Lake Health District
Lake Health District in Lakeview, OR publishes cash prices for 288 common procedures listed here, from its own machine-readable price file updated Jun 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Oregon median for 149 of 287 procedures and below it for 132. By typical cash price it ranks #27 of 49 Oregon hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
700 S J St Lakeview OR 97630 Collected Sep 22, 2026 Source price file Check a bill from this hospital (541) 947-2114
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 381309 · CMS hospital register NPI 1376698522
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Lake Health District is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries | $237.15 | $279.00 | $139.50–$362.70 | 54% below | 15% |
| Breast ultrasound, complete, one breast one side CPT 76641 Complete ultrasound scan of 1 breast | $486.20 | $572.00 | $286.00–$743.60 | 35% above | 15% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast | $4,010.30 | $4,718.00 | $2,359.00–$6,133.40 | 61% above | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $4,010.30 | $4,718.00 | $2,359.00–$6,133.40 | 57% above | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $442.85 | $521.00 | $260.50–$677.30 | 57% below | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $1,902.30 | $2,238.00 | $1,119.00–$2,909.40 | 56% above | 15% |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $440.30 | $518.00 | $259.00–$673.40 | 3% above | 15% |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $279.65 | $329.00 | $164.50–$427.70 | 10% below | 15% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts | $936.70 | $1,102.00 | $551.00–$1,432.60 | 11% below | 15% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $716.55 | $843.00 | $31.44–$843.00 | 34% below | 15% |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $346.80 | $408.00 | $204.00–$530.40 | 4% above | 15% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $297.50 | $350.00 | $175.00–$455.00 | 6% above | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus | $278.80 | $328.00 | $164.00–$426.40 | 24% below | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $446.25 | $525.00 | $262.50–$682.50 | 16% below | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $435.20 | $512.00 | $20.06–$512.00 | 32% below | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Adrenocorticotropic hormone (ACTH) level | $95.20 | $112.00 | $56.00–$112.00 | 26% below | 15% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $85.00 | $100.00 | $50.00–$100.00 | 254% above | 15% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $85.00 | $100.00 | $50.00–$100.00 | 198% above | 15% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel | $261.80 | $308.00 | $154.00–$308.00 | 18% above | 15% |
| Albumin blood test CPT 82040 Albumin (protein) level | $71.40 | $84.00 | $42.00–$84.00 | 180% above | 15% |
| Aldosterone blood test CPT 82088 Aldosterone hormone level | $98.60 | $116.00 | $58.00–$116.00 | 2% above | 15% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level, alkaline | $85.00 | $100.00 | $50.00–$100.00 | 238% above | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each | $198.05 | $233.00 | $116.50–$233.00 | 1356% above | 15% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein (AFP) level, serum | $56.10 | $66.00 | $33.00–$66.00 | 23% below | 15% |
| Ammonia blood test CPT 82140 Ammonia level | $153.00 | $180.00 | $90.00–$180.00 | 74% above | 15% |
| Amylase blood test CPT 82150 Amylase (enzyme) level | $118.15 | $139.00 | $69.50–$139.00 | 144% above | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment | $136.85 | $161.00 | $80.50–$161.00 | 142% above | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder | $32.30 | $38.00 | $19.00–$38.00 | 49% below | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level | $307.70 | $362.00 | $181.00–$362.00 | 95% above | 15% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic | $189.55 | $223.00 | $111.50–$223.00 | 239% above | 15% |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $151.30 | $178.00 | $89.00–$178.00 | 215% above | 15% |
| Bilirubin blood test, total CPT 82247 Bilirubin level, total | $85.00 | $100.00 | $50.00–$100.00 | 233% above | 15% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity | $94.35 | $111.00 | $55.50–$111.00 | 52% below | 15% |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $215.90 | $254.00 | $127.00–$254.00 | 96% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $5.10 | $6.00 | $3.00–$7.80 | 75% below | 15% |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $62.05 | $73.00 | $36.50–$73.00 | 159% above | 15% |
| Blood lead test CPT 83655 Lead level | $43.35 | $51.00 | $25.50–$51.00 | 33% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $62.05 | $73.00 | $36.50–$73.00 | 14% below | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $47.60 | $56.00 | $28.00–$56.00 | 12% below | 15% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function, quantitative | $77.35 | $91.00 | $45.50–$91.00 | 203% above | 15% |
| C-peptide blood test CPT 84681 C-peptide (protein) level | $68.85 | $81.00 | $40.50–$81.00 | 24% below | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation | $217.60 | $256.00 | $128.00–$256.00 | 470% above | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique | $138.55 | $163.00 | $81.50–$163.00 | 12% below | 15% |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 | $65.45 | $77.00 | $38.50–$77.00 | 31% below | 15% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 | $65.45 | $77.00 | $38.50–$77.00 | 42% below | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $119.00 | $140.00 | $70.00–$140.00 | 1% below | 15% |
| Calcium blood test, total CPT 82310 Calcium level, total | $77.35 | $91.00 | $45.50–$91.00 | 204% above | 15% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen (CEA) protein level | $39.95 | $47.00 | $23.50–$47.00 | 51% below | 15% |
| Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox) | $56.10 | $66.00 | $33.00–$66.00 | 8% below | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $12.75 | $15.00 | $7.50–$15.00 | 86% below | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $102.00 | $120.00 | $60.00–$120.00 | 77% above | 15% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $90.95 | $107.00 | $53.50–$107.00 | 120% above | 15% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $56.10 | $66.00 | $33.00–$66.00 | 82% above | 15% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $172.55 | $203.00 | $101.50–$203.00 | 212% above | 15% |
| Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement, total | $168.30 | $198.00 | $99.00–$198.00 | 105% above | 15% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level, total | $118.15 | $139.00 | $69.50–$139.00 | 175% above | 15% |
| Creatinine blood test CPT 82565 Blood creatinine level | $77.35 | $91.00 | $45.50–$91.00 | 213% above | 15% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV) | $53.55 | $63.00 | $31.50–$63.00 | 14% below | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $136.85 | $161.00 | $80.50–$161.00 | 6% above | 15% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level | $71.40 | $84.00 | $42.00–$84.00 | 16% below | 15% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $132.60 | $156.00 | $78.00–$156.00 | 270% above | 15% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid | $20.40 | $24.00 | $12.00–$24.00 | 73% below | 15% |
| Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) | $34.00 | $40.00 | $20.00–$40.00 | 70% below | 15% |
| FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level | $54.40 | $64.00 | $32.00–$64.00 | 32% below | 15% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level | $156.40 | $184.00 | $92.00–$184.00 | 32% above | 15% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $113.90 | $134.00 | $67.00–$134.00 | 103% above | 15% |
| Fibrinogen blood test CPT 85384 Fibrinogen (factor 1) activity measurement | $151.30 | $178.00 | $89.00–$178.00 | 135% above | 15% |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $39.10 | $46.00 | $23.00–$46.00 | 55% below | 15% |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $104.55 | $123.00 | $61.50–$123.00 | 44% above | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $104.55 | $123.00 | $61.50–$123.00 | 129% above | 15% |
| Free testosterone test CPT 84402 Testosterone (hormone) level, free | $51.00 | $60.00 | $30.00–$60.00 | 16% below | 15% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (liver enzyme) level | $85.00 | $100.00 | $50.00–$100.00 | 183% above | 15% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel | $367.20 | $432.00 | $216.00–$432.00 | 61% above | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose | $90.95 | $107.00 | $53.50–$107.00 | 164% above | 15% |
| Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens | $206.55 | $243.00 | $121.50–$243.00 | 163% above | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique | $39.10 | $46.00 | $23.00–$46.00 | 58% below | 15% |
| H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool | $98.60 | $116.00 | $58.00–$116.00 | 37% above | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification | $276.25 | $325.00 | $162.50–$325.00 | 4% above | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies | $21.25 | $25.00 | $12.50–$25.00 | 73% below | 15% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for Human Papillomavirus (HPV), high-risk types | $88.40 | $104.00 | $52.00–$104.00 | 1% above | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $81.60 | $96.00 | $48.00–$96.00 | 70% above | 15% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody measurement | $19.55 | $23.00 | $11.50–$23.00 | 70% below | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement | $13.60 | $16.00 | $8.00–$16.00 | 78% below | 15% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen | $34.00 | $40.00 | $20.00–$40.00 | 38% below | 15% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement | $12.75 | $15.00 | $7.50–$15.00 | 83% below | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification | $453.05 | $533.00 | $266.50–$533.00 | 131% above | 15% |
| Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 | $26.35 | $31.00 | $15.50–$31.00 | 55% below | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 | $35.70 | $42.00 | $21.00–$42.00 | 51% below | 15% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity | $80.75 | $95.00 | $47.50–$95.00 | 33% above | 15% |
| Homocysteine blood test CPT 83090 Homocysteine (amino acid) level | $43.35 | $51.00 | $25.50–$51.00 | 49% below | 15% |
| Insulin blood test CPT 83525 Insulin measurement, total | $45.05 | $53.00 | $26.50–$53.00 | 18% below | 15% |
| Iron blood test (serum iron) CPT 83540 Iron level | $42.50 | $50.00 | $25.00–$50.00 | 5% above | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity | $94.35 | $111.00 | $55.50–$111.00 | 121% above | 15% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $162.35 | $191.00 | $95.50–$191.00 | 238% above | 15% |
| LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level | $26.35 | $31.00 | $15.50–$31.00 | 67% below | 15% |
| Lactate (lactic acid) blood test CPT 83605 Lactic acid level | $58.65 | $69.00 | $34.50–$69.00 | 21% below | 15% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level | $77.35 | $91.00 | $45.50–$91.00 | 147% above | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $123.25 | $145.00 | $72.50–$145.00 | 93% above | 15% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $151.30 | $178.00 | $89.00–$178.00 | 264% above | 15% |
| Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $65.45 | $77.00 | $38.50–$77.00 | at median | 15% |
| Magnesium blood test CPT 83735 Magnesium level | $98.60 | $116.00 | $58.00–$116.00 | 186% above | 15% |
| Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) | $53.55 | $63.00 | $31.50–$63.00 | 10% below | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) | $77.35 | $91.00 | $45.50–$91.00 | 56% above | 15% |
| Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus | $73.95 | $87.00 | $43.50–$87.00 | 52% above | 15% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $372.30 | $438.00 | $219.00–$438.00 | 115% above | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total | $124.95 | $147.00 | $73.50–$147.00 | 66% above | 15% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap test, manual screening | $17.85 | $21.00 | $10.50–$21.00 | 78% below | 15% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level | $96.90 | $114.00 | $57.00–$114.00 | 42% below | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $123.25 | $145.00 | $72.50–$145.00 | 126% above | 15% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphate level | $77.35 | $91.00 | $45.50–$91.00 | 158% above | 15% |
| Potassium blood test CPT 84132 Blood potassium level | $67.15 | $79.00 | $39.50–$79.00 | 209% above | 15% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for detecting genes associated with fetal disease, aneuploidy genomic sequence analysis panel | $2,256.75 | $2,655.00 | $1,327.50–$2,655.00 | 64% above | 15% |
| Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level | $51.00 | $60.00 | $30.00–$60.00 | 52% below | 15% |
| Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level | $56.95 | $67.00 | $33.50–$67.00 | 36% below | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $59.50 | $70.00 | $35.00–$70.00 | 111% above | 15% |
| Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus | $128.35 | $151.00 | $75.50–$151.00 | 75% above | 15% |
| Renin blood test CPT 84244 Renin (kidney enzyme) level | $63.75 | $75.00 | $37.50–$75.00 | 8% below | 15% |
| Rh blood typing CPT 86901 Blood typing for Rh (D) antigen | $47.60 | $56.00 | $28.00–$56.00 | 14% above | 15% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level | $34.85 | $41.00 | $20.50–$41.00 | 16% below | 15% |
| Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) | $39.95 | $47.00 | $23.50–$47.00 | 12% below | 15% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis | $384.20 | $452.00 | $226.00–$452.00 | 294% above | 15% |
| Sodium blood test CPT 84295 Blood sodium level | $67.15 | $79.00 | $39.50–$79.00 | 158% above | 15% |
| Stool ova and parasites exam CPT 87177 Smear for parasites | $33.15 | $39.00 | $19.50–$39.00 | 39% below | 15% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay | $28.05 | $33.00 | $16.50–$33.00 | 49% below | 15% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody, Treponema pallidum | $11.90 | $14.00 | $7.00–$14.00 | 66% below | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test | $4.25 | $5.00 | $2.50–$5.00 | 87% below | 15% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon | $77.35 | $91.00 | $45.50–$91.00 | 56% below | 15% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total | $71.40 | $84.00 | $42.00–$84.00 | at median | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement | $52.70 | $62.00 | $31.00–$62.00 | 23% below | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $118.15 | $139.00 | $69.50–$139.00 | 62% above | 15% |
| Total IgE blood test CPT 82785 IgE (immune system protein) level | $52.70 | $62.00 | $31.00–$62.00 | 4% below | 15% |
| Total cholesterol blood test CPT 82465 Cholesterol level | $62.05 | $73.00 | $36.50–$73.00 | 158% above | 15% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical), total | $35.70 | $42.00 | $21.00–$42.00 | 22% above | 15% |
| Total triiodothyronine (T3) blood test CPT 84480 Thyroid hormone, T3 measurement, total | $18.70 | $22.00 | $11.00–$22.00 | 75% below | 15% |
| Transferrin blood test CPT 84466 Transferrin (iron binding protein) level | $50.15 | $59.00 | $29.50–$59.00 | 4% below | 15% |
| Triglycerides blood test CPT 84478 Triglycerides level | $62.05 | $73.00 | $36.50–$73.00 | 143% above | 15% |
| Troponin test, quantitative CPT 84484 Troponin (protein) analysis, quantitative | $165.75 | $195.00 | $97.50–$195.00 | 58% above | 15% |
| Uric acid blood test CPT 84550 Uric acid level, blood | $85.00 | $100.00 | $50.00–$100.00 | 193% above | 15% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $86.70 | $102.00 | $51.00–$102.00 | 165% above | 15% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $39.10 | $46.00 | $23.00–$46.00 | 101% above | 15% |
| Urine microalbumin (albumin) test CPT 82043 Urine microalbumin (protein) level | $47.60 | $56.00 | $28.00–$56.00 | 8% above | 15% |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $7.65 | $9.00 | $4.50–$9.00 | 86% below | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $32.30 | $38.00 | $19.00–$38.00 | 58% below | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $80.75 | $95.00 | $47.50–$95.00 | 22% below | 15% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Dihydroxyvitamin D, 1, 25 level | $48.45 | $57.00 | $28.50–$57.00 | 53% below | 15% |
| Zinc blood test CPT 84630 Zinc level | $46.75 | $55.00 | $27.50–$55.00 | 35% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $107.10 | $126.00 | $63.00–$126.00 | 50% above | 15% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Removal of ruptured infected appendix | $2,221.90 | $2,614.00 | $505.96–$2,614.00 | at median | 15% |
| Appendectomy, open surgery CPT 44950 Removal of appendix | $7,541.20 | $8,872.00 | $4,436.00–$11,533.60 | 50% below | 15% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope | $15,559.25 | $18,305.00 | $9,152.50–$23,796.50 | 310% above | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle | $577.15 | $679.00 | $339.50–$882.70 | at median | 15% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed treatment of broken outside lower leg bone at ankle | $577.15 | $679.00 | $339.50–$882.70 | — | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat | $1,535.10 | $1,806.00 | $903.00–$2,347.80 | 5% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat | $1,535.10 | $1,806.00 | $903.00–$2,347.80 | 5% above | 15% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat | $1,535.10 | $1,806.00 | $903.00–$2,347.80 | — | 15% |
| Carpal tunnel release, open surgery CPT 64721 Release and/or relocation of hand nerve | $1,097.35 | $1,291.00 | $63.29–$1,291.00 | 77% below | 15% |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens | $4,905.35 | $5,771.00 | $2,885.50–$7,502.30 | 8% below | 15% |
| Cervical biopsy CPT 57500 Biopsy of cervix or removal of growth | $340.85 | $401.00 | $200.50–$521.30 | 66% below | 15% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days) | $504.90 | $594.00 | $126.58–$594.00 | 41% below | 15% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device | $164.90 | $194.00 | $97.00–$252.20 | 66% below | 15% |
| Circumcision, surgical, older than a newborn CPT 54160 Removal of foreskin (28 days or younger) | $372.30 | $438.00 | $128.84–$438.00 | at median | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $538.05 | $633.00 | $316.50–$822.90 | 2% above | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $538.05 | $633.00 | $316.50–$822.90 | — | 15% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $2,074.00 | $2,440.00 | $1,220.00–$3,172.00 | 12% below | 15% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $527.85 | $621.00 | $173.34–$621.00 | 73% below | 15% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $1,958.40 | $2,304.00 | $1,152.00–$2,995.20 | 7% below | 15% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy and scraping of cervix using an endoscope | $406.30 | $478.00 | $239.00–$621.40 | 2% below | 15% |
| Complex cataract surgery with lens implant CPT 66982 Complex removal of cataract with insertion of prosthetic lens | $1,894.65 | $2,229.00 | $201.04–$2,229.00 | 12% below | 15% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic exam of bladder and urethra using an endoscope | $211.65 | $249.00 | $69.10–$249.00 | 69% below | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth | $175.95 | $207.00 | $103.50–$269.10 | 7% above | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing | $37.40 | $44.00 | $14.57–$44.00 | 52% below | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing | $141.10 | $166.00 | $83.00–$215.80 | 82% above | 15% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing | $141.10 | $166.00 | $83.00–$215.80 | — | 15% |
| Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax | $132.60 | $156.00 | $78.00–$202.80 | 18% above | 15% |
| Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax | $192.95 | $227.00 | $113.50–$295.10 | 72% above | 15% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax | $192.95 | $227.00 | $113.50–$295.10 | — | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of lining of uterus | $424.15 | $499.00 | $249.50–$648.70 | 2% above | 15% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Initial repair of sliding hernia of abdomen, less than 3 cm in length | $673.20 | $792.00 | $300.57–$792.00 | 48% below | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope | $1,906.55 | $2,243.00 | $1,121.50–$2,915.90 | 78% above | 15% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $11,530.25 | $13,565.00 | $6,782.50–$17,634.50 | 1% below | 15% |
| Hysterectomy through an abdominal incision (total) CPT 58150 Removal of uterus and cervix through abdomen | $12,278.25 | $14,445.00 | $7,222.50–$18,778.50 | 106% above | 15% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy of lining of uterus and/or removal of polyp using an endoscope | $6,041.80 | $7,108.00 | $3,554.00–$9,240.40 | 121% above | 15% |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention | $260.10 | $306.00 | $153.00–$397.80 | 41% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $254.15 | $299.00 | $99.02–$299.00 | 25% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $472.60 | $556.00 | $278.00–$722.80 | 40% above | 15% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess | $472.60 | $556.00 | $278.00–$722.80 | — | 15% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $6,971.70 | $8,202.00 | $4,101.00–$10,662.60 | 22% below | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament | $79.05 | $93.00 | $32.48–$93.00 | 67% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $160.65 | $189.00 | $94.50–$245.70 | 49% below | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $634.95 | $747.00 | $373.50–$971.10 | 104% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint | $634.95 | $747.00 | $373.50–$971.10 | — | 15% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implant into tissue | $257.55 | $303.00 | $151.50–$393.90 | 1% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $94.35 | $111.00 | $31.24–$111.00 | 73% below | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $651.95 | $767.00 | $383.50–$997.10 | 90% above | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint | $651.95 | $767.00 | $383.50–$997.10 | — | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $126.65 | $149.00 | $74.50–$193.70 | 60% below | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $703.80 | $828.00 | $414.00–$1,076.40 | 124% above | 15% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint | $703.80 | $828.00 | $414.00–$1,076.40 | — | 15% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope | $11,530.25 | $13,565.00 | $6,782.50–$17,634.50 | at median | 15% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Repair of groin hernia using an endoscope | $11,757.20 | $13,832.00 | $6,916.00–$17,981.60 | 514% above | 15% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope | $12,569.80 | $14,788.00 | $7,394.00–$19,224.40 | 336% above | 15% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser | $1,472.20 | $1,732.00 | $866.00–$2,251.60 | 19% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $737.80 | $868.00 | $434.00–$1,128.40 | 23% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $794.75 | $935.00 | $467.50–$1,215.50 | 32% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $737.80 | $868.00 | $434.00–$1,128.40 | — | 15% |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | $1,235.90 | $1,454.00 | $727.00–$1,890.20 | at median | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less | $207.40 | $244.00 | $58.08–$244.00 | 67% below | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less | $355.30 | $418.00 | $209.00–$543.40 | 48% below | 15% |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $144.50 | $170.00 | $32.02–$170.00 | 29% below | 15% |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $515.10 | $606.00 | $303.00–$787.80 | 154% above | 15% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $515.10 | $606.00 | $303.00–$787.80 | — | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $221.00 | $260.00 | $130.00–$338.00 | 41% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $592.45 | $697.00 | $348.50–$906.10 | 2% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $1,105.00 | $1,300.00 | $650.00–$1,690.00 | 84% above | 15% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail | $1,105.00 | $1,300.00 | $650.00–$1,690.00 | — | 15% |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $7,305.75 | $8,595.00 | $4,297.50–$11,173.50 | 355% above | 15% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $7,305.75 | $8,595.00 | $4,297.50–$11,173.50 | — | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $266.05 | $313.00 | $51.75–$313.00 | 34% below | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $854.25 | $1,005.00 | $502.50–$1,306.50 | 111% above | 15% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $854.25 | $1,005.00 | $502.50–$1,306.50 | — | 15% |
| Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast | $232.05 | $273.00 | $136.50–$354.90 | 12% below | 15% |
| Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast | $645.15 | $759.00 | $379.50–$986.70 | 145% above | 15% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Application of elbow to finger cast | $645.15 | $759.00 | $379.50–$986.70 | — | 15% |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $102.00 | $120.00 | $40.10–$120.00 | 43% below | 15% |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $352.75 | $415.00 | $207.50–$539.50 | 95% above | 15% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint | $352.75 | $415.00 | $207.50–$539.50 | — | 15% |
| Short leg cast (below the knee) CPT 29405 Application of short leg cast | $218.45 | $257.00 | $128.50–$334.10 | 25% below | 15% |
| Short leg cast (below the knee) CPT 29405 Application of short leg cast | $645.15 | $759.00 | $379.50–$986.70 | 122% above | 15% |
| Short leg cast (below the knee) inpatient CPT 29405 Application of short leg cast | $645.15 | $759.00 | $379.50–$986.70 | — | 15% |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot | $192.95 | $227.00 | $113.50–$295.10 | 18% below | 15% |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot | $352.75 | $415.00 | $207.50–$539.50 | 49% above | 15% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot | $352.75 | $415.00 | $207.50–$539.50 | — | 15% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope | $5,186.70 | $6,102.00 | $3,051.00–$7,932.60 | 122% above | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $115.60 | $136.00 | $42.26–$136.00 | 66% below | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $399.50 | $470.00 | $235.00–$611.00 | 18% above | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $399.50 | $470.00 | $235.00–$611.00 | — | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth | $124.95 | $147.00 | $37.15–$147.00 | 51% below | 15% |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth | $793.05 | $933.00 | $466.50–$1,212.90 | 212% above | 15% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy, first skin growth | $793.05 | $933.00 | $466.50–$1,212.90 | — | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less | $508.30 | $598.00 | $299.00–$777.40 | 10% above | 15% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags | $234.60 | $276.00 | $138.00–$358.80 | 7% below | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,228.25 | $1,445.00 | $722.50–$1,878.50 | 23% above | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,532.55 | $1,803.00 | $901.50–$2,343.90 | 54% above | 15% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,228.25 | $1,445.00 | $722.50–$1,878.50 | — | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $151.30 | $178.00 | $55.02–$178.00 | 61% below | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $430.10 | $506.00 | $253.00–$657.80 | 10% above | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $430.10 | $506.00 | $253.00–$657.80 | — | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $141.10 | $166.00 | $52.11–$166.00 | 59% below | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $549.10 | $646.00 | $323.00–$839.80 | 61% above | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $549.10 | $646.00 | $323.00–$839.80 | — | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth | $380.80 | $448.00 | $224.00–$582.40 | 75% above | 15% |
| Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance | $1,229.10 | $1,446.00 | $723.00–$1,879.80 | 20% below | 15% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity using imaging guidance | $1,229.10 | $1,446.00 | $723.00–$1,879.80 | — | 15% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils (12 years or older) | $646.85 | $761.00 | $202.53–$761.00 | 7% below | 15% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Removal of tonsils (younger than 12 years) | $6,953.85 | $8,181.00 | $4,090.50–$10,635.30 | 9% above | 15% |
| Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee | $3,431.45 | $4,037.00 | $297.84–$4,037.00 | 44% below | 15% |
| Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid | $11,757.20 | $13,832.00 | $6,916.00–$17,981.60 | 63% above | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles | $99.45 | $117.00 | $35.00–$117.00 | 58% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles | $703.80 | $828.00 | $414.00–$1,076.40 | 194% above | 15% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles | $703.80 | $828.00 | $414.00–$1,076.40 | — | 15% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | $311.10 | $366.00 | $133.14–$366.00 | 89% below | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $2,400.40 | $2,824.00 | $1,412.00–$3,671.20 | 57% above | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $321.30 | $378.00 | $108.04–$378.00 | 82% below | 15% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 Vaginal delivery with care before and after delivery | $4,108.05 | $4,833.00 | $2,091.21–$4,983.93 | 41% below | 15% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct | $4,452.30 | $5,238.00 | $2,619.00–$6,809.40 | 240% above | 15% |
| Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths | $287.30 | $338.00 | $169.00–$439.40 | 25% above | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $156.40 | $184.00 | $54.42–$184.00 | 74% below | 15% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treatment of broken forearm bone on thumb side of wrist, above wrist, with placement of stabilizing device | $15,559.25 | $18,305.00 | $9,152.50–$23,796.50 | 141% above | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $980.90 | $1,154.00 | $577.00–$1,500.20 | 24% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production | $49.30 | $58.00 | $29.00–$75.40 | 71% below | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less | $1,038.70 | $1,222.00 | $611.00–$1,588.60 | 35% above | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $4,279.75 | $5,035.00 | $2,517.50–$6,545.50 | 61% above | 15% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes | $4,279.75 | $5,035.00 | $2,517.50–$6,545.50 | — | 15% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report | $43.35 | $51.00 | $33.15–$473.58 | 19% below | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $260.95 | $307.00 | $153.50–$399.10 | 6% above | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $82.45 | $97.00 | $10.72–$97.00 | 65% below | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $247.35 | $291.00 | $145.50–$378.30 | 4% above | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional | $247.35 | $291.00 | $145.50–$378.30 | — | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $435.20 | $512.00 | $256.00–$665.60 | 8% below | 15% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making | $435.20 | $512.00 | $256.00–$665.60 | — | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $234.60 | $276.00 | $44.60–$276.00 | 73% below | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $688.50 | $810.00 | $405.00–$1,053.00 | 19% below | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making | $688.50 | $810.00 | $405.00–$1,053.00 | — | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $359.55 | $423.00 | $53.83–$423.00 | 73% below | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $1,163.65 | $1,369.00 | $684.50–$1,779.70 | 12% below | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making | $1,163.65 | $1,369.00 | $684.50–$1,779.70 | — | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $1,886.15 | $2,219.00 | $1,109.50–$2,884.70 | 10% below | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making | $1,886.15 | $2,219.00 | $1,109.50–$2,884.70 | — | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) | $1,396.55 | $1,643.00 | $821.50–$2,135.90 | 108% above | 15% |
| Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient, 50 minutes | $285.60 | $336.00 | $168.00–$436.80 | 80% above | 15% |
| Family therapy without the patient, 50 minutes CPT 90846 Family psychotherapy without patient, 50 minutes | $276.25 | $325.00 | $162.50–$422.50 | 80% above | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $369.75 | $435.00 | $217.50–$565.50 | 7% below | 15% |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $600.95 | $707.00 | $353.50–$919.10 | 36% above | 15% |
| IV push of a medicine, first drug CPT 96374 Injection of drug or substance into vein | $369.75 | $435.00 | $217.50–$565.50 | 49% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $68.00 | $80.00 | $40.00–$104.00 | 37% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $157.25 | $185.00 | $92.50–$240.50 | 46% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle | $157.25 | $185.00 | $92.50–$240.50 | — | 15% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation | $350.20 | $412.00 | $124.57–$535.60 | 15% above | 15% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $187.00 | $220.00 | $110.00–$286.00 | 12% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $276.25 | $325.00 | $162.50–$422.50 | 3% below | 15% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $545.70 | $642.00 | $167.68–$834.60 | 58% above | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $123.25 | $145.00 | $72.50–$188.50 | 4% below | 15% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $96.90 | $114.00 | $57.00–$148.20 | 36% above | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes | $59.50 | $70.00 | $45.50–$473.58 | 38% below | 15% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $68.00 | $80.00 | $52.00–$473.58 | 30% below | 15% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) | $297.50 | $350.00 | $175.00–$455.00 | 80% above | 15% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) | $342.55 | $403.00 | $201.50–$523.90 | 66% above | 15% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial new patient preventive medicine evaluation (65 years or older) | $370.60 | $436.00 | $218.00–$566.80 | 64% above | 15% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Established patient periodic preventive medicine examination (18-39 years) | $266.90 | $314.00 | $157.00–$408.20 | 81% above | 15% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination (40-64 years) | $283.90 | $334.00 | $167.00–$434.20 | 64% above | 15% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Established patient periodic preventive medicine examination (65 year old or older) | $305.15 | $359.00 | $179.50–$466.70 | 63% above | 15% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services | $391.00 | $460.00 | $101.26–$598.00 | 58% above | 15% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for crisis, first hour | $353.60 | $416.00 | $208.00–$540.80 | 2% above | 15% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes | $172.55 | $203.00 | $101.50–$263.90 | 32% above | 15% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes | $229.50 | $270.00 | $135.00–$351.00 | 17% above | 15% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour | $343.40 | $404.00 | $202.00–$525.20 | 44% above | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes | $60.35 | $71.00 | $35.50–$92.30 | 79% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $385.05 | $453.00 | $65.13–$588.90 | 15% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $153.00 | $180.00 | $60.56–$234.00 | 19% below | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $216.75 | $255.00 | $64.13–$331.50 | 9% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $93.50 | $110.00 | $36.71–$143.00 | 7% below | 15% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more | $374.85 | $441.00 | $220.50–$573.30 | — | 15% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more | $600.95 | $707.00 | $353.50–$919.10 | 30% above | 15% |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $313.65 | $369.00 | $184.50–$479.70 | 25% above | 15% |
| Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $827.90 | $974.00 | $487.00–$1,266.20 | 45% above | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $80.75 | $95.00 | $61.75–$473.58 | 12% below | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem | $198.90 | $234.00 | $117.00–$304.20 | at median | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Oregon | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use | $592.45 | $697.00 | $348.50–$906.10 | 171% above | 15% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Diphtheria, tetanus, and acellular pertussis vaccine (younger than 7 years) | $124.10 | $146.00 | $73.00–$189.80 | 120% above | 15% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $41.65 | $49.00 | $24.50–$63.70 | 18% above | 15% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B vaccine, pediatric or adolescent dosage (3 dose schedule) | $189.84 | $223.34 | $111.67–$290.34 | 199% above | 15% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haemophilus influenzae type b vaccine, PRP-OMP conjugate | $27.20 | $32.00 | $16.00–$41.60 | 32% below | 15% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haemophilus influenzae type b vaccine, PRP-T conjugate | $27.20 | $32.00 | $16.00–$41.60 | 35% below | 15% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vaccine split virus, preservative free | $39.95 | $47.00 | $23.50–$61.10 | 44% below | 15% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal vaccine, 13-valent | $502.35 | $591.00 | $295.50–$768.30 | 48% above | 15% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use | $1,263.66 | $1,486.66 | $743.33–$1,932.66 | 185% above | 15% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use | $164.90 | $194.00 | $97.00–$252.20 | 52% below | 15% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent | $302.60 | $356.00 | $178.00–$462.80 | 72% above | 15% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use | $1,299.65 | $1,529.00 | $764.50–$1,987.70 | 177% above | 15% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle | $1,428.51 | $1,680.60 | $840.30–$2,184.78 | 162% above | 15% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingles vaccine for injection into muscle | $369.75 | $435.00 | $217.50–$565.50 | 79% above | 15% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) | $133.45 | $157.00 | $78.50–$204.10 | 225% above | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | $102.85 | $121.00 | $60.50–$157.30 | 62% above | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $155.55 | $183.00 | $91.50–$237.90 | 169% above | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $58.65 | $69.00 | $34.50–$89.70 | 53% above | 15% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbLakeDistrict2&type=CDMWithoutLabel&fileType=CSV