Hospital San Jose-Sunnyvale-Santa Clara, CA

Lucile Salter Packard Children's Hospital at Stanford

Lucile Salter Packard Children's Hospital at Stanford in Palo Alto, CA publishes cash prices for 350 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the California median for 230 of 349 procedures and below it for 118. By typical cash price it ranks #177 of 226 California hospitals and #6 of 7 hospitals in the San Jose, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

725 WELCH RD, PALO ALTO, CA 94304 Collected Sep 23, 2026 Source price file Check a bill from this hospital (650) 497-8000

Children's hospital Nonprofit hospital No emergency department CCN 053305 · CMS hospital register NPI 1467442749

Financial assistance

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

Lucile Salter Packard Children's Hospital at Stanford 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

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W&WO Cont	$6,196.00	$12,392.00	$6,021.27	119% above	50%
Abdominal X-ray, 2 views CPT 74019 HC Xr Abdomen 2v	$1,362.00	$2,724.00	$1,149.53–$1,323.59	216% above	50%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle 3v	$817.50	$1,635.00	$689.97–$794.45	59% above	50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extrem WO Cont	$4,805.50	$9,611.00	$4,669.98	111% above	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophagram	$1,751.00	$3,502.00	$1,477.84–$1,701.62	189% above	50%
Bone scan, whole body (nuclear medicine) CPT 78306 HC Img Bone/Joint Whole Body	$3,799.50	$7,599.00	$3,206.78–$3,951.48	79% above	50%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast	$1,126.50	$2,253.00	$950.77–$1,094.73	60% above	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Ltd	$903.00	$1,806.00	$762.13–$877.54	69% above	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd & Pelv W Cont	$6,629.50	$13,259.00	$6,442.55	23% above	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd & Pelv W&WO Cont	$9,987.00	$19,974.00	$9,705.37	85% above	50%
CT angiography (CTA) of the head CPT 70496 HC CT Angio Head W&WO Contrast	$6,988.50	$13,977.00	$6,791.42	134% above	50%
CT angiography (CTA) of the neck CPT 70498 HC CT Angio Neck W&WO Contrast	$6,988.50	$13,977.00	$6,791.42	136% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest W&WO Contrast	$6,375.50	$12,751.00	$6,195.71	86% above	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Heart W Cont	$4,304.00	$8,608.00	$4,182.63	59% above	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart WO Cont	$3,429.00	$6,858.00	$3,332.30	810% above	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelv WO Cont	$7,687.00	$15,374.00	$7,470.23	140% above	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W Cont	$8,456.00	$16,912.00	$8,217.54	105% above	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv W&WO Cont	$8,841.50	$17,683.00	$8,592.17	88% above	50%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W Cont	$6,341.00	$12,682.00	$6,162.18	152% above	50%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen WO Cont	$5,765.00	$11,530.00	$5,602.43	202% above	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Facial Bones WO Contrast	$3,365.00	$6,730.00	$3,270.11	54% above	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Sinus WO Contrast	$3,365.00	$6,730.00	$3,270.11	54% above	50%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head WO Contrast	$4,324.00	$8,648.00	$4,202.06	89% above	50%
CT scan of the head with contrast CPT 70460 HC CT Head W Contrast	$4,756.00	$9,512.00	$4,621.88	76% above	50%
CT scan of the head without and with contrast CPT 70470 HC CT Head W & WO Contrast	$4,973.00	$9,946.00	$4,832.76	61% above	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L Spine WO Contrast	$4,323.00	$8,646.00	$4,201.09	51% above	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C Spine WO Contrast	$4,323.00	$8,646.00	$4,201.09	48% above	50%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W Contrast	$6,341.00	$12,682.00	$6,162.18	149% above	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC US Arteries Extracranial Bil Compl	$3,467.50	$6,935.00	$2,926.57–$3,369.72	183% above	50%
Chest CT scan without and with contrast CPT 71270 HC CT Chest W&WO Contrast	$6,629.50	$13,259.00	$6,442.55	103% above	50%
Chest X-ray, 2 views CPT 71046 HC Xr Chest Decub 2v	$1,036.50	$2,073.00	$874.81–$1,007.27	154% above	50%
Chest X-ray, 2 views CPT 71046 HC Xr Chest 2v	$1,186.50	$2,373.00	$1,001.41–$1,153.04	191% above	50%
Chest X-ray, single view CPT 71045 HC Xr Chest 1v	$1,036.50	$2,073.00	$874.81–$1,007.27	185% above	50%
Chest X-ray, single view CPT 71045 HC Xr Chest Decub 1 View	$1,036.50	$2,073.00	$874.81–$1,007.27	185% above	50%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle Complete	$818.00	$1,636.00	$690.39–$794.93	69% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete	$1,593.00	$3,186.00	$1,344.49–$1,548.08	88% above	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density 1+ Axial Skeleton	$323.50	$647.00	$273.03–$314.38	36% below	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density 1+ Axial Skltn	$589.50	$1,179.00	$497.54–$572.88	17% above	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Dens 1+ App Skel Periph	$192.50	$385.00	$162.47–$187.07	30% below	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Dtl Anatomy Scan 1st Fetus	$1,627.00	$3,254.00	$1,373.19–$1,581.12	80% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest WO Contrast	$5,765.00	$11,530.00	$5,602.43	184% above	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W Contrast	$6,341.00	$12,682.00	$6,162.18	120% above	50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC US Arterial Lower Ext Bil Compl	$3,467.50	$6,935.00	$2,926.57–$3,369.72	231% above	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US Ext Venous Doppl Bi Stud	$3,467.50	$6,935.00	$2,926.57–$3,369.72	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echo Compl W Doppl & Col Fl	$4,625.50	$9,251.00	$4,495.06–$4,810.52	72% above	50%
Elbow X-ray, 2 views CPT 73070 HC Xr Elbow 2v	$741.50	$1,483.00	$625.83–$720.59	86% above	50%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Xr Elbow 3v	$817.50	$1,635.00	$689.97–$794.45	69% above	50%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Ear/Sella/Pf WO Con	$4,805.50	$9,611.00	$4,669.98	110% above	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Xr Facial Bones 3v+	$877.50	$1,755.00	$740.61–$852.75	78% above	50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Forearm 2v	$781.50	$1,563.00	$659.59–$759.46	83% above	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Img Heptobiliary	$4,170.50	$8,341.00	$3,519.90–$4,337.32	135% above	50%
Hand X-ray, 2 views CPT 73120 HC Xr Hand 2v	$741.50	$1,483.00	$625.83–$720.59	82% above	50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Calcaneus 2v+	$890.50	$1,781.00	$751.58–$865.39	152% above	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Apnea Study W Hr & Resp Anal	$5,887.00	$11,774.00	$4,968.63–$6,122.48	667% above	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography W Cpap 6+ Yrs	$8,366.50	$16,733.00	$7,061.33–$8,701.16	129% above	50%
Knee X-ray, 3 views CPT 73562 HC Xr Knee 3v	$980.00	$1,960.00	$827.12–$952.36	113% above	50%
Knee X-ray, complete, 4 or more views CPT 73564 HC Xr Knees Total 4v+	$1,184.50	$2,369.00	$999.72–$1,151.10	102% above	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Ext WO Cont	$4,805.50	$9,611.00	$4,669.98	125% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Neurodx US Diaphragm	$1,061.00	$2,122.00	$895.48–$1,031.08	28% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC Abdomen Ltd W Contrast	$1,491.50	$2,983.00	$1,258.83–$1,449.44	80% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Ibd POC Abd Ltd	$1,596.00	$3,192.00	$1,347.02–$1,550.99	93% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited	$1,596.00	$3,192.00	$1,347.02–$1,550.99	93% above	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC Neurodx US Non Vasc Jt Ltd	$1,061.00	$2,122.00	$895.48–$1,031.08	95% above	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Non Vasc Joint Limited	$1,596.00	$3,192.00	$1,347.02–$1,550.99	193% above	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB CT Thorax Lung Ca Scr C- WO Contrast	$5,690.00	$11,380.00	$5,529.54	1498% above	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Tibia Fibula 2v	$893.00	$1,786.00	$753.69–$867.82	106% above	50%
MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Brain WO Contrast	$6,147.00	$12,294.00	$5,973.65	112% above	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Ankle WO Cont Limited	$2,049.50	$4,099.00	$1,991.70	32% below	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Knee WO Cont Limited	$2,049.50	$4,099.00	$1,991.70	32% below	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Foot WO Cont Limited	$2,049.50	$4,099.00	$1,991.70	32% below	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Multi Jts Lmtd WO Cont	$3,106.00	$6,212.00	$3,018.41	2% above	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR Limited Stress Scan Jt	$3,898.00	$7,796.00	$3,788.08	29% above	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jt WO Cont	$6,147.00	$12,294.00	$5,973.65	103% above	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jt W&WO Cont	$7,683.00	$15,366.00	$7,466.34	66% above	50%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Con Lmtd	$1,604.50	$3,209.00	$1,559.25	43% below	50%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen WO Cont	$6,147.00	$12,294.00	$5,973.65	120% above	50%
MRI of the abdomen without contrast CPT 74181 HC MRI Cholangiogram	$6,862.50	$13,725.00	$6,668.98	145% above	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W & WO Con Lmtd	$2,004.50	$4,009.00	$1,947.97	54% below	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W&WO Cont	$7,683.00	$15,366.00	$7,466.34	76% above	50%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Con Lmtd	$1,604.50	$3,209.00	$1,559.25	45% below	50%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain Fast Scan	$3,073.50	$6,147.00	$2,986.83	6% above	50%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Contrast	$6,147.00	$12,294.00	$5,973.65	112% above	50%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W & WO Con Lmtd	$2,004.50	$4,009.00	$1,947.97	54% below	50%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W&WO Contrast	$7,817.50	$15,635.00	$7,597.05	81% above	50%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Spine Lumbar WO Cont Limited	$4,119.00	$8,238.00	$4,002.84	35% above	50%
MRI of the lower back, no contrast dye CPT 72148 HC MRI L Spine WO Contrast	$6,147.00	$12,294.00	$5,973.65	101% above	50%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L Spine W&WO Contrast	$7,683.00	$15,366.00	$7,466.34	70% above	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Spine Thoracic WO Cont Limited	$4,119.00	$8,238.00	$4,002.84	42% above	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI T Spine WO Contrast	$6,147.00	$12,294.00	$5,973.65	112% above	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C Spine W&WO Contrast	$7,683.00	$15,366.00	$7,466.34	73% above	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spine Cervical WO Cont Limited	$4,119.00	$8,238.00	$4,002.84	37% above	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C Spine WO Contrast	$6,147.00	$12,294.00	$5,973.65	105% above	50%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W & WO Con Lmtd	$2,004.50	$4,009.00	$1,947.97	52% below	50%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W&WO Contrast	$7,683.00	$15,366.00	$7,466.34	85% above	50%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis WO Con Lmtd	$1,604.50	$3,209.00	$1,559.25	38% below	50%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis Si Jt WO Con Lmtd	$3,208.50	$6,417.00	$3,118.02	25% above	50%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Hip Jt WO Con Lmtd	$3,208.50	$6,417.00	$3,118.02	25% above	50%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis WO Contrast	$6,147.00	$12,294.00	$5,973.65	139% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Wrist WO Cont Limited	$2,049.50	$4,099.00	$1,991.70	22% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Elbow WO Cont Limited	$2,049.50	$4,099.00	$1,991.70	22% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Hand Finger Jt WO Con Lmtd	$2,049.50	$4,099.00	$1,991.70	22% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Ext Jt WO Cont	$6,147.00	$12,294.00	$5,973.65	134% above	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr Spine Cervical 4 or 5v	$1,127.50	$2,255.00	$951.61–$1,095.70	75% above	50%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck W Contrast	$6,341.00	$12,682.00	$6,162.18	132% above	50%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck WO Contrast	$5,765.00	$11,530.00	$5,602.43	173% above	50%
Neck soft tissue X-ray CPT 70360 HC Neck Soft Tissue	$727.50	$1,455.00	$614.01–$706.98	124% above	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Myocardial Perfusion 1 Day Study	$5,153.50	$10,307.00	$4,349.55–$5,359.64	27% above	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Myocardial Perfusion 2 Day Study	$5,871.00	$11,742.00	$4,955.12–$6,105.84	45% above	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Pet Myocard Perf Stress or at Rest Mlti	$5,937.00	$11,874.00	$5,010.83–$6,174.48	46% above	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Img Spect Multi Heart	$8,696.00	$17,392.00	$7,339.42–$9,043.84	114% above	50%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis WO Contrast	$5,765.00	$11,530.00	$5,602.43	194% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Limited	$1,205.50	$2,411.00	$1,017.44–$1,171.50	124% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete	$1,596.00	$3,192.00	$1,347.02–$1,550.99	70% above	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Comp > 1st Tri 1st Gest	$1,332.50	$2,665.00	$1,124.63–$1,294.92	54% above	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Complete 1st Tri 1st Fetus	$1,283.50	$2,567.00	$1,083.27–$1,247.31	66% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Fetus Limited 1+	$884.50	$1,769.00	$746.52–$859.56	46% above	50%
Rib X-ray, one side, 2 views CPT 71100 HC Xr Ribs Uni 2v	$1,254.00	$2,508.00	$1,058.38–$1,218.64	171% above	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder 2v	$1,023.50	$2,047.00	$863.83–$994.64	85% above	50%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Xr Paranasal Sinuses 3v+	$800.00	$1,600.00	$675.20–$777.44	75% above	50%
Skull X-ray, fewer than 4 views CPT 70250 HC Xr Skull <4v	$909.00	$1,818.00	$767.20–$883.37	124% above	50%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography 4+ 6+ Yrs	$7,239.00	$14,478.00	$6,109.72–$7,528.56	48% above	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Stress Incl Cont Monit	$4,169.50	$8,339.00	$4,051.92–$4,336.28	31% above	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Modified Barium Swallow	$2,197.50	$4,395.00	$1,854.69–$2,135.53	232% above	50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Xr Femur 2v	$893.00	$1,786.00	$753.69–$867.82	119% above	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T Spine WO Contrast	$4,323.00	$8,646.00	$4,201.09	54% above	50%
Toe X-ray, 2 or more views CPT 73660 HC Xr Toe 2v+	$595.00	$1,190.00	$502.18–$578.22	80% above	50%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non OB	$1,368.00	$2,736.00	$1,154.59–$1,329.42	91% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Transvaginal	$930.00	$1,860.00	$784.92–$903.77	40% above	50%
Ultrasound of the abdomen, complete CPT 76700 HC Abdomen Complete W Cont	$1,996.50	$3,993.00	$1,685.05–$1,940.20	82% above	50%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete	$2,136.50	$4,273.00	$1,803.21–$2,076.25	95% above	50%
Ultrasound of the scrotum and testicles CPT 76870 HC US Testicular	$1,596.00	$3,192.00	$1,347.02–$1,550.99	79% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Thyroid/Neck	$1,596.00	$3,192.00	$1,347.02–$1,550.99	92% above	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi WO Kub	$1,570.00	$3,140.00	$1,325.08–$1,525.73	155% above	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi W Kub	$1,779.50	$3,559.00	$1,501.90–$1,729.32	189% above	50%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Xr Humerus 2v	$781.50	$1,563.00	$659.59–$759.46	83% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US Ext Venous Doppl Uni Stud	$2,496.00	$4,992.00	$2,106.62–$2,425.61	177% above	50%
Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2v	$741.50	$1,483.00	$625.83–$720.59	90% above	50%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist 3v+	$817.50	$1,635.00	$689.97–$794.45	63% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC Xr Hip Uni 2-3v W or WO Pelv	$1,023.50	$2,047.00	$863.83–$994.64	155% above	50%
X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1v/Kub	$1,186.50	$2,373.00	$1,001.41–$1,153.04	290% above	50%
X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2v	$741.50	$1,483.00	$625.83–$720.59	89% above	50%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger 2v+	$595.00	$1,190.00	$502.18–$578.22	63% above	50%
X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2v	$741.50	$1,483.00	$625.83–$720.59	83% above	50%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot 3v	$817.50	$1,635.00	$689.97–$794.45	65% above	50%
X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand 3v	$817.50	$1,635.00	$689.97–$794.45	61% above	50%
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1 or 2v	$890.50	$1,781.00	$751.58–$865.39	124% above	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Spine Lumbar 2 or 3v	$853.00	$1,706.00	$719.93–$828.95	81% above	50%
X-ray of the lower back, 4 or more views CPT 72110 HC Xr Spine Lumbar 4v+	$1,127.50	$2,255.00	$951.61–$1,095.70	73% above	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Spine Thoracic 2v	$853.00	$1,706.00	$719.93–$828.95	85% above	50%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones 3v+	$1,034.00	$2,068.00	$872.70–$1,004.84	139% above	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Spine Cervical 2 or 3v	$853.00	$1,706.00	$719.93–$828.95	89% above	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1 or 2v	$1,036.50	$2,073.00	$874.81–$1,007.27	169% above	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx 2v+	$933.50	$1,867.00	$787.87–$907.18	99% above	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ACTH blood test CPT 82024 HC Acth	$180.00	$360.00	$174.92	166% above	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC 97 Lab458 Liver Fibrosis	$24.66	$49.32	$23.96	43% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt (Sgpt)	$61.50	$123.00	$59.77	43% above	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt Custom	$202.50	$405.00	$196.79	370% above	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Sgpt/Alt	$209.00	$418.00	$203.11	385% above	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Bmt I Alt	$209.00	$418.00	$203.11	385% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast (Sgot)	$91.50	$183.00	$88.92	102% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Sgot/Ast	$214.00	$428.00	$207.97	372% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Bmt I Ast	$214.00	$428.00	$207.97	372% above	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel\|TECHNICAL COMPONENT	$595.00	$1,190.00	$578.22	119% above	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel	$595.00	$1,190.00	$578.22	119% above	50%
Albumin blood test CPT 82040 HC Albumin	$123.50	$247.00	$120.02	395% above	50%
Albumin blood test CPT 82040 HC Cpie Albumin	$123.50	$247.00	$120.02	395% above	50%
Albumin blood test CPT 82040 HC Bmt I Albumin	$123.50	$247.00	$120.02	395% above	50%
Aldosterone blood test CPT 82088 HC 114 Aldosterone, Serum	$11.25	$22.50	$10.93	56% below	50%
Aldosterone blood test CPT 82088 HC 095 Aldosterone	$23.36	$46.72	$22.70	9% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 HC 100 12401r Alk Phos Total	$4.59	$9.19	$4.47	88% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 HC 114 Labyalkpi Assay Alka Phos	$6.97	$13.95	$6.78	81% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Alk Phos Total	$131.00	$262.00	$127.31	254% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Bmt I Alk Phos	$131.00	$262.00	$127.31	254% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 114 11392r Pinon/Pine/Pign	$4.69	$9.38	$4.56	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 114 Lab11389r Macadamia Nut	$4.69	$9.38	$4.56	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 114 Lab11400r Pumpkin Seed Ige	$4.69	$9.38	$4.56	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Catfish Ige	$5.50	$11.00	$5.34	10% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Raspberry Ige	$5.95	$11.90	$5.78	19% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Macadamia Nut Quant Ige	$5.95	$11.90	$5.78	19% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Halibut Ige	$5.95	$11.90	$5.78	19% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Green Bean Ige	$5.95	$11.90	$5.78	19% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 12226r Ltx Fd Alrgn Qnt Ea	$6.99	$13.99	$6.80	40% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Bass Black Ige	$7.44	$14.88	$7.23	49% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Bean Pinto Ige	$7.44	$14.88	$7.23	49% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Rabbit Hair Ige	$7.44	$14.88	$7.23	49% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Cumin Seed Ige	$7.44	$14.88	$7.23	49% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Squash Summer Ige	$7.44	$14.88	$7.23	49% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Zucchini Ige	$7.44	$14.88	$7.23	49% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 443 11412r Ampicillin	$10.53	$21.06	$10.23	111% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 12228r Ltxsp Ige Alg Qn Ea	$11.55	$23.10	$11.22	131% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Erythromycin Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Nectarine Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Garbanzo Bean Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Latex Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Sulfamethoxazol Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Flaxseed/Linseed Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Snail Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Amoxicillin Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Pine Nut Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Bean Black Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Bean Lima Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Cephalosporin Ige	$11.70	$23.40	$11.37	134% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Bean Kidney Ige	$18.75	$37.50	$18.22	275% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Blueberry Ige	$18.75	$37.50	$18.22	275% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Abalone Ige	$18.75	$37.50	$18.22	275% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Sole Ige	$18.75	$37.50	$18.22	275% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Cauliflower Ige	$18.75	$37.50	$18.22	275% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC 430 Pumpkin Seed Ige	$18.75	$37.50	$18.22	275% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Ara H1	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Peanut	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Orange	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Olive Tree	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Oat	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Oak Tree	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Nut	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Milk	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Fish	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Egg White	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Dust Mite - Df	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Duck Weed	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Dog Dander	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Corn	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Cockroach	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Cladosporium Mold	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Chicken	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Cat Dander	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Bermuda Grass	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Aspergillus Mold	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Alternaria Mold	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Alder Tree	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Pehicillin G	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Phthalic Anhydride	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Mdi	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Hdi	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Parrots	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Parakeets	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Sage Weed, Mugwort	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Shrimp	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Soy	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Timothy Grass	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Tomato	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Western Ragweed	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Wheat	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc Allergen 1	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 2	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 3	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 4	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 5	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 6	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 7	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 8	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Misc. Allergen 9	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Honey Bee	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Yellow Jacket	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Wasp	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Hornet	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allmc All Spec Ige Qnt Smq	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst:Rye Grass	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Tdi	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Ara H 2	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Gal D 1	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Gal D 2	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Bos D 8	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Ara H3	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Ara H8	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Alrgy Tst: Ara H9	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Lab416 Peanut Ara H6	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Labitch2 Seasme Ige	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Labmall Mountain Cedar	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Anti Dsdna Ab	$40.00	$80.00	$38.87	700% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Penicillin V	$47.50	$95.00	$46.16	850% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Ampicillin	$47.50	$95.00	$46.16	850% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Amoxicillin	$47.50	$95.00	$46.16	850% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen: Rdi Tma	$47.50	$95.00	$46.16	850% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen:Canaries	$47.50	$95.00	$46.16	850% above	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha Fetoprotein	$237.00	$474.00	$230.32	209% above	50%
Ammonia blood test CPT 82140 HC 114 Lab1119 Ammonium Urine	$12.79	$25.59	$12.43	93% below	50%
Ammonia blood test CPT 82140 HC Ammonia	$182.00	$364.00	$176.87	1% above	50%
Ammonia blood test CPT 82140 HC Ammonia Plasma	$419.00	$838.00	$407.18	132% above	50%
Amylase blood test CPT 82150 HC 100 Amylase Body Fluid	$5.80	$11.60	$5.64	89% below	50%
Amylase blood test CPT 82150 HC 100 Amylase Body Fluid\|REFERENCE (OUTSIDE) LABORATORY	$5.80	$11.60	$5.64	89% below	50%
Amylase blood test CPT 82150 HC 455 Amylase Assay\|REFERENCE (OUTSIDE) LABORATORY	$8.70	$17.40	$8.45	83% below	50%
Amylase blood test CPT 82150 HC 455 Amylase Assay	$8.70	$17.40	$8.45	83% below	50%
Amylase blood test CPT 82150 HC 114 Amylase, Pancreatic\|REFERENCE (OUTSIDE) LABORATORY	$17.77	$35.54	$17.27	65% below	50%
Amylase blood test CPT 82150 HC 114 Amylase, Pancreatic	$17.77	$35.54	$17.27	65% below	50%
Amylase blood test CPT 82150 HC Amylase\|REFERENCE (OUTSIDE) LABORATORY	$95.00	$190.00	$92.32	86% above	50%
Amylase blood test CPT 82150 HC Amylase	$95.00	$190.00	$92.32	86% above	50%
Amylase blood test CPT 82150 HC Amylase Body Fluid	$353.50	$707.00	$343.53	592% above	50%
Amylase blood test CPT 82150 HC Amylase Urine\|REFERENCE (OUTSIDE) LABORATORY	$353.50	$707.00	$343.53	592% above	50%
Amylase blood test CPT 82150 HC Amylase Test\|REFERENCE (OUTSIDE) LABORATORY	$353.50	$707.00	$343.53	592% above	50%
Amylase blood test CPT 82150 HC Amylase Body Fluid\|REFERENCE (OUTSIDE) LABORATORY	$353.50	$707.00	$343.53	592% above	50%
Amylase blood test CPT 82150 HC Amylase Urine	$353.50	$707.00	$343.53	592% above	50%
Amylase blood test CPT 82150 HC Amylase Test	$353.50	$707.00	$343.53	592% above	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP Antibody	$110.50	$221.00	$107.38	445% above	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC 097lab256 Anti-Nu Ab (Ifa)	$27.50	$55.00	$26.72	15% below	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Anti-Nuc Ab (Fana)	$102.00	$204.00	$99.12	216% above	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Nt-Probnp	$734.50	$1,469.00	$713.79	297% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Respiratory Cult/Sput	$348.00	$696.00	$338.19	188% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bone Culture	$348.00	$696.00	$338.19	188% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Wound-Deep/Surg/Asp	$348.00	$696.00	$338.19	188% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Catheter Tip Culture	$361.00	$722.00	$350.82	199% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bartlett Cath Cult	$361.00	$722.00	$350.82	199% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Nasal Np Culture	$422.50	$845.00	$410.59	250% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Mac/Othr Wtr	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bone Marrow Sterlty	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Fluid Sterility Test	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Ortho Aero Cul W/Gram Stain	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Labbactps Cult Bact Any Src	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cystic Fib Resp Cult	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Wound Culture	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Fluid Culture	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CSF Culture	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Biopsy/Tissue (Gen)	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bone Marrow Cult	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Respiratory Cult	$452.00	$904.00	$439.25	275% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Genital Culture	$452.00	$904.00	$439.25	275% above	50%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel	$284.00	$568.00	$275.99	47% above	50%
Basic metabolic panel (blood test) CPT 80048 HC Metabolic Pnl Basic	$517.50	$1,035.00	$502.91	168% above	50%
Bilirubin blood test, total CPT 82247 HC 100 Bilirubin, Fluid	$4.40	$8.80	$4.28	90% below	50%
Bilirubin blood test, total CPT 82247 HC 97 Lab458 Liver Fibrosis	$24.66	$49.33	$23.97	45% below	50%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total	$141.50	$283.00	$137.51	213% above	50%
Bilirubin blood test, total CPT 82247 HC Bilirubin, Total, Fluid	$141.50	$283.00	$137.51	213% above	50%
Bilirubin blood test, total CPT 82247 HC Bmt I Total Bili	$141.50	$283.00	$137.51	213% above	50%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total Newborn	$281.00	$562.00	$273.08	521% above	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Path Exm-Compl-Lv4	$969.00	$1,938.00	$941.67	645% above	50%
Blood culture for bacteria CPT 87040 HC Isolator-Spec Reg	$608.50	$1,217.00	$591.34	124% above	50%
Blood culture for bacteria CPT 87040 HC Culture Blood Aerobic Isol	$654.00	$1,308.00	$635.56	140% above	50%
Blood culture for bacteria CPT 87040 HC Blood Culture ID Methods	$745.50	$1,491.00	$724.48	174% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture	$30.50	$61.00	$29.64	45% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture Routine	$30.50	$61.00	$29.64	45% above	50%
Blood glucose (sugar) test CPT 82947 HC Bmt II Glucose Blood Quant	$120.00	$240.00	$116.62	220% above	50%
Blood glucose (sugar) test CPT 82947 HC Glucose Pcglucose	$194.50	$389.00	$189.02	418% above	50%
Blood glucose (sugar) test CPT 82947 HC Med Emerg Glucose Bld Quant	$194.50	$389.00	$189.02	418% above	50%
Blood glucose (sugar) test CPT 82947 HC Bmt I Glucose Blood Quant	$194.50	$389.00	$189.02	418% above	50%
Blood glucose (sugar) test CPT 82947 HC Glucose Serum/Plasma	$194.50	$389.00	$189.02	418% above	50%
Blood lead test CPT 83655 HC 114 Lead	$3.64	$7.28	$3.54	64% below	50%
Blood lead test CPT 83655 HC 114 Lead Urine	$3.95	$7.90	$3.84	61% below	50%
Blood lead test CPT 83655 HC 114 Lableadbl Assay of Lead	$5.97	$11.95	$5.81	42% below	50%
Blood lead test CPT 83655 HC 114 Labhmet Assay of Lead	$7.83	$15.66	$7.61	24% below	50%
Blood lead test CPT 83655 HC Lead Whole Blood	$9.50	$19.00	$9.23	7% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Urine Pregnancy Hcg Qual Auto	$80.50	$161.00	$78.23	50% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Serum Pregnancy Scr	$428.50	$857.00	$416.42	168% above	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Labpcupreg Hcg Qual	$428.50	$857.00	$416.42	168% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo	$73.50	$147.00	$71.43	29% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Confirm Pt Type	$237.50	$475.00	$230.80	131% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Abo Typing	$245.00	$490.00	$238.09	138% above	50%
Blood urea nitrogen (BUN) test CPT 84520 HC 114 Urea Nitrogen, Fluid	$14.75	$29.50	$14.33	56% below	50%
Blood urea nitrogen (BUN) test CPT 84520 HC Lab420 Bun Arterial	$112.00	$224.00	$108.84	238% above	50%
Blood urea nitrogen (BUN) test CPT 84520 HC Lab420 Bun Peripheral	$112.00	$224.00	$108.84	238% above	50%
Blood urea nitrogen (BUN) test CPT 84520 HC Lab420 Bun Venous	$112.00	$224.00	$108.84	238% above	50%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen (Bun) POC	$197.50	$395.00	$191.93	496% above	50%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen, Fluid	$204.00	$408.00	$198.25	515% above	50%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen	$204.00	$408.00	$198.25	515% above	50%
C-peptide blood test CPT 84681 HC C Peptide	$173.50	$347.00	$168.61	172% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC 114 C-Reactive Protein	$8.98	$17.97	$8.73	83% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC 115 12507r Crp	$14.45	$28.91	$14.05	73% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C Reactive Protein	$222.50	$445.00	$216.23	313% above	50%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Cdtpcr C Diff Toxin Amp Stool	$542.50	$1,085.00	$527.20	255% above	50%
CA 19-9 blood test (tumor marker) CPT 86301 HC Labccp Imuno Anl Ca\|TECHNICAL COMPONENT	$225.00	$450.00	$218.66	350% above	50%
CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Ag Quant 19-9\|TECHNICAL COMPONENT	$225.00	$450.00	$218.66	350% above	50%
CA 19-9 blood test (tumor marker) CPT 86301 HC Labccp Imuno Anl Ca	$225.00	$450.00	$218.66	350% above	50%
CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Ag Quant 19-9	$225.00	$450.00	$218.66	350% above	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Ca125	$285.50	$571.00	$277.45	107% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Labcovrespcr Cov-19	$208.50	$417.00	$202.62	120% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Labstatcovrespcr Cov-19	$208.50	$417.00	$202.62	120% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Labstatcov2 Gx Sars-Cov2 Rt Pcr	$202.00	$404.00	$196.30	113% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Labstatcov2 Sars-Cov-2 Rt Pcr	$208.50	$417.00	$202.62	120% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Labsarscov2 Coronavirus Rt Pcr	$208.50	$417.00	$202.62	120% above	50%
Calcium blood test, total CPT 82310 HC 114 Lab1119 Calcium Urine	$4.53	$9.06	$4.40	93% below	50%
Calcium blood test, total CPT 82310 HC 097 Lab276 Calcium Total	$42.50	$85.00	$41.30	30% below	50%
Calcium blood test, total CPT 82310 HC Calcium Total	$181.50	$363.00	$176.38	198% above	50%
Carcinoembryonic antigen (CEA) test CPT 82378 HC 114 Yceac Cea Spinal Fluid	$38.16	$76.32	$37.08	54% below	50%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Cea	$406.50	$813.00	$395.04	386% above	50%
Chickenpox (varicella) immunity blood test CPT 86787 Lablcvarigm Varicella Zoster	$10.58	$21.16	$10.28	66% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 HC 092 Vzv Tot and Igm Ab	$18.38	$36.76	$17.86	40% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 HC 092 Vzv Ab Igm	$20.78	$41.57	$20.20	33% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 HC 092 Vzv Ab Total	$20.78	$41.56	$20.19	33% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 HC 92 Vzv Ab Imm Scrn	$33.00	$66.00	$32.07	7% above	50%
Chickenpox (varicella) immunity blood test CPT 86787 HC Vz Virus Ab Igg	$126.00	$252.00	$122.45	309% above	50%
Chickenpox (varicella) immunity blood test CPT 86787 HC Vzv Igg & Igm	$126.00	$252.00	$122.45	309% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC 97 Labe182035 Donor Clgc	$25.50	$51.00	$24.78	53% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC 097 C Trach Rna Tma Throat	$30.00	$60.00	$29.15	45% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC 097 C Trach Rna Tma Rectal	$30.00	$60.00	$29.15	45% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Molecular	$274.00	$548.00	$266.27	402% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chl. Trach Amp Probe	$274.00	$548.00	$266.27	402% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chl Trach Amp Probe Naat	$274.00	$548.00	$266.27	402% above	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Calculated Ld	$331.00	$662.00	$321.67	226% above	50%
Complete blood count (CBC) with differential CPT 85025 HC 402 Chla Immuno Cyto	$5.03	$10.06	$4.89	95% below	50%
Complete blood count (CBC) with differential CPT 85025 HC Cbc W/Auto Diff	$222.50	$445.00	$216.23	101% above	50%
Complete blood count (CBC) with differential CPT 85025 HC Cbc Auto W Diff	$410.50	$821.00	$398.92	271% above	50%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated	$180.00	$360.00	$174.92	105% above	50%
Complete blood count (CBC), no differential CPT 85027 HC Complete Blood Count	$222.00	$444.00	$215.74	152% above	50%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Auto WO Diff	$358.50	$717.00	$348.39	308% above	50%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel	$394.50	$789.00	$383.38	54% above	50%
Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Pnl Comp	$621.50	$1,243.00	$603.97	143% above	50%
Cortisol blood test, total CPT 82533 HC 095 Cortisol Total	$12.15	$24.31	$11.81	87% below	50%
Cortisol blood test, total CPT 82533 HC Cortisol Total	$411.50	$823.00	$399.90	330% above	50%
Cortisol blood test, total CPT 82533 HC Salcor Cortisol Total Saliva	$411.50	$823.00	$399.90	330% above	50%
Creatine kinase (CK) blood test, total CPT 82550 HC 114 12808r CK Total	$5.68	$11.36	$5.52	93% below	50%
Creatine kinase (CK) blood test, total CPT 82550 HC Creatinine Kinase	$223.50	$447.00	$217.20	156% above	50%
Creatinine blood test CPT 82565 HC Bmt II Creatinine Blood	$128.50	$257.00	$124.88	177% above	50%
Creatinine blood test CPT 82565 HC Bmt I Creatinine Blood	$206.00	$412.00	$200.19	345% above	50%
Creatinine blood test CPT 82565 HC Creatinine POC	$206.00	$412.00	$200.19	345% above	50%
Creatinine blood test CPT 82565 HC Creatinine Blood	$206.00	$412.00	$200.19	345% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 427 Donor Cmv Ab Living	$12.50	$25.00	$12.15	55% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 92 Cmv Ab	$23.84	$47.69	$23.17	13% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 97 Cmvav Igg Avidity	$27.42	$54.84	$26.65	at median	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC 097 Dnr Cmv Total Ab	$50.00	$100.00	$48.59	82% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Viral Antibody Cmv	$98.50	$197.00	$95.72	258% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Total Ab	$174.50	$349.00	$169.58	534% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmvigt Cmv Igg Ab Ts Only	$223.00	$446.00	$216.71	710% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Igg Ab Avidity	$223.00	$446.00	$216.71	710% above	50%
D-dimer blood test (blood clot marker) CPT 85379 HC D-Dimer Elisa Quant	$451.00	$902.00	$438.28	214% above	50%
D-dimer blood test (blood clot marker) CPT 85379 HC D Dimer Lia	$482.50	$965.00	$468.89	236% above	50%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degr Prod D Dimer Quant	$500.50	$1,001.00	$486.39	249% above	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC 095 Dhea Sulfate\|TECHNICAL COMPONENT	$14.31	$28.62	$13.91	86% below	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC 095 Dhea Sulfate	$14.31	$28.62	$13.91	86% below	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-S	$144.00	$288.00	$139.94	43% above	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-S\|TECHNICAL COMPONENT	$144.00	$288.00	$139.94	43% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 097 Pain Mangmt Prof 4 W/Conf U	$15.33	$30.67	$14.90	75% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Lab718 Drug Test Prsmv Chem Anlyzr	$16.25	$32.50	$15.79	74% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Drg Scrn Prsmv	$16.71	$33.42	$16.24	73% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Drug Screen 12	$16.71	$33.42	$16.24	73% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 6959 Drug of Abuse Mec 9	$17.00	$34.00	$16.52	73% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Yucda Drg Scr Ql Mdc Ea U	$19.39	$38.79	$18.85	69% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Drug Test Prsmv Chem Anlyzr	$20.62	$41.25	$20.04	67% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Drg Scrn Oxy Conf Urine	$21.52	$43.04	$20.91	65% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Drug Screen Presc/Otc	$27.50	$55.00	$26.72	56% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 114 Drug Screen Plasme	$30.67	$61.35	$29.81	51% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 100 Ethyl Glucuronide Scr, Urine	$64.90	$129.80	$63.07	5% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 100 Gamma Hydroxybutyric Acid	$85.50	$171.00	$83.09	38% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr	$602.00	$1,204.00	$585.02	871% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Labdoa Drug Tst Prsmv Anlyzr	$1,580.00	$3,160.00	$1,535.44	2448% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Labpaindoa Drug Prsmv	$1,628.00	$3,256.00	$1,582.09	2526% above	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel	$482.00	$964.00	$468.41	472% above	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel Urine	$714.00	$1,428.00	$693.87	748% above	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC 092 Eb Vca Iga	$25.68	$51.37	$24.96	3% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC 092 Ebv Vca Igg Igm Ab Ifa	$25.88	$51.76	$25.15	2% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Vcaigg Ebv Vca Igg	$195.00	$390.00	$189.50	637% above	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Vcaigm Ebv Vca Igm	$195.00	$390.00	$189.50	637% above	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Ebvpan Ebv Vca Igg Igm	$195.00	$390.00	$189.50	637% above	50%
Estradiol blood test CPT 82670 HC 097 13164r Estdl Ultrasen	$21.12	$42.25	$20.53	76% below	50%
Estradiol blood test CPT 82670 HC 095 Esteradiol	$22.60	$45.20	$21.96	74% below	50%
Estradiol blood test CPT 82670 HC Labe2ms Estradiol	$240.00	$480.00	$233.23	178% above	50%
Estradiol blood test CPT 82670 HC Estradiol(Estdl)	$240.00	$480.00	$233.23	178% above	50%
FSH (follicle-stimulating hormone) test CPT 83001 HC 095 Follicle Stim Hormone	$11.81	$23.62	$11.48	88% below	50%
FSH (follicle-stimulating hormone) test CPT 83001 HC Fsh(Fshor)	$282.00	$564.00	$274.05	176% above	50%
Fecal calprotectin (stool inflammation test) CPT 83993 HC 114 12798r Calprotectin Fecal	$106.50	$213.00	$103.50	46% above	50%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Fcalpro Calprotectin, Fecal	$110.00	$220.00	$106.90	51% above	50%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin	$336.00	$672.00	$326.52	215% above	50%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity	$132.50	$265.00	$128.76	1% below	50%
Fibrinogen blood test CPT 85384 HC Labaclfib Fibrinogen	$282.00	$564.00	$274.05	111% above	50%
Fibrinogen blood test CPT 85384 HC Labpctegl Fibrinogen Activity	$323.00	$646.00	$313.89	142% above	50%
Fibrinogen blood test CPT 85384 HC Labpctegm Fibrinogen Activity	$350.00	$700.00	$340.13	162% above	50%
Fibrinogen blood test CPT 85384 HC Labpteg Fibrinogen Act	$350.00	$700.00	$340.13	162% above	50%
Fibrinogen blood test CPT 85384 HC Fibrinogen Semiquan	$350.00	$700.00	$340.13	162% above	50%
Folate (folic acid) blood test CPT 82746 HC Folic Acid, Serum	$283.50	$567.00	$275.51	160% above	50%
Free T3 thyroid hormone test CPT 84481 HC 097 Free T3 Dialysis	$13.32	$26.65	$12.95	84% below	50%
Free T3 thyroid hormone test CPT 84481 HC Free T3	$255.00	$510.00	$247.81	215% above	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC 100 Free T4 Equilib Dialysis	$13.50	$27.00	$13.12	80% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC 6956 Labft4ed Assay Thyroxine	$15.00	$30.00	$14.58	78% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Free T4	$287.50	$575.00	$279.39	322% above	50%
Free testosterone test CPT 84402 HC 095 Free Testosterone III	$10.49	$20.99	$10.20	62% below	50%
Free testosterone test CPT 84402 HC 114 Testosterone, Free	$15.00	$30.00	$14.58	45% below	50%
Free testosterone test CPT 84402 HC 095 Testosterone I	$15.87	$31.74	$15.42	42% below	50%
Free testosterone test CPT 84402 HC Testoterone Bio/Free	$51.00	$102.00	$49.56	86% above	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC 97 Lab458 Liver Fibrosis	$24.66	$49.33	$23.97	46% below	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Gamma Glutamyl Tran	$175.00	$350.00	$170.07	285% above	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC HC Glucose Toler(75g Glu)	$142.00	$284.00	$138.00	173% above	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Ogtt Glucose Post Dose	$142.00	$284.00	$138.00	173% above	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose,Gdm(50g Glu)	$205.50	$411.00	$199.70	295% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Gdmtol Gtt 1 to 3 Spec	$393.00	$786.00	$381.92	186% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Gttins Gtt 1-3 Spec Fasting	$393.00	$786.00	$381.92	186% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Gdmtol Gtt 1 to 3 Spec\|TECHNICAL COMPONENT	$393.00	$786.00	$381.92	186% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Gttins Gtt 1-3 Spec Fasting\|TECHNICAL COMPONENT	$393.00	$786.00	$381.92	186% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Trad Gluc Toler(100g)	$544.00	$1,088.00	$528.66	297% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Gdm Confirm (100g Glu)	$544.00	$1,088.00	$528.66	297% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Trad Gluc Toler(100g)\|TECHNICAL COMPONENT	$544.00	$1,088.00	$528.66	297% above	50%
Glucose tolerance test, 3 samples CPT 82951 HC Gdm Confirm (100g Glu)\|TECHNICAL COMPONENT	$544.00	$1,088.00	$528.66	297% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC 97 Labe182035 Donor Clgc	$25.50	$51.00	$24.78	57% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC 097 11901r Gc Rna Apt Thrt	$30.00	$60.00	$29.15	50% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC 097 11899r Gc Rna Apt Rctl	$30.00	$60.00	$29.15	50% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gc Amp Probe	$280.00	$560.00	$272.10	369% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Neisseria Gonor Amp Probe Naat	$280.00	$560.00	$272.10	369% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Gc Lcr Amplified	$280.00	$560.00	$272.10	369% above	50%
H. pylori antibody blood test CPT 86677 HC 114 Helpm H Pylori Igm	$18.50	$37.00	$17.98	84% below	50%
H. pylori antibody blood test CPT 86677 HC 092 Helpm H Pylori Igm	$40.12	$80.25	$38.99	65% below	50%
H. pylori antibody blood test CPT 86677 HC 92 H Pylori Iga Ab	$53.50	$107.00	$51.99	53% below	50%
H. pylori antibody blood test CPT 86677 HC Helicobacter Eia Ab	$171.00	$342.00	$166.18	50% above	50%
H. pylori stool antigen test CPT 87338 HC Heli Pyl Ag	$203.00	$406.00	$197.28	155% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv Rna Pcr Quant	$434.50	$869.00	$422.25	331% above	50%
HIV-1 and HIV-2 antibody test CPT 86703 HC 427 Dhivb Donor Hiv 1&2	$25.50	$51.00	$24.78	57% below	50%
HIV-1 and HIV-2 antibody test CPT 86703 HC 097 Dnr Hiv 1/2 Ab	$35.57	$71.15	$34.57	40% below	50%
HIV-1 and HIV-2 antibody test CPT 86703 HC 427 Lab369 Hiv 1/2 Antibod	$49.00	$98.00	$47.62	17% below	50%
HIV-1 and HIV-2 antibody test CPT 86703 HC Antib Serol 1.2	$252.00	$504.00	$244.89	328% above	50%
HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2 Ab	$261.50	$523.00	$254.13	345% above	50%
HIV-1 and HIV-2 antibody test CPT 86703 HC Shiv12 Hiv 1 and 2 Ab	$261.50	$523.00	$254.13	345% above	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Antigen W/Hiv 1-2 Ab	$298.00	$596.00	$289.60	241% above	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv-1 Antigen W/Hiv 1-2 Ab/Ag	$298.00	$596.00	$289.60	241% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC 100 Lab508 Hpv Tma	$27.50	$55.00	$26.72	80% below	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Hpvhr3 Hpv Scren Naat	$514.00	$1,028.00	$499.51	280% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin	$30.00	$60.00	$29.15	54% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC A1c Glycosylated Hemoglobin	$157.50	$315.00	$153.06	141% above	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin A1c POC	$157.50	$315.00	$153.06	141% above	50%
Hemoglobin blood test CPT 85018 HC Hemoglobin Hgb	$34.50	$69.00	$33.53	14% below	50%
Hemoglobin blood test CPT 85018 HC Hemoglobin	$91.00	$182.00	$88.43	126% above	50%
Hepatitis B core antibody test (total) CPT 86704 HC 427 Donor Hbc Living	$17.50	$35.00	$17.01	50% below	50%
Hepatitis B core antibody test (total) CPT 86704 HC 097 Dnr Hep B Core Ttl Ab	$31.50	$63.00	$30.61	10% below	50%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Cr Total Ab	$188.00	$376.00	$182.70	436% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Sur Ab (Hata)	$192.50	$385.00	$187.07	355% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hbsqt Hep B Surf Ab Quant	$201.00	$402.00	$195.33	375% above	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC 427 Hep BS Ag Eia	$17.50	$35.00	$17.01	76% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC 097 Dnr Hep BS Ag	$27.00	$54.00	$26.24	62% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC 97 Labquehbsag Hep B W Rfl	$28.19	$56.38	$27.40	61% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC 427 Lab12899r Hbsag	$209.00	$418.00	$203.11	191% above	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepat BS Ag-Eia	$235.00	$470.00	$228.37	227% above	50%
Hepatitis C antibody blood test (screening) CPT 86803 HC 427 Hep C Ab	$31.50	$63.00	$30.61	42% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HC 097 Dnr Hepc Ab W/Reflx Riba	$35.00	$70.00	$34.01	36% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HC 097 12817r Donor Hep C Ab	$105.00	$210.00	$102.04	92% above	50%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hcva Hepatitis C Ab	$226.50	$453.00	$220.11	314% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC 097 Hep C Viral Rna Quant	$198.00	$396.00	$192.42	125% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC 097 13273r Hepc Viral Rna Quant	$211.00	$422.00	$205.05	140% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC 097 Heptimax (R) Hcv Rna	$211.00	$422.00	$205.05	140% above	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hcv Transcription & Quant	$336.50	$673.00	$327.01	283% above	50%
Herpes blood test, HSV-1 antibody CPT 86695 HC 092 Hs Ab Type 1	$14.69	$29.39	$14.28	24% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 HC 092 Herpes Select 1/2 Igg	$15.19	$30.39	$14.77	22% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 HC 092 Hsv Ab Type 1	$18.81	$37.63	$18.28	3% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 HC Hsvpan Hsv Ab Type 1	$46.50	$93.00	$45.19	140% above	50%
Herpes blood test, HSV-1 antibody CPT 86695 HC Hsvigg Hsv Ab Type 1	$46.50	$93.00	$45.19	140% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 HC 092 Hs Ab Type 2	$21.56	$43.12	$20.95	8% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HC 092 Herpes Select 1/2 Igg	$22.30	$44.61	$21.68	5% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HC 092 Hsv Ab Type 2	$27.60	$55.21	$26.83	17% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 HC Hsvpan Hsv Ab Type 2	$54.00	$108.00	$52.48	130% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 HC Hsvigg Hsv Ab Type 2	$67.50	$135.00	$65.60	187% above	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC High Sensitive Crp	$221.00	$442.00	$214.77	274% above	50%
Homocysteine blood test CPT 83090 HC Homocystine	$284.00	$568.00	$275.99	273% above	50%
Insulin blood test CPT 83525 HC Insulin Fasting 2hr	$149.50	$299.00	$145.28	288% above	50%
Insulin blood test CPT 83525 HC Tolerance W/Insulin	$149.50	$299.00	$145.28	288% above	50%
Insulin blood test CPT 83525 HC Insulin (Fast/Unspec)	$149.50	$299.00	$145.28	288% above	50%
Iron blood test (serum iron) CPT 83540 HC 114 Iron Liver Tissue	$33.32	$66.65	$32.39	43% below	50%
Iron blood test (serum iron) CPT 83540 HC Iron Od Screen	$125.50	$251.00	$121.96	116% above	50%
Iron blood test (serum iron) CPT 83540 HC Iron Ttl Serum	$148.00	$296.00	$143.83	155% above	50%
Iron-binding capacity (TIBC) test CPT 83550 HC Total Iron Binding Capacity	$201.00	$402.00	$195.33	175% above	50%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$503.00	$1,006.00	$488.82	254% above	50%
LH (luteinizing hormone) test CPT 83002 HC 095luteinizing Hormone	$11.81	$23.62	$11.48	89% below	50%
LH (luteinizing hormone) test CPT 83002 HC Lh(Lhor)	$308.50	$617.00	$299.80	197% above	50%
Lactate (lactic acid) blood test CPT 83605 HC Pclact-Lactate (Cg4)	$50.00	$100.00	$48.59	63% below	50%
Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid	$226.50	$453.00	$220.11	70% above	50%
Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid, Fluid	$369.00	$738.00	$358.59	176% above	50%
Lactate (lactic acid) blood test CPT 83605 HC Lactate	$369.00	$738.00	$358.59	176% above	50%
Lactate (lactic acid) blood test CPT 83605 HC Lacwb Lactate	$369.00	$738.00	$358.59	176% above	50%
Lactate (lactic acid) blood test CPT 83605 HC Splac Lactate Sepsis Protcl	$369.00	$738.00	$358.59	176% above	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 100 Ldh Fluid	$4.40	$8.80	$4.28	88% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 114 Ldh	$4.83	$9.66	$4.69	86% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 100 Yldiso Yldiso Lactate (Ld) (Ldh) Enzyme	$5.17	$10.35	$5.03	85% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC 114 LABCSFLD LACT DEHY BODY Fl	$31.76	$63.52	$30.86	10% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh Custom	$212.00	$424.00	$206.02	501% above	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh Total	$219.00	$438.00	$212.82	521% above	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Ldh Fluid	$219.00	$438.00	$212.82	521% above	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC 455 Lipase Assay	$8.70	$17.40	$8.45	91% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC 455 Lipase Assay\|REFERENCE (OUTSIDE) LABORATORY	$8.70	$17.40	$8.45	91% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC 114 Lipase Body Fluid\|REFERENCE (OUTSIDE) LABORATORY	$13.50	$27.00	$13.12	86% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC 114 Lipase Body Fluid	$13.50	$27.00	$13.12	86% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase, Fluid	$306.00	$612.00	$297.37	217% above	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase, Fluid\|REFERENCE (OUTSIDE) LABORATORY	$306.00	$612.00	$297.37	217% above	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase	$306.00	$612.00	$297.37	217% above	50%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase\|REFERENCE (OUTSIDE) LABORATORY	$306.00	$612.00	$297.37	217% above	50%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$205.00	$410.00	$199.22	35% above	50%
Liver function blood test panel CPT 80076 HC Hepatic Fxn Panel	$430.50	$861.00	$418.36	184% above	50%
Lyme disease antibody test CPT 86618 HC 6956 Lab12815r Lyme Dis Anti	$6.85	$13.70	$6.66	68% below	50%
Lyme disease antibody test CPT 86618 HC 092 12815r Lyme Ab Igg Igm	$27.28	$54.56	$26.51	29% above	50%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antib	$30.00	$60.00	$29.15	42% above	50%
Lyme disease antibody test CPT 86618 HC 092 12214r B Brgdfri Lymes Ds	$39.75	$79.50	$38.63	88% above	50%
Magnesium blood test CPT 83735 HC 114 Magnesium	$5.90	$11.80	$5.73	91% below	50%
Magnesium blood test CPT 83735 HC 114 12810r Magnesium	$9.51	$19.03	$9.25	85% below	50%
Magnesium blood test CPT 83735 HC 114 Magnesium, Quant, Feces	$18.87	$37.75	$18.34	70% below	50%
Magnesium blood test CPT 83735 HC 097 Magnesium RBC	$20.75	$41.50	$20.16	67% below	50%
Magnesium blood test CPT 83735 HC Magnesium Custom	$308.50	$617.00	$299.80	394% above	50%
Magnesium blood test CPT 83735 HC Bmt I Magnesium	$318.50	$637.00	$309.52	410% above	50%
Magnesium blood test CPT 83735 HC Urine Magnesium	$318.50	$637.00	$309.52	410% above	50%
Magnesium blood test CPT 83735 HC Magnesium Serum/Pl	$318.50	$637.00	$309.52	410% above	50%
Magnesium blood test CPT 83735 HC Magnesium Serum	$340.00	$680.00	$330.41	444% above	50%
Measles (rubeola) antibody test CPT 86765 HC 114 Measles Ab, Igm	$12.02	$24.04	$11.68	62% below	50%
Measles (rubeola) antibody test CPT 86765 HC 92 Measles Igg Ab Tit	$25.50	$51.00	$24.78	19% below	50%
Measles (rubeola) antibody test CPT 86765 HC Viral Ab Measles	$117.50	$235.00	$114.19	275% above	50%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Infect Mono Scrn	$276.50	$553.00	$268.70	169% above	50%
Mumps immunity blood test CPT 86735 HC Mumpsg Mumps Ab Igg	$140.50	$281.00	$136.54	777% above	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Frpsa Psa Free	$205.50	$411.00	$199.70	241% above	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Tfpsa Psa Free	$240.00	$480.00	$233.23	298% above	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa, Free	$240.00	$480.00	$233.23	298% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa Ultrasensitive	$292.00	$584.00	$283.77	389% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Tfpsa Psa Total	$292.00	$584.00	$283.77	389% above	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Psa	$292.00	$584.00	$283.77	389% above	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Auto Thin Layer Pap Diag	$97.00	$194.00	$94.26	7% above	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Auto Thin Layer Pap Diag Man	$97.00	$194.00	$94.26	7% above	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Auto Thin Layer Pap Scrn	$213.50	$427.00	$207.48	135% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 HC 097 Lab276 Parathyroid Hormone	$42.50	$85.00	$41.30	61% below	50%
Parathyroid hormone (PTH) blood test CPT 83970 HC I/IP Pth Each Specimen	$703.50	$1,407.00	$683.66	540% above	50%
Parathyroid hormone (PTH) blood test CPT 83970 HC Pth (Pth)	$703.50	$1,407.00	$683.66	540% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Pttinh 1 Hr Normal Plasma	$231.50	$463.00	$224.97	270% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Inh 1 Hr Pt	$231.50	$463.00	$224.97	270% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt Inh 5 Min Pt	$231.50	$463.00	$224.97	270% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Lupus Anticoag Ptt	$231.50	$463.00	$224.97	270% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Aptt	$240.00	$480.00	$233.23	284% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Pttinh 5 Min Normal Plasma	$282.00	$564.00	$274.05	351% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Labaclptt Thromboplastin Ptt	$282.00	$564.00	$274.05	351% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromplas Ptt	$282.00	$564.00	$274.05	351% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Ptt Plasma	$310.00	$620.00	$301.26	396% above	50%
Phosphorus (phosphate) blood test CPT 84100 HC 114 12810r Phosphorus	$9.51	$19.03	$9.25	87% below	50%
Phosphorus (phosphate) blood test CPT 84100 HC Phosporus Custom	$184.50	$369.00	$179.30	144% above	50%
Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus Serum/	$201.50	$403.00	$195.82	167% above	50%
Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus Serum Inorganic	$291.00	$582.00	$282.79	285% above	50%
Potassium blood test CPT 84132 HC Potassium Pck	$25.00	$50.00	$24.30	66% below	50%
Potassium blood test CPT 84132 HC Bmt II Potassium	$141.00	$282.00	$137.02	93% above	50%
Potassium blood test CPT 84132 HC Potassium Serum	$178.00	$356.00	$172.98	144% above	50%
Potassium blood test CPT 84132 HC Potassium Custom	$235.50	$471.00	$228.86	222% above	50%
Potassium blood test CPT 84132 HC Med Emerg Potassium	$235.50	$471.00	$228.86	222% above	50%
Potassium blood test CPT 84132 HC Bmt I Potassium	$235.50	$471.00	$228.86	222% above	50%
Potassium blood test CPT 84132 HC Potassium	$235.50	$471.00	$228.86	222% above	50%
Progesterone blood test CPT 84144 HC 095 Progesterone	$14.31	$28.62	$13.91	83% below	50%
Progesterone blood test CPT 84144 HC Progesterone (Pgn)	$226.50	$453.00	$220.11	175% above	50%
Prolactin blood test CPT 84146 HC Prolactin	$293.00	$586.00	$284.74	174% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Patient Pt Inh Scrn	$165.50	$331.00	$160.83	201% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Control Pt Inh Scrn	$165.50	$331.00	$160.83	201% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POC-Prothrombin Time	$171.50	$343.00	$166.66	212% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$205.00	$410.00	$199.22	273% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Labacltp Prothrombin Time	$205.00	$410.00	$199.22	273% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time (Pt)	$228.00	$456.00	$221.57	315% above	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs	$19.50	$39.00	$18.95	77% below	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Lab467 POCT Urine Doa Scrn	$19.50	$39.00	$18.95	77% below	50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC 114 Tca Screen	$47.87	$95.75	$46.52	44% below	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Rapid Strep A	$268.00	$536.00	$260.44	148% above	50%
Renin blood test CPT 84244 HC 095 Renin Plasma	$18.47	$36.94	$17.95	25% below	50%
Renin blood test CPT 84244 HC 097 13201r Plasma Renin Act	$19.00	$38.01	$18.47	23% below	50%
Rh blood typing CPT 86901 HC Rh Typing	$221.50	$443.00	$215.25	298% above	50%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quant	$131.00	$262.00	$127.31	892% above	50%
Rubella antibody test (immunity check) CPT 86762 HC 092 Rubella Igm	$25.87	$51.75	$25.15	49% below	50%
Rubella antibody test (immunity check) CPT 86762 HC Rubell Antibody	$162.50	$325.00	$157.92	220% above	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Esr Automated	$117.50	$235.00	$114.19	110% above	50%
Sodium blood test CPT 84295 HC Sodium POC	$25.00	$50.00	$24.30	62% below	50%
Sodium blood test CPT 84295 HC Bmt II Sodium	$168.00	$336.00	$163.26	156% above	50%
Sodium blood test CPT 84295 HC Bmt I Sodium	$258.50	$517.00	$251.21	295% above	50%
Sodium blood test CPT 84295 HC Sodium Arterial Lytes	$258.50	$517.00	$251.21	295% above	50%
Sodium blood test CPT 84295 HC Sodium	$258.50	$517.00	$251.21	295% above	50%
Sodium blood test CPT 84295 HC Med Emerg Sodium	$258.50	$517.00	$251.21	295% above	50%
Sodium blood test CPT 84295 HC Sodium Serum	$351.50	$703.00	$341.59	436% above	50%
Stool ova and parasites exam CPT 87177 HC 100 Lab1255 Lab1255 Ova Parasite Smear	$6.65	$13.31	$6.47	68% below	50%
Stool ova and parasites exam CPT 87177 HC Parasitology Stain	$6.66	$13.32	$6.47	68% below	50%
Stool ova and parasites exam CPT 87177 HC 100 Laboape Ova & Parasites	$8.86	$17.73	$8.62	58% below	50%
Stool ova and parasites exam CPT 87177 HC 100 Lab180013 Ova & Parasites Urine Exam	$16.69	$33.38	$16.22	20% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Bld Guaiac Col Scrn	$112.50	$225.00	$109.33	188% above	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Activ Feces Quant	$112.50	$225.00	$109.33	188% above	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Bld Immuno Diag	$179.00	$358.00	$173.95	266% above	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC 092 Flursc Treponml Ab	$12.98	$25.96	$12.61	20% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC 097 11929r Rpr Igg T Pldm Dnr	$22.50	$45.00	$21.87	39% above	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Labstss Syph Ant Tppa	$123.50	$247.00	$120.02	663% above	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Syphilis Treponemal Scr	$123.50	$247.00	$120.02	663% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 114 Vdrl, CSF	$9.42	$18.84	$9.15	30% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 427 Donor Rpr	$14.50	$29.00	$14.09	8% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 097 Dnr Rpr W/Rflx Syph Immuno	$37.50	$75.00	$36.44	179% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Rprqlt Rpr Qual	$74.50	$149.00	$72.40	455% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC 427 Lab323 Syph Test	$76.50	$153.00	$74.34	470% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Rpr Qual	$78.50	$157.00	$76.29	485% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quantiferon	$477.50	$955.00	$464.03	463% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 HC 114 Testosterone, Total	$8.54	$17.08	$8.30	79% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 HC 095 Testosterone; Total	$19.25	$38.51	$18.71	52% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Tesftp Testosterone Total	$154.00	$308.00	$149.66	285% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone (Tes)	$154.00	$308.00	$149.66	285% above	50%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testoterone Total	$154.00	$308.00	$149.66	285% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 100 Liver-Kidney-Micro	$6.50	$13.00	$6.32	72% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 100 F1610liver,Kid Microsome-1	$7.85	$15.70	$7.63	66% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 114 Lablkm1ab Micro Anti Ea	$10.88	$21.76	$10.57	52% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC 443 12580r Micab Anti Thy Igg	$11.72	$23.44	$11.39	49% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Lab12580r Chronic Urticaria	$40.62	$81.25	$39.48	78% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Anti-Thyroid Microsomal Ab	$129.50	$259.00	$125.85	466% above	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 102 Nbs/Tsh	$10.08	$20.17	$9.80	89% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC 443 12580r Tsh	$13.53	$27.07	$13.15	85% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Lab12580r Chronic Urticaria	$40.62	$81.25	$39.48	56% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Highly Sensitive Tsh	$330.50	$661.00	$321.18	257% above	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Tshft4 Tsh	$330.50	$661.00	$321.18	257% above	50%
Total IgE blood test CPT 82785 HC Total Ige	$157.50	$315.00	$153.06	151% above	50%
Total cholesterol blood test CPT 82465 HC 097lab320 Cholesterol Serum	$16.31	$32.62	$15.85	61% below	50%
Total cholesterol blood test CPT 82465 HC Cholesterol Custom	$153.50	$307.00	$149.17	265% above	50%
Total cholesterol blood test CPT 82465 HC Cholesterol	$160.00	$320.00	$155.49	281% above	50%
Total cholesterol blood test CPT 82465 HC Cholesterol Total	$160.00	$320.00	$155.49	281% above	50%
Total thyroxine (T4) blood test CPT 84436 HC 114 Thyroxine, Total	$10.64	$21.29	$10.34	73% below	50%
Total thyroxine (T4) blood test CPT 84436 HC 114 Thyroxine, Total\|TECHNICAL COMPONENT	$10.64	$21.29	$10.34	73% below	50%
Total thyroxine (T4) blood test CPT 84436 HC Thyroxine (T4) Total	$53.00	$106.00	$51.51	35% above	50%
Total thyroxine (T4) blood test CPT 84436 HC Thyroxine (T4) Total\|TECHNICAL COMPONENT	$53.00	$106.00	$51.51	35% above	50%
Total triiodothyronine (T3) blood test CPT 84480 HC 097 T3 Total	$16.28	$32.57	$15.83	79% below	50%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 Total	$249.50	$499.00	$242.46	220% above	50%
Transferrin blood test CPT 84466 HC Transferrin	$237.50	$475.00	$230.80	340% above	50%
Trichomonas test (NAAT) CPT 87661 HC Trichmonas Naat	$267.50	$535.00	$259.96	173% above	50%
Triglycerides blood test CPT 84478 HC 100 Triglycerides, Non Pleu	$9.00	$18.00	$8.75	78% below	50%
Triglycerides blood test CPT 84478 HC 097lab320 Triglycerides	$16.31	$32.62	$15.85	60% below	50%
Triglycerides blood test CPT 84478 HC Triglycerides Fluid	$145.00	$290.00	$140.91	253% above	50%
Triglycerides blood test CPT 84478 HC Triglycerides-Blood	$188.50	$377.00	$183.18	359% above	50%
Troponin test, quantitative CPT 84484 HC 114 Lab719 Troponin T	$25.00	$50.00	$24.30	86% below	50%
Troponin test, quantitative CPT 84484 HC Troponin T	$533.50	$1,067.00	$518.46	198% above	50%
Troponin test, quantitative CPT 84484 HC Labpoc118 POC Troponin	$560.00	$1,120.00	$544.21	212% above	50%
Troponin test, quantitative CPT 84484 HC Labhstni High Sens Tropinin I	$560.00	$1,120.00	$544.21	212% above	50%
Troponin test, quantitative CPT 84484 HC Pctn1-Troponin 1 Quant	$560.00	$1,120.00	$544.21	212% above	50%
Uric acid blood test CPT 84550 HC Uric Acid Custom Blood	$212.50	$425.00	$206.51	221% above	50%
Uric acid blood test CPT 84550 HC Uric Acid Serum/Pl	$219.50	$439.00	$213.31	232% above	50%
Urinalysis with microscope exam, automated CPT 81001 HC Urine Routine-Micro	$213.00	$426.00	$206.99	157% above	50%
Urinalysis with microscope exam, automated CPT 81001 HC Ua Auto W Micro	$334.50	$669.00	$325.07	304% above	50%
Urinalysis with microscope exam, manual CPT 81000 HC Urine Routine - Micro	$6.00	$12.00	$5.83	81% below	50%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto Without Micro	$183.00	$366.00	$177.84	227% above	50%
Urinalysis without microscope exam, automated CPT 81003 HC Urn Screen POC	$183.00	$366.00	$177.84	227% above	50%
Urinalysis without microscope exam, manual CPT 81002 HC Specific Gravity	$37.00	$74.00	$35.96	8% above	50%
Urinalysis without microscope exam, manual CPT 81002 HC Myoglobin Scrn Urin	$42.50	$85.00	$41.30	24% above	50%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Dipstick WO Micro	$93.00	$186.00	$90.38	172% above	50%
Urine culture for bacteria, with colony count CPT 87086 HC Urine Culture	$474.50	$949.00	$461.12	240% above	50%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Urine Bacterial Quant	$508.00	$1,016.00	$493.67	265% above	50%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Scn	$66.00	$132.00	$64.14	25% below	50%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Scr	$143.50	$287.00	$139.45	63% above	50%
Vitamin B12 (cobalamin) blood test CPT 82607 HC B12-Serum	$276.50	$553.00	$268.70	194% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vit D 25-Hydroxy	$371.00	$742.00	$360.54	480% above	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 097 13225r Vitd 1,25 Dihyd	$22.50	$45.00	$21.87	67% below	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 095 Vitamin D1,25-Dihydroxy	$30.15	$60.30	$29.30	56% below	50%
Zinc blood test CPT 84630 HC Zinc	$35.50	$71.00	$34.50	223% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC 114labhcgtum Beta Hcg Tum Mark	$8.22	$16.44	$7.99	95% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC 114 Beta Hcg Quant	$22.21	$44.43	$21.59	88% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Bhcg Beta Hcg Quant	$208.00	$416.00	$202.13	16% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Labpcbhcg Bhcg Beta Hcg POC	$372.00	$744.00	$361.51	108% above	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Botox injections for chronic migraine CPT 64615 HC Chemodenerv Innervated Facial Bil	$2,707.50	$5,415.00	$2,285.13	208% above	50%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Cath Lt Hrt W Coronary Angio	$12,435.50	$24,871.00	$12,084.82	4% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion	$12,435.50	$24,871.00	$12,084.82–$12,932.92	550% above	50%
Catheter ablation for atrial fibrillation CPT 93656 HC Ep Stdy W Abltn Pulm Vein Afib	$36,647.50	$73,295.00	$35,614.04	10% above	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision	$3,176.00	$6,352.00	$3,086.44–$3,303.04	90% above	50%
Coronary stent placement, one artery CPT 92928 HC Cath Cor Stent Plcmt Sgl Maj Art & Branches 1 Les W 1+ Cor Sgmts	$4,900.50	$9,801.00	$4,762.31	67% below	50%
Coronary stent placement, one artery CPT 92928 HC Plcmt Stent Trnscath	$18,321.00	$36,642.00	$17,804.35	23% above	50%
Earwax removal with instruments, one ear CPT 69210 HC Rmval Impctd Cerum 1/Both Ears	$483.50	$967.00	$408.07–$502.84	156% above	50%
IUD insertion (the device itself billed separately) CPT 58300 HC Insertion Iud	$528.00	$1,056.00	$445.63–$549.12	10% below	50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insert Drug Delivery Implant Tissue	$392.00	$784.00	$330.85–$407.68	38% above	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermed Scalp <2.6cm	$2,359.00	$4,718.00	$1,991.00	172% above	50%
Left heart catheterization, diagnostic one side CPT 93452 HC Cath Lt Hrt W Lt Ventrclogrphy	$18,321.00	$36,642.00	$17,804.35	85% above	50%
Pacemaker implant (dual chamber) CPT 33208 HC Insrt/Rplce Perm Pcmkr	$34,735.50	$69,471.00	$25,301.34	85% above	50%
Short arm splint (forearm and hand) CPT 29125 HC Apply Short Arm Splint	$245.50	$491.00	$207.20–$255.32	41% below	50%
Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast	$502.00	$1,004.00	$423.69–$522.08	1% above	50%
Short leg splint (calf to foot) CPT 29515 HC Apply Short Leg Splint	$380.00	$760.00	$320.72–$395.20	23% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Lumbar Puncture Diagnostic	$2,873.00	$5,746.00	$2,791.98–$2,987.92	118% above	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfus Bld/Comp Lev 1	$796.00	$1,592.00	$773.55–$827.84	9% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfus Bld/Bld Component	$796.00	$1,592.00	$773.55–$827.84	9% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfus Bld/Comp Lev 2	$1,352.00	$2,704.00	$1,313.87–$1,406.08	55% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfus Bld/Comp Lev 3	$2,068.50	$4,137.00	$2,010.17–$2,151.24	137% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol Treatment	$93.50	$187.00	$78.91–$97.24	71% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Hand Nebulizer Subsq	$150.00	$300.00	$126.60–$156.00	54% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Hand Nebulizer Initial	$200.00	$400.00	$168.80–$208.00	38% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Mdi Subsequent	$226.50	$453.00	$191.17–$235.56	30% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Press/Nonpres Inh Tx	$263.50	$527.00	$222.39–$274.04	18% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Mdi Initial	$263.50	$527.00	$222.39–$274.04	18% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Sputum Induction	$263.50	$527.00	$222.39–$274.04	18% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Incentive Spirometry Initial	$357.50	$715.00	$301.73–$371.80	11% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Ipv Treatment Subsq	$485.50	$971.00	$409.76–$504.92	50% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Ipv Treatment Initial	$665.00	$1,330.00	$561.26–$691.60	106% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Special Gas Administration	$2,707.50	$5,415.00	$2,285.13–$2,815.80	738% above	50%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion Init Hr	$1,291.50	$2,583.00	$1,090.03–$1,343.16	48% above	50%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Diagnostic Audio Eval F/U	$456.50	$913.00	$385.29–$474.76	17% below	50%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comp Audio Eval	$682.00	$1,364.00	$575.61–$709.28	24% above	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$844.00	$1,688.00	$570.33–$1,671.11	18% below	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake & Drowsy	$2,272.50	$4,545.00	$1,917.99–$2,363.40	121% above	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$844.00	$1,688.00	$570.33–$1,671.11	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ekg Pediatric	$1,032.00	$2,064.00	$871.01–$1,073.28	205% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Triplicate Ekg Research Only	$1,033.50	$2,067.00	$872.27–$1,074.84	206% above	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiovasc Stress Test	$1,580.00	$3,160.00	$1,333.52–$1,643.20	12% above	50%
Family therapy with the patient, 50 minutes CPT 90847 HC Therapy Family Conjoint 26-50 Min	$381.00	$762.00	$321.56–$396.24	11% above	50%
Family therapy without the patient, 50 minutes CPT 90846 HC Therapy Family WO Patient 26-50 Min	$320.50	$641.00	$270.50–$333.32	7% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infus Hyd 31 Min 1hr Init	$964.50	$1,929.00	$814.04–$1,003.08	94% above	50%
IV infusion of a medicine, first hour CPT 96365 HC IV Infsn Tx Prylxs 1st Hr	$964.50	$1,929.00	$814.04–$1,003.08	64% above	50%
IV push of a medicine, first drug CPT 96374 HC IV Push Initial Drug	$953.50	$1,907.00	$804.75–$991.64	170% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Im/Subq Antib	$89.50	$179.00	$75.54–$93.08	50% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Tx Injection Im/Subq Exc Antib	$106.50	$213.00	$89.89–$110.76	41% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Rhogam Inj Visit	$198.00	$396.00	$167.11–$205.92	10% above	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Im/Subq	$376.00	$752.00	$317.34–$391.04	110% above	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction 7 8 Studies	$6,462.50	$12,925.00	$5,454.35–$6,721.00	598% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromusc Re-ED Ea 15 Min	$253.50	$507.00	$213.95–$263.64	99% above	50%
New patient office visit, about 30 minutes CPT 99203 HC Clinic Use Lvl 3 New Pt	$77.50	$155.00	$65.41–$80.60	64% below	50%
New patient office visit, about 45 minutes CPT 99204 HC Clinic Use Lvl 4 New Pt	$95.00	$190.00	$80.18–$98.80	61% below	50%
New patient office visit, about 60 minutes CPT 99205 HC Clinic Use Lvl 5 New Pt	$107.50	$215.00	$90.73–$111.80	69% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Clinic Use Lvl 2 New Pt	$60.50	$121.00	$51.06–$62.92	57% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M Level 2 New Patient	$443.00	$886.00	$373.89–$460.72	217% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt Initial Ea 15 Min	$44.50	$89.00	$37.56–$46.28	55% below	50%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complexity	$344.00	$688.00	$290.34–$357.76	32% above	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complexity	$686.50	$1,373.00	$579.41–$713.96	75% above	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complexity	$344.00	$688.00	$290.34–$357.76	46% above	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complexity	$514.50	$1,029.00	$434.24–$535.08	45% above	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Manual Therapy Ea 15 Min	$253.50	$507.00	$213.95–$263.64	112% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Tx Strgth Rom Flex Ea 15 Min	$321.00	$642.00	$270.92–$333.84	148% above	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Clinic Use Lvl 5 Estab Pt	$89.00	$178.00	$75.12–$92.56	65% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Clinic Use Lvl 3 Estab Pt	$60.50	$121.00	$51.06–$62.92	58% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M Level 3 Estab Patient	$311.50	$623.00	$262.91–$323.96	118% above	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Clinic Use Lvl 4 Estab Pt	$74.00	$148.00	$62.46–$76.96	63% below	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Clinic Use Lvl 2 Estab Pt	$44.00	$88.00	$37.14–$45.76	62% below	50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Lactation Consult 30-45 Min	$124.00	$248.00	$104.66–$128.96	28% below	50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Office Consult Lvl 3	$141.00	$282.00	$119.00–$146.64	18% below	50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC Level 3 Midlevel Consult	$442.50	$885.00	$373.47–$460.20	156% above	50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Lactation Consult 45-60 Min	$166.00	$332.00	$140.10–$172.64	18% below	50%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC Office Consult Lvl 4	$199.50	$399.00	$168.38–$207.48	1% below	50%
Speech and language evaluation CPT 92523 HC Speech Sound & Lang Comprh Eval	$694.50	$1,389.00	$586.16–$722.28	52% above	50%
Speech therapy session, individual CPT 92507 HC Speech Lang Trtmnt Indiv	$571.50	$1,143.00	$482.35–$594.36	106% above	50%
Spirometry (breathing test) CPT 94010 HC Spirometry	$684.00	$1,368.00	$577.30–$711.36	79% above	50%
Spirometry before and after a bronchodilator CPT 94060 HC Bronchodilation Responsiveness	$1,328.50	$2,657.00	$1,121.25–$1,381.64	66% above	50%
Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Pre/Post Broncho	$1,328.50	$2,657.00	$1,121.25–$1,381.64	66% above	50%
Spirometry before and after a bronchodilator CPT 94060 HC Inf Forced Exp Fvl Pre/Post	$2,306.00	$4,612.00	$1,946.26–$2,398.24	188% above	50%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC Trnscranmagn Stim Tx Init	$1,154.00	$2,308.00	$973.98–$1,200.16	20% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Therapeutic Activity Ea 15 Min	$270.00	$540.00	$227.88–$280.80	97% above	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic	$223.50	$447.00	$188.63–$232.44	31% below	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Sarscov2 Vac 50 Mcg/0.5ml Im 12y+	$287.00	$574.00	$183.62	19% above	50%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2025-26 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE	$950.68	$1,901.37	$608.25	293% above	50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC Sarscov2 Vacc 30mcg/0.3ml Trs-Suc Im 12y+	$287.00	$574.00	$183.62	23% above	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Varicella Vacc Live Pf 0.5ml Subq	$156.50	$313.00	$100.13	50% below	50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$1,257.24	$2,514.49	$804.39	302% above	50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HC Dtap-Ipv Vaccine 4-6 Yrs Im	$223.00	$446.00	$142.68	34% above	50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DIPH,PERTUS(ACELL),TET,POLIO (PF) 25 LF-58 MCG-10 LF/0.5 ML IM SYRINGE	$458.44	$916.89	$293.31	176% above	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap-Ipv/Hib Vacc Pf 0.5ml Im	$69.50	$139.00	$44.47	3% below	50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED(PF) 25 LF UNIT-58 MCG-10 LF/0.5ML IM SYRINGE	$249.52	$499.04	$159.64	248% above	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC Dtap-Hep B-Ipv Vaccine	$324.50	$649.00	$207.62	97% above	50%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HC Dtap-Ipv/Hib Vacc Pf 0.5ml Im	$142.00	$284.00	$90.85	32% below	50%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DIP-PERT-TET-POLIO-HIB(PF) 15 LF-20 MCG-5 LF-62 DU-10MCG/0.5 ML IM KIT	$857.78	$1,715.57	$548.81	312% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Flu Vaccine Triv Presfree 0.5ml	$64.50	$129.00	$41.27	51% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Flu Vaccine Triv 45mcg Pf 0.5ml 6 Mos+	$65.00	$130.00	$41.59	52% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$195.73	$391.47	$125.23	357% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC Flu Vaccine Triv 135mcg Pf 0.5ml 18yr+	$15,873.00	$31,746.00	$10,155.55	36986% above	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC Hpv 9-Valent Vaccine 3 Dose	$387.50	$775.00	$247.92	at median	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$2,104.43	$4,208.87	$1,346.42	443% above	50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION	$2,104.43	$4,208.87	$1,346.42	443% above	50%
Hepatitis A vaccine, adult dose CPT 90632 HC Hep a Vaccine Adult Dose	$145.50	$291.00	$93.09	4% above	50%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE (PF) 1,440 ELISA UNIT/ML INTRAMUSCULAR SYRINGE	$348.31	$696.63	$222.85	150% above	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepa Vacc Pf 720 Elisa Un 0.5ml Im	$85.50	$171.00	$72.16	16% above	50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 720 ELISA UNIT/0.5 ML IM SYRINGE	$318.13	$636.26	$268.50	330% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hep B Vaccine Adult Dose Im	$124.00	$248.00	$79.34	1% above	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$533.50	$1,067.01	$341.34	335% above	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEP B VAC CpG-ADJUVANTED 2/4 DOSE SCHED ADULT	$396.00	$792.00	$253.36	55% above	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepatitis B Vaccine Ped 3 Dose Im	$98.00	$196.00	$62.70	70% above	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$255.22	$510.45	$163.29	342% above	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC 10 MCG/0.5 ML INJ (SEQUOIA-DISP)	$255.22	$510.45	$163.29	342% above	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Hib Vaccine Prp-T Im 0.5ml	$68.00	$136.00	$43.51	62% above	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$152.74	$305.48	$97.72	265% above	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Flu Vaccine Pf 45mcgincrs Ag Im 45mcg 65yr+	$14,157.00	$28,314.00	$9,057.65	11186% above	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Flu Vaccine Pf 180mcg Incrs Ag Im 180mcg 65yr+	$14,586.00	$29,172.00	$9,332.12	11528% above	50%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC Japanese Encephalitis Vacc 0.5ml	$500.00	$1,000.00	$319.90	82% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Mmr Vacc (Pf) 0.5 Ml Subq	$116.00	$232.00	$74.22	17% below	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC LIVE(PF)10EXP3.4-4.2-3.3CCID50/0.5ML SUBCUT	$665.80	$1,331.60	$425.98	376% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT	$665.80	$1,331.60	$425.98	376% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Menacyw135 Pf 4mcg 0.5ml Im	$186.00	$372.00	$119.00	29% below	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$1,161.94	$2,323.89	$743.41	345% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$1,161.95	$2,323.90	$743.42	345% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A (FOR MENVEO KIT PREPACKING WITH MENINGOCOCAL CYW-135 AND CHARGING)	$1,161.95	$2,323.90	$743.42	345% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Menb Rp W/Omv Vaccine (Menb-4c) Im	$768.00	$1,536.00	$491.37	74% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$1,623.36	$3,246.72	$1,038.63	267% above	50%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC Flumist Admin Vfc	$21.50	$43.00	$13.76	58% below	50%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC Influenza Vacc Live 0.2ml Nasal	$67.00	$134.00	$42.87	31% above	50%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC Pneumococcal 13val Conj-Dip CRM	$648.00	$1,296.00	$414.59	107% above	50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HC Pneumococcal 15 Val Im	$680.50	$1,361.00	$435.38	64% above	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC Pneumococcal 20 Val Im	$774.00	$1,548.00	$495.21	49% above	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$1,977.89	$3,955.78	$1,265.45	281% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Pneumococcal 23 Val Psac Vacc	$326.50	$653.00	$208.89	102% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$797.79	$1,595.59	$510.43	393% above	50%
Polio vaccine, inactivated (IPV) CPT 90713 HC Poliovirus Vaccine Ipv Im 0.5ml	$228.50	$457.00	$146.19	152% above	50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$364.72	$729.45	$233.35	302% above	50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML EXTEMP INJ	$364.72	$729.45	$233.35	302% above	50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HB Rsv Monoclonal Antb Seas Dose Im 1ml	$862.50	$1,725.00	$551.83	9% below	50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$3,754.09	$7,508.19	$2,401.87	297% above	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HB Rsv Monoclonal Antb Seas Dose Im 0.5ml	$862.50	$1,725.00	$551.83	11% below	50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$3,754.09	$7,508.19	$2,401.87	288% above	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HB Rsv Vacc Pf Recomb Bivalent Im	$431.00	$862.00	$275.75	39% above	50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION	$2,047.10	$4,094.20	$1,309.73	562% above	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$2,756.76	$5,513.53	$1,763.78	290% above	50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$2,761.71	$5,523.43	$1,766.95	291% above	50%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 HC Rotavirus Live Rv1 2 Dose Oral Susp	$131.00	$262.00	$83.81	11% below	50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC Rotavirus Live 5val 2ml Oral Susp	$138.50	$277.00	$88.61	23% below	50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VACCINE LIVE, PENTAVALENT 2 ML ORAL SOLUTION	$704.47	$1,408.94	$450.72	293% above	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Hzv Vacc Recombinant Im	$264.00	$528.00	$168.91	22% above	50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$1,525.19	$3,050.39	$975.82	602% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Tetanus Doxoid Pf 0.5ml Im 7 Yrs+	$184.50	$369.00	$118.04	127% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SUSP	$348.32	$696.65	$222.86	328% above	50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$348.32	$696.65	$222.86	328% above	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vac Pf 8mcg 0.5ml Im Susp 7+	$88.50	$177.00	$56.62	24% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vac Pf 8mcg 0.5ml Im Syr 7yrs+	$92.00	$184.00	$58.86	20% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$369.85	$739.71	$236.63	220% above	50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Typhoid Vacc Inact 0.5ml Im	$356.00	$712.00	$227.77	104% above	50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$762.94	$1,525.89	$488.13	337% above	50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCH VACCINE 25 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$1,073.14	$2,146.29	$686.60	515% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immunization Admin 1 Vaccine	$112.50	$225.00	$94.95–$117.00	8% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immunization Admin Ea Addl Vac	$78.50	$157.00	$66.25–$81.64	2% below	50%

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

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

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

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

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

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

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

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

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

Source file: https://www.stanfordchildrens.org/content/dam/sch/config-public/charges/770003859-lucile-salter-packard-childrens-hospital-at-stanford-standardcharges.json