Scotland Memorial Hospital and Edwin Morgan Center
Listed in its price file as “Scotland Memorial Hospital Inc”.
Scotland Memorial Hospital and Edwin Morgan Center in Laurinburg, NC publishes cash prices for 357 common procedures listed here, from its own machine-readable price file updated Oct 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the North Carolina median for 206 of 352 procedures and above it for 137. By typical cash price it ranks #23 of 61 North Carolina hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
500 Lauchwood Dr , Laurinburg, NC 28352 Collected Oct 30, 2026 Source price file Check a bill from this hospital (910) 291-7000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 340008 · CMS hospital register NPI 1457345597
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Scotland Memorial Hospital and Edwin Morgan Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN COMBO | $2,137.00 | $4,274.00 | $2,820.84–$3,632.90 | 15% below | 50% |
| Abdominal X-ray, 2 views CPT 74019 HC DX ABDOMEN 2 VIEWS | $282.00 | $564.00 | $372.24–$479.40 | 2% above | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC DX ANKLE 3+ VW | $284.00 | $568.00 | $374.88–$482.80 | 1% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $354.00 | $708.00 | $467.28–$601.80 | at median | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN UPPER EXTREMITY W/O CONTRAST | $1,236.00 | $2,472.00 | $1,631.52–$2,101.20 | 16% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC DX ESOPHAGRAM | $407.50 | $815.00 | $537.90–$692.75 | 8% below | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING WHOLE BODY | $1,180.00 | $2,360.00 | $1,557.60–$2,006.00 | 19% below | 50% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $314.00 | $628.00 | $414.48–$533.80 | 31% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $267.00 | $534.00 | $352.44–$453.90 | 26% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $3,384.00 | $6,768.00 | $4,466.88–$5,752.80 | 14% above | 50% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO BRAIN W/ CONTRAST | $2,080.00 | $4,160.00 | $2,745.60–$3,536.00 | 3% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK W/ CONTRAST | $2,030.00 | $4,060.00 | $2,679.60–$3,451.00 | 13% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST W/ CONTRAST | $2,014.00 | $4,028.00 | $2,658.48–$3,423.80 | 8% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARDIAC SCORING | $179.50 | $359.00 | $236.94–$305.15 | 24% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN ABDOMEN AND PELVIS W/O CONTRAST | $2,505.50 | $5,011.00 | $3,307.26–$4,259.35 | 16% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN ABDOMEN AND PELVIS W CONTRAST | $3,292.00 | $6,584.00 | $4,345.44–$5,596.40 | 2% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W/&W/O CONTRAST | $3,626.00 | $7,252.00 | $4,786.32–$6,164.20 | 9% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $1,812.50 | $3,625.00 | $2,392.50–$3,081.25 | 16% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 HC CT SCAN ABDOMEN W/O CONTRAST | $1,443.00 | $2,886.00 | $1,904.76–$2,453.10 | 3% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $1,249.50 | $2,499.00 | $1,649.34–$2,124.15 | at median | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $1,210.00 | $2,420.00 | $1,597.20–$2,057.00 | 8% below | 50% |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST | $1,583.00 | $3,166.00 | $2,089.56–$2,691.10 | 1% below | 50% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO | $1,626.00 | $3,252.00 | $2,146.32–$2,764.20 | 18% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST MATERIAL | $1,543.00 | $3,086.00 | $2,036.76–$2,623.10 | 2% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST MATERIAL | $1,559.50 | $3,119.00 | $2,058.54–$2,651.15 | 1% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $1,658.00 | $3,316.00 | $2,188.56–$2,818.60 | 3% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC VASC DUPLEX SCAN EXTRACRANIAL BILAT | $667.00 | $1,334.00 | $880.44–$1,133.90 | — | 50% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST W/ & W/O CONTRAST | $1,799.50 | $3,599.00 | $2,375.34–$3,059.15 | 18% below | 50% |
| Chest X-ray, 2 views CPT 71046 HC DX EXAM CHEST 2 VIEWS | $214.00 | $428.00 | $282.48–$363.80 | 12% below | 50% |
| Chest X-ray, single view CPT 71045 HC DX EXAM CHEST SINGLE VIEW | $167.50 | $335.00 | $221.10–$284.75 | 14% below | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC DX CLAVICLE | $240.00 | $480.00 | $316.80–$408.00 | 4% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT B-SCAN/REAL TIME COMPLETE | $555.50 | $1,111.00 | $733.26–$944.35 | 4% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA SCAN ONE OR MORE SITES | $381.50 | $763.00 | $503.58–$648.55 | 11% below | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA SCAN APPENDICULAR SKELETON | $67.00 | $134.00 | $88.44–$113.90 | 68% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST | $1,195.50 | $2,391.00 | $1,578.06–$2,032.35 | 15% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/ CONTRAST | $1,538.50 | $3,077.00 | $2,030.82–$2,615.45 | 8% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $267.00 | $534.00 | $352.44–$453.90 | — | 50% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $210.50 | $421.00 | $277.86–$357.85 | 13% below | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER ARTERIAL DUPLEX BILATERAL | $554.50 | $1,109.00 | $731.94–$942.65 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US EXTREMITY VEIN MAP BILATERAL | $1,351.50 | $2,703.00 | $1,783.98–$2,297.55 | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHOCARDIOGRAM/DOPPLER/COMPLETE | $1,485.00 | $2,970.00 | $1,960.20–$2,524.50 | 10% below | 50% |
| Elbow X-ray, 2 views CPT 73070 HC DX ELBOW 2 VW | $248.00 | $496.00 | $327.36–$421.60 | 16% above | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC DX ELBOW 3+ VW | $316.00 | $632.00 | $417.12–$537.20 | 15% above | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS PF SELLA IAC W/O CONTRAST | $1,207.50 | $2,415.00 | $1,593.90–$2,052.75 | 13% below | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC DX FACIAL BONES 3+ VW | $299.50 | $599.00 | $395.34–$509.15 | 15% below | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC DX FOREARM 2 VW | $250.50 | $501.00 | $330.66–$425.85 | at median | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $1,190.50 | $2,381.00 | $1,571.46–$2,023.85 | 21% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC DX HEEL | $246.00 | $492.00 | $324.72–$418.20 | 12% above | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $550.50 | $1,101.00 | $726.66–$935.85 | 31% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $2,550.50 | $5,101.00 | $3,366.66–$4,335.85 | 26% below | 50% |
| Knee X-ray, 3 views CPT 73562 HC DX KNEE 3 VIEW | $275.50 | $551.00 | $363.66–$468.35 | 5% below | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC DX KNEE 4+ VIEW | $317.50 | $635.00 | $419.10–$539.75 | 9% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT EXTREMITY LOWER W/O CONTRAST | $1,084.00 | $2,168.00 | $1,430.88–$1,842.80 | 17% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $497.00 | $994.00 | $656.04–$844.90 | 9% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $371.00 | $742.00 | $489.72–$630.70 | 10% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LDCT LUNG SCREEN W/O CONT | $397.00 | $794.00 | $524.04–$674.90 | 9% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC DX LOWER LEG 2 VIEWS | $276.00 | $552.00 | $364.32–$469.20 | 24% above | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST | $1,754.50 | $3,509.00 | $2,315.94–$2,982.65 | 3% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREM JT W/O CONTRAST | $1,909.00 | $3,818.00 | $2,519.88–$3,245.30 | 7% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI JOINT OF LEG COMBO | $2,962.00 | $5,924.00 | $3,909.84–$5,035.40 | 1% above | 50% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $2,089.50 | $4,179.00 | $2,758.14–$3,552.15 | at median | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN COMBO | $2,871.50 | $5,743.00 | $3,790.38–$4,881.55 | 2% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $2,100.00 | $4,200.00 | $2,772.00–$3,570.00 | 6% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & W/O CONTRAST | $2,714.00 | $5,428.00 | $3,582.48–$4,613.80 | 4% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | $2,028.00 | $4,056.00 | $2,676.96–$3,447.60 | 9% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE COMBO | $2,886.50 | $5,773.00 | $3,810.18–$4,907.05 | at median | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | $1,894.00 | $3,788.00 | $2,500.08–$3,219.80 | 10% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE COMBO | $2,767.00 | $5,534.00 | $3,652.44–$4,703.90 | 5% above | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | $2,055.50 | $4,111.00 | $2,713.26–$3,494.35 | at median | 50% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS COMBO | $2,740.50 | $5,481.00 | $3,617.46–$4,658.85 | 1% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST | $1,995.00 | $3,990.00 | $2,633.40–$3,391.50 | 13% above | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY COMBO WO CONTRAST | $1,906.50 | $3,813.00 | $2,516.58–$3,241.05 | 6% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC DX SPINE CERVICAL 4 OR 5 VIEWS | $503.50 | $1,007.00 | $664.62–$855.95 | 19% above | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST | $1,726.50 | $3,453.00 | $2,278.98–$2,935.05 | 1% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CONTRAST | $1,426.00 | $2,852.00 | $1,882.32–$2,424.20 | at median | 50% |
| Neck soft tissue X-ray CPT 70360 HC DX NECK SOFT TISSUE | $238.00 | $476.00 | $314.16–$404.60 | 4% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES | $3,313.00 | $6,626.00 | $4,373.16–$5,632.10 | 5% below | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $3,481.50 | $6,963.00 | $4,595.58–$5,918.55 | 12% below | 50% |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN PELVIS W/O CONTRAST | $1,256.00 | $2,512.00 | $1,657.92–$2,135.20 | 13% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC (NONOBSTETRIC) | $546.50 | $1,093.00 | $721.38–$929.05 | 19% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/= 14 WKS SNGL FETUS | $764.50 | $1,529.00 | $1,009.14–$1,299.65 | 42% above | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 WKS SINGLE FETUS | $524.50 | $1,049.00 | $692.34–$891.65 | 11% above | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LIMITED 1/> FETUSES | $339.00 | $678.00 | $447.48–$576.30 | 6% above | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC DX RIBS CHEST 3+ VW | $298.50 | $597.00 | $394.02–$507.45 | 7% below | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $240.50 | $481.00 | $317.46–$408.85 | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC DX SHOULDER 2+ VW | $289.50 | $579.00 | $382.14–$492.15 | 1% below | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC DX SINUSES 3+ VW | $344.50 | $689.00 | $454.74–$585.65 | 2% above | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 HC DX SKULL LESS THAN 4 VIEWS | $252.50 | $505.00 | $333.30–$429.25 | 16% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $2,402.50 | $4,805.00 | $3,171.30–$4,084.25 | 28% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FCN W/CINE &/OR VIDEO | $389.00 | $778.00 | $513.48–$661.30 | 3% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC DX FEMUR MINIMUM 2 VIEWS | $210.00 | $420.00 | $277.20–$357.00 | 3% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST MATERIAL | $1,447.50 | $2,895.00 | $1,910.70–$2,460.75 | 3% below | 50% |
| Toe X-ray, 2 or more views CPT 73660 HC DX TOE(S) | $210.50 | $421.00 | $277.86–$357.85 | 10% above | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC TRANSVAGINAL ULTRASOUND | $489.50 | $979.00 | $646.14–$832.15 | 10% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANT UTERUS TRANSVAGINAL | $446.50 | $893.00 | $589.38–$759.05 | at median | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE | $675.50 | $1,351.00 | $891.66–$1,148.35 | 3% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US ECHO SCROTUM & CONTENTS | $535.00 | $1,070.00 | $706.20–$909.50 | 1% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK TISSUES REAL TIME | $536.00 | $1,072.00 | $707.52–$911.20 | 6% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC DX GI TRACT UPPER W/WO DELAYED IMAGES W/O KUB | $483.50 | $967.00 | $638.22–$821.95 | 7% below | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC DX HUMERUS | $220.00 | $440.00 | $290.40–$374.00 | 9% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS UNI OR LTD | $683.00 | $1,366.00 | $901.56–$1,161.10 | 22% above | 50% |
| Wrist X-ray, 2 views CPT 73100 HC DX WRIST 2 VW | $187.50 | $375.00 | $247.50–$318.75 | at median | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC DX WRIST 3+ VW | $240.50 | $481.00 | $317.46–$408.85 | 1% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $269.50 | $539.00 | $355.74–$458.15 | 13% above | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC DX ABDOMEN 1 VIEW | $217.00 | $434.00 | $286.44–$368.90 | 7% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 HC DX ANKLE 2 VW | $245.00 | $490.00 | $323.40–$416.50 | 6% above | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC DX EXAM OF FINGER(S) | $196.00 | $392.00 | $258.72–$333.20 | at median | 50% |
| X-ray of the foot, 2 views CPT 73620 HC DX FOOT 2 VW | $243.00 | $486.00 | $320.76–$413.10 | 2% above | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC DX FOOT 3+ VW | $284.50 | $569.00 | $375.54–$483.65 | 2% below | 50% |
| X-ray of the hand, 3 or more views CPT 73130 HC DX HAND 3+ VW | $295.00 | $590.00 | $389.40–$501.50 | 6% above | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC DX KNEE 1 OR 2 VIEW | $252.00 | $504.00 | $332.64–$428.40 | 6% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC DX SPINE LUMBAR 2 OR 3 VIEWS | $399.50 | $799.00 | $527.34–$679.15 | 33% above | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $495.50 | $991.00 | $654.06–$842.35 | 8% above | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC DX THORACIC SPINE 2 VW | $302.00 | $604.00 | $398.64–$513.40 | 2% above | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC DX NASAL BONES | $284.50 | $569.00 | $375.54–$483.65 | 8% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC DX SPINE CERVICAL 2 OR 3 VIEWS | $392.50 | $785.00 | $518.10–$667.25 | 26% above | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC DX PELVIS 1/2 VW | $195.50 | $391.00 | $258.06–$332.35 | 24% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC DX SACRUM/COCCYX 2+ VW | $257.50 | $515.00 | $339.90–$437.75 | 3% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH | $177.00 | $354.00 | $233.64–$300.90 | 68% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE ALANINE AMINO ALT SGPT | $40.50 | $81.00 | $53.46–$68.85 | 7% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE ASPARTATE AMINO AST SGOT | $40.50 | $81.00 | $53.46–$68.85 | 11% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE BUNDLED CHARGE | $315.00 | $630.00 | $415.80–$535.50 | 14% above | 50% |
| Albumin blood test CPT 82040 HC ASSAY OF ALBUMIN SERUM PLASMA OR WHOLE BLOOD | $35.00 | $70.00 | $46.20–$59.50 | 9% above | 50% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE | $85.50 | $171.00 | $112.86–$145.35 | 6% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE | $44.00 | $88.00 | $58.08–$74.80 | 40% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TESTING SPEC IGE | $27.00 | $54.00 | $35.64–$45.90 | 42% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM MARKER | $64.50 | $129.00 | $85.14–$109.65 | 1% above | 50% |
| Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA | $143.50 | $287.00 | $189.42–$243.95 | 105% above | 50% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE | $64.00 | $128.00 | $84.48–$108.80 | 18% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE CCP ANTIBODY | $46.00 | $92.00 | $60.72–$78.20 | 37% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA | $142.50 | $285.00 | $188.10–$242.25 | 182% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE B-TYPE (BNP) | $175.00 | $350.00 | $231.00–$297.50 | 54% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHER SOURCE | $84.50 | $169.00 | $111.54–$143.65 | 18% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE | $119.00 | $238.00 | $157.08–$202.30 | 7% below | 50% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $43.50 | $87.00 | $57.42–$73.95 | 9% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC PROSTATE BIOPSY | $141.00 | $282.00 | $186.12–$239.70 | 21% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL IV | $211.50 | $423.00 | $279.18–$359.55 | 18% above | 50% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $157.50 | $315.00 | $207.90–$267.75 | 4% above | 50% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE BLOOD GLUCOSE | $32.00 | $64.00 | $42.24–$54.40 | 11% below | 50% |
| Blood lead test CPT 83655 HC ASSAY OF LEAD | $75.50 | $151.00 | $99.66–$128.35 | 112% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN HCG QUALITATIVE | $100.00 | $200.00 | $132.00–$170.00 | 18% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $47.00 | $94.00 | $62.04–$79.90 | 10% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN QUAN | $40.50 | $81.00 | $53.46–$68.85 | 8% below | 50% |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE | $121.50 | $243.00 | $160.38–$206.55 | 61% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN CRP | $64.00 | $128.00 | $84.48–$108.80 | 6% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC AMP PROBE CLOSTRIDIUM | $101.00 | $202.00 | $133.32–$171.70 | 20% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9 | $97.50 | $195.00 | $128.70–$165.75 | 10% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125 | $111.50 | $223.00 | $147.18–$189.55 | 33% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 NUCLEIC ACID TEST | $86.00 | $172.00 | $113.52–$146.20 | 3% below | 50% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM TOTAL | $37.50 | $75.00 | $49.50–$63.75 | 8% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA | $116.50 | $233.00 | $153.78–$198.05 | 23% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $55.00 | $110.00 | $72.60–$93.50 | 7% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH DNA AMP PROBE | $46.50 | $93.00 | $61.38–$79.05 | 57% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL BUNDLED CHARGE | $132.00 | $264.00 | $174.24–$224.40 | 57% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC AUTO DIFF WBC | $74.00 | $148.00 | $97.68–$125.80 | 27% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC | $57.00 | $114.00 | $75.24–$96.90 | 11% below | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE | $165.50 | $331.00 | $218.46–$281.35 | 7% above | 50% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL | $117.00 | $234.00 | $154.44–$198.90 | 29% above | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CREATINE KINAS CPK TOTAL | $63.00 | $126.00 | $83.16–$107.10 | 9% below | 50% |
| Creatinine blood test CPT 82565 HC ASSAY OF CREATININE | $37.50 | $75.00 | $49.50–$63.75 | 28% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY IGG | $34.50 | $69.00 | $45.54–$58.65 | 31% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADPRODUCTS D-DIMER QUANTITATIVE | $160.00 | $320.00 | $211.20–$272.00 | 9% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE DHEA SULFATE | $190.00 | $380.00 | $250.80–$323.00 | 83% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE SCRN W CONF | $27.50 | $55.00 | $36.30–$46.75 | 43% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR METHADONE SCREEN, URINE | $52.00 | $104.00 | $68.64–$88.40 | 7% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG PROFILE | $100.50 | $201.00 | $132.66–$170.85 | 107% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7 | $121.00 | $242.00 | $159.72–$205.70 | 149% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM 9 DRUG PANEL | $159.50 | $319.00 | $210.54–$271.15 | 229% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7 URINE WITH CONF | $166.00 | $332.00 | $219.12–$282.20 | 242% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN 5 DRUG | $166.50 | $333.00 | $219.78–$283.05 | 243% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC NEONATAL DRUG SCREEN SENDOUT LAB | $500.00 | $1,000.00 | $660.00–$850.00 | 931% above | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL BUNDLED CHARGE | $73.00 | $146.00 | $96.36–$124.10 | 6% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA ANTIBODY | $76.00 | $152.00 | $100.32–$129.20 | 13% above | 50% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL | $156.00 | $312.00 | $205.92–$265.20 | 33% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIM HORMONE FSH | $98.00 | $196.00 | $129.36–$166.60 | 5% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $196.50 | $393.00 | $259.38–$334.05 | 15% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN | $93.00 | $186.00 | $122.76–$158.10 | 9% above | 50% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $182.00 | $364.00 | $240.24–$309.40 | 112% above | 50% |
| Folate (folic acid) blood test CPT 82746 HC BLOOD FOLIC ACID SERUM | $91.00 | $182.00 | $120.12–$154.70 | 6% above | 50% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE FREE ASSAY T3 FREE | $227.00 | $454.00 | $299.64–$385.90 | 168% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE T4 | $64.50 | $129.00 | $85.14–$109.65 | at median | 50% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE TOTAL FREE | $71.00 | $142.00 | $93.72–$120.70 | at median | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC ASSAY OF GGT GGTP | $48.50 | $97.00 | $64.02–$82.45 | 16% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST GTT 2 HOUR | $99.50 | $199.00 | $131.34–$169.15 | 1% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB | $46.50 | $93.00 | $61.38–$79.05 | 50% below | 50% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI IGG IGA | $113.00 | $226.00 | $149.16–$192.10 | 16% below | 50% |
| H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI ANTIGEN STOOL | $133.00 | $266.00 | $175.56–$226.10 | 19% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT REVRSE TRNSCRPJ BY PCR | $285.00 | $570.00 | $376.20–$484.50 | 23% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA QL HIV-1 HIV-2 ANTIBODY | $288.50 | $577.00 | $380.82–$490.45 | 303% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN A1C | $68.00 | $136.00 | $89.76–$115.60 | 7% below | 50% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $34.00 | $68.00 | $44.88–$57.80 | 42% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $46.50 | $93.00 | $61.38–$79.05 | 48% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $108.00 | $216.00 | $142.56–$183.60 | 46% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $59.50 | $119.00 | $78.54–$101.15 | 27% below | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY TEST | $117.00 | $234.00 | $154.44–$198.90 | 7% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT REVERSE TRANSCRIPTION | $354.00 | $708.00 | $467.28–$601.80 | 119% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST TYPE 1 ANTIBODY | $65.00 | $130.00 | $85.80–$110.50 | 43% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST TYPE 2 ANTIBODY | $85.00 | $170.00 | $112.20–$144.50 | 30% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN CRP HIGH SENSITIVITY | $68.00 | $136.00 | $89.76–$115.60 | 9% below | 50% |
| Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL | $118.00 | $236.00 | $155.76–$200.60 | 119% above | 50% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON | $69.50 | $139.00 | $91.74–$118.15 | 8% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $66.50 | $133.00 | $87.78–$113.05 | 43% above | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL BUNDLED CHARGE | $126.00 | $252.00 | $166.32–$214.20 | 6% above | 50% |
| LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LH | $103.50 | $207.00 | $136.62–$175.95 | 6% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID | $79.00 | $158.00 | $104.28–$134.30 | 7% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH | $46.50 | $93.00 | $61.38–$79.05 | 7% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE | $86.00 | $172.00 | $113.52–$146.20 | 8% below | 50% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL BUNDLED CHARGE | $127.50 | $255.00 | $168.30–$216.75 | 19% below | 50% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY | $117.00 | $234.00 | $154.44–$198.90 | 63% above | 50% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM | $59.00 | $118.00 | $77.88–$100.30 | 48% above | 50% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY | $164.00 | $328.00 | $216.48–$278.80 | 242% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES SCREEN MONONUCLEOSIS | $64.50 | $129.00 | $85.14–$109.65 | 21% below | 50% |
| Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY | $108.00 | $216.00 | $142.56–$183.60 | 83% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC AG PSA FREE | $85.00 | $170.00 | $112.20–$144.50 | 27% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA-SCREENING | $84.00 | $168.00 | $110.88–$142.80 | 13% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL | $87.50 | $175.00 | $115.50–$148.75 | 9% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE PTH INTACT | $137.50 | $275.00 | $181.50–$233.75 | 4% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL | $81.50 | $163.00 | $107.58–$138.55 | 66% above | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF INORGANIC PHOSPHORUS | $42.50 | $85.00 | $56.10–$72.25 | 11% below | 50% |
| Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM | $31.50 | $63.00 | $41.58–$53.55 | 23% below | 50% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE | $133.50 | $267.00 | $176.22–$226.95 | 57% above | 50% |
| Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN | $112.50 | $225.00 | $148.50–$191.25 | 4% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $65.50 | $131.00 | $86.46–$111.35 | 62% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS | $29.50 | $59.00 | $38.94–$50.15 | 70% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ANTIGEN A B SCREEN | $69.50 | $139.00 | $91.74–$118.15 | 38% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $82.50 | $165.00 | $108.90–$140.25 | 44% above | 50% |
| Renin blood test CPT 84244 HC ASSAY OF RENIN | $95.00 | $190.00 | $125.40–$161.50 | 78% above | 50% |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH | $47.00 | $94.00 | $62.04–$79.90 | at median | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $74.50 | $149.00 | $98.34–$126.65 | 75% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM | $74.50 | $149.00 | $98.34–$126.65 | 64% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SEDIMENTATION RATE AUTOMATED | $81.50 | $163.00 | $107.58–$138.55 | 8% above | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS COMPLETE | $181.50 | $363.00 | $239.58–$308.55 | 30% above | 50% |
| Sodium blood test CPT 84295 HC ASSAY OF SERUM SODIUM | $32.50 | $65.00 | $42.90–$55.25 | 26% below | 50% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS | $48.50 | $97.00 | $64.02–$82.45 | 48% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT BY PEROXID FECES | $35.00 | $70.00 | $46.20–$59.50 | 112% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM | $136.50 | $273.00 | $180.18–$232.05 | 138% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL | $61.50 | $123.00 | $81.18–$104.55 | 5% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE GAMMA INTERFRON | $113.50 | $227.00 | $149.82–$192.95 | 3% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE | $94.00 | $188.00 | $124.08–$159.80 | 6% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY | $73.50 | $147.00 | $97.02–$124.95 | 81% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIMULATING HORMONE | $89.50 | $179.00 | $118.14–$152.15 | 20% above | 50% |
| Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE | $74.50 | $149.00 | $98.34–$126.65 | 25% above | 50% |
| Total cholesterol blood test CPT 82465 HC ASSAY BLOOD SERUM CHOLESTEROL | $47.50 | $95.00 | $62.70–$80.75 | 69% above | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE T4 | $58.00 | $116.00 | $76.56–$98.60 | 21% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY T3 | $88.50 | $177.00 | $116.82–$150.45 | 38% above | 50% |
| Transferrin blood test CPT 84466 HC ASSAY OF TRANSFERRIN | $154.00 | $308.00 | $203.28–$261.80 | 120% above | 50% |
| Trichomonas test (NAAT) CPT 87661 HC NUCLEIC ACID TRICHOMON AMP PROBE | $46.50 | $93.00 | $61.38–$79.05 | 22% below | 50% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES | $52.50 | $105.00 | $69.30–$89.25 | 8% above | 50% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT | $104.50 | $209.00 | $137.94–$177.65 | at median | 50% |
| Uric acid blood test CPT 84550 HC ASSAY OF URIC ACID | $40.50 | $81.00 | $53.46–$68.85 | 32% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE MICRO | $53.50 | $107.00 | $70.62–$90.95 | 16% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $31.00 | $62.00 | $40.92–$52.70 | 21% below | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE POCT URINALYSIS DIPSTICK | $30.00 | $60.00 | $39.60–$51.00 | 14% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O MICRO | $68.50 | $137.00 | $90.42–$116.45 | 160% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE, COLONY COUNT | $115.50 | $231.00 | $152.46–$196.35 | 212% above | 50% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE | $61.00 | $122.00 | $80.52–$103.70 | 31% above | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $68.00 | $136.00 | $89.76–$115.60 | 9% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $101.00 | $202.00 | $133.32–$171.70 | 46% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC ASSAY OF VITAMIN D 25 | $92.50 | $185.00 | $122.10–$157.25 | 24% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY DIHYDROXYVITAMIN D VITAMIN D1 | $116.00 | $232.00 | $153.12–$197.20 | 17% below | 50% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC | $59.00 | $118.00 | $77.88–$100.30 | 61% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN HCG QUANTITATIVE BLOOD | $111.50 | $223.00 | $147.18–$189.55 | 27% below | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $2,556.00 | $5,112.00 | $3,373.92–$4,345.20 | 12% below | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ER CLOSED TX DISTAL FIB FX W/O MAN | $245.50 | $491.00 | $324.06–$417.35 | 32% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ER CLOSED TX METATARSAL FX W/O MAN | $104.50 | $209.00 | $137.94–$177.65 | 71% below | 50% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC LEFT HEART CATH WITH ANGIOGRAM | $8,827.50 | $17,655.00 | $11,652.30–$15,006.75 | 21% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ER CARDIOVERSION ELECTIVE EXTERNAL | $857.00 | $1,714.00 | $1,131.24–$1,456.90 | 15% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL | $857.00 | $1,714.00 | $1,131.24–$1,456.90 | 15% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ER CLOSED RX DIST RAD/ULNA FX | $333.00 | $666.00 | $439.56–$566.10 | 19% below | 50% |
| Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $7,731.00 | $15,462.00 | $10,204.92–$13,142.70 | 35% below | 50% |
| Coronary stent placement, one artery CPT 92928 HC PERC DRUG-EL COR STENT SING LC | $12,862.00 | $25,724.00 | $16,977.84–$21,865.40 | 8% above | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ER REMOVAL CERUMEN VIA IRRIGATION | $109.00 | $218.00 | $143.88–$185.30 | 3% above | 50% |
| Earwax removal with instruments, one ear CPT 69210 HC ER REMOVAL CERUMEN IMPACTED | $114.00 | $228.00 | $150.48–$193.80 | 22% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $636.50 | $1,273.00 | $840.18–$1,082.05 | 53% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJECT FACET JOINT W/GUIDE LUMBAR/SAC 1ST LVL | $844.50 | $1,689.00 | $1,114.74–$1,435.65 | 35% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJECTION UTERUS TUBE | $128.50 | $257.00 | $169.62–$218.45 | 42% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE | $198.00 | $396.00 | $261.36–$336.60 | 46% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ER I&D ABSCESS SIMPLE/SINGLE | $264.00 | $528.00 | $348.48–$448.80 | 28% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT SINGLE TENDON SHEATH/LIGAMENT | $242.50 | $485.00 | $320.10–$412.25 | 35% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS MAJOR JOINT W/O US GUID | $398.00 | $796.00 | $525.36–$676.60 | 5% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ER ARTHROCENTESIS MAJOR JOINT W/O US GUID | $453.50 | $907.00 | $598.62–$770.95 | 8% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ER ARTHROCENTESIS INTERMED JOINT | $150.50 | $301.00 | $198.66–$255.85 | 57% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ER ARTHROCENTESIS SMALL JOINT W/O US GUID | $131.50 | $263.00 | $173.58–$223.55 | 57% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ER LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $344.50 | $689.00 | $454.74–$585.65 | 17% below | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HRT CATH W/VENTRCLGRPHY | $8,286.50 | $16,573.00 | $10,938.18–$14,087.05 | 4% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPI SUBAR LUM/SAC W/IMAGE | $636.50 | $1,273.00 | $840.18–$1,082.05 | 47% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE 1 LVL | $844.50 | $1,689.00 | $1,114.74–$1,435.65 | 45% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SIMPLE SINGLE | $170.00 | $340.00 | $224.40–$289.00 | 20% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 HC ER AVULSION NAIL PLATE SIMPLE SINGLE | $237.00 | $474.00 | $312.84–$402.90 | 11% above | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECT NERVE BLOCK GREATER OCCIPITAL | $263.00 | $526.00 | $347.16–$447.10 | 56% below | 50% |
| Paracentesis with imaging guidance CPT 49083 HC ER ABD PARACENTESIS DX/THER W IMAGING GUIDANCE | $1,224.50 | $2,449.00 | $1,616.34–$2,081.65 | 5% below | 50% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS DX/THER W IMAGING GUIDANCE | $1,298.00 | $2,596.00 | $1,713.36–$2,206.60 | 1% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ER EXCISION NAIL & NAIL MATRIX | $439.50 | $879.00 | $580.14–$747.15 | 24% below | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUCTION PARAVERT NERVE LUM/SAC SING | $1,712.00 | $3,424.00 | $2,259.84–$2,910.40 | 43% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ER REMOVAL FOREIGN BODY SIMPLE | $277.00 | $554.00 | $365.64–$470.90 | 38% below | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY | $11,927.50 | $23,855.00 | $15,744.30–$20,276.75 | 143% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC ER APPLICATION SHORT ARM CAST | $247.00 | $494.00 | $326.04–$419.90 | 25% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC ER APPLICATION SHORT ARM SPLINT | $165.00 | $330.00 | $217.80–$280.50 | 35% below | 50% |
| Short leg cast (below the knee) CPT 29405 HC ER APPLICATION SHORT LEG CAST | $108.50 | $217.00 | $143.22–$184.45 | 71% below | 50% |
| Short leg splint (calf to foot) CPT 29515 HC ER APPLICATION SHORT LEG SPLINT | $211.00 | $422.00 | $278.52–$358.70 | 4% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ER RESUPERF WND BODY <2.5CM | $285.00 | $570.00 | $376.20–$484.50 | 14% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $289.50 | $579.00 | $382.14–$492.15 | 1% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $621.50 | $1,243.00 | $820.38–$1,056.55 | 24% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ER SPINAL PUNCTURE LUMBAR DIAGNOSTIC | $647.50 | $1,295.00 | $854.70–$1,100.75 | 20% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ER RESUP NPTERF WND BODY 2.6-7.5 CM | $300.50 | $601.00 | $396.66–$510.85 | 21% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ER RESUPERF WND FACE <2.5 CM | $281.50 | $563.00 | $371.58–$478.55 | 13% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $934.50 | $1,869.00 | $1,233.54–$1,588.65 | 9% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 HC ER THORACENTESIS W/IMAGING | $981.00 | $1,962.00 | $1,294.92–$1,667.70 | 5% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIG POINT(S) 1-2 MUSCLES | $268.50 | $537.00 | $354.42–$456.45 | 42% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ER INJECT TRIG POINT(S) 1-2 MUSCLES | $478.50 | $957.00 | $631.62–$813.45 | 4% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION ULTRASOUND GUIDE | $2,017.50 | $4,035.00 | $2,663.10–$3,429.75 | at median | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | $2,702.00 | $5,404.00 | $3,566.64–$4,593.40 | 26% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM | $521.00 | $1,042.00 | $687.72–$885.70 | 20% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM | $552.50 | $1,105.00 | $729.30–$939.25 | 27% above | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $497.00 | $994.00 | $656.04–$844.90 | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT SUBSQ | $126.50 | $253.00 | $166.98–$215.05 | 21% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $126.50 | $253.00 | $166.98–$215.05 | 21% above | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION 1 HR | $480.00 | $960.00 | $633.60–$816.00 | 22% below | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE, E/M 30-74 MINUTES | $1,869.50 | $3,739.00 | $2,467.74–$3,178.15 | 21% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE/DROWSY | $663.00 | $1,326.00 | $875.16–$1,127.10 | 18% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM TRACING | $151.00 | $302.00 | $199.32–$256.70 | 13% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 VISIT LIMITED/MINOR PROB | $174.50 | $349.00 | $230.34–$296.65 | 8% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2 VISIT LOW/MODER SEVERITY | $275.50 | $551.00 | $363.66–$468.35 | 41% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3 VISIT MODERATE SEVERITY | $713.00 | $1,426.00 | $941.16–$1,212.10 | 17% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY | $911.00 | $1,822.00 | $1,202.52–$1,548.70 | 26% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC | $1,368.50 | $2,737.00 | $1,806.42–$2,326.45 | 27% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST TRACING ONLY | $681.00 | $1,362.00 | $898.92–$1,157.70 | 33% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31-60 MIN | $321.00 | $642.00 | $423.72–$545.70 | 5% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL 1ST HOUR | $357.50 | $715.00 | $471.90–$607.75 | 9% above | 50% |
| IV push of a medicine, first drug CPT 96374 HC INJECTION IV PUSH INITIAL | $250.50 | $501.00 | $330.66–$425.85 | 15% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM OR SUBCUT | $154.50 | $309.00 | $203.94–$262.65 | 55% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 | $1,168.00 | $2,336.00 | $1,541.76–$1,985.60 | 45% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $76.50 | $153.00 | $100.98–$130.05 | 18% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCATION 1+ AREAS EA 15 MIN | $76.50 | $153.00 | $100.98–$130.05 | 18% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC VISIT NEW PATIENT LEVEL 3 | $202.00 | $404.00 | $266.64–$343.40 | at median | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT NEW PATIENT LEVEL 4 | $232.50 | $465.00 | $306.90–$395.25 | 5% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC VISIT NEW PATIENT LEVEL 5 | $267.00 | $534.00 | $352.44–$453.90 | 10% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC VISIT NEW PATIENT LEVEL 2 | $176.00 | $352.00 | $232.32–$299.20 | 2% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRITION THER INDIV INIT EA 15 MIN | $18.00 | $36.00 | $23.76–$30.60 | 61% below | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $164.00 | $328.00 | $216.48–$278.80 | 13% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $268.50 | $537.00 | $354.42–$456.45 | 10% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $159.00 | $318.00 | $209.88–$270.30 | 24% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $212.50 | $425.00 | $280.50–$361.25 | 15% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH 1+REGIONS EA 15 MIN | $94.50 | $189.00 | $124.74–$160.65 | 26% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH 1+REGIONS EA 15 MIN | $94.50 | $189.00 | $124.74–$160.65 | 26% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $82.50 | $165.00 | $108.90–$140.25 | 16% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $82.50 | $165.00 | $108.90–$140.25 | 16% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $29.50 | $59.00 | $38.94–$50.15 | 34% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC VISIT EST PATIENT LEVEL 5 | $214.50 | $429.00 | $283.14–$364.65 | 7% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC VISIT EST PATIENT LEVEL 3 | $177.50 | $355.00 | $234.30–$301.75 | 7% below | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC VISIT EST PATIENT LEVEL 4 | $195.50 | $391.00 | $258.06–$332.35 | 9% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC VISIT EST PATIENT LEVEL 2 | $161.00 | $322.00 | $212.52–$273.70 | 27% below | 50% |
| Speech and language evaluation CPT 92523 HC ST EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $308.50 | $617.00 | $407.22–$524.45 | 3% below | 50% |
| Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY INDIVIDUAL | $167.50 | $335.00 | $221.10–$284.75 | 6% below | 50% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY BREATHING CAPACITY TEST | $269.00 | $538.00 | $355.08–$457.30 | 10% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/ BRONCHODILATORS | $443.00 | $886.00 | $584.76–$753.10 | 15% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $79.50 | $159.00 | $104.94–$135.15 | 25% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $79.50 | $159.00 | $104.94–$135.15 | 25% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $213.50 | $427.00 | $281.82–$362.95 | 1% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs North Carolina | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $98.00 | $196.00 | $129.36–$166.60 | 43% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC MODERNA SARSCOV2 VAC 50 MCG/0.5ML IM | $110.00 | $220.00 | $145.20–$187.00 | 36% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP | $391.28 | $782.55 | $516.48–$665.17 | 21% above | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $67.95 | $135.90 | $89.69–$115.52 | 8% above | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT | $239.13 | $478.25 | $315.65–$406.51 | 32% above | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE | $146.65 | $293.30 | $193.58–$249.31 | 13% above | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION | $70.40 | $140.80 | $92.93–$119.68 | 10% above | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SYRINGE | $286.43 | $572.85 | $378.08–$486.92 | 10% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $30.55 | $61.10 | $40.33–$51.94 | 12% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $188.53 | $377.05 | $248.85–$320.49 | 14% below | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $582.55 | $1,165.10 | $768.97–$990.34 | 44% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $235.93 | $471.85 | $311.42–$401.07 | 5% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION | $235.93 | $471.85 | $311.42–$401.07 | 5% above | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $345.25 | $690.50 | $455.73–$586.93 | 18% above | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $383.63 | $767.25 | $506.39–$652.16 | 28% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $453.98 | $907.95 | $599.25–$771.76 | 41% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $243.60 | $487.20 | $321.55–$414.12 | 8% below | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $927.05 | $1,854.10 | $1,223.71–$1,575.99 | 1318% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE | $1,006.43 | $2,012.85 | $1,328.48–$1,710.92 | 15% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $665.88 | $1,331.75 | $878.96–$1,131.99 | 8% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP | $97.80 | $195.60 | $129.10–$166.26 | 4% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $97.80 | $195.60 | $129.10–$166.26 | 4% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $88.38 | $176.75 | $116.66–$150.24 | 21% below | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $319.73 | $639.45 | $422.04–$543.53 | 33% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUN ADMIN SINGLE | $71.00 | $142.00 | $93.72–$120.70 | 1% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN EACH ADDL | $64.50 | $129.00 | $85.14–$109.65 | 8% above | 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.