Hospital

Memorial Hospital

Memorial Hospital in Seminole, TX publishes cash prices for 400 common procedures listed here, from its own machine-readable price file updated Oct 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 254 of 394 procedures and above it for 139. By typical cash price it ranks #96 of 299 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

209 NW 8TH ST, SEMINOLE, TX 79360 Collected Nov 9, 2026 Source price file Check a bill from this hospital

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 WO WITH CONTRAST ABOVE WAIST	$940.26	$3,197.20	$220.58–$2,557.76	67% below	71%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS FLAT AND UPRT OR DECU	$364.26	$548.04	$131.99–$438.43	4% below	34%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE BILATERAL	$259.38	$528.91	$109.09–$423.13	—	51%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RIGHT	$259.38	$528.91	$109.09–$423.13	27% below	51%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LEFT	$259.38	$528.91	$109.09–$423.13	27% below	51%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX ABI	$370.70	$727.93	$80.49–$582.34	39% below	49%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT LEFT NO CONTRAST	$578.33	$2,059.26	$33.11–$1,647.41	65% below	72%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT RIGHT NO CONTRAST	$578.33	$2,059.26	$33.11–$1,647.41	65% below	72%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BARIUM SWALLOW ROUTINE ESOPHAGRAM	$592.22	$871.05	$106.13–$696.84	18% above	32%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN	$879.61	$2,491.43	$300.01–$1,993.14	44% below	65%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILAT COMPLETE INCLUDE AXILLA	$364.26	$760.14	$33.11–$608.11	—	52%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMPLETE INCLUDE AXILLA	$364.26	$760.14	$33.11–$608.11	18% below	52%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMPLETE INCL AXILLA	$364.26	$760.14	$33.11–$608.11	18% below	52%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILAT LIMITED INCLUDES AXILLA	$259.38	$581.45	$109.09–$465.16	—	55%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LIMITED INCLUDES AXILLA	$259.38	$581.45	$109.09–$465.16	25% below	55%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LIMITED INCLUDES AXILLA	$259.38	$581.45	$109.09–$465.16	25% below	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN PELVIS RENAL ARTERY	$1,498.88	$4,687.43	$461.69–$3,749.94	63% below	68%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD CIRCLE OF WILLIS ANEURYSM	$940.26	$3,129.20	$220.58–$2,503.36	61% below	70%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK CAROTIDS	$940.26	$3,091.20	$220.58–$2,472.96	61% below	70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST PE OR DISSECTION STUDY	$940.26	$3,235.20	$220.58–$2,588.16	64% below	71%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS NO IV CONTRAST STONES	$1,202.49	$3,719.77	$230.02–$2,975.82	58% below	68%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W IV CONTR HPRADEFAULT	$1,970.35	$4,752.64	$355.76–$3,802.11	48% below	59%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WO WITH IV CONTRAST	$1,970.35	$5,256.43	$396.62–$4,205.14	48% below	63%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST ABOVE WAIST	$940.26	$2,739.20	$220.58–$2,191.36	63% below	66%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN NO CONTRAST ABOVE WAIST ONLY	$578.33	$2,739.20	$131.99–$2,191.36	71% below	79%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL NO CONTRAST FACIALBONES	$578.33	$2,120.20	$131.99–$1,696.16	65% below	73%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS NO CONTRAST NOT PART OF HEAD	$578.33	$2,120.20	$131.99–$1,696.16	65% below	73%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD BRAIN NO CONTRAST	$578.33	$2,164.95	$131.99–$1,731.96	65% below	73%
CT scan of the head with contrast CPT 70460 CT HEAD BRAIN WITH CONTRAST	$940.26	$2,360.20	$220.58–$1,888.16	44% below	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD BRAIN WO WITH CONTRAST	$940.26	$2,832.20	$220.58–$2,265.76	54% below	67%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE NO CONTRAST	$578.33	$2,361.81	$33.11–$1,889.45	67% below	76%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WO CONTRAST	$578.33	$2,380.81	$131.99–$1,904.65	72% below	76%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE C SPINE NECK FOR TRAUM	$578.33	$2,380.81	$131.99–$1,904.65	72% below	76%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$940.26	$2,587.93	$220.58–$2,070.34	57% below	64%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX SCAN BILATERAL	$558.76	$1,579.77	$188.02–$1,263.82	—	65%
Chest CT scan without and with contrast CPT 71270 CT CHEST LUNGS WO WITH CONTRAST STAGING	$940.26	$3,207.20	$220.58–$2,565.76	63% below	71%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW PA LATERAL	$259.38	$474.91	$75.31–$379.93	33% below	45%
Chest X-ray, 2 views CPT 71046 XR CHEST REPEAT BY SAME PHYSICIAN	$259.38	$474.91	$75.31–$379.93	33% below	45%
Chest X-ray, 2 views CPT 71046 XR CHEST REPEAT BY DIFFERENT PHYSICIAN	$259.38	$474.91	$75.31–$379.93	33% below	45%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$259.38	$419.91	$75.31–$335.93	20% below	38%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR CLAVICLE BILAT 2 VIEWS COLLARBONE	$259.38	$464.91	$71.95–$371.93	—	44%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT 2 VIEWS COLLARBONE	$259.38	$464.91	$71.95–$371.93	14% below	44%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT 2 VIEWS COLLARBONE	$259.38	$464.91	$71.95–$371.93	14% below	44%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL AORTA KIDNEYS AND BLADDER	$364.26	$1,021.81	$117.96–$817.45	47% below	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR DEXA BONE DENSITY OF HIP AND SPINE	$99.55	$670.81	$87.91–$536.65	75% below	85%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR DEXA APPENDICULAR RADIUS WRIST HEEL	$76.15	$373.91	$35.30–$299.13	65% below	80%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG OB ANATOMY SCAN 18TO22 WEEKS	$275.24	$1,152.77	$188.02–$922.22	60% below	76%
Detailed fetal anatomy ultrasound, through the belly, one baby one side CPT 76811 US PREG UTERUS RT W/IMG MTHR/1ST FETUS	$275.24	$1,152.77	$188.02–$922.22	60% below	76%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST LUNGS NO CONTRAST DX	$578.33	$2,135.81	$131.99–$1,708.65	62% below	73%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST LUNGS W CONTRAST DX MASSTRAUMA	$940.26	$2,743.20	$220.58–$2,194.56	53% below	66%
Diagnostic mammogram, both breasts both sides CPT 77066 MAM MAMMOGRAM DIAGNOSTIC BILAT W WO CAD	$391.20	$538.00	$75.00–$430.40	—	27%
Diagnostic mammogram, one breast one side CPT 77065 MAM MAMMOGRAM DIAGNOSTIC LEFT W WO CAD	$305.70	$426.92	$64.55–$341.54	12% above	28%
Diagnostic mammogram, one breast one side CPT 77065 MAM MAMMOGRAM DIAGNOSTIC RIGHT W WO CAD	$305.70	$426.92	$64.55–$341.54	12% above	28%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXTREMITY BILATERAL	$751.13	$1,604.77	$188.02–$1,283.82	—	53%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER EXTREMITY BILATERAL	$556.31	$1,709.77	$188.02–$1,367.82	—	67%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER EXTREMITY BILATERAL	$556.31	$1,709.77	$188.02–$1,367.82	—	67%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMP W COLOR DOPPLER	$460.73	$1,590.25	$240.45–$1,920.00	76% below	71%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE SPECTRAL COLOR DOPPLER	$460.73	$2,400.00	$240.45–$1,920.00	76% below	81%
Elbow X-ray, 2 views both sides CPT 73070 XR ELBOW BILATERAL 2 VIEWS AP LATERAL	$259.38	$453.08	$71.95–$362.46	—	43%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW LEFT 2 VIEWS AP LATERAL	$259.38	$453.08	$71.95–$362.46	18% below	43%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW RIGHT 2 VIEWS AP LATERAL	$259.38	$453.08	$71.95–$362.46	18% below	43%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW BILATERAL COMPLETE 3 TO 4 VIEWS	$259.38	$524.91	$71.95–$419.93	—	51%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 3 TO 4 VIEWS COMPLETE	$259.38	$524.91	$71.95–$419.93	32% below	51%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 3 TO 4 VIEWS COMPLETE	$259.38	$524.91	$71.95–$419.93	32% below	51%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT IAC MASTOIDS NO CONTRAST	$578.33	$2,174.90	$131.99–$1,739.92	61% below	73%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE SERIES 5 VIEWS	$364.26	$610.81	$115.16–$488.65	6% below	40%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR FOREARM BILATERAL 2 VIEWS	$259.38	$485.89	$71.95–$388.71	—	47%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RIGHT 2 VIEWS	$259.38	$485.89	$71.95–$388.71	30% below	47%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LEFT 2 VIEWS	$259.38	$485.89	$71.95–$388.71	30% below	47%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR HEEL BILATERAL CALCANEUS OS CALCIS	$259.38	$433.45	$71.95–$346.76	—	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT CALCANEUS OS CALCIS	$259.38	$433.45	$71.95–$346.76	10% below	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT CALCANEUS OS CALCIS	$259.38	$433.45	$71.95–$346.76	10% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING 4+PARAMETERS WITH CPAP	$1,790.20	$5,130.00	$475.52–$4,104.00	57% below	65%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE BILATERAL 3 VIEW PATELLA	$259.38	$552.91	$109.09–$442.33	—	53%
Knee X-ray, 3 views one side CPT 73562 XR KNEE RIGHT 3 VIEW PATELLA	$259.38	$552.91	$109.09–$442.33	30% below	53%
Knee X-ray, 3 views one side CPT 73562 XR KNEE LEFT 3 VIEW PATELLA	$259.38	$552.91	$109.09–$442.33	30% below	53%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XR KNEE BILATERAL 4 VW AP LAT TUN SUN	$364.26	$652.81	$115.16–$522.25	—	44%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE RIGHT 4 VIEW AP LAT TUNNEL SUNRI	$364.26	$652.81	$115.16–$522.25	14% below	44%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE LEFT 4 VW AP LAT TUNNEL SUNRISE	$364.26	$652.81	$115.16–$522.25	14% below	44%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT RIGHT NO CONTRAST	$578.33	$2,075.81	$131.99–$1,660.65	65% below	72%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT LEFT NO CONTRAST	$578.33	$2,075.81	$131.99–$1,660.65	65% below	72%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD SINGLE ORGAN	$364.26	$949.81	$117.96–$759.85	40% below	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD GB RUQ LIVER OR ST ABD LUMBAR	$364.26	$949.81	$117.96–$759.85	40% below	62%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON VASCULAR LTD SOFT TISSU	$364.26	$620.81	$111.14–$496.65	7% below	41%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR LEG BILATERAL TIBIA FIBULA 2 VIEW	$259.38	$501.91	$71.95–$401.53	—	48%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR LEG RIGHT TIBIA FIBULA 2 VIEW AP LATE	$259.38	$501.91	$71.95–$401.53	25% below	48%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR LEG LEFT TIBIA FIBULA 2 VIEW AP LATER	$259.38	$501.91	$71.95–$401.53	25% below	48%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN HEAD NO CONTRAST	$1,202.49	$3,255.97	$294.17–$2,604.78	33% below	63%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST BIL WITH AND OR WITHOUT	$1,511.88	$2,389.00	$740.59–$1,911.20	11% above	37%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT RIGHT NO CON	$1,202.49	$3,259.38	$294.17–$2,607.50	45% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT LEFT NO CON	$1,202.49	$3,259.38	$294.17–$2,607.50	45% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JOINT LEFT WO WITH	$1,970.35	$4,474.09	$461.69–$3,579.27	35% below	56%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOWER EXT JOINT RIGHT WO WITH	$1,970.35	$4,474.09	$461.69–$3,579.27	35% below	56%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN NO CONTRAST MRCP ADRENALS	$1,202.49	$3,282.77	$294.17–$2,861.48	41% below	63%
MRI of the abdomen without contrast CPT 74181 MRI CHEST NO CONTRAST	$1,202.49	$3,576.85	$294.17–$2,861.48	41% below	66%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO WITH CONTRAST	$1,970.35	$4,588.43	$461.69–$3,670.74	36% below	57%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN HEAD NO CONTRAST	$1,202.49	$3,438.43	$294.17–$2,750.74	35% below	65%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN HEAD WO WITH CONTRAST	$1,970.35	$4,764.43	$461.69–$3,811.54	30% below	59%
MRI of the lower back, no contrast dye CPT 72148 DO NOT USE MRI LUMBAR SPINE W/O	$1,202.49	$3,370.77	$160.00–$2,696.62	45% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE NO CONTRAST	$1,202.49	$3,370.77	$294.17–$2,696.62	45% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO WITH CONTRAST	$1,970.35	$4,447.50	$461.69–$3,558.00	38% below	56%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE NO CONTRAST	$1,202.49	$3,358.10	$294.17–$2,686.48	41% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO WITH CONTRAST	$1,970.35	$4,782.43	$461.69–$3,825.94	40% below	59%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE NO CONTRAST	$1,202.49	$3,377.61	$294.17–$2,702.09	47% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO WITH CONTRAST	$1,970.35	$4,604.98	$461.69–$3,683.98	37% below	57%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS NO CONTRAST	$1,202.49	$3,154.77	$294.17–$2,523.82	49% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT RIGHT NO CONTRAST	$1,202.49	$3,263.77	$294.17–$2,611.02	33% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT LEFT NO CONTRAST	$1,202.49	$3,263.77	$294.17–$2,611.02	33% below	63%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE SERIES 5 VW COMPLETE	$364.26	$721.81	$115.16–$577.45	33% below	50%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK WITH CONTRAST	$940.26	$2,616.20	$220.58–$2,092.96	53% below	64%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK NO CONTRAST SOFT TISSUE	$578.33	$2,061.81	$131.99–$1,649.45	62% below	72%
Neck soft tissue X-ray CPT 70360 XR SOFT TISSUE NECK FB OR CROUP	$259.38	$462.91	$71.95–$370.33	9% above	44%
Pelvic CT scan without contrast CPT 72192 CT PELVIS NO CONTRAST OR BONY PELVIS	$578.33	$2,165.06	$131.99–$1,732.05	64% below	73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LTD SOFT TISSUE OR BLAD	$364.26	$694.81	$75.74–$555.85	25% below	48%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB	$364.26	$682.81	$117.96–$831.05	52% below	47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMPLETE	$364.26	$1,038.81	$117.96–$831.05	52% below	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG OB GREATER TH 14 WK 2ND 3RD TRIM	$297.51	$945.81	$117.96–$756.65	51% below	69%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB PREG COMP >= 14 WKS TRNSABD SINGLE	$297.51	$945.81	$117.96–$756.65	51% below	69%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 SAYEGH US PREG OB ANATOMY SCAN 1822	$238.94	$477.00	$117.18–$693.25	59% below	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG OB GREATER 14WK SINGLE	$238.94	$866.56	$117.18–$693.25	59% below	72%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 SAYEGH PREG <14 WK	$238.94	$378.00	$117.18–$693.25	59% below	37%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 RHC US PREG OB LESS THAN 14WK	$238.94	$150.95	$46.79–$135.86	59% below	-58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG OB LESS THAN 14 WK 1ST TRIMESTER	$238.94	$866.56	$117.18–$693.25	59% below	72%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 SAYEGH FETAL BIOPHYS PROFILE WO NST	$364.26	$278.00	$33.11–$544.65	21% below	-31%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$364.26	$680.81	$33.11–$544.65	21% below	46%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG OB LIMITED POSITION PLACENTA LOC	$364.26	$680.81	$33.11–$544.65	21% below	46%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD/TARGETED W INTERP	$364.26	$680.81	$33.11–$544.65	21% below	46%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 SAYEGH PREGN OB LMTD	$364.26	$576.00	$33.11–$544.65	21% below	37%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RIGHT 2 VIEWS MINIMUM	$259.38	$496.62	$71.95–$397.30	12% below	48%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LEFT 2 VIEWS MINIMUM	$259.38	$496.62	$71.95–$397.30	12% below	48%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB UNILATERAL WITH PA CHEST VIEW	$364.26	$624.81	$115.16–$499.85	8% below	42%
Screening mammogram, both breasts both sides CPT 77067 MAM MAMMOGRAM SCREENING BILAT W WO CAD	$323.28	$433.88	$65.60–$347.10	—	25%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER BILATERAL	$259.38	$533.17	$109.09–$426.54	—	51%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RIGHT	$259.38	$533.17	$109.09–$426.54	19% below	51%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LEFT	$259.38	$533.17	$109.09–$426.54	19% below	51%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS SERIES 4 VIEWS COMPLETE	$259.38	$561.91	$27.56–$449.53	36% below	54%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 2 VIEWS AP LAT	$364.26	$533.81	$35.03–$427.05	14% above	32%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 2 VIEWS (APANDLAT)	$364.26	$113.00	$35.03–$427.05	14% above	-222%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1 VIEW LAT ONLY	$364.26	$533.81	$35.03–$427.05	14% above	32%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING 4+PARAMETERS 6YRS/>	$1,703.20	$4,500.00	$850.00–$3,600.00	59% below	62%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR MOD BARIUM SWALLOW W SPEECH THERAPY	$592.22	$875.20	$106.13–$700.16	1% below	32%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR FEMUR BILATERAL 2 VIEWS MIN THIGHBONE	$259.38	$649.81	$73.72–$519.85	—	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LEFT 2 VIEWS MIN THIGHBONE	$259.38	$649.81	$73.72–$519.85	20% below	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RIGHT 2 VIEWS MIN THIGHBONE	$259.38	$649.81	$73.72–$519.85	20% below	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE RECON CHEST	$578.33	$2,301.81	$131.99–$1,841.45	69% below	75%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE NO CONTRAST	$578.33	$2,301.81	$131.99–$1,841.45	69% below	75%
Toe X-ray, 2 or more views both sides CPT 73660 XR TOE BILATERAL 2 VW MIN	$259.38	$414.91	$71.95–$331.93	—	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 5TH DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 4TH DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 3RD DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 3RD DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 2ND DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 2ND DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT GREAT TOE	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 5TH DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT GREAT TOE	$259.38	$414.91	$71.95–$331.93	5% below	37%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 4TH DIGIT	$259.38	$414.91	$71.95–$331.93	5% below	37%
Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL NON OB	$286.98	$914.06	$106.02–$731.25	53% below	69%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$286.98	$342.00	$106.02–$731.25	53% below	16%
Transvaginal ultrasound during pregnancy CPT 76817 US OB PREGNANCY TRANSVAGINAL	$364.26	$760.81	$75.74–$608.65	28% below	52%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY OB TRANSVAGINAL	$364.26	$760.81	$75.74–$608.65	28% below	52%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$364.26	$1,187.81	$117.96–$950.25	54% below	69%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM TESTICULAR	$364.26	$973.81	$117.96–$779.05	41% below	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID OR SOFT TISSUE NECK	$364.26	$924.81	$117.96–$739.85	42% below	61%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI SERIES SINGLE CONTRAST	$592.22	$1,043.20	$106.13–$834.56	17% below	43%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS BILATERAL 2 VIEWS	$259.38	$480.91	$71.95–$384.73	—	46%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT 2 VIEWS	$259.38	$480.91	$71.95–$384.73	26% below	46%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT 2 VIEWS	$259.38	$480.91	$71.95–$384.73	26% below	46%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LEFT UPPER EXTREMITY	$340.65	$1,110.91	$117.96–$888.73	56% below	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LEFT LOWER EXTREMITY	$340.65	$1,110.91	$117.96–$888.73	56% below	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS RIGHT LOWER EXTREMITY	$340.65	$1,110.91	$117.96–$888.73	56% below	69%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS RIGHT UPPER EXTREMITY	$340.65	$1,110.91	$117.96–$888.73	56% below	69%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST BILATERAL	$259.38	$515.57	$71.95–$412.46	—	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LEFT	$259.38	$515.57	$71.95–$412.46	29% below	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RIGHT	$259.38	$515.57	$71.95–$412.46	29% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP RIGHT 2 TO 3 VIEWS	$259.38	$484.19	$73.72–$387.35	29% below	46%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP LEFT 2 TO 3 VIEWS	$259.38	$484.19	$73.72–$387.35	29% below	46%
X-ray of the abdomen, 1 view CPT 74018 XR GALLBLADDER SCOUT	$259.38	$443.91	$75.31–$355.13	24% below	42%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW KUB OR FLAT PLATE	$259.38	$443.91	$75.31–$355.13	24% below	42%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1VIEW REPEAT BY SAME PHYS	$259.38	$443.91	$75.31–$355.13	24% below	42%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 5TH DIGIT PINKY	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 4TH DIGIT RING	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 4TH DIGIT RING	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 5TH DIGIT PINKY	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT THUMB	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 2ND DIGIT INDEX	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT THUMB	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 2ND DIGIT INDEX	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 3RD DIGIT MIDDLE	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 3RD DIGIT MIDDLE	$259.38	$418.66	$71.95–$334.93	8% above	38%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT BILATERAL 3 VIEWS	$259.38	$526.91	$71.95–$421.53	—	51%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LEFT 3 VIEWS	$259.38	$526.91	$71.95–$421.53	30% below	51%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RIGHT 3 VIEWS	$259.38	$526.91	$71.95–$421.53	30% below	51%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND BILATERAL 3 VIEWS	$259.38	$531.22	$71.95–$424.98	—	51%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RIGHT 3 VIEWS	$259.38	$531.22	$71.95–$424.98	32% below	51%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND LEFT 3 VIEWS	$259.38	$531.22	$71.95–$424.98	32% below	51%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE BILATERAL 2 VIEWS SUPINE	$259.38	$473.91	$71.95–$379.13	—	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RIGHT 2 VIEW AP LATERAL	$259.38	$473.91	$71.95–$379.13	12% below	45%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LEFT 2 VIEW AP LATERAL	$259.38	$473.91	$71.95–$379.13	12% below	45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE EMPLOYEE 2 VIEWS	$364.26	$298.81	$92.63–$477.23	18% below	-22%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 3 VIEWS AP LAT SPOT	$364.26	$596.54	$92.63–$477.23	18% below	39%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE SERIES 5 VIEWS W OBLIQUE	$364.26	$779.81	$115.16–$623.85	35% below	53%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3 VIEW NOSE	$259.38	$498.91	$71.95–$399.13	6% below	48%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 3 VW AP LAT ODONTOID	$259.38	$529.91	$109.09–$423.93	29% below	51%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS	$364.26	$489.65	$115.16–$391.72	16% above	26%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND COCCYX TAILBONE	$259.38	$495.91	$71.95–$396.73	16% below	48%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 ACTHPLASMA 004440	$173.79	$225.47	$22.67–$180.38	18% below	23%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALTV)	$23.85	$60.00	$3.11–$48.00	52% below	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$23.31	$62.00	$3.03–$49.60	55% below	62%
Albumin blood test CPT 82040 IGG INDEX AND SYNTHESIS RATE	$22.28	$53.61	$2.91–$42.89	40% below	58%
Albumin blood test CPT 82040 ALBUMIN	$22.28	$53.61	$2.91–$42.89	40% below	58%
Aldosterone blood test CPT 82088 ALDOSTERONE RENIN RATIO 004354	$183.38	$50.00	$15.50–$183.38	37% above	-267%
Aldosterone blood test CPT 82088 ALDOSTERONE 004374	$183.38	$214.00	$15.50–$183.38	37% above	14%
Aldosterone blood test CPT 82088 ALDOSTERONE LC/MS/MS	$183.38	$214.00	$15.50–$183.38	37% above	14%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS SERUM	$23.31	$53.00	$3.04–$42.40	51% below	56%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 XALLERGEN SPECIFIC IGEQUAN/SEMI QUANEA	$23.49	$37.00	$3.07–$29.60	2% below	37%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS (G10) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP GRASS (G9) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE GRASS (G5) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS (G3) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALE (W15)	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED (W14) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE (W11) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTERS (W10) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN (W9) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK (T7) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTENWOOD (T14) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH (T3) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER) (TI) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR (W13) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM (M1) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM/HORMODENDRUM IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 AMBROSIA ELATIOR IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED ROUGH IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 QUERCUS VIRGINIANA IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SORGHUM HALEP IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 XX PEANUT (F13) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT (F256) IGE 3489	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP (F24) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP (F338) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE (F1) IGE 2801	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH (F3) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM (F207) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 MAIZE/CORN (F8) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX (YOLK AND WHITE) (F245) IGE	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG PROF NUT IGE/W COMP REFLX 604764	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH IGE 602744	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE 602768	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE LEGUMES 603354	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/CACAO 602492	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 MELON 602737	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PROFILE MOLD 062448	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGY 602459	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLERGY 602468	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN 602457	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE ALLERGY 602522	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE ALLERGY 602511	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO WHITE ALLERGY 602499	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ALLERGY 602472	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT ALLERGY 602553	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 GREENBEAN ALLERGEN 602838	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN ALLERGEN 602460	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT ALLERGY 602521	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY ALLERGY 602504	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA 602742	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE 602724	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE 602451	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT 602461	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO IGE 602745	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON IGE 602718	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE 602503	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK 602487	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE 602452	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO PEPPER IGE 826359	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 F218IGE PAPRIKA/SWEET PEPPER 602779	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 6	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLES ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER BLK ALLERGENS	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER CAYENNE ALLERGENS	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPES ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ONIONS ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGES ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATOES ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ANIMAL ALLERSCAN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PINTO BEANS ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATOES ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TOTAL IGE 002170	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 7	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PROFILE MOLD	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RESPIRATORY ALLERGEN SPECIFIC REGION X	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RASTSW PROFILE IGETOTAL	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING EA ALLERGEN	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RASTNW TX ALLERGY PANEL ZONE 4	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST COMP FOOD PANEL	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP ALLERGY TESTS	$23.49	$35.00	$3.07–$29.60	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST (F45) IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK (F27) IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF(F27) IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK (F26) IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY ALLERGY 602823	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGY 602500	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGY 602509	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTON LINTERS ALLERGEN (RAST)	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 XX PEANUT ALLERGEN (RAST)	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY/PECAN TREE IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS (G6) IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE GRASS IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED SHORTIGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE/TREE IGE 2520	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY IGE	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GLUTEN (F79) IGE 602497	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 15 FOODS 604544	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE AREA 10 WIGE 602640	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 XX ALLERGEN PR PLUS IGE PEDIATRIC 602988	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE 602528	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 XXX ALLERGY PROFILE FOOD 602989	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOODNUTS 671926	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE 602473	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IGE 602493	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IGE 602495	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE 602507	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE 602495	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE 602523	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QUAN/SEMIQUA CR	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING EA	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT WCOMPONENT RFLX 603916	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE 602568	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO IGE 602486	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT PIGNOLES 602550	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOODFISH 601013	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOODSHELLFISH 062695	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED 602485	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK ALLERGEN	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEA IGE 602517	$23.49	$35.00	$3.07–$28.00	2% below	33%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE 602457	$23.49	$35.00	$3.07–$28.00	2% below	33%
Alpha-fetoprotein (AFP) blood test CPT 82105 XX AFP TUMOR MARKER INHOUSE NOT IN USE	$75.47	$143.00	$9.84–$114.40	29% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 PB1 ALPHAFETOPOTEIN (AFP) SERUM ID15934	$75.47	$143.00	$9.84–$114.40	29% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL AFP OSB 010801	$75.47	$143.00	$9.84–$114.40	29% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER 002253	$75.47	$143.00	$9.84–$114.40	29% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN TUMOR MARKER TC237	$75.47	$143.00	$9.84–$114.40	29% below	47%
Ammonia blood test CPT 82140 AMMONIA	$65.57	$154.00	$8.55–$123.20	54% below	57%
Amylase blood test CPT 82150 PB2 SALIVARY ISOENZYME (ID 845)	$29.16	$106.00	$3.81–$84.80	63% below	72%
Amylase blood test CPT 82150 PB1 PANCREATIC ISOENZYME (ID 845)	$29.16	$106.00	$3.81–$84.80	63% below	72%
Amylase blood test CPT 82150 URINE AMYLASE	$29.16	$106.00	$3.81–$84.80	63% below	72%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$29.16	$106.00	$3.81–$84.80	63% below	72%
Amylase blood test CPT 82150 AMYLASE	$29.16	$106.00	$3.81–$84.80	63% below	72%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTICCP IGG/IGA 164914	$58.28	$102.20	$7.60–$81.76	5% above	43%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SPECIFIC ANTIBODY CASCADIN	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTI-NUCLEAR AB) SLE 19881	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROANA	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTINUCLEAR AB) 249 DO NOT ORDER	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA RFLX TO 9 BIOMARK PROF 340897	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA PANEL	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA COMPREHENSIVE PANEL 37521	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 164947	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCLERODERMA DIAGNOSTIC PROFILE	$54.41	$110.00	$7.09–$88.00	29% below	51%
Antinuclear antibody (ANA) blood test, screen CPT 86038 XXX ANA 12 PLUS PROFILE (RDL) 520180	$54.41	$110.00	$7.09–$88.00	29% below	51%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NTPRO BNP IN HOUSE	$176.67	$255.00	$19.92–$204.00	13% above	31%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NTPRO BNP 143000	$176.67	$255.00	$19.92–$204.00	13% above	31%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP B-TYPE NATRIURETIC PEPTIDE	$176.67	$255.00	$19.92–$204.00	13% above	31%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP	$176.67	$255.00	$19.92–$204.00	13% above	31%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$38.79	$141.67	$5.05–$113.34	42% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE	$38.79	$141.67	$5.05–$113.34	42% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER	$38.79	$141.67	$5.05–$113.34	42% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$38.79	$141.67	$5.05–$113.34	42% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE VAGINAL (IH)	$38.79	$141.67	$5.05–$113.34	42% below	73%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 8	$38.07	$150.42	$4.97–$120.34	82% below	75%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL W/EGFR	$38.07	$150.42	$4.97–$120.34	82% below	75%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL ONLY	$22.59	$58.00	$2.95–$46.40	60% below	61%
Blood culture for bacteria CPT 87040 CULTURE BLOOD AERO AND ANA	$46.44	$193.00	$6.06–$154.40	77% below	76%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$17.69	$52.00	$2.30–$41.60	58% below	66%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$17.69	$52.00	$2.30–$41.60	58% below	66%
Blood glucose (sugar) test CPT 82947 GLUCOSE (RANDOM)	$17.69	$52.00	$2.30–$41.60	58% below	66%
Blood lead test CPT 83655 LEAD VENOUS BLOOD PEDIATRIC 717009	$54.50	$69.80	$7.10–$55.84	17% above	22%
Blood lead test CPT 83655 LEAD FINGERSTICK PEDIA 717016	$54.50	$69.80	$7.10–$55.84	17% above	22%
Blood lead test CPT 83655 LEAD BLOOD ADULT 007625	$54.50	$69.80	$7.10–$55.84	17% above	22%
Blood lead test CPT 83655 LEAD 24 HR URINE	$54.50	$69.80	$7.10–$55.84	17% above	22%
Blood lead test CPT 83655 URINE HEAVY METAL 24HR	$54.50	$69.80	$7.10–$55.84	17% above	22%
Blood lead test CPT 83655 LEAD BLOOD	$54.50	$69.80	$7.10–$55.84	17% above	22%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$33.84	$130.00	$4.41–$104.00	75% below	74%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB/ABO BLOOD GROUP	$490.64	$104.00	$1.75–$93.60	455% above	-372%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$17.78	$55.00	$2.31–$44.00	66% below	68%
C-peptide blood test CPT 84681 CPEPTIDE (LC/MS/MS)	$93.65	$134.00	$12.21–$107.20	29% above	30%
C-peptide blood test CPT 84681 CPEPTIDE SERUM 010108	$93.65	$134.00	$12.21–$107.20	29% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREACTIVE PROTEIN 006627	$23.31	$86.50	$3.04–$69.20	55% below	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$23.31	$86.50	$3.04–$69.20	55% below	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREACTIVE PROTEIN (CRP) INHOUSE	$23.31	$86.50	$3.04–$69.20	55% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 BD MAX C-DIFF	$167.72	$208.00	$21.11–$167.72	4% below	19%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN B GENE	$167.72	$208.00	$21.11–$167.72	4% below	19%
CA 19-9 blood test (tumor marker) CPT 86301 CA199 002261	$93.65	$149.25	$12.21–$119.40	30% below	37%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 002303	$93.65	$149.25	$12.21–$119.40	38% below	37%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 NOVEL CORONAVIRUS (COVID19) NAA 139900	$230.90	$140.81	$21.55–$126.73	150% above	-64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BD SAR COV 2	$230.90	$140.81	$21.55–$126.73	150% above	-64%
Calcium blood test, total CPT 82310 CALCIUMSERUM	$23.22	$59.00	$3.02–$47.20	60% below	61%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA 002139	$85.32	$183.00	$11.13–$146.40	36% below	53%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM 096776	$57.96	$97.00	$7.56–$77.60	6% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG 096206	$57.96	$97.00	$7.56–$77.60	6% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE AMPLIFIC	$157.91	$170.00	$20.60–$153.00	27% above	7%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 BD MAX CT	$157.91	$170.00	$20.60–$153.00	27% above	7%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA SDA PAP VIAL	$157.91	$170.00	$20.60–$153.00	27% above	7%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PB1 CHLAMYD TRACHOMTS RNA TMA RCTL 16506	$157.91	$170.00	$20.60–$153.00	27% above	7%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS (DNA OR RNA)	$157.91	$170.00	$20.60–$153.00	27% above	7%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (CALCULATED LDL)	$60.26	$148.28	$7.86–$118.62	59% below	59%
Complete blood count (CBC) with differential CPT 85025 TCELL SUBSET PANEL	$34.97	$102.00	$4.56–$81.60	62% below	66%
Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFF	$34.97	$102.00	$4.56–$81.60	62% below	66%
Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF	$34.97	$102.00	$4.56–$81.60	62% below	66%
Complete blood count (CBC) with differential CPT 85025 CBC COMPLETE WAUTO DIFF 005009	$34.97	$102.00	$4.56–$81.60	62% below	66%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF	$29.12	$84.08	$3.80–$67.26	69% below	65%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 14	$47.52	$205.39	$6.20–$164.31	81% below	77%
Comprehensive metabolic panel (blood test) CPT 80053 XX GH COMP METABOLIC PANEL (CMP)	$47.52	$205.39	$6.20–$164.31	81% below	77%
Comprehensive metabolic panel (blood test) CPT 80053 COMPLETE METABOLIC PANEL PICCOLO	$47.52	$205.39	$6.20–$164.31	81% below	77%
Cortisol blood test, total CPT 82533 CORTISOL 004051	$73.35	$159.00	$9.57–$127.20	11% below	54%
Cortisol blood test, total CPT 82533 CORTISOL AM 104018	$73.35	$159.00	$9.57–$127.20	11% below	54%
Cortisol blood test, total CPT 82533 CORTISOL	$73.35	$159.00	$9.57–$127.20	11% below	54%
Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE	$29.30	$91.00	$3.82–$72.80	54% below	68%
Creatine kinase (CK) blood test, total CPT 82550 CPK ISOENZYMES (MB)	$29.30	$91.00	$3.82–$72.80	54% below	68%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$29.30	$91.00	$3.82–$72.80	54% below	68%
Creatinine blood test CPT 82565 CREATININE	$23.04	$62.00	$3.01–$49.60	57% below	63%
Creatinine blood test CPT 82565 BUN/CREATNINE RATIO W/EGFR	$23.04	$62.00	$3.01–$49.60	57% below	63%
Creatinine blood test CPT 82565 CREATININE SERUM	$23.04	$62.00	$3.01–$49.60	57% below	63%
Creatinine blood test CPT 82565 CREATININE BLOOD	$23.04	$62.00	$3.01–$49.60	57% below	63%
Cytomegalovirus (CMV) antibody test CPT 86644 CVM IGG AB 10010	$64.76	$111.00	$8.45–$88.80	9% below	42%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AB 006494	$64.76	$111.00	$8.45–$88.80	9% below	42%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$64.76	$111.00	$8.45–$88.80	9% below	42%
D-dimer blood test (blood clot marker) CPT 85379 DDIMER 115188	$45.81	$165.50	$5.97–$132.40	73% below	72%
D-dimer blood test (blood clot marker) CPT 85379 DDIMER (ROCHE NGFEU/ML)	$45.81	$165.50	$5.97–$132.40	73% below	72%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE IMMUNOASSAY SRM	$100.04	$141.82	$13.05–$113.46	34% below	29%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE 004020	$100.04	$141.82	$13.05–$113.46	34% below	29%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 9 MECONIUM 791430	$279.63	$322.47	$33.52–$279.63	350% above	13%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (DOT QUEST)	$279.63	$322.47	$33.52–$279.63	350% above	13%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 W/CONF. SERUM 700845	$279.63	$322.47	$33.52–$279.63	350% above	13%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EROD DRUG SCREENURINE	$279.63	$322.47	$33.52–$279.63	350% above	13%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PB1 DRUG SCRN CLSS LIST A NGOV ID5229	$279.63	$322.47	$33.52–$279.63	350% above	13%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PB1 DRUG TEST PRESUMP MCR ONLY(ID5229)	$279.63	$322.47	$33.52–$279.63	350% above	13%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG (VCA) AB (IGG)	$81.63	$117.00	$10.65–$93.60	5% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG (VCA) AB (IGM)	$81.63	$117.00	$10.65–$93.60	5% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB PROF (VCAEBV NUC AG) 240610	$81.63	$117.00	$10.65–$93.60	5% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB VCA IGM 096735	$81.63	$117.00	$10.65–$93.60	5% below	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB VCA IGG 096230	$81.63	$117.00	$10.65–$93.60	5% below	30%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$125.73	$194.39	$16.40–$155.51	1% above	35%
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE 140244	$125.73	$194.39	$16.40–$155.51	1% above	35%
Estradiol blood test CPT 82670 ESTRADIOL STOP ORDER THE IN HOUSE!	$125.73	$194.39	$16.40–$155.51	1% above	35%
Estradiol blood test CPT 82670 ESTRADIOL INHOUSE	$125.73	$194.39	$16.40–$155.51	1% above	35%
Estradiol blood test CPT 82670 ESTROGEN FRACTIONATED 004606	$125.73	$194.39	$16.40–$155.51	1% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 AMENORRHEA PROFILE 2	$83.61	$153.30	$10.91–$122.64	46% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 PB1 LHLUTEINIZG HORMONE PEDI (ID 36176)	$83.61	$153.30	$10.91–$122.64	46% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMON PEDI (36001)	$83.61	$153.30	$10.91–$122.64	46% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 FSH INHOUSE	$83.61	$153.30	$10.91–$122.64	46% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 AMENORRHEA PROFSH	$83.61	$153.30	$10.91–$122.64	46% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 FSH 004309	$83.61	$153.30	$10.91–$122.64	46% below	45%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL 123255	$88.34	$239.00	$11.52–$191.20	58% below	63%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL 123255	$88.34	$239.00	$11.52–$191.20	58% below	63%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$61.34	$139.00	$7.99–$111.20	27% below	56%
Ferritin blood test (iron stores) CPT 82728 ..FERRITIN (PANEL COMPONENT)	$61.34	$139.00	$7.99–$111.20	27% below	56%
Ferritin blood test (iron stores) CPT 82728 FERRITIN 004598	$61.34	$139.00	$7.99–$111.20	27% below	56%
Ferritin blood test (iron stores) CPT 82728 FERRITIN INHOUSE	$61.34	$139.00	$7.99–$111.20	27% below	56%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$43.74	$124.93	$4.99–$99.94	49% below	65%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY 001610	$43.74	$124.93	$4.99–$99.94	49% below	65%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM 002014	$66.15	$135.00	$8.63–$108.00	17% below	51%
Free T3 thyroid hormone test CPT 84481 T3 FREE 010389	$76.23	$147.00	$9.94–$117.60	45% below	48%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$76.23	$147.00	$9.94–$117.60	45% below	48%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 ASSAY RIA	$40.59	$119.00	$5.29–$95.20	46% below	66%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$40.59	$119.00	$5.29–$95.20	46% below	66%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE (FREE T4)	$40.59	$119.00	$5.29–$95.20	46% below	66%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 DIALYSATE (PL)	$40.59	$119.00	$5.29–$95.20	46% below	66%
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT 90572	$114.62	$149.00	$14.94–$119.20	8% above	23%
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT 144980	$114.62	$149.00	$14.94–$119.20	8% above	23%
Free testosterone test CPT 84402 TESTOSTERONE F EQLIB + TOT 070038	$114.62	$149.00	$14.94–$119.20	8% above	23%
Free testosterone test CPT 84402 ANDROGEN LEVELS	$114.62	$149.00	$14.94–$119.20	8% above	23%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMAGLUTAMYL TRANSFERASE (GGT) 001958	$32.40	$77.00	$4.23–$61.60	45% below	58%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GHP GENERAL HEALTH PANEL (NON GOVERNMNT)	$158.94	$292.00	$18.14–$233.60	63% below	46%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 50GMS	$21.38	$52.00	$2.79–$41.60	72% below	59%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR POST PRANDIAL	$21.38	$52.00	$2.79–$41.60	72% below	59%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST 046300	$57.92	$121.00	$7.56–$96.80	62% below	52%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 2 HR	$57.92	$121.00	$7.56–$96.80	62% below	52%
Glucose tolerance test, 3 samples CPT 82951 OB GLUCOSE TOLER 3 SPECIMENS	$57.92	$121.00	$7.56–$96.80	62% below	52%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 3 SPECIMENS	$57.92	$121.00	$7.56–$96.80	62% below	52%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA SDA PAP VIAL	$157.91	$169.50	$20.60–$152.55	21% above	7%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE (DNA OR RNA)	$157.91	$169.50	$20.60–$152.55	21% above	7%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 PB2 N GONORRHOEAE RNA TMA RECTAL	$157.91	$169.50	$20.60–$152.55	21% above	7%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 BD MAX GC	$157.91	$169.50	$20.60–$152.55	21% above	7%
H. pylori antibody blood test CPT 86677 H PYLORI IGG AB 162289	$75.83	$139.00	$8.52–$111.20	40% below	45%
H. pylori antibody blood test CPT 86677 RHC HPYLORI	$75.83	$139.00	$8.52–$111.20	40% below	45%
H. pylori antibody blood test CPT 86677 H PYLORI IGM AB 163204	$75.83	$139.00	$8.52–$111.20	40% below	45%
H. pylori antibody blood test CPT 86677 H-PYLORI ENZYME IMMUNOASSAY BLOOD	$75.83	$139.00	$8.52–$111.20	40% below	45%
H. pylori stool antigen test CPT 87338 STOOL H PYLORI IN HOUSE	$64.71	$96.00	$8.44–$76.80	21% below	33%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BY PCR QUANTITATIVE	$382.95	$431.00	$49.93–$382.95	26% above	11%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QUANT RT PCR	$382.95	$431.00	$49.93–$382.95	26% above	11%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 QUANT RT PCR 550430	$382.95	$431.00	$49.93–$382.95	26% above	11%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/P24 W/REFLEX 083935	$108.36	$125.00	$14.33–$108.36	20% below	13%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB 1/2 AG P24 INHOUSE	$108.36	$125.00	$14.33–$108.36	20% below	13%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA 507800	$157.91	$164.00	$20.06–$147.60	123% above	4%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HIGH RISK	$157.91	$164.00	$20.06–$147.60	123% above	4%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HYBRID CAPTURE II	$157.91	$164.00	$20.06–$147.60	123% above	4%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PB3 HPV HIGH RISK TYPES	$157.91	$164.00	$20.06–$147.60	123% above	4%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RHC GLYCOSYLATED HGB (A1C)	$43.70	$100.00	$5.70–$80.00	48% below	56%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB	$43.70	$100.00	$5.70–$80.00	48% below	56%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB SEND OUT 001453	$43.70	$100.00	$5.70–$80.00	48% below	56%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$10.67	$41.83	$1.39–$33.46	75% below	74%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B PROFILE VI	$54.23	$110.00	$7.07–$88.00	25% below	51%
Hepatitis B core antibody test (total) CPT 86704 CHRONIC HEPATITIS EXPOSURE PANEL	$54.23	$107.00	$7.07–$85.60	25% below	49%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOT 006718	$54.23	$107.00	$7.07–$88.00	25% below	49%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$54.23	$107.00	$7.07–$88.00	25% below	49%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B VIRUS (PROFILE VI)	$54.23	$110.00	$7.07–$88.00	25% below	51%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HAAHEP B ANTIRIA	$48.33	$114.69	$6.30–$91.75	24% below	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB QUALI 006395	$48.33	$114.69	$6.30–$91.75	24% below	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B S ANTIBODY QUALITATIVE	$48.33	$114.69	$6.30–$91.75	24% below	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B S ANTIBODY	$48.33	$114.69	$6.30–$91.75	24% below	58%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B'S ANTIGEN IN HOUSE	$46.49	$110.00	$6.06–$88.00	34% below	58%
Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY RFX TO QUANT PCR 144050	$64.22	$136.00	$8.37–$108.80	25% below	53%
Hepatitis C viral load (HCV RNA) test CPT 87522 XXX HEP C VIRAL RNA QUANT WO RFLX GENO	$192.78	$357.00	$25.14–$285.60	18% below	46%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNAPCRQUANT 550080	$192.78	$357.00	$25.14–$285.60	18% below	46%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT REAL TIME PCR	$192.78	$357.00	$25.14–$285.60	18% below	46%
Hepatitis C viral load (HCV RNA) test CPT 87522 XX..RTPCRQUANT 550362	$192.78	$357.00	$25.14–$285.60	18% below	46%
Herpes blood test, HSV-1 antibody CPT 86695 HSV IGG TYPE SPECIFIC ANTIBODY	$59.36	$83.50	$7.74–$66.80	18% below	29%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG AB 10010	$59.36	$83.50	$7.74–$66.80	18% below	29%
Herpes blood test, HSV-1 antibody CPT 86695 PB2 HSV AB TYPE 1 (ID 18924)	$59.36	$83.50	$7.74–$66.80	18% below	29%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG TYPE SPECIFIC AB	$59.36	$83.50	$7.74–$66.80	18% below	29%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 SPECIFIC AB IGG 164897	$59.36	$83.50	$7.74–$66.80	18% below	29%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$59.36	$83.50	$7.74–$66.80	18% below	29%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX AB TYPE 1	$59.36	$83.50	$7.74–$66.80	18% below	29%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2SPECIFIC AB IGG 164098	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG AB 10010	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 PB2 HERPES SIMPLEX 2 AB IGM 90849	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 PB3 HSV AB TYPE 2 (ID 18924)	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG TYPE SPECIFIC AB	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 AND 2 SPEC AB IGG W/RFX 164922	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 ..HSV 2 IGG SUPPLEMENT TEST 163006	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$87.08	$100.50	$11.36–$87.08	3% above	13%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX AB TYPE 2	$87.08	$100.50	$11.36–$87.08	3% above	13%
High-sensitivity CRP (hs-CRP) test CPT 86141 CREACTIVE PROTEIN HIGH SENS CARD 120766	$58.28	$112.40	$7.60–$89.92	23% below	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP	$58.28	$112.40	$7.60–$89.92	23% below	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVE C REACTIVE PROTEIN	$58.28	$112.40	$7.60–$89.92	23% below	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 THYROID ANTIBODIES 006684	$58.28	$112.40	$7.60–$89.92	23% below	48%
Homocysteine blood test CPT 83090 HOMOCYSTINE 706994	$80.64	$157.00	$9.90–$125.60	46% below	49%
Insulin blood test CPT 83525 INSULIN 004333	$51.44	$94.00	$6.71–$75.20	25% below	45%
Iron blood test (serum iron) CPT 83540 R IRON 001339	$29.12	$75.75	$3.80–$60.60	59% below	62%
Iron blood test (serum iron) CPT 83540 IRON TIBC PANELIN HOUSE	$29.12	$75.75	$3.80–$60.60	59% below	62%
Iron blood test (serum iron) CPT 83540 ..IRON (PANEL COMPONENT)	$29.12	$75.75	$3.80–$60.60	59% below	62%
Iron blood test (serum iron) CPT 83540 XX IRON 001339	$29.12	$75.75	$3.80–$60.60	59% below	62%
Iron blood test (serum iron) CPT 83540 IRON	$29.12	$75.75	$3.80–$60.60	59% below	62%
Iron blood test (serum iron) CPT 83540 IRON ONLY	$29.12	$75.75	$3.80–$60.60	59% below	62%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$39.33	$89.00	$5.13–$71.20	56% below	56%
Iron-binding capacity (TIBC) test CPT 83550 ..TIBC (PANEL COMPONENT)	$39.33	$89.00	$5.13–$71.20	56% below	56%
Iron-binding capacity (TIBC) test CPT 83550 R TIBC ID 7573	$39.33	$89.00	$5.13–$71.20	56% below	56%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 10	$39.06	$151.00	$5.09–$120.80	78% below	74%
LH (luteinizing hormone) test CPT 83002 LHLUTEINIZING HORM 004823	$83.34	$157.00	$10.87–$125.60	40% below	47%
LH (luteinizing hormone) test CPT 83002 PB2 FSH PEDIATRICS (ID 36176)	$83.34	$157.00	$10.87–$125.60	40% below	47%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PLASMA	$52.07	$135.83	$6.27–$108.66	46% below	62%
Lactate (lactic acid) blood test CPT 83605 SERUM LACTIC ACID	$52.07	$135.83	$6.27–$108.66	46% below	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH 001115	$27.18	$76.34	$3.54–$61.07	34% below	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$31.01	$118.00	$4.04–$94.40	54% below	74%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 7	$36.77	$156.00	$4.80–$124.80	81% below	76%
Lyme disease antibody test CPT 86618 LYME DISEASE AB TOTAL/1GM	$76.64	$124.00	$10.00–$99.20	7% below	38%
Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W REFLEX 164226	$76.64	$35.00	$10.00–$99.20	7% below	-119%
Magnesium blood test CPT 83735 MAGNESIUM RBC 080283	$30.15	$90.15	$3.93–$72.12	34% below	67%
Magnesium blood test CPT 83735 MAGNESIUM SERUM PATH	$30.15	$90.15	$3.93–$72.12	34% below	67%
Magnesium blood test CPT 83735 MAGNESIUM	$30.15	$90.15	$3.93–$72.12	34% below	67%
Measles (rubeola) antibody test CPT 86765 RUBEOLA TOTAL ABS	$57.96	$83.00	$7.56–$66.40	58% above	30%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG (MMR IGG PANEL)	$57.96	$83.00	$7.56–$66.40	58% above	30%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ABSIGM	$57.96	$83.00	$7.56–$66.40	58% above	30%
Measles (rubeola) antibody test CPT 86765 MEASLES CONVALESENT IG G	$57.96	$83.00	$7.56–$66.40	58% above	30%
Measles (rubeola) antibody test CPT 86765 MEASLES IGM 160178	$57.96	$83.00	$7.56–$66.40	58% above	30%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG 096560	$57.96	$83.00	$7.56–$66.40	58% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHIL AN TITER	$23.31	$86.00	$3.04–$68.80	73% below	73%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT TEST	$23.31	$86.00	$3.04–$68.80	73% below	73%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST QUAL (MONOCLONAL ABS	$23.31	$86.00	$3.04–$68.80	73% below	73%
Mumps immunity blood test CPT 86735 MEASLES MUMPS RUBELLA MMR 058495	$58.73	$85.00	$7.66–$74.40	at median	31%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODIES IGG 096552	$58.73	$85.00	$7.66–$68.00	at median	31%
Mumps immunity blood test CPT 86735 MMR IMMUNITY PROFILE	$58.73	$85.00	$7.66–$74.40	at median	31%
Mumps immunity blood test CPT 86735 MUMPS ABS IGM 160499	$58.73	$85.00	$7.66–$74.40	at median	31%
Mumps immunity blood test CPT 86735 ASSOC. MUMPS IGG (MMR IGG PANEL)	$58.73	$93.00	$7.66–$74.40	at median	37%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL W/O HIV TEST	$215.15	$411.00	$20.85–$328.80	15% below	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 PB1 PSA FREE (ID 31348)	$82.76	$119.66	$10.79–$95.73	27% below	31%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL + % FREE 480947	$82.76	$151.00	$10.79–$120.80	3% below	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL	$82.76	$151.00	$10.79–$120.80	3% below	45%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC CPT 84153	$82.76	$151.00	$10.79–$120.80	3% below	45%
Pap test (liquid-based, automated screening with review) CPT 88175 PB2 CYTOPATHOLOGY CERVIX MANUAL SCREEN	$119.75	$126.00	$15.54–$113.40	58% above	5%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP RFX COBAS HPV ASCU PAP TEST 196310	$119.75	$126.00	$15.54–$113.40	58% above	5%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTOMATED FLUID REVIEW	$119.75	$126.00	$15.54–$113.40	58% above	5%
Pap test (liquid-based, automated screening with review) CPT 88175 ASSOC CYTOPATH C/V AUTOMATED FLUID	$119.75	$126.00	$15.54–$113.40	58% above	5%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYNECOLOGIC MONOLAYER PAP	$91.17	$115.00	$11.89–$92.00	at median	21%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP LB 192005	$91.17	$115.00	$11.89–$92.00	at median	21%
Parathyroid hormone (PTH) blood test CPT 83970 CA +PTH INTACT 054601	$185.76	$263.50	$24.22–$210.80	8% below	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT 015610	$185.76	$263.50	$24.22–$210.80	8% below	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$185.76	$263.50	$24.22–$210.80	8% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLASTIN TIME	$27.05	$95.25	$3.52–$76.20	46% below	72%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$27.05	$95.25	$3.52–$76.20	46% below	72%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (THROMBOPLASTIN TIME PARTIAL)	$27.05	$95.25	$3.52–$76.20	46% below	72%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT MIXING STUDIES	$27.05	$95.25	$3.52–$76.20	46% below	72%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC	$21.33	$63.00	$2.78–$50.40	66% below	66%
Potassium blood test CPT 84132 POTASSIUM	$21.42	$60.00	$2.70–$48.00	64% below	64%
Progesterone blood test CPT 84144 PROGESTERONE 004317	$93.87	$146.25	$12.24–$117.00	7% below	36%
Prolactin blood test CPT 84146 PROLACTIN 004465	$87.21	$138.00	$11.37–$110.40	21% below	37%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT)	$19.31	$64.00	$2.31–$51.20	57% below	70%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RHC DRUG SCREEN	$56.70	$101.00	$6.28–$80.80	47% below	44%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN IN HOUSE	$56.70	$101.00	$6.28–$80.80	47% below	44%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN W/ETHANOL	$56.70	$101.00	$6.28–$80.80	47% below	44%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EROD DRUG SCREENSERUM	$56.70	$101.00	$6.28–$80.80	47% below	44%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP TEST	$74.39	$99.50	$7.04–$79.60	24% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 BETA STREP GROUP A SCREEN	$74.39	$99.50	$7.04–$79.60	24% below	25%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 BETA STREP GROUP A SCREEN (THROAT)	$74.39	$99.50	$7.04–$79.60	24% below	25%
Renin blood test CPT 84244 RENIN PLASMA 002006	$98.96	$136.00	$12.91–$108.80	3% below	27%
Renin blood test CPT 84244 RENIN (WHOLE BLOOD)	$98.96	$136.00	$12.91–$108.80	3% below	27%
Rh blood typing CPT 86901 BB/RH FACTOR	$150.44	$81.00	$2.51–$72.90	134% above	-86%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR 006502	$25.52	$70.00	$3.33–$56.00	44% below	64%
Rheumatoid factor (RF) test CPT 86431 ANA PANEL I	$25.52	$70.00	$3.33–$56.00	44% below	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG 006197	$64.76	$92.67	$8.45–$74.14	28% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA QUALITATIVE SCREEN	$64.76	$92.67	$8.45–$74.14	28% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG (MMR IGG PANEL)	$64.76	$92.67	$8.45–$74.14	28% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS IGG AB 10010	$64.76	$92.67	$8.45–$74.14	28% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ABS IGM 096537	$64.76	$92.67	$8.45–$74.14	28% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY INHOUSE	$64.76	$92.67	$8.45–$74.14	28% above	30%
Sodium blood test CPT 84295 SODIUM	$21.65	$58.00	$2.82–$46.40	65% below	63%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE EXAM 008623	$40.05	$88.00	$5.22–$70.40	40% below	54%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES DIR SMR W ID	$40.05	$88.00	$5.22–$70.40	40% below	54%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES W/GIARDIA ANTIGEN	$40.05	$88.00	$5.22–$70.40	40% below	54%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREEN	$19.71	$41.70	$1.91–$33.36	48% below	53%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$19.71	$41.70	$1.91–$33.36	48% below	53%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IMMUN 182949	$71.64	$78.00	$9.33–$70.20	6% above	8%
Syphilis antibody test (Treponema pallidum) CPT 86780 TPPA REVERSE SCREEN RFX TO RPR 082345	$59.58	$83.00	$7.97–$66.40	35% above	28%
Syphilis antibody test (Treponema pallidum) CPT 86780 ..RPR QN+TP ABS 012021	$59.58	$83.00	$7.97–$66.40	35% above	28%
Syphilis antibody test (Treponema pallidum) CPT 86780 TPPA ANTIBODIES 082339	$59.58	$83.00	$7.97–$66.40	35% above	28%
Syphilis antibody test (Treponema pallidum) CPT 86780 PB1 TRAPONEMA PALIDUM AB IGG	$59.58	$83.00	$7.97–$66.40	35% above	28%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTAABS 4112	$59.58	$83.00	$7.97–$66.40	35% above	28%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB 006379	$59.58	$83.00	$7.97–$66.40	35% above	28%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPRRFX QNT/CONF TP 012005	$19.22	$62.87	$2.50–$50.30	55% below	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TPPA CONFIRMATION	$19.22	$62.87	$2.50–$50.30	55% below	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF 006445	$19.22	$62.87	$2.50–$50.30	55% below	69%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR CARD TEST	$19.22	$62.87	$2.50–$50.30	55% below	69%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERONTB GOLD DRAW SITE INCUBATED	$278.91	$249.00	$36.37–$224.10	36% above	-12%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS 182879	$278.91	$249.00	$36.37–$224.10	36% above	-12%
Testosterone blood test, total (not free testosterone) CPT 84403 Q TESTOSTERONE TOTAL LC/MS 070001	$116.15	$184.00	$15.15–$147.20	16% above	37%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL INHOUSE	$116.15	$174.00	$15.15–$147.20	16% above	33%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOMAL ANTIBODY 15038	$65.48	$107.76	$8.54–$86.21	21% below	39%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVERKIDNEY MICROSOMAL ANTIBOD 163980	$65.48	$107.76	$8.54–$86.21	21% below	39%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODY PRO	$65.48	$107.76	$8.54–$86.21	21% below	39%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES	$65.48	$107.76	$8.54–$86.21	21% below	39%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB 006676	$65.48	$107.76	$8.54–$86.21	21% below	39%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER/KIDNEY AB 520087	$65.48	$107.76	$8.54–$86.21	21% below	39%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 XX TSH 3RD GENERATION	$75.60	$159.00	$9.86–$127.20	28% below	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$75.60	$159.00	$9.86–$127.20	28% below	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 GHP TSH (GOVERNMENT PYRS)	$75.60	$159.00	$9.86–$127.20	28% below	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSHLRH	$75.60	$159.00	$9.86–$127.20	28% below	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ENZYME (PL)	$75.60	$159.00	$9.86–$127.20	28% below	52%
Total IgE blood test CPT 82785 IGE	$74.07	$113.80	$9.66–$91.04	7% below	35%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$74.07	$113.80	$9.66–$91.04	7% below	35%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E TOTAL 002170	$74.07	$113.80	$9.66–$91.04	7% below	35%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$19.58	$52.83	$2.55–$42.26	65% below	63%
Total thyroxine (T4) blood test CPT 84436 VITROS T4 THYROXINE TOTAL	$30.92	$85.00	$4.04–$68.00	61% below	64%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE TOTAL	$30.92	$85.00	$4.04–$68.00	61% below	64%
Total triiodothyronine (T3) blood test CPT 84480 T3 RIA	$63.81	$127.00	$8.32–$101.60	49% below	50%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$63.81	$127.00	$8.32–$101.60	49% below	50%
Transferrin blood test CPT 84466 TRANSFERRIN	$57.42	$118.00	$7.49–$94.40	52% below	51%
Transferrin blood test CPT 84466 TRANSFERRIN 004937	$57.42	$118.00	$7.49–$94.40	52% below	51%
Trichomonas test (NAAT) CPT 87661 BD MAX TV	$157.91	$147.00	$20.11–$132.30	81% above	-7%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$25.83	$71.94	$3.38–$57.55	62% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$25.83	$71.94	$3.38–$57.55	62% below	64%
Troponin test, quantitative CPT 84484 BACKUP TROPONIN I (TRIAGE METER PRO)	$56.12	$185.00	$5.78–$148.00	51% below	70%
Troponin test, quantitative CPT 84484 TROPONIN T ADDITIONAL	$56.12	$185.00	$5.78–$148.00	51% below	70%
Troponin test, quantitative CPT 84484 TROPONIN T (0 HR)	$56.12	$185.00	$5.78–$148.00	51% below	70%
Troponin test, quantitative CPT 84484 TROPONIN T (2ND HR)	$56.12	$185.00	$5.78–$148.00	51% below	70%
Troponin test, quantitative CPT 84484 TROPONIN ER (FOR BACKUP ONLY)	$56.12	$185.00	$5.78–$148.00	51% below	70%
Uric acid blood test CPT 84550 URIC ACID 001057	$20.34	$64.50	$2.65–$51.60	74% below	68%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$20.34	$64.50	$2.65–$51.60	74% below	68%
Urinalysis with microscope exam, automated CPT 81001 ED UA CHEMICAL AND MICRO	$14.27	$69.00	$1.86–$55.20	85% below	79%
Urinalysis with microscope exam, automated CPT 81001 UA CHEMICAL AND MICRO	$14.27	$69.00	$1.86–$55.20	85% below	79%
Urinalysis without microscope exam, automated CPT 81003 UA CHEMICAL ONLY	$10.13	$48.00	$1.32–$38.40	79% below	79%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY BODY FLUID	$15.66	$25.64	$1.50–$20.51	47% below	39%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QUANTITATIVE	$36.32	$37.00	$4.74–$45.60	72% below	2%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN RANDOM UA W/O CREATI 149997	$26.01	$76.65	$3.40–$61.32	49% below	66%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN/CREATININE RATIO RANDOM INHOUSE	$26.01	$76.65	$3.40–$61.32	49% below	66%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN/CREATININE RATIO SEND OUT 140285	$26.01	$76.65	$3.40–$61.32	49% below	66%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY	$38.75	$98.00	$3.71–$78.40	54% below	60%
Urine pregnancy test, read by color change CPT 81025 RHC URINE PREGNANCY	$38.75	$98.00	$3.71–$78.40	54% below	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 001503	$67.86	$134.39	$8.85–$107.51	25% below	50%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 SERUM 7065	$67.86	$134.39	$8.85–$107.51	25% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY IN HOUSE	$133.20	$195.00	$17.37–$156.00	12% above	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$133.20	$195.00	$17.37–$156.00	12% above	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D (D2D3) 504115	$133.20	$195.00	$17.37–$156.00	12% above	32%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL (125 DIOH VITAMIN D) 081091	$173.25	$217.13	$22.59–$173.70	10% above	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25DIHYDROXY 500600	$173.25	$217.13	$22.59–$173.70	10% above	20%
Zinc blood test CPT 84630 ZINC 001800	$51.26	$81.00	$6.68–$64.80	25% below	37%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD 070032	$51.26	$81.00	$6.68–$64.80	25% below	37%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 VITROS BHCG TITER SERUM	$67.73	$107.00	$8.83–$150.40	40% below	37%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE	$67.73	$188.00	$8.83–$150.40	40% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG STAT	$67.73	$188.00	$8.83–$150.40	40% below	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY FOR RUPTURED APPENDIX	$2,747.25	$4,341.00	$945.00–$3,472.80	12% below	37%
Appendectomy, open surgery CPT 44950 APPENDECTOMY NON LAPAROSCOPIC	$9,328.02	$8,999.00	$2,221.87–$8,099.10	61% above	-4%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX CLOS DISTAL FIB SHAFT WO MANIPULATION	$646.92	$540.54	$106.00–$432.43	39% above	-20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX CLOS METATARSAL WO MANIPUL EA	$108.96	$475.00	$106.00–$380.00	61% below	77%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER CARDIOVERSION EXTERNAL	$1,609.38	$1,885.28	$106.00–$1,508.22	21% above	15%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY MEDIAN NERVE	$5,158.05	$5,144.00	$659.94–$4,629.60	50% above	—
Cervical biopsy CPT 57500 BIOPSY REMOVAL CERVIX LESION	$98.16	$1,847.50	$88.34–$1,478.00	91% below	95%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISE SURG EX 28 DAYS OR >	$5,314.65	$6,426.75	$652.80–$5,314.65	40% above	17%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION NB W CLMP WO REG BLOCK	$5,314.65	$6,498.00	$50.00–$5,198.40	332% above	18%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX CLS DIST RADIAL WANDWO FX ULN STYL WO M	$108.96	$582.00	$106.00–$465.60	76% below	81%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W REMOV LES SNARE TECH	$3,012.66	$2,882.38	$429.26–$2,594.14	114% above	-5%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BX SINGLE MULTIPLE	$3,012.66	$2,963.51	$429.26–$2,667.16	108% above	-2%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY W/WO SPEC COLLECTION	$2,291.64	$2,795.00	$328.50–$2,291.64	49% above	18%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCPY CERVIX W LEEP BIOPSY	$198.85	$3,420.00	$174.42–$2,820.00	94% below	94%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCPY W BIOPSY CERVIX AND ECC	$72.54	$544.00	$65.06–$435.20	71% below	87%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEP PROC)	$1,669.59	$3,619.24	$238.15–$2,895.39	45% above	54%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DANDC DX AND/OR THERAPEUTIC NON OBSTETRIC	$7,494.30	$5,674.00	$1,063.52–$5,106.60	85% above	-32%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ER DESTROY PREMAG LESION INITIAL	$524.19	$203.00	$62.93–$162.40	162% above	-158%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTIOM PREMALG	$524.19	$203.00	$62.93–$185.00	162% above	-158%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 ER RMV IMPCTED CERUMEN W IRRIG/LVG BILAT	$165.03	$186.00	$57.66–$148.80	—	11%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 RMVE IMPCTED CERUMEN W IRRIG/LVG UNILAT	$165.03	$186.00	$57.66–$148.80	48% above	11%
Earwax removal with instruments, one ear both sides CPT 69210 ER RMV IMPCT CERUMEN W INSTRUMENT BILAT	$165.03	$187.00	$57.97–$149.60	—	12%
Earwax removal with instruments, one ear one side CPT 69210 RMVE IMPCTED CERUMEN W INSTRUMENT UNILAT	$165.03	$187.00	$57.97–$149.60	33% above	12%
Earwax removal with instruments, one ear one side CPT 69210 ER RMV IMPCT CERUMEN W INSTRUMENT UNILAT	$165.03	$187.00	$57.97–$149.60	33% above	12%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX ENDOMETRIAL WO CERVIX DILATION	$50.53	$385.00	$45.48–$308.00	86% below	87%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PM ESI CERVICAL/THORACIC W/I	$1,875.15	$2,357.00	$262.86–$1,885.60	30% above	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PM LUMBAR/SACRAL SINGLE RF ABLATION	$2,436.15	$2,522.00	$340.77–$2,269.80	40% above	3%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTER ABDOM HERNIA 310CMREDU	$10,625.79	$16,789.00	$1,151.54–$13,431.20	18% above	37%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPR OF ANTERIOR ABD HERNIA	$10,625.79	$16,789.00	$1,151.54–$13,431.20	65% above	37%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY W WO SPECI COLLECTION	$145.44	$2,321.23	$130.67–$1,856.98	82% below	94%
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY	$14,501.13	$11,776.00	$1,888.85–$10,598.40	77% above	-23%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLECYSTETOMY W CHOLANGIOGRAPHY	$14,501.13	$12,783.00	$1,888.85–$11,504.70	75% above	-13%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTEMOMY EXCISIONAL	$3,348.39	$4,075.00	$945.00–$3,348.39	1% above	18%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION HEMORRHOID(S)	$186.22	$1,534.63	$163.62–$1,227.70	79% below	88%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY SINGLE COLUMN GRP	$7,032.54	$5,987.15	$939.93–$5,388.44	93% above	-17%
Hysterectomy through an abdominal incision (total) CPT 58150 HYST ABD TOT W/WO REM TUBE ANDOR OVRY	$3,146.22	$5,008.00	$1,552.48–$4,006.40	25% below	37%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY W ENDOMETRIAL ABLATION	$12,814.62	$7,320.00	$1,526.99–$6,588.00	117% above	-75%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY W ENDOME BX POLYPECTOMY	$7,494.30	$7,234.00	$1,063.52–$6,510.60	58% above	-4%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD	$166.50	$1,672.66	$50.00–$1,338.13	56% below	90%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$166.50	$1,672.66	$149.85–$1,338.13	56% below	90%
Incision and drainage of a simple or single skin abscess CPT 10060 ER IANDD ABCESS SIMPLE SINGLE	$75.43	$640.50	$106.00–$512.40	83% below	88%
Incision and drainage of a simple or single skin abscess CPT 10060 IANDD ABSCESS SIMPLE SINGLE	$75.43	$640.50	$118.97–$512.40	83% below	88%
Incision and drainage of a simple or single skin abscess CPT 10060 IANDD ABSCESS SIMPLE OR SINGLE	$75.43	$640.50	$65.06–$512.40	83% below	88%
Inguinal (groin) hernia repair, age 5 or older both sides CPT 49505 RPR INIT INGUINAL HERNIA 5+ REDUC BILAT	$9,328.02	$9,473.00	$1,151.54–$8,525.70	—	2%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR INGUINAL HERNIA INITL REDUC 5YR AND >	$9,328.02	$9,473.00	$1,151.54–$8,525.70	50% above	2%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELIVERY IMPLANT NON BIODEGR	$327.09	$866.68	$50.00–$693.34	36% above	62%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY LAPAROSCOPIC	$14,501.13	$10,687.50	$3,313.13–$9,618.75	105% above	-36%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAP HYSTERECTOMY TOTL UTERUS 250G OR <	$25,239.33	$15,265.00	$3,110.01–$13,738.50	208% above	-65%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAP HYST TOTL W RMVL T/O UTERUS 250G OR<	$25,239.33	$16,381.42	$3,110.01–$14,743.28	134% above	-54%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR HERNIA LAP INITIAL INGUINAL	$14,501.13	$14,475.13	$1,888.85–$13,027.62	17% above	—
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP RPR HERNIA INGUINAL RECURRENT	$14,501.13	$14,475.13	$1,888.85–$13,027.62	58% above	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPRSCPY W REMVL ADNEXAL STRUCTURES	$14,501.13	$11,434.64	$1,888.85–$10,291.18	68% above	-27%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 RPR INTMD S/A/T/EXT 2.5 CM/<	$161.45	$984.00	$110.68–$787.20	70% below	84%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ER REPR INTERM SCLP AX TRNK EXTRM 2.5 <	$161.45	$984.00	$106.00–$787.20	70% below	84%
Lower-back epidural injection, with imaging guidance CPT 62323 PM ESI LUMBAR/SACRAL W/I	$1,875.15	$2,241.00	$262.86–$1,875.15	12% above	16%
Lower-back epidural injection, without imaging guidance CPT 62322 ER EPIDURAL INJ SGL LUMBAR SACRAL	$1,875.15	$2,248.72	$106.00–$1,798.98	52% above	17%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL INJ LUMBAR/SACRAL WO IMAGE GUID	$1,875.15	$2,963.00	$250.00–$2,370.40	52% above	37%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR EPIDURAL CAUDAL SINGLE	$1,875.15	$2,963.00	$262.86–$2,370.40	52% above	37%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PM LUMBAR/SACRAL TRANS	$2,436.15	$2,481.84	$340.77–$2,233.66	65% above	2%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL LUMPECTOMY	$9,088.65	$6,829.00	$963.66–$6,146.10	77% above	-33%
Lumpectomy (partial mastectomy) CPT 19301 REMOVAL OR BREAST TISSUE	$9,088.65	$6,829.00	$963.66–$6,146.10	77% above	-33%
Mastectomy (total removal of the breast) CPT 19303 SIMPLE MASTECTOMY OF BREAST	$15,711.87	$8,700.33	$1,845.21–$7,830.30	160% above	-81%
Miscarriage treatment with D&C, first trimester CPT 59820 TREAT MISSED AB SURG COMP 1ST TRIMESTER	$7,494.30	$5,157.00	$1,063.52–$4,641.30	106% above	-45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX BEN LES TK ARMS LEGS 0.5CM OR <	$92.39	$1,707.00	$77.79–$1,365.60	89% below	95%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 ER EX B9 LESION TR AR LEG 0.5 CM OR <	$92.39	$1,707.00	$106.00–$1,365.60	89% below	95%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EX BEN LES FA EAR EYLD NO LIP MM 0.5CM<	$101.41	$1,519.00	$86.38–$1,215.20	88% below	93%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EX BNGN LSN F EARS EYELID LIP MM0.5CM <	$101.41	$1,519.00	$106.00–$1,215.20	88% below	93%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE COMP SIMPLE SNGL	$524.19	$434.11	$50.00–$347.29	86% above	-21%
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLATE PART COMP SIMPLE SINGLE	$524.19	$434.11	$71.83–$390.70	86% above	-21%
Nail removal (partial or complete), one nail CPT 11730 ER AVULS NAIL PLATE PART COMP SIMPLE SNG	$524.19	$434.11	$71.83–$347.29	86% above	-21%
Paracentesis with imaging guidance CPT 49083 ER PARACENTESIS ABD W IMAGING GUIDANCE	$2,357.76	$2,099.00	$106.00–$1,679.20	62% above	-12%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABD W IMAGING GUIDANCE	$2,357.76	$2,099.00	$50.00–$1,679.20	62% above	-12%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER XC NAIL AND NAIL MATRX PT CMPL PERM RE	$99.25	$1,223.26	$106.00–$978.61	81% below	92%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EX NAIL PART COMPLETE PERMANENT REMOVAL	$99.25	$1,223.26	$84.71–$978.61	81% below	92%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PM L/S RF ABLATION	$5,158.05	$3,846.67	$659.94–$3,462.00	83% above	-34%
Removal of a breast lump, open surgery CPT 19120 EXCISIONBREAST LESION(S)MALE/FEMALE 1+	$9,088.65	$6,600.00	$963.66–$5,940.00	85% above	-38%
Removal of a foreign object under the skin, simple CPT 10120 ER INCS AND REMOVAL FB SUBQ SIMPLE	$106.83	$876.24	$106.00–$700.99	80% below	88%
Removal of a foreign object under the skin, simple CPT 10120 INCISE AND REMOVE FB SUBQ SIMPLE	$106.83	$876.24	$86.38–$700.99	80% below	88%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 THYROID LOBECTOMY TOTAL UNILAT	$14,501.13	$13,640.00	$1,888.85–$12,276.00	79% above	-6%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONSCOPY CA SCREEN NOT HI RISK MCR	$2,291.64	$2,796.75	$328.50–$2,291.64	193% above	18%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONSCOPY CA SCREEN HI RISK MCR	$2,291.64	$2,822.00	$328.50–$2,291.64	91% above	19%
Short arm cast (elbow to hand) CPT 29075 CAST APPLICATION SHORT ARM	$55.22	$357.54	$106.00–$286.03	80% below	85%
Short arm splint (forearm and hand) one side CPT 29125 APPLIC SPLINT SHORT ARM STATIC LT	$327.09	$408.00	$106.00–$326.40	45% above	20%
Short arm splint (forearm and hand) one side CPT 29125 APPLIC SPLINT SHORT ARM STATIC RT	$327.09	$408.00	$106.00–$326.40	45% above	20%
Short leg cast (below the knee) CPT 29405 CAST APPLICATION SHORT LEG	$48.36	$358.45	$106.00–$286.76	86% below	87%
Short leg splint (calf to foot) CPT 29515 APPLIC SPLINT SHORT LEG	$42.22	$437.53	$50.00–$350.02	84% below	90%
Short leg splint (calf to foot) CPT 29515 RHC APPLICATION SHORT LEG SPLINT	$42.22	$122.00	$37.82–$97.60	84% below	65%
Short leg splint (calf to foot) one side CPT 29515 APPLIC SPLINT SHORT LEG LT	$42.22	$437.53	$86.12–$350.02	84% below	90%
Short leg splint (calf to foot) one side CPT 29515 APPLIC SPLINT SHORT LEG RT	$42.22	$437.53	$86.12–$350.02	84% below	90%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ER REPR SMPL SCLP AX GENT TRK EXT 2.5. <	$524.19	$517.00	$106.00–$413.60	57% above	-1%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM OR LESS	$524.19	$828.00	$119.38–$662.40	57% above	37%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SNGL LESION	$88.29	$516.63	$79.46–$413.30	79% below	83%
Skin biopsy, punch, one lesion CPT 11104 ER PUNCH BX SKIN SNGL LESION	$88.29	$516.63	$106.00–$413.30	79% below	83%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 ER EX MALIGN LESION TR AR LEG 0.5 CM OR<	$136.06	$1,544.50	$106.00–$1,235.60	89% below	91%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS UP TO 15	$524.19	$291.10	$44.01–$232.88	72% above	-80%
Skin tag removal, up to 15 tags CPT 11200 ER REMVAL OF SKIN TAGS UP TO AND INCLUD 15	$524.19	$291.10	$90.24–$232.88	72% above	-80%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN LESIONS UP TO 15 LES	$524.19	$291.10	$90.24–$261.99	72% above	-80%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX	$1,875.15	$1,432.00	$50.00–$1,145.60	79% above	-31%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PM PUNCTURE SPINAL LUMBAR DX	$1,875.15	$1,432.00	$262.86–$1,288.80	79% above	-31%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER PUNCTURE SPINAL LUMBAR DX	$1,875.15	$1,432.00	$106.00–$1,145.60	79% above	-31%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DIAGNOSTIC	$1,875.15	$1,432.00	$50.00–$1,145.60	79% above	-31%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ER REPR SMP SCLP AX GENT TRK EX 2.57.5	$524.19	$554.64	$106.00–$443.71	33% above	5%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SMPL VA/EA/EYLD/NOSE/MM 2.5 OR<CM	$524.19	$539.40	$50.00–$431.52	34% above	3%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR SMPL FA/EA/EYLD/NOSE/MM 2.5 OR< CM	$524.19	$704.00	$119.38–$563.20	34% above	26%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ER RPR SMPL FA/EA/EYLD/NOS/MM 2.5 OR< CM	$524.19	$539.40	$106.00–$431.52	34% above	3%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 ER TANGENTIAL BX SKIN SNGL LESION	$75.79	$442.00	$106.00–$353.60	79% below	83%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SNGL LESION	$75.79	$442.00	$64.23–$353.60	79% below	83%
Thoracentesis with imaging guidance CPT 32555 ER THORACENTESIS W IMAGING GUIDANCE	$1,891.53	$2,107.89	$106.00–$1,686.31	34% above	10%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING GUIDANCE	$1,891.53	$2,989.00	$223.75–$2,391.20	34% above	37%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE W/GUIDE	$1,891.53	$2,107.89	$50.00–$1,686.31	34% above	10%
Tonsil and adenoid removal, age 12 or older CPT 42821 T AND A >12 YRS	$7,857.87	$5,834.50	$886.62–$5,251.05	108% above	-35%
Tonsil and adenoid removal, child under 12 CPT 42820 T AND A <12 YRS	$14,551.59	$22,992.00	$1,954.22–$18,393.60	204% above	37%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY >12 YRSPRIMARY OR SECOND	$7,857.87	$5,453.92	$886.62–$4,908.53	78% above	-44%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY<12 YRSPRIMARY OR SECOND	$14,551.59	$22,992.00	$1,954.22–$18,393.60	219% above	37%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY W FULGUR OF OVIDUCTS	$14,501.13	$7,512.00	$1,888.85–$6,760.80	193% above	-93%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W BIOPSY SINGLE OR MULTIPLE	$2,357.76	$2,756.77	$334.95–$2,357.76	69% above	14%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD WITH SUBMUCOSAL INJECTION	$2,357.76	$2,424.45	$334.95–$2,182.01	222% above	3%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W REMOVE LESION SNARE TECHNIQUE	$4,672.20	$2,764.76	$564.97–$2,488.28	310% above	-69%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/WO SPEC COLLECT BRUSH WASHING	$2,357.76	$2,682.00	$334.95–$2,357.76	62% above	12%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNILAT OR BILATERAL	$5,314.65	$4,524.00	$652.80–$4,071.60	—	-17%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION UP TO 14	$524.19	$230.00	$34.78–$184.00	162% above	-128%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRID SKIN AND SUBQ 1ST 20 SQ CM OR <	$958.53	$1,244.86	$106.00–$995.89	5% below	23%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIBE SUBQ TISSUE 20 SQ CM/<	$958.53	$1,244.86	$171.51–$995.89	5% below	23%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN AND SUBQ 1ST 20 SQ CM OR <	$958.53	$1,244.86	$50.00–$995.89	5% below	23%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TX MAX PER DAY AEROSOL TREATMENT	$625.46	$191.00	$28.88–$367.20	208% above	-227%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB INHALATION TREATMENT	$625.46	$408.00	$126.48–$367.20	208% above	-53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN NEB TX INTL ONLY	$625.46	$408.00	$28.88–$367.20	208% above	-53%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN NEB TX INITIAL ONLY	$625.46	$424.57	$55.00–$382.11	208% above	-47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN NEB TX EA ADDITIONAL	$625.46	$424.57	$55.00–$382.11	208% above	-47%
Chemotherapy IV infusion, first hour CPT 96413 INITIAL HR OF INFUSION COMPLEX BIOLOGI	$486.47	$1,291.00	$266.70–$1,032.80	10% below	62%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 DIAG. AUDIOGRAM	$470.39	$301.25	$93.39–$271.13	57% above	-56%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 MEDICAID HEARING EVALUATION	$470.39	$301.25	$93.39–$271.13	57% above	-56%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE FACILITY 1ST 3074 MINS	$2,266.64	$3,414.00	$600.65–$3,072.60	11% below	34%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 X EKG 12 LEAD LOCAL W PHY INT	$77.85	$96.00	$6.20–$77.85	44% below	19%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG 12 LEAD W INTERPRETATION AND REPORT	$77.85	$41.00	$6.20–$77.85	44% below	-90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - HOSPITAL WEEK/HEALTH FAIR	$187.03	$123.87	$14.82–$221.60	31% below	-51%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECGROUTINE ECG W/12 LEADS;TRACING ONLY	$187.03	$123.87	$14.82–$221.60	31% below	-51%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RHC EKG-COMPUTER	$187.03	$123.87	$14.82–$221.60	31% below	-51%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 MASTER TWO STEP EKG	$187.03	$98.00	$14.82–$221.60	31% below	-91%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-COMPUTER	$187.03	$123.87	$14.82–$221.60	31% below	-51%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG RHYTHM STRIP	$187.03	$123.87	$14.82–$221.60	31% below	-51%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED FACILITY LEVEL 1 W PROCEDURE	$236.71	$352.00	$51.36–$316.80	1% above	33%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED FACILITY LEVEL 1	$236.71	$352.00	$51.36–$316.80	1% above	33%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED FACILITY LEVEL 2	$435.06	$607.75	$51.36–$546.98	at median	28%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED FACILITY LEVEL 2 W PROCEDURE	$435.06	$607.75	$51.36–$546.98	at median	28%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED FACILITY LEVEL 3	$759.36	$1,042.00	$51.36–$937.80	1% below	27%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED FACILITY LEVEL 3 W PROCEDURE	$759.36	$1,042.00	$51.36–$937.80	1% below	27%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED FACILITY LEVEL 4	$1,196.09	$1,657.96	$250.68–$1,492.16	7% below	28%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED FACILITY LEVEL 4 W PROCEDURE	$1,196.09	$1,657.96	$250.68–$1,492.16	7% below	28%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED FACILITY LEVEL 5 W PROCEDURE	$1,715.33	$2,397.85	$362.55–$2,158.07	3% below	28%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED FACILITY LEVEL 5	$1,715.33	$2,397.85	$362.55–$2,158.07	3% below	28%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST/NOT LIST	$860.54	$1,232.74	$186.39–$986.19	31% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR EKG RHYTHM STRIP	$860.54	$1,232.74	$186.39–$986.19	31% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR FUNCTIONAL EVALUATION COMPLETE	$860.54	$1,232.74	$186.39–$986.19	31% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR RESTING 12 LEAD EKG	$860.54	$1,232.74	$186.39–$986.19	31% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR DIAGNOSTIC STRESS TEST	$860.54	$1,232.74	$186.39–$986.19	31% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 SUB MAX EX TEST W/EKG	$860.54	$1,232.74	$186.39–$986.19	31% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TREADMILL	$860.54	$1,232.74	$186.39–$986.19	31% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INFUSION HYDRATION INTL 31 MIN1HR	$131.10	$529.41	$91.77–$423.53	70% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INTL 31 MIN1HR	$131.10	$817.00	$91.77–$653.60	70% below	84%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INTL 31 MIN-1HR	$131.10	$529.41	$80.05–$529.41	70% below	75%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INTL 31 MIN 1 HR	$131.10	$529.41	$50.00–$423.53	70% below	75%
IV infusion of a medicine, first hour CPT 96365 INFUSION IV THER DRUG INITIAL UP TO 1 HR	$247.52	$589.00	$89.06–$550.00	45% below	58%
IV infusion of a medicine, first hour CPT 96365 ER IV INFUSION THER DRUG INITIAL UP1 HR	$247.52	$589.00	$106.00–$471.20	45% below	58%
IV push of a medicine, first drug CPT 96374 ER IVP INJ THERA PROPHY DX INITIAL	$134.78	$342.72	$45.40–$274.18	41% below	61%
IV push of a medicine, first drug CPT 96374 INFUS IVP INJ THERA PROPHY DX INITIAL	$134.78	$342.72	$45.40–$342.72	41% below	61%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF IM SUBQ INJ THERAPEUTIC PROPHYTIC DX	$205.60	$175.00	$26.46–$175.00	40% above	-17%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJ THERAPEUTIC PROPHC DX SUBQ/IM	$205.60	$175.00	$31.12–$157.50	40% above	-17%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE EDUCATION	$121.31	$142.00	$21.47–$121.31	8% above	15%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION EA 15MIN	$121.31	$142.00	$21.47–$121.31	8% above	15%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-EDUCATION EA 15MIN	$121.31	$142.00	$21.47–$121.31	8% above	15%
Neuromuscular re-education, 15 minutes CPT 97112 PT BIO FEEDBACK EA 15 MINS	$121.31	$142.00	$21.47–$121.31	8% above	15%
New patient office visit, about 60 minutes CPT 99205 RHC OV/OP VISIT NP L-5	$582.05	$499.00	$154.69–$449.10	99% above	-17%
New patient office visit, about 60 minutes CPT 99205 RHC OB OV/OP VISIT NP L-5	$582.05	$499.00	$154.69–$449.10	99% above	-17%
New patient office visit, about 60 minutes CPT 99205 PM NEW VISIT LEVEL-5	$582.05	$520.00	$78.62–$468.00	99% above	-12%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PM NEW VISIT LEVEL-2	$175.24	$475.00	$71.82–$380.00	18% above	63%
Occupational therapy evaluation, low complexity CPT 97165 OT INITIAL EVAL LOW COMPLEXITY 20 MINS	$316.13	$314.11	$47.49–$282.70	30% above	-1%
Occupational therapy evaluation, low complexity CPT 97165 OT HH INITIAL EVALUATION	$316.13	$314.11	$47.49–$282.70	30% above	-1%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT INITL EVAL HIGH COMPLEXITY 45OR> MINS	$294.07	$394.00	$59.57–$315.20	2% above	25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT INITL EVAL LOW COMPLEXITY 20 MINS	$294.07	$303.00	$45.81–$272.70	44% above	3%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT INITL EVAL MOD COMPLEXITY 30 MINS	$294.07	$349.00	$52.77–$294.07	18% above	16%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY EA 15 MIN	$96.80	$144.38	$21.83–$115.50	13% below	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15 MIN	$96.80	$144.38	$21.83–$115.50	13% below	33%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN	$96.80	$144.38	$21.83–$115.50	13% below	33%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE EA 15 MIN	$106.59	$146.94	$22.22–$117.55	5% below	27%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE EA 15 MIN	$106.59	$146.94	$22.22–$117.55	5% below	27%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE EA 15MIN	$106.59	$146.94	$22.22–$117.55	5% below	27%
Preventive checkup, new patient aged 18–39 CPT 99385 RHC OV PREVENTIVE NEW EXAM 18-39 YR	$338.20	$243.00	$75.33–$218.70	143% above	-39%
Preventive checkup, new patient aged 40–64 CPT 99386 RHC OV PREVENTIVE NEW EXAM 40-64YR	$411.71	$369.00	$114.39–$332.10	185% above	-12%
Preventive checkup, new patient aged 65 or older CPT 99387 RHC OV PREVENTIVE NEW EXAM 65 AND OLDER	$442.34	$400.00	$124.00–$360.00	178% above	-11%
Preventive checkup, returning patient aged 18–39 CPT 99395 RHC OV PREVENTIVE EST EXAM 18-39 YRS	$310.01	$286.00	$88.66–$257.40	191% above	-8%
Preventive checkup, returning patient aged 40–64 CPT 99396 RHC OV PREVENTIVE EST EXAM 40-64 YRS	$335.75	$305.00	$94.55–$274.50	119% above	-10%
Preventive checkup, returning patient aged 65 or older CPT 99397 RHC OV PREVENTIVE EST EXAM 65 YRS AND UP	$352.89	$328.00	$101.68–$295.20	112% above	-8%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TREATMENT ROOM LEVEL V	$383.52	$274.00	$41.43–$246.60	35% above	-40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC OV/OP VISIT EP L-5	$383.52	$349.00	$108.19–$314.10	35% above	-10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC OB OV/OP VISIT EP L-5	$383.52	$349.00	$108.19–$314.10	35% above	-10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PM EST VISIT LEVEL-5	$383.52	$475.00	$71.82–$383.52	35% above	19%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PM EST VISIT LEVEL-3	$176.46	$216.03	$24.95–$176.46	at median	18%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TREATMENT ROOM LEVEL III	$176.46	$216.03	$32.66–$172.82	at median	18%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PM NEW VISIT LEVEL-3	$176.46	$165.00	$24.95–$176.46	at median	-7%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TREATMENT ROOM LEVEL IV	$272.03	$414.95	$50.00–$331.96	41% above	34%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PM EST VISIT LEVEL-4	$272.03	$414.45	$62.66–$372.00	41% above	34%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PM NEW VISIT LEVEL-4	$272.03	$465.00	$62.66–$372.00	41% above	41%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC OB OV/OP VISIT EST PT L-4	$272.03	$259.00	$80.29–$233.10	41% above	-5%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC OV/OP VISIT EST PT L-4	$272.03	$259.00	$80.29–$233.10	41% above	-5%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT ROOM LEVEL II	$88.23	$426.81	$50.00–$341.45	29% below	79%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PM EST VISIT LEVEL-2	$88.23	$426.81	$64.53–$341.45	29% below	79%
Speech and language evaluation CPT 92523 ST EVAL SOUND W EVAL LANG AND EXPRS	$678.84	$527.00	$79.68–$474.30	75% above	-29%
Speech therapy session, individual CPT 92507 HA CONSULTATION-15 MINUTES	$273.26	$316.00	$71.26–$273.26	26% above	14%
Speech therapy session, individual CPT 92507 ST SPEECH LANG VOICE TRT INDIVID 30 MINS	$273.26	$316.00	$47.78–$273.26	26% above	14%
Speech therapy session, individual CPT 92507 MYOFUNCTIONAL THERAPY 15 MIN	$273.26	$316.00	$47.78–$273.26	26% above	14%
Speech therapy session, individual CPT 92507 ST ECI PROJECT TEAM	$273.26	$316.00	$47.78–$273.26	26% above	14%
Speech therapy session, individual CPT 92507 AURAL REHAB (INDIV)-15 MINUTES	$273.26	$316.00	$71.26–$273.26	26% above	14%
Speech therapy session, individual CPT 92507 ST VOICE THERAPY 15 MIN	$273.26	$316.00	$47.78–$273.26	26% above	14%
Speech therapy session, individual CPT 92507 ST SPEECH LANG VOICE TRT INDIVID 45 MINS	$273.26	$316.00	$47.78–$273.26	26% above	14%
Spirometry (breathing test) CPT 94010 SPIROMETRY W/WO MVV	$470.39	$380.00	$57.46–$342.00	32% above	-24%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE AND POST	$160.51	$697.00	$105.39–$557.60	73% below	77%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES EA 15 MIN	$138.45	$219.00	$33.11–$175.20	23% above	37%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITIES EA 15 MIN	$138.45	$219.00	$33.11–$175.20	23% above	37%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACTIVITIES EA 15 MIN	$138.45	$219.00	$33.11–$175.20	23% above	37%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 INF BB/PHLEBOTOMY THERAPEUTIC	$370.70	$292.44	$44.22–$292.44	62% above	-27%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB/PHLEBOTOMY THERAPEUTIC	$370.70	$235.95	$35.68–$741.60	62% above	-57%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACC 0.5ML SDV	$555.80	$140.00	$0.01–$126.00	40% above	-297%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 RHC VARIVAX (VARICELLA)	$555.80	$140.00	$0.01–$126.00	40% above	-297%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 RHC VARIVAX (VARICELLA)	$555.80	$140.00	$0.01–$126.00	—	-297%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC 0.5ML SDV	$555.80	$140.00	$0.01–$126.00	—	-297%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 RHC KINRIX (DTAP IPV)	$213.43	$100.00	$0.01–$90.00	188% above	-113%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 RHC KINRIX (DTAP IPV)	$213.43	$100.00	$0.01–$90.00	—	-113%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL DTAP VAC < 7YRS IM (10-0.5ML)	$96.81	$35.00	$0.01–$31.50	7% above	-177%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE (PEDI)(DAPTACEL)	$96.81	$150.15	$22.70–$134.35	7% above	36%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL (DAPT) 6WKS-6YRS	$96.81	$35.00	$0.01–$31.50	7% above	-177%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DAPTACEL (DAPT) 6WKS-6YRS	$96.81	$35.00	$0.01–$31.50	—	-177%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DAPTACEL DTAP VAC < 7YRS IM (10-0.5ML)	$96.81	$35.00	$0.01–$31.50	—	-177%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE (PEDI)(DAPTACEL)	$96.81	$150.15	$22.70–$134.35	—	36%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 RHC PEDIARIX (DTAP-HEP B-IPV)	$324.14	$70.00	$0.01–$63.00	53% above	-363%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 RHC PEDIARIX (DTAP-HEP B-IPV)	$324.14	$70.00	$0.01–$63.00	—	-363%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL PR5 VACC 0.5ML (5-SDV)	$393.68	$150.00	$0.01–$135.00	41% above	-162%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL PR5 VACC 0.5ML (5-SDV)	$393.68	$150.00	$0.01–$135.00	—	-162%
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440 ELU/ML ADULT DOSAGE IM	$235.06	$95.00	$0.01–$85.50	28% above	-147%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1440 ELU/ML ADULT DOSAGE IM	$235.06	$95.00	$0.01–$85.50	—	-147%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX 720 ELU/0.5ML VAC PEDI	$133.74	$50.00	$0.01–$45.00	42% above	-167%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX 720 ELU/0.5ML VAC PEDI	$133.74	$50.00	$0.01–$45.00	—	-167%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 5MCG/0.5ML	$199.15	$145.00	$0.01–$130.50	21% above	-37%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/ML ADULT IM	$199.15	$145.00	$0.01–$130.50	21% above	-37%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 5MCG/0.5ML	$199.15	$145.00	$0.01–$130.50	—	-37%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/ML ADULT IM	$199.15	$145.00	$0.01–$130.50	—	-37%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/0.5ML HEP B PEDI/ADOL	$79.91	$47.00	$0.01–$42.30	2% below	-70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VACCINE PED 0.5ML VIAL(COMMERCIAL)	$79.91	$74.23	$11.22–$66.81	2% below	-8%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/0.5ML HEP B PEDI/ADOL	$79.91	$47.00	$0.01–$42.30	—	-70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VACCINE PED 0.5ML VIAL(COMMERCIAL)	$79.91	$74.23	$11.22–$66.81	—	-8%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB PR 5 W/DIL 5DS (5-SDV)	$44.42	$30.00	$0.01–$27.00	5% below	-48%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIBERIX W/DIL (SDV AND DILUENT)	$44.42	$30.00	$0.01–$27.00	5% below	-48%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIBERIX W/DIL (SDV AND DILUENT)	$44.42	$30.00	$0.01–$27.00	—	-48%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ACTHIB PR 5 W/DIL 5DS (5-SDV)	$44.42	$30.00	$0.01–$27.00	—	-48%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 RHC MCC (FLUZONE) HIGH DOSE 65+	$150.96	$125.00	$18.90–$112.50	1% above	-21%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 RHC MCC (FLUZONE) HIGH DOSE 65+	$150.96	$125.00	$18.90–$112.50	—	-21%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR II VACC/DILU PR 0.5ML (10-SDV)	$245.91	$60.00	$0.01–$54.00	22% above	-310%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR II VACC/DILU PR 0.5ML (10-SDV)	$245.91	$60.00	$0.01–$54.00	—	-310%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 RHC PROQUAD (MMRV)	$708.40	$318.00	$0.01–$286.20	158% above	-123%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 RHC PROQUAD (MMRV)	$708.40	$318.00	$0.01–$286.20	—	-123%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VAC SD 0.5ML	$297.78	$272.00	$0.01–$244.80	16% below	-9%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VAC SD 0.5ML	$297.78	$272.00	$0.01–$244.80	—	-9%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 RHC BEXSERO (MEN B)	$699.23	$283.00	$42.79–$254.70	15% above	-147%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 RHC BEXSERO (MEN B)	$699.23	$283.00	$42.79–$254.70	—	-147%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR PNEUMO VACC 7 VALENT	$646.80	$150.00	$0.01–$135.00	33% above	-331%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR PNEUMO VACC 7 VALENT	$646.80	$150.00	$0.01–$135.00	—	-331%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 25MCG/0.5ML 2YR+	$410.27	$106.00	$0.01–$95.40	62% above	-287%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 TVFC PNEUMO VAC/POLYSAC 23 VALENT 2YR+	$410.27	$106.00	$0.01–$95.40	62% above	-287%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 25MCG/0.5ML 2YR+	$410.27	$106.00	$0.01–$95.40	—	-287%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 TVFC PNEUMO VAC/POLYSAC 23 VALENT 2YR+	$410.27	$106.00	$0.01–$95.40	—	-287%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL (IPV POLIO VAC) SQ/IM (5ML MDV)	$110.99	$46.00	$0.01–$41.40	67% below	-141%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL (IPV POLIO VAC) SQ/IM (5ML MDV)	$110.99	$46.00	$0.01–$41.40	—	-141%
Rabies vaccine, one dose CPT 90675 RABIES VACC (RABAVERT)	$1,036.42	$1,237.35	$187.09–$1,113.62	1% above	16%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$1,036.42	$450.00	$68.04–$405.00	1% above	-130%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC (RABAVERT)	$1,036.42	$1,237.35	$187.09–$1,113.62	—	16%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$1,036.42	$450.00	$68.04–$405.00	—	-130%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RHC ROTATEQ (ROTAVIRUS) 3 DOSE	$346.15	$80.00	$0.01–$72.00	237% above	-333%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS PENTAVALENT VACC ORAL 3 DOSE	$346.15	$80.00	$0.01–$72.00	237% above	-333%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 RHC ROTATEQ (ROTAVIRUS) 3 DOSE	$346.15	$80.00	$0.01–$72.00	—	-333%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS PENTAVALENT VACC ORAL 3 DOSE	$346.15	$80.00	$0.01–$72.00	—	-333%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 ZZZTETANUS/DIPH TOX 0.5ML IM (PEDIATRIC)	$64.89	$128.00	$19.35–$102.40	36% below	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETNAUS/DIPTHERIA TD PF 7YRS AND > 0.5ML	$64.89	$40.00	$0.01–$36.00	36% below	-62%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETNAUS/DIPTHERIA TD PF 7YRS AND > 0.5ML	$64.89	$40.00	$0.01–$36.00	—	-62%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 ZZZTETANUS/DIPH TOX 0.5ML IM (PEDIATRIC)	$64.89	$128.00	$19.35–$102.40	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIP/PER(ACEL)/TET VACCINE (TDAP)(ADACEL)	$138.32	$238.50	$0.01–$190.80	18% above	42%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL TDAP VACC > 11YRS (5- 0.5ML SDV)	$138.32	$80.00	$0.01–$190.80	18% above	-73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIP/PER(ACEL)/TET VACCINE (TDAP)(ADACEL)	$138.32	$238.50	$0.01–$190.80	—	42%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TDAP VACC > 11YRS (5- 0.5ML SDV)	$138.32	$80.00	$0.01–$190.80	—	-73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION 1 VACCINE	$205.60	$325.00	$12.71–$260.00	179% above	37%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC VACC ADM 1 VACCINE SINGLE OR COMB	$205.60	$41.00	$12.71–$36.90	179% above	-401%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACC ADM 1 VACCINE SINGLE OR COMBINATION	$205.60	$41.00	$12.71–$260.00	179% above	-401%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VAC ADM 1 VACCINE SINGLE OR COMBINATION	$205.60	$325.00	$12.71–$260.00	179% above	37%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$205.60	$325.00	$12.71–$260.00	179% above	37%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN; 1 VACCINE	$205.60	$325.00	$12.71–$260.00	179% above	37%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADM EA ADD'L SINGLE/COMBINATION	$44.10	$31.00	$9.61–$56.00	6% below	-42%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RHC VAC ADM EA ADD'L	$44.10	$31.00	$9.61–$27.90	6% below	-42%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADM EA ADDL SINGLE OR COMBINATION	$44.10	$70.00	$9.61–$56.00	6% below	37%

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://seminolehospitaldistrict.com/751362671_memorial_hospital_standardcharges.csv