Hospital Hermiston-Pendleton, OR

St. Anthony Hospital

Listed in its price file as “Commonspirit Oregon”.

St. Anthony Hospital in Pendleton, OR publishes cash prices for 296 common procedures listed here, from its own machine-readable price file updated Sep 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oregon median for 169 of 291 procedures and below it for 118. By typical cash price it ranks #31 of 49 Oregon hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

2801 ST ANTHONY WAY, Pendleton, OR 97801 Collected Nov 8, 2026 Source price file Check a bill from this hospital (541) 276-5121

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 381319 · CMS hospital register NPI 1649276734

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

St. Anthony Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Oregon law (ORS 442.614) requires nonprofit hospitals to cut what patients owe for medically necessary care by 100% for household income up to 200% of the federal poverty level, and by at least 75%, 50% or 25% up to 400%. Ask the hospital for its financial assistance application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W & W/O CONTRAST	$1,828.48	$3,519.00	$210.42–$3,343.05	5% above	48%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W & W/O CONTRAST	$1,828.48	$3,519.00	$1,900.26–$3,343.05	—	48%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VEIW	$401.14	$772.00	$29.21–$733.40	36% above	48%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VEIW	$401.14	$772.00	$416.88–$733.40	—	48%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 SHOULDER UPEX W/O RT PLANNING	$1,259.52	$2,424.00	$130.46–$2,302.80	12% above	48%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 SHOULDER UPEX W/O RT PLANNING	$1,259.52	$2,424.00	$1,308.96–$2,302.80	—	48%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ADBOMEN/PELVIS W&W-O	$3,197.62	$6,154.00	$307.13–$5,846.30	28% above	48%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ADBOMEN/PELVIS W&W-O	$3,197.62	$6,154.00	$3,323.16–$5,846.30	—	48%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W&W/O + RECNST	$2,032.16	$3,911.00	$222.33–$3,715.45	5% above	48%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W&W/O + RECNST	$2,032.16	$3,911.00	$2,111.94–$3,715.45	—	48%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/CONTRAST + RECNST	$2,068.01	$3,980.00	$222.06–$3,781.00	8% above	48%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/CONTRAST + RECNST	$2,068.01	$3,980.00	$2,149.20–$3,781.00	—	48%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W&W/O + RECNST	$2,138.68	$4,116.00	$227.60–$3,910.20	16% above	48%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W&W/O + RECNST	$2,138.68	$4,116.00	$2,222.64–$3,910.20	—	48%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CCTA W/WO CONTRAST	$1,477.23	$2,843.00	$263.78–$2,700.85	6% above	48%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CCTA W/WO CONTRST QUAN CALCIUM	$1,477.23	$2,843.00	$263.78–$2,700.85	6% above	48%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CCTA W/WO CONTRAST	$1,477.23	$2,843.00	$1,535.22–$2,700.85	—	48%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CCTA W/WO CONTRST QUAN CALCIUM	$1,477.23	$2,843.00	$1,535.22–$2,700.85	—	48%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/O CONT QUAL CALCIUM	$65.47	$126.00	$46.62–$236.34	44% below	48%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/O CONT QUAL CALCIUM	$65.47	$126.00	$68.04–$119.70	—	48%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIC W/O	$2,939.90	$5,658.00	$147.96–$5,375.10	40% above	48%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIC W/O	$2,939.90	$5,658.00	$3,055.32–$5,375.10	—	48%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIC W/CONTST	$3,303.62	$6,358.00	$243.77–$6,040.10	30% above	48%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIC W/CONTST	$3,303.62	$6,358.00	$3,433.32–$6,040.10	—	48%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIC W&W/O	$3,898.04	$7,502.00	$274.36–$7,126.90	28% above	48%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIC W&W/O	$3,898.04	$7,502.00	$4,051.08–$7,126.90	—	48%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$1,517.76	$2,921.00	$187.01–$2,774.95	2% above	48%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST	$1,517.76	$2,921.00	$1,577.34–$2,774.95	—	48%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,444.49	$2,780.00	$110.21–$2,641.00	28% above	48%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$1,444.49	$2,780.00	$1,501.20–$2,641.00	—	48%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O	$1,531.79	$2,948.00	$103.95–$2,800.60	42% above	48%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O	$1,531.79	$2,948.00	$1,591.92–$2,800.60	—	48%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$1,316.67	$2,534.00	$86.22–$2,407.30	30% above	48%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$1,316.67	$2,534.00	$1,368.36–$2,407.30	—	48%
CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST	$1,343.17	$2,585.00	$120.24–$2,455.75	3% above	48%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST	$1,343.17	$2,585.00	$1,395.90–$2,455.75	—	48%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/O & W/CONTRAST	$1,593.10	$3,066.00	$140.10–$2,912.70	1% above	48%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/O & W/CONTRAST	$1,593.10	$3,066.00	$1,655.64–$2,912.70	—	48%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$1,683.51	$3,240.00	$105.18–$3,078.00	30% above	48%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$1,683.51	$3,240.00	$1,749.60–$3,078.00	—	48%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$1,683.51	$3,240.00	$105.72–$3,078.00	38% above	48%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST	$1,683.51	$3,240.00	$1,749.60–$3,078.00	—	48%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$1,576.47	$3,034.00	$183.23–$2,882.30	7% above	48%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$1,576.47	$3,034.00	$1,638.36–$2,882.30	—	48%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTIDS DUPLEX BILAT COMP(	$945.16	$1,819.00	$673.03–$1,728.05	—	48%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTIDS DUPLEX BILAT COMP(	$945.16	$1,819.00	$982.26–$1,728.05	—	48%
Chest CT scan without and with contrast CPT 71270 CT THORAX/CHEST W/O W/CONTRAST	$1,838.87	$3,539.00	$158.66–$3,362.05	2% below	48%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX/CHEST W/O W/CONTRAST	$1,838.87	$3,539.00	$1,911.06–$3,362.05	—	48%
Chest X-ray, 2 views CPT 71046 XR CHEST 2VIEW FRONTAL&LATERAL	$306.57	$590.00	$26.76–$560.50	14% above	48%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2VIEW FRONTAL&LATERAL	$306.57	$590.00	$318.60–$560.50	—	48%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW FRONTAL	$278.51	$536.00	$20.50–$509.20	10% above	48%
Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW FRONTAL	$278.51	$536.00	$289.44–$509.20	—	48%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY-AXIAL	$383.99	$739.00	$31.95–$702.05	at median	48%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY-AXIAL	$383.99	$739.00	$399.06–$702.05	—	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA BONE DENISTY-PERIPHERAL	$207.33	$399.00	$25.68–$379.05	14% below	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENISTY-PERIPHERAL	$207.33	$399.00	$215.46–$379.05	—	48%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX/CHEST W/O CONTRAST	$1,356.68	$2,611.00	$107.33–$2,480.45	11% above	48%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX/CHEST W/O CONTRAST	$1,356.68	$2,611.00	$1,409.94–$2,480.45	—	48%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX/CHEST W/CONTRAST	$1,785.35	$3,436.00	$134.96–$3,264.20	17% above	48%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX/CHEST W/CONTRAST	$1,785.35	$3,436.00	$1,855.44–$3,264.20	—	48%
Diagnostic mammogram, both breasts both sides CPT 77066 DDI/CAD MAMMOGRAPHY DIAG BILAT	$333.07	$641.00	$127.19–$608.95	—	48%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DDI/CAD MAMMOGRAPHY DIAG BILAT	$333.07	$641.00	$346.14–$608.95	—	48%
Diagnostic mammogram, one breast CPT 77065 DDI/CAD MAMMO DX POST PROCD	$264.48	$509.00	$100.42–$483.55	15% below	48%
Diagnostic mammogram, one breast inpatient CPT 77065 DDI/CAD MAMMO DX POST PROCD	$264.48	$509.00	$274.86–$483.55	—	48%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DPX L.E. ART/ARTRL COMP.	$784.60	$1,510.00	$558.70–$1,434.50	26% below	48%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DPX L.E. ART/ARTRL COMP.	$784.60	$1,510.00	$815.40–$1,434.50	—	48%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX EXTRM VEINS BI-UPPER	$920.22	$1,771.00	$655.27–$1,682.45	—	48%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX EXTRM VEINS BI-UPPER	$920.22	$1,771.00	$956.34–$1,682.45	—	48%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHO COMP W/2D-DOP-CLR FLW	$1,935.00	$3,724.00	$1,377.88–$3,537.80	14% above	48%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHO COMP W/2D-DOP-CLR FLW	$1,935.00	$3,724.00	$2,010.96–$3,537.80	—	48%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/PF W/O CNST	$1,105.71	$2,128.00	$128.10–$2,021.60	3% above	48%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/SELLA/PF W/O CNST	$1,105.71	$2,128.00	$1,149.12–$2,021.60	—	48%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPLETE 3+VWS	$347.10	$668.00	$37.93–$634.60	at median	48%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMPLETE 3+VWS	$347.10	$668.00	$360.72–$634.60	—	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATBLARY DUCTAL W/O MEDS	$1,487.10	$2,862.00	$231.92–$2,718.90	13% above	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATBLARY DUCTAL W/O MEDS	$1,487.10	$2,862.00	$1,545.48–$2,718.90	—	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG SPLIT NITE STY >6YO	$2,226.49	$4,285.00	$1,585.45–$4,070.75	37% below	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG CPAPI >6YO	$2,377.69	$4,576.00	$1,693.12–$4,347.20	32% below	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG SPLIT NITE STY >6YO	$2,226.49	$4,285.00	$2,313.90–$4,070.75	—	48%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG CPAPI >6YO	$2,377.69	$4,576.00	$2,471.04–$4,347.20	—	48%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREM F/MEASURMNT	$1,259.52	$2,424.00	$105.45–$2,302.80	13% above	48%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREM F/MEASURMNT	$1,259.52	$2,424.00	$1,308.96–$2,302.80	—	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL - LIMITED	$539.87	$1,039.00	$69.83–$987.05	10% above	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL - LIMITED	$539.87	$1,039.00	$561.06–$987.05	—	48%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREM NON-VASCLR LMTD RT	$334.11	$643.00	$30.30–$610.85	10% above	48%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREM NON-VASCLR LMTD RT	$334.11	$643.00	$347.22–$610.85	—	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT (LDCT) LOW DOSE CT SCAN SCR	$1,303.16	$2,508.00	$110.25–$2,382.60	339% above	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 INITIAL LUNG CT SCREENING	$1,303.16	$2,508.00	$110.25–$2,382.60	339% above	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 INITIAL LUNG CT SCREENING	$1,303.16	$2,508.00	$1,354.32–$2,382.60	—	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT (LDCT) LOW DOSE CT SCAN SCR	$1,303.16	$2,508.00	$1,354.32–$2,382.60	—	48%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$1,947.47	$3,748.00	$174.41–$3,560.60	4% above	48%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST	$1,947.47	$3,748.00	$2,023.92–$3,560.60	—	48%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST CAD W/CNST - BILAT	$2,404.71	$4,628.00	$275.54–$4,396.60	—	48%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST CAD W&W/O - BILAT	$2,505.00	$4,821.00	$275.54–$4,579.95	—	48%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST CAD W/CNST - BILAT	$2,404.71	$4,628.00	$2,499.12–$4,396.60	—	48%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST CAD W&W/O - BILAT	$2,505.00	$4,821.00	$2,603.34–$4,579.95	—	48%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,284.69	$4,397.00	$157.22–$4,177.15	25% above	48%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,284.69	$4,397.00	$2,374.38–$4,177.15	—	48%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W & W/O CONTRAST	$3,046.42	$5,863.00	$272.58–$5,569.85	4% above	48%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W & W/O CONTRAST	$3,046.42	$5,863.00	$3,166.02–$5,569.85	—	48%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$2,445.24	$4,706.00	$158.22–$4,470.70	32% above	48%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$2,445.24	$4,706.00	$2,541.24–$4,470.70	—	48%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O & W/CONTRAST	$3,310.90	$6,372.00	$256.73–$6,053.40	7% above	48%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O & W/CONTRAST	$3,310.90	$6,372.00	$3,440.88–$6,053.40	—	48%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$2,366.78	$4,555.00	$155.22–$4,327.25	27% above	48%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CONTRAST	$2,366.78	$4,555.00	$2,459.70–$4,327.25	—	48%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W & W/O	$2,887.42	$5,557.00	$257.82–$5,279.15	3% below	48%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W & W/O	$2,887.42	$5,557.00	$3,000.78–$5,279.15	—	48%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CONTRST	$2,211.94	$4,257.00	$154.13–$4,044.15	19% above	48%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CONTRST	$2,211.94	$4,257.00	$2,298.78–$4,044.15	—	48%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/O-W/ CONT	$2,887.42	$5,557.00	$257.82–$5,279.15	1% above	48%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/O-W/ CONT	$2,887.42	$5,557.00	$3,000.78–$5,279.15	—	48%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRST	$2,366.78	$4,555.00	$154.41–$4,327.25	32% above	48%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE W/O CONTRST	$2,366.78	$4,555.00	$2,459.70–$4,327.25	—	48%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W & W/O CONTRAST	$2,928.99	$5,637.00	$270.94–$5,355.15	7% above	48%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W & W/O CONTRAST	$2,928.99	$5,637.00	$3,043.98–$5,355.15	—	48%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$2,167.26	$4,171.00	$184.77–$3,962.45	21% above	48%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$2,167.26	$4,171.00	$2,252.34–$3,962.45	—	48%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVIAL MIN 4-5 VWS	$475.96	$916.00	$44.66–$870.20	27% above	48%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVIAL MIN 4-5 VWS	$475.96	$916.00	$494.64–$870.20	—	48%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W/CONTRAST	$1,555.17	$2,993.00	$148.79–$2,843.35	6% above	48%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK SOFT TISSUE W/CONTRAST	$1,555.17	$2,993.00	$1,616.22–$2,843.35	—	48%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE W/O CONTRT	$1,228.34	$2,364.00	$120.82–$2,245.80	11% above	48%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK SOFT TISSUE W/O CONTRT	$1,228.34	$2,364.00	$1,276.56–$2,245.80	—	48%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$208.36	$401.00	$25.14–$380.95	17% below	48%
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE	$208.36	$401.00	$216.54–$380.95	—	48%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARDIAL PERF(SPECT)MULTI	$2,627.10	$5,056.00	$348.02–$4,803.20	23% below	48%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARDIAL PERF(SPECT)MULTI	$2,627.10	$5,056.00	$2,730.24–$4,803.20	—	48%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGING W/CT SKLTOTHI	$4,527.28	$8,713.00	$1,388.55–$8,277.35	2% below	48%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGING W/CT SKLTOTHI	$4,527.28	$8,713.00	$4,705.02–$8,277.35	—	48%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$1,446.57	$2,784.00	$107.33–$2,644.80	20% above	48%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$1,446.57	$2,784.00	$1,503.36–$2,644.80	—	48%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LMTD/F-UP NON-OB	$324.24	$624.00	$41.23–$592.80	at median	48%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LMTD/F-UP NON-OB	$324.24	$624.00	$336.96–$592.80	—	48%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONOBSTETRIC COMPLET	$675.48	$1,300.00	$85.46–$1,235.00	29% above	48%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NONOBSTETRIC COMPLET	$675.48	$1,300.00	$702.00–$1,235.00	—	48%
Screening mammogram, both breasts both sides CPT 77067 DDI/CAD MAMMO SCREENING BILAT	$304.49	$586.00	$102.42–$556.70	—	48%
Screening mammogram, both breasts inpatient both sides CPT 77067 DDI/CAD MAMMO SCREENING BILAT	$304.49	$586.00	$316.44–$556.70	—	48%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES COMPLETE > 3 VIEWS	$392.82	$756.00	$30.58–$718.20	36% above	48%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES COMPLETE > 3 VIEWS	$392.82	$756.00	$408.24–$718.20	—	48%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS	$247.33	$476.00	$28.96–$452.20	12% below	48%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL < 4 VIEWS	$247.33	$476.00	$257.04–$452.20	—	48%
Sleep study in a lab (polysomnography) CPT 95810 PSG 4 OR MORE PARAM >6YO	$2,161.54	$4,160.00	$1,539.20–$3,952.00	30% below	48%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4 OR MORE PARAM >6YO	$2,161.54	$4,160.00	$2,246.40–$3,952.00	—	48%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWALLOW FUNCTN CINE/VIDEO	$556.50	$1,071.00	$97.67–$1,017.45	3% above	48%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWALLOW FUNCTN CINE/VIDEO	$556.50	$1,071.00	$578.34–$1,017.45	—	48%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE W/O CONTRAST	$1,573.35	$3,028.00	$105.45–$2,876.60	29% above	48%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST	$1,573.35	$3,028.00	$1,635.12–$2,876.60	—	48%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$501.42	$965.00	$95.28–$916.75	7% above	48%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$501.42	$965.00	$521.10–$916.75	—	48%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANT UTERUS-TRANSVAGINL	$369.44	$711.00	$75.15–$675.45	1% above	48%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANT UTERUS-TRANSVAGINL	$369.44	$711.00	$383.94–$675.45	—	48%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL - COMPLETE	$604.82	$1,164.00	$92.51–$1,105.80	at median	48%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL - COMPLETE	$604.82	$1,164.00	$628.56–$1,105.80	—	48%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS	$545.07	$1,049.00	$79.83–$996.55	3% above	48%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS	$545.07	$1,049.00	$566.46–$996.55	—	48%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/CONTRAST STUDY	$435.95	$839.00	$98.86–$797.05	24% below	48%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W/CONTRAST STUDY	$435.95	$839.00	$453.06–$797.05	—	48%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLX EXTRM VEIN LEFT UPPER	$730.04	$1,405.00	$519.85–$1,334.75	14% above	48%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLX EXTRM VEIN LEFT UPPER	$730.04	$1,405.00	$758.70–$1,334.75	—	48%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN SINGLE VIEW	$260.84	$502.00	$24.05–$476.90	4% above	48%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN SINGLE VIEW	$260.84	$502.00	$271.08–$476.90	—	48%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE-LUMBAR 2-3 VIEW	$397.50	$765.00	$32.49–$726.75	24% above	48%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE-LUMBAR 2-3 VIEW	$397.50	$765.00	$413.10–$726.75	—	48%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE-LUMBR W/BEND 4V MINM	$448.94	$864.00	$43.30–$820.80	12% above	48%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE-LUMBR W/BEND 4V MINM	$448.94	$864.00	$466.56–$820.80	—	48%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE-THORACIC 2 VIEW	$371.00	$714.00	$26.77–$678.30	23% above	48%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE-THORACIC 2 VIEW	$371.00	$714.00	$385.56–$678.30	—	48%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES	$271.24	$522.00	$30.32–$495.90	21% above	48%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES	$271.24	$522.00	$281.88–$495.90	—	48%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL <-3 VWS	$272.28	$524.00	$32.22–$497.80	5% above	48%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL <-3 VWS	$272.28	$524.00	$282.96–$497.80	—	48%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$276.43	$532.00	$22.69–$505.40	1% below	48%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$276.43	$532.00	$287.28–$505.40	—	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2+VIEWS	$281.63	$542.00	$25.96–$514.90	12% above	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX 2+VIEWS	$281.63	$542.00	$292.68–$514.90	—	48%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
ACTH blood test CPT 82024 ACTH	$242.66	$467.00	$30.90–$443.65	90% above	48%
ACTH blood test inpatient CPT 82024 ACTH	$242.66	$467.00	$252.18–$443.65	—	48%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$36.90	$71.00	$4.24–$67.45	54% above	48%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER FIBROSIS PNLALT C	$36.90	$71.00	$4.24–$67.45	54% above	48%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LIVER FIBROSIS PNLALT C	$36.90	$71.00	$38.34–$67.45	—	48%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$36.90	$71.00	$38.34–$67.45	—	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER FIBROSIS PNLAST C	$46.77	$90.00	$4.14–$85.50	64% above	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$46.77	$90.00	$4.14–$85.50	64% above	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$46.77	$90.00	$48.60–$85.50	—	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LIVER FIBROSIS PNLAST C	$46.77	$90.00	$48.60–$85.50	—	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$130.42	$251.00	$38.10–$238.45	41% below	48%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$130.42	$251.00	$135.54–$238.45	—	48%
Albumin blood test CPT 82040 ALBUMIN SERUM C	$31.18	$60.00	$3.96–$57.00	22% above	48%
Albumin blood test CPT 82040 ALBUMINSERUM	$31.18	$60.00	$3.96–$57.00	22% above	48%
Albumin blood test inpatient CPT 82040 ALBUMINSERUM	$31.18	$60.00	$32.40–$57.00	—	48%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM C	$31.18	$60.00	$32.40–$57.00	—	48%
Aldosterone blood test CPT 82088 ALDOSTERONEBLOOD	$196.93	$379.00	$32.60–$360.05	104% above	48%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONEBLOOD	$196.93	$379.00	$204.66–$360.05	—	48%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASEALKALINE	$27.54	$53.00	$4.14–$50.35	10% above	48%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE C	$27.54	$53.00	$4.14–$50.35	10% above	48%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE C	$27.54	$53.00	$28.62–$50.35	—	48%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASEALKALINE	$27.54	$53.00	$28.62–$50.35	—	48%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST	$11.96	$23.00	$4.18–$21.85	12% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS MOLD PROFILEIGE1	$11.96	$23.00	$4.18–$21.85	12% below	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST	$11.96	$23.00	$12.42–$21.85	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS MOLD PROFILEIGE1	$11.96	$23.00	$12.42–$21.85	—	48%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$126.79	$244.00	$13.42–$231.80	75% above	48%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM	$126.79	$244.00	$131.76–$231.80	—	48%
Ammonia blood test CPT 82140 AMMONIA	$99.25	$191.00	$11.66–$181.45	13% above	48%
Ammonia blood test inpatient CPT 82140 AMMONIA	$99.25	$191.00	$103.14–$181.45	—	48%
Amylase blood test CPT 82150 AMYLASE	$77.94	$150.00	$5.18–$142.50	61% above	48%
Amylase blood test inpatient CPT 82150 AMYLASE	$77.94	$150.00	$81.00–$142.50	—	48%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRLLNTD PEPTD(CCP) AB	$53.00	$102.00	$10.36–$96.90	6% below	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRLLNTD PEPTD(CCP) AB	$53.00	$102.00	$55.08–$96.90	—	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANAIGG ELISA RFLX ANAIGG IFA	$45.21	$87.00	$9.67–$82.65	28% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN	$45.21	$87.00	$9.67–$82.65	28% below	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN	$45.21	$87.00	$46.98–$82.65	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANAIGG ELISA RFLX ANAIGG IFA	$45.21	$87.00	$46.98–$82.65	—	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (BNP)	$124.71	$240.00	$31.41–$228.00	21% below	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE (BNP)	$124.71	$240.00	$129.60–$228.00	—	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BACTERIAL - NOSE/THRO	$120.55	$232.00	$6.90–$220.40	116% above	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BACTERIAL - NOSE/THRO	$120.55	$232.00	$125.28–$220.40	—	48%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$94.57	$182.00	$6.77–$172.90	97% above	48%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$94.57	$182.00	$98.28–$172.90	—	48%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$57.16	$110.00	$4.02–$104.50	124% above	48%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$57.16	$110.00	$59.40–$104.50	—	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LV4 SURG GROSS-MICRO EXAM	$128.87	$248.00	$56.85–$235.60	35% below	48%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LV4 SURG GROSS-MICRO EXAM	$128.87	$248.00	$133.92–$235.60	—	48%
Blood culture for bacteria CPT 87040 CULTUREBACTERL BLOOD-AEROBIC	$152.77	$294.00	$8.26–$279.30	39% above	48%
Blood culture for bacteria inpatient CPT 87040 CULTUREBACTERL BLOOD-AEROBIC	$152.77	$294.00	$158.76–$279.30	—	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT BLOOD VENIPUNCTURE	$20.27	$39.00	$7.47–$37.05	1% above	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECT BLOOD VENIPUNCTURE	$20.27	$39.00	$21.06–$37.05	—	48%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD	$33.26	$64.00	$3.14–$60.80	39% above	48%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD	$33.26	$64.00	$34.56–$60.80	—	48%
Blood lead test CPT 83655 LEADBLOOD C	$27.02	$52.00	$9.69–$49.40	17% below	48%
Blood lead test CPT 83655 LEAD BLOOD	$27.02	$52.00	$9.69–$49.40	17% below	48%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$27.02	$52.00	$28.08–$49.40	—	48%
Blood lead test inpatient CPT 83655 LEADBLOOD C	$27.02	$52.00	$28.08–$49.40	—	48%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL. SERUM (PG.TEST)	$89.90	$173.00	$6.02–$164.35	24% above	48%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL. SERUM (PG.TEST)	$89.90	$173.00	$93.42–$164.35	—	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO CONFIRM C	$165.76	$319.00	$2.39–$303.05	205% above	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP	$165.76	$319.00	$2.39–$303.05	205% above	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP	$165.76	$319.00	$172.26–$303.05	—	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO CONFIRM C	$165.76	$319.00	$172.26–$303.05	—	48%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN - QUANT.BLOODB	$47.81	$92.00	$3.16–$87.40	87% above	48%
Blood urea nitrogen (BUN) test CPT 84520 LIVER FIBROSIS PNLBUN C	$47.81	$92.00	$3.16–$87.40	87% above	48%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LIVER FIBROSIS PNLBUN C	$47.81	$92.00	$49.68–$87.40	—	48%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN - QUANT.BLOODB	$47.81	$92.00	$49.68–$87.40	—	48%
C-peptide blood test CPT 84681 C PEPTIDE	$92.49	$178.00	$16.65–$169.10	3% above	48%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$92.49	$178.00	$96.12–$169.10	—	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$77.43	$149.00	$4.14–$141.55	103% above	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$77.43	$149.00	$80.46–$141.55	—	48%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFF TOXIN G-APT	$93.53	$180.00	$29.82–$171.00	40% below	48%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFF TOXIN G-APT	$93.53	$180.00	$97.20–$171.00	—	48%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$123.67	$238.00	$16.65–$226.10	31% above	48%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$123.67	$238.00	$128.52–$226.10	—	48%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$92.49	$178.00	$16.65–$169.10	17% below	48%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$92.49	$178.00	$96.12–$169.10	—	48%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2/2019-VIRUS(COVID-19	$93.01	$179.00	$41.05–$170.05	22% below	48%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2/2019-VIRUS(COVID-19	$93.01	$179.00	$96.66–$170.05	—	48%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$37.42	$72.00	$4.13–$68.40	47% above	48%
Calcium blood test, total CPT 82310 PARATHYROID HORMONINT CA C	$37.42	$72.00	$4.13–$68.40	47% above	48%
Calcium blood test, total inpatient CPT 82310 PARATHYROID HORMONINT CA C	$37.42	$72.00	$38.88–$68.40	—	48%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$37.42	$72.00	$38.88–$68.40	—	48%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$106.52	$205.00	$15.17–$194.75	30% above	48%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$106.52	$205.00	$110.70–$194.75	—	48%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA	$55.08	$106.00	$10.30–$100.70	9% below	48%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTERIGG C	$55.08	$106.00	$10.30–$100.70	9% below	48%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTERIGG C	$55.08	$106.00	$57.24–$100.70	—	48%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA	$55.08	$106.00	$57.24–$100.70	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATISNAA C	$91.45	$176.00	$28.07–$167.20	2% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRCHMTAMPLFD PROBE	$91.45	$176.00	$28.07–$167.20	2% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRCHMTAMPLFD PROBE	$91.45	$176.00	$95.04–$167.20	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATISNAA C	$91.45	$176.00	$95.04–$167.20	—	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$60.28	$116.00	$10.71–$110.20	4% above	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$60.28	$116.00	$62.64–$110.20	—	48%
Complete blood count (CBC) with differential CPT 85025 HEMOGRAM/PLT CNT AUTO COMP DIF	$64.95	$125.00	$6.22–$118.75	57% above	48%
Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM/PLT CNT AUTO COMP DIF	$64.95	$125.00	$67.50–$118.75	—	48%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM (CBC AUTO-NO DIFF)	$42.61	$82.00	$5.18–$77.90	38% above	48%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM (CBC AUTO-NO DIFF)	$42.61	$82.00	$44.28–$77.90	—	48%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$118.47	$228.00	$8.45–$216.60	114% above	48%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$118.47	$228.00	$123.12–$216.60	—	48%
Cortisol blood test, total CPT 82533 ACTH STIMULATING CORTISOL 0MIN	$71.19	$137.00	$13.04–$130.15	13% below	48%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$71.19	$137.00	$13.04–$130.15	13% below	48%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATING CORTISOL 0MIN	$71.19	$137.00	$73.98–$130.15	—	48%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$71.19	$137.00	$73.98–$130.15	—	48%
Creatine kinase (CK) blood test, total CPT 82550 CK ISOENZYMES TOTAL C	$40.53	$78.00	$5.21–$74.10	6% below	48%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL	$40.53	$78.00	$5.21–$74.10	6% below	48%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL	$40.53	$78.00	$42.12–$74.10	—	48%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK ISOENZYMES TOTAL C	$40.53	$78.00	$42.12–$74.10	—	48%
Creatinine blood test CPT 82565 CREATININE - BLOOD	$45.73	$88.00	$4.10–$83.60	85% above	48%
Creatinine blood test inpatient CPT 82565 CREATININE - BLOOD	$45.73	$88.00	$47.52–$83.60	—	48%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV CYTOMEGALOVIRUS IGG AB	$51.96	$100.00	$11.51–$95.00	17% below	48%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS ABSIGG C	$51.96	$100.00	$11.51–$95.00	17% below	48%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV CYTOMEGALOVIRUS IGG AB	$51.96	$100.00	$54.00–$95.00	—	48%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS ABSIGG C	$51.96	$100.00	$54.00–$95.00	—	48%
D-dimer blood test (blood clot marker) CPT 85379 FIB.DEG.PRDCTS.D-DIMER;QUANT	$101.33	$195.00	$8.14–$185.25	22% below	48%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIB.DEG.PRDCTS.D-DIMER;QUANT	$101.33	$195.00	$105.30–$185.25	—	48%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA - S	$93.01	$179.00	$17.78–$170.05	9% above	48%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA - S	$93.01	$179.00	$96.66–$170.05	—	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMAHYDROXYBUTYRIC ACDSRM AR	$180.83	$348.00	$49.71–$330.60	213% above	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES URINE (UBARB)	$180.83	$348.00	$49.71–$330.60	213% above	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES URINE (UBARB)	$180.83	$348.00	$187.92–$330.60	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMAHYDROXYBUTYRIC ACDSRM AR	$180.83	$348.00	$187.92–$330.60	—	48%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$37.42	$72.00	$5.61–$68.40	4% above	48%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$37.42	$72.00	$38.88–$68.40	—	48%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB TO VIRAL CAPSID AGIGM	$60.28	$116.00	$14.51–$110.20	19% below	48%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG ANTIGEN	$60.28	$116.00	$14.51–$110.20	19% below	48%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB TO VIRAL CAPSID AGIGM	$60.28	$116.00	$62.64–$110.20	—	48%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG ANTIGEN	$60.28	$116.00	$62.64–$110.20	—	48%
Estradiol blood test CPT 82670 ESTRADIOL ADULTPREMENOPAUSAL	$106.52	$205.00	$22.35–$194.75	5% below	48%
Estradiol blood test CPT 82670 ESTRADIOL	$106.52	$205.00	$22.35–$194.75	5% below	48%
Estradiol blood test inpatient CPT 82670 ESTRADIOL ADULTPREMENOPAUSAL	$106.52	$205.00	$110.70–$194.75	—	48%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$106.52	$205.00	$110.70–$194.75	—	48%
FSH (follicle-stimulating hormone) test CPT 83001 LH/FSH FSH C	$71.71	$138.00	$14.86–$131.10	11% below	48%
FSH (follicle-stimulating hormone) test CPT 83001 FSH BLOOD	$71.71	$138.00	$14.86–$131.10	11% below	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LH/FSH FSH C	$71.71	$138.00	$74.52–$131.10	—	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH BLOOD	$71.71	$138.00	$74.52–$131.10	—	48%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTINFECAL IMMUNOASSAY	$163.16	$314.00	$15.70–$298.30	38% above	48%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$163.16	$314.00	$15.70–$298.30	38% above	48%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$163.16	$314.00	$169.56–$298.30	—	48%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTINFECAL IMMUNOASSAY	$163.16	$314.00	$169.56–$298.30	—	48%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$91.97	$177.00	$10.90–$168.15	64% above	48%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$91.97	$177.00	$95.58–$168.15	—	48%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$98.21	$189.00	$7.78–$179.55	53% above	48%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$98.21	$189.00	$102.06–$179.55	—	48%
Folate (folic acid) blood test CPT 82746 FOLATE	$80.02	$154.00	$11.76–$146.30	9% below	48%
Folate (folic acid) blood test CPT 82746 VITAMIN B12 & FOLATEFOLATE C	$80.02	$154.00	$11.76–$146.30	9% below	48%
Folate (folic acid) blood test inpatient CPT 82746 VITAMIN B12 & FOLATEFOLATE C	$80.02	$154.00	$83.16–$146.30	—	48%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$80.02	$154.00	$83.16–$146.30	—	48%
Free T3 thyroid hormone test CPT 84481 T3 - FREE	$128.35	$247.00	$13.55–$234.65	77% above	48%
Free T3 thyroid hormone test inpatient CPT 84481 T3 - FREE	$128.35	$247.00	$133.38–$234.65	—	48%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 - FREE	$71.19	$137.00	$7.22–$130.15	56% above	48%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 - FREE	$71.19	$137.00	$73.98–$130.15	—	48%
Free testosterone test CPT 84402 TESTOSTERONEFREE IA C	$56.12	$108.00	$20.38–$102.60	7% below	48%
Free testosterone test CPT 84402 TESTOSTERONE;FREE	$56.12	$108.00	$20.38–$102.60	7% below	48%
Free testosterone test inpatient CPT 84402 TESTOSTERONE;FREE	$56.12	$108.00	$58.32–$102.60	—	48%
Free testosterone test inpatient CPT 84402 TESTOSTERONEFREE IA C	$56.12	$108.00	$58.32–$102.60	—	48%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LIVER FIBROSIS PNLGGT C	$47.81	$92.00	$5.76–$87.40	59% above	48%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$47.81	$92.00	$5.76–$87.40	59% above	48%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$47.81	$92.00	$49.68–$87.40	—	48%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LIVER FIBROSIS PNLGGT C	$47.81	$92.00	$49.68–$87.40	—	48%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$180.83	$348.00	$36.75–$330.60	21% below	48%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$180.83	$348.00	$187.92–$330.60	—	48%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE 1 HR	$22.87	$44.00	$3.80–$41.80	34% below	48%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE 1 HR	$22.87	$44.00	$23.76–$41.80	—	48%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE GTT	$121.07	$233.00	$10.30–$221.35	54% above	48%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE GTT	$121.07	$233.00	$125.82–$221.35	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLFD PROBE	$87.82	$169.00	$28.07–$160.55	6% below	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRRHOEAENAA C	$87.82	$169.00	$28.07–$160.55	6% below	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY AMPLFD PROBE	$87.82	$169.00	$91.26–$160.55	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRRHOEAENAA C	$87.82	$169.00	$91.26–$160.55	—	48%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI	$165.24	$318.00	$13.48–$302.10	114% above	48%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI	$165.24	$318.00	$171.72–$302.10	—	48%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORISTOOL	$88.86	$171.00	$11.50–$162.45	24% above	48%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORISTOOL	$88.86	$171.00	$92.34–$162.45	—	48%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTITATIVE NAATPLASM1	$182.90	$352.00	$68.08–$334.40	31% below	48%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV - 1 QUANTIFICATION	$182.90	$352.00	$68.08–$334.40	31% below	48%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV - 1 QUANTIFICATION	$182.90	$352.00	$190.08–$334.40	—	48%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTITATIVE NAATPLASM1	$182.90	$352.00	$190.08–$334.40	—	48%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE RESULT	$43.13	$83.00	$10.97–$78.85	35% below	48%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SINGLE RESULT	$43.13	$83.00	$44.82–$78.85	—	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 COMBO AG/AB W/REFLARUP	$60.28	$116.00	$19.26–$110.20	24% below	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 COMBO AG/AB W/REFLARUP	$60.28	$116.00	$62.64–$110.20	—	48%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$44.69	$86.00	$28.07–$81.70	49% below	48%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$44.69	$86.00	$46.44–$81.70	—	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED	$85.74	$165.00	$7.77–$156.75	79% above	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED	$85.74	$165.00	$89.10–$156.75	—	48%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$24.43	$47.00	$1.90–$44.65	40% above	48%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$24.43	$47.00	$25.38–$44.65	—	48%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY(HBCAB)IGG	$62.36	$120.00	$9.64–$114.00	4% below	48%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY(HBCAB)IGG	$62.36	$120.00	$64.80–$114.00	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY (HBSAB)	$61.84	$119.00	$8.59–$113.05	2% below	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY (HBSAB)	$61.84	$119.00	$64.26–$113.05	—	48%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$66.51	$128.00	$8.26–$121.60	20% above	48%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN	$66.51	$128.00	$69.12–$121.60	—	48%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$49.37	$95.00	$11.42–$90.25	33% below	48%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C ANTIBODY	$49.37	$95.00	$11.42–$90.25	33% below	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ANTIBODY	$49.37	$95.00	$51.30–$90.25	—	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS ANTIBODY CIA	$49.37	$95.00	$51.30–$90.25	—	48%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV BY QUANTITATIVE NAAT 1	$237.46	$457.00	$34.27–$434.15	21% above	48%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT PCR	$237.46	$457.00	$34.27–$434.15	21% above	48%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV BY QUANTITATIVE NAAT 1	$237.46	$457.00	$246.78–$434.15	—	48%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT PCR	$237.46	$457.00	$246.78–$434.15	—	48%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$29.10	$56.00	$10.55–$53.20	50% below	48%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 AB IGGCSF 1	$29.10	$56.00	$10.55–$53.20	50% below	48%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1	$29.10	$56.00	$30.24–$53.20	—	48%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 AB IGGCSF 1	$29.10	$56.00	$30.24–$53.20	—	48%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$64.44	$124.00	$15.48–$117.80	11% below	48%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 AB IGGCSF 1	$64.44	$124.00	$15.48–$117.80	11% below	48%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$64.44	$124.00	$66.96–$117.80	—	48%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 AB IGGCSF 1	$64.44	$124.00	$66.96–$117.80	—	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTV PROTN;HI SEN (HSCRP)	$59.76	$115.00	$10.36–$109.25	2% below	48%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTV PROTN;HI SEN (HSCRP)	$59.76	$115.00	$62.10–$109.25	—	48%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$79.50	$153.00	$14.34–$145.35	6% below	48%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$79.50	$153.00	$82.62–$145.35	—	48%
Insulin blood test CPT 83525 INSULIN	$111.20	$214.00	$9.14–$203.30	103% above	48%
Insulin blood test inpatient CPT 83525 INSULIN	$111.20	$214.00	$115.56–$203.30	—	48%
Iron blood test (serum iron) CPT 83540 IRONPLASMA OR SERUM	$61.32	$118.00	$5.18–$112.10	51% above	48%
Iron blood test (serum iron) CPT 83540 IRON	$61.32	$118.00	$5.18–$112.10	51% above	48%
Iron blood test (serum iron) inpatient CPT 83540 IRONPLASMA OR SERUM	$61.32	$118.00	$63.72–$112.10	—	48%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$61.32	$118.00	$63.72–$112.10	—	48%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITYTOTAL	$55.08	$106.00	$6.99–$100.70	29% above	48%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITYTOTAL	$55.08	$106.00	$57.24–$100.70	—	48%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$36.38	$70.00	$6.94–$66.50	24% below	48%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$36.38	$70.00	$37.80–$66.50	—	48%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LH BLOOD	$71.71	$138.00	$14.82–$131.10	11% below	48%
LH (luteinizing hormone) test CPT 83002 LH/FSH LH C	$71.71	$138.00	$14.82–$131.10	11% below	48%
LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN LH BLOOD	$71.71	$138.00	$74.52–$131.10	—	48%
LH (luteinizing hormone) test inpatient CPT 83002 LH/FSH LH C	$71.71	$138.00	$74.52–$131.10	—	48%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PLASMA	$167.32	$322.00	$9.26–$305.90	126% above	48%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID PLASMA	$167.32	$322.00	$173.88–$305.90	—	48%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BLOOD	$54.56	$105.00	$4.83–$99.75	74% above	48%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD C	$54.56	$105.00	$4.83–$99.75	74% above	48%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BLOOD	$54.56	$105.00	$56.70–$99.75	—	48%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD C	$54.56	$105.00	$56.70–$99.75	—	48%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$94.05	$181.00	$5.51–$171.95	48% above	48%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$94.05	$181.00	$97.74–$171.95	—	48%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$40.53	$78.00	$6.54–$74.10	3% below	48%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$40.53	$78.00	$42.12–$74.10	—	48%
Lyme disease antibody test CPT 86618 LYME ANTIBODIES	$65.99	$127.00	$13.62–$120.65	1% above	48%
Lyme disease antibody test inpatient CPT 86618 LYME ANTIBODIES	$65.99	$127.00	$68.58–$120.65	—	48%
Magnesium blood test CPT 83735 MAGNESIUM	$88.34	$170.00	$5.36–$161.50	156% above	48%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$88.34	$170.00	$91.80–$161.50	—	48%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB VIRUS BY ELISA	$43.13	$83.00	$10.30–$78.85	27% below	48%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) ABIGG	$43.13	$83.00	$10.30–$78.85	27% below	48%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) ABIGG	$43.13	$83.00	$44.82–$78.85	—	48%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB VIRUS BY ELISA	$43.13	$83.00	$44.82–$78.85	—	48%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$70.67	$136.00	$4.14–$129.20	42% above	48%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$70.67	$136.00	$73.44–$129.20	—	48%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGG ARUP	$40.01	$77.00	$10.44–$73.15	18% below	48%
Mumps immunity blood test CPT 86735 MUMPS SOLUABLE ANTIGEN	$40.01	$77.00	$10.44–$73.15	18% below	48%
Mumps immunity blood test inpatient CPT 86735 MUMPS SOLUABLE ANTIGEN	$40.01	$77.00	$41.58–$73.15	—	48%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGG ARUP	$40.01	$77.00	$41.58–$73.15	—	48%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL-PRENATAL II	$107.04	$206.00	$38.25–$195.70	38% below	48%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL-PRENATAL II	$107.04	$206.00	$111.24–$195.70	—	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE BILL	$61.32	$118.00	$14.71–$112.10	19% below	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$61.32	$118.00	$14.71–$112.10	19% below	48%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$61.32	$118.00	$63.72–$112.10	—	48%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE BILL	$61.32	$118.00	$63.72–$112.10	—	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTGN (PSA)	$82.10	$158.00	$14.71–$150.10	9% above	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA WITH FREE PSA REFLEX	$82.10	$158.00	$14.71–$150.10	9% above	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTGN (PSA)	$82.10	$158.00	$85.32–$150.10	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA WITH FREE PSA REFLEX	$82.10	$158.00	$85.32–$150.10	—	48%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$68.59	$132.00	$21.29–$125.40	24% below	48%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$68.59	$132.00	$71.28–$125.40	—	48%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONINT PTH C	$122.63	$236.00	$33.02–$224.20	26% below	48%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE C-TERM	$122.63	$236.00	$33.02–$224.20	26% below	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE C-TERM	$122.63	$236.00	$127.44–$224.20	—	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONINT PTH C	$122.63	$236.00	$127.44–$224.20	—	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$69.11	$133.00	$4.81–$126.35	27% above	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 ANTIPHOSPHOLIPID PNL PTT C	$69.11	$133.00	$4.81–$126.35	27% above	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$69.11	$133.00	$71.82–$126.35	—	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ANTIPHOSPHOLIPID PNL PTT C	$69.11	$133.00	$71.82–$126.35	—	48%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$46.77	$90.00	$3.79–$85.50	56% above	48%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$46.77	$90.00	$48.60–$85.50	—	48%
Potassium blood test CPT 84132 POTASSIUM;SERUM	$37.94	$73.00	$3.81–$69.35	74% above	48%
Potassium blood test inpatient CPT 84132 POTASSIUM;SERUM	$37.94	$73.00	$39.42–$69.35	—	48%
Progesterone blood test CPT 84144 PROGESTERONE	$118.99	$229.00	$16.69–$217.55	12% above	48%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$118.99	$229.00	$123.66–$217.55	—	48%
Prolactin blood test CPT 84146 PROLACTIN	$94.05	$181.00	$15.50–$171.95	5% above	48%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$94.05	$181.00	$97.74–$171.95	—	48%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (LAB)	$47.29	$91.00	$3.43–$86.45	68% above	48%
Prothrombin time (PT/INR) clotting test CPT 85610 ANTIPHOSPHOLIPID PNL PT C	$47.29	$91.00	$3.43–$86.45	68% above	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ANTIPHOSPHOLIPID PNL PT C	$47.29	$91.00	$49.14–$86.45	—	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (LAB)	$47.29	$91.00	$49.14–$86.45	—	48%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCRNURINE CLS-A (NON-TLC	$88.34	$170.00	$10.08–$161.50	31% above	48%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCRNURINE CLS-A (NON-TLC	$88.34	$170.00	$91.80–$161.50	—	48%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA AB AG DETCN (RAPID)	$73.27	$141.00	$13.24–$133.95	at median	48%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA AB AG DETCN (RAPID)	$73.27	$141.00	$76.14–$133.95	—	48%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN GRP A	$47.29	$91.00	$13.22–$86.45	14% below	48%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN GRP A	$47.29	$91.00	$49.14–$86.45	—	48%
Renin blood test CPT 84244 RENIN	$139.26	$268.00	$17.59–$254.60	101% above	48%
Renin blood test inpatient CPT 84244 RENIN	$139.26	$268.00	$144.72–$254.60	—	48%
Rh blood typing CPT 86901 BB RH (D) TYPE	$32.22	$62.00	$2.39–$58.90	23% below	48%
Rh blood typing CPT 86901 RH CONFIRM C	$32.22	$62.00	$2.39–$58.90	23% below	48%
Rh blood typing inpatient CPT 86901 BB RH (D) TYPE	$32.22	$62.00	$33.48–$58.90	—	48%
Rh blood typing inpatient CPT 86901 RH CONFIRM C	$32.22	$62.00	$33.48–$58.90	—	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTR SYNOVIAL ARUP	$11.79	$22.68	$4.54–$21.55	71% below	48%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR-QUANT	$101.33	$195.00	$4.54–$185.25	145% above	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTR SYNOVIAL ARUP	$11.79	$22.68	$12.25–$21.55	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR-QUANT	$101.33	$195.00	$105.30–$185.25	—	48%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIESIGG C	$50.93	$98.00	$11.51–$93.10	12% above	48%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE	$50.93	$98.00	$11.51–$93.10	12% above	48%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIESIGG C	$50.93	$98.00	$52.92–$93.10	—	48%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNE	$50.93	$98.00	$52.92–$93.10	—	48%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN EXAMINATION COMPLETE	$43.13	$83.00	$12.93–$78.85	56% below	48%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN EXAMINATION COMPLETE	$43.13	$83.00	$44.82–$78.85	—	48%
Sodium blood test CPT 84295 SODIUM BL	$31.70	$61.00	$3.85–$57.95	22% above	48%
Sodium blood test inpatient CPT 84295 SODIUM BL	$31.70	$61.00	$32.94–$57.95	—	48%
Stool ova and parasites exam CPT 87177 OVA AND PARASITEFECAL 1 C	$40.01	$77.00	$7.12–$73.15	26% below	48%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE	$40.01	$77.00	$7.12–$73.15	26% below	48%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE	$40.01	$77.00	$41.58–$73.15	—	48%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITEFECAL 1 C	$40.01	$77.00	$41.58–$73.15	—	48%
Stool test for hidden blood (guaiac FOBT) CPT 82270 BLDOCCLTBY PAMULTI SCREEN	$17.15	$33.00	$3.50–$31.35	50% below	48%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLDOCCLTBY PAMULTI SCREEN	$17.15	$33.00	$17.82–$31.35	—	48%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOODOCCULTBYIMMUQUAL1-3DTR	$54.04	$104.00	$12.74–$98.80	3% below	48%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD BY IA	$54.04	$104.00	$12.74–$98.80	3% below	48%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD BY IA	$54.04	$104.00	$56.16–$98.80	—	48%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOODOCCULTBYIMMUQUAL1-3DTR	$54.04	$104.00	$56.16–$98.80	—	48%
Syphilis antibody test (Treponema pallidum) CPT 86780 AB;TREPONEMA PALLIDUM(FTA-ABS)	$36.38	$70.00	$10.59–$66.50	5% above	48%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ABTP-PA	$36.38	$70.00	$10.59–$66.50	5% above	48%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 AB;TREPONEMA PALLIDUM(FTA-ABS)	$36.38	$70.00	$37.80–$66.50	—	48%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM ABTP-PA	$36.38	$70.00	$37.80–$66.50	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/REFL TP-PA ARUP	$32.74	$63.00	$3.42–$59.85	2% above	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHLS TEST;QUAL VDRLPRPART	$32.74	$63.00	$3.42–$59.85	2% above	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHLS TEST;QUAL VDRLPRPART	$32.74	$63.00	$34.02–$59.85	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/REFL TP-PA ARUP	$32.74	$63.00	$34.02–$59.85	—	48%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS	$136.66	$263.00	$49.58–$249.85	22% below	48%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TESTCELL IMMUN MSUR (GOLD)	$136.66	$263.00	$49.58–$249.85	22% below	48%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TESTCELL IMMUN MSUR (GOLD)	$136.66	$263.00	$142.02–$249.85	—	48%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS	$136.66	$263.00	$142.02–$249.85	—	48%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONETOTAL IA C	$53.65	$103.24	$20.65–$98.08	25% below	48%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE;TOTAL	$54.04	$104.00	$20.65–$98.80	24% below	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONETOTAL IA C	$53.65	$103.24	$55.75–$98.08	—	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE;TOTAL	$54.04	$104.00	$56.16–$98.80	—	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODY	$58.72	$113.00	$11.64–$107.35	14% below	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSM ABIGG AR	$58.72	$113.00	$11.64–$107.35	14% below	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSM ABIGG AR	$58.72	$113.00	$61.02–$107.35	—	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBODY	$58.72	$113.00	$61.02–$107.35	—	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$102.89	$198.00	$13.44–$188.10	41% above	48%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$102.89	$198.00	$106.92–$188.10	—	48%
Total IgE blood test CPT 82785 ASSAY - IGE	$57.16	$110.00	$13.17–$104.50	4% above	48%
Total IgE blood test CPT 82785 ALLERGENSIGE TOTAL C	$57.16	$110.00	$13.17–$104.50	4% above	48%
Total IgE blood test inpatient CPT 82785 ASSAY - IGE	$57.16	$110.00	$59.40–$104.50	—	48%
Total IgE blood test inpatient CPT 82785 ALLERGENSIGE TOTAL C	$57.16	$110.00	$59.40–$104.50	—	48%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$33.26	$64.00	$3.48–$60.80	38% above	48%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$33.26	$64.00	$34.56–$60.80	—	48%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE	$51.96	$100.00	$5.50–$95.00	78% above	48%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE	$51.96	$100.00	$54.00–$95.00	—	48%
Total triiodothyronine (T3) blood test CPT 84480 T3 BY RIA	$66.51	$128.00	$11.34–$121.60	12% below	48%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 BY RIA	$66.51	$128.00	$69.12–$121.60	—	48%
Transferrin blood test CPT 84466 TRANSFERRIN	$62.88	$121.00	$10.21–$114.95	20% above	48%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$62.88	$121.00	$65.34–$114.95	—	48%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIFED	$87.30	$168.00	$28.07–$159.60	71% above	48%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMPLIFED	$87.30	$168.00	$90.72–$159.60	—	48%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$38.46	$74.00	$4.59–$70.30	51% above	48%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$38.46	$74.00	$39.96–$70.30	—	48%
Troponin test, quantitative CPT 84484 TROPONIN	$104.96	$202.00	$9.98–$191.90	at median	48%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$104.96	$202.00	$109.08–$191.90	—	48%
Uric acid blood test CPT 84550 URIC ACID	$42.61	$82.00	$3.62–$77.90	47% above	48%
Uric acid blood test inpatient CPT 84550 URIC ACID	$42.61	$82.00	$44.28–$77.90	—	48%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICROSCOPY	$37.42	$72.00	$2.54–$68.40	14% above	48%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPY	$37.42	$72.00	$38.88–$68.40	—	48%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICROSCOPY	$30.14	$58.00	$1.80–$55.10	55% above	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICROSCOPY	$30.14	$58.00	$31.32–$55.10	—	48%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS W/O MICRO W/O AUTO	$21.83	$42.00	$2.78–$39.90	9% below	48%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS W/O MICRO W/O AUTO	$21.83	$42.00	$22.68–$39.90	—	48%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN-CREATININE RATIOALB C	$35.34	$68.00	$4.62–$64.60	20% below	48%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN MICRO QUANT	$35.34	$68.00	$4.62–$64.60	20% below	48%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN-CREATININE RATIOALB C	$35.34	$68.00	$36.72–$64.60	—	48%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN MICRO QUANT	$35.34	$68.00	$36.72–$64.60	—	48%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 & FOLATEB12 C	$85.22	$164.00	$12.06–$155.80	10% above	48%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$85.22	$164.00	$12.06–$155.80	10% above	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 & FOLATEB12 C	$85.22	$164.00	$88.56–$155.80	—	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$85.22	$164.00	$88.56–$155.80	—	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D; 25 HYDROXY	$141.86	$273.00	$23.68–$259.35	37% above	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D; 25 HYDROXY	$141.86	$273.00	$147.42–$259.35	—	48%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D; 125 DIHYDROXY	$157.44	$303.00	$30.80–$287.85	53% above	48%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D; 125 DIHYDROXY	$157.44	$303.00	$163.62–$287.85	—	48%
Zinc blood test CPT 84630 ZINC BLOOD	$105.48	$203.00	$9.11–$192.85	204% above	48%
Zinc blood test inpatient CPT 84630 ZINC BLOOD	$105.48	$203.00	$109.62–$192.85	—	48%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT.SERUM(PG.+TUMOR MRKR	$187.58	$361.00	$12.04–$342.95	162% above	48%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT.SERUM(PG.+TUMOR MRKR	$187.58	$361.00	$194.94–$342.95	—	48%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 ICU ELECTV CARDIOVERSION EXT	$782.00	$1,505.00	$556.85–$1,429.75	47% below	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED ELECTV CARDIOVERSION EXT	$782.00	$1,505.00	$556.85–$1,429.75	47% below	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ICU ELECTV CARDIOVERSION EXT	$782.00	$1,505.00	$812.70–$1,429.75	—	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED ELECTV CARDIOVERSION EXT	$782.00	$1,505.00	$812.70–$1,429.75	—	48%
Cataract surgery with lens implant CPT 66984 CATARACT W/IOL 1STAGE SURG	$2,303.91	$4,434.00	$1,640.58–$4,212.30	57% below	48%
Cataract surgery with lens implant inpatient CPT 66984 CATARACT W/IOL 1STAGE SURG	$2,303.91	$4,434.00	$2,394.36–$4,212.30	—	48%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NUR CIRCUMCISION	$1,206.52	$2,322.00	$859.14–$2,205.90	150% above	48%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NUR CIRCUMCISION	$1,206.52	$2,322.00	$1,253.88–$2,205.90	—	48%
Complex cataract surgery with lens implant CPT 66982 CATARACT REMVL W/INSRT LENS	$2,434.85	$4,686.00	$1,733.82–$4,451.70	12% above	48%
Complex cataract surgery with lens implant inpatient CPT 66982 CATARACT REMVL W/INSRT LENS	$2,434.85	$4,686.00	$2,530.44–$4,451.70	—	48%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$526.88	$1,014.00	$375.18–$963.30	22% below	48%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$526.88	$1,014.00	$547.56–$963.30	—	48%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMVL IMPCTD CERMN W/I/L UNILT	$102.89	$198.00	$73.26–$188.10	32% above	48%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REMVL IMPCTD CERMN W/I/L UNILT	$102.89	$198.00	$106.92–$188.10	—	48%
Earwax removal with instruments, one ear CPT 69210 REMVL IMPCTD CERMN W/INSTRTN(R	$148.09	$285.00	$105.45–$270.75	32% above	48%
Earwax removal with instruments, one ear inpatient CPT 69210 REMVL IMPCTD CERMN W/INSTRTN(R	$148.09	$285.00	$153.90–$270.75	—	48%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 BLOCK-CERV/THOR SNGL W/IMAGE	$844.35	$1,625.00	$601.25–$1,543.75	56% below	48%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 BLOCK-CERV/THOR SNGL W/IMAGE	$844.35	$1,625.00	$877.50–$1,543.75	—	48%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ.PARAVERTEBRAL L/S SNGL LVL	$1,026.73	$1,976.00	$731.12–$1,877.20	47% below	48%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ.PARAVERTEBRAL L/S SNGL LVL	$1,026.73	$1,976.00	$1,067.04–$1,877.20	—	48%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH&INTRDCTN SLN/CNST HYSTERO	$370.48	$713.00	$263.81–$677.35	32% above	48%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH&INTRDCTN SLN/CNST HYSTERO	$370.48	$713.00	$385.02–$677.35	—	48%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS - SIMPLE	$303.97	$585.00	$216.45–$555.75	10% below	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS - SIMPLE	$303.97	$585.00	$315.90–$555.75	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS - MAJOR JOINT	$504.54	$971.00	$359.27–$922.45	62% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRCNTS ASP/INJ JNT/LG W/O	$504.54	$971.00	$359.27–$922.45	62% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRCNTS ASP/INJ JNT/LG W/O	$504.54	$971.00	$524.34–$922.45	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS - MAJOR JOINT	$504.54	$971.00	$524.34–$922.45	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRCNTS ASP/INJ JNT/INT W/O	$424.00	$816.00	$301.92–$775.20	23% above	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS - INTRMDT JONT	$424.00	$816.00	$301.92–$775.20	23% above	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRCNTS ASP/INJ JNT/INT W/O	$424.00	$816.00	$440.64–$775.20	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS - INTRMDT JONT	$424.00	$816.00	$440.64–$775.20	—	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRCNTS ASP/INJ JNT/SM W/O	$353.33	$680.00	$251.60–$646.00	13% above	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JNT W/O UG	$353.33	$680.00	$251.60–$646.00	13% above	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRCNTS ASP/INJ JNT/SM W/O	$353.33	$680.00	$367.20–$646.00	—	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SM JNT W/O UG	$353.33	$680.00	$367.20–$646.00	—	48%
Laser treatment of clouding after cataract surgery (YAG) one side CPT 66821 CATARACT AFTER LASER SURG RT	$812.14	$1,563.00	$578.31–$1,484.85	34% below	48%
Laser treatment of clouding after cataract surgery (YAG) inpatient one side CPT 66821 CATARACT AFTER LASER SURG RT	$812.14	$1,563.00	$844.02–$1,484.85	—	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD LAC <2.5CM SC-TK-EXTRM	$356.45	$686.00	$253.82–$651.70	41% below	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD LAC <2.5CM SC-TK-EXTRM	$356.45	$686.00	$370.44–$651.70	—	48%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ.EPIDURL STERIOD W/IMAG	$844.35	$1,625.00	$601.25–$1,543.75	47% below	48%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ SNGL ESI LUMBAR W/IMAGE	$844.35	$1,625.00	$601.25–$1,543.75	47% below	48%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ.EPIDURL STERIOD W/IMAG	$844.35	$1,625.00	$877.50–$1,543.75	—	48%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ SNGL ESI LUMBAR W/IMAGE	$844.35	$1,625.00	$877.50–$1,543.75	—	48%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECT.EPIDURAL STERIOD	$607.94	$1,170.00	$432.90–$1,111.50	61% below	48%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECT.EPIDURAL STERIOD	$607.94	$1,170.00	$631.80–$1,111.50	—	48%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRNSFRML INJ LMBR/SCRL SNG LVL	$1,026.73	$1,976.00	$731.12–$1,877.20	38% below	48%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TRNSFRML INJ LMBR/SCRL SNG LVL	$1,026.73	$1,976.00	$1,067.04–$1,877.20	—	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC.BEN.LESN.TRNK.AM.LG 0.5CM<	$386.59	$744.00	$275.28–$706.80	38% below	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC.BEN.LESN.TRNK.AM.LG 0.5CM<	$386.59	$744.00	$401.76–$706.80	—	48%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV ER	$371.00	$714.00	$264.18–$678.30	at median	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV ER	$371.00	$714.00	$385.56–$678.30	—	48%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/IMAG	$1,133.77	$2,182.00	$807.34–$2,072.90	13% below	48%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$1,133.77	$2,182.00	$807.34–$2,072.90	13% below	48%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/IMAG	$1,133.77	$2,182.00	$1,178.28–$2,072.90	—	48%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING	$1,133.77	$2,182.00	$1,178.28–$2,072.90	—	48%
Removal of a foreign object under the skin, simple CPT 10120 I&D SQ REMOVAL FB - SIMPLE	$343.46	$661.00	$244.57–$627.95	15% below	48%
Removal of a foreign object under the skin, simple inpatient CPT 10120 I&D SQ REMOVAL FB - SIMPLE	$343.46	$661.00	$356.94–$627.95	—	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL LAC <2.5CM SCLP-HD-BDY	$301.37	$580.00	$214.60–$551.00	11% below	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL LAC <2.5CM SCLP-HD-BDY	$301.37	$580.00	$313.20–$551.00	—	48%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$254.09	$489.00	$180.93–$464.55	at median	48%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$254.09	$489.00	$264.06–$464.55	—	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE (PROCEDURE)	$561.69	$1,081.00	$399.97–$1,026.95	44% below	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 OP SPINAL PUNC FLU LMBR BX	$561.69	$1,081.00	$399.97–$1,026.95	44% below	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE (PROCEDURE)	$561.69	$1,081.00	$583.74–$1,026.95	—	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 OP SPINAL PUNC FLU LMBR BX	$561.69	$1,081.00	$583.74–$1,026.95	—	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL LAC 2.6-7.5CM SCLP-HD-BDY	$316.44	$609.00	$225.33–$578.55	19% below	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL LAC 2.6-7.5CM SCLP-HD-BDY	$316.44	$609.00	$328.86–$578.55	—	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL LAC <2.5CM FACE-EAR	$266.04	$512.00	$189.44–$486.40	22% below	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL LAC <2.5CM FACE-EAR	$266.04	$512.00	$276.48–$486.40	—	48%
Thoracentesis with imaging guidance CPT 32555 OP THORACNTSIS/ASP W IMAG	$964.38	$1,856.00	$686.72–$1,763.20	37% below	48%
Thoracentesis with imaging guidance inpatient CPT 32555 OP THORACNTSIS/ASP W IMAG	$964.38	$1,856.00	$1,002.24–$1,763.20	—	48%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCLE	$343.98	$662.00	$244.94–$628.90	44% above	48%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ. S/M 1-2MUSC	$343.98	$662.00	$244.94–$628.90	44% above	48%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCLE	$343.98	$662.00	$357.48–$628.90	—	48%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ. S/M 1-2MUSC	$343.98	$662.00	$357.48–$628.90	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC DEBRIDEMENT SUBQ<20CM	$325.79	$627.00	$231.99–$595.65	46% below	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT-SUBQ TISSUE 20CM<	$325.79	$627.00	$231.99–$595.65	46% below	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC DEBRIDEMENT SUBQ<20CM	$325.79	$627.00	$338.58–$595.65	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT-SUBQ TISSUE 20CM<	$325.79	$627.00	$338.58–$595.65	—	48%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
Blood transfusion (giving blood or blood components) CPT 36430 OP ADMIN BLOOD TRANSFUSION	$793.43	$1,527.00	$564.99–$1,450.65	at median	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 OP ADMIN BLOOD TRANSFUSION	$793.43	$1,527.00	$824.58–$1,450.65	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN INITIAL TX	$277.47	$534.00	$197.58–$507.30	63% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN TREATMENT-INITIAL	$277.47	$534.00	$197.58–$507.30	63% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN TREATMENT-INITIAL	$277.47	$534.00	$288.36–$507.30	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN INITIAL TX	$277.47	$534.00	$288.36–$507.30	—	48%
Chemotherapy IV infusion, first hour CPT 96413 OP-CHEMO ADMIN INFUSN 1ST HR	$342.94	$660.00	$244.20–$627.00	55% below	48%
Chemotherapy IV infusion, first hour inpatient CPT 96413 OP-CHEMO ADMIN INFUSN 1ST HR	$342.94	$660.00	$356.40–$627.00	—	48%
Critical care, first 30 to 74 minutes CPT 99291 ER E/M CRITICAL CARE 30-74MIN.	$2,032.16	$3,911.00	$1,447.07–$3,715.45	24% below	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER E/M CRITICAL CARE 30-74MIN.	$2,032.16	$3,911.00	$2,111.94–$3,715.45	—	48%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE-DROWSY	$711.86	$1,370.00	$506.90–$1,301.50	21% below	48%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE-DROWSY	$711.86	$1,370.00	$739.80–$1,301.50	—	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG (12 LEAD) (ADULT)	$199.01	$383.00	$141.71–$363.85	19% below	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG (12 LEAD) (ADULT)	$199.01	$383.00	$206.82–$363.85	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER FACILITY LEVEL 1	$192.26	$370.00	$136.90–$351.50	19% below	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER FACILITY LEVEL 1	$192.26	$370.00	$199.80–$351.50	—	48%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER FACILITY LEVEL 2	$383.99	$739.00	$273.43–$702.05	19% below	48%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER FACILITY LEVEL 2	$383.99	$739.00	$399.06–$702.05	—	48%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER FACILITY LEVEL 3	$592.87	$1,141.00	$422.17–$1,083.95	31% below	48%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER FACILITY LEVEL 3	$592.87	$1,141.00	$616.14–$1,083.95	—	48%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER FACILITY LEVEL 4	$1,220.55	$2,349.00	$869.13–$2,231.55	8% below	48%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER FACILITY LEVEL 4	$1,220.55	$2,349.00	$1,268.46–$2,231.55	—	48%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER FACILITY LEVEL 5	$1,743.26	$3,355.00	$1,241.35–$3,187.25	17% below	48%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER FACILITY LEVEL 5	$1,743.26	$3,355.00	$1,811.70–$3,187.25	—	48%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST	$502.46	$967.00	$357.79–$918.65	25% below	48%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TEST	$502.46	$967.00	$522.18–$918.65	—	48%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF.HYDRATION 1ST HOUR	$247.85	$477.00	$176.49–$453.15	37% below	48%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF.HYDRATION 1ST HOUR	$247.85	$477.00	$257.58–$453.15	—	48%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION DRUG 1ST HOUR	$288.38	$555.00	$205.35–$527.25	35% below	48%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION DRUG 1ST HOUR	$288.38	$555.00	$299.70–$527.25	—	48%
IV push of a medicine, first drug CPT 96374 OP IVP/IV INJECTION	$169.39	$326.00	$120.62–$309.70	32% below	48%
IV push of a medicine, first drug CPT 96374 INJ.ADMINSTRN IVP 1ST DRUG	$169.39	$326.00	$120.62–$309.70	32% below	48%
IV push of a medicine, first drug inpatient CPT 96374 INJ.ADMINSTRN IVP 1ST DRUG	$169.39	$326.00	$176.04–$309.70	—	48%
IV push of a medicine, first drug inpatient CPT 96374 OP IVP/IV INJECTION	$169.39	$326.00	$176.04–$309.70	—	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ.ADMINSTRN IM/SQ OTHER	$121.59	$234.00	$86.58–$222.30	13% above	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMINSTRN IM / SUBQ INJECT.	$121.59	$234.00	$86.58–$222.30	13% above	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMINSTRN IM / SUBQ INJECT.	$121.59	$234.00	$126.36–$222.30	—	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ.ADMINSTRN IM/SQ OTHER	$121.59	$234.00	$126.36–$222.30	—	48%
New patient office visit, about 30 minutes CPT 99203 WC NEW PATIENT VISIT LEVEL 3	$236.42	$455.00	$168.35–$432.25	12% above	48%
New patient office visit, about 30 minutes inpatient CPT 99203 WC NEW PATIENT VISIT LEVEL 3	$236.42	$455.00	$245.70–$432.25	—	48%
New patient office visit, about 45 minutes CPT 99204 WC NEW PATIENT VISIT LEVEL 4	$314.36	$605.00	$223.85–$574.75	10% above	48%
New patient office visit, about 45 minutes inpatient CPT 99204 WC NEW PATIENT VISIT LEVEL 4	$314.36	$605.00	$326.70–$574.75	—	48%
New patient office visit, about 60 minutes CPT 99205 WC NEW PATIENT VISIT LEVEL 5	$407.89	$785.00	$290.45–$745.75	18% above	48%
New patient office visit, about 60 minutes inpatient CPT 99205 WC NEW PATIENT VISIT LEVEL 5	$407.89	$785.00	$423.90–$745.75	—	48%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC NEW PATIENT VISIT LEVEL 2	$183.94	$354.00	$130.98–$336.30	43% above	48%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC NEW PATIENT VISIT LEVEL 2	$183.94	$354.00	$191.16–$336.30	—	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRIT/DBTC THY INIT 1:1PT 15M	$65.99	$127.00	$46.99–$120.65	7% below	48%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRIT/DBTC THY INIT 1:1PT 15M	$65.99	$127.00	$68.58–$120.65	—	48%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACO USE CESSATN INTMD 3-10M	$35.86	$69.00	$25.53–$65.55	6% above	48%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACO USE CESSATN INTMD 3-10M	$35.86	$69.00	$37.26–$65.55	—	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL-5 ESTABLISHED PATIENT	$1,404.48	$2,703.00	$1,000.11–$2,567.85	318% above	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC EST PATIENT VISIT LEVEL 5	$1,404.48	$2,703.00	$1,000.11–$2,567.85	318% above	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC EST PATIENT VISIT LEVEL 5	$1,404.48	$2,703.00	$1,459.62–$2,567.85	—	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL-5 ESTABLISHED PATIENT	$1,404.48	$2,703.00	$1,459.62–$2,567.85	—	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC EST PATIENT VISIT LEVEL 3	$397.50	$765.00	$283.05–$726.75	110% above	48%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL-3 ESTABLISHED PATIENT	$397.50	$765.00	$283.05–$726.75	110% above	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL-3 ESTABLISHED PATIENT	$397.50	$765.00	$413.10–$726.75	—	48%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC EST PATIENT VISIT LEVEL 3	$397.50	$765.00	$413.10–$726.75	—	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL-4 ESTABLISHED PATIENT	$697.83	$1,343.00	$496.91–$1,275.85	192% above	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC EST PATIENT VISIT LEVEL 4	$697.83	$1,343.00	$496.91–$1,275.85	192% above	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC EST PATIENT VISIT LEVEL 4	$697.83	$1,343.00	$725.22–$1,275.85	—	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL-4 ESTABLISHED PATIENT	$697.83	$1,343.00	$725.22–$1,275.85	—	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP E&M VISIT ESTAB PT (LMTD)	$116.40	$224.00	$82.88–$212.80	16% above	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC EST PATIENT VISIT LEVEL 2	$261.36	$503.00	$186.11–$477.85	160% above	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL-2 ESTABLISHED PATIENT	$261.36	$503.00	$186.11–$477.85	160% above	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP E&M VISIT ESTAB PT (LMTD)	$116.40	$224.00	$120.96–$212.80	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WC EST PATIENT VISIT LEVEL 2	$261.36	$503.00	$271.62–$477.85	—	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL-2 ESTABLISHED PATIENT	$261.36	$503.00	$271.62–$477.85	—	48%
Spirometry (breathing test) CPT 94010 INCENTIVE SPIROMETRY WITH RN	$179.79	$346.00	$128.02–$328.70	29% below	48%
Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIROMETRY WITH RN	$179.79	$346.00	$186.84–$328.70	—	48%
Spirometry before and after a bronchodilator CPT 94060 PFT BRONCHODLTN RESPONSE SPIRO	$385.03	$741.00	$274.17–$703.95	33% below	48%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT BRONCHODLTN RESPONSE SPIRO	$385.03	$741.00	$400.14–$703.95	—	48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$136.66	$263.00	$97.31–$249.85	32% below	48%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$136.66	$263.00	$142.02–$249.85	—	48%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oregon	Off list
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIP-PRTS-TET-PLIO-ACEL 4>6YR	$84.57	$162.75	$60.22–$154.62	15% above	48%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DIP-PRTS-TET-PLIO-ACEL 4>6YR	$84.57	$162.75	$87.89–$154.62	—	48%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLULAVAL FLU 24-25 0.5 ML INJ.	$62.62	$120.50	$44.59–$114.48	78% above	48%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLULAVAL FLU 24-25 0.5 ML INJ.	$62.62	$120.50	$65.07–$114.48	—	48%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VAC 25UN(PEDS-ADOL	$62.75	$120.75	$44.68–$114.72	12% above	48%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VAC 25UN(PEDS-ADOL	$62.75	$120.75	$65.21–$114.72	—	48%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VIR VAC RECMB 20MCG/ADLT	$74.70	$143.75	$53.19–$136.57	29% below	48%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VIR VAC RECMB 20MCG/ADLT	$74.70	$143.75	$77.63–$136.57	—	48%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B CONJGT VAC INJ	$36.77	$70.75	$26.18–$67.22	12% below	48%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B CONJGT VAC INJ	$36.77	$70.75	$38.21–$67.22	—	48%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACC 0.5ML	$204.21	$393.00	$145.41–$373.35	23% below	48%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACC 0.5ML	$204.21	$393.00	$212.22–$373.35	—	48%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOMYELITIS VACC KILLED	$68.59	$132.00	$48.84–$125.40	35% below	48%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOMYELITIS VACC KILLED	$68.59	$132.00	$71.28–$125.40	—	48%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5 UNT SDV INJ	$406.33	$782.00	$289.34–$742.90	25% below	48%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5 UNT SDV INJ	$406.33	$782.00	$422.28–$742.90	—	48%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VERICELLA-ZOSTER VACC INJ SDV	$241.49	$464.75	$171.96–$441.52	17% above	48%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VERICELLA-ZOSTER VACC INJ SDV	$241.49	$464.75	$250.97–$441.52	—	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA/TETANUS INJ =>7	$52.48	$101.00	$37.37–$95.95	28% above	48%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTHERIA/TETANUS INJ =>7	$52.48	$101.00	$54.54–$95.95	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINSTRN HEP B INFANT(STATE-	$41.57	$80.00	$29.60–$76.00	28% below	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINSTRN INJ SNGL/COMB VAC/TX	$96.65	$186.00	$68.82–$176.70	67% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINSTRN HEP B INFANT(STATE-	$41.57	$80.00	$43.20–$76.00	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINSTRN INJ SNGL/COMB VAC/TX	$96.65	$186.00	$100.44–$176.70	—	48%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMNSTRN INJ EA.ADDL VAC S/C/T	$54.04	$104.00	$38.48–$98.80	41% above	48%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMNSTRN INJ EA.ADDL VAC S/C/T	$54.04	$104.00	$56.16–$98.80	—	48%

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://www.sahpendleton.org/content/dam/sahpendletonorg/financial-forms/mrf-json/930391614-1649276734_commonspirit-oregon_standardcharges.json