Hospital San Francisco-Oakland-Fremont, CA

MarinHealth Medical Center

MarinHealth Medical Center in Greenbrae, CA publishes cash prices for 417 common procedures listed here, from its own machine-readable price file updated Mar 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 354 of 416 procedures and below it for 61. By typical cash price it ranks #175 of 226 California hospitals and #14 of 26 hospitals in the San Francisco, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

250 Bon Air Rd,Greenbrae,CA,94904 Collected Oct 29, 2026 Source price file Check a bill from this hospital (415) 925-7900

Acute care hospital Government-owned hospital Emergency department CMS star rating 5 of 5 CCN 050360 · CMS hospital register NPI 1396725677

Financial assistance

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

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

State law

This state limits hospital bills for lower-income patients

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. 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 7 actions for a hospital named MarinHealth Medical Center in Greenbrae, CA:

Aug 25, 2021 Warning notice
Mar 9, 2022 Corrective action plan requested
Nov 18, 2022 Case closed
May 18, 2023 Met requirements
Aug 22, 2024 Corrective action plan requested
Nov 26, 2024 Case closed
Jul 31, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$4,485.60	$7,476.00	$247.57–$5,614.00	58% above	40%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$549.00	$915.00	$36.31–$2,330.00	27% above	40%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$581.94	$969.90	$36.31–$2,330.00	35% above	40%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$674.16	$1,123.60	$22.54–$2,330.00	31% above	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$636.00	$1,060.00	$122.84–$2,330.00	24% above	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$636.00	$1,060.00	$122.84–$2,330.00	24% above	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES	$1,422.60	$2,371.00	$63.83–$2,330.00	155% above	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$3,412.14	$5,686.90	$147.56–$5,614.00	50% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$3,219.00	$5,365.00	$147.56–$5,614.00	41% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$3,219.00	$5,365.00	$147.56–$5,614.00	41% above	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$1,195.80	$1,993.00	$47.26–$2,330.00	97% above	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$3,790.20	$6,317.00	$177.18–$3,854.39	79% above	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$1,088.40	$1,814.00	$83.50–$2,330.00	104% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$1,088.40	$1,814.00	$122.84–$2,330.00	104% above	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$1,088.40	$1,814.00	$122.84–$2,330.00	104% above	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST	$6,058.80	$10,098.00	$492.42–$5,614.00	12% above	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$6,083.28	$10,138.80	$492.42–$5,614.00	12% above	40%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$5,973.00	$9,955.00	$247.57–$5,614.00	100% above	40%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST	$5,672.40	$9,454.00	$247.57–$5,614.00	91% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$5,626.20	$9,377.00	$247.57–$5,614.00	64% above	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$3,036.00	$5,060.00	$318.70–$5,614.00	12% above	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM	$340.20	$567.00	$53.21–$5,614.00	10% below	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$361.46	$602.44	$53.21–$5,614.00	4% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$5,324.40	$8,874.00	$161.70–$5,614.00	66% above	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$5,488.20	$9,147.00	$308.55–$5,614.00	33% above	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$5,817.49	$9,695.82	$308.55–$5,614.00	41% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$6,058.80	$10,098.00	$407.93–$5,614.00	29% above	40%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$3,669.00	$6,115.00	$247.57–$5,614.00	46% above	40%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$3,219.00	$5,365.00	$147.56–$5,614.00	69% above	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$1,101.60	$1,836.00	$147.56–$5,614.00	50% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$3,187.80	$5,313.00	$147.56–$5,614.00	46% above	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$3,978.00	$6,630.00	$147.56–$5,614.00	74% above	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$4,216.68	$7,027.80	$147.56–$5,614.00	84% above	40%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$4,039.20	$6,732.00	$238.85–$5,614.00	49% above	40%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$4,253.40	$7,089.00	$247.57–$5,614.00	38% above	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$3,803.40	$6,339.00	$147.56–$5,614.00	33% above	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$4,278.00	$7,130.00	$147.56–$5,614.00	47% above	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$3,567.00	$5,945.00	$247.57–$5,614.00	40% above	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$3,697.47	$6,162.45	$247.57–$5,614.00	45% above	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$2,043.00	$3,405.00	$203.06–$2,330.00	67% above	40%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$4,192.20	$6,987.00	$247.57–$5,614.00	28% above	40%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$501.60	$836.00	$35.87–$2,330.00	23% above	40%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$531.70	$886.16	$35.87–$2,330.00	31% above	40%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$403.80	$673.00	$19.40–$2,330.00	11% above	40%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$429.04	$715.06	$19.40–$2,330.00	18% above	40%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$609.92	$1,016.54	$22.18–$2,330.00	26% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$575.40	$959.00	$122.84–$2,330.00	19% above	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$575.40	$959.00	$122.84–$2,330.00	19% above	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$1,411.20	$2,352.00	$83.98–$2,330.00	66% above	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$598.80	$998.00	$121.30–$2,330.00	19% above	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$636.23	$1,060.38	$121.30–$2,330.00	26% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT	$354.60	$591.00	$64.48–$2,330.00	28% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$366.19	$610.31	$64.48–$2,330.00	32% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$3,347.40	$5,579.00	$147.56–$5,614.00	65% above	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$3,548.24	$5,913.74	$147.56–$5,614.00	75% above	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$4,097.40	$6,829.00	$247.57–$5,614.00	42% above	40%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$729.60	$1,216.00	$53.18–$2,330.00	49% above	40%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$584.48	$974.14	$43.26–$2,330.00	56% above	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$551.40	$919.00	$43.26–$2,330.00	47% above	40%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$551.40	$919.00	$43.26–$2,330.00	47% above	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$2,200.20	$3,667.00	$204.06–$2,330.00	110% above	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$2,006.40	$3,344.00	$192.99–$2,330.00	69% above	40%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$2,126.78	$3,544.64	$192.99–$2,330.00	79% above	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$3,785.40	$6,309.00	$337.51–$29,560.00	41% above	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$4,843.80	$8,073.00	$337.51–$5,268.27	80% above	40%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$691.97	$1,153.28	$22.18–$2,330.00	74% above	40%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$652.80	$1,088.00	$122.84–$2,330.00	64% above	40%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$652.80	$1,088.00	$122.84–$2,330.00	64% above	40%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$658.20	$1,097.00	$24.24–$2,330.00	36% above	40%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$697.69	$1,162.82	$24.24–$2,330.00	44% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$658.20	$1,097.00	$122.84–$2,330.00	36% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$658.20	$1,097.00	$122.84–$2,330.00	36% above	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$3,411.60	$5,686.00	$147.56–$5,614.00	49% above	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS	$1,106.40	$1,844.00	$33.45–$2,330.00	124% above	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$674.80	$1,124.66	$22.18–$2,330.00	58% above	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$636.60	$1,061.00	$122.84–$2,330.00	49% above	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$636.60	$1,061.00	$122.84–$2,330.00	49% above	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$3,428.40	$5,714.00	$373.38–$3,854.39	93% above	40%
Hand X-ray, 2 views CPT 73120 X-RAY OF HAND; 2 VIEWS	$559.80	$933.00	$20.96–$2,330.00	38% above	40%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$559.80	$933.00	$147.56–$2,330.00	38% above	40%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$559.80	$933.00	$147.56–$2,330.00	38% above	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$604.20	$1,007.00	$20.12–$2,330.00	71% above	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$604.20	$1,007.00	$122.84–$2,330.00	71% above	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$604.20	$1,007.00	$122.84–$2,330.00	71% above	40%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$660.69	$1,101.15	$24.23–$2,330.00	44% above	40%
Knee X-ray, 3 views CPT 73562 X-RAY OF KNEE; 3 VIEWS	$1,294.80	$2,158.00	$24.23–$2,330.00	182% above	40%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$647.40	$1,079.00	$122.84–$2,330.00	41% above	40%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$647.40	$1,079.00	$122.84–$2,330.00	41% above	40%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$808.99	$1,348.32	$26.42–$2,330.00	38% above	40%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$1,526.40	$2,544.00	$26.42–$2,330.00	161% above	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$763.20	$1,272.00	$147.56–$2,330.00	30% above	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$763.20	$1,272.00	$147.56–$2,330.00	30% above	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$6,541.80	$10,903.00	$147.56–$5,614.00	207% above	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$3,270.60	$5,451.00	$147.56–$5,614.00	53% above	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$3,270.60	$5,451.00	$147.56–$5,614.00	53% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$1,197.00	$1,995.00	$60.47–$2,330.00	44% above	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$672.00	$1,120.00	$12.35–$2,330.00	23% above	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$712.32	$1,187.20	$12.35–$2,330.00	31% above	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$672.00	$1,120.00	$147.56–$2,330.00	23% above	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$672.00	$1,120.00	$147.56–$2,330.00	23% above	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$603.00	$1,005.00	$22.18–$2,330.00	39% above	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$639.18	$1,065.30	$22.18–$2,330.00	48% above	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$603.00	$1,005.00	$122.84–$2,330.00	39% above	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$603.00	$1,005.00	$122.84–$2,330.00	39% above	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST	$4,960.20	$8,267.00	$336.77–$4,593.00	71% above	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI	$4,466.63	$7,444.38	$121.45–$4,593.00	—	40%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS	$4,213.80	$7,023.00	$121.45–$4,593.00	27% above	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$4,337.52	$7,229.20	$336.77–$4,593.00	43% above	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$4,092.00	$6,820.00	$336.77–$4,593.00	35% above	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$4,092.00	$6,820.00	$336.77–$4,593.00	35% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$4,789.20	$7,982.00	$492.42–$4,593.00	4% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$4,789.20	$7,982.00	$492.42–$4,593.00	4% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$4,789.20	$7,982.00	$492.42–$4,593.00	4% above	40%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$3,869.40	$6,449.00	$336.77–$4,593.00	38% above	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$6,429.00	$10,715.00	$492.42–$4,593.00	47% above	40%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$4,960.20	$8,267.00	$336.77–$4,593.00	71% above	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$5,952.00	$9,920.00	$492.42–$4,593.00	38% above	40%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$4,900.80	$8,168.00	$336.77–$4,593.00	60% above	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$5,643.60	$9,406.00	$492.42–$4,593.00	25% above	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$4,900.80	$8,168.00	$336.77–$4,593.00	69% above	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$5,643.60	$9,406.00	$492.42–$4,593.00	27% above	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$4,900.80	$8,168.00	$336.77–$4,593.00	63% above	40%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$5,857.80	$9,763.00	$492.42–$4,593.00	41% above	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$3,720.60	$6,201.00	$336.77–$4,593.00	45% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$4,574.75	$7,624.58	$336.77–$4,593.00	74% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$4,315.80	$7,193.00	$336.77–$4,593.00	64% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$4,315.80	$7,193.00	$336.77–$4,593.00	64% above	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$804.00	$1,340.00	$38.17–$2,330.00	25% above	40%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$3,618.00	$6,030.00	$239.44–$5,614.00	32% above	40%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST	$3,347.40	$5,579.00	$147.56–$5,614.00	58% above	40%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$602.40	$1,004.00	$18.06–$2,330.00	85% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT	$7,383.60	$12,306.00	$531.41–$12,482.42	82% above	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$7,862.40	$13,104.00	$1,063.00–$13,786.87	9% above	40%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$3,747.60	$6,246.00	$147.56–$5,614.00	91% above	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$760.20	$1,267.00	$44.83–$2,330.00	41% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$1,224.60	$2,041.00	$65.19–$2,330.00	30% above	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$1,298.08	$2,163.46	$65.19–$2,330.00	38% above	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$979.20	$1,632.00	$87.12–$2,330.00	14% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$1,324.20	$2,207.00	$46.63–$2,330.00	71% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS	$1,035.60	$1,726.00	$57.80–$2,330.00	71% above	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$1,097.74	$1,829.56	$57.80–$2,330.00	82% above	40%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$666.60	$1,111.00	$24.36–$2,330.00	44% above	40%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$666.60	$1,111.00	$122.84–$2,330.00	44% above	40%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$666.60	$1,111.00	$122.84–$2,330.00	44% above	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$834.60	$1,391.00	$147.56–$2,330.00	35% above	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$834.60	$1,391.00	$147.56–$2,330.00	35% above	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$884.68	$1,474.46	$28.61–$2,330.00	44% above	40%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$613.80	$1,023.00	$40.35–$2,330.00	95% above	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$677.40	$1,129.00	$24.24–$2,330.00	23% above	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$718.04	$1,196.74	$24.24–$2,330.00	30% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$677.40	$1,129.00	$122.84–$2,330.00	23% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$677.40	$1,129.00	$122.84–$2,330.00	23% above	40%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS	$883.20	$1,472.00	$33.45–$2,330.00	93% above	40%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS	$600.60	$1,001.00	$26.42–$2,330.00	48% above	40%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$614.25	$1,023.75	$26.42–$2,330.00	51% above	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$3,540.60	$5,901.00	$307.95–$5,268.27	11% above	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT	$3,787.80	$6,313.00	$307.95–$5,268.27	19% above	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$1,160.40	$1,934.00	$55.50–$2,330.00	75% above	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$882.13	$1,470.22	$40.72–$2,330.00	116% above	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$832.20	$1,387.00	$122.84–$2,330.00	104% above	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$832.20	$1,387.00	$122.84–$2,330.00	104% above	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$3,806.40	$6,344.00	$147.56–$5,614.00	36% above	40%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$542.51	$904.18	$17.93–$2,330.00	64% above	40%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$511.80	$853.00	$122.84–$2,330.00	55% above	40%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$511.80	$853.00	$122.84–$2,330.00	55% above	40%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$986.40	$1,644.00	$65.19–$2,330.00	38% above	40%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$996.60	$1,661.00	$66.54–$2,330.00	50% above	40%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$1,456.20	$2,427.00	$83.98–$2,330.00	33% above	40%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$1,543.57	$2,572.62	$83.98–$2,330.00	41% above	40%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$1,213.20	$2,022.00	$58.41–$2,330.00	36% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$1,297.20	$2,162.00	$60.47–$2,330.00	56% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$1,375.03	$2,291.72	$60.47–$2,330.00	66% above	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$1,061.40	$1,769.00	$62.29–$2,330.00	72% above	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$2,122.80	$3,538.00	$62.29–$2,330.00	245% above	40%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$691.33	$1,152.22	$24.24–$2,330.00	62% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$652.20	$1,087.00	$122.84–$2,330.00	53% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$652.20	$1,087.00	$122.84–$2,330.00	53% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$1,377.60	$2,296.00	$147.56–$2,330.00	53% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$1,460.26	$2,433.76	$147.56–$2,330.00	62% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$1,377.60	$2,296.00	$147.56–$2,330.00	53% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$1,377.60	$2,296.00	$147.56–$2,330.00	53% above	40%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$536.78	$894.64	$20.96–$2,330.00	38% above	40%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$506.40	$844.00	$122.84–$2,330.00	30% above	40%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$506.40	$844.00	$122.84–$2,330.00	30% above	40%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$715.50	$1,192.50	$22.54–$2,330.00	42% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$675.00	$1,125.00	$122.84–$2,330.00	34% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$675.00	$1,125.00	$122.84–$2,330.00	34% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$1,296.00	$2,160.00	$53.51–$2,330.00	222% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$1,373.76	$2,289.60	$53.51–$2,330.00	242% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$1,296.00	$2,160.00	$122.84–$2,330.00	222% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$1,296.00	$2,160.00	$122.84–$2,330.00	222% above	40%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$489.60	$816.00	$30.28–$2,330.00	61% above	40%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$518.98	$864.96	$30.28–$2,330.00	71% above	40%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$543.00	$905.00	$20.96–$2,330.00	38% above	40%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$543.00	$905.00	$122.84–$2,330.00	38% above	40%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$543.00	$905.00	$122.84–$2,330.00	38% above	40%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$504.98	$841.64	$17.93–$2,330.00	38% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$476.40	$794.00	$122.84–$2,330.00	31% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$476.40	$794.00	$122.84–$2,330.00	31% above	40%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$614.40	$1,024.00	$20.96–$2,330.00	52% above	40%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$614.40	$1,024.00	$122.84–$2,330.00	52% above	40%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$614.40	$1,024.00	$122.84–$2,330.00	52% above	40%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$645.54	$1,075.90	$22.54–$2,330.00	31% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$609.00	$1,015.00	$122.84–$2,330.00	23% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$609.00	$1,015.00	$122.84–$2,330.00	23% above	40%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$677.34	$1,128.90	$22.54–$2,330.00	33% above	40%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$639.00	$1,065.00	$122.84–$2,330.00	26% above	40%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$639.00	$1,065.00	$122.84–$2,330.00	26% above	40%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$576.60	$961.00	$22.18–$2,330.00	45% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$576.60	$961.00	$122.84–$2,330.00	45% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$576.60	$961.00	$122.84–$2,330.00	45% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$738.60	$1,231.00	$28.48–$2,330.00	57% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$782.92	$1,304.86	$28.48–$2,330.00	66% above	40%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$1,083.60	$1,806.00	$38.90–$2,330.00	66% above	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$715.20	$1,192.00	$27.63–$2,330.00	55% above	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$758.11	$1,263.52	$27.63–$2,330.00	64% above	40%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$729.00	$1,215.00	$22.18–$2,330.00	69% above	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$711.00	$1,185.00	$25.58–$2,330.00	58% above	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$753.66	$1,256.10	$25.58–$2,330.00	67% above	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$560.32	$933.86	$22.18–$2,330.00	46% above	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$1,057.20	$1,762.00	$22.18–$2,330.00	175% above	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$706.80	$1,178.00	$24.24–$2,330.00	50% above	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$126.00	$210.00	$5.30–$2,330.00	192% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$133.56	$222.60	$5.30–$2,330.00	210% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$141.00	$235.00	$5.18–$2,330.00	211% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$149.46	$249.10	$5.18–$2,330.00	229% above	40%
Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL	$106.20	$177.00	$4.95–$2,330.00	325% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE	$117.60	$196.00	$5.18–$2,330.00	218% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$3.60	$6.00	$5.22–$2,330.00	28% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$19.50	$32.50	$5.22–$2,330.00	290% above	40%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$289.80	$483.00	$14.57–$2,330.00	60% above	40%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$301.39	$502.32	$14.57–$2,330.00	67% above	40%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$7.56	$12.60	$6.48–$2,330.00	85% below	40%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$223.80	$373.00	$6.48–$2,330.00	338% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$4.80	$8.00	$8.00–$2,330.00	76% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT	$8.18	$13.64	$12.95–$2,330.00	60% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$5.40	$9.00	$9.00–$2,330.00	83% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$77.40	$129.00	$39.26–$2,330.00	58% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$355.80	$593.00	$39.26–$2,330.00	92% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$204.00	$340.00	$8.62–$2,330.00	69% above	40%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$283.20	$472.00	$8.46–$2,330.00	44% above	40%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$300.19	$500.32	$8.46–$2,330.00	52% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$64.98	$108.30	$5.02–$2,330.00	44% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL	$110.40	$184.00	$5.02–$2,330.00	144% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$122.40	$204.00	$20.04–$2,330.00	6% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$179.52	$299.20	$20.04–$2,330.00	38% above	40%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$353.40	$589.00	$10.32–$2,330.00	30% above	40%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$374.60	$624.34	$10.32–$2,330.00	38% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$47.40	$79.00	$3.16–$2,330.00	125% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$50.24	$83.74	$3.16–$2,330.00	139% above	40%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$78.00	$130.00	$3.93–$2,330.00	108% above	40%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$116.39	$193.98	$3.93–$2,330.00	210% above	40%
Blood lead test CPT 83655 ASSAY OF LEAD	$19.56	$32.60	$12.11–$2,330.00	91% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$225.60	$376.00	$7.52–$2,330.00	41% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$239.70	$399.50	$7.52–$2,330.00	50% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$16.80	$28.00	$4.43–$2,330.00	84% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$187.20	$312.00	$4.43–$2,330.00	82% above	40%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$74.34	$123.90	$3.95–$2,330.00	124% above	40%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$111.60	$186.00	$3.95–$2,330.00	237% above	40%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$9.00	$15.00	$15.00–$2,330.00	86% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$18.34	$30.57	$5.18–$2,330.00	66% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$105.60	$176.00	$5.18–$2,330.00	96% above	40%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$370.20	$617.00	$37.27–$2,330.00	142% above	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$385.01	$641.68	$37.27–$2,330.00	152% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$141.60	$236.00	$20.81–$2,330.00	183% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$147.26	$245.44	$20.81–$2,330.00	195% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$175.20	$292.00	$20.81–$2,330.00	27% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$182.21	$303.68	$20.81–$2,330.00	32% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN	$96.60	$161.00	$51.31–$2,330.00	2% above	40%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$115.80	$193.00	$5.16–$2,330.00	87% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$10.20	$17.00	$17.00–$2,330.00	88% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL	$229.20	$382.00	$18.96–$2,330.00	174% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$12.60	$21.00	$21.00–$2,330.00	77% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$190.80	$318.00	$35.09–$2,330.00	249% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$309.60	$516.00	$13.39–$2,330.00	205% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$328.18	$546.96	$13.39–$2,330.00	224% above	40%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$237.00	$395.00	$7.77–$2,330.00	114% above	40%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$250.58	$417.64	$7.77–$2,330.00	126% above	40%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$86.40	$144.00	$6.47–$2,330.00	2% below	40%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$91.80	$153.00	$6.47–$2,330.00	4% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$318.00	$530.00	$10.56–$2,330.00	25% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$337.08	$561.80	$10.56–$2,330.00	32% above	40%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$22.73	$37.89	$16.30–$2,330.00	76% below	40%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$166.20	$277.00	$16.30–$2,330.00	74% above	40%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$201.60	$336.00	$6.51–$2,330.00	131% above	40%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$116.40	$194.00	$5.12–$2,330.00	151% above	40%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$123.38	$205.64	$5.12–$2,330.00	166% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$41.77	$69.61	$14.39–$2,330.00	52% above	40%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$224.40	$374.00	$10.18–$2,330.00	56% above	40%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$238.43	$397.38	$10.18–$2,330.00	66% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$85.80	$143.00	$7.01–$2,330.00	2% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE)	$175.80	$293.00	$7.01–$2,330.00	109% above	40%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$46.24	$77.07	$27.94–$2,330.00	47% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$9.77	$16.28	$16.28–$2,330.00	90% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$10.88	$18.14	$18.14–$2,330.00	89% below	40%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$21.00	$35.00	$19.63–$2,330.00	71% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$180.00	$300.00	$13.63–$2,330.00	69% above	40%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$190.80	$318.00	$13.63–$2,330.00	79% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$204.60	$341.00	$9.72–$2,330.00	53% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$212.78	$354.64	$9.72–$2,330.00	59% above	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$181.20	$302.00	$14.70–$2,330.00	66% above	40%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$188.45	$314.08	$14.70–$2,330.00	73% above	40%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$210.00	$350.00	$16.94–$2,330.00	159% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$183.60	$306.00	$9.02–$2,330.00	170% above	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$127.80	$213.00	$7.20–$2,330.00	181% above	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$132.91	$221.52	$7.20–$2,330.00	192% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$93.06	$155.10	$4.75–$2,330.00	79% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$12.60	$21.00	$21.00–$2,330.00	79% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$190.80	$318.00	$35.09–$2,330.00	219% above	40%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$75.00	$125.00	$14.38–$2,330.00	6% below	40%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$82.50	$137.50	$14.38–$2,330.00	4% above	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$48.00	$80.00	$38.43–$2,330.00	52% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$220.80	$368.00	$24.08–$2,330.00	153% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$171.60	$286.00	$9.71–$2,330.00	163% above	40%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$48.00	$80.00	$2.37–$2,330.00	19% above	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT	$124.80	$208.00	$12.05–$2,330.00	256% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$132.00	$220.00	$10.74–$2,330.00	209% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$144.60	$241.00	$10.33–$2,330.00	102% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$142.20	$237.00	$14.27–$2,330.00	160% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$45.00	$75.00	$38.43–$2,330.00	49% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$12.22	$20.37	$19.35–$2,330.00	48% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY	$126.00	$210.00	$12.95–$2,330.00	107% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$133.88	$223.13	$12.95–$2,330.00	119% above	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$281.40	$469.00	$17.92–$2,330.00	270% above	40%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$292.66	$487.76	$17.92–$2,330.00	285% above	40%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$114.60	$191.00	$6.47–$2,330.00	97% above	40%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$119.18	$198.64	$6.47–$2,330.00	105% above	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$156.00	$260.00	$8.74–$2,330.00	114% above	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$162.24	$270.40	$8.74–$2,330.00	122% above	40%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$283.20	$472.00	$8.68–$2,330.00	99% above	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$294.53	$490.88	$8.68–$2,330.00	107% above	40%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$12.00	$20.00	$18.52–$2,330.00	88% below	40%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$14.94	$24.90	$11.57–$2,330.00	89% below	40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$405.60	$676.00	$11.57–$2,330.00	204% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$143.40	$239.00	$6.04–$2,330.00	297% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$168.60	$281.00	$6.89–$2,330.00	75% above	40%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$237.60	$396.00	$8.17–$2,330.00	57% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$247.10	$411.84	$8.17–$2,330.00	63% above	40%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$6.20	$10.34	$10.34–$2,330.00	71% below	40%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$32.25	$53.75	$17.03–$2,330.00	53% above	40%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$10.21	$17.01	$6.70–$2,330.00	84% below	40%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$151.20	$252.00	$6.70–$2,330.00	139% above	40%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$4.80	$8.00	$8.00–$2,330.00	85% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$20.40	$34.00	$12.88–$2,330.00	35% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$149.40	$249.00	$5.18–$2,330.00	45% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$158.74	$264.56	$5.18–$2,330.00	54% above	40%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$4.80	$8.00	$8.00–$2,330.00	70% below	40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$5.40	$9.00	$9.00–$2,330.00	66% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE	$307.20	$512.00	$18.39–$2,330.00	410% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$319.49	$532.48	$18.39–$2,330.00	430% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$307.20	$512.00	$18.39–$2,330.00	414% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$314.40	$524.00	$41.28–$2,330.00	186% above	40%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$326.98	$544.96	$41.28–$2,330.00	197% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$174.00	$290.00	$6.01–$2,330.00	178% above	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$116.40	$194.00	$4.74–$2,330.00	54% above	40%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$123.38	$205.64	$4.74–$2,330.00	63% above	40%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$99.00	$165.00	$4.76–$2,330.00	35% above	40%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$102.96	$171.60	$4.76–$2,330.00	41% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$48.00	$80.00	$4.29–$2,330.00	13% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$126.00	$210.00	$4.29–$2,330.00	130% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION	$312.00	$520.00	$12.60–$2,330.00	268% above	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$324.48	$540.80	$12.60–$2,330.00	283% above	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP)	$235.80	$393.00	$13.35–$2,330.00	119% above	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$249.95	$416.58	$13.35–$2,330.00	132% above	40%
Renin blood test CPT 84244 ASSAY OF RENIN	$11.34	$18.90	$18.90–$2,330.00	54% below	40%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$12.75	$21.25	$6.30–$2,330.00	77% below	40%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$109.20	$182.00	$6.30–$2,330.00	96% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$8.12	$13.53	$5.67–$2,330.00	38% below	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$156.60	$261.00	$5.67–$2,330.00	1086% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED	$108.00	$180.00	$2.70–$2,330.00	93% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$114.48	$190.80	$2.70–$2,330.00	104% above	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT	$298.27	$497.12	$12.31–$2,330.00	115% above	40%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL	$103.20	$172.00	$4.81–$2,330.00	58% above	40%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$107.33	$178.88	$4.81–$2,330.00	64% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY	$78.60	$131.00	$3.73–$2,330.00	61% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$81.74	$136.24	$3.73–$2,330.00	67% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM	$80.40	$134.00	$13.24–$2,330.00	397% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$163.38	$272.30	$13.24–$2,330.00	909% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$148.80	$248.00	$4.27–$2,330.00	1009% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$30.00	$50.00	$50.00–$2,330.00	65% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$8.18	$13.64	$13.64–$2,330.00	64% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$281.40	$469.00	$16.80–$2,330.00	204% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$298.28	$497.14	$16.80–$2,330.00	222% above	40%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$4.08	$6.80	$4.35–$2,330.00	90% below	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL	$82.20	$137.00	$4.35–$2,330.00	96% above	40%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$5.11	$8.52	$6.87–$2,330.00	87% below	40%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$30.00	$50.00	$12.76–$2,330.00	44% below	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$59.87	$99.78	$31.34–$2,330.00	39% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$115.20	$192.00	$5.74–$2,330.00	180% above	40%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$380.33	$633.88	$12.47–$2,330.00	112% above	40%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$1,076.40	$1,794.00	$12.47–$2,330.00	501% above	40%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$118.20	$197.00	$4.52–$2,330.00	79% above	40%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$125.29	$208.82	$4.52–$2,330.00	90% above	40%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$124.80	$208.00	$3.17–$2,330.00	51% above	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$132.29	$220.48	$3.17–$2,330.00	60% above	40%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$78.00	$130.00	$2.25–$2,330.00	39% above	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$81.12	$135.20	$2.25–$2,330.00	45% above	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST	$51.60	$86.00	$3.48–$2,330.00	51% above	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$53.66	$89.44	$3.48–$2,330.00	57% above	40%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$209.40	$349.00	$8.07–$2,330.00	50% above	40%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$114.19	$190.32	$5.78–$2,330.00	211% above	40%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$92.40	$154.00	$7.58–$2,330.00	5% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$174.60	$291.00	$15.08–$2,330.00	86% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$12.00	$20.00	$20.00–$2,330.00	81% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$159.00	$265.00	$29.60–$2,330.00	149% above	40%
Zinc blood test CPT 84630 ASSAY OF ZINC	$13.32	$22.20	$11.39–$2,330.00	21% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$297.00	$495.00	$15.05–$2,330.00	66% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$314.82	$524.70	$15.05–$2,330.00	76% above	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC	$30,641.40	$51,069.00	$2,330.00–$123,784.76	208% above	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$33,620.40	$56,034.00	$2,330.00–$69,961.12	262% above	40%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$35,972.40	$59,954.00	$2,330.00–$69,961.12	287% above	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$8,787.30	$14,645.50	$2,330.00–$69,961.12	16% above	40%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$10,992.30	$18,320.50	$2,330.00–$69,961.12	46% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$5,400.00	$9,000.00	$2,330.00–$15,923.95	24% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$5,724.00	$9,540.00	$2,330.00–$15,923.95	32% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$5,400.00	$9,000.00	$2,330.00–$15,923.95	24% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$5,400.00	$9,000.00	$2,330.00–$15,923.95	24% above	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$546.31	$910.52	$348.16–$8,430.00	2% above	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$709.46	$1,182.44	$348.16–$8,430.00	32% above	40%
Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION	$29,504.40	$49,174.00	$2,330.00–$31,547.13	489% above	40%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$33,515.40	$55,859.00	$2,330.00–$33,674.00	159% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$4,851.00	$8,085.00	$932.89–$6,372.57	153% above	40%
Carpal tunnel release, open surgery CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$18,075.60	$30,126.00	$2,330.00–$18,827.33	401% above	40%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$18,075.60	$30,126.00	$2,330.00–$18,827.33	401% above	40%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$21,316.00	$35,526.67	$2,330.00–$18,827.33	491% above	40%
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION	$15,626.46	$26,044.10	$2,330.00–$252,009.39	53% below	40%
Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB	$58,155.60	$96,926.00	$2,330.00–$252,009.39	74% above	40%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH	$12,932.40	$21,554.00	$1,300.01–$8,880.37	564% above	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$15,558.00	$25,930.00	$2,330.00–$20,154.52	235% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$6,999.18	$11,665.30	$2,330.00–$20,154.52	318% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE	$14,488.80	$24,148.00	$2,330.00–$20,154.52	765% above	40%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE	$1,827.67	$3,046.12	$984.19–$15,538.00	237% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$458.56	$764.26	$348.16–$8,430.00	18% below	40%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$7,920.00	$13,200.00	$1,688.98–$15,538.00	246% above	40%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$5,280.00	$8,800.00	$1,688.98–$15,538.00	127% above	40%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$3,065.60	$5,109.34	$1,312.58–$15,538.00	47% above	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$985.38	$1,642.30	$430.11–$8,796.00	4% above	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE	$18,075.60	$30,126.00	$430.11–$8,796.00	1810% above	40%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$33,319.80	$55,533.00	$2,330.00–$111,303.90	123% above	40%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$12,885.00	$21,475.00	$2,330.00–$33,986.27	73% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$12,647.40	$21,079.00	$2,330.00–$33,986.27	70% above	40%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$36,189.60	$60,316.00	$2,330.00–$33,986.27	385% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$12,825.60	$21,376.00	$984.19–$8,430.00	693% above	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$7,571.40	$12,619.00	$2,330.00–$31,210.91	79% above	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$15,696.00	$26,160.00	$2,330.00–$31,210.91	271% above	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$12,291.00	$20,485.00	$2,189.97–$15,623.00	112% above	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$202.62	$337.70	$83.26–$8,430.00	14% above	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$184.20	$307.00	$83.26–$8,430.00	4% above	40%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$376.80	$628.00	$83.26–$8,430.00	99% above	40%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$376.80	$628.00	$83.26–$8,430.00	99% above	40%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$376.80	$628.00	$83.26–$8,430.00	99% above	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$541.20	$902.00	$285.35–$8,430.00	1% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS	$20,721.60	$34,536.00	$285.35–$8,430.00	3695% above	40%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 REMOVAL OF NASAL SINUS USING AN ENDOSCOPE	$5,564.20	$9,273.66	$2,330.00–$68,044.82	49% below	40%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$8,346.30	$13,910.50	$2,330.00–$68,044.82	8% below	40%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$7,258.50	$12,097.50	$2,330.00–$68,044.82	20% below	40%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$8,316.90	$13,861.50	$2,330.00–$68,044.82	8% below	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$16,692.60	$27,821.00	$2,330.00–$35,947.04	151% above	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$14,517.00	$24,195.00	$2,330.00–$35,947.04	118% above	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$19,162.21	$31,937.02	$2,330.00–$35,947.04	188% above	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$31,393.80	$52,323.00	$2,330.00–$68,044.82	248% above	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$5,473.35	$9,122.25	$2,330.00–$68,044.82	39% below	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$6,641.70	$11,069.50	$2,330.00–$68,044.82	26% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$4,005.00	$6,675.00	$996.30–$8,430.00	64% above	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$3,600.00	$6,000.00	$1,248.38–$8,527.68	75% above	40%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,600.00	$6,000.00	$1,248.38–$8,527.68	75% above	40%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$4,820.40	$8,034.00	$1,248.38–$8,527.68	134% above	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$46,557.00	$77,595.00	$2,330.00–$62,417.65	522% above	40%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE	$37,501.20	$62,502.00	$2,330.00–$62,417.65	401% above	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$18,252.00	$30,420.00	$2,330.00–$34,520.66	171% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$8,744.40	$14,574.00	$1,312.58–$8,966.23	378% above	40%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$33,150.00	$55,250.00	$2,330.00–$58,288.24	151% above	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$34,018.20	$56,697.00	$2,330.00–$58,288.24	266% above	40%
Hammertoe correction surgery one side CPT 28285 CORRECTION OF TOE JOINT DEFORMITY	$18,106.80	$30,178.00	$2,330.00–$31,547.13	332% above	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP	$12,647.40	$21,079.00	$2,330.00–$26,761.67	178% above	40%
Hysterectomy through an abdominal incision (total) CPT 58150 REMOVAL OF UTERUS AND CERVIX THROUGH ABDOMEN	$23,367.60	$38,946.00	$1,026.05–$33,674.00	593% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES	$1,373.40	$2,289.00	$59.81–$8,430.00	119% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$1,442.07	$2,403.45	$59.81–$8,430.00	130% above	40%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$13,835.40	$23,059.00	$2,330.00–$48,231.37	116% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$22,397.40	$37,329.00	$2,330.00–$31,210.91	216% above	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$4,136.60	$6,894.33	$2,330.00–$8,430.00	604% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$1,231.80	$2,053.00	$283.19–$8,430.00	163% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,305.71	$2,176.18	$283.19–$8,430.00	179% above	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$22,838.40	$38,064.00	$2,330.00–$34,520.66	209% above	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$20,545.20	$34,242.00	$2,330.00–$34,520.66	178% above	40%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$22,573.80	$37,623.00	$2,330.00–$34,520.66	205% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$1,106.40	$1,844.00	$433.25–$8,430.00	68% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,564.80	$2,608.00	$433.25–$8,430.00	64% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,564.80	$2,608.00	$433.25–$8,430.00	64% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,564.80	$2,608.00	$433.25–$8,430.00	64% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$1,259.40	$2,099.00	$433.25–$8,430.00	107% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$1,259.40	$2,099.00	$433.25–$8,430.00	107% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$1,259.40	$2,099.00	$433.25–$8,430.00	107% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$1,259.40	$2,099.00	$433.25–$8,430.00	73% above	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$26,176.80	$43,628.00	$2,330.00–$31,547.13	525% above	40%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$28,916.40	$48,194.00	$2,330.00–$31,547.13	591% above	40%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$26,211.60	$43,686.00	$2,330.00–$31,547.13	409% above	40%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$26,917.20	$44,862.00	$2,330.00–$31,547.13	423% above	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$27,152.40	$45,254.00	$2,330.00–$31,547.13	548% above	40%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$28,210.80	$47,018.00	$2,330.00–$31,547.13	574% above	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$28,210.80	$47,018.00	$2,330.00–$31,547.13	198% above	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 REMOVAL OR SHAVING OF KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$29,030.86	$48,384.76	$2,330.00–$31,547.13	207% above	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$28,328.40	$47,214.00	$2,330.00–$58,288.24	247% above	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$40,870.80	$68,118.00	$2,330.00–$102,488.02	141% above	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$43,932.60	$73,221.00	$2,330.00–$102,488.02	211% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$21,864.80	$36,441.34	$2,330.00–$58,288.24	37% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$24,234.00	$40,390.00	$2,330.00–$58,288.24	52% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$26,329.20	$43,882.00	$2,330.00–$58,288.24	66% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$12,117.00	$20,195.00	$2,330.00–$58,288.24	12% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$23,262.00	$38,770.00	$2,330.00–$58,288.24	69% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$32,091.60	$53,486.00	$2,330.00–$58,288.24	139% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$31,399.32	$52,332.20	$2,330.00–$58,288.24	134% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$37,759.32	$62,932.20	$2,330.00–$58,288.24	181% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$1,179.60	$1,966.00	$573.77–$8,430.00	36% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$1,297.56	$2,162.60	$573.77–$8,430.00	49% above	40%
Left heart catheterization, diagnostic one side CPT 93452 INSERTION OF TUBE IN LEFT HEART CHAMBERS FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$21,090.90	$35,151.50	$2,330.00–$33,674.00	113% above	40%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$24,116.21	$40,193.69	$2,330.00–$33,674.00	144% above	40%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$3,750.00	$6,250.00	$996.30–$8,430.00	69% above	40%
Lower-back epidural injection, with imaging guidance one side CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$5,106.80	$8,511.34	$996.30–$8,430.00	130% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL	$3,750.00	$6,250.00	$1,248.38–$8,527.68	109% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$5,561.40	$9,269.00	$1,248.38–$8,527.68	172% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$7,660.20	$12,767.00	$1,248.38–$8,527.68	275% above	40%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$4,820.40	$8,034.00	$1,248.38–$8,527.68	136% above	40%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$5,106.80	$8,511.34	$1,248.38–$8,527.68	150% above	40%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$40,870.80	$68,118.00	$2,330.00–$69,961.12	340% above	40%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$38,912.40	$64,854.00	$2,330.00–$69,961.12	319% above	40%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$42,313.20	$70,522.00	$2,330.00–$69,961.12	93% above	40%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$33,398.48	$55,664.14	$2,330.00–$69,961.12	52% above	40%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$42,037.20	$70,062.00	$2,330.00–$69,961.12	91% above	40%
Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK	$32,609.70	$54,349.50	$2,330.00–$169,053.18	85% above	40%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL REMOVAL OF BREAST	$14,785.80	$24,643.00	$2,330.00–$37,750.84	121% above	40%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$13,814.40	$23,024.00	$2,330.00–$37,750.84	107% above	40%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$19,486.80	$32,478.00	$2,330.00–$37,750.84	191% above	40%
Mastectomy (total removal of the breast) CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$38,250.40	$63,750.67	$2,330.00–$64,021.50	332% above	40%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$5,603.40	$9,339.00	$2,330.00–$64,021.50	37% below	40%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$15,696.00	$26,160.00	$2,330.00–$64,021.50	77% above	40%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$4,239.48	$7,065.80	$2,330.00–$31,210.91	16% below	40%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$6,995.40	$11,659.00	$2,330.00–$31,210.91	38% above	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 REMOVAL AND MICROSCOPIC EXAM OF GROWTH OF HEAD; NECK; HANDS; FEET; OR GENITALS; 1-5 TISSUE BLOCKS	$14,964.00	$24,940.00	$1,043.15–$8,796.00	803% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$6,672.00	$11,120.00	$999.49–$8,796.00	352% above	40%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$631.20	$1,052.00	$283.19–$8,430.00	25% above	40%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$1,770.78	$2,951.30	$433.25–$8,430.00	101% above	40%
Occipital nerve block (injection for headaches) one side CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$1,609.80	$2,683.00	$433.25–$8,430.00	83% above	40%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$49,185.60	$81,976.00	$2,330.00–$100,773.44	162% above	40%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$3,705.60	$6,176.00	$1,280.16–$8,796.00	102% above	40%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$41,308.20	$68,847.00	$2,330.00–$123,784.76	106% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,574.76	$2,624.60	$573.77–$8,430.00	22% above	40%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$5,650.80	$9,418.00	$2,330.00–$15,538.00	7% below	40%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$5,989.85	$9,983.08	$2,330.00–$15,538.00	1% below	40%
Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$29,766.60	$49,611.00	$2,330.00–$102,488.02	22% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$4,677.00	$7,795.00	$2,330.00–$18,827.33	2% below	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$12,706.80	$21,178.00	$2,330.00–$18,827.33	167% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$4,136.60	$6,894.33	$2,330.00–$18,827.33	13% below	40%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$13,241.40	$22,069.00	$2,330.00–$37,750.84	164% above	40%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$12,469.20	$20,782.00	$2,330.00–$37,750.84	149% above	40%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$13,122.60	$21,871.00	$2,330.00–$37,750.84	162% above	40%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$1,536.60	$2,561.00	$573.77–$8,430.00	56% above	40%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$27,865.80	$46,443.00	$2,330.00–$58,288.24	260% above	40%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$26,983.80	$44,973.00	$2,330.00–$58,288.24	249% above	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$2,590.65	$4,317.75	$1,312.58–$15,538.00	9% above	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$8,744.40	$14,574.00	$1,312.58–$15,538.00	270% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$8,744.40	$14,574.00	$1,312.58–$15,538.00	263% above	40%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE	$21,551.20	$35,918.67	$2,330.00–$31,966.14	338% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 FRAGMENTING OF KIDNEY STONE	$16,262.40	$27,104.00	$2,330.00–$33,986.27	107% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$18,075.60	$30,126.00	$2,330.00–$33,986.27	130% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$7,857.00	$13,095.00	$2,330.00–$33,986.27	at median	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$8,031.00	$13,385.00	$2,330.00–$33,986.27	2% above	40%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$588.00	$980.00	$187.79–$5,304.00	40% above	40%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$742.20	$1,237.00	$187.79–$5,304.00	77% above	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$588.00	$980.00	$187.79–$5,304.00	40% above	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$588.00	$980.00	$187.79–$5,304.00	40% above	40%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$580.80	$968.00	$394.77–$5,304.00	16% above	40%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$609.60	$1,016.00	$229.36–$5,304.00	23% above	40%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$740.40	$1,234.00	$229.36–$5,304.00	50% above	40%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$609.60	$1,016.00	$229.36–$5,304.00	23% above	40%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$609.60	$1,016.00	$229.36–$5,304.00	23% above	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$6,838.20	$11,397.00	$2,330.00–$31,547.13	63% above	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$20,296.80	$33,828.00	$158.25–$15,623.00	287% above	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$21,984.60	$36,641.00	$158.25–$15,623.00	319% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$744.00	$1,240.00	$283.19–$8,430.00	35% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$788.64	$1,314.40	$283.19–$8,430.00	43% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$744.00	$1,240.00	$283.19–$8,430.00	35% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$744.00	$1,240.00	$283.19–$8,430.00	35% above	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$12,291.00	$20,485.00	$573.77–$5,304.00	1600% above	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$12,756.00	$21,260.00	$999.49–$8,430.00	549% above	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$13,402.80	$22,338.00	$283.19–$8,430.00	3291% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$1,808.40	$3,014.00	$996.30–$8,430.00	37% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$753.00	$1,255.00	$283.19–$5,304.00	1% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$798.18	$1,330.30	$283.19–$5,304.00	7% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$753.00	$1,255.00	$283.19–$5,304.00	1% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$753.00	$1,255.00	$283.19–$5,304.00	1% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$748.80	$1,248.00	$283.19–$5,304.00	13% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$793.73	$1,322.88	$283.19–$5,304.00	20% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$748.80	$1,248.00	$283.19–$5,304.00	13% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$748.80	$1,248.00	$283.19–$5,304.00	13% above	40%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$20,721.60	$34,536.00	$2,330.00–$51,695.98	95% above	40%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$7,178.40	$11,964.00	$885.40–$8,430.00	253% above	40%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$7,178.40	$11,964.00	$885.40–$8,430.00	253% above	40%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$7,178.40	$11,964.00	$885.40–$8,430.00	253% above	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$14,132.40	$23,554.00	$2,330.00–$31,966.14	233% above	40%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$13,696.80	$22,828.00	$2,330.00–$57,076.35	29% above	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$9,168.40	$15,280.66	$2,330.00–$31,966.14	62% above	40%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$37,663.20	$62,772.00	$2,330.00–$123,784.76	311% above	40%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$42,183.00	$70,305.00	$2,330.00–$123,784.76	360% above	40%
Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$45,536.40	$75,894.00	$2,330.00–$123,784.76	77% above	40%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$45,390.60	$75,651.00	$2,330.00–$123,784.76	76% above	40%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$47,723.40	$79,539.00	$2,330.00–$123,784.76	85% above	40%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$34,678.80	$57,798.00	$2,330.00–$169,053.18	206% above	40%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$37,148.40	$61,914.00	$2,330.00–$169,053.18	228% above	40%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$43,734.00	$72,890.00	$2,330.00–$58,288.24	31% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$1,009.20	$1,682.00	$433.25–$8,430.00	58% above	40%
Trigger point injections, 1 or 2 muscles one side CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$1,009.20	$1,682.00	$433.25–$8,430.00	58% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$5,400.00	$9,000.00	$2,330.00–$15,923.95	68% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$5,724.00	$9,540.00	$2,330.00–$15,923.95	78% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$5,400.00	$9,000.00	$2,330.00–$15,923.95	68% above	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$5,400.00	$9,000.00	$2,330.00–$15,923.95	68% above	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$6,048.00	$10,080.00	$2,330.00–$18,501.22	146% above	40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$2,664.11	$4,440.18	$1,280.16–$15,538.00	51% above	40%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$10,560.00	$17,600.00	$1,280.16–$15,538.00	497% above	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$9,072.00	$15,120.00	$1,280.16–$15,538.00	385% above	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$7,920.00	$13,200.00	$2,330.00–$18,501.22	142% above	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE	$2,640.00	$4,400.00	$1,280.16–$15,538.00	41% above	40%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$8,448.00	$14,080.00	$1,280.16–$8,744.77	351% above	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$26,542.80	$44,238.00	$2,330.00–$51,695.98	232% above	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$18,781.20	$31,302.00	$2,330.00–$51,695.98	135% above	40%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$19,575.00	$32,625.00	$2,330.00–$51,695.98	145% above	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$21,250.80	$35,418.00	$2,330.00–$51,695.98	76% above	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$19,575.00	$32,625.00	$2,330.00–$51,695.98	62% above	40%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$19,839.60	$33,066.00	$2,330.00–$51,695.98	64% above	40%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$23,351.40	$38,919.00	$2,330.00–$20,154.52	739% above	40%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$19,620.00	$32,700.00	$2,330.00–$30,443.03	129% above	40%
Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$9,698.80	$16,164.67	$2,330.00–$30,443.03	13% above	40%
Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$11,948.40	$19,914.00	$2,330.00–$30,443.03	39% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$1,018.67	$1,697.79	$573.77–$15,538.00	50% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$1,120.54	$1,867.57	$573.77–$15,538.00	64% above	40%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$30,445.20	$50,742.00	$2,330.00–$69,961.12	400% above	40%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$30,915.60	$51,526.00	$2,330.00–$69,961.12	407% above	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$2,364.60	$3,941.00	$622.69–$8,430.00	171% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$785.40	$1,309.00	$3,070.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$835.07	$1,391.78	$3,070.00	—	40%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$1,098.00	$1,830.00	$466.20–$3,184.61	26% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST	$511.80	$853.00	$181.62–$2,330.00	7% below	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$9,192.60	$15,321.00	$721.00–$7,964.19	68% above	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$9,744.16	$16,240.26	$721.00–$7,964.19	78% above	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY	$2,223.60	$3,706.00	$90.82–$2,330.00	117% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$463.01	$771.68	$23.42–$2,330.00	37% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$873.60	$1,456.00	$23.42–$2,330.00	158% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$526.20	$877.00	$119.01–$3,326.00	25% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$559.09	$931.81	$119.01–$3,326.00	33% above	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$1,081.20	$1,802.00	$216.72–$3,326.00	24% above	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$1,148.78	$1,914.63	$216.72–$3,326.00	32% above	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$2,014.20	$3,357.00	$385.29–$9,293.00	34% above	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$2,135.05	$3,558.42	$385.29–$9,293.00	42% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$3,376.20	$5,627.00	$588.94–$9,293.00	24% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$6,726.97	$11,211.62	$588.94–$9,293.00	148% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$5,242.80	$8,738.00	$721.00–$9,293.00	48% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$5,570.48	$9,284.13	$721.00–$9,293.00	57% above	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$2,211.60	$3,686.00	$76.97–$29,560.00	57% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$931.20	$1,552.00	$300.22–$2,330.00	87% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$987.07	$1,645.12	$300.22–$2,330.00	98% above	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$1,434.60	$2,391.00	$300.22–$2,330.00	144% above	40%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$400.20	$667.00	$300.22–$2,330.00	13% above	40%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$424.21	$707.02	$300.22–$2,330.00	20% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$260.76	$434.60	$101.62–$2,330.00	46% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$492.00	$820.00	$101.62–$2,330.00	175% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 THERAPY PROCEDURE TO RE-EDUCATE BRAIN-TO-NERVE-TO-MUSCLE FUNCTION; EACH 15 MINUTES	$127.20	$212.00	$40.56–$2,330.00	at median	40%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$219.60	$366.00	$40.56–$2,330.00	72% above	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$151.41	$252.35	$45.84–$2,330.00	8% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$106.26	$177.10	$31.30–$2,330.00	7% above	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES	$193.20	$322.00	$31.30–$2,330.00	94% above	40%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$487.18	$811.96	$125.22–$2,330.00	87% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$324.00	$540.00	$121.46–$2,330.00	17% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$365.40	$609.00	$121.46–$2,330.00	55% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$279.00	$465.00	$121.46–$2,330.00	21% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$401.40	$669.00	$121.46–$2,330.00	13% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 THERAPY PROCEDURE USING MANUAL TECHNIQUE; EACH 15 MINUTES	$139.80	$233.00	$34.23–$2,330.00	17% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$148.54	$247.56	$34.23–$2,330.00	24% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$118.20	$197.00	$35.91–$2,330.00	9% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$175.20	$292.00	$35.91–$2,330.00	35% above	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$45.60	$76.00	$52.88–$2,330.00	38% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$625.42	$1,042.36	$140.71–$2,330.00	148% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$455.40	$759.00	$64.36–$2,330.00	218% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$482.72	$804.54	$64.36–$2,330.00	238% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$562.80	$938.00	$94.34–$2,330.00	180% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$579.68	$966.14	$94.34–$2,330.00	188% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$383.40	$639.00	$34.46–$2,330.00	234% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$402.57	$670.95	$34.46–$2,330.00	250% above	40%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$859.80	$1,433.00	$126.00–$2,330.00	88% above	40%
Speech and language evaluation CPT 92523 EVALUATION OF SPEECH SOUND PRODUCTION WITH EVALUATION OF LANGUAGE COMPREHENSION AND EXPRESSION	$867.60	$1,446.00	$126.00–$2,330.00	90% above	40%
Speech therapy session, individual CPT 92507 TREATMENT OF SPEECH; LANGUAGE; VOICE; COMMUNICATION; AND/OR HEARING PROCESSING DISORDER	$582.60	$971.00	$93.37–$2,330.00	110% above	40%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$701.40	$1,169.00	$93.37–$2,330.00	153% above	40%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$646.20	$1,077.00	$22.28–$2,330.00	70% above	40%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$833.40	$1,389.00	$49.27–$3,597.82	4% above	40%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$916.74	$1,527.90	$49.27–$3,597.82	15% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPY PROCEDURE USING FUNCTIONAL ACTIVITIES	$127.20	$212.00	$44.49–$2,330.00	7% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$193.98	$323.30	$44.49–$2,330.00	41% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$1,138.20	$1,897.00	$187.79–$2,330.00	252% above	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty 2025-2026 Age Over 65 / High Risk 12-64	$329.72	$549.54	$2,330.00	42% above	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax	$368.46	$614.10	$614.10–$2,330.00	18% above	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix	$73.22	$122.03	$122.03–$2,330.00	2% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2024-2025 Formula	$58.16	$96.94	$46.02–$2,330.00	36% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula	$59.53	$99.22	$46.02–$2,330.00	39% above	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS	$60.23	$100.39	$46.02–$2,330.00	41% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Recombivax HB	$152.63	$254.39	$254.39–$2,330.00	24% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B	$152.68	$254.47	$254.47–$2,330.00	24% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B	$75.31	$125.51	$110.35–$2,330.00	31% above	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ActHIB	$47.69	$79.49	$68.36–$2,330.00	14% above	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$196.33	$327.22	$327.22–$2,330.00	40% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra	$290.40	$484.00	$484.00–$2,330.00	11% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$322.80	$538.00	$538.00–$2,330.00	23% above	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MenQuadfi	$341.45	$569.08	$569.08–$2,330.00	28% above	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero	$449.48	$749.13	$749.13–$2,330.00	2% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20	$578.18	$963.64	$963.64–$2,330.00	11% above	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$234.75	$391.25	$391.25–$2,330.00	45% above	40%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus	$1,122.11	$1,870.19	$2,330.00	19% above	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus	$1,122.11	$1,870.18	$2,330.00	16% above	40%
Rabies vaccine, one dose CPT 90675 RabAvert	$706.27	$1,177.12	$319.75–$2,330.00	at median	40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE	$769.04	$1,281.73	$319.75–$2,330.00	9% above	40%
Rabies vaccine, one dose CPT 90675 Imovax Rabies	$868.58	$1,447.63	$319.75–$2,330.00	23% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$107.69	$179.49	$135.43–$2,330.00	7% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$132.60	$221.00	$101.62–$2,330.00	27% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$140.56	$234.26	$101.62–$2,330.00	34% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$120.60	$201.00	$2,330.00	51% above	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://apim.services.craneware.com/api-pricing-transparency/api/public/cc145ba21e574ef7da4a1ed8325d54f9/charges/mrf