Niagara Falls Memorial Medical Center
Niagara Falls Memorial Medical Center in Niagara Falls, NY publishes cash prices for 413 common procedures listed here, from its own machine-readable price file updated Jun 17, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 393 of 410 procedures and above it for 17. By typical cash price it ranks #13 of 115 New York hospitals and #2 of 9 hospitals in the Buffalo, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.
621 10th St,Niagara Falls,NY,14301 Collected Sep 22, 2026 Source price file Check a bill from this hospital (716) 278-4000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 1 of 5 CCN 330065 · CMS hospital register NPI 1285717298
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Niagara Falls Memorial Medical Center 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
New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Niagara Falls Memorial Medical Center in Niagara Falls, NY:
- Oct 27, 2021 Warning notice
- Oct 19, 2022 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $512.01 | $731.44 | $195.21–$348.30 | 61% below | 30% |
| Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS | $124.94 | $178.49 | $21.05–$133.76 | 51% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES | $93.07 | $132.95 | $91.00–$170.23 | 71% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $153.66 | $219.52 | $91.00–$170.23 | 52% below | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $185.96 | $265.65 | $70.32–$224.42 | 46% below | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $591.51 | $845.02 | $219.46–$511.48 | 40% below | 30% |
| Breast ultrasound, complete, one breast CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST | $185.20 | $264.57 | $71.57–$133.76 | 43% below | 30% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST | $712.38 | $1,017.69 | $321.13–$456.07 | 59% below | 30% |
| CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST | $533.13 | $761.61 | $194.76–$352.90 | 57% below | 30% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $1,386.00 | $1,980.00 | $194.76–$352.90 | 12% above | 30% |
| CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST | $533.13 | $761.61 | $194.76–$352.90 | 57% below | 30% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $1,386.00 | $1,980.00 | $194.76–$352.90 | 11% above | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $404.89 | $578.41 | $194.76–$446.36 | 69% below | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM | $52.43 | $74.90 | $48.37–$111.34 | 75% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $441.51 | $630.73 | $117.51–$305.27 | 61% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $712.38 | $1,017.69 | $254.22–$446.36 | 55% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $712.38 | $1,017.69 | $286.84–$446.36 | 66% below | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST | $454.68 | $649.54 | $194.83–$283.14 | 61% below | 30% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $230.93 | $329.90 | $93.75–$196.38 | 72% below | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $230.93 | $329.90 | $101.46–$202.05 | 71% below | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $230.93 | $329.90 | $76.53–$161.68 | 72% below | 30% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $444.13 | $634.47 | $109.52–$224.42 | 55% below | 30% |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST | $454.68 | $649.54 | $109.52–$224.42 | 53% below | 30% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $512.01 | $731.44 | $131.80–$258.00 | 52% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $230.93 | $329.90 | $95.22–$202.05 | 74% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $230.93 | $329.90 | $95.95–$202.05 | 75% below | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $454.68 | $649.54 | $194.83–$247.37 | 56% below | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $215.71 | $308.15 | $167.34–$305.27 | 67% below | 30% |
| Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST | $511.15 | $730.22 | $159.29–$327.76 | 61% below | 30% |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $104.73 | $149.61 | $18.97–$111.34 | 48% below | 30% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $104.73 | $149.61 | $10.28–$111.34 | 47% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $245.72 | $351.03 | $81.66–$133.76 | 42% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $164.63 | $235.19 | $31.45–$133.76 | 40% below | 30% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT | $93.51 | $133.58 | $19.68–$111.34 | 35% below | 30% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $348.47 | $497.82 | $104.31–$305.27 | 39% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $230.93 | $329.90 | $95.22–$202.05 | 73% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $454.68 | $649.54 | $129.22–$260.48 | 65% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $553.99 | $791.41 | $129.22–$260.48 | 57% below | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $117.41 | $167.73 | $42.99–$185.02 | — | 30% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $92.09 | $131.55 | $34.92–$146.71 | 67% below | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $267.21 | $381.73 | $167.18–$317.30 | 48% below | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $296.72 | $423.89 | $167.34–$305.27 | 61% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $715.36 | $1,021.94 | $180.34–$699.10 | 35% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $920.07 | $1,314.38 | $180.34–$699.10 | 17% below | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $230.93 | $329.90 | $113.54–$202.05 | 69% below | 30% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS | $165.96 | $237.09 | $31.37–$133.76 | 39% below | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM | $680.32 | $971.88 | $292.59–$511.48 | 34% below | 30% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS | $104.73 | $149.61 | $31.72–$133.76 | 62% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $245.72 | $351.03 | $66.27–$133.76 | 35% below | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $216.42 | $309.17 | $94.01–$133.76 | 50% below | 30% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST | $538.27 | $768.96 | $183.85–$335.00 | 57% below | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST | $538.27 | $768.96 | $148.66–$335.00 | 51% below | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $900.07 | $1,285.82 | $274.95–$446.36 | 46% below | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $538.27 | $768.96 | $146.82–$335.00 | 54% below | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $900.07 | $1,285.82 | $245.99–$446.36 | 49% below | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $538.27 | $768.96 | $141.32–$335.00 | 59% below | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $900.07 | $1,285.82 | $247.10–$446.36 | 49% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $538.27 | $768.96 | $140.60–$335.00 | 58% below | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $900.07 | $1,285.82 | $247.83–$446.36 | 45% below | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $538.27 | $768.96 | $140.60–$335.00 | 59% below | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $900.07 | $1,285.82 | $273.49–$446.36 | 44% below | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST | $534.94 | $764.20 | $186.78–$335.00 | 50% below | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS | $165.96 | $237.09 | $38.80–$133.76 | 41% below | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE | $444.13 | $634.47 | $138.39–$252.33 | 56% below | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST | $454.68 | $649.54 | $138.39–$252.33 | 55% below | 30% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST | $230.93 | $329.90 | $104.02–$202.05 | 71% below | 30% |
| Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK | $104.73 | $149.61 | $20.04–$111.34 | 48% below | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $2,106.52 | $3,009.31 | $397.87–$1,656.42 | 21% below | 30% |
| Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST | $230.93 | $329.90 | $94.86–$197.80 | 72% below | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $92.63 | $132.33 | $54.20–$133.76 | 69% below | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $136.23 | $194.62 | $94.75–$140.84 | 66% below | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $223.38 | $319.12 | $100.07–$180.96 | 41% below | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $223.38 | $319.12 | $85.19–$157.32 | 37% below | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $136.23 | $194.62 | $62.53–$133.76 | 53% below | 30% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS | $165.96 | $237.09 | $27.47–$133.76 | 36% below | 30% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $198.26 | $283.23 | $32.51–$121.67 | 6% above | 30% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS | $104.73 | $149.61 | $27.83–$111.34 | 50% below | 30% |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS | $104.73 | $149.61 | $26.06–$133.76 | 55% below | 30% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $1,028.48 | $1,469.25 | $170.00–$699.10 | 11% below | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $185.96 | $265.65 | $68.20–$224.42 | 49% below | 30% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST | $230.93 | $329.90 | $95.95–$202.05 | 74% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $136.23 | $194.62 | $95.11–$159.73 | 64% below | 30% |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $136.23 | $194.62 | $64.65–$133.76 | 54% below | 30% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $145.47 | $207.81 | $86.80–$133.76 | 69% below | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $245.72 | $351.03 | $78.00–$133.76 | 33% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $245.72 | $351.03 | $93.02–$133.76 | 33% below | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $251.04 | $358.63 | $80.94–$224.42 | 40% below | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT | $276.16 | $394.52 | $80.94–$224.42 | 34% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $197.27 | $281.82 | $123.37–$247.00 | 46% below | 30% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $104.73 | $149.61 | $17.58–$111.34 | 50% below | 30% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $124.94 | $178.49 | $17.58–$111.34 | 40% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS | $104.73 | $149.61 | $30.31–$133.76 | 62% below | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $165.96 | $237.09 | $41.64–$133.76 | 45% below | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS | $104.73 | $149.61 | $23.93–$133.76 | 53% below | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS | $104.73 | $149.61 | $25.70–$111.34 | 48% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS | $104.73 | $149.61 | $28.54–$111.34 | 51% below | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS | $104.73 | $149.61 | $18.62–$133.76 | 54% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS | $104.73 | $149.61 | $21.81–$111.34 | 48% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ASSAY OF ACTH | $101.22 | $144.60 | $36.69–$52.62 | 29% below | 30% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL | $111.34 | $159.06 | $36.69–$52.62 | 22% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $15.25 | $21.78 | $5.04–$7.22 | 34% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $22.41 | $32.01 | $5.04–$7.22 | 3% below | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $14.86 | $21.23 | $4.92–$7.06 | 38% below | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $27.89 | $39.84 | $4.92–$7.06 | 16% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $124.53 | $177.90 | $45.25–$64.91 | 28% below | 30% |
| Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL | $14.25 | $20.35 | $4.70–$6.74 | 22% below | 30% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $17.48 | $24.97 | $4.70–$6.74 | 4% below | 30% |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $48.22 | $68.88 | $38.71–$55.53 | 62% below | 30% |
| Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL | $106.08 | $151.54 | $38.71–$55.53 | 15% below | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $14.40 | $20.57 | $4.92–$7.06 | 29% below | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE | $14.86 | $21.23 | $4.92–$7.06 | 26% below | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $5.81 | $8.30 | $4.96–$7.11 | 64% below | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $29.68 | $42.40 | $4.96–$7.11 | 86% above | 30% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $43.68 | $62.40 | $15.93–$22.85 | 29% below | 30% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM | $48.05 | $68.64 | $15.93–$22.85 | 22% below | 30% |
| Ammonia blood test CPT 82140 ASSAY OF AMMONIA | $38.15 | $54.50 | $13.84–$19.85 | 29% below | 30% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $41.97 | $59.95 | $13.84–$19.85 | 22% below | 30% |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $16.94 | $24.20 | $6.16–$8.83 | 44% below | 30% |
| Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL | $18.63 | $26.62 | $6.16–$8.83 | 38% below | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $12.78 | $18.26 | $12.30–$17.65 | 73% below | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $38.16 | $54.51 | $12.30–$17.65 | 20% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $34.73 | $49.61 | $11.49–$16.48 | 21% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $37.96 | $54.23 | $35.33–$53.49 | 69% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $424.70 | $606.72 | $35.33–$53.49 | 246% above | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $22.47 | $32.10 | $8.19–$11.74 | 29% below | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC | $33.41 | $47.73 | $8.19–$11.74 | 5% above | 30% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $23.10 | $33.00 | $8.04–$11.53 | 60% below | 30% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $33.65 | $48.07 | $8.04–$11.53 | 42% below | 30% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $13.09 | $18.70 | $4.77–$6.84 | 42% below | 30% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL | $14.40 | $20.57 | $4.77–$6.84 | 36% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $179.51 | $256.44 | $45.88–$89.16 | 17% above | 30% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $37.87 | $54.10 | $9.80–$14.06 | 40% below | 30% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $59.44 | $84.92 | $9.80–$14.06 | 5% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $6.24 | $8.91 | $2.58–$11.14 | 58% below | 30% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $11.32 | $16.17 | $3.73–$5.36 | 37% below | 30% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $13.09 | $18.70 | $3.73–$5.36 | 27% below | 30% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $31.29 | $44.70 | $11.50–$16.50 | 29% below | 30% |
| Blood lead test CPT 83655 LEAD LEVEL | $34.80 | $49.72 | $11.50–$16.50 | 21% below | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $19.67 | $28.10 | $7.14–$10.24 | 39% below | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $21.64 | $30.91 | $7.14–$10.24 | 32% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $18.90 | $27.00 | $2.99–$170.23 | 88% below | 30% |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $10.36 | $14.80 | $3.75–$5.38 | 54% below | 30% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE | $27.89 | $39.84 | $3.75–$5.38 | 25% above | 30% |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $54.46 | $77.80 | $19.77–$28.35 | 37% below | 30% |
| C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL | $59.91 | $85.58 | $19.77–$28.35 | 30% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $13.24 | $18.92 | $4.92–$7.06 | 50% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $102.56 | $146.52 | $35.09–$50.78 | 19% below | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $60.06 | $85.80 | $19.77–$28.35 | 20% below | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $61.68 | $88.11 | $19.77–$28.35 | 18% below | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $54.46 | $77.80 | $19.77–$28.35 | 29% below | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $61.68 | $88.11 | $19.77–$28.35 | 20% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $279.84 | $399.77 | $46.20–$69.91 | 186% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $279.87 | $399.82 | $46.20–$69.91 | 186% above | 30% |
| Calcium blood test, total CPT 82310 ASSAY OF CALCIUM | $8.75 | $12.50 | $4.90–$7.03 | 65% below | 30% |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL | $14.78 | $21.12 | $4.90–$7.03 | 42% below | 30% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $49.49 | $70.70 | $18.01–$25.83 | 39% below | 30% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL | $54.59 | $77.99 | $18.01–$25.83 | 32% below | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $18.25 | $26.07 | $12.24–$17.55 | 59% below | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX) | $26.72 | $38.17 | $12.24–$17.55 | 41% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $57.67 | $82.39 | $33.34–$47.82 | 42% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $100.87 | $144.10 | $33.34–$47.82 | 1% above | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $38.50 | $55.00 | $12.72–$18.25 | 43% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $59.29 | $84.70 | $12.72–$18.25 | 13% below | 30% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $18.20 | $26.00 | $7.38–$10.58 | 56% below | 30% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $22.41 | $32.01 | $7.38–$10.58 | 45% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $7.70 | $11.00 | $6.15–$8.81 | 73% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $22.41 | $32.01 | $6.15–$8.81 | 22% below | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $30.42 | $43.45 | $10.03–$14.39 | 48% below | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $40.04 | $57.20 | $10.03–$14.39 | 31% below | 30% |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $47.28 | $67.54 | $15.48–$22.21 | 4% below | 30% |
| Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL | $94.56 | $135.09 | $15.48–$22.21 | 93% above | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) | $12.54 | $17.91 | $6.18–$8.87 | 50% below | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL | $18.71 | $26.73 | $6.18–$8.87 | 25% below | 30% |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE | $11.62 | $16.60 | $4.86–$6.97 | 53% below | 30% |
| Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL | $14.71 | $21.01 | $4.86–$6.97 | 40% below | 30% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY | $19.64 | $28.05 | $13.67–$19.61 | 62% below | 30% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV) | $27.26 | $38.94 | $13.67–$19.61 | 48% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $13.14 | $18.77 | $9.67–$13.88 | 65% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $41.27 | $58.96 | $21.12–$30.30 | 51% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $63.99 | $91.41 | $21.12–$30.30 | 24% below | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $36.05 | $51.50 | $51.50–$74.57 | 70% below | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS | $39.66 | $56.65 | $56.65–$74.57 | 67% below | 30% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $16.73 | $23.90 | $6.66–$9.55 | 46% below | 30% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE) | $18.40 | $26.29 | $6.66–$9.55 | 41% below | 30% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $28.03 | $40.04 | $17.23–$24.72 | 38% below | 30% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID | $56.21 | $80.30 | $17.23–$24.72 | 23% above | 30% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $51.67 | $73.81 | $26.54–$38.07 | 49% below | 30% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $80.39 | $114.84 | $26.54–$38.07 | 21% below | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $34.42 | $49.17 | $17.65–$25.32 | 54% below | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $53.52 | $76.45 | $17.65–$25.32 | 29% below | 30% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $34.42 | $49.17 | $12.95–$18.58 | 43% below | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $39.27 | $56.10 | $12.95–$18.58 | 35% below | 30% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $18.40 | $26.29 | $8.75–$13.24 | 51% below | 30% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT | $24.41 | $34.87 | $8.75–$13.24 | 36% below | 30% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $23.31 | $33.30 | $13.97–$20.03 | 58% below | 30% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $38.81 | $55.44 | $13.96–$20.03 | 30% below | 30% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $44.31 | $63.30 | $16.09–$23.08 | 30% below | 30% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $48.74 | $69.63 | $16.09–$23.08 | 23% below | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $25.95 | $37.07 | $8.57–$12.29 | 46% below | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $31.42 | $44.88 | $8.57–$12.29 | 35% below | 30% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $47.28 | $67.54 | $24.20–$34.70 | 43% below | 30% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $72.84 | $104.06 | $24.20–$34.70 | 12% below | 30% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $20.79 | $29.70 | $6.84–$9.81 | 23% below | 30% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL | $25.98 | $37.12 | $6.84–$9.81 | 3% below | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $57.44 | $82.06 | $42.49–$52.76 | 63% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $10.92 | $15.60 | $4.51–$6.47 | 48% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $12.55 | $17.93 | $4.51–$6.47 | 41% below | 30% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $29.82 | $42.60 | $12.23–$17.53 | 48% below | 30% |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $65.60 | $93.72 | $12.23–$17.53 | 14% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $100.87 | $144.10 | $33.34–$47.82 | at median | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $104.72 | $149.60 | $33.34–$47.82 | 4% above | 30% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $25.48 | $36.40 | $15.16–$22.96 | 51% below | 30% |
| H. pylori antibody blood test CPT 86677 ANALYSIS FOR ANTIBODY TO HELICOBACTER PYLORI (GASTROINTESTINAL BACTERIA) | $28.03 | $40.04 | $15.16–$22.96 | 47% below | 30% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $42.70 | $61.00 | $13.66–$19.60 | 20% below | 30% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $46.97 | $67.10 | $13.66–$19.60 | 12% below | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $222.74 | $318.20 | $80.84–$115.96 | 5% below | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $245.01 | $350.02 | $80.84–$115.96 | 5% above | 30% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $26.41 | $37.73 | $13.02–$18.68 | 47% below | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $26.41 | $37.73 | $22.88–$32.82 | 63% below | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $212.42 | $303.46 | $33.34–$47.82 | 124% above | 30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $236.62 | $338.03 | $33.34–$47.82 | 149% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $9.84 | $14.06 | $9.22–$13.23 | 73% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $28.03 | $40.04 | $9.22–$13.23 | 22% below | 30% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN | $7.24 | $10.34 | $2.25–$3.22 | 50% below | 30% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $10.40 | $14.85 | $2.25–$3.22 | 28% below | 30% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL | $31.50 | $45.00 | $11.45–$16.42 | 28% below | 30% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT | $34.65 | $49.50 | $11.45–$16.42 | 21% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $30.88 | $44.11 | $10.20–$14.64 | 22% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $31.26 | $44.66 | $10.20–$14.64 | 21% below | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $29.72 | $42.46 | $9.81–$14.08 | 20% below | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $38.42 | $54.89 | $9.81–$14.08 | 3% above | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $38.42 | $54.89 | $13.56–$19.44 | 28% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $41.12 | $58.74 | $13.56–$19.44 | 23% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $112.14 | $160.20 | $40.70–$58.38 | 18% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $116.82 | $166.88 | $40.70–$58.38 | 14% below | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $20.02 | $28.60 | $12.53–$17.97 | 50% below | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $53.13 | $75.90 | $12.53–$17.97 | 32% above | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $56.06 | $80.08 | $18.38–$26.37 | 3% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $184.47 | $263.53 | $18.38–$26.37 | 218% above | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $34.23 | $48.90 | $12.30–$17.65 | 28% below | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $37.65 | $53.79 | $12.30–$17.65 | 21% below | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $30.72 | $43.89 | $16.87–$24.41 | 58% below | 30% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $19.32 | $27.60 | $10.86–$15.58 | 54% below | 30% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $32.88 | $46.97 | $10.86–$15.58 | 22% below | 30% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $18.63 | $26.62 | $6.15–$8.81 | 28% below | 30% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $36.12 | $51.60 | $6.15–$8.81 | 40% above | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $22.41 | $32.01 | $8.30–$11.91 | 44% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $25.18 | $35.97 | $8.30–$11.91 | 37% below | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $48.34 | $69.06 | $8.25–$11.83 | 28% below | 30% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $34.42 | $49.17 | $17.59–$25.23 | 55% below | 30% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $53.36 | $76.23 | $17.59–$25.23 | 31% below | 30% |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $19.79 | $28.27 | $10.68–$15.76 | 51% below | 30% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $30.42 | $43.45 | $10.68–$15.76 | 25% below | 30% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $15.82 | $22.60 | $5.74–$8.23 | 29% below | 30% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL | $17.40 | $24.86 | $5.74–$8.23 | 22% below | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $16.80 | $24.00 | $6.55–$9.39 | 40% below | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $18.48 | $26.40 | $6.55–$9.39 | 34% below | 30% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $23.10 | $33.00 | $7.76–$11.13 | 59% below | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $34.42 | $49.17 | $7.76–$11.13 | 39% below | 30% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $28.03 | $40.04 | $16.18–$23.21 | 42% below | 30% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $80.08 | $114.40 | $16.18–$23.21 | 65% above | 30% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $15.26 | $21.80 | $6.36–$9.13 | 38% below | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $19.33 | $27.61 | $6.37–$9.13 | 22% below | 30% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $15.92 | $22.74 | $12.24–$17.55 | 66% below | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $24.29 | $34.70 | $12.24–$17.55 | 48% below | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $13.63 | $19.47 | $4.92–$7.06 | 60% below | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $14.86 | $21.23 | $4.92–$7.06 | 57% below | 30% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $20.02 | $28.60 | $12.40–$17.78 | 53% below | 30% |
| Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS | $26.72 | $38.17 | $12.40–$17.78 | 37% below | 30% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $33.65 | $48.07 | $45.42–$57.37 | 68% below | 30% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $52.82 | $75.46 | $17.47–$25.06 | 21% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $41.66 | $59.51 | $17.47–$25.06 | 37% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $52.90 | $75.57 | $17.47–$25.06 | 21% below | 30% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $73.51 | $105.02 | $25.28–$34.16 | 8% above | 30% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $28.03 | $40.04 | $19.25–$26.00 | 60% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $107.94 | $154.20 | $39.22–$56.25 | 26% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $118.73 | $169.62 | $39.22–$56.25 | 19% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $17.33 | $24.75 | $5.71–$8.19 | 26% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $145.38 | $207.68 | $5.71–$8.19 | 517% above | 30% |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS | $12.46 | $17.80 | $4.50–$6.46 | 39% below | 30% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL | $13.71 | $19.58 | $4.50–$6.46 | 33% below | 30% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM | $12.78 | $18.26 | $4.52–$6.48 | 44% below | 30% |
| Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL | $13.24 | $18.92 | $4.52–$6.48 | 42% below | 30% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $38.65 | $55.22 | $19.82–$28.42 | 55% below | 30% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $60.06 | $85.80 | $19.82–$28.42 | 30% below | 30% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $35.81 | $51.15 | $18.41–$26.41 | 50% below | 30% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $55.75 | $79.64 | $18.41–$26.41 | 23% below | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $11.32 | $16.17 | $3.93–$5.85 | 27% below | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $12.01 | $17.16 | $3.93–$5.85 | 23% below | 30% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $15.40 | $22.00 | $11.34–$17.17 | 56% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $10.21 | $14.59 | $11.11–$19.84 | 74% below | 30% |
| Renin blood test CPT 84244 ASSAY OF RENIN | $57.54 | $82.20 | $20.89–$29.97 | 29% below | 30% |
| Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL | $63.29 | $90.42 | $20.89–$29.97 | 22% below | 30% |
| Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) | $12.18 | $17.40 | $2.99–$47.78 | 78% below | 30% |
| Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN | $15.40 | $22.00 | $2.99–$47.78 | 72% below | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $16.32 | $23.32 | $5.39–$7.72 | 22% below | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $16.79 | $23.98 | $5.39–$7.72 | 20% below | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $23.87 | $34.10 | $13.67–$19.61 | 46% below | 30% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $27.26 | $38.94 | $13.67–$19.61 | 39% below | 30% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $36.81 | $52.58 | $11.69–$16.77 | 2% below | 30% |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM | $12.78 | $18.26 | $4.57–$6.55 | 41% below | 30% |
| Sodium blood test CPT 84295 BLOOD SODIUM LEVEL | $13.86 | $19.80 | $4.57–$6.55 | 36% below | 30% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $25.64 | $36.63 | $8.45–$12.13 | 22% below | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $9.63 | $13.75 | $3.89–$5.97 | 32% below | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $10.92 | $15.60 | $3.89–$5.97 | 23% below | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $100.98 | $144.25 | $15.12–$21.69 | 106% above | 30% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM | $38.12 | $54.45 | $12.58–$18.04 | 10% below | 30% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM | $82.04 | $117.20 | $12.58–$18.04 | 94% above | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $7.28 | $10.40 | $4.06–$5.81 | 54% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $8.24 | $11.77 | $4.06–$5.81 | 48% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $48.51 | $69.30 | $58.88–$74.38 | 70% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $43.47 | $62.10 | $24.52–$35.17 | 53% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $74.31 | $106.15 | $24.52–$35.17 | 20% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $41.66 | $59.51 | $13.82–$19.83 | 22% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $41.89 | $59.84 | $13.82–$19.83 | 21% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $35.04 | $50.05 | $15.96–$22.89 | 52% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $36.04 | $51.48 | $15.96–$22.89 | 51% below | 30% |
| Total IgE blood test CPT 82785 ASSAY OF IGE | $47.28 | $67.54 | $15.64–$22.43 | 22% below | 30% |
| Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL | $47.43 | $67.76 | $15.64–$22.43 | 22% below | 30% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL | $12.55 | $17.93 | $4.13–$5.93 | 45% below | 30% |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $13.63 | $19.47 | $4.13–$5.93 | 40% below | 30% |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $17.99 | $25.70 | $6.53–$9.36 | 39% below | 30% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL | $19.79 | $28.27 | $6.53–$9.36 | 32% below | 30% |
| Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) | $37.10 | $53.00 | $13.47–$19.33 | 41% below | 30% |
| Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL | $40.81 | $58.30 | $13.47–$19.33 | 36% below | 30% |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $23.64 | $33.77 | $12.12–$17.38 | 50% below | 30% |
| Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL | $36.73 | $52.47 | $12.12–$17.38 | 22% below | 30% |
| Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE | $146.64 | $209.48 | $33.34–$47.82 | 93% above | 30% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $13.63 | $19.47 | $5.45–$7.82 | 44% below | 30% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL | $16.56 | $23.65 | $5.45–$7.82 | 32% below | 30% |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $94.48 | $134.97 | $11.22–$16.99 | 118% above | 30% |
| Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE | $445.09 | $635.84 | $11.22–$16.99 | 928% above | 30% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $8.39 | $11.99 | $4.29–$6.15 | 58% below | 30% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $12.86 | $18.37 | $4.29–$6.15 | 36% below | 30% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $9.16 | $13.09 | $3.01–$4.31 | 72% below | 30% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $12.01 | $17.16 | $3.01–$4.31 | 63% below | 30% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $8.33 | $11.90 | $3.62–$5.47 | 29% below | 30% |
| Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED | $12.94 | $18.48 | $3.62–$5.47 | 10% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $6.47 | $9.24 | $2.14–$3.07 | 62% below | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $8.78 | $12.54 | $2.14–$3.07 | 48% below | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $8.33 | $11.90 | $3.06–$4.75 | 20% below | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $9.16 | $13.09 | $3.06–$4.75 | 12% below | 30% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $23.25 | $33.22 | $7.67–$10.99 | 39% below | 30% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $28.80 | $41.14 | $7.67–$10.99 | 24% below | 30% |
| Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE | $14.56 | $20.80 | $5.49–$7.88 | 51% below | 30% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL | $16.40 | $23.43 | $5.49–$7.88 | 45% below | 30% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $13.90 | $19.85 | $2.81–$11.73 | 52% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $27.26 | $38.94 | $14.33–$20.55 | 51% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $42.27 | $60.39 | $14.33–$20.55 | 24% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $48.93 | $69.90 | $28.12–$40.33 | 54% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $83.31 | $119.02 | $28.12–$40.33 | 22% below | 30% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY | $64.82 | $92.60 | $36.58–$52.46 | 40% below | 30% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL | $110.50 | $157.85 | $36.58–$52.46 | 3% above | 30% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $16.73 | $23.90 | $10.82–$15.52 | 59% below | 30% |
| Zinc blood test CPT 84630 ZINC LEVEL | $28.34 | $40.48 | $10.82–$15.52 | 30% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $43.27 | $61.82 | $14.30–$20.51 | 22% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $43.35 | $61.93 | $14.30–$20.51 | 22% below | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $1,799.70 | $2,571.00 | $1,672.00–$9,283.84 | 79% below | 30% |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $1,946.70 | $2,781.00 | $1,672.00–$9,283.84 | 77% below | 30% |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $679.35 | $970.50 | $1,672.00–$9,283.84 | 92% below | 30% |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $1,046.85 | $1,495.50 | $1,672.00–$9,283.84 | 88% below | 30% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $647.48 | $924.97 | $197.88–$2,113.11 | 79% below | 30% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $94.93 | $135.61 | $135.61–$1,515.00 | 82% below | 30% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $226.11 | $323.02 | $252.96–$1,515.00 | 50% below | 30% |
| Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA | $1,013.88 | $1,448.40 | $1,470.00–$4,186.31 | 74% below | 30% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST | $6,699.00 | $9,570.00 | $1,252.40–$4,500.36 | 10% above | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $549.47 | $784.95 | $123.34–$845.64 | 47% below | 30% |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $866.88 | $1,238.40 | $1,436.00–$2,498.39 | 62% below | 30% |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $1,134.00 | $1,620.00 | $1,436.00–$2,498.39 | 51% below | 30% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $492.27 | $703.24 | $84.78–$1,515.00 | 67% below | 30% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $1,668.24 | $2,383.20 | $221.09–$2,674.50 | 54% below | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $194.81 | $278.30 | — | — | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION | $101.81 | $145.44 | $145.44–$1,515.00 | 82% below | 30% |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION | $101.81 | $145.44 | $138.13–$1,515.00 | 82% below | 30% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $873.10 | $1,247.29 | $377.99–$2,021.88 | 54% below | 30% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $917.07 | $1,310.10 | $298.65–$2,021.88 | 34% below | 30% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,050.00 | $1,500.00 | $311.82–$2,021.88 | 46% below | 30% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $1,892.89 | $2,704.13 | $180.65–$4,141.68 | 50% below | 30% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE | $116.21 | $166.01 | $150.66–$2,021.88 | 83% below | 30% |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $807.80 | $1,154.00 | $228.22–$4,509.98 | 82% below | 30% |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $807.80 | $1,154.00 | $1,436.00–$4,509.98 | 82% below | 30% |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $1,247.40 | $1,782.00 | $1,436.00–$4,509.98 | 72% below | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $533.41 | $762.01 | $104.32–$1,515.00 | 63% below | 30% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $694.68 | $992.40 | $118.46–$1,515.00 | 52% below | 30% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS | $866.88 | $1,238.40 | $302.29–$4,141.68 | 77% below | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $52.91 | $75.59 | $16.25–$1,515.00 | 56% below | 30% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $56.69 | $80.99 | $69.62–$1,515.00 | 53% below | 30% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $56.69 | $80.99 | $69.62–$1,515.00 | 53% below | 30% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $35.81 | $51.15 | $34.89–$1,515.00 | 72% below | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EAR WAX UNI | $56.29 | $80.41 | $69.62–$1,515.00 | 57% below | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVE IMPACTED EAR WAX UNI | $56.29 | $80.41 | $69.62–$1,515.00 | 57% below | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX | $56.69 | $80.99 | $69.62–$1,515.00 | 56% below | 30% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS | $193.63 | $276.61 | $71.60–$1,515.00 | 58% below | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $471.21 | $673.15 | $124.13–$1,515.00 | 66% below | 30% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $529.45 | $756.36 | $119.09–$1,515.00 | 74% below | 30% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $3,011.40 | $4,302.00 | $625.33–$8,282.82 | 59% below | 30% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $4,785.90 | $6,837.00 | $373.17–$4,580.88 | 15% above | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $383.42 | $547.74 | $83.80–$1,515.00 | 81% below | 30% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $2,717.40 | $3,882.00 | $722.95–$7,734.84 | 61% below | 30% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $6,245.40 | $8,922.00 | $376.00–$7,734.84 | 10% below | 30% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $327.93 | $468.47 | $47.29–$1,515.00 | 8% above | 30% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $476.70 | $681.00 | $297.47–$4,141.68 | 89% below | 30% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $134.75 | $192.50 | $57.64–$1,515.00 | 67% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $108.95 | $155.64 | $112.67–$1,515.00 | 73% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $289.79 | $413.98 | $112.67–$1,515.00 | 28% below | 30% |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $3,305.40 | $4,722.00 | $1,470.00–$4,580.88 | 21% below | 30% |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $3,305.40 | $4,722.00 | $1,470.00–$4,580.88 | 21% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $234.07 | $334.38 | $47.41–$1,515.00 | 53% below | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $257.47 | $367.82 | $47.41–$1,515.00 | 48% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $112.25 | $160.36 | $54.58–$1,515.00 | 78% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $257.47 | $367.82 | $54.58–$1,515.00 | 49% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $99.00 | $141.43 | $138.13–$1,515.00 | 80% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $236.16 | $337.37 | $138.13–$1,515.00 | 53% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $236.16 | $337.37 | $138.13–$1,515.00 | 53% below | 30% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE | $77.00 | $110.00 | $66.48–$1,515.00 | 73% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $124.70 | $178.14 | $44.85–$1,515.00 | 73% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $257.47 | $367.82 | $44.85–$1,515.00 | 44% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $111.78 | $159.69 | $42.97–$1,515.00 | 75% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $257.47 | $367.82 | $42.97–$1,515.00 | 43% below | 30% |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $1,652.70 | $2,361.00 | $1,470.00–$4,186.31 | 57% below | 30% |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $2,423.40 | $3,462.00 | $1,470.00–$4,186.31 | 37% below | 30% |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $1,541.40 | $2,202.00 | $1,470.00–$4,186.31 | 60% below | 30% |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $1,835.40 | $2,622.00 | $1,470.00–$4,186.31 | 52% below | 30% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $2,129.40 | $3,042.00 | $376.00–$7,734.84 | 69% below | 30% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $2,129.40 | $3,042.00 | $892.75–$13,600.15 | 83% below | 30% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $2,717.40 | $3,882.00 | $1,002.46–$13,600.15 | 73% below | 30% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $2,423.40 | $3,462.00 | $475.65–$7,734.84 | 65% below | 30% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $1,835.40 | $2,622.00 | $1,672.00–$7,734.84 | 73% below | 30% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $2,423.40 | $3,462.00 | $1,672.00–$7,734.84 | 65% below | 30% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $2,129.40 | $3,042.00 | $1,672.00–$7,734.84 | 69% below | 30% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $2,717.40 | $3,882.00 | $1,672.00–$7,734.84 | 61% below | 30% |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $1,835.40 | $2,622.00 | $1,672.00–$7,734.84 | 73% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $131.45 | $187.78 | $161.67–$1,515.00 | 78% below | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $471.21 | $673.15 | $115.02–$1,515.00 | 68% below | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $471.21 | $673.15 | $93.62–$1,515.00 | 68% below | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $529.45 | $756.36 | $146.21–$1,515.00 | 66% below | 30% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $866.88 | $1,238.40 | $467.82–$4,141.68 | 79% below | 30% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $381.26 | $544.66 | $113.51–$2,021.88 | 64% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $123.17 | $175.96 | $57.52–$1,515.00 | 63% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL | $165.26 | $236.08 | $57.52–$1,515.00 | 50% below | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $353.66 | $505.23 | $68.97–$1,515.00 | 25% below | 30% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $228.03 | $325.76 | $128.19–$2,021.88 | 84% below | 30% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $970.78 | $1,386.83 | $128.19–$2,021.88 | 32% below | 30% |
| Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE | $3,635.94 | $5,194.20 | $1,729.00–$16,426.22 | 76% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL | $216.38 | $309.11 | $107.99–$1,515.00 | 71% below | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $301.41 | $430.58 | $107.99–$1,515.00 | 59% below | 30% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $554.86 | $792.65 | $198.46–$2,021.88 | 77% below | 30% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,543.64 | $2,205.20 | $253.25–$2,498.39 | 55% below | 30% |
| Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $788.76 | $1,126.80 | $1,441.00–$5,009.53 | 83% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $108.19 | $154.55 | $112.28–$1,515.00 | 83% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $484.29 | $691.84 | $112.28–$1,515.00 | 25% below | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $917.07 | $1,310.10 | $196.93–$2,021.88 | 41% below | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $917.07 | $1,310.10 | $196.65–$2,021.88 | 15% below | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $1,541.40 | $2,202.00 | $1,672.00–$7,095.90 | 72% below | 30% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $1,835.40 | $2,622.00 | $1,672.00–$7,095.90 | 66% below | 30% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $94.12 | $134.45 | $57.03–$668.00 | 78% below | 30% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $110.52 | $157.88 | $39.45–$170.23 | 48% below | 30% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLY FOREARM SPLINT | $98.56 | $140.80 | $138.13–$668.00 | 53% below | 30% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLY FOREARM SPLINT | $98.56 | $140.80 | $138.13–$668.00 | 53% below | 30% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $108.42 | $154.88 | $138.13–$668.00 | 49% below | 30% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $108.42 | $154.88 | $138.13–$668.00 | 49% below | 30% |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $249.66 | $356.66 | $58.53–$357.85 | 49% below | 30% |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION OF SHORT LEG CAST | $94.12 | $134.45 | $138.13–$668.00 | 81% below | 30% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION LOWER LEG SPLINT | $210.21 | $300.30 | $138.13–$668.00 | 26% below | 30% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION LOWER LEG SPLINT | $210.21 | $300.30 | $138.13–$668.00 | 26% below | 30% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $231.23 | $330.33 | $138.13–$668.00 | 19% below | 30% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $231.23 | $330.33 | $138.13–$668.00 | 19% below | 30% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE | $605.85 | $865.50 | $1,672.00–$4,186.31 | 84% below | 30% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE | $679.35 | $970.50 | $1,672.00–$4,186.31 | 82% below | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $679.35 | $970.50 | $133.34–$2,609.54 | 84% below | 30% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $1,046.85 | $1,495.50 | $133.34–$2,609.54 | 75% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $131.45 | $187.78 | $47.72–$1,515.00 | 65% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $198.09 | $282.98 | $47.72–$1,515.00 | 48% below | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $167.03 | $238.61 | $44.41–$520.11 | 76% below | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $288.93 | $412.76 | $82.23–$1,515.00 | 76% below | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $317.83 | $454.04 | $82.23–$1,515.00 | 73% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $66.15 | $94.50 | $62.42–$256.70 | 83% below | 30% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $131.45 | $187.78 | $62.42–$668.00 | 67% below | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $131.45 | $187.78 | $58.26–$668.00 | 65% below | 30% |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $2,129.40 | $3,042.00 | $778.96–$6,860.05 | 65% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $167.03 | $238.61 | $40.38–$1,515.00 | 66% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH | $191.72 | $273.89 | $40.38–$1,515.00 | 61% below | 30% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $189.80 | $271.14 | $132.18–$1,515.00 | 85% below | 30% |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $189.81 | $271.16 | $740.25–$1,566.87 | 85% below | 30% |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $379.61 | $542.30 | $740.25–$1,566.87 | 70% below | 30% |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/ IMAGING | $379.61 | $542.30 | $740.25–$1,566.87 | 70% below | 30% |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $2,717.40 | $3,882.00 | $376.00–$16,426.22 | 82% below | 30% |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $3,599.40 | $5,142.00 | $376.00–$16,426.22 | 76% below | 30% |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $3,305.40 | $4,722.00 | $376.00–$16,426.22 | 78% below | 30% |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $3,599.40 | $5,142.00 | $376.00–$16,426.22 | 76% below | 30% |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $1,652.70 | $2,361.00 | $376.00–$22,433.33 | 92% below | 30% |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $2,093.70 | $2,991.00 | $376.00–$22,433.33 | 90% below | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $247.23 | $353.18 | $44.99–$1,515.00 | 41% below | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $257.47 | $367.82 | $44.99–$1,515.00 | 39% below | 30% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 DESTRUCTION OF FALLOPIAN TUBES USING AN ENDOSCOPE | $2,129.40 | $3,042.00 | $411.93–$7,734.84 | 69% below | 30% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $647.48 | $924.97 | $186.07–$2,113.11 | 78% below | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $611.22 | $873.17 | $184.27–$2,455.11 | 75% below | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $3,416.70 | $4,881.00 | $188.49–$2,021.88 | 105% above | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,054.63 | $1,506.62 | $235.19–$2,455.11 | 55% below | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,054.63 | $1,506.62 | $147.11–$1,515.00 | 36% below | 30% |
| Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $1,835.40 | $2,622.00 | $1,614.00–$6,860.05 | 69% below | 30% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $3,305.40 | $4,722.00 | $440.06–$6,860.05 | 45% below | 30% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $2,717.40 | $3,882.00 | $1,614.00–$6,860.05 | 55% below | 30% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $3,305.40 | $4,722.00 | $1,614.00–$6,860.05 | 45% below | 30% |
| Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE | $2,129.40 | $3,042.00 | $1,470.00–$4,039.78 | 53% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $229.39 | $327.70 | $63.68–$2,021.88 | 73% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $484.29 | $691.84 | $63.68–$2,021.88 | 43% below | 30% |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE | $2,423.40 | $3,462.00 | $1,672.00–$9,283.84 | 71% below | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $398.71 | $569.58 | $46.79–$1,515.00 | 46% below | 30% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $1,232.82 | $1,761.17 | $46.79–$1,515.00 | 68% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $59.49 | $84.99 | — | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $268.77 | $383.96 | — | — | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $278.13 | $397.33 | $166.55–$422.61 | 55% below | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $433.90 | $619.85 | $166.55–$434.00 | 29% below | 30% |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/> | $137.47 | $196.39 | $91.65–$170.34 | 40% below | 30% |
| Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/> | $107.49 | $153.55 | $73.13–$170.34 | 45% below | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $1,536.79 | $2,195.42 | $189.83–$2,136.47 | 10% below | 30% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $38.22 | $54.60 | $17.43–$23.06 | 38% below | 30% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH INTERPRETATION AND REPORT | $62.25 | $88.93 | $17.43–$23.06 | 2% above | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $45.21 | $64.59 | $7.54–$75.48 | 68% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $90.43 | $129.18 | $7.54–$75.48 | 37% below | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $329.48 | $470.69 | $99.50–$668.00 | 32% above | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $342.19 | $488.84 | $181.19–$668.00 | 1% above | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $467.54 | $667.92 | $322.13–$898.12 | 17% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $682.68 | $975.26 | $340.75–$1,314.50 | 19% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,307.77 | $1,868.24 | $340.75–$2,136.47 | 10% above | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $215.82 | $308.31 | $42.78–$276.26 | 61% below | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $299.76 | $428.23 | $42.78–$276.26 | 46% below | 30% |
| Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT | $89.35 | $127.64 | $48.02–$170.34 | 61% below | 30% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ELECTROCARDIOGRAM (ECG) 2-DAY CONTINUOUS WITH REVIEW AND REPORT BY HEALTH CARE PROFESSIONAL | $204.97 | $292.82 | $87.64–$115.96 | 25% below | 30% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS | $243.17 | $347.39 | $87.64–$115.96 | 11% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $247.70 | $353.85 | $37.49–$277.42 | 33% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $272.47 | $389.24 | $37.49–$277.42 | 27% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $257.51 | $367.87 | $73.41–$277.42 | 38% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $299.46 | $427.80 | $73.41–$277.42 | 28% below | 30% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $220.16 | $314.51 | $42.81–$277.42 | 14% below | 30% |
| IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN | $242.17 | $345.96 | $42.81–$277.42 | 5% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $88.55 | $126.50 | $16.37–$167.00 | 20% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $170.17 | $243.10 | $16.37–$92.12 | 53% above | 30% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $342.28 | $488.97 | $79.48–$601.00 | 25% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $120.64 | $172.34 | $65.80–$107.16 | 46% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $223.92 | $319.89 | $65.80–$107.16 | at median | 30% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $120.64 | $172.34 | $107.75–$163.48 | 60% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $296.79 | $423.98 | $107.75–$163.48 | at median | 30% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $120.64 | $172.34 | $143.03–$195.45 | 68% below | 30% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $406.08 | $580.11 | $143.03–$221.93 | 8% above | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $120.64 | $172.34 | $38.00–$69.23 | 31% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $170.20 | $243.14 | $38.00–$69.23 | 2% below | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $7.70 | $11.00 | $11.00–$34.94 | 85% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $92.76 | $132.51 | $57.12–$125.63 | 48% below | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $142.60 | $203.71 | $73.13–$133.43 | 30% below | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $156.86 | $224.08 | $73.13–$133.43 | 22% below | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $164.80 | $235.43 | $89.76–$157.14 | 27% below | 30% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $181.28 | $258.97 | $89.76–$157.14 | 19% below | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $178.93 | $255.61 | $98.63–$169.04 | 30% below | 30% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (65 YEARS OR OLDER) | $196.82 | $281.17 | $98.63–$169.04 | 23% below | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $128.09 | $182.99 | $64.93–$120.22 | 37% below | 30% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS) | $140.90 | $201.29 | $64.93–$120.22 | 30% below | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $136.63 | $195.19 | $73.13–$128.27 | 42% below | 30% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS) | $150.30 | $214.71 | $73.13–$128.27 | 36% below | 30% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) | $161.62 | $230.89 | $81.78–$137.68 | 21% below | 30% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $127.17 | $181.67 | $172.37–$227.08 | 57% below | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $141.23 | $201.76 | $75.65–$227.08 | 29% below | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $124.17 | $177.38 | $108.87–$227.08 | 53% below | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $127.17 | $181.67 | $150.61–$227.08 | 57% below | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES | $11.97 | $17.10 | $11.22–$47.94 | 74% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $120.64 | $172.34 | $94.67–$172.34 | 49% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $296.79 | $423.98 | $94.67–$175.95 | 26% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $170.20 | $243.14 | $43.51–$86.51 | 7% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $198.60 | $283.71 | $43.51–$86.51 | 9% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $120.64 | $172.34 | $66.97–$122.49 | 39% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $223.92 | $319.89 | $66.97–$122.49 | 13% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $120.64 | $172.34 | $22.24–$54.07 | 28% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $170.20 | $243.14 | $22.24–$54.07 | 2% above | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULTATION; TYPICALLY 40 MINUTES | $76.15 | $108.79 | $82.27 | 74% below | 30% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $112.19 | $160.27 | $130.72 | 62% below | 30% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $200.21 | $286.02 | $162.99–$280.51 | 49% below | 30% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $123.30 | $176.14 | $70.68–$94.16 | 27% below | 30% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $120.02 | $171.45 | $29.18–$276.26 | 46% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $240.98 | $344.25 | $44.42–$477.44 | 38% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $75.72 | $108.17 | $93.56–$170.23 | 64% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $1,396.63 | $1,995.18 | $93.56–$170.23 | 557% above | 30% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) WITH SUPERVISION AND REVIEW BY PHYSICIAN | $215.82 | $308.31 | $85.48–$113.08 | 37% below | 30% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $412.01 | $588.59 | $85.48–$113.08 | 20% above | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE; INACTIVATED | $88.20 | $126.00 | $53.27–$54.02 | 17% below | 30% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula | $88.98 | $127.12 | $53.27–$54.02 | 16% below | 30% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $88.98 | $127.12 | $53.27–$54.02 | 16% below | 30% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $231.00 | $330.00 | — | 13% above | 30% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2025-2026 Ages 12 and up | $346.86 | $495.52 | — | 69% above | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Comirnaty 2023-2024 Age 12 and older | $169.05 | $241.50 | — | 16% below | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $92.97 | $132.82 | — | — | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE | $127.32 | $181.88 | $177.68 | 52% below | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax | $224.00 | $320.00 | $177.68 | 15% below | 30% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM | $55.74 | $79.63 | $60.06–$62.89 | 39% below | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM | $24.99 | $35.70 | $28.20–$29.53 | 49% below | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (YOUNGER THAN 7 YEARS) | $27.49 | $39.27 | $28.20–$29.53 | 44% below | 30% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Tripedia | $43.85 | $62.64 | $28.20–$29.53 | 11% below | 30% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM | $83.66 | $119.52 | $112.89–$118.20 | 43% below | 30% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM | $34.36 | $49.09 | $36.34 | 68% below | 30% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $19.38 | $27.69 | $17.69 | 32% below | 30% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025-2026 Formula | $28.69 | $40.98 | $17.69 | 1% above | 30% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE TYPES 6; 11; 16; 18; 31; 33; 45; 52; 58; NONAVALENT | $213.86 | $305.52 | $293.16 | 57% below | 30% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 | $213.86 | $305.52 | $293.16 | 57% below | 30% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $114.05 | $162.93 | $123.57 | 50% below | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 Abrysvo | $38.50 | $55.00 | $55.00–$68.95 | 63% below | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT DOSAGE | $48.51 | $69.30 | $68.95–$69.30 | 53% below | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $63.95 | $91.35 | $68.95–$70.26 | 38% below | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix | $98.04 | $140.06 | $68.95–$70.26 | 5% below | 30% |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix PFS | $105.78 | $151.12 | $68.95–$70.26 | 3% above | 30% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM | $23.10 | $33.00 | $33.00–$37.54 | 59% below | 30% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Havrix Pediatric | $28.56 | $40.80 | — | — | 30% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM | $28.56 | $40.80 | — | — | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $42.63 | $60.90 | $60.90–$68.03 | 52% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE; ADULT DOSAGE (3 DOSE SCHEDULE) | $46.89 | $66.99 | $66.99–$68.03 | 48% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B Pediatric-Adolescent PFS | $46.89 | $66.99 | $66.99–$68.03 | 48% below | 30% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B | $90.89 | $129.84 | $68.03–$70.38 | 2% above | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax HB Pediatric-Adolescent | $20.01 | $28.59 | $27.53–$28.59 | 56% below | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $79.62 | $113.74 | $27.53–$30.77 | 75% above | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B Pediatric-Adolescent PFS | $87.58 | $125.11 | $27.53–$30.77 | 93% above | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE; PEDIATRIC OR ADOLESCENT DOSAGE (3 DOSE SCHEDULE) | $87.58 | $125.11 | $27.53–$30.77 | 93% above | 30% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM | $12.50 | $17.85 | $17.85–$30.18 | 80% below | 30% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS INFLUENZAE TYPE B VACCINE; PRP-T CONJUGATE | $25.88 | $36.97 | $12.57–$13.32 | 19% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $33.43 | $47.75 | $47.75–$65.67 | 70% below | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES; MUMPS; AND RUBELLA VACCINE | $46.09 | $65.84 | $65.84–$91.28 | 66% below | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II | $85.10 | $121.57 | $91.28–$94.50 | 37% below | 30% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC | $79.62 | $113.74 | $113.74–$275.04 | 82% below | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $85.23 | $121.75 | $121.75–$151.33 | 58% below | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VACCINE; SEROGROUPS A; C; W; Y; DIPHTHERIA TOXOID CARRIER VACCINE | $93.75 | $133.93 | $133.93–$151.33 | 54% below | 30% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra | $424.88 | $606.97 | $151.33 | 108% above | 30% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOMBINANT PROTEIN AND OUTER MEMBRANE VESICLE VACCINE; SEROGROUP B | $167.48 | $239.25 | $215.42 | 49% below | 30% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero | $540.12 | $771.60 | $215.42 | 64% above | 30% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM | $109.17 | $155.95 | $155.95–$230.83 | 67% below | 30% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOCCAL CONJUGATE VACCINE; 15 VALENT (PCV15); FOR INTRAMUSCULAR USE | $120.08 | $171.54 | $171.54–$226.87 | 66% below | 30% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Vaxneuvance PFS | $374.16 | $534.52 | $226.87–$253.56 | 6% above | 30% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Capvaxive PFS | $161.99 | $231.41 | — | 61% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE; 23-VALENT | $98.72 | $141.03 | $119.43–$133.47 | 42% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $104.07 | $148.67 | $119.43–$133.47 | 39% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 PFS | $122.82 | $175.46 | $119.43–$133.47 | 28% below | 30% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE | $28.42 | $40.60 | $40.60–$41.33 | 67% below | 30% |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipol | $534.96 | $764.23 | $41.33–$43.27 | 529% above | 30% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo | $413.63 | $590.90 | $300.90 | 2% below | 30% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IM | $206.51 | $295.01 | $285.60 | 49% below | 30% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Arexvy | $413.01 | $590.02 | $285.60 | 1% above | 30% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $96.68 | $138.12 | $138.12–$324.68 | 79% below | 30% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $514.69 | $735.27 | $299.46–$324.74 | 9% above | 30% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $93.62 | $133.74 | $97.75 | 29% below | 30% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGLES VACCINE FOR INJECTION INTO MUSCLE | $146.24 | $208.91 | $187.08 | 63% below | 30% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix PFS | $326.89 | $466.98 | $187.08 | 17% below | 30% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix | $579.29 | $827.56 | $187.08 | 47% above | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $20.97 | $29.96 | $28.19–$29.96 | 60% below | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX | $36.88 | $52.68 | $28.19–$30.34 | 30% below | 30% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac PFS | $53.80 | $76.86 | $28.19–$30.34 | 2% above | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $33.08 | $47.25 | $38.05–$38.31 | 40% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $36.39 | $51.98 | $38.05–$38.31 | 34% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 medroxyPROGESTERone acetate | $36.39 | $51.98 | $38.05–$38.31 | 34% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $59.30 | $84.72 | $38.05–$38.31 | 7% above | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS | $59.30 | $84.72 | $38.05–$38.31 | 7% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $55.94 | $79.91 | $10.00–$92.12 | 34% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $67.68 | $96.69 | $10.00–$92.12 | 20% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $42.48 | $60.68 | $10.00–$17.54 | 6% below | 30% |
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://apim.services.craneware.com/api-pricing-transparency/api/public/0be583591a66cca917519fabf7bc30c4/charges/mrf