Good Samaritan Hospital Medical Center
Good Samaritan Hospital Medical Center in West Islip, NY publishes cash prices for 540 common procedures listed here, from its own machine-readable price file updated Feb 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 264 of 534 procedures and below it for 228. By typical cash price it ranks #56 of 114 New York hospitals and #41 of 74 hospitals in the New York, NY area, cheapest first. Click a procedure to compare it with other hospitals nearby.
1000 Montauk Hwy, West Islip, NY 11795 Collected Sep 23, 2026 Source price file (631) 376-3000
Acute care hospital Emergency department CMS star rating 3 of 5 CCN 330286 · CMS hospital register NPI 1902865355
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Good Samaritan Hospital Medical Center in West Islip, NY:
- Oct 31, 2024 Warning notice
- Nov 14, 2024 Case closed
- Feb 13, 2026 Warning notice
- May 15, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WWO CON | $705.31 | $3,467.00 | $206.45–$3,467.00 | 45% below | 80% |
| Abdominal X-ray, 2 views CPT 74019 HC DX ABD W DECUB&OR ERCT | $80.13 | $494.00 | $15.15–$494.00 | 69% below | 84% |
| Abdominal X-ray, 2 views CPT 74019 HC DX ABDOMEN W OBLIQUE | $80.13 | $494.00 | $15.15–$494.00 | 69% below | 84% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC DX ANKLE MIN 3V | $84.02 | $716.00 | $12.63–$716.00 | 58% below | 88% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC DOP ART EXTR BIL 1-2 LEVELS | $279.89 | $590.00 | $72.72–$590.00 | 6% below | 53% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UP EXTREM WO CON | $413.49 | $1,200.00 | $123.32–$2,331.00 | 44% below | 66% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC DX ESOPHAGRAM INC SINGLE CONTRAST | $239.68 | $1,032.00 | $20.20–$1,032.00 | 29% below | 77% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE SCAN WHOLE BODY | $1,000.48 | $3,278.00 | $60.60–$3,278.00 | 5% above | 69% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST COMPLETE | $263.03 | $833.00 | $32.79–$833.00 | 16% below | 68% |
| Breast ultrasound, complete, one breast CPT 76641 HC US MM BREAST COMPLETE | $263.03 | $520.00 | $32.79–$808.00 | 16% below | 49% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US MM BREAST LIMITED | $200.75 | $520.00 | $26.93–$808.00 | 19% below | 61% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST LIMITED | $200.75 | $588.00 | $26.93–$808.00 | 19% below | 66% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD PELVIS W CONTRAST | $912.55 | $3,467.00 | $179.25–$3,467.00 | 41% below | 74% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO HEAD WWO CON | $754.32 | $4,128.00 | $206.45–$4,128.00 | 28% below | 82% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK WWO CON | $751.72 | $4,128.00 | $206.45–$4,128.00 | 34% below | 82% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST WWO CON | $767.29 | $4,551.00 | $141.40–$4,551.00 | 39% below | 83% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HRT/COR ART/BYPASS GRFT W CON 3D IM | $500.00 | $3,357.00 | $127.57–$3,357.00 | 51% below | 85% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CARD SCORE WO CON | $125.00 | $462.00 | $102.11–$2,331.00 | 24% below | 73% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS WO CONTRAST | $416.06 | $3,451.00 | $69.38–$3,451.00 | 61% below | 88% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS W CONTRAST | $807.78 | $3,825.00 | $109.01–$3,825.00 | 48% below | 79% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELVIS WWO CONTRAST | $912.55 | $4,112.00 | $138.11–$4,112.00 | 48% below | 78% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CON | $613.22 | $2,767.00 | $171.70–$2,767.00 | 44% below | 78% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CON | $330.45 | $2,767.00 | $123.32–$2,767.00 | 61% below | 88% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CON | $353.81 | $2,767.00 | $121.20–$2,767.00 | 54% below | 87% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN WO CON | $269.52 | $2,400.00 | $121.20–$2,400.00 | 66% below | 89% |
| CT scan of the head with contrast CPT 70460 HC CT BRAIN W CON | $390.14 | $2,605.00 | $146.45–$2,605.00 | 58% below | 85% |
| CT scan of the head without and with contrast CPT 70470 HC CT BRAIN WWO CON | $469.25 | $4,117.00 | $206.45–$4,117.00 | 55% below | 89% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CON | $413.49 | $2,400.00 | $123.32–$2,400.00 | 50% below | 83% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CON | $413.49 | $1,829.00 | $123.32–$2,331.00 | 53% below | 77% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CON | $614.50 | $2,767.00 | $171.70–$2,767.00 | 35% below | 78% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID DUPLEX BILAT | $607.75 | $3,107.00 | $109.08–$3,107.00 | — | 80% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX WWO CON | $609.33 | $3,987.00 | $206.45–$3,987.00 | 51% below | 85% |
| Chest X-ray, 2 views CPT 71046 HC DX CHEST 2 VIEWS | $72.36 | $606.00 | $15.15–$606.00 | 64% below | 88% |
| Chest X-ray, 2 views CPT 71046 HC DX CHEST DECUBS SPEC VIEWS | $72.36 | $606.00 | $15.15–$606.00 | 64% below | 88% |
| Chest X-ray, single view CPT 71045 HC DX CHEST 1 VIEW | $47.72 | $565.00 | $10.10–$565.00 | 74% below | 92% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC DX CLAVICLE | $72.36 | $475.00 | $10.10–$475.00 | 64% below | 85% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL, REAL TIME, COMPLETE | $283.78 | $1,360.00 | $60.60–$1,360.00 | 29% below | 79% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BD SPINE HIP STDY | $117.75 | $873.00 | $64.69–$873.00 | 56% below | 87% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BD FOREARM WRIST | $64.58 | $296.00 | $35.85–$296.00 | 55% below | 78% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREG FET/MAT 1ST GST | $317.21 | $1,357.00 | $72.72–$1,357.00 | 44% below | 77% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CON | $383.65 | $2,486.00 | $123.32–$2,486.00 | 54% below | 85% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CON | $492.60 | $3,669.00 | $171.70–$3,669.00 | 57% below | 87% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC MM DIAG 2D BILAT W OR WO CAD | $443.30 | $823.00 | $97.97–$823.00 | — | 46% |
| Diagnostic mammogram, one breast one side CPT 77065 HC MM DIAG 2D UNILAT W OR WO CAD | $347.32 | $823.00 | $97.97–$823.00 | 27% above | 58% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP ART LOW EXTRM COMPLETE BILATERAL | $822.79 | $2,714.00 | $109.08–$2,714.00 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP EXTRM VENOUS COMPLETE BILATERAL | $602.57 | $2,714.00 | $109.08–$2,714.00 | — | 78% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D M MODE SPEC COLOR DOP | $502.68 | $4,349.00 | $208.57–$4,349.00 | 53% below | 88% |
| Elbow X-ray, 2 views CPT 73070 HC DX ELBOW 2V | $71.04 | $494.00 | $10.10–$494.00 | 64% below | 86% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC DX ELBOW MIN 3V | $84.02 | $509.00 | $12.63–$509.00 | 58% below | 83% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS WO CON | $413.49 | $2,767.00 | $121.20–$2,767.00 | 44% below | 85% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC DX FACIAL BONES MIN 3V | $103.48 | $622.00 | $25.25–$622.00 | 60% below | 83% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC DX FOREARM 2V | $64.58 | $494.00 | $10.10–$494.00 | 68% below | 87% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBIL SCAN WO CCK INC GB | $1,128.61 | $3,235.00 | $104.78–$3,235.00 | 12% above | 65% |
| Hand X-ray, 2 views CPT 73120 HC DX HAND AP LAT | $73.64 | $475.00 | $10.10–$475.00 | 61% below | 84% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC DX CALCANEUS MIN 2V | $71.04 | $475.00 | $10.10–$475.00 | 61% below | 85% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TEST TYPE 4 MONITR | $400.51 | $5,750.00 | $170.78–$7,090.00 | at median | 93% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC HOME SLEEP TEST TYPE 3 MONITR | $400.51 | $5,750.00 | $170.78–$7,090.00 | at median | 93% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 4 WCPAP 6 0R > YRSOLD | $1,960.93 | $10,987.00 | $1,100.10–$10,987.00 | at median | 82% |
| Knee X-ray, 3 views CPT 73562 HC DX KNEE 3V | $97.00 | $530.00 | $15.15–$530.00 | 52% below | 82% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC DX KNEE, COMPLETE MIN 4V | $104.77 | $707.00 | $20.20–$707.00 | 62% below | 85% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOW EXTREM WO CON | $413.49 | $1,200.00 | $123.32–$2,331.00 | 42% below | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $230.59 | $1,111.00 | $40.40–$1,111.00 | 30% below | 79% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US JOINT LIMITED | $122.95 | $550.00 | $9.97–$808.00 | 50% below | 78% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LUNG CANCER SCREENING (LOW DOSE) WO CONTRAST | $287.04 | $1,000.00 | $35.18–$2,331.00 | 34% below | 71% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC DX TIB FIB 2V | $74.96 | $494.00 | $10.10–$494.00 | 63% below | 85% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CON | $839.92 | $4,500.00 | $280.32–$5,136.00 | 32% below | 81% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILAT W/WO CON & CAD | $1,057.68 | $7,250.00 | $505.00–$7,250.00 | — | 85% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXTRM JOINT WO CON | $623.33 | $4,232.00 | $280.32–$5,136.00 | 38% below | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXTRM JT WWO CON | $1,332.79 | $4,925.00 | $414.16–$5,292.00 | 27% below | 73% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CON | $768.88 | $4,232.00 | $280.32–$5,136.00 | 26% below | 82% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WWO CON | $1,165.47 | $4,232.00 | $414.16–$5,308.00 | 29% below | 72% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CON | $575.60 | $4,500.00 | $280.32–$5,136.00 | 45% below | 87% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WWO CON | $969.63 | $9,000.00 | $414.16–$9,000.00 | 41% below | 89% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CON | $552.25 | $4,232.00 | $280.32–$5,136.00 | 51% below | 87% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE WWO CON | $973.51 | $4,232.00 | $414.16–$5,136.00 | 41% below | 77% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPNE WO CON | $553.57 | $4,232.00 | $280.32–$5,136.00 | 45% below | 87% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPNE WWO CON | $977.40 | $8,464.00 | $414.16–$8,464.00 | 40% below | 88% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO CON | $552.25 | $4,232.00 | $280.32–$5,136.00 | 45% below | 87% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WWO CON | $1,161.59 | $5,628.00 | $414.16–$5,628.00 | 25% below | 79% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CON | $837.62 | $4,232.00 | $280.32–$5,136.00 | 19% below | 80% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UP EXTRM JOINT WO CON | $623.33 | $4,232.00 | $280.32–$5,136.00 | 48% below | 85% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC DX C SPINE 4 OR 5 VIEWS | $108.66 | $650.00 | $20.20–$650.00 | 61% below | 83% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK SOFT TISSUE W CON | $491.29 | $2,767.00 | $171.70–$2,767.00 | 50% below | 82% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK SOFT TISSUE WO CON | $381.05 | $2,767.00 | $123.32–$2,767.00 | 52% below | 86% |
| Neck soft tissue X-ray CPT 70360 HC DX NECK SOFT TISSUE | $73.64 | $523.00 | $10.10–$523.00 | 62% below | 86% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYCRD STR RST SPC MLTI | $1,517.16 | $5,673.00 | $241.13–$10,859.00 | 35% below | 73% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 CPTR OPHTH DX IMG POST SEGMT | $58.10 | — | $35.74–$158.15 | 17% below | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PTCT IMG SKULL/THIGH | $4,963.52 | $10,000.00 | $682.76–$13,100.00 | 29% above | 50% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CON | $335.66 | $3,006.00 | $123.32–$3,006.00 | 59% below | 89% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NON OB LIMITED OR FOLLOWUP | $87.91 | $589.00 | $40.40–$808.00 | 68% below | 85% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC GYN COMPLETE | $281.18 | $1,693.00 | $55.55–$1,693.00 | 30% below | 83% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG EVAL 2ND/3RD TRI,1ST FETUS | $340.83 | $881.00 | $55.55–$881.00 | 3% below | 61% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG EVAL 1ST TRI | $273.41 | $881.00 | $55.55–$881.00 | 12% below | 69% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREG LIMT 1 OR MLTI FETUS | $192.97 | $765.00 | $25.25–$808.00 | 33% below | 75% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC DX RIBS 2 VEWS, UNILATERAL | $81.45 | $475.00 | $15.15–$475.00 | 60% below | 83% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC DX RIBS 2 VIEWS & 1 VIEW CHEST, UNILATERAL | $90.51 | $628.00 | $17.68–$628.00 | 59% below | 86% |
| Screening mammogram, both breasts both sides CPT 77067 HC MM SCREEN BILAT 2V W OR WO CAD | $366.78 | $781.00 | $97.97–$781.00 | — | 53% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC DX SHOULDER 2V | $73.64 | $584.00 | $15.15–$584.00 | 64% below | 87% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC DX SINUSES MIN 3 VIEWS | $91.82 | $628.00 | $20.20–$628.00 | 54% below | 85% |
| Skull X-ray, fewer than 4 views CPT 70250 HC DX SKULL LESS THAN 4V | $87.91 | $475.00 | $15.15–$475.00 | 59% below | 81% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 4 + PARM 6 OR > YRS OLD | $1,863.64 | $10,762.00 | $1,063.62–$10,762.00 | at median | 83% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W ECG MNTR | $550.40 | $5,199.00 | $143.42–$5,199.00 | 46% below | 89% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC DX SWALLOW FUNC VIDEO CIN | $375.87 | $1,031.00 | $20.20–$1,031.00 | 11% above | 64% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC DX FEMUR MIN 2V | $86.62 | $451.00 | $9.88–$451.00 | 53% below | 81% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO CON | $413.49 | $3,162.00 | $123.32–$3,162.00 | 52% below | 87% |
| Toe X-ray, 2 or more views CPT 73660 HC DX TOES | $80.13 | $475.00 | $7.58–$475.00 | 55% below | 83% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $323.97 | $1,224.00 | $60.60–$1,224.00 | 13% below | 74% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US PREG EVAL, TRANSVAGINAL | $220.21 | $1,121.00 | $60.60–$1,121.00 | 24% below | 80% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $304.53 | $1,338.00 | $60.60–$1,338.00 | 32% below | 77% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM | $133.32 | $1,224.00 | $30.30–$1,224.00 | 62% below | 89% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID | $327.88 | $917.00 | $30.30–$917.00 | 1% below | 64% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC DX UGI INC SB WHEN PERFORMED SINGLE CONTRAST WWO DELAY&KUB | $286.35 | $1,162.00 | $30.30–$1,162.00 | 32% below | 75% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC DX HUMERUS MIN 2V | $76.25 | $494.00 | $10.10–$494.00 | 60% below | 85% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP EXTRM VENOUS LIMITED OR UNILATERAL | $364.18 | $1,758.00 | $93.93–$1,758.00 | at median | 79% |
| Wrist X-ray, 2 views CPT 73100 HC DX WRIST 2 VIEWS | $84.02 | $494.00 | $10.10–$494.00 | 54% below | 83% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC DX WRIST MIN 3V | $97.00 | $716.00 | $12.63–$716.00 | 52% below | 86% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP UNILATERAL 2 OR 3V W OR WO PELVIS | $111.26 | $755.00 | $12.59–$755.00 | 45% below | 85% |
| X-ray of the abdomen, 1 view CPT 74018 HC DX ABDOMEN 1V | $67.16 | $494.00 | $10.10–$494.00 | 67% below | 86% |
| X-ray of the ankle, 2 views CPT 73600 HC DX ANKLE 2V | $78.85 | $494.00 | $10.10–$494.00 | 59% below | 84% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC DX FINGER | $93.11 | $626.00 | $7.58–$626.00 | 47% below | 85% |
| X-ray of the foot, 2 views CPT 73620 HC DX FOOT 2V | $68.47 | $494.00 | $10.10–$494.00 | 63% below | 86% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC DX FOOT MIN 3V | $77.53 | $716.00 | $12.63–$716.00 | 60% below | 89% |
| X-ray of the hand, 3 or more views CPT 73130 HC DX HAND MIN 3V | $85.33 | $716.00 | $12.63–$716.00 | 58% below | 88% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC DX KNEE 1 OR 2V | $84.02 | $494.00 | $10.10–$494.00 | 58% below | 83% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC DX LS SPINE 2 OR 3V | $87.91 | $714.00 | $15.15–$714.00 | 68% below | 88% |
| X-ray of the lower back, 4 or more views CPT 72110 HC DX LS SPINE MIN 4V | $121.63 | $713.00 | $30.30–$713.00 | 60% below | 83% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC DX T SPINE 2V | $84.02 | $475.00 | $15.15–$475.00 | 63% below | 82% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC DX NASAL BONES | $89.22 | $503.00 | $15.15–$503.00 | 51% below | 82% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC DX C SPINE 3 OR LESS VIEWS | $81.45 | $584.00 | $15.15–$584.00 | 60% below | 86% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC DX PELVIS 1 OR 2 VIEWS | $85.33 | $494.00 | $12.63–$494.00 | 62% below | 83% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC DX SACRUM COCCYX MIN 2V | $72.36 | $475.00 | $15.15–$475.00 | 61% below | 85% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH ADRENOCORT | $142.56 | $805.00 | $37.85–$805.00 | 2% above | 82% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT ALT | $19.55 | $161.00 | $5.08–$161.00 | 13% below | 88% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT AST | $19.11 | $134.00 | $5.08–$134.00 | 13% below | 86% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB COMBINE CPT 80074 & 87340 | $175.84 | $625.00 | $33.96–$625.00 | 2% above | 72% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL*C | $175.84 | $625.00 | $33.96–$625.00 | 2% above | 72% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB COMBINE CPT 80074 & 86709 | $175.84 | $625.00 | $33.96–$625.00 | 2% above | 72% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC LAB COMBINE CPT 80074 & 86803 | $175.84 | $625.00 | $33.96–$625.00 | 2% above | 72% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM | $18.27 | $128.00 | $4.85–$128.00 | at median | 86% |
| Albumin blood test CPT 82040 HC ALBUMIN REF | $18.27 | $128.00 | $4.85–$128.00 | at median | 86% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $150.43 | $807.00 | $39.94–$807.00 | 9% above | 81% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE Q#16845 | $150.43 | $82.00 | $33.62–$228.00 | 9% above | -83% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE | $19.11 | $186.00 | $5.08–$186.00 | 2% below | 90% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PENICILLIN G | $19.26 | $49.00 | $3.69–$49.00 | 33% above | 61% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST INTERP | $19.26 | $39.00 | $3.69–$39.00 | 33% above | 51% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST | $19.26 | $49.00 | $3.69–$49.00 | 33% above | 61% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTIEN TUMOR | $61.92 | $375.00 | $6.57–$375.00 | at median | 83% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTIEN MATERNAL | $61.92 | $375.00 | $6.57–$375.00 | at median | 83% |
| Ammonia blood test CPT 82140 HC AMMONIA BLOOD | $53.79 | $151.00 | $14.28–$151.00 | 2% above | 64% |
| Amylase blood test CPT 82150 HC FLUID AMYLASE | $23.92 | $132.00 | $5.08–$132.00 | 21% below | 82% |
| Amylase blood test CPT 82150 HC URINE AMYLASE 24H | $23.92 | $132.00 | $5.08–$132.00 | 21% below | 82% |
| Amylase blood test CPT 82150 HC URINE AMYLASE 2H | $23.92 | $132.00 | $5.08–$132.00 | 21% below | 82% |
| Amylase blood test CPT 82150 HC URINE AMYLASE RANDOM | $23.92 | $132.00 | $5.08–$132.00 | 21% below | 82% |
| Amylase blood test CPT 82150 HC AMYLASE | $23.92 | $132.00 | $5.08–$132.00 | 21% below | 82% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $47.78 | — | $12.69–$72.00 | 2% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC FLUID ANTINUCLEAR AB | $44.61 | $198.00 | $5.25–$198.00 | 1% above | 77% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB SCN W REFLEX | $44.61 | $208.00 | $5.25–$208.00 | 1% above | 79% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES | $44.61 | $198.00 | $5.25–$198.00 | 1% above | 77% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES Q#10716 (PX 1) | $44.61 | $25.00 | $5.25–$68.00 | 1% above | -78% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE*C | $125.28 | $602.00 | $34.41–$602.00 | 2% above | 79% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B-TYPE NATRIURETIC PEPTIDE | $125.28 | $602.00 | $34.41–$602.00 | 2% above | 79% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GENITAL | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE WOUND | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TISSUE | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE THROAT | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE NOSE | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE MISCELLANEOUS | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE LEGIONELLA IGG | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE FLUID | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EYE | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EAR | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CATHETER TIP | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BONE | $31.81 | $306.00 | $8.23–$306.00 | 20% below | 90% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $31.22 | $215.00 | $7.32–$215.00 | 48% below | 85% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $18.51 | $82.00 | $4.92–$82.00 | 10% below | 77% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC PATH TC 88305 | $109.97 | $767.00 | $34.98–$767.00 | 24% below | 86% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC PATH GLR 88305 | $109.97 | $520.00 | $34.98–$520.00 | 24% below | 79% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $38.09 | $229.00 | $8.23–$229.00 | 37% below | 83% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $8.97 | $111.00 | $3.00–$111.00 | 39% below | 92% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE POC | $8.97 | $111.00 | $3.00–$111.00 | 39% below | 92% |
| Blood glucose (sugar) test CPT 82947 HC POCT GLUCOSE BLD(EXCEPT REAGENT STRIP)-CTLAB*C | $14.50 | $156.00 | $3.85–$156.00 | 19% below | 91% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD (EXCEPT REAGENT STRIP) POC | $14.50 | $88.00 | $3.85–$88.00 | 19% below | 84% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE (EXCEPT REAGENT STRIP) | $14.50 | $156.00 | $3.85–$156.00 | 19% below | 91% |
| Blood glucose (sugar) test CPT 82947 HC POC GLUCOSE (EXCEPT REAGENT STRIP) | $14.50 | $88.00 | $3.85–$88.00 | 19% below | 84% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE FASTING (EXCEPT REAGENT STRIP) | $14.50 | $156.00 | $3.85–$156.00 | 19% below | 91% |
| Blood lead test CPT 83655 HC LEAD LEVEL | $44.70 | $213.00 | $11.87–$213.00 | 4% above | 79% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC BETA HCG LOW LEVEL TUMOR | $27.78 | $357.00 | $2.02–$357.00 | 15% below | 92% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC URINE PREGNANCY SCREEN | $27.78 | $357.00 | $2.02–$357.00 | 15% below | 92% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY SCREEN SERUM | $27.78 | $357.00 | $2.02–$357.00 | 15% below | 92% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB ABO TYPING FOR FETAL CORD BLOOD SAMPLING | $11.03 | $350.00 | $2.99–$350.00 | 93% below | 97% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB ABO TYPING | $11.03 | $350.00 | $2.99–$350.00 | 93% below | 97% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BB ABO RH | $11.03 | $350.00 | $2.99–$350.00 | 93% below | 97% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN | $14.59 | $171.00 | $3.87–$171.00 | 33% below | 91% |
| C-peptide blood test CPT 84681 HC C PEPTIDE REACTIVITY | $76.84 | $411.00 | $20.39–$411.00 | at median | 81% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN | $19.11 | $162.00 | $4.14–$162.00 | 28% below | 88% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN BY PCR*C | $129.56 | $225.00 | $36.52–$225.00 | 7% above | 42% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9, QUANT | $76.84 | $480.00 | $20.39–$480.00 | 2% above | 84% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125, QUANT | $76.84 | $480.00 | $20.39–$480.00 | at median | 84% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COVID 2-QIASTAT, HIGH THROUGHPUT*C | $61.57 | $405.00 | $30.79–$405.00 | 32% below | 85% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COV 2 RNA,QL REALTIME PCR,COVID 19 HIGHTHR | $61.57 | $300.00 | $30.79–$300.00 | 32% below | 79% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COVID 2-BIOFIRE, HIGH THROUGHPUT*C | $61.57 | $350.00 | $30.79–$350.00 | 32% below | 82% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COVID 2-CEPHEID, HIGH THROUGHPUT*C | $61.57 | $150.00 | $30.79–$205.24 | 32% below | 59% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COVID 2-HOLOGIC PANTHER FUSION, HIGH THROUGHPUT | $61.57 | $150.00 | $30.79–$205.24 | 32% below | 59% |
| Calcium blood test, total CPT 82310 HC CALCIUM SERUM | $19.05 | $134.00 | $5.06–$134.00 | at median | 86% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA)*C | $70.00 | $424.00 | $18.58–$424.00 | at median | 83% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC FLUID CEA | $70.00 | $424.00 | $18.58–$424.00 | at median | 83% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER AB | $47.54 | $467.00 | $6.87–$467.00 | 14% above | 90% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA Q#13525 PX1 | $129.56 | $37.50 | $15.37–$232.00 | 55% above | -245% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS DETECTION Q#10120 (PX1) | $129.56 | $135.00 | $21.64–$232.00 | 55% above | 4% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS NAA | $129.56 | $310.00 | $21.64–$310.00 | 55% above | 58% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS DNA | $129.56 | $310.00 | $21.64–$310.00 | 55% above | 58% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS | $129.56 | $310.00 | $21.64–$310.00 | 55% above | 58% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB COMBINE CPT 80061 & 83721 | $49.42 | $272.00 | $6.10–$272.00 | 26% below | 82% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB COMBINE CPT 80061 & 82465 | $49.42 | $272.00 | $6.10–$272.00 | 26% below | 82% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $49.42 | $272.00 | $6.10–$272.00 | 26% below | 82% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB COMBINE CPT 80061 & 83718 | $49.42 | $272.00 | $6.10–$272.00 | 26% below | 82% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LAB COMBINE CPT 80061 & 84478 | $49.42 | $272.00 | $6.10–$272.00 | 26% below | 82% |
| Complete blood count (CBC) with differential CPT 85025 HC LAB COMBINE CPT 85025 & 85007 | $28.67 | $253.00 | $3.20–$253.00 | 25% below | 89% |
| Complete blood count (CBC) with differential CPT 85025 HC LAB COMBINE CPT 85025 & 85008 | $28.67 | $232.00 | $3.20–$232.00 | 25% below | 88% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC PLT DIFF AUTOMATED | $28.67 | $145.00 | $3.20–$145.00 | 25% below | 80% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC PLT AUTOMATED | $23.86 | $140.00 | $3.20–$140.00 | 16% below | 83% |
| Complete blood count (CBC), no differential CPT 85027 HC LAB COMBINE CPT 85027 & 85008 | $23.86 | $140.00 | $3.20–$140.00 | 16% below | 83% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMBINE CPT 80053 & 80076 | $38.99 | $584.00 | $10.10–$584.00 | 52% below | 93% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMBINE CPT 80053 & 80048 | $38.99 | $584.00 | $10.10–$584.00 | 52% below | 93% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMP METABOLIC PANEL | $38.99 | $394.00 | $10.10–$394.00 | 52% below | 90% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC LAB COMBINE CPT 80053 & 80069 | $38.99 | $584.00 | $10.10–$584.00 | 52% below | 93% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL*C | $60.16 | $204.00 | $15.97–$204.00 | 18% above | 71% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CPK | $24.04 | $106.00 | $5.08–$106.00 | 8% below | 77% |
| Creatinine blood test CPT 82565 HC CREATININE SERUM | $18.93 | $134.00 | $5.02–$134.00 | 19% below | 86% |
| Creatinine blood test CPT 82565 HC CREATININE SERUM Q#39165 PX1 | $18.93 | $134.00 | $5.02–$134.00 | 19% below | 86% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) AB | $53.13 | $336.00 | $14.10–$336.00 | 6% above | 84% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB TITER | $53.13 | $336.00 | $14.10–$336.00 | 6% above | 84% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER ASSAY QUANT | $37.55 | $218.00 | $9.57–$218.00 | 1% above | 83% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEAS | $82.08 | $545.00 | $21.79–$545.00 | at median | 85% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUG SCREEN*C | $214.77 | $277.00 | $7.58–$319.24 | 76% above | 22% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE SUBSTANCE ABUSE | $214.77 | $251.00 | $7.58–$319.24 | 76% above | 14% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE STAT TOX USTX | $214.77 | $192.00 | $7.58–$319.24 | 76% above | -12% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE FENTANYL SCREEN | $214.77 | $161.00 | $7.58–$319.24 | 76% above | -33% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TOX SCREEN ER BLOOD | $214.77 | $705.00 | $7.58–$705.00 | 76% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC STOOL MECONIUM COCAINE | $214.77 | $679.00 | $7.58–$679.00 | 76% above | 68% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SCREEN OPIATE | $214.77 | $193.00 | $7.58–$319.24 | 76% above | -11% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SCREEN BENZODIAZEPINE | $214.77 | $193.00 | $7.58–$319.24 | 76% above | -11% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MECONIUM DRUG SCREEN LABCORP# 809509 | $214.77 | $285.00 | $7.58–$319.24 | 76% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC LAB COMBINE CPT 80307 & 80305 | $214.77 | $285.00 | $7.58–$319.24 | 76% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TOX MONITORNG,4 SCREEN,URINE Q#91494,EADOS | $214.77 | $285.00 | $7.58–$319.24 | 76% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR (PX1 OF 29 @14) | $214.77 | $14.00 | $5.74–$319.24 | 76% above | -1434% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG OF ABUSE*C | $214.77 | $261.00 | $7.58–$319.24 | 76% above | 18% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COCAINE CONFIRMATION | $214.77 | $259.00 | $7.58–$319.24 | 76% above | 17% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE URINE SCREEN, EA DOS | $214.77 | $150.00 | $7.58–$319.24 | 76% above | -43% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $25.89 | $118.00 | $6.10–$118.00 | 29% below | 78% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS, VIRAL CAPSID | $66.98 | $279.00 | $17.78–$279.00 | 52% above | 76% |
| Estradiol blood test CPT 82670 HC ESTRADIOL SERUM | $103.13 | $674.00 | $27.38–$674.00 | 6% above | 85% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH SERUM | $68.59 | $384.00 | $18.21–$384.00 | at median | 82% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC URINE FSH | $68.59 | $384.00 | $18.21–$384.00 | at median | 82% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $72.48 | $350.00 | $11.39–$350.00 | 20% below | 79% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN SERUM*C | $50.32 | $275.00 | $13.36–$275.00 | 10% below | 82% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN LEVEL | $31.37 | $219.00 | $6.97–$219.00 | 17% below | 86% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE*C | $54.27 | $255.00 | $12.63–$255.00 | at median | 79% |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $62.55 | $736.00 | $9.09–$736.00 | 17% below | 92% |
| Free T3 thyroid hormone test CPT 84481 HC LAB COMBINE CPT 84481 & 84480*C | $62.55 | $854.00 | $9.09–$854.00 | 17% below | 93% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE | $33.28 | $327.00 | $8.84–$327.00 | 31% below | 90% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC LAB COMBINE CPT 84439 & 84436 | $33.28 | $653.00 | $8.84–$653.00 | 31% below | 95% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE DIALYSIS | $33.28 | $327.00 | $8.84–$327.00 | 31% below | 90% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC LAB COMBINE CPT 84439 & 84479 | $33.28 | $653.00 | $8.84–$653.00 | 31% below | 95% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $94.04 | $878.00 | $24.96–$878.00 | 2% above | 89% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGTP | $26.58 | $101.00 | $5.08–$101.00 | at median | 74% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $47.21 | — | $33.96–$128.00 | 62% below | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $17.52 | $158.00 | $4.66–$158.00 | 1% below | 89% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE (GTT), 3 SPCMS(INC GLUCOSE) | $47.51 | $325.00 | $6.91–$325.00 | 6% below | 85% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE NAA REF | $129.56 | $310.00 | $21.64–$310.00 | 41% above | 58% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE, AMP PROBE TECH | $129.56 | $314.00 | $21.64–$314.00 | 41% above | 59% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE DETECTION Q#10120 (PX1) | $129.56 | $135.00 | $21.64–$232.00 | 41% above | 4% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE DNA REF | $129.56 | $310.00 | $21.64–$310.00 | 41% above | 58% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE Q#13525 PX1 | $129.56 | $37.50 | $15.37–$232.00 | 41% above | -245% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB | $53.55 | $579.00 | $6.87–$579.00 | 2% above | 91% |
| H. pylori stool antigen test CPT 87338 HC STOOL H PYLORI AG | $53.10 | $404.00 | $8.11–$404.00 | 2% below | 87% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL QO#34838 | $53.10 | $100.00 | $8.11–$100.00 | 2% below | 47% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC VIRAL AB 1 RNA BY PCR INC GRAPH WHEN PREFORMED | $314.13 | $891.00 | $83.40–$891.00 | 38% above | 65% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1&HIV2 AB SINGLE RESULT | $50.59 | $208.00 | $13.44–$208.00 | 2% above | 76% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1HIV2 AB/AG SCREEN*C | $88.89 | $112.00 | $18.67–$120.28 | 9% above | 21% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV RNA HR E6/E7 TMA Q# 90942 | $129.56 | $100.00 | $28.13–$191.04 | 68% above | -30% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH-RISK TYPES | $129.56 | $582.00 | $28.13–$582.00 | 68% above | 78% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOBIN*C | $35.85 | $416.00 | $9.52–$416.00 | 1% below | 91% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $8.76 | $98.00 | $2.02–$98.00 | 39% below | 91% |
| Hemoglobin blood test CPT 85018 HC BLOOD COUNT; HGB, LC#121074 | $8.76 | $3.00 | $1.23–$16.00 | 39% below | -192% |
| Hemoglobin blood test CPT 85018 HC POCT HEMOGLOBIN - CT LAB*C | $8.76 | $98.00 | $2.02–$98.00 | 39% below | 91% |
| Hemoglobin blood test one side CPT 85018 HC POCT RT HEMOGLOBIN | $8.76 | $98.00 | $2.02–$98.00 | 39% below | 91% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB TOTAL | $44.49 | $13.00 | $5.33–$68.00 | 2% above | -242% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL*C | $44.49 | $33.00 | $10.20–$68.00 | 2% above | -35% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB*C | $39.65 | $196.00 | $10.20–$196.00 | 1% above | 80% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG*C | $38.12 | $163.00 | $10.12–$163.00 | 2% above | 77% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB*C | $52.65 | $369.00 | $10.10–$369.00 | 2% below | 86% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEP C BY PCR QUANTITATIVE | $158.11 | $668.00 | $41.98–$668.00 | 22% above | 76% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 IGM AB | $48.68 | $113.00 | $12.93–$113.00 | 39% above | 57% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX VIRUS TYPE 1 | $48.68 | $113.00 | $12.93–$113.00 | 39% above | 57% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG TYPE SPECIFIC | $48.68 | $113.00 | $12.93–$113.00 | 39% above | 57% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC XHSV 1 IGM TITER | $48.68 | $113.00 | $12.93–$113.00 | 39% above | 57% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 IGM AB 59 | $48.68 | $113.00 | $12.93–$113.00 | 39% above | 57% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 IGG AB | $71.46 | $113.00 | $14.65–$113.00 | 29% above | 37% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 IGM AB | $71.46 | $113.00 | $14.65–$113.00 | 29% above | 37% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 IGM AB 59 | $71.46 | $113.00 | $14.65–$113.00 | 29% above | 37% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGG TYPE SPECIFIC | $71.46 | $113.00 | $14.65–$113.00 | 29% above | 37% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC XHSV 2 IGM TITER | $71.46 | $113.00 | $14.65–$113.00 | 29% above | 37% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC XHSV2 IGG INHIBITIONELISA | $71.46 | $113.00 | $14.65–$113.00 | 29% above | 37% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC REACTIVE PROTEIN HI SENSITIVITY | $47.78 | $228.00 | $10.35–$228.00 | 2% above | 79% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE*C | $62.28 | $362.00 | $17.56–$362.00 | 6% below | 83% |
| Insulin blood test CPT 83525 HC INSULIN, TOTAL | $42.19 | $229.00 | $11.20–$229.00 | at median | 82% |
| Iron blood test (serum iron) CPT 83540 HC URINE IRON | $23.89 | $171.00 | $5.08–$171.00 | 8% below | 86% |
| Iron blood test (serum iron) CPT 83540 HC IRON*C | $23.89 | $171.00 | $5.08–$171.00 | 8% below | 86% |
| Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAP*C | $32.26 | $171.00 | $5.08–$171.00 | 15% below | 81% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $32.05 | $207.00 | $8.51–$207.00 | 53% below | 85% |
| Kidney function blood test panel CPT 80069 HC LAB COMBINE CPT 80069 & 80048 | $32.05 | $397.00 | $8.51–$397.00 | 53% below | 92% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE | $68.35 | $424.00 | $18.15–$424.00 | at median | 84% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $39.44 | $258.00 | $9.39–$258.00 | 2% below | 85% |
| Lactate (lactic acid) blood test CPT 83605 HC CSF LACTIC ACID | $39.44 | $234.00 | $9.39–$234.00 | 2% below | 83% |
| Lactate (lactic acid) blood test CPT 83605 HC POC LACTATE-ARTERIAL | $39.44 | $234.00 | $9.39–$234.00 | 2% below | 83% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH | $22.28 | $112.00 | $5.08–$112.00 | 1% above | 80% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $25.44 | $189.00 | $5.81–$189.00 | 9% below | 87% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $30.17 | $224.00 | $7.32–$224.00 | 50% below | 87% |
| Lyme disease antibody test CPT 86618 HC LYME TITER PX1 FOR Q#36942 | $62.85 | $78.00 | $16.69–$96.00 | 37% above | 19% |
| Lyme disease antibody test CPT 86618 HC LYME TITER | $62.85 | $168.00 | $16.69–$168.00 | 37% above | 63% |
| Lyme disease antibody test CPT 86618 HC LYME ANTIBODY SB | $62.85 | $168.00 | $16.69–$168.00 | 37% above | 63% |
| Lyme disease antibody test CPT 86618 HC LYME ANTIBDYS TOT BY ELISA | $62.85 | $168.00 | $16.69–$168.00 | 37% above | 63% |
| Magnesium blood test CPT 83735 HC MAGNESIUM URINE | $24.73 | $123.00 | $5.08–$123.00 | at median | 80% |
| Magnesium blood test CPT 83735 HC MAGNESIUM RBC/SERUM | $24.73 | $136.00 | $5.08–$136.00 | at median | 82% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGG | $47.54 | $357.00 | $12.62–$357.00 | 6% above | 87% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY IGG | $47.54 | $357.00 | $12.62–$357.00 | 6% above | 87% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY IGM | $47.54 | $357.00 | $12.62–$357.00 | 6% above | 87% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST | $19.11 | $255.00 | $4.78–$255.00 | 42% below | 93% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE | $19.11 | $255.00 | $4.78–$255.00 | 42% below | 93% |
| Mumps immunity blood test CPT 86735 HC MUMPS AB | $48.17 | $235.00 | $6.87–$235.00 | 14% above | 80% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $176.47 | — | $33.96–$176.47 | 66% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $67.90 | $231.00 | $18.02–$304.00 | 15% above | 71% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL REF | $67.90 | $337.00 | $18.02–$337.00 | 4% above | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE | $67.90 | $337.00 | $18.02–$337.00 | 4% above | 80% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC ANTIGEN DX | $67.90 | $337.00 | $18.02–$337.00 | 4% above | 80% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $97.80 | — | $26.08–$125.96 | 52% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC GYN THIN PREP | $74.78 | $256.00 | $19.85–$256.00 | 7% above | 71% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT INHOUSE*C | $152.37 | $486.00 | $40.45–$486.00 | 18% above | 69% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH RELATED PROTEIN | $152.37 | $535.00 | $40.45–$535.00 | 18% above | 72% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC INTACT PTH | $152.37 | $752.00 | $40.45–$752.00 | 18% above | 80% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC FACTOR V INHIB PARTIAL PTT | $22.19 | $197.00 | $5.89–$197.00 | 2% below | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT-RSCH | $22.19 | $197.00 | $5.89–$197.00 | 2% below | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT HEPARIN DRIP TEST*C | $22.19 | $197.00 | $5.89–$197.00 | 2% below | 89% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $22.19 | $197.00 | $5.89–$197.00 | 2% below | 89% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $17.49 | $94.00 | $4.65–$94.00 | 15% below | 81% |
| Potassium blood test CPT 84132 HC POCT POTASSIUM SERUM,PLASMA OR WHL BLD-CTLAB*C | $16.98 | $171.00 | $4.66–$171.00 | 25% below | 90% |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM, PLASMA OR WHOLE BLOOD | $16.98 | $171.00 | $4.66–$171.00 | 25% below | 90% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY | $2,269.56 | — | $743.87–$3,036.20 | 112% above | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $77.02 | $346.00 | $20.44–$346.00 | 10% below | 78% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $71.52 | $447.00 | $18.99–$447.00 | at median | 84% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT WITH INR | $14.50 | $123.00 | $3.95–$123.00 | 9% below | 88% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT WITH INR POCT | $14.50 | $123.00 | $3.95–$123.00 | 9% below | 88% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC FACTOR V INHIB COAG ACTIVATED | $14.50 | $123.00 | $3.95–$123.00 | 9% below | 88% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $14.50 | $123.00 | $3.95–$123.00 | 9% below | 88% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME-RSCH | $14.50 | $123.00 | $3.95–$123.00 | 9% below | 88% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - OPI , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY TOXSEE - 12 TESTS | $40.25 | $85.00 | $5.05–$85.00 | 15% above | 53% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - OSY , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - THC , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - BAR , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - PCP , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - TCA , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - MTD , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - BZO , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - COC , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - AMP , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE STAT TOXICOLOGY*C | $40.25 | $124.00 | $5.05–$124.00 | 15% above | 68% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC SCREEN SUB0XONE*C | $40.25 | $124.00 | $5.05–$124.00 | 15% above | 68% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - MET , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC URINE TOXICOLOGY - MDMA , PX 12 FOR 705 | $40.25 | $58.75 | $5.05–$59.84 | 15% above | 31% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $49.48 | — | $10.32–$72.00 | 22% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP SCREEN | $49.42 | $150.00 | $3.79–$150.00 | 24% above | 67% |
| Renin blood test CPT 84244 HC RENIN | $81.18 | $367.00 | $21.55–$367.00 | 2% above | 78% |
| Renin blood test CPT 84244 HC RENIN Q#16845 | $81.18 | $33.00 | $13.53–$124.00 | 2% above | -146% |
| Rh blood typing CPT 86901 HC BB GROUP AND RH SEROLOGIC | $11.03 | $171.00 | $2.99–$171.00 | 76% below | 94% |
| Rh blood typing CPT 86901 HC BB RH TYPING | $11.03 | $231.00 | $2.99–$231.00 | 76% below | 95% |
| Rheumatoid factor (RF) test CPT 86431 HC FLUID RHEUMATOID FACTOR | $20.93 | $161.00 | $5.25–$161.00 | at median | 87% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR TITER | $20.93 | $161.00 | $5.25–$161.00 | at median | 87% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR TITER Q#10716 (PX 1) | $20.93 | $25.00 | $5.25–$32.00 | at median | 16% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG*C | $53.13 | $218.00 | $14.10–$218.00 | 24% above | 76% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM 59 | $53.13 | $218.00 | $14.10–$218.00 | 24% above | 76% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGM | $53.13 | $218.00 | $14.10–$218.00 | 24% above | 76% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB | $53.13 | $218.00 | $14.10–$218.00 | 24% above | 76% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $9.96 | — | $2.02–$16.00 | 59% below | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANAL VOL/COUNT/MOT | $44.49 | — | $12.06–$110.03 | 18% above | — |
| Sodium blood test CPT 84295 HC POCT SODIUM SERUM,PLASMA OR WHOLE BLD-CT LAB*C | $17.76 | $107.00 | $4.71–$107.00 | 6% below | 83% |
| Sodium blood test CPT 84295 HC POCT SODIUM, SERUM, PLASMA OR WHOLE BLD | $17.76 | $107.00 | $4.71–$107.00 | 6% below | 83% |
| Sodium blood test CPT 84295 HC SODIUM, SERUM, PLASMA OR WHOLE BLD | $17.76 | $107.00 | $4.71–$107.00 | 6% below | 83% |
| Stool ova and parasites exam CPT 87177 HC STOOL OVA&PARASITES | $32.86 | $336.00 | $8.72–$336.00 | at median | 90% |
| Stool ova and parasites exam CPT 87177 HC OVA&PARASITES PX1 | $32.86 | $30.00 | $8.72–$52.00 | at median | -10% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES | $32.86 | $155.00 | $8.72–$155.00 | at median | 79% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT STOOL SCREEN*C | $13.10 | $49.00 | $3.43–$49.00 | at median | 73% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $58.72 | — | $3.43–$112.00 | 30% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB*C | $48.86 | $181.00 | $12.76–$181.00 | 16% above | 73% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYP NON- TRP AB, QUAL VDRL/RPR/ART, CSF | $15.76 | $108.00 | $3.30–$108.00 | at median | 85% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR*C | $15.76 | $108.00 | $3.30–$108.00 | at median | 85% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD BLD TST | $228.79 | $341.00 | $60.74–$346.36 | 53% above | 33% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $95.29 | $538.00 | $25.29–$538.00 | 10% above | 82% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID MICROSOMAL AB | $53.70 | $317.00 | $14.26–$317.00 | 2% above | 83% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY EACH Q#10716 (PX 1) | $53.70 | $25.00 | $10.25–$84.00 | 2% above | -115% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY EACH | $53.70 | $317.00 | $14.26–$317.00 | 2% above | 83% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROS AUTO AB | $53.70 | $317.00 | $14.26–$317.00 | 2% above | 83% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH THYROID STIMULATING HORMONE | $62.04 | $393.00 | $9.09–$393.00 | 15% below | 84% |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN IGE | $60.76 | $339.00 | $12.63–$339.00 | 2% above | 82% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $16.06 | $219.00 | $4.26–$219.00 | 21% below | 93% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 THTROXINE TOTAL | $25.36 | $326.00 | $5.76–$326.00 | 11% below | 92% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $52.35 | $130.00 | $5.76–$130.00 | 7% below | 60% |
| Transferrin blood test CPT 84466 HC LAB COMBINE CPT 84466 & 83550 | $47.12 | $229.00 | $12.50–$229.00 | 1% above | 79% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $47.12 | $229.00 | $12.50–$229.00 | 1% above | 79% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS DETECTION Q#10119 (PX1) | $129.56 | $174.00 | $21.64–$191.48 | 84% above | 26% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS DETECTION Q#10120 (PX1) | $129.56 | $135.00 | $21.64–$191.48 | 84% above | 4% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES*C | $21.20 | $204.00 | $5.08–$204.00 | 18% below | 90% |
| Troponin test, quantitative CPT 84484 HC TROPONIN I T | $37.29 | $280.00 | $7.27–$280.00 | 9% below | 87% |
| Uric acid blood test CPT 84550 HC URIC ACID, BLOOD/SERUM | $16.68 | $161.00 | $4.43–$161.00 | 30% below | 90% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINE URINALYSIS W MICRO | $11.72 | $194.00 | $3.11–$194.00 | 57% below | 94% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $12.02 | — | $3.74–$20.00 | 2% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC POCT URINALYSIS WO MICRO CLINITEK ANALYZER | $8.28 | $51.00 | $2.02–$51.00 | 34% below | 84% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE URINALYSIS WO MICRO | $8.28 | $67.00 | $2.02–$67.00 | 34% below | 88% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINE KETONES | $10.41 | $42.00 | $2.02–$42.00 | at median | 75% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $29.78 | — | $7.91–$48.00 | 22% below | — |
| Urine microalbumin (albumin) test CPT 82043 HC URINE MICROALBUMIN QUANT Q#39165 PX1 | $21.35 | $15.00 | $5.08–$32.00 | 25% below | -42% |
| Urine microalbumin (albumin) test CPT 82043 HC URINE MICROALBUMIN 24H | $21.35 | $294.00 | $5.08–$294.00 | 25% below | 93% |
| Urine microalbumin (albumin) test CPT 82043 HC URINE MICROALBUMIN QUANT | $21.35 | $294.00 | $5.08–$294.00 | 25% below | 93% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $25.74 | $102.00 | $3.22–$102.00 | 2% below | 75% |
| Urine pregnancy test, read by color change CPT 81025 HC POCT URINE PREGNANCY | $25.74 | $102.00 | $3.22–$102.00 | 2% below | 75% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12*C | $55.64 | $193.00 | $12.63–$193.00 | at median | 71% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY INC FRACTION IF PRFRMD*C | $109.28 | $982.00 | $29.01–$982.00 | 23% above | 89% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $142.11 | $1,036.00 | $37.73–$1,036.00 | 44% above | 86% |
| Zinc blood test CPT 84630 HC ZINC | $42.04 | $205.00 | $7.98–$205.00 | 24% above | 79% |
| Zinc blood test CPT 84630 HC ZINC HAIR | $42.04 | $205.00 | $7.98–$205.00 | 24% above | 79% |
| Zinc blood test CPT 84630 HC URINE ZINC | $42.04 | $205.00 | $7.98–$205.00 | 24% above | 79% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA HCG QUANT | $55.58 | $412.00 | $12.49–$412.00 | at median | 87% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $4,122.00 | — | $442.40–$8,634.87 | 7% above | — |
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 ARTHRD ANT NTRBDY CERVICAL | $29,342.00 | — | $2,174.64–$45,222.00 | 93% above | — |
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 APPENDECTOMY | $4,364.00 | — | $2,008.92–$6,775.94 | 6% above | — |
| Appendectomy, open surgery CPT 44950 APPENDECTOMY | $4,364.00 | — | $1,469.60–$16,613.71 | 36% below | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $7,810.00 | — | $2,152.22–$19,020.60 | 1% below | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $7,810.00 | — | $2,174.64–$19,020.60 | at median | — |
| Balloon dilation of the maxillary sinus opening, one side CPT 31295 NSL/SINS NDSC SURG MAX SINS | $4,364.00 | — | $331.53–$18,431.48 | 44% below | — |
| Botox injections for chronic migraine both sides CPT 64615 HC CHEMODENERVATION FACE, FACIAL NRV/MSCL BILATERAL | $3,965.00 | $1,320.00 | $291.33–$5,269.00 | — | -200% |
| Botox injections for chronic migraine CPT 64615 HC CHEMDNR NRV MUSCLE FACIAL TRIG | $3,965.00 | $1,658.00 | $291.33–$5,269.00 | 890% above | -139% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC STTC BX BRST 1ST LES | $4,122.00 | $5,002.00 | $337.56–$5,269.00 | 42% above | 18% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ER FX ANKLE DISTAL FIB WO MANIP | $3,965.00 | $799.00 | $278.18–$5,269.00 | 657% above | -396% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC FX ANKLE DISTAL FIB WO MANIP | $3,965.00 | $726.00 | $278.18–$5,269.00 | 657% above | -446% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ER FX METATARSAL TX WO MANIP | $3,965.00 | $799.00 | $278.18–$5,269.00 | 770% above | -396% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CL FX METATARSAL TX WO MANIP | $3,965.00 | $726.00 | $278.18–$5,269.00 | 770% above | -446% |
| Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 COR HLX VLGS DSTL MTAR OSTEO | $4,364.00 | — | $1,048.39–$8,638.97 | 14% above | — |
| Bunion correction with removal of part of the big toe joint CPT 28292 COR HLX VLGS RSC PRX PHLX BS | $4,364.00 | — | $989.70–$8,638.97 | 14% above | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CORONARY ART ANG INCL INJ LT VENT | $7,969.00 | $17,609.00 | $1,961.39–$17,609.00 | 19% above | 55% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ER CARDIOVERSION EXTERNAL ELECT | $566.49 | $5,260.00 | $181.10–$10,459.00 | 29% below | 89% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION | $566.49 | $6,552.00 | $181.10–$10,459.00 | 29% below | 91% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION-CV HOLDING ROOM | $566.49 | $6,239.00 | $181.10–$10,459.00 | 29% below | 91% |
| Carpal tunnel release, open surgery CPT 64721 HC ER NEUROPLASTY MEDIAN NERVE | $4,122.00 | $6,820.00 | $950.99–$6,820.00 | 78% above | 40% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $4,122.00 | — | $1,095.41–$6,072.57 | 53% above | — |
| Catheter ablation for atrial fibrillation CPT 93656 HC COMP EP TRNSPT AFIB ABLACORSINUS | $50,515.00 | $101,030.00 | $1,173.88–$101,030.00 | 74% above | 50% |
| Cervical biopsy CPT 57500 HC ER BX SING MULT CERVIX OR EXC LESION | $3,965.00 | $2,660.00 | $162.53–$5,269.00 | 170% above | -49% |
| Cervical biopsy CPT 57500 HC BX CERVIX-SINGLE/MULTI EXC LESION SPX | $3,965.00 | $2,660.00 | $162.53–$5,269.00 | 170% above | -49% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $4,122.00 | — | $411.38–$5,454.27 | 33% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC ER CIRCUM W/CLAMP / OTHER DVC | $4,122.00 | $5,132.00 | $205.46–$5,454.27 | 70% above | 20% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRC W CLAMP/DVS NEONATE | $4,122.00 | $4,665.00 | $205.46–$5,454.27 | 70% above | 12% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $3,965.00 | — | $301.13–$5,269.00 | 209% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ER FX RADIUS ULNA DISTAL WO MANIP | $3,965.00 | $799.00 | $278.18–$5,269.00 | 615% above | -396% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC FX RADIUS ULNA DISTAL WO MANIP | $3,965.00 | $726.00 | $278.18–$5,269.00 | 615% above | -446% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $4,122.00 | — | $529.46–$4,731.00 | 195% above | — |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $4,122.00 | — | $526.34–$4,731.00 | 195% above | — |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $4,122.00 | — | $418.66–$4,731.00 | 195% above | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $3,965.00 | — | $388.66–$4,731.00 | 149% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | $4,122.00 | $11,814.00 | $346.43–$11,814.00 | 10% above | 65% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | $3,965.00 | $1,214.00 | $289.51–$5,269.00 | 498% above | -227% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $4,122.00 | — | $1,499.86–$6,072.57 | 53% above | — |
| Coronary stent placement, one artery CPT 92928 HC TRNCATH COR STNT MAJ SNGL VES & BRANCHES | $47,809.00 | $42,271.00 | $1,099.59–$47,809.00 | 243% above | -13% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $4,364.00 | — | $321.80–$9,183.08 | 7% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ER CYSTOURETHROSCOPY/OTHER GU PX | $3,965.00 | $2,195.00 | $165.82–$4,731.00 | 175% above | -81% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $4,122.00 | — | $501.72–$8,465.69 | 10% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $3,965.00 | — | $109.79–$5,269.00 | 1420% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $4,122.00 | — | $332.88–$5,269.00 | 135% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $3,965.00 | — | $153.75–$5,269.00 | 267% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM IMPACT CERUMEN IRRIGATION | $3,965.00 | $226.00 | $32.39–$5,269.00 | 3177% above | -1654% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ER REM IMPACT CERUMEN IRRIGATION | $3,965.00 | $226.00 | $32.39–$5,269.00 | 3177% above | -1654% |
| Earwax removal with instruments, one ear CPT 69210 HC REM IMPACTED EAR WAX | $3,965.00 | $273.00 | $40.39–$5,269.00 | 2950% above | -1352% |
| Earwax removal with instruments, one ear CPT 69210 HC ER REM IMPACTED EAR WAX | $3,965.00 | $273.00 | $40.39–$5,269.00 | 2950% above | -1352% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BIOPSY | $3,965.00 | $608.00 | $139.50–$5,269.00 | 760% above | -552% |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $7,325.00 | — | $679.37–$18,431.48 | 1% above | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $7,325.00 | — | $553.79–$18,431.48 | 5% below | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $4,364.00 | — | $379.05–$9,816.73 | at median | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $7,325.00 | — | $553.79–$18,431.48 | 5% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLAMINAR CRV/THRC | $3,965.00 | $2,860.00 | $221.24–$5,269.00 | 271% above | -39% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG | $3,965.00 | — | $185.20–$5,269.00 | 451% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PV LUM/SAC FAC W IMG GD | $3,965.00 | $3,033.00 | $186.41–$5,269.00 | 98% above | -31% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 RPR AA HRN 1ST 3-10 RDC | $4,364.00 | — | $1,950.00–$16,613.71 | 41% below | — |
| First repair of a front abdominal hernia larger than 10 cm CPT 49595 RPR AA HRN 1ST > 10 RDC | $4,364.00 | — | $1,950.00–$16,613.71 | 41% below | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 RPR AA HRN 1ST < 3 CM RDC | $4,364.00 | — | $1,950.00–$9,396.34 | 4% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ER SIGMOIDOSCOPY DIAGNOSTIC | $3,965.00 | $2,666.00 | $116.90–$4,731.00 | 192% above | -49% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $7,127.00 | — | $1,510.81–$15,534.34 | 21% above | — |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $7,127.00 | — | $1,642.75–$15,534.34 | 8% above | — |
| Gallbladder removal, open surgery through a larger incision CPT 47600 REMOVAL OF GALLBLADDER | $4,364.00 | — | $2,444.66–$6,191.08 | 61% above | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $4,364.00 | — | $787.77–$8,638.97 | 14% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $3,965.00 | — | $413.99–$5,269.00 | 268% above | — |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $4,122.00 | — | $784.82–$7,301.77 | 27% above | — |
| Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 TOTAL HIP ARTHROPLASTY | $32,595.00 | — | $2,249.52–$32,595.00 | 129% above | — |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $7,127.00 | — | $1,950.00–$7,127.00 | 38% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC SX CATH FOR HYSTERO | $3,965.00 | $506.00 | $101.20–$5,269.00 | 1195% above | -684% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $7,029.00 | — | $533.96–$13,143.60 | 20% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $4,122.00 | — | $498.91–$8,465.69 | 4% below | — |
| IUD insertion (the device itself billed separately) CPT 58300 HC INS IUD FOR PURPOSE OF HEMSTASIS ONLY | $3,965.00 | $1,839.00 | $104.09–$5,269.00 | 1338% above | -116% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC ER I&D ABSCESS SIMPLE SINGLE | $3,965.00 | $691.00 | $214.30–$5,269.00 | 895% above | -474% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I &D ABSCESS SIMPLE SINGLE | $3,965.00 | $691.00 | $214.30–$5,269.00 | 895% above | -474% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC INCSN DRAIN ABS 1 SMPL | $3,965.00 | $1,210.00 | $214.30–$5,269.00 | 895% above | -228% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ER REP ING HERNIA INITIAL 5YRS ABOVE | $4,364.00 | $11,433.00 | $1,193.06–$11,433.00 | 4% above | 62% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TRIG POINT TENDON SHEATH OR LIGAMENT - EACH | $3,965.00 | $2,640.00 | $81.71–$5,269.00 | 714% above | -50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SINGLE TRIGGER POINT | $3,965.00 | $2,640.00 | $81.71–$5,269.00 | 714% above | -50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ER INJ TENDON LIGAMENT | $3,965.00 | $2,640.00 | $81.71–$5,269.00 | 714% above | -50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASP/INJ MAJOR JOINT/BURSA | $3,965.00 | $1,761.00 | $99.09–$5,269.00 | 756% above | -125% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ER ASP/INJ MAJOR JOINT/BURSA | $3,965.00 | $1,761.00 | $99.09–$5,269.00 | 756% above | -125% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $3,965.00 | — | $140.37–$5,269.00 | 1350% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ER ASP/INJ INTERMED JOINT/BURSA | $3,965.00 | $970.00 | $78.85–$5,269.00 | 885% above | -309% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC SX ARTHROCENTESIS INTERM JOINT/BURSA W/O GUID | $3,965.00 | $970.00 | $78.85–$5,269.00 | 885% above | -309% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASP/INJ INTERMED JOINT/BURSA | $3,965.00 | $970.00 | $78.85–$5,269.00 | 885% above | -309% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ER ASP/INJ SM JOINT BURSA W/O GUID | $3,965.00 | $1,066.00 | $76.19–$5,269.00 | 846% above | -272% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC SX ASP/INJ SM JOINT BURSA W/O US GUID | $3,965.00 | $1,066.00 | $76.19–$5,269.00 | 846% above | -272% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASP/INJ SM JOINT BURSA W/O GUID | $3,965.00 | $1,066.00 | $76.19–$5,269.00 | 846% above | -272% |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $4,364.00 | — | $1,522.38–$8,638.97 | 14% above | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $4,364.00 | — | $1,196.90–$8,638.97 | 14% above | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 KNEE ARTHROSCOPY/SURGERY | $4,364.00 | — | $1,240.64–$8,638.97 | 14% above | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 KNEE ARTHROSCOPY/SURGERY | $4,364.00 | — | $1,370.62–$8,638.97 | 14% above | — |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $30,279.00 | — | $3,014.45–$40,447.68 | 57% above | — |
| Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 LAP PLACE GASTR ADJ DEVICE | $30,279.00 | — | $2,583.31–$40,447.68 | 146% above | — |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $7,127.00 | — | $1,373.01–$15,534.34 | 3% above | — |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 LAPAROSCOPY FUNDOPLASTY | $8,299.00 | — | $2,174.64–$27,720.50 | 24% below | — |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 TLH UTERUS 250 G OR LESS | $8,299.00 | — | $1,737.66–$27,720.50 | 21% below | — |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $8,299.00 | — | $1,954.99–$27,720.50 | at median | — |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $7,127.00 | — | $982.23–$15,534.34 | 10% above | — |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $7,127.00 | — | $1,278.60–$15,534.34 | 15% above | — |
| Laparoscopic removal of an adjustable gastric band and its port CPT 43774 LAP RMVL GASTR ADJ ALL PARTS | $4,364.00 | — | $2,204.75–$40,447.68 | 3% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $7,127.00 | — | $1,416.51–$15,534.34 | 13% above | — |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $30,279.00 | — | $2,172.49–$40,447.68 | 129% above | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $3,965.00 | — | $633.25–$5,269.00 | 270% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ER WOUND CLOSE 2.5 OR LESS INTM1 | $3,965.00 | $1,386.00 | $316.21–$5,269.00 | 571% above | -186% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LT HEART CATH W VENTR W REPORT | $7,969.00 | $17,609.00 | $1,691.46–$17,609.00 | 18% above | 55% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC SX INJ EPIDRL SUBARAC L/S W/IMG | $3,965.00 | $2,860.00 | $203.15–$5,269.00 | 166% above | -39% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $3,965.00 | — | $168.48–$5,269.00 | 172% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ LUMBAR ANES STEROID FLR | $3,965.00 | $2,552.00 | $227.91–$5,269.00 | 174% above | -55% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $29,342.00 | — | $2,174.64–$29,342.00 | 247% above | — |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 ARTHRD CMBN 1NTRSPC LUMBAR | $29,342.00 | — | $2,999.00–$48,964.61 | 35% above | — |
| Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 ARTHRD PST TQ 1NTRSPC LUM | $29,342.00 | — | $2,999.00–$48,964.61 | 35% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 LAM FACETEC & FORAMOT LUMBAR | $29,342.00 | — | $2,174.64–$29,342.00 | 247% above | — |
| Lumbar spinal fusion (posterior), one level CPT 22612 ARTHRD PST TQ 1NTRSPC LUMBAR | $29,342.00 | — | $2,174.64–$48,964.61 | 35% above | — |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $4,364.00 | — | $1,501.22–$10,195.70 | 2% above | — |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $7,325.00 | — | $1,950.00–$17,363.77 | 8% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC ER MISSED ABORT 1ST TRIMESTER | $4,122.00 | $8,329.00 | $872.92–$8,465.69 | 5% above | 51% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 MOHS 1 STAGE H/N/HF/G | $3,965.00 | — | $676.00–$5,269.00 | 258% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ER EXCIS BENIGN LESION .5CM OR LESS | $3,965.00 | $2,492.00 | $173.61–$5,269.00 | 267% above | -59% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXCIS BENIGN LESION .5CM OR LESS | $3,965.00 | $2,492.00 | $173.61–$5,269.00 | 267% above | -59% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $3,965.00 | — | $215.76–$5,269.00 | 293% above | — |
| Nail removal (partial or complete), one nail CPT 11730 HC ER REM OF NAIL PLATE | $3,965.00 | $850.00 | $105.38–$5,269.00 | 1124% above | -366% |
| Nail removal (partial or complete), one nail CPT 11730 HC REM OF NAIL PLATE | $3,965.00 | $850.00 | $105.38–$5,269.00 | 1124% above | -366% |
| Occipital nerve block (injection for headaches) CPT 64405 HC ER INJ ANES AGT OR STEROID GREATR OCCIPITAL | $3,965.00 | $1,126.00 | $120.95–$5,269.00 | 846% above | -252% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES AGT OR STEROID GREATR OCCIPITAL | $3,965.00 | $1,126.00 | $120.95–$5,269.00 | 846% above | -252% |
| Open Roux-en-Y gastric bypass through an abdominal incision CPT 43846 GASTRIC BYPASS FOR OBESITY | $30,279.00 | — | $3,014.45–$40,447.68 | 57% above | — |
| Pacemaker implant (dual chamber) CPT 33208 HC PACE INS W TRANSV ELECT BOTH | $8,299.00 | $40,005.00 | $1,174.20–$40,005.00 | 33% below | 79% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W OR WO IMAGE GUIDE | $3,965.00 | $2,819.00 | $214.69–$5,269.00 | 181% above | -41% |
| Paracentesis with imaging guidance CPT 49083 HC ER ABD PARACENTESIS W IMAG GUID+SS C1729 | $3,965.00 | $2,819.00 | $214.69–$5,269.00 | 181% above | -41% |
| Partial knee replacement (one compartment) CPT 27446 REVISION OF KNEE JOINT | $21,433.00 | — | $2,249.52–$37,680.00 | 41% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION OF NAIL | $3,965.00 | $1,730.00 | $206.98–$5,269.00 | 448% above | -129% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ER REM OF NAIL BED | $3,965.00 | $1,730.00 | $206.98–$5,269.00 | 448% above | -129% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $4,122.00 | — | $269.20–$5,454.27 | 70% above | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 LAPS SURG PRST8ECT RPBIC RAD | $8,299.00 | — | $2,249.52–$46,247.00 | 19% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $4,122.00 | — | $455.61–$6,010.00 | 25% above | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,364.00 | — | $942.15–$10,195.70 | 2% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC INV REM FB SUBCUTA SIMPLE | $3,965.00 | $1,168.00 | $217.31–$5,269.00 | 516% above | -239% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REM FB SUBCUTA SIMPLE | $3,965.00 | $1,168.00 | $217.31–$5,269.00 | 516% above | -239% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ER REM FB SUBCUTA SIMPLE | $3,965.00 | $1,168.00 | $217.31–$5,269.00 | 516% above | -239% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $7,127.00 | — | $1,545.58–$15,534.34 | 3% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND | $3,965.00 | — | $339.36–$5,269.00 | 166% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $3,965.00 | — | $337.98–$5,269.00 | 268% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $4,122.00 | — | $1,428.71–$8,634.87 | 7% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC ESWL - EXTRACORPEAL SHOCKWAVE LITHOTRIPSY | $8,767.00 | $18,120.00 | $1,189.10–$18,120.00 | 80% above | 52% |
| Short arm cast (elbow to hand) CPT 29075 HC CAST SHORT ARM | $3,965.00 | $948.00 | $135.43–$5,269.00 | 867% above | -318% |
| Short arm cast (elbow to hand) CPT 29075 HC ER CAST SHORT ARM | $3,965.00 | $1,043.00 | $135.43–$5,269.00 | 867% above | -280% |
| Short arm splint (forearm and hand) CPT 29125 HC ER SPLINT FOREARM STATIC | $3,965.00 | $526.00 | $85.73–$5,269.00 | 1826% above | -654% |
| Short arm splint (forearm and hand) CPT 29125 HC OT STATIC SHORT ARM SPLINT APPL | $3,965.00 | $478.00 | $85.73–$5,269.00 | 1826% above | -729% |
| Short leg cast (below the knee) CPT 29405 HC ER CAST BELOW KNEE | $3,965.00 | $882.00 | $125.50–$5,269.00 | 818% above | -350% |
| Short leg splint (calf to foot) CPT 29515 HC APPLICATION SPLINT LEG SHORT, CALF FOOT | $3,965.00 | $526.00 | $104.43–$5,269.00 | 1556% above | -654% |
| Short leg splint (calf to foot) CPT 29515 HC ER SPLINT LEG SHORT | $3,965.00 | $526.00 | $104.43–$5,269.00 | 1556% above | -654% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 SHO ARTHRS SRG DSTL CLAVICLC | $4,364.00 | — | $1,489.90–$8,638.97 | 14% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $4,364.00 | — | $386.17–$5,269.00 | 4% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC WOUND CLOSE 2.5 OR LESS SIMP1 | $3,965.00 | $612.00 | $97.44–$5,269.00 | 949% above | -548% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ER WOUND CLOSE 2.5 OR LESS SIMP1 | $3,965.00 | $612.00 | $97.44–$5,269.00 | 949% above | -548% |
| Skin biopsy, punch, one lesion CPT 11104 HC BX SKIN, PUNCH 1ST LESION | $3,965.00 | $1,828.00 | $98.08–$5,269.00 | 477% above | -117% |
| Skin biopsy, punch, one lesion CPT 11104 HC ER BX SKIN, PUNCH SINGLE LESION | $3,965.00 | $1,485.00 | $98.08–$5,269.00 | 477% above | -167% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC ER EXC MALIG LESION <0.5CM | $3,965.00 | $2,487.00 | $256.39–$5,269.00 | 361% above | -59% |
| Skin tag removal, up to 15 tags CPT 11200 HC ER REM SKIN TAGS UP TO 15 LESIONS | $3,965.00 | $612.00 | $155.50–$5,269.00 | 1049% above | -548% |
| Skin tag removal, up to 15 tags CPT 11200 HC RMVL SKIN TAGS UP TO&INC 15 | $3,965.00 | $612.00 | $155.50–$5,269.00 | 1049% above | -548% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SS PRPH SX LUMBAR SPINAL PUNCTURE DIAG | $3,965.00 | $2,814.00 | $129.48–$5,269.00 | 252% above | -41% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR SPINAL PUNCTURE DIAG | $3,965.00 | $2,814.00 | $129.48–$5,269.00 | 252% above | -41% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC BS LUMBAR SPINAL PUNCTURE DIAG + SS | $3,965.00 | $2,558.00 | $129.48–$5,269.00 | 252% above | -55% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ER LUMBAR SPINAL PUNCTURE DIAG | $3,965.00 | $2,814.00 | $129.48–$5,269.00 | 252% above | -41% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SKIN REPAIR | $3,965.00 | $612.00 | $129.62–$5,269.00 | 908% above | -548% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ER WOUND CLOSE 2.6 TO 7.5 SIMP1 | $3,965.00 | $612.00 | $129.62–$5,269.00 | 908% above | -548% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ER WOUND CLOSE 2.5 OR LESS SIMP2 | $3,965.00 | $612.00 | $123.90–$5,269.00 | 949% above | -548% |
| TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP) | $7,029.00 | — | $1,515.62–$13,535.44 | 17% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BX SKIN, TANGNTL 1ST LESION | $3,965.00 | $1,168.00 | $75.59–$5,269.00 | 756% above | -239% |
| Thoracentesis with imaging guidance CPT 32555 HC ER THORACENT ASP PLEURL W IMG | $3,965.00 | $2,732.00 | $224.52–$5,269.00 | 215% above | -45% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENT ASP PLEURL W OR WO IMG | $3,965.00 | $2,732.00 | $224.52–$5,269.00 | 215% above | -45% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $4,122.00 | — | $639.65–$8,634.87 | 7% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $7,029.00 | — | $612.14–$15,750.81 | at median | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $4,122.00 | — | $533.05–$8,634.87 | 7% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $7,029.00 | — | $559.09–$15,750.81 | at median | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $32,595.00 | — | $2,249.52–$34,258.68 | 114% above | — |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $21,433.00 | — | $2,249.52–$46,247.00 | 41% above | — |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $21,433.00 | — | $2,249.52–$48,964.61 | 1% below | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $7,127.00 | — | $2,023.58–$15,534.34 | 3% above | — |
| Trigger finger release surgery CPT 26055 HC ER TENDON SHEATH INCISION | $4,122.00 | $4,862.00 | $635.68–$5,269.00 | 83% above | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC ER INJ TRIGGER PT 1 OR 2 MUSCLES | $3,965.00 | $3,080.00 | $80.49–$5,269.00 | 848% above | -29% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIG POINT 1 OR 2 MUSCLES | $3,965.00 | $4,805.00 | $80.49–$5,269.00 | 848% above | 17% |
| Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 LAPAROSCOPY TUBAL CAUTERY | $7,127.00 | — | $805.51–$15,534.34 | 3% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC US BX BRST 1ST LES | $4,122.00 | $5,002.00 | $320.90–$5,269.00 | 42% above | 18% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $4,122.00 | — | $319.47–$5,050.85 | 84% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC ER UPPER ENDO DIAG BIOPSY | $3,965.00 | $3,435.00 | $285.80–$4,731.00 | 158% above | -15% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ | $3,965.00 | — | $285.80–$4,731.00 | 257% above | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $4,122.00 | — | $406.25–$5,050.85 | 84% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $3,965.00 | — | $343.65–$4,731.00 | 257% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC ER ENDO UGI DIAGNOSTIC | $3,965.00 | $3,740.00 | $255.80–$4,731.00 | 256% above | -6% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD W/TRANSMURAL DRAIN CYST | $4,364.00 | — | $807.87–$15,849.72 | 38% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTOURETERO W ESWL - LITHOTRIPSY | $8,767.00 | $18,120.00 | $809.32–$18,120.00 | 46% above | 52% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTOURETERO W ESWL - LITHOTRIPSY & STENT | $7,029.00 | $18,120.00 | $860.36–$18,120.00 | 17% above | 61% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT(S) | $4,122.00 | — | $476.07–$5,454.27 | 3% above | — |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $4,364.00 | — | $622.92–$8,380.42 | 17% above | — |
| Wart removal, up to 14 warts CPT 17110 HC ER DESTRUCT B9 LESION 1-14 | $3,965.00 | $612.00 | $134.80–$5,269.00 | 1124% above | -548% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SKIN SUBQ 1ST 20 SQCM OR LS | $3,965.00 | $1,434.00 | $126.90–$5,269.00 | 375% above | -176% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ER DEB SKIN SUBQ 1ST 20 SQCM OR LS | $3,965.00 | $1,577.00 | $126.90–$5,269.00 | 375% above | -151% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $7,810.00 | — | $1,621.38–$19,020.60 | 8% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BT TRANSFUSION OF BLOOD PRODUCTS | $3,965.00 | $3,700.00 | $8.08–$5,269.00 | 428% above | -7% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TX PRES NON PRES | $69.76 | $895.00 | $3.03–$895.00 | 63% below | 92% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL TX PRES NON PRES-THRU AUTOMATION | $69.76 | $895.00 | $3.03–$895.00 | 63% below | 92% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION 1HR SNGL/INITIAL SUBST | $1,915.00 | $2,145.00 | $35.35–$2,732.00 | 213% above | 11% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COM AUD THRSHLD DX N SPCH REC | $131.23 | $599.00 | $26.91–$599.00 | 32% below | 78% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ER CRITICAL CARE 30 TO 74 MINUTES | $6,042.00 | $3,383.00 | $366.40–$7,066.00 | 272% above | -79% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE&DROWSY UP TO 40 | $1,128.87 | $2,098.00 | $35.35–$2,098.00 | 69% above | 46% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $61.30 | — | $15.15–$128.00 | at median | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD | $32.14 | $501.00 | $7.58–$501.00 | 77% below | 94% |
| Electroconvulsive therapy (ECT), one session CPT 90870 HC ECT EACH SEIZURE | $3,029.00 | $3,696.00 | $168.94–$3,696.00 | 307% above | 18% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 - MONOCLONAL ANTBY - ASSESSMNT ONLY | $1,903.00 | $1,333.00 | $37.44–$2,231.00 | 663% above | -43% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 - FOR SUTURE/STAPLE REMOVAL ONLY | $1,903.00 | $462.00 | $37.44–$2,231.00 | 663% above | -312% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 | $1,903.00 | $1,333.00 | $37.44–$2,231.00 | 663% above | -43% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC URGENT CARE LVL1 | $1,903.00 | $1,333.00 | $37.44–$2,231.00 | 663% above | -43% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC OB/ER EMERGENT CARE LVL1 | $1,903.00 | $1,333.00 | $37.44–$2,231.00 | 663% above | -43% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER TRIAGE ONLY | $1,903.00 | $462.00 | $37.44–$2,231.00 | 663% above | -312% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1 - REMDESIVIR INFUSION SERIES | $1,903.00 | $1,333.00 | $37.44–$2,231.00 | 663% above | -43% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2 | $2,063.00 | $1,663.00 | $72.77–$2,442.00 | 464% above | -24% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC URGENT CARE LVL2 | $2,063.00 | $1,663.00 | $72.77–$2,442.00 | 464% above | -24% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC OB/ER EMERGENT CARE LVL2 | $2,063.00 | $1,663.00 | $72.77–$2,442.00 | 464% above | -24% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3 | $2,380.00 | $2,218.00 | $121.76–$2,488.00 | 348% above | -7% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC URGENT CARE LVL3 | $2,380.00 | $2,218.00 | $121.76–$2,488.00 | 348% above | -7% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC OB/ER EMERGENT CARE LVL3 | $2,380.00 | $2,218.00 | $121.76–$2,488.00 | 348% above | -7% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC OB/ER EMERGENT CARE LVL4 | $2,380.00 | $2,558.00 | $206.50–$2,590.00 | 186% above | 7% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4 | $2,380.00 | $2,558.00 | $206.50–$2,590.00 | 186% above | 7% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC URGENT CARE LVL4 | $2,380.00 | $2,558.00 | $206.50–$2,590.00 | 186% above | 7% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC URGENT CARE LVL5 | $2,538.00 | $3,049.00 | $303.89–$3,049.00 | 119% above | 17% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5 | $2,538.00 | $3,049.00 | $303.89–$3,049.00 | 119% above | 17% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC OB/ER EMERGENT CARE LVL5 | $2,538.00 | $3,049.00 | $303.89–$3,049.00 | 119% above | 17% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST(RX INDUCED, IE: ADENOSINE CHALLENGE) | $126.84 | $1,800.00 | $30.30–$1,800.00 | 77% below | 93% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST (W/EXCERCISE) | $126.84 | $1,800.00 | $30.30–$1,800.00 | 77% below | 93% |
| Family therapy with the patient, 50 minutes CPT 90847 HC BH IOP FAMILY THERAPY W PT | $298.00 | $559.00 | $117.39–$559.00 | 11% above | 47% |
| Family therapy with the patient, 50 minutes CPT 90847 HC BH CLINIC FAMILY THERAPY W PT | $298.00 | $559.00 | $117.39–$559.00 | 11% above | 47% |
| Family therapy with the patient, 50 minutes CPT 90847 HC BH FAM CNSLG FAMILY THERAPY W PT | $298.00 | $559.00 | $117.39–$559.00 | 11% above | 47% |
| Family therapy with the patient, 50 minutes CPT 90847 HC BH PS FAMILY THERAPY W PT | $298.00 | $559.00 | $117.39–$559.00 | 11% above | 47% |
| Family therapy with the patient, 50 minutes CPT 90847 HC BH PHP FAMILY THERAPY W PT | $298.00 | $559.00 | $117.39–$559.00 | 11% above | 47% |
| Family therapy without the patient, 50 minutes CPT 90846 HC BH PS FAMILY THERAPY W/O PT | $298.00 | $963.00 | $153.19–$963.00 | 15% above | 69% |
| Group psychotherapy session CPT 90853 HC BH IOP PSYCH GROUP TX | $298.00 | $280.00 | $37.31–$412.12 | 142% above | -6% |
| Group psychotherapy session CPT 90853 HC BH CLINIC ACTIVITY TX - GROUP SESSION | $298.00 | $280.00 | $37.31–$412.12 | 142% above | -6% |
| Group psychotherapy session CPT 90853 HC BH CLINIC GROUP TX < 60 | $298.00 | $280.00 | $37.31–$412.12 | 142% above | -6% |
| Group psychotherapy session CPT 90853 HC BH FAM COUNSLG ACTIVITY TX - GRP SESSION | $298.00 | $280.00 | $37.31–$412.12 | 142% above | -6% |
| Group psychotherapy session CPT 90853 HC BH FAM COUNSLG GROUP TX < 60 | $298.00 | $280.00 | $37.31–$412.12 | 142% above | -6% |
| Group psychotherapy session CPT 90853 HC BH IOP ACTIVITY TX - GRP SESSION | $298.00 | $280.00 | $37.31–$412.12 | 142% above | -6% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $298.00 | $280.00 | $37.31–$412.12 | 142% above | -6% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION 31-60MIN | $1,915.00 | $688.00 | $35.35–$2,332.00 | 445% above | -178% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF THPY 1ST HR | $1,915.00 | $2,100.00 | $35.35–$2,332.00 | 348% above | 9% |
| IV push of a medicine, first drug CPT 96374 HC PRPH INJ IV PUSH SINGLE/INITIAL RX | $1,915.00 | $516.00 | $43.42–$2,332.00 | 650% above | -271% |
| IV push of a medicine, first drug CPT 96374 HC INJ THERAPEUTIC IV, SINGLE OR INITIAL RX | $1,915.00 | $516.00 | $43.42–$2,332.00 | 650% above | -271% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ THER DIAG PROPHYLACTIC SQ IM-CHRG THRU AUTOMATION | $1,915.00 | $796.00 | $13.36–$2,332.00 | 1813% above | -141% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ THER DIAG PROPHYLACTIC SQ IM | $1,915.00 | $796.00 | $13.36–$2,332.00 | 1813% above | -141% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC BH IOP INITIAL ASSESS OP PSYCH (INTAKE) | $298.00 | $525.00 | $110.25–$749.99 | 24% above | 43% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC BH FAM COUNSLG DIAG EVAL ASSESS/INTAKE | $298.00 | $525.00 | $110.25–$749.99 | 24% above | 43% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVAL ASSESS/INTAKE | $298.00 | $525.00 | $110.25–$749.99 | 24% above | 43% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC BH PS DIAG EVAL ASSESS/INTAKE | $298.00 | $525.00 | $110.25–$749.99 | 24% above | 43% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC BH CLINIC INITIAL ASSESS OP PSYCH (INTAKE) | $298.00 | $525.00 | $110.25–$749.99 | 24% above | 43% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC BH PHP DIAG EVAL ASSESS/INTAKE | $298.00 | $525.00 | $110.25–$749.99 | 24% above | 43% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION 7-8 STUDIES | $335.66 | $843.00 | $58.74–$843.00 | 12% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE ED UNIT | $121.60 | $253.00 | $50.60–$356.00 | 48% above | 52% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE ED UNIT | $121.60 | $253.00 | $50.60–$356.00 | 48% above | 52% |
| New patient office visit, about 30 minutes CPT 99203 HC BH CLINIC E&M INITIAL VISIT L3 | $298.00 | $310.00 | $53.89–$310.00 | 45% above | 4% |
| New patient office visit, about 30 minutes CPT 99203 HC CLINIC TELEHEALTH E&M INITIAL VISIT L3 | $298.00 | $310.00 | $53.89–$310.00 | 45% above | 4% |
| New patient office visit, about 30 minutes CPT 99203 HC CLINIC E&M INITIAL VISIT L3 | $298.00 | $310.00 | $53.89–$310.00 | 45% above | 4% |
| New patient office visit, about 30 minutes CPT 99203 HC BH FAM COUNSLG E&M INITIAL VISIT L3 | $298.00 | $310.00 | $53.89–$310.00 | 45% above | 4% |
| New patient office visit, about 45 minutes CPT 99204 HC CLINIC E&M INITIAL VISIT L4 | $298.00 | $375.00 | $75.00–$375.00 | at median | 21% |
| New patient office visit, about 45 minutes CPT 99204 HC CLINIC TELEHEALTH E&M INITIAL VISIT L4 | $298.00 | $375.00 | $75.00–$375.00 | at median | 21% |
| New patient office visit, about 45 minutes CPT 99204 HC BH CLINIC E&M INITIAL VISIT L4 | $298.00 | $375.00 | $75.00–$375.00 | at median | 21% |
| New patient office visit, about 45 minutes CPT 99204 HC BH FAM COUNSLG E&M INITIAL VISIT L4 | $298.00 | $375.00 | $75.00–$375.00 | at median | 21% |
| New patient office visit, about 60 minutes CPT 99205 HC BH CLINIC E&M INITIAL VISIT L5 | $298.00 | $450.00 | $90.00–$450.00 | 9% below | 34% |
| New patient office visit, about 60 minutes CPT 99205 HC CLINIC E&M INITIAL VISIT L5 | $298.00 | $450.00 | $90.00–$450.00 | 9% below | 34% |
| New patient office visit, about 60 minutes CPT 99205 HC BH FAM COUNSLG E&M INITIAL VISIT L5 | $298.00 | $450.00 | $90.00–$450.00 | 9% below | 34% |
| New patient office visit, about 60 minutes CPT 99205 HC CLINIC TELEHEALTH E&M INITIAL VISIT L5 | $298.00 | $450.00 | $90.00–$450.00 | 9% below | 34% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC BH FAM COUNSLG E&M INITIAL VISIT L2 | $298.00 | $265.00 | $30.80–$298.00 | 85% above | -12% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC BH CLINIC E&M INITIAL VISIT L2 | $298.00 | $265.00 | $30.80–$298.00 | 85% above | -12% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC E&M INITIAL VISIT L2 | $298.00 | $265.00 | $30.80–$298.00 | 85% above | -12% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC E&M NEW PT L2 RAD | $298.00 | $235.00 | $30.80–$298.00 | 85% above | -27% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC TELEHEALTH E&M INITIAL VISIT L2 | $298.00 | $265.00 | $30.80–$298.00 | 85% above | -12% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INIT ASSESS & INTERV EACH 15 MN | $40.00 | $125.00 | $21.34–$335.00 | 26% below | 68% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITIAL ASSESS & INTERV EA 15 MN | $40.00 | $125.00 | $21.34–$335.00 | 26% below | 68% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY | $317.24 | $625.00 | $125.00–$625.00 | 85% above | 49% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY | $292.60 | $675.00 | $135.00–$675.00 | 6% above | 57% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY | $292.60 | $625.00 | $125.00–$625.00 | 63% above | 53% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEXITY | $292.60 | $650.00 | $130.00–$650.00 | 22% above | 55% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY UNIT | $95.89 | $261.00 | $45.21–$356.00 | 15% above | 63% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY UNIT | $95.89 | $261.00 | $45.21–$356.00 | 15% above | 63% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THER EX 1 TO 1 UNIT | $106.92 | $172.00 | $34.40–$356.00 | 42% above | 38% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EX 1 TO 1 UNIT | $106.92 | $172.00 | $34.40–$356.00 | 42% above | 38% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $298.00 | — | $186.33–$749.99 | 3% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH NEUROPSYCH EVAL 1ST HR | $298.00 | $719.00 | $150.99–$829.13 | 14% below | 59% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC BH PS TX FOR CRISIS 1ST 60M | $298.00 | $500.00 | $105.00–$808.00 | 27% above | 40% |
| Psychotherapy session, 30 minutes CPT 90832 HC BH IOP TX 30M IND OR FMLYMEM | $298.00 | $375.00 | $78.75–$554.13 | 55% above | 21% |
| Psychotherapy session, 30 minutes CPT 90832 HC BH PHP TX 30M IND OR FMLY MEM | $298.00 | $375.00 | $78.75–$554.13 | 55% above | 21% |
| Psychotherapy session, 30 minutes CPT 90832 HC BH PS TX 30M IND OR FMLYMEM | $298.00 | $375.00 | $78.75–$554.13 | 55% above | 21% |
| Psychotherapy session, 30 minutes CPT 90832 HC BH FAM COUNSLG 30M IND OR FMLYMEM | $298.00 | $375.00 | $78.75–$554.13 | 55% above | 21% |
| Psychotherapy session, 30 minutes CPT 90832 HC BH CLINIC TX 30M IND OR FMLYMEM | $298.00 | $375.00 | $78.75–$554.13 | 55% above | 21% |
| Psychotherapy session, 45 minutes CPT 90834 HC BH IOP TX 45M IND OR FMLYMEM | $298.00 | $400.00 | $84.00–$652.06 | 17% above | 26% |
| Psychotherapy session, 45 minutes CPT 90834 HC BH CLINIC TX 45M IND OR FMLYMEM | $298.00 | $400.00 | $84.00–$652.06 | 17% above | 26% |
| Psychotherapy session, 45 minutes CPT 90834 HC BH FAM COUNSLG 45M IND OR FMLYMEM | $298.00 | $400.00 | $84.00–$652.06 | 17% above | 26% |
| Psychotherapy session, 45 minutes CPT 90834 HC BH PHP TX 45M IND OR FMLY MEM | $298.00 | $400.00 | $84.00–$652.06 | 17% above | 26% |
| Psychotherapy session, 45 minutes CPT 90834 HC BH PS TX 45M IND OR FMLYMEM | $298.00 | $400.00 | $84.00–$652.06 | 17% above | 26% |
| Psychotherapy session, 60 minutes CPT 90837 HC BH CLINIC TX 60M IND OR FMLYMEM | $298.00 | $425.00 | $89.25–$652.06 | at median | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HC BH PHP TX 60M IND OR FMLY MEM | $298.00 | $425.00 | $89.25–$652.06 | at median | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HC BH FAM CNSLG TX 60M IND OR FMLYMEM | $298.00 | $425.00 | $89.25–$652.06 | at median | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HC BH IOP TX 60M IND OR FMLY MEM | $298.00 | $425.00 | $89.25–$652.06 | at median | 30% |
| Psychotherapy session, 60 minutes CPT 90837 HC BH PS TX 60M IND OR FMLYMEM | $298.00 | $425.00 | $89.25–$652.06 | at median | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC CLINIC TELEHEALTH E&M ESTAB PT L5 | $298.00 | $450.00 | $90.00–$450.00 | 20% above | 34% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC BH CLINIC E&M ESTAB PT L5 | $298.00 | $450.00 | $90.00–$450.00 | 20% above | 34% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC BH FAM COUNSLG E&M ESTAB PT L5 | $298.00 | $450.00 | $90.00–$450.00 | 20% above | 34% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC CLINIC E&M ESTAB PT L5 | $298.00 | $450.00 | $90.00–$450.00 | 20% above | 34% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC BH CLINIC E&M ESTAB PT L3 | $298.00 | $310.00 | $43.33–$310.00 | 63% above | 4% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC TELEHEALTH E&M ESTAB PT L3 | $298.00 | $310.00 | $43.33–$310.00 | 63% above | 4% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC E&M ESTAB PT L3 | $298.00 | $310.00 | $43.33–$310.00 | 63% above | 4% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC BH FAM COUNSLG E&M ESTAB PT L3 | $298.00 | $310.00 | $43.33–$310.00 | 63% above | 4% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC BH FAM COUNSLG E&M ESTAB PT L4 | $298.00 | $375.00 | $63.78–$375.00 | 48% above | 21% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC E&M ESTAB PT L4 | $298.00 | $375.00 | $63.78–$375.00 | 48% above | 21% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC TELEHEALTH E&M ESTAB PT L4 | $298.00 | $375.00 | $63.78–$375.00 | 48% above | 21% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC BH CLINIC E&M ESTAB PT L4 | $298.00 | $375.00 | $63.78–$375.00 | 48% above | 21% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC BH FAM COUNSLG E&M ESTAB PT L2 | $298.00 | $265.00 | $23.09–$298.00 | 131% above | -12% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC E&M ESTAB PT L2 | $298.00 | $265.00 | $23.09–$298.00 | 131% above | -12% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC E&M ESTAB PT L2 RAD | $298.00 | $235.00 | $23.09–$298.00 | 131% above | -27% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC TELEHEALTH E&M ESTAB PT L2 | $298.00 | $265.00 | $23.09–$298.00 | 131% above | -12% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC BH CLINIC E&M ESTAB PT L2 | $298.00 | $265.00 | $23.09–$298.00 | 131% above | -12% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $298.00 | — | $57.85–$298.00 | at median | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $298.00 | — | $87.76–$298.00 | at median | — |
| Speech and language evaluation CPT 92523 HC EVAL ASSESMNT SPEECH SOUND LAN | $684.56 | $629.00 | $58.42–$856.00 | 74% above | -9% |
| Speech therapy session, individual CPT 92507 HC SPEECH LANG THERAPY | $270.09 | $370.00 | $4.75–$370.00 | 61% above | 27% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY PRE BD | $102.20 | $585.00 | $15.15–$585.00 | 53% below | 83% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BD | $176.11 | $1,091.00 | $25.25–$1,091.00 | 53% below | 84% |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC BH CLINIC TMS INITIAL TX | $298.00 | $1,100.00 | $227.00–$1,700.92 | 19% below | 73% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT FUNCTIONAL ACTIVITIES 15 MIN | $143.43 | $197.00 | $2.37–$356.00 | 67% above | 27% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT FUNCTIONAL ACTIVITIES 15 MIN | $143.43 | $197.00 | $2.37–$356.00 | 67% above | 27% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $3,965.00 | $802.00 | $10.10–$3,965.00 | 1765% above | -394% |
| Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM | $134.61 | — | $8.08–$343.22 | 60% below | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 XRX ABATACEPT 250 MG IV SOLR | $106.03 | $595.00 | $37.73–$595.00 | at median | 82% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 XRX ABATACEPT 250 MG IV SOLR | $205.30 | $894.00 | $37.73–$894.00 | at median | 77% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 XRX COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSP | $197.99 | $45.00 | $9.00–$623.60 | 9% below | -340% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 XRX ABATACEPT 250 MG IV SOLR | $265.00 | $1,325.00 | $78.24–$1,325.00 | at median | 80% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 XRX ABATACEPT 250 MG IV SOLR | $89.40 | $447.00 | $37.73–$447.00 | 4% below | 80% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 XRX ABATACEPT 250 MG IV SOLR | $47.20 | $236.00 | $26.40–$236.00 | 8% below | 80% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 XRX ABATACEPT 250 MG IV SOLR | $152.80 | $764.00 | $37.73–$764.00 | 11% above | 80% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 XRX ABATACEPT 250 MG IV SOLR | $145.80 | $729.00 | $37.73–$729.00 | at median | 80% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 XRX ABATACEPT 250 MG IV SOLR | $230.00 | $1,150.00 | $37.73–$1,150.00 | at median | 80% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM | $106.03 | — | $37.73–$333.96 | at median | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 XRX ABATACEPT 250 MG IV SOLR | $28.38 | $169.00 | $12.67–$169.00 | 2% below | 83% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 XRX ABATACEPT 250 MG IV SOLR | $454.00 | $2,270.00 | $230.21–$2,270.00 | 11% below | 80% |
| Hepatitis A vaccine, adult dose CPT 90632 XRX ABATACEPT 250 MG IV SOLR | $90.94 | $618.00 | $70.39–$618.00 | 12% below | 85% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 XRX ABATACEPT 250 MG IV SOLR | $60.80 | $304.00 | $37.73–$304.00 | 1% above | 80% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 XRX ABATACEPT 250 MG IV SOLR | $89.38 | $498.00 | $69.76–$498.00 | at median | 82% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM | $213.74 | — | $37.73–$710.24 | 12% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 XRX ABATACEPT 250 MG IV SOLR | $39.08 | $221.00 | $28.71–$221.00 | 14% below | 82% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 XRX ABATACEPT 250 MG IV SOLR | $21.00 | $105.00 | $13.35–$105.00 | 34% below | 80% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $106.03 | — | $37.73–$333.96 | 5% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 XRX ABATACEPT 250 MG IV SOLR | $134.80 | $674.00 | $37.73–$674.00 | at median | 80% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 XRX ABATACEPT 250 MG IV SOLR | $205.20 | $1,026.00 | $78.24–$1,026.00 | 1% above | 80% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 XRX ABATACEPT 250 MG IV SOLR | $244.40 | $1,222.00 | $78.24–$1,222.00 | 13% below | 80% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 XRX ABATACEPT 250 MG IV SOLR | $346.80 | $1,734.00 | $78.24–$1,734.00 | 2% above | 80% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM | $412.62 | — | $78.24–$959.44 | 19% above | — |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 LAIV3 VACCINE INTRANASAL | $36.67 | — | $22.54–$115.48 | 23% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 XRX ABATACEPT 250 MG IV SOLR | $327.65 | $1,562.00 | $78.24–$1,562.00 | at median | 79% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM | $322.02 | — | $78.24–$1,044.60 | 5% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 XRX ABATACEPT 250 MG IV SOLR | $378.51 | $2,064.00 | $78.24–$2,064.00 | 12% below | 82% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Pneumococcal conjugate vaccine, 21 valent (PCV21), for intramuscular use | $416.42 | — | $78.24–$1,311.56 | at median | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 XRX ABATACEPT 250 MG IV SOLR | $169.51 | $808.00 | $43.68–$808.00 | 11% above | 79% |
| Polio vaccine, inactivated (IPV) CPT 90713 XRX ABATACEPT 250 MG IV SOLR | $658.20 | $3,291.00 | $37.73–$3,291.00 | 654% above | 80% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 XRX ABATACEPT 250 MG IV SOLR | $821.20 | $4,106.00 | $821.20–$4,106.00 | 21% below | 80% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 XRX ABATACEPT 250 MG IV SOLR | $821.20 | $4,106.00 | $821.20–$4,106.00 | 20% below | 80% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 XRX ABATACEPT 250 MG IV SOLR | $423.40 | $2,117.00 | $37.73–$2,117.00 | at median | 80% |
| Rabies vaccine, one dose CPT 90675 XRX ABATACEPT 250 MG IV SOLR | $416.28 | $3,238.00 | $78.24–$3,238.00 | 12% below | 87% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 XRX ABATACEPT 250 MG IV SOLR | $215.00 | $1,075.00 | $37.73–$1,075.00 | at median | 80% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 XRX ABATACEPT 250 MG IV SOLR | $121.20 | $606.00 | $74.45–$606.00 | 12% below | 80% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $460.46 | — | $141.40–$931.00 | 17% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 XRX ABATACEPT 250 MG IV SOLR | $42.52 | $146.00 | $29.20–$146.00 | 20% below | 71% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 XRX ABATACEPT 250 MG IV SOLR | $49.06 | $384.00 | $37.73–$384.00 | 12% below | 87% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 XRX ABATACEPT 250 MG IV SOLR | $223.20 | $1,116.00 | $37.73–$1,116.00 | 4% below | 80% |
| Typhoid vaccine, oral capsules (Vivotif) CPT 90690 XRX ABATACEPT 250 MG IV SOLR | $147.20 | $736.00 | $6.04–$736.00 | 49% above | 80% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INJ VACCINE OTHER 1ST VACCINE | $171.50 | $343.00 | $14.78–$343.00 | 104% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC INJ VACCINE OTHER EA ADDITIONAL | $118.00 | $236.00 | $11.14–$236.00 | 162% above | 50% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs New York | Off list |
|---|---|---|---|---|---|
| Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC CLINIC DENTAL QUAD(S) SCALE > 4 TEETH | $4,122.00 | $376.00 | $78.96–$4,426.85 | 282% above | -996% |
| Dental implant, surgical placement CDT D6010 HC CLINIC DENTAL SURGICAL PLACEMENT IMPLANT | $3,965.00 | $3,228.00 | $645.60–$3,965.00 | 226% above | -23% |
| Porcelain crown CDT D2740 HC CLINIC DENTAL PORCELAIN/CERAMIC CROWN | $987.00 | $1,974.00 | $414.54–$4,426.85 | 9% below | 50% |
| Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC CLINIC DENTAL REMOVAL IMPACTED COMPLETE BONY | $4,122.00 | $716.00 | $150.36–$4,426.85 | 383% above | -476% |
| Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HC CLINIC DENTAL ROOT CANAL MOLAR | $3,965.00 | $4,000.00 | $353.94–$4,426.85 | 109% above | 1% |
| Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC CLINIC DENTAL PROPHY ADULT +12 1ST VISIT | $74.00 | $148.00 | $31.08–$343.13 | 51% below | 50% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC CLINIC DENTAL SINGLE TOOTH EXTRACTION | $3,965.00 | $244.00 | $51.24–$4,426.85 | 417% above | -1525% |
Source file: https://mrfs.hyvehealthcare.com/CHSLI/111888924_good-samaritan-hospital_standardcharges.json