Stafford Hospital
Stafford Hospital in Stafford, VA publishes cash prices for 395 common procedures listed here, from its own machine-readable price file updated Dec 30, 2024. Compared with other hospitals in the state, its outpatient cash prices are below the Virginia median for 341 of 394 procedures and above it for 46. By typical cash price it ranks #13 of 66 Virginia hospitals and #3 of 19 hospitals in the Washington, DC area, cheapest first. Select a procedure to compare it with other hospitals nearby.
101 Hospital Center Blvd. Stafford, VA 22554 Collected Oct 29, 2026 Source price file Check a bill from this hospital (540) 741-9000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 490140 · CMS hospital register
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Stafford Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct abdomen w/o & w/dye | $1,802.00 | $3,604.00 | $175.00–$2,641.00 | 5% below | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct abdomen w/o & w/dye | $1,802.00 | $3,604.00 | $175.00–$2,641.00 | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 X-ray exam abdomen 2 views | $201.50 | $403.00 | $77.00–$288.00 | 38% below | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-ray exam abdomen 2 views | $201.50 | $403.00 | $77.00–$288.00 | — | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle | $278.00 | $556.00 | $55.00–$288.00 | 18% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle | $278.00 | $556.00 | $55.00–$288.00 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l xtremity art 2 levels | $177.00 | $354.00 | $122.00–$829.00 | 54% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/l xtremity art 2 levels | $177.00 | $354.00 | $122.00–$829.00 | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct upper extremity w/o dye | $1,056.50 | $2,113.00 | $105.00–$2,641.00 | 8% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct upper extremity w/o dye | $1,056.50 | $2,113.00 | $105.00–$2,641.00 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst | $682.00 | $1,364.00 | $77.00–$396.00 | 41% above | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray xm esophagus 1cntrst | $682.00 | $1,364.00 | $77.00–$396.00 | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body | $996.50 | $1,993.00 | $227.00–$1,228.00 | 28% below | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body | $996.50 | $1,993.00 | $227.00–$1,228.00 | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete | $120.50 | $241.00 | $105.00–$400.00 | 79% below | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete | $120.50 | $241.00 | $105.00–$400.00 | — | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited | $120.50 | $241.00 | $87.00–$362.00 | 76% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound breast limited | $120.50 | $241.00 | $87.00–$362.00 | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct angio abd&pelv w/o&w/dye | $1,727.00 | $3,454.00 | $234.00–$3,438.00 | 42% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct angio abd&pelv w/o&w/dye | $1,727.00 | $3,454.00 | $234.00–$3,438.00 | — | 50% |
| CT angiography (CTA) of the head CPT 70496 Ct angiography head | $1,322.00 | $2,644.00 | $175.00–$2,641.00 | 26% below | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct angiography head | $1,322.00 | $2,644.00 | $175.00–$2,641.00 | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 Ct angiography neck | $1,241.00 | $2,482.00 | $175.00–$2,641.00 | 36% below | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct angiography neck | $1,241.00 | $2,482.00 | $175.00–$2,641.00 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest | $1,290.50 | $2,581.00 | $175.00–$2,641.00 | 28% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest | $1,290.50 | $2,581.00 | $175.00–$2,641.00 | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct angio hrt w/3d image | $800.50 | $1,601.00 | $175.00–$2,641.00 | 12% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct angio hrt w/3d image | $800.50 | $1,601.00 | $175.00–$2,641.00 | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct hrt w/o dye w/ca test | $199.00 | $398.00 | $87.00–$2,641.00 | at median | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct hrt w/o dye w/ca test | $199.00 | $398.00 | $87.00–$2,641.00 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast | $1,068.50 | $2,137.00 | $234.00–$2,641.00 | 51% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast | $1,068.50 | $2,137.00 | $234.00–$2,641.00 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast | $1,421.50 | $2,843.00 | $234.00–$2,932.00 | 54% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast | $1,421.50 | $2,843.00 | $234.00–$2,932.00 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns | $2,588.00 | $5,176.00 | $234.00–$3,282.00 | 25% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns | $2,588.00 | $5,176.00 | $234.00–$3,282.00 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye | $1,110.50 | $2,221.00 | $175.00–$2,641.00 | 32% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye | $1,110.50 | $2,221.00 | $175.00–$2,641.00 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye | $1,020.50 | $2,041.00 | $105.00–$2,641.00 | 29% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye | $1,020.50 | $2,041.00 | $105.00–$2,641.00 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye | $942.50 | $1,885.00 | $105.00–$2,641.00 | 27% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye | $942.50 | $1,885.00 | $105.00–$2,641.00 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye | $942.50 | $1,885.00 | $105.00–$2,641.00 | 29% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye | $942.50 | $1,885.00 | $105.00–$2,641.00 | — | 50% |
| CT scan of the head with contrast CPT 70460 Ct head/brain w/dye | $1,097.50 | $2,195.00 | $175.00–$2,641.00 | 28% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye | $1,097.50 | $2,195.00 | $175.00–$2,641.00 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye | $1,230.00 | $2,460.00 | $175.00–$2,641.00 | 30% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye | $1,230.00 | $2,460.00 | $175.00–$2,641.00 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye | $1,113.50 | $2,227.00 | $105.00–$2,641.00 | 30% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye | $1,113.50 | $2,227.00 | $105.00–$2,641.00 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye | $1,094.00 | $2,188.00 | $105.00–$2,641.00 | 32% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye | $1,094.00 | $2,188.00 | $105.00–$2,641.00 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye | $1,107.50 | $2,215.00 | $175.00–$2,641.00 | 35% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye | $1,107.50 | $2,215.00 | $175.00–$2,641.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study | $348.50 | $697.00 | $228.00–$829.00 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study | $348.50 | $697.00 | $228.00–$829.00 | — | 50% |
| Chest CT scan without and with contrast CPT 71270 Ct thorax dx c-/c+ | $1,221.00 | $2,442.00 | $175.00–$2,641.00 | 37% below | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct thorax dx c-/c+ | $1,221.00 | $2,442.00 | $175.00–$2,641.00 | — | 50% |
| Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views | $106.00 | $212.00 | $77.00–$292.00 | 62% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views | $106.00 | $212.00 | $77.00–$292.00 | — | 50% |
| Chest X-ray, single view CPT 71045 X-ray exam chest 1 view | $106.00 | $212.00 | $77.00–$292.00 | 55% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view | $106.00 | $212.00 | $77.00–$292.00 | — | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-ray exam of collar bone | $235.00 | $470.00 | $47.00–$288.00 | 21% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray exam of collar bone | $235.00 | $470.00 | $47.00–$288.00 | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp | $274.00 | $548.00 | $105.00–$439.00 | 57% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp | $274.00 | $548.00 | $105.00–$439.00 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial | $358.50 | $717.00 | $104.00–$326.00 | 39% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial | $358.50 | $717.00 | $104.00–$326.00 | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob us detailed sngl fetus | $772.00 | $1,544.00 | $138.00–$740.00 | 16% above | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob us detailed sngl fetus | $772.00 | $1,544.00 | $138.00–$740.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax dx c- | $565.50 | $1,131.00 | $105.00–$2,641.00 | 59% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax dx c- | $565.50 | $1,131.00 | $105.00–$2,641.00 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax dx c+ | $1,151.00 | $2,302.00 | $175.00–$2,641.00 | 33% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax dx c+ | $1,151.00 | $2,302.00 | $175.00–$2,641.00 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study | $361.50 | $723.00 | $228.00–$871.00 | 75% below | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study | $361.50 | $723.00 | $228.00–$871.00 | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study | $478.00 | $956.00 | $228.00–$829.00 | 63% below | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study | $478.00 | $956.00 | $228.00–$829.00 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete | $1,193.50 | $2,387.00 | $321.00–$1,967.00 | 31% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete | $1,193.50 | $2,387.00 | $321.00–$1,967.00 | — | 50% |
| Elbow X-ray, 2 views CPT 73070 X-ray exam of elbow | $206.50 | $413.00 | $48.00–$288.00 | 23% below | 50% |
| Elbow X-ray, 2 views inpatient CPT 73070 X-ray exam of elbow | $206.50 | $413.00 | $48.00–$288.00 | — | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-ray exam of elbow | $334.50 | $669.00 | $63.00–$288.00 | 21% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray exam of elbow | $334.50 | $669.00 | $63.00–$288.00 | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbit/ear/fossa w/o dye | $1,162.50 | $2,325.00 | $105.00–$2,641.00 | 14% below | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct orbit/ear/fossa w/o dye | $1,162.50 | $2,325.00 | $105.00–$2,641.00 | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray exam of facial bones | $409.00 | $818.00 | $70.00–$288.00 | 21% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray exam of facial bones | $409.00 | $818.00 | $70.00–$288.00 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray exam of forearm | $294.00 | $588.00 | $47.00–$288.00 | 11% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray exam of forearm | $294.00 | $588.00 | $47.00–$288.00 | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging | $835.00 | $1,670.00 | $227.00–$1,726.00 | 26% below | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging | $835.00 | $1,670.00 | $227.00–$1,726.00 | — | 50% |
| Hand X-ray, 2 views CPT 73120 X-ray exam of hand | $206.50 | $413.00 | $46.00–$288.00 | 18% below | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 X-ray exam of hand | $206.50 | $413.00 | $46.00–$288.00 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray exam of heel | $142.00 | $284.00 | $46.00–$288.00 | 49% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray exam of heel | $142.00 | $284.00 | $46.00–$288.00 | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study unatt&resp efft | $277.00 | $554.00 | $149.00–$666.00 | 40% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep study unatt&resp efft | $277.00 | $554.00 | $149.00–$666.00 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm | $2,616.00 | $5,232.00 | $492.00–$2,758.00 | 17% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm | $2,616.00 | $5,232.00 | $492.00–$2,758.00 | — | 50% |
| Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3 | $411.50 | $823.00 | $61.00–$288.00 | 23% above | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3 | $411.50 | $823.00 | $61.00–$288.00 | — | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-ray exam knee 4 or more | $549.00 | $1,098.00 | $70.00–$288.00 | 26% above | 50% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray exam knee 4 or more | $549.00 | $1,098.00 | $70.00–$288.00 | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct lower extremity w/o dye | $983.50 | $1,967.00 | $105.00–$2,641.00 | 18% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct lower extremity w/o dye | $983.50 | $1,967.00 | $105.00–$2,641.00 | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen | $341.00 | $682.00 | $105.00–$439.00 | 48% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen | $341.00 | $682.00 | $105.00–$439.00 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us lmtd jt/nonvasc xtr strux | $179.50 | $359.00 | $64.00–$362.00 | 41% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us lmtd jt/nonvasc xtr strux | $179.50 | $359.00 | $64.00–$362.00 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray exam of lower leg | $288.50 | $577.00 | $45.00–$288.00 | 7% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray exam of lower leg | $288.50 | $577.00 | $45.00–$288.00 | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr angiography head w/o dye | $1,919.00 | $3,838.00 | $234.00–$1,545.00 | 16% below | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr angiography head w/o dye | $1,919.00 | $3,838.00 | $234.00–$1,545.00 | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye | $2,022.00 | $4,044.00 | $234.00–$1,548.00 | 5% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye | $2,022.00 | $4,044.00 | $234.00–$1,548.00 | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye | $2,147.00 | $4,294.00 | $366.00–$3,315.00 | 37% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye | $2,147.00 | $4,294.00 | $366.00–$3,315.00 | — | 50% |
| MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye | $1,494.50 | $2,989.00 | $234.00–$1,569.00 | 8% below | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye | $1,494.50 | $2,989.00 | $234.00–$1,569.00 | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye | $1,886.00 | $3,772.00 | $366.00–$3,337.00 | 34% below | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye | $1,886.00 | $3,772.00 | $366.00–$3,337.00 | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye | $1,214.50 | $2,429.00 | $234.00–$1,586.00 | 37% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye | $1,214.50 | $2,429.00 | $234.00–$1,586.00 | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye | $1,832.00 | $3,664.00 | $366.00–$3,388.00 | 33% below | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye | $1,832.00 | $3,664.00 | $366.00–$3,388.00 | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye | $1,844.50 | $3,689.00 | $234.00–$1,737.00 | 8% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye | $1,844.50 | $3,689.00 | $234.00–$1,737.00 | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye | $2,319.00 | $4,638.00 | $366.00–$3,388.00 | 30% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye | $2,319.00 | $4,638.00 | $366.00–$3,388.00 | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye | $1,844.50 | $3,689.00 | $234.00–$1,753.00 | 8% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye | $1,844.50 | $3,689.00 | $234.00–$1,753.00 | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye | $1,773.00 | $3,546.00 | $366.00–$3,419.00 | 46% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye | $1,773.00 | $3,546.00 | $366.00–$3,419.00 | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye | $1,499.00 | $2,998.00 | $234.00–$1,603.00 | 25% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye | $1,499.00 | $2,998.00 | $234.00–$1,603.00 | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye | $1,736.00 | $3,472.00 | $366.00–$3,337.00 | 45% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye | $1,736.00 | $3,472.00 | $366.00–$3,337.00 | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye | $1,205.50 | $2,411.00 | $234.00–$1,570.00 | 35% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye | $1,205.50 | $2,411.00 | $234.00–$1,570.00 | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye | $1,697.00 | $3,394.00 | $234.00–$1,548.00 | 12% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye | $1,697.00 | $3,394.00 | $234.00–$1,548.00 | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray exam neck spine 4/5vws | $466.50 | $933.00 | $77.00–$344.00 | 4% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray exam neck spine 4/5vws | $466.50 | $933.00 | $77.00–$344.00 | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct soft tissue neck w/dye | $1,049.00 | $2,098.00 | $175.00–$2,641.00 | 37% below | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct soft tissue neck w/dye | $1,049.00 | $2,098.00 | $175.00–$2,641.00 | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 Ct soft tissue neck w/o dye | $770.00 | $1,540.00 | $105.00–$2,641.00 | 10% below | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct soft tissue neck w/o dye | $770.00 | $1,540.00 | $105.00–$2,641.00 | — | 50% |
| Neck soft tissue X-ray CPT 70360 X-ray exam of neck | $149.00 | $298.00 | $45.00–$288.00 | 57% below | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 X-ray exam of neck | $149.00 | $298.00 | $45.00–$288.00 | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult | $2,161.00 | $4,322.00 | $227.00–$3,067.00 | 32% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult | $2,161.00 | $4,322.00 | $227.00–$3,067.00 | — | 50% |
| Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o dye | $942.00 | $1,884.00 | $105.00–$2,641.00 | 36% below | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o dye | $942.00 | $1,884.00 | $105.00–$2,641.00 | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited | $272.50 | $545.00 | $105.00–$362.00 | 37% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited | $272.50 | $545.00 | $105.00–$362.00 | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete | $297.00 | $594.00 | $105.00–$439.00 | 60% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete | $297.00 | $594.00 | $105.00–$439.00 | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus | $454.50 | $909.00 | $105.00–$518.00 | 25% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus | $454.50 | $909.00 | $105.00–$518.00 | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus | $274.00 | $548.00 | $105.00–$439.00 | 43% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus | $274.00 | $548.00 | $105.00–$439.00 | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s) | $584.50 | $1,169.00 | $105.00–$362.00 | 23% above | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s) | $584.50 | $1,169.00 | $105.00–$362.00 | — | 50% |
| Rib X-ray, one side, 2 views CPT 71100 X-ray exam ribs uni 2 views | $101.50 | $203.00 | $52.00–$288.00 | 69% below | 50% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray exam ribs uni 2 views | $101.50 | $203.00 | $52.00–$288.00 | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-ray exam unilat ribs/chest | $252.00 | $504.00 | $62.00–$288.00 | 39% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-ray exam unilat ribs/chest | $252.00 | $504.00 | $62.00–$288.00 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder | $376.00 | $752.00 | $49.00–$288.00 | 18% above | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder | $376.00 | $752.00 | $49.00–$288.00 | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray exam of sinuses | $308.00 | $616.00 | $64.00–$288.00 | 37% below | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray exam of sinuses | $308.00 | $616.00 | $64.00–$288.00 | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray exam of skull | $285.00 | $570.00 | $58.00–$288.00 | 17% below | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray exam of skull | $285.00 | $570.00 | $58.00–$288.00 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param | $2,442.50 | $4,885.00 | $492.00–$2,758.00 | 12% above | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param | $2,442.50 | $4,885.00 | $492.00–$2,758.00 | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+ | $304.50 | $609.00 | $152.00–$560.00 | 37% below | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+ | $304.50 | $609.00 | $152.00–$560.00 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray exam of femur 2/> | $252.00 | $504.00 | $77.00–$288.00 | 18% below | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray exam of femur 2/> | $252.00 | $504.00 | $77.00–$288.00 | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct chest spine w/o dye | $944.00 | $1,888.00 | $105.00–$2,641.00 | 41% below | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct chest spine w/o dye | $944.00 | $1,888.00 | $105.00–$2,641.00 | — | 50% |
| Toe X-ray, 2 or more views CPT 73660 X-ray exam of toe(s) | $210.00 | $420.00 | $52.00–$288.00 | 16% below | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 X-ray exam of toe(s) | $210.00 | $420.00 | $52.00–$288.00 | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob | $414.00 | $828.00 | $105.00–$494.00 | 29% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob | $414.00 | $828.00 | $105.00–$494.00 | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric | $572.00 | $1,144.00 | $105.00–$362.00 | 19% above | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal us obstetric | $572.00 | $1,144.00 | $105.00–$362.00 | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete | $476.00 | $952.00 | $105.00–$464.00 | 45% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete | $476.00 | $952.00 | $105.00–$464.00 | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum | $274.00 | $548.00 | $105.00–$439.00 | 62% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum | $274.00 | $548.00 | $105.00–$439.00 | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck | $406.50 | $813.00 | $105.00–$498.00 | 34% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck | $406.50 | $813.00 | $105.00–$498.00 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst | $307.50 | $615.00 | $161.00–$438.00 | 63% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst | $307.50 | $615.00 | $161.00–$438.00 | — | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-ray exam of humerus | $210.00 | $420.00 | $49.00–$288.00 | 38% below | 50% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray exam of humerus | $210.00 | $420.00 | $49.00–$288.00 | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study | $314.00 | $628.00 | $105.00–$829.00 | 57% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study | $314.00 | $628.00 | $105.00–$829.00 | — | 50% |
| Wrist X-ray, 2 views CPT 73100 X-ray exam of wrist | $206.50 | $413.00 | $51.00–$288.00 | 19% below | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 X-ray exam of wrist | $206.50 | $413.00 | $51.00–$288.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist | $260.00 | $520.00 | $64.00–$288.00 | 15% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist | $260.00 | $520.00 | $64.00–$288.00 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views | $179.00 | $358.00 | $77.00–$288.00 | 29% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views | $179.00 | $358.00 | $77.00–$288.00 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view | $106.00 | $212.00 | $77.00–$288.00 | 62% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view | $106.00 | $212.00 | $77.00–$288.00 | — | 50% |
| X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle | $206.50 | $413.00 | $47.00–$288.00 | 23% below | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle | $206.50 | $413.00 | $47.00–$288.00 | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s) | $199.50 | $399.00 | $55.00–$288.00 | 16% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s) | $199.50 | $399.00 | $55.00–$288.00 | — | 50% |
| X-ray of the foot, 2 views CPT 73620 X-ray exam of foot | $206.50 | $413.00 | $45.00–$288.00 | 30% below | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot | $206.50 | $413.00 | $45.00–$288.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot | $281.50 | $563.00 | $54.00–$288.00 | 11% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot | $281.50 | $563.00 | $54.00–$288.00 | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand | $247.50 | $495.00 | $54.00–$288.00 | 17% below | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand | $247.50 | $495.00 | $54.00–$288.00 | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2 | $243.50 | $487.00 | $49.00–$288.00 | 7% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2 | $243.50 | $487.00 | $49.00–$288.00 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws | $288.50 | $577.00 | $67.00–$288.00 | 21% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws | $288.50 | $577.00 | $67.00–$288.00 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws | $393.50 | $787.00 | $77.00–$344.00 | 25% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws | $393.50 | $787.00 | $77.00–$344.00 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws | $183.00 | $366.00 | $54.00–$288.00 | 44% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray exam thorac spine 2vws | $183.00 | $366.00 | $54.00–$288.00 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones | $224.00 | $448.00 | $57.00–$288.00 | 21% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones | $224.00 | $448.00 | $57.00–$288.00 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw | $157.00 | $314.00 | $63.00–$288.00 | 58% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw | $157.00 | $314.00 | $63.00–$288.00 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis | $178.00 | $356.00 | $42.00–$288.00 | 46% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis | $178.00 | $356.00 | $42.00–$288.00 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone | $154.50 | $309.00 | $49.00–$288.00 | 63% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone | $154.50 | $309.00 | $49.00–$288.00 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Assay of acth | $213.50 | $427.00 | $39.00–$270.00 | 8% below | 50% |
| ACTH blood test inpatient CPT 82024 Assay of acth | $213.50 | $427.00 | $39.00–$270.00 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt) | $28.00 | $56.00 | $5.00–$270.00 | 44% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt) | $28.00 | $56.00 | $5.00–$270.00 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot) | $20.50 | $41.00 | $5.00–$270.00 | 59% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot) | $20.50 | $41.00 | $5.00–$270.00 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $242.00 | $484.00 | $10.00–$270.00 | 16% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel | $242.00 | $484.00 | $10.00–$270.00 | — | 50% |
| Albumin blood test CPT 82040 Assay of serum albumin | $17.50 | $35.00 | $5.00–$270.00 | 55% below | 50% |
| Albumin blood test inpatient CPT 82040 Assay of serum albumin | $17.50 | $35.00 | $5.00–$270.00 | — | 50% |
| Aldosterone blood test CPT 82088 Assay of aldosterone | $155.50 | $311.00 | $40.00–$270.00 | 12% below | 50% |
| Aldosterone blood test inpatient CPT 82088 Assay of aldosterone | $155.50 | $311.00 | $40.00–$270.00 | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Assay alkaline phosphatase | $15.50 | $31.00 | $5.00–$270.00 | 58% below | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay alkaline phosphatase | $15.50 | $31.00 | $5.00–$270.00 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea | $16.00 | $32.00 | $5.00–$270.00 | 35% below | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea | $16.00 | $32.00 | $5.00–$270.00 | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein serum | $98.00 | $196.00 | $14.00–$270.00 | 12% below | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein serum | $98.00 | $196.00 | $14.00–$270.00 | — | 50% |
| Ammonia blood test CPT 82140 Assay of ammonia | $52.50 | $105.00 | $14.00–$270.00 | 43% below | 50% |
| Ammonia blood test inpatient CPT 82140 Assay of ammonia | $52.50 | $105.00 | $14.00–$270.00 | — | 50% |
| Amylase blood test CPT 82150 Assay of amylase | $47.00 | $94.00 | $6.00–$270.00 | 16% below | 50% |
| Amylase blood test inpatient CPT 82150 Assay of amylase | $47.00 | $94.00 | $6.00–$270.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody | $43.00 | $86.00 | $13.00–$270.00 | 41% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody | $43.00 | $86.00 | $13.00–$270.00 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies | $43.00 | $86.00 | $12.00–$270.00 | 69% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear antibodies | $43.00 | $86.00 | $12.00–$270.00 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide | $104.50 | $209.00 | $32.00–$270.00 | 46% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide | $104.50 | $209.00 | $32.00–$270.00 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture othr specimn aerobic | $56.00 | $112.00 | $9.00–$270.00 | 19% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture othr specimn aerobic | $56.00 | $112.00 | $9.00–$270.00 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca | $39.00 | $78.00 | $8.00–$270.00 | 48% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca | $39.00 | $78.00 | $8.00–$270.00 | — | 50% |
| Bilirubin blood test, total CPT 82247 Bilirubin total | $32.50 | $65.00 | $5.00–$270.00 | 27% below | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin total | $32.50 | $65.00 | $5.00–$270.00 | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist | $111.50 | $223.00 | $45.00–$279.00 | 49% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist | $111.50 | $223.00 | $45.00–$279.00 | — | 50% |
| Blood culture for bacteria CPT 87040 Blood culture for bacteria | $56.50 | $113.00 | $10.00–$270.00 | 45% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria | $56.50 | $113.00 | $10.00–$270.00 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture | $12.50 | $25.00 | $4.00–$270.00 | 29% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture | $12.50 | $25.00 | $4.00–$270.00 | — | 50% |
| Blood glucose (sugar) test CPT 82947 Assay glucose blood quant | $39.00 | $78.00 | $4.00–$270.00 | 13% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant | $39.00 | $78.00 | $4.00–$270.00 | — | 50% |
| Blood lead test CPT 83655 Assay of lead | $55.50 | $111.00 | $12.00–$270.00 | 12% below | 50% |
| Blood lead test inpatient CPT 83655 Assay of lead | $55.50 | $111.00 | $12.00–$270.00 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay | $36.50 | $73.00 | $6.00–$270.00 | 65% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay | $36.50 | $73.00 | $6.00–$270.00 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo | $27.50 | $55.00 | $3.00–$270.00 | 70% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo | $27.50 | $55.00 | $3.00–$270.00 | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 Assay of urea nitrogen | $19.50 | $39.00 | $4.00–$270.00 | 63% below | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay of urea nitrogen | $19.50 | $39.00 | $4.00–$270.00 | — | 50% |
| C-peptide blood test CPT 84681 Assay of c-peptide | $103.50 | $207.00 | $14.00–$270.00 | 5% below | 50% |
| C-peptide blood test inpatient CPT 84681 Assay of c-peptide | $103.50 | $207.00 | $14.00–$270.00 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein | $28.50 | $57.00 | $5.00–$270.00 | 67% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein | $28.50 | $57.00 | $5.00–$270.00 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe | $116.00 | $232.00 | $37.00–$270.00 | 8% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe | $116.00 | $232.00 | $37.00–$270.00 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9 | $50.50 | $101.00 | $13.00–$270.00 | 51% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9 | $50.50 | $101.00 | $13.00–$270.00 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125 | $76.50 | $153.00 | $13.00–$270.00 | 38% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay tumor ca 125 | $76.50 | $153.00 | $13.00–$270.00 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb | $93.50 | $187.00 | $51.00–$270.00 | 21% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb | $93.50 | $187.00 | $51.00–$270.00 | — | 50% |
| Calcium blood test, total CPT 82310 Assay of calcium | $28.50 | $57.00 | $5.00–$270.00 | 30% below | 50% |
| Calcium blood test, total inpatient CPT 82310 Assay of calcium | $28.50 | $57.00 | $5.00–$270.00 | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen | $68.50 | $137.00 | $14.00–$270.00 | 41% below | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic antigen | $68.50 | $137.00 | $14.00–$270.00 | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster antibody | $49.50 | $99.00 | $13.00–$270.00 | 53% below | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-zoster antibody | $49.50 | $99.00 | $13.00–$270.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlmyd trach dna amp probe | $105.50 | $211.00 | $35.00–$270.00 | 20% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlmyd trach dna amp probe | $105.50 | $211.00 | $35.00–$270.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel | $61.50 | $123.00 | $10.00–$270.00 | 28% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel | $61.50 | $123.00 | $10.00–$270.00 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc | $36.50 | $73.00 | $7.00–$270.00 | 27% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc | $36.50 | $73.00 | $7.00–$270.00 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 Complete cbc automated | $22.50 | $45.00 | $6.00–$270.00 | 73% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete cbc automated | $22.50 | $45.00 | $6.00–$270.00 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel | $56.00 | $112.00 | $10.00–$270.00 | 67% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel | $56.00 | $112.00 | $10.00–$270.00 | — | 50% |
| Cortisol blood test, total CPT 82533 Total cortisol | $75.00 | $150.00 | $15.00–$270.00 | 14% below | 50% |
| Cortisol blood test, total inpatient CPT 82533 Total cortisol | $75.00 | $150.00 | $15.00–$270.00 | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 Assay of ck (cpk) | $51.50 | $103.00 | $6.00–$270.00 | 19% below | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay of ck (cpk) | $51.50 | $103.00 | $6.00–$270.00 | — | 50% |
| Creatinine blood test CPT 82565 Assay of creatinine | $48.00 | $96.00 | $5.00–$270.00 | 25% below | 50% |
| Creatinine blood test inpatient CPT 82565 Assay of creatinine | $48.00 | $96.00 | $5.00–$270.00 | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv antibody | $43.00 | $86.00 | $13.00–$270.00 | 37% below | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv antibody | $43.00 | $86.00 | $13.00–$270.00 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 Fibrin degradation quant | $135.00 | $270.00 | $5.00–$270.00 | 14% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin degradation quant | $135.00 | $270.00 | $5.00–$270.00 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone | $84.00 | $168.00 | $15.00–$270.00 | 30% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone | $84.00 | $168.00 | $15.00–$270.00 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test prsmv chem anlyzr | $110.50 | $221.00 | $40.00–$270.00 | 28% below | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug test prsmv chem anlyzr | $110.50 | $221.00 | $40.00–$270.00 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel | $38.50 | $77.00 | $7.00–$270.00 | 60% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte panel | $38.50 | $77.00 | $7.00–$270.00 | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-barr capsid vca | $58.00 | $116.00 | $13.00–$270.00 | 37% below | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-barr capsid vca | $58.00 | $116.00 | $13.00–$270.00 | — | 50% |
| Estradiol blood test CPT 82670 Assay of total estradiol | $111.50 | $223.00 | $15.00–$270.00 | 9% below | 50% |
| Estradiol blood test inpatient CPT 82670 Assay of total estradiol | $111.50 | $223.00 | $15.00–$270.00 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh) | $97.00 | $194.00 | $15.00–$270.00 | 9% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Assay of gonadotropin (fsh) | $97.00 | $194.00 | $15.00–$270.00 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal | $60.50 | $121.00 | $14.00–$270.00 | 50% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal | $60.50 | $121.00 | $14.00–$270.00 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 Assay of ferritin | $71.00 | $142.00 | $14.00–$270.00 | 45% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Assay of ferritin | $71.00 | $142.00 | $14.00–$270.00 | — | 50% |
| Fibrinogen blood test CPT 85384 Fibrinogen activity | $48.50 | $97.00 | $5.00–$270.00 | 42% below | 50% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen activity | $48.50 | $97.00 | $5.00–$270.00 | — | 50% |
| Folate (folic acid) blood test CPT 82746 Assay of folic acid serum | $52.50 | $105.00 | $14.00–$270.00 | 52% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 Assay of folic acid serum | $52.50 | $105.00 | $14.00–$270.00 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 Free assay (ft-3) | $140.00 | $280.00 | $15.00–$270.00 | 36% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3) | $140.00 | $280.00 | $15.00–$270.00 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine | $45.00 | $90.00 | $9.00–$270.00 | 42% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine | $45.00 | $90.00 | $9.00–$270.00 | — | 50% |
| Free testosterone test CPT 84402 Assay of free testosterone | $96.00 | $192.00 | $15.00–$270.00 | 47% below | 50% |
| Free testosterone test inpatient CPT 84402 Assay of free testosterone | $96.00 | $192.00 | $15.00–$270.00 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay of ggt | $47.00 | $94.00 | $6.00–$270.00 | 10% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay of ggt | $47.00 | $94.00 | $6.00–$270.00 | — | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $50.00 | $100.00 | $10.00–$270.00 | 50% below | 50% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $50.00 | $100.00 | $10.00–$270.00 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test | $28.50 | $57.00 | $5.00–$270.00 | 30% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose test | $28.50 | $57.00 | $5.00–$270.00 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt) | $36.00 | $72.00 | $13.00–$270.00 | 56% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt) | $36.00 | $72.00 | $13.00–$270.00 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob | $105.50 | $211.00 | $35.00–$270.00 | 3% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob | $105.50 | $211.00 | $35.00–$270.00 | — | 50% |
| H. pylori stool antigen test CPT 87338 Hpylori stool ag ia | $88.00 | $176.00 | $11.00–$270.00 | 18% below | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Hpylori stool ag ia | $88.00 | $176.00 | $11.00–$270.00 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj | $299.50 | $599.00 | $66.00–$394.00 | at median | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 quant&revrse trnscrpj | $299.50 | $599.00 | $66.00–$394.00 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy | $75.00 | $150.00 | $13.00–$270.00 | 38% below | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/hiv-2 1 result antbdy | $75.00 | $150.00 | $13.00–$270.00 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1&-2 ab ag ia | $74.00 | $148.00 | $11.00–$270.00 | 34% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1&-2 ab ag ia | $74.00 | $148.00 | $11.00–$270.00 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types | $120.50 | $241.00 | $35.00–$270.00 | 5% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types | $120.50 | $241.00 | $35.00–$270.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test | $38.50 | $77.00 | $6.00–$270.00 | 65% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test | $38.50 | $77.00 | $6.00–$270.00 | — | 50% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $13.50 | $27.00 | $2.00–$270.00 | 25% below | 50% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $13.50 | $27.00 | $2.00–$270.00 | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 Hep b core antibody total | $52.00 | $104.00 | $12.00–$270.00 | 21% below | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep b core antibody total | $52.00 | $104.00 | $12.00–$270.00 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody | $34.00 | $68.00 | $11.00–$270.00 | 59% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep b surface antibody | $34.00 | $68.00 | $11.00–$270.00 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia | $47.50 | $95.00 | $10.00–$270.00 | 25% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis b surface ag ia | $47.50 | $95.00 | $10.00–$270.00 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test | $49.50 | $99.00 | $13.00–$270.00 | 37% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis c ab test | $49.50 | $99.00 | $13.00–$270.00 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj | $373.50 | $747.00 | $43.00–$270.00 | 48% above | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj | $373.50 | $747.00 | $43.00–$270.00 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test | $43.00 | $86.00 | $13.00–$270.00 | 49% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test | $43.00 | $86.00 | $13.00–$270.00 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test | $50.50 | $101.00 | $13.00–$270.00 | 45% below | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test | $50.50 | $101.00 | $13.00–$270.00 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs | $53.00 | $106.00 | $13.00–$270.00 | 2% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-reactive protein hs | $53.00 | $106.00 | $13.00–$270.00 | — | 50% |
| Homocysteine blood test CPT 83090 Assay of homocystine | $128.00 | $256.00 | $15.00–$270.00 | 15% above | 50% |
| Homocysteine blood test inpatient CPT 83090 Assay of homocystine | $128.00 | $256.00 | $15.00–$270.00 | — | 50% |
| Insulin blood test CPT 83525 Assay of insulin | $64.00 | $128.00 | $11.00–$270.00 | 8% below | 50% |
| Insulin blood test inpatient CPT 83525 Assay of insulin | $64.00 | $128.00 | $11.00–$270.00 | — | 50% |
| Iron blood test (serum iron) CPT 83540 Assay of iron | $27.50 | $55.00 | $6.00–$270.00 | 65% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 Assay of iron | $27.50 | $55.00 | $6.00–$270.00 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding test | $32.00 | $64.00 | $6.00–$270.00 | 52% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test | $32.00 | $64.00 | $6.00–$270.00 | — | 50% |
| Kidney function blood test panel CPT 80069 Renal function panel | $27.00 | $54.00 | $9.00–$270.00 | 75% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 Renal function panel | $27.00 | $54.00 | $9.00–$270.00 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh) | $98.00 | $196.00 | $15.00–$270.00 | 27% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 Assay of gonadotropin (lh) | $98.00 | $196.00 | $15.00–$270.00 | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 Assay of lactic acid | $57.50 | $115.00 | $12.00–$270.00 | 36% below | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Assay of lactic acid | $57.50 | $115.00 | $12.00–$270.00 | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (ld) (ldh) enzyme | $33.00 | $66.00 | $6.00–$270.00 | 39% below | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (ld) (ldh) enzyme | $33.00 | $66.00 | $6.00–$270.00 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase | $59.50 | $119.00 | $6.00–$270.00 | 45% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase | $59.50 | $119.00 | $6.00–$270.00 | — | 50% |
| Liver function blood test panel CPT 80076 Hepatic function panel | $57.00 | $114.00 | $8.00–$270.00 | 32% below | 50% |
| Liver function blood test panel inpatient CPT 80076 Hepatic function panel | $57.00 | $114.00 | $8.00–$270.00 | — | 50% |
| Lyme disease antibody test CPT 86618 Lyme disease antibody | $67.00 | $134.00 | $13.00–$270.00 | 23% below | 50% |
| Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody | $67.00 | $134.00 | $13.00–$270.00 | — | 50% |
| Magnesium blood test CPT 83735 Assay of magnesium | $37.50 | $75.00 | $6.00–$270.00 | 32% below | 50% |
| Magnesium blood test inpatient CPT 83735 Assay of magnesium | $37.50 | $75.00 | $6.00–$270.00 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 Rubeola antibody | $32.00 | $64.00 | $13.00–$270.00 | 57% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody | $32.00 | $64.00 | $13.00–$270.00 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen | $27.00 | $54.00 | $5.00–$270.00 | 70% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile antibody screen | $27.00 | $54.00 | $5.00–$270.00 | — | 50% |
| Mumps immunity blood test CPT 86735 Mumps antibody | $38.00 | $76.00 | $13.00–$270.00 | 45% below | 50% |
| Mumps immunity blood test inpatient CPT 86735 Mumps antibody | $38.00 | $76.00 | $13.00–$270.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free | $56.50 | $113.00 | $14.00–$270.00 | 48% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free | $56.50 | $113.00 | $14.00–$270.00 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total | $55.00 | $110.00 | $14.00–$270.00 | 44% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total | $55.00 | $110.00 | $14.00–$270.00 | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo | $53.00 | $106.00 | $23.00–$270.00 | 46% below | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo | $53.00 | $106.00 | $23.00–$270.00 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer | $69.50 | $139.00 | $20.00–$280.00 | 3% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer | $69.50 | $139.00 | $20.00–$280.00 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone | $137.00 | $274.00 | $40.00–$270.00 | 41% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of parathormone | $137.00 | $274.00 | $40.00–$270.00 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial | $38.50 | $77.00 | $5.00–$270.00 | 35% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial | $38.50 | $77.00 | $5.00–$270.00 | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 Assay of phosphorus | $28.00 | $56.00 | $5.00–$270.00 | 42% below | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Assay of phosphorus | $28.00 | $56.00 | $5.00–$270.00 | — | 50% |
| Potassium blood test CPT 84132 Assay of serum potassium | $34.00 | $68.00 | $5.00–$270.00 | 13% below | 50% |
| Potassium blood test inpatient CPT 84132 Assay of serum potassium | $34.00 | $68.00 | $5.00–$270.00 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chrmoml aneuploidy | $1,036.00 | $2,072.00 | $200.00–$911.00 | at median | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal chrmoml aneuploidy | $1,036.00 | $2,072.00 | $200.00–$911.00 | — | 50% |
| Progesterone blood test CPT 84144 Assay of progesterone | $93.00 | $186.00 | $15.00–$270.00 | 49% below | 50% |
| Progesterone blood test inpatient CPT 84144 Assay of progesterone | $93.00 | $186.00 | $15.00–$270.00 | — | 50% |
| Prolactin blood test CPT 84146 Assay of prolactin | $102.00 | $204.00 | $15.00–$270.00 | 13% below | 50% |
| Prolactin blood test inpatient CPT 84146 Assay of prolactin | $102.00 | $204.00 | $15.00–$270.00 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time | $19.00 | $38.00 | $4.00–$270.00 | 27% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time | $19.00 | $38.00 | $4.00–$270.00 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test prsmv dir opt obs | $19.00 | $38.00 | $13.00–$270.00 | 56% below | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug test prsmv dir opt obs | $19.00 | $38.00 | $13.00–$270.00 | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza assay w/optic | $30.00 | $60.00 | $11.00–$270.00 | 64% below | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza assay w/optic | $30.00 | $60.00 | $11.00–$270.00 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic | $30.00 | $60.00 | $11.00–$270.00 | 66% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic | $30.00 | $60.00 | $11.00–$270.00 | — | 50% |
| Renin blood test CPT 84244 Assay of renin | $79.50 | $159.00 | $15.00–$270.00 | 40% below | 50% |
| Renin blood test inpatient CPT 84244 Assay of renin | $79.50 | $159.00 | $15.00–$270.00 | — | 50% |
| Rh blood typing CPT 86901 Blood typing serologic rh(d) | $31.00 | $62.00 | $3.00–$270.00 | 50% below | 50% |
| Rh blood typing inpatient CPT 86901 Blood typing serologic rh(d) | $31.00 | $62.00 | $3.00–$270.00 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant | $51.50 | $103.00 | $6.00–$270.00 | 43% above | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant | $51.50 | $103.00 | $6.00–$270.00 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 Rubella antibody | $39.00 | $78.00 | $13.00–$270.00 | 60% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody | $39.00 | $78.00 | $13.00–$270.00 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc sed rate automated | $6.50 | $13.00 | $3.00–$270.00 | 89% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc sed rate automated | $6.50 | $13.00 | $3.00–$270.00 | — | 50% |
| Sodium blood test CPT 84295 Assay of serum sodium | $28.50 | $57.00 | $5.00–$270.00 | 43% below | 50% |
| Sodium blood test inpatient CPT 84295 Assay of serum sodium | $28.50 | $57.00 | $5.00–$270.00 | — | 50% |
| Stool ova and parasites exam CPT 87177 Ova and parasites smears | $36.00 | $72.00 | $9.00–$270.00 | 33% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears | $36.00 | $72.00 | $9.00–$270.00 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces | $17.50 | $35.00 | $4.00–$270.00 | 24% below | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces | $17.50 | $35.00 | $4.00–$270.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal | $55.00 | $110.00 | $14.00–$270.00 | 29% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal | $55.00 | $110.00 | $14.00–$270.00 | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum | $35.00 | $70.00 | $13.00–$270.00 | 51% below | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum | $35.00 | $70.00 | $13.00–$270.00 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual | $19.50 | $39.00 | $4.00–$270.00 | 23% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual | $19.50 | $39.00 | $4.00–$270.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure | $164.50 | $329.00 | $46.00–$350.00 | 25% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure | $164.50 | $329.00 | $46.00–$350.00 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone | $113.50 | $227.00 | $15.00–$270.00 | 24% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone | $113.50 | $227.00 | $15.00–$270.00 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each | $48.50 | $97.00 | $13.00–$270.00 | 35% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each | $48.50 | $97.00 | $13.00–$270.00 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone | $78.50 | $157.00 | $15.00–$270.00 | 20% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone | $78.50 | $157.00 | $15.00–$270.00 | — | 50% |
| Total IgE blood test CPT 82785 Assay of ige | $89.50 | $179.00 | $14.00–$270.00 | 1% above | 50% |
| Total IgE blood test inpatient CPT 82785 Assay of ige | $89.50 | $179.00 | $14.00–$270.00 | — | 50% |
| Total cholesterol blood test CPT 82465 Assay bld/serum cholesterol | $28.50 | $57.00 | $4.00–$270.00 | 48% below | 50% |
| Total cholesterol blood test inpatient CPT 82465 Assay bld/serum cholesterol | $28.50 | $57.00 | $4.00–$270.00 | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 Assay of total thyroxine | $43.50 | $87.00 | $7.00–$270.00 | 9% below | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Assay of total thyroxine | $43.50 | $87.00 | $7.00–$270.00 | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 Assay triiodothyronine (t3) | $82.50 | $165.00 | $14.00–$270.00 | 19% below | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Assay triiodothyronine (t3) | $82.50 | $165.00 | $14.00–$270.00 | — | 50% |
| Transferrin blood test CPT 84466 Assay of transferrin | $62.50 | $125.00 | $13.00–$270.00 | 19% below | 50% |
| Transferrin blood test inpatient CPT 84466 Assay of transferrin | $62.50 | $125.00 | $13.00–$270.00 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif | $101.00 | $202.00 | $35.00–$270.00 | 9% below | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif | $101.00 | $202.00 | $35.00–$270.00 | — | 50% |
| Triglycerides blood test CPT 84478 Assay of triglycerides | $34.50 | $69.00 | $6.00–$270.00 | 36% below | 50% |
| Triglycerides blood test inpatient CPT 84478 Assay of triglycerides | $34.50 | $69.00 | $6.00–$270.00 | — | 50% |
| Troponin test, quantitative CPT 84484 Assay of troponin quant | $59.00 | $118.00 | $12.00–$270.00 | 42% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 Assay of troponin quant | $59.00 | $118.00 | $12.00–$270.00 | — | 50% |
| Uric acid blood test CPT 84550 Assay of blood/uric acid | $29.50 | $59.00 | $5.00–$270.00 | 58% below | 50% |
| Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid | $29.50 | $59.00 | $5.00–$270.00 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis auto w/scope | $20.00 | $40.00 | $3.00–$270.00 | 55% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis auto w/scope | $20.00 | $40.00 | $3.00–$270.00 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope | $16.00 | $32.00 | $2.00–$270.00 | 52% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope | $16.00 | $32.00 | $2.00–$270.00 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis nonauto w/o scope | $6.00 | $12.00 | $3.00–$270.00 | 71% below | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis nonauto w/o scope | $6.00 | $12.00 | $3.00–$270.00 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count | $51.00 | $102.00 | $8.00–$270.00 | 34% below | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count | $51.00 | $102.00 | $8.00–$270.00 | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 Ur albumin quantitative | $42.50 | $85.00 | $3.00–$270.00 | 29% below | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Ur albumin quantitative | $42.50 | $85.00 | $3.00–$270.00 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $27.00 | $54.00 | $3.00–$270.00 | 71% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test | $27.00 | $54.00 | $3.00–$270.00 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12 | $53.00 | $106.00 | $15.00–$270.00 | 37% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12 | $53.00 | $106.00 | $15.00–$270.00 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy | $90.50 | $181.00 | $30.00–$270.00 | 36% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy | $90.50 | $181.00 | $30.00–$270.00 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit d 1 25-dihydroxy | $126.50 | $253.00 | $32.00–$270.00 | 42% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit d 1 25-dihydroxy | $126.50 | $253.00 | $32.00–$270.00 | — | 50% |
| Zinc blood test CPT 84630 Assay of zinc | $54.50 | $109.00 | $11.00–$270.00 | 15% below | 50% |
| Zinc blood test inpatient CPT 84630 Assay of zinc | $54.50 | $109.00 | $11.00–$270.00 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test | $125.50 | $251.00 | $15.00–$270.00 | 7% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test | $125.50 | $251.00 | $15.00–$270.00 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture | $354.50 | $709.00 | $225.00–$4,450.00 | 22% above | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat metatarsal fracture | $354.50 | $709.00 | $225.00–$4,450.00 | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 L hrt artery/ventricle angio | $7,083.50 | $14,167.00 | $320.00–$13,812.00 | 27% below | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 L hrt artery/ventricle angio | $7,083.50 | $14,167.00 | $320.00–$13,812.00 | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext | $1,675.50 | $3,351.00 | $299.00–$2,319.00 | 40% above | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext | $1,675.50 | $3,351.00 | $299.00–$2,319.00 | — | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 Compre ep eval abltj atr fib | $15,576.00 | $31,152.00 | $319.00–$51,190.00 | 27% below | 50% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Compre ep eval abltj atr fib | $15,576.00 | $31,152.00 | $319.00–$51,190.00 | — | 50% |
| Cervical biopsy CPT 57500 Biopsy of cervix | $1,204.00 | $2,408.00 | $506.00–$4,450.00 | 28% below | 50% |
| Cervical biopsy inpatient CPT 57500 Biopsy of cervix | $1,204.00 | $2,408.00 | $506.00–$4,450.00 | — | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older | $5,200.00 | $3,708.00 | $240.00–$8,286.00 | 225% above | -40% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 days or older | $5,200.00 | $3,708.00 | $240.00–$8,286.00 | — | -40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block | $3,800.00 | $3,708.00 | $240.00–$8,286.00 | 152% above | -2% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block | $3,800.00 | $3,708.00 | $240.00–$8,286.00 | — | -2% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision neonate | $1,854.00 | $3,708.00 | $240.00–$8,286.00 | 23% above | 50% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision neonate | $1,854.00 | $3,708.00 | $240.00–$8,286.00 | — | 50% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy w/endoscope us | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | 5% below | 50% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy w/endoscope us | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | — | 50% |
| Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | 64% below | 50% |
| Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | — | 50% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | 21% below | 50% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | — | 50% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | 2% below | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy | $1,386.50 | $2,773.00 | $499.00–$5,866.00 | — | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett of cervix w/scope | $406.00 | $812.00 | $306.00–$5,866.00 | 24% below | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/curett of cervix w/scope | $406.00 | $812.00 | $306.00–$5,866.00 | — | 50% |
| Coronary stent placement, one artery CPT 92928 Prq card stent w/angio 1 vsl | $8,567.50 | $17,135.00 | $320.00–$23,711.00 | 18% below | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 Prq card stent w/angio 1 vsl | $8,567.50 | $17,135.00 | $320.00–$23,711.00 | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion | $303.50 | $607.00 | $191.00–$4,450.00 | 153% above | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct premalg lesion | $303.50 | $607.00 | $191.00–$4,450.00 | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni | $103.00 | $206.00 | $58.00–$4,450.00 | 6% above | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni | $103.00 | $206.00 | $58.00–$4,450.00 | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni | $140.00 | $280.00 | $58.00–$4,450.00 | 19% below | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni | $140.00 | $280.00 | $58.00–$4,450.00 | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining | $304.50 | $609.00 | $190.00–$4,450.00 | at median | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining | $304.50 | $609.00 | $190.00–$4,450.00 | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc | $908.50 | $1,817.00 | $240.00–$4,450.00 | 32% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc | $908.50 | $1,817.00 | $240.00–$4,450.00 | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 lev | $913.00 | $1,826.00 | $240.00–$4,450.00 | 35% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 lev | $913.00 | $1,826.00 | $240.00–$4,450.00 | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy | $907.00 | $1,814.00 | $499.00–$4,450.00 | 20% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy | $907.00 | $1,814.00 | $499.00–$4,450.00 | — | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) | $1,308.00 | $2,616.00 | $240.00–$4,450.00 | 10% below | 50% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s) | $1,308.00 | $2,616.00 | $240.00–$4,450.00 | — | 50% |
| Hysterectomy through an abdominal incision (total) CPT 58150 HC TOTAL HYSTERECTOMY | $4,708.00 | $9,416.00 | $240.00–$13,122.00 | 81% below | 50% |
| Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HC TOTAL HYSTERECTOMY | $4,708.00 | $9,416.00 | $240.00–$13,122.00 | — | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device | $190.50 | $381.00 | $302.00–$4,450.00 | 17% below | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device | $190.50 | $381.00 | $302.00–$4,450.00 | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess | $269.00 | $538.00 | $191.00–$4,450.00 | 30% below | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess | $269.00 | $538.00 | $191.00–$4,450.00 | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament | $423.50 | $847.00 | $240.00–$4,450.00 | 15% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament | $423.50 | $847.00 | $240.00–$4,450.00 | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $335.50 | $671.00 | $240.00–$4,450.00 | 13% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us | $335.50 | $671.00 | $240.00–$4,450.00 | — | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion drug dlvr implant | $195.00 | $390.00 | $122.00–$4,450.00 | 65% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion drug dlvr implant | $195.00 | $390.00 | $122.00–$4,450.00 | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us | $283.50 | $567.00 | $240.00–$4,450.00 | 33% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us | $283.50 | $567.00 | $240.00–$4,450.00 | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us | $268.00 | $536.00 | $240.00–$4,450.00 | 27% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us | $268.00 | $536.00 | $240.00–$4,450.00 | — | 50% |
| 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/< | $422.00 | $844.00 | $299.00–$4,450.00 | 18% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $422.00 | $844.00 | $299.00–$4,450.00 | — | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 Left hrt cath w/ventrclgrphy | $6,393.00 | $12,786.00 | $320.00–$13,472.00 | 3% below | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Left hrt cath w/ventrclgrphy | $6,393.00 | $12,786.00 | $320.00–$13,472.00 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac | $908.50 | $1,817.00 | $240.00–$4,450.00 | 46% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac | $908.50 | $1,817.00 | $240.00–$4,450.00 | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1 | $421.00 | $842.00 | $240.00–$4,450.00 | 72% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx aa&/strd tfrm epi l/s 1 | $421.00 | $842.00 | $240.00–$4,450.00 | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm< | $1,090.50 | $2,181.00 | $506.00–$4,450.00 | 94% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc tr-ext b9+marg 0.5 cm< | $1,090.50 | $2,181.00 | $506.00–$4,450.00 | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate | $120.50 | $241.00 | $92.00–$4,450.00 | 43% below | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate | $120.50 | $241.00 | $92.00–$4,450.00 | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv | $490.00 | $980.00 | $240.00–$4,450.00 | 11% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv | $490.00 | $980.00 | $240.00–$4,450.00 | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial & vent | $8,566.50 | $17,133.00 | $319.00–$23,015.00 | 27% below | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Insrt heart pm atrial & vent | $8,566.50 | $17,133.00 | $319.00–$23,015.00 | — | 50% |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging | $740.50 | $1,481.00 | $240.00–$5,866.00 | 36% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging | $740.50 | $1,481.00 | $240.00–$5,866.00 | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed | $565.50 | $1,131.00 | $299.00–$4,450.00 | 6% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed | $565.50 | $1,131.00 | $299.00–$4,450.00 | — | 50% |
| Prostate biopsy CPT 55700 Biopsy of prostate | $3,094.50 | $6,189.00 | $239.00–$5,866.00 | 22% above | 50% |
| Prostate biopsy inpatient CPT 55700 Biopsy of prostate | $3,094.50 | $6,189.00 | $239.00–$5,866.00 | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt | $2,759.50 | $5,519.00 | $240.00–$8,286.00 | at median | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy lumb/sac facet jnt | $2,759.50 | $5,519.00 | $240.00–$8,286.00 | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body | $351.50 | $703.00 | $241.00–$4,450.00 | 37% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body | $351.50 | $703.00 | $241.00–$4,450.00 | — | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $1,386.50 | $2,773.00 | $499.00–$6,042.00 | 56% below | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind | $1,386.50 | $2,773.00 | $499.00–$6,042.00 | — | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $1,386.50 | $2,773.00 | $499.00–$6,042.00 | 52% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind | $1,386.50 | $2,773.00 | $499.00–$6,042.00 | — | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Fragmenting of kidney stone | $5,887.50 | $11,775.00 | $239.00–$12,043.00 | 33% below | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Fragmenting of kidney stone | $5,887.50 | $11,775.00 | $239.00–$12,043.00 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 Apply forearm splint | $234.00 | $468.00 | $103.00–$991.00 | 4% below | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint | $234.00 | $468.00 | $103.00–$991.00 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 Application lower leg splint | $159.00 | $318.00 | $103.00–$991.00 | 31% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint | $159.00 | $318.00 | $103.00–$991.00 | — | 50% |
| 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/< | $326.50 | $653.00 | $191.00–$4,450.00 | 10% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $326.50 | $653.00 | $191.00–$4,450.00 | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion | $296.00 | $592.00 | $299.00–$4,450.00 | 5% below | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion | $296.00 | $592.00 | $299.00–$4,450.00 | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15 | $309.00 | $618.00 | $191.00–$4,450.00 | 24% above | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags <w/15 | $309.00 | $618.00 | $191.00–$4,450.00 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr | $476.50 | $953.00 | $240.00–$4,450.00 | 45% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr | $476.50 | $953.00 | $240.00–$4,450.00 | — | 50% |
| 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 | $326.50 | $653.00 | $191.00–$6,206.00 | 23% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $326.50 | $653.00 | $191.00–$6,206.00 | — | 50% |
| 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/< | $326.50 | $653.00 | $191.00–$6,206.00 | 13% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< | $326.50 | $653.00 | $191.00–$6,206.00 | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les | $296.00 | $592.00 | $191.00–$4,450.00 | 18% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les | $296.00 | $592.00 | $191.00–$4,450.00 | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging | $776.50 | $1,553.00 | $240.00–$4,450.00 | 41% below | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging | $776.50 | $1,553.00 | $240.00–$4,450.00 | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl | $307.00 | $614.00 | $282.00–$4,450.00 | 16% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl | $307.00 | $614.00 | $282.00–$4,450.00 | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag | $1,141.50 | $2,283.00 | $240.00–$5,866.00 | 43% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion us imag | $1,141.50 | $2,283.00 | $240.00–$5,866.00 | — | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm | $2,004.00 | $4,008.00 | $499.00–$5,866.00 | 15% below | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm | $2,004.00 | $4,008.00 | $499.00–$5,866.00 | — | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple | $1,372.50 | $2,745.00 | $499.00–$5,866.00 | 8% below | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple | $1,372.50 | $2,745.00 | $499.00–$5,866.00 | — | 50% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj | $1,372.50 | $2,745.00 | $499.00–$5,866.00 | 18% below | 50% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj | $1,372.50 | $2,745.00 | $499.00–$5,866.00 | — | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare | $2,004.00 | $4,008.00 | $499.00–$5,866.00 | 46% below | 50% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare | $2,004.00 | $4,008.00 | $499.00–$5,866.00 | — | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion | $1,372.50 | $2,745.00 | $499.00–$5,866.00 | 2% below | 50% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd guide wire insertion | $1,372.50 | $2,745.00 | $499.00–$5,866.00 | — | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash | $1,372.50 | $2,745.00 | $499.00–$4,775.00 | 8% below | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash | $1,372.50 | $2,745.00 | $499.00–$4,775.00 | — | 50% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd w/transmural drain cyst | $4,113.00 | $8,226.00 | $499.00–$12,284.00 | 44% below | 50% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Egd w/transmural drain cyst | $4,113.00 | $8,226.00 | $499.00–$12,284.00 | — | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous rf 1st vein | $4,556.50 | $9,113.00 | $240.00–$11,033.00 | 13% above | 50% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous rf 1st vein | $4,556.50 | $9,113.00 | $240.00–$11,033.00 | — | 50% |
| Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 | $303.50 | $607.00 | $191.00–$4,450.00 | 122% above | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14 | $303.50 | $607.00 | $191.00–$4,450.00 | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/< | $570.00 | $1,140.00 | $299.00–$5,866.00 | 5% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/< | $570.00 | $1,140.00 | $299.00–$5,866.00 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service | $783.50 | $1,567.00 | $260.00–$4,450.00 | 8% below | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service | $783.50 | $1,567.00 | $260.00–$4,450.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment | $94.50 | $189.00 | $34.00–$460.00 | 40% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment | $94.50 | $189.00 | $34.00–$460.00 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr | $690.00 | $1,380.00 | $223.00–$839.00 | 10% below | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo iv infusion 1 hr | $690.00 | $1,380.00 | $223.00–$839.00 | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour | $1,240.50 | $2,481.00 | $299.00–$5,302.00 | 51% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour | $1,240.50 | $2,481.00 | $299.00–$5,302.00 | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy | $843.50 | $1,687.00 | $299.00–$677.00 | 49% above | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake and drowsy | $843.50 | $1,687.00 | $299.00–$677.00 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing | $68.50 | $137.00 | $36.00–$657.00 | 67% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing | $68.50 | $137.00 | $36.00–$657.00 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit | $187.00 | $374.00 | $85.00–$2,616.00 | 1% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit | $187.00 | $374.00 | $85.00–$2,616.00 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit | $288.00 | $576.00 | $156.00–$2,616.00 | 13% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit | $288.00 | $576.00 | $156.00–$2,616.00 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit | $378.00 | $756.00 | $272.00–$2,616.00 | 25% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit | $378.00 | $756.00 | $272.00–$2,616.00 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit | $666.00 | $1,332.00 | $299.00–$2,782.00 | 27% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit | $666.00 | $1,332.00 | $299.00–$2,782.00 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit | $990.00 | $1,980.00 | $299.00–$5,302.00 | 31% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit | $990.00 | $1,980.00 | $299.00–$5,302.00 | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test | $904.00 | $1,808.00 | $187.00–$1,328.00 | 20% above | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test | $904.00 | $1,808.00 | $187.00–$1,328.00 | — | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psytx w/pt 50 min | $200.00 | $400.00 | $152.00–$824.00 | 13% below | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psytx w/pt 50 min | $200.00 | $400.00 | $152.00–$824.00 | — | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psytx w/o pt 50 min | $200.00 | $400.00 | $152.00–$824.00 | 16% below | 50% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family psytx w/o pt 50 min | $200.00 | $400.00 | $152.00–$824.00 | — | 50% |
| Group psychotherapy session CPT 90853 Group psychotherapy | $200.00 | $400.00 | $85.00–$824.00 | 41% above | 50% |
| Group psychotherapy session inpatient CPT 90853 Group psychotherapy | $200.00 | $400.00 | $85.00–$824.00 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init | $285.50 | $571.00 | $173.00–$487.00 | 15% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init | $285.50 | $571.00 | $173.00–$487.00 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init | $347.00 | $694.00 | $173.00–$684.00 | 5% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init | $347.00 | $694.00 | $173.00–$684.00 | — | 50% |
| IV push of a medicine, first drug CPT 96374 Ther/proph/diag inj iv push | $194.00 | $388.00 | $71.00–$462.00 | 28% below | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 Ther/proph/diag inj iv push | $194.00 | $388.00 | $71.00–$462.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im | $91.50 | $183.00 | $67.00–$234.00 | 16% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im | $91.50 | $183.00 | $67.00–$234.00 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation | $200.00 | $400.00 | $152.00–$823.00 | 36% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych diagnostic evaluation | $200.00 | $400.00 | $152.00–$823.00 | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation | $68.00 | $136.00 | $33.00–$378.00 | 38% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation | $68.00 | $136.00 | $33.00–$378.00 | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition indiv in | $22.50 | $45.00 | $31.00–$848.00 | 13% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition indiv in | $22.50 | $45.00 | $31.00–$848.00 | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min | $121.00 | $242.00 | $99.00–$387.00 | 43% below | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min | $121.00 | $242.00 | $99.00–$387.00 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min | $125.00 | $250.00 | $98.00–$378.00 | 50% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min | $125.00 | $250.00 | $98.00–$378.00 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min | $125.00 | $250.00 | $98.00–$378.00 | 42% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min | $125.00 | $250.00 | $98.00–$378.00 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min | $125.00 | $250.00 | $98.00–$378.00 | 46% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min | $125.00 | $250.00 | $98.00–$378.00 | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions | $76.50 | $153.00 | $26.00–$378.00 | 13% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions | $76.50 | $153.00 | $26.00–$378.00 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises | $63.00 | $126.00 | $29.00–$378.00 | 32% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises | $63.00 | $126.00 | $29.00–$378.00 | — | 50% |
| Psychiatric evaluation with medical services CPT 90792 Psych diag eval w/med srvcs | $200.00 | $400.00 | $152.00–$823.00 | 37% below | 50% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Psych diag eval w/med srvcs | $200.00 | $400.00 | $152.00–$823.00 | — | 50% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx crisis initial 60 min | $200.00 | $400.00 | $152.00–$823.00 | 32% below | 50% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx crisis initial 60 min | $200.00 | $400.00 | $152.00–$823.00 | — | 50% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes | $200.00 | $400.00 | $152.00–$823.00 | 33% above | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx w pt 30 minutes | $200.00 | $400.00 | $152.00–$823.00 | — | 50% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes | $200.00 | $400.00 | $152.00–$823.00 | 3% below | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx w pt 45 minutes | $200.00 | $400.00 | $152.00–$823.00 | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx w pt 60 minutes | $200.00 | $400.00 | $152.00–$823.00 | 20% below | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx w pt 60 minutes | $200.00 | $400.00 | $152.00–$823.00 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min | $41.50 | $83.00 | $27.00–$459.00 | 13% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min | $41.50 | $83.00 | $27.00–$459.00 | — | 50% |
| Speech and language evaluation CPT 92523 Speech sound lang comprehen | $432.00 | $864.00 | $222.00–$414.00 | 32% above | 50% |
| Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen | $432.00 | $864.00 | $222.00–$414.00 | — | 50% |
| Speech therapy session, individual CPT 92507 Speech/hearing therapy | $176.50 | $353.00 | $74.00–$414.00 | at median | 50% |
| Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy | $176.50 | $353.00 | $74.00–$414.00 | — | 50% |
| Spirometry (breathing test) CPT 94010 Breathing capacity test | $164.00 | $328.00 | $80.00–$414.00 | 37% below | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test | $164.00 | $328.00 | $80.00–$414.00 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing | $612.00 | $1,224.00 | $146.00–$677.00 | 49% above | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing | $612.00 | $1,224.00 | $146.00–$677.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities | $49.00 | $98.00 | $36.00–$378.00 | 52% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities | $49.00 | $98.00 | $36.00–$378.00 | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $126.00 | $252.00 | $99.00–$6,206.00 | 49% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy | $126.00 | $252.00 | $99.00–$6,206.00 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var vaccine live subq | $67.50 | $135.00 | $170.00–$572.00 | 83% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var vaccine live subq | $67.50 | $135.00 | $170.00–$572.00 | — | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-ipv vaccine 4-6 yrs im | $29.00 | $58.00 | $35.00–$572.00 | 36% below | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-ipv vaccine 4-6 yrs im | $29.00 | $58.00 | $35.00–$572.00 | — | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap vaccine < 7 yrs im | $18.00 | $36.00 | $35.00–$572.00 | 78% below | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap vaccine < 7 yrs im | $18.00 | $36.00 | $35.00–$572.00 | — | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-hep b-ipv vaccine im | $80.00 | $160.00 | $35.00–$572.00 | at median | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap-hep b-ipv vaccine im | $80.00 | $160.00 | $35.00–$572.00 | — | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepa vaccine adult im | $48.50 | $97.00 | $35.00–$572.00 | 80% below | 50% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa vaccine adult im | $48.50 | $97.00 | $35.00–$572.00 | — | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa vacc ped/adol 2 dose im | $30.00 | $60.00 | $35.00–$572.00 | 59% below | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepa vacc ped/adol 2 dose im | $30.00 | $60.00 | $35.00–$572.00 | — | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb vaccine 3 dose adult im | $60.00 | $120.00 | $35.00–$572.00 | 70% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb vaccine 3 dose adult im | $60.00 | $120.00 | $35.00–$572.00 | — | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb vacc 2 dose adult im | $81.50 | $163.00 | $35.00–$572.00 | 54% below | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepb vacc 2 dose adult im | $81.50 | $163.00 | $35.00–$572.00 | — | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb vacc 3 dose ped/adol im | $32.50 | $65.00 | $35.00–$572.00 | 65% below | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepb vacc 3 dose ped/adol im | $32.50 | $65.00 | $35.00–$572.00 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib prp-omp vacc 3 dose im | $17.50 | $35.00 | $35.00–$572.00 | 85% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib prp-omp vacc 3 dose im | $17.50 | $35.00 | $35.00–$572.00 | — | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib prp-t vaccine 4 dose im | $25.50 | $51.00 | $33.00–$572.00 | 9% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hib prp-t vaccine 4 dose im | $25.50 | $51.00 | $33.00–$572.00 | — | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv no prsv increased ag im | $46.00 | $92.00 | $35.00–$572.00 | 71% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv no prsv increased ag im | $46.00 | $92.00 | $35.00–$572.00 | — | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine sc | $45.00 | $90.00 | $35.00–$572.00 | 87% below | 50% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine sc | $45.00 | $90.00 | $35.00–$572.00 | — | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Mmrv vaccine sc | $120.00 | $240.00 | $35.00–$572.00 | 48% below | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Mmrv vaccine sc | $120.00 | $240.00 | $35.00–$572.00 | — | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/menacwycrm vacc im | $95.00 | $190.00 | $170.00–$572.00 | 64% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menacwyd/menacwycrm vacc im | $95.00 | $190.00 | $170.00–$572.00 | — | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb-4c vacc 2 dose im | $151.50 | $303.00 | $170.00–$572.00 | 54% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb-4c vacc 2 dose im | $151.50 | $303.00 | $170.00–$572.00 | — | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 vaccine im | $339.00 | $678.00 | $170.00–$604.00 | 4% above | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pcv13 vaccine im | $339.00 | $678.00 | $170.00–$604.00 | — | 50% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pcv15 vaccine im | $129.50 | $259.00 | $170.00–$576.00 | 92% below | 50% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 Pcv15 vaccine im | $129.50 | $259.00 | $170.00–$576.00 | — | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 vaccine im | $139.00 | $278.00 | $170.00–$675.00 | 58% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 vaccine im | $139.00 | $278.00 | $170.00–$675.00 | — | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 vacc 2 yrs+ subq/im | $78.00 | $156.00 | $35.00–$572.00 | 59% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 vacc 2 yrs+ subq/im | $78.00 | $156.00 | $35.00–$572.00 | — | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus ipv sc/im | $26.00 | $52.00 | $35.00–$572.00 | 35% below | 50% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus ipv sc/im | $26.00 | $52.00 | $35.00–$572.00 | — | 50% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rv1 vacc 2 dose live oral | $45.50 | $91.00 | $35.00–$572.00 | at median | 50% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rv1 vacc 2 dose live oral | $45.50 | $91.00 | $35.00–$572.00 | — | 50% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 vacc 3 dose live oral | $45.00 | $90.00 | $170.00–$572.00 | at median | 50% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rv5 vacc 3 dose live oral | $45.00 | $90.00 | $170.00–$572.00 | — | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv vacc recombinant im | $150.00 | $300.00 | $170.00–$572.00 | 2% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv vacc recombinant im | $150.00 | $300.00 | $170.00–$572.00 | — | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td vacc no presv 7 yrs+ im | $67.00 | $134.00 | $35.00–$572.00 | 48% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td vacc no presv 7 yrs+ im | $67.00 | $134.00 | $35.00–$572.00 | — | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 7 yrs/> im | $117.50 | $235.00 | $35.00–$572.00 | 8% above | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine 7 yrs/> im | $117.50 | $235.00 | $35.00–$572.00 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin | $69.00 | $138.00 | $55.00–$694.00 | 22% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin | $69.00 | $138.00 | $55.00–$694.00 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add | $32.50 | $65.00 | $51.00–$694.00 | 21% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add | $32.50 | $65.00 | $51.00–$694.00 | — | 50% |
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://www.marywashingtonhealthcare.com/documents/134316364_stafford-hospital_standardcharges.csv