Women and Infants Hospital of Rhode Island
Women and Infants Hospital of Rhode Island in Providence, RI publishes cash prices for 378 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Rhode Island median for 315 of 369 procedures and above it for 6. By typical cash price it ranks #3 of 7 Rhode Island hospitals and #3 of 11 hospitals in the Providence, RI area, cheapest first. Click a procedure to compare it with other hospitals nearby.
101 Dudley Street, Providence, RI 02905 Collected Sep 27, 2026 Source price file (401) 274-1100
Acute care hospital Emergency department CMS star rating 4 of 5 CCN 410010 · CMS hospital register NPI 1447233788
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 1 action for a hospital named Women and Infants Hospital of Rhode Island in Providence, RI:
- Apr 22, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
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 Rhode Island | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast | $415.10 | $1,186.00 | $165.13–$1,091.12 | 79% below | 65% |
| Abdominal X-ray, 2 views CPT 74019 HC Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W Decubitus | $186.20 | $532.00 | $27.55–$489.44 | 21% below | 65% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views | $89.60 | $256.00 | $28.15–$353.28 | 42% below | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Elbow WO IV Contrast | $302.40 | $864.00 | $114.63–$794.88 | 71% below | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Wrist WO IV Contrast | $302.40 | $864.00 | $114.63–$794.88 | 71% below | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Radius Ulna WO IV Cont | $302.40 | $864.00 | $114.63–$794.88 | 71% below | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Shoulder WO IV Contrast | $302.40 | $864.00 | $114.63–$794.88 | 71% below | 65% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Hand WO IV Contrast | $302.40 | $864.00 | $114.63–$794.88 | 71% below | 65% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow | $176.75 | $505.00 | $59.71–$464.60 | 60% below | 65% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC Bone Imaging, Whole Body - NM Bone Whole Body | $462.00 | $1,320.00 | $186.92–$1,332.32 | 23% below | 65% |
| Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete - US Breast Complete | $168.70 | $482.00 | $73.19–$665.16 | 5% below | 65% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited - US Breast Limited | $149.10 | $426.00 | $56.20–$587.88 | 18% below | 65% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W Contrast | $415.10 | $1,186.00 | $382.51–$1,091.12 | 49% below | 65% |
| CT angiography (CTA) of the head CPT 70496 HC CT Angio,Head Combo - CT Head Angio W and WO IV Contrast | $545.65 | $1,559.00 | $165.13–$1,434.28 | 13% below | 65% |
| CT angiography (CTA) of the neck CPT 70498 HC CT Angio,Neck Combo - CT Neck Angio W and WO IV Contrast | $545.65 | $1,559.00 | $165.13–$1,434.28 | 29% below | 65% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio, Chest, Combo, Incl Image - CT Chest Angio W and WO IV Cont | $415.10 | $1,186.00 | $165.13–$1,091.12 | 41% below | 65% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angio Hrt W/3d Image - CT Heart Coronary Angiogram | $415.10 | $1,186.00 | $165.13–$1,091.12 | 29% below | 65% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Hrt W/O Dye W/Ca Test - CT Heart Calcium Scoring WO Contrast | $91.00 | $260.00 | $22.24–$239.44 | 1% above | 65% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast | $1,309.35 | $3,741.00 | $142.38–$3,441.72 | 12% below | 65% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast | $1,700.30 | $4,858.00 | $165.13–$4,469.36 | at median | 65% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv 1/> Regns - CT Abdomen Pelvis W WO Contrast | $932.75 | $2,665.00 | $165.13–$2,451.80 | 43% below | 65% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast | $739.90 | $2,114.00 | $165.13–$1,944.88 | 55% below | 65% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast | $277.20 | $792.00 | $104.32–$728.64 | 76% below | 65% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus WO Contrast | $646.80 | $1,848.00 | $114.63–$1,700.16 | 38% below | 65% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast | $493.15 | $1,409.00 | $89.81–$1,296.28 | 55% below | 65% |
| CT scan of the head with contrast CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast | $415.10 | $1,186.00 | $124.33–$1,091.12 | 75% below | 65% |
| CT scan of the head without and with contrast CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast | $425.25 | $1,215.00 | $153.75–$1,117.80 | 64% below | 65% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contrast | $303.80 | $868.00 | $114.63–$798.56 | 75% below | 65% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Contrast | $566.65 | $1,619.00 | $114.63–$1,489.48 | 53% below | 65% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast | $739.90 | $2,114.00 | $165.13–$1,944.88 | 55% below | 65% |
| Chest CT scan without and with contrast CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contrast | $415.10 | $1,186.00 | $165.13–$1,091.12 | 79% below | 65% |
| Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views | $97.30 | $278.00 | $43.14–$255.76 | 42% below | 65% |
| Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Lateral Decubitus | $97.30 | $278.00 | $28.04–$255.76 | 40% below | 65% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle - Xr Clavicle | $89.60 | $256.00 | $25.78–$239.44 | 42% below | 65% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Renal Complete | $277.90 | $794.00 | $36.95–$730.48 | 24% below | 65% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density | $222.95 | $637.00 | $81.90–$586.04 | 46% below | 65% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US Detailed Sngl Fetus - US OB Detail Fetal Anat Sing or 1st Gest | $283.15 | $809.00 | $169.30–$744.28 | 54% below | 65% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast | $666.05 | $1,903.00 | $114.63–$1,750.76 | 45% below | 65% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest Pulmonary Embolism W IV Cont | $739.90 | $2,114.00 | $165.13–$1,944.88 | 33% below | 65% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mg Breast Bilateral Post Biopsy Clip | $243.25 | $695.00 | $110.21–$639.40 | — | 65% |
| Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Additional Views | $224.00 | $640.00 | $86.50–$588.80 | 7% below | 65% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Extrem Venous,Bilat - Venous Reflux Duplex | $221.90 | $634.00 | $0.60–$673.59 | — | 65% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete | $820.75 | $2,345.00 | $0.85–$2,157.40 | 29% below | 65% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete W/ Contrast | $820.75 | $2,345.00 | $0.85–$2,157.40 | 29% below | 65% |
| Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views | $91.00 | $260.00 | $22.60–$239.44 | 43% below | 65% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral | $91.00 | $260.00 | $25.78–$239.44 | — | 65% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Orbits/Sella WO IV Cont | $176.75 | $505.00 | $114.63–$464.60 | 83% below | 65% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views | $171.85 | $491.00 | $36.75–$451.72 | 25% below | 65% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Views Left | $91.00 | $260.00 | $22.95–$239.44 | 41% below | 65% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC Hepatobiliary Syst Imaging Including Gallbladder - NM Liver Function | $521.85 | $1,491.00 | $156.80–$1,371.72 | 16% below | 65% |
| Hand X-ray, 2 views CPT 73120 HC X-Ray Hand 2 Vw - Xr Hand 1-2 Views | $171.85 | $491.00 | $24.72–$451.72 | 21% below | 65% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views | $91.00 | $260.00 | $22.24–$239.44 | 41% below | 65% |
| Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 View - Xr Knee 3 Views | $89.60 | $256.00 | $29.56–$353.28 | 42% below | 65% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee 4+ View - Xr Knee 4+ Views | $189.70 | $542.00 | $32.25–$747.96 | at median | 65% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Tibia Fibula WO IV Cont | $261.10 | $746.00 | $114.63–$686.32 | 75% below | 65% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Hip WO IV Contrast | $261.10 | $746.00 | $114.63–$686.32 | 75% below | 65% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Knee WO IV Contrast | $261.10 | $746.00 | $114.63–$686.32 | 75% below | 65% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Ankle WO IV Contrast | $261.10 | $746.00 | $114.63–$686.32 | 75% below | 65% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Foot WO IV Contrast | $261.10 | $746.00 | $114.63–$686.32 | 75% below | 65% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Scan,Lower Extremity,W/O Contrast - CT Femur WO IV Contrast | $261.10 | $746.00 | $114.63–$686.32 | 75% below | 65% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited | $183.05 | $523.00 | $20.99–$481.16 | 43% below | 65% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Lmtd Jt/Nonvasc Xtr Strux - US Knee Limited | $252.35 | $721.00 | $9.86–$663.32 | at median | 65% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Lung Cancer Scr C- | $626.15 | $1,789.00 | $114.63–$1,645.88 | 68% above | 65% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views | $89.60 | $256.00 | $25.43–$353.28 | 43% below | 65% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angio, Head - MR Head Angio WO IV Contrast | $777.00 | $2,220.00 | $261.61–$2,042.40 | 60% below | 65% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI Breast W/O&W Con W/Cad Bi | $1,299.90 | $3,714.00 | $292.33–$3,416.88 | — | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MRI WO Cont | $567.00 | $1,620.00 | $205.15–$1,490.40 | 57% below | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MRI Ankle WO Cont | $567.00 | $1,620.00 | $205.15–$1,490.40 | 57% below | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint WO IV Cont | $567.00 | $1,620.00 | $205.15–$1,490.40 | 57% below | 65% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint W IV Cont | $567.00 | $1,620.00 | $205.15–$1,490.40 | 57% below | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, Joint of Leg. Combo - MR Hip W and WO IV Contrast | $1,257.90 | $3,594.00 | $382.51–$3,306.48 | 61% below | 65% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, Joint of Leg. Combo - MR Knee W and WO IV Contrast | $1,257.90 | $3,594.00 | $382.51–$3,306.48 | 61% below | 65% |
| MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast Mrcp | $373.10 | $1,066.00 | $261.61–$980.72 | 83% below | 65% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast | $1,775.90 | $5,074.00 | $382.51–$4,668.08 | 45% below | 65% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MR Pituitary WO IV Contrast | $1,184.05 | $3,383.00 | $188.66–$3,112.36 | 29% below | 65% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast | $1,554.00 | $4,440.00 | $307.14–$4,084.80 | 35% below | 65% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast | $675.50 | $1,930.00 | $185.92–$1,775.60 | 70% below | 65% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast | $761.95 | $2,177.00 | $305.58–$2,002.84 | 77% below | 65% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast | $638.75 | $1,825.00 | $185.92–$1,679.00 | 72% below | 65% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast | $1,278.20 | $3,652.00 | $307.53–$3,359.84 | 61% below | 65% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast | $675.50 | $1,930.00 | $185.92–$1,775.60 | 51% below | 65% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast | $1,516.90 | $4,334.00 | $382.51–$3,987.28 | 51% below | 65% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast | $789.95 | $2,257.00 | $261.61–$2,076.44 | 58% below | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Shoulder WO IV Contrast | $567.00 | $1,620.00 | $204.76–$1,490.40 | 73% below | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist WO IV Contrast | $567.00 | $1,620.00 | $204.76–$1,490.40 | 73% below | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Elbow WO IV Contrast | $567.00 | $1,620.00 | $204.76–$1,490.40 | 73% below | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Brachial Plexus WO IV Contrast | $567.00 | $1,620.00 | $204.76–$1,490.40 | 73% below | 65% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Anyjt Upper Extremity W/O Contrast Matrl | $567.00 | $1,620.00 | $204.76–$1,490.40 | 73% below | 65% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical Spine Comp 4-5 Views | $176.75 | $505.00 | $42.76–$464.60 | 26% below | 65% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast | $418.95 | $1,197.00 | $165.13–$1,101.24 | 75% below | 65% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Scan,Soft Tissue Neck,W/O Contrast - CT Soft Tissue Neck WO Cont | $176.75 | $505.00 | $114.63–$464.60 | 83% below | 65% |
| Neck soft tissue X-ray CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue Lateral | $93.80 | $268.00 | $21.18–$246.56 | 56% below | 65% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Ht Muscle Image Spect Mult - NM Heart Perfusion Spect Stress & Rest | $1,674.40 | $4,784.00 | $538.41–$4,555.76 | 35% below | 65% |
| Pelvic CT scan without contrast CPT 72192 HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast | $299.25 | $855.00 | $106.67–$786.60 | 76% below | 65% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited | $257.60 | $736.00 | $81.18–$677.12 | 17% below | 65% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis | $236.25 | $675.00 | $42.29–$621.00 | 60% below | 65% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First Gest | $277.90 | $794.00 | $60.77–$730.48 | 43% below | 65% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 Wks Single Fetus - US OB < 14 Weeks Single or First Gest | $277.90 | $794.00 | $49.97–$730.48 | 24% below | 65% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses | $176.75 | $505.00 | $14.60–$464.60 | 55% below | 65% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views | $93.80 | $268.00 | $20.85–$246.56 | 39% below | 65% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws W/ Chest Anteroposterior | $176.75 | $505.00 | $25.28–$464.60 | 24% below | 65% |
| Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening | $183.40 | $524.00 | $91.17–$482.08 | — | 65% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views | $179.20 | $512.00 | $27.20–$706.56 | 9% below | 65% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views | $94.15 | $269.00 | $28.96–$285.27 | 40% below | 65% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw - Xr Skull 1-3 Views | $176.75 | $505.00 | $28.96–$464.60 | 19% below | 65% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech | $176.75 | $505.00 | $66.41–$464.60 | 60% below | 65% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw Bilat | $89.60 | $256.00 | $28.61–$244.83 | — | 65% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Scan,Thoracic Spine,W/O Contrast - CT Thoracic Spine WO Contrast | $180.25 | $515.00 | $114.63–$473.80 | 85% below | 65% |
| Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toe(S) - Xr Toes 2+ Views | $91.00 | $260.00 | $21.66–$239.44 | 41% below | 65% |
| Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal | $236.25 | $675.00 | $60.77–$621.00 | 47% below | 65% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal | $302.05 | $863.00 | $60.81–$793.96 | 20% below | 65% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete | $277.90 | $794.00 | $29.27–$730.48 | 24% below | 65% |
| Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents - US Scrotum | $176.75 | $505.00 | $48.90–$464.60 | 43% below | 65% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, Head/Neck Tissues,Real Time - US Head Neck Soft Tissue | $229.60 | $656.00 | $57.65–$603.52 | 30% below | 65% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Pbb Radex GI Tract Upper W/WO Delayed Images W/O Kub | $176.75 | $505.00 | $73.70–$494.57 | 64% below | 65% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus - Xr Humerus | $91.00 | $260.00 | $25.78–$239.44 | 41% below | 65% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous,Uni or Ltd | $185.50 | $530.00 | $0.60–$487.60 | 54% below | 65% |
| Wrist X-ray, 2 views both sides CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views Bilateral | $91.00 | $260.00 | $25.55–$239.44 | — | 65% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Pbb X-Ray Wrist 3+ Vw | $89.60 | $256.00 | $28.15–$239.44 | 42% below | 65% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Pbb Radex Hip Unilateral With Pelvis 2-3 Views | $93.80 | $268.00 | $38.52–$246.56 | 40% below | 65% |
| X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View | $97.30 | $278.00 | $22.60–$255.76 | 39% below | 65% |
| X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views | $91.00 | $260.00 | $25.55–$239.44 | 41% below | 65% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Pbb X-Ray Exam of Finger(S) | $89.60 | $256.00 | $21.66–$239.44 | 44% below | 65% |
| X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views | $89.60 | $256.00 | $22.24–$239.44 | 42% below | 65% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Vw - Xr Foot 3+ Views | $89.60 | $256.00 | $27.91–$353.28 | 42% below | 65% |
| X-ray of the hand, 3 or more views CPT 73130 HC Pbb X-Ray Hand 3+ Vw | $89.60 | $256.00 | $28.15–$353.28 | 42% below | 65% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views | $89.60 | $256.00 | $26.97–$353.28 | 42% below | 65% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views | $176.75 | $505.00 | $31.09–$464.60 | 22% below | 65% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views | $176.75 | $505.00 | $41.35–$464.60 | 41% below | 65% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views | $176.75 | $505.00 | $24.72–$464.60 | 32% below | 65% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones - Xr Nasal Bones | $93.80 | $268.00 | $26.88–$246.56 | 39% below | 65% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Radex Spine Cervical 2 or 3 Views - Xr Cervical Spine 2-3 Views | $93.80 | $268.00 | $30.62–$246.56 | 42% below | 65% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views | $176.75 | $505.00 | $20.83–$464.60 | 19% below | 65% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views | $93.80 | $268.00 | $25.78–$246.56 | 39% below | 65% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Rhode Island | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Assay of Acth - Acth | $89.60 | $256.00 | $11.51–$259.99 | 71% below | 65% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) | $13.30 | $38.00 | $2.44–$35.67 | 58% below | 65% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $13.30 | $38.00 | $2.38–$34.96 | 61% below | 65% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge | $122.50 | $350.00 | $11.51–$322.00 | 64% below | 65% |
| Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin | $12.60 | $36.00 | $2.12–$33.32 | 46% below | 65% |
| Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone,24hr Urine | $94.50 | $270.00 | $11.51–$274.32 | 71% below | 65% |
| Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone | $94.50 | $270.00 | $11.51–$274.32 | 71% below | 65% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase | $12.60 | $36.00 | $2.38–$34.85 | 62% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Ragweed, False Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Clams Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Food: Milk, Boiled Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Aspergillus Fumagatus Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Allspice Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Alfalfa Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cat Hair/Dander,Stan | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Dog Dander | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Egg White Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Peanut Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Walnut Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Shrimp Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - CK Isoenzymes | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Wheat Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Soybean Ige | $15.40 | $44.00 | $2.40–$40.48 | 67% below | 65% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker | $38.85 | $111.00 | $7.71–$112.91 | 71% below | 65% |
| Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia | $33.95 | $97.00 | $6.70–$98.10 | 71% below | 65% |
| Amylase blood test CPT 82150 HC Assay of Amylase - Amylase | $19.25 | $55.00 | $2.98–$50.60 | 73% below | 65% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy | $33.25 | $95.00 | $5.96–$87.40 | 71% below | 65% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies) | $29.75 | $85.00 | $5.56–$81.37 | 69% below | 65% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) | $91.00 | $260.00 | $11.51–$239.20 | 55% below | 65% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Bacterial Culture-Othr Src | $19.95 | $57.00 | $3.97–$58.01 | 71% below | 65% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge | $34.65 | $99.00 | $3.89–$91.08 | at median | 65% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Body Fluid | $13.65 | $39.00 | $2.31–$35.88 | 56% below | 65% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV | $111.30 | $318.00 | $11.51–$323.00 | at median | 65% |
| Blood culture for bacteria CPT 87040 HC Aerob Bacterial Blood Culture | $25.20 | $72.00 | $4.75–$73.38 | 70% below | 65% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge | $8.40 | $24.00 | $0.01–$1,566.17 | 37% below | 65% |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting | $12.60 | $36.00 | $1.81–$33.12 | 53% below | 65% |
| Blood lead test CPT 83655 HC Assay of Lead - Lead 24hr Urine | $28.00 | $80.00 | $3.06–$81.51 | 49% below | 65% |
| Blood lead test CPT 83655 HC Assay of Lead - Lead Blood | $28.00 | $80.00 | $3.06–$81.51 | 49% below | 65% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin, Qual - Hcg Qualitative Urine | $27.65 | $79.00 | $3.46–$72.68 | 40% below | 65% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Screen | $38.85 | $111.00 | $1.38–$106.86 | 74% below | 65% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan - Urea Nitrogen, Body Fluid | $17.15 | $49.00 | $1.82–$45.08 | 28% below | 65% |
| C-peptide blood test CPT 84681 HC Assay of C-Peptide - C-Peptide | $48.30 | $138.00 | $9.57–$140.11 | 71% below | 65% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein | $37.10 | $106.00 | $2.38–$97.52 | 11% below | 65% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe | $81.55 | $233.00 | $11.51–$236.24 | 22% below | 65% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 | $48.30 | $138.00 | $9.57–$140.11 | 71% below | 65% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125 | $48.30 | $138.00 | $9.57–$140.11 | 71% below | 65% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq - Sars-Cov-2 Rt Pcr | $86.80 | $248.00 | $11.51–$251.79 | 42% below | 65% |
| Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - POCT Calcium, Total | $12.95 | $37.00 | $2.37–$34.74 | 63% below | 65% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) | $48.30 | $138.00 | $8.72–$127.64 | 68% below | 65% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igm | $34.65 | $99.00 | $5.92–$91.08 | 70% below | 65% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr | $81.55 | $233.00 | $11.51–$236.24 | 18% below | 65% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge | $37.45 | $107.00 | $6.16–$98.44 | 66% below | 65% |
| Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge | $27.30 | $78.00 | $3.57–$71.76 | 31% below | 65% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc | $16.10 | $46.00 | $2.98–$43.53 | 66% below | 65% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge | $43.40 | $124.00 | $4.86–$114.08 | at median | 65% |
| Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol | $41.65 | $119.00 | $7.50–$109.73 | 71% below | 65% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) - CK | $15.05 | $43.00 | $2.99–$43.82 | 67% below | 65% |
| Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Fluid | $12.95 | $37.00 | $2.36–$34.70 | 66% below | 65% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody - Cmv Igg | $33.25 | $95.00 | $6.62–$96.87 | 71% below | 65% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative | $40.25 | $115.00 | $4.68–$105.80 | 51% below | 65% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate | $51.45 | $147.00 | $10.23–$149.67 | 71% below | 65% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel 1, Serum | $135.10 | $386.00 | $11.51–$391.65 | 80% above | 65% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel - Bundled Charge | $27.65 | $79.00 | $3.22–$72.68 | at median | 65% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igm | $42.00 | $120.00 | $8.34–$122.15 | 63% below | 65% |
| Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol | $74.90 | $214.00 | $11.51–$208.40 | 67% below | 65% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh | $43.05 | $123.00 | $8.55–$125.08 | 71% below | 65% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin Fecal | $45.50 | $130.00 | $9.03–$132.16 | 56% below | 65% |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin | $31.50 | $90.00 | $6.27–$91.77 | 66% below | 65% |
| Fibrinogen blood test CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative | $19.60 | $56.00 | $4.47–$57.17 | 66% below | 65% |
| Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate | $33.95 | $97.00 | $6.54–$98.97 | 59% below | 65% |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free | $60.55 | $173.00 | $3.41–$159.16 | 17% below | 65% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free | $30.80 | $88.00 | $4.15–$80.96 | 57% below | 65% |
| Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free | $85.05 | $243.00 | $11.51–$223.56 | 58% below | 65% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - Gamma Gt | $16.80 | $48.00 | $3.31–$48.48 | 71% below | 65% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel - Bundled Charge | $39.55 | $113.00 | $11.51–$230.69 | at median | 65% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Gtt 1 Hour | $13.65 | $39.00 | $2.19–$35.88 | 68% below | 65% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour | $29.75 | $85.00 | $5.92–$86.66 | 75% below | 65% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr | $81.55 | $233.00 | $11.51–$236.24 | 18% below | 65% |
| H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori - Helicobacter Pylori Iga | $33.60 | $96.00 | $7.75–$97.65 | 58% below | 65% |
| H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $45.50 | $130.00 | $6.61–$119.60 | 54% below | 65% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr | $197.40 | $564.00 | $11.51–$572.83 | 41% below | 65% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen | $33.25 | $95.00 | $6.31–$92.25 | 55% below | 65% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Lab-Hiv Ag/Ab | $56.00 | $160.00 | $11.08–$162.09 | 26% below | 65% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv Dna Probe, Amp | $81.55 | $233.00 | $11.51–$236.24 | 61% below | 65% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c | $39.20 | $112.00 | $4.47–$103.04 | 37% below | 65% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin | $20.30 | $58.00 | $1.09–$53.36 | 2% below | 65% |
| Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total | $66.50 | $190.00 | $5.54–$174.80 | 37% below | 65% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody | $42.70 | $122.00 | $4.94–$112.24 | 49% below | 65% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen | $41.30 | $118.00 | $4.75–$108.56 | 55% below | 65% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody | $56.70 | $162.00 | $6.56–$149.04 | 43% below | 65% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr | $114.45 | $327.00 | $11.51–$331.69 | 56% below | 65% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody | $31.50 | $90.00 | $6.07–$88.77 | 29% below | 65% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody | $44.80 | $128.00 | $8.90–$130.28 | at median | 65% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $30.10 | $86.00 | $5.96–$87.16 | 71% below | 65% |
| Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine | $69.65 | $199.00 | $8.24–$183.08 | 48% below | 65% |
| Insulin blood test CPT 83525 HC Assay of Insulin,Total - Insulin, Total | $29.05 | $83.00 | $5.26–$76.95 | 68% below | 65% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron | $17.50 | $50.00 | $2.98–$46.00 | 60% below | 65% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity Panel - Sr or Pl | $25.20 | $72.00 | $4.02–$66.24 | 62% below | 65% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge | $34.30 | $98.00 | $3.99–$90.16 | at median | 65% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone | $65.45 | $187.00 | $8.52–$172.04 | 56% below | 65% |
| Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate | $43.75 | $125.00 | $5.32–$115.00 | 48% below | 65% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase | $15.05 | $43.00 | $2.78–$40.64 | 69% below | 65% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase | $18.55 | $53.00 | $3.17–$48.76 | 65% below | 65% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge | $33.60 | $96.00 | $3.76–$88.32 | at median | 65% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies | $39.55 | $113.00 | $7.83–$114.63 | 40% below | 65% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium | $15.40 | $44.00 | $3.08–$45.09 | 71% below | 65% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody, Igm | $41.65 | $119.00 | $5.92–$109.48 | 63% below | 65% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen | $17.15 | $49.00 | $2.38–$45.08 | 63% below | 65% |
| Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igm Antibody | $44.45 | $127.00 | $6.00–$116.84 | 61% below | 65% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Lab-Free Psa | $49.35 | $141.00 | $8.46–$129.72 | 66% below | 65% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa | $49.35 | $141.00 | $8.46–$129.72 | 57% below | 65% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath C/V Auto Fluid Redo - Lab Cytopat,Cer/Vag,Thin Layer,Inter | $61.60 | $176.00 | $11.51–$178.33 | 49% below | 65% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer | $44.10 | $126.00 | $9.32–$136.37 | 63% below | 65% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact | $95.90 | $274.00 | $11.51–$277.85 | 71% below | 65% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Ptt Crrt System | $21.70 | $62.00 | $2.76–$57.04 | 54% below | 65% |
| Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus | $12.95 | $37.00 | $2.18–$34.04 | 67% below | 65% |
| Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium | $13.65 | $39.00 | $2.19–$35.88 | 54% below | 65% |
| Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone | $49.00 | $140.00 | $9.60–$140.45 | 71% below | 65% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin | $51.10 | $146.00 | $8.91–$134.32 | 67% below | 65% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr, Fingerstick | $19.25 | $55.00 | $1.97–$50.60 | 16% below | 65% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Dir Opt Obs - Rapid Drug Screen, Urine | $22.75 | $65.00 | $5.80–$73.41 | 31% below | 65% |
| Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu | $27.65 | $79.00 | $7.34–$80.67 | 58% below | 65% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen | $27.65 | $79.00 | $7.34–$80.67 | at median | 65% |
| Renin blood test CPT 84244 HC Assay of Renin - Renin Direct Assay | $51.10 | $146.00 | $10.12–$148.05 | 71% below | 65% |
| Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D) - Cord Blood Type | $24.15 | $69.00 | $1.38–$63.48 | 62% below | 65% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor | $35.00 | $100.00 | $2.61–$92.00 | 22% below | 65% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody, Igm | $35.00 | $100.00 | $6.62–$96.87 | 70% below | 65% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated | $19.95 | $57.00 | $1.24–$52.44 | at median | 65% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff - Semen Analysis | $32.20 | $92.00 | $5.66–$84.64 | at median | 65% |
| Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium | $12.60 | $36.00 | $2.21–$33.12 | 61% below | 65% |
| Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination | $25.55 | $73.00 | $4.09–$74.03 | 64% below | 65% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occult Bld | $8.75 | $25.00 | $1.99–$23.00 | 69% below | 65% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Lab-Occult Blood Immunoassay | $36.75 | $105.00 | $7.32–$107.08 | 48% below | 65% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - Fta Antibodies, Igg and Igm | $30.80 | $88.00 | $6.09–$89.12 | 71% below | 65% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl | $16.80 | $48.00 | $1.96–$44.16 | 55% below | 65% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone | $59.85 | $171.00 | $11.51–$173.76 | 71% below | 65% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab | $40.60 | $116.00 | $6.69–$110.73 | 68% below | 65% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $38.85 | $111.00 | $7.73–$113.11 | 64% below | 65% |
| Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige - Immunoglobulin Ige | $38.50 | $110.00 | $7.57–$110.80 | 71% below | 65% |
| Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Total | $12.60 | $36.00 | $2.00–$33.12 | 57% below | 65% |
| Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone) | $26.25 | $75.00 | $3.16–$69.00 | 44% below | 65% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) | $33.60 | $96.00 | $6.52–$95.45 | 66% below | 65% |
| Transferrin blood test CPT 84466 HC Assay of Transferrin - Transferrin | $29.75 | $85.00 | $5.87–$85.93 | 71% below | 65% |
| Trichomonas test (NAAT) CPT 87661 HC Trichomonas Vaginalis Amplif | $81.55 | $233.00 | $11.51–$236.24 | at median | 65% |
| Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Triglycerides | $13.30 | $38.00 | $2.64–$38.67 | 64% below | 65% |
| Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin T | $40.95 | $117.00 | $3.93–$107.64 | 40% below | 65% |
| Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid | $12.60 | $36.00 | $2.08–$33.12 | 66% below | 65% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic | $10.85 | $31.00 | $1.46–$28.52 | 57% below | 65% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only | $12.60 | $36.00 | $1.04–$33.12 | 53% below | 65% |
| Urinalysis without microscope exam, manual CPT 81002 HC Pbb Urinalysis Nonauto W/O Scope | $5.95 | $17.00 | $1.57–$17.17 | at median | 65% |
| Urine culture for bacteria, with colony count CPT 87086 HC Bact Culture Urine Quan Count | $18.90 | $54.00 | $3.20–$54.33 | 63% below | 65% |
| Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin 24hr Urine | $29.05 | $83.00 | $2.66–$76.36 | 48% below | 65% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine | $27.65 | $79.00 | $3.87–$72.68 | 14% below | 65% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12 | $35.00 | $100.00 | $6.94–$101.49 | 71% below | 65% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitamin D 25 | $119.00 | $340.00 | $11.51–$312.80 | 18% below | 65% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Assay, Dihydroxyvitamin D W/Fractions, if Performed - Vitamin D 1 | $89.25 | $255.00 | $11.51–$259.15 | 71% below | 65% |
| Zinc blood test CPT 84630 HC Assay of Zinc - Zinc | $26.60 | $76.00 | $5.24–$76.65 | 71% below | 65% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood | $40.95 | $117.00 | $6.92–$107.64 | 69% below | 65% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Rhode Island | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC Chemodervate Facial/Trigem/Cerv Musc Migraine | $201.60 | $576.00 | $247.85–$1,566.17 | at median | 65% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Bx Breast W Device 1st Lesion Stereotactic Guide | $1,038.45 | $2,967.00 | $535.56–$6,431.00 | 44% below | 65% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Closed Rx Dist Fibula Fx | $606.90 | $1,734.00 | $238.61–$1,595.28 | at median | 65% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Cl Tx Metatarsal Fx WO Manip | $173.95 | $497.00 | $115.40–$4,415.00 | 45% below | 65% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext - Cardioversion External | $516.95 | $1,477.00 | $0.85–$1,705.16 | 50% below | 65% |
| Cervical biopsy CPT 57500 HC Biopsy Cervix, 1 or More, or Excision of Lesion | $483.35 | $1,381.00 | $535.56–$4,415.00 | — | 65% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision Procedure | $214.55 | $613.00 | $263.77–$7,386.46 | at median | 65% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Closed Rx Dist Rad/Ulna Fx | $173.95 | $497.00 | $213.86–$1,566.17 | 45% below | 65% |
| Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy | $447.65 | $1,279.00 | $550.35–$6,431.00 | 67% below | 65% |
| Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy | $447.65 | $1,279.00 | $535.56–$6,431.00 | 67% below | 65% |
| Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy | $596.05 | $1,703.00 | $535.56–$6,431.00 | 43% below | 65% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Colposcopy,Cervix W/Adj Vag,W/Loop Bx | $980.35 | $2,801.00 | $870.94–$6,331.75 | 36% below | 65% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposc,Cervix W/Adj Vag,W/Bx & Curretag | $238.70 | $682.00 | $264.12–$4,415.00 | — | 65% |
| Cystoscopy with ureteral stent placement CPT 52332 HC Cystourethroscopy Ins Sten | $1,431.85 | $4,091.00 | $870.94–$8,309.39 | 67% below | 65% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy | $461.30 | $1,318.00 | $535.56–$4,151.00 | 41% below | 65% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation/Curettage,Diagnostic | $1,119.30 | $3,198.00 | $870.94–$6,331.75 | 53% below | 65% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruc Benign/Premal,First Lesion | $191.80 | $548.00 | $48.43–$1,566.17 | at median | 65% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat | $104.65 | $299.00 | $13.80–$1,566.17 | 42% below | 65% |
| Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat | $104.65 | $299.00 | $28.51–$1,566.17 | at median | 65% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy of Uterus Lining | $262.50 | $750.00 | $115.40–$4,415.00 | at median | 65% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Injection Eye Drug | $261.45 | $747.00 | $264.12–$4,415.00 | at median | 65% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd - Endoscopy Sigmoid | $391.65 | $1,119.00 | $481.51–$6,212.00 | 62% below | 65% |
| Hammertoe correction surgery CPT 28285 HC Repair of Hammertoe | $2,429.00 | $6,940.00 | $870.94–$6,894.99 | 20% below | 65% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC Ligation of Hemorrhoid(S) | $560.70 | $1,602.00 | $535.56–$4,415.00 | 70% below | 65% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy,W/Endo Bx | $1,146.60 | $3,276.00 | $870.94–$7,322.12 | 52% below | 65% |
| IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device | $102.55 | $293.00 | $54.25–$4,415.00 | 34% below | 65% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D Abcess, Simple/Single | $220.15 | $629.00 | $115.40–$4,415.00 | 15% below | 65% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US | $779.45 | $2,227.00 | $115.40–$4,415.00 | at median | 65% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insert Implant Contracp Capsu | $373.10 | $1,066.00 | $54.50–$4,415.00 | at median | 65% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US | $1,558.90 | $4,454.00 | $115.40–$4,415.00 | 272% above | 65% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US | $1,558.90 | $4,454.00 | $326.02–$4,097.68 | 69% above | 65% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm | $667.10 | $1,906.00 | $445.72–$1,753.52 | at median | 65% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Level 1 | $540.40 | $1,544.00 | $535.56–$6,212.00 | 45% below | 65% |
| Lumpectomy (partial mastectomy) CPT 19301 HC Mastectomy Partial | $2,860.20 | $8,172.00 | $870.94–$8,108.77 | 21% below | 65% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC Surg Tx Missed Abrt 1st Trmstr | $932.40 | $2,664.00 | $870.94–$6,331.75 | 59% below | 65% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Tr-Ext B9+Marg 0.5 Cm< | $452.90 | $1,294.00 | $556.81–$2,192.00 | 27% below | 65% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Face-Mm B9+Marg 0.5cm/< | $460.25 | $1,315.00 | $565.84–$2,192.00 | 42% below | 65% |
| Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate | $220.15 | $629.00 | $46.81–$4,415.00 | 1% below | 65% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inject Nerv Blck,Great Occiptl | $388.85 | $1,111.00 | $336.55–$1,566.17 | 6% above | 65% |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance | $1,714.65 | $4,899.00 | $535.56–$6,431.00 | 8% below | 65% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $425.95 | $1,217.00 | $445.72–$1,566.17 | 6% below | 65% |
| Removal of a breast lump, open surgery CPT 19120 HC Excise Breast Cyst | $1,156.40 | $3,304.00 | $1,652.00–$8,108.77 | 54% below | 65% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple | $421.05 | $1,203.00 | $374.28–$1,566.17 | 14% below | 65% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Pbb Colon Ca Scrn Not Hi Rsk Ind | $791.00 | $2,260.00 | $535.56–$6,212.00 | 20% below | 65% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC Colorectal Scrn; Hi Risk Ind | $758.10 | $2,166.00 | $535.56–$6,212.00 | 27% below | 65% |
| Short arm cast (elbow to hand) CPT 29075 HC Apply Forearm Cast | $185.50 | $530.00 | $228.06–$1,566.17 | 41% below | 65% |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint,Static | $170.45 | $487.00 | $35.71–$1,566.17 | 3% below | 65% |
| Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast | $185.50 | $530.00 | $228.06–$1,566.17 | 41% below | 65% |
| Short leg splint (calf to foot) CPT 29515 HC Applicatn Lower Leg Splint | $222.60 | $636.00 | $168.78–$1,566.17 | at median | 65% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Resuperf Wnd Body <2.5cm | $220.15 | $629.00 | $39.16–$1,566.17 | 20% below | 65% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Lesion | $159.25 | $455.00 | $173.15–$1,566.17 | 35% below | 65% |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags Up to 15 | $65.45 | $187.00 | $67.70–$4,415.00 | 71% below | 65% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic | $1,091.65 | $3,119.00 | $520.84–$2,869.48 | at median | 65% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Resup Npterf Wnd Body 2.6-7.5 Cm | $220.15 | $629.00 | $51.11–$1,566.17 | 10% below | 65% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Resuperf Wnd Face <2.5 Cm | $431.55 | $1,233.00 | $47.93–$1,566.17 | at median | 65% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangntl Bx Skin Single Les | $266.35 | $761.00 | $315.02–$1,566.17 | 11% below | 65% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging | $1,714.65 | $4,899.00 | $535.56–$6,212.00 | at median | 65% |
| Trigger finger release surgery CPT 26055 HC Incise Finger Tendon Sheath | $1,373.05 | $3,923.00 | $870.94–$5,160.30 | at median | 65% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Point 1/2 Muscl | $194.25 | $555.00 | $115.40–$4,415.00 | at median | 65% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide | $1,038.45 | $2,967.00 | $535.56–$6,431.00 | 58% below | 65% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam - Egd | $1,428.00 | $4,080.00 | $535.56–$6,431.00 | 33% below | 65% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple - Egd | $298.55 | $853.00 | $367.05–$6,431.00 | 71% below | 65% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection - Egd | $335.65 | $959.00 | $412.66–$6,431.00 | 67% below | 65% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd | $1,198.40 | $3,424.00 | $1,076.69–$6,431.00 | 44% below | 65% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd Insert Guide Wire Dilator Passage Esophagus - Egd | $335.65 | $959.00 | $412.66–$6,431.00 | 67% below | 65% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic - Egd | $335.65 | $959.00 | $412.66–$6,431.00 | 67% below | 65% |
| Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14 | $174.30 | $498.00 | $59.45–$4,415.00 | 22% below | 65% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm | $606.90 | $1,734.00 | $115.40–$4,151.00 | at median | 65% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Rhode Island | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service | $726.60 | $2,076.00 | $298.71–$4,415.00 | 16% below | 65% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment | $79.45 | $227.00 | $0.85–$408.17 | 57% below | 65% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemother, IV Infusion, 1 Hr | $521.50 | $1,490.00 | $0.85–$2,301.00 | at median | 65% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Hearing Test | $237.30 | $678.00 | $0.85–$623.76 | at median | 65% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care, E/M 30-74 Minutes | $1,746.15 | $4,989.00 | $365.78–$4,923.46 | at median | 65% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing - Ecg 12-Lead | $99.05 | $283.00 | $0.85–$330.00 | 37% below | 65% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC Emergency Department Level 1 Visit Limited/Minor Prob | $144.90 | $414.00 | $28.14–$575.00 | 54% below | 65% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity | $414.05 | $1,183.00 | $55.32–$1,210.00 | 17% below | 65% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Visit Level 3 | $517.30 | $1,478.00 | $82.50–$1,513.00 | 29% below | 65% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Visit Level 4 | $875.70 | $2,502.00 | $157.38–$2,301.84 | 12% below | 65% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Visit Level 5 | $1,060.15 | $3,029.00 | $231.30–$3,167.22 | 14% below | 65% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing - Stress Test Only, Exercise | $154.35 | $441.00 | $0.85–$769.70 | 62% below | 65% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W Phys | $176.05 | $503.00 | $38.03–$558.11 | 11% below | 65% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy,No Pt | $176.05 | $503.00 | $38.03–$558.11 | 6% below | 65% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy | $84.00 | $240.00 | $19.24–$264.06 | 1% below | 65% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min | $172.55 | $493.00 | $93.90–$453.56 | 39% below | 65% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour | $173.95 | $497.00 | $142.59–$528.17 | 38% below | 65% |
| IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug | $123.90 | $354.00 | $49.19–$396.47 | 42% below | 65% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut | $99.40 | $284.00 | $12.49–$261.28 | at median | 65% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation | $151.20 | $432.00 | $0.85–$706.00 | 24% below | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $47.95 | $137.00 | $0.85–$316.00 | at median | 65% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $47.95 | $137.00 | $0.85–$316.00 | at median | 65% |
| New patient office visit, about 30 minutes CPT 99203 HC Office Outpatient New 30 Minutes | $128.10 | $366.00 | $28.62–$336.72 | 43% below | 65% |
| New patient office visit, about 45 minutes CPT 99204 HC Office Outpatient New 45 Minutes | $155.40 | $444.00 | $28.62–$408.48 | 51% below | 65% |
| New patient office visit, about 60 minutes CPT 99205 HC Office Outpatient New 60 Minutes | $175.35 | $501.00 | $28.62–$460.92 | 61% below | 65% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC Office Outpatient New 20 Minutes | $100.45 | $287.00 | $28.62–$264.04 | 50% below | 65% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutr Ther, 1st, Indiv, Ea 15 Min | $50.75 | $145.00 | $30.07–$598.00 | at median | 65% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Occupational Therapy Eval Low Complex 30 Mins | $84.35 | $241.00 | $0.85–$316.00 | 10% below | 65% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Physical Therapy Evaluation High Complex 45 Mins | $139.65 | $399.00 | $0.85–$367.08 | at median | 65% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Physical Therapy Evaluation Low Complex 20 Mins | $106.05 | $303.00 | $0.85–$316.00 | at median | 65% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Physical Therapy Evaluation Mod Complex 30 Mins | $106.05 | $303.00 | $0.85–$316.00 | at median | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Ther Tech,1+Regions,Ea 15 Min | $53.90 | $154.00 | $0.85–$316.00 | at median | 65% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Ther Tech,1+Regions,Ea 15 Min | $53.90 | $154.00 | $0.85–$316.00 | at median | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercises | $52.15 | $149.00 | $0.85–$316.00 | at median | 65% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises | $52.15 | $149.00 | $0.85–$316.00 | at median | 65% |
| Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services | $183.75 | $525.00 | $0.85–$706.00 | 36% below | 65% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st | $225.75 | $645.00 | $0.85–$706.00 | at median | 65% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy Patient &/ Family 30 Minutes | $114.45 | $327.00 | $27.03–$360.69 | 20% below | 65% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy Patient &/ Family 45 Minutes | $151.20 | $432.00 | $34.25–$479.54 | 11% below | 65% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy Patient &/ Family 60 Minutes | $151.20 | $432.00 | $34.25–$479.54 | 13% below | 65% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes | $31.15 | $89.00 | $12.67–$598.00 | 41% below | 65% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC Office Outpatient Visit 40 Minutes | $146.30 | $418.00 | $28.62–$384.56 | 64% below | 65% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 15 Minutes | $91.35 | $261.00 | $28.62–$240.12 | 59% below | 65% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 25 Minutes | $119.00 | $340.00 | $28.62–$312.80 | 60% below | 65% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Minutes | $94.85 | $271.00 | $28.62–$249.32 | 53% below | 65% |
| Speech and language evaluation CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension | $168.00 | $480.00 | $0.85–$441.60 | 16% below | 65% |
| Speech therapy session, individual CPT 92507 HC Slp Speech/Hearing Therapy, Individual | $96.95 | $277.00 | $0.85–$316.00 | at median | 65% |
| Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Breathing Capacity Test | $148.40 | $424.00 | $0.85–$402.47 | 38% below | 65% |
| Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Spirometry Without Bronchodilator | $148.40 | $424.00 | $0.85–$402.47 | 38% below | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $54.25 | $155.00 | $0.85–$316.00 | at median | 65% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $54.25 | $155.00 | $0.85–$316.00 | at median | 65% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy | $102.20 | $292.00 | $0.60–$268.64 | 31% below | 65% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Rhode Island | Off list |
|---|---|---|---|---|---|
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES,MUMPS,RUBEL,VARICEL LIV(PF)10E3-4.3-3-3.99TCID50/0.5 ML SUBCUT | $272.55 | $778.71 | $0.45–$716.41 | at median | 65% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $41.49 | $118.54 | $0.45–$109.06 | 61% below | 65% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $409.98 | $1,171.37 | $0.45–$1,129.47 | 44% below | 65% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $429.69 | $1,227.68 | $0.45–$1,129.47 | 41% below | 65% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid | $99.40 | $284.00 | $17.90–$261.28 | 31% below | 65% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl | $38.85 | $111.00 | $12.80–$117.58 | 63% below | 65% |
Source file: https://www.carenewengland.org/hubfs/050258937_Women-and-Infants-Hospital_standardcharges.csv?hsLang=en