Hospital Visalia, CA

Sierra View Medical Center

Listed in its price file as “Sierra View Local Health Care District”.

Sierra View Medical Center in Porterville, CA publishes cash prices for 288 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 242 of 285 procedures and above it for 43. By typical cash price it ranks #59 of 226 California hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

465 West Putnam Avenue, Porterville, CA 93257 Collected Oct 29, 2026 Source price file Check a bill from this hospital (559) 784-1110

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 050261 · CMS hospital register NPI 1639143381

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 CT/ABDOMEN W/WO CON	$2,234.47	$3,192.10	$1,000.00–$2,872.89	21% below	30%
Abdominal X-ray, 2 views CPT 74019 XR ABD;ADDL AP/OBL/CONE VIEWS	$201.46	$287.80	$187.07–$259.02	53% below	30%
Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE; COMPLETE MIN 3V	$250.53	$357.90	$232.64–$322.11	51% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 WC UP/L EXTREMITY ART 2 LEVELS	$234.01	$334.30	$217.30–$300.87	58% below	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ECHO STDY LTD BIL EXT ART SNG	$524.44	$749.20	$486.98–$674.28	6% below	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT/UPPER EXTREM W/O CON	$1,204.42	$1,720.60	$1,000.00–$1,548.54	47% below	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$296.66	$423.80	$275.47–$381.42	51% below	30%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BOD	$906.92	$1,295.60	$842.14–$1,166.04	57% below	30%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE	$530.88	$758.40	$492.96–$682.56	25% below	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED	$424.69	$606.70	$394.36–$546.03	21% below	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA/ABDOMEN & PELVIS	$2,346.12	$3,351.60	$1,000.00–$3,016.44	57% below	30%
CT angiography (CTA) of the head CPT 70496 ..CTA/HEAD W/CON & W/O IF PERF	$1,439.97	$2,057.10	$1,000.00–$1,851.39	52% below	30%
CT angiography (CTA) of the head CPT 70496 CTA/HEAD W/WO	$1,771.56	$2,530.80	$1,000.00–$2,277.72	41% below	30%
CT angiography (CTA) of the neck CPT 70498 ..CTA/NECK W/CON & W/O IF PERF	$1,439.97	$2,057.10	$1,000.00–$1,851.39	51% below	30%
CT angiography (CTA) of the neck CPT 70498 CTA/NECK W/WO	$1,771.56	$2,530.80	$1,000.00–$2,277.72	40% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA/CHEST W/WO	$1,771.56	$2,530.80	$1,000.00–$2,277.72	48% below	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING HEART W/CON	$232.19	$331.70	$215.61–$298.53	38% below	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS W/O CONTRAST	$1,790.95	$2,558.50	$1,000.00–$2,302.65	44% below	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS W/ CONTRAST	$1,877.33	$2,681.90	$1,000.00–$2,413.71	55% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELV W/AND W/O CONT	$2,234.47	$3,192.10	$1,000.00–$2,872.89	52% below	30%
CT scan of the abdomen with contrast CPT 74160 CT/ABDOMEN WITH CON	$1,877.33	$2,681.90	$1,000.00–$2,413.71	26% below	30%
CT scan of the abdomen without contrast CPT 74150 CT/ABDOMEN W/O CON	$1,790.95	$2,558.50	$1,000.00–$2,302.65	6% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT/MAXILLOFACIAL W/O CON	$1,204.42	$1,720.60	$1,000.00–$1,548.54	45% below	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT/HEAD W/O CON	$1,204.42	$1,720.60	$1,000.00–$1,548.54	47% below	30%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN;W/CON	$1,307.32	$1,867.60	$1,000.00–$1,680.84	52% below	30%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN;W/WO CON	$1,676.43	$2,394.90	$1,000.00–$2,155.41	46% below	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT/ L SPINE W/O CON	$1,790.95	$2,558.50	$1,000.00–$2,302.65	37% below	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT/ C SPINE W/O CON	$1,790.95	$2,558.50	$1,000.00–$2,302.65	38% below	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT/PELVIS WITH CON	$1,877.33	$2,681.90	$1,000.00–$2,413.71	26% below	30%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ECHO CAROTID ART (DUP SCAN)	$796.81	$1,138.30	$739.90–$1,024.47	35% below	30%
Chest CT scan without and with contrast CPT 71270 CT/CHEST W/WO CON	$2,346.12	$3,351.60	$1,000.00–$3,016.44	28% below	30%
Chest X-ray, 2 views CPT 71046 XR CHEST, SPECIAL VIEWS	$201.46	$287.80	$187.07–$259.02	51% below	30%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$246.05	$351.50	$228.48–$316.35	40% below	30%
Chest X-ray, single view CPT 71045 XR CHEST WITH PORTABLE, 1 VIEW	$189.42	$270.60	$175.89–$243.54	48% below	30%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$189.42	$270.60	$175.89–$243.54	48% below	30%
Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE COMP	$173.04	$247.20	$160.68–$222.48	64% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA SONOGRAM	$728.14	$1,040.20	$676.13–$936.18	14% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$728.14	$1,040.20	$676.13–$936.18	14% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US KIDNEYS SONOGRAM	$728.14	$1,040.20	$676.13–$936.18	14% below	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MB DXA CENTRAL HIP & SPINE	$243.25	$347.50	$225.88–$312.75	52% below	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR DXA BONE DENSITY/PERIPHERAL	$93.38	$133.40	$86.71–$120.06	66% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT/CHEST W/O CONT.	$1,790.95	$2,558.50	$1,000.00–$2,302.65	12% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT/CHEST WITH CON	$1,877.33	$2,681.90	$1,000.00–$2,413.71	35% below	30%
Diagnostic mammogram, both breasts both sides CPT 77066 ..MB MAMMOGRAM BILAT DIAG	$265.58	$379.40	$246.61–$341.46	—	30%
Diagnostic mammogram, one breast one side CPT 77065 ..MB MAMMO UNILATERAL DIAG	$207.48	$296.40	$192.66–$266.76	45% below	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ECHO ART DUPLEX LOW EXT BIL	$796.81	$1,138.30	$739.90–$1,024.47	24% below	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 ECHO VEN DUPL LOW EXT COMP BIL	$796.81	$1,138.30	$739.90–$1,024.47	33% below	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 ECHO VEN DUPL UP EXT COMP BIL	$796.81	$1,138.30	$739.90–$1,024.47	33% below	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE W DOPPLER COMPLETE	$1,152.90	$1,647.00	$1,000.00–$1,482.30	57% below	30%
Elbow X-ray, 2 views CPT 73070 XR ELBOW AP&LAT;2V	$158.20	$226.00	$146.90–$203.40	60% below	30%
Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW;COMP MIN 3V	$211.96	$302.80	$196.82–$272.52	56% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT/MID-INNER EAR W/O	$1,263.85	$1,805.50	$1,000.00–$1,624.95	45% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT/SELLA TURCICA W/O	$1,263.85	$1,805.50	$1,000.00–$1,624.95	45% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT/POST-FOSSA W/O	$1,263.85	$1,805.50	$1,000.00–$1,624.95	45% below	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT/ORBITS W/O CONT.	$1,263.85	$1,805.50	$1,000.00–$1,624.95	45% below	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES;COMP MIN 3V	$418.81	$598.30	$388.90–$538.47	15% below	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM; 2 VIEWS	$216.16	$308.80	$200.72–$277.92	49% below	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY STUDY	$766.99	$1,095.70	$712.21–$986.13	57% below	30%
Hand X-ray, 2 views CPT 73120 XR FINGER(S) 2 VIEWS	$168.70	$241.00	$156.65–$216.90	59% below	30%
Hand X-ray, 2 views CPT 73120 XR HAND 2 VIEWS	$168.70	$241.00	$156.65–$216.90	59% below	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEUS;MIN 2V	$150.85	$215.50	$140.08–$193.95	57% below	30%
Knee X-ray, 3 views both sides CPT 73562 XR BILAT;KNEE 3 VIEWS EA	$411.39	$587.70	$382.01–$528.93	—	30%
Knee X-ray, 3 views CPT 73562 XR KNEE;3 VIEWS	$274.26	$391.80	$254.67–$352.62	40% below	30%
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE;COMPLETE 4/>VIEWS	$356.51	$509.30	$331.05–$458.37	39% below	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT/LOWER EXTREM W/O CON	$1,263.85	$1,805.50	$1,000.00–$1,624.95	41% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD - LIMITED	$365.19	$521.70	$339.11–$469.53	56% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE LOW BACK/ABD	$728.14	$1,040.20	$676.13–$936.18	12% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER SONOGRAM	$728.14	$1,040.20	$676.13–$936.18	12% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER SONOGRAM	$728.14	$1,040.20	$676.13–$936.18	12% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS SONOGRAM	$728.14	$1,040.20	$676.13–$936.18	12% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN SONOGRAM	$763.91	$1,091.30	$709.35–$982.17	8% below	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD	$178.64	$255.20	$165.88–$229.68	67% below	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCRNG	$237.93	$339.90	$220.94–$305.91	33% below	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA&FIBULA;2 VIEWS	$173.04	$247.20	$160.68–$222.48	60% below	30%
MR angiography (MRA) of the head without contrast CPT 70544 MRA OF THE BRAIN W/O CONTRAST	$1,002.05	$1,431.50	$930.48–$1,288.35	65% below	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI W/ AND W/O CONTR BREAST BI	$3,510.71	$5,015.30	$1,000.00–$4,513.77	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JOINT-LOWER EXT W/O CONT	$2,484.30	$3,549.00	$1,000.00–$3,194.10	18% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT-LOW W/O THEN W/CONT	$2,552.90	$3,647.00	$1,000.00–$3,282.30	45% below	30%
MRI of the abdomen without contrast CPT 74181 MRCP	$1,499.54	$2,142.20	$1,000.00–$1,927.98	46% below	30%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,272.97	$3,247.10	$1,000.00–$2,922.39	19% below	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN, W/O THEN W/CONT	$2,552.90	$3,647.00	$1,000.00–$3,282.30	42% below	30%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT	$2,162.93	$3,089.90	$1,000.00–$2,780.91	26% below	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&W/O CONT	$3,127.53	$4,467.90	$1,000.00–$4,021.11	28% below	30%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W/O CONT	$2,484.30	$3,549.00	$1,000.00–$3,194.10	19% below	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W&W/O CONT	$3,448.55	$4,926.50	$1,000.00–$4,433.85	24% below	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE W/O CONT	$2,484.30	$3,549.00	$1,000.00–$3,194.10	14% below	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W&W/O CONT	$3,448.55	$4,926.50	$1,000.00–$4,433.85	22% below	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O CONT	$2,484.30	$3,549.00	$1,000.00–$3,194.10	17% below	30%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS, W/O THEN W/CONT	$2,552.90	$3,647.00	$1,000.00–$3,282.30	38% below	30%
MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM W&W/O CONT	$3,448.55	$4,926.50	$1,000.00–$4,433.85	17% below	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS, W/O	$1,499.54	$2,142.20	$1,000.00–$1,927.98	42% below	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM W/O CONT	$2,484.30	$3,549.00	$1,000.00–$3,194.10	3% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT-UPPER EXT W/O	$1,721.02	$2,458.60	$1,000.00–$2,212.74	34% below	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPI CERVICAL;MIN 4V	$356.30	$509.00	$330.85–$458.10	45% below	30%
Neck soft tissue CT scan with contrast CPT 70491 CT/NECK TISSUE W/CON	$1,307.32	$1,867.60	$1,000.00–$1,680.84	52% below	30%
Neck soft tissue CT scan without contrast CPT 70490 CT/NECK TISSUE W/O CON	$1,204.42	$1,720.60	$1,000.00–$1,548.54	43% below	30%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISS	$150.85	$215.50	$140.08–$193.95	54% below	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$2,746.31	$3,923.30	$1,000.00–$3,530.97	62% below	30%
Pelvic CT scan without contrast CPT 72192 CT/PELVIS W/O CON	$1,790.95	$2,558.50	$1,000.00–$2,302.65	9% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 URO US PELVIC LIMITED	$239.89	$342.70	$222.76–$308.43	55% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US URINARY BLADDER	$728.14	$1,040.20	$676.13–$936.18	35% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC ECHO	$763.91	$1,091.30	$709.35–$982.17	19% below	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG&FETAL AGE AFTR 1ST TRI	$728.14	$1,040.20	$676.13–$936.18	16% below	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG & FETAL AGE 1ST TRIMES	$728.14	$1,040.20	$676.13–$936.18	6% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LTD FETAL WEIGHT ONLY	$205.80	$294.00	$191.10–$264.60	66% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US AMNIO FLUID MEASUREMENT	$205.80	$294.00	$191.10–$264.60	66% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PLACNTL LOC/FETAL POSITION	$228.34	$326.20	$212.03–$293.58	62% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS, UNILAT; 2 VIEWS	$201.46	$287.80	$187.07–$259.02	56% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT;WPA CXR MIN 3V	$232.61	$332.30	$216.00–$299.07	62% below	30%
Screening mammogram, both breasts both sides CPT 77067 ..MB MAMMOGRAM SCREENING-BILAT	$256.55	$366.50	$238.23–$329.85	—	30%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR BILAT SHLDR; MIN 2 VW EA	$380.03	$542.90	$352.89–$488.61	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHLDR;COMP MIN2V	$253.47	$362.10	$235.37–$325.89	54% below	30%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS PARANASAL COMP M3V	$351.75	$502.50	$326.63–$452.25	23% below	30%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL;<4V	$211.96	$302.80	$196.82–$272.52	48% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SW FUNC, PHARYNX &/OR ESOPH	$456.05	$651.50	$423.48–$586.35	31% below	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR; 2+ VIEWS	$215.39	$307.70	$200.01–$276.93	47% below	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT/ T SPINE W/O CON	$1,790.95	$2,558.50	$1,000.00–$2,302.65	36% below	30%
Toe X-ray, 2 or more views CPT 73660 XR TOE(S), MIN 2 VIEWS	$143.36	$204.80	$133.12–$184.32	57% below	30%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB	$377.16	$538.80	$350.22–$484.92	47% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB	$178.64	$255.20	$165.88–$229.68	73% below	30%
Transvaginal ultrasound during pregnancy CPT 76817 US PREG, TRANSVAGINAL	$341.60	$488.00	$317.20–$439.20	49% below	30%
Ultrasound of the abdomen, complete CPT 76700 US ABD GENERAL	$728.14	$1,040.20	$676.13–$936.18	34% below	30%
Ultrasound of the scrotum and testicles CPT 76870 URO US SCROTUM	$239.89	$342.70	$222.76–$308.43	73% below	30%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS	$534.59	$763.70	$496.41–$687.33	40% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$728.14	$1,040.20	$676.13–$936.18	12% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD & NECK	$728.14	$1,040.20	$676.13–$936.18	12% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR GI SERIES (LTD) W/O KUB	$569.10	$813.00	$528.45–$731.70	8% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI;WKUB	$569.10	$813.00	$528.45–$731.70	8% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI;SB STUDY	$714.77	$1,021.10	$663.72–$918.99	16% above	30%
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS MIN 2V	$173.04	$247.20	$160.68–$222.48	60% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ECHO VENOUS DOPPLER UNILAT	$613.69	$876.70	$569.86–$789.03	32% below	30%
Wrist X-ray, 2 views CPT 73100 XR WRIST, 2 VIEWS	$118.16	$168.80	$109.72–$151.92	70% below	30%
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST;COMP MIN 3V	$211.96	$302.80	$196.82–$272.52	58% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILAT; 2-3 VIEWS	$200.55	$286.50	$186.23–$257.85	50% below	30%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW, AP ONLY	$152.39	$217.70	$141.51–$195.93	50% below	30%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE;2 VIEWS	$158.20	$226.00	$146.90–$203.40	60% below	30%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER(S) 2 VIEWS	$168.70	$241.00	$156.65–$216.90	54% below	30%
X-ray of the foot, 2 views CPT 73620 XR FOOT;AP&LAT(LTD)	$193.34	$276.20	$179.53–$248.58	52% below	30%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT;COMP MIN 3V	$247.45	$353.50	$229.78–$318.15	50% below	30%
X-ray of the hand, 3 or more views CPT 73130 XR HAND COMLETE, MIN 3 VIEWS	$205.80	$294.00	$191.10–$264.60	60% below	30%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE;LMTD 1 OR 2 VIEWS	$204.19	$291.70	$189.61–$262.53	49% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE;LTD 2 OR 3 VWS	$253.47	$362.10	$235.37–$325.89	46% below	30%
X-ray of the lower back, 4 or more views CPT 72110 XR L-S SPINE;COMPL MIN 4 VIEWS	$488.67	$698.10	$453.77–$628.29	25% below	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE; LTD 2 VIEWS	$201.46	$287.80	$187.07–$259.02	56% below	30%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP MIN 3V	$268.24	$383.20	$249.08–$344.88	38% below	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE LMTD; 2 OR 3 VIEWS	$290.64	$415.20	$269.88–$373.68	35% below	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS;1 OR 2 VIEWS	$173.04	$247.20	$160.68–$222.48	55% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM&COCCYX MIN 2V	$228.34	$326.20	$212.03–$293.58	51% below	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$59.85	$85.50	$55.58–$76.95	39% above	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 ..AST/SGOT	$65.17	$93.10	$60.52–$83.79	44% above	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE	$248.85	$355.50	$231.08–$319.95	9% below	30%
Albumin blood test CPT 82040 ..ALB SERUM*	$4.39	$6.27	$4.08–$5.64	82% below	30%
Albumin blood test CPT 82040 ALBUMIN: SERUM	$59.85	$85.50	$55.58–$76.95	140% above	30%
Aldosterone blood test CPT 82088 ALDOSTERONE:24HR UR*	$21.62	$30.88	$20.07–$27.79	16% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS BONE SPECIFIC*	$8.79	$12.55	$8.16–$11.30	76% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$59.85	$85.50	$55.58–$76.95	62% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST,LATEX ALLERGY TESTING*	$3.91	$5.58	$3.63–$5.02	22% below	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ..ALLERGY NUT PNL-1*	$27.33	$39.04	$25.38–$35.14	447% above	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM NON-PREG	$67.62	$96.60	$62.79–$86.94	12% below	30%
Ammonia blood test CPT 82140 AMMONIA: PLASMA	$92.54	$132.20	$85.93–$118.98	49% below	30%
Amylase blood test CPT 82150 AMYLASE: PERITONEAL	$65.17	$93.10	$60.52–$83.79	28% above	30%
Amylase blood test CPT 82150 AMYLASE: PLEURAL	$65.17	$93.10	$60.52–$83.79	28% above	30%
Amylase blood test CPT 82150 AMYLASE: FLUID	$65.17	$93.10	$60.52–$83.79	28% above	30%
Amylase blood test CPT 82150 AMYLASE: PERICARDIAL	$65.17	$93.10	$60.52–$83.79	28% above	30%
Amylase blood test CPT 82150 AMYLASE: SERUM	$66.92	$95.60	$62.14–$86.04	31% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP B-TYPE NATRIURETIC PEPTIDE	$156.73	$223.90	$145.54–$201.51	15% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT: THROAT	$68.60	$98.00	$63.70–$88.20	43% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ..CULT: SPUTUM	$85.61	$122.30	$79.50–$110.07	29% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ..CULT: OTHER	$85.61	$122.30	$79.50–$110.07	29% below	30%
Basic metabolic panel (blood test) CPT 80048 ..BASIC METABOLIC PNL	$133.98	$191.40	$124.41–$172.26	31% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN: TOTAL	$59.85	$85.50	$55.58–$76.95	32% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SURG PATH G&M	$42.00	$60.00	$16.80–$54.00	68% below	30%
Blood culture for bacteria CPT 87040 CULT: BLD X 1	$131.67	$188.10	$122.27–$169.29	52% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$10.85	$15.50	$10.08–$13.95	48% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE	$11.90	$17.00	$11.05–$15.30	43% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PATERNITY DRAW	$43.05	$61.50	$39.98–$55.35	105% above	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE QT FASTING	$55.09	$78.70	$51.16–$70.83	47% above	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE:PP	$59.85	$85.50	$55.58–$76.95	60% above	30%
Blood glucose (sugar) test CPT 82947 GLUCOSE QT SERUM	$59.85	$85.50	$55.58–$76.95	60% above	30%
Blood lead test CPT 83655 ..ASSAY OF LEAD*	$5.85	$8.35	$5.43–$7.52	43% below	30%
Blood lead test CPT 83655 ..HVY METAL SCR:UR - 2*	$9.46	$13.52	$8.79–$12.17	8% below	30%
Blood lead test CPT 83655 ..HVY METALS COMP PNL RND U-2*	$10.57	$15.10	$9.82–$13.59	3% above	30%
Blood lead test CPT 83655 LEAD	$18.06	$25.80	$16.77–$23.22	76% above	30%
Blood lead test CPT 83655 RHC LEAD	$18.06	$25.80	$16.77–$23.22	76% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL: SERUM	$65.17	$93.10	$60.52–$83.79	59% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG/TITR IF QL POS: SERUM	$65.17	$93.10	$60.52–$83.79	59% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ..BLOOD TYPING ABO*	$25.55	$36.50	$23.73–$32.85	75% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ..TYPE:BLOOD GROUP ABO	$43.05	$61.50	$39.98–$55.35	58% below	30%
Blood urea nitrogen (BUN) test CPT 84520 BUN (UREA NITRO) QT	$45.50	$65.00	$42.25–$58.50	37% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP: C REACT PROTN	$45.22	$64.60	$41.99–$58.14	16% below	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE PCR-1	$74.27	$106.10	$68.97–$95.49	51% below	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE PCR	$119.77	$171.10	$111.22–$153.99	22% below	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QT	$85.05	$121.50	$78.98–$109.35	38% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COVID RNA	$147.98	$211.40	$137.41–$190.26	56% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS COVID PCR	$237.93	$339.90	$220.94–$305.91	151% above	30%
Calcium blood test, total CPT 82310 CALCIUM TOT: BLD	$59.85	$85.50	$55.58–$76.95	2% below	30%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$81.41	$116.30	$75.60–$104.67	3% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ..CHLAMYDIA TRAC - DNA AMPLIF	$80.01	$114.30	$74.30–$102.87	47% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 ..GC CHLAM TRICH PCR-2	$104.72	$149.60	$97.24–$134.64	92% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$86.45	$123.50	$80.28–$111.15	15% below	30%
Complete blood count (CBC) with differential CPT 85025 ..CBC: AUTO DIFF (5)	$75.67	$108.10	$70.27–$97.29	32% below	30%
Complete blood count (CBC), no differential CPT 85027 ..CBC	$66.71	$95.30	$61.95–$85.77	24% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PNL	$151.69	$216.70	$140.86–$195.03	41% below	30%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL (+MB IF CK ELEVATED)	$63.56	$90.80	$59.02–$81.72	27% below	30%
Creatine kinase (CK) blood test, total CPT 82550 ..CK:TOTAL	$63.56	$90.80	$59.02–$81.72	27% below	30%
Creatinine blood test CPT 82565 CREATININE: SERUM	$43.89	$62.70	$40.76–$56.43	5% below	30%
D-dimer blood test (blood clot marker) CPT 85379 ..D-DIMER QT	$101.85	$145.50	$94.58–$130.95	29% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZOYLECGONINE SNGL QL	$18.06	$25.80	$16.77–$23.22	71% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHET-METH MED TOX SNGL QL	$18.06	$25.80	$16.77–$23.22	71% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SNGL QL	$18.06	$25.80	$16.77–$23.22	71% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES: MED TOX SNGL QL	$18.06	$25.80	$16.77–$23.22	71% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 THC: MED TOX SNGL QL	$18.06	$25.80	$16.77–$23.22	71% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 9 SERUM*	$23.65	$33.78	$21.96–$30.40	62% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT PROPOXPHENE W/CF*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT PHENCYCLIDINE W/CF	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT OXYCODONE W/CF*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT METHDNE META W/CF*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT MARJ META W/CONF*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT COC METAB W/CONF*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PM OPIATES W CONFIRM UR*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PM OPIATES W CONF W MEDM UR*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MGMT HEROIN META W/CF*	$29.55	$42.21	$27.44–$37.99	52% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 7 S*	$39.42	$56.32	$36.61–$50.69	36% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL SCR W/RFX CONF UR*	$45.50	$65.00	$42.25–$58.50	27% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN:CONFIRM (MK)*	$46.20	$66.00	$42.90–$59.40	25% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN OB PANEL	$70.49	$100.70	$65.46–$90.63	14% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN 9 MECONIUM*	$91.35	$130.50	$84.83–$117.45	47% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLICS SNGL QL	$97.58	$139.40	$90.61–$125.46	57% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCRN MULTI QL	$110.04	$157.20	$102.18–$141.48	77% above	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES:SERUM	$131.67	$188.10	$122.27–$169.29	56% above	30%
FSH (follicle-stimulating hormone) test CPT 83001 FSH: SERUM	$74.90	$107.00	$69.55–$96.30	27% below	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$85.54	$122.20	$79.43–$109.98	20% below	30%
Fibrinogen blood test CPT 85384 ..FIBRINOGEN ACTIVITY	$65.17	$93.10	$60.52–$83.79	51% below	30%
Folate (folic acid) blood test CPT 82746 FOLATE: SERUM	$51.03	$72.90	$47.39–$65.61	53% below	30%
Free T3 thyroid hormone test CPT 84481 FREE T3	$88.47	$126.39	$82.15–$113.75	9% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 (THYROXIN)	$70.77	$101.10	$65.72–$90.99	4% above	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT/GAMMA GT	$68.60	$98.00	$63.70–$88.20	51% above	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 COMP METABOLIC PNL	$151.69	$216.70	$60.68–$195.03	45% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE: P50G 2HR (GEST)	$61.60	$88.00	$57.20–$79.20	18% above	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, POST 100 G	$61.60	$88.00	$57.20–$79.20	18% above	30%
Glucose tolerance test, 3 samples CPT 82951 ..GLUCOSE TOL 1HR (3 SPEC)	$59.85	$85.50	$55.58–$76.95	56% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ..NEISSERIA GON - DNA AMPLIF	$80.01	$114.30	$74.30–$102.87	34% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 ..GC CHLAM TRICH PCR-1	$104.72	$149.60	$97.24–$134.64	75% above	30%
H. pylori stool antigen test CPT 87338 H PYLORI AG, STOOL*	$19.45	$27.78	$18.06–$25.00	76% below	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 EIA W REFLX*	$8.15	$11.64	$7.57–$10.48	86% below	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 RAPID SNGL	$33.46	$47.80	$31.07–$43.02	43% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$11.55	$16.50	$10.73–$14.85	82% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RHC HEMOGLOBIN A1C	$11.55	$16.50	$10.73–$14.85	82% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$47.67	$68.10	$44.27–$61.29	27% below	30%
Hemoglobin blood test CPT 85018 HEMOGLOBIN AT BEDISDE	$8.68	$12.40	$8.06–$11.16	78% below	30%
Hemoglobin blood test CPT 85018 RHC HEMOGLOBIN	$8.68	$12.40	$8.06–$11.16	78% below	30%
Hemoglobin blood test CPT 85018 OBGYN HEMOCUE	$17.50	$25.00	$16.25–$22.50	57% below	30%
Hemoglobin blood test CPT 85018 ..HEMOGLOBIN	$30.17	$43.10	$28.02–$38.79	25% below	30%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB:TOT*	$5.88	$8.40	$5.46–$7.56	83% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$45.08	$64.40	$41.86–$57.96	6% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG	$104.30	$149.00	$96.85–$134.10	45% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB	$53.62	$76.60	$49.79–$68.94	2% below	30%
Homocysteine blood test CPT 83090 HOMOCYSTEINE*	$13.64	$19.48	$12.66–$17.53	82% below	30%
Iron blood test (serum iron) CPT 83540 ..IRON: SERUM	$52.36	$74.80	$48.62–$67.32	10% below	30%
Iron-binding capacity (TIBC) test CPT 83550 ..IRN BINDING CAPACITY	$56.42	$80.60	$52.39–$72.54	23% below	30%
Kidney function blood test panel CPT 80069 RENAL PANEL	$150.15	$214.50	$139.43–$193.05	6% above	30%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID: CSF	$65.17	$93.10	$60.52–$83.79	51% below	30%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID: BLD	$65.17	$93.10	$60.52–$83.79	51% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH: PERITONEAL	$63.56	$90.80	$59.02–$81.72	80% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH: PLEURAL	$63.56	$90.80	$59.02–$81.72	80% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH: FLUID	$63.56	$90.80	$59.02–$81.72	80% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH : PERICARDIAL	$63.56	$90.80	$59.02–$81.72	80% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 ..LDH:SERUM	$65.17	$93.10	$60.52–$83.79	85% above	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$19.04	$27.20	$17.68–$24.48	80% below	30%
Liver function blood test panel CPT 80076 LIVER PANEL	$177.45	$253.50	$164.78–$228.15	17% above	30%
Lyme disease antibody test CPT 86618 LYME DISEASE AB W RFLX*	$6.08	$8.69	$5.65–$7.82	71% below	30%
Magnesium blood test CPT 83735 MAGNESIUM: SERUM	$58.52	$83.60	$54.34–$75.24	6% below	30%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$83.93	$119.90	$77.94–$107.91	18% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA MCARE ANNUAL SCREEN	$131.11	$187.30	$121.75–$168.57	119% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOT	$131.11	$187.30	$121.75–$168.57	119% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$70.28	$100.40	$65.26–$90.36	36% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 ..PTT (PART-THROM TIME)	$64.89	$92.70	$60.26–$83.43	4% above	30%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS: SERUM	$54.32	$77.60	$50.44–$69.84	28% below	30%
Potassium blood test CPT 84132 POTASSIUM: SERUM	$55.09	$78.70	$51.16–$70.83	25% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 ..PT (PROTHROMBIN TIME)	$56.84	$81.20	$52.78–$73.08	4% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RHC DRUG SCREEN URINE NON TLC	$7.21	$10.30	$6.70–$9.27	91% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN UNIRINE NON TLC	$7.21	$10.30	$6.70–$9.27	91% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE NON TLC	$13.65	$19.50	$12.68–$17.55	84% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 AHC DRUG SCREEN URINE NON TLC	$13.65	$19.50	$12.68–$17.55	84% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PHENCYCLIDINE: MED TOX SNGL QL	$97.58	$139.40	$90.61–$125.46	15% above	30%
Rapid flu test (influenza antigen) CPT 87804 ..INFLUENZA A	$17.99	$25.70	$16.71–$23.13	76% below	30%
Rapid flu test (influenza antigen) CPT 87804 ..AHC INFLUENZA B	$17.99	$25.70	$16.71–$23.13	76% below	30%
Rapid flu test (influenza antigen) CPT 87804 ..AHC INFLUENZA A	$17.99	$25.70	$16.71–$23.13	76% below	30%
Rapid flu test (influenza antigen) CPT 87804 ..INGLUENZA A	$37.17	$53.10	$34.52–$47.79	51% below	30%
Rapid flu test (influenza antigen) CPT 87804 ..INFLUENZA B	$37.17	$53.10	$34.52–$47.79	51% below	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 AHC STREP A SCREENING	$17.92	$25.60	$16.64–$23.04	83% below	30%
Rh blood typing CPT 86901 ..BLOOD TYPING RH (D)*	$25.55	$36.50	$23.73–$32.85	54% below	30%
Rh blood typing CPT 86901 ..RH FACTOR	$43.05	$61.50	$39.98–$55.35	23% below	30%
Rheumatoid factor (RF) test CPT 86431 RA TITER QT	$31.15	$44.50	$28.93–$40.05	136% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA:IGG (IMMUNITY)	$49.98	$71.40	$46.41–$64.26	2% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE ESR AUTO	$31.08	$44.40	$28.86–$39.96	44% below	30%
Sodium blood test CPT 84295 SODIUM: SERUM	$48.09	$68.70	$44.66–$61.83	27% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 AHC OCCULT BLOOD FECES	$5.81	$8.30	$5.40–$7.47	85% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$5.81	$8.30	$5.40–$7.47	85% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 RHC OCCULT BLOOD FECES	$11.55	$16.50	$10.73–$14.85	70% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD QL FECES	$24.78	$35.40	$23.01–$31.86	36% below	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 MHATP/TP-PA (CNTY)*	$16.10	$23.00	$14.95–$20.70	1% below	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS	$38.84	$55.48	$36.06–$49.93	140% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL: SPINAL FLUID QL*	$3.38	$4.83	$3.14–$4.35	75% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QL	$41.44	$59.20	$38.48–$53.28	209% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICRSOMAL AB*	$5.68	$8.11	$5.27–$7.30	75% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNY MICROSMAL AUTOAB	$119.21	$170.30	$110.70–$153.27	421% above	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (THYRD STIM HORMNE)	$79.10	$113.00	$73.45–$101.70	15% below	30%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOT	$59.85	$85.50	$55.58–$76.95	42% above	30%
Total thyroxine (T4) blood test CPT 84436 ..T-4 (THYROXIN) TOTAL	$52.29	$74.70	$48.56–$67.23	33% above	30%
Trichomonas test (NAAT) CPT 87661 ..GC CHLAM TRICH PCR-3	$104.72	$149.60	$97.24–$134.64	7% above	30%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$66.92	$95.60	$62.14–$86.04	63% above	30%
Troponin test, quantitative CPT 84484 TROPONIN I QT	$85.61	$122.30	$79.50–$110.07	52% below	30%
Uric acid blood test CPT 84550 URIC ACID: SERUM	$44.73	$63.90	$41.54–$57.51	32% below	30%
Urinalysis with microscope exam, automated CPT 81001 RHC URINALYSIS COMPLETE	$9.38	$13.40	$8.71–$12.06	89% below	30%
Urinalysis with microscope exam, automated CPT 81001 URINE COMPLETE	$9.38	$13.40	$8.71–$12.06	89% below	30%
Urinalysis with microscope exam, automated CPT 81001 UA AUTO W MIC	$63.56	$90.80	$59.02–$81.72	23% below	30%
Urinalysis with microscope exam, automated CPT 81001 UA C/S IF POS AUTO W MIC	$63.56	$90.80	$59.02–$81.72	23% below	30%
Urinalysis without microscope exam, automated CPT 81003 AHC URINE DIP	$5.81	$8.30	$5.40–$7.47	90% below	30%
Urinalysis without microscope exam, automated CPT 81003 URO URINALYSIS AUTO	$17.92	$25.60	$16.64–$23.04	68% below	30%
Urinalysis without microscope exam, automated CPT 81003 UA10 AUTO WO MIC	$22.75	$32.50	$21.13–$29.25	59% below	30%
Urinalysis without microscope exam, manual CPT 81002 RHC URINE - DIPSTICK	$11.55	$16.50	$10.73–$14.85	66% below	30%
Urinalysis without microscope exam, manual CPT 81002 SPECF GRAVITY: URINE	$15.96	$22.80	$14.82–$20.52	53% below	30%
Urinalysis without microscope exam, manual CPT 81002 UA BLD/DIPSTK NONAUTO WO MIC	$21.07	$30.10	$19.57–$27.09	38% below	30%
Urine culture for bacteria, with colony count CPT 87086 CULT: URINE (CNT) QT	$59.99	$85.70	$55.71–$77.13	57% below	30%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE QT	$61.53	$87.90	$57.14–$79.11	68% above	30%
Urine pregnancy test, read by color change CPT 81025 RAPID PREGNANCY TEST	$9.38	$13.40	$8.71–$12.06	89% below	30%
Urine pregnancy test, read by color change CPT 81025 AHC RAPID PREGNANCY TEST	$9.38	$13.40	$8.71–$12.06	89% below	30%
Urine pregnancy test, read by color change CPT 81025 RHC URINE PREGNANCY (HCG)	$28.84	$41.20	$26.78–$37.08	67% below	30%
Urine pregnancy test, read by color change CPT 81025 HCG QUAL: URINE	$49.98	$71.40	$46.41–$64.26	43% below	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$50.47	$72.10	$46.87–$64.89	46% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D HYDROXY	$70.28	$100.40	$65.26–$90.36	10% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TITER QT SERUM	$192.99	$275.70	$179.21–$248.13	8% above	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,731.10	$2,473.00	$1,000.00–$2,225.70	10% below	30%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY CERVX W/LOOP ELECT	$745.50	$1,065.00	$692.25–$958.50	84% below	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY /CERV UPPER VAG/CUR	$745.50	$1,065.00	$692.25–$958.50	21% below	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDO BX W/ENDOCERV BX	$492.80	$704.00	$457.60–$633.60	10% below	30%
IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD DEVICE	$958.30	$1,369.00	$383.32–$1,232.10	63% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 NEXPLANON INSERT	$958.30	$1,369.00	$889.85–$1,232.10	237% above	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION IN PACU/FLEX	$759.33	$1,084.76	$705.09–$976.28	13% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$759.33	$1,084.76	$705.09–$976.28	13% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION ER	$759.33	$1,084.76	$705.09–$976.28	13% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 FORCED SPUTUM IND.	$94.43	$134.90	$87.69–$121.41	71% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INITIAL SMALL VOLUMNE NEB TX	$236.81	$338.30	$219.90–$304.47	27% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SMALL VOLUME NEBULIZER TREAT	$236.81	$338.30	$219.90–$304.47	27% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT	$236.81	$338.30	$219.90–$304.47	27% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AHC INHALATION TREATMENT	$236.81	$338.30	$219.90–$304.47	27% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RHC INHALATION TREATMENT	$236.81	$338.30	$219.90–$304.47	27% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT	$236.81	$338.30	$219.90–$304.47	27% below	30%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY INFUSION 1ST HR	$336.91	$481.30	$312.85–$433.17	61% below	30%
Chemotherapy IV infusion, first hour CPT 96413 OBS CHEMO INIT DRUG 16-90 MIN	$426.23	$608.90	$395.79–$548.01	51% below	30%
Chemotherapy IV infusion, first hour CPT 96413 IV CHEMO INIT DRUG 16-90 MIN	$426.23	$608.90	$395.79–$548.01	51% below	30%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE 1ST 30-74 MIN	$3,861.20	$5,516.00	$1,000.00–$4,964.40	30% below	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE	$900.97	$1,287.10	$836.62–$1,158.39	12% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 AHC ECG W/INTERP & RPT	$70.21	$100.30	$65.20–$90.27	79% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG W/INTERP & RPT	$70.21	$100.30	$65.20–$90.27	79% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RHC ECG W/INTERP & RPT	$73.57	$105.10	$68.32–$94.59	78% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RT EKG 12 LEAD TRACE ONLY	$138.88	$198.40	$128.96–$178.56	59% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 ED/RT EKG 12 LEAD W/RPT/INT	$144.97	$207.10	$134.62–$186.39	57% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER TRIAGE ONLY	$49.70	$71.00	$35.50–$63.90	88% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$107.10	$153.00	$76.50–$137.70	75% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CRIT CARE >74 MIN EA ADD 30	$965.30	$1,379.00	$689.50–$1,241.10	129% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CRITICAL CARE 1ST 30-74 MIN	$3,861.20	$5,516.00	$1,000.00–$4,964.40	818% above	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$322.00	$460.00	$230.00–$414.00	63% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$429.10	$613.00	$306.50–$551.70	71% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$858.20	$1,226.00	$613.00–$1,103.40	68% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$1,608.60	$2,298.00	$1,000.00–$2,068.20	55% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 EKG THALIUM STRESS TRACE ONLY	$293.72	$419.60	$272.74–$377.64	79% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INIT 31-90 MIN	$253.75	$362.50	$181.25–$326.25	49% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CDU IV INF;HYDRATION;UP TO 1HR	$253.75	$362.50	$235.63–$326.25	49% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 OBS IV INF;HYDRATION;UP TO 1HR	$253.75	$362.50	$235.63–$326.25	49% below	30%
IV infusion of a medicine, first hour CPT 96365 OBSRV IV INF; UP TO 1 HR	$359.31	$513.30	$333.65–$461.97	39% below	30%
IV infusion of a medicine, first hour CPT 96365 CDU IV INF; UP TO 1 HR	$359.31	$513.30	$333.65–$461.97	39% below	30%
IV infusion of a medicine, first hour CPT 96365 IV TX INIT 16-90 MIN NON-CHEMO	$359.31	$513.30	$333.65–$461.97	39% below	30%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY INIT 16-90 MIN	$362.81	$518.30	$259.15–$466.47	38% below	30%
IV push of a medicine, first drug CPT 96374 ER IV PUSH INITIAL DRUG	$374.92	$535.60	$267.80–$482.04	6% above	30%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG	$374.92	$535.60	$348.14–$482.04	6% above	30%
IV push of a medicine, first drug CPT 96374 OR IV PUSH INITIAL DRUG	$374.92	$535.60	$348.14–$482.04	6% above	30%
IV push of a medicine, first drug CPT 96374 OBSRV IV PUSH	$374.92	$535.60	$348.14–$482.04	6% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM EA	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 RHC THER/PROPH/DIAG INJ SC/IM	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 URO SQ IM INJECTION	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 AHC THER/PROPH/DIAG INJ SC/IM	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 WC THER/PROPH/DIAG INJ SC/IM	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OBSRV SQ/IM	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 OR INJ SUBQ/IM EA	$184.84	$264.06	$171.64–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJ SQ/IM EA	$184.84	$264.06	$132.03–$237.65	3% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CDU SQ/IM	$184.84	$264.06	$171.64–$237.65	3% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR REEDUC 15 MIN	$63.63	$90.90	$59.09–$81.81	50% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR REEDUC 15 M	$63.63	$90.90	$59.09–$81.81	50% below	30%
New patient office visit, about 30 minutes CPT 99203 AHC NEW E/M LEVEL 3	$165.83	$236.90	$66.33–$213.21	23% below	30%
New patient office visit, about 30 minutes CPT 99203 NEW E/M LEVEL 3	$165.83	$236.90	$66.33–$213.21	23% below	30%
New patient office visit, about 30 minutes CPT 99203 RHC NEW E/M LEVEL 3	$175.35	$250.50	$70.14–$225.45	18% below	30%
New patient office visit, about 30 minutes CPT 99203 URO OP VISIT NEW PATIENT LVL 3	$193.90	$277.00	$77.56–$249.30	9% below	30%
New patient office visit, about 30 minutes CPT 99203 OP VISIT NEW PATIENT LEVEL 3	$214.62	$306.60	$85.85–$275.94	at median	30%
New patient office visit, about 30 minutes CPT 99203 WC OP VISIT NEW PATIENT LVL 3	$323.12	$461.60	$129.25–$415.44	51% above	30%
New patient office visit, about 30 minutes CPT 99203 RTX OP VISIT NEW LVL III	$491.68	$702.40	$196.67–$632.16	130% above	30%
New patient office visit, about 45 minutes CPT 99204 NEW E/M LEVEL 4	$209.09	$298.70	$83.64–$268.83	14% below	30%
New patient office visit, about 45 minutes CPT 99204 AHC NEW E/M LEVEL 4	$209.09	$298.70	$83.64–$268.83	14% below	30%
New patient office visit, about 45 minutes CPT 99204 RHC NEW E/M LEVEL 4	$251.65	$359.50	$100.66–$323.55	3% above	30%
New patient office visit, about 45 minutes CPT 99204 URO OP VISIT NEW PATIENT LVL 4	$256.97	$367.10	$102.79–$330.39	5% above	30%
New patient office visit, about 45 minutes CPT 99204 OP VISIT NEW PATIENT LEVEL 4	$299.81	$428.30	$119.92–$385.47	23% above	30%
New patient office visit, about 45 minutes CPT 99204 RTX OP VISIT NEW LVL IV	$417.06	$595.80	$166.82–$536.22	71% above	30%
New patient office visit, about 45 minutes CPT 99204 WC OP VISIT NEW PATIENT LVL 4	$427.77	$611.10	$171.11–$549.99	75% above	30%
New patient office visit, about 60 minutes CPT 99205 AHC NEW E/M LEVEL 5	$252.35	$360.50	$100.94–$324.45	26% below	30%
New patient office visit, about 60 minutes CPT 99205 NEW E/M LEVEL 5	$252.35	$360.50	$100.94–$324.45	26% below	30%
New patient office visit, about 60 minutes CPT 99205 RHC NEW E/M LEVEL 5	$341.04	$487.20	$136.42–$438.48	at median	30%
New patient office visit, about 60 minutes CPT 99205 URO OP VISIT NEW PATIENT LVL 5	$351.33	$501.90	$140.53–$451.71	3% above	30%
New patient office visit, about 60 minutes CPT 99205 OP VISIT NEW PATIENT LEVEL 5	$386.54	$552.20	$154.62–$496.98	13% above	30%
New patient office visit, about 60 minutes CPT 99205 WC OP VISIT NEW PATIENT LVL 5	$585.27	$836.10	$234.11–$752.49	71% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RTX OP VISIT NEW LVL I	$82.39	$117.70	$32.96–$105.93	41% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT NEW PATIENT LEVEL 1	$86.10	$123.00	$34.44–$110.70	38% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 URO OP VISIT NEW PATIENT LVL 1	$113.68	$162.40	$45.47–$146.16	19% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC NEW E/M LEVEL 2	$126.63	$180.90	$50.65–$162.81	9% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RHC NEW E/M LEVEL 1	$126.63	$180.90	$50.65–$162.81	9% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT NEW PATIENT LEVEL 2	$128.66	$183.80	$51.46–$165.42	8% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 AHC HOMELESS MOBILE VISIT NEW	$136.99	$195.70	$54.80–$176.13	2% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 AHC NEW E/M LEVEL 2	$136.99	$195.70	$54.80–$176.13	2% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW E/M LEVEL 2	$136.99	$195.70	$54.80–$176.13	2% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 URO OP VISIT NEW PATIENT LVL 2	$147.84	$211.20	$59.14–$190.08	6% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC OP VISIT NEW PATIENT LVL 1	$189.42	$270.60	$75.77–$243.54	36% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 RTX OP VISIT NEW LVL II	$223.58	$319.40	$89.43–$287.46	60% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC OP VISIT NEW PATIENT LVL 2	$245.91	$351.30	$98.36–$316.17	76% above	30%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$182.00	$260.00	$169.00–$234.00	30% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$227.29	$324.70	$211.06–$292.23	42% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$187.95	$268.50	$174.53–$241.65	20% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$206.50	$295.00	$191.75–$265.50	42% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY TECH 15 MIN	$63.63	$90.90	$59.09–$81.81	47% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE 15 MIN	$63.63	$90.90	$59.09–$81.81	51% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE 15 MIN	$63.63	$90.90	$59.09–$81.81	51% below	30%
Preventive checkup, new patient aged 18–39 CPT 99385 AHC NEW ICPM E/M 18-39YR	$216.30	$309.00	$86.52–$278.10	43% above	30%
Preventive checkup, new patient aged 18–39 CPT 99385 NEW ICPM E/M 18-39YR	$216.30	$309.00	$86.52–$278.10	43% above	30%
Preventive checkup, new patient aged 18–39 CPT 99385 RHC NEW ICPM E/M 18-39YR	$314.37	$449.10	$125.75–$404.19	108% above	30%
Preventive checkup, new patient aged 40–64 CPT 99386 NEW ICPM E/M 40-64YR	$216.30	$309.00	$86.52–$278.10	29% above	30%
Preventive checkup, new patient aged 40–64 CPT 99386 AHC NEW ICPM E/M 40-64YR	$216.30	$309.00	$86.52–$278.10	29% above	30%
Preventive checkup, new patient aged 40–64 CPT 99386 RHC NEW ICPM E/M 40-64YR	$314.37	$449.10	$125.75–$404.19	87% above	30%
Preventive checkup, new patient aged 65 or older CPT 99387 NEW ICPM E/M 65+ YRS	$216.30	$309.00	$86.52–$278.10	38% above	30%
Preventive checkup, new patient aged 65 or older CPT 99387 AHC NEW ICPM E/M 65+ YRS	$216.30	$309.00	$86.52–$278.10	38% above	30%
Preventive checkup, new patient aged 65 or older CPT 99387 RHC NEW ICPM E/M 65+ YRS	$314.37	$449.10	$125.75–$404.19	101% above	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 EST PCPM E/M 18-39YR	$180.25	$257.50	$72.10–$231.75	17% above	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 AHC EST PCPM E/M 18-39YR	$180.25	$257.50	$72.10–$231.75	17% above	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 RHC EST PCPM E/M 18-39YR	$248.78	$355.40	$99.51–$319.86	61% above	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 EST PCPM E/M 40-64YR	$180.25	$257.50	$72.10–$231.75	17% above	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 AHC EST PCPM E/M 40-64YR	$180.25	$257.50	$72.10–$231.75	17% above	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 RHC EST PCPM E/M 40-64YR	$248.78	$355.40	$99.51–$319.86	62% above	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 AHC EST PCPM E/M 65+ YRS	$180.25	$257.50	$72.10–$231.75	19% above	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 EST PCPM E/M 65+ YRS	$180.25	$257.50	$72.10–$231.75	19% above	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 RHC EST PCPM E/M 65+ YRS	$248.78	$355.40	$99.51–$319.86	64% above	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH HOLDS (30 MIN MINIMUM)	$420.00	$600.00	$300.00–$540.00	23% above	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 ASTHMA EDUC W/CESSATN COUNSEL	$37.17	$53.10	$34.52–$47.79	49% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST E/M LEVEL 5	$216.30	$309.00	$86.52–$278.10	14% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 AHC EST E/M LEVEL 5	$216.30	$309.00	$86.52–$278.10	14% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC EST E/M LEVEL 5	$271.88	$388.40	$108.75–$349.56	8% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 URO OP VISIT EST PATIENT LVL 5	$320.88	$458.40	$128.35–$412.56	27% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT ESTAB PATIENT LEVEL 5	$386.54	$552.20	$154.62–$496.98	53% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC OP VISIT EST PATIENT LVL 5	$427.77	$611.10	$171.11–$549.99	70% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST E/M LEVEL 3	$144.20	$206.00	$57.68–$185.40	1% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 AHC EST E/M LEVEL 3	$144.20	$206.00	$57.68–$185.40	1% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RHC EST E/M LEVEL 3	$156.59	$223.70	$62.64–$201.33	10% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 URO OP VISIT EST PATIENT LVL 3	$212.45	$303.50	$84.98–$273.15	49% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT ESTAB PATIENT LEVEL 3	$214.62	$306.60	$85.85–$275.94	50% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC OP VISIT EST PATIENT LVL 3	$283.01	$404.30	$113.20–$363.87	98% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 RTX OP VISIT ESTAB LVL III	$491.68	$702.40	$196.67–$632.16	244% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST E/M LEVEL 4	$180.25	$257.50	$72.10–$231.75	10% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 AHC EST E/M LEVEL 4	$180.25	$257.50	$72.10–$231.75	10% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC EST E/M LEVEL 4	$184.59	$263.70	$73.84–$237.33	8% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 URO OP VISIT EST PATIENT LVL 4	$242.97	$347.10	$97.19–$312.39	21% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT ESTAB PATIENT LEVEL 4	$299.81	$428.30	$119.92–$385.47	49% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC OP VISIT EST PATIENT LVL 4	$323.12	$461.60	$129.25–$415.44	61% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RTX OP VISIT ESTAB LVL IV	$417.06	$595.80	$166.82–$536.22	107% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC EST E/M LEVEL 1	$121.52	$173.60	$48.61–$156.24	6% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC EST E/M LEVEL 2	$121.52	$173.60	$48.61–$156.24	6% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 AHC HOMELESS VISIT ESTABLISHED	$121.87	$174.10	$48.75–$156.69	6% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 AHC EST E/M LEVEL 2	$122.57	$175.10	$49.03–$157.59	7% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST E/M LEVEL 2	$122.57	$175.10	$49.03–$157.59	7% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT ESTAB PATIENT LEVEL 2	$128.66	$183.80	$51.46–$165.42	12% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 URO TELEPHONE VISIT	$184.94	$264.20	$73.98–$237.78	61% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 AHC TELEMED VISIT	$184.94	$264.20	$73.98–$237.78	61% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 URO OP VISIT EST PATIENT LVL 2	$184.94	$264.20	$73.98–$237.78	61% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RHC TELEMED VISIT	$184.94	$264.20	$73.98–$237.78	61% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TELEMED VISIT	$184.94	$264.20	$73.98–$237.78	61% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RTX OP VISIT ESTAB LVL II	$223.58	$319.40	$89.43–$287.46	95% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC OP VISIT EST PATIENT LVL 2	$245.91	$351.30	$98.36–$316.17	114% above	30%
Speech and language evaluation CPT 92523 ST EVAL SPCH SOUND PROD W/LANG	$153.86	$219.80	$142.87–$197.82	66% below	30%
Speech therapy session, individual CPT 92507 ST TX INDIV	$86.10	$123.00	$79.95–$110.70	69% below	30%
Spirometry (breathing test) CPT 94010 AHC SPIROMETRY	$175.91	$251.30	$163.35–$226.17	54% below	30%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$175.91	$251.30	$163.35–$226.17	54% below	30%
Spirometry (breathing test) CPT 94010 SPIROMETRY W RPT	$231.21	$330.30	$214.70–$297.27	39% below	30%
Spirometry (breathing test) CPT 94010 SPIROMETRY W/ MVV	$502.60	$718.00	$466.70–$646.20	32% above	30%
Spirometry before and after a bronchodilator CPT 94060 ..SPIROMETRY W/BRONCHO	$372.47	$532.10	$345.87–$478.89	53% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVS 15MIN	$63.63	$90.90	$59.09–$81.81	54% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUT ACTS DIRECT 15MIN	$63.63	$90.90	$59.09–$81.81	54% below	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$147.21	$210.30	$136.70–$189.27	54% below	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE/PF 0.5 ML VIAL	$186.87	$266.96	$74.75–$240.26	40% below	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE/PF 0.5 ML VIAL	$186.87	$266.96	$74.75–$240.26	40% below	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE LIVE/PF 0.5 ML VIAL	$186.87	$266.96	$74.75–$240.26	—	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHPERTUS(ACEL)TETPOLIO/PF 0.5 ML SYRINGE- RHC	$72.39	$103.41	$28.95–$93.07	56% below	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPHPERTUS(ACEL)TETPOLIO/PF 0.5 ML SYRINGE- RHC	$72.39	$103.41	$28.95–$93.07	56% below	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIPHPERTUS(ACEL)TETPOLIO/PF 0.5 ML SYRINGE- RHC	$72.39	$103.41	$28.95–$93.07	—	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERT(AC)TET PED/PF-DTaP 0.5 ML SYRINGE- PEDIATRIC	$36.30	$51.85	$14.52–$46.67	49% below	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERT(AC)TET PED/PF-DTaP 0.5 ML SYRINGE- PEDIATRIC	$36.30	$51.85	$14.52–$46.67	49% below	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHPERT(AC)TET PED/PF-DTaP 0.5 ML SYRINGE- PEDIATRIC	$36.30	$51.85	$14.52–$46.67	—	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B VACCINE/DP(A)T-POLIO/PF 0.5 ML SYRINGE- RHC	$117.38	$167.69	$46.95–$150.92	29% below	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HEP B VACCINE/DP(A)T-POLIO/PF 0.5 ML SYRINGE- RHC	$117.38	$167.69	$46.95–$150.92	29% below	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HEP B VACCINE/DP(A)T-POLIO/PF 0.5 ML SYRINGE- RHC	$117.38	$167.69	$46.95–$150.92	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACC PF 0.5 ML SYRINGE- RHC	$313.96	$448.52	$125.59–$403.67	19% below	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACC PF 0.5 ML SYRINGE- RHC	$313.96	$448.52	$125.59–$403.67	19% below	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACC PF 0.5 ML SYRINGE- RHC	$313.96	$448.52	$125.59–$403.67	—	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACC/PF (PEDS) 0.5 ML SYRINGE- RHC	$45.58	$65.11	$18.23–$58.60	38% below	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACC/PF (PEDS) 0.5 ML SYRINGE- RHC	$45.58	$65.11	$18.23–$58.60	38% below	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACC/PF (PEDS) 0.5 ML SYRINGE- RHC	$45.58	$65.11	$18.23–$58.60	—	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE 10 MCG/0.5 ML SYRINGE- RHC	$34.41	$49.15	$13.76–$44.24	40% below	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE 10 MCG/0.5 ML SYRINGE- RHC	$34.41	$49.15	$13.76–$44.24	40% below	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACC 10 MCG/0.5 ML DOSE (Non-VFC)	$36.77	$52.53	$14.71–$47.28	36% below	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACC 10 MCG/0.5 ML DOSE (Non-VFC)	$36.77	$52.53	$14.71–$47.28	36% below	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE 10 MCG/0.5 ML SYRINGE- RHC	$34.41	$49.15	$13.76–$44.24	—	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACC 10 MCG/0.5 ML DOSE (Non-VFC)	$36.77	$52.53	$14.71–$47.28	—	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX/PF VACC 0.5 VIAL	$24.70	$35.28	$9.88–$31.75	41% below	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX/PF VACC 0.5 VIAL	$24.70	$35.28	$9.88–$31.75	41% below	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX/PF VACC 0.5 VIAL	$24.70	$35.28	$9.88–$31.75	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACC/PF 0.5 ML VIAL	$107.81	$154.01	$43.12–$138.61	23% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACC/PF 0.5 ML VIAL	$107.81	$154.01	$43.12–$138.61	23% below	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACC/PF 0.5 ML VIAL	$107.81	$154.01	$43.12–$138.61	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOC VAC ACYW-135/PF 0.5 ML VIAL	$171.48	$244.97	$68.59–$220.47	34% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOC VAC ACYW-135/PF 0.5 ML VIAL	$171.48	$244.97	$68.59–$220.47	34% below	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOC VAC ACYW-135/PF 0.5 ML VIAL	$171.48	$244.97	$68.59–$220.47	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE4-COMP 0.5 ML SYRINGE	$264.08	$377.26	$105.63–$339.53	40% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE4-COMP 0.5 ML SYRINGE	$264.08	$377.26	$105.63–$339.53	40% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACCINE4-COMP 0.5 ML SYRINGE	$264.08	$377.26	$105.63–$339.53	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF 0.5 ML SYRINGE	$326.71	$466.73	$130.68–$420.06	37% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF 0.5 ML SYRINGE	$326.71	$466.73	$130.68–$420.06	37% below	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CRM/PF 0.5 ML SYRINGE	$326.71	$466.73	$130.68–$420.06	—	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (PCEC)/PF 2.5 UNIT/ML VIAL	$497.59	$710.84	$462.05–$639.76	30% below	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (PCEC)/PF 2.5 UNIT/ML VIAL	$497.59	$710.84	$462.05–$639.76	30% below	30%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (PCEC)/PF 2.5 UNIT/ML VIAL	$497.59	$710.84	$462.05–$639.76	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUSDIPHTH TOXOID (ADULT) 0.5 ML VIAL(DO NOT USE)	$33.97	$48.53	$13.59–$43.68	58% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUSDIPHTH TOXOID (ADULT) 0.5 ML VIAL(DO NOT USE)	$33.97	$48.53	$13.59–$43.68	58% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUSDIPHTHERIA TOXOIDS/PF (ADULT) 0.5 ML SYRINGE	$48.38	$69.11	$19.35–$62.20	41% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUSDIPHTHERIA TOXOIDS/PF (ADULT) 0.5 ML SYRINGE	$48.38	$69.11	$19.35–$62.20	41% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUSDIPHTH TOXOID (ADULT) 0.5 ML VIAL(DO NOT USE)	$33.97	$48.53	$13.59–$43.68	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUSDIPHTHERIA TOXOIDS/PF (ADULT) 0.5 ML SYRINGE	$48.38	$69.11	$19.35–$62.20	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSS(ACELL)TET VAC 0.5 ML SYR- ADULT	$47.39	$67.70	$18.96–$60.93	59% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSS(ACELL)TET VAC 0.5 ML SYR- ADULT	$47.39	$67.70	$18.96–$60.93	59% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSS(ACELL)TET VAC 0.5 ML SYR- ADULT	$47.39	$67.70	$18.96–$60.93	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC ADMIN PNEUMONIA VACCINE	$55.79	$79.70	$51.81–$71.73	47% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC ADMIN HEPATITIS B VACCINE	$62.02	$88.60	$57.59–$79.74	41% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC INJ ADM-VACCINE/1ST MED	$62.02	$88.60	$57.59–$79.74	41% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AHC ADMIN PNEUMONIA VACCINE	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AHC ADMIN HEPATITIS B VACCINE	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ ADM-VACCINE/1ST MED	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMONIA VACCINE	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBGYN/GNS ADMIN INFLUENZA VAC	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AHC INJ ADM-VACCINE/1ST MED	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEPATITIS B VACCINE	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 AHC ADMIN INFLUENZA VIRUS VAC	$78.12	$111.60	$72.54–$100.44	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS PNEUMO VACCINE ADMIN	$78.75	$112.50	$73.13–$101.25	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER PNUEMO VACCINE ADMIN	$78.75	$112.50	$73.13–$101.25	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HOSPITAL ADMIN FLU VACCINE	$78.75	$112.50	$73.13–$101.25	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS FLU VACCINE ADMIN	$78.75	$112.50	$73.13–$101.25	25% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER PNEUMOCOCCAL VACCINE ADMIN	$91.70	$131.00	$85.15–$117.90	12% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 OBS IMMUNIZATION ADMIN	$91.70	$131.00	$85.15–$117.90	12% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER IMMUNIZATION ADMINISTRATION	$91.70	$131.00	$85.15–$117.90	12% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ER INFLUENZA VACCINE ADMIN	$91.70	$131.00	$85.15–$117.90	12% below	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 URO ADMIN INFLUENZA VAC	$131.31	$187.58	$121.93–$168.82	26% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC ADMIN INFLUENZA VAC	$131.31	$187.58	$121.93–$168.82	26% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CTC ADMIN INFLUENZA VAC	$131.31	$187.58	$121.93–$168.82	26% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RHC INJ ADM-VACCINE/2ND MED	$33.18	$47.40	$13.27–$42.66	58% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 AHC INJ ADM-VACCINE/2ND MED	$39.13	$55.90	$15.65–$50.31	51% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ ADM-VACCINE/2ND MED	$39.13	$55.90	$15.65–$50.31	51% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 OBS SUB VACCINE ADMIN	$78.47	$112.10	$31.39–$100.89	2% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ER ADD'L VACCINE ADMINISTRATN	$88.41	$126.30	$35.36–$113.67	11% above	30%

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://sierraview.pt.panaceainc.com/MRFDownload/sierraview/medicalcenter