Flushing Hospital Medical Center
Flushing Hospital Medical Center in Flushing, NY publishes cash prices for 444 common procedures listed here, from its own machine-readable price file updated Mar 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 236 of 439 procedures and above it for 194. By typical cash price it ranks #50 of 115 New York hospitals and #35 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.
4500 Parsons Blvd,Flushing,NY,11355 Collected Sep 22, 2026 Source price file Check a bill from this hospital (718) 670-5000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 330193 · CMS hospital register NPI 1154461622
The price file shows no self-pay discount
For 639 of the 639 prices listed here, the cash price in Flushing Hospital Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Flushing Hospital Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $744.00 | $744.00 | $152.40–$1,912.00 | 44% below | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $260.00 | $260.00 | $7.50–$1,912.00 | 29% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $222.00 | $222.00 | $43.20–$1,912.00 | 30% below | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE | $445.00 | $445.00 | $84.00–$1,912.00 | 40% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $425.00 | $425.00 | $12.00–$1,912.00 | 24% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $954.00 | $954.00 | $36.00–$1,912.00 | 3% below | — |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $318.00 | $318.00 | $19.48–$1,912.00 | 2% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $210.00 | $210.00 | $16.00–$1,912.00 | 17% below | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST | $1,557.00 | $1,557.00 | $106.49–$1,912.00 | 11% below | — |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $744.00 | $744.00 | $130.20–$1,912.00 | 40% below | — |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $744.00 | $744.00 | $152.40–$1,912.00 | 40% below | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $744.00 | $744.00 | $84.00–$1,912.00 | 43% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $744.00 | $744.00 | $75.79–$1,912.00 | 43% below | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST | $368.00 | $368.00 | $55.01–$1,912.00 | 72% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $992.00 | $992.00 | $41.21–$1,912.00 | 13% below | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,557.00 | $1,557.00 | $64.76–$1,912.00 | 1% below | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $1,557.00 | $1,557.00 | $82.04–$1,912.00 | 25% below | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $744.00 | $744.00 | $102.00–$1,912.00 | 36% below | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $445.00 | $445.00 | $76.96–$1,912.00 | 51% below | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $445.00 | $445.00 | $72.00–$1,912.00 | 44% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $445.00 | $445.00 | $62.87–$1,912.00 | 46% below | — |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $744.00 | $744.00 | $87.00–$1,912.00 | 24% below | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $744.00 | $744.00 | $108.35–$1,912.00 | 30% below | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $445.00 | $445.00 | $78.16–$1,912.00 | 50% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $445.00 | $445.00 | $78.76–$1,912.00 | 52% below | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $744.00 | $744.00 | $102.00–$1,912.00 | 28% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $425.00 | $425.00 | $64.80–$1,912.00 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+ | $744.00 | $744.00 | $130.85–$1,912.00 | 43% below | — |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $210.00 | $210.00 | $9.00–$1,912.00 | 4% above | — |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $210.00 | $210.00 | $6.00–$1,912.00 | 6% above | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE | $210.00 | $210.00 | $22.10–$1,912.00 | 4% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $254.00 | $254.00 | $36.00–$1,912.00 | 40% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $254.00 | $254.00 | $26.00–$1,912.00 | 8% below | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS | $567.00 | $567.00 | $43.20–$1,912.00 | at median | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $445.00 | $445.00 | $78.16–$1,912.00 | 49% below | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $744.00 | $744.00 | $102.00–$1,912.00 | 43% below | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $285.00 | $285.00 | $46.38–$1,912.00 | — | — |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $224.00 | $224.00 | $37.74–$1,912.00 | 20% below | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $425.00 | $425.00 | $64.80–$1,912.00 | 17% below | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $425.00 | $425.00 | $64.80–$1,912.00 | 44% below | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $957.00 | $957.00 | $116.27–$1,912.00 | 13% below | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW | $260.00 | $260.00 | $7.50–$1,912.00 | 29% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $445.00 | $445.00 | $72.00–$1,912.00 | 40% below | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES | $304.00 | $304.00 | $15.00–$1,912.00 | 12% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM | $210.00 | $210.00 | $6.00–$1,912.00 | 4% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $954.00 | $954.00 | $62.24–$1,912.00 | 7% below | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL | $263.00 | $263.00 | $6.00–$1,912.00 | 37% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $272.00 | $272.00 | $94.89–$2,775.80 | 31% below | — |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $260.00 | $260.00 | $9.00–$1,912.00 | 26% above | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $418.00 | $418.00 | $12.00–$1,912.00 | 52% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $445.00 | $445.00 | $78.46–$1,912.00 | 40% below | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $254.00 | $254.00 | $24.00–$1,912.00 | 33% below | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $254.00 | $254.00 | $5.92–$1,912.00 | 6% below | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $445.00 | $445.00 | $20.90–$1,912.00 | 2% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG | $263.00 | $263.00 | $6.00–$1,912.00 | 30% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE | $992.00 | $992.00 | $150.93–$2,507.20 | 21% below | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $1,682.00 | $1,682.00 | $105.70–$2,507.20 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,133.00 | $1,133.00 | $132.04–$2,507.20 | 6% below | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,557.00 | $1,557.00 | $273.38–$2,507.20 | 23% below | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $992.00 | $992.00 | $122.14–$2,507.20 | 9% below | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $1,557.00 | $1,557.00 | $226.01–$2,507.20 | 7% below | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $992.00 | $992.00 | $120.65–$1,964.00 | 15% below | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $1,557.00 | $1,557.00 | $202.32–$1,964.00 | 12% below | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $992.00 | $992.00 | $116.15–$2,507.20 | 24% below | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $1,557.00 | $1,557.00 | $203.22–$2,507.20 | 12% below | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $992.00 | $992.00 | $115.55–$2,507.20 | 23% below | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $1,557.00 | $1,557.00 | $203.82–$2,507.20 | 6% below | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $992.00 | $992.00 | $115.55–$2,507.20 | 25% below | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $1,557.00 | $1,557.00 | $224.80–$2,507.20 | 3% below | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $992.00 | $992.00 | $153.33–$2,507.20 | 7% below | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $992.00 | $992.00 | $132.04–$2,507.20 | 23% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS | $304.00 | $304.00 | $12.00–$1,912.00 | 7% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE | $744.00 | $744.00 | $102.00–$1,912.00 | 26% below | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE | $445.00 | $445.00 | $84.00–$1,912.00 | 45% below | — |
| Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK | $210.00 | $210.00 | $6.00–$1,912.00 | 4% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $3,284.00 | $3,284.00 | $143.24–$4,904.92 | 23% above | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE | $445.00 | $445.00 | $77.86–$1,912.00 | 47% below | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $254.00 | $254.00 | $23.00–$1,912.00 | 16% below | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $254.00 | $254.00 | $33.00–$1,912.00 | 36% below | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $254.00 | $254.00 | $33.00–$1,912.00 | 33% below | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $254.00 | $254.00 | $33.00–$1,912.00 | 28% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $254.00 | $254.00 | $15.00–$1,912.00 | 12% below | — |
| Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS | $210.00 | $210.00 | $9.00–$1,912.00 | at median | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $178.00 | $178.00 | $34.99–$1,912.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $210.00 | $210.00 | $9.00–$1,912.00 | at median | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES | $260.00 | $260.00 | $12.00–$1,912.00 | 25% above | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $957.00 | $957.00 | $85.20–$1,912.00 | 17% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $425.00 | $425.00 | $12.00–$1,912.00 | 17% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $210.00 | $210.00 | $5.87–$1,912.00 | 7% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE | $445.00 | $445.00 | $78.76–$1,912.00 | 50% below | — |
| Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) | $263.00 | $263.00 | $4.50–$1,912.00 | 57% above | — |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $254.00 | $254.00 | $36.00–$1,912.00 | 33% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $254.00 | $254.00 | $36.00–$1,912.00 | 13% below | — |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $254.00 | $254.00 | $36.00–$1,912.00 | 46% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $318.00 | $318.00 | $18.00–$1,912.00 | 14% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $254.00 | $254.00 | $18.00–$1,912.00 | 31% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $425.00 | $425.00 | $18.00–$1,912.00 | 1% above | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS | $210.00 | $210.00 | $6.00–$1,912.00 | 4% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $191.00 | $191.00 | $55.80–$1,912.00 | 48% below | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $260.00 | $260.00 | $7.50–$1,912.00 | 29% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $260.00 | $260.00 | $7.48–$1,912.00 | 14% above | — |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $210.00 | $210.00 | $6.00–$1,912.00 | at median | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $263.00 | $263.00 | $4.50–$1,912.00 | 46% above | — |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $210.00 | $210.00 | $6.00–$1,912.00 | 7% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $260.00 | $260.00 | $7.50–$1,912.00 | 29% above | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $260.00 | $260.00 | $7.50–$1,912.00 | 24% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $210.00 | $210.00 | $6.00–$1,912.00 | 3% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $304.00 | $304.00 | $9.00–$1,912.00 | 10% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $304.00 | $304.00 | $18.00–$1,912.00 | at median | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $254.00 | $254.00 | $9.00–$1,912.00 | 14% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $260.00 | $260.00 | $9.00–$1,912.00 | 29% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $260.00 | $260.00 | $9.00–$1,912.00 | 22% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $254.00 | $254.00 | $7.50–$1,912.00 | 12% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $210.00 | $210.00 | $9.00–$1,912.00 | 4% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $16.00 | $16.00 | $4.00–$1,912.00 | 31% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $75.00 | $75.00 | $4.00–$1,912.00 | 224% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $16.00 | $16.00 | $3.50–$1,912.00 | 33% below | — |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $12.00 | $12.00 | $3.50–$1,912.00 | 34% below | — |
| Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL | $13.00 | $13.00 | $3.50–$1,912.00 | 29% below | — |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $235.00 | $235.00 | $28.60–$1,912.00 | 87% above | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL | $308.00 | $308.00 | $28.60–$1,912.00 | 145% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE | $7.00 | $7.00 | $4.00–$1,912.00 | 65% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $16.00 | $16.00 | $4.00–$1,912.00 | 21% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $16.00 | $16.00 | $3.65–$1,912.00 | at median | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $53.00 | $53.00 | $3.65–$1,912.00 | 231% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM | $192.00 | $192.00 | $6.50–$1,912.00 | 210% above | — |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $44.00 | $44.00 | $12.38–$1,912.00 | 18% below | — |
| Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL | $19.00 | $19.00 | $5.00–$1,912.00 | 37% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $39.00 | $39.00 | $8.81–$1,912.00 | 18% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $100.00 | $100.00 | $8.81–$1,912.00 | 109% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $30.00 | $30.00 | $5.20–$1,912.00 | 33% below | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $118.00 | $118.00 | $5.20–$1,912.00 | 165% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $118.00 | $118.00 | $26.00–$1,912.00 | 4% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC | $26.00 | $26.00 | $4.50–$1,912.00 | 18% below | — |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $25.00 | $25.00 | $7.19–$1,912.00 | 57% below | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $9.00 | $9.00 | $3.00–$1,912.00 | 60% below | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL | $15.00 | $15.00 | $3.00–$1,912.00 | 33% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $188.00 | $188.00 | $11.23–$1,912.00 | 23% above | — |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $31.00 | $31.00 | $5.50–$1,912.00 | 51% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $26.00 | $26.00 | $2.00–$1,912.00 | 73% above | — |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $12.00 | $12.00 | $3.34–$1,912.00 | 33% below | — |
| Blood lead test CPT 83655 ASSAY OF LEAD | $16.00 | $16.00 | $10.10–$1,912.00 | 63% below | — |
| Blood lead test CPT 83655 LEAD LEVEL | $70.00 | $70.00 | $10.10–$1,912.00 | 60% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $23.00 | $23.00 | $2.00–$1,912.00 | 28% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $342.00 | $342.00 | $2.99–$1,912.00 | 124% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $443.00 | $443.00 | $2.99–$1,912.00 | 190% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE | $12.00 | $12.00 | $3.36–$1,912.00 | 46% below | — |
| C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL | $183.00 | $183.00 | $16.10–$1,912.00 | 113% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $16.00 | $16.00 | $4.10–$1,912.00 | 39% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $45.00 | $45.00 | $25.34–$1,912.00 | 64% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $112.00 | $112.00 | $25.34–$1,912.00 | 11% below | — |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $119.00 | $119.00 | $17.69–$1,912.00 | 58% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $62.00 | $62.00 | $17.69–$1,912.00 | 19% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $154.00 | $154.00 | $43.61–$1,912.00 | 57% above | — |
| Calcium blood test, total CPT 82310 ASSAY OF CALCIUM | $13.00 | $13.00 | $3.50–$1,912.00 | 49% below | — |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL | $15.00 | $15.00 | $3.50–$1,912.00 | 41% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL | $57.00 | $57.00 | $10.10–$1,912.00 | 29% below | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $70.00 | $70.00 | $10.10–$1,912.00 | 13% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX) | $39.00 | $39.00 | $6.50–$1,912.00 | 13% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $73.00 | $73.00 | $6.50–$1,912.00 | 62% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $105.00 | $105.00 | $21.43–$1,912.00 | 5% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $32.00 | $32.00 | $6.04–$1,912.00 | 53% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $40.00 | $40.00 | $6.04–$1,912.00 | 41% below | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $23.00 | $23.00 | $3.17–$1,912.00 | 44% below | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $19.00 | $19.00 | $3.17–$1,912.00 | 34% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $32.00 | $32.00 | $8.98–$1,912.00 | 45% below | — |
| Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL | $49.00 | $49.00 | $11.60–$1,912.00 | at median | — |
| Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) | $16.00 | $16.00 | $5.03–$1,912.00 | 36% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL | $20.00 | $20.00 | $5.03–$1,912.00 | 20% below | — |
| Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL | $15.00 | $15.00 | $4.35–$1,912.00 | 39% below | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV) | $22.00 | $22.00 | $7.00–$1,912.00 | 58% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $31.00 | $31.00 | $5.50–$1,912.00 | 17% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $141.00 | $141.00 | $11.60–$1,912.00 | 66% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $157.00 | $157.00 | $7.50–$1,912.00 | 29% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS | $186.00 | $186.00 | $7.50–$1,912.00 | 53% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $21.00 | $21.00 | $5.96–$1,912.00 | 33% below | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $44.00 | $44.00 | $9.10–$1,912.00 | 3% below | — |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $69.00 | $69.00 | $19.60–$1,912.00 | 32% below | — |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $56.00 | $56.00 | $13.10–$1,912.00 | 26% below | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $219.00 | $219.00 | $7.00–$1,912.00 | 141% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $41.00 | $41.00 | $8.10–$1,912.00 | 32% below | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT | $29.00 | $29.00 | $5.00–$1,912.00 | 23% below | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $44.00 | $44.00 | $12.10–$1,912.00 | 20% below | — |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $51.00 | $51.00 | $9.00–$1,912.00 | 20% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $18.00 | $18.00 | $5.50–$1,912.00 | 62% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $27.00 | $27.00 | $5.50–$1,912.00 | 44% below | — |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $72.00 | $72.00 | $21.65–$1,912.00 | 22% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL | $22.00 | $22.00 | $5.03–$1,912.00 | 18% below | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $75.00 | $75.00 | $5.03–$1,912.00 | 179% above | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $209.00 | $209.00 | $16.10–$1,912.00 | 33% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $14.00 | $14.00 | $3.50–$1,912.00 | 34% below | — |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $39.00 | $39.00 | $6.84–$1,912.00 | 32% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $105.00 | $105.00 | $21.43–$1,912.00 | 5% above | — |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $43.00 | $43.00 | $8.03–$1,912.00 | 20% below | — |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $89.00 | $89.00 | $8.03–$1,912.00 | 66% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $426.00 | $426.00 | $26.10–$1,912.00 | 82% above | — |
| HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS | $41.00 | $41.00 | $7.00–$1,912.00 | 18% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $55.00 | $55.00 | $7.00–$1,912.00 | 10% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $72.00 | $72.00 | $15.00–$1,912.00 | at median | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $46.00 | $46.00 | $27.85–$1,912.00 | 52% below | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $105.00 | $105.00 | $27.85–$1,912.00 | 11% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $19.00 | $19.00 | $4.50–$1,912.00 | 47% below | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $29.00 | $29.00 | $4.50–$1,912.00 | 19% below | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $6.00 | $6.00 | $1.50–$1,912.00 | 58% below | — |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN | $7.00 | $7.00 | $1.50–$1,912.00 | 51% below | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT | $36.00 | $36.00 | $10.10–$1,912.00 | 17% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $32.00 | $32.00 | $7.60–$1,912.00 | 19% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $16.00 | $16.00 | $6.50–$1,912.00 | 57% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $31.00 | $31.00 | $6.50–$1,912.00 | 17% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $25.00 | $25.00 | $7.60–$1,912.00 | 53% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $43.00 | $43.00 | $7.60–$1,912.00 | 19% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $110.00 | $110.00 | $27.10–$1,912.00 | 19% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $519.00 | $519.00 | $27.10–$1,912.00 | 281% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $19.00 | $19.00 | $6.50–$1,912.00 | 53% below | — |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $95.00 | $95.00 | $6.50–$1,912.00 | 136% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $54.00 | $54.00 | $14.50–$1,912.00 | 7% below | — |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $55.00 | $55.00 | $14.50–$1,912.00 | 5% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $33.00 | $33.00 | $10.25–$1,912.00 | 31% below | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $48.00 | $48.00 | $10.25–$1,912.00 | at median | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $210.00 | $210.00 | $11.00–$1,912.00 | 188% above | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $26.00 | $26.00 | $9.72–$1,912.00 | 38% below | — |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $34.00 | $34.00 | $9.72–$1,912.00 | 19% below | — |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $19.00 | $19.00 | $5.03–$1,912.00 | 26% below | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $26.00 | $26.00 | $5.03–$1,912.00 | 35% below | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $26.00 | $26.00 | $7.38–$1,912.00 | 61% below | — |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $56.00 | $56.00 | $13.60–$1,912.00 | 27% below | — |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $17.00 | $17.00 | $9.00–$1,912.00 | 58% below | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $35.00 | $35.00 | $9.00–$1,912.00 | 13% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $17.00 | $17.00 | $5.00–$1,912.00 | 24% below | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL | $18.00 | $18.00 | $5.00–$1,912.00 | 19% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $18.00 | $18.00 | $5.50–$1,912.00 | 36% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $21.00 | $21.00 | $5.50–$1,912.00 | 25% below | — |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $25.00 | $25.00 | $5.00–$1,912.00 | 56% below | — |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $42.00 | $42.00 | $8.60–$1,912.00 | 13% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $44.00 | $44.00 | $8.60–$1,912.00 | 9% below | — |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $18.00 | $18.00 | $4.50–$1,912.00 | 27% below | — |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $20.00 | $20.00 | $4.50–$1,912.00 | 19% below | — |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $39.00 | $39.00 | $6.50–$1,912.00 | 16% below | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $46.00 | $46.00 | $6.50–$1,912.00 | 1% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $8.00 | $8.00 | $2.50–$1,912.00 | 77% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $16.00 | $16.00 | $2.50–$1,912.00 | 54% below | — |
| Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS | $39.00 | $39.00 | $6.50–$1,912.00 | 8% below | — |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $100.00 | $100.00 | $6.50–$1,912.00 | 135% above | — |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $143.00 | $143.00 | $20.10–$1,912.00 | 35% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $45.00 | $45.00 | $10.10–$1,912.00 | 32% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $55.00 | $55.00 | $10.10–$1,912.00 | 17% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $45.00 | $45.00 | $10.10–$1,912.00 | 32% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $55.00 | $55.00 | $10.10–$1,912.00 | 17% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING | $61.00 | $61.00 | $17.22–$1,912.00 | 13% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $92.00 | $92.00 | $28.60–$1,912.00 | 37% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $107.00 | $107.00 | $28.60–$1,912.00 | 27% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $13.00 | $13.00 | $3.50–$1,912.00 | 45% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $18.00 | $18.00 | $3.50–$1,912.00 | 24% below | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL | $14.00 | $14.00 | $3.50–$1,912.00 | 31% below | — |
| Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL | $14.00 | $14.00 | $3.50–$1,912.00 | 39% below | — |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $73.00 | $73.00 | $14.10–$1,912.00 | 15% below | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $29.00 | $29.00 | $16.47–$1,912.00 | 60% below | — |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $58.00 | $58.00 | $16.47–$1,912.00 | 20% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.00 | $9.00 | $2.00–$1,912.00 | 42% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $13.00 | $13.00 | $2.00–$1,912.00 | 16% below | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $50.00 | $50.00 | $3.75–$1,912.00 | 25% above | — |
| Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL | $78.00 | $78.00 | $14.95–$1,912.00 | 4% below | — |
| Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN | $139.00 | $139.00 | $2.99–$1,912.00 | 153% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $17.00 | $17.00 | $4.82–$1,912.00 | 19% below | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $27.00 | $27.00 | $4.82–$1,912.00 | 29% above | — |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $43.00 | $43.00 | $7.00–$1,912.00 | 4% below | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $58.00 | $58.00 | $7.00–$1,912.00 | 30% above | — |
| Sodium blood test CPT 84295 BLOOD SODIUM LEVEL | $14.00 | $14.00 | $3.00–$1,912.00 | 36% below | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $27.00 | $27.00 | $5.50–$1,912.00 | 18% below | — |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $36.00 | $36.00 | $5.50–$1,912.00 | 10% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $13.00 | $13.00 | $1.50–$1,912.00 | 9% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $49.00 | $49.00 | $3.40–$1,912.00 | at median | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM | $40.00 | $40.00 | $10.60–$1,912.00 | 5% below | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM | $67.00 | $67.00 | $10.60–$1,912.00 | 58% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $11.00 | $11.00 | $3.00–$1,912.00 | 30% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $13.00 | $13.00 | $3.00–$1,912.00 | 18% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $186.00 | $186.00 | $35.00–$1,912.00 | 14% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $63.00 | $63.00 | $21.10–$1,912.00 | 33% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $70.00 | $70.00 | $21.10–$1,912.00 | 25% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $79.00 | $79.00 | $11.10–$1,912.00 | 49% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $114.00 | $114.00 | $11.10–$1,912.00 | 114% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $50.00 | $50.00 | $9.00–$1,912.00 | 32% below | — |
| Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL | $49.00 | $49.00 | $10.10–$1,912.00 | 19% below | — |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $13.00 | $13.00 | $3.00–$1,912.00 | 43% below | — |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $16.00 | $16.00 | $5.00–$1,912.00 | 45% below | — |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL | $21.00 | $21.00 | $5.00–$1,912.00 | 28% below | — |
| Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL | $43.00 | $43.00 | $5.70–$1,912.00 | 32% below | — |
| Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL | $38.00 | $38.00 | $7.00–$1,912.00 | 19% below | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $78.00 | $78.00 | $21.43–$1,912.00 | 3% above | — |
| Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE | $105.00 | $105.00 | $21.43–$1,912.00 | 38% above | — |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $9.00 | $9.00 | $4.00–$1,912.00 | 63% below | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL | $17.00 | $17.00 | $4.00–$1,912.00 | 31% below | — |
| Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE | $37.00 | $37.00 | $7.00–$1,912.00 | 15% below | — |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $14.00 | $14.00 | $3.50–$1,912.00 | 30% below | — |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $10.00 | $10.00 | $2.00–$1,912.00 | 69% below | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $7.00 | $7.00 | $1.00–$1,912.00 | 59% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $10.00 | $10.00 | $1.00–$1,912.00 | 4% below | — |
| Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE | $16.00 | $16.00 | $4.50–$1,912.00 | 46% below | — |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL | $131.00 | $131.00 | $4.50–$1,912.00 | 340% above | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $26.00 | $26.00 | $1.00–$1,912.00 | 10% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $45.00 | $45.00 | $12.50–$1,912.00 | 19% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $89.00 | $89.00 | $24.10–$1,912.00 | 17% below | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL | $94.00 | $94.00 | $26.18–$1,912.00 | 12% below | — |
| Zinc blood test CPT 84630 ZINC LEVEL | $28.00 | $28.00 | $7.90–$1,912.00 | 31% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $23.00 | $23.00 | $12.37–$1,912.00 | 59% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $45.00 | $45.00 | $12.37–$1,912.00 | 19% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $3,415.00 | $3,415.00 | $221.00–$6,424.63 | 11% below | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $5,456.00 | $5,456.00 | $1,912.00–$14,060.97 | 35% below | — |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE | $10,240.00 | $10,240.00 | $1,912.00–$14,060.97 | 21% above | — |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $1,633.50 | $1,633.50 | $1,912.00–$14,060.97 | 81% below | — |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE | $2,527.00 | $2,527.00 | $1,912.00–$14,060.97 | 70% below | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $3,750.00 | $3,750.00 | $244.00–$6,257.26 | 22% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $3,750.00 | $3,750.00 | $850.00–$6,257.26 | 22% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $3,750.00 | $3,750.00 | $850.00–$6,257.26 | 22% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $545.00 | $545.00 | $140.21–$1,961.00 | 3% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $545.00 | $545.00 | $140.21–$1,961.00 | 20% above | — |
| Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT | $545.00 | $545.00 | $260.44–$1,961.00 | 20% above | — |
| Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT | $545.00 | $545.00 | $260.44–$1,961.00 | 20% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,130.00 | $1,130.00 | $196.00–$1,912.00 | 9% above | — |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $1,812.00 | $1,812.00 | $1,912.00–$5,159.00 | 22% below | — |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $1,812.00 | $1,812.00 | $1,912.00–$5,159.00 | 22% below | — |
| Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $1,872.00 | $1,872.00 | $1,912.00–$5,159.00 | 31% below | — |
| Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $2,082.00 | $2,082.00 | $1,912.00–$5,159.00 | 23% below | — |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH | $1,859.00 | $1,859.00 | $65.00–$2,139.47 | 24% above | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $2,502.00 | $2,502.00 | $225.00–$5,159.00 | 31% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $497.00 | $497.00 | $140.21–$1,912.00 | 12% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION | $545.00 | $545.00 | $260.44–$1,961.00 | 3% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION | $545.00 | $545.00 | $260.44–$1,961.00 | 3% below | — |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $754.50 | $754.50 | $325.00–$5,159.00 | 61% below | — |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,601.00 | $1,601.00 | $274.00–$5,159.00 | 15% above | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,382.50 | $2,382.50 | $232.00–$5,159.00 | 22% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP | $7,231.00 | $7,231.00 | $182.00–$7,519.36 | 91% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE | $742.00 | $742.00 | $143.00–$2,812.00 | 11% above | — |
| Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $1,872.00 | $1,872.00 | $1,912.00–$5,159.00 | 31% below | — |
| Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $4,602.00 | $4,602.00 | $1,912.00–$5,159.00 | 71% above | — |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $19,083.00 | $19,083.00 | $673.00–$22,370.12 | 37% above | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $1,116.00 | $1,116.00 | $1,912.00–$6,830.65 | 75% below | — |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $2,781.00 | $2,781.00 | $1,912.00–$6,830.65 | 37% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $1,394.00 | $1,394.00 | $119.00–$6,334.00 | 3% below | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $1,580.00 | $1,580.00 | $119.00–$6,334.00 | 9% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS | $906.00 | $906.00 | $235.00–$6,272.84 | 76% below | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $463.00 | $463.00 | $31.00–$1,912.00 | 60% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $141.00 | $141.00 | $10.00–$1,912.00 | 17% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $141.00 | $141.00 | $25.00–$1,912.00 | 8% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $177.00 | $177.00 | $25.00–$1,912.00 | 36% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX | $141.00 | $141.00 | $62.29–$1,912.00 | 8% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX | $141.00 | $141.00 | $62.29–$1,912.00 | 8% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS | $461.00 | $461.00 | $50.00–$1,912.00 | at median | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG | $783.00 | $783.00 | $156.00–$1,961.00 | 9% above | — |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE | $9,826.00 | $9,826.00 | $680.67–$12,544.85 | 33% above | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE | $7,894.00 | $7,894.00 | $915.00–$12,544.85 | 7% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $2,922.00 | $2,922.00 | $406.62–$6,938.04 | 30% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,394.00 | $1,394.00 | $64.00–$5,159.00 | 30% below | — |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $7,112.00 | $7,112.00 | $719.00–$11,714.90 | 3% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $2,114.00 | $2,114.00 | $109.00–$1,961.00 | 85% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $2,682.00 | $2,682.00 | $338.00–$5,378.61 | 27% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES | $219.00 | $219.00 | $39.62–$1,912.00 | 28% below | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY | $1,468.00 | $1,468.00 | $39.62–$1,912.00 | 384% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $2,971.00 | $2,971.00 | $372.00–$9,693.65 | 49% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $1,812.00 | $1,812.00 | $525.00–$6,272.84 | 58% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $7,231.00 | $7,231.00 | $200.00–$7,519.36 | 68% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $518.00 | $518.00 | $35.35–$1,912.00 | 27% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $1,572.00 | $1,572.00 | $35.35–$1,961.00 | 284% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE | $518.00 | $518.00 | $500.00–$1,912.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $463.00 | $463.00 | $72.00–$1,961.00 | 14% above | — |
| Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $463.00 | $463.00 | $211.84–$1,961.00 | 14% above | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $3,552.00 | $3,552.00 | $1,912.00–$6,938.04 | 15% below | — |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $3,912.00 | $3,912.00 | $1,912.00–$6,938.04 | 6% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $685.00 | $685.00 | $35.00–$1,912.00 | 39% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $1,370.00 | $1,370.00 | $35.00–$4,679.44 | 177% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $685.00 | $685.00 | $200.00–$1,912.00 | 39% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $685.00 | $685.00 | $40.00–$1,912.00 | 35% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE | $295.00 | $295.00 | $76.00–$1,912.00 | 5% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant one side CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE | $1,641.00 | $1,641.00 | $140.48–$5,159.00 | 483% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $685.00 | $685.00 | $40.00–$1,912.00 | 50% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $685.00 | $685.00 | $200.00–$1,912.00 | 50% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $685.00 | $685.00 | $200.00–$1,912.00 | 50% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $685.00 | $685.00 | $40.00–$1,912.00 | 52% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $685.00 | $685.00 | $200.00–$1,912.00 | 52% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT | $685.00 | $685.00 | $200.00–$1,912.00 | 52% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE | $2,502.00 | $2,502.00 | $1,912.00–$6,340.43 | 35% below | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $1,812.00 | $1,812.00 | $1,912.00–$6,340.43 | 53% below | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $2,382.00 | $2,382.00 | $1,912.00–$6,340.43 | 38% below | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $2,172.00 | $2,172.00 | $1,912.00–$6,340.43 | 43% below | — |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $2,292.00 | $2,292.00 | $1,912.00–$6,340.43 | 40% below | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $3,563.00 | $3,563.00 | $577.00–$11,714.90 | 48% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $3,261.50 | $3,261.50 | $865.00–$20,598.29 | 74% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $5,968.00 | $5,968.00 | $1,079.20–$20,598.29 | 41% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $4,229.00 | $4,229.00 | $1,912.00–$11,714.90 | 39% below | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $4,858.00 | $4,858.00 | $1,912.00–$11,714.90 | 30% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $4,081.00 | $4,081.00 | $1,912.00–$11,714.90 | 41% below | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE | $8,446.00 | $8,446.00 | $1,912.00–$11,714.90 | 22% above | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $6,560.00 | $6,560.00 | $729.00–$11,714.90 | 5% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $4,628.00 | $4,628.00 | $1,912.00–$11,714.90 | 33% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $8,373.00 | $8,373.00 | $1,912.00–$11,714.90 | 21% above | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE | $5,364.00 | $5,364.00 | $778.73–$32,631.00 | 76% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $922.00 | $922.00 | $101.00–$1,961.00 | 56% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,639.00 | $1,639.00 | $89.03–$4,679.44 | 10% above | — |
| Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST | $1,434.00 | $1,434.00 | $1,912.00–$7,587.25 | 68% below | — |
| Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST | $3,102.00 | $3,102.00 | $1,912.00–$7,587.25 | 32% below | — |
| Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST | $1,631.68 | $1,631.68 | $1,912.00–$12,867.18 | 79% below | — |
| Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST | $2,359.34 | $2,359.34 | $1,912.00–$12,867.18 | 69% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $2,442.00 | $2,442.00 | $318.00–$6,272.84 | 40% below | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $7,231.00 | $7,231.00 | $300.00–$6,272.84 | 77% above | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 CARE OF MISCARRIAGE | $7,231.00 | $7,231.00 | $500.00–$1,912.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $1,627.00 | $1,627.00 | $59.00–$1,912.00 | 51% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $1,266.00 | $1,266.00 | $82.00–$5,159.00 | 20% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $1,627.00 | $1,627.00 | $82.00–$1,961.00 | 55% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm one side CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $1,146.00 | $1,146.00 | $747.68–$5,159.00 | 9% above | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $463.00 | $463.00 | $35.00–$1,912.00 | 39% above | — |
| Nail removal (partial or complete), one nail one side CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL | $463.00 | $463.00 | $200.00–$1,912.00 | 39% above | — |
| Nail removal (partial or complete), one nail one side CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL | $463.00 | $463.00 | $200.00–$1,912.00 | 39% above | — |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $24,697.00 | $24,697.00 | $639.00–$39,598.55 | 99% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $2,097.00 | $2,097.00 | $113.00–$1,961.00 | 47% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $922.00 | $922.00 | $116.00–$1,912.00 | 26% above | — |
| Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $1,902.00 | $1,902.00 | $1,912.00–$7,587.25 | 58% below | — |
| Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $2,472.00 | $2,472.00 | $1,912.00–$7,587.25 | 45% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $922.00 | $922.00 | $56.00–$4,679.44 | 43% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $1,812.00 | $1,812.00 | $56.00–$5,159.00 | 181% above | — |
| Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK | $4,782.00 | $4,782.00 | $1,912.00–$11,714.90 | 31% below | — |
| Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE | $3,099.33 | $3,099.33 | $513.00–$6,424.63 | 20% below | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $5,874.00 | $5,874.00 | $1,912.00–$7,593.00 | 8% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $6,625.00 | $6,625.00 | $1,912.00–$7,593.00 | 22% above | — |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $621.00 | $621.00 | $35.00–$1,961.00 | 45% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $295.00 | $295.00 | $44.00–$1,961.00 | 40% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $295.00 | $295.00 | $140.48–$1,961.00 | 40% above | — |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $295.00 | $295.00 | $140.48–$1,961.00 | 40% above | — |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST | $576.00 | $576.00 | $40.00–$1,912.00 | 17% above | — |
| Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST | $621.00 | $621.00 | $40.00–$1,961.00 | 26% above | — |
| Short leg cast (below the knee) one side CPT 29405 APPLICATION OF SHORT LEG CAST | $621.00 | $621.00 | $295.32–$1,961.00 | 26% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $364.00 | $364.00 | $50.00–$1,961.00 | 27% above | — |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $364.00 | $364.00 | $171.58–$1,961.00 | 27% above | — |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $364.00 | $364.00 | $171.58–$1,961.00 | 27% above | — |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE | $1,520.68 | $1,520.68 | $1,912.00–$6,340.43 | 60% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $1,633.50 | $1,633.50 | $121.24–$5,159.00 | 62% below | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE | $1,755.00 | $1,755.00 | $1,912.00–$5,159.00 | 59% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $463.00 | $463.00 | $70.00–$1,961.00 | 22% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $463.00 | $463.00 | $211.84–$1,961.00 | 22% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $463.00 | $463.00 | $211.84–$1,961.00 | 22% above | — |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $922.00 | $922.00 | $31.55–$1,912.00 | 34% above | — |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $463.00 | $463.00 | $47.00–$1,912.00 | 27% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $1,599.00 | $1,599.00 | $70.00–$1,961.00 | 35% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $463.00 | $463.00 | $96.00–$1,961.00 | 17% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $463.00 | $463.00 | $211.84–$1,961.00 | 17% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $463.00 | $463.00 | $78.00–$1,961.00 | 22% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $463.00 | $463.00 | $211.84–$1,961.00 | 22% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $463.00 | $463.00 | $211.84–$1,961.00 | 22% above | — |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $2,712.00 | $2,712.00 | $755.00–$10,389.97 | 55% below | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $435.00 | $435.00 | $25.19–$1,961.00 | 12% below | — |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,453.00 | $1,453.00 | $91.00–$4,679.44 | 13% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $3,452.00 | $3,452.00 | $363.00–$11,471.34 | 51% below | — |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $5,042.00 | $5,042.00 | $1,912.00–$24,878.55 | 67% below | — |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $5,180.00 | $5,180.00 | $1,912.00–$24,878.55 | 66% below | — |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $5,042.00 | $5,042.00 | $1,912.00–$24,878.55 | 67% below | — |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $5,318.00 | $5,318.00 | $1,912.00–$24,878.55 | 65% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $685.00 | $685.00 | $42.00–$4,679.44 | 63% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,750.00 | $3,750.00 | $228.00–$6,257.26 | 29% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,750.00 | $3,750.00 | $850.00–$6,257.26 | 29% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,750.00 | $3,750.00 | $850.00–$6,257.26 | 29% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,231.00 | $2,231.00 | $174.00–$5,159.00 | 34% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $4,401.00 | $4,401.00 | $222.00–$5,159.00 | 90% above | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $2,262.00 | $2,262.00 | $1,912.00–$10,389.97 | 62% below | — |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $2,622.00 | $2,622.00 | $1,912.00–$10,389.97 | 56% below | — |
| Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE | $1,574.00 | $1,574.00 | $1,912.00–$6,118.51 | 65% below | — |
| Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE | $3,486.00 | $3,486.00 | $1,912.00–$6,118.51 | 23% below | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $463.00 | $463.00 | $45.00–$1,912.00 | 33% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $922.00 | $922.00 | $54.00–$1,961.00 | 9% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $922.00 | $922.00 | $200.00–$1,912.00 | 9% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $922.00 | $922.00 | $200.00–$1,912.00 | 9% above | — |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE | $3,341.00 | $3,341.00 | $1,912.00–$14,060.97 | 60% below | — |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE | $4,414.00 | $4,414.00 | $1,912.00–$14,060.97 | 48% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $1,004.00 | $1,004.00 | $8.00–$1,912.00 | 37% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $371.00 | $371.00 | $500.00–$1,912.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $493.00 | $493.00 | $500.00–$1,912.00 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $588.00 | $588.00 | $35.00–$1,912.00 | 4% below | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 NEW PATIENT COMPLETE EXAM OF VISUAL SYSTEM | $230.00 | $230.00 | $20.00–$1,912.00 | at median | — |
| Comprehensive eye exam, returning patient CPT 92014 ESTABLISHED PATIENT COMPLETE EXAM OF VISUAL SYSTEM | $230.00 | $230.00 | $20.00–$1,912.00 | 18% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST | $272.00 | $272.00 | $21.00–$1,912.00 | 47% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $1,539.00 | $1,539.00 | $130.00–$1,961.00 | 10% below | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $545.00 | $545.00 | $21.00–$1,912.00 | 21% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $107.00 | $107.00 | $7.50–$1,912.00 | 25% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $155.00 | $155.00 | $18.00–$1,961.00 | 38% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $496.00 | $496.00 | $18.00–$1,961.00 | 99% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $748.00 | $748.00 | $30.00–$1,961.00 | 122% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $940.00 | $940.00 | $35.00–$1,961.00 | 67% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $1,880.00 | $1,880.00 | $35.00–$1,961.00 | 234% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $975.00 | $975.00 | $35.00–$1,961.00 | 16% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,407.00 | $1,407.00 | $35.00–$1,961.00 | 19% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $545.00 | $545.00 | $30.00–$1,912.00 | 1% below | — |
| Eye exam, returning patient, intermediate CPT 92012 ESTABLISHED PATIENT PROBLEM FOCUSED EXAM OF VISUAL SYSTEM | $230.00 | $230.00 | $16.00–$1,912.00 | at median | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $271.00 | $271.00 | $25.00–$1,912.00 | 114% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $372.00 | $372.00 | $35.00–$1,912.00 | at median | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $372.00 | $372.00 | $35.00–$1,912.00 | 11% below | — |
| IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN | $372.00 | $372.00 | $69.00–$1,912.00 | 46% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $122.00 | $122.00 | $12.50–$1,912.00 | 10% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION | $324.00 | $324.00 | $90.87–$1,912.00 | 28% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $458.00 | $458.00 | $90.87–$1,912.00 | 80% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $80.00 | $80.00 | $23.96–$1,912.00 | 2% below | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $450.00 | $450.00 | $35.00–$1,912.00 | 102% above | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $912.00 | $912.00 | $35.00–$1,912.00 | 309% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $520.00 | $520.00 | $35.00–$1,912.00 | 74% above | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $977.00 | $977.00 | $35.00–$1,912.00 | 228% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $590.00 | $590.00 | $35.00–$1,912.00 | 56% above | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $1,040.00 | $1,040.00 | $35.00–$1,912.00 | 176% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $360.00 | $360.00 | $33.93–$1,912.00 | 106% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN | $844.00 | $844.00 | $33.93–$1,912.00 | 384% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $95.00 | $95.00 | $22.00–$1,912.00 | 79% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $140.00 | $140.00 | $22.00–$1,912.00 | 164% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $200.00 | $200.00 | $35.00–$1,912.00 | 17% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $350.00 | $350.00 | $35.00–$1,912.00 | 33% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $200.00 | $200.00 | $35.00–$1,912.00 | 11% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $275.00 | $275.00 | $35.00–$1,912.00 | 15% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $65.00 | $65.00 | $18.98–$1,912.00 | 22% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $71.00 | $71.00 | $20.64–$1,912.00 | 6% below | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $400.00 | $400.00 | $66.67–$1,912.00 | 98% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $400.00 | $400.00 | $75.00–$1,912.00 | 78% above | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $553.00 | $553.00 | $75.00–$1,912.00 | 146% above | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (65 YEARS OR OLDER) | $400.00 | $400.00 | $75.00–$1,912.00 | 56% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS) | $373.00 | $373.00 | $60.98–$1,912.00 | 84% above | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $377.00 | $377.00 | $60.98–$1,912.00 | 86% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS) | $373.00 | $373.00 | $66.20–$1,912.00 | 59% above | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $377.00 | $377.00 | $66.20–$1,912.00 | 61% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) | $373.00 | $373.00 | $69.52–$1,912.00 | 83% above | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $377.00 | $377.00 | $69.52–$1,912.00 | 85% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES | $324.00 | $324.00 | $90.87–$1,912.00 | 9% above | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY; 30 MINUTES | $324.00 | $324.00 | $55.00–$1,912.00 | 64% above | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY; 45 MINUTES | $276.00 | $276.00 | $90.87–$1,912.00 | 5% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $50.00 | $50.00 | $12.57–$1,912.00 | 7% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $570.00 | $570.00 | $35.00–$1,912.00 | 143% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $759.00 | $759.00 | $35.00–$1,912.00 | 223% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $430.00 | $430.00 | $35.00–$1,912.00 | 135% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $500.00 | $500.00 | $35.00–$1,912.00 | 153% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $547.00 | $547.00 | $35.00–$1,912.00 | 177% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $340.00 | $340.00 | $24.68–$1,912.00 | 103% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $507.00 | $507.00 | $24.68–$1,912.00 | 203% above | — |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $535.00 | $535.00 | $57.84–$1,912.00 | 36% above | — |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $182.00 | $182.00 | $4.70–$1,912.00 | 8% above | — |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $272.00 | $272.00 | $9.00–$1,912.00 | 22% above | — |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $545.00 | $545.00 | $15.00–$1,912.00 | 40% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $116.00 | $116.00 | $2.35–$1,912.00 | 35% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $222.00 | $222.00 | $10.00–$1,912.00 | 4% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $173.00 | $173.00 | $44.50–$1,912.00 | 63% above | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2025-2026 Formula Ages 12 and up | $510.48 | $510.48 | $152.49–$1,912.00 | 149% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $576.00 | $576.00 | $172.66–$1,912.00 | 117% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax | $576.00 | $576.00 | $172.66–$1,912.00 | 117% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix | $214.00 | $214.00 | $63.59–$1,912.00 | 135% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM | $214.00 | $214.00 | $63.59–$1,912.00 | 135% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix | $101.00 | $101.00 | $29.86–$1,912.00 | 106% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM | $101.00 | $101.00 | $29.86–$1,912.00 | 106% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM | $334.00 | $334.00 | $99.37–$1,912.00 | 142% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix | $400.36 | $400.36 | $99.37–$1,912.00 | 190% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel | $401.00 | $401.00 | $119.53–$1,912.00 | 175% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM | $401.00 | $401.00 | $119.53–$1,912.00 | 175% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel-ActHIB Component | $469.91 | $469.91 | $119.53–$1,912.00 | 222% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis | $528.00 | $528.00 | $168.34–$1,912.00 | 130% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACCINE IM | $528.00 | $528.00 | $168.34–$1,912.00 | 130% above | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM | $118.00 | $118.00 | $38.48–$1,912.00 | 11% above | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 Flublok 2025-2026 Formula | $310.43 | $310.43 | $38.48–$1,912.00 | 193% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula | $25.10 | $25.10 | $18.05–$1,912.00 | 12% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $72.00 | $72.00 | $18.05–$1,912.00 | 154% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025-2026 Formula | $73.76 | $73.76 | $18.05–$1,912.00 | 160% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2024-2025 Formula PFS | $75.00 | $75.00 | $18.05–$1,912.00 | 164% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2024-2025 Formula | $75.00 | $75.00 | $18.05–$1,912.00 | 164% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024-2025 Formula | $75.00 | $75.00 | $18.05–$1,912.00 | 164% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS | $75.16 | $75.16 | $18.05–$1,912.00 | 165% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $968.00 | $968.00 | $176.00–$1,912.00 | 94% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 | $968.00 | $968.00 | $176.00–$1,912.00 | 94% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $438.00 | $438.00 | $130.84–$1,912.00 | 93% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix | $509.75 | $509.75 | $130.84–$1,912.00 | 124% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $266.00 | $266.00 | $72.68–$1,912.00 | 159% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Vaqta | $306.29 | $306.29 | $72.68–$1,912.00 | 198% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix | $322.44 | $322.44 | $72.68–$1,912.00 | 213% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM | $133.00 | $133.00 | $39.46–$1,912.00 | 136% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix Pediatric | $133.00 | $133.00 | $39.46–$1,912.00 | 136% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE PEDIATRIC OR ADOLESCENT DOSAGE | $133.00 | $133.00 | $39.46–$1,912.00 | 136% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Vaqta Pediatric | $143.96 | $143.96 | $39.46–$1,912.00 | 155% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B | $241.00 | $241.00 | $69.96–$1,912.00 | 170% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $241.00 | $241.00 | $69.96–$1,912.00 | 170% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM | $460.00 | $460.00 | $124.20–$1,912.00 | 90% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Heplisav-B | $594.35 | $594.35 | $124.20–$1,912.00 | 146% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B | $99.00 | $99.00 | $28.32–$1,912.00 | 118% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $99.00 | $99.00 | $28.32–$1,912.00 | 118% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax HB Pediatric-Adolescent | $105.35 | $105.35 | $28.32–$1,912.00 | 132% above | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM | $104.00 | $104.00 | $31.04–$1,912.00 | 66% above | — |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Pedvaxhib | $113.30 | $113.30 | $31.04–$1,912.00 | 81% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ActHIB | $69.00 | $69.00 | $13.31–$1,912.00 | 115% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM | $69.00 | $69.00 | $13.31–$1,912.00 | 115% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula | $233.00 | $233.00 | $27.81–$1,912.00 | 110% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $233.00 | $233.00 | $27.81–$1,912.00 | 110% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula | $310.43 | $310.43 | $27.81–$1,912.00 | 179% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $324.00 | $324.00 | $96.65–$1,912.00 | 140% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II | $324.00 | $324.00 | $96.65–$1,912.00 | 140% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Priorix | $352.76 | $352.76 | $96.65–$1,912.00 | 162% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC | $462.00 | $462.00 | $132.69–$1,912.00 | 6% above | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 ProQuad | $1,041.00 | $1,041.00 | $132.69–$1,912.00 | 138% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo | $535.00 | $535.00 | $160.23–$1,912.00 | 162% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $535.00 | $535.00 | $160.23–$1,912.00 | 162% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra | $535.50 | $535.50 | $160.23–$1,912.00 | 163% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MenQuadfi | $620.00 | $620.00 | $115.31–$1,912.00 | 154% above | — |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM | $620.00 | $620.00 | $115.31–$1,912.00 | 154% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $761.00 | $761.00 | $255.96–$1,912.00 | 131% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero | $904.71 | $904.71 | $255.96–$1,912.00 | 174% above | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 Trumenba | $647.00 | $647.00 | $132.33–$1,912.00 | 87% above | — |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM | $647.00 | $647.00 | $132.33–$1,912.00 | 87% above | — |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 LAIV3 VACCINE INTRANASAL | $92.00 | $92.00 | $22.22–$1,912.00 | 113% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM | $763.00 | $763.00 | $130.35–$1,912.00 | 133% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13 | $815.15 | $815.15 | $130.35–$1,912.00 | 149% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $915.00 | $915.00 | $301.65–$1,912.00 | 114% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 | $915.00 | $915.00 | $301.65–$1,912.00 | 114% above | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Capvaxive | $1,087.56 | $1,087.56 | $327.89–$1,912.00 | 161% above | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 VACCINE IM | $1,087.56 | $1,087.56 | $327.89–$1,912.00 | 161% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $421.49 | $421.49 | $126.45–$1,912.00 | 149% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $422.00 | $422.00 | $126.45–$1,912.00 | 149% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM | $147.00 | $147.00 | $43.77–$1,912.00 | 73% above | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipol | $172.12 | $172.12 | $43.77–$1,912.00 | 102% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1 ML IM | $1,872.00 | $1,872.00 | $600.62–$1,912.00 | 81% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $1,872.00 | $1,872.00 | $600.62–$1,912.00 | 81% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $1,062.00 | $1,062.00 | $331.34–$1,912.00 | 151% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo | $1,104.48 | $1,104.48 | $331.34–$1,912.00 | 161% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $653.00 | $653.00 | $312.03–$1,912.00 | 39% above | — |
| Rabies vaccine, one dose CPT 90675 RabAvert | $1,564.60 | $1,564.60 | $312.03–$1,912.00 | 232% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL | $485.00 | $485.00 | $145.37–$1,912.00 | 126% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix | $529.27 | $529.27 | $145.37–$1,912.00 | 146% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $336.00 | $336.00 | $100.51–$1,912.00 | 156% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RotaTeq | $369.87 | $369.87 | $100.51–$1,912.00 | 182% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $661.00 | $661.00 | $232.75–$1,912.00 | 68% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix | $775.84 | $775.84 | $232.75–$1,912.00 | 97% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX | $100.75 | $100.75 | $30.22–$1,912.00 | 90% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $101.00 | $101.00 | $30.22–$1,912.00 | 91% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac | $165.29 | $165.29 | $30.22–$1,912.00 | 212% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix | $135.18 | $135.18 | $39.71–$1,912.00 | 144% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $166.00 | $166.00 | $39.71–$1,912.00 | 199% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel | $183.88 | $183.88 | $39.71–$1,912.00 | 231% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Boostrix | $104.00 | $104.00 | $5.00–$1,912.00 | 23% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $150.00 | $150.00 | $5.00–$1,912.00 | 78% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $153.00 | $153.00 | $5.00–$1,912.00 | 82% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $6.00 | $6.00 | $2.00–$1,912.00 | 87% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaxelis | $6.00 | $6.00 | $2.00–$1,912.00 | 87% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Pentacel | $6.00 | $6.00 | $2.00–$1,912.00 | 87% below | — |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/83c245ec517e2e9e1e399eb95c1fc202/charges/mrf