Millcreek Medical Center
Millcreek Medical Center in Erie, PA publishes cash prices for 276 common procedures listed here, from its own machine-readable price file updated May 8, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 209 of 272 procedures and above it for 60. By typical cash price it ranks #29 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
5515 Peach St Erie, PA 16509 Collected Oct 30, 2026 Source price file Check a bill from this hospital
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 UP/LO EXT ARTERIAL;LIMIT BILAT | $186.50 | $373.00 | $67.89–$257.37 | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ART STDY;LIM BIL 1-2/UNI 3+LEV | $225.00 | $450.00 | $67.89–$310.50 | 50% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX;COMP BILAT | $349.00 | $698.00 | $150.09–$481.62 | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ARTERIAL DUPLEX;LE;COMP BILAT | $349.00 | $698.00 | $200.42–$481.62 | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS DUPLEX;COMP BILAT | $349.00 | $698.00 | $151.71–$481.62 | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W CPAP | $1,468.50 | $2,937.00 | $492.09–$2,026.53 | 53% below | 50% |
| OCT scan of the retina (optical coherence tomography) both sides CPT 92134 OPTHALMIC SCAN RETINA UNI/BI | $86.00 | $172.00 | $14.93–$118.68 | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY;SLEEP STAGING | $1,468.50 | $2,937.00 | $470.66–$2,026.53 | 58% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX;UNILAT/LIMITED | $153.50 | $307.00 | $93.91–$211.83 | 76% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE | $58.00 | $116.00 | $38.62–$80.04 | 74% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $51.90 | $103.80 | $5.30–$71.62 | 43% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $51.90 | $103.80 | $5.18–$71.62 | 43% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $85.88 | $171.75 | $47.63–$118.51 | 72% below | 50% |
| Albumin blood test CPT 82040 ALBUMIN;SERUM;PLASMA OR BLOOD | $21.25 | $42.50 | $3.65–$29.33 | 34% below | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $61.50 | $123.00 | $40.75–$84.87 | 71% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE-PHOSPHATASE | $32.90 | $65.80 | $5.18–$45.40 | 10% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE;QUANT;EA | $31.23 | $62.45 | $5.22–$43.09 | 3% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN;SERUM | $122.30 | $244.60 | $16.77–$168.77 | 11% above | 50% |
| Ammonia blood test CPT 82140 AMMONIA | $152.28 | $304.55 | $5.00–$210.14 | 67% above | 50% |
| Amylase blood test CPT 82150 AMYLASE | $27.38 | $54.75 | $6.37–$37.78 | 37% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINATED PEPTIDE;AB | $27.33 | $54.65 | $12.95–$37.71 | 68% below | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY (ANA) | $68.58 | $137.15 | $12.09–$94.63 | 8% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $59.00 | $118.00 | $39.26–$81.42 | 70% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE;BACTERIA;OTHER SOURCE | $19.13 | $38.25 | $6.90–$26.39 | 63% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $23.75 | $47.50 | $8.46–$32.78 | 68% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $23.33 | $46.65 | $5.02–$32.19 | 27% below | 50% |
| Blood culture for bacteria CPT 87040 CULTURE;BACTERIAL;BLOOD;AEROBI | $69.28 | $138.55 | $10.32–$95.60 | 18% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $3.88 | $7.75 | $3.00–$14.01 | 74% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $3.88 | $7.75 | $3.00–$14.01 | 74% below | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QUANTITATIVE;BLOOD | $21.25 | $42.50 | $3.93–$29.33 | 18% below | 50% |
| Blood lead test CPT 83655 LEAD | $35.35 | $70.70 | $12.11–$48.78 | 55% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG;QUALITATIVE | $11.50 | $23.00 | $7.52–$15.87 | 77% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING;SEROLOGIC;ABO | $186.50 | $373.00 | $2.99–$257.37 | 40% above | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN;QUANTITATIVE | $23.80 | $47.60 | $3.95–$32.84 | 12% below | 50% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $101.95 | $203.90 | $20.81–$140.69 | 6% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $32.90 | $65.80 | $5.18–$45.40 | 8% below | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INFEC AGENT NA;CLOSTRIDIUM DIF | $67.48 | $134.95 | $37.27–$93.12 | 67% below | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOAS TUMOR AG;QNT;CA 19-9 | $100.13 | $200.25 | $20.81–$138.17 | 25% below | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOAS TUMOR AG;QNT;CA 125 | $57.95 | $115.90 | $20.81–$79.97 | 56% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INFEC AGENT NA;SARS-COV-2 | $77.00 | $154.00 | $51.31–$106.26 | 16% below | 50% |
| Calcium blood test, total CPT 82310 CALCIUM;TOTAL | $23.33 | $46.65 | $5.16–$32.19 | 31% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $90.60 | $181.20 | $18.96–$125.03 | 24% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY;VARICELLA-ZOSTER | $91.70 | $183.40 | $12.88–$126.55 | 8% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS;AMP PROB | $65.15 | $130.30 | $35.09–$89.91 | 67% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $59.40 | $118.80 | $13.39–$81.97 | 34% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT;CBC & AUTO DIF WBC | $56.93 | $113.85 | $6.00–$78.56 | 11% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT;CBC;AUTO;NO DIFF | $53.33 | $106.65 | $6.47–$73.59 | 23% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $26.33 | $52.65 | $10.56–$36.33 | 70% below | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL;TOTAL | $74.63 | $149.25 | $16.30–$102.98 | 28% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE;TOTAL | $42.40 | $84.80 | $6.51–$58.51 | 6% below | 50% |
| Creatinine blood test CPT 82565 CREATININE;BLOOD | $25.18 | $50.35 | $5.12–$34.74 | 26% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV | $86.35 | $172.70 | $14.39–$119.16 | at median | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRAD PRODUCTS;QUANT | $17.53 | $35.05 | $10.18–$24.18 | 74% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE | $120.10 | $240.20 | $22.23–$165.74 | 11% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN;PER DOS | $93.50 | $187.00 | $62.14–$129.03 | 49% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL | $27.20 | $54.40 | $7.00–$37.54 | 48% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANTIBODY;EPSTEIN-BARR VIRUS | $76.98 | $153.95 | $18.14–$106.23 | 33% below | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $44.98 | $89.95 | $21.50–$62.07 | 73% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH;BLOOD | $97.88 | $195.75 | $17.50–$135.07 | 18% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN;FECAL | $29.50 | $59.00 | $19.63–$40.71 | 77% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $52.83 | $105.65 | $12.00–$72.90 | 39% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN;ACTIVITY | $19.15 | $38.30 | $9.72–$26.43 | 71% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID;SERUM | $69.28 | $138.55 | $14.70–$95.60 | 20% below | 50% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3;FREE | $25.50 | $51.00 | $16.94–$35.19 | 76% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE;FREE | $78.35 | $156.70 | $8.00–$108.12 | 31% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE;FREE | $99.28 | $198.55 | $25.47–$137.00 | 38% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $51.90 | $103.80 | $7.20–$71.62 | 9% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE;POST GLUCOSE DOSE | $30.90 | $61.80 | $4.75–$42.64 | 17% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE;TOLERANCE;3 SPEC | $138.45 | $276.90 | $12.87–$191.06 | 71% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE;AMP PROB | $65.15 | $130.30 | $35.09–$89.91 | 65% below | 50% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI;STOOL | $24.78 | $49.55 | $14.38–$34.19 | 74% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 INFEC AGENT NA;HIV-1;QUAN | $153.48 | $306.95 | $85.10–$211.80 | 69% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 INFEC AGENT IMMUNO;HIV-1 & 2 | $36.50 | $73.00 | $24.08–$50.37 | 74% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 INFEC AGENT NA;PAPILLOMAVIRUS | $82.40 | $164.80 | $35.09–$113.71 | 60% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN;GLYCOSYLATED(A1C) | $17.53 | $35.05 | $7.00–$24.18 | 66% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN;GLYCOSYLATED (AIC) | $56.23 | $112.45 | $7.00–$77.59 | 10% above | 50% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT;HEMOGLOBIN(HGB) | $3.75 | $7.50 | $2.37–$5.18 | 78% below | 50% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT;HEMOGLOBIN | $11.70 | $23.40 | $2.37–$16.15 | 32% below | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB;TOTAL | $115.88 | $231.75 | $12.05–$159.91 | 37% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $43.70 | $87.40 | $10.74–$60.31 | 40% below | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $81.83 | $163.65 | $10.33–$112.92 | 18% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $81.83 | $163.65 | $14.27–$112.92 | 18% below | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANTIFICATION | $219.03 | $438.05 | $42.84–$302.25 | 23% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX;TYPE 1 | $77.08 | $154.15 | $13.19–$106.36 | 4% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANTIBODY;HERPES SIMPLEX;TYPE 2 | $34.90 | $69.80 | $19.35–$48.16 | 68% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN;HIGH SENS | $27.98 | $55.95 | $12.95–$38.61 | 64% below | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $142.85 | $285.70 | $17.92–$197.13 | 19% above | 50% |
| Insulin blood test CPT 83525 INSULIN;TOTAL | $51.40 | $102.80 | $11.43–$70.93 | 29% below | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $54.50 | $109.00 | $6.47–$75.21 | 20% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $54.50 | $109.00 | $5.00–$75.21 | 9% below | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $22.88 | $45.75 | $8.68–$31.57 | 67% below | 50% |
| LH (luteinizing hormone) test CPT 83002 LH LUTEINIZING HORMONE | $73.33 | $146.65 | $17.00–$101.19 | 39% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID) | $83.48 | $166.95 | $11.57–$115.20 | 9% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $36.75 | $73.50 | $6.04–$50.72 | at median | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $65.53 | $131.05 | $5.00–$90.42 | 40% above | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $22.80 | $45.60 | $8.17–$31.46 | 71% below | 50% |
| Lyme disease antibody test CPT 86618 ANTIBODY;BORRELIA BURGDORFERI | $30.63 | $61.25 | $17.03–$42.26 | 68% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM | $27.38 | $54.75 | $6.70–$37.78 | 34% below | 50% |
| Measles (rubeola) antibody test CPT 86765 ANTIBODY;RUBEOLA | $78.43 | $156.85 | $12.88–$108.23 | 3% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES;SCREEN | $32.90 | $65.80 | $5.18–$45.40 | 12% below | 50% |
| Mumps immunity blood test CPT 86735 ANTIBODY;MUMPS | $73.33 | $146.65 | $13.05–$101.19 | 10% below | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN;FREE | $28.00 | $56.00 | $18.39–$38.64 | 75% below | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG;TOTAL | $29.10 | $58.20 | $18.39–$40.16 | 73% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HOR) | $300.48 | $600.95 | $41.28–$414.66 | 38% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME;PAR (PTT) | $23.33 | $46.65 | $6.01–$32.19 | 44% below | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC (PHOSPHAT | $20.25 | $40.50 | $4.74–$27.95 | 38% below | 50% |
| Potassium blood test CPT 84132 POTASSIUM;SERUM;PLASMA OR WHOL | $25.18 | $50.35 | $4.76–$34.74 | 21% below | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY | $1,139.00 | $2,278.00 | $759.05–$1,571.82 | 51% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $32.23 | $64.45 | $20.86–$44.47 | 77% below | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $29.50 | $59.00 | $19.38–$40.71 | 76% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $30.05 | $60.10 | $4.00–$41.47 | 5% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFEC AG;INFLUENZA | $17.50 | $35.00 | $16.55–$24.82 | 68% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFEC AG;STREPTOCOCCUS;GROUP A | $25.63 | $51.25 | $16.53–$35.36 | 60% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 GROUP A STREP RAPID | $26.28 | $52.55 | $16.53–$36.26 | 58% below | 50% |
| Renin blood test CPT 84244 RENIN | $33.00 | $66.00 | $21.99–$45.54 | 77% below | 50% |
| Rh blood typing CPT 86901 BLOOD TYPING;SEROLOGIC;RH(D) | $57.00 | $114.00 | $2.99–$78.66 | at median | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR;QUANTITATIVE | $32.90 | $65.80 | $5.67–$45.40 | 16% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY;RUBELLA | $39.88 | $79.75 | $14.39–$55.03 | 53% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENT RATE;ERYTHROCYTE;AUTO | $22.05 | $44.10 | $2.70–$30.43 | 2% above | 50% |
| Sodium blood test CPT 84295 SODIUM;SERUM;PLASMA OR WHOLE | $25.18 | $50.35 | $4.81–$34.74 | 22% below | 50% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES;DIRECT SMEARS | $54.55 | $109.10 | $7.50–$75.28 | 7% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD;OCCULT;QUAL;FECES CONS | $5.68 | $11.35 | $4.38–$7.83 | 72% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD;OCCULT;QUAL;FECES | $7.00 | $14.00 | $4.38–$9.66 | 66% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY;TREPONEMA PALLIDOM | $50.15 | $100.30 | $13.24–$69.21 | 33% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST;QUALITATIVE | $42.43 | $84.85 | $4.00–$58.55 | 51% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST;GAMMA INTERFERON | $147.18 | $294.35 | $61.98–$203.10 | 52% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $113.73 | $227.45 | $25.81–$156.94 | 30% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES;EACH | $68.08 | $136.15 | $7.91–$93.94 | 10% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $125.18 | $250.35 | $16.80–$172.74 | 25% above | 50% |
| Total IgE blood test CPT 82785 IGE | $79.00 | $158.00 | $16.46–$109.02 | 24% below | 50% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL;TOTAL;SERUM;BLOOD | $32.90 | $65.80 | $4.35–$45.40 | 9% above | 50% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE;TOTAL | $23.18 | $46.35 | $6.87–$31.98 | 49% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3;TOTAL | $48.33 | $96.65 | $11.50–$66.69 | 50% below | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $61.63 | $123.25 | $12.76–$85.04 | 28% below | 50% |
| Trichomonas test (NAAT) CPT 87661 INFEC AGENT NA;TRICHOM VAG;AMP | $53.00 | $106.00 | $35.09–$73.14 | 71% below | 50% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $51.90 | $103.80 | $5.74–$71.62 | 31% above | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN;QUANTITATIVE | $127.40 | $254.80 | $12.47–$175.81 | 55% above | 50% |
| Uric acid blood test CPT 84550 URIC ACID;BLOOD | $35.35 | $70.70 | $4.52–$48.78 | 12% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS;AUTO W/MICROSCOPY | $32.90 | $65.80 | $3.17–$45.40 | at median | 50% |
| Urinalysis with microscope exam, manual CPT 81000 ROUTINE URINE W MICROSCOPIC | $32.90 | $65.80 | $4.02–$45.40 | 11% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED W/O MICRO | $32.48 | $64.95 | $2.25–$44.82 | 82% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS;NON-AUTO;W/O MICRO | $5.50 | $11.00 | $3.48–$7.59 | 74% below | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE;URINE | $42.58 | $85.15 | $8.00–$58.75 | 25% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN;URINE;QUANTITATIVE | $58.78 | $117.55 | $5.78–$81.11 | 48% above | 50% |
| Urine pregnancy test, read by color change CPT 81025 PREGNANCY;URINE (QUAL) | $23.38 | $46.75 | $8.61–$32.26 | 37% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $56.35 | $112.70 | $13.00–$77.76 | 40% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D;25-HYDROXY;SER/PLASM | $148.13 | $296.25 | $29.60–$204.41 | 1% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D;1;25-DIHYDROXY | $58.00 | $116.00 | $38.50–$80.04 | 76% below | 50% |
| Zinc blood test CPT 84630 ZINC | $22.13 | $44.25 | $11.39–$30.53 | 69% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN;CHORIONIC QUANT | $31.03 | $62.05 | $4.00–$42.81 | 65% below | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FRACTURE;FIBULAR DISTAL W/O | $406.53 | $813.05 | $201.44–$641.00 | 39% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FRACTURE;CLOSED;METATARSAL W/O | $346.50 | $693.00 | $201.44–$641.00 | 33% below | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 LT HEART ARTERY/VENTRICLE ANGI | $4,069.00 | $8,138.00 | $763.54–$5,615.22 | 54% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $942.50 | $1,885.00 | $153.45–$1,300.65 | 36% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION;EXTERNAL | $944.50 | $1,889.00 | $153.45–$1,303.41 | 36% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FRACTURE;RADIAL DISTAL W/O | $351.58 | $703.15 | $201.44–$641.00 | 47% below | 50% |
| Coronary stent placement, one artery CPT 92928 STENT + ANGIO (PTCA) | $16,365.00 | $32,730.00 | $580.22–$22,583.70 | 19% below | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $963.50 | $1,927.00 | $240.43–$1,329.63 | 43% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMVL IMPCTD CERUMEN W/LAVAGE | $86.00 | $172.00 | $14.60–$641.00 | 38% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACTED CERUMEN;IRR;UNI | $89.63 | $179.25 | $14.60–$641.00 | 36% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMVL IMPCTD CERUMEN W/INSTRMT | $86.00 | $172.00 | $46.62–$641.00 | 36% below | 50% |
| Earwax removal with instruments, one ear CPT 69210 REM IMPACTED CERUMEN;INST;UNI | $89.63 | $179.25 | $46.62–$641.00 | 33% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ;EPIDURAL;CERV/THOR;W IMG | $999.50 | $1,999.00 | $261.12–$1,379.31 | 58% below | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN AST<3CM RDC | $5,093.00 | $10,186.00 | $2,955.36–$7,028.34 | 25% below | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR AA HERNIA 1ST <3CM REDU | $5,231.50 | $10,463.00 | $2,955.36–$7,219.47 | 23% below | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $54.08 | $108.15 | $54.08–$641.00 | 86% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS;SIMP/SINGLE | $287.00 | $574.00 | $122.27–$641.00 | 44% below | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABSCESS;SIMPLE/SINGLE | $288.93 | $577.85 | $122.27–$641.00 | 43% below | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ;TENDON SHEATH;LIGAMENT | $426.00 | $852.00 | $56.64–$641.00 | 25% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTISIS;LARGE | $426.00 | $852.00 | $63.84–$641.00 | 9% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTISIS;MEDIUM | $426.00 | $852.00 | $53.91–$641.00 | 20% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTISIS;SMALL | $426.00 | $852.00 | $52.25–$641.00 | 4% above | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 POST-CATARACT LASER SURGERY | $792.00 | $1,584.00 | $323.60–$1,092.96 | 15% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 REPAIR INTERMEDIATE 2.5-LESS | $577.00 | $1,154.00 | $260.49–$796.26 | 2% below | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HEART W/ VENTRIC | $4,641.50 | $9,283.00 | $683.30–$6,405.27 | 29% below | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ;EPIDURAL;LUM/SAC;W IMG | $999.50 | $1,999.00 | $257.25–$1,379.31 | 52% below | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ;EPIDURAL;LUM/SAC;W/O IMG | $1,285.00 | $2,570.00 | $138.44–$1,773.30 | 33% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ;FORAMEN EPID;L/S;1LV | $1,285.00 | $2,570.00 | $245.43–$1,773.30 | 33% below | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC LES +MARG;T/A/L;<0.5 | $1,015.50 | $2,031.00 | $125.83–$1,401.39 | 24% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION;SIMPLE;SINGLE | $287.00 | $574.00 | $113.51–$641.00 | 39% below | 50% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE;SIMP;1 | $288.93 | $577.85 | $113.51–$641.00 | 39% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS;W IMG | $1,353.00 | $2,706.00 | $295.36–$1,867.14 | 20% below | 50% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,353.00 | $2,706.00 | $295.36–$1,867.14 | 20% below | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL;FOR PERM REM | $577.00 | $1,154.00 | $157.80–$796.26 | 31% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&REM SQ TISSUE;SIMP | $577.00 | $1,154.00 | $147.29–$796.26 | 6% above | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL;FOREIGN BODY | $577.00 | $1,154.00 | $147.29–$796.26 | 6% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION;CAST;SHORT ARM | $383.50 | $767.00 | $83.91–$529.23 | 8% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION;SPLINT;SHORT ARM | $186.50 | $373.00 | $63.28–$257.37 | 41% below | 50% |
| Short leg cast (below the knee) CPT 29405 APPLICATION;CAST;SHORT LEG | $383.50 | $767.00 | $77.19–$529.23 | 26% below | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION;SPLINT;SHORT LEG | $228.00 | $456.00 | $68.93–$314.64 | 51% below | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SIMPLE 2.5-LESS | $287.00 | $574.00 | $92.45–$641.00 | 44% below | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN;SING LES | $577.00 | $1,154.00 | $124.75–$796.26 | 12% below | 50% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL;SKIN TAGS;1-15 | $287.00 | $574.00 | $88.33–$641.00 | 52% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE;DIAGNOSTIC | $999.50 | $1,999.00 | $124.72–$1,379.31 | 18% 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 REPAIR SIMPLE 2.6-7.5 | $287.00 | $574.00 | $111.52–$396.06 | 46% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SIMPLE 2.5-LESS | $287.00 | $574.00 | $110.74–$396.06 | 44% below | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY OF SKIN;SIN | $288.93 | $577.85 | $100.38–$593.73 | 49% below | 50% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS;ASP PLEUR;W IMG | $892.50 | $1,785.00 | $318.34–$1,231.65 | 39% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ;TRIGGER POINT 1-2 MUSCLES | $426.00 | $852.00 | $52.90–$641.00 | 21% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ;TRIGGER PNT;S/M;1 OR 2 MUS | $426.00 | $852.00 | $52.90–$641.00 | 21% below | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTR LESION;BENIGN;1-14 | $287.00 | $574.00 | $110.84–$641.00 | 49% below | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION LESION;BENIGN;1-14 | $287.00 | $574.00 | $110.84–$641.00 | 49% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE;SUB Q;INIT 20SCM< | $577.00 | $1,154.00 | $127.67–$860.00 | 46% below | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION;BLOOD/BLOOD COMP | $631.00 | $1,262.00 | $36.68–$870.78 | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESP INHALATION TREATMENT | $293.50 | $587.00 | $10.70–$405.03 | 32% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION; INITIAL | $293.50 | $587.00 | $10.70–$405.03 | 32% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TREATMENT | $293.50 | $587.00 | $10.70–$405.03 | 32% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TREATMENT; INITIAL | $293.50 | $587.00 | $10.70–$405.03 | 32% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 USN TREATMENT | $293.50 | $587.00 | $10.70–$405.03 | 32% above | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 INFUSION;1ST HR;REMI/ARIA/OREN | $479.00 | $958.00 | $132.03–$661.02 | 34% below | 50% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 EYE EXAM;COMPREHENSIVE;NEW PT | $130.43 | $260.85 | $112.92–$194.45 | 15% below | 50% |
| Comprehensive eye exam, returning patient CPT 92014 EYE EXAM;COMPREHENSIVE;EST PT | $130.43 | $260.85 | $112.92–$194.45 | 7% above | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE;30-74M | $1,216.00 | $2,432.00 | $273.93–$1,678.08 | 35% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG;AWAKE & DROWSY;20-40MIN | $449.50 | $899.00 | $223.81–$620.31 | 41% below | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM;W INTER/REP | $38.63 | $77.25 | $13.97–$53.30 | 41% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM;WO INTER/REP | $86.00 | $172.00 | $5.83–$118.68 | 51% below | 50% |
| Electroconvulsive therapy (ECT), one session CPT 90870 ELECTROCONVULSIVE THERAPY | $766.00 | $1,532.00 | $171.16–$1,254.23 | 39% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED E&M LEVEL 1 | $127.50 | $255.00 | $21.72–$175.95 | 58% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED E&M LEVEL 2 | $229.00 | $458.00 | $35.00–$316.02 | 52% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED E&M LEVEL 3 | $400.00 | $800.00 | $35.00–$552.00 | 46% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED E&M LEVEL 4 | $614.50 | $1,229.00 | $50.00–$848.01 | 50% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED E&M LEVEL 5 | $885.00 | $1,770.00 | $50.00–$1,221.30 | 45% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR EXERCISE STRESS | $449.50 | $899.00 | $33.75–$620.31 | 53% below | 50% |
| Eye exam, returning patient, intermediate CPT 92012 EYE EXAM;INTERMEDIATE;EST PT | $130.43 | $260.85 | $87.00–$194.45 | 61% above | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY WITH PATIENT | $232.00 | $464.00 | $100.65–$320.16 | 23% below | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERAPY W/O PATIENT | $232.00 | $464.00 | $97.19–$320.16 | 29% above | 50% |
| Group psychotherapy session CPT 90853 OP GROUP PSYCHOTHERAPY | $133.50 | $267.00 | $26.88–$184.23 | 7% below | 50% |
| Group psychotherapy session CPT 90853 IOP GROUP THERAPY | $133.50 | $267.00 | $26.88–$184.23 | 7% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION;HYD;31 MIN TO 1 HR | $304.50 | $609.00 | $33.14–$420.21 | 30% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION;HYD;INIT;31M-1HR | $304.50 | $609.00 | $33.14–$420.21 | 30% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION;THER;INIT;TO 1HR | $304.50 | $609.00 | $65.36–$420.21 | 32% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION;INITIAL;1ST HOUR | $304.50 | $609.00 | $65.36–$420.21 | 32% below | 50% |
| IV push of a medicine, first drug CPT 96374 IV PUSH;THER;PROPH;DIAG S SUB | $304.50 | $609.00 | $38.03–$420.21 | 7% below | 50% |
| IV push of a medicine, first drug CPT 96374 NUCLEAR IV PUSH OF DRUG | $304.50 | $609.00 | $38.03–$420.21 | 7% below | 50% |
| IV push of a medicine, first drug CPT 96374 IV PUSH;THER/PROPH/DIAG;INI RX | $304.50 | $609.00 | $38.03–$420.21 | 7% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ;THER/PROPH/DIAG;SUBQ/IM | $68.13 | $136.25 | $13.98–$105.16 | 45% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ;THER/PROPH/DIAG;IM/SQ | $103.00 | $206.00 | $13.98–$142.14 | 16% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ;IM/SQ THERAPEUTIC;CONCURRE | $103.00 | $206.00 | $13.98–$142.14 | 16% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER;PROPH/DIAG INJ;SC/IM | $103.00 | $206.00 | $13.98–$142.14 | 16% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 LICENSED PHP HOUR - ADULT | $244.63 | $489.25 | $136.19–$337.58 | 8% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 EVALUATION/DIAG INTERVIEW | $244.63 | $489.25 | $136.19–$337.58 | 8% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION STUDIES 7-8 | $241.00 | $482.00 | $71.79–$545.00 | 84% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFF/OP VISIT;NEW;LEVEL 3 | $208.73 | $417.45 | $93.00–$288.04 | 13% below | 50% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT;NEW PT;LEVEL 3 | $208.73 | $417.45 | $93.00–$288.04 | 13% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OFF/OP VISIT;NEW;LEVEL 4 | $276.58 | $553.15 | $129.00–$381.67 | 8% below | 50% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT;NEW PT;LEVEL 4 | $276.58 | $553.15 | $129.00–$381.67 | 8% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 OFF/OP VISIT;NEW;LEVEL 5 | $378.33 | $756.65 | $175.00–$522.09 | 27% below | 50% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT;NEW PT;LEVEL 5 | $378.33 | $756.65 | $175.00–$522.09 | 27% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT;NEW PT;LEVEL 2 | $158.63 | $317.25 | $70.00–$218.90 | 13% below | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP VISIT;NEW;LEVEL 2 | $158.63 | $317.25 | $70.00–$218.90 | 13% below | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THERAPY;INIT;EA 15M | $21.68 | $43.35 | $21.68–$38.51 | 57% below | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL PM E&M;18-39Y | $130.43 | $260.85 | $128.53–$179.99 | 11% below | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL PM E&M;40-64Y | $130.43 | $260.85 | $130.43–$179.99 | 16% below | 50% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL PM E&M;65+Y | $130.43 | $260.85 | $130.43–$179.99 | 37% below | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PER PM E&M;EST; 18-39Y | $130.43 | $260.85 | $114.94–$179.99 | at median | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PER PM E&M;EST; 40-64Y | $130.43 | $260.85 | $123.61–$179.99 | 17% below | 50% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM E&M;EST; 65+Y | $130.43 | $260.85 | $130.43–$179.99 | 27% below | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCOLOGICAL TEST EVAL;1ST HR | $449.50 | $899.00 | $119.26–$620.31 | 22% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 IND. PSYCHOTHERAPY 20-30 MIN | $232.00 | $464.00 | $65.00–$320.16 | 6% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 OP IND PSYCHOTHERAPY 20-30 | $232.00 | $464.00 | $65.00–$320.16 | 6% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 IOP IND. PSYCHOTHERAPY 30 MIN. | $598.95 | $1,197.90 | $65.00–$826.55 | 143% above | 50% |
| Psychotherapy session, 45 minutes CPT 90834 OP IND. PSYCHOTHERAPY 45-50 | $232.00 | $464.00 | $101.08–$320.16 | 9% below | 50% |
| Psychotherapy session, 45 minutes CPT 90834 IND. PSYCHOTHERAPY 45-50 MIN | $232.00 | $464.00 | $101.08–$320.16 | 9% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 IND. PSYCHOTHERAPY 75-80 MIN | $232.00 | $464.00 | $136.19–$320.16 | 23% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 OP IND. PSYCHOTHERAPY 75-80 | $232.00 | $464.00 | $136.19–$320.16 | 23% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO CESSATION;3-10M | $43.00 | $86.00 | $15.09–$59.34 | 6% below | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT;ESTAB PT;LEVEL 5 | $378.33 | $756.65 | $175.00–$522.09 | 39% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFF/OP VISIT;EST;LEVEL 5 | $378.33 | $756.65 | $175.00–$522.09 | 39% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT;ESTAB PT;LEVEL 3 | $208.73 | $417.45 | $89.00–$288.04 | 13% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFF/OP VISIT;EST;LEVEL 3 | $208.73 | $417.45 | $89.00–$288.04 | 13% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFF/OP VISIT;EST;LEVEL 4 | $276.58 | $553.15 | $125.69–$381.67 | 37% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT;ESTAB PT;LEVEL 4 | $276.58 | $553.15 | $125.69–$381.67 | 37% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFF/OP VISIT;EST;LEVEL 2 | $158.63 | $317.25 | $55.29–$218.90 | 2% below | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT;ESTAB PT;LEVEL 2 | $158.63 | $317.25 | $55.29–$218.90 | 2% below | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT;NEW/EST;40M | $127.35 | $254.70 | $102.30–$175.74 | 31% below | 50% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $226.00 | $452.00 | $17.85–$315.36 | 25% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST | $449.50 | $899.00 | $27.60–$620.31 | 31% below | 50% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 TMS,INITIAL,MAPPING,MTD,D&M | $303.85 | $607.70 | $223.81–$419.31 | 23% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY;THERAPEUTIC | $186.50 | $373.00 | $97.68–$257.37 | 19% below | 50% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR EXERCISE TEST | $392.00 | $784.00 | $69.41–$540.96 | 5% below | 50% |
| Visual field test, extended CPT 92083 VISUAL FIELD EXAM EXTEND | $186.00 | $372.00 | $34.42–$256.68 | 33% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 VACCINE;IIV;ADJUVANT;IM | $86.80 | $173.60 | $86.80–$119.78 | 48% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50;SPIKEVAX;0.5ML | $162.00 | $324.00 | $162.00–$223.56 | 19% below | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $234.00 | $468.00 | $234.00–$322.92 | 44% above | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VACCINE;VAR;LIVE;SUBQ | $230.48 | $460.95 | $230.48–$318.06 | 12% above | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 VACCINE;DTAP-IPV;4-6YRS;IM | $90.40 | $180.80 | $90.40–$124.75 | 9% above | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 VACCINE;DTAP;<7YRS;IM | $42.63 | $85.25 | $42.63–$58.82 | 25% above | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 VACCINE;DTAP-HEPB-IPV;IM | $139.95 | $279.90 | $139.95–$193.13 | 69% above | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 VACCINE;DTAP-IPV/HIB;IM | $168.68 | $337.35 | $168.68–$232.77 | 103% above | 50% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VACCINE;DTAP-IPV-HIB-HEPB;IM | $129.53 | $259.05 | $129.53–$178.74 | 44% above | 50% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 VACCINE INFLUENZA;TRIV-R1V3;IM | $83.50 | $167.00 | $83.50–$115.23 | 178% above | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 VACCINE;IIV3;NO PRES;0.5ML;IM | $29.50 | $59.00 | $29.50–$40.71 | 56% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE TRIVALENT 45MCG/0.5ML | $34.88 | $69.76 | $34.88–$48.13 | 48% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 VACCINE;9VHPV;2 OR 3 DOSE;IM | $387.30 | $774.60 | $387.30–$534.47 | 53% above | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 VACCINE;HEP A AND B;ADULT;IM | $185.15 | $370.30 | $185.15–$255.51 | 106% above | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 VACCINE;HEPATITIS A;ADULT;IM | $89.38 | $178.75 | $89.38–$123.34 | at median | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 VACCINE;HEP A;PED/ADOL;2 DS;IM | $56.40 | $112.80 | $56.40–$77.83 | 24% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VACCINE;HEPB;ADULT;3 DOSE;IM | $101.60 | $203.20 | $101.60–$140.21 | 23% above | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 VACCINE;HEPB;PED/ADOL;3 DS;IM | $41.20 | $82.40 | $41.20–$56.86 | 13% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 VACCINE;HIB PRP-OMP;3 DOSE;IM | $38.78 | $77.55 | $38.78–$53.51 | 53% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 VACCINE;HIB PRP-T;4 DOSE;IM | $18.80 | $37.60 | $18.80–$25.94 | 40% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE 0.5ML SNG DOSE 65YRS+ | $72.90 | $145.80 | $69.94–$100.60 | 17% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD QUAD 240MCG/0.7ML | $72.90 | $145.80 | $69.94–$100.60 | 17% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 VACCINE;IIV;NO PRES;INC AG;IM | $81.78 | $163.55 | $69.94–$112.85 | 6% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD 180MCG/0.5ML | $106.85 | $213.70 | $69.94–$147.45 | 22% above | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE;MMR;SUBQ | $133.15 | $266.30 | $133.15–$183.75 | 104% above | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 VACCINE;MMRV;SUBQ | $381.50 | $763.00 | $132.69–$526.47 | 58% above | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 VACCINE;MENACWY-D;IM | $217.98 | $435.95 | $217.98–$300.81 | 133% above | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 VACCINE;MENIN CONJU,SEROGPS;IM | $304.50 | $609.00 | $304.50–$420.21 | 39% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 VACCINE;MENB RP W/OMV;IM | $304.50 | $609.00 | $304.50–$420.21 | 59% above | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL 0.5ML SYR | $193.13 | $386.25 | $193.13–$266.51 | 34% above | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 VACCINE;PCV13;IM | $335.53 | $671.05 | $335.53–$463.02 | 133% above | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL 0.5ML SYR | $212.20 | $424.40 | $212.20–$292.84 | 34% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 VACCINE;PPSV23;2+YR;SUBQ/IM | $174.85 | $349.70 | $174.85–$241.29 | 36% above | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 VACCINE;POLIOVIRUS IPV;SUBQ/IM | $59.63 | $119.25 | $59.63–$82.28 | 1% below | 50% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 VACCINE;RV1;2 DOSE;LIVE;ORAL | $211.55 | $423.10 | $211.55–$291.94 | 236% above | 50% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 VACCINE;RV5;3 DOSE;LIVE;ORAL | $143.58 | $287.15 | $143.58–$198.13 | 73% above | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VACCINE;HZV;ADJUVANTED;IM | $257.38 | $514.75 | $257.38–$355.18 | 3% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 VACCINE;TD;NO PRES;7+YR;IM | $42.25 | $84.50 | $42.25–$58.31 | 24% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 VACCINE;TDAP;>7YRS;IM | $48.80 | $97.60 | $48.80–$67.34 | 13% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH;PERTUSS(A);TET PF VAC | $48.80 | $97.60 | $48.80–$67.34 | 13% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN VACCINE/TOXOID;SINGLE | $67.23 | $134.45 | $16.26–$105.16 | 5% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF INFLUENZA VACCINE | $67.23 | $134.45 | $16.26–$105.16 | 5% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN;ONE | $68.13 | $136.25 | $16.26–$105.16 | 7% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJ;VACCINE/TOXOID;SINGLE | $103.00 | $206.00 | $16.26–$142.14 | 62% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 INJ;VACCINE/TOXOID;EA ADDTL | $8.48 | $16.95 | $8.48–$12.32 | 68% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE/TOXOID;EA ADDTL | $33.63 | $67.25 | $12.32–$46.40 | 25% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN;ADD | $34.13 | $68.25 | $12.32–$47.09 | 27% 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.