Baylor Scott & White Medical Center - Frisco
Listed in its price file as “Frisco Medical Center LLP”.
Baylor Scott & White Medical Center - Frisco in Frisco, TX publishes cash prices for 271 common procedures listed here, from its own machine-readable price file updated Sep 29, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 173 of 271 procedures and above it for 98. By typical cash price it ranks #109 of 297 Texas hospitals and #17 of 82 hospitals in the Dallas, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.
5601 Warren Pkwy, Frisco, TX 75034 Collected Oct 2, 2026 Source price file Check a bill from this hospital (214) 407-5000
Acute care hospital For-profit hospital Emergency department CMS star rating 3 of 5 CCN 450853 · CMS hospital register NPI 1922002674
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & W/DYE | $1,956.93 | $3,261.55 | $1,141.54–$2,446.16 | 32% below | 40% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN FLAT & UPRIGHT | $317.87 | $529.79 | $185.42–$467.84 | 16% below | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS | $274.78 | $457.96 | $160.28–$380.31 | 23% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 UPPER EXTREMITY W/O CONTRAST | $1,738.28 | $2,897.14 | $1,013.99–$2,308.00 | 5% above | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESPOHAGUS X-RAY | $447.85 | $746.41 | $261.24–$789.41 | 11% below | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 MOD SWALLOW W/ SPEECH THERAPY | $447.85 | $746.41 | $261.24–$789.41 | 11% below | 40% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI COMPLETE | $367.37 | $612.29 | $214.30–$467.84 | 17% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN & PELVIS W & W/O | $4,576.52 | $7,627.53 | $1,454.00–$5,720.64 | 14% above | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $2,173.75 | $3,622.91 | $1,268.01–$2,717.18 | 9% below | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/O CONTRAST | $2,174.66 | $3,624.43 | $1,268.55–$2,718.32 | 9% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest | $2,033.83 | $3,389.72 | $1,186.40–$2,542.29 | 21% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST | $2,989.54 | $4,982.57 | $1,454.00–$3,736.92 | 5% above | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $3,729.60 | $6,216.00 | $1,454.00–$4,662.00 | 2% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV W/O CONTRAST CP | $3,920.85 | $6,534.75 | $1,454.00–$4,901.06 | 2% above | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE | $1,922.84 | $3,204.73 | $1,121.65–$2,403.54 | 26% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE | $1,693.31 | $2,822.19 | $987.76–$2,308.00 | 16% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 SINUS LIMITED | $1,193.24 | $1,988.73 | $696.05–$2,308.00 | 28% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 SINUSES W/O CONTRAST | $1,229.03 | $2,048.38 | $716.93–$2,308.00 | 26% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 MAXILLOFACIAL W/O CONTRAST | $1,229.03 | $2,048.38 | $716.93–$2,308.00 | 26% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONTRAST | $1,465.01 | $2,441.68 | $854.58–$2,308.00 | 12% below | 40% |
| CT scan of the head with contrast CPT 70460 HEAD W/CONTRAST | $1,567.05 | $2,611.75 | $914.11–$2,308.00 | 7% below | 40% |
| CT scan of the head without and with contrast CPT 70470 HEAD W/WO CONTRAST | $1,958.98 | $3,264.96 | $1,142.73–$2,448.72 | 4% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR W/O CONTRAST | $1,676.09 | $2,793.49 | $977.72–$2,308.00 | 3% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 LUMBAR LIMITED | $1,676.09 | $2,793.49 | $977.72–$2,308.00 | 3% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CERVICAL WO/CONTRAST | $1,506.18 | $2,510.30 | $878.60–$2,308.00 | 26% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 PELVIS W/CONTRAST | $1,810.75 | $3,017.92 | $1,056.27–$2,308.00 | 17% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DOPPLER CAROTID | $452.34 | $753.90 | $263.86–$1,022.23 | 58% below | 40% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/O & W/DYE | $2,133.96 | $3,556.60 | $1,244.81–$2,667.45 | 20% below | 40% |
| Chest X-ray, 2 views both sides CPT 71046 CHEST W/DECUBITUS BILATERAL | $184.25 | $307.08 | $107.47–$380.31 | — | 40% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $189.78 | $316.30 | $110.70–$380.31 | 51% below | 40% |
| Chest X-ray, single view CPT 71045 CHEST DECUBITUS 1 VIEW | $180.13 | $300.21 | $105.07–$380.31 | 44% below | 40% |
| Chest X-ray, single view CPT 71045 CHEST AP ONLY 1 VIEW | $180.13 | $300.21 | $105.07–$380.31 | 44% below | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE | $220.69 | $367.81 | $128.73–$380.31 | 26% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA | $482.62 | $804.37 | $281.52–$603.27 | 30% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL | $497.10 | $828.50 | $289.97–$621.37 | 28% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CHEST W/O CONTRAST | $1,593.23 | $2,655.38 | $929.38–$2,308.00 | 5% above | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE | $1,885.28 | $3,142.13 | $1,099.74–$2,356.59 | 6% below | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS LWR EXT COMPL | $601.71 | $1,002.85 | $350.99–$1,022.23 | 61% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM ADULT | $578.10 | $963.50 | $337.22–$722.62 | 71% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHOCARDIOGRAM INFANT | $578.10 | $963.50 | $337.22–$722.62 | 71% below | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MIN 3 VW | $301.88 | $503.13 | $176.09–$380.31 | 21% below | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 SELLA W/O CONTRAST | $1,534.10 | $2,556.84 | $894.89–$2,308.00 | 2% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 IAC W/O CONTRAST | $1,580.12 | $2,633.54 | $921.73–$2,308.00 | 5% above | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 ORBIT W/O CONTRAST | $1,580.12 | $2,633.54 | $921.73–$2,308.00 | 5% above | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES MIN 3 VW | $348.73 | $581.21 | $203.42–$467.84 | 11% below | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM MIN 2 VW | $294.32 | $490.53 | $171.68–$380.31 | 21% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HEEL MIN 2 VW | $111.80 | $186.33 | $65.21–$380.31 | 61% below | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED | $741.95 | $1,236.59 | $432.80–$927.44 | 9% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY SPLIT NIGHT | $2,405.59 | $4,009.32 | $1,403.26–$3,006.99 | 44% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY EVAL & TITRATION | $2,405.59 | $4,009.32 | $1,403.26–$3,006.99 | 44% below | 40% |
| Knee X-ray, 3 views CPT 73562 KNEE MIN 3 VWS | $295.80 | $493.00 | $172.55–$380.31 | 21% below | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE 4-5 VIEWS | $346.04 | $576.74 | $201.85–$467.84 | 19% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $1,646.60 | $2,744.33 | $960.51–$2,308.00 | 3% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRSOUND LIVER | $493.07 | $821.79 | $287.62–$616.34 | 18% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ULTRASOUND ABDOMINAL LIMITED | $493.07 | $821.79 | $287.62–$616.34 | 18% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASC LIMITED | $305.20 | $508.66 | $178.03–$467.84 | 25% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LOWER LEG MIN 2 VW | $284.12 | $473.53 | $165.73–$380.31 | 18% below | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD | $1,310.48 | $2,184.14 | $764.44–$2,860.00 | 28% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 KNEE WO CONTRAST | $2,246.92 | $3,744.87 | $1,310.70–$2,860.00 | 2% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 ANKLE WO CONTRAST | $2,246.92 | $3,744.87 | $1,310.70–$2,860.00 | 2% above | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HIP WO CONTRAST | $2,246.92 | $3,744.87 | $1,310.70–$2,860.00 | 2% above | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HIP W/WO CONTRAST | $2,111.51 | $3,519.18 | $1,231.71–$2,860.00 | 30% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 ANKLE W/WO CONTRAST | $2,111.51 | $3,519.18 | $1,231.71–$2,860.00 | 30% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 KNEE W/WO CONTRAST | $2,111.51 | $3,519.18 | $1,231.71–$2,860.00 | 30% below | 40% |
| MRI of the abdomen without contrast CPT 74181 LIVER WO CONTRAST | $1,926.90 | $3,211.50 | $1,124.02–$2,860.00 | 12% below | 40% |
| MRI of the abdomen without contrast CPT 74181 ABDOMEN W/O CONTRAST | $1,926.90 | $3,211.50 | $1,124.02–$2,860.00 | 12% below | 40% |
| MRI of the abdomen without contrast CPT 74181 KIDNEY WO CONTRAST | $1,926.90 | $3,211.50 | $1,124.02–$2,860.00 | 12% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 KIDNEY W/WO CONTRAST | $2,608.82 | $4,348.03 | $1,521.81–$3,261.02 | 15% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W/WO CONTRAST | $2,622.23 | $4,370.39 | $1,529.63–$3,277.79 | 14% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN W/O CONTRAST | $1,985.59 | $3,309.32 | $1,158.26–$2,860.00 | 5% above | 40% |
| MRI of the brain, no contrast dye CPT 70551 HEAD W/O CONTRAST | $1,985.59 | $3,309.32 | $1,158.26–$2,860.00 | 5% above | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN W/WO CONTRAST | $2,809.01 | $4,681.68 | $1,638.58–$3,511.26 | 1% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HEAD W/WO CONTRAST | $2,809.01 | $4,681.68 | $1,638.58–$3,511.26 | 1% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 LUMBAR SPINE W/O CONTRAST | $2,198.56 | $3,664.26 | $1,282.49–$2,860.00 | at median | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 LUMBAR SPINE W/CONTRAST | $2,851.15 | $4,751.91 | $1,663.16–$3,563.93 | 11% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 THORACIC SPINE W/O CONTRAST | $2,235.17 | $3,725.28 | $1,303.84–$2,860.00 | 10% above | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 CERVICAL SPINE W/WO CONTRAST | $2,769.27 | $4,615.45 | $1,615.40–$3,461.58 | 15% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 CERVICAL SPINE W/O CONTRAST | $2,261.75 | $3,769.59 | $1,319.35–$2,860.00 | at median | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM/COCCYX W/WO CONT | $2,271.08 | $3,785.14 | $1,324.79–$2,860.00 | 28% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 PELVIS W/WO CONTRAST | $2,271.08 | $3,785.14 | $1,324.79–$2,860.00 | 28% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SSACRUM/COCCYX W/O CONT | $1,650.76 | $2,751.27 | $962.94–$2,860.00 | 30% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O CONTRAST | $1,650.76 | $2,751.27 | $962.94–$2,860.00 | 30% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 SHOULDER W/WO CONTRAST | $2,138.17 | $3,563.62 | $1,247.26–$2,860.00 | 19% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 ELBOW WO CONTRAST | $2,202.31 | $3,670.52 | $1,284.68–$2,860.00 | 23% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 SHOULDER WO CONTRAST | $2,202.31 | $3,670.52 | $1,284.68–$2,860.00 | 23% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI BRACHEAL PLEXYIS W/O | $2,202.31 | $3,670.52 | $1,284.68–$2,860.00 | 23% above | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXTREMITY | $2,202.31 | $3,670.52 | $1,284.68–$2,860.00 | 23% above | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE 5 VIEWS | $436.61 | $727.68 | $254.68–$545.76 | 20% below | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 SOFT TISSUE NECK W/ CONTRAST | $1,735.63 | $2,892.72 | $1,012.45–$2,308.00 | 13% below | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 SOFT TISSUE NECK W/O CONTRAST | $1,294.55 | $2,157.58 | $755.15–$2,308.00 | 16% below | 40% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $191.44 | $319.07 | $111.67–$380.31 | 19% below | 40% |
| Pelvic CT scan without contrast CPT 72192 PELVIS W/O CONTRAST | $1,486.47 | $2,477.45 | $867.10–$2,308.00 | 8% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED PELVIC ULTRASOUND | $457.59 | $762.65 | $266.92–$571.98 | 5% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US SACRAL DIMPLE | $457.59 | $762.65 | $266.92–$571.98 | 5% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB | $582.52 | $970.86 | $339.80–$728.14 | 23% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB 2ND OR 3RD TRIMESTER | $321.56 | $535.94 | $187.57–$467.84 | 47% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WEEKS SNGL FETUS | $340.09 | $566.81 | $198.38–$467.84 | 44% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB 1ST TRIMESTER | $498.29 | $830.48 | $290.66–$622.86 | 15% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB PREGNANCY LIMITED | $252.96 | $421.60 | $147.56–$467.84 | 45% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US PREGNANCY LIMITED HEARTB | $366.08 | $610.13 | $213.54–$467.84 | 20% below | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VW | $256.41 | $427.35 | $149.57–$380.31 | 14% below | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2 VW | $284.50 | $474.16 | $165.95–$380.31 | 13% below | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUS 3-5 VW | $246.08 | $410.14 | $143.54–$380.31 | 40% below | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL 2 VIEWS | $246.06 | $410.10 | $143.53–$467.84 | 23% below | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 NOCTURNAL POLYSOMNOGRAM | $2,405.59 | $4,009.32 | $1,403.26–$3,006.99 | 42% below | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 MODIFIED SWALLOWING STUDY | $487.65 | $812.75 | $284.46–$789.41 | 19% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2V | $283.04 | $471.73 | $165.10–$380.31 | 13% below | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 THORACIC W/O CONTRAS | $1,745.43 | $2,909.05 | $1,018.16–$2,308.00 | 8% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 TOE(S) | $199.43 | $332.38 | $116.33–$380.31 | 27% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL (NON OB) | $472.89 | $788.15 | $275.85–$591.11 | 22% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 OB US TRANSVAGINAL | $340.09 | $566.81 | $198.38–$467.84 | 33% below | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL PELVIS (OB) | $433.32 | $722.20 | $252.77–$541.65 | 15% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL | $683.63 | $1,139.39 | $397.64–$854.54 | 13% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $441.16 | $735.26 | $257.34–$551.44 | 28% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $465.65 | $776.08 | $271.62–$582.06 | 26% below | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS BIL MIN 2 VW | $278.37 | $463.95 | $162.38–$380.31 | 21% below | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MIN 2 VW | $286.72 | $477.87 | $167.25–$380.31 | 18% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VENOUS LWR EXT LMTD | $544.27 | $907.12 | $317.49–$680.34 | 31% below | 40% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS | $283.79 | $472.98 | $165.54–$380.31 | 4% below | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 NAVICULAR SERIES MIN 3 VW | $278.50 | $464.17 | $162.45–$380.31 | 25% below | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS | $286.85 | $478.09 | $167.33–$380.31 | 23% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PELVIS & HIP INFANT/CHILD | $225.44 | $375.74 | $131.50–$380.31 | 39% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI W/PELVIS MIN 2/3 VW | $232.20 | $387.00 | $135.45–$380.31 | 37% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP MIN 2 VW | $232.20 | $387.00 | $135.45–$380.31 | 37% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP PINNING | $232.20 | $387.00 | $135.45–$380.31 | 37% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN UPRIGHT | $178.15 | $296.91 | $103.91–$380.31 | 47% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN FLATEPLATE 1VIEW | $178.15 | $296.91 | $103.91–$380.31 | 47% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN LAT. DECUB. 1VIEW | $178.15 | $296.91 | $103.91–$380.31 | 47% below | 40% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VWS | $202.83 | $338.05 | $118.31–$380.31 | 32% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS 3 VIEWS | $202.62 | $337.70 | $118.19–$380.31 | 16% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 THUMB | $202.62 | $337.70 | $118.19–$380.31 | 16% below | 40% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $279.70 | $466.16 | $163.15–$380.31 | 16% below | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS | $353.81 | $589.69 | $206.39–$442.26 | 5% below | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS | $308.30 | $513.84 | $179.84–$385.38 | 19% below | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE LMTD 1-2 VWS | $227.78 | $379.64 | $132.87–$380.31 | 23% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR SPINE LTMD 2-3 VW | $295.12 | $491.86 | $172.15–$467.84 | 34% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 LUMBAR SPINE 4 OR MORE VIEWS | $441.08 | $735.13 | $257.29–$551.34 | 22% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS | $260.92 | $434.87 | $152.20–$467.84 | 35% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES MIN 3 VW | $210.49 | $350.81 | $122.78–$380.31 | 23% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE AP & LAT | $325.61 | $542.69 | $189.94–$407.01 | 11% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2-3 VW | $325.61 | $542.69 | $189.94–$407.01 | 11% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX | $251.82 | $419.70 | $146.89–$380.31 | 18% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM | $251.82 | $419.70 | $146.89–$380.31 | 18% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX | $251.82 | $419.70 | $146.89–$380.31 | 18% below | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Andrenocorticotropic Hormone | $128.41 | $214.01 | $6.30–$160.50 | 40% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALTI | $126.16 | $210.27 | $6.30–$157.70 | 146% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $103.75 | $172.91 | $6.30–$129.68 | 101% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $277.58 | $462.64 | $6.30–$346.98 | 27% below | 40% |
| Albumin blood test CPT 82040 SERUM ALBUMIN | $27.18 | $45.30 | $6.30–$33.97 | 27% below | 40% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $27.18 | $45.30 | $6.30–$33.97 | 27% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $27.18 | $45.30 | $6.30–$33.97 | 27% below | 40% |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $179.15 | $298.58 | $6.30–$223.93 | 37% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS (ALP) | $110.72 | $184.54 | $6.30–$138.40 | 127% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond IgE | $35.05 | $58.41 | $6.30–$43.80 | 46% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW MILK IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CORN, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON SILVER BIRCH, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONU IGE- COCONUT ALLERGEN | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C HERBARIUM IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOPS, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED GIANT,IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN (HICKORY) TREE, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE,IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN JUNIPER/CEDAR, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 KENTUCKY BLUE/MEADOW GRASS | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH (PLANTAIN) RIBWORT | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM, IGE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, IgE | $38.84 | $64.74 | $6.30–$48.55 | 62% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER | $103.84 | $173.06 | $6.30–$129.79 | 13% below | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $100.24 | $167.06 | $6.30–$125.29 | 29% below | 40% |
| Amylase blood test CPT 82150 AMYLASE | $115.31 | $192.19 | $6.30–$144.14 | 51% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP | $94.31 | $157.19 | $6.30–$117.89 | 78% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA QUAL SCREEN | $124.78 | $207.96 | $6.30–$155.97 | 62% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $154.29 | $257.15 | $6.30–$192.86 | 1% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIAL | $103.43 | $172.39 | $6.30–$129.29 | 54% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT | $104.96 | $174.93 | $6.30–$131.19 | 57% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR | $119.15 | $198.58 | $6.30–$148.93 | 78% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Naspharyngeal Culture | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC (C) | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTORTHO | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 RESPIRATORY CULTURE AND SMEAR | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT GC SCR | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC AND ANAROBIC CULTURE | $142.27 | $237.12 | $6.30–$177.84 | 112% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $73.88 | $123.14 | $6.30–$92.35 | 65% below | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOT | $30.51 | $50.85 | $6.30–$38.13 | 47% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LEVEL 4 | $187.15 | $311.92 | $25.20–$233.94 | 37% below | 40% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD | $142.27 | $237.12 | $6.30–$177.84 | 30% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $16.40 | $27.33 | $6.30–$8,427.00 | 9% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLU ISTAT | $50.43 | $84.05 | $6.30–$63.03 | 21% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLD QN | $50.43 | $84.05 | $6.30–$63.03 | 21% above | 40% |
| Blood lead test CPT 83655 LEAD | $59.71 | $99.51 | $6.30–$74.63 | 28% above | 40% |
| Blood lead test CPT 83655 LEAD BLOOD | $215.65 | $359.41 | $6.30–$269.55 | 363% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY/SERUM | $103.75 | $172.91 | $6.30–$129.68 | 24% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $59.57 | $99.29 | $6.30–$74.46 | 33% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO DISCREPANCY | $59.57 | $99.29 | $6.30–$74.46 | 33% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CBC ABO | $75.53 | $125.89 | $6.30–$94.41 | 15% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN ISTAT | $38.38 | $63.96 | $6.30–$47.97 | 29% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $38.38 | $63.96 | $6.30–$47.97 | 29% below | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $123.56 | $205.93 | $6.30–$154.44 | 70% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REATIVE PROTEIN | $80.93 | $134.88 | $6.30–$101.16 | 59% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B | $201.83 | $336.38 | $6.30–$252.28 | 15% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $157.72 | $262.86 | $6.30–$197.14 | 19% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $135.98 | $226.64 | $6.30–$169.98 | 11% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID NAAT | $210.95 | $351.58 | $6.30–$263.68 | 137% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $210.95 | $351.58 | $6.30–$263.68 | 137% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM BLOOD TOT | $29.79 | $49.65 | $6.30–$37.23 | 49% below | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $127.07 | $211.79 | $6.30–$158.84 | 5% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGM, EIA | $83.86 | $139.76 | $6.30–$104.82 | 34% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGG, EIA | $83.86 | $139.76 | $6.30–$104.82 | 34% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA | $134.31 | $223.85 | $6.30–$167.88 | 8% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA RNA, THROAT | $134.31 | $223.85 | $6.30–$167.88 | 8% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $122.67 | $204.45 | $6.30–$153.33 | 17% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC PLATELET AUTO DIFF | $86.92 | $144.86 | $6.30–$108.64 | 5% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM W PLT NO DIFF | $99.52 | $165.87 | $6.30–$124.40 | 6% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $108.84 | $181.40 | $6.30–$136.05 | 57% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $174.99 | $291.65 | $6.30–$218.73 | 30% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $114.52 | $190.86 | $6.30–$143.14 | 37% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CK) | $67.49 | $112.49 | $6.30–$84.36 | 6% above | 40% |
| Creatinine blood test CPT 82565 CREATININE BLD | $45.88 | $76.46 | $6.30–$57.34 | 14% below | 40% |
| Creatinine blood test CPT 82565 CREAT ISTAT | $45.88 | $76.46 | $6.30–$57.34 | 14% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG ANTIBODY | $55.07 | $91.79 | $6.30–$68.84 | 27% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE CHARGE | $84.37 | $140.61 | $6.30–$105.45 | 12% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $118.45 | $197.42 | $6.30–$148.06 | 30% below | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHA SULFATE | $126.42 | $210.70 | $6.30–$158.02 | 16% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE SCREEN 7 | $150.19 | $250.32 | $6.30–$187.74 | 142% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN | $150.19 | $250.32 | $6.30–$187.74 | 142% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN | $222.64 | $371.06 | $6.30–$278.29 | 258% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $122.67 | $204.45 | $6.30–$153.33 | 23% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG | $104.66 | $174.43 | $6.30–$130.82 | 21% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM | $104.66 | $174.43 | $6.30–$130.82 | 21% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL, ULTRA SENSITIVE | $124.46 | $207.43 | $6.30–$155.57 | at median | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH FOLLICILE STIMULATING HRM | $102.65 | $171.09 | $6.30–$128.31 | 34% below | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN,STOOL | $179.76 | $299.60 | $6.30–$224.70 | 16% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $97.39 | $162.32 | $6.30–$121.74 | 17% above | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $121.40 | $202.33 | $6.30–$151.74 | 40% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $104.72 | $174.53 | $6.30–$130.89 | 31% above | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $116.65 | $194.41 | $6.30–$145.80 | 16% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE | $87.51 | $145.85 | $6.30–$109.38 | 17% above | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $97.80 | $163.00 | $6.30–$122.25 | 8% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT | $38.13 | $63.55 | $6.30–$47.66 | 35% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC RNA BY TMA, THROAT | $134.31 | $223.85 | $6.30–$167.88 | 3% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHOEAE RNA | $134.31 | $223.85 | $6.30–$167.88 | 3% above | 40% |
| H. pylori stool antigen test CPT 87338 H PYLORI AG | $124.55 | $207.58 | $6.30–$155.68 | 45% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA VIRAL LOAD BY QTR-PCR | $520.22 | $867.03 | $6.30–$650.27 | 71% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV CONFIRMATION DCHD | $88.45 | $147.42 | $6.30–$110.56 | 9% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV CONFIRMATION PHP | $88.45 | $147.42 | $6.30–$110.56 | 9% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV 1&2 | $113.14 | $188.56 | $6.30–$141.42 | 39% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $220.37 | $367.28 | $6.30–$275.46 | 62% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $62.13 | $103.55 | $6.30–$77.66 | 27% below | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $27.91 | $46.52 | $5.90–$34.89 | 36% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $78.26 | $130.44 | $6.30–$97.83 | 7% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB | $97.91 | $163.18 | $6.30–$122.38 | 53% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB,QUANT | $97.91 | $163.18 | $6.30–$122.38 | 53% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $83.06 | $138.44 | $6.30–$103.83 | 19% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B CONFIRMATION | $83.06 | $138.44 | $6.30–$103.83 | 19% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B S AG EIA | $149.98 | $249.97 | $6.30–$187.47 | 114% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $167.55 | $279.25 | $6.30–$209.43 | 94% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP-C VIRAL RNA PCR QUAN | $224.53 | $374.21 | $6.30–$280.65 | 6% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT PCR | $301.42 | $502.37 | $6.30–$376.77 | 26% above | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $87.62 | $146.03 | $6.30–$109.52 | 22% above | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $85.61 | $142.69 | $6.30–$107.01 | 3% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP | $69.80 | $116.33 | $6.30–$87.24 | 11% below | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $115.51 | $192.52 | $6.30–$144.39 | 23% below | 40% |
| Insulin blood test CPT 83525 INSULIN SERUM | $67.74 | $112.90 | $6.30–$84.67 | 2% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER, TISSUE | $56.00 | $93.34 | $6.30–$70.00 | 21% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON (TOTAL) | $56.00 | $93.34 | $6.30–$70.00 | 21% below | 40% |
| Iron blood test (serum iron) CPT 83540 IRON - SO | $56.00 | $93.34 | $6.30–$70.00 | 21% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $59.97 | $99.95 | $6.30–$74.96 | 33% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY SO | $59.97 | $99.95 | $6.30–$74.96 | 33% below | 40% |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $149.91 | $249.85 | $6.30–$187.38 | 15% below | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $99.09 | $165.15 | $6.30–$123.86 | 30% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $87.74 | $146.23 | $6.30–$109.67 | 8% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE, CSF | $87.74 | $146.23 | $6.30–$109.67 | 8% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 BODY FLUID LDH | $47.57 | $79.29 | $6.30–$59.46 | 7% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH (LD) | $47.57 | $79.29 | $6.30–$59.46 | 7% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $130.21 | $217.01 | $6.30–$162.75 | 95% above | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $168.94 | $281.57 | $6.30–$211.17 | 13% below | 40% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $65.16 | $108.60 | $6.30–$81.45 | 21% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $64.54 | $107.56 | $6.30–$80.67 | 47% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM BLD | $64.54 | $107.56 | $6.30–$80.67 | 47% above | 40% |
| Magnesium blood test CPT 83735 Therapeutic Magnesium | $175.26 | $292.10 | $6.30–$219.07 | 298% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) IGM | $110.14 | $183.57 | $6.30–$137.67 | 260% above | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) IGG | $110.14 | $183.57 | $6.30–$137.67 | 260% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN | $49.32 | $82.20 | $6.30–$61.65 | 42% below | 40% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $33.45 | $55.75 | $6.30–$41.81 | 44% below | 40% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG | $82.44 | $137.40 | $6.30–$103.05 | 37% above | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $131.29 | $218.82 | $6.30–$164.11 | 16% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $131.29 | $218.82 | $6.30–$164.11 | 53% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $41.84 | $69.74 | $24.40–$59.33 | 52% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 RAPID PARATHYROID HORMONE | $175.54 | $292.57 | $6.30–$219.42 | 15% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT W/O CALCIUM | $175.54 | $292.57 | $6.30–$219.42 | 15% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT MIX | $71.25 | $118.75 | $6.30–$89.06 | 42% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $86.18 | $143.64 | $6.30–$107.73 | 72% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA SCREEN | $86.18 | $143.64 | $6.30–$107.73 | 72% above | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS BLD | $100.40 | $167.34 | $6.30–$125.50 | 61% above | 40% |
| Potassium blood test CPT 84132 K ISTAT | $38.36 | $63.94 | $6.30–$47.95 | 36% below | 40% |
| Potassium blood test CPT 84132 POTASSIUM BLD | $38.36 | $63.94 | $6.30–$47.95 | 36% below | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $115.31 | $192.19 | $6.30–$144.14 | 12% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $120.90 | $201.50 | $6.30–$151.12 | 10% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT MIX | $46.13 | $76.88 | $6.30–$57.66 | at median | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $46.13 | $76.88 | $6.30–$57.66 | at median | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ETHANOL | $200.30 | $333.84 | $6.30–$250.38 | 88% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $85.63 | $142.71 | $6.30–$107.03 | 8% below | 40% |
| Renin blood test CPT 84244 ASSAY OF RENIN | $118.08 | $196.80 | $6.30–$147.60 | 15% above | 40% |
| Rh blood typing CPT 86901 RH TYPE | $64.69 | $107.82 | $6.30–$80.86 | 1% above | 40% |
| Rh blood typing CPT 86901 CBC RH | $64.69 | $107.82 | $6.30–$80.86 | 1% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $51.92 | $86.53 | $6.30–$64.89 | 14% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $65.92 | $109.86 | $6.30–$82.39 | 43% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $65.92 | $109.86 | $6.30–$82.39 | 43% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM | $65.92 | $109.86 | $6.30–$82.39 | 43% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE; AUTOMATED | $40.88 | $68.14 | $6.30–$51.10 | 33% below | 40% |
| Sodium blood test CPT 84295 NA ISTAT | $38.36 | $63.94 | $6.30–$47.95 | 38% below | 40% |
| Sodium blood test CPT 84295 SODIUM BLD | $38.36 | $63.94 | $6.30–$47.95 | 38% below | 40% |
| Stool ova and parasites exam CPT 87177 TRICHROME | $73.67 | $122.79 | $6.30–$92.09 | 8% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STOOL 1-3 SIM | $79.67 | $132.78 | $6.30–$99.58 | 109% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 MHA-TP | $16.60 | $27.67 | $6.30–$38.79 | 62% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 RPR SCRN | $50.33 | $83.88 | $6.30–$62.91 | 14% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum AB | $92.15 | $153.59 | $6.30–$115.19 | 108% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $48.35 | $80.58 | $6.30–$60.43 | 18% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $48.35 | $80.58 | $6.30–$60.43 | 18% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $48.35 | $80.58 | $6.30–$60.43 | 18% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS | $125.30 | $208.83 | $6.30–$181.51 | 37% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon (R) TB Gold | $125.30 | $208.83 | $6.30–$181.51 | 37% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $129.96 | $216.60 | $6.30–$162.45 | 31% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $129.96 | $216.60 | $6.30–$162.45 | 31% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDOSE AB | $90.39 | $150.65 | $6.30–$112.98 | 8% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $107.33 | $178.89 | $6.30–$134.16 | 2% below | 40% |
| Total IgE blood test CPT 82785 IGE | $97.91 | $163.18 | $6.30–$122.38 | 20% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL BLD | $36.14 | $60.23 | $6.30–$45.17 | 35% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 TOTAL | $91.97 | $153.28 | $6.30–$114.96 | 15% above | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 | $153.53 | $255.89 | $6.30–$191.91 | 23% above | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $70.09 | $116.81 | $6.30–$87.60 | 41% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES - BODY FLUID | $44.48 | $74.13 | $6.30–$55.59 | 36% below | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANT | $175.26 | $292.10 | $6.30–$219.07 | 54% above | 40% |
| Uric acid blood test CPT 84550 BLOOD URIC ACID | $161.21 | $268.68 | $6.30–$201.51 | 106% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 UAC | $60.28 | $100.46 | $6.30–$75.34 | 36% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 UA | $37.64 | $62.73 | $5.59–$47.04 | 22% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 UA RFLX | $37.64 | $62.73 | $5.59–$47.04 | 22% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HOUR | $63.24 | $105.40 | $6.30–$79.05 | 24% above | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN | $63.24 | $105.40 | $6.30–$79.05 | 24% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URINE | $103.75 | $172.91 | $6.30–$129.68 | 28% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $106.71 | $177.85 | $6.30–$133.38 | 18% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 - HYDROXY | $127.09 | $211.82 | $6.30–$158.86 | 7% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 25 - DIHYDROXY | $174.58 | $290.96 | $6.30–$218.22 | 13% above | 40% |
| Zinc blood test CPT 84630 ZINC | $67.61 | $112.69 | $6.30–$84.51 | 1% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA QUANTITATIVE | $114.86 | $191.44 | $6.30–$143.58 | 2% above | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTOSALPINOGRAM INJECTION | $232.55 | $387.59 | $182.16–$6,734.00 | 38% below | 40% |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/IMAGING | $1,926.08 | $3,210.14 | — | 37% above | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $977.47 | $1,629.12 | $765.68–$6,541.00 | 28% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TRMT INIT | $54.49 | $90.82 | $31.78–$68.11 | 73% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL | $124.99 | $208.32 | $72.91–$156.24 | 39% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT INITIAL | $134.49 | $224.15 | $78.45–$168.11 | 34% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TRMT INITIAL | $149.56 | $249.26 | $87.24–$186.94 | 26% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 URG2 NEBULIZER TRMT INIT | $149.56 | $249.26 | $87.24–$186.94 | 26% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE 1ST 30-74 MIN | $982.38 | $1,637.30 | $769.53–$8,120.00 | 61% below | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY PORTABLE | $773.98 | $1,289.96 | $451.48–$967.47 | 16% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 URG2 ECG 12 LEAD TRACING ONLY | $37.43 | $62.39 | $21.83–$46.79 | 86% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD TRACING ONLY | $37.43 | $62.39 | $21.83–$46.79 | 86% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $262.07 | $436.78 | $152.87–$327.58 | 4% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 EKG RT | $262.07 | $436.78 | $152.87–$327.58 | 4% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OBED LEVEL 1 EMERGENCY CARE | $374.92 | $624.86 | $202.00–$468.64 | 60% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1 | $374.92 | $624.86 | $202.00–$468.64 | 60% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2 | $528.99 | $881.65 | $414.37–$912.00 | 22% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OBED LEVEL 2 EMERGENCY CARE | $528.99 | $881.65 | $414.37–$912.00 | 22% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OBED LEVEL 3 EMERGENCY CARE | $683.09 | $1,138.49 | $535.09–$1,946.00 | 11% below | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3 | $683.09 | $1,138.49 | $535.09–$1,946.00 | 11% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OBED LEVEL 4 EMERGENCY CARE | $837.18 | $1,395.30 | $655.79–$3,840.00 | 35% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4 | $837.18 | $1,395.30 | $655.79–$3,840.00 | 35% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OBED LEVEL 5 EMERGENCY CARE | $1,248.05 | $2,080.09 | $977.64–$8,120.00 | 30% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5 | $1,248.05 | $2,080.09 | $977.64–$8,120.00 | 30% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUS TX HYDRATION 1ST HOUR | $536.22 | $893.70 | $312.79–$670.27 | 23% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 UR IV INFUSES HYDRATE TO 1HR | $567.78 | $946.30 | $331.20–$709.72 | 31% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE HYDRATE TO 1HR | $584.81 | $974.69 | $341.14–$731.01 | 35% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION to 1 HOUR | $435.13 | $725.22 | $253.82–$543.91 | 3% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 UR IV INFUSE THER/DX TO 1HR | $435.13 | $725.22 | $253.82–$543.91 | 3% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSE THER/DX TO 1 HR | $435.13 | $725.22 | $253.82–$543.91 | 3% below | 40% |
| IV infusion of a medicine, first hour CPT 96365 ED IV DX/TX THERAPY 1ST HOUR | $536.22 | $893.70 | $312.79–$670.27 | 19% above | 40% |
| IV push of a medicine, first drug CPT 96374 URG2 INJ IVP SINGLE/INITIAL | $56.13 | $93.55 | $32.74–$70.16 | 76% below | 40% |
| IV push of a medicine, first drug CPT 96374 INJ IVP SINGLE/INITIAL | $536.22 | $893.70 | $312.79–$670.27 | 134% above | 40% |
| IV push of a medicine, first drug CPT 96374 IVP INITIAL | $536.22 | $893.70 | $312.79–$670.27 | 134% above | 40% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE OR INITIAL | $584.81 | $974.69 | $341.14–$731.01 | 155% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 URG2 INJECTION IM/SUBQ | $41.44 | $69.07 | $24.17–$51.80 | 72% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBQ | $175.15 | $291.91 | $102.16–$218.93 | 19% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DX INJ SQ/IM | $178.12 | $296.86 | $103.90–$222.64 | 21% above | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuro Reeducation | $79.76 | $132.94 | $46.52–$168.00 | 29% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuro Re-eduation | $109.56 | $182.60 | $63.91–$168.00 | 3% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 URG2 LEVEL 3 | $319.26 | $532.10 | $250.08–$1,946.00 | 41% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 URG2 LEVEL 4 | $379.12 | $631.87 | $296.97–$3,840.00 | 30% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 URG2 LEVEL 5 | $438.98 | $731.64 | $343.87–$8,120.00 | 50% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 URG2 TRIAGE MEDICAL SCREENING | $54.49 | $90.82 | $42.68–$912.00 | 63% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 URG2 LEVEL 1 | $199.54 | $332.57 | $156.30–$912.00 | 34% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 URG2 LEVEL 2 | $259.39 | $432.31 | $203.18–$912.00 | 74% above | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUT INDIV COUNSEL EA 15MIN | $174.52 | $290.87 | $101.80–$218.15 | 247% above | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Low Complexity | $222.14 | $370.23 | $102.00–$277.67 | 9% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $246.62 | $411.04 | $102.00–$308.28 | 15% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $166.56 | $277.60 | $97.16–$208.20 | 18% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $205.52 | $342.54 | $102.00–$256.90 | 15% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY/15 MIN | $81.74 | $136.23 | $47.68–$168.00 | 26% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise | $160.51 | $267.51 | $93.62–$200.63 | 43% above | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXCERCISE/15MIN | $166.56 | $277.60 | $97.16–$208.20 | 49% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 URG LEVEL 5 ESTABLISHED PT | $438.98 | $731.64 | $256.07–$548.73 | 54% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 URG2 LEVEL 3 ESTABLISHED PT | $319.26 | $532.10 | $186.23–$399.07 | 82% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 URG LEVEL 4 ESTABLISHED PT | $379.12 | $631.87 | $221.15–$473.90 | 97% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 URG2 LEVEL 2 ESTABLISHED PT | $259.39 | $432.31 | $151.30–$324.23 | 106% above | 40% |
| Spirometry (breathing test) CPT 94010 BEDSIDE SPIROMETRY | $290.30 | $483.84 | $169.34–$362.88 | 19% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES | $112.85 | $188.08 | $65.82–$168.00 | at median | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities | $112.85 | $188.08 | $65.82–$168.00 | at median | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Texas | Off list |
|---|---|---|---|---|---|
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCCOCAL 23 VAC 0.25 | $154.91 | $258.19 | $90.36–$193.64 | 39% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIPHTHERIA ABSORBED | $26.93 | $44.89 | $15.71–$33.66 | 75% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 URG 2 IMMUNIZATION 1 VACCINE | $41.44 | $69.07 | $18.00–$51.80 | 44% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION 1 VACCINE | $41.44 | $69.07 | $18.00–$51.80 | 44% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 URG2 IMMUNIZATION-ADDL VACCINE | $14.51 | $24.19 | $8.46–$20.00 | 69% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION-ADDITIONAL | $16.83 | $28.05 | $9.81–$21.03 | 64% below | 40% |
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://mrfs.hyvehealthcare.com/USPI/752865177_frisco-medical-center-llp_standardcharges.json