Hospital

Medical Arts Hospital

Listed in its price file as “Dawson County Hospital District”.

Medical Arts Hospital in Lamesa, TX publishes cash prices for 318 common procedures listed here, from its own machine-readable price file updated Oct 21, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 207 of 317 procedures and above it for 109. By typical cash price it ranks #98 of 299 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

2200 N Bryan Avenue, Lamesa, TX, 79331 Collected Nov 8, 2026 Source price file Check a bill from this hospital (806) 872-2183

Acute care hospital Government-owned hospital Emergency department CCN 450489 · CMS hospital register NPI 1134108053

The price file shows no self-pay discount

For 856 of the 856 prices listed here, the cash price in Medical Arts Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO	$1,151.00	$1,151.00	$232.09–$805.70	60% below	—
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO	$1,151.00	$1,151.00	$232.09–$805.70	—	—
Abdominal X-ray, 2 views CPT 74019 DX ABD 2VIEWS	$519.00	$519.00	$33.89–$363.30	37% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 DX ABD 2VIEWS	$519.00	$519.00	$33.89–$363.30	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L EXT ART 2LEVEL	$318.00	$318.00	$77.67–$222.60	48% below	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L EXT ART 2LEVEL	$318.00	$318.00	$77.67–$222.60	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT WO	$692.00	$692.00	$138.88–$484.40	58% below	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT WO	$692.00	$692.00	$138.88–$484.40	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WB	$2,750.00	$2,750.00	$242.33–$1,925.00	75% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WB	$2,750.00	$2,750.00	$242.33–$1,925.00	—	—
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLT	$205.00	$205.00	$94.30–$143.50	54% below	—
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLT	$205.00	$205.00	$94.30–$143.50	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS W	$2,324.00	$2,324.00	$355.28–$1,626.80	42% below	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS W	$2,324.00	$2,324.00	$355.28–$1,626.80	—	—
CT angiography (CTA) of the head CPT 70496 CTA HEAD	$937.00	$937.00	$232.09–$655.90	61% below	—
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD	$937.00	$937.00	$232.09–$655.90	—	—
CT angiography (CTA) of the neck CPT 70498 CTA NECK	$937.00	$937.00	$232.09–$655.90	61% below	—
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK	$937.00	$937.00	$232.09–$655.90	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST	$898.00	$898.00	$232.09–$628.60	65% below	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST	$898.00	$898.00	$232.09–$628.60	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT W/3D IM	$351.00	$351.00	$232.09–$306.53	79% below	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HRT W/3D IM	$351.00	$351.00	$232.09–$306.53	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$150.00	$150.00	$93.44–$114.78	21% below	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING	$150.00	$150.00	$93.44–$114.78	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO	$5,510.00	$5,510.00	$172.90–$3,857.00	94% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO	$5,510.00	$5,510.00	$172.90–$3,857.00	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W	$7,090.00	$7,090.00	$282.02–$4,963.00	86% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W	$7,090.00	$7,090.00	$282.02–$4,963.00	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO	$881.00	$881.00	$317.41–$616.70	77% below	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W/WO	$881.00	$881.00	$317.41–$616.70	—	—
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W	$1,040.00	$1,040.00	$215.96–$728.00	59% below	—
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W	$1,040.00	$1,040.00	$215.96–$728.00	—	—
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO	$890.00	$890.00	$128.56–$623.00	56% below	—
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO	$890.00	$890.00	$128.56–$623.00	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANILLOFACIAL WO	$1,450.00	$1,450.00	$120.58–$1,015.00	12% below	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MANILLOFACIAL WO	$1,450.00	$1,450.00	$120.58–$1,015.00	—	—
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O	$2,200.00	$2,200.00	$100.39–$1,540.00	32% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O	$2,200.00	$2,200.00	$100.39–$1,540.00	—	—
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W	$820.00	$820.00	$139.62–$574.00	51% below	—
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W	$820.00	$820.00	$139.62–$574.00	—	—
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/WO	$930.00	$930.00	$162.85–$651.00	54% below	—
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/WO	$930.00	$930.00	$162.85–$651.00	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L SPINE WO	$780.00	$780.00	$122.36–$546.00	55% below	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L SPINE WO	$780.00	$780.00	$122.36–$546.00	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WO	$3,500.00	$3,500.00	$122.99–$2,450.00	71% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL WO	$3,500.00	$3,500.00	$122.99–$2,450.00	—	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$1,020.00	$1,020.00	$211.74–$714.00	53% below	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$1,020.00	$1,020.00	$211.74–$714.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTCRANIAL BI	$670.00	$670.00	$176.97–$469.00	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX EXTCRANIAL BI	$670.00	$670.00	$176.97–$469.00	—	—
Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO	$1,129.00	$1,129.00	$183.94–$790.30	56% below	—
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W/WO	$1,129.00	$1,129.00	$183.94–$790.30	—	—
Chest X-ray, 2 views CPT 71046 DX CHEST 2V	$505.00	$505.00	$31.08–$353.50	30% above	—
Chest X-ray, 2 views inpatient CPT 71046 DX CHEST 2V	$505.00	$505.00	$31.08–$353.50	—	—
Chest X-ray, single view CPT 71045 DX CHEST 1V	$505.00	$505.00	$23.88–$353.50	56% above	—
Chest X-ray, single view inpatient CPT 71045 DX CHEST 1V	$505.00	$505.00	$23.88–$353.50	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WA	$261.00	$261.00	$99.91–$182.70	62% below	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WA	$261.00	$261.00	$99.91–$182.70	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXI	$715.00	$715.00	$36.96–$500.50	79% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXI	$715.00	$715.00	$36.96–$500.50	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO	$3,000.00	$3,000.00	$124.97–$2,100.00	97% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO	$3,000.00	$3,000.00	$124.97–$2,100.00	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX W	$1,025.00	$1,025.00	$156.76–$717.50	49% below	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX W	$1,025.00	$1,025.00	$156.76–$717.50	—	—
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLX LOW EXT BIL	$803.00	$803.00	$222.00–$562.10	43% below	—
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLX LOW EXT BIL	$803.00	$803.00	$222.00–$562.10	—	—
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$664.00	$664.00	$172.16–$464.80	57% below	—
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY STUDY	$664.00	$664.00	$172.16–$464.80	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLT	$3,500.00	$3,500.00	$185.21–$2,450.00	83% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLT	$3,500.00	$3,500.00	$185.21–$2,450.00	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSS W	$860.00	$860.00	$138.88–$602.00	42% below	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/EAR/FOSS W	$860.00	$860.00	$138.88–$602.00	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 DX FACIAL COMP MIN3V	$132.00	$132.00	$43.87–$138.88	66% below	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 DX FACIAL COMP MIN3V	$132.00	$132.00	$43.87–$138.88	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM W/CP MONITOR	$2,368.00	$2,368.00	$662.06–$1,657.60	44% below	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOM W/CP MONITOR	$2,368.00	$2,368.00	$662.06–$1,657.60	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT WO	$692.00	$692.00	$122.68–$484.40	58% below	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT WO	$692.00	$692.00	$122.68–$484.40	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABD	$1,200.00	$1,200.00	$81.06–$840.00	99% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABD	$1,200.00	$1,200.00	$81.06–$840.00	—	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CONTRAST	$898.00	$898.00	$201.54–$628.60	50% below	—
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN STEM WO	$1,432.00	$1,432.00	$201.54–$1,002.40	20% below	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CONTRAST	$898.00	$898.00	$201.54–$628.60	—	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN STEM WO	$1,432.00	$1,432.00	$201.54–$1,002.40	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXT JT WO	$1,382.00	$1,382.00	$192.18–$967.40	37% below	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXT JT WO	$1,382.00	$1,382.00	$192.18–$967.40	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JT LWR EXT W/WO	$1,435.00	$1,435.00	$358.02–$1,004.50	52% below	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI JT LWR EXT W/WO	$1,435.00	$1,435.00	$358.02–$1,004.50	—	—
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO	$1,367.00	$1,367.00	$182.41–$956.90	33% below	—
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO	$1,367.00	$1,367.00	$182.41–$956.90	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & WO	$1,417.00	$1,417.00	$315.84–$991.90	54% below	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & WO	$1,417.00	$1,417.00	$315.84–$991.90	—	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM WO	$1,437.00	$1,437.00	$183.98–$1,005.90	22% below	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM WO	$1,437.00	$1,437.00	$183.98–$1,005.90	—	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W W/O	$2,738.00	$2,738.00	$298.27–$1,916.60	3% below	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W W/O	$2,738.00	$2,738.00	$298.27–$1,916.60	—	—
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO	$1,489.00	$1,489.00	$180.56–$1,042.30	32% below	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO	$1,489.00	$1,489.00	$180.56–$1,042.30	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W & WO	$2,730.00	$2,730.00	$299.52–$1,911.00	14% below	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W & WO	$2,730.00	$2,730.00	$299.52–$1,911.00	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC WO	$1,504.00	$1,504.00	$179.31–$1,052.80	26% below	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WO	$1,504.00	$1,504.00	$179.31–$1,052.80	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W & WO	$2,760.00	$2,760.00	$299.20–$1,932.00	15% below	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W & WO	$2,760.00	$2,760.00	$299.20–$1,932.00	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO	$1,406.00	$1,406.00	$179.62–$984.20	38% below	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WO	$1,406.00	$1,406.00	$179.62–$984.20	—	—
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & WO	$1,407.00	$1,407.00	$314.30–$984.90	55% below	—
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & WO	$1,407.00	$1,407.00	$314.30–$984.90	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPR EXT JNT W/O	$1,375.00	$1,375.00	$192.80–$962.50	23% below	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPR EXT JNT W/O	$1,375.00	$1,375.00	$192.80–$962.50	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 DX C SPINE 4/5 VIEWS	$600.00	$600.00	$51.65–$420.00	10% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 DX C SPINE 4/5 VIEWS	$600.00	$600.00	$51.65–$420.00	—	—
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISS NECK W	$830.00	$830.00	$172.66–$581.00	58% below	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISS NECK W	$830.00	$830.00	$172.66–$581.00	—	—
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISS NCK WO	$750.00	$750.00	$138.88–$525.00	51% below	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISS NCK WO	$750.00	$750.00	$138.88–$525.00	—	—
Neck soft tissue X-ray CPT 70360 DX NECK SOFT TISSUE	$132.00	$132.00	$29.16–$114.78	44% below	—
Neck soft tissue X-ray inpatient CPT 70360 DX NECK SOFT TISSUE	$132.00	$132.00	$29.16–$114.78	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPEC	$4,140.00	$4,140.00	$400.37–$2,898.00	at median	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPEC	$4,140.00	$4,140.00	$400.37–$2,898.00	—	—
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO	$800.00	$800.00	$124.99–$560.00	51% below	—
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO	$800.00	$800.00	$124.99–$560.00	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LTD	$245.00	$245.00	$48.28–$171.50	49% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LTD	$245.00	$245.00	$48.28–$171.50	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE	$288.00	$288.00	$98.89–$201.60	62% below	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE	$288.00	$288.00	$98.89–$201.60	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >14 WKS SNGL F	$373.00	$373.00	$127.94–$261.10	39% below	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >14 WKS SNGL F	$373.00	$373.00	$127.94–$261.10	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRI<14WKS	$770.00	$770.00	$110.25–$539.00	31% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRI<14WKS	$770.00	$770.00	$110.25–$539.00	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US-OBSTETRICAL LIM	$350.00	$350.00	$76.77–$245.00	24% below	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US-OBSTETRICAL LIM	$350.00	$350.00	$76.77–$245.00	—	—
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 DX RIB/CHEST UNILAT	$132.00	$132.00	$39.22–$138.88	67% below	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 DX RIB/CHEST UNILAT	$132.00	$132.00	$39.22–$138.88	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 DX SINUSES MIN 3V	$132.00	$132.00	$35.43–$114.78	67% below	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 DX SINUSES MIN 3V	$132.00	$132.00	$35.43–$114.78	—	—
Skull X-ray, fewer than 4 views CPT 70250 DX SKULL <4V	$132.00	$132.00	$33.51–$138.88	59% below	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 DX SKULL <4V	$132.00	$132.00	$33.51–$138.88	—	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM W/SLEEP STAG	$2,163.00	$2,163.00	$630.23–$1,514.10	48% below	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOM W/SLEEP STAG	$2,163.00	$2,163.00	$630.23–$1,514.10	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T SPINE WO	$779.00	$779.00	$122.68–$545.30	59% below	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T SPINE WO	$779.00	$779.00	$122.68–$545.30	—	—
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGL	$294.00	$294.00	$110.37–$205.80	51% below	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGL	$294.00	$294.00	$110.37–$205.80	—	—
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$338.00	$338.00	$107.47–$236.60	57% below	—
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$338.00	$338.00	$107.47–$236.60	—	—
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$288.00	$288.00	$92.60–$201.60	53% below	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 US EXAM SCROTUM	$288.00	$288.00	$92.60–$201.60	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM HEAD & NECK	$288.00	$288.00	$101.81–$201.60	54% below	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US EXAM HEAD & NECK	$288.00	$288.00	$101.81–$201.60	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS IMAG UNILAT	$446.00	$446.00	$108.76–$312.20	43% below	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS IMAG UNILAT	$446.00	$446.00	$108.76–$312.20	—	—
X-ray of the abdomen, 1 view CPT 74018 DX ABDOMINAL 1V	$510.00	$510.00	$27.92–$357.00	50% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 DX ABDOMINAL 1V	$510.00	$510.00	$27.92–$357.00	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 DX L-S SPINE 2/3V	$132.00	$132.00	$37.91–$138.88	70% below	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 DX L-S SPINE 2/3V	$132.00	$132.00	$37.91–$138.88	—	—
X-ray of the lower back, 4 or more views CPT 72110 DX L SPINE MIN 4/>VW	$1,115.00	$1,115.00	$50.08–$780.50	98% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 DX L SPINE MIN 4/>VW	$1,115.00	$1,115.00	$50.08–$780.50	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DX T SPINE 2 VIEWS	$132.00	$132.00	$31.06–$138.88	67% below	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DX T SPINE 2 VIEWS	$132.00	$132.00	$31.06–$138.88	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 DX NASAL BONE MIN 3V	$132.00	$132.00	$35.04–$114.78	52% below	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 DX NASAL BONE MIN 3V	$132.00	$132.00	$35.04–$114.78	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 DX C SPINE 2-3V	$132.00	$132.00	$37.29–$114.78	64% below	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 DX C SPINE 2-3V	$132.00	$132.00	$37.29–$114.78	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 DX PELVIS 1/2 VIEWS	$132.00	$132.00	$26.34–$138.88	58% below	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 DX PELVIS 1/2 VIEWS	$132.00	$132.00	$26.34–$138.88	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 DX SAC COCCYX MIN 2V	$132.00	$132.00	$30.08–$114.78	57% below	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 DX SAC COCCYX MIN 2V	$132.00	$132.00	$30.08–$114.78	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 A.C.T.H.	$171.00	$171.00	$37.85–$119.70	20% below	—
ACTH blood test inpatient CPT 82024 A.C.T.H.	$171.00	$171.00	$37.85–$119.70	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT / SGPT	$30.00	$30.00	$5.19–$21.00	40% below	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT / SGPT	$30.00	$30.00	$5.19–$21.00	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 AST / SGOT	$33.00	$33.00	$5.08–$23.10	36% below	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST / SGOT	$33.00	$33.00	$5.08–$23.10	—	—
Albumin blood test CPT 82040 ALBUMIN	$27.00	$27.00	$4.85–$18.90	27% below	—
Albumin blood test inpatient CPT 82040 ALBUMIN	$27.00	$27.00	$4.85–$18.90	—	—
Aldosterone blood test CPT 82088 ALDOSTERONE	$179.00	$179.00	$39.94–$125.30	34% above	—
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$179.00	$179.00	$39.94–$125.30	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$27.00	$27.00	$5.08–$18.90	44% below	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$27.00	$27.00	$5.08–$18.90	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA IGE	$51.00	$51.00	$5.12–$35.70	112% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE MITE IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 CARELESS WEED IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 LIVE OAK IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENIUS IG	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR IGE	$52.00	$52.00	$5.12–$36.40	117% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 RAST	$152.00	$152.00	$5.12–$106.40	533% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA IGE	$51.00	$51.00	$5.12–$35.70	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARELESS WEED IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIVE OAK IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D FARINAE MITE IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENIUS IG	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHORT RAGWEED IGE	$52.00	$52.00	$5.12–$36.40	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST	$152.00	$152.00	$5.12–$106.40	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTIENS	$135.00	$135.00	$16.43–$94.50	27% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTIENS	$135.00	$135.00	$16.43–$94.50	—	—
Ammonia blood test CPT 82140 AMMONIA	$63.00	$63.00	$14.28–$44.10	56% below	—
Ammonia blood test inpatient CPT 82140 AMMONIA	$63.00	$63.00	$14.28–$44.10	—	—
Amylase blood test CPT 82150 AMYLASE	$159.32	$159.32	$6.35–$111.52	105% above	—
Amylase blood test inpatient CPT 82150 AMYLASE	$159.32	$159.32	$6.35–$111.52	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI CCP	$185.00	$185.00	$12.69–$129.50	233% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI CCP	$185.00	$185.00	$12.69–$129.50	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$201.64	$201.64	$11.85–$141.15	162% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$201.64	$201.64	$11.85–$141.15	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 SAGE BNP	$50.00	$50.00	$35.00–$56.60	68% below	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP(B-NATRIERETIC P)	$301.00	$301.00	$38.47–$210.70	93% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 SAGE BNP	$50.00	$50.00	$35.00–$56.60	—	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP(B-NATRIERETIC P)	$301.00	$301.00	$38.47–$210.70	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BLOOD CULTURE ID	$200.00	$200.00	$8.45–$140.00	199% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BLOOD CULTURE ID	$200.00	$200.00	$8.45–$140.00	—	—
Basic metabolic panel (blood test) CPT 80048 BASIC PANEL	$276.73	$276.73	$8.29–$193.71	32% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC PANEL	$276.73	$276.73	$8.29–$193.71	—	—
Bilirubin blood test, total CPT 82247 BILIRUBEN TOTAL	$28.00	$28.00	$4.92–$19.60	51% below	—
Bilirubin blood test, total CPT 82247 BILIRUBEN PANEL	$48.00	$48.00	$4.92–$33.60	16% below	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBEN TOTAL	$28.00	$28.00	$4.92–$19.60	—	—
Bilirubin blood test, total inpatient CPT 82247 BILIRUBEN PANEL	$48.00	$48.00	$4.92–$33.60	—	—
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$255.00	$255.00	$10.11–$178.50	25% above	—
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$255.00	$255.00	$10.11–$178.50	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SAGE VENIPUNCTURE	$10.00	$10.00	$7.00–$9.15	45% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENI	$16.00	$16.00	$9.15–$11.20	11% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SCHOOL DRUG SCREENS	$17.50	$17.50	$9.15–$12.25	3% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE (MC)	$32.76	$32.76	$9.15–$22.93	81% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SAGE VENIPUNCTURE	$10.00	$10.00	$7.00–$9.15	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLL VENOUS BLD VENI	$16.00	$16.00	$9.15–$11.20	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SCHOOL DRUG SCREENS	$17.50	$17.50	$9.15–$12.25	—	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE (MC)	$32.76	$32.76	$9.15–$22.93	—	—
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD	$21.00	$21.00	$3.85–$14.70	50% below	—
Blood glucose (sugar) test CPT 82947 GLUCOSE	$27.00	$27.00	$3.85–$18.90	35% below	—
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLOOD	$21.00	$21.00	$3.85–$14.70	—	—
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$27.00	$27.00	$3.85–$18.90	—	—
Blood lead test CPT 83655 LEAD	$54.00	$54.00	$11.87–$37.80	16% above	—
Blood lead test inpatient CPT 83655 LEAD	$54.00	$54.00	$11.87–$37.80	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$33.00	$33.00	$7.37–$23.10	76% below	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE	$33.00	$33.00	$7.37–$23.10	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE (BLD)	$28.00	$28.00	$2.93–$19.60	68% below	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE (BLD)	$28.00	$28.00	$2.93–$19.60	—	—
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN	$27.00	$27.00	$3.87–$18.90	49% below	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN	$27.00	$27.00	$3.87–$18.90	—	—
C-peptide blood test CPT 84681 C-PEPTIDE	$90.00	$90.00	$20.39–$63.00	24% above	—
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$90.00	$90.00	$20.39–$63.00	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$132.47	$132.47	$5.08–$92.73	155% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$132.47	$132.47	$5.08–$92.73	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFF	$51.00	$51.00	$35.70–$53.73	71% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMP PROBE	$325.00	$325.00	$36.52–$227.50	85% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFF	$51.00	$51.00	$35.70–$53.73	—	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMP PROBE	$325.00	$325.00	$36.52–$227.50	—	—
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$88.00	$88.00	$20.39–$61.60	34% below	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$88.00	$88.00	$20.39–$61.60	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$90.00	$90.00	$20.39–$63.00	40% below	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$90.00	$90.00	$20.39–$63.00	—	—
Calcium blood test, total CPT 82310 CALCIUM	$25.00	$25.00	$5.06–$17.50	57% below	—
Calcium blood test, total inpatient CPT 82310 CALCIUM	$25.00	$25.00	$5.06–$17.50	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 CEA-CARCINOEMBRYONIC	$151.00	$151.00	$18.58–$105.70	13% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA-CARCINOEMBRYONIC	$151.00	$151.00	$18.58–$105.70	—	—
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER	$36.00	$36.00	$12.62–$25.20	41% below	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER	$36.00	$36.00	$12.62–$25.20	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR	$162.00	$162.00	$34.39–$113.40	30% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PCR	$162.00	$162.00	$34.39–$113.40	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 SAGE LIPID PROFILE	$20.00	$20.00	$13.12–$19.31	87% below	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$71.00	$71.00	$13.12–$49.70	52% below	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 SAGE LIPID PROFILE	$20.00	$20.00	$13.12–$19.31	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$71.00	$71.00	$13.12–$49.70	—	—
Complete blood count (CBC) with differential CPT 85025 CBC	$151.25	$151.25	$7.61–$105.88	66% above	—
Complete blood count (CBC) with differential CPT 85025 SAGE CBC PROFILE	$153.28	$153.28	$7.61–$107.30	68% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC	$151.25	$151.25	$7.61–$105.88	—	—
Complete blood count (CBC) with differential inpatient CPT 85025 SAGE CBC PROFILE	$153.28	$153.28	$7.61–$107.30	—	—
Comprehensive metabolic panel (blood test) CPT 80053 SAGE CMP PROFILE	$35.00	$35.00	$10.35–$24.50	86% below	—
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$323.06	$323.06	$10.35–$226.14	30% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 SAGE CMP PROFILE	$35.00	$35.00	$10.35–$24.50	—	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$323.06	$323.06	$10.35–$226.14	—	—
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$73.00	$73.00	$15.97–$51.10	11% below	—
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$73.00	$73.00	$15.97–$51.10	—	—
Creatine kinase (CK) blood test, total CPT 82550 CK	$162.96	$162.96	$6.38–$114.07	155% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK	$162.96	$162.96	$6.38–$114.07	—	—
Creatinine blood test CPT 82565 CREATININE	$26.00	$26.00	$5.02–$18.20	51% below	—
Creatinine blood test inpatient CPT 82565 CREATININE	$26.00	$26.00	$5.02–$18.20	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 CMV-CYTOMEGALOVIRUS	$63.00	$63.00	$14.10–$44.10	11% below	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV-CYTOMEGALOVIRUS	$63.00	$63.00	$14.10–$44.10	—	—
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$235.81	$235.81	$9.98–$165.07	39% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$235.81	$235.81	$9.98–$165.07	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA - SULFATE	$94.00	$94.00	$21.79–$65.80	38% below	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA - SULFATE	$94.00	$94.00	$21.79–$65.80	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (MULT)	$95.00	$95.00	$60.90–$89.57	53% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 CORD STAT 5 MASS SPE	$250.00	$250.00	$60.90–$175.00	302% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING AMP	$280.00	$280.00	$60.90–$196.00	351% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM	$475.00	$475.00	$60.90–$332.50	664% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN (MULT)	$95.00	$95.00	$60.90–$89.57	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CORD STAT 5 MASS SPE	$250.00	$250.00	$60.90–$175.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING AMP	$280.00	$280.00	$60.90–$196.00	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM	$475.00	$475.00	$60.90–$332.50	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$37.00	$37.00	$6.87–$25.90	77% below	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$37.00	$37.00	$6.87–$25.90	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 MONO TEST	$78.00	$78.00	$17.78–$54.60	9% below	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 MONO TEST	$78.00	$78.00	$17.78–$54.60	—	—
Estradiol blood test CPT 82670 ESTRADIOL	$128.00	$128.00	$27.38–$89.60	3% above	—
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$128.00	$128.00	$27.38–$89.60	—	—
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIM HORMON	$250.00	$250.00	$18.21–$175.00	60% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIM HORMON	$250.00	$250.00	$18.21–$175.00	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROLECTIN FECAL	$65.00	$65.00	$19.24–$45.50	69% below	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROLECTIN FECAL	$65.00	$65.00	$19.24–$45.50	—	—
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$197.00	$197.00	$13.36–$137.90	136% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$197.00	$197.00	$13.36–$137.90	—	—
Fibrinogen blood test CPT 85384 FIBRINOGIN	$36.00	$36.00	$9.53–$25.20	58% below	—
Fibrinogen blood test inpatient CPT 85384 FIBRINOGIN	$36.00	$36.00	$9.53–$25.20	—	—
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$173.84	$173.84	$14.41–$121.69	117% above	—
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$173.84	$173.84	$14.41–$121.69	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$39.00	$39.00	$8.84–$27.30	48% below	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$39.00	$39.00	$8.84–$27.30	—	—
Free testosterone test CPT 84402 FREE TESTOSTERONE	$238.00	$238.00	$24.96–$166.60	125% above	—
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE	$238.00	$238.00	$24.96–$166.60	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$57.00	$57.00	$7.06–$39.90	3% below	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$57.00	$57.00	$7.06–$39.90	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE	$35.00	$35.00	$4.66–$24.50	55% below	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE	$35.00	$35.00	$4.66–$24.50	—	—
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE	$102.00	$102.00	$12.61–$71.40	33% below	—
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE	$102.00	$102.00	$12.61–$71.40	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOE PCR	$250.00	$250.00	$34.39–$175.00	91% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOE PCR	$250.00	$250.00	$34.39–$175.00	—	—
H. pylori antibody blood test CPT 86677 H PYLORI	$152.20	$152.20	$16.51–$106.54	21% above	—
H. pylori antibody blood test inpatient CPT 86677 H PYLORI	$152.20	$152.20	$16.51–$106.54	—	—
H. pylori stool antigen test CPT 87338 HPYLORI STOOL ANTIGN	$61.00	$61.00	$14.09–$42.70	25% below	—
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL ANTIGN	$61.00	$61.00	$14.09–$42.70	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-2 QUANTIFICATION	$373.00	$373.00	$83.40–$261.10	23% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-2 QUANTIFICATION	$373.00	$373.00	$83.40–$261.10	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1	$166.00	$166.00	$23.60–$116.20	22% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1	$166.00	$166.00	$23.60–$116.20	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 SAGE A1C	$15.00	$15.00	$9.52–$14.00	82% below	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCATEDHEMOGLOBIN	$160.00	$160.00	$9.52–$112.00	91% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 SAGE A1C	$15.00	$15.00	$9.52–$14.00	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCATEDHEMOGLOBIN	$160.00	$160.00	$9.52–$112.00	—	—
Hemoglobin blood test CPT 85018 HGB	$18.00	$18.00	$2.32–$12.60	59% below	—
Hemoglobin blood test inpatient CPT 85018 HGB	$18.00	$18.00	$2.32–$12.60	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF ANTIBODY	$48.00	$48.00	$10.53–$33.60	25% below	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF ANTIBODY	$48.00	$48.00	$10.53–$33.60	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF AG	$206.00	$206.00	$10.12–$144.20	194% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF AG	$206.00	$206.00	$10.12–$144.20	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITUS C ANTIBODY	$63.00	$63.00	$13.98–$44.10	26% below	—
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS ANTIBODY	$360.14	$360.14	$13.98–$252.10	323% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITUS C ANTIBODY	$63.00	$63.00	$13.98–$44.10	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS ANTIBODY	$360.14	$360.14	$13.98–$252.10	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA BY PCR-QUA	$145.00	$145.00	$41.98–$101.50	39% below	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA BY PCR-QUA	$145.00	$145.00	$41.98–$101.50	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HERP SIMP TYPE 1 AB	$57.00	$57.00	$12.93–$39.90	21% below	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERP SIMP TYPE 1 AB	$57.00	$57.00	$12.93–$39.90	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIM. TYPE 2AB	$84.00	$84.00	$18.96–$58.80	1% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIM. TYPE 2AB	$84.00	$84.00	$18.96–$58.80	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIAC CRP HIGH SEN	$57.00	$57.00	$12.69–$39.90	25% below	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIAC CRP HIGH SEN	$57.00	$57.00	$12.69–$39.90	—	—
Homocysteine blood test CPT 83090 HOMOCYSTN TOTAL URNE	$72.00	$72.00	$17.56–$50.40	52% below	—
Homocysteine blood test inpatient CPT 83090 HOMOCYSTN TOTAL URNE	$72.00	$72.00	$17.56–$50.40	—	—
Insulin blood test CPT 83525 INSULIN	$51.00	$51.00	$11.20–$35.70	26% below	—
Insulin blood test inpatient CPT 83525 INSULIN	$51.00	$51.00	$11.20–$35.70	—	—
Iron blood test (serum iron) CPT 83540 IRON	$108.26	$108.26	$6.34–$75.78	53% above	—
Iron blood test (serum iron) inpatient CPT 83540 IRON	$108.26	$108.26	$6.34–$75.78	—	—
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP	$153.46	$153.46	$8.57–$107.42	71% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAP	$153.46	$153.46	$8.57–$107.42	—	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$200.00	$200.00	$8.51–$140.00	13% above	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$200.00	$200.00	$8.51–$140.00	—	—
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$82.00	$82.00	$18.15–$57.40	41% below	—
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$82.00	$82.00	$18.15–$57.40	—	—
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$215.00	$215.00	$11.34–$150.50	125% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$215.00	$215.00	$11.34–$150.50	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$38.00	$38.00	$5.92–$26.60	7% below	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$38.00	$38.00	$5.92–$26.60	—	—
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$192.78	$192.78	$6.75–$134.95	185% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$192.78	$192.78	$6.75–$134.95	—	—
Liver function blood test panel CPT 80076 SAGE HEPATIC FUNC	$15.00	$15.00	$8.01–$11.77	92% below	—
Liver function blood test panel CPT 80076 HEPATIC FUNCTION	$43.00	$43.00	$8.01–$30.10	78% below	—
Liver function blood test panel inpatient CPT 80076 SAGE HEPATIC FUNC	$15.00	$15.00	$8.01–$11.77	—	—
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION	$43.00	$43.00	$8.01–$30.10	—	—
Lyme disease antibody test CPT 86618 LYMES TOTAL IGM RESP	$75.00	$75.00	$16.69–$52.50	9% below	—
Lyme disease antibody test inpatient CPT 86618 LYMES TOTAL IGM RESP	$75.00	$75.00	$16.69–$52.50	—	—
Magnesium blood test CPT 83735 SAGE MAGNESIUM	$15.00	$15.00	$6.57–$10.50	67% below	—
Magnesium blood test CPT 83735 MAGNESIUM	$152.35	$152.35	$6.57–$106.64	231% above	—
Magnesium blood test inpatient CPT 83735 SAGE MAGNESIUM	$15.00	$15.00	$6.57–$10.50	—	—
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$152.35	$152.35	$6.57–$106.64	—	—
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$164.00	$164.00	$12.62–$114.80	347% above	—
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$164.00	$164.00	$12.62–$114.80	—	—
Mumps immunity blood test CPT 86735 MUMPS IGG	$57.00	$57.00	$12.79–$39.90	3% below	—
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$57.00	$57.00	$12.79–$39.90	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA - FREE	$81.00	$81.00	$18.02–$56.70	28% below	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA - FREE	$81.00	$81.00	$18.02–$56.70	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$87.00	$87.00	$18.02–$60.90	2% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$87.00	$87.00	$18.02–$60.90	—	—
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$181.00	$181.00	$40.45–$126.70	11% below	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$181.00	$181.00	$40.45–$126.70	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$190.00	$190.00	$5.89–$133.00	280% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$190.00	$190.00	$5.89–$133.00	—	—
Phosphorus (phosphate) blood test CPT 84100 SAGE PHOSPHORUS	$10.00	$10.00	$4.65–$7.00	84% below	—
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS	$29.00	$29.00	$4.65–$20.30	53% below	—
Phosphorus (phosphate) blood test inpatient CPT 84100 SAGE PHOSPHORUS	$10.00	$10.00	$4.65–$7.00	—	—
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS	$29.00	$29.00	$4.65–$20.30	—	—
Potassium blood test CPT 84132 POTASSIUM	$26.00	$26.00	$4.66–$18.20	57% below	—
Potassium blood test inpatient CPT 84132 POTASSIUM	$26.00	$26.00	$4.66–$18.20	—	—
Progesterone blood test CPT 84144 PROGESTERONE	$90.00	$90.00	$20.44–$63.00	11% below	—
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$90.00	$90.00	$20.44–$63.00	—	—
Prolactin blood test CPT 84146 PROLACTIN	$84.00	$84.00	$18.99–$58.80	24% below	—
Prolactin blood test inpatient CPT 84146 PROLACTIN	$84.00	$84.00	$18.99–$58.80	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 SAGE PROTIME W/INR	$15.00	$15.00	$4.20–$10.50	67% below	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME W/INR	$122.46	$122.46	$4.20–$85.72	170% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SAGE PROTIME W/INR	$15.00	$15.00	$4.20–$10.50	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME W/INR	$122.46	$122.46	$4.20–$85.72	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR	$20.00	$20.00	$12.35–$18.16	81% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE	$20.00	$20.00	$12.35–$18.16	81% below	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG TEST PRSMV DIR	$20.00	$20.00	$12.35–$18.16	—	—
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN URINE	$20.00	$20.00	$12.35–$18.16	—	—
Renin blood test CPT 84244 RENIN	$97.00	$97.00	$21.55–$67.90	5% below	—
Renin blood test inpatient CPT 84244 RENIN	$97.00	$97.00	$21.55–$67.90	—	—
Rh blood typing CPT 86901 RH FACTOR	$24.00	$24.00	$2.93–$16.80	63% below	—
Rh blood typing inpatient CPT 86901 RH FACTOR	$24.00	$24.00	$2.93–$16.80	—	—
Rheumatoid factor (RF) test CPT 86431 RF-RHEUMATOID FACTOR	$111.48	$111.48	$5.56–$78.04	144% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 RF-RHEUMATOID FACTOR	$111.48	$111.48	$5.56–$78.04	—	—
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$63.00	$63.00	$14.10–$44.10	24% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$63.00	$63.00	$14.10–$44.10	—	—
Sodium blood test CPT 84295 SODIUM	$21.00	$21.00	$4.71–$14.70	66% below	—
Sodium blood test inpatient CPT 84295 SODIUM	$21.00	$21.00	$4.71–$14.70	—	—
Stool ova and parasites exam CPT 87177 O & P	$42.00	$42.00	$8.72–$29.40	37% below	—
Stool ova and parasites exam inpatient CPT 87177 O & P	$42.00	$42.00	$8.72–$29.40	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT PEROXID	$20.00	$20.00	$4.29–$14.00	47% below	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT SCREEN	$95.00	$95.00	$4.29–$66.50	153% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLOOD OCCULT PEROXID	$20.00	$20.00	$4.29–$14.00	—	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT SCREEN	$95.00	$95.00	$4.29–$66.50	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 INSURE FIT	$84.00	$84.00	$15.60–$58.80	25% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 INSURE FIT	$84.00	$84.00	$15.60–$58.80	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$99.50	$99.50	$4.18–$69.65	133% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL	$99.50	$99.50	$4.18–$69.65	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST, CELL IMMUN	$267.00	$267.00	$60.74–$186.90	30% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST, CELL IMMUN	$267.00	$267.00	$60.74–$186.90	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE	$260.89	$260.89	$25.29–$182.62	161% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE	$260.89	$260.89	$25.29–$182.62	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODY PNL	$63.00	$63.00	$14.26–$44.10	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSOMAL ANTIB	$63.00	$63.00	$14.26–$44.10	24% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB, EACH	$120.00	$120.00	$14.26–$84.00	44% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID ANTIBODY PNL	$63.00	$63.00	$14.26–$44.10	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTIMICROSOMAL ANTIB	$63.00	$63.00	$14.26–$44.10	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB, EACH	$120.00	$120.00	$14.26–$84.00	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 SAGE TSH	$25.00	$25.00	$16.46–$24.22	76% below	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$226.39	$226.39	$16.46–$158.47	116% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 SAGE TSH	$25.00	$25.00	$16.46–$24.22	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$226.39	$226.39	$16.46–$158.47	—	—
Total IgE blood test CPT 82785 IMMUNOGLOBULIN PANEL	$72.00	$72.00	$16.13–$50.40	9% below	—
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN PANEL	$72.00	$72.00	$16.13–$50.40	—	—
Total cholesterol blood test CPT 82465 CHOLESTEROL	$35.00	$35.00	$4.26–$24.50	37% below	—
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$35.00	$35.00	$4.26–$24.50	—	—
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$105.01	$105.01	$6.73–$73.51	31% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$105.01	$105.01	$6.73–$73.51	—	—
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE FT3	$166.03	$166.03	$13.90–$116.22	33% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE FT3	$166.03	$166.03	$13.90–$116.22	—	—
Transferrin blood test CPT 84466 TRANSFERRIN	$55.00	$55.00	$12.50–$38.50	54% below	—
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$55.00	$55.00	$12.50–$38.50	—	—
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG PCE	$135.00	$135.00	$34.39–$94.50	54% above	—
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG PCE	$135.00	$135.00	$34.39–$94.50	—	—
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$42.00	$42.00	$5.63–$29.40	38% below	—
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$42.00	$42.00	$5.63–$29.40	—	—
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QU	$283.63	$283.63	$12.22–$198.54	149% above	—
Troponin test, quantitative inpatient CPT 84484 ASSAY OF TROPONIN QU	$283.63	$283.63	$12.22–$198.54	—	—
Uric acid blood test CPT 84550 URIC ACID	$95.58	$95.58	$4.43–$66.91	22% above	—
Uric acid blood test inpatient CPT 84550 URIC ACID	$95.58	$95.58	$4.43–$66.91	—	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO	$124.70	$124.70	$3.11–$87.29	33% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO	$124.70	$124.70	$3.11–$87.29	—	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W	$17.00	$17.00	$3.41–$11.90	42% below	—
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W/O MICRO	$36.91	$36.91	$3.41–$25.84	26% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W	$17.00	$17.00	$3.41–$11.90	—	—
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS W/O MICRO	$36.91	$36.91	$3.41–$25.84	—	—
Urine culture for bacteria, with colony count CPT 87086 URINE & COLONY COUNT	$171.75	$171.75	$7.91–$120.22	33% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE & COLONY COUNT	$171.75	$171.75	$7.91–$120.22	—	—
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN	$145.00	$145.00	$5.66–$101.50	184% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN	$145.00	$145.00	$5.66–$101.50	—	—
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$135.00	$135.00	$8.44–$94.50	59% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$135.00	$135.00	$8.44–$94.50	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B-12	$181.71	$181.71	$14.78–$127.20	100% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B-12	$181.71	$181.71	$14.78–$127.20	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 SAGE VITAMIN D	$40.00	$40.00	$28.00–$42.68	66% below	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT. D	$142.00	$142.00	$29.01–$99.40	19% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$307.65	$307.65	$29.01–$215.36	158% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 SAGE VITAMIN D	$40.00	$40.00	$28.00–$42.68	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT. D	$142.00	$142.00	$29.01–$99.40	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$307.65	$307.65	$29.01–$215.36	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$166.00	$166.00	$37.73–$116.20	6% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROXY	$166.00	$166.00	$37.73–$116.20	—	—
Zinc blood test CPT 84630 ASSAY OF ZINC	$49.00	$49.00	$11.16–$34.30	28% below	—
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC	$49.00	$49.00	$11.16–$34.30	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG (BETA-QUANT)	$225.00	$225.00	$14.75–$157.50	100% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG (BETA-QUANT)	$225.00	$225.00	$14.75–$157.50	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Appendectomy, open surgery CPT 44950 APPENDECTOMY	$5,500.00	$5,500.00	$576.51–$3,850.00	5% below	—
Appendectomy, open surgery inpatient CPT 44950 APPENDECTOMY	$5,500.00	$5,500.00	$576.51–$3,850.00	—	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLO TX DIS FIB FX	$688.00	$688.00	$329.64–$481.60	48% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLO TX DIS FIB FX	$688.00	$688.00	$329.64–$481.60	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX METATARSAL FX	$281.00	$281.00	$148.93–$223.42	at median	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLO TX METATARSAL WO	$481.00	$481.00	$223.42–$336.70	72% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX METATARSAL FX	$281.00	$281.00	$148.93–$223.42	—	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLO TX METATARSAL WO	$481.00	$481.00	$223.42–$336.70	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIO ELCTV ELEC	$1,061.00	$1,061.00	$146.85–$742.70	20% below	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIO ELCTV ELEC	$1,061.00	$1,061.00	$146.85–$742.70	—	—
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$360.00	$360.00	$142.35–$252.00	68% below	—
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$360.00	$360.00	$142.35–$252.00	—	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28DAYS OR OLD	$3,500.00	$3,500.00	$173.14–$2,450.00	8% below	—
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 CIRCUM 28DAYS OR OLD	$3,500.00	$3,500.00	$173.14–$2,450.00	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRC W RES BLK	$4,309.00	$4,309.00	$144.07–$3,016.30	251% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRC W RES BLK	$4,309.00	$4,309.00	$144.07–$3,016.30	—	—
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION	$800.00	$800.00	$216.10–$560.00	65% below	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION	$800.00	$800.00	$216.10–$560.00	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLO RAD W/WO FX ULNA	$626.00	$626.00	$310.50–$438.20	38% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CLO RAD W/WO FX ULNA	$626.00	$626.00	$310.50–$438.20	—	—
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY & BIOPSY	$1,900.00	$1,900.00	$451.54–$1,330.00	31% above	—
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY & BIOPSY	$1,900.00	$1,900.00	$451.54–$1,330.00	—	—
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY	$1,700.00	$1,700.00	$356.33–$1,190.00	10% above	—
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY	$1,700.00	$1,700.00	$356.33–$1,190.00	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 CERVIX W BX CURETT	$658.00	$658.00	$157.57–$460.60	166% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 CERVIX W BX CURETT	$658.00	$658.00	$157.57–$460.60	—	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION & CURRETTAG	$3,200.00	$3,200.00	$282.26–$2,240.00	21% below	—
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 DILATION & CURRETTAG	$3,200.00	$3,200.00	$282.26–$2,240.00	—	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG	$190.00	$190.00	$62.71–$133.00	5% below	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCT PREMALG	$190.00	$190.00	$62.71–$133.00	—	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT EAR WAX	$50.00	$50.00	$15.83–$35.00	55% below	—
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACTED EAR WAX	$125.00	$125.00	$15.83–$87.50	12% above	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACT EAR WAX	$50.00	$50.00	$15.83–$35.00	—	—
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMPACTED EAR WAX	$125.00	$125.00	$15.83–$87.50	—	—
Earwax removal with instruments, one ear CPT 69210 REM IMPACTED EARS	$125.00	$125.00	$45.30–$87.50	1% above	—
Earwax removal with instruments, one ear CPT 69210 REM IMP EAR WAX UNI	$159.00	$159.00	$45.30–$111.30	28% above	—
Earwax removal with instruments, one ear CPT 69210 REM IMPAC EAR WAX	$159.00	$159.00	$45.30–$111.30	28% above	—
Earwax removal with instruments, one ear CPT 69210 REM IMPACT EAR WAX	$159.00	$159.00	$45.30–$111.30	28% above	—
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACTED EARS	$125.00	$125.00	$45.30–$87.50	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACT EAR WAX	$159.00	$159.00	$45.30–$111.30	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPAC EAR WAX	$159.00	$159.00	$45.30–$111.30	—	—
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMP EAR WAX UNI	$159.00	$159.00	$45.30–$111.30	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS	$339.00	$339.00	$92.98–$237.30	8% below	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS	$339.00	$339.00	$92.98–$237.30	—	—
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECOMY	$6,600.00	$6,600.00	$600.75–$4,620.00	19% below	—
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP CHOLECYSTECOMY	$6,600.00	$6,600.00	$600.75–$4,620.00	—	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTO	$6,600.00	$6,600.00	$650.73–$4,620.00	20% below	—
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAPARO CHOLECYSTECTO	$6,600.00	$6,600.00	$650.73–$4,620.00	—	—
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTECTOMY	$2,800.00	$2,800.00	$961.57–$1,960.00	16% below	—
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 CHOLECYSTECTOMY	$2,800.00	$2,800.00	$961.57–$1,960.00	—	—
Hemorrhoid banding (rubber band ligation) CPT 46221 BANDING OF HEMRRHOID	$1,030.00	$1,030.00	$306.16–$721.00	16% above	—
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 BANDING OF HEMRRHOID	$1,030.00	$1,030.00	$306.16–$721.00	—	—
Hemorrhoidectomy (internal and external), one area CPT 46255 REM INT/EXT HEM 1 GR	$2,250.00	$2,250.00	$546.91–$1,575.00	38% below	—
Hemorrhoidectomy (internal and external), one area CPT 46255 REMV INT/EX HM 1 GRP	$4,239.00	$4,239.00	$546.91–$2,967.30	17% above	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REM INT/EXT HEM 1 GR	$2,250.00	$2,250.00	$546.91–$1,575.00	—	—
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 REMV INT/EX HM 1 GRP	$4,239.00	$4,239.00	$546.91–$2,967.30	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTER	$298.00	$298.00	$157.94–$221.46	20% below	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATHETER FOR HYSTER	$298.00	$298.00	$157.94–$221.46	—	—
IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD	$357.00	$357.00	$189.21–$249.90	6% below	—
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT IUD	$357.00	$357.00	$189.21–$249.90	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 ABCESS INCIS/DRAIN	$267.00	$267.00	$121.38–$186.90	38% below	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABCESS INCIS/DRAIN	$267.00	$267.00	$121.38–$186.90	—	—
Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INT REDUC	$6,005.00	$6,005.00	$482.35–$4,203.50	3% below	—
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PRP I/HERN INT REDUC	$6,005.00	$6,005.00	$482.35–$4,203.50	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LI	$380.00	$380.00	$57.31–$266.00	5% below	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LI	$380.00	$380.00	$57.31–$266.00	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHCNT/INJ/MAJOR JT	$438.00	$438.00	$65.08–$306.60	26% below	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHCNT/INJ/MAJOR JT	$438.00	$438.00	$65.08–$306.60	—	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT	$808.00	$808.00	$101.56–$565.60	237% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT	$808.00	$808.00	$101.56–$565.60	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHCNT/INJ INTM/JT	$438.00	$438.00	$54.10–$306.60	26% below	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHCNT/INJ INTM/JT	$438.00	$438.00	$54.10–$306.60	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHCNT/INJ INTM/JT	$438.00	$438.00	$53.14–$306.60	2% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN	$485.00	$485.00	$53.14–$339.50	13% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHCNT/INJ INTM/JT	$438.00	$438.00	$53.14–$306.60	—	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN	$485.00	$485.00	$53.14–$339.50	—	—
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAP APPENDECTOMY	$6,500.00	$6,500.00	$549.50–$4,550.00	8% below	—
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 LAP APPENDECTOMY	$6,500.00	$6,500.00	$549.50–$4,550.00	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR CLO EXTR 2.5/LES	$373.06	$373.06	$185.04–$261.14	30% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR SATEX 2.5C	$390.00	$390.00	$206.70–$273.00	27% below	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LYR CLO EXTR 2.5/LES	$373.06	$373.06	$185.04–$261.14	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR SATEX 2.5C	$390.00	$390.00	$206.70–$273.00	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERMALINAR LMB	$852.17	$852.17	$137.73–$596.52	31% below	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 NJX INTERMALINAR LMB	$852.17	$852.17	$137.73–$596.52	—	—
Miscarriage treatment with D&C, first trimester CPT 59820 SRG MSS ABRT 1ST TRI	$3,754.00	$3,754.00	$406.96–$2,627.80	3% above	—
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 SRG MSS ABRT 1ST TRI	$3,754.00	$3,754.00	$406.96–$2,627.80	—	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC B9 LES+MARG .5CM	$788.00	$788.00	$120.28–$551.60	2% below	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC B9 LES+MARG .5CM	$788.00	$788.00	$120.28–$551.60	—	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG	$795.00	$795.00	$133.55–$556.50	8% below	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG	$795.00	$795.00	$133.55–$556.50	—	—
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLT/COMPT	$204.00	$204.00	$101.18–$142.80	28% below	—
Nail removal (partial or complete), one nail CPT 11730 REM OF NAIL PLATE	$260.00	$260.00	$105.33–$182.00	8% below	—
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLT/COMPT	$204.00	$204.00	$101.18–$142.80	—	—
Nail removal (partial or complete), one nail inpatient CPT 11730 REM OF NAIL PLATE	$260.00	$260.00	$105.33–$182.00	—	—
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES OCCIPITAL	$642.00	$642.00	$74.53–$449.40	50% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES OCCIPITAL	$642.00	$642.00	$74.53–$449.40	—	—
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS	$1,095.00	$1,095.00	$267.29–$766.50	25% below	—
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS	$1,095.00	$1,095.00	$267.29–$766.50	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/MATRIX PART	$788.00	$788.00	$148.98–$551.60	54% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$788.00	$788.00	$148.98–$551.60	54% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$788.00	$788.00	$148.98–$551.60	—	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL/MATRIX PART	$788.00	$788.00	$148.98–$551.60	—	—
Removal of a breast lump, open surgery CPT 19120 REMOVE BREAST LES	$3,779.00	$3,779.00	$540.50–$2,645.30	23% below	—
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVE BREAST LES	$3,779.00	$3,779.00	$540.50–$2,645.30	—	—
Removal of a foreign object under the skin, simple CPT 10120 INC & REM FB SUBCU	$480.00	$480.00	$148.09–$336.00	8% below	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC & REM FB SUBCU	$480.00	$480.00	$148.09–$336.00	—	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLOREC CNCR SCR	$2,300.00	$2,300.00	$356.62–$1,610.00	194% above	—
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLOREC CNCR SCR	$2,300.00	$2,300.00	$356.62–$1,610.00	—	—
Short arm cast (elbow to hand) CPT 29075 APP ELBOW TO FINGER	$428.00	$428.00	$91.75–$299.60	53% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 APP ELBOW TO FINGER	$428.00	$428.00	$91.75–$299.60	—	—
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$171.00	$171.00	$74.30–$119.70	24% below	—
Short arm splint (forearm and hand) CPT 29125 APP SH/ARM SPLINT/DR	$171.00	$171.00	$74.30–$119.70	24% below	—
Short arm splint (forearm and hand) CPT 29125 APP FOREARM SPLINT	$171.00	$171.00	$74.30–$119.70	24% below	—
Short arm splint (forearm and hand) CPT 29125 APPL SHRT ARM SPLINT	$198.00	$198.00	$74.30–$138.60	13% below	—
Short arm splint (forearm and hand) inpatient CPT 29125 APP SH/ARM SPLINT/DR	$171.00	$171.00	$74.30–$119.70	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APP FOREARM SPLINT	$171.00	$171.00	$74.30–$119.70	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$171.00	$171.00	$74.30–$119.70	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 APPL SHRT ARM SPLINT	$198.00	$198.00	$74.30–$138.60	—	—
Short leg cast (below the knee) CPT 29405 APP SHRT LEG CAST	$144.00	$144.00	$76.32–$100.80	58% below	—
Short leg cast (below the knee) CPT 29405 APPL SHRT LEG CAST	$428.00	$428.00	$82.80–$299.60	26% above	—
Short leg cast (below the knee) one side CPT 29405 APPLY SH LEG CAST,MEDICARE	$415.00	$415.00	$82.80–$290.50	22% above	—
Short leg cast (below the knee) inpatient CPT 29405 APP SHRT LEG CAST	$144.00	$144.00	$76.32–$100.80	—	—
Short leg cast (below the knee) inpatient CPT 29405 APPL SHRT LEG CAST	$428.00	$428.00	$82.80–$299.60	—	—
Short leg cast (below the knee) inpatient one side CPT 29405 APPLY SH LEG CAST,MEDICARE	$415.00	$415.00	$82.80–$290.50	—	—
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT	$90.00	$90.00	$47.70–$77.73	66% below	—
Short leg splint (calf to foot) CPT 29515 APP LWR LEG SPLINT	$129.00	$129.00	$68.37–$90.30	51% below	—
Short leg splint (calf to foot) CPT 29515 APPLIC SHT LG SPLINT	$198.00	$198.00	$77.73–$138.60	24% below	—
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT	$90.00	$90.00	$47.70–$77.73	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APP LWR LEG SPLINT	$129.00	$129.00	$68.37–$90.30	—	—
Short leg splint (calf to foot) inpatient CPT 29515 APPLIC SHT LG SPLINT	$198.00	$198.00	$77.73–$138.60	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SREP S/N/A/G 2.5CM/<	$240.00	$240.00	$107.03–$168.00	28% below	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR EXTR 2.5/LESS	$695.78	$695.78	$107.03–$487.05	108% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SREP S/N/A/G 2.5CM/<	$240.00	$240.00	$107.03–$168.00	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 RPR EXTR 2.5/LESS	$695.78	$695.78	$107.03–$487.05	—	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SNG LE	$182.00	$182.00	$96.46–$127.40	57% below	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE	$290.00	$290.00	$113.97–$203.00	31% below	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SGL SKIN LE	$440.00	$440.00	$113.97–$308.00	4% above	—
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SIN LE	$873.00	$873.00	$113.97–$611.10	106% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SNG LE	$182.00	$182.00	$96.46–$127.40	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE	$290.00	$290.00	$113.97–$203.00	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SGL SKIN LE	$440.00	$440.00	$113.97–$308.00	—	—
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SIN LE	$873.00	$873.00	$113.97–$611.10	—	—
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAGS; TO 15	$146.00	$146.00	$77.38–$102.20	52% below	—
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$200.00	$200.00	$86.95–$140.00	34% below	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAGS; TO 15	$146.00	$146.00	$77.38–$102.20	—	—
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS	$200.00	$200.00	$86.95–$140.00	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMBR DX	$699.00	$699.00	$155.01–$489.30	33% below	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC LUMBR DX	$699.00	$699.00	$155.01–$489.30	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR EXTR 2.6-7.5 CM	$685.68	$685.68	$131.03–$479.98	75% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 RPR EXTR 2.6-7.5 CM	$685.68	$685.68	$131.03–$479.98	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SUT/LIP 2.5 CM OR<PA	$116.00	$116.00	$61.48–$131.23	70% below	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR FC/ER/NS/MM 2.5L	$755.95	$755.95	$131.23–$529.16	94% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SUT/LIP 2.5 CM OR<PA	$116.00	$116.00	$61.48–$131.23	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 RPR FC/ER/NS/MM 2.5L	$755.95	$755.95	$131.23–$529.16	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SIN	$267.00	$267.00	$89.82–$186.90	26% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SING	$600.00	$600.00	$89.82–$420.00	67% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SINGLE LE	$620.00	$620.00	$89.82–$434.00	72% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SIN	$267.00	$267.00	$89.82–$186.90	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SING	$600.00	$600.00	$89.82–$420.00	—	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SINGLE LE	$620.00	$620.00	$89.82–$434.00	—	—
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$3,600.00	$3,600.00	$220.16–$2,520.00	19% below	—
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 REMOVAL OF TONSILS	$3,600.00	$3,600.00	$220.16–$2,520.00	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 NERVE INJECTION LVL1	$438.00	$438.00	$49.11–$306.60	1% below	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 NERVE INJECTION LVL1	$438.00	$438.00	$49.11–$306.60	—	—
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/CLOSED BIOPSY	$1,500.00	$1,500.00	$393.02–$1,050.00	7% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI	$1,613.00	$1,613.00	$393.02–$1,129.10	15% above	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/CLOSED BIOPSY	$1,500.00	$1,500.00	$393.02–$1,050.00	—	—
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI	$1,613.00	$1,613.00	$393.02–$1,129.10	—	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSER	$1,950.00	$1,950.00	$430.11–$1,365.00	167% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD GUIDE WIRE INSER	$1,950.00	$1,950.00	$430.11–$1,365.00	—	—
Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTET CARE W/POST P	$4,820.00	$4,820.00	$2,105.40–$3,374.00	80% above	—
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 OBSTET CARE W/POST P	$4,820.00	$4,820.00	$2,105.40–$3,374.00	—	—
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LES 1-14	$146.00	$146.00	$72.42–$104.47	27% below	—
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LES 1-14	$146.00	$146.00	$72.42–$104.47	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ 1ST20	$959.00	$959.00	$124.76–$671.30	5% below	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISS 20SQ	$959.00	$959.00	$124.76–$671.30	5% below	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQ TISS 20SQ	$959.00	$959.00	$124.76–$671.30	—	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DBRDMT SUBQ 1ST20	$959.00	$959.00	$124.76–$671.30	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANS BLD/BLD COMP	$638.00	$638.00	$44.06–$446.60	17% below	—
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SV	$1,240.83	$1,240.83	$44.06–$868.58	62% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS BLD/BLD COMP	$638.00	$638.00	$44.06–$446.60	—	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SV	$1,240.83	$1,240.83	$44.06–$868.58	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHAL TRTMNT	$191.49	$191.49	$8.07–$134.04	6% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TR	$609.66	$609.66	$8.07–$426.76	200% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HANDHELD NEBLZER TX	$610.00	$610.00	$8.07–$427.00	200% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHAL TRTMNT	$191.49	$191.49	$8.07–$134.04	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TR	$609.66	$609.66	$8.07–$426.76	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HANDHELD NEBLZER TX	$610.00	$610.00	$8.07–$427.00	—	—
Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE 1ST HR	$2,536.44	$2,536.44	$294.16–$1,775.51	at median	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE 1ST HR	$2,536.44	$2,536.44	$294.16–$1,775.51	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TR	$75.00	$75.00	$6.51–$52.50	72% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD	$250.00	$250.00	$6.51–$175.00	8% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TR	$75.00	$75.00	$6.51–$52.50	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD	$250.00	$250.00	$6.51–$175.00	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER LEVEL 1	$253.77	$253.77	$10.62–$177.64	8% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER LEVEL 1	$253.77	$253.77	$10.62–$177.64	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER LEVEL 2	$467.49	$467.49	$38.97–$327.24	7% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER LEVEL 2	$467.49	$467.49	$38.97–$327.24	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER LEVEL 3	$815.55	$815.55	$66.98–$570.88	6% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER LEVEL 3	$815.55	$815.55	$66.98–$570.88	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER LEVEL 4	$1,266.00	$1,266.00	$114.01–$886.20	2% below	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER LEVEL 4	$1,266.00	$1,266.00	$114.01–$886.20	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER LEVEL 5	$1,835.97	$1,835.97	$165.31–$1,285.18	3% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER LEVEL 5	$1,835.97	$1,835.97	$165.31–$1,285.18	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 CVSLR STRESS TEST	$468.00	$468.00	$36.32–$327.60	63% below	—
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST CARDIOVS	$900.00	$900.00	$36.32–$630.00	28% below	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CVSLR STRESS TEST	$468.00	$468.00	$36.32–$327.60	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST CARDIOVS	$900.00	$900.00	$36.32–$630.00	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL	$336.00	$336.00	$31.33–$235.20	23% below	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYD IV INF INIT	$619.71	$619.71	$31.33–$433.80	43% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL	$336.00	$336.00	$31.33–$235.20	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYD IV INF INIT	$619.71	$619.71	$31.33–$433.80	—	—
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST HR	$343.00	$343.00	$62.73–$240.10	24% below	—
IV infusion of a medicine, first hour CPT 96365 IV INFS INIT UP 1HR	$343.00	$343.00	$62.73–$240.10	24% below	—
IV infusion of a medicine, first hour CPT 96365 THER/PRO/DIAG IV INT	$619.70	$619.70	$62.73–$433.79	38% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST HR	$343.00	$343.00	$62.73–$240.10	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFS INIT UP 1HR	$343.00	$343.00	$62.73–$240.10	—	—
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PRO/DIAG IV INT	$619.70	$619.70	$62.73–$433.79	—	—
IV push of a medicine, first drug CPT 96374 IV PUSH INJECTION	$97.00	$97.00	$35.37–$67.90	58% below	—
IV push of a medicine, first drug CPT 96374 THER/PRO/DIAG IV PSH	$153.00	$153.00	$35.37–$107.10	33% below	—
IV push of a medicine, first drug CPT 96374 THR/PRPH/DIAG INJ IV	$619.70	$619.70	$35.37–$433.79	171% above	—
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INJECTION	$97.00	$97.00	$35.37–$67.90	—	—
IV push of a medicine, first drug inpatient CPT 96374 THER/PRO/DIAG IV PSH	$153.00	$153.00	$35.37–$107.10	—	—
IV push of a medicine, first drug inpatient CPT 96374 THR/PRPH/DIAG INJ IV	$619.70	$619.70	$35.37–$433.79	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/AIAG INJ	$88.00	$88.00	$14.56–$61.60	40% below	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBCUT	$202.40	$202.40	$14.56–$141.68	38% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/AIAG INJ	$88.00	$88.00	$14.56–$61.60	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SUBCUT	$202.40	$202.40	$14.56–$141.68	—	—
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUC 15M	$83.00	$83.00	$31.26–$58.10	26% below	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC REEDUC 15M	$83.00	$83.00	$31.26–$58.10	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFF/OP NEW SF 15MIN	$92.00	$92.00	$48.76–$71.34	38% below	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFF/OP NEW SF 15MIN	$92.00	$92.00	$48.76–$71.34	—	—
Preventive checkup, new patient aged 18–39 CPT 99385 NEW VISIT 18-39 YRS	$242.00	$242.00	$128.26–$169.40	74% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VST NEW 18-39YR	$242.00	$242.00	$128.26–$169.40	74% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VIST NEW 18-39	$242.00	$242.00	$128.26–$169.40	74% above	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VIST NEW 18-39	$242.00	$242.00	$128.26–$169.40	—	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 NEW VISIT 18-39 YRS	$242.00	$242.00	$128.26–$169.40	—	—
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV VST NEW 18-39YR	$242.00	$242.00	$128.26–$169.40	—	—
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VST NW 40-64YR	$268.00	$268.00	$142.04–$187.60	85% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 NEW PT SCRN 40-64YRS	$268.00	$268.00	$142.04–$187.60	85% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 PREV NEW 40-64 YRS	$268.00	$268.00	$142.04–$187.60	85% above	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV VST NW 40-64YR	$268.00	$268.00	$142.04–$187.60	—	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV NEW 40-64 YRS	$268.00	$268.00	$142.04–$187.60	—	—
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 NEW PT SCRN 40-64YRS	$268.00	$268.00	$142.04–$187.60	—	—
Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL NEW 65+YRS	$297.00	$297.00	$157.41–$207.90	86% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PT NEW 65+YRS	$297.00	$297.00	$157.41–$207.90	86% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 INIT EM NEW PT 65+YR	$297.00	$297.00	$157.41–$207.90	86% above	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INITIAL NEW 65+YRS	$297.00	$297.00	$157.41–$207.90	—	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT PT NEW 65+YRS	$297.00	$297.00	$157.41–$207.90	—	—
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 INIT EM NEW PT 65+YR	$297.00	$297.00	$157.41–$207.90	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION	$38.00	$38.00	$14.66–$26.60	11% below	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION	$38.00	$38.00	$14.66–$26.60	—	—
Spirometry (breathing test) CPT 94010 PFT PRE/POST	$177.00	$177.00	$27.90–$123.90	50% below	—
Spirometry (breathing test) inpatient CPT 94010 PFT PRE/POST	$177.00	$177.00	$27.90–$123.90	—	—
Spirometry before and after a bronchodilator CPT 94060 PFT WITH MDI	$900.00	$900.00	$40.70–$630.00	51% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT WITH MDI	$900.00	$900.00	$40.70–$630.00	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUB	$175.00	$175.00	$92.75–$122.50	56% below	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VAR VACCINE LIVE SUB	$175.00	$175.00	$92.75–$122.50	—	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6	$128.00	$128.00	$67.84–$89.60	73% above	—
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE 4-6	$128.00	$128.00	$67.84–$89.60	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPATACEL 10,5,3 UG	$98.00	$98.00	$51.94–$68.60	9% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS	$125.00	$125.00	$66.25–$87.50	39% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 TETANUS DIPTH. .5ML	$127.00	$127.00	$67.31–$88.90	41% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DAPATACEL 10,5,3 UG	$98.00	$98.00	$51.94–$68.60	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE < 7 YRS	$125.00	$125.00	$66.25–$87.50	—	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 TETANUS DIPTH. .5ML	$127.00	$127.00	$67.31–$88.90	—	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX .5ML INJ	$306.00	$306.00	$162.18–$214.20	44% above	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX .5ML INJ	$306.00	$306.00	$162.18–$214.20	—	—
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE	$128.00	$128.00	$67.84–$89.60	54% below	—
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV/HIB VACCINE	$128.00	$128.00	$67.84–$89.60	—	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VA	$225.00	$225.00	$119.25–$157.50	at median	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 VAXELIS IM	$225.00	$225.00	$119.25–$157.50	at median	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VA	$225.00	$225.00	$119.25–$157.50	—	—
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 VAXELIS IM	$225.00	$225.00	$119.25–$157.50	—	—
Hepatitis A vaccine, adult dose CPT 90632 VAQTA 50 U/ML	$266.00	$266.00	$72.26–$186.20	45% above	—
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACC ADULT IM	$272.00	$272.00	$72.26–$190.40	49% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA 50 U/ML	$266.00	$266.00	$72.26–$186.20	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPA VACC ADULT IM	$272.00	$272.00	$72.26–$190.40	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2	$92.00	$92.00	$48.76–$64.40	2% below	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX PEDI 1440U/ML	$240.00	$240.00	$127.20–$168.00	156% above	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPA VACC PED/ADOL 2	$92.00	$92.00	$48.76–$64.40	—	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX PEDI 1440U/ML	$240.00	$240.00	$127.20–$168.00	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE	$193.00	$193.00	$73.64–$135.10	17% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/ML	$302.00	$302.00	$73.64–$211.40	83% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPB VACCINE 3 DOSE	$193.00	$193.00	$73.64–$135.10	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/ML	$302.00	$302.00	$73.64–$211.40	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED	$96.00	$96.00	$32.54–$67.20	18% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 RECOMBIVAX HB10MCG	$97.00	$97.00	$32.54–$67.90	19% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX 20MCG/ML	$187.00	$187.00	$32.54–$130.90	130% above	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACC 3 DOSE PED	$96.00	$96.00	$32.54–$67.20	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 RECOMBIVAX HB10MCG	$97.00	$97.00	$32.54–$67.90	—	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX 20MCG/ML	$187.00	$187.00	$32.54–$130.90	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3DO	$45.00	$45.00	$23.85–$31.50	38% below	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEM0 B CONJ VAC 10U	$95.00	$95.00	$50.35–$66.50	30% above	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HIB PRP-OMP VACC 3DO	$45.00	$45.00	$23.85–$31.50	—	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEM0 B CONJ VAC 10U	$95.00	$95.00	$50.35–$66.50	—	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACC 4 DOS	$45.00	$45.00	$23.85–$31.50	4% below	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB PRP-T VACC 4 DOS	$45.00	$45.00	$23.85–$31.50	—	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC	$93.00	$93.00	$49.29–$65.10	54% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$201.00	$201.00	$106.53–$140.70	at median	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE SC	$93.00	$93.00	$49.29–$65.10	—	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II	$201.00	$201.00	$106.53–$140.70	—	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC	$275.00	$275.00	$145.75–$192.50	at median	—
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MMRV VACCINE SC	$275.00	$275.00	$145.75–$192.50	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM	$189.00	$189.00	$100.17–$132.30	47% below	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACWYD/MENACWYCRM	$189.00	$189.00	$100.17–$132.30	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM	$200.00	$200.00	$106.00–$252.83	59% below	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR PEDI	$529.00	$529.00	$252.83–$370.30	9% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PCV13 VACCINE IM	$200.00	$200.00	$106.00–$252.83	—	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR PEDI	$529.00	$529.00	$252.83–$370.30	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 ADULT/IMMNZ SUBQ/IM	$72.00	$72.00	$35.71–$130.80	72% below	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23	$916.00	$916.00	$130.80–$641.20	262% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 ADULT/IMMNZ SUBQ/IM	$72.00	$72.00	$35.71–$130.80	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23	$916.00	$916.00	$130.80–$641.20	—	—
Polio vaccine, inactivated (IPV) CPT 90713 IPOL 40 D 32 D	$1,033.00	$1,033.00	$547.49–$723.10	210% above	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL 40 D 32 D	$1,033.00	$1,033.00	$547.49–$723.10	—	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE	$350.00	$350.00	$173.60–$308.92	66% below	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$410.00	$410.00	$217.30–$308.92	60% below	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE	$350.00	$350.00	$173.60–$308.92	—	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$410.00	$410.00	$217.30–$308.92	—	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE	$177.00	$177.00	$93.81–$123.90	34% above	—
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 RV1 VACC 2 DOSE LIVE	$177.00	$177.00	$93.81–$123.90	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE	$200.00	$200.00	$106.00–$140.00	94% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTATEQ	$292.00	$292.00	$154.76–$204.40	184% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 RV5 VACC 3 DOSE LIVE	$200.00	$200.00	$106.00–$140.00	—	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTATEQ	$292.00	$292.00	$154.76–$204.40	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7Y	$37.00	$37.00	$19.61–$37.98	63% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TET DIP TOX 5LF 2LF	$81.00	$81.00	$37.98–$56.70	20% below	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7+	$360.00	$360.00	$37.98–$252.00	256% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7Y	$37.00	$37.00	$19.61–$37.98	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TET DIP TOX 5LF 2LF	$81.00	$81.00	$37.98–$56.70	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACC NO PRESV 7+	$360.00	$360.00	$37.98–$252.00	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/>	$65.00	$65.00	$34.45–$45.50	45% below	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL INJ	$156.00	$156.00	$38.69–$109.20	33% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE	$156.00	$156.00	$38.69–$109.20	33% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE	$312.03	$312.03	$38.69–$218.42	166% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/>	$65.00	$65.00	$34.45–$45.50	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE	$156.00	$156.00	$38.69–$109.20	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL INJ	$156.00	$156.00	$38.69–$109.20	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE	$312.03	$312.03	$38.69–$218.42	—	—
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 TYPHOID VACCINE ORAL	$75.00	$75.00	$39.75–$52.50	634% above	—
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 TYPHOID VACCINE ORAL	$75.00	$75.00	$39.75–$52.50	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 UNINSURED VACCINES	$13.75	$13.75	$7.29–$20.77	81% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$30.00	$30.00	$15.90–$21.00	59% below	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNZATION ADMIN	$75.00	$75.00	$20.77–$52.50	2% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INJECT	$201.22	$201.22	$20.77–$140.85	173% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 UNINSURED VACCINES	$13.75	$13.75	$7.29–$20.77	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$30.00	$30.00	$15.90–$21.00	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNZATION ADMIN	$75.00	$75.00	$20.77–$52.50	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INJECT	$201.22	$201.22	$20.77–$140.85	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN	$40.00	$40.00	$15.14–$28.00	15% below	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADD'T	$67.00	$67.00	$15.14–$46.90	43% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN	$40.00	$40.00	$15.14–$28.00	—	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADD'T	$67.00	$67.00	$15.14–$46.90	—	—

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://s3.amazonaws.com/ycubaa-production-marlin-1-charge-management-public/facilities/741f735f-d6cc-4802-8169-175329ceb889/432080293_MEDICAL-ARTS-HOSPITAL_standardcharges.csv