SelfPayRates
Hospital Wheeling, WV-OH

Barnesville Hospital Association

Barnesville Hospital Association in Barnesville, OH publishes cash prices for 375 common procedures listed here, from its own machine-readable price file updated Jul 14, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 279 of 373 procedures and above it for 91. By typical cash price it ranks #25 of 139 Ohio hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

639 W Main St,Barnesville,OH,43713 Collected Sep 23, 2026 Source price file Check a bill from this hospital (740) 425-3941

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 361321 · CMS hospital register NPI 1235135450

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.

Scans and imaging

ProcedureCash priceList priceInsurers payvs OhioOff list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST $1,635.50 $3,271.00 $1,628.00–$4,748.00 23% above 50%
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST $1,750.00 $3,500.00 $1,628.00–$4,748.00 32% above 50%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS $331.50 $663.00 $4,748.00 2% below 50%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE $200.50 $401.00 $4,748.00 37% below 50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS $189.00 $378.00 $4,748.00 41% below 50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE $969.00 $1,938.00 $1,628.00–$4,748.00 3% above 50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST $905.50 $1,811.00 $1,628.00–$4,748.00 4% below 50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST $273.50 $547.00 $4,748.00 38% below 50%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE $304.00 $608.00 $4,748.00 36% below 50%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED $274.50 $549.00 $4,748.00 33% below 50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST $258.50 $517.00 $4,748.00 37% below 50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST $258.50 $517.00 $4,748.00 37% below 50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST $1,966.00 $3,932.00 $1,628.00–$4,748.00 8% below 50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST $2,104.00 $4,208.00 $1,628.00–$4,748.00 2% below 50%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST $1,566.50 $3,133.00 $1,628.00–$4,748.00 17% above 50%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD $1,676.50 $3,353.00 $1,628.00–$4,748.00 25% above 50%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST $1,566.50 $3,133.00 $1,628.00–$4,748.00 20% above 50%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK $1,676.50 $3,353.00 $1,628.00–$4,748.00 29% above 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST $1,566.50 $3,133.00 $1,628.00–$4,748.00 11% above 50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST $1,676.50 $3,353.00 $1,628.00–$4,748.00 18% above 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST $1,773.50 $3,547.00 $1,628.00–$4,748.00 12% above 50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST $1,898.00 $3,796.00 $1,628.00–$4,748.00 20% above 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $2,223.50 $4,447.00 $1,628.00–$4,748.00 12% above 50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST $2,357.00 $4,714.00 $1,628.00–$4,748.00 19% above 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST $3,263.00 $6,526.00 $1,628.00–$4,748.00 40% above 50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR $3,491.50 $6,983.00 $1,628.00–$4,748.00 50% above 50%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST $1,084.50 $2,169.00 $1,628.00–$4,748.00 7% below 50%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST $1,160.50 $2,321.00 $1,628.00–$4,748.00 1% below 50%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST $889.00 $1,778.00 $1,628.00–$4,748.00 15% below 50%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST $951.50 $1,903.00 $1,628.00–$4,748.00 9% below 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST $780.50 $1,561.00 $1,628.00–$4,748.00 11% below 50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE $835.50 $1,671.00 $1,628.00–$4,748.00 5% below 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $739.50 $1,479.00 $1,628.00–$4,748.00 11% below 50%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE $784.00 $1,568.00 $1,628.00–$4,748.00 6% below 50%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST $1,233.00 $2,466.00 $1,628.00–$4,748.00 4% above 50%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE $1,319.50 $2,639.00 $1,628.00–$4,748.00 11% above 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST $894.00 $1,788.00 $1,628.00–$4,748.00 19% below 50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE $957.00 $1,914.00 $1,628.00–$4,748.00 13% below 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST $894.00 $1,788.00 $1,628.00–$4,748.00 17% below 50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE $957.00 $1,914.00 $1,628.00–$4,748.00 11% below 50%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST $1,116.00 $2,232.00 $4,748.00 9% below 50%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE $1,183.00 $2,366.00 $4,748.00 3% below 50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY $772.00 $1,544.00 $4,748.00 — 50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW $714.50 $1,429.00 $4,748.00 1% below 50%
Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST $1,694.00 $3,388.00 $4,748.00 12% above 50%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS $171.00 $342.00 $4,748.00 35% below 50%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS $181.50 $363.00 $4,748.00 31% below 50%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW $134.00 $268.00 $4,748.00 40% below 50%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW $142.50 $285.00 $4,748.00 36% below 50%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE $162.00 $324.00 $4,748.00 40% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY $657.50 $1,315.00 $4,748.00 7% below 50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP $697.00 $1,394.00 $4,748.00 2% below 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST $906.00 $1,812.00 $1,628.00–$4,748.00 4% below 50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- $969.50 $1,939.00 $1,628.00–$4,748.00 3% above 50%
Diagnostic CT scan of the chest, no contrast dye one side CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST $906.00 $1,812.00 $1,628.00–$4,748.00 4% below 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST $1,289.50 $2,579.00 $1,628.00–$4,748.00 6% above 50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ $1,380.00 $2,760.00 $1,628.00–$4,748.00 14% above 50%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI $359.50 $719.00 $203.00–$4,748.00 — 50%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI $262.00 $524.00 $4,748.00 27% below 50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS $470.50 $941.00 $4,748.00 47% below 50%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY $499.00 $998.00 $4,748.00 44% below 50%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS $470.50 $941.00 $4,748.00 47% below 50%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY $499.00 $998.00 $4,748.00 44% below 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION $1,329.00 $2,658.00 $4,748.00 21% below 50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE $1,435.50 $2,871.00 $4,748.00 15% below 50%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW $197.50 $395.00 $4,748.00 24% below 50%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW $224.00 $448.00 $4,748.00 29% below 50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST $704.50 $1,409.00 $4,748.00 18% below 50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE $754.00 $1,508.00 $4,748.00 13% below 50%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES $252.50 $505.00 $4,748.00 33% below 50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM $224.00 $448.00 $4,748.00 18% below 50%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND $173.50 $347.00 $4,748.00 35% below 50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL $173.50 $347.00 $4,748.00 36% below 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT $299.50 $599.00 $4,748.00 57% below 50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT $332.50 $665.00 $4,748.00 53% below 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER) $2,174.00 $4,348.00 $1,018.00–$4,748.00 47% below 50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM $2,304.50 $4,609.00 $1,018.00–$4,748.00 44% below 50%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 $211.50 $423.00 $4,748.00 40% below 50%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE $224.00 $448.00 $4,748.00 43% below 50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE $969.00 $1,938.00 $1,628.00–$4,748.00 3% above 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN $356.00 $712.00 $4,748.00 36% below 50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN $377.50 $755.00 $4,748.00 32% below 50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS $161.00 $322.00 $4,748.00 66% below 50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR $171.00 $342.00 $4,748.00 64% below 50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS $161.00 $322.00 $4,748.00 66% below 50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING $120.00 $240.00 $4,748.00 59% below 50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG $179.00 $358.00 $4,748.00 35% below 50%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE $1,512.00 $3,024.00 $1,730.00–$4,748.00 4% above 50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE $1,512.00 $3,024.00 $1,730.00–$4,748.00 14% below 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST $1,426.00 $2,852.00 $1,730.00–$4,748.00 19% below 50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST $1,426.00 $2,852.00 $1,730.00–$4,748.00 19% below 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST $1,751.00 $3,502.00 $1,730.00–$4,748.00 27% below 50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST $1,751.00 $3,502.00 $1,730.00–$4,748.00 27% below 50%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST $1,426.00 $2,852.00 $4,748.00 23% below 50%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST $1,512.00 $3,024.00 $4,748.00 18% below 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST $2,033.50 $4,067.00 $4,748.00 11% below 50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR $2,156.00 $4,312.00 $4,748.00 6% below 50%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST $1,426.00 $2,852.00 $4,748.00 11% below 50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE $1,512.00 $3,024.00 $4,748.00 6% below 50%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $2,033.50 $4,067.00 $1,730.00–$4,748.00 7% below 50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE $2,156.00 $4,312.00 $1,730.00–$4,748.00 1% below 50%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $1,426.00 $2,852.00 $1,730.00–$4,748.00 14% below 50%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE $1,512.00 $3,024.00 $1,730.00–$4,748.00 9% below 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST $2,033.50 $4,067.00 $1,730.00–$4,748.00 13% below 50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE $2,156.00 $4,312.00 $1,730.00–$4,748.00 8% below 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST $1,426.00 $2,852.00 $1,730.00–$4,748.00 15% below 50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE $1,512.00 $3,024.00 $1,730.00–$4,748.00 10% below 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST $2,033.50 $4,067.00 $1,730.00–$4,748.00 10% below 50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE $2,156.00 $4,312.00 $1,730.00–$4,748.00 5% below 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST $1,426.00 $2,852.00 $1,730.00–$4,748.00 14% below 50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE $1,512.00 $3,024.00 $1,730.00–$4,748.00 8% below 50%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST $2,023.50 $4,047.00 $1,730.00–$4,748.00 3% above 50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE $2,145.00 $4,290.00 $1,730.00–$4,748.00 10% above 50%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST $1,426.00 $2,852.00 $1,730.00–$4,748.00 6% below 50%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE $1,512.00 $3,024.00 $1,730.00–$4,748.00 at median 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE $1,504.50 $3,009.00 $1,730.00–$4,748.00 at median 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST $1,419.00 $2,838.00 $1,730.00–$4,748.00 6% below 50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST $1,419.00 $2,838.00 $1,730.00–$4,748.00 6% below 50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS $267.50 $535.00 $4,748.00 40% below 50%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST $1,026.00 $2,052.00 $1,628.00–$4,748.00 13% below 50%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE $1,098.00 $2,196.00 $1,628.00–$4,748.00 7% below 50%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST $894.00 $1,788.00 $1,628.00–$4,748.00 3% below 50%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE $957.00 $1,914.00 $1,628.00–$4,748.00 4% above 50%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK $127.00 $254.00 $4,748.00 51% below 50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH $1,983.00 $3,966.00 $4,748.00 59% below 50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN $3,981.00 $7,962.00 $4,748.00 18% below 50%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST $889.00 $1,778.00 $1,628.00–$4,748.00 12% below 50%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE $951.50 $1,903.00 $1,628.00–$4,748.00 5% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS $352.50 $705.00 $4,748.00 19% below 50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED $374.00 $748.00 $4,748.00 14% below 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS $401.50 $803.00 $4,748.00 20% below 50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE $426.00 $852.00 $4,748.00 15% below 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS $229.50 $459.00 $4,748.00 58% below 50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS $243.50 $487.00 $4,748.00 56% below 50%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS $166.00 $332.00 $4,748.00 45% below 50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST $191.00 $382.00 $4,748.00 50% below 50%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD $106.00 $212.00 $203.00–$4,748.00 — 50%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY $160.00 $320.00 $203.00–$4,748.00 17% below 50%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER $197.00 $394.00 $4,748.00 42% below 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS $185.50 $371.00 $4,748.00 45% below 50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS $185.50 $371.00 $4,748.00 45% below 50%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES $241.50 $483.00 $4,748.00 33% below 50%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL $258.50 $517.00 $4,748.00 11% below 50%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $2,174.00 $4,348.00 $1,018.00–$4,748.00 39% below 50%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM $2,304.50 $4,609.00 $1,018.00–$4,748.00 36% below 50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ $174.00 $348.00 $4,748.00 66% below 50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> $197.50 $395.00 $4,748.00 27% below 50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST $894.00 $1,788.00 $1,628.00–$4,748.00 1% below 50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE $957.00 $1,914.00 $1,628.00–$4,748.00 6% above 50%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) $173.00 $346.00 $4,748.00 31% below 50%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $275.50 $551.00 $4,748.00 51% below 50%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB $292.50 $585.00 $4,748.00 48% below 50%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS $251.50 $503.00 $4,748.00 50% below 50%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC $267.00 $534.00 $4,748.00 47% below 50%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN $423.50 $847.00 $4,748.00 32% below 50%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE $449.00 $898.00 $4,748.00 28% below 50%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM $449.00 $898.00 $4,748.00 16% below 50%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM $476.00 $952.00 $4,748.00 11% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE $250.50 $501.00 $4,748.00 56% below 50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK $266.00 $532.00 $4,748.00 54% below 50%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS $161.00 $322.00 $4,748.00 41% below 50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS $151.50 $303.00 $4,748.00 45% below 50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY $184.00 $368.00 $4,748.00 75% below 50%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST $153.00 $306.00 $4,748.00 41% below 50%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST $197.00 $394.00 $4,748.00 41% below 50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS $185.50 $371.00 $4,748.00 45% below 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS $348.50 $697.00 $4,748.00 13% above 50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS $328.50 $657.00 $4,748.00 7% above 50%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW $160.00 $320.00 $4,748.00 38% below 50%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW $170.00 $340.00 $4,748.00 34% below 50%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE $173.00 $346.00 $4,748.00 30% below 50%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) $159.00 $318.00 $4,748.00 38% below 50%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT $161.00 $322.00 $4,748.00 31% below 50%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT $211.50 $423.00 $4,748.00 31% below 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS $199.50 $399.00 $4,748.00 35% below 50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS $199.50 $399.00 $4,748.00 35% below 50%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND $197.00 $394.00 $4,748.00 40% below 50%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS $185.50 $371.00 $4,748.00 43% below 50%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 $180.00 $360.00 $4,748.00 34% below 50%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS $169.50 $339.00 $4,748.00 38% below 50%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS $169.50 $339.00 $4,748.00 38% below 50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS $222.00 $444.00 $4,748.00 31% below 50%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $285.00 $570.00 $4,748.00 39% below 50%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS $302.50 $605.00 $4,748.00 36% below 50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS $172.00 $344.00 $4,748.00 43% below 50%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES $252.50 $505.00 $4,748.00 14% below 50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW $232.00 $464.00 $4,748.00 31% below 50%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS $131.00 $262.00 $4,748.00 48% below 50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE $193.50 $387.00 $4,748.00 35% below 50%

Lab tests

ProcedureCash priceList priceInsurers payvs OhioOff list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL $207.50 $415.00 $19.07–$4,748.00 57% above 50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL $36.00 $72.00 $2.62–$4,748.00 29% above 50%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL $44.00 $88.00 $2.56–$4,748.00 75% above 50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL $163.50 $327.00 $23.52–$4,748.00 25% below 50%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN $7.00 $14.00 $2.44–$4,748.00 68% below 50%
Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL $46.50 $93.00 $2.44–$4,748.00 110% above 50%
Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL $27.50 $55.00 $20.12–$4,748.00 80% below 50%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE $157.50 $315.00 $20.12–$4,748.00 13% above 50%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE $4.00 $8.00 $2.56–$4,748.00 83% below 50%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE $33.50 $67.00 $2.56–$4,748.00 40% above 50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA $5.00 $10.00 $2.58–$4,748.00 79% below 50%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH $255.00 $510.00 $2.58–$4,748.00 990% above 50%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM $87.50 $175.00 $8.28–$4,748.00 44% above 50%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA $28.50 $57.00 $7.20–$4,748.00 48% below 50%
Ammonia blood test CPT 82140 AMMONIA LEVEL $87.50 $175.00 $7.20–$4,748.00 60% above 50%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL $50.50 $101.00 $3.20–$4,748.00 5% above 50%
Amylase blood test CPT 82150 ASSAY OF AMYLASE $237.00 $474.00 $3.20–$4,748.00 395% above 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY $25.00 $50.00 $6.39–$4,748.00 57% below 50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT $121.00 $242.00 $6.39–$4,748.00 109% above 50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER $61.50 $123.00 $5.97–$4,748.00 11% above 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE $141.00 $282.00 $16.76–$4,748.00 6% below 50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL $260.50 $521.00 $16.76–$4,748.00 74% above 50%
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 $66.00 $132.00 $4.26–$4,748.00 at median 50%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $39.00 $78.00 $4.18–$4,748.00 41% below 50%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL $27.00 $54.00 $2.48–$4,748.00 13% above 50%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL $35.00 $70.00 $2.48–$4,748.00 46% above 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST $136.50 $273.00 $18.21–$4,748.00 33% below 50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY $273.00 $546.00 $18.21–$4,748.00 34% above 50%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA $83.00 $166.00 $5.10–$4,748.00 11% below 50%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE $166.00 $332.00 $5.10–$4,748.00 77% above 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE $15.00 $30.00 $1.20–$4,748.00 6% below 50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE $30.00 $60.00 $1.20–$4,748.00 89% above 50%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL $35.00 $70.00 $1.94–$4,748.00 48% above 50%
Blood lead test CPT 83655 ASSAY OF LEAD $7.00 $14.00 $5.98–$4,748.00 86% below 50%
Blood lead test CPT 83655 LEAD LEVEL $48.00 $96.00 $5.98–$4,748.00 1% below 50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS $74.00 $148.00 $3.72–$4,748.00 36% above 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO $25.00 $50.00 $1.48–$4,748.00 58% below 50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) $53.50 $107.00 $1.48–$4,748.00 10% below 50%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE $35.00 $70.00 $1.95–$4,748.00 50% above 50%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL $89.50 $179.00 $10.28–$4,748.00 13% above 50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION $50.50 $101.00 $2.56–$4,748.00 1% above 50%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE $124.50 $249.00 $17.33–$4,748.00 5% below 50%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 $50.00 $100.00 $10.28–$4,748.00 32% below 50%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 $89.50 $179.00 $10.28–$4,748.00 4% below 50%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM $10.50 $21.00 $2.55–$4,748.00 67% below 50%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL $33.50 $67.00 $2.55–$4,748.00 6% above 50%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL $104.00 $208.00 $9.36–$4,748.00 20% above 50%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN $144.00 $288.00 $9.36–$4,748.00 66% above 50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY $17.50 $35.00 $6.36–$4,748.00 70% below 50%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX) $51.00 $102.00 $6.36–$4,748.00 12% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE $37.00 $74.00 $17.33–$4,748.00 60% below 50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE $54.00 $108.00 $17.33–$4,748.00 42% below 50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $62.50 $125.00 $9.04–$4,748.00 18% above 50%
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 $77.50 $155.00 $3.84–$4,748.00 113% above 50%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC $82.50 $165.00 $3.84–$4,748.00 127% above 50%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $53.00 $106.00 $3.19–$4,748.00 56% above 50%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED $56.50 $113.00 $3.19–$4,748.00 67% above 50%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $49.00 $98.00 $5.22–$4,748.00 23% below 50%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL $54.50 $109.00 $8.05–$4,748.00 25% below 50%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL $152.00 $304.00 $8.05–$4,748.00 110% above 50%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL $50.00 $100.00 $3.22–$4,748.00 41% above 50%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL $35.00 $70.00 $2.53–$4,748.00 42% above 50%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV) $9.00 $18.00 $7.11–$4,748.00 87% below 50%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE $97.00 $194.00 $5.02–$4,748.00 39% above 50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL $94.50 $189.00 $10.98–$4,748.00 5% below 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR $28.00 $56.00 $28.73–$4,748.00 71% below 50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS $362.50 $725.00 $28.73–$4,748.00 279% above 50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE) $60.50 $121.00 $3.46–$4,748.00 27% above 50%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA $42.00 $84.00 $8.96–$4,748.00 35% below 50%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID $50.50 $101.00 $8.96–$4,748.00 22% below 50%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) $104.00 $208.00 $13.80–$4,748.00 7% below 50%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) $34.50 $69.00 $9.18–$4,748.00 60% below 50%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL $70.00 $140.00 $9.18–$4,748.00 18% below 50%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL $190.50 $381.00 $9.70–$4,748.00 28% above 50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL $71.00 $142.00 $6.73–$4,748.00 7% below 50%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT $69.00 $138.00 $4.20–$4,748.00 53% above 50%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM $97.00 $194.00 $7.26–$4,748.00 44% above 50%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE $80.00 $160.00 $8.37–$4,748.00 5% above 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE $87.50 $175.00 $4.45–$4,748.00 106% above 50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE $167.00 $334.00 $4.45–$4,748.00 293% above 50%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE $107.00 $214.00 $12.58–$4,748.00 10% above 50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL $58.00 $116.00 $3.56–$4,748.00 36% above 50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $230.50 $461.00 $17.36–$4,748.00 4% above 50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE $39.50 $79.00 $2.34–$4,748.00 3% above 50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) $62.50 $125.00 $6.36–$4,748.00 7% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE $52.50 $105.00 $17.33–$4,748.00 44% below 50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB $76.00 $152.00 $17.33–$4,748.00 18% below 50%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL $97.50 $195.00 $7.10–$4,748.00 40% above 50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION $302.00 $604.00 $42.02–$4,748.00 16% below 50%
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 $91.50 $183.00 $11.89–$4,748.00 23% above 50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT $50.00 $100.00 $17.33–$4,748.00 58% below 50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES $87.00 $174.00 $17.33–$4,748.00 27% below 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C $9.50 $19.00 $4.80–$4,748.00 79% below 50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL $87.50 $175.00 $4.80–$4,748.00 92% above 50%
Hemoglobin blood test CPT 85018 HEMOGLOBIN $10.50 $21.00 $1.17–$4,748.00 35% below 50%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN $28.50 $57.00 $1.17–$4,748.00 76% above 50%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT $54.50 $109.00 $5.95–$4,748.00 1% above 50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT $43.50 $87.00 $5.30–$4,748.00 10% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA $5.50 $11.00 $5.10–$4,748.00 88% below 50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN $20.00 $40.00 $5.10–$4,748.00 58% below 50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT $32.50 $65.00 $7.04–$4,748.00 49% below 50%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION $303.50 $607.00 $21.15–$4,748.00 58% above 50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST $25.00 $50.00 $6.51–$4,748.00 58% below 50%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 $66.00 $132.00 $6.51–$4,748.00 12% above 50%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST $25.00 $50.00 $9.56–$4,748.00 62% below 50%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 $96.50 $193.00 $9.56–$4,748.00 46% above 50%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY $74.50 $149.00 $6.39–$4,748.00 10% above 50%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL $77.50 $155.00 $8.33–$4,748.00 4% below 50%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL $70.00 $140.00 $5.64–$4,748.00 36% above 50%
Iron blood test (serum iron) CPT 83540 IRON LEVEL $42.00 $84.00 $3.20–$4,748.00 10% above 50%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST $53.00 $106.00 $4.32–$4,748.00 36% above 50%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $106.00 $212.00 $4.32–$4,748.00 172% above 50%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL $246.00 $492.00 $4.29–$4,748.00 242% above 50%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) $8.50 $17.00 $9.14–$4,748.00 91% below 50%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL $91.00 $182.00 $9.14–$4,748.00 5% below 50%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID $70.00 $140.00 $5.28–$4,748.00 35% above 50%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL $140.00 $280.00 $5.28–$4,748.00 169% above 50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL $38.00 $76.00 $2.98–$4,748.00 39% above 50%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE $70.00 $140.00 $3.40–$4,748.00 20% above 50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL $140.00 $280.00 $3.40–$4,748.00 141% above 50%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL $80.50 $161.00 $4.04–$4,748.00 33% above 50%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) $29.00 $58.00 $8.41–$4,748.00 62% below 50%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM $19.50 $39.00 $3.31–$4,748.00 42% below 50%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL $54.00 $108.00 $3.31–$4,748.00 60% above 50%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY $59.00 $118.00 $6.36–$4,748.00 3% above 50%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) $65.00 $130.00 $6.36–$4,748.00 14% above 50%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) $41.00 $82.00 $2.56–$4,748.00 23% below 50%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS $74.00 $148.00 $6.44–$4,748.00 26% above 50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE $71.50 $143.00 $9.08–$4,748.00 13% below 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $97.00 $194.00 $9.08–$4,748.00 23% above 50%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL $103.00 $206.00 $9.08–$4,748.00 30% above 50%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING $95.00 $190.00 $15.01–$4,748.00 3% below 50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER $50.00 $100.00 $11.48–$4,748.00 45% below 50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL $140.50 $281.00 $20.38–$4,748.00 1% below 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $46.00 $92.00 $2.97–$4,748.00 23% above 50%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL $49.00 $98.00 $2.97–$4,748.00 31% above 50%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL $32.50 $65.00 $2.34–$4,748.00 9% below 50%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL $35.00 $70.00 $2.27–$4,748.00 50% above 50%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL $69.50 $139.00 $10.30–$4,748.00 14% below 50%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE $152.00 $304.00 $10.30–$4,748.00 88% above 50%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL $23.00 $46.00 $9.57–$4,748.00 74% below 50%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN $35.50 $71.00 $9.57–$4,748.00 59% below 50%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME $50.00 $100.00 $1.94–$4,748.00 108% above 50%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $53.00 $106.00 $1.94–$4,748.00 120% above 50%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION $56.50 $113.00 $5.38–$4,748.00 2% below 50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC $54.00 $108.00 $6.62–$4,748.00 18% below 50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC $26.50 $53.00 $6.61–$4,748.00 54% below 50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) $80.00 $160.00 $6.61–$4,748.00 40% above 50%
Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL $83.50 $167.00 $10.86–$4,748.00 2% below 50%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) $25.00 $50.00 $1.48–$4,748.00 33% below 50%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN $34.00 $68.00 $1.48–$4,748.00 9% below 50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL $36.00 $72.00 $2.80–$4,748.00 9% above 50%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) $51.50 $103.00 $7.11–$4,748.00 5% above 50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED $37.50 $75.00 $1.33–$4,748.00 1% below 50%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL $35.00 $70.00 $2.38–$4,748.00 29% above 50%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS $27.00 $54.00 $4.40–$4,748.00 32% below 50%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES $28.77 $57.54 $4.40–$4,748.00 27% below 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES $19.50 $39.00 $1.75–$4,748.00 32% below 50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS $48.00 $96.00 $1.75–$4,748.00 67% above 50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY $59.50 $119.00 $7.86–$4,748.00 11% above 50%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM $40.00 $80.00 $6.54–$4,748.00 31% below 50%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM $44.00 $88.00 $6.54–$4,748.00 24% below 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL $38.00 $76.00 $2.11–$4,748.00 59% above 50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST $42.00 $84.00 $2.11–$4,748.00 76% above 50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON $139.00 $278.00 $30.61–$4,748.00 19% above 50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL $94.50 $189.00 $12.75–$4,748.00 3% above 50%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE $152.00 $304.00 $12.75–$4,748.00 65% above 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH $15.00 $30.00 $7.18–$4,748.00 77% below 50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT $66.00 $132.00 $7.18–$4,748.00 2% above 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $104.00 $208.00 $8.30–$4,748.00 38% above 50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE $110.50 $221.00 $8.30–$4,748.00 47% above 50%
Total IgE blood test CPT 82785 ASSAY OF IGE $15.00 $30.00 $8.13–$4,748.00 76% below 50%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL $70.00 $140.00 $8.13–$4,748.00 13% above 50%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL $41.00 $82.00 $2.15–$4,748.00 12% above 50%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL $53.00 $106.00 $3.39–$4,748.00 27% above 50%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL $77.00 $154.00 $7.00–$4,748.00 28% above 50%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL $70.00 $140.00 $6.30–$4,748.00 6% below 50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF $119.50 $239.00 $17.33–$4,748.00 38% above 50%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE $132.00 $264.00 $17.33–$4,748.00 53% above 50%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL $39.50 $79.00 $2.84–$4,748.00 15% above 50%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES $51.00 $102.00 $2.84–$4,748.00 48% above 50%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT $104.00 $208.00 $4.99–$4,748.00 24% above 50%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE $208.00 $416.00 $4.99–$4,748.00 148% above 50%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD $54.00 $108.00 $2.23–$4,748.00 53% above 50%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $38.00 $76.00 $1.57–$4,748.00 41% above 50%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE $40.50 $81.00 $1.57–$4,748.00 50% above 50%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST $32.50 $65.00 $1.11–$4,748.00 39% above 50%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE $34.50 $69.00 $1.11–$4,748.00 47% above 50%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST $16.50 $33.00 $1.39–$4,748.00 2% above 50%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE $66.00 $132.00 $3.98–$4,748.00 16% above 50%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE $61.00 $122.00 $2.86–$4,748.00 20% above 50%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL $66.00 $132.00 $2.86–$4,748.00 30% above 50%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST $17.00 $34.00 $3.44–$4,748.00 65% below 50%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL $120.00 $240.00 $7.44–$4,748.00 61% above 50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL $71.50 $143.00 $16.78–$4,748.00 24% below 50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL $149.00 $298.00 $19.01–$4,748.00 3% below 50%
Zinc blood test CPT 84630 ZINC LEVEL $51.50 $103.00 $5.62–$4,748.00 at median 50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL $25.50 $51.00 $7.44–$4,748.00 62% below 50%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs OhioOff list
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $3,146.50 $6,293.00 $4,748.00 58% below 50%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $4,276.50 $8,553.00 $4,748.00 43% below 50%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,355.50 $4,711.00 $4,070.00–$5,427.00 29% below 50%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $822.83 $1,645.66 $4,070.00–$5,427.00 70% below 50%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $3,372.50 $6,745.00 $3,561.00–$4,748.00 53% below 50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY $571.00 $1,142.00 — 71% below 50%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING $57.00 $114.00 $4,748.00 63% below 50%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING $86.00 $172.00 $4,748.00 44% below 50%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING $129.00 $258.00 $4,748.00 17% below 50%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX $55.50 $111.00 — 64% below 50%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI $57.00 $114.00 — 63% below 50%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX $55.50 $111.00 $4,748.00 64% below 50%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX $55.50 $111.00 — 64% below 50%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $7,440.50 $14,881.00 $4,748.00 57% below 50%
Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING $1,146.00 $2,292.00 $4,748.00 40% below 50%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS $186.50 $373.00 $4,748.00 52% below 50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE $264.00 $528.00 $4,748.00 32% below 50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT $294.00 $588.00 $4,748.00 13% below 50%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT $264.50 $529.00 $4,748.00 22% below 50%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT $264.50 $529.00 $4,748.00 22% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US $294.00 $588.00 $4,748.00 58% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT $534.50 $1,069.00 $4,748.00 23% below 50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT $575.00 $1,150.00 $4,748.00 17% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US $294.00 $588.00 — 52% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT $534.50 $1,069.00 $4,748.00 13% below 50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT $575.00 $1,150.00 $4,748.00 7% below 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT $276.50 $553.00 — 44% below 50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US $294.00 $588.00 — 40% below 50%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT $276.50 $553.00 — 44% below 50%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT $276.50 $553.00 — 44% below 50%
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 $425.00 $850.00 $4,748.00 20% below 50%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC $906.00 $1,812.00 $4,748.00 44% below 50%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY $4,834.00 $9,668.00 — 81% below 50%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE $192.50 $385.00 $4,748.00 40% below 50%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV $401.50 $803.00 $4,748.00 49% below 50%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE $907.00 $1,814.00 $4,748.00 48% below 50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED $389.50 $779.00 $4,748.00 50% below 50%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE $356.00 $712.00 $4,748.00 47% below 50%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL $389.50 $779.00 $4,748.00 42% below 50%
Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE $389.50 $779.00 $4,748.00 42% below 50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,016.50 $4,033.00 $4,070.00–$5,427.00 23% below 50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $1,338.50 $2,677.00 $4,070.00–$5,427.00 49% below 50%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT $160.00 $320.00 $4,748.00 45% below 50%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT $171.50 $343.00 $4,748.00 41% below 50%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT $160.00 $320.00 $4,748.00 45% below 50%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT $160.00 $320.00 $4,748.00 45% below 50%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT $200.50 $401.00 $4,748.00 32% below 50%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT $215.00 $430.00 $4,748.00 27% below 50%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT $200.50 $401.00 $4,748.00 32% below 50%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT $200.50 $401.00 $4,748.00 32% below 50%
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 $249.00 $498.00 $4,748.00 25% below 50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< $266.50 $533.00 $4,748.00 19% below 50%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS $259.00 $518.00 — 11% below 50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR $676.50 $1,353.00 $4,748.00 37% below 50%
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 $249.00 $498.00 $4,748.00 29% below 50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM $266.50 $533.00 $4,748.00 24% below 50%
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 $249.00 $498.00 $4,748.00 22% below 50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< $266.50 $533.00 $4,748.00 16% below 50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES $389.50 $779.00 — 29% above 50%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING $601.00 $1,202.00 $4,748.00 65% below 50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL $294.00 $588.00 — 58% below 50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES $611.50 $1,223.00 $4,748.00 12% below 50%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $999.50 $1,999.00 $4,748.00 64% below 50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE $1,241.50 $2,483.00 $4,748.00 56% below 50%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,050.50 $2,101.00 $4,748.00 60% below 50%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 $198.50 $397.00 $4,748.00 37% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< $389.50 $779.00 — 50% below 50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS $506.00 $1,012.00 — 35% below 50%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs OhioOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS $488.50 $977.00 $4,748.00 56% below 50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT $518.00 $1,036.00 $4,748.00 53% below 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT $122.00 $244.00 $2,417.74–$8,064.64 — 50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION $230.00 $460.00 $2,417.74–$8,064.64 — 50%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS $368.50 $737.00 $4,748.00 52% below 50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR $391.00 $782.00 $4,748.00 49% below 50%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR $782.00 $1,564.00 $4,748.00 73% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING $90.50 $181.00 $4,748.00 51% below 50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING $98.00 $196.00 $4,748.00 47% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY $139.00 $278.00 $713.00–$4,748.00 55% below 50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP $149.00 $298.00 $713.00–$4,748.00 52% below 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY $168.50 $337.00 $713.00–$4,748.00 67% below 50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM $180.50 $361.00 $713.00–$4,748.00 65% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $350.00 $700.00 $713.00–$4,748.00 59% below 50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM $374.50 $749.00 $713.00–$4,748.00 56% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $550.00 $1,100.00 $713.00–$4,748.00 59% below 50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM $588.50 $1,177.00 $713.00–$4,748.00 56% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $725.00 $1,450.00 $713.00–$4,748.00 58% below 50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM $776.00 $1,552.00 $713.00–$4,748.00 55% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES $191.50 $383.00 $336.96–$4,748.00 54% below 50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT $203.50 $407.00 $336.96–$4,748.00 51% below 50%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS $193.50 $387.00 $4,748.00 55% below 50%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT $205.50 $411.00 $4,748.00 53% below 50%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN $125.50 $251.00 $4,748.00 51% below 50%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH $203.50 $407.00 $4,748.00 21% below 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE $65.50 $131.00 $4,748.00 54% below 50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM $70.50 $141.00 $4,748.00 50% below 50%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION $77.00 $154.00 $4,748.00 30% below 50%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $83.50 $167.00 — 24% below 50%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $70.00 $140.00 — 42% below 50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES $105.00 $210.00 — 4% above 50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN $33.50 $67.00 $4,748.00 48% below 50%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN $145.00 $290.00 $4,748.00 44% below 50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN $175.00 $350.00 $4,748.00 42% below 50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN $145.00 $290.00 $4,748.00 44% below 50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN $159.00 $318.00 $4,748.00 43% below 50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS $61.00 $122.00 $4,748.00 45% below 50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES $65.50 $131.00 $4,748.00 45% below 50%
Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) $85.00 $170.00 — 29% below 50%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 $116.50 $233.00 — 3% below 50%
Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) $116.50 $233.00 — 20% below 50%
Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 $123.50 $247.00 — 15% below 50%
Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS $145.00 $290.00 — 7% below 50%
Preventive checkup, returning patient aged 18–39 CPT 99395 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (18-39 YEARS) $70.00 $140.00 — 44% below 50%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 $76.00 $152.00 — 39% below 50%
Preventive checkup, returning patient aged 40–64 CPT 99396 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (40-64 YEARS) $90.00 $180.00 — 29% below 50%
Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 $95.50 $191.00 — 24% below 50%
Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR $103.50 $207.00 — 20% below 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES $59.00 $118.00 $4,748.00 35% above 50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN $64.00 $128.00 $4,748.00 46% above 50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES $72.50 $145.00 — 57% below 50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $78.00 $156.00 — 33% below 50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $103.00 $206.00 — 25% below 50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES $105.00 $210.00 — 4% above 50%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN $160.00 $320.00 $4,748.00 53% below 50%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV $90.00 $180.00 $4,748.00 59% below 50%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME $168.50 $337.00 $4,748.00 46% below 50%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST $207.00 $414.00 $4,748.00 33% below 50%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION $280.50 $561.00 $4,748.00 51% below 50%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING $357.50 $715.00 $4,748.00 38% below 50%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES $43.50 $87.00 $4,748.00 64% below 50%

Vaccines

ProcedureCash priceList priceInsurers payvs OhioOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Fluad 2025-2026 Formula $86.67 $173.34 $4,748.00 14% above 50%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM $109.50 $219.00 $4,748.00 44% above 50%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM $186.00 $372.00 $240.77–$4,748.00 10% below 50%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM $150.50 $301.00 $216.32–$4,748.00 55% below 50%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ $274.00 $548.00 $344.92–$4,748.00 26% below 50%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM $86.00 $172.00 $172.00–$4,748.00 33% below 50%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM $41.00 $82.00 $56.96–$4,748.00 37% below 50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM $94.50 $189.00 $187.79–$4,748.00 52% below 50%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM $159.00 $318.00 $217.26–$4,748.00 at median 50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2025-2026 Formula $19.32 $38.63 $21.07–$4,748.00 58% below 50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM $19.50 $39.00 $21.07–$4,748.00 57% below 50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula $21.00 $42.00 $21.07–$4,748.00 54% below 50%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM $435.50 $871.00 $569.07–$4,748.00 16% below 50%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM $143.00 $286.00 $213.39–$4,748.00 53% below 50%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM $97.50 $195.00 $115.93–$4,748.00 50% below 50%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM $49.00 $98.00 $68.72–$4,748.00 45% below 50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM $65.50 $131.00 $116.13–$4,748.00 58% below 50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM $190.00 $380.00 $264.46–$4,748.00 13% below 50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM $32.00 $64.00 $50.77–$4,748.00 47% below 50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM $41.50 $83.00 $58.58–$4,748.00 41% below 50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM $17.00 $34.00 $25.21–$4,748.00 44% below 50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM $119.00 $238.00 $121.11–$4,748.00 15% above 50%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 INACTIVATED JE VACC IM $531.50 $1,063.00 $504.42–$4,748.00 62% below 50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC $129.00 $258.00 $182.39–$4,748.00 38% below 50%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC $404.00 $808.00 $218.94–$4,748.00 21% below 50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM $156.50 $313.00 $299.95–$4,748.00 51% below 50%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM $220.50 $441.00 $330.38–$4,748.00 45% below 50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM $229.00 $458.00 $411.10–$4,748.00 58% below 50%
Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM $254.50 $509.00 $376.46–$4,748.00 35% below 50%
Nasal spray flu vaccine, live (FluMist) CPT 90660 LAIV3 VACCINE INTRANASAL $36.50 $73.00 $27.56–$4,748.00 8% below 50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM $272.50 $545.00 $418.37–$4,748.00 14% above 50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Vaxneuvance PFS $294.00 $588.00 $418.37–$4,748.00 23% above 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 PFS $327.00 $654.00 $476.29–$4,748.00 51% below 50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM $363.50 $727.00 $476.29–$4,748.00 45% below 50%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 Capvaxive PFS $325.50 $651.00 $4,748.00 at median 50%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 VACCINE IM $333.50 $667.00 $4,748.00 2% above 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 PFS $157.00 $314.00 $220.23–$4,748.00 43% below 50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM $158.00 $316.00 $220.23–$4,748.00 43% below 50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM $61.50 $123.00 $84.18–$4,748.00 3% below 50%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1 ML IM $789.00 $1,578.00 $980.10–$4,748.00 24% below 50%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM $789.00 $1,578.00 $1,578.00–$4,748.00 42% below 50%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM $406.00 $812.00 $584.10–$4,748.00 44% below 50%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IM $342.00 $684.00 $554.40–$4,748.00 4% below 50%
Rabies vaccine, one dose CPT 90675 RabAvert $489.48 $978.96 $535.82–$4,748.00 49% below 50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE $489.48 $978.96 $535.82–$4,748.00 49% below 50%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM $609.00 $1,218.00 $535.82–$4,748.00 36% below 50%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL $154.50 $309.00 $182.97–$4,748.00 41% below 50%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL $126.50 $253.00 $189.75–$4,748.00 7% below 50%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM $261.50 $523.00 $4,748.00 48% below 50%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM $58.50 $117.00 $50.06–$4,748.00 35% below 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS $66.50 $133.00 $63.21–$4,748.00 40% below 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel $66.50 $133.00 $63.21–$4,748.00 40% below 50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM $68.00 $136.00 $63.21–$4,748.00 38% below 50%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM $212.50 $425.00 $180.23–$4,748.00 26% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE $36.00 $72.00 $4,748.00 12% below 50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN $40.00 $80.00 $4,748.00 2% below 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE $24.50 $49.00 $4,748.00 30% below 50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD $26.00 $52.00 $4,748.00 25% below 50%
Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SUBQ $308.50 $617.00 $263.36–$4,748.00 27% below 50%
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://wvumedicine.org/wp-content/uploads/2026/08/340719172_Barnesville-Hospital-Association-Inc._standardcharges.csv