Mercy Rehabilitation Hospital Oklahoma City
Mercy Rehabilitation Hospital Oklahoma City in Oklahoma City, OK publishes cash prices for 278 common procedures listed here, from its own machine-readable price file updated Mar 16, 2026. Select a procedure to compare it with other hospitals nearby.
5401 W. Memorial Road Oklahoma City OK 73142 Collected Sep 23, 2026 Source price file Check a bill from this hospital
Some prices here are not compared
Mercy Rehabilitation Hospital Oklahoma City is an inpatient rehabilitation hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its physical, occupational and speech therapy prices are compared.
The price file shows no self-pay discount
For 384 of the 384 prices listed here, the cash price in Mercy Rehabilitation Hospital Oklahoma City's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST | $349.62 | $349.62 | $262.22–$349.62 | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN, 2 VIEWS | $262.87 | $262.87 | $197.15–$262.87 | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY ANKLE, COMPLETE | $262.87 | $262.87 | $197.15–$262.87 | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3+ VIEWS RT | $268.80 | $268.80 | $201.60–$268.80 | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3+ VIEWS LT | $319.02 | $319.02 | $239.27–$319.02 | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3+ VWS RT | $478.97 | $478.97 | $359.23–$478.97 | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TCPO2 SINGLE LEVEL | $371.40 | $371.40 | $278.55–$371.40 | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT W/O CONTRAST BIL | $335.07 | $335.07 | $251.30–$335.07 | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CONTRAST LT | $359.45 | $359.45 | $269.59–$359.45 | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS | $714.13 | $714.13 | $535.60–$714.13 | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JOINT WHOLE BODY | $2,747.12 | $2,747.12 | $2,060.34–$2,747.12 | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNIL COMPLT | $428.40 | $428.40 | $321.30–$428.40 | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNIL LIMITED | $387.49 | $387.49 | $290.62–$387.49 | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WO/W CONTRAST | $3,848.52 | $3,848.52 | $2,886.39–$3,848.52 | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK WO/W CONTRAST | $5,372.79 | $5,372.79 | $4,029.59–$5,372.79 | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (NONCORONARY) WO/W | $559.82 | $559.82 | $419.87–$559.82 | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS WO CONTRAST | $716.75 | $716.75 | $537.56–$716.75 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,114.69 | $1,114.69 | $836.02–$1,114.69 | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS W/WO CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/CONTRAST | $821.93 | $821.93 | $616.45–$821.93 | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $344.33 | $344.33 | $258.25–$344.33 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN/HEAD WO CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| CT scan of the head with contrast inpatient CPT 70460 CT BRAIN/HEAD W/CONTRAST | $821.93 | $821.93 | $616.45–$821.93 | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT BRAIN/HEAD W/WO CONTRAST | $344.33 | $344.33 | $258.25–$344.33 | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $335.07 | $335.07 | $251.30–$335.07 | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILATERAL | $323.38 | $323.38 | $242.54–$323.38 | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/WO CONTRAST | $349.62 | $349.62 | $262.22–$349.62 | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $267.48 | $267.48 | $200.61–$267.48 | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS FRONTAL & LAT | $294.65 | $294.65 | $220.99–$294.65 | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW FRONTAL | $61.89 | $61.89 | $46.42–$61.89 | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $263.15 | $263.15 | $197.36–$263.15 | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE X RAY | $368.15 | $368.15 | $276.11–$368.15 | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT | $231.53 | $231.53 | $173.65–$231.53 | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE | $323.38 | $323.38 | $242.54–$323.38 | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY HIP/PELV/SP | $688.65 | $688.65 | $516.49–$688.65 | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA BONE DENSITY WRIST/HEEL | $427.33 | $427.33 | $320.50–$427.33 | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMOGRAM DIAG BILATERAL | $480.99 | $480.99 | $360.74–$480.99 | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US LOW EXT ART DUPLEX COMP BIL | $339.13 | $339.13 | $254.35–$339.13 | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US EXT VEIN DUPLEX COMPLETE BI | $709.60 | $709.60 | $532.20–$709.60 | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2-D&M-MODE W/DOPPLER | $1,409.03 | $1,409.03 | $1,056.77–$1,409.03 | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW AP/LAT LEFT | $315.65 | $315.65 | $236.74–$315.65 | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS RT | $329.55 | $329.55 | $247.16–$329.55 | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEWS LT | $445.20 | $445.20 | $333.90–$445.20 | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3+ VIEWS RT | $143.33 | $143.33 | $107.50–$143.33 | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3+ VIEWS LT | $237.83 | $237.83 | $178.37–$237.83 | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMPLETE RIGHT | $262.87 | $262.87 | $197.15–$262.87 | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT INTRACRANIAL STRUC WO CON | $4,418.95 | $4,418.95 | $3,314.21–$4,418.95 | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3+ VIEWS | $333.36 | $333.36 | $250.02–$333.36 | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XRAY FOREARM | $399.65 | $399.65 | $299.74–$399.65 | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS RT | $334.83 | $334.83 | $251.12–$334.83 | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2 VIEWS LT | $372.75 | $372.75 | $279.56–$372.75 | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY | $2,022.97 | $2,022.97 | $1,517.23–$2,022.97 | — |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS | $144.43 | $144.43 | $108.32–$144.43 | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LT | $272.45 | $272.45 | $204.34–$272.45 | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RT | $280.02 | $280.02 | $210.02–$280.02 | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEUS 2 PLUS VIEW BILATER | $100.55 | $100.55 | $75.41–$100.55 | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2+ VIEWS LT | $26.25 | $26.25 | $19.69–$26.25 | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2+ VIEWS RT | $171.86 | $171.86 | $128.90–$171.86 | — |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE EXAM MIN 3 VIEWS | $284.15 | $284.15 | $213.11–$284.15 | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT | $241.31 | $241.31 | $180.98–$241.31 | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT | $309.04 | $309.04 | $231.78–$309.04 | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4 VIEWS LEFT | $143.01 | $143.01 | $107.26–$143.01 | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT EXTREMITY LOWER W/O CO | $323.38 | $323.38 | $242.54–$323.38 | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST RT | $671.67 | $671.67 | $503.75–$671.67 | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CONTRAST LT | $2,858.38 | $2,858.38 | $2,143.79–$2,858.38 | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $336.65 | $336.65 | $252.49–$336.65 | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREM NON-JOINT EVAL | $323.38 | $323.38 | $242.54–$323.38 | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREM LIMITED RT | $114.47 | $114.47 | $85.85–$114.47 | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREM LIMITED LT | $524.60 | $524.60 | $393.45–$524.60 | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA/FIBULA 2 VIEWS | $326.15 | $326.15 | $244.61–$326.15 | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA LT | $291.21 | $291.21 | $218.41–$291.21 | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA/FIBULA RT | $368.20 | $368.20 | $276.15–$368.20 | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WITHOUT CONTRAST | $2,091.08 | $2,091.08 | $1,568.31–$2,091.08 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI EXTR LWR JT WO C | $716.75 | $716.75 | $537.56–$716.75 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JNT W/WO CONT LT | $845.21 | $845.21 | $633.91–$845.21 | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONT | $716.75 | $716.75 | $537.56–$716.75 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/WO CONTRAST | $1,113.68 | $1,113.68 | $835.26–$1,113.68 | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC WO CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/WO CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WO CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JOINT W/O CONT LT | $709.60 | $709.60 | $532.20–$709.60 | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP EXT JOINT W/O CONT RT | $747.50 | $747.50 | $560.63–$747.50 | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SP 4+ VIEWS | $344.33 | $344.33 | $258.25–$344.33 | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CONTRAST | $707.62 | $707.62 | $530.72–$707.62 | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CONT | $2,181.43 | $2,181.43 | $1,636.07–$2,181.43 | — |
| Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE | $355.77 | $355.77 | $266.83–$355.77 | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARD PERF MULTI SPECT | $7,499.14 | $7,499.14 | $5,624.36–$7,499.14 | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET TUMOR W/CT SKULL-MIDTHIGH | $4,991.93 | $4,991.93 | $3,743.95–$4,991.93 | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $716.75 | $716.75 | $537.56–$716.75 | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED OR FOLLOWUP | $609.69 | $609.69 | $457.27–$609.69 | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $344.33 | $344.33 | $258.25–$344.33 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG UTERUS >14 WEEKS | $903.92 | $903.92 | $677.94–$903.92 | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTERUS <14 WEEKS 1ST G | $786.11 | $786.11 | $589.58–$786.11 | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREG UTERUS LIMITED | $1,063.50 | $1,063.50 | $797.63–$1,063.50 | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 71100 RIBS UNI-LAT 2V | $357.65 | $357.65 | $268.24–$357.65 | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS LT | $335.61 | $335.61 | $251.71–$335.61 | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILATERAL 2 VIEWS RT | $382.43 | $382.43 | $286.82–$382.43 | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY UNILAT RIBS/CHEST | $318.29 | $318.29 | $238.72–$318.29 | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL W/PA CHEST RT | $338.63 | $338.63 | $253.97–$338.63 | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILATERAL W/PA CHEST LT | $349.65 | $349.65 | $262.24–$349.65 | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMOGRAM SCREEN BILATERAL | $210.99 | $210.99 | $158.24–$210.99 | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Shoulder Cmplt 2 Vws | $263.15 | $263.15 | $197.36–$263.15 | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2+ VIEWS RT | $265.18 | $265.18 | $198.89–$265.18 | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2+ VIEWS LT | $293.78 | $293.78 | $220.34–$293.78 | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3 VIEWS | $762.23 | $762.23 | $571.67–$762.23 | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS | $329.02 | $329.02 | $246.77–$329.02 | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOW FUNCTION W/VIDEORAD | $545.61 | $545.61 | $409.21–$545.61 | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR | $709.60 | $709.60 | $532.20–$709.60 | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE W/O CONTRAST | $323.38 | $323.38 | $242.54–$323.38 | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2+ VIEWS LT | $216.30 | $216.30 | $162.23–$216.30 | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 73660 RT TOE(S) 2VW MIN | $262.87 | $262.87 | $197.15–$262.87 | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE(S) 2+ VIEWS RT | $283.85 | $283.85 | $212.89–$283.85 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $963.38 | $963.38 | $722.54–$963.38 | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANT UTERUS TRANSVAGINA | $1,223.08 | $1,223.08 | $917.31–$1,223.08 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $323.38 | $323.38 | $242.54–$323.38 | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $339.13 | $339.13 | $254.35–$339.13 | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK SOFT TISSUE | $323.38 | $323.38 | $242.54–$323.38 | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI STOMACH W/O KUB | $471.28 | $471.28 | $353.46–$471.28 | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS, 2 VIEWS | $410.15 | $410.15 | $307.61–$410.15 | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2+ VIEWS RT | $295.35 | $295.35 | $221.51–$295.35 | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2+ VIEWS LT | $375.51 | $375.51 | $281.63–$375.51 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 RAD US DUPLEX UP EX | $323.38 | $323.38 | $242.54–$323.38 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEIN DUPLEX STUDY LIMIT LT | $463.90 | $463.90 | $347.93–$463.90 | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 EXT VEIN DUPLEX STUDY LIMIT RT | $479.17 | $479.17 | $359.38–$479.17 | — |
| Wrist X-ray, 2 views inpatient CPT 73100 X-RAY WRIST 2 VIEWS | $262.87 | $262.87 | $197.15–$262.87 | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS LT | $315.00 | $315.00 | $236.25–$315.00 | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEWS RT | $378.00 | $378.00 | $283.50–$378.00 | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY WRIST 3+ VIEWS | $262.87 | $262.87 | $197.15–$262.87 | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMPLETE LT | $144.91 | $144.91 | $108.68–$144.91 | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3+ VIEWS LT | $172.58 | $172.58 | $129.44–$172.58 | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3+ VIEWS RT | $283.50 | $283.50 | $212.63–$283.50 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP RGHT | $194.02 | $194.02 | $145.52–$194.02 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hip Unilate cmplt 2 Vws | $263.15 | $263.15 | $197.36–$263.15 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2+ VIEWS UNILATERAL RT | $294.72 | $294.72 | $221.04–$294.72 | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2+ VIEWS UNILATERAL LT | $300.98 | $300.98 | $225.74–$300.98 | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN, 1 VIEW | $203.23 | $203.23 | $152.42–$203.23 | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN SINGLE AP VIEW | $263.15 | $263.15 | $197.36–$263.15 | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN SINGLE AP | $349.62 | $349.62 | $262.22–$349.62 | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 73600 ANKLE AP&LAT 2V | $347.15 | $347.15 | $260.36–$347.15 | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT | $173.51 | $173.51 | $130.13–$173.51 | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT | $290.33 | $290.33 | $217.75–$290.33 | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-RAY FINGERS 2 VIEW | $185.66 | $185.66 | $139.25–$185.66 | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER(S) 2+ VIEWS LT | $308.44 | $308.44 | $231.33–$308.44 | — |
| X-ray of the foot, 2 views inpatient CPT 73620 73620 FOOT AP&LAT 2V | $251.97 | $251.97 | $188.98–$251.97 | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT AP & LAT | $184.21 | $184.21 | $138.16–$184.21 | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LT | $282.78 | $282.78 | $212.09–$282.78 | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT | $311.33 | $311.33 | $233.50–$311.33 | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT COMPLETE RT | $273.65 | $273.65 | $205.24–$273.65 | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3+ VIEWS LT | $296.10 | $296.10 | $222.08–$296.10 | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3+ VIEWS RT | $330.00 | $330.00 | $247.50–$330.00 | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hand Min 3 Views | $273.65 | $273.65 | $205.24–$273.65 | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3+ VIEWS RT | $236.81 | $236.81 | $177.61–$236.81 | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3+ VIEWS LT | $273.19 | $273.19 | $204.89–$273.19 | — |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1-2 VIEWS BILATERAL | $262.87 | $262.87 | $197.15–$262.87 | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 1-2 VWS | $218.27 | $218.27 | $163.70–$218.27 | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS LT | $269.27 | $269.27 | $201.95–$269.27 | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1-2 VIEWS RT | $342.52 | $342.52 | $256.89–$342.52 | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBOSACRAL SP 2-3 VIEWS | $323.38 | $323.38 | $242.54–$323.38 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBOSACRAL SP 4+ VIEWS | $185.66 | $185.66 | $139.25–$185.66 | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SP 2 VIEWS | $263.15 | $263.15 | $197.36–$263.15 | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3+ VIEWS | $553.96 | $553.96 | $415.47–$553.96 | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SP 2 OR 3 VIEWS | $263.15 | $263.15 | $197.36–$263.15 | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS | $263.15 | $263.15 | $197.36–$263.15 | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2+ VIEWS | $420.65 | $420.65 | $315.49–$420.65 | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| ACTH blood test inpatient CPT 82024 ACTHB | $33.08 | $33.08 | $24.81–$33.08 | — |
| ACTH blood test inpatient CPT 82024 ACTH | $312.56 | $312.56 | $234.42–$312.56 | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT | $8.40 | $8.40 | $6.30–$8.40 | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $131.83 | $131.83 | $98.87–$131.83 | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST | $8.40 | $8.40 | $6.30–$8.40 | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $120.87 | $120.87 | $90.65–$120.87 | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL (ACUTE) | $441.08 | $441.08 | $330.81–$441.08 | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $53.90 | $53.90 | $40.43–$53.90 | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM | $401.16 | $401.16 | $300.87–$401.16 | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, TOTAL | $102.78 | $102.78 | $77.09–$102.78 | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE | $71.23 | $71.23 | $53.42–$71.23 | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN, SERUM | $422.73 | $422.73 | $317.05–$422.73 | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA BLOOD | $45.90 | $45.90 | $34.43–$45.90 | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $149.44 | $149.44 | $112.08–$149.44 | — |
| Amylase blood test inpatient CPT 82150 AMYLASE SERUM | $9.80 | $9.80 | $7.35–$9.80 | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $109.75 | $109.75 | $82.31–$109.75 | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATD PEPTIDE AB | $162.32 | $162.32 | $121.74–$162.32 | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN | $145.61 | $145.61 | $109.21–$145.61 | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATRIURETIC PEPTID | $123.67 | $123.67 | $92.75–$123.67 | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (B NATRIURETIC PEPTIDE) | $159.02 | $159.02 | $119.27–$159.02 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOCARDIA CULTURE | $16.84 | $16.84 | $12.63–$16.84 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WOUND CULTURE,AEROBIC | $38.43 | $38.43 | $28.82–$38.43 | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-ROUTINE | $555.66 | $555.66 | $416.75–$555.66 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $26.65 | $26.65 | $19.99–$26.65 | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOT | $8.40 | $8.40 | $6.30–$8.40 | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $90.15 | $90.15 | $67.61–$90.15 | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK, INTERP COMPLETE | $986.49 | $986.49 | $739.87–$986.49 | — |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $46.83 | $46.83 | $35.12–$46.83 | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD | $48.35 | $48.35 | $36.26–$48.35 | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $9.92 | $9.92 | $7.44–$9.92 | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE FOR COLLECT | $27.81 | $27.81 | $20.86–$27.81 | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUC BLOOD NOVA STAT STRIP | $12.38 | $12.38 | $9.29–$12.38 | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUANTITATIVE | $75.80 | $75.80 | $56.85–$75.80 | — |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $327.43 | $327.43 | $245.57–$327.43 | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM, QUALITATIVE | $224.73 | $224.73 | $168.55–$224.73 | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPING | $128.48 | $128.48 | $96.36–$128.48 | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN (UREANITROGEN) | $106.96 | $106.96 | $80.22–$106.96 | — |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $65.55 | $65.55 | $49.16–$65.55 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN | $33.26 | $33.26 | $24.95–$33.26 | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $103.57 | $103.57 | $77.68–$103.57 | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFF TOXIN AM | $47.25 | $47.25 | $35.44–$47.25 | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 | $384.04 | $384.04 | $288.03–$384.04 | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 ANTIBODY | $388.11 | $388.11 | $291.08–$388.11 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 NAA UNIT PERFORMED | $126.00 | $126.00 | $94.50–$126.00 | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 CORONAVIRUS | $161.63 | $161.63 | $121.22–$161.63 | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM | $106.05 | $106.05 | $79.54–$106.05 | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC-(CEA) | $238.85 | $238.85 | $179.14–$238.85 | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY | $104.99 | $104.99 | $78.74–$104.99 | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS(AMP) | $122.65 | $122.65 | $91.99–$122.65 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $20.92 | $20.92 | $15.69–$20.92 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $163.96 | $163.96 | $122.97–$163.96 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $24.48 | $24.48 | $18.36–$24.48 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC, W/ AUTO DIFF | $36.45 | $36.45 | $27.34–$36.45 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 AUTOMATED CBC | $24.48 | $24.48 | $18.36–$24.48 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, AUTO W/O DIFF | $30.33 | $30.33 | $22.75–$30.33 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $33.26 | $33.26 | $24.95–$33.26 | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $128.15 | $128.15 | $96.11–$128.15 | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL | $29.07 | $29.07 | $21.80–$29.07 | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK-TOTAL | $95.54 | $95.54 | $71.66–$95.54 | — |
| Creatinine blood test inpatient CPT 82565 RESPIRATORY THERAPY 82565 | $132.30 | $132.30 | $99.23–$132.30 | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV TITER | $270.90 | $270.90 | $203.18–$270.90 | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER ELISA | $55.95 | $55.95 | $41.96–$55.95 | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN-D-DIMER QUANT | $225.09 | $225.09 | $168.82–$225.09 | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $363.63 | $363.63 | $272.72–$363.63 | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $185.15 | $185.15 | $138.86–$185.15 | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCRN PRESUMP CLASS B | $655.29 | $655.29 | $491.47–$655.29 | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $264.31 | $264.31 | $198.23–$264.31 | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR ANTIBODY VCA | $87.96 | $87.96 | $65.97–$87.96 | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $190.40 | $190.40 | $142.80–$190.40 | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $405.14 | $405.14 | $303.86–$405.14 | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $63.84 | $63.84 | $47.88–$63.84 | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $214.40 | $214.40 | $160.80–$214.40 | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $65.58 | $65.58 | $49.19–$65.58 | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $68.86 | $68.86 | $51.65–$68.86 | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $139.64 | $139.64 | $104.73–$139.64 | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE (FREE T4) | $28.41 | $28.41 | $21.31–$28.41 | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE (THYROXINE) | $42.24 | $42.24 | $31.68–$42.24 | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $132.43 | $132.43 | $99.32–$132.43 | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $11.25 | $11.25 | $8.44–$11.25 | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT (GGT) | $104.71 | $104.71 | $78.53–$104.71 | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 POST GLUCOSE DOSE (GTT) | $277.41 | $277.41 | $208.06–$277.41 | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL - 3 SPECIMENS | $164.86 | $164.86 | $123.65–$164.86 | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE | $167.48 | $167.48 | $125.61–$167.48 | — |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI AB | $81.01 | $81.01 | $60.76–$81.01 | — |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI, STOOL | $164.14 | $164.14 | $123.11–$164.14 | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD, QUANT (DNA) | $381.54 | $381.54 | $286.16–$381.54 | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1 & HIV2, SINGLE ASSSAY | $108.98 | $108.98 | $81.74–$108.98 | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $123.91 | $123.91 | $92.93–$123.91 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO HGB | $38.56 | $38.56 | $28.92–$38.56 | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN (HGB A1) | $40.49 | $40.49 | $30.37–$40.49 | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $11.08 | $11.08 | $8.31–$11.08 | — |
| Hemoglobin blood test inpatient CPT 85018 HGB | $30.59 | $30.59 | $22.94–$30.59 | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY | $109.41 | $109.41 | $82.06–$109.41 | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $115.49 | $115.49 | $86.62–$115.49 | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG (HBSAG) | $134.68 | $134.68 | $101.01–$134.68 | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $153.66 | $153.66 | $115.25–$153.66 | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS AB RNA | $363.65 | $363.65 | $272.74–$363.65 | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 ABY | $59.29 | $59.29 | $44.47–$59.29 | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 ABY | $70.07 | $70.07 | $52.55–$70.07 | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP (HIGH SENSITIVITY) | $107.71 | $107.71 | $80.78–$107.71 | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $156.70 | $156.70 | $117.53–$156.70 | — |
| Insulin blood test inpatient CPT 83525 INSULIN | $64.50 | $64.50 | $48.38–$64.50 | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM | $20.38 | $20.38 | $15.29–$20.38 | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON,SERUM,CHEMICAL | $26.09 | $26.09 | $19.57–$26.09 | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $40.95 | $40.95 | $30.71–$40.95 | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $38.75 | $38.75 | $29.06–$38.75 | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $374.73 | $374.73 | $281.05–$374.73 | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $330.75 | $330.75 | $248.06–$330.75 | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $188.81 | $188.81 | $141.61–$188.81 | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $32.28 | $32.28 | $24.21–$32.28 | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $156.96 | $156.96 | $117.72–$156.96 | — |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE TITER | $279.29 | $279.29 | $209.47–$279.29 | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $31.38 | $31.38 | $23.54–$31.38 | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY | $97.46 | $97.46 | $73.10–$97.46 | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN | $130.71 | $130.71 | $98.03–$130.71 | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY | $103.07 | $103.07 | $77.30–$103.07 | — |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $63.00 | $63.00 | $47.25–$63.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC ATG (FREE) | $126.04 | $126.04 | $94.53–$126.04 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $27.36 | $27.36 | $20.52–$27.36 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ATG (TOTAL) | $145.28 | $145.28 | $108.96–$145.28 | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR THIN PREP | $167.08 | $167.08 | $125.31–$167.08 | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PARATHYROID HORMON | $184.15 | $184.15 | $138.11–$184.15 | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONES INTACT | $313.45 | $313.45 | $235.09–$313.45 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $8.93 | $8.93 | $6.70–$8.93 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $88.79 | $88.79 | $66.59–$88.79 | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHATE INORG | $33.26 | $33.26 | $24.95–$33.26 | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS SERUM | $62.22 | $62.22 | $46.67–$62.22 | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM K | $19.18 | $19.18 | $14.39–$19.18 | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $66.36 | $66.36 | $49.77–$66.36 | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $437.81 | $437.81 | $328.36–$437.81 | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $254.28 | $254.28 | $190.71–$254.28 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $18.39 | $18.39 | $13.79–$18.39 | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INF AG DET BY IA INFLUENZA | $95.92 | $95.92 | $71.94–$95.92 | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP | $17.84 | $17.84 | $13.38–$17.84 | — |
| Renin blood test inpatient CPT 84244 RENIN-PLASMA | $259.42 | $259.42 | $194.57–$259.42 | — |
| Rh blood typing inpatient CPT 86901 RH BLOOD TYPING | $120.02 | $120.02 | $90.02–$120.02 | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR, QUANT | $146.60 | $146.60 | $109.95–$146.60 | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY | $323.44 | $323.44 | $242.58–$323.44 | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE | $12.24 | $12.24 | $9.18–$12.24 | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE (AUTO) | $69.47 | $69.47 | $52.10–$69.47 | — |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM | $62.07 | $62.07 | $46.55–$62.07 | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES | $93.29 | $93.29 | $69.97–$93.29 | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 RESPIRATORY THERAPY 82270 | $91.11 | $91.11 | $68.33–$91.11 | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD 1-3 DETERMIN | $14.52 | $14.52 | $10.89–$14.52 | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL HGB IMMUNOASSAY | $71.61 | $71.61 | $53.71–$71.61 | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM | $144.28 | $144.28 | $108.21–$144.28 | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $81.55 | $81.55 | $61.16–$81.55 | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $265.07 | $265.07 | $198.80–$265.07 | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $185.72 | $185.72 | $139.29–$185.72 | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES | $250.32 | $250.32 | $187.74–$250.32 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $78.72 | $78.72 | $59.04–$78.72 | — |
| Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE | $199.11 | $199.11 | $149.33–$199.11 | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL (TOTAL) | $106.55 | $106.55 | $79.91–$106.55 | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T-4 TOTAL (THYROXINE) | $184.19 | $184.19 | $138.14–$184.19 | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $158.40 | $158.40 | $118.80–$158.40 | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN SERUM | $59.83 | $59.83 | $44.87–$59.83 | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $98.79 | $98.79 | $74.09–$98.79 | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-I | $46.11 | $46.11 | $34.58–$46.11 | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN (QUANTITATIVE) | $46.11 | $46.11 | $34.58–$46.11 | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $20.16 | $20.16 | $15.12–$20.16 | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD | $79.43 | $79.43 | $59.57–$79.43 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AND MICROSCOPI | $8.40 | $8.40 | $6.30–$8.40 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICROSCOPIC | $14.82 | $14.82 | $11.12–$14.82 | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS NONAUTO W/MICROSCOP | $46.95 | $46.95 | $35.21–$46.95 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS MACRO ONLY | $10.02 | $10.02 | $7.52–$10.02 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO | $10.52 | $10.52 | $7.89–$10.52 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O MICROSC | $92.11 | $92.11 | $69.08–$92.11 | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $10.02 | $10.02 | $7.52–$10.02 | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE W/COLONY COUNT | $37.80 | $37.80 | $28.35–$37.80 | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24 HOUR URINE | $50.19 | $50.19 | $37.64–$50.19 | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST,VISUAL COLOR | $9.04 | $9.04 | $6.78–$9.04 | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $70.61 | $70.61 | $52.96–$70.61 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-HYDROXY | $93.24 | $93.24 | $69.93–$93.24 | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROXY | $273.99 | $273.99 | $205.49–$273.99 | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1, 25-DIHYDROXY | $358.79 | $358.79 | $269.09–$358.79 | — |
| Zinc blood test inpatient CPT 84630 ZINC | $169.35 | $169.35 | $127.01–$169.35 | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM, QUANTITATIVE | $514.86 | $514.86 | $386.15–$514.86 | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTSIS ABD W IMAGING | $688.98 | $688.98 | $516.74–$688.98 | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTIC | $499.35 | $499.35 | $374.51–$499.35 | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMG GD | $1,844.77 | $1,844.77 | $1,383.58–$1,844.77 | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TIS FIRST 20CM | $919.60 | $919.60 | $689.70–$919.60 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMPONENT | $1,275.75 | $1,275.75 | $956.81–$1,275.75 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB SUBS | $82.61 | $82.61 | $61.96–$82.61 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB-INITIAL/EZPAP | $131.89 | $131.89 | $98.92–$131.89 | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY THERAPY 94640 | $132.30 | $132.30 | $99.23–$132.30 | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO VIA IV UP TO 1 HOUR | $743.31 | $743.31 | $557.48–$743.31 | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG, AWAKE AND DROWSY | $579.27 | $579.27 | $434.45–$579.27 | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG | $514.29 | $514.29 | $385.72–$514.29 | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY | $1,007.14 | $1,007.14 | $755.36–$1,007.14 | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION UP TO 1H | $188.16 | $188.16 | $141.12–$188.16 | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 PRIMARY IV TPD EACH | $505.47 | $505.47 | $379.10–$505.47 | — |
| IV push of a medicine, first drug inpatient CPT 96374 PRIMARY TPD INJ IV PUSH | $59.17 | $59.17 | $44.38–$59.17 | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NCB EA NERVE MOTOR W FW 7-8 | $6,221.21 | $6,221.21 | $4,665.91–$6,221.21 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT NEW PT LEVEL IV | $1,941.50 | $1,941.50 | $1,456.13–$1,941.50 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT NEW PT LEVEL V | $1,904.71 | $1,904.71 | $1,428.53–$1,904.71 | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL CONS PER 15 MIN | $54.24 | $54.24 | $40.68–$54.24 | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 60 MIN | $246.24 | $246.24 | $184.68–$246.24 | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 45 MIN | $246.58 | $246.58 | $184.94–$246.58 | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY | $246.58 | $246.58 | $184.94–$246.58 | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD COMPLEXITY | $246.58 | $246.58 | $184.94–$246.58 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $130.43 | $130.43 | $97.82–$130.43 | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TRANSTRACHIAL FOLLOW UP | $412.91 | $412.91 | $309.68–$412.91 | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT EST PT LEVEL III | $175.46 | $175.46 | $131.60–$175.46 | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP VISIT EST PT LEVEL IV | $767.19 | $767.19 | $575.39–$767.19 | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG THERAPY 30 MIN | $87.26 | $87.26 | $65.45–$87.26 | — |
| Speech therapy session, individual inpatient CPT 92507 PASSY MUIR VALVE ASSIST | $261.28 | $261.28 | $195.96–$261.28 | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE THER 60 MIN | $338.78 | $338.78 | $254.09–$338.78 | — |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANGUAGE THER 45 MIN | $361.21 | $361.21 | $270.91–$361.21 | — |
| Spirometry (breathing test) inpatient CPT 94010 INCENTIVE SPIRO TX | $174.71 | $174.71 | $131.03–$174.71 | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVALUATION | $83.79 | $83.79 | $62.84–$83.79 | — |
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
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.