SelfPayRates
Hospital

Schuyler Hospital

Schuyler Hospital in Montour Falls, NY publishes cash prices for 346 common procedures listed here, from its own machine-readable price file updated Mar 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 189 of 344 procedures and below it for 153. By typical cash price it ranks #63 of 115 New York hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

220 Steuben Street, Montour Falls, NY 14865 Collected Oct 22, 2026 Source price file Check a bill from this hospital (607) 530-7121

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 331313 · CMS hospital register NPI 1639150477

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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.

Scans and imaging

ProcedureCash priceList priceInsurers payvs New YorkOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Dye - CT Abdomen W WO Contrast $1,434.51 $2,608.20 $256.54–$550.00 9% above 45%
Abdominal X-ray, 2 views CPT 74019 HC Radiologic Exam Abdomen 2 Views - Xr Abdomen 2 Vw Poster W De $296.26 $538.65 $269.33–$517.10 15% above 45%
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle 3+ Vw - Xr Ankle 3+ Views $162.28 $295.05 $147.53–$283.25 20% below 45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Vasc Non-Invas Physiologic Std Extremity Art 1-2 Level $171.52 $311.85 $155.93–$299.38 46% below 45%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Scan Upper Extremity W/O Dye - CT Upper Ext WO IV Contrast $613.88 $1,116.15 $141.40–$550.00 18% below 45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Esophagram - Fl Esophagus Barium Swallow $294.53 $535.50 $267.75–$514.08 14% below 45%
Breast ultrasound, complete, one breast CPT 76641 HC Ultrasound Breast Complete - US Breast Complete $345.92 $628.95 $314.48–$603.79 7% above 45%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC Ultrasound Breast Limited - US Breast Limited $267.96 $487.20 $243.60–$467.71 6% above 45%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angio Abd&Pelv W/O&W/Dye - CT Angiogram Abdomen Pelvis W C $2,417.42 $4,395.30 $179.25–$550.00 38% above 45%
CT angiography (CTA) of the head CPT 70496 HC CT Angio,Head Combo - CT Head Angio W and WO IV Contrast $1,387.16 $2,522.10 $219.17–$550.00 12% above 45%
CT angiography (CTA) of the neck CPT 70498 HC CT Angio,Neck Combo - CT Neck Angio W and WO IV Contrast $1,387.16 $2,522.10 $256.54–$550.00 11% above 45%
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 $1,313.24 $2,387.70 $141.40–$550.00 1% above 45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast - CT Abdomen Pelvis WO Contrast $1,533.84 $2,788.80 $69.38–$550.00 34% above 45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast $1,950.80 $3,546.90 $109.01–$550.00 24% above 45%
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 $2,328.48 $4,233.60 $138.11–$550.00 12% above 45%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Dye - CT Abdomen W Contrast $1,288.40 $2,342.55 $171.70–$550.00 11% above 45%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Dye - CT Abdomen WO Contrast $997.92 $1,814.40 $141.40–$550.00 21% above 45%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Scan,Maxillofacial W/O Contrast - CT Sinus WO Contrast $993.88 $1,807.05 $121.20–$550.00 25% above 45%
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 $929.78 $1,690.50 $121.20–$550.00 12% above 45%
CT scan of the head with contrast CPT 70460 HC CT Scan Head Contrast - CT Head W Contrast $973.67 $1,770.30 $146.45–$550.00 at median 45%
CT scan of the head without and with contrast CPT 70470 HC CT Scan Head Combo - CT Head W WO Contrast $1,286.09 $2,338.35 $219.17–$550.00 21% above 45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Scan,Lumbar Spine,W/O Contrast - CT Lumbar Spine WO Contra $685.49 $1,246.35 $141.40–$550.00 23% below 45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Scan,Cervical Spine,W/O Contrast - CT Cervical Spine WO Co $613.88 $1,116.15 $141.40–$550.00 34% below 45%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast $1,152.11 $2,094.75 $171.70–$550.00 12% above 45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC Vasc Duplex Scan Extracranial $456.80 $830.55 $415.28–$797.33 30% below 45%
Chest CT scan without and with contrast CPT 71270 HC Cat Scan of Chest Combo - CT Chest W WO Contrast $1,297.64 $2,359.35 $256.54–$550.00 1% below 45%
Chest X-ray, 2 views CPT 71046 HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views $196.93 $358.05 $179.03–$343.73 2% below 45%
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest 1 View $183.65 $333.90 $166.95–$320.54 7% below 45%
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Inspiration Expi $183.65 $333.90 $166.95–$320.54 7% below 45%
Chest X-ray, single view CPT 71045 HC Radiologic Exam Chest Single View - Xr Chest Expiration Only $183.65 $333.90 $166.95–$320.54 7% below 45%
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle - Xr Clavicle $136.29 $247.80 $123.90–$237.89 32% below 45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,Retroperit, B-Scan/Real Time,Complete - US Retroperitoneum $342.46 $622.65 $311.33–$597.74 19% below 45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA Bone Density Axial - Dexa Bone Density $324.56 $590.10 $295.05–$566.50 18% above 45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DXA Bone Density/Peripheral - Dexa Bone Density Extremity $193.46 $351.75 $175.88–$337.68 34% above 45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Scan,Thorax,W/O Contrast - CT Chest WO Contrast $954.61 $1,735.65 $141.40–$550.00 10% above 45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC Cat Scan of Chest Contrast - CT Chest W Contrast $1,187.34 $2,158.80 $171.70–$550.00 9% below 45%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi - Mammo Breast Diagnostic Bilateral $304.34 $553.35 $276.68–$531.22 — 45%
Diagnostic mammogram, one breast CPT 77065 HC Dx Mammo Incl Cad Uni - Mammo Breast Diagnostic $215.41 $391.65 $195.83–$375.98 23% below 45%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC Duplex Lo Extrem Art - Lower Extremity Arterial Duplex $385.77 $701.40 $350.70–$673.34 25% below 45%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC Vasc Duplex Extrem Venous $506.47 $920.85 $460.43–$884.02 33% below 45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete W/ Contrast $975.40 $1,773.45 $886.73–$1,702.51 12% below 45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Tte W/Doppler Complete - Tte Complete $975.40 $1,773.45 $886.73–$1,702.51 12% below 45%
Elbow X-ray, 2 views CPT 73070 HC X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views $132.25 $240.45 $120.23–$230.83 34% below 45%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views Bilateral $160.55 $291.90 $145.95–$280.22 — 45%
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-Ray Elbow 3+ Vw - Xr Elbow 3+ Views $160.55 $291.90 $145.95–$280.22 20% below 45%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O - CT Orbits/Sella WO I $693.58 $1,261.05 $121.20–$550.00 7% below 45%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-Ray Facial Bones 3+ Vw - Xr Facial Bones 3+ Views $237.93 $432.60 $216.30–$415.30 12% below 45%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-Ray Forearm 2 Vw - Xr Forearm 2 Views $160.55 $291.90 $145.95–$280.22 20% below 45%
Hand X-ray, 2 views CPT 73120 HC X-Ray Hand 2 Vw - Xr Hand 1-2 Views $160.55 $291.90 $145.95–$280.22 23% below 45%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Heel - Xr Calcaneus 2 Views $203.28 $369.60 $184.80–$354.82 6% above 45%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unatt&Resp Efft $263.92 $479.85 $239.93–$460.66 33% below 45%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd $2,132.13 $3,876.60 $1,938.30–$3,721.54 at median 45%
Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 View - Xr Knee 3 Views $225.80 $410.55 $205.28–$394.13 10% above 45%
Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee 4+ View - Xr Knee 4+ Views $267.96 $487.20 $243.60–$467.71 3% below 45%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ext Low W/O Con Rt $403.67 $733.95 $141.40–$550.00 46% below 45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, Abdomen Limited - US Abdomen Limited $478.17 $869.40 $434.70–$834.62 26% above 45%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Lmtd Jt/Nonvasc Xtr Strux - US Knee Limited $236.20 $429.45 $214.73–$412.27 12% below 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Lung Cancer Screening - Low Dose $234.47 $426.30 $35.18–$550.00 46% below 45%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tib + Fib, 2vw - Xr Tibia Fibula 2 Views $168.05 $305.55 $152.78–$293.33 17% below 45%
MR angiography (MRA) of the head without contrast CPT 70544 HC MR Angio, Head - MR Head Angio WO IV Contrast $1,703.63 $3,097.50 $397.95–$728.00 35% above 45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Ext Low Jnt W/O Con $712.64 $1,295.70 $397.95–$728.00 41% below 45%
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 $1,107.07 $2,012.85 $505.00–$728.00 45% below 45%
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast $1,720.37 $3,127.95 $397.95–$728.00 57% above 45%
MRI of the abdomen without contrast CPT 74181 HC MRI, Abdomen (MRI) - MRI Abdomen WO Contrast Mrcp $1,720.37 $3,127.95 $397.95–$728.00 57% above 45%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, Abdomen, Combo - MRI Abdomen W WO Contrast $2,131.55 $3,875.55 $505.00–$728.00 27% above 45%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain - MRI Brain WO Contrast $1,696.70 $3,084.90 $397.95–$728.00 46% above 45%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MRI Brain W WO Contrast $2,382.77 $4,332.30 $505.00–$728.00 35% above 45%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain Combo - MR Pituitary W/WO IV Contrast $2,382.77 $4,332.30 $505.00–$728.00 35% above 45%
MRI of the lower back, no contrast dye CPT 72148 HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast $1,746.94 $3,176.25 $397.95–$728.00 34% above 45%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, Lumbar Spine Combo - MRI Lumbar Spine W WO Contrast $2,080.73 $3,783.15 $505.00–$728.00 17% above 45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, Dorsal Spine - MRI Thoracic Spine WO Contrast $1,746.94 $3,176.25 $397.95–$728.00 36% above 45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, Cerv Spine Combo - MRI Cervical Spine W WO Contrast $2,080.73 $3,783.15 $505.00–$728.00 26% above 45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, Cerv Spine - MRI Cervical Spine WO Contrast $1,746.94 $3,176.25 $397.95–$728.00 32% above 45%
MRI of the pelvis without and with contrast CPT 72197 HC MRI, Pelvis, Combo - MRI Pelvis W WO Contrast $1,832.41 $3,331.65 $505.00–$728.00 14% above 45%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI, Pelvis, W/O Contrast - MRI Pelvis WO Contrast $1,704.78 $3,099.60 $397.95–$728.00 59% above 45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, Joint Upper Extrem - MR Wrist WO IV Contrast $712.64 $1,295.70 $397.95–$728.00 45% below 45%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Radex Spine Cervical 4 or 5 Views - Xr Cervical Spine Comp 4- $300.88 $547.05 $273.53–$525.17 6% above 45%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Tissue Contrast - CT Soft Tissue Neck W Contrast $1,163.09 $2,114.70 $171.70–$550.00 15% above 45%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Scan,Soft Tissue Neck,W/O Contrast - CT Soft Tissue Neck W $1,058.56 $1,924.65 $141.40–$550.00 31% above 45%
Neck soft tissue X-ray CPT 70360 HC X-Ray Neck Soft Tissue - Xr Neck Soft Tissue $132.25 $240.45 $120.23–$230.83 34% below 45%
Pelvic CT scan without contrast CPT 72192 HC CT Scan,Pelvis,W/O Contrast - CT Pelvis WO Contrast $919.38 $1,671.60 $141.40–$550.00 10% above 45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC Sono Pelvis Limited - US Pelvis Limited $240.24 $436.80 $218.40–$419.33 20% below 45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC Echo,Pelvic (Nonobstetric) - US Pelvis $373.64 $679.35 $339.68–$652.18 6% below 45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First $403.67 $733.95 $366.98–$704.59 7% above 45%
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 Firs $381.15 $693.00 $346.50–$665.28 8% above 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US,Pregnant Uterus,Limited, 1/> Fetuses $176.72 $321.30 $160.65–$308.45 39% below 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US Limited Fetus(S) - US OB Limited 1+ Fetuses $306.65 $557.55 $278.78–$535.25 6% above 45%
Rib X-ray, one side, 2 views one side CPT 71100 HC X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views $188.84 $343.35 $171.68–$329.62 10% below 45%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xr Ribs Uni & Pa Chest $250.64 $455.70 $227.85–$437.47 4% below 45%
Screening mammogram, both breasts both sides CPT 77067 HC Scr Mammo Bi Incl Cad - Mammo Breast Screening $269.69 $490.35 $245.18–$470.74 — 45%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-Ray Shoulder 2+ Vw - Xr Shoulder 2+ Views $227.54 $413.70 $206.85–$397.15 8% above 45%
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views $215.41 $391.65 $195.83–$375.98 3% above 45%
Skull X-ray, fewer than 4 views CPT 70250 HC X-Ray Skull <4 Vw - Xr Skull 1-3 Views $223.49 $406.35 $203.18–$390.10 3% below 45%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $2,101.52 $3,820.95 $1,910.48–$3,668.11 at median 45%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echo Stress W/O Contrast $1,165.40 $2,118.90 $1,059.45–$2,034.14 1% above 45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & $260.45 $473.55 $236.78–$454.61 28% below 45%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Radiologic Examination Femur Minimum 2 Views - Xr Femur 2+ Vw $195.20 $354.90 $177.45–$340.70 at median 45%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Scan,Thoracic Spine,W/O Contrast - CT Thoracic Spine WO Co $685.49 $1,246.35 $141.40–$550.00 23% below 45%
Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toe(S) - Xr Toes 2+ Views $114.92 $208.95 $104.48–$200.59 32% below 45%
Transvaginal pelvic ultrasound CPT 76830 HC Echography,Transvaginal - US Pelvis Transvaginal $381.73 $694.05 $347.03–$666.29 at median 45%
Transvaginal ultrasound during pregnancy CPT 76817 HC Transvaginal US Obstetric - US OB Transvaginal $291.06 $529.20 $264.60–$508.03 1% below 45%
Ultrasound of the abdomen, complete CPT 76700 HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen $570.57 $1,037.40 $518.70–$995.90 21% above 45%
Ultrasound of the scrotum and testicles CPT 76870 HC Echo,Scrotum & Contents - US Scrotum $344.77 $626.85 $313.43–$601.78 6% below 45%
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 $340.73 $619.50 $309.75–$594.72 7% below 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC X-Ray Upper GI Delay W/O Kub - Fl Upper GI Without Kub $379.42 $689.85 $344.93–$662.26 10% below 45%
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-Ray Humerus - Xr Humerus $167.48 $304.50 $152.25–$292.32 17% below 45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Vasc Duplex Extrem Venous,Uni or Ltd $449.30 $816.90 $408.45–$784.22 23% above 45%
Wrist X-ray, 2 views CPT 73100 HC X-Ray Wrist 2 Vw - Xr Wrist 1-2 Views $129.36 $235.20 $117.60–$225.79 34% below 45%
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-Ray Wrist 3+ Vw - Xr Wrist 3+ Views $170.36 $309.75 $154.88–$297.36 16% below 45%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views - Xr Hip 2 or 3 Vw $285.86 $519.75 $259.88–$498.96 25% above 45%
X-ray of the abdomen, 1 view CPT 74018 HC Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View $195.77 $355.95 $177.98–$341.71 6% below 45%
X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Vw - Xr Ankle 2 Views $135.71 $246.75 $123.38–$236.88 29% below 45%
X-ray of the finger(s), 2 or more views CPT 73140 HC X-Ray Exam of Finger(S) - Xr Fingers 2+ Views $129.36 $235.20 $117.60–$225.79 28% below 45%
X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Vw - Xr Foot 1-2 Views $157.08 $285.60 $142.80–$274.18 20% below 45%
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot 3+ Vw - Xr Foot 3+ Views $191.15 $347.55 $173.78–$333.65 5% below 45%
X-ray of the hand, 3 or more views CPT 73130 HC X-Ray Hand 3+ Vw - Xr Hand 3+ Views $177.87 $323.40 $161.70–$310.46 15% below 45%
X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1 or 2 View - Xr Knee 1-2 Views $173.83 $316.05 $158.03–$303.41 15% below 45%
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 $202.13 $367.50 $183.75–$352.80 27% below 45%
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 $338.99 $616.35 $308.18–$591.70 12% above 45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views $215.41 $391.65 $195.83–$375.98 3% below 45%
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-Ray Nasal Bones - Xr Nasal Bones $166.90 $303.45 $151.73–$291.31 17% below 45%
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 Vie $186.53 $339.15 $169.58–$325.58 12% below 45%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-Ray Pelvis 1/2 Vw - Xr Pelvis 1-2 Views $160.55 $291.90 $145.95–$280.22 29% below 45%
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 $184.22 $334.95 $167.48–$321.55 9% below 45%

Lab tests

ProcedureCash priceList priceInsurers payvs New YorkOff list
ACTH blood test CPT 82024 HC Assay of Acth - Acth $208.48 $379.05 $63.24–$95.66 46% above 45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt) - Alt (Sgpt) $51.40 $93.45 $8.66–$13.12 122% above 45%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) $51.40 $93.45 $8.47–$12.81 114% above 45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute - Bundled Charge $319.36 $580.65 $77.99–$117.99 83% above 45%
Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin $47.93 $87.15 $8.10–$12.25 162% above 45%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone,24hr Urine $165.74 $301.35 $66.72–$100.94 32% above 45%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone - Aldosterone $165.74 $301.35 $66.72–$100.94 32% above 45%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase $42.74 $77.70 $8.47–$12.81 112% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Clams Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cladosporium Herbarum Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cinnamon Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Chicken Feathers Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Chicken, Serum Proteins Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cherry, Bing Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cephalosporium Acre Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Celery Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cashew Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Carrot Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Candida Albicans Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cabbage Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Buckwheat Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Broccoli Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Brazil Nut Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Botrytis Cinerea Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Blueberry Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Bluegrass Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Blackberry Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Birch Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Bermuda Grass Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Beef Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Beech/American Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Bean, Kidney Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Bean, Green Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Gelatin Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Crab Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cow Epithelia/Dander Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cottonwood Tree Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Corn, Cultivated Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Corn Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Codfish Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Coconut Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cockroach, American Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cocklebur Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Barley Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Banana Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Avocado Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Aspergillus Niger Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Aspergillus Fumagatus Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Apricot Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Apple Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Almonds Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Weed: Dandelion Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Tree: Date (Phoenix Canariensis) $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Dockweed, Yellow Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Egg Yolk Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Egg, Whole Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Elm Tree Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Weed: English Plantain Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Epicoccum Purpurascen Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Fescue, Meadow Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Fire Ant (Invicta) Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Garlic Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige - Allergen Cucumber Ige $64.10 $116.55 $8.54–$12.92 301% above 45%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha-Fetoprotein Marker $122.43 $222.60 $27.47–$41.02 98% above 45%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Additional Charge $122.43 $222.60 $27.47–$41.02 98% above 45%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein, Serum - Alpha Fetoprotein, Maternal $122.43 $222.60 $27.47–$41.02 98% above 45%
Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia $80.27 $145.95 $23.86–$36.09 49% above 45%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase,Random $110.30 $200.55 $10.61–$16.05 265% above 45%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase,24 Hour Urine $110.30 $200.55 $10.61–$16.05 265% above 45%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase Body Fluid $110.30 $200.55 $10.61–$16.05 265% above 45%
Amylase blood test CPT 82150 HC Assay of Amylase - Amylase $110.30 $200.55 $10.61–$16.05 265% above 45%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide $49.67 $90.30 $21.19–$32.07 4% above 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies - Ana (Antinuclear Antibodies) $92.40 $168.00 $19.79–$29.94 111% above 45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide - B-Type Natriuretic Peptide (Bnp) $101.64 $184.80 $55.57–$77.66 17% below 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cult Tissue $95.29 $173.25 $14.10–$21.33 200% above 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Body Fluid Culture $95.29 $173.25 $14.10–$21.33 200% above 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Urethral-Vaginal Culture $95.29 $173.25 $14.10–$21.33 200% above 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cult Ear $95.29 $173.25 $14.10–$21.33 200% above 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Cult Sputum $95.29 $173.25 $14.10–$21.33 200% above 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Throat Culture $95.29 $173.25 $14.10–$21.33 200% above 45%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total - Bundled Charge $94.71 $172.20 $13.85–$19.86 63% above 45%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Body Fluid $54.86 $99.75 $8.21–$12.43 144% above 45%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total and Direct $54.86 $99.75 $8.21–$12.43 144% above 45%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total - Bilirubin Total $54.86 $99.75 $8.21–$12.43 144% above 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surg Path,Level IV - Lab Surg Path,Level IV $184.22 $334.95 $167.48–$321.55 20% above 45%
Blood culture for bacteria CPT 87040 HC Culture Bacterial Blood Aerobic W/ID Isolates $95.87 $174.30 $16.91–$25.57 53% above 45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood,Venipuncture - Bundled Charge $15.02 $27.30 $13.65–$26.21 at median 45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Chg Collection Venous Blood,Venipuncture - Draw Charge $15.02 $27.30 $13.65–$26.21 at median 45%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Random $17.90 $32.55 $6.43–$9.72 1% below 45%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Gtt Fasting $17.90 $32.55 $6.43–$9.72 1% below 45%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Fasting $17.90 $32.55 $6.43–$9.72 1% below 45%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - Glucose Timed Urine $17.90 $32.55 $6.43–$9.72 1% below 45%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose - POCT Glucometer $17.90 $32.55 $6.43–$9.72 1% below 45%
Blood lead test CPT 83655 HC Assay of Lead - Lead Blood $69.30 $126.00 $19.82–$29.98 58% above 45%
Blood lead test CPT 83655 HC Assay of Lead - Lead 24hr Urine $69.30 $126.00 $19.82–$29.98 58% above 45%
Blood lead test CPT 83655 HC Assay of Lead - Lead, Capillary Blood $69.30 $126.00 $19.82–$29.98 58% above 45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Chorionic Gonadotropin, Qual - Hcg Qualitative Urine $61.22 $111.30 $12.31–$18.62 91% above 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Abo $151.88 $276.15 $4.88–$7.39 at median 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Screen $151.88 $276.15 $4.88–$7.39 at median 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Crossmatch $151.88 $276.15 $4.88–$7.39 at median 45%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan - Blood Urea Nitrogen $51.98 $94.50 $6.47–$9.77 133% above 45%
C-peptide blood test CPT 84681 HC Assay of C-Peptide - C-Peptide $107.42 $195.30 $34.07–$51.54 25% above 45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein $53.71 $97.65 $8.47–$9.43 103% above 45%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. Difficile Amp. Probe $71.03 $129.15 $57.44–$86.92 44% below 45%
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay, Tumor Antigen, Ca 19-9 - Cancer Antigen 19-9 $71.61 $130.20 $34.07–$51.54 5% below 45%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay, Tumor Antigen, Ca 125 - Ca 125 $125.90 $228.90 $34.07–$51.54 64% above 45%
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 $130.52 $237.30 $118.65–$227.81 33% above 45%
Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - Pth, Intact and Calcium $40.43 $73.50 $8.45–$12.78 59% above 45%
Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - Calcium $40.43 $73.50 $8.45–$12.78 59% above 45%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen - Cea (Carcinoembryonic Antigen) $163.43 $297.15 $31.06–$46.97 102% above 45%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igm $45.05 $81.90 $21.10–$23.06 at median 45%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster - Varicella Zoster Igg $74.71 $135.84 $21.10–$23.06 66% above 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr $128.78 $234.15 $57.44–$86.92 29% above 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel - Bundled Charge $97.60 $177.45 $21.92–$33.16 44% above 45%
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge $86.23 $156.78 $12.73–$19.15 110% above 45%
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Additional Charge $49.09 $89.25 $10.60–$16.03 70% above 45%
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc - Cbc $49.09 $89.25 $10.60–$16.03 70% above 45%
Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive - Bundled Charge $128.78 $234.15 $17.29–$26.15 121% above 45%
Cortisol blood test, total CPT 82533 HC Cortisol Salivary $109.15 $198.45 $26.69–$40.39 123% above 45%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol Am $109.15 $198.45 $26.69–$40.39 123% above 45%
Cortisol blood test, total CPT 82533 HC Total Cortisol - Cortisol $109.15 $198.45 $26.69–$40.39 123% above 45%
Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk) - CK $76.81 $139.65 $10.66–$16.13 208% above 45%
Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Fluid $40.43 $73.50 $8.39–$12.69 64% above 45%
Creatinine blood test CPT 82565 HC Assay of Creatinine - Creatinine Serum $40.43 $73.50 $8.39–$12.69 64% above 45%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody - Cmv Igg $44.47 $80.85 $23.41–$23.57 15% below 45%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - Additional Charge $103.95 $189.00 $16.67–$25.21 177% above 45%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative $103.95 $189.00 $16.67–$25.21 177% above 45%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate $115.50 $210.00 $36.40–$55.07 36% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Ethyl Glucoronide, Urine $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Methadone Screen, Urine $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Cocaine Urine Qual $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Benzodiazepine Urine Qual $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Cannabinoid Screen, Urine $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Phencyclidine (PCP) Screen UR $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel 1, Serum $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Oxycodone Screen Urine $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Opiate Qualitative Urine $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel 3, Serum $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Ethyl Urine $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Amphetamine Qual Urine $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Meconium Drug Screen $206.75 $375.90 $187.95–$845.78 70% above 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Chem Anlyzr - Drug Screen Panel, Emergency $206.75 $375.90 $187.95–$845.78 70% above 45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel - Bundled Charge $90.67 $164.85 $11.48–$15.82 190% above 45%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca Antibody Pan $42.74 $77.70 $24.19–$29.70 6% below 45%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igm $42.74 $77.70 $24.19–$29.70 6% below 45%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca - Epstein-Barr Virus Vca, Igg $42.74 $77.70 $24.19–$29.70 6% below 45%
Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol $169.21 $307.65 $45.74–$69.20 66% above 45%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh $115.50 $210.00 $30.42–$46.03 53% above 45%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin, Fecal $56.60 $102.90 $32.14–$47.70 38% below 45%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin $106.26 $193.20 $22.31–$33.74 75% above 45%
Fibrinogen blood test CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative $66.41 $120.75 $13.90–$21.04 75% above 45%
Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate $109.15 $198.45 $24.07–$33.42 98% above 45%
Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free $185.96 $338.10 $27.73–$41.95 193% above 45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free $134.56 $244.65 $14.76–$22.33 180% above 45%
Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Total Free $115.50 $210.00 $41.69–$63.06 39% above 45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - Gamma Gt $54.86 $99.75 $11.78–$17.84 104% above 45%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel - Bundled Charge $343.61 $624.75 $312.38–$599.76 119% above 45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt 90 Min $28.30 $51.45 $7.78–$10.83 34% above 45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Gtt 1 Hour $28.30 $51.45 $7.78–$10.83 34% above 45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Test - Ltt 1 Hr $28.30 $51.45 $7.78–$10.83 34% above 45%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Bundled Charge $106.84 $194.25 $21.07–$28.59 86% above 45%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) - Gtt 2 Hour $106.84 $194.25 $21.07–$28.59 86% above 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr $128.78 $234.15 $57.44–$86.92 28% above 45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv Rna, Quantitative, Pcr $188.27 $342.30 $139.31–$210.76 20% below 45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr $209.06 $380.10 $139.31–$210.76 11% below 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1/2 Ag&Ab $63.53 $115.50 $39.43–$52.60 12% below 45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv Dna Probe, A $103.95 $189.00 $57.31–$86.92 9% above 45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types - Hpv High Risk Pc $103.95 $189.00 $57.31–$86.92 9% above 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c $42.16 $76.65 $15.89–$24.04 18% above 45%
Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin $16.75 $30.45 $3.88–$5.88 16% above 45%
Hemoglobin blood test CPT 85018 HC Hemoglobin - Hemoglobin and Hematocrit $16.75 $30.45 $3.88–$5.88 16% above 45%
Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total $100.49 $182.70 $19.73–$29.85 130% above 45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test - Hepatitis B Surface Antibody $92.40 $168.00 $17.58–$26.61 133% above 45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Ant $73.34 $133.35 $16.92–$25.59 96% above 45%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody $161.12 $292.95 $23.36–$35.34 203% above 45%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant P $202.13 $367.50 $70.13–$106.09 48% above 45%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Test, Type 1 - Hsv 1 Igg Antibody $54.29 $98.70 $21.60–$23.06 35% above 45%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Test, Type 2 - Hsv 2 Igg Antibody $57.75 $105.00 $31.68–$47.94 at median 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp $71.61 $130.20 $21.19–$32.07 50% above 45%
Homocysteine blood test CPT 83090 HC Assay of Homocystine - Homocysteine $199.82 $363.30 $27.61–$41.77 174% above 45%
Insulin blood test CPT 83525 HC Assay of Insulin,Total - Insulin, Total $35.81 $65.10 $18.71–$28.30 15% below 45%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron,Liver Tissue $51.40 $93.45 $10.60–$16.03 100% above 45%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron - Iron $51.40 $93.45 $10.60–$16.03 100% above 45%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron and Iron Binding Capacity Panel - Sr $75.08 $136.50 $14.32–$21.66 87% above 45%
Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Test - Iron + Transferrin + Tibc $75.08 $136.50 $14.32–$21.66 87% above 45%
Kidney function blood test panel CPT 80069 HC Renal Function Panel - Bundled Charge $112.04 $203.70 $14.22–$21.51 66% above 45%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone $98.75 $179.55 $30.31–$45.86 28% above 45%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactic Acid, Venous, Whole Blood $120.70 $219.45 $17.48–$26.44 199% above 45%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactic Acid, Arterial, Whole Blood $120.70 $219.45 $17.48–$26.44 199% above 45%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid - Lactate $120.70 $219.45 $17.48–$26.44 199% above 45%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase $42.16 $76.65 $9.88–$14.94 89% above 45%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme - Lactate Dehydrogenase Fl $42.16 $76.65 $9.88–$14.94 89% above 45%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase - Lipase $68.72 $124.95 $11.28–$15.89 144% above 45%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel - Bundled Charge $154.77 $281.40 $13.37–$19.86 174% above 45%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - B. Burgdorferi Antibodies $94.13 $171.15 $24.19–$27.89 94% above 45%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody - Lyme Disease (Borrelia Burgdorferi), $120.12 $218.40 $24.19–$27.89 148% above 45%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium 24hr Urine $57.75 $105.00 $10.97–$16.58 134% above 45%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium Urine $57.75 $105.00 $10.97–$16.58 134% above 45%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium RBC $57.75 $105.00 $10.97–$16.58 134% above 45%
Magnesium blood test CPT 83735 HC Assay of Magnesium - Magnesium $57.75 $105.00 $10.97–$16.58 134% above 45%
Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody Igg $28.88 $52.50 $21.10–$23.06 38% below 45%
Measles (rubeola) antibody test CPT 86765 HC Rubeola - Rubeola Antibody, Igm $28.88 $52.50 $21.10–$23.06 38% below 45%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen $54.29 $98.70 $8.47–$12.81 58% above 45%
Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igm Antibody $65.26 $118.65 $21.36–$23.06 54% above 45%
Mumps immunity blood test CPT 86735 HC Mumps - Mumps Igg Antibody $65.26 $118.65 $21.36–$23.06 54% above 45%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free $131.67 $239.40 $30.11–$45.55 98% above 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa Screening $131.67 $239.40 $30.11–$45.55 98% above 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen,Total - Psa $131.67 $239.40 $30.11–$45.55 98% above 45%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopath C/V Auto Fluid Redo - Lab Cytopat,Cer/Vag,Thin Layer $80.27 $145.95 $43.37–$54.45 18% above 45%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone - Pth Intact $115.50 $210.00 $67.57–$102.23 21% below 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Ptt Crrt System $46.20 $84.00 $9.83–$14.87 96% above 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt $46.20 $84.00 $9.83–$14.87 96% above 45%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus Body Fluid $50.24 $91.35 $7.75–$11.74 147% above 45%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Phosphorus $50.24 $91.35 $7.75–$11.74 147% above 45%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus - Additional Charge $50.24 $91.35 $7.75–$11.74 147% above 45%
Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium $49.09 $89.25 $7.52–$11.39 113% above 45%
Progesterone blood test CPT 84144 HC Assay of Progesterone - Progesterone $98.75 $179.55 $34.15–$51.67 15% above 45%
Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin $121.85 $221.55 $31.73–$47.99 69% above 45%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Prothrombin Mixing Study $22.52 $40.95 $6.44–$9.74 45% above 45%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr, Fingerstick $22.52 $40.95 $6.44–$9.74 45% above 45%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Additional Charge $22.52 $40.95 $6.44–$9.74 45% above 45%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time - Protime-Inr $22.52 $40.95 $6.44–$9.74 45% above 45%
Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza - POCT Influenza a/B $80.27 $145.95 $19.63–$28.36 95% above 45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic - Rapid Strep a Screen $27.72 $50.40 $19.63–$28.36 31% below 45%
Renin blood test CPT 84244 HC Assay of Renin - Renin Direct Assay $65.26 $118.65 $36.01–$54.47 20% below 45%
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D) - Cord Blood Type $50.24 $91.35 $4.88–$7.39 9% below 45%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor, Quant - Rheumatoid Factor $38.69 $70.35 $9.29–$14.05 85% above 45%
Rubella antibody test (immunity check) CPT 86762 HC Rubella - Rubella Antibody, Igm $47.93 $87.15 $23.41–$23.57 7% above 45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated $19.64 $35.70 $4.43–$6.70 21% below 45%
Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium $51.98 $94.50 $7.87–$11.92 139% above 45%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination $69.88 $127.05 $14.57–$22.04 113% above 45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult,by Peroxid,Feces,Single, Colorectal Screen - Occ $20.79 $37.80 $5.33–$8.06 46% above 45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Fecal Occult Bld Screen (Ifob) $38.12 $69.30 $26.04–$30.85 22% below 45%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - T. Pallidum Confirmatory $40.43 $73.50 $21.67–$32.80 4% below 45%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum - Fta Antibodies, Igg and Igm $40.43 $73.50 $21.67–$32.80 4% below 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl CSF $40.43 $73.50 $6.98–$7.13 157% above 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Rapid Plasma Rea $40.43 $73.50 $6.98–$7.13 157% above 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual - Vdrl $40.43 $73.50 $6.98–$7.13 157% above 45%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone $167.48 $304.50 $42.26–$63.94 79% above 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Anti-Microsomal Ab $144.38 $262.50 $23.82–$36.04 172% above 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody - Thyroid Peroxidase Antibody $144.38 $262.50 $23.82–$36.04 172% above 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - POCT Thyroid Stimulating Hormone $161.12 $292.95 $27.52–$41.62 120% above 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone $161.12 $292.95 $27.52–$41.62 120% above 45%
Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige - Immunoglobulin Ige $83.74 $152.25 $26.96–$40.79 38% above 45%
Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Fluid $33.50 $60.90 $7.12–$10.77 48% above 45%
Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol - Cholesterol Total $33.50 $60.90 $7.12–$10.77 48% above 45%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone) $63.53 $115.50 $11.24–$17.02 117% above 45%
Total triiodothyronine (T3) blood test CPT 84480 HC Triiodothyronine Total Assay, Tt-3 - T3 (Thyroid Hormone) $100.49 $182.70 $23.21–$35.11 59% above 45%
Transferrin blood test CPT 84466 HC Assay of Transferrin - Transferrin $92.98 $169.05 $20.90–$31.63 97% above 45%
Trichomonas test (NAAT) CPT 87661 HC Trichomonas Amp Rna Probe $105.68 $192.15 $57.44–$86.92 39% above 45%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Triglycerides $31.19 $56.70 $9.41–$14.23 27% above 45%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides - Triglycerides Body Fluid $31.19 $56.70 $9.41–$14.23 27% above 45%
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin I $97.02 $176.40 $16.10–$24.37 124% above 45%
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant - Troponin T $97.02 $176.40 $16.10–$24.37 124% above 45%
Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid $55.44 $100.80 $7.39–$11.10 175% above 45%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic $60.64 $110.25 $5.18–$7.84 87% above 45%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Bundled Charge $60.64 $110.25 $5.18–$7.84 87% above 45%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only $34.65 $63.00 $3.67–$5.57 104% above 45%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope - POCT Urinalysis Dipstick $13.28 $24.15 $4.19–$6.33 28% above 45%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope $34.65 $63.00 $4.19–$6.33 233% above 45%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Bacterial Quanttative Colony Count Urine $103.95 $189.00 $13.21–$20.00 173% above 45%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin Random Urine $49.09 $89.25 $9.47–$14.12 65% above 45%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin 24hr Urine $49.09 $89.25 $9.47–$14.12 65% above 45%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin, Quantitative - Microalbumin / Creatinine Urine $49.09 $89.25 $9.47–$14.12 65% above 45%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine $47.36 $86.10 $10.36–$15.67 64% above 45%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12 $113.19 $205.80 $24.67–$36.38 103% above 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Assay of Vit D,Calcifediol W Fractions, if Performed - Vitami $153.04 $278.25 $48.48–$71.91 43% above 45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Assay, Dihydroxyvitamin D W/Fractions, if Performed - Vitamin $209.63 $381.15 $63.04–$95.35 96% above 45%
Zinc blood test CPT 84630 HC Assay of Zinc - Zinc, Whole Blood $30.61 $55.65 $18.64–$24.44 24% below 45%
Zinc blood test CPT 84630 HC Dexamethasone $30.61 $55.65 $18.64–$24.44 24% below 45%
Zinc blood test CPT 84630 HC Assay of Zinc - Zinc $30.61 $55.65 $18.64–$24.44 24% below 45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin, Quant - Hcg Quantitative Blood $174.98 $318.15 $24.65–$37.29 215% above 45%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs New YorkOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext - Cardioversion External $1,063.76 $1,934.10 $967.05–$1,856.74 3% above 45%
Cervical biopsy CPT 57500 HC Biopsy Cervix, 1 or More, or Excision of Lesion $1,193.69 $2,170.35 $1,085.18–$2,083.54 20% below 45%
Colonoscopy with polyp removal CPT 45385 HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy $2,408.75 $4,379.55 $2,189.78–$4,204.37 26% above 45%
Colonoscopy with tissue sample CPT 45380 HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy $2,417.42 $4,395.30 $2,197.65–$4,219.49 73% above 45%
Colonoscopy, diagnostic CPT 45378 HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy $2,258.60 $4,106.55 $2,053.28–$3,942.29 16% above 45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruc Benign/Premal,First Lesion $173.83 $316.05 $158.03–$303.41 40% below 45%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC Create Eardrum Opening,Local Anesth $691.27 $1,256.85 $628.43–$1,206.58 37% below 45%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat $117.81 $214.20 $107.10–$481.95 3% below 45%
Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat $117.81 $214.20 $107.10–$481.95 9% below 45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy of Uterus Lining $334.37 $607.95 $298.50–$583.63 27% below 45%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HC Nasal/Sinus Ndsc W/Total Ethoidectomy $11,993.11 $21,805.65 $10,902.83–$20,933.42 46% above 45%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn $1,213.33 $2,206.05 $1,103.03–$2,117.81 13% below 45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Lumbar/Sac, 1 $1,346.73 $2,448.60 $1,224.30–$2,350.66 33% below 45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd - Endoscopy $2,076.69 $3,775.80 $1,887.90–$3,624.77 4% above 45%
IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device $419.27 $762.30 $381.15–$731.81 3% above 45%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess Simple $277.20 $504.00 $252.00–$483.84 31% below 45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inject Tendon Sheath/Ligament $493.76 $897.75 $448.88–$861.84 at median 45%
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 $650.27 $1,182.30 $591.15–$1,135.01 29% above 45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Delivery Implant $190.58 $346.50 $173.25–$332.64 32% below 45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US $623.12 $1,132.95 $566.48–$1,087.63 36% above 45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US $492.03 $894.60 $447.30–$858.82 10% above 45%
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 12.6-20 Cm $541.12 $983.85 $483.07–$944.50 8% below 45%
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 $915.34 $1,664.25 $832.13–$1,597.68 55% above 45%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $1,213.33 $2,206.05 $1,103.03–$2,117.81 19% below 45%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Leve $1,278.59 $2,324.70 $1,162.35–$2,231.71 17% below 45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< $113.77 $206.85 $103.43–$198.58 89% below 45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Skin Benig <0.5 Cm Face,Facial $642.18 $1,167.60 $583.80–$1,120.90 39% below 45%
Occipital nerve block (injection for headaches) CPT 64405 HC Inject Nerv Blck,Great Occiptl $1,006.58 $1,830.15 $915.08–$1,756.94 113% above 45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed $727.07 $1,321.95 $660.98–$1,269.07 1% below 45%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral $1,923.08 $3,496.50 $1,748.25–$3,356.64 44% below 45%
Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple $415.80 $756.00 $378.00–$725.76 35% below 45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC Colon Ca Scrn Not Hi Rsk Ind $2,335.99 $4,247.25 $2,123.63–$4,077.36 51% above 45%
Short arm cast (elbow to hand) CPT 29075 HC Apply Forearm Cast $415.80 $756.00 $378.00–$725.76 3% below 45%
Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast $415.80 $756.00 $378.00–$725.76 15% below 45%
Short leg splint (calf to foot) CPT 29515 HC Apply Lower Leg Splint $260.45 $473.55 $236.78–$454.61 9% below 45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Resuperf Wnd Body <2.5cm $223.49 $406.35 $203.18–$390.10 41% below 45%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion $366.71 $666.75 $333.38–$640.08 47% below 45%
Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags, Up to 15 $150.73 $274.05 $137.03–$263.09 59% below 45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic $790.60 $1,437.45 $718.73–$1,379.95 33% below 45%
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 $274.31 $498.75 $249.38–$478.80 31% below 45%
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 $236.20 $429.45 $214.73–$412.27 38% below 45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion $436.29 $793.26 $396.63–$761.53 12% below 45%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Needle/Cath Pleura W/Imaging $1,438.55 $2,615.55 $1,307.78–$2,510.93 12% above 45%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2 $433.13 $787.50 $393.75–$756.00 3% above 45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Bx Breast W Device 1st Lesion Ultrasound Guide $1,455.88 $2,647.05 $1,323.53–$2,541.17 50% below 45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC Egd Balloon Dilation Esophagus <30 Mm Diam - Egd $2,400.67 $4,364.85 $2,182.43–$4,190.26 2% below 45%
Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Transoral Biopsy Single/Multiple - Egd $2,251.67 $4,093.95 $2,046.98–$3,930.19 35% above 45%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC Esophagogastroduodenoscopy Submucosal Injection - Egd $2,160.43 $3,928.05 $1,964.03–$3,770.93 61% above 45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC Egd Removal Tumor Polyp/Other Lesion Snare Tech - Egd $2,412.22 $4,385.85 $2,192.93–$4,210.42 4% above 45%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC Egd Insert Guide Wire Dilator Passage Esophagus - Egd $2,130.40 $3,873.45 $1,936.73–$3,718.51 72% above 45%
Upper endoscopy (EGD), diagnostic CPT 43235 HC Esophagogastroduodenoscopy Transoral Diagnostic $2,290.37 $4,164.30 $2,082.15–$3,997.73 39% above 45%
Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14 $150.73 $274.05 $137.03–$263.09 57% below 45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm $532.46 $968.10 $484.05–$929.38 37% below 45%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Transfusion Service $585.01 $1,063.65 $531.83–$1,021.10 20% below 45%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Inhalation Treatment $143.22 $260.40 $130.20–$249.98 36% below 45%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemother, IV Infusion, 1 Hr $344.77 $626.85 $313.43–$601.78 44% below 45%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care, E/M 30-74 Minutes $963.85 $1,752.45 $876.23–$3,943.01 44% below 45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing - Ecg 12-Lead $107.42 $195.30 $97.65–$187.49 25% below 45%
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 $123.01 $223.65 $175.00–$490.00 51% below 45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC Emergency Department Level 2 Visit Low/Moder Severity $232.16 $422.10 $225.00–$571.00 31% below 45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC Emergency Department Level 3 Visit Moderate Severity $364.98 $663.60 $435.00–$803.00 35% below 45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC Emergency Department Level 4 Visit High/Urgent Severity $487.41 $886.20 $625.00–$1,201.00 42% below 45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Emergency Department Level 5 Visit High Severity&Threat Func $716.68 $1,303.05 $985.00–$1,393.00 40% below 45%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing Only - Stress Test Only, Exercise $478.17 $869.40 $434.70–$834.62 13% below 45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min $277.20 $504.00 $252.00–$483.84 25% below 45%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour $277.20 $504.00 $252.00–$483.84 34% below 45%
IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug $169.21 $307.65 $153.83–$295.34 34% below 45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut $59.48 $108.15 $54.08–$103.82 47% below 45%
Preventive checkup, new patient aged 18–39 CPT 99385 HC Preventive Visit,New,18-39 $71.03 $129.15 $63.41–$290.59 65% below 45%
Preventive checkup, new patient aged 40–64 CPT 99386 HC Preventive Visit,New,40-64 $72.19 $131.25 $64.44–$295.31 68% below 45%
Preventive checkup, new patient aged 65 or older CPT 99387 HC Preventive Visit,New,65 & Over $82.01 $149.10 $73.21–$335.48 68% below 45%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC Preventive Visit,Est,18-39 $64.10 $116.55 $57.23–$262.24 68% below 45%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC Preventive Visit,Est,40-64 $64.68 $117.60 $57.74–$264.60 72% below 45%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC Preventive Visit,Est,65 & Over $74.50 $135.45 $66.51–$304.76 63% below 45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes $30.61 $55.65 $27.83–$53.42 35% below 45%
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test - Spirometry Without Bronchodilator $209.06 $380.10 $190.05–$364.90 6% below 45%
Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm - Spirometry With Bronchodilator $260.45 $473.55 $236.78–$454.61 33% below 45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy $169.79 $308.70 $154.35–$296.35 20% below 45%

Vaccines

ProcedureCash priceList priceInsurers payvs New YorkOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use $234.47 $426.30 $213.15–$409.25 14% above 45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap Immunization, Im, <7 Yo $172.65 $313.91 $156.96–$301.35 252% above 45%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC Dtap-Hepb-Ipv Vaccine Intramuscular $164.31 $298.75 $149.38–$286.80 19% above 45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine $74.80 $136.00 $68.00–$130.56 16% below 45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepb Vaccine Adult 3 Dose Schedule for Im Use $119.62 $217.49 $108.75–$208.79 34% above 45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B Vaccine $32.18 $58.50 $29.25–$56.16 29% below 45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Hib Prp-T Vaccine 4 Dose Schedule Im Use $31.55 $57.36 $28.68–$55.07 2% below 45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles/Mumps/Rubella Vaccine Live $138.19 $251.25 $125.63–$241.20 3% above 45%
Meningococcal B vaccine (Trumenba) CPT 90621 HC Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im $295.68 $537.60 $268.80–$516.10 14% below 45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal 20-Valent Conj Vacc $394.90 $718.00 $359.00–$689.28 8% below 45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Polyvalent Vaccine $183.29 $333.25 $166.63–$319.92 8% above 45%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Vaccine Inactivated $18.98 $34.50 $17.25–$33.12 78% below 45%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab-alip $782.79 $1,423.25 $711.63–$1,366.32 24% below 45%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine $413.06 $751.01 $375.51–$720.97 12% below 45%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Human Diploid Cell $647.63 $1,177.50 $588.75–$1,130.40 38% above 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/Reduced Diphth/Acell Pertus $53.44 $97.16 $48.58–$93.27 4% below 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im $97.81 $177.83 $88.92–$170.72 76% above 45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid $47.93 $87.15 $43.58–$83.66 43% below 45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl $35.81 $65.10 $32.55–$62.50 20% below 45%
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://cayugahealth.pt.panaceainc.com/MRFDownload/CayugaHealth/schuylerhospital