SelfPayRates
Hospital

Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp

Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp in Wellsville, NY publishes cash prices for 390 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the New York median for 324 of 385 procedures and above it for 57. By typical cash price it ranks #40 of 115 New York hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

191 North Main Street, Wellsville, NY 14895 Collected Nov 7, 2026 Source price file Check a bill from this hospital (585) 593-1100

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 330096 · CMS hospital register NPI 1720030703

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.

Scans and imaging

ProcedureCash priceList priceInsurers payvs New YorkOff list
Abdominal CT scan without and with contrast CPT 74170 HB CT Abdomen W/O & W/Contrast Material $339.00 — — 74% below —
Abdominal X-ray, 2 views CPT 74019 HB Radiologic Exam Abdomen 2 Views $202.00 — — 21% below —
Ankle X-ray, complete, 3 or more views CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS $33.99 $57.00 — 83% below 40%
Ankle X-ray, complete, 3 or more views CPT 73610 HB Radex Ankle Complete Minimum 3 Views $168.00 — — 17% below —
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CHG RADEX ANKLE COMPLETE MINIMUM 3 VIEWS $33.99 $57.00 — — 40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB CT Upper Extremity W/O Contrast Material $202.00 — — 73% below —
Barium swallow (esophagus X-ray with contrast) CPT 74220 Contrast X-Ray Esophagus $339.00 — — 1% below —
Bone scan, whole body (nuclear medicine) CPT 78306 HB Bone &/Joint Imaging Whole Body $764.00 — — 22% below —
Breast ultrasound, complete, one breast CPT 76641 HB Ultrasound Breast Complete $202.00 — — 38% below —
Breast ultrasound, limited (one breast or one area) CPT 76642 HB Ultrasound Breast Limited $168.00 — — 34% below —
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img $680.00 — — 61% below —
CT angiography (CTA) of the head CPT 70496 HB CT Angiography Head W/Contrast/Noncontrast $339.00 — — 73% below —
CT angiography (CTA) of the neck CPT 70498 HB CT Angiography Neck W/Contrast/Noncontrast $339.00 — — 73% below —
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT Angiography Chest W/Contrast/Noncontrast $339.00 — — 74% below —
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT Abdomen & Pelvis W/O Contrast Material $459.00 — — 60% below —
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abdomen & Pelvis W/Contrast Material $680.00 — — 57% below —
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT Abdomen & Pelvis W/O Contrst 1/> Body Re $680.00 — — 67% below —
CT scan of the abdomen with contrast CPT 74160 HB CT Abdomen W/Contrast Material $339.00 — — 71% below —
CT scan of the abdomen without contrast CPT 74150 HB CT Abdomen W/O Contrast Material $202.00 — — 75% below —
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT Maxillofacial W/O Contrast Material $202.00 — — 75% below —
CT scan of the head or brain, no contrast dye CPT 70450 HB CT Head/Brain W/O Contrast Material $202.00 — — 76% below —
CT scan of the head with contrast CPT 70460 HB CT Head/Brain W/Contrast Material $339.00 — — 65% below —
CT scan of the head without and with contrast CPT 70470 HB CT Head/Brain W/O & W/Contrast Material $339.00 — — 68% below —
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT Lumbar Spine W/O Contrast Material $202.00 — — 77% below —
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT Cervical Spine W/O Contrast Material $202.00 — — 78% below —
CT scan of the pelvis, with contrast dye CPT 72193 HB CT Pelvis W/Contrast Material $339.00 — — 67% below —
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study $459.00 — — — —
Chest X-ray, 2 views CPT 71046 HB Radiologic Exam Chest 2 Views $168.00 — — 17% below —
Chest X-ray, single view CPT 71045 HB Radiologic Exam Chest Single View $168.00 — — 15% below —
Collarbone (clavicle) X-ray, complete CPT 73000 CHG RADEX CLAVICLE COMPLETE $30.41 $51.00 — 85% below 40%
Collarbone (clavicle) X-ray, complete CPT 73000 HB Radex Clavicle Complete $168.00 — — 17% below —
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CHG RADEX CLAVICLE COMPLETE $30.41 $51.00 — — 40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE $101.37 $170.00 — 76% below 40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US Retroperitoneal Real Time W/Image Complete $202.00 — — 52% below —
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 CHG US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE $101.37 $170.00 — — 40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DXA Bone Density Study 1/> Sites Axial Skel $202.00 — — 27% below —
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA Bone Density Study 1/>Sites Appendiclr Skel $168.00 — — 17% above —
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US Preg Uterus W/Detail Fetal Anat 1st Gestation $459.00 — — 19% below —
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT Thorax W/O Contrast Material $202.00 — — 77% below —
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT Thorax W/Contrast Material $339.00 — — 74% below —
Diagnostic mammogram, both breasts both sides CPT 77066 HB Diagnostic Mammography Computer-Aided Detcj Bi $136.00 — — — —
Diagnostic mammogram, one breast CPT 77065 HB Diagnostic Mammography Computer-Aided Detcj Uni $106.00 — — 62% below —
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study $459.00 — — — —
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB Dup-Scan Xtr Veins Complete Bilateral Study $459.00 — — — —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D $1,042.00 — — 6% below —
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W or WO Fol Wcon,Doppler $1,042.00 — — 6% below —
Elbow X-ray, 2 views CPT 73070 CHG RADEX ELBOW 2 VIEWS $27.43 $46.00 — 86% below 40%
Elbow X-ray, 2 views CPT 73070 HB Radex Elbow 2 Views $168.00 — — 16% below —
Elbow X-ray, 2 views inpatient CPT 73070 CHG RADEX ELBOW 2 VIEWS $27.43 $46.00 — — 40%
Elbow X-ray, complete, 3 or more views CPT 73080 HB Radex Elbow Complete Minimum 3 Views $168.00 — — 17% below —
Eye socket (orbit) CT scan without contrast CPT 70480 HB CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl $202.00 — — 73% below —
Facial bones X-ray, complete, 3 or more views CPT 70150 HB Radex Facial Bones Complete Minimum 3 Views $202.00 — — 25% below —
Forearm X-ray (radius and ulna), 2 views CPT 73090 HB Radex Forearm 2 Views $168.00 — — 17% below —
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB Hepatobiliary Syst Imaging Including Gallbladder $764.00 — — 26% below —
Hand X-ray, 2 views CPT 73120 HB Radex Hand 2 Views $202.00 — — 3% below —
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CHG RADEX CALCANEUS MINIMUM 2 VIEWS $26.83 $45.00 — 86% below 40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB Radex Calcaneus Minimum 2 Views $168.00 — — 12% below —
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CHG RADEX CALCANEUS MINIMUM 2 VIEWS $26.83 $45.00 — — 40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt $297.00 — — 24% below —
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd $1,934.00 — — 9% below —
Knee X-ray, 3 views CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS $38.16 $64.00 — 81% below 40%
Knee X-ray, 3 views CPT 73562 HB Radiologic Examination Knee 3 Views $168.00 — — 18% below —
Knee X-ray, 3 views inpatient CPT 73562 CHG RADIOLOGIC EXAMINATION KNEE 3 VIEWS $38.16 $64.00 — — 40%
Knee X-ray, complete, 4 or more views CPT 73564 CHG RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS $44.13 $74.00 — 84% below 40%
Knee X-ray, complete, 4 or more views CPT 73564 HB Radiologic Exam Knee Complete 4/More Views $202.00 — — 27% below —
Knee X-ray, complete, 4 or more views inpatient CPT 73564 CHG RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS $44.13 $74.00 — — 40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT Lower Extremity W/O Contrast Material $202.00 — — 73% below —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED $81.69 $137.00 — 79% below 40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB Ultrasound Abdominal Real Time W/Image Limited $202.00 — — 47% below —
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 CHG US ABDOMINAL REAL TIME W/IMAGE LIMITED $81.69 $137.00 — — 40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG $60.82 $102.00 — 77% below 40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US Extremity Non-Vasc Real-Time Img Lmtd $202.00 — — 25% below —
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 CHG US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG $60.82 $102.00 — — 40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB Computed Tomography Thorax Lw Dose Lng Ca Scr C- $202.00 — — 54% below —
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB Radiologic Examination Tibia & Fibula 2 Views $168.00 — — 17% below —
MR angiography (MRA) of the head without contrast CPT 70544 HB Mra Head W/O Contrst Material $459.00 — — 64% below —
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI Any Jt Lower Extrem W/O Contrast Matrl $459.00 — — 62% below —
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI Any Jt Lower Extrem W/O & W/Contrast Matrl $680.00 — — 67% below —
MRI of the abdomen without contrast CPT 74181 HB MRI Abdomen W/O Contrast Material $459.00 — — 58% below —
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI Abdomen W/O & W/Contrast Material $680.00 — — 59% below —
MRI of the brain, no contrast dye CPT 70551 HB MRI Brain Brain Stem W/O Contrast Material $459.00 — — 61% below —
MRI of the brain, with and without contrast dye CPT 70553 HB MRI Brain Brain Stem W/O W/Contrast Material $680.00 — — 62% below —
MRI of the lower back, no contrast dye CPT 72148 HB MRI Spinal Canal Lumbar W/O Contrast Material $459.00 — — 65% below —
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI Spinal Canal Lumbar W/O & W/Contr Matrl $680.00 — — 62% below —
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI Spinal Canal Thoracic W/O Contrast Matrl $459.00 — — 64% below —
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI Spinal Canal Cervical W/O & W/Contr Matrl $680.00 — — 59% below —
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI Spinal Canal Cervical W/O Contrast Matrl $459.00 — — 65% below —
MRI of the pelvis without and with contrast CPT 72197 HB MRI Pelvis W/O & W/Contrast Material $680.00 — — 58% below —
MRI of the pelvis, no contrast dye CPT 72195 HB MRI Pelvis W/O Contrast Material $459.00 — — 57% below —
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI Any Jt Upper Extremity W/O Contrast Matrl $459.00 — — 64% below —
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB Radex Spine Cervical 4 or 5 Views $202.00 — — 29% below —
Neck soft tissue CT scan with contrast CPT 70491 HB CT Soft Tissue Neck W/Contrast Material $339.00 — — 66% below —
Neck soft tissue CT scan without contrast CPT 70490 HB CT Soft Tissue Neck W/O Contrast Material $202.00 — — 75% below —
Neck soft tissue X-ray CPT 70360 HB Radiologic Examination Neck Soft Tissue $168.00 — — 17% below —
Pelvic CT scan without contrast CPT 72192 HB CT Pelvis W/O Contrast Material $202.00 — — 76% below —
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $47.11 $79.00 — 84% below 40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U $202.00 — — 33% below —
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 CHG US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U $47.11 $79.00 — — 40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE $98.39 $165.00 — 75% below 40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US Pelvic Nonobstetric Real-Time Image Complete $202.00 — — 49% below —
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 CHG US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE $98.39 $165.00 — — 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $126.42 $212.00 — 67% below 40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US Preg Uterus After 1st Trimest 1/1st Gestation $202.00 — — 47% below —
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $126.42 $212.00 — — 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT $109.72 $184.00 — 69% below 40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat $202.00 — — 43% below —
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 CHG US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT $109.72 $184.00 — — 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES $76.33 $128.00 — 74% below 40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US Pregnant Uterus Limited 1/> Fetuses $202.00 — — 30% below —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 CHG US PREGNANT UTERUS LIMITED 1/> FETUSES $76.33 $128.00 — — 40%
Rib X-ray, one side, 2 views one side CPT 71100 HB Radex Ribs Unilateral 2 Views $168.00 — — 20% below —
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HB Radex Ribs Uni W/Posteroant Ch Minimum 3 Views $202.00 — — 23% below —
Screening mammogram, both breasts both sides CPT 77067 HB Screening Mammography Bi 2-View Breast Inc Cad $112.00 — — — —
Shoulder X-ray, complete, 2 or more views CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS $32.80 $55.00 — 84% below 40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HB Radex Shoulder Complete Minimum 2 Views $168.00 — — 20% below —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CHG RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS $32.80 $55.00 — — 40%
Sinus X-ray, complete, 3 or more views CPT 70220 HB Radex Sinuses Paranasal Compl Minimum 3 Views $168.00 — — 19% below —
Skull X-ray, fewer than 4 views CPT 70250 HB Radiologic Examination Skull <4 Views $202.00 — — 12% below —
Sleep study in a lab (polysomnography) CPT 95810 HB Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $1,934.00 — — 8% below —
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB Swallowing Funcj W/Cineradiograpy/Vidradiog $339.00 — — 6% below —
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB X-Ray Exam of Femur Min 2 Views $168.00 — — 14% below —
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT Thoracic Spine W/O Contrast Material $202.00 — — 77% below —
Toe X-ray, 2 or more views CPT 73660 CHG RADEX TOE MINIMUM 2 VIEWS $27.43 $46.00 — 84% below 40%
Toe X-ray, 2 or more views CPT 73660 HB Radex Toe Minimum 2 Views $168.00 — — at median —
Toe X-ray, 2 or more views inpatient CPT 73660 CHG RADEX TOE MINIMUM 2 VIEWS $27.43 $46.00 — — 40%
Transvaginal pelvic ultrasound CPT 76830 CHG US TRANSVAGINAL $110.91 $186.00 — 71% below 40%
Transvaginal pelvic ultrasound CPT 76830 HB Ultrasound Transvaginal $202.00 — — 47% below —
Transvaginal pelvic ultrasound inpatient CPT 76830 CHG US TRANSVAGINAL $110.91 $186.00 — — 40%
Transvaginal ultrasound during pregnancy CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG $86.46 $145.00 — 70% below 40%
Transvaginal ultrasound during pregnancy CPT 76817 HB US Preg Uterus Real Time W/Image Dcmtn Transvag $202.00 — — 31% below —
Transvaginal ultrasound during pregnancy inpatient CPT 76817 CHG US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG $86.46 $145.00 — — 40%
Ultrasound of the abdomen, complete CPT 76700 HB US Abdominal Real Time W/Image Documentation $202.00 — — 57% below —
Ultrasound of the scrotum and testicles CPT 76870 HB Ultrasound Scrotum & Contents $202.00 — — 45% below —
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM $102.56 $172.00 — 72% below 40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US Soft Tissue Head & Neck Real Time Imge Docm $202.00 — — 45% below —
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 CHG US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM $102.56 $172.00 — — 40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB Radex GI Tract Upper W/WO Delayed Films W/O Kub $339.00 — — 19% below —
Upper arm X-ray (humerus), 2 views CPT 73060 HB Radex Humerus Minimum 2 Views $168.00 — — 17% below —
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB Dup-Scan Xtr Veins Unilateral/Limited Study $202.00 — — 45% below —
Wrist X-ray, 2 views CPT 73100 CHG RADEX WRIST 2 VIEWS $31.60 $53.00 — 84% below 40%
Wrist X-ray, 2 views CPT 73100 HB Radex Wrist 2 Views $168.00 — — 14% below —
Wrist X-ray, 2 views inpatient CPT 73100 CHG RADEX WRIST 2 VIEWS $31.60 $53.00 — — 40%
Wrist X-ray, complete, 3 or more views CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS $38.76 $65.00 — 81% below 40%
Wrist X-ray, complete, 3 or more views CPT 73110 HB Radex Wrist Complete Minimum 3 Views $168.00 — — 17% below —
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CHG RADEX WRIST COMPLETE MINIMUM 3 VIEWS $38.76 $65.00 — — 40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HB X-Ray Exam Hip Uni 2-3 Views $168.00 — — 27% below —
X-ray of the abdomen, 1 view CPT 74018 HB Radiologic Exam Abdomen 1 View $168.00 — — 20% below —
X-ray of the ankle, 2 views CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS $29.82 $50.00 — 85% below 40%
X-ray of the ankle, 2 views CPT 73600 HB Radiologic Examination Ankle 2 Views $168.00 — — 13% below —
X-ray of the ankle, 2 views inpatient CPT 73600 CHG RADIOLOGIC EXAMINATION ANKLE 2 VIEWS $29.82 $50.00 — — 40%
X-ray of the finger(s), 2 or more views CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS $35.78 $60.00 — 80% below 40%
X-ray of the finger(s), 2 or more views CPT 73140 HB Radex Fingr Minimum 2 Views $168.00 — — 7% below —
X-ray of the finger(s), 2 or more views inpatient CPT 73140 CHG RADEX FINGR MINIMUM 2 VIEWS $35.78 $60.00 — — 40%
X-ray of the foot, 2 views CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS $26.83 $45.00 — 86% below 40%
X-ray of the foot, 2 views CPT 73620 HB Radiologic Examination Foot 2 Views $168.00 — — 15% below —
X-ray of the foot, 2 views inpatient CPT 73620 CHG RADIOLOGIC EXAMINATION FOOT 2 VIEWS $26.83 $45.00 — — 40%
X-ray of the foot, complete, 3 or more views CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS $31.60 $53.00 — 84% below 40%
X-ray of the foot, complete, 3 or more views CPT 73630 HB Radex Foot Complete Minimum 3 Views $168.00 — — 17% below —
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CHG RADEX FOOT COMPLETE MINIMUM 3 VIEWS $31.60 $53.00 — — 40%
X-ray of the hand, 3 or more views CPT 73130 HB Radex Hand Minimum 3 Views $168.00 — — 20% below —
X-ray of the knee, 1 or 2 views CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS $31.60 $53.00 — 85% below 40%
X-ray of the knee, 1 or 2 views CPT 73560 HB Radiologic Examination Knee 1/2 Views $168.00 — — 18% below —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 CHG RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS $31.60 $53.00 — — 40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB Radex Spine Lumbosacral 2/3 Views $202.00 — — 27% below —
X-ray of the lower back, 4 or more views CPT 72110 HB Radex Spine Lumbosacral Minimum 4 Views $202.00 — — 33% below —
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB Radex Spine Thoracic 2 Views $202.00 — — 9% below —
X-ray of the nasal bones, 3 or more views CPT 70160 HB Radex Nasal Bones Complete Minimum 3 Views $168.00 — — 17% below —
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB Radex Spine Cervical 2 or 3 Views $168.00 — — 21% below —
X-ray of the pelvis, 1 or 2 views CPT 72170 HB Radiologic Examination Pelvis 1/2 Views $202.00 — — 11% below —
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB Radex Sacrum & Coccyx Minimum 2 Views $168.00 — — 17% below —

Lab tests

ProcedureCash priceList priceInsurers payvs New YorkOff list
ACTH blood test CPT 82024 CHG ADRENOCORTICOTROPIC HORMONE ACTH $43.53 $73.00 — 69% below 40%
ACTH blood test CPT 82024 HB Adrenocorticotropic Hormone Acth $120.00 — — 16% below —
ACTH blood test inpatient CPT 82024 CHG ADRENOCORTICOTROPIC HORMONE ACTH $43.53 $73.00 — — 40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Transferase Alanine Amino Alt Sgpt $19.00 — — 18% below —
ALT (alanine aminotransferase) liver enzyme test CPT 84460 CHG TRANSFERASE ALANINE AMINO ALT SGPT $20.87 $35.00 — 10% below 40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 CHG TRANSFERASE ALANINE AMINO ALT SGPT $20.87 $35.00 — — 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Transferase Aspartate Amino Ast Sgot $19.00 — — 21% below —
AST (aspartate aminotransferase) enzyme test CPT 84450 CHG TRANSFERASE ASPARTATE AMINO AST SGOT $20.87 $35.00 — 13% below 40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 CHG TRANSFERASE ASPARTATE AMINO AST SGOT $20.87 $35.00 — — 40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Acute Hepatitis Panel $148.00 — — 15% below —
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 CHG ACUTE HEPATITIS PANEL $169.35 $284.00 — 3% below 40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 CHG ACUTE HEPATITIS PANEL $169.35 $284.00 — — 40%
Albumin blood test CPT 82040 HB Albumin Serum Plasma/Whole Blood $18.00 — — 1% below —
Albumin blood test CPT 82040 CHG ALBUMIN SERUM PLASMA/WHOLE BLOOD $48.90 $82.00 — 168% above 40%
Albumin blood test inpatient CPT 82040 CHG ALBUMIN SERUM PLASMA/WHOLE BLOOD $48.90 $82.00 — — 40%
Aldosterone blood test CPT 82088 HB Assay of Aldosterone $127.00 — — 1% above —
Aldosterone blood test CPT 82088 CHG ASSAY OF ALDOSTERONE $170.54 $286.00 — 36% above 40%
Aldosterone blood test inpatient CPT 82088 CHG ASSAY OF ALDOSTERONE $170.54 $286.00 — — 40%
Alkaline phosphatase (ALP) blood test CPT 84075 HB Assay of Phosphatase Alkaline $19.00 — — 6% below —
Alkaline phosphatase (ALP) blood test CPT 84075 CHG ASSAY OF PHOSPHATASE ALKALINE $20.87 $35.00 — 4% above 40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 CHG ASSAY OF PHOSPHATASE ALKALINE $20.87 $35.00 — — 40%
Allergy blood test, specific IgE, per allergen CPT 86003 HB Perch Ige Allergen $32.00 — — 100% above —
Allergy blood test, specific IgE, per allergen CPT 86003 HB Allergen Specific Ige Quan/Semiquan Ea Allergen $32.00 — — 100% above —
Alpha-fetoprotein (AFP) blood test CPT 82105 HB Alpha-Fetoprotein Serum $53.00 — — 14% below —
Alpha-fetoprotein (AFP) blood test CPT 82105 HB Maternal Serum Screen, Afp $53.00 — — 14% below —
Alpha-fetoprotein (AFP) blood test CPT 82105 CHG ALPHA-FETOPROTEIN SERUM $67.98 $114.00 — 10% above 40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 CHG ALPHA-FETOPROTEIN SERUM $67.98 $114.00 — — 40%
Ammonia blood test CPT 82140 HB Assay of Ammonia $46.00 — — 14% below —
Amylase blood test CPT 82150 HB Assay of Amylase $22.00 — — 27% below —
Amylase blood test CPT 82150 CHG ASSAY OF AMYLASE $125.22 $210.00 — 314% above 40%
Amylase blood test inpatient CPT 82150 CHG ASSAY OF AMYLASE $125.22 $210.00 — — 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Cyclic Citrullinated Peptide Antibody $12.00 — — 75% below —
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE ANTIBODY $14.31 $24.00 — 70% below 40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CHG CYCLIC CITRULLINATED PEPTIDE ANTIBODY $14.31 $24.00 — — 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Antinuclear Antibodies Ana $39.00 — — 11% below —
Antinuclear antibody (ANA) blood test, screen CPT 86038 CHG ANTINUCLEAR ANTIBODIES ANA $43.53 $73.00 — at median 40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CHG ANTINUCLEAR ANTIBODIES ANA $43.53 $73.00 — — 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Natriuretic Peptide $62.00 — — 50% below —
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CHG NATRIURETIC PEPTIDE $69.17 $116.00 — 44% below 40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CHG NATRIURETIC PEPTIDE $69.17 $116.00 — — 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Cul Bact Xcpt Urine Blood/Stool Aerobic Isol $29.00 — — 9% below —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL $34.59 $58.00 — 9% above 40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CHG CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL $34.59 $58.00 — — 40%
Basic metabolic panel (blood test) CPT 80048 HB Basic Metabolic Panel Calcium Total $58.00 — — at median —
Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL $66.79 $112.00 — 15% above 40%
Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL $66.79 $112.00 — — 40%
Bilirubin blood test, total CPT 82247 CHG BILIRUBIN TOTAL $11.93 $20.00 — 47% below 40%
Bilirubin blood test, total CPT 82247 HB Bilirubin Total $18.00 — — 20% below —
Bilirubin blood test, total inpatient CPT 82247 CHG BILIRUBIN TOTAL $11.93 $20.00 — — 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM $67.98 $114.00 — 56% below 40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Level IV Surg Pathology Gross&Microscopic Exam $102.00 — — 33% below —
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CHG LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM $67.98 $114.00 — — 40%
Blood culture for bacteria CPT 87040 HB Culture Bacterial Blood Aerobic W/ID Isolates $34.00 — — 46% below —
Blood culture for bacteria CPT 87040 CHG CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES $39.36 $66.00 — 37% below 40%
Blood culture for bacteria inpatient CPT 87040 CHG CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES $39.36 $66.00 — — 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB Collection Venous Blood Venipuncture $12.00 — — 20% below —
Blood draw from a vein (venipuncture), collection fee only CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE $13.71 $23.00 — 9% below 40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 PR COLLECTION VENOUS BLOOD VENIPUNCTURE $13.71 $23.00 — — 40%
Blood glucose (sugar) test CPT 82947 Glucose Quantitative Blood Xcpt Reagent Strip $14.00 — — 22% below —
Blood glucose (sugar) test CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP $15.50 $26.00 — 14% below 40%
Blood glucose (sugar) test inpatient CPT 82947 CHG GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP $15.50 $26.00 — — 40%
Blood lead test CPT 83655 HB Assay of Lead $39.00 — — 11% below —
Blood lead test CPT 83655 CHG ASSAY OF LEAD $46.51 $78.00 — 6% above 40%
Blood lead test inpatient CPT 83655 CHG ASSAY OF LEAD $46.51 $78.00 — — 40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Gonadotropin Chorionic Qualitative $24.00 — — 25% below —
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHG GONADOTROPIN CHORIONIC QUALITATIVE $27.43 $46.00 — 14% below 40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 CHG GONADOTROPIN CHORIONIC QUALITATIVE $27.43 $46.00 — — 40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO $38.16 $64.00 — 75% below 40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Blood Typing Abo $244.00 — — 60% above —
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 CHG BLOOD TYPING SEROLOGIC ABO $38.16 $64.00 — — 40%
Blood urea nitrogen (BUN) test CPT 84520 HB Assay of Urea Nitrogen Quantitative $14.00 — — 37% below —
Blood urea nitrogen (BUN) test CPT 84520 CHG ASSAY OF UREA NITROGEN QUANTITATIVE $15.50 $26.00 — 31% below 40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 CHG ASSAY OF UREA NITROGEN QUANTITATIVE $15.50 $26.00 — — 40%
C-peptide blood test CPT 84681 HB Assay of C-Peptide $66.00 — — 23% below —
C-peptide blood test CPT 84681 CHG ASSAY OF C-PEPTIDE $75.13 $126.00 — 13% below 40%
C-peptide blood test inpatient CPT 84681 CHG ASSAY OF C-PEPTIDE $75.13 $126.00 — — 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-Reactive Protein $12.00 — — 55% below —
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CHG C-REACTIVE PROTEIN $14.91 $25.00 — 44% below 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CHG C-REACTIVE PROTEIN $14.91 $25.00 — — 40%
C. difficile toxin gene test (stool PCR) CPT 87493 HB Inf Agent Det Nucleic Acid Clostridium Amp Probe $64.00 — — 49% below —
C. difficile toxin gene test (stool PCR) CPT 87493 CHG INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE $70.96 $119.00 — 44% below 40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CHG INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE $70.96 $119.00 — — 40%
CA 19-9 blood test (tumor marker) CPT 86301 HB Immunoassay Tumor Antigen Quantitative Ca 19-9 $66.00 — — 12% below —
CA-125 blood test (ovarian cancer marker) CPT 86304 HB Immunoassay Tumor Antigen Quantitative Ca 125 $66.00 — — 14% below —
CA-125 blood test (ovarian cancer marker) CPT 86304 CHG IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 $75.13 $126.00 — 2% below 40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CHG IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 $75.13 $126.00 — — 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Ql Pcr Low $59.00 — — 40% below —
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ $73.34 $123.00 — 25% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CHG IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ $73.34 $123.00 — — 40%
Calcium blood test, total CPT 82310 HB Calcium Total $19.00 — — 25% below —
Carcinoembryonic antigen (CEA) test CPT 82378 HB Carcinoembryonic Antigen Cea $61.00 — — 25% below —
Carcinoembryonic antigen (CEA) test CPT 82378 CHG CARCINOEMBRYONIC ANTIGEN CEA $67.98 $114.00 — 16% below 40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CHG CARCINOEMBRYONIC ANTIGEN CEA $67.98 $114.00 — — 40%
Chickenpox (varicella) immunity blood test CPT 86787 HB Antibody Varicella-Zoster $30.00 — — 33% below —
Chickenpox (varicella) immunity blood test CPT 86787 CHG ANTIBODY VARICELLA-ZOSTER $33.99 $57.00 — 25% below 40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 CHG ANTIBODY VARICELLA-ZOSTER $33.99 $57.00 — — 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Iadna Chlamydia Trachomatis Amplified Probe Tq $70.00 — — 30% below —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ $83.48 $140.00 — 17% below 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHG IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ $83.48 $140.00 — — 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel $44.00 — — 35% below —
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL $51.88 $87.00 — 24% below 40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL $51.88 $87.00 — — 40%
Complete blood count (CBC) with differential CPT 85025 HB Blood Count Complete Auto&Auto Difrntl Wbc $24.00 — — 41% below —
Complete blood count (CBC) with differential CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $27.43 $46.00 — 33% below 40%
Complete blood count (CBC) with differential inpatient CPT 85025 CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $27.43 $46.00 — — 40%
Complete blood count (CBC), no differential CPT 85027 HB Blood Count Complete Automated $24.00 — — 17% below —
Complete blood count (CBC), no differential CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED $28.62 $48.00 — 1% below 40%
Complete blood count (CBC), no differential inpatient CPT 85027 CHG BLOOD COUNT COMPLETE AUTOMATED $28.62 $48.00 — — 40%
Comprehensive metabolic panel (blood test) CPT 80053 HB Comprehensive Metabolic Panel $34.00 — — 42% below —
Comprehensive metabolic panel (blood test) CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL $41.74 $70.00 — 28% below 40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG COMPREHENSIVE METABOLIC PANEL $41.74 $70.00 — — 40%
Cortisol blood test, total CPT 82533 HB Cortisol Total $52.00 — — 6% above —
Cortisol blood test, total CPT 82533 CHG CORTISOL TOTAL $58.44 $98.00 — 19% above 40%
Cortisol blood test, total inpatient CPT 82533 CHG CORTISOL TOTAL $58.44 $98.00 — — 40%
Creatine kinase (CK) blood test, total CPT 82550 HB Creatine Kinase Total $22.00 — — 12% below —
Creatine kinase (CK) blood test, total CPT 82550 CHG CREATINE KINASE TOTAL $24.45 $41.00 — 2% below 40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CHG CREATINE KINASE TOTAL $24.45 $41.00 — — 40%
Creatinine blood test CPT 82565 HB Creatinine Blood $18.00 — — 27% below —
Creatinine blood test CPT 82565 CHG CREATININE BLOOD $19.08 $32.00 — 23% below 40%
Creatinine blood test inpatient CPT 82565 CHG CREATININE BLOOD $19.08 $32.00 — — 40%
Cytomegalovirus (CMV) antibody test CPT 86644 HB Antibody Cytomegalovirus Cmv $32.00 — — 39% below —
Cytomegalovirus (CMV) antibody test CPT 86644 CHG ANTIBODY CYTOMEGALOVIRUS CMV $38.16 $64.00 — 27% below 40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CHG ANTIBODY CYTOMEGALOVIRUS CMV $38.16 $64.00 — — 40%
D-dimer blood test (blood clot marker) CPT 85379 CHG FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE $36.97 $62.00 — 2% below 40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 CHG FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE $36.97 $62.00 — — 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Dehydroepiandrosterone-Sulfate $70.00 — — 17% below —
DHEA sulfate (DHEA-S) blood test CPT 82627 CHG DEHYDROEPIANDROSTERONE-SULFATE $80.50 $135.00 — 5% below 40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 CHG DEHYDROEPIANDROSTERONE-SULFATE $80.50 $135.00 — — 40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Drug Presumptive Analyzer $142.00 — — 16% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ethanol $142.00 — — 16% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ethyl Glucuronide Scr W/Rfx Cn UR $142.00 — — 16% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Semi Quant Thc UR $142.00 — — 16% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Flunitrazepam and Metabolite $142.00 — — 16% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Drug Svreen Serum W/ Conf $142.00 — — 16% above —
Drug screen by lab instrument (any number of drug classes) CPT 80307 CHG DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE $170.54 $286.00 — 40% above 40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CHG DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE $170.54 $286.00 — — 40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB Electrolyte Panel $22.00 — — 30% below —
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 CHG ELECTROLYTE PANEL $23.85 $40.00 — 24% below 40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 CHG ELECTROLYTE PANEL $23.85 $40.00 — — 40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB Antibody Epstein-Barr Eb Virus Viral Capsid Vca $32.00 — — 30% below —
Epstein-Barr virus (EBV) antibody test CPT 86665 CHG ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA $38.76 $65.00 — 15% below 40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 CHG ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA $38.76 $65.00 — — 40%
Estradiol blood test CPT 82670 HB Assay of Estradiol $87.00 — — 15% below —
Estradiol blood test CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL $98.99 $166.00 — 3% below 40%
Estradiol blood test inpatient CPT 82670 CHG ASSAY OF TOTAL ESTRADIOL $98.99 $166.00 — — 40%
FSH (follicle-stimulating hormone) test CPT 83001 HB Gonadotropin Follicle Stimulating Hormone $58.00 — — 23% below —
FSH (follicle-stimulating hormone) test CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE $69.77 $117.00 — 7% below 40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 CHG GONADOTROPIN FOLLICLE STIMULATING HORMONE $69.77 $117.00 — — 40%
Fecal calprotectin (stool inflammation test) CPT 83993 HB Assay of Calprotectin Fecal $35.00 — — 61% below —
Fecal calprotectin (stool inflammation test) CPT 83993 HB Calprotectin, Fecal $35.00 — — 61% below —
Fecal calprotectin (stool inflammation test) CPT 83993 CHG ASSAY OF CALPROTECTIN FECAL $42.34 $71.00 — 53% below 40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CHG ASSAY OF CALPROTECTIN FECAL $42.34 $71.00 — — 40%
Ferritin blood test (iron stores) CPT 82728 HB Ferritin $42.00 — — 31% below —
Ferritin blood test (iron stores) CPT 82728 HB Assay of Ferritin $44.00 — — 28% below —
Ferritin blood test (iron stores) CPT 82728 CHG ASSAY OF FERRITIN $49.49 $83.00 — 18% below 40%
Ferritin blood test (iron stores) inpatient CPT 82728 CHG ASSAY OF FERRITIN $49.49 $83.00 — — 40%
Fibrinogen blood test CPT 85384 HB Fibrinogen Activity $14.00 — — 63% below —
Fibrinogen blood test CPT 85384 CHG FIBRINOGEN ACTIVITY $16.70 $28.00 — 56% below 40%
Fibrinogen blood test inpatient CPT 85384 CHG FIBRINOGEN ACTIVITY $16.70 $28.00 — — 40%
Folate (folic acid) blood test CPT 82746 HB Assay of Folic Acid Serum $44.00 — — 20% below —
Folate (folic acid) blood test CPT 82746 CHG ASSAY OF FOLIC ACID SERUM $48.90 $82.00 — 11% below 40%
Folate (folic acid) blood test inpatient CPT 82746 CHG ASSAY OF FOLIC ACID SERUM $48.90 $82.00 — — 40%
Free T3 thyroid hormone test CPT 84481 HB Assay of Triiodothyronine T3 Free $50.00 — — 21% below —
Free T3 thyroid hormone test CPT 84481 CHG ASSAY OF TRIIODOTHYRONINE T3 FREE $56.65 $95.00 — 11% below 40%
Free T3 thyroid hormone test inpatient CPT 84481 CHG ASSAY OF TRIIODOTHYRONINE T3 FREE $56.65 $95.00 — — 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Assay of Free Thyroxine $30.00 — — 38% below —
Free T4 (free thyroxine) thyroid blood test CPT 84439 CHG ASSAY OF FREE THYROXINE $36.97 $62.00 — 23% below 40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 CHG ASSAY OF FREE THYROXINE $36.97 $62.00 — — 40%
Free testosterone test CPT 84402 HB Testosterone; Free $80.00 — — 3% below —
Free testosterone test CPT 84402 HB Testosterone, Free $80.00 — — 3% below —
Free testosterone test CPT 84402 HB Assay of Testosterone Free $80.00 — — 3% below —
Free testosterone test CPT 84402 CHG ASSAY OF TESTOSTERONE FREE $90.64 $152.00 — 9% above 40%
Free testosterone test inpatient CPT 84402 CHG ASSAY OF TESTOSTERONE FREE $90.64 $152.00 — — 40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB Assay of Glutamyltrase Gamma $24.00 — — 11% below —
Gamma-glutamyl transferase (GGT) blood test CPT 82977 CHG ASSAY OF GLUTAMYLTRASE GAMMA $26.83 $45.00 — at median 40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 CHG ASSAY OF GLUTAMYLTRASE GAMMA $26.83 $45.00 — — 40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB General Health Panel $48.00 — — 69% below —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB Glucose Post Glucose Dose $16.00 — — 24% below —
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE $17.89 $30.00 — 15% below 40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 CHG GLUCOSE POST GLUCOSE DOSE $17.89 $30.00 — — 40%
Glucose tolerance test, 3 samples CPT 82951 HB Glucose Tolerance Test Gtt 3 Specimens $30.00 — — 48% below —
Glucose tolerance test, 3 samples CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS $36.37 $61.00 — 37% below 40%
Glucose tolerance test, 3 samples inpatient CPT 82951 CHG GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS $36.37 $61.00 — — 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Iadna Neisseria Gonorrhoeae Amplified Probe Tq $70.00 — — 30% below —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ $83.48 $140.00 — 17% below 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHG IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ $83.48 $140.00 — — 40%
H. pylori antibody blood test CPT 86677 HB Antibody Helicobacter Pylori $76.00 — — 45% above —
H. pylori antibody blood test CPT 86677 CHG ANTIBODY HELICOBACTER PYLORI $87.66 $147.00 — 67% above 40%
H. pylori antibody blood test inpatient CPT 86677 CHG ANTIBODY HELICOBACTER PYLORI $87.66 $147.00 — — 40%
H. pylori stool antigen test CPT 87338 HB Iaad Eia Hpylori Stool $44.00 — — 18% below —
H. pylori stool antigen test CPT 87338 CHG IAAD IA HPYLORI STOOL $49.49 $83.00 — 8% below 40%
H. pylori stool antigen test inpatient CPT 87338 CHG IAAD IA HPYLORI STOOL $49.49 $83.00 — — 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Iadna Hiv-1 Quant & Reverse Transcription $167.00 — — 29% below —
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 CHG IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION $190.22 $319.00 — 19% below 40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 CHG IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION $190.22 $319.00 — — 40%
HIV-1 and HIV-2 antibody test CPT 86703 HB Antibody Hiv-1&Hiv-2 Single Result $27.00 — — 46% below —
HIV-1 and HIV-2 antibody test CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT $29.22 $49.00 — 42% below 40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 CHG ANTIBODY HIV-1&HIV-2 SINGLE RESULT $29.22 $49.00 — — 40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Iaad Eia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single $37.00 — — 49% below —
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Hpv High Risk Nucleic Acd $70.00 — — 26% below —
HPV test for high-risk types, one combined (pooled) result CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT $83.48 $140.00 — 12% below 40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 CHG IADNA HUMAN PAPILLOMAVIRUS HI-RSK TYP POOLD RSLT $83.48 $140.00 — — 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Hemoglobin Glycosylated A1c $32.00 — — 11% below —
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C $38.76 $65.00 — 8% above 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CHG HEMOGLOBIN GLYCOSYLATED A1C $38.76 $65.00 — — 40%
Hemoglobin blood test CPT 85018 CHG BLOOD COUNT HEMOGLOBIN $9.54 $16.00 — 34% below 40%
Hemoglobin blood test CPT 85018 HB Blood Count Hemoglobin $10.00 — — 31% below —
Hemoglobin blood test inpatient CPT 85018 CHG BLOOD COUNT HEMOGLOBIN $9.54 $16.00 — — 40%
Hepatitis B core antibody test (total) CPT 86704 HB Hepatitis B Core Antibody Hbcab Total $39.00 — — 11% below —
Hepatitis B core antibody test (total) CPT 86704 CHG HEPATITIS B CORE ANTIBODY HBCAB TOTAL $46.51 $78.00 — 7% above 40%
Hepatitis B core antibody test (total) inpatient CPT 86704 CHG HEPATITIS B CORE ANTIBODY HBCAB TOTAL $46.51 $78.00 — — 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB Hepatitis B Surf Antibody Hbsab $34.00 — — 14% below —
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 CHG HEPATITIS B SURF ANTIBODY HBSAB $41.74 $70.00 — 5% above 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 CHG HEPATITIS B SURF ANTIBODY HBSAB $41.74 $70.00 — — 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Iaad Ia Hepatitis B Surface Antigen $34.00 — — 9% below —
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Iaad Eia Hepatitis B Surface Antigen $34.00 — — 9% below —
Hepatitis B surface antigen (HBsAg) test CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN $41.14 $69.00 — 10% above 40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 CHG IAAD IA HEPATITIS B SURFACE ANTIGEN $41.14 $69.00 — — 40%
Hepatitis C antibody blood test (screening) CPT 86803 HB Hepatitis C Antibody $46.00 — — 13% below —
Hepatitis C antibody blood test (screening) CPT 86803 CHG HEPATITIS C ANTIBODY $55.46 $93.00 — 4% above 40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 CHG HEPATITIS C ANTIBODY $55.46 $93.00 — — 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Iadna Hepatitis C Quant & Reverse Transcription $133.00 — — 2% below —
Hepatitis C viral load (HCV RNA) test CPT 87522 CHG IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION $151.46 $254.00 — 11% above 40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CHG IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION $151.46 $254.00 — — 40%
Herpes blood test, HSV-1 antibody CPT 86695 HB Antibody Herpes Smplx Type 1 $30.00 — — 26% below —
Herpes blood test, HSV-1 antibody CPT 86695 CHG ANTIBODY HERPES SMPLX TYPE 1 $34.59 $58.00 — 14% below 40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 CHG ANTIBODY HERPES SMPLX TYPE 1 $34.59 $58.00 — — 40%
Herpes blood test, HSV-2 antibody CPT 86696 HB Antibody Herpes Smplx Type 2 $62.00 — — 7% above —
Herpes blood test, HSV-2 antibody CPT 86696 CHG ANTIBODY HERPES SMPLX TYPE 2 $69.17 $116.00 — 19% above 40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 CHG ANTIBODY HERPES SMPLX TYPE 2 $69.17 $116.00 — — 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB C-Reactive Protein High Sensitivity $14.00 — — 71% below —
Homocysteine blood test CPT 83090 HB Assay of Homocysteine $34.00 — — 53% below —
Homocysteine blood test CPT 83090 CHG ASSAY OF HOMOCYSTEINE $41.74 $70.00 — 43% below 40%
Homocysteine blood test inpatient CPT 83090 CHG ASSAY OF HOMOCYSTEINE $41.74 $70.00 — — 40%
Insulin blood test CPT 83525 HB Assay of Insulin Total $37.00 — — 12% below —
Insulin blood test CPT 83525 CHG ASSAY OF INSULIN TOTAL $41.74 $70.00 — 1% below 40%
Insulin blood test inpatient CPT 83525 CHG ASSAY OF INSULIN TOTAL $41.74 $70.00 — — 40%
Iron blood test (serum iron) CPT 83540 HB Assay of Iron $22.00 — — 14% below —
Iron blood test (serum iron) CPT 83540 CHG ASSAY OF IRON $24.45 $41.00 — 5% below 40%
Iron blood test (serum iron) inpatient CPT 83540 CHG ASSAY OF IRON $24.45 $41.00 — — 40%
Iron-binding capacity (TIBC) test CPT 83550 HB Iron Binding Capacity $29.00 — — 28% below —
Iron-binding capacity (TIBC) test CPT 83550 CHG IRON BINDING CAPACITY $32.20 $54.00 — 20% below 40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 CHG IRON BINDING CAPACITY $32.20 $54.00 — — 40%
Kidney function blood test panel CPT 80069 HB Renal Function Panel $10.00 — — 85% below —
LH (luteinizing hormone) test CPT 83002 HB Gonadotropin Luteinizing Hormone $58.00 — — 25% below —
LH (luteinizing hormone) test CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE $66.19 $111.00 — 14% below 40%
LH (luteinizing hormone) test inpatient CPT 83002 CHG GONADOTROPIN LUTEINIZING HORMONE $66.19 $111.00 — — 40%
Lactate (lactic acid) blood test CPT 83605 Assay of Lactate $34.00 — — 16% below —
Lactate (lactic acid) blood test CPT 83605 HB Assay of Lactate $34.00 — — 16% below —
Lactate dehydrogenase (LDH) blood test CPT 83615 HB Lactate Dehydrogenase Ldh $21.00 — — 6% below —
Lactate dehydrogenase (LDH) blood test CPT 83615 CHG LACTATE DEHYDROGENASE LDH $23.26 $39.00 — 4% above 40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CHG LACTATE DEHYDROGENASE LDH $23.26 $39.00 — — 40%
Lipase blood test (pancreas enzyme) CPT 83690 HB Assay of Lipase $22.00 — — 22% below —
Lipase blood test (pancreas enzyme) CPT 83690 CHG ASSAY OF LIPASE $23.85 $40.00 — 15% below 40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 CHG ASSAY OF LIPASE $23.85 $40.00 — — 40%
Liver function blood test panel CPT 80076 HB Hepatic Function Panel $22.00 — — 61% below —
Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL $23.85 $40.00 — 58% below 40%
Liver function blood test panel inpatient CPT 80076 CHG HEPATIC FUNCTION PANEL $23.85 $40.00 — — 40%
Lyme disease antibody test CPT 86618 HB Antibody Borrelia Burgdorferi Lyme Disease $40.00 — — 17% below —
Lyme disease antibody test CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $44.13 $74.00 — 9% below 40%
Lyme disease antibody test inpatient CPT 86618 CHG ANTIBODY BORRELIA BURGDORFERI LYME DISEASE $44.13 $74.00 — — 40%
Magnesium blood test CPT 83735 HB Assay of Magnesium $23.00 — — 7% below —
Magnesium blood test CPT 83735 CHG ASSAY OF MAGNESIUM $25.04 $42.00 — 1% above 40%
Magnesium blood test inpatient CPT 83735 CHG ASSAY OF MAGNESIUM $25.04 $42.00 — — 40%
Measles (rubeola) antibody test CPT 86765 HB Antibody Rubeola $30.00 — — 35% below —
Measles (rubeola) antibody test CPT 86765 CHG ANTIBODY RUBEOLA $33.99 $57.00 — 27% below 40%
Measles (rubeola) antibody test inpatient CPT 86765 CHG ANTIBODY RUBEOLA $33.99 $57.00 — — 40%
Mono test (heterophile antibody, Monospot) CPT 86308 HB Heterophile Antibodies Screen $6.00 — — 83% below —
Mumps immunity blood test CPT 86735 HB Antibody Mumps $30.00 — — 29% below —
Mumps immunity blood test CPT 86735 CHG ANTIBODY MUMPS $33.99 $57.00 — 20% below 40%
Mumps immunity blood test inpatient CPT 86735 CHG ANTIBODY MUMPS $33.99 $57.00 — — 40%
Obstetric blood test panel CPT 80055 CHG OBSTETRIC PANEL $146.09 $245.00 — 38% above 40%
Obstetric blood test panel inpatient CPT 80055 CHG OBSTETRIC PANEL $146.09 $245.00 — — 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Assay of Prostate Specific Antigen Free $58.00 — — 13% below —
PSA (prostate-specific antigen) blood test, free CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE $66.79 $112.00 — at median 40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE $66.79 $112.00 — — 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Assay of Prostate Specific Antigen Total $58.00 — — 13% below —
PSA (prostate-specific antigen) blood test, total CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $69.77 $117.00 — 5% above 40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CHG ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL $69.77 $117.00 — — 40%
Pap test (liquid-based, automated screening with review) CPT 88175 HB Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys $44.00 — — 35% below —
Pap test (liquid-based, automated screening with review) CPT 88175 CHG CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS $54.26 $91.00 — 20% below 40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CHG CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS $54.26 $91.00 — — 40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen $62.00 — — 12% below —
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN $68.57 $115.00 — 2% below 40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CHG CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN $68.57 $115.00 — — 40%
Parathyroid hormone (PTH) blood test CPT 83970 HB Assay of Parathormone $128.00 — — 13% below —
Parathyroid hormone (PTH) blood test CPT 83970 CHG ASSAY OF PARATHORMONE $144.90 $243.00 — 1% below 40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 CHG ASSAY OF PARATHORMONE $144.90 $243.00 — — 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Thromboplastin Time Partial Plasma/Whole Blood $21.00 — — 11% below —
Partial thromboplastin time (PTT) clotting test CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $22.66 $38.00 — 4% below 40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $22.66 $38.00 — — 40%
Phosphorus (phosphate) blood test CPT 84100 HB Assay of Phosphorus Inorganic $18.00 — — 12% below —
Phosphorus (phosphate) blood test CPT 84100 CHG ASSAY OF PHOSPHORUS INORGANIC $18.49 $31.00 — 9% below 40%
Phosphorus (phosphate) blood test inpatient CPT 84100 CHG ASSAY OF PHOSPHORUS INORGANIC $18.49 $31.00 — — 40%
Potassium blood test CPT 84132 Potassium Serum Plasma/Whole Blood $16.00 — — 30% below —
Potassium blood test CPT 84132 CHG POTASSIUM SERUM PLASMA/WHOLE BLOOD $17.29 $29.00 — 25% below 40%
Potassium blood test inpatient CPT 84132 CHG POTASSIUM SERUM PLASMA/WHOLE BLOOD $17.29 $29.00 — — 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Fetal Chrom Aneup 13,18,21 $870.00 — — 24% below —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Fetal Chrom Aneuploidy 13,18,21 $870.00 — — 24% below —
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Fetal Chromosomal Aneuploidy Genomic Seq Analys $870.00 — — 24% below —
Progesterone blood test CPT 84144 HB Assay of Progesterone $66.00 — — 23% below —
Progesterone blood test CPT 84144 CHG ASSAY OF PROGESTERONE $75.13 $126.00 — 13% below 40%
Progesterone blood test inpatient CPT 84144 CHG ASSAY OF PROGESTERONE $75.13 $126.00 — — 40%
Prolactin blood test CPT 84146 HB Assay of Prolactin $62.00 — — 14% below —
Prolactin blood test CPT 84146 CHG ASSAY OF PROLACTIN $69.77 $117.00 — 3% below 40%
Prolactin blood test inpatient CPT 84146 CHG ASSAY OF PROLACTIN $69.77 $117.00 — — 40%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $14.00 — — 10% below —
Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME $16.70 $28.00 — 8% above 40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME $16.70 $28.00 — — 40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB Drugs of Abuse Scrn, UR $20.00 — — 43% below —
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE $22.66 $38.00 — 35% below 40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 CHG DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE $22.66 $38.00 — — 40%
Rapid flu test (influenza antigen) CPT 87804 CHG IAADIADOO INFLUENZA $22.06 $37.00 — 46% below 40%
Rapid flu test (influenza antigen) inpatient CPT 87804 CHG IAADIADOO INFLUENZA $22.06 $37.00 — — 40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB Iaadiadoo Streptococcus Group A $34.00 — — 15% below —
Rapid strep A antigen test from a throat swab, read visually CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A $39.95 $67.00 — at median 40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 CHG IAADIADOO STREPTOCOCCUS GROUP A $39.95 $67.00 — — 40%
Renin blood test CPT 84244 HB Assay of Renin $70.00 — — 14% below —
Renin blood test CPT 84244 CHG ASSAY OF RENIN $79.31 $133.00 — 2% below 40%
Renin blood test inpatient CPT 84244 CHG ASSAY OF RENIN $79.31 $133.00 — — 40%
Rh blood typing CPT 86901 CHG BLOOD TYPING SEROLOGIC RH (D) $38.16 $64.00 — 31% below 40%
Rh blood typing CPT 86901 HB Blood Typing Rh (D) $75.00 — — 36% above —
Rh blood typing inpatient CPT 86901 CHG BLOOD TYPING SEROLOGIC RH (D) $38.16 $64.00 — — 40%
Rheumatoid factor (RF) test CPT 86431 HB Rheumatoid Factor Quantitative $10.00 — — 52% below —
Rheumatoid factor (RF) test CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE $22.06 $37.00 — 5% above 40%
Rheumatoid factor (RF) test inpatient CPT 86431 CHG RHEUMATOID FACTOR QUANTITATIVE $22.06 $37.00 — — 40%
Rubella antibody test (immunity check) CPT 86762 HB Antibody Rubella $32.00 — — 28% below —
Rubella antibody test (immunity check) CPT 86762 CHG ANTIBODY RUBELLA $35.18 $59.00 — 21% below 40%
Rubella antibody test (immunity check) inpatient CPT 86762 CHG ANTIBODY RUBELLA $35.18 $59.00 — — 40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB Sedimentation Rate RBC Automated $12.00 — — 52% below —
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 CHG SEDIMENTATION RATE RBC AUTOMATED $15.50 $26.00 — 37% below 40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 CHG SEDIMENTATION RATE RBC AUTOMATED $15.50 $26.00 — — 40%
Sodium blood test CPT 84295 Sodium Serum Plasma or Whole Blood $18.00 — — 17% below —
Stool ova and parasites exam CPT 87177 HB Ova&Parasites Direct Smears Concentration & ID $30.00 — — 9% below —
Stool ova and parasites exam CPT 87177 CHG OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID $32.80 $55.00 — at median 40%
Stool ova and parasites exam inpatient CPT 87177 CHG OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID $32.80 $55.00 — — 40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB Blood Occult Peroxidase Actv Qual Feces 1 Deter $18.00 — — 26% above —
Stool test for hidden blood (guaiac FOBT) CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER $20.87 $35.00 — 47% above 40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 CHG BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER $20.87 $35.00 — — 40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 $18.00 — — 63% below —
Syphilis antibody test (Treponema pallidum) CPT 86780 HB Antibody Treponema Pallidum $44.00 — — 4% above —
Syphilis antibody test (Treponema pallidum) CPT 86780 CHG ANTIBODY TREPONEMA PALLIDUM $48.90 $82.00 — 16% above 40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 CHG ANTIBODY TREPONEMA PALLIDUM $48.90 $82.00 — — 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Syphilis Test Non-Treponemal Antibody Qual $11.00 — — 30% below —
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CHG SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL $13.12 $22.00 — 17% below 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CHG SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL $13.12 $22.00 — — 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB Cell Mediated Antign Respnse Gamma Interferon $118.00 — — 28% below —
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON $141.92 $238.00 — 13% below 40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 CHG TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON $141.92 $238.00 — — 40%
Testosterone blood test, total (not free testosterone) CPT 84403 HB Testosterone, Total $82.00 — — 12% below —
Testosterone blood test, total (not free testosterone) CPT 84403 HB Testosterone; Total $82.00 — — 12% below —
Testosterone blood test, total (not free testosterone) CPT 84403 HB Assay of Testosterone Total $82.00 — — 12% below —
Testosterone blood test, total (not free testosterone) CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL $93.02 $156.00 — at median 40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 CHG ASSAY OF TESTOSTERONE TOTAL $93.02 $156.00 — — 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Microsomal Antibodies Each $46.00 — — 13% below —
Thyroid peroxidase (TPO) antibody test CPT 86376 CHG MICROSOMAL ANTIBODIES EACH $52.47 $88.00 — 1% below 40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 CHG MICROSOMAL ANTIBODIES EACH $52.47 $88.00 — — 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Assay of Thyroid Stimulating Hormone Tsh $54.00 — — 26% below —
Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH $65.00 $109.00 — 11% below 40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY OF THYROID STIMULATING HORMONE TSH $65.00 $109.00 — — 40%
Total IgE blood test CPT 82785 HB Assay of Gammaglobulin Ige $52.00 — — 14% below —
Total IgE blood test CPT 82785 CHG ASSAY OF GAMMAGLOBULIN IGE $63.21 $106.00 — 4% above 40%
Total IgE blood test inpatient CPT 82785 CHG ASSAY OF GAMMAGLOBULIN IGE $63.21 $106.00 — — 40%
Total cholesterol blood test CPT 82465 HB Cholesterol Serum/Whole Blood Total $16.00 — — 29% below —
Total cholesterol blood test CPT 82465 CHG CHOLESTEROL SERUM/WHOLE BLOOD TOTAL $17.29 $29.00 — 24% below 40%
Total cholesterol blood test inpatient CPT 82465 CHG CHOLESTEROL SERUM/WHOLE BLOOD TOTAL $17.29 $29.00 — — 40%
Total thyroxine (T4) blood test CPT 84436 HB Assay of Thyroxine Total $23.00 — — 21% below —
Total thyroxine (T4) blood test CPT 84436 CHG ASSAY OF THYROXINE TOTAL $25.04 $42.00 — 14% below 40%
Total thyroxine (T4) blood test inpatient CPT 84436 CHG ASSAY OF THYROXINE TOTAL $25.04 $42.00 — — 40%
Total triiodothyronine (T3) blood test CPT 84480 HB Assay of Triiodothyronine T3 Total Tt3 $46.00 — — 27% below —
Total triiodothyronine (T3) blood test CPT 84480 CHG ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 $51.88 $87.00 — 18% below 40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 CHG ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 $51.88 $87.00 — — 40%
Transferrin blood test CPT 84466 HB Assay of L7383transferrin $42.00 — — 11% below —
Transferrin blood test CPT 84466 CHG ASSAY OF L7383TRANSFERRIN $46.51 $78.00 — 1% below 40%
Transferrin blood test inpatient CPT 84466 CHG ASSAY OF L7383TRANSFERRIN $46.51 $78.00 — — 40%
Trichomonas test (NAAT) CPT 87661 HB Iadna Trichomonas Vaginalis Amplified Probe Tech $64.00 — — 16% below —
Trichomonas test (NAAT) CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH $76.33 $128.00 — at median 40%
Trichomonas test (NAAT) inpatient CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH $76.33 $128.00 — — 40%
Triglycerides blood test CPT 84478 HB Assay of Triglycerides $20.00 — — 18% below —
Triglycerides blood test CPT 84478 CHG ASSAY OF TRIGLYCERIDES $22.06 $37.00 — 10% below 40%
Triglycerides blood test inpatient CPT 84478 CHG ASSAY OF TRIGLYCERIDES $22.06 $37.00 — — 40%
Troponin test, quantitative CPT 84484 HB Assay of Troponin Quantitative $32.00 — — 26% below —
Troponin test, quantitative CPT 84484 CHG ASSAY OF TROPONIN QUANTITATIVE $36.97 $62.00 — 15% below 40%
Troponin test, quantitative inpatient CPT 84484 CHG ASSAY OF TROPONIN QUANTITATIVE $36.97 $62.00 — — 40%
Uric acid blood test CPT 84550 HB Assay of Blood/Uric Acid $16.00 — — 21% below —
Uric acid blood test CPT 84550 CHG ASSAY OF BLOOD/URIC ACID $17.29 $29.00 — 14% below 40%
Uric acid blood test inpatient CPT 84550 CHG ASSAY OF BLOOD/URIC ACID $17.29 $29.00 — — 40%
Urinalysis with microscope exam, automated CPT 81001 HB Urnls Dip Stick/Tablet Reagent Auto Microscopy $12.00 — — 63% below —
Urinalysis with microscope exam, automated CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $13.71 $23.00 — 58% below 40%
Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $13.71 $23.00 — — 40%
Urinalysis with microscope exam, manual CPT 81000 HB Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $4.00 — — 66% below —
Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY $11.93 $20.00 — 1% above 40%
Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY $11.93 $20.00 — — 40%
Urinalysis without microscope exam, automated CPT 81003 HB Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $12.00 — — 29% below —
Urinalysis without microscope exam, automated CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $16.10 $27.00 — 5% below 40%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $16.10 $27.00 — — 40%
Urinalysis without microscope exam, manual CPT 81002 HB Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 — — 15% above —
Urinalysis without microscope exam, manual CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $16.10 $27.00 — 55% above 40%
Urinalysis without microscope exam, manual inpatient CPT 81002 CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $16.10 $27.00 — — 40%
Urine culture for bacteria, with colony count CPT 87086 HB Culture Bacterial Quanttative Colony Count Urine $12.00 — — 69% below —
Urine culture for bacteria, with colony count CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE $32.20 $54.00 — 16% below 40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CHG CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE $32.20 $54.00 — — 40%
Urine microalbumin (albumin) test CPT 82043 HB Albumin Urine Microalbumin Quantiative $12.00 — — 60% below —
Urine microalbumin (albumin) test CPT 82043 CHG URINE ALBUMIN QUANTITATIVE $29.22 $49.00 — 2% below 40%
Urine microalbumin (albumin) test inpatient CPT 82043 CHG URINE ALBUMIN QUANTITATIVE $29.22 $49.00 — — 40%
Urine pregnancy test, read by color change CPT 81025 HB Urine Pregnancy Test Visual Color Cmprsn Meths $12.00 — — 58% below —
Urine pregnancy test, read by color change CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS $48.30 $81.00 — 67% above 40%
Urine pregnancy test, read by color change inpatient CPT 81025 CHG URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS $48.30 $81.00 — — 40%
Vitamin B12 (cobalamin) blood test CPT 82607 HB Cyanocobalamin Vitamin B-12 $44.00 — — 21% below —
Vitamin B12 (cobalamin) blood test CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 $49.49 $83.00 — 11% below 40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CHG CYANOCOBALAMIN VITAMIN B-12 $49.49 $83.00 — — 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25 Hydroxy Includes Fractions if Performed $84.00 — — 22% below —
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CHG 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED $96.60 $162.00 — 10% below 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CHG 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED $96.60 $162.00 — — 40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB 1 25 Dihydroxy Includes Fractions if Performed $120.00 — — 12% above —
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CHG 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED $137.75 $231.00 — 29% above 40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CHG 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED $137.75 $231.00 — — 40%
Zinc blood test CPT 84630 HB Assay of Zinc $32.00 — — 21% below —
Zinc blood test CPT 84630 CHG ASSAY OF ZINC $36.97 $62.00 — 9% below 40%
Zinc blood test inpatient CPT 84630 CHG ASSAY OF ZINC $36.97 $62.00 — — 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Gonadotropin Chorionic Quantitative $48.00 — — 14% below —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Beta Hcg Quant $48.00 — — 14% below —
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE $57.24 $96.00 — 3% above 40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHG GONADOTROPIN CHORIONIC QUANTITATIVE $57.24 $96.00 — — 40%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs New YorkOff list
Arthroscopic rotator cuff repair of the shoulder CPT 29827 HB Shldr Arthroscop,Surg,W/Rotat Cuff Repr $13,581.00 — — 61% above —
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB Cltx Dstl Fibular Fx Lat Malls W/O Manj $456.00 — — 13% below —
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB Closed Tx Metatarsal Fracture W/O Manipulation $456.00 — — at median —
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External $1,244.00 — — 20% above —
Cervical biopsy CPT 57500 HB Biopsy Cervix Single/Mult/Excision of Lesion Spx $1,656.00 — — 11% above —
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB Circumcision W/Clamp/Oth Dev W/Block $250.00 — — 90% below —
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj $456.00 — — 19% below —
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB Colposcopy Cervix Bx Cervix & Endocrv Curretage $579.00 — — 13% below —
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB Destruction Premalignant Lesion 1st $378.00 — — 30% above —
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB Remove Impacted Ear Wax Unilat $112.00 — — 7% below —
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB Remove Impacted Ear Wax Unilat $124.00 — — 2% above —
Earwax removal with instruments, one ear one side CPT 69210 HB Removal Impacted Cerumen Instrumentation Unilat $112.00 — — 14% below —
Earwax removal with instruments, one ear one side CPT 69210 HB Removal Impacted Cerumen Instrumentation Unilat $150.00 — — 15% above —
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx $382.00 — — 17% below —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN $243.29 $408.00 — 83% below 40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN $243.29 $408.00 — — 40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $166.96 $280.00 — 92% below 40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 PR NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL $166.96 $280.00 — — 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB Cath & Saline/Contrast Sonohyster/Hysterosalpi $111.00 — — 63% below —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $217.65 $365.00 — 28% below 40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 PR CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI $217.65 $365.00 — — 40%
IUD insertion (the device itself billed separately) CPT 58300 HB Insertion Intrauterine Device Iud $225.00 — — 45% below —
Incision and drainage of a simple or single skin abscess CPT 10060 HB Incision & Drainage Abscess Simple/Single $378.00 — — 7% below —
Incision and drainage of a simple or single skin abscess CPT 10060 HB Incision & Drainage Abscess Simple/Single $479.00 — — 18% above —
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HB Repair Ing Hernia,5+Y/O,Reducibl $6,710.00 — — 61% above —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB Injection 1 Tendon Sheath/Ligament Aponeurosis $561.00 — — 14% above —
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB Injection 1 Tendon Sheath/Ligament Aponeurosis $607.00 — — 23% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB Arthrocentesis Aspir&/Injection Major Jt/Bursa $561.00 — — 11% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB Arthrocentesis Aspir&/Injection Major Jt/Bursa $612.00 — — 21% above —
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB Insj Non-Biodegradable Drug Delivery Implant $244.00 — — 13% below —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB Arthrocentesis Aspir&/Injection Interm Jt/Burs $561.00 — — 23% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB Arthrocentesis Aspir&/Injection Interm Jt/Burs $604.00 — — 32% above —
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB Arthrocentesis Aspir&/Injection Small Jt/Bursa $561.00 — — 25% above —
Knee arthroscopy with meniscus trim CPT 29881 HB PR Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg $6,168.00 — — 61% above —
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HB Arthrs Knee W/Meniscectomy Med&Lat W/Shaving $6,168.00 — — 61% above —
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB Repair Intermediate S/a/T/E 2.5 Cm/< $759.00 — — 28% above —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB Exc B9 Les Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< $1,338.00 — — 24% above —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB Exc B9 Les Mrgn Xcp Sk Tg T/a/L 0.5 Cm/< $1,438.00 — — 33% above —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/< $1,338.00 — — 27% above —
Nail removal (partial or complete), one nail CPT 11730 HB Avulsion Nail Plate Partial/Complete Simple 1 $378.00 — — 13% above —
Nail removal (partial or complete), one nail CPT 11730 HB Avulsion Nail Plate Partial/Complete Simple 1 $468.00 — — 40% above —
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance $1,782.00 — — 25% above —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB Excision Nail Matrix Permanent Removal $759.00 — — 3% above —
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB Excision Nail Matrix Permanent Removal $886.00 — — 21% above —
Removal of a foreign object under the skin, simple CPT 10120 HB Incision & Removal Foreign Body Subq Tiss Simple $759.00 — — 18% above —
Removal of a foreign object under the skin, simple CPT 10120 HB Incision & Removal Foreign Body Subq Tiss Simple $878.00 — — 36% above —
Short arm cast (elbow to hand) CPT 29075 HB Application Cast Elbow Finger Short Arm $506.00 — — 19% above —
Short arm cast (elbow to hand) CPT 29075 HB Application Cast Elbow Finger Short Arm $578.00 — — 35% above —
Short arm splint (forearm and hand) CPT 29125 HB Application Short Arm Splint Forearm-Hand Static $244.00 — — 16% above —
Short leg cast (below the knee) CPT 29405 HB Application Short Leg Cast Below Knee-Toe $506.00 — — 3% above —
Short leg splint (calf to foot) CPT 29515 HB Application Short Leg Splint Calf Foot $300.00 — — 5% above —
Short leg splint (calf to foot) CPT 29515 HB Application Short Leg Splint Calf Foot $360.00 — — 26% above —
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HB Shldr Arthroscop,Surg,Dis Claviculectomy $6,168.00 — — 61% above —
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HB Shoulder Scope Bone Shaving $2,474.00 — — 42% below —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< $378.00 — — at median —
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/< $452.00 — — 20% above —
Skin biopsy, punch, one lesion CPT 11104 HB Punch Biopsy Skin Single Lesion $759.00 — — 10% above —
Skin tag removal, up to 15 tags CPT 11200 HB Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 $378.00 — — 4% above —
Skin tag removal, up to 15 tags CPT 11200 HB Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15 $452.00 — — 24% above —
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB Spinal Puncture Lumbar Diagnostic $1,317.00 — — 11% above —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm $378.00 — — 5% below —
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm $468.00 — — 18% above —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB Simple Repair F/E/E/N/L/M 2.5cm/< $378.00 — — at median —
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB Simple Repair F/E/E/N/L/M 2.5cm/< $466.00 — — 23% above —
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB Tangential Biopsy Skin Single Lesion $378.00 — — 24% below —
Thoracentesis with imaging guidance CPT 32555 Thoracentesis With Image $1,176.00 — — 8% below —
Total shoulder replacement CPT 23472 HB Arthroplasty Glenohumeral Joint Total Shoulder $34,960.00 — — 61% above —
Trigger finger release surgery CPT 26055 HB Incise Finger Tendon Sheath $3,042.00 — — 17% above —
Trigger point injections, 1 or 2 muscles CPT 20552 HB Injection Single/Mlt Trigger Point 1/2 Muscles $561.00 — — 34% above —
Trigger point injections, 1 or 2 muscles CPT 20552 HB Injection Single/Mlt Trigger Point 1/2 Muscles $602.00 — — 44% above —
Upper endoscopy (EGD) with biopsy CPT 43239 Edg Transoral Biopsy Single/Multiple $1,782.00 — — 7% above —
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic $1,782.00 — — 8% above —
Wart removal, up to 14 warts CPT 17110 HB Destruction Benign Lesions Up to 14 $378.00 — — 9% above —
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB Debridement Subcutaneous Tissue 20 Sq Cm/< $759.00 — — 10% below —
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HB Open Rx Distal Radius Fx, Extra-Articular $13,581.00 — — 61% above —

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs New YorkOff list
Blood transfusion (giving blood or blood components) CPT 36430 HB Transfusion Blood/Blood Components $831.00 — — 13% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/Nonpressurized Inhalation Treatment $244.00 — — 9% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Med Neb Tx, Repeat Same Day $387.00 — — 73% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Mdi Nonvent Tx, Repeat Same Day $387.00 — — 73% above —
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Sputum Induction $387.00 — — 73% above —
Chemotherapy IV infusion, first hour CPT 96413 HB Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug $630.00 — — 3% above —
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Basis Comp Audiometry $297.00 — — 60% above —
Critical care, first 30 to 74 minutes CPT 99291 HB Critical Care Ill/Injured Patient Init 30-74 Min $1,602.00 — — 7% below —
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB Electroencephalogram W/Rec Awake&Drowsy $592.00 — — 14% below —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R $112.00 — — 22% below —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB Medical Visit Fee I $168.00 — — 33% below —
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB Medical Visit Fee II $302.00 — — 10% below —
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB Medical Visit Fee III $526.00 — — 7% below —
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB Medical Visit Fee IV $810.00 — — 4% below —
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB Medical Visit Fee V $1,166.00 — — 2% below —
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Test $592.00 — — 7% above —
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, Up to 1 Hr $400.00 — — 8% above —
IV infusion of a medicine, first hour CPT 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr $400.00 — — 4% below —
IV push of a medicine, first drug CPT 96374 Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug $400.00 — — 57% above —
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Therapeutic Prophylactic/Dx Injection Subq/Im $135.00 — — 21% above —
Neuromuscular re-education, 15 minutes CPT 97112 HB Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca $57.00 — — 30% below —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi $44.00 — — 17% below —
Occupational therapy evaluation, low complexity CPT 97165 HB Occupational Therapy Eval Low Complex 30 Mins $122.00 — — 29% below —
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB Physical Therapy Evaluation High Complex 45 Mins $132.00 — — 50% below —
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB Physical Therapy Evaluation Low Complex 20 Mins $132.00 — — 27% below —
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB Physical Therapy Evaluation Mod Complex 30 Mins $132.00 — — 45% below —
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB Manual Therapy Tqs 1/> Regions Each 15 Minutes $56.00 — — 33% below —
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Px 1/> Areas Each 15 Min Exercises $62.00 — — 18% below —
Preventive checkup, new patient aged 18–39 CPT 99385 HB Initial Preventive Medicine New Pt Age 18-39yrs $118.00 — — 42% below —
Preventive checkup, new patient aged 18–39 CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $253.43 $425.00 — 25% above 40%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $253.43 $425.00 — — 40%
Preventive checkup, new patient aged 40–64 CPT 99386 HB Initial Preventive Medicine New Patient 40-64yrs $118.00 — — 48% below —
Preventive checkup, new patient aged 40–64 CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $268.34 $450.00 — 19% above 40%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $268.34 $450.00 — — 40%
Preventive checkup, new patient aged 65 or older CPT 99387 HB Initial Preventive Medicine New Patient 65yrs&> $118.00 — — 54% below —
Preventive checkup, new patient aged 65 or older CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> $283.24 $475.00 — 10% above 40%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> $283.24 $475.00 — — 40%
Preventive checkup, returning patient aged 18–39 CPT 99395 HB Periodic Preventive Med Est Patient 18-39 Yrs $118.00 — — 42% below —
Preventive checkup, returning patient aged 18–39 CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $238.52 $400.00 — 18% above 40%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PR PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS $238.52 $400.00 — — 40%
Preventive checkup, returning patient aged 40–64 CPT 99396 HB Periodic Preventive Med Est Patient 40-64yrs $118.00 — — 50% below —
Preventive checkup, returning patient aged 40–64 CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $253.43 $425.00 — 8% above 40%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PR PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS $253.43 $425.00 — — 40%
Preventive checkup, returning patient aged 65 or older CPT 99397 HB Periodic Preventive Med Est Patient 65yrs& Older $118.00 — — 42% below —
Preventive checkup, returning patient aged 65 or older CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $268.34 $450.00 — 32% above 40%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER $268.34 $450.00 — — 40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB Tobacco Use Cessation Intermediate 3-10 Minutes $57.00 — — 22% above —
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB Tobacco Use Cessation Intermediate 3-10 Minutes $68.00 — — 45% above —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit, Est, Level V $118.00 — — 50% below —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit, New, Level V $138.00 — — 41% below —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit, Est, Level V $262.00 — — 11% above —
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit, New, Level V $314.00 — — 34% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit, Est, Level III $118.00 — — 36% below —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit, New, Level lII $138.00 — — 25% below —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit, Est, Level III $190.00 — — 4% above —
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit, New, Level lII $226.00 — — 23% above —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit, Est, Level IV $118.00 — — 40% below —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit, New, Level lV $138.00 — — 30% below —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit, Est, Level IV $220.00 — — 11% above —
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit, New, Level lV $272.00 — — 38% above —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit, Est, Level II $118.00 — — 30% below —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit, New, Level ll $138.00 — — 18% below —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit, Est, Level II $162.00 — — 3% below —
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit, New, Level ll $194.00 — — 16% above —
Speech and language evaluation CPT 92523 HB Compr Lang/Cogn Lngstc Eval to 15 Min $256.00 — — 35% below —
Speech therapy session, individual CPT 92507 HB Speech Therapy Individual $106.00 — — 37% below —
Spirometry (breathing test) CPT 94010 HB Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj $297.00 — — 34% above —
Spirometry (breathing test) CPT 94010 HB Peak Flow Rate $297.00 — — 34% above —
Spirometry before and after a bronchodilator CPT 94060 HB Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn $592.00 — — 53% above —
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Therapeut Actvity Direct Pt Contact Each 15 Min $69.00 — — 20% below —
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Ot Therapeut Activity Direct Pt Contact Ea 15 Min $69.00 — — 20% below —
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Phlebotomy Therapeutic Separate Procedure $244.00 — — 15% above —

Vaccines

ProcedureCash priceList priceInsurers payvs New YorkOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HB Influenza Vaccine Inact Subunit Adjuvant Im $62.00 — — 42% below —
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT (FLUAD) ADJ 0.5 ML IM SUSY *I* $69.20 — — 35% below —
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $75.13 $126.00 — 29% below 40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 PR IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE $75.13 $126.00 — — 40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use $146.00 — — 29% below —
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HB Varicella Virus Vaccine Live Subq $152.00 — — 43% below —
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE $183.06 $307.00 — 31% below 40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE $183.06 $307.00 — — 40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HB Dtap-Ipv Inactivated Admin Pts Age 4-6 Yrs Im $63.00 — — 31% below —
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $70.36 $118.00 — 23% below 40%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE $70.36 $118.00 — — 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERT-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP *I* $24.42 — — 50% below —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im $28.00 — — 43% below —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 PR DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM $34.59 $58.00 — 30% below 40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 PR DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM $34.59 $58.00 — — 40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HB Dtap-Hepb-Ipv Vaccine Intramuscular $91.00 — — 34% below —
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PR DTAP-HEPB-IPV VACCINE INTRAMUSCULAR $109.12 $183.00 — 21% below 40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PR DTAP-HEPB-IPV VACCINE INTRAMUSCULAR $109.12 $183.00 — — 40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HB Dtap-Hib-Ipv Inactivated Vaccine Im $112.00 — — 23% below —
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE $134.76 $226.00 — 8% below 40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE $134.76 $226.00 — — 40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use $14.00 — — 51% below —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC TRIVALENT PF (AFLURIA) 0.5 ML IM SYR (36M-64 YR) *I* $18.50 — — 35% below —
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HB 9vhpv Vaccine 3 Dose Im $255.00 — — 49% below —
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE $307.69 $516.00 — 38% below 40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE $307.69 $516.00 — — 40%
Hepatitis A vaccine, adult dose CPT 90632 HB Hepatitis a Vaccine Adult for Intramuscular Use $78.00 — — 24% below —
Hepatitis A vaccine, adult dose CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE $94.22 $158.00 — 8% below 40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE $94.22 $158.00 — — 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HB Hepatitis a Vaccine Pediatric 2 Dose Schedule Im $29.00 — — 49% below —
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE $35.18 $59.00 — 38% below 40%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE $35.18 $59.00 — — 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB Hepatitis B Vaccine Adult 3 Dose Im $32.00 — — 64% below —
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $38.16 $64.00 — 57% below 40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE $38.16 $64.00 — — 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HB Hepatitis B Vaccine Pediatric3 Dose Im $15.00 — — 67% below —
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM $18.49 $31.00 — 59% below 40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM $18.49 $31.00 — — 40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HB Hemophilus Influenza B Vaccine Prp-T 4 Dose Im $12.00 — — 63% below —
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE $15.50 $26.00 — 52% below 40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE $15.50 $26.00 — — 40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB Influenza Vaccine Splt Prsrv Free Inc Antigen Im $61.00 — — 45% below —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $73.34 $123.00 — 34% below 40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 PR IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM $73.34 $123.00 — — 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC INJ *I* $78.54 — — 42% below —
MMR vaccine (measles, mumps and rubella), live CPT 90707 HB Measles Mumps Rubella Virus Vaccine Live Subq $86.00 — — 36% below —
MMR vaccine (measles, mumps and rubella), live CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ $104.35 $175.00 — 23% below 40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PR MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ $104.35 $175.00 — — 40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HB Measles Mumps Rubella Varicella Vacc Live Subq $97.00 — — 78% below —
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 PR MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ $117.47 $197.00 — 73% below 40%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 PR MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ $117.47 $197.00 — — 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB Meningococcal Conj Vaccine Tetravalent Im $137.00 — — 33% below —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE $165.18 $277.00 — 19% below 40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE $165.18 $277.00 — — 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HB Menb Recombinant Prot W/Out Membr Vesic Vacc Im $191.00 — — 42% below —
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 PR MENB-4C RECOMBNT PRTN & OUTER MEMB VESIC VACC IM $230.17 $386.00 — 30% below 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 PR MENB-4C RECOMBNT PRTN & OUTER MEMB VESIC VACC IM $230.17 $386.00 — — 40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HB Pneumococcal Conj Vaccine 13 Valent Im $218.00 — — 33% below —
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PR PCV13 VACCINE FOR INTRAMUSCULAR USE $262.97 $441.00 — 20% below 40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PR PCV13 VACCINE FOR INTRAMUSCULAR USE $262.97 $441.00 — — 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine Im $163.00 — — 62% below —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ *WRAPPED* $96.59 — — 43% below —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HB Pneumococcal Polysac Vaccine 23-V 2 Yrs/>Subq/Im $112.00 — — 34% below —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $134.76 $226.00 — 21% below 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE $134.76 $226.00 — — 40%
Polio vaccine, inactivated (IPV) CPT 90713 HB Poliovirus Vaccine Inactivated Subq/Im $34.00 — — 60% below —
Polio vaccine, inactivated (IPV) CPT 90713 PR POLIOVIRUS VACCINE INACTIVATED SUBQ/IM $41.14 $69.00 — 52% below 40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 PR POLIOVIRUS VACCINE INACTIVATED SUBQ/IM $41.14 $69.00 — — 40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HB Rsv Vaccine Pref Subunit Bivalent for Im Use $291.00 — — 31% below —
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HB Rsv Vacc Pref Recomb Adjt for Im Use $264.00 — — 35% below —
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR *I* $352.62 — — 25% below —
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HB Rotavirus Vaccine Pentavalent 3 Dose Live Oral $90.00 — — 31% below —
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 PR RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE $108.53 $182.00 — 17% below 40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 PR RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE $108.53 $182.00 — — 40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HB Shingrix 0.5mg - Single Dose $167.00 — — 58% below —
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE $201.55 $338.00 — 49% below 40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM USE $201.55 $338.00 — — 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB Td Toxoids Adsorbed Prsrv Fr 7 Yr/> Im $30.00 — — 43% below —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD TETANUS DIPHTHERIA TOXOIDS VACCINE *WRAPPED* $33.98 — — 36% below —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $35.78 $60.00 — 32% below 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE $35.78 $60.00 — — 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2.5-18.5 LF-MCG/0.5 IM SUSP *WRAPPED* $40.12 — — 28% below —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2-15.5 LF-MCG/0.5 IM SUSP *I* $40.48 — — 27% below —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB Tdap Vaccine 7 Yrs/> Im $205.00 — — 269% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 PR TDAP VACCINE 7 YRS/> IM $246.87 $414.00 — 345% above 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 PR TDAP VACCINE 7 YRS/> IM $246.87 $414.00 — — 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB Imadm Prq ID Subq/Im Njxs 1 Vaccine $43.00 — — 49% below —
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB Imadm Prq ID Subq/Im Njxs Ea Vaccine $31.00 — — 31% 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://www.urmc.rochester.edu/getmedia/636ee711-58e5-4a53-abe8-aac528ae0614/222807681-JONES-MEMORIAL-HOSPITAL-standardcharges.csv