 $185.56 $106.49–$68.66 34% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis;Amp Probe $50.10 $185.56 $106.49–$68.66 34% below 73%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif(Female) Ref $50.10 $185.56 $106.49–$68.66 34% below 73%
Triglycerides blood test CPT 84478 HC Triglyceride $37.11 $137.43 $10.16–$96.41 25% above 73%
Troponin test, quantitative CPT 84484 HC Troponin Quantitative $40.92 $151.54 $10.86–$98.74 6% below 73%
Uric acid blood test CPT 84550 HC Uric Acid $14.89 $55.15 $10.17–$9.72 26% below 73%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Auto With Micro $27.00 $100.00 $100.00–$93.00 17% below 73%
Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis,Non Auto W/Micro $12.86 $47.63 $1.86–$9.00 9% above 73%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Micro $18.37 $68.05 $1.32–$68.05 8% above 73%
Urinalysis without microscope exam, automated CPT 81003 HC POCT Perform Urine Dipstick $18.37 $68.05 $1.32–$68.05 8% above 73%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Non Auto W/O Micro $7.03 $26.02 $1.50–$9.87 32% below 73%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Bact Urine Quant $38.13 $141.24 $10.89–$99.08 at median 73%
Urine microalbumin (albumin) test CPT 82043 HC Albumin Urine Microalbumin Quant $30.34 $112.37 $10.16–$95.51 2% above 73%
Urine pregnancy test, read by color change CPT 81025 HC POCT Perform Urine Pregnancy $38.97 $144.33 $101.02–$99.57 35% above 73%
Urine pregnancy test, read by color change CPT 81025 HC Urine Preg Test Visual Color $38.97 $144.33 $101.02–$99.57 35% above 73%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vit B $36.46 $135.05 $101.29–$94.74 34% below 73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Calcifediol(24-Oh Vit D-3) $64.71 $239.65 $137.54–$88.67 40% below 73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D; 25 Hyrdoxy $64.71 $239.65 $137.54–$88.67 40% below 73%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Dihydroxyvitamin D 1,25 $76.82 $284.53 $101.58–$99.64 28% below 73%
Zinc blood test CPT 84630 HC Zinc $8.82 $32.66 $10.12–$9.91 78% below 73%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg, Tumor Marker $61.10 $226.29 $12.49–$83.73 10% above 73%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Gonadrotropin Chorionic Quant $61.10 $226.29 $12.49–$83.73 10% above 73%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs New YorkOff list
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Closed Treatment Metatarsal Fracture;W/O Manipulation Each $57.02 $211.18 $1,001.70–$96.44 87% below 73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Ext $202.50 $750.00 $1,025.14–$995.29 80% below 73%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Clsd Fx Colles' Smith Type $86.00 $318.50 $100.55–$98.74 85% below 73%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Using Irrigation/Lavage,Unilateral $18.22 $67.49 $21.60–$75.28 85% below 73%
Earwax removal with instruments, one ear CPT 69210 HC Rem Impacted Cerumen $22.96 $85.02 $27.21–$75.28 82% below 73%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Ing Diag/Ther Agent W/Image Guid-Lumbar/Single Level $480.43 $1,779.36 $1,248.22–$614.95 76% below 73%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abscess Simple $65.41 $242.26 $251.83–$86.49 84% below 73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injections(S)-Single Tendon Sheath , or Ligament,Aponeurosis $50.12 $185.62 $374.12–$62.37 90% below 73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthocen/Aspir Inj Lg Joint $118.30 $438.14 $140.20–$374.12 77% below 73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Introduction or Removal Intermediate Join or Bursa $46.24 $171.27 $374.12–$57.55 90% below 73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis,Aspiration & or Injection;Small Joint/Bursa $92.12 $341.19 $109.18–$374.12 79% below 73%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lac Rep Int Scalp Tk Less Than 2.6 $47.56 $176.14 $101.17–$925.06 92% below 73%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection of Diagnostic Ortherapeutic Substance W/Imaging Guidance $901.15 $3,337.58 $1,034.65–$3,337.58 40% below 73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection, Transforaminal Epidural;Lumbar/Sacral,Single Lvl $705.47 $2,612.85 $1,832.91–$903.00 54% below 73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Benign Lesion 0-.5cm $56.43 $209.00 $66.88–$891.71 95% below 73%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail $53.44 $197.94 $1,126.19–$925.06 84% below 73%
Occipital nerve block (injection for headaches) CPT 64405 HC Injection, Anesthetic Agent/Greater Occipital Nerve $91.09 $337.38 $107.96–$374.12 81% below 73%
Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Imaging $645.59 $2,391.09 $1,126.19–$937.56 55% below 73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Matrix $81.51 $301.89 $101.44–$99.50 89% below 73%
Prostate biopsy CPT 55700 HC US Prostate Needle Placmt $307.80 $1,140.00 $2,596.24–$383.04 87% below 73%
Removal of a foreign object under the skin, simple CPT 10120 HC FB Rem Simple $241.60 $894.83 $286.35–$506.36 62% below 73%
Short arm cast (elbow to hand) CPT 29075 HC Cast App Forearem $40.50 $150.00 $336.59–$50.40 91% below 73%
Short arm splint (forearm and hand) CPT 29125 HC Application Short Arm Static $84.82 $314.15 $100.53–$163.37 60% below 73%
Short leg cast (below the knee) CPT 29405 HC Cast App Short Leg-Knee-Toe $49.14 $182.00 $336.59–$61.15 90% below 73%
Short leg splint (calf to foot) CPT 29515 HC Application Short Leg Splint $57.34 $212.37 $199.98–$75.82 80% below 73%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Lac Rep Sim Trunk Less Than 2.6 $142.79 $528.86 $169.24–$251.83 62% below 73%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion $141.89 $525.50 $106.95–$666.00 79% below 73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture $166.05 $615.00 $1,126.19–$925.06 86% below 73%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Lac Rep Sim Trunk 2.6 - 7.5 $152.47 $564.71 $1,126.19–$925.06 62% below 73%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Lac Rep Sim Face Ear Less Than 2.5 $160.17 $593.22 $189.83–$251.83 58% below 73%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection(S);Single or Mult Trigger Point(S),1 or 2 Muscles $53.68 $198.80 $374.12–$81.68 87% below 73%
Wart removal, up to 14 warts CPT 17110 HC Dest Benign/Pm Les;1st $35.10 $130.00 $104.00–$98.18 90% below 73%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 2 Units $313.42 $1,160.81 $1,044.70–$986.69 57% below 73%
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion 3 Units $313.42 $1,160.81 $1,044.70–$986.69 57% below 73%
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion - 1 Unit $313.42 $1,160.81 $1,044.70–$986.69 57% below 73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerogen Solo Nebulizer Tx $67.50 $250.00 $143.48–$92.50 70% below 73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Airway Inhalation Treat $103.55 $383.50 $107.38–$70.00 54% below 73%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Metered Dose Inhaler (Mdi) 742 $103.55 $383.50 $11.76–$42.00 54% below 73%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Infusion Up to 1hr $169.37 $627.30 $175.64–$758.00 72% below 73%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Audiometry $74.24 $274.97 $101.74–$95.03 60% below 73%
Critical care, first 30 to 74 minutes CPT 99291 HC Trauma Critical Care Emergency Room First 30-74 Minutes $519.49 $1,924.03 $1,067.91–$925.06 70% below 73%
Critical care, first 30 to 74 minutes CPT 99291 HC Emergency Critical Care Without Trauma First 30-74 Minutes $590.37 $2,186.57 $1,067.91–$925.06 66% below 73%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake & Drowsy $175.50 $650.00 $182.00–$870.61 75% below 73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only $72.09 $267.01 $10.23–$98.79 50% below 73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Visit No MD/Qhcp Req $87.96 $325.77 $100.99–$98.51 65% below 73%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Visit Straightforward $141.12 $522.67 $1,126.19–$925.06 58% below 73%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Visit Low Level $190.11 $704.11 $1,126.19–$925.06 66% below 73%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Visit Moderate Level $274.04 $1,014.96 $1,014.90–$925.06 68% below 73%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Visit High Level $401.65 $1,487.61 $1,011.13–$925.06 66% below 73%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovas Stres Test W Rx $337.50 $1,250.00 $1,000.00–$982.13 39% below 73%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Ekg Stress $337.50 $1,250.00 $1,000.00–$944.00 39% below 73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration Up to 1hr $120.24 $445.35 $124.70–$445.35 68% below 73%
IV infusion of a medicine, first hour CPT 96365 HC Intra Infus Up to 1hr $127.21 $471.13 $131.92–$471.13 70% below 73%
IV push of a medicine, first drug CPT 96374 HC Intra Push Single/Initial $58.17 $215.46 $123.65–$79.72 77% below 73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Ther/Proph/Dx Injec;Subcut/Intramusc $30.90 $114.43 $102.99–$97.27 72% below 73%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Motor & Sens 7-8 Nrv Cndj Test. $234.65 $869.06 $1,124.01–$869.06 49% below 73%
Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-Education Each 15 Min $36.05 $133.50 $100.13–$99.92 56% below 73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Nutrition Initl Ea15 $15.17 $56.18 $11.51–$88.31 71% below 73%
Occupational therapy evaluation, low complexity CPT 97165 HC Occupational Therapy Eval Low Complex $68.04 $252.00 $100.20–$97.28 60% below 73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Physical Therapy Eval High Complexity $80.06 $296.50 $101.46–$99.62 70% below 73%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Physical Therapy Eval Low Complexity $73.76 $273.19 $100.32–$99.56 59% below 73%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Physical Therapy Eval Mod Complexity $76.04 $281.64 $100.55–$99.56 68% below 73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Ther Ea 15 Min $39.69 $147.00 $100.07–$92.67 52% below 73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Therapeutic Exercises Each 15 Min $29.97 $111.00 $10.49–$99.90 60% below 73%
Preventive checkup, new patient aged 18–39 CPT 99385 HC Clinic Use Fee New 18-39 $37.72 $139.69 $100.85–$97.99 81% below 73%
Preventive checkup, new patient aged 40–64 CPT 99386 HC Clinic Use Fee New 40-64 $37.72 $139.69 $100.85–$98.36 83% below 73%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC Clinic Use Fee Est 18-39 $28.95 $107.21 $100.85–$99.71 86% below 73%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC Clinic Use Fee Est 40-64 $48.43 $179.38 $101.47–$66.37 79% below 73%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC Clinic Use Fee Preventative $49.96 $185.05 $104.68–$68.47 75% below 73%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Smoking Cessation 3-10 $10.22 $37.84 $10.60–$68.00 78% below 73%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office O/P Est Vst High 40 Min $55.97 $207.29 $101.27–$98.32 76% below 73%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office O/P Est Visit Low 20min $25.39 $94.02 $102.35–$99.05 86% below 73%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office O/P Est Visit Mod 30min $32.68 $121.03 $100.84–$99.74 83% below 73%
Speech and language evaluation CPT 92523 HC Speech Sound Lang Compehen $105.36 $390.21 $1,019.74–$838.94 73% below 73%
Speech therapy session, individual CPT 92507 HC St Treatment Speech Individ $74.25 $275.00 $100.05–$98.18 56% below 73%
Spirometry (breathing test) CPT 94010 HC Peak Flow Test $62.10 $230.00 $117.77–$85.10 72% below 73%
Spirometry (breathing test) CPT 94010 HC Nif Fvc Pf Peak Follow Up $62.10 $230.00 $117.77–$85.10 72% below 73%
Spirometry (breathing test) CPT 94010 HC Resp Mechanics $65.21 $241.50 $117.77–$89.36 71% below 73%
Spirometry (breathing test) CPT 94010 HC (Fvc) (Vt) (Ve) Peak Flow Ea $102.57 $379.89 $106.37–$379.89 54% below 73%
Spirometry (breathing test) CPT 94010 HC Spirometry/Pft 742 $102.57 $379.89 $117.77–$379.89 54% below 73%
Spirometry (breathing test) CPT 94010 HC Incentive Spirometry $102.57 $379.89 $106.37–$379.89 54% below 73%
Spirometry before and after a bronchodilator CPT 94060 HC Post Bronchodilator Pfl $170.07 $629.89 $176.37–$629.89 56% below 73%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activity Each 15 Min $28.67 $106.18 $106.18–$98.75 67% below 73%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phelbotomy $104.38 $386.59 $119.84–$97.85 51% below 73%

Vaccines

ProcedureCash priceList priceInsurers payvs New YorkOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Moderna 12+Yr Sarscov2 Vac 50 Mcg/0.5ml Im $52.92 $196.00 $101.92–$90.55 74% below 73%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE $154.71 $573.00 $114.60–$773.55 25% below 73%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Varicella Virus Vaccine Live (Pf) 1,350 Unit/0.5 Ml Subcutaneous Susp [14757] $89.91 $333.00 $100.70–$99.77 66% below 73%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC Diph,Pertus(Acel),Tet,Polio(Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Susp [112665] $30.51 $113.00 $101.70–$96.05 67% below 73%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC Diph,Pertus(Acell),Tet,Polio (Pf) 25 Lf-58 Mcg-10 Lf/0.5 Ml Im Syringe [92788] $30.51 $113.00 $101.70–$98.60 67% below 73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Diph,Pertus(Acel),Tet Ped(Pf) 25 Lf Unit-58 Mcg-10 Lf/0.5ml Im Syringe [112304] $13.77 $51.00 $14.28–$86.10 72% below 73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Diph,Pertus(Acel),Tet Pedi (Pf) 25 Lf Unit-58 Mcg-10 Lf/0.5ml Im Susp [19451] $13.77 $51.00 $14.28–$86.10 72% below 73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Diph,Pertus(Acel),Tet Pedi (Pf) 15 Lf Unit-10 Mcg-5 Lf/0.5 Ml Im Susp [112403] $21.06 $78.00 $21.84–$86.10 57% below 73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE $28.62 $106.00 $105.83–$98.58 42% below 73%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC Hep B-Dp(a)T-Polio Vacc (Pf) 10 Mcg-25lf-25 Mcg-10lf/0.5 Ml Im Syringe [111379] $42.39 $157.00 $106.71–$97.07 69% below 73%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC Dp(a)T-Polio-Hib Conj-Tet (Pf) 15 Lf Unit-20 Mcg-5 Lf /0.5 Ml Im Kit [92074] $66.69 $247.00 $141.75–$90.70 54% below 73%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC Flu Vaccine Egg-Free $29.70 $110.00 $102.30–$99.00 72% below 73%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Flu Vacc Spl V Pf>=3yr Im $4.86 $18.00 $10.00–$9.81 83% below 73%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $7.56 $28.00 $10.00–$9.81 73% below 73%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC Human Papillomavirus Vaccine,9-Valent (Pf) 0.5 Ml Im Suspension [201121] $142.83 $529.00 $140.28–$70.14 71% below 73%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION $156.60 $580.00 $116.00–$580.00 69% below 73%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE $223.83 $829.00 $165.80–$829.00 55% below 73%
Hepatitis A vaccine, adult dose CPT 90632 HC Hepatitis a Virus Vaccine (Pf) 1,440 Elisa Unit/Ml Im Suspension [112019] $40.77 $151.00 $102.63–$98.39 60% below 73%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE $52.92 $196.00 $135.22–$67.74 49% below 73%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepatitis a Vaccine Pediatric 0.5ml Vial $17.01 $63.00 $17.64–$79.80 70% below 73%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepatitis a Virus Vaccine (Pf) 720 Elisa Unit/0.5 Ml Im Syringe [111089] $17.01 $63.00 $17.64–$79.80 70% below 73%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepatitis a Virus Vaccine (Pf) 25 Unit/0.5 Ml Intramuscular Suspension [91045] $19.17 $71.00 $19.88–$79.80 66% below 73%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Virus Vaccine Recomb (Pf) 20 Mcg/Ml Intramuscular Susp [111321] $31.05 $115.00 $103.50–$97.75 65% below 73%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Virus Vaccine Recomb (Pf) 20 Mcg/Ml Intramuscular Syringe [111241] $31.05 $115.00 $103.50–$97.75 65% below 73%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepatitis B Vaccine 20 Mcg/1ml $31.60 $117.02 $102.25–$99.47 65% below 73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepatitis B Virus Vaccine Recomb (Pf) 10 Mcg/0.5 Ml Im Syringe [111317] $8.64 $32.00 $10.24–$9.92 81% below 73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepatitis B Vaccine 10 Mcg/0.5 Ml $9.50 $35.20 $10.15–$9.86 79% below 73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepatitis B Virus Vaccine Recomb (Pf) 5 Mcg/0.5 Ml Intramuscular Susp [112540] $10.26 $38.00 $10.64–$9.87 77% below 73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepatitis B Virus Vaccine Recmb(Pf) 5 Mcg/0.5 Ml Intramuscular Syringe [155064] $11.07 $41.00 $11.48–$9.87 76% below 73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP $16.20 $60.00 $12.00–$60.00 64% below 73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Haemophilus B Polysaccharid Conj-Tetanus Tox(Pf) 10 Mcg/0.5 Ml Im Soln [11931] $37.53 $139.00 $104.25–$97.51 17% above 73%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE $29.70 $110.00 $102.30–$99.00 73% below 73%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Flu Vaccine Ts(65yr Up)(Pf)180 Mcg/0.5 Ml Intramuscular Syringe $29.70 $110.00 $102.30–$99.00 73% below 73%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC Japanese Encephalitis Vaccine (Pf) 6 Mcg/0.5 Ml Intramuscular Syringe [99449] $226.26 $838.00 $234.64–$838.00 1% below 73%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Measles,Mumps,Rubella Vaccine Live(Pf) 1,000-12,500tcid50/0.5 Ml Sub-Q [10512] $48.33 $179.00 $102.73–$96.67 64% below 73%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT $66.69 $247.00 $141.66–$91.39 51% below 73%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HC Measles,Mumps,Rubella,Varicel Liv(Pf)10e3-4.3-3-3.99tcid50/0.5 Ml Subq [42622] $143.37 $531.00 $148.68–$596.00 67% below 73%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Meningoc Vac a,C,Y,W-135 Dip(Pf) 10 Mcg-5 Mcg/0.5 Ml Intramuscular Kit [101034] $68.04 $252.00 $100.80–$92.53 67% below 73%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Meningoc Vac a,C,Y,W-135 Dip (Pf) 4 Mcg/0.5 Ml Intramuscular Solution [40540] $85.86 $318.00 $101.76–$98.58 58% below 73%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Meningococcal B Vac,4-Cmp(Pf) 50mcg-50mcg-50mcg-25mcg/0.5ml Im Syringe [201637] $90.45 $335.00 $100.37–$98.49 73% below 73%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC Pneumococcal 13-Val Conj Vaccine-Dip CRM (Pf) 0.5 Ml Im Syringe [114070] $128.52 $476.00 $107.76–$538.81 61% below 73%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $182.79 $677.00 $135.40–$677.00 57% below 73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal 23 Polyvalent Vaccine 25 Mcg/0.5 Ml Injection Solution [11037] $65.34 $242.00 $108.27–$88.86 61% below 73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE $86.13 $319.00 $102.08–$98.89 49% below 73%
Polio vaccine, inactivated (IPV) CPT 90713 HC Poliovirus Vaccine 40 Unit-8 Unit-32 Unit/0.5 Ml Injection Suspension [102806] $22.95 $85.00 $23.80–$88.00 73% below 73%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC(PF), RECOMB (ABRYSVO) 120 MCG/0.5 ML IM SOLUTION $216.54 $802.00 $160.40–$802.00 49% below 73%
Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine, Purified Chicken Embryo Cell (Pf) 2.5 Unit Im Susp [22120] $199.26 $738.00 $206.64–$738.00 58% below 73%
Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine,Human Diploid (Pf) 2.5 Unit Intramuscular Solution [11257] $222.48 $824.00 $230.72–$854.00 53% below 73%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION $324.54 $1,202.00 $1,013.00–$961.60 31% below 73%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC Rotavirus Vaccine Live, Pentavalent 2 Ml Oral Suspension [70476] $56.97 $211.00 $114.45–$93.85 57% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Tetanus and Diphtheria Tox (Pf) 5 Lf Unit-2 Lf Unit/0.5 Ml Im Syringe [112408] $21.60 $80.00 $22.40–$82.00 59% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Tetanus and Diphtheria Tox (Pf) 5 Lf Unit-2 Lf Unit/0.5 Ml Im Susp [112409] $21.60 $80.00 $22.40–$80.00 59% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE $31.32 $116.00 $103.70–$98.60 41% below 73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP $31.32 $116.00 $104.40–$98.60 41% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertussis(Acel),Tetanus 2.5 Lf Unit-8 Mcg-5 Lf/0.5ml Im Syringe [191344] $24.84 $92.00 $103.01–$97.28 55% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertussis(Acell),Tetanus 2.5 Lf Unit-8 Mcg-5 Lf/0.5 Ml Im Susp [191345] $24.84 $92.00 $103.01–$97.28 55% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertus(Acel)Tetanus(Pf)2lf-(2.5-5-3-5mcg)-5 Lf/0.5 Ml Im Susp [41628] $26.19 $97.00 $27.16–$97.00 53% below 73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Diphth,Pertus(Ac)Tetanus(Pf)2 Lf-(2.5-5-3-5mcg)-5 Lf/0.5 Ml Im Syringe [112534] $26.19 $97.00 $103.01–$97.28 53% below 73%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Typhoid VI Polysacch Vaccine 25 Mcg/0.5 Ml Intramuscular Syringe [14678] $67.23 $249.00 $126.04–$91.43 71% below 73%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HC Typhoid Vaccine,Live,Attenuated 2 Billion Unit Capsule,Delayed Release [29268] $8.37 $31.00 $10.02–$9.92 92% below 73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Imm Adm,Single or Combination $11.88 $44.00 $12.32–$90.20 86% below 73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Pneumonia Vaccine Adm $19.76 $73.19 $20.49–$74.55 77% below 73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Flu Vaccine Adm $19.76 $73.19 $12.09–$73.19 77% below 73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Flu Vaccine Additional Adm $5.07 $18.78 $10.78–$6.95 89% below 73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Pneumonia Vaccine Adm Additional $5.07 $18.78 $1.55–$6.95 89% below 73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Imm Admeach Additional Vaccine $5.13 $19.00 $10.15–$7.03 89% below 73%
Yellow fever vaccine, live CPT 90717 HC Yellow Fever Vaccine Live(Pf) 10 Exp4.74 Unit/0.5 Ml Subcutaneous Susp [8822] $70.74 $262.00 $150.36–$96.21 71% below 73%
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://rca.elevatepfs.com/ptapp/api/cdm/export/oneclick?recno=17223fe8a0ab6851f2b57389a5885fb3367942fbb16444f4be42f16f8bb1fdf4