Hospital

Memorial Hospital Seminole

Memorial Hospital Seminole in Seminole, TX publishes cash prices for 409 common procedures listed here, from its own machine-readable price file updated Nov 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 323 of 403 procedures and above it for 76. By typical cash price it ranks #108 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 11, 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	$1,918.32	$3,197.20	$220.58–$2,557.76	33% below	40%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS FLAT AND UPRT OR DECU	$328.82	$548.04	$131.99–$438.43	13% below	40%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE BILATERAL	$317.35	$528.91	$109.09–$423.13	—	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RIGHT	$317.35	$528.91	$109.09–$423.13	11% below	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LEFT	$317.35	$528.91	$109.09–$423.13	11% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ANKLE BRACHIAL INDEX ABI	$436.76	$727.93	$80.49–$582.34	28% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT RIGHT NO CONTRAST	$1,235.56	$2,059.26	$33.11–$1,647.41	25% below	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT LEFT NO CONTRAST	$1,235.56	$2,059.26	$33.11–$1,647.41	25% below	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR BARIUM SWALLOW ROUTINE ESOPHAGRAM	$522.63	$871.05	$106.13–$696.84	at median	40%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN	$1,494.86	$2,491.43	$300.01–$1,993.14	5% below	40%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILAT COMPLETE INCLUDE AXILLA	$456.08	$760.14	$33.11–$608.11	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMPLETE INCL AXILLA	$456.08	$760.14	$33.11–$608.11	3% above	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMPLETE INCLUDE AXILLA	$456.08	$760.14	$33.11–$608.11	3% above	40%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST BILAT LIMITED INCLUDES AXILLA	$348.87	$581.45	$109.09–$465.16	—	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LIMITED INCLUDES AXILLA	$348.87	$581.45	$109.09–$465.16	at median	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LIMITED INCLUDES AXILLA	$348.87	$581.45	$109.09–$465.16	at median	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN PELVIS RENAL ARTERY	$2,812.46	$4,687.43	$461.69–$3,749.94	30% below	40%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD CIRCLE OF WILLIS ANEURYSM	$1,877.52	$3,129.20	$220.58–$2,503.36	21% below	40%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK CAROTIDS	$1,854.72	$3,091.20	$220.58–$2,472.96	22% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST PE OR DISSECTION STUDY	$1,941.12	$3,235.20	$220.58–$2,588.16	25% below	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS NO IV CONTRAST STONES	$2,231.86	$3,719.77	$230.02–$2,975.82	24% below	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W IV CONTR HPRADEFAULT	$2,851.58	$4,752.64	$355.76–$3,802.11	25% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS WO WITH IV CONTRAST	$3,153.86	$5,256.43	$396.62–$4,205.14	20% below	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN WITH CONTRAST ABOVE WAIST	$1,643.52	$2,739.20	$220.58–$2,191.36	35% below	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN NO CONTRAST ABOVE WAIST ONLY	$1,643.52	$2,739.20	$131.99–$2,191.36	18% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL NO CONTRAST FACIALBONES	$1,272.12	$2,120.20	$131.99–$1,696.16	24% below	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS NO CONTRAST NOT PART OF HEAD	$1,272.12	$2,120.20	$131.99–$1,696.16	24% below	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD BRAIN NO CONTRAST	$1,298.97	$2,164.95	$131.99–$1,731.96	25% below	40%
CT scan of the head with contrast CPT 70460 CT HEAD BRAIN WITH CONTRAST	$1,416.12	$2,360.20	$220.58–$1,888.16	16% below	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD BRAIN WO WITH CONTRAST	$1,699.32	$2,832.20	$220.58–$2,265.76	17% below	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE NO CONTRAST	$1,417.09	$2,361.81	$33.11–$1,889.45	21% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WO CONTRAST	$1,428.49	$2,380.81	$131.99–$1,904.65	30% below	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE C SPINE NECK FOR TRAUM	$1,428.49	$2,380.81	$131.99–$1,904.65	30% below	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST	$1,552.76	$2,587.93	$220.58–$2,070.34	29% below	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX SCAN BILATERAL	$947.86	$1,579.77	$188.02–$1,263.82	—	40%
Chest CT scan without and with contrast CPT 71270 CT CHEST LUNGS WO WITH CONTRAST STAGING	$1,924.32	$3,207.20	$220.58–$2,565.76	24% below	40%
Chest X-ray, 2 views CPT 71046 XR CHEST REPEAT BY SAME PHYSICIAN	$284.95	$474.91	$75.31–$379.93	27% below	40%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEW PA LATERAL	$284.95	$474.91	$75.31–$379.93	27% below	40%
Chest X-ray, 2 views CPT 71046 XR CHEST REPEAT BY DIFFERENT PHYSICIAN	$284.95	$474.91	$75.31–$379.93	27% below	40%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$251.95	$419.91	$75.31–$335.93	22% below	40%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR CLAVICLE BILAT 2 VIEWS COLLARBONE	$278.95	$464.91	$71.95–$371.93	—	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT 2 VIEWS COLLARBONE	$278.95	$464.91	$71.95–$371.93	7% below	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT 2 VIEWS COLLARBONE	$278.95	$464.91	$71.95–$371.93	7% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL AORTA KIDNEYS AND BLADDER	$613.09	$1,021.81	$117.96–$817.45	13% below	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR DEXA BONE DENSITY OF HIP AND SPINE	$402.49	$670.81	$87.91–$536.65	2% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR DEXA APPENDICULAR RADIUS WRIST HEEL	$224.35	$373.91	$35.30–$299.13	2% above	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG OB ANATOMY SCAN 18TO22 WEEKS	$691.66	$1,152.77	$188.02–$922.22	at median	40%
Detailed fetal anatomy ultrasound, through the belly, one baby one side CPT 76811 US PREG UTERUS RT W/IMG MTHR/1ST FETUS	$691.66	$1,152.77	$188.02–$922.22	at median	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST LUNGS NO CONTRAST DX	$1,281.49	$2,135.81	$131.99–$1,708.65	16% below	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST LUNGS W CONTRAST DX MASSTRAUMA	$1,645.92	$2,743.20	$220.58–$2,194.56	18% below	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAM MAMMOGRAM DIAGNOSTIC BILAT W WO CAD	$322.80	$538.00	$75.00–$430.40	—	40%
Diagnostic mammogram, one breast one side CPT 77065 MAM MAMMOGRAM DIAGNOSTIC RIGHT W WO CAD	$256.15	$426.92	$64.55–$341.54	6% below	40%
Diagnostic mammogram, one breast one side CPT 77065 MAM MAMMOGRAM DIAGNOSTIC LEFT W WO CAD	$256.15	$426.92	$64.55–$341.54	6% below	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL LOWER EXTREMITY BILATERAL	$962.86	$1,604.77	$188.02–$1,283.82	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS LOWER EXTREMITY BILATERAL	$1,025.86	$1,709.77	$188.02–$1,367.82	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS UPPER EXTREMITY BILATERAL	$1,025.86	$1,709.77	$188.02–$1,367.82	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM COMP W COLOR DOPPLER	$954.15	$1,590.25	$240.45–$1,920.00	50% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMPLETE SPECTRAL COLOR DOPPLER	$1,440.00	$2,400.00	$240.45–$1,920.00	25% below	40%
Elbow X-ray, 2 views both sides CPT 73070 XR ELBOW BILATERAL 2 VIEWS AP LATERAL	$271.85	$453.08	$71.95–$362.46	—	40%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW RIGHT 2 VIEWS AP LATERAL	$271.85	$453.08	$71.95–$362.46	14% below	40%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW LEFT 2 VIEWS AP LATERAL	$271.85	$453.08	$71.95–$362.46	14% below	40%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW BILATERAL COMPLETE 3 TO 4 VIEWS	$314.95	$524.91	$71.95–$419.93	—	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 3 TO 4 VIEWS COMPLETE	$314.95	$524.91	$71.95–$419.93	18% below	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 3 TO 4 VIEWS COMPLETE	$314.95	$524.91	$71.95–$419.93	18% below	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT IAC MASTOIDS NO CONTRAST	$1,304.94	$2,174.90	$131.99–$1,739.92	14% below	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE SERIES 5 VIEWS	$366.49	$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	$291.53	$485.89	$71.95–$388.71	—	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LEFT 2 VIEWS	$291.53	$485.89	$71.95–$388.71	22% below	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RIGHT 2 VIEWS	$291.53	$485.89	$71.95–$388.71	22% below	40%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR HEEL BILATERAL CALCANEUS OS CALCIS	$260.07	$433.45	$71.95–$346.76	—	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT CALCANEUS OS CALCIS	$260.07	$433.45	$71.95–$346.76	9% below	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT CALCANEUS OS CALCIS	$260.07	$433.45	$71.95–$346.76	9% below	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING 4+PARAMETERS WITH CPAP	$3,078.00	$5,130.00	$475.52–$4,104.00	27% below	40%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE BILATERAL 3 VIEW PATELLA	$331.75	$552.91	$109.09–$442.33	—	40%
Knee X-ray, 3 views one side CPT 73562 XR KNEE RIGHT 3 VIEW PATELLA	$331.75	$552.91	$109.09–$442.33	11% below	40%
Knee X-ray, 3 views one side CPT 73562 XR KNEE LEFT 3 VIEW PATELLA	$331.75	$552.91	$109.09–$442.33	11% below	40%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XR KNEE BILATERAL 4 VW AP LAT TUN SUN	$391.69	$652.81	$115.16–$522.25	—	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE RIGHT 4 VIEW AP LAT TUNNEL SUNRI	$391.69	$652.81	$115.16–$522.25	8% below	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE LEFT 4 VW AP LAT TUNNEL SUNRISE	$391.69	$652.81	$115.16–$522.25	8% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT RIGHT NO CONTRAST	$1,245.49	$2,075.81	$131.99–$1,660.65	24% below	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT LEFT NO CONTRAST	$1,245.49	$2,075.81	$131.99–$1,660.65	24% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD GB RUQ LIVER OR ST ABD LUMBAR	$569.89	$949.81	$117.96–$759.85	6% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD SINGLE ORGAN	$569.89	$949.81	$117.96–$759.85	6% below	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON VASCULAR LTD SOFT TISSU	$372.49	$620.81	$111.14–$496.65	5% below	40%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR LEG BILATERAL TIBIA FIBULA 2 VIEW	$301.15	$501.91	$71.95–$401.53	—	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR LEG LEFT TIBIA FIBULA 2 VIEW AP LATER	$301.15	$501.91	$71.95–$401.53	13% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR LEG RIGHT TIBIA FIBULA 2 VIEW AP LATE	$301.15	$501.91	$71.95–$401.53	13% below	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN HEAD NO CONTRAST	$1,953.58	$3,255.97	$294.17–$2,604.78	8% above	40%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST BIL WITH AND OR WITHOUT	$1,433.40	$2,389.00	$740.59–$1,911.20	6% above	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT LEFT NO CON	$1,955.63	$3,259.38	$294.17–$2,607.50	10% below	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOWER EXT JOINT RIGHT NO CON	$1,955.63	$3,259.38	$294.17–$2,607.50	10% below	40%
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	$2,684.45	$4,474.09	$461.69–$3,579.27	11% below	40%
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	$2,684.45	$4,474.09	$461.69–$3,579.27	11% below	40%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN NO CONTRAST MRCP ADRENALS	$1,969.66	$3,282.77	$294.17–$2,861.48	8% below	40%
MRI of the abdomen without contrast CPT 74181 MRI CHEST NO CONTRAST	$2,146.11	$3,576.85	$294.17–$2,861.48	1% above	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO WITH CONTRAST	$2,753.06	$4,588.43	$461.69–$3,670.74	10% below	40%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN HEAD NO CONTRAST	$2,063.06	$3,438.43	$294.17–$2,750.74	9% above	40%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN HEAD WO WITH CONTRAST	$2,858.66	$4,764.43	$461.69–$3,811.54	1% above	40%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE NO CONTRAST	$2,022.46	$3,370.77	$294.17–$2,696.62	8% below	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO WITH CONTRAST	$2,668.50	$4,447.50	$461.69–$3,558.00	17% below	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE NO CONTRAST	$2,014.86	$3,358.10	$294.17–$2,686.48	1% below	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO WITH CONTRAST	$2,869.46	$4,782.43	$461.69–$3,825.94	12% below	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE NO CONTRAST	$2,026.57	$3,377.61	$294.17–$2,702.09	10% below	40%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO WITH CONTRAST	$2,762.99	$4,604.98	$461.69–$3,683.98	11% below	40%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS NO CONTRAST	$1,892.86	$3,154.77	$294.17–$2,523.82	20% below	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT LEFT NO CONTRAST	$1,958.26	$3,263.77	$294.17–$2,611.02	8% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT RIGHT NO CONTRAST	$1,958.26	$3,263.77	$294.17–$2,611.02	8% above	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE SERIES 5 VW COMPLETE	$433.09	$721.81	$115.16–$577.45	21% below	40%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK WITH CONTRAST	$1,569.72	$2,616.20	$220.58–$2,092.96	21% below	40%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK NO CONTRAST SOFT TISSUE	$1,237.09	$2,061.81	$131.99–$1,649.45	20% below	40%
Neck soft tissue X-ray CPT 70360 XR SOFT TISSUE NECK FB OR CROUP	$277.75	$462.91	$71.95–$370.33	17% above	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS NO CONTRAST OR BONY PELVIS	$1,299.04	$2,165.06	$131.99–$1,732.05	20% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NON OB LTD SOFT TISSUE OR BLAD	$416.89	$694.81	$75.74–$555.85	14% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON-OB	$409.69	$682.81	$117.96–$831.05	46% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB COMPLETE	$623.29	$1,038.81	$117.96–$831.05	18% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG OB GREATER TH 14 WK 2ND 3RD TRIM	$567.49	$945.81	$117.96–$756.65	8% below	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB PREG COMP >= 14 WKS TRNSABD SINGLE	$567.49	$945.81	$117.96–$756.65	8% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 RHC US PREG OB LESS THAN 14WK	$90.57	$150.95	$46.79–$135.86	85% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 SAYEGH PREG <14 WK	$226.80	$378.00	$117.18–$693.25	62% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 SAYEGH US PREG OB ANATOMY SCAN 1822	$286.20	$477.00	$117.18–$693.25	52% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG OB LESS THAN 14 WK 1ST TRIMESTER	$519.94	$866.56	$117.18–$693.25	13% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG OB GREATER 14WK SINGLE	$519.94	$866.56	$117.18–$693.25	13% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 SAYEGH FETAL BIOPHYS PROFILE WO NST	$166.80	$278.00	$33.11–$544.65	64% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 SAYEGH PREGN OB LMTD	$345.60	$576.00	$33.11–$544.65	25% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREG OB LIMITED POSITION PLACENTA LOC	$408.49	$680.81	$33.11–$544.65	11% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$408.49	$680.81	$33.11–$544.65	11% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD/TARGETED W INTERP	$408.49	$680.81	$33.11–$544.65	11% below	40%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RIGHT 2 VIEWS MINIMUM	$297.97	$496.62	$71.95–$397.30	3% below	40%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LEFT 2 VIEWS MINIMUM	$297.97	$496.62	$71.95–$397.30	3% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB UNILATERAL WITH PA CHEST VIEW	$374.89	$624.81	$115.16–$499.85	5% below	40%
Screening mammogram, both breasts both sides CPT 77067 MAM MAMMOGRAM SCREENING BILAT W WO CAD	$260.33	$433.88	$65.60–$347.10	—	40%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER BILATERAL	$319.90	$533.17	$109.09–$426.54	—	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LEFT	$319.90	$533.17	$109.09–$426.54	at median	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RIGHT	$319.90	$533.17	$109.09–$426.54	at median	40%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS SERIES 4 VIEWS COMPLETE	$337.15	$561.91	$27.56–$449.53	17% below	40%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 2 VIEWS (APANDLAT)	$67.80	$113.00	$35.03–$427.05	79% below	40%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 2 VIEWS AP LAT	$320.29	$533.81	$35.03–$427.05	1% below	40%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1 VIEW LAT ONLY	$320.29	$533.81	$35.03–$427.05	1% below	40%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING 4+PARAMETERS 6YRS/>	$2,700.00	$4,500.00	$850.00–$3,600.00	35% below	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR MOD BARIUM SWALLOW W SPEECH THERAPY	$525.12	$875.20	$106.13–$700.16	13% below	40%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR FEMUR BILATERAL 2 VIEWS MIN THIGHBONE	$389.89	$649.81	$73.72–$519.85	—	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LEFT 2 VIEWS MIN THIGHBONE	$389.89	$649.81	$73.72–$519.85	19% above	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RIGHT 2 VIEWS MIN THIGHBONE	$389.89	$649.81	$73.72–$519.85	19% above	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE RECON CHEST	$1,381.09	$2,301.81	$131.99–$1,841.45	27% below	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE NO CONTRAST	$1,381.09	$2,301.81	$131.99–$1,841.45	27% below	40%
Toe X-ray, 2 or more views both sides CPT 73660 XR TOE BILATERAL 2 VW MIN	$248.95	$414.91	$71.95–$331.93	—	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 3RD DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 3RD DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 2ND DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT GREAT TOE	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 2ND DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 5TH DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 4TH DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT 4TH DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE LEFT GREAT TOE	$248.95	$414.91	$71.95–$331.93	8% below	40%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE RIGHT 5TH DIGIT	$248.95	$414.91	$71.95–$331.93	8% below	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$205.20	$342.00	$106.02–$731.25	66% below	40%
Transvaginal pelvic ultrasound CPT 76830 US PELVIC TRANSVAGINAL NON OB	$548.44	$914.06	$106.02–$731.25	9% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 US OB PREGNANCY TRANSVAGINAL	$456.49	$760.81	$75.74–$608.65	11% below	40%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY OB TRANSVAGINAL	$456.49	$760.81	$75.74–$608.65	11% below	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$712.69	$1,187.81	$117.96–$950.25	9% below	40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM TESTICULAR	$584.29	$973.81	$117.96–$779.05	5% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID OR SOFT TISSUE NECK	$554.89	$924.81	$117.96–$739.85	12% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI SERIES SINGLE CONTRAST	$625.92	$1,043.20	$106.13–$834.56	13% below	40%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS BILATERAL 2 VIEWS	$288.55	$480.91	$71.95–$384.73	—	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT 2 VIEWS	$288.55	$480.91	$71.95–$384.73	18% below	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT 2 VIEWS	$288.55	$480.91	$71.95–$384.73	18% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LEFT LOWER EXTREMITY	$666.55	$1,110.91	$117.96–$888.73	15% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS RIGHT UPPER EXTREMITY	$666.55	$1,110.91	$117.96–$888.73	15% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS LEFT UPPER EXTREMITY	$666.55	$1,110.91	$117.96–$888.73	15% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS RIGHT LOWER EXTREMITY	$666.55	$1,110.91	$117.96–$888.73	15% below	40%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST BILATERAL	$309.34	$515.57	$71.95–$412.46	—	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RIGHT	$309.34	$515.57	$71.95–$412.46	16% below	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LEFT	$309.34	$515.57	$71.95–$412.46	16% below	40%
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	$290.51	$484.19	$73.72–$387.35	21% below	40%
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	$290.51	$484.19	$73.72–$387.35	21% below	40%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1VIEW REPEAT BY SAME PHYS	$266.35	$443.91	$75.31–$355.13	21% below	40%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW KUB OR FLAT PLATE	$266.35	$443.91	$75.31–$355.13	21% below	40%
X-ray of the abdomen, 1 view CPT 74018 XR GALLBLADDER SCOUT	$266.35	$443.91	$75.31–$355.13	21% below	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT THUMB	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 5TH DIGIT PINKY	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT THUMB	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 2ND DIGIT INDEX	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 2ND DIGIT INDEX	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 3RD DIGIT MIDDLE	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 3RD DIGIT MIDDLE	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 4TH DIGIT RING	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER RIGHT 4TH DIGIT RING	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER LEFT 5TH DIGIT PINKY	$251.20	$418.66	$71.95–$334.93	4% above	40%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT BILATERAL 3 VIEWS	$316.15	$526.91	$71.95–$421.53	—	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LEFT 3 VIEWS	$316.15	$526.91	$71.95–$421.53	15% below	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RIGHT 3 VIEWS	$316.15	$526.91	$71.95–$421.53	15% below	40%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND BILATERAL 3 VIEWS	$318.73	$531.22	$71.95–$424.98	—	40%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND LEFT 3 VIEWS	$318.73	$531.22	$71.95–$424.98	17% below	40%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RIGHT 3 VIEWS	$318.73	$531.22	$71.95–$424.98	17% below	40%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE BILATERAL 2 VIEWS SUPINE	$284.35	$473.91	$71.95–$379.13	—	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RIGHT 2 VIEW AP LATERAL	$284.35	$473.91	$71.95–$379.13	3% below	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LEFT 2 VIEW AP LATERAL	$284.35	$473.91	$71.95–$379.13	3% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE EMPLOYEE 2 VIEWS	$179.29	$298.81	$92.63–$477.23	60% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 3 VIEWS AP LAT SPOT	$357.92	$596.54	$92.63–$477.23	19% below	40%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE SERIES 5 VIEWS W OBLIQUE	$467.89	$779.81	$115.16–$623.85	20% below	40%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3 VIEW NOSE	$299.35	$498.91	$71.95–$399.13	9% above	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 3 VW AP LAT ODONTOID	$317.95	$529.91	$109.09–$423.93	13% below	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS	$293.79	$489.65	$115.16–$391.72	6% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND COCCYX TAILBONE	$297.55	$495.91	$71.95–$396.73	3% below	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 ACTHPLASMA 004440	$135.28	$225.47	$22.67–$180.38	29% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALTV)	$36.00	$60.00	$3.11–$48.00	28% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$37.20	$62.00	$3.03–$49.60	28% below	40%
Albumin blood test CPT 82040 ALBUMIN	$32.17	$53.61	$2.91–$42.89	14% below	40%
Albumin blood test CPT 82040 IGG INDEX AND SYNTHESIS RATE	$32.17	$53.61	$2.91–$42.89	14% below	40%
Aldosterone blood test CPT 82088 ALDOSTERONE RENIN RATIO 004354	$30.00	$50.00	$15.50–$183.38	77% below	40%
Aldosterone blood test CPT 82088 ALDOSTERONE LC/MS/MS	$128.40	$214.00	$15.50–$183.38	2% below	40%
Aldosterone blood test CPT 82088 ALDOSTERONE 004374	$128.40	$214.00	$15.50–$183.38	2% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS SERUM	$31.80	$53.00	$3.04–$42.40	33% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST COMP FOOD PANEL	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEA IGE 602517	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN IGE 602457	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TOTAL IGE 002170	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGY 602509	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH (F3) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM (F207) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MAIZE/CORN (F8) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX (YOLK AND WHITE) (F245) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG PROF NUT IGE/W COMP REFLX 604764	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH IGE 602744	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE 602768	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE LEGUMES 603354	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/CACAO 602492	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MELON 602737	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PROFILE MOLD 062448	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGY 602459	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLERGY 602468	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN 602457	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE ALLERGY 602522	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE ALLERGY 602511	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO WHITE ALLERGY 602499	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ALLERGY 602472	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT ALLERGY 602553	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GREENBEAN ALLERGEN 602838	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN ALLERGEN 602460	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT ALLERGY 602521	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY ALLERGY 602504	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA 602742	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE 602724	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE 602451	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT 602461	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO IGE 602745	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGY 602500	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON IGE 602718	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE 602503	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK 602487	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE 602452	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO PEPPER IGE 826359	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 F218IGE PAPRIKA/SWEET PEPPER 602779	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 6	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLES ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER BLK ALLERGENS	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER CAYENNE ALLERGENS	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPES ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY ALLERGY 602823	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK (F26) IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF(F27) IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK (F27) IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST (F45) IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ONIONS ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGES ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATOES ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ANIMAL ALLERSCAN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINTO BEANS ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATOES ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS ZONE 7	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PROFILE MOLD	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RESPIRATORY ALLERGEN SPECIFIC REGION X	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RASTSW PROFILE IGETOTAL	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING EA ALLERGEN	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RASTNW TX ALLERGY PANEL ZONE 4	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COMP ALLERGY TESTS	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTON LINTERS ALLERGEN (RAST)	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 XX PEANUT ALLERGEN (RAST)	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY/PECAN TREE IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS (G6) IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE GRASS IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED SHORTIGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE/TREE IGE 2520	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY IGE	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN GLUTEN (F79) IGE 602497	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS 15 FOODS 604544	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE AREA 10 WIGE 602640	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 XX ALLERGEN PR PLUS IGE PEDIATRIC 602988	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE 602528	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 XXX ALLERGY PROFILE FOOD 602989	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOODNUTS 671926	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE 602473	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IGE 602493	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IGE 602495	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS (G10) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE 602507	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE 602495	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE 602523	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QUAN/SEMIQUA CR	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP GRASS (G9) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE GRASS (G5) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS (G3) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALE (W15)	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED (W14) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE (W11) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTERS (W10) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN (W9) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK (T7) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTENWOOD (T14) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH (T3) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER) (TI) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR (W13) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIUM NOTATUM (M1) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM/HORMODENDRUM IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 AMBROSIA ELATIOR IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED ROUGH IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 QUERCUS VIRGINIANA IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SORGHUM HALEP IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING EA	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 IGE PEANUT WCOMPONENT RFLX 603916	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE 602568	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO IGE 602486	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT PIGNOLES 602550	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 XX PEANUT (F13) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT (F256) IGE 3489	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOODFISH 601013	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE FOODSHELLFISH 062695	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP (F24) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP (F338) IGE	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE (F1) IGE 2801	$21.00	$35.00	$3.07–$29.60	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED 602485	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK ALLERGEN	$21.00	$35.00	$3.07–$28.00	12% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 XALLERGEN SPECIFIC IGEQUAN/SEMI QUANEA	$22.20	$37.00	$3.07–$29.60	8% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 PB1 ALPHAFETOPOTEIN (AFP) SERUM ID15934	$85.80	$143.00	$9.84–$114.40	9% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN TUMOR MARKER TC237	$85.80	$143.00	$9.84–$114.40	9% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 XX AFP TUMOR MARKER INHOUSE NOT IN USE	$85.80	$143.00	$9.84–$114.40	9% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER 002253	$85.80	$143.00	$9.84–$114.40	9% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL AFP OSB 010801	$85.80	$143.00	$9.84–$114.40	9% below	40%
Ammonia blood test CPT 82140 AMMONIA	$92.40	$154.00	$8.55–$123.20	35% below	40%
Amylase blood test CPT 82150 AMYLASE	$63.60	$106.00	$3.81–$84.80	18% below	40%
Amylase blood test CPT 82150 PB2 SALIVARY ISOENZYME (ID 845)	$63.60	$106.00	$3.81–$84.80	18% below	40%
Amylase blood test CPT 82150 PB1 PANCREATIC ISOENZYME (ID 845)	$63.60	$106.00	$3.81–$84.80	18% below	40%
Amylase blood test CPT 82150 URINE AMYLASE	$63.60	$106.00	$3.81–$84.80	18% below	40%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$63.60	$106.00	$3.81–$84.80	18% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTICCP IGG/IGA 164914	$61.32	$102.20	$7.60–$81.76	10% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTINUCLEAR AB) 249 DO NOT ORDER	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTI-NUCLEAR AB) SLE 19881	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA RFLX TO 9 BIOMARK PROF 340897	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA PANEL	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCLERODERMA DIAGNOSTIC PROFILE	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 XXX ANA 12 PLUS PROFILE (RDL) 520180	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SPECIFIC ANTIBODY CASCADIN	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA COMPREHENSIVE PANEL 37521	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROANA	$66.00	$110.00	$7.09–$88.00	14% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA 164947	$66.00	$110.00	$7.09–$88.00	14% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NTPRO BNP 143000	$153.00	$255.00	$19.92–$204.00	1% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP B-TYPE NATRIURETIC PEPTIDE	$153.00	$255.00	$19.92–$204.00	1% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP	$153.00	$255.00	$19.92–$204.00	1% below	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NTPRO BNP IN HOUSE	$153.00	$255.00	$19.92–$204.00	1% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA CULTURE	$85.00	$141.67	$5.05–$113.34	27% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER	$85.00	$141.67	$5.05–$113.34	27% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$85.00	$141.67	$5.05–$113.34	27% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM	$85.00	$141.67	$5.05–$113.34	27% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE VAGINAL (IH)	$85.00	$141.67	$5.05–$113.34	27% above	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 8	$90.25	$150.42	$4.97–$120.34	57% below	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL W/EGFR	$90.25	$150.42	$4.97–$120.34	57% below	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL ONLY	$34.80	$58.00	$2.95–$46.40	39% below	40%
Blood culture for bacteria CPT 87040 CULTURE BLOOD AERO AND ANA	$115.80	$193.00	$6.06–$154.40	43% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$16.80	$28.00	$1.26–$22.40	7% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE FEE	$16.80	$28.00	$1.26–$22.40	7% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LAB FEE BOLL WEEVIL	$16.80	$28.00	$1.26–$22.40	7% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRUG SCREEN COLLECTION FEE	$16.80	$28.00	$1.26–$22.40	7% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$31.20	$52.00	$2.30–$41.60	25% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE (RANDOM)	$31.20	$52.00	$2.30–$41.60	25% below	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$31.20	$52.00	$2.30–$41.60	25% below	40%
Blood lead test CPT 83655 LEAD VENOUS BLOOD PEDIATRIC 717009	$41.88	$69.80	$7.10–$55.84	10% below	40%
Blood lead test CPT 83655 LEAD BLOOD	$41.88	$69.80	$7.10–$55.84	10% below	40%
Blood lead test CPT 83655 URINE HEAVY METAL 24HR	$41.88	$69.80	$7.10–$55.84	10% below	40%
Blood lead test CPT 83655 LEAD 24 HR URINE	$41.88	$69.80	$7.10–$55.84	10% below	40%
Blood lead test CPT 83655 LEAD BLOOD ADULT 007625	$41.88	$69.80	$7.10–$55.84	10% below	40%
Blood lead test CPT 83655 LEAD FINGERSTICK PEDIA 717016	$41.88	$69.80	$7.10–$55.84	10% below	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$78.00	$130.00	$4.41–$104.00	43% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB/ABO BLOOD GROUP	$62.40	$104.00	$1.75–$93.60	29% below	40%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$33.00	$55.00	$2.31–$44.00	38% below	40%
C-peptide blood test CPT 84681 CPEPTIDE (LC/MS/MS)	$80.40	$134.00	$12.21–$107.20	10% above	40%
C-peptide blood test CPT 84681 CPEPTIDE SERUM 010108	$80.40	$134.00	$12.21–$107.20	10% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$51.90	$86.50	$3.04–$69.20	at median	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREACTIVE PROTEIN (CRP) INHOUSE	$51.90	$86.50	$3.04–$69.20	at median	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREACTIVE PROTEIN 006627	$51.90	$86.50	$3.04–$69.20	at median	40%
C. difficile toxin gene test (stool PCR) CPT 87493 BD MAX C-DIFF	$124.80	$208.00	$21.11–$167.72	29% below	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN B GENE	$124.80	$208.00	$21.11–$167.72	29% below	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA199 002261	$89.55	$149.25	$12.21–$119.40	33% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 002303	$89.55	$149.25	$12.21–$119.40	41% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 NOVEL CORONAVIRUS (COVID19) NAA 139900	$84.49	$140.81	$21.55–$126.73	8% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BD SAR COV 2	$84.49	$140.81	$21.55–$126.73	8% below	40%
Calcium blood test, total CPT 82310 CALCIUMSERUM	$35.40	$59.00	$3.02–$47.20	41% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA 002139	$109.80	$183.00	$11.13–$146.40	18% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM 096776	$58.20	$97.00	$7.56–$77.60	5% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG 096206	$58.20	$97.00	$7.56–$77.60	5% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T AMPLIF NA PROBE AMPLIFIC	$102.00	$170.00	$20.60–$153.00	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS (DNA OR RNA)	$102.00	$170.00	$20.60–$153.00	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PB1 CHLAMYD TRACHOMTS RNA TMA RCTL 16506	$102.00	$170.00	$20.60–$153.00	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA SDA PAP VIAL	$102.00	$170.00	$20.60–$153.00	18% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 BD MAX CT	$102.00	$170.00	$20.60–$153.00	18% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL (CALCULATED LDL)	$88.97	$148.28	$7.86–$118.62	40% below	40%
Complete blood count (CBC) with differential CPT 85025 CBC W AUTO DIFF	$61.20	$102.00	$4.56–$81.60	33% below	40%
Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF	$61.20	$102.00	$4.56–$81.60	33% below	40%
Complete blood count (CBC) with differential CPT 85025 CBC COMPLETE WAUTO DIFF 005009	$61.20	$102.00	$4.56–$81.60	33% below	40%
Complete blood count (CBC) with differential CPT 85025 TCELL SUBSET PANEL	$61.20	$102.00	$4.56–$81.60	33% below	40%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF	$50.45	$84.08	$3.80–$67.26	46% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL 14	$123.23	$205.39	$6.20–$164.31	50% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 XX GH COMP METABOLIC PANEL (CMP)	$123.23	$205.39	$6.20–$164.31	50% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPLETE METABOLIC PANEL PICCOLO	$123.23	$205.39	$6.20–$164.31	50% below	40%
Cortisol blood test, total CPT 82533 CORTISOL AM 104018	$95.40	$159.00	$9.57–$127.20	14% above	40%
Cortisol blood test, total CPT 82533 CORTISOL	$95.40	$159.00	$9.57–$127.20	14% above	40%
Cortisol blood test, total CPT 82533 CORTISOL 004051	$95.40	$159.00	$9.57–$127.20	14% above	40%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$54.60	$91.00	$3.82–$72.80	15% below	40%
Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE	$54.60	$91.00	$3.82–$72.80	15% below	40%
Creatine kinase (CK) blood test, total CPT 82550 CPK ISOENZYMES (MB)	$54.60	$91.00	$3.82–$72.80	15% below	40%
Creatinine blood test CPT 82565 BUN/CREATNINE RATIO W/EGFR	$37.20	$62.00	$3.01–$49.60	31% below	40%
Creatinine blood test CPT 82565 CREATININE	$37.20	$62.00	$3.01–$49.60	31% below	40%
Creatinine blood test CPT 82565 CREATININE BLOOD	$37.20	$62.00	$3.01–$49.60	31% below	40%
Creatinine blood test CPT 82565 CREATININE SERUM	$37.20	$62.00	$3.01–$49.60	31% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CVM IGG AB 10010	$66.60	$111.00	$8.45–$88.80	6% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$66.60	$111.00	$8.45–$88.80	6% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AB 006494	$66.60	$111.00	$8.45–$88.80	6% below	40%
D-dimer blood test (blood clot marker) CPT 85379 DDIMER 115188	$99.30	$165.50	$5.97–$132.40	42% below	40%
D-dimer blood test (blood clot marker) CPT 85379 DDIMER (ROCHE NGFEU/ML)	$99.30	$165.50	$5.97–$132.40	42% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE 004020	$85.09	$141.82	$13.05–$113.46	43% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE IMMUNOASSAY SRM	$85.09	$141.82	$13.05–$113.46	43% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN (DOT QUEST)	$193.48	$322.47	$33.52–$279.63	211% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 9 MECONIUM 791430	$193.48	$322.47	$33.52–$279.63	211% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PB1 DRUG TEST PRESUMP MCR ONLY(ID5229)	$193.48	$322.47	$33.52–$279.63	211% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 EROD DRUG SCREENURINE	$193.48	$322.47	$33.52–$279.63	211% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PB1 DRUG SCRN CLSS LIST A NGOV ID5229	$193.48	$322.47	$33.52–$279.63	211% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 13 W/CONF. SERUM 700845	$193.48	$322.47	$33.52–$279.63	211% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG (VCA) AB (IGM)	$70.20	$117.00	$10.65–$93.60	18% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG (VCA) AB (IGG)	$70.20	$117.00	$10.65–$93.60	18% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB VCA IGG 096230	$70.20	$117.00	$10.65–$93.60	18% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB VCA IGM 096735	$70.20	$117.00	$10.65–$93.60	18% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB PROF (VCAEBV NUC AG) 240610	$70.20	$117.00	$10.65–$93.60	18% below	40%
Estradiol blood test CPT 82670 ESTRADIOL STOP ORDER THE IN HOUSE!	$116.63	$194.39	$16.40–$155.51	6% below	40%
Estradiol blood test CPT 82670 ESTRADIOL SENSITIVE 140244	$116.63	$194.39	$16.40–$155.51	6% below	40%
Estradiol blood test CPT 82670 ESTRADIOL INHOUSE	$116.63	$194.39	$16.40–$155.51	6% below	40%
Estradiol blood test CPT 82670 ESTROGEN FRACTIONATED 004606	$116.63	$194.39	$16.40–$155.51	6% below	40%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL	$116.63	$194.39	$16.40–$155.51	6% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 AMENORRHEA PROFILE 2	$91.98	$153.30	$10.91–$122.64	41% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 AMENORRHEA PROFSH	$91.98	$153.30	$10.91–$122.64	41% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMON PEDI (36001)	$91.98	$153.30	$10.91–$122.64	41% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH INHOUSE	$91.98	$153.30	$10.91–$122.64	41% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH 004309	$91.98	$153.30	$10.91–$122.64	41% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 PB1 LHLUTEINIZG HORMONE PEDI (ID 36176)	$91.98	$153.30	$10.91–$122.64	41% below	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL 123255	$143.40	$239.00	$11.52–$191.20	32% below	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL 123255	$143.40	$239.00	$11.52–$191.20	32% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (PANEL COMPONENT)	$83.40	$139.00	$7.99–$111.20	at median	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN 004598	$83.40	$139.00	$7.99–$111.20	at median	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN INHOUSE	$83.40	$139.00	$7.99–$111.20	at median	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$83.40	$139.00	$7.99–$111.20	at median	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY 001610	$74.96	$124.93	$4.99–$99.94	13% below	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$74.96	$124.93	$4.99–$99.94	13% below	40%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM 002014	$81.00	$135.00	$8.63–$108.00	at median	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$88.20	$147.00	$9.94–$117.60	37% below	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE 010389	$88.20	$147.00	$9.94–$117.60	37% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$71.40	$119.00	$5.29–$95.20	4% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 ASSAY RIA	$71.40	$119.00	$5.29–$95.20	4% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 DIALYSATE (PL)	$71.40	$119.00	$5.29–$95.20	4% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE THYROXINE (FREE T4)	$71.40	$119.00	$5.29–$95.20	4% below	40%
Free testosterone test CPT 84402 TESTOSTERONE F EQLIB + TOT 070038	$89.40	$149.00	$14.94–$119.20	16% below	40%
Free testosterone test CPT 84402 ANDROGEN LEVELS	$89.40	$149.00	$14.94–$119.20	16% below	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT 144980	$89.40	$149.00	$14.94–$119.20	16% below	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE DIRECT 90572	$89.40	$149.00	$14.94–$119.20	16% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMAGLUTAMYL TRANSFERASE (GGT) 001958	$46.20	$77.00	$4.23–$61.60	21% below	40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GHP GENERAL HEALTH PANEL (NON GOVERNMNT)	$175.20	$292.00	$18.14–$233.60	59% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR POST PRANDIAL	$31.20	$52.00	$2.79–$41.60	60% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 50GMS	$31.20	$52.00	$2.79–$41.60	60% below	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 3 SPECIMENS	$72.60	$121.00	$7.56–$96.80	52% below	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 2 HR	$72.60	$121.00	$7.56–$96.80	52% below	40%
Glucose tolerance test, 3 samples CPT 82951 OB GLUCOSE TOLER 3 SPECIMENS	$72.60	$121.00	$7.56–$96.80	52% below	40%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST 046300	$72.60	$121.00	$7.56–$96.80	52% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA SDA PAP VIAL	$101.70	$169.50	$20.60–$152.55	22% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE (DNA OR RNA)	$101.70	$169.50	$20.60–$152.55	22% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 PB2 N GONORRHOEAE RNA TMA RECTAL	$101.70	$169.50	$20.60–$152.55	22% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 BD MAX GC	$101.70	$169.50	$20.60–$152.55	22% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI IGG AB 162289	$83.40	$139.00	$8.52–$111.20	34% below	40%
H. pylori antibody blood test CPT 86677 H-PYLORI ENZYME IMMUNOASSAY BLOOD	$83.40	$139.00	$8.52–$111.20	34% below	40%
H. pylori antibody blood test CPT 86677 RHC HPYLORI	$83.40	$139.00	$8.52–$111.20	34% below	40%
H. pylori antibody blood test CPT 86677 H PYLORI IGM AB 163204	$83.40	$139.00	$8.52–$111.20	34% below	40%
H. pylori stool antigen test CPT 87338 STOOL H PYLORI IN HOUSE	$57.60	$96.00	$8.44–$76.80	29% below	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BY PCR QUANTITATIVE	$258.60	$431.00	$49.93–$382.95	15% below	40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QUANT RT PCR	$258.60	$431.00	$49.93–$382.95	15% below	40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV 1 QUANT RT PCR 550430	$258.60	$431.00	$49.93–$382.95	15% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/P24 W/REFLEX 083935	$75.00	$125.00	$14.33–$108.36	45% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB 1/2 AG P24 INHOUSE	$75.00	$125.00	$14.33–$108.36	45% below	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HYBRID CAPTURE II	$98.40	$164.00	$20.06–$147.60	39% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 PB3 HPV HIGH RISK TYPES	$98.40	$164.00	$20.06–$147.60	39% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV APTIMA 507800	$98.40	$164.00	$20.06–$147.60	39% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HIGH RISK	$98.40	$164.00	$20.06–$147.60	39% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB SEND OUT 001453	$60.00	$100.00	$5.70–$80.00	28% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 RHC GLYCOSYLATED HGB (A1C)	$60.00	$100.00	$5.70–$80.00	28% below	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HGB	$60.00	$100.00	$5.70–$80.00	28% below	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$25.10	$41.83	$1.39–$33.46	44% below	40%
Hepatitis B core antibody test (total) CPT 86704 CHRONIC HEPATITIS EXPOSURE PANEL	$64.20	$107.00	$7.07–$85.60	11% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOT 006718	$64.20	$107.00	$7.07–$88.00	11% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$64.20	$107.00	$7.07–$88.00	11% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B VIRUS (PROFILE VI)	$66.00	$110.00	$7.07–$88.00	9% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B PROFILE VI	$66.00	$110.00	$7.07–$88.00	9% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HAAHEP B ANTIRIA	$68.81	$114.69	$6.30–$91.75	6% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB QUALI 006395	$68.81	$114.69	$6.30–$91.75	6% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B S ANTIBODY QUALITATIVE	$68.81	$114.69	$6.30–$91.75	6% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B S ANTIBODY	$68.81	$114.69	$6.30–$91.75	6% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B'S ANTIGEN IN HOUSE	$66.00	$110.00	$6.06–$88.00	6% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY RFX TO QUANT PCR 144050	$81.60	$136.00	$8.37–$108.80	4% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 XXRTPCRQUANT 550362	$214.20	$357.00	$25.14–$285.60	9% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT REAL TIME PCR	$214.20	$357.00	$25.14–$285.60	9% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNAPCRQUANT 550080	$214.20	$357.00	$25.14–$285.60	9% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 XXX HEP C VIRAL RNA QUANT WO RFLX GENO	$214.20	$357.00	$25.14–$285.60	9% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG TYPE SPECIFIC AB	$50.10	$83.50	$7.74–$66.80	30% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 PB2 HSV AB TYPE 1 (ID 18924)	$50.10	$83.50	$7.74–$66.80	30% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 SPECIFIC AB IGG 164897	$50.10	$83.50	$7.74–$66.80	30% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG AB 10010	$50.10	$83.50	$7.74–$66.80	30% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$50.10	$83.50	$7.74–$66.80	30% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV IGG TYPE SPECIFIC ANTIBODY	$50.10	$83.50	$7.74–$66.80	30% below	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX AB TYPE 1	$50.10	$83.50	$7.74–$66.80	30% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2SPECIFIC AB IGG 164098	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS 2 IGG	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX AB TYPE 2	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG SUPPLEMENT TEST 163006	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 AND 2 SPEC AB IGG W/RFX 164922	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG TYPE SPECIFIC AB	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 PB3 HSV AB TYPE 2 (ID 18924)	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 PB2 HERPES SIMPLEX 2 AB IGM 90849	$60.30	$100.50	$11.36–$87.08	28% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG AB 10010	$60.30	$100.50	$11.36–$87.08	28% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 THYROID ANTIBODIES 006684	$67.44	$112.40	$7.60–$89.92	11% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVE C REACTIVE PROTEIN	$67.44	$112.40	$7.60–$89.92	11% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP	$67.44	$112.40	$7.60–$89.92	11% below	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CREACTIVE PROTEIN HIGH SENS CARD 120766	$67.44	$112.40	$7.60–$89.92	11% below	40%
Homocysteine blood test CPT 83090 HOMOCYSTINE 706994	$94.20	$157.00	$9.90–$125.60	37% below	40%
Insulin blood test CPT 83525 INSULIN 004333	$56.40	$94.00	$6.71–$75.20	18% below	40%
Iron blood test (serum iron) CPT 83540 IRON ONLY	$45.45	$75.75	$3.80–$60.60	38% below	40%
Iron blood test (serum iron) CPT 83540 R IRON 001339	$45.45	$75.75	$3.80–$60.60	38% below	40%
Iron blood test (serum iron) CPT 83540 IRON	$45.45	$75.75	$3.80–$60.60	38% below	40%
Iron blood test (serum iron) CPT 83540 IRON TIBC PANELIN HOUSE	$45.45	$75.75	$3.80–$60.60	38% below	40%
Iron blood test (serum iron) CPT 83540 IRON (PANEL COMPONENT)	$45.45	$75.75	$3.80–$60.60	38% below	40%
Iron blood test (serum iron) CPT 83540 XX IRON 001339	$45.45	$75.75	$3.80–$60.60	38% below	40%
Iron-binding capacity (TIBC) test CPT 83550 R TIBC ID 7573	$53.40	$89.00	$5.13–$71.20	42% below	40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC (PANEL COMPONENT)	$53.40	$89.00	$5.13–$71.20	42% below	40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$53.40	$89.00	$5.13–$71.20	42% below	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 10	$90.60	$151.00	$5.09–$120.80	49% below	40%
LH (luteinizing hormone) test CPT 83002 LHLUTEINIZING HORM 004823	$94.20	$157.00	$10.87–$125.60	33% below	40%
LH (luteinizing hormone) test CPT 83002 PB2 FSH PEDIATRICS (ID 36176)	$94.20	$157.00	$10.87–$125.60	33% below	40%
Lactate (lactic acid) blood test CPT 83605 SERUM LACTIC ACID	$81.50	$135.83	$6.27–$108.66	15% below	40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PLASMA	$81.50	$135.83	$6.27–$108.66	15% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH 001115	$45.80	$76.34	$3.54–$61.07	3% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$70.80	$118.00	$4.04–$94.40	3% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 7	$93.60	$156.00	$4.80–$124.80	52% below	40%
Lyme disease antibody test CPT 86618 LYME DISEASE SEROLOGY W REFLEX 164226	$21.00	$35.00	$10.00–$99.20	72% below	40%
Lyme disease antibody test CPT 86618 LYME DISEASE AB TOTAL/1GM	$74.40	$124.00	$10.00–$99.20	1% below	40%
Magnesium blood test CPT 83735 MAGNESIUM RBC 080283	$54.09	$90.15	$3.93–$72.12	14% above	40%
Magnesium blood test CPT 83735 MAGNESIUM SERUM PATH	$54.09	$90.15	$3.93–$72.12	14% above	40%
Magnesium blood test CPT 83735 MAGNESIUM	$54.09	$90.15	$3.93–$72.12	14% above	40%
Measles (rubeola) antibody test CPT 86765 MEASLES IGM 160178	$49.80	$83.00	$7.56–$66.40	36% above	40%
Measles (rubeola) antibody test CPT 86765 MEASLES IGG (MMR IGG PANEL)	$49.80	$83.00	$7.56–$66.40	36% above	40%
Measles (rubeola) antibody test CPT 86765 MEASLES CONVALESENT IG G	$49.80	$83.00	$7.56–$66.40	36% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA TOTAL ABS	$49.80	$83.00	$7.56–$66.40	36% above	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ABSIGM	$49.80	$83.00	$7.56–$66.40	36% above	40%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG 096560	$49.80	$83.00	$7.56–$66.40	36% above	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST QUAL (MONOCLONAL ABS	$51.60	$86.00	$3.04–$68.80	39% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHIL AN TITER	$51.60	$86.00	$3.04–$68.80	39% below	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT TEST	$51.60	$86.00	$3.04–$68.80	39% below	40%
Mumps immunity blood test CPT 86735 MMR IMMUNITY PROFILE	$51.00	$85.00	$7.66–$74.40	14% below	40%
Mumps immunity blood test CPT 86735 MEASLES MUMPS RUBELLA MMR 058495	$51.00	$85.00	$7.66–$74.40	14% below	40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODIES IGG 096552	$51.00	$85.00	$7.66–$68.00	14% below	40%
Mumps immunity blood test CPT 86735 MUMPS ABS IGM 160499	$51.00	$85.00	$7.66–$74.40	14% below	40%
Mumps immunity blood test CPT 86735 ASSOC. MUMPS IGG (MMR IGG PANEL)	$55.80	$93.00	$7.66–$74.40	5% below	40%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL W/O HIV TEST	$246.60	$411.00	$20.85–$328.80	3% below	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PB1 PSA FREE (ID 31348)	$71.80	$119.66	$10.79–$95.73	36% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL	$90.60	$151.00	$10.79–$120.80	4% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL DIAGNOSTIC CPT 84153	$90.60	$151.00	$10.79–$120.80	4% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL + % FREE 480947	$90.60	$151.00	$10.79–$120.80	4% above	40%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP RFX COBAS HPV ASCU PAP TEST 196310	$75.60	$126.00	$15.54–$113.40	at median	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PB2 CYTOPATHOLOGY CERVIX MANUAL SCREEN	$75.60	$126.00	$15.54–$113.40	at median	40%
Pap test (liquid-based, automated screening with review) CPT 88175 ASSOC CYTOPATH C/V AUTOMATED FLUID	$75.60	$126.00	$15.54–$113.40	at median	40%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTOMATED FLUID REVIEW	$75.60	$126.00	$15.54–$113.40	at median	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYNECOLOGIC MONOLAYER PAP	$69.00	$115.00	$11.89–$92.00	24% below	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP LB 192005	$69.00	$115.00	$11.89–$92.00	24% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 CA +PTH INTACT 054601	$158.10	$263.50	$24.22–$210.80	22% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$158.10	$263.50	$24.22–$210.80	22% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTACT 015610	$158.10	$263.50	$24.22–$210.80	22% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$57.15	$95.25	$3.52–$76.20	12% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (THROMBOPLASTIN TIME PARTIAL)	$57.15	$95.25	$3.52–$76.20	12% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT MIXING STUDIES	$57.15	$95.25	$3.52–$76.20	12% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLASTIN TIME	$57.15	$95.25	$3.52–$76.20	12% above	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC	$37.80	$63.00	$2.78–$50.40	39% below	40%
Potassium blood test CPT 84132 POTASSIUM	$36.00	$60.00	$2.70–$48.00	42% below	40%
Progesterone blood test CPT 84144 PROGESTERONE 004317	$87.75	$146.25	$12.24–$117.00	13% below	40%
Prolactin blood test CPT 84146 PROLACTIN 004465	$82.80	$138.00	$11.37–$110.40	25% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT)	$38.40	$64.00	$2.31–$51.20	15% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN IN HOUSE	$60.60	$101.00	$6.28–$80.80	43% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 RHC DRUG SCREEN	$60.60	$101.00	$6.28–$80.80	43% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN W/ETHANOL	$60.60	$101.00	$6.28–$80.80	43% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EROD DRUG SCREENSERUM	$60.60	$101.00	$6.28–$80.80	43% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 BETA STREP GROUP A SCREEN	$59.70	$99.50	$7.04–$79.60	39% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP TEST	$59.70	$99.50	$7.04–$79.60	39% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 BETA STREP GROUP A SCREEN (THROAT)	$59.70	$99.50	$7.04–$79.60	39% below	40%
Renin blood test CPT 84244 RENIN (WHOLE BLOOD)	$81.60	$136.00	$12.91–$108.80	20% below	40%
Renin blood test CPT 84244 RENIN PLASMA 002006	$81.60	$136.00	$12.91–$108.80	20% below	40%
Rh blood typing CPT 86901 BB/RH FACTOR	$48.60	$81.00	$2.51–$72.90	23% below	40%
Rheumatoid factor (RF) test CPT 86431 ANA PANEL I	$42.00	$70.00	$3.33–$56.00	8% below	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR 006502	$42.00	$70.00	$3.33–$56.00	8% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ABS IGM 096537	$55.60	$92.67	$8.45–$74.14	10% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS IGG AB 10010	$55.60	$92.67	$8.45–$74.14	10% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG (MMR IGG PANEL)	$55.60	$92.67	$8.45–$74.14	10% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA QUALITATIVE SCREEN	$55.60	$92.67	$8.45–$74.14	10% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY INHOUSE	$55.60	$92.67	$8.45–$74.14	10% above	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IGG 006197	$55.60	$92.67	$8.45–$74.14	10% above	40%
Sodium blood test CPT 84295 SODIUM	$34.80	$58.00	$2.82–$46.40	44% below	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES W/GIARDIA ANTIGEN	$52.80	$88.00	$5.22–$70.40	21% below	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES DIR SMR W ID	$52.80	$88.00	$5.22–$70.40	21% below	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE EXAM 008623	$52.80	$88.00	$5.22–$70.40	21% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL	$25.02	$41.70	$1.91–$33.36	33% below	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREEN	$25.02	$41.70	$1.91–$33.36	33% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IMMUN 182949	$46.80	$78.00	$9.33–$70.20	29% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 PB1 TRAPONEMA PALIDUM AB IGG	$49.80	$83.00	$7.97–$66.40	13% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TPPA ANTIBODIES 082339	$49.80	$83.00	$7.97–$66.40	13% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TPPA REVERSE SCREEN RFX TO RPR 082345	$49.80	$83.00	$7.97–$66.40	13% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR QN+TP ABS 012021	$49.80	$83.00	$7.97–$66.40	13% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTAABS 4112	$49.80	$83.00	$7.97–$66.40	13% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA AB 006379	$49.80	$83.00	$7.97–$66.40	13% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TPPA CONFIRMATION	$37.72	$62.87	$2.50–$50.30	12% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR CARD TEST	$37.72	$62.87	$2.50–$50.30	12% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF 006445	$37.72	$62.87	$2.50–$50.30	12% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPRRFX QNT/CONF TP 012005	$37.72	$62.87	$2.50–$50.30	12% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERONTB GOLD DRAW SITE INCUBATED	$149.40	$249.00	$36.37–$224.10	27% below	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD PLUS 182879	$149.40	$249.00	$36.37–$224.10	27% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL INHOUSE	$104.40	$174.00	$15.15–$147.20	4% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 Q TESTOSTERONE TOTAL LC/MS 070001	$110.40	$184.00	$15.15–$147.20	10% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOMAL ANTIBODY 15038	$64.66	$107.76	$8.54–$86.21	9% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID ANTIBODY PRO	$64.66	$107.76	$8.54–$86.21	9% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER/KIDNEY AB 520087	$64.66	$107.76	$8.54–$86.21	9% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVERKIDNEY MICROSOMAL ANTIBOD 163980	$64.66	$107.76	$8.54–$86.21	9% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE (TPO) AB 006676	$64.66	$107.76	$8.54–$86.21	9% below	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES	$64.66	$107.76	$8.54–$86.21	9% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSHLRH	$95.40	$159.00	$9.86–$127.20	9% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$95.40	$159.00	$9.86–$127.20	9% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 GHP TSH (GOVERNMENT PYRS)	$95.40	$159.00	$9.86–$127.20	9% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ENZYME (PL)	$95.40	$159.00	$9.86–$127.20	9% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 XX TSH 3RD GENERATION	$95.40	$159.00	$9.86–$127.20	9% below	40%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E TOTAL 002170	$68.28	$113.80	$9.66–$91.04	14% below	40%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE	$68.28	$113.80	$9.66–$91.04	14% below	40%
Total IgE blood test CPT 82785 IGE	$68.28	$113.80	$9.66–$91.04	14% below	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$31.70	$52.83	$2.55–$42.26	43% below	40%
Total thyroxine (T4) blood test CPT 84436 VITROS T4 THYROXINE TOTAL	$51.00	$85.00	$4.04–$68.00	36% below	40%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE TOTAL	$51.00	$85.00	$4.04–$68.00	36% below	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 RIA	$76.20	$127.00	$8.32–$101.60	39% below	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$76.20	$127.00	$8.32–$101.60	39% below	40%
Transferrin blood test CPT 84466 TRANSFERRIN 004937	$70.80	$118.00	$7.49–$94.40	41% below	40%
Transferrin blood test CPT 84466 TRANSFERRIN	$70.80	$118.00	$7.49–$94.40	41% below	40%
Trichomonas test (NAAT) CPT 87661 BD MAX TV	$88.20	$147.00	$20.11–$132.30	1% above	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$43.16	$71.94	$3.38–$57.55	37% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$43.16	$71.94	$3.38–$57.55	37% below	40%
Troponin test, quantitative CPT 84484 TROPONIN T (2ND HR)	$111.00	$185.00	$5.78–$148.00	3% below	40%
Troponin test, quantitative CPT 84484 TROPONIN T (0 HR)	$111.00	$185.00	$5.78–$148.00	3% below	40%
Troponin test, quantitative CPT 84484 BACKUP TROPONIN I (TRIAGE METER PRO)	$111.00	$185.00	$5.78–$148.00	3% below	40%
Troponin test, quantitative CPT 84484 TROPONIN ER (FOR BACKUP ONLY)	$111.00	$185.00	$5.78–$148.00	3% below	40%
Troponin test, quantitative CPT 84484 TROPONIN T ADDITIONAL	$111.00	$185.00	$5.78–$148.00	3% below	40%
Uric acid blood test CPT 84550 URIC ACID BLOOD	$38.70	$64.50	$2.65–$51.60	51% below	40%
Uric acid blood test CPT 84550 URIC ACID 001057	$38.70	$64.50	$2.65–$51.60	51% below	40%
Urinalysis with microscope exam, automated CPT 81001 ED UA CHEMICAL AND MICRO	$41.40	$69.00	$1.86–$55.20	56% below	40%
Urinalysis with microscope exam, automated CPT 81001 UA CHEMICAL AND MICRO	$41.40	$69.00	$1.86–$55.20	56% below	40%
Urinalysis without microscope exam, automated CPT 81003 UA CHEMICAL ONLY	$28.80	$48.00	$1.32–$38.40	40% below	40%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY BODY FLUID	$15.38	$25.64	$1.50–$20.51	48% below	40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QUANTITATIVE	$22.20	$37.00	$4.74–$45.60	83% below	40%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN/CREATININE RATIO RANDOM INHOUSE	$45.99	$76.65	$3.40–$61.32	10% below	40%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN RANDOM UA W/O CREATI 149997	$45.99	$76.65	$3.40–$61.32	10% below	40%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN/CREATININE RATIO SEND OUT 140285	$45.99	$76.65	$3.40–$61.32	10% below	40%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY	$58.80	$98.00	$3.71–$78.40	31% below	40%
Urine pregnancy test, read by color change CPT 81025 RHC URINE PREGNANCY	$58.80	$98.00	$3.71–$78.40	31% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 001503	$80.63	$134.39	$8.85–$107.51	11% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 SERUM 7065	$80.63	$134.39	$8.85–$107.51	11% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$117.00	$195.00	$17.37–$156.00	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY IN HOUSE	$117.00	$195.00	$17.37–$156.00	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D (D2D3) 504115	$117.00	$195.00	$17.37–$156.00	2% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25DIHYDROXY 500600	$130.28	$217.13	$22.59–$173.70	15% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL (125 DIOH VITAMIN D) 081091	$130.28	$217.13	$22.59–$173.70	15% below	40%
Zinc blood test CPT 84630 ZINC 001800	$48.60	$81.00	$6.68–$64.80	29% below	40%
Zinc blood test CPT 84630 ZINC WHOLE BLOOD 070032	$48.60	$81.00	$6.68–$64.80	29% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 VITROS BHCG TITER SERUM	$64.20	$107.00	$8.83–$150.40	43% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANTITATIVE	$112.80	$188.00	$8.83–$150.40	at median	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG STAT	$112.80	$188.00	$8.83–$150.40	at median	40%

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	$2,604.60	$4,341.00	$945.00–$3,472.80	17% below	40%
Appendectomy, open surgery CPT 44950 APPENDECTOMY NON LAPAROSCOPIC	$5,399.40	$8,999.00	$2,221.87–$8,099.10	6% below	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX CLOS DISTAL FIB SHAFT WO MANIPULATION	$324.32	$540.54	$106.00–$432.43	30% below	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX CLOS METATARSAL WO MANIPUL EA	$285.00	$475.00	$106.00–$380.00	2% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ER CARDIOVERSION EXTERNAL	$1,131.17	$1,885.28	$106.00–$1,508.22	15% below	40%
Carpal tunnel release, open surgery CPT 64721 NEUROPLASTY MEDIAN NERVE	$3,086.40	$5,144.00	$659.94–$4,629.60	at median	40%
Cervical biopsy CPT 57500 BIOPSY REMOVAL CERVIX LESION	$1,108.50	$1,847.50	$88.34–$1,478.00	3% below	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUMCISE SURG EX 28 DAYS OR >	$3,856.05	$6,426.75	$652.80–$5,314.65	5% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION NB W CLMP WO REG BLOCK	$3,898.80	$6,498.00	$50.00–$5,198.40	217% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX CLS DIST RADIAL WANDWO FX ULN STYL WO M	$349.20	$582.00	$106.00–$465.60	23% below	40%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W REMOV LES SNARE TECH	$1,729.43	$2,882.38	$429.26–$2,594.14	23% above	40%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W BX SINGLE MULTIPLE	$1,778.11	$2,963.51	$429.26–$2,667.16	23% above	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY W/WO SPEC COLLECTION	$1,677.00	$2,795.00	$328.50–$2,291.64	9% above	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCPY CERVIX W LEEP BIOPSY	$2,052.00	$3,420.00	$174.42–$2,820.00	42% below	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCPY W BIOPSY CERVIX AND ECC	$326.40	$544.00	$65.06–$435.20	32% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY (SEP PROC)	$2,171.54	$3,619.24	$238.15–$2,895.39	84% above	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DANDC DX AND/OR THERAPEUTIC NON OBSTETRIC	$3,404.40	$5,674.00	$1,063.52–$5,106.60	15% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ER DESTROY PREMAG LESION INITIAL	$121.80	$203.00	$62.93–$162.40	39% below	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTIOM PREMALG	$121.80	$203.00	$62.93–$185.00	39% below	40%
Earwax removal by irrigation (rinsing), one ear both sides CPT 69209 ER RMV IMPCTED CERUMEN W IRRIG/LVG BILAT	$111.60	$186.00	$57.66–$148.80	—	40%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 RMVE IMPCTED CERUMEN W IRRIG/LVG UNILAT	$111.60	$186.00	$57.66–$148.80	at median	40%
Earwax removal with instruments, one ear both sides CPT 69210 ER RMV IMPCT CERUMEN W INSTRUMENT BILAT	$112.20	$187.00	$57.97–$149.60	—	40%
Earwax removal with instruments, one ear one side CPT 69210 RMVE IMPCTED CERUMEN W INSTRUMENT UNILAT	$112.20	$187.00	$57.97–$149.60	12% below	40%
Earwax removal with instruments, one ear one side CPT 69210 ER RMV IMPCT CERUMEN W INSTRUMENT UNILAT	$112.20	$187.00	$57.97–$149.60	12% below	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BX ENDOMETRIAL WO CERVIX DILATION	$231.00	$385.00	$45.48–$308.00	37% below	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PM ESI CERVICAL/THORACIC W/I	$1,414.20	$2,357.00	$262.86–$1,885.60	2% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PM LUMBAR/SACRAL SINGLE RF ABLATION	$1,513.20	$2,522.00	$340.77–$2,269.80	13% below	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTER ABDOM HERNIA 310CMREDU	$10,073.40	$16,789.00	$1,151.54–$13,431.20	12% above	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPR OF ANTERIOR ABD HERNIA	$10,073.40	$16,789.00	$1,151.54–$13,431.20	57% above	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY W WO SPECI COLLECTION	$1,392.74	$2,321.23	$130.67–$1,856.98	52% above	40%
Gallbladder removal, laparoscopic CPT 47562 LAP CHOLECYSTECTOMY	$7,065.60	$11,776.00	$1,888.85–$10,598.40	8% below	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP CHOLECYSTETOMY W CHOLANGIOGRAPHY	$7,669.80	$12,783.00	$1,888.85–$11,504.70	7% below	40%
Gallbladder removal, open surgery through a larger incision CPT 47600 CHOLECYSTEMOMY EXCISIONAL	$2,445.00	$4,075.00	$945.00–$3,348.39	21% below	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION HEMORRHOID(S)	$920.78	$1,534.63	$163.62–$1,227.70	3% above	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY SINGLE COLUMN GRP	$3,592.29	$5,987.15	$939.93–$5,388.44	1% below	40%
Hysterectomy through an abdominal incision (total) CPT 58150 HYST ABD TOT W/WO REM TUBE ANDOR OVRY	$3,004.80	$5,008.00	$1,552.48–$4,006.40	28% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM	$320.40	$534.00	$165.54–$427.20	14% below	40%
Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY W ENDOMETRIAL ABLATION	$4,392.00	$7,320.00	$1,526.99–$6,588.00	26% below	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY W ENDOME BX POLYPECTOMY	$4,340.40	$7,234.00	$1,063.52–$6,510.60	9% below	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD	$1,003.60	$1,672.66	$50.00–$1,338.13	165% above	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$1,003.60	$1,672.66	$149.85–$1,338.13	165% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE SINGLE	$384.30	$640.50	$118.97–$512.40	11% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I AND D ABSCESS SIMPLE OR SINGLE	$384.30	$640.50	$65.06–$512.40	11% below	40%
Incision and drainage of a simple or single skin abscess CPT 10060 ER I AND D ABCESS SIMPLE SINGLE	$384.30	$640.50	$106.00–$512.40	11% below	40%
Inguinal (groin) hernia repair, age 5 or older both sides CPT 49505 RPR INIT INGUINAL HERNIA 5+ REDUC BILAT	$5,683.80	$9,473.00	$1,151.54–$8,525.70	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 RPR INGUINAL HERNIA INITL REDUC 5YR AND >	$5,683.80	$9,473.00	$1,151.54–$8,525.70	8% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH OR LIGAMENT SINGLE	$318.93	$531.55	$106.00–$425.24	20% below	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 PM INJ.GANGLN CYST/TRIGGR PTSLIGMENT/T	$318.93	$531.55	$23.38–$425.24	20% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENT ASPR INJ MAJ JT BURSA	$587.93	$979.89	$106.00–$783.91	1% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION/INJ MAJOR JOINT/BURSA	$587.93	$979.89	$50.00–$783.91	1% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 PM ARTHROCENTSASPIRATN/INJ;MAJOR JT/B	$587.93	$979.89	$27.94–$783.91	1% below	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG DELIVERY IMPLANT NON BIODEGR	$520.01	$866.68	$50.00–$693.34	108% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASPR INJ MED JT BURSA	$380.40	$634.00	$106.00–$507.20	35% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASPR INJ INTMD JNT BURSA	$380.40	$634.00	$50.00–$507.20	35% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 PM ARTHROCENTSASPIRATION/INJ;INTRMED JT	$380.40	$634.00	$23.38–$507.20	35% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASPR INJ SM JT BURSA	$384.19	$640.31	$106.00–$512.25	9% below	40%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION/INJECTION (SMALL JOINT) RT	$63.00	$105.00	$15.88–$94.50	85% below	40%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 APPENDECTOMY LAPAROSCOPIC	$6,412.50	$10,687.50	$3,313.13–$9,618.75	9% below	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 LAP HYSTERECTOMY TOTL UTERUS 250G OR <	$9,159.00	$15,265.00	$3,110.01–$13,738.50	12% above	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 LAP HYST TOTL W RMVL T/O UTERUS 250G OR<	$9,828.85	$16,381.42	$3,110.01–$14,743.28	9% below	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR HERNIA LAP INITIAL INGUINAL	$8,685.08	$14,475.13	$1,888.85–$13,027.62	30% below	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP RPR HERNIA INGUINAL RECURRENT	$8,685.08	$14,475.13	$1,888.85–$13,027.62	3% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPRSCPY W REMVL ADNEXAL STRUCTURES	$6,860.78	$11,434.64	$1,888.85–$10,291.18	20% below	40%
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/<	$590.40	$984.00	$110.68–$787.20	11% above	40%
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 <	$590.40	$984.00	$106.00–$787.20	11% above	40%
Lower-back epidural injection, with imaging guidance CPT 62323 PM ESI LUMBAR/SACRAL W/I	$1,344.60	$2,241.00	$262.86–$1,875.15	20% below	40%
Lower-back epidural injection, without imaging guidance CPT 62322 ER EPIDURAL INJ SGL LUMBAR SACRAL	$1,349.23	$2,248.72	$106.00–$1,798.98	10% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR EPIDURAL CAUDAL SINGLE	$1,777.80	$2,963.00	$262.86–$2,370.40	44% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL INJ LUMBAR/SACRAL WO IMAGE GUID	$1,777.80	$2,963.00	$250.00–$2,370.40	44% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PM LUMBAR/SACRAL TRANS	$1,489.10	$2,481.84	$340.77–$2,233.66	1% above	40%
Lumpectomy (partial mastectomy) CPT 19301 REMOVAL OR BREAST TISSUE	$4,097.40	$6,829.00	$963.66–$6,146.10	5% below	40%
Lumpectomy (partial mastectomy) CPT 19301 MASTECTOMY PARTIAL LUMPECTOMY	$4,097.40	$6,829.00	$963.66–$6,146.10	5% below	40%
Mastectomy (total removal of the breast) CPT 19303 SIMPLE MASTECTOMY OF BREAST	$5,220.20	$8,700.33	$1,845.21–$7,830.30	14% below	40%
Miscarriage treatment with D&C, first trimester CPT 59820 TREAT MISSED AB SURG COMP 1ST TRIMESTER	$3,094.20	$5,157.00	$1,063.52–$4,641.30	15% below	40%
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 <	$1,024.20	$1,707.00	$106.00–$1,365.60	24% above	40%
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 <	$1,024.20	$1,707.00	$77.79–$1,365.60	24% above	40%
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<	$911.40	$1,519.00	$86.38–$1,215.20	at median	40%
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 <	$911.40	$1,519.00	$106.00–$1,215.20	at median	40%
Nail removal (partial or complete), one nail CPT 11730 AVULS NAIL PLATE PART COMP SIMPLE SINGLE	$260.47	$434.11	$71.83–$390.70	5% below	40%
Nail removal (partial or complete), one nail CPT 11730 ER AVULS NAIL PLATE PART COMP SIMPLE SNG	$260.47	$434.11	$71.83–$347.29	5% below	40%
Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE COMP SIMPLE SNGL	$260.47	$434.11	$50.00–$347.29	5% below	40%
Occipital nerve block (injection for headaches) CPT 64405 ER INJ ANESTH GREATER OCCIPITAL NERVE	$631.20	$1,052.00	$106.00–$841.60	48% above	40%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH AGENT OTH PERIPH NERVE GREATR	$631.20	$1,052.00	$29.88–$841.60	48% above	40%
Paracentesis with imaging guidance CPT 49083 ER PARACENTESIS ABD W IMAGING GUIDANCE	$1,259.40	$2,099.00	$106.00–$1,679.20	14% below	40%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABD W IMAGING GUIDANCE	$1,259.40	$2,099.00	$50.00–$1,679.20	14% below	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EX NAIL PART COMPLETE PERMANENT REMOVAL	$733.96	$1,223.26	$84.71–$978.61	39% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 ER XC NAIL AND NAIL MATRX PT CMPL PERM RE	$733.96	$1,223.26	$106.00–$978.61	39% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 PM L/S RF ABLATION	$2,308.00	$3,846.67	$659.94–$3,462.00	18% below	40%
Removal of a breast lump, open surgery CPT 19120 EXCISIONBREAST LESION(S)MALE/FEMALE 1+	$3,960.00	$6,600.00	$963.66–$5,940.00	20% below	40%
Removal of a foreign object under the skin, simple CPT 10120 INCISE AND REMOVE FB SUBQ SIMPLE	$525.74	$876.24	$86.38–$700.99	at median	40%
Removal of a foreign object under the skin, simple CPT 10120 ER INCS AND REMOVAL FB SUBQ SIMPLE	$525.74	$876.24	$106.00–$700.99	at median	40%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 THYROID LOBECTOMY TOTAL UNILAT	$8,184.00	$13,640.00	$1,888.85–$12,276.00	1% above	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONSCOPY CA SCREEN NOT HI RISK MCR	$1,678.05	$2,796.75	$328.50–$2,291.64	115% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONSCOPY CA SCREEN HI RISK MCR	$1,693.20	$2,822.00	$328.50–$2,291.64	41% above	40%
Short arm cast (elbow to hand) CPT 29075 CAST APPLICATION SHORT ARM	$214.52	$357.54	$106.00–$286.03	23% below	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLIC SPLINT SHORT ARM STATIC LT	$244.80	$408.00	$50.00–$326.40	8% above	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLIC SPLINT SHORT ARM STATIC RT	$244.80	$408.00	$106.00–$326.40	8% above	40%
Short arm splint (forearm and hand) one side CPT 29125 APPLIC SPLINT SHORT ARM STATIC LT	$244.80	$408.00	$106.00–$326.40	8% above	40%
Short leg cast (below the knee) CPT 29405 CAST APPLICATION SHORT LEG	$215.07	$358.45	$106.00–$286.76	37% below	40%
Short leg splint (calf to foot) CPT 29515 RHC APPLICATION SHORT LEG SPLINT	$73.20	$122.00	$37.82–$97.60	72% below	40%
Short leg splint (calf to foot) CPT 29515 APPLIC SPLINT SHORT LEG	$262.52	$437.53	$50.00–$350.02	1% above	40%
Short leg splint (calf to foot) one side CPT 29515 APPLIC SPLINT SHORT LEG LT	$262.52	$437.53	$86.12–$350.02	1% above	40%
Short leg splint (calf to foot) one side CPT 29515 APPLIC SPLINT SHORT LEG RT	$262.52	$437.53	$86.12–$350.02	1% above	40%
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. <	$310.20	$517.00	$106.00–$413.60	7% below	40%
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	$496.80	$828.00	$119.38–$662.40	49% above	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SNGL LESION	$309.98	$516.63	$79.46–$413.30	27% below	40%
Skin biopsy, punch, one lesion CPT 11104 ER PUNCH BX SKIN SNGL LESION	$309.98	$516.63	$106.00–$413.30	27% below	40%
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<	$926.70	$1,544.50	$106.00–$1,235.60	22% below	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS UP TO 15	$174.66	$291.10	$44.01–$232.88	42% below	40%
Skin tag removal, up to 15 tags CPT 11200 ER REMVAL OF SKIN TAGS UP TO AND INCLUD 15	$174.66	$291.10	$90.24–$232.88	42% below	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN LESIONS UP TO 15 LES	$174.66	$291.10	$90.24–$261.99	42% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 ER PUNCTURE SPINAL LUMBAR DX	$859.20	$1,432.00	$106.00–$1,145.60	18% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PM PUNCTURE SPINAL LUMBAR DX	$859.20	$1,432.00	$262.86–$1,288.80	18% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DX	$859.20	$1,432.00	$50.00–$1,145.60	18% below	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE SPINAL LUMBAR DIAGNOSTIC	$859.20	$1,432.00	$50.00–$1,145.60	18% below	40%
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	$332.78	$554.64	$106.00–$443.71	13% below	40%
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	$323.64	$539.40	$106.00–$431.52	17% below	40%
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	$323.64	$539.40	$50.00–$431.52	17% below	40%
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	$422.40	$704.00	$119.38–$563.20	8% above	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 ER TANGENTIAL BX SKIN SNGL LESION	$265.20	$442.00	$106.00–$353.60	26% below	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SNGL LESION	$265.20	$442.00	$64.23–$353.60	26% below	40%
Thoracentesis with imaging guidance CPT 32555 ER THORACENTESIS W IMAGING GUIDANCE	$1,264.73	$2,107.89	$106.00–$1,686.31	10% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NEEDLE W/GUIDE	$1,264.73	$2,107.89	$50.00–$1,686.31	10% below	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING GUIDANCE	$1,793.40	$2,989.00	$223.75–$2,391.20	27% above	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 T AND A >12 YRS	$3,500.70	$5,834.50	$886.62–$5,251.05	7% below	40%
Tonsil and adenoid removal, child under 12 CPT 42820 T AND A <12 YRS	$13,795.20	$22,992.00	$1,954.22–$18,393.60	188% above	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 TONSILLECTOMY >12 YRSPRIMARY OR SECOND	$3,272.35	$5,453.92	$886.62–$4,908.53	26% below	40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 TONSILLECTOMY<12 YRSPRIMARY OR SECOND	$13,795.20	$22,992.00	$1,954.22–$18,393.60	203% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT SING/MULT 12 MUSCLES	$432.00	$720.00	$50.00–$576.00	2% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PT SING MULT 12 MUSCLES	$432.00	$720.00	$106.00–$576.00	2% below	40%
Trigger point injections, 1 or 2 muscles CPT 20552 PM TRIGGR PT INJ SNGL/MULT 1-2 MUSCL	$432.00	$720.00	$23.26–$576.00	2% below	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY W FULGUR OF OVIDUCTS	$4,507.20	$7,512.00	$1,888.85–$6,760.80	9% below	40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W BIOPSY SINGLE OR MULTIPLE	$1,654.06	$2,756.77	$334.95–$2,357.76	18% above	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD WITH SUBMUCOSAL INJECTION	$1,454.67	$2,424.45	$334.95–$2,182.01	99% above	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W REMOVE LESION SNARE TECHNIQUE	$1,658.86	$2,764.76	$564.97–$2,488.28	46% above	40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/WO SPEC COLLECT BRUSH WASHING	$1,609.20	$2,682.00	$334.95–$2,357.76	11% above	40%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNILAT OR BILATERAL	$2,714.40	$4,524.00	$652.80–$4,071.60	—	40%
Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION UP TO 14	$138.00	$230.00	$34.78–$184.00	31% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIBE SUBQ TISSUE 20 SQ CM/<	$746.92	$1,244.86	$171.51–$995.89	26% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ER DEBRID SKIN AND SUBQ 1ST 20 SQ CM OR <	$746.92	$1,244.86	$106.00–$995.89	26% below	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN AND SUBQ 1ST 20 SQ CM OR <	$746.92	$1,244.86	$50.00–$995.89	26% below	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BB/TRANSFUSE BLD OR BLD COMP > 4 HRS	$509.08	$848.47	$263.03–$704.00	33% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMPONENTS	$509.08	$848.47	$263.03–$704.00	33% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 BB/TRANSFUSE BLD OR BLD COMP UP TO 2 HR	$509.08	$848.47	$263.03–$704.00	33% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 BB/TRANSFUSE BLD OR BLD COMP 2 4 HRS	$509.08	$848.47	$263.03–$704.00	33% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TX MAX PER DAY AEROSOL TREATMENT	$114.60	$191.00	$28.88–$367.20	43% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB INHALATION TREATMENT	$244.80	$408.00	$126.48–$367.20	21% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN NEB TX INTL ONLY	$244.80	$408.00	$28.88–$367.20	21% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN NEB TX INITIAL ONLY	$254.74	$424.57	$55.00–$382.11	26% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN NEB TX EA ADDITIONAL	$254.74	$424.57	$55.00–$382.11	26% above	40%
Chemotherapy IV infusion, first hour CPT 96413 INITIAL HR OF INFUSION COMPLEX BIOLOGI	$774.60	$1,291.00	$266.70–$1,032.80	43% above	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 DIAG. AUDIOGRAM	$180.75	$301.25	$93.39–$271.13	40% below	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 MEDICAID HEARING EVALUATION	$180.75	$301.25	$93.39–$271.13	40% below	40%
Critical care, first 30 to 74 minutes CPT 99291 ER CRITICAL CARE FACILITY 1ST 3074 MINS	$2,048.40	$3,414.00	$600.65–$2,389.80	19% below	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG 12 LEAD W INTERPRETATION AND REPORT	$24.60	$41.00	$6.20–$77.85	82% below	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 X EKG 12 LEAD LOCAL W PHY INT	$57.60	$96.00	$6.20–$77.85	59% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 MASTER TWO STEP EKG	$58.80	$98.00	$14.82–$221.60	78% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 RHC EKG-COMPUTER	$74.32	$123.87	$14.82–$221.60	73% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - HOSPITAL WEEK/HEALTH FAIR	$74.32	$123.87	$14.82–$221.60	73% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-COMPUTER	$74.32	$123.87	$14.82–$221.60	73% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG RHYTHM STRIP	$74.32	$123.87	$14.82–$221.60	73% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECGROUTINE ECG W/12 LEADS;TRACING ONLY	$74.32	$123.87	$14.82–$221.60	73% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED FACILITY LEVEL 1 W PROCEDURE	$211.20	$352.00	$51.36–$246.40	10% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED FACILITY LEVEL 1	$211.20	$352.00	$51.36–$246.40	10% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED FACILITY LEVEL 2 W PROCEDURE	$364.65	$607.75	$51.36–$425.43	16% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED FACILITY LEVEL 2	$364.65	$607.75	$51.36–$425.43	16% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED FACILITY LEVEL 3 W PROCEDURE	$625.20	$1,042.00	$51.36–$729.40	21% below	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED FACILITY LEVEL 3	$625.20	$1,042.00	$51.36–$729.40	21% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED FACILITY LEVEL 4	$994.78	$1,657.96	$250.68–$1,160.57	24% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED FACILITY LEVEL 4 W PROCEDURE	$994.78	$1,657.96	$250.68–$1,160.57	24% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED FACILITY LEVEL 5	$1,438.71	$2,397.85	$362.55–$1,678.50	19% below	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED FACILITY LEVEL 5 W PROCEDURE	$1,438.71	$2,397.85	$362.55–$1,678.50	19% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 SUB MAX EX TEST W/EKG	$739.64	$1,232.74	$186.39–$986.19	41% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR EKG RHYTHM STRIP	$739.64	$1,232.74	$186.39–$986.19	41% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR FUNCTIONAL EVALUATION COMPLETE	$739.64	$1,232.74	$186.39–$986.19	41% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR RESTING 12 LEAD EKG	$739.64	$1,232.74	$186.39–$986.19	41% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 CR DIAGNOSTIC STRESS TEST	$739.64	$1,232.74	$186.39–$986.19	41% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST/NOT LIST	$739.64	$1,232.74	$186.39–$986.19	41% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TREADMILL	$739.64	$1,232.74	$186.39–$986.19	41% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ER IV INFUSION HYDRATION INTL 31 MIN1HR	$317.65	$529.41	$91.77–$423.53	27% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INTL 31 MIN 1 HR	$317.65	$529.41	$50.00–$423.53	27% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INTL 31 MIN-1HR	$317.65	$529.41	$80.05–$529.41	27% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION INTL 31 MIN1HR	$490.20	$817.00	$91.77–$653.60	13% above	40%
IV infusion of a medicine, first hour CPT 96365 ER IV INFUSION THER DRUG INITIAL UP1 HR	$353.40	$589.00	$106.00–$471.20	21% below	40%
IV infusion of a medicine, first hour CPT 96365 INFUSION IV THER DRUG INITIAL UP TO 1 HR	$353.40	$589.00	$89.06–$550.00	21% below	40%
IV push of a medicine, first drug CPT 96374 INFUS IVP INJ THERA PROPHY DX INITIAL	$205.63	$342.72	$45.40–$342.72	10% below	40%
IV push of a medicine, first drug CPT 96374 ER IVP INJ THERA PROPHY DX INITIAL	$205.63	$342.72	$45.40–$274.18	10% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INF IM SUBQ INJ THERAPEUTIC PROPHYTIC DX	$105.00	$175.00	$26.46–$175.00	28% below	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJ THERAPEUTIC PROPHC DX SUBQ/IM	$105.00	$175.00	$31.12–$157.50	28% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 PT BIO FEEDBACK EA 15 MINS	$85.20	$142.00	$21.47–$121.31	24% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-EDUCATION EA 15MIN	$85.20	$142.00	$21.47–$121.31	24% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDUCATION EA 15MIN	$85.20	$142.00	$21.47–$121.31	24% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE EDUCATION	$85.20	$142.00	$21.47–$121.31	24% below	40%
New patient office visit, about 60 minutes CPT 99205 RHC OB OV/OP VISIT NP L-5	$299.40	$499.00	$154.69–$449.10	2% above	40%
New patient office visit, about 60 minutes CPT 99205 RHC OV/OP VISIT NP L-5	$299.40	$499.00	$154.69–$449.10	2% above	40%
New patient office visit, about 60 minutes CPT 99205 PM NEW VISIT LEVEL-5	$312.00	$520.00	$78.62–$468.00	6% above	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PM NEW VISIT LEVEL-2	$285.00	$475.00	$71.82–$380.00	91% above	40%
Occupational therapy evaluation, low complexity CPT 97165 OT INITIAL EVAL LOW COMPLEXITY 20 MINS	$188.47	$314.11	$47.49–$282.70	23% below	40%
Occupational therapy evaluation, low complexity CPT 97165 OT HH INITIAL EVALUATION	$188.47	$314.11	$47.49–$282.70	23% below	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT INITL EVAL HIGH COMPLEXITY 45OR> MINS	$236.40	$394.00	$59.57–$315.20	18% below	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT INITL EVAL LOW COMPLEXITY 20 MINS	$181.80	$303.00	$45.81–$272.70	9% below	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT INITL EVAL MOD COMPLEXITY 30 MINS	$209.40	$349.00	$52.77–$294.07	12% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY EA 15 MIN	$86.63	$144.38	$21.83–$115.50	22% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15 MIN	$86.63	$144.38	$21.83–$115.50	22% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15 MIN	$86.63	$144.38	$21.83–$115.50	22% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EXERCISE EA 15 MIN	$88.16	$146.94	$22.22–$117.55	21% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THERAPEUTIC EXERCISE EA 15 MIN	$88.16	$146.94	$22.22–$117.55	21% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISE EA 15MIN	$88.16	$146.94	$22.22–$117.55	21% below	40%
Preventive checkup, new patient aged 18–39 CPT 99385 RHC OV PREVENTIVE NEW EXAM 18-39 YR	$145.80	$243.00	$75.33–$218.70	5% above	40%
Preventive checkup, new patient aged 40–64 CPT 99386 RHC OV PREVENTIVE NEW EXAM 40-64YR	$221.40	$369.00	$114.39–$332.10	53% above	40%
Preventive checkup, new patient aged 65 or older CPT 99387 RHC OV PREVENTIVE NEW EXAM 65 AND OLDER	$240.00	$400.00	$124.00–$360.00	51% above	40%
Preventive checkup, returning patient aged 18–39 CPT 99395 RHC OV PREVENTIVE EST EXAM 18-39 YRS	$171.60	$286.00	$88.66–$257.40	61% above	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 RHC OV PREVENTIVE EST EXAM 40-64 YRS	$183.00	$305.00	$94.55–$274.50	19% above	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 RHC OV PREVENTIVE EST EXAM 65 YRS AND UP	$196.80	$328.00	$101.68–$295.20	18% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 TREATMENT ROOM LEVEL V	$164.40	$274.00	$41.43–$246.60	42% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC OV/OP VISIT EP L-5	$209.40	$349.00	$108.19–$314.10	26% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 RHC OB OV/OP VISIT EP L-5	$209.40	$349.00	$108.19–$314.10	26% below	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PM EST VISIT LEVEL-5	$285.00	$475.00	$71.82–$383.52	at median	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PM NEW VISIT LEVEL-3	$99.00	$165.00	$24.95–$176.46	42% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 TREATMENT ROOM LEVEL III	$129.62	$216.03	$32.66–$172.82	24% below	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PM EST VISIT LEVEL-3	$129.62	$216.03	$24.95–$176.46	24% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC OV/OP VISIT EST PT L-4	$155.40	$259.00	$80.29–$233.10	19% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 RHC OB OV/OP VISIT EST PT L-4	$155.40	$259.00	$80.29–$233.10	19% below	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PM EST VISIT LEVEL-4	$248.67	$414.45	$62.66–$372.00	29% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TREATMENT ROOM LEVEL IV	$248.97	$414.95	$50.00–$331.96	29% above	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PM NEW VISIT LEVEL-4	$279.00	$465.00	$62.66–$372.00	45% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 TREATMENT ROOM LEVEL II	$256.09	$426.81	$50.00–$341.45	102% above	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PM EST VISIT LEVEL-2	$256.09	$426.81	$64.53–$341.45	102% above	40%
Speech and language evaluation CPT 92523 ST EVAL SOUND W EVAL LANG AND EXPRS	$316.20	$527.00	$79.68–$474.30	15% below	40%
Speech therapy session, individual CPT 92507 ST ECI PROJECT TEAM	$189.60	$316.00	$47.78–$273.26	12% below	40%
Speech therapy session, individual CPT 92507 ST SPEECH LANG VOICE TRT INDIVID 45 MINS	$189.60	$316.00	$47.78–$273.26	12% below	40%
Speech therapy session, individual CPT 92507 ST VOICE THERAPY 15 MIN	$189.60	$316.00	$47.78–$273.26	12% below	40%
Speech therapy session, individual CPT 92507 MYOFUNCTIONAL THERAPY 15 MIN	$189.60	$316.00	$47.78–$273.26	12% below	40%
Speech therapy session, individual CPT 92507 ST SPEECH LANG VOICE TRT INDIVID 30 MINS	$189.60	$316.00	$47.78–$273.26	12% below	40%
Speech therapy session, individual CPT 92507 HA CONSULTATION-15 MINUTES	$189.60	$316.00	$71.26–$273.26	12% below	40%
Speech therapy session, individual CPT 92507 AURAL REHAB (INDIV)-15 MINUTES	$189.60	$316.00	$71.26–$273.26	12% below	40%
Spirometry (breathing test) CPT 94010 SPIROMETRY W/WO MVV	$228.00	$380.00	$57.46–$342.00	36% below	40%
Spirometry before and after a bronchodilator CPT 94060 PFT PRE AND POST	$418.20	$697.00	$105.39–$557.60	30% below	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCTIONAL ACTIVITIES EA 15 MIN	$131.40	$219.00	$33.11–$175.20	16% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITIES EA 15 MIN	$131.40	$219.00	$33.11–$175.20	16% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTIC ACTIVITIES EA 15 MIN	$131.40	$219.00	$33.11–$175.20	16% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 BB/PHLEBOTOMY THERAPEUTIC	$141.57	$235.95	$35.68–$741.60	35% below	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 INF BB/PHLEBOTOMY THERAPEUTIC	$175.46	$292.44	$44.22–$292.44	19% below	40%

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	$84.00	$140.00	$0.01–$126.00	79% below	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 RHC VARIVAX (VARICELLA)	$84.00	$140.00	$0.01–$126.00	79% below	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 RHC VARIVAX (VARICELLA)	$84.00	$140.00	$0.01–$126.00	—	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACC 0.5ML SDV	$84.00	$140.00	$0.01–$126.00	—	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 RHC KINRIX (DTAP IPV)	$60.00	$100.00	$0.01–$90.00	17% below	40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 RHC KINRIX (DTAP IPV)	$60.00	$100.00	$0.01–$90.00	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL (DAPT) 6WKS-6YRS	$21.00	$35.00	$0.01–$31.50	77% below	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DAPTACEL DTAP VAC < 7YRS IM (10-0.5ML)	$21.00	$35.00	$0.01–$31.50	77% below	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE (PEDI)(DAPTACEL)	$90.09	$150.15	$22.70–$120.12	at median	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DAPTACEL (DAPT) 6WKS-6YRS	$21.00	$35.00	$0.01–$31.50	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DAPTACEL DTAP VAC < 7YRS IM (10-0.5ML)	$21.00	$35.00	$0.01–$31.50	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE (PEDI)(DAPTACEL)	$90.09	$150.15	$22.70–$120.12	—	40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 RHC PEDIARIX (DTAP-HEP B-IPV)	$42.00	$70.00	$0.01–$63.00	78% below	40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 RHC PEDIARIX (DTAP-HEP B-IPV)	$42.00	$70.00	$0.01–$63.00	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL PR5 VACC 0.5ML (5-SDV)	$90.00	$150.00	$0.01–$135.00	68% below	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL PR5 VACC 0.5ML (5-SDV)	$90.00	$150.00	$0.01–$135.00	—	40%
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440 ELU/ML ADULT DOSAGE IM	$57.00	$95.00	$0.01–$85.50	69% below	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1440 ELU/ML ADULT DOSAGE IM	$57.00	$95.00	$0.01–$85.50	—	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX 720 ELU/0.5ML VAC PEDI	$30.00	$50.00	$0.01–$45.00	68% below	40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX 720 ELU/0.5ML VAC PEDI	$30.00	$50.00	$0.01–$45.00	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20MCG/ML ADULT IM	$87.00	$145.00	$0.01–$130.50	45% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE 5MCG/0.5ML	$87.00	$145.00	$0.01–$130.50	45% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20MCG/ML ADULT IM	$87.00	$145.00	$0.01–$130.50	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE 5MCG/0.5ML	$87.00	$145.00	$0.01–$130.50	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/0.5ML HEP B PEDI/ADOL	$28.20	$47.00	$0.01–$42.30	65% below	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEP B VACCINE PED 0.5ML VIAL(COMMERCIAL)	$85.83	$143.05	$21.63–$114.44	5% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/0.5ML HEP B PEDI/ADOL	$28.20	$47.00	$0.01–$42.30	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEP B VACCINE PED 0.5ML VIAL(COMMERCIAL)	$85.83	$143.05	$21.63–$114.44	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIBERIX W/DIL (SDV & DILUENT)	$18.00	$30.00	$0.01–$27.00	62% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB PR 5 W/DIL 5DS (5-SDV)	$18.00	$30.00	$0.01–$27.00	62% below	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ACTHIB PR 5 W/DIL 5DS (5-SDV)	$18.00	$30.00	$0.01–$27.00	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIBERIX W/DIL (SDV & DILUENT)	$18.00	$30.00	$0.01–$27.00	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 RHC MCC (FLUZONE) HIGH DOSE 65+	$75.00	$125.00	$18.90–$112.50	50% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 RHC MCC (FLUZONE) HIGH DOSE 65+	$75.00	$125.00	$18.90–$112.50	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR II VACC/DILU PR 0.5ML (10-SDV)	$36.00	$60.00	$0.01–$54.00	82% below	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR II VACC/DILU PR 0.5ML (10-SDV)	$36.00	$60.00	$0.01–$54.00	—	40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 RHC PROQUAD (MMRV)	$190.80	$318.00	$0.01–$286.20	22% below	40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 RHC PROQUAD (MMRV)	$190.80	$318.00	$0.01–$286.20	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACTRA VAC SD 0.5ML	$163.20	$272.00	$0.01–$244.80	54% below	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENACTRA VAC SD 0.5ML	$163.20	$272.00	$0.01–$244.80	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 RHC BEXSERO (MEN B)	$169.80	$283.00	$42.79–$254.70	65% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 RHC BEXSERO (MEN B)	$169.80	$283.00	$42.79–$254.70	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR PNEUMO VACC 7 VALENT	$90.00	$150.00	$0.01–$135.00	82% below	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR PNEUMO VACC 7 VALENT	$90.00	$150.00	$0.01–$135.00	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 TVFC PNEUMO VAC/POLYSAC 23 VALENT 2YR+	$63.60	$106.00	$0.01–$95.40	75% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 25MCG/0.5ML 2YR+	$63.60	$106.00	$0.01–$95.40	75% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 25MCG/0.5ML 2YR+	$63.60	$106.00	$0.01–$95.40	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 TVFC PNEUMO VAC/POLYSAC 23 VALENT 2YR+	$63.60	$106.00	$0.01–$95.40	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL (IPV POLIO VAC) SQ/IM (5ML MDV)	$27.60	$46.00	$0.01–$41.40	92% below	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL (IPV POLIO VAC) SQ/IM (5ML MDV)	$27.60	$46.00	$0.01–$41.40	—	40%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$270.00	$450.00	$68.04–$1,036.42	74% below	40%
Rabies vaccine, one dose CPT 90675 RABIES VACC (RABAVERT)	$742.41	$1,237.35	$68.04–$1,036.42	28% below	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM	$270.00	$450.00	$68.04–$1,036.42	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC (RABAVERT)	$742.41	$1,237.35	$68.04–$1,036.42	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RHC ROTATEQ (ROTAVIRUS) 3 DOSE	$48.00	$80.00	$0.01–$72.00	53% below	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS PENTAVALENT VACC ORAL 3 DOSE	$48.00	$80.00	$0.01–$72.00	53% below	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 RHC ROTATEQ (ROTAVIRUS) 3 DOSE	$48.00	$80.00	$0.01–$72.00	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS PENTAVALENT VACC ORAL 3 DOSE	$48.00	$80.00	$0.01–$72.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETNAUS/DIPTHERIA TD PF 7YRS & > 0.5ML	$24.00	$40.00	$0.01–$36.00	76% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPH TOX 0.5ML IM (PEDIATRIC)	$76.80	$128.00	$19.35–$102.40	24% below	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETNAUS/DIPTHERIA TD PF 7YRS & > 0.5ML	$24.00	$40.00	$0.01–$36.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPH TOX 0.5ML IM (PEDIATRIC)	$76.80	$128.00	$19.35–$102.40	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL TDAP VACC > 11YRS (5- 0.5ML SDV)	$48.00	$80.00	$0.01–$190.80	58% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIP/PER(ACEL)/TET VACCINE (TDAP)(ADACEL)	$143.10	$238.50	$0.01–$190.80	25% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TDAP VACC > 11YRS (5- 0.5ML SDV)	$48.00	$80.00	$0.01–$190.80	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIP/PER(ACEL)/TET VACCINE (TDAP)(ADACEL)	$143.10	$238.50	$0.01–$190.80	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACC ADM 1 VACCINE SINGLE OR COMBINATION	$24.60	$41.00	$12.71–$260.00	67% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RHC VACC ADM 1 VACCINE SINGLE OR COMB	$24.60	$41.00	$12.71–$36.90	67% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VAC ADM 1 VACCINE SINGLE OR COMBINATION	$195.00	$325.00	$12.71–$260.00	165% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN; 1 VACCINE	$195.00	$325.00	$12.71–$260.00	165% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$195.00	$325.00	$12.71–$260.00	165% above	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION 1 VACCINE	$195.00	$325.00	$12.71–$260.00	165% above	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 RHC VAC ADM EA ADD'L	$18.60	$31.00	$9.61–$27.90	60% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADM EA ADD'L SINGLE/COMBINATION	$18.60	$31.00	$9.61–$56.00	60% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VAC ADM EA ADDL SINGLE OR COMBINATION	$42.00	$70.00	$9.61–$56.00	10% below	40%

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