Hospital Rochester, NY

Strong Memorial Hospital

Strong Memorial Hospital in Rochester, NY publishes cash prices for 475 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 346 of 467 procedures and below it for 114. By typical cash price it ranks #79 of 115 New York hospitals and #10 of 10 hospitals in the Rochester, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

601 Elmwood Ave, Rochester, NY 14642 Collected Sep 23, 2026 Source price file Check a bill from this hospital (585) 275-2121

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 330285 · CMS hospital register NPI 1346285657

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Strong Memorial Hospital in Rochester, NY:

Mar 19, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Abdominal CT scan without and with contrast CPT 74170 HB CT Abdomen W/O & W/Contrast Material	$1,301.35	—	$190.44–$1,096.49	1% below	—
Abdominal X-ray, 2 views CPT 74019 HB Radiologic Exam Abdomen 2 Views	$501.50	—	$15.15–$479.70	95% above	—
Ankle X-ray, complete, 3 or more views CPT 73610 HB Radex Ankle Complete Minimum 3 Views	$371.45	—	$12.63–$397.17	84% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HB Ankle/Brachial Index	$538.90	—	$72.72–$581.48	69% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non-Invas Physiologic Std Extremity Art 2 Level	$538.90	—	$72.72–$581.48	69% above	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB CT Upper Extremity W/O Contrast Material	$793.90	—	$113.76–$655.53	7% above	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 Contrast X-Ray Esophagus	$821.10	—	$20.20–$803.04	140% above	—
Bone scan, whole body (nuclear medicine) CPT 78306 HB Bone &/Joint Imaging Whole Body	$1,734.85	—	$60.60–$1,812.64	76% above	—
Breast ultrasound, complete, one breast CPT 76641 HB Ultrasound Breast Complete	$501.50	—	$32.79–$479.70	55% above	—
Breast ultrasound, limited (one breast or one area) CPT 76642 HB Ultrasound Breast Limited	$372.30	—	$26.93–$397.17	47% above	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Img	$2,680.05	—	$179.25–$1,688.18	53% above	—
CT angiography (CTA) of the head CPT 70496 HB CT Angiography Head W/Contrast/Noncontrast	$1,301.35	—	$190.44–$1,098.05	5% above	—
CT angiography (CTA) of the neck CPT 70498 HB CT Angiography Neck W/Contrast/Noncontrast	$1,301.35	—	$190.44–$1,098.05	4% above	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB CT Angiography Chest W/Contrast/Noncontrast	$1,301.35	—	$141.40–$1,199.77	at median	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$1,301.35	—	$127.57–$1,610.99	at median	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HB CT Heart No Contrast Quant Eval Coronry Calcium	$335.75	—	$47.68–$446.03	57% above	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB CT Abdomen & Pelvis W/O Contrast Material	$1,675.35	—	$69.38–$1,090.38	46% above	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB CT Abdomen & Pelvis W/Contrast Material	$2,680.05	—	$109.01–$1,610.99	71% above	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB CT Abdomen & Pelvis W/O Contrst 1/> Body Re	$2,680.05	—	$138.11–$1,610.99	29% above	—
CT scan of the abdomen with contrast CPT 74160 HB CT Abdomen W/Contrast Material	$1,301.35	—	$171.70–$1,042.60	12% above	—
CT scan of the abdomen without contrast CPT 74150 HB CT Abdomen W/O Contrast Material	$793.90	—	$113.76–$494.39	13% below	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HB CT Maxillofacial W/O Contrast Material	$793.90	—	$113.76–$536.25	at median	—
CT scan of the head or brain, no contrast dye CPT 70450 HB CT Head/Brain W/O Contrast Material	$793.90	—	$113.76–$479.70	4% below	—
CT scan of the head with contrast CPT 70460 HB CT Head/Brain W/Contrast Material	$1,301.35	—	$146.45–$803.04	33% above	—
CT scan of the head without and with contrast CPT 70470 HB CT Head/Brain W/O & W/Contrast Material	$1,301.35	—	$190.44–$803.04	22% above	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB CT Lumbar Spine W/O Contrast Material	$793.90	—	$113.76–$506.35	10% below	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB CT Cervical Spine W/O Contrast Material	$793.90	—	$113.76–$510.32	14% below	—
CT scan of the pelvis, with contrast dye CPT 72193 HB CT Pelvis W/Contrast Material	$1,301.35	—	$171.70–$1,050.60	26% above	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study	$1,106.70	—	$109.08–$1,090.38	—	—
Chest CT scan without and with contrast CPT 71270 HB CT Thorax W/O & W/Contrast Material	$1,301.35	—	$190.44–$839.09	1% below	—
Chest X-ray, 2 views CPT 71046 HB Radiologic Exam Chest 2 Views	$371.45	—	$15.15–$397.17	84% above	—
Chest X-ray, single view CPT 71045 HB Radiologic Exam Chest Single View	$371.45	—	$10.10–$397.17	87% above	—
Collarbone (clavicle) X-ray, complete CPT 73000 HB Radex Clavicle Complete	$371.45	—	$10.10–$397.17	84% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB US Retroperitoneal Real Time W/Image Complete	$631.55	—	$60.60–$479.70	50% above	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB DXA Bone Density Study 1/> Sites Axial Skel	$501.50	—	$101.00–$479.70	82% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB DXA Bone Density Study 1/>Sites Appendiclr Skel	$371.45	—	$52.52–$397.17	158% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HB US Preg Uterus W/Detail Fetal Anat 1st Gestation	$1,058.25	—	$72.72–$1,090.38	87% above	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB CT Thorax W/O Contrast Material	$793.90	—	$113.76–$504.34	8% below	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB CT Thorax W/Contrast Material	$1,301.35	—	$171.70–$803.04	at median	—
Diagnostic mammogram, both breasts both sides CPT 77066 HB Diagnostic Mammography Computer-Aided Detcj Bi	$586.50	—	$92.83–$724.81	—	—
Diagnostic mammogram, one breast CPT 77065 HB Diagnostic Mammography Computer-Aided Detcj Uni	$441.15	—	$72.85–$572.88	57% above	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$1,106.70	—	$109.08–$1,090.38	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HB Dup-Scan Xtr Veins Complete Bilateral Study	$1,106.70	—	$109.08–$1,090.38	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$2,324.75	—	$208.57–$2,473.38	111% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W or WO Fol Wcon,Doppler	$2,324.75	—	$208.57–$3,563.95	111% above	—
Elbow X-ray, 2 views CPT 73070 HB Radex Elbow 2 Views	$371.45	—	$10.10–$397.17	85% above	—
Elbow X-ray, complete, 3 or more views CPT 73080 HB Radex Elbow Complete Minimum 3 Views	$371.45	—	$12.63–$397.17	84% above	—
Eye socket (orbit) CT scan without contrast CPT 70480 HB CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl	$793.90	—	$113.76–$603.66	7% above	—
Facial bones X-ray, complete, 3 or more views CPT 70150 HB Radex Facial Bones Complete Minimum 3 Views	$501.50	—	$25.25–$479.70	85% above	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 HB Radex Forearm 2 Views	$371.45	—	$10.10–$397.17	84% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB Hepatobiliary Syst Imaging Including Gallbladder	$1,734.85	—	$104.78–$1,812.64	68% above	—
Hand X-ray, 2 views CPT 73120 HB Radex Hand 2 Views	$501.50	—	$10.10–$479.70	141% above	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB Radex Calcaneus Minimum 2 Views	$371.45	—	$10.10–$397.17	94% above	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HB Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt	$913.75	—	$129.75–$977.00	132% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$3,728.95	—	$548.46–$4,589.42	75% above	—
Knee X-ray, 3 views CPT 73562 HB Radiologic Examination Knee 3 Views	$371.45	—	$15.15–$397.17	81% above	—
Knee X-ray, complete, 4 or more views CPT 73564 HB Radiologic Exam Knee Complete 4/More Views	$501.50	—	$20.20–$479.70	82% above	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB CT Lower Extremity W/O Contrast Material	$793.90	—	$113.76–$508.37	7% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB Ultrasound Abdominal Real Time W/Image Limited	$631.55	—	$40.40–$479.70	66% above	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB US Extremity Non-Vasc Real-Time Img Lmtd	$515.95	—	$9.97–$479.70	91% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HB Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$335.75	—	$35.18–$531.83	23% below	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$342.50	$685.00	$110.98–$669.70	21% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-	$342.50	$685.00	$110.98–$669.70	—	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB Radiologic Examination Tibia & Fibula 2 Views	$371.45	—	$10.10–$397.17	84% above	—
MR angiography (MRA) of the head without contrast CPT 70544 HB Mra Head W/O Contrst Material	$1,675.35	—	$258.58–$1,136.25	33% above	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HB MRI Breast Without&With Contrast W/Cad Bilateral	$4,581.50	—	$422.61–$2,459.80	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB MRI Any Jt Lower Extrem W/O Contrast Matrl	$1,675.35	—	$258.58–$1,136.25	39% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$2,680.05	—	$382.04–$1,718.60	32% above	—
MRI of the abdomen without contrast CPT 74181 HB MRI Abdomen W/O Contrast Material	$1,675.35	—	$258.58–$1,136.25	53% above	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HB MRI Abdomen W/O & W/Contrast Material	$2,680.05	—	$382.04–$1,610.99	60% above	—
MRI of the brain, no contrast dye CPT 70551 HB MRI Brain Brain Stem W/O Contrast Material	$1,675.35	—	$258.58–$1,136.25	44% above	—
MRI of the brain, with and without contrast dye CPT 70553 HB MRI Brain Brain Stem W/O W/Contrast Material	$2,680.05	—	$382.04–$1,610.99	52% above	—
MRI of the lower back, no contrast dye CPT 72148 HB MRI Spinal Canal Lumbar W/O Contrast Material	$1,675.35	—	$258.58–$1,136.25	28% above	—
MRI of the lower back, without and then with contrast dye CPT 72158 HB MRI Spinal Canal Lumbar W/O & W/Contr Matrl	$2,680.05	—	$382.04–$1,610.99	51% above	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB MRI Spinal Canal Thoracic W/O Contrast Matrl	$1,675.35	—	$258.58–$1,136.25	31% above	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB MRI Spinal Canal Cervical W/O & W/Contr Matrl	$2,680.05	—	$382.04–$1,610.99	62% above	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB MRI Spinal Canal Cervical W/O Contrast Matrl	$1,675.35	—	$258.58–$1,136.25	27% above	—
MRI of the pelvis without and with contrast CPT 72197 HB MRI Pelvis W/O & W/Contrast Material	$2,680.05	—	$382.04–$1,610.99	67% above	—
MRI of the pelvis, no contrast dye CPT 72195 HB MRI Pelvis W/O Contrast Material	$1,675.35	—	$258.58–$1,136.25	56% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB MRI Any Jt Upper Extremity W/O Contrast Matrl	$1,675.35	—	$258.58–$1,136.25	30% above	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB Radex Spine Cervical 4 or 5 Views	$501.50	—	$20.20–$479.70	77% above	—
Neck soft tissue CT scan with contrast CPT 70491 HB CT Soft Tissue Neck W/Contrast Material	$1,301.35	—	$171.70–$803.04	29% above	—
Neck soft tissue CT scan without contrast CPT 70490 HB CT Soft Tissue Neck W/O Contrast Material	$793.90	—	$113.76–$550.23	2% below	—
Neck soft tissue X-ray CPT 70360 HB Radiologic Examination Neck Soft Tissue	$371.45	—	$10.10–$397.17	84% above	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Spect Multiple Studies	$6,006.10	—	$241.13–$5,888.97	125% above	—
OCT scan of the retina (optical coherence tomography) CPT 92134 HB Computerized Ophthalmic Imaging Retina	$419.90	—	$35.74–$267.95	497% above	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB Pet Imaging CT Attenuation Skull Base Mid-Thigh	$6,809.35	—	$682.76–$6,579.66	70% above	—
Pelvic CT scan without contrast CPT 72192 HB CT Pelvis W/O Contrast Material	$793.90	—	$113.76–$502.39	5% below	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$501.50	—	$40.40–$479.70	67% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB US Pelvic Nonobstetric Real-Time Image Complete	$505.75	—	$55.55–$479.70	27% above	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HB US Preg Uterus After 1st Trimest 1/1st Gestation	$501.50	—	$55.55–$519.87	33% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HB US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat	$501.50	—	$55.55–$479.70	42% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HB US Pregnant Uterus Limited 1/> Fetuses	$501.50	—	$25.25–$479.70	73% above	—
Rib X-ray, one side, 2 views one side CPT 71100 HB Radex Ribs Unilateral 2 Views	$371.45	—	$15.15–$397.17	77% above	—
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HB Radex Ribs Uni W/Posteroant Ch Minimum 3 Views	$501.50	—	$17.68–$479.70	92% above	—
Screening mammogram, both breasts both sides CPT 77067 HB Screening Mammography Bi 2-View Breast Inc Cad	$586.50	—	$76.80–$584.56	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 HB Radex Shoulder Complete Minimum 2 Views	$371.45	—	$15.15–$397.17	77% above	—
Sinus X-ray, complete, 3 or more views CPT 70220 HB Radex Sinuses Paranasal Compl Minimum 3 Views	$371.45	—	$20.20–$397.17	78% above	—
Skull X-ray, fewer than 4 views CPT 70250 HB Radiologic Examination Skull <4 Views	$501.50	—	$15.15–$479.70	117% above	—
Sleep study in a lab (polysomnography) CPT 95810 HB Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$3,728.95	—	$516.59–$4,589.42	78% above	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB Swallowing Funcj W/Cineradiograpy/Vidradiog	$821.10	—	$20.20–$803.04	127% above	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB X-Ray Exam of Femur Min 2 Views	$371.45	—	$9.88–$397.17	90% above	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB CT Thoracic Spine W/O Contrast Material	$793.90	—	$113.76–$508.37	11% below	—
Toe X-ray, 2 or more views CPT 73660 HB Radex Toe Minimum 2 Views	$371.45	—	$7.58–$397.17	121% above	—
Transvaginal pelvic ultrasound CPT 76830 HB Ultrasound Transvaginal	$501.50	—	$60.60–$507.91	32% above	—
Transvaginal ultrasound during pregnancy CPT 76817 HB US Preg Uterus Real Time W/Image Dcmtn Transvag	$501.50	—	$60.60–$479.70	71% above	—
Ultrasound of the abdomen, complete CPT 76700 HB US Abdominal Real Time W/Image Documentation	$631.55	—	$60.60–$479.70	34% above	—
Ultrasound of the scrotum and testicles CPT 76870 HB Ultrasound Scrotum & Contents	$631.55	—	$30.30–$479.70	72% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB US Soft Tissue Head & Neck Real Time Imge Docm	$631.55	—	$30.30–$493.94	72% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB Radex GI Tract Upper W/WO Delayed Films W/O Kub	$821.10	—	$30.30–$803.04	96% above	—
Upper arm X-ray (humerus), 2 views CPT 73060 HB Radex Humerus Minimum 2 Views	$371.45	—	$10.10–$397.17	84% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HB Dup-Scan Xtr Veins Unilateral/Limited Study	$684.25	—	$93.93–$479.70	88% above	—
Wrist X-ray, 2 views CPT 73100 HB Radex Wrist 2 Views	$371.45	—	$10.10–$397.17	90% above	—
Wrist X-ray, complete, 3 or more views CPT 73110 HB Radex Wrist Complete Minimum 3 Views	$371.45	—	$12.63–$397.17	84% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HB X-Ray Exam Hip Uni 2-3 Views	$371.45	—	$12.59–$397.17	62% above	—
X-ray of the abdomen, 1 view CPT 74018 HB Radiologic Exam Abdomen 1 View	$371.45	—	$10.10–$397.17	78% above	—
X-ray of the ankle, 2 views CPT 73600 HB Radiologic Examination Ankle 2 Views	$371.45	—	$10.10–$397.17	93% above	—
X-ray of the finger(s), 2 or more views CPT 73140 HB Radex Fingr Minimum 2 Views	$371.45	—	$7.58–$397.17	106% above	—
X-ray of the foot, 2 views CPT 73620 HB Radiologic Examination Foot 2 Views	$371.45	—	$10.10–$397.17	89% above	—
X-ray of the foot, complete, 3 or more views CPT 73630 HB Radex Foot Complete Minimum 3 Views	$371.45	—	$12.63–$397.17	84% above	—
X-ray of the hand, 3 or more views CPT 73130 HB Radex Hand Minimum 3 Views	$371.45	—	$12.63–$397.17	77% above	—
X-ray of the knee, 1 or 2 views CPT 73560 HB Radiologic Examination Knee 1/2 Views	$371.45	—	$10.10–$397.17	82% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB Radex Spine Lumbosacral 2/3 Views	$501.50	—	$15.15–$479.70	82% above	—
X-ray of the lower back, 4 or more views CPT 72110 HB Radex Spine Lumbosacral Minimum 4 Views	$501.50	—	$30.30–$479.70	66% above	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB Radex Spine Thoracic 2 Views	$501.50	—	$15.15–$479.70	126% above	—
X-ray of the nasal bones, 3 or more views CPT 70160 HB Radex Nasal Bones Complete Minimum 3 Views	$371.45	—	$15.15–$397.17	84% above	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB Radex Spine Cervical 2 or 3 Views	$371.45	—	$15.15–$397.17	74% above	—
X-ray of the pelvis, 1 or 2 views CPT 72170 HB Radiologic Examination Pelvis 1/2 Views	$501.50	—	$12.63–$479.70	121% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB Radex Sacrum & Coccyx Minimum 2 Views	$371.45	—	$15.15–$397.17	84% above	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ACTH blood test CPT 82024 HB Adrenocorticotropic Hormone Acth	$186.15	—	$34.37–$86.90	31% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB Transferase Alanine Amino Alt Sgpt	$27.20	—	$4.72–$11.43	18% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HB Transferase Aspartate Amino Ast Sgot	$27.20	—	$4.61–$11.43	13% above	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB Acute Hepatitis Panel	$128.35	—	$42.39–$206.00	26% below	—
Albumin blood test CPT 82040 HB Albumin Serum Plasma/Whole Blood	$26.35	—	$4.41–$11.14	44% above	—
Aldosterone blood test CPT 82088 HB Assay of Aldosterone	$56.10	—	$36.27–$91.69	55% below	—
Alkaline phosphatase (ALP) blood test CPT 84075 HB Assay of Phosphatase Alkaline	$27.20	—	$4.61–$11.43	35% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HB Allergen Specific Ige Quan/Semiquan Ea Allergen	$14.45	—	$4.24–$46.00	10% below	—
Allergy blood test, specific IgE, per allergen CPT 86003 HB Perch Ige Allergen	$25.50	—	$4.24–$30.00	59% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HB Maternal Serum Screen, Afp	$23.80	—	$7.55–$27.67	62% below	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HB Alpha-Fetoprotein Serum	$80.75	—	$7.55–$27.67	30% above	—
Ammonia blood test CPT 82140 HB Assay of Ammonia	$70.55	—	$12.97–$32.78	31% above	—
Amylase blood test CPT 82150 HB Assay of Amylase	$32.30	—	$5.77–$11.43	7% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB Cyclic Citrullinated Peptide Antibody	$61.20	—	$11.53–$70.00	28% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB Antinuclear Antibodies Ana	$56.95	—	$6.04–$19.95	28% above	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB Natriuretic Peptide	$150.45	—	$29.90–$149.66	22% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB Cul Bact Xcpt Urine Blood/Stool Aerobic Isol	$40.80	—	$7.67–$18.52	28% above	—
Basic metabolic panel (blood test) CPT 80048 HB Basic Metabolic Panel Calcium Total	$39.10	—	$7.53–$16.48	33% below	—
Bilirubin blood test, total CPT 82247 HB Bilirubin Total	$26.35	—	$4.47–$11.30	17% above	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB Level IV Surg Pathology Gross&Microscopic Exam	$203.15	—	$50.17–$112.40	33% above	—
Blood culture for bacteria CPT 87040 HB Culture Bacterial Blood Aerobic W/ID Isolates	$49.30	—	$9.18–$18.52	22% below	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB Collection Venous Blood Venipuncture	$8.50	—	$4.50–$11.64	43% below	—
Blood glucose (sugar) test CPT 82947 Glucose Quantitative Blood Xcpt Reagent Strip	$18.70	—	$3.50–$8.84	4% above	—
Blood glucose (sugar) test CPT 82947 HB Glucose Quantitative Blood Xcpt Reagent Strip	$18.70	—	$3.50–$8.84	4% above	—
Blood lead test CPT 83655 HB Assay of Lead	$56.95	—	$10.78–$27.25	30% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB Gonadotropin Chorionic Qualitative	$37.40	—	$2.32–$15.56	17% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB Blood Typing Abo	$249.05	—	$2.66–$195.25	63% above	—
Blood urea nitrogen (BUN) test CPT 84520 HB Urea Nitrogen Fl Quant	$13.60	—	$3.52–$8.89	39% below	—
Blood urea nitrogen (BUN) test CPT 84520 HB Assay of Urea Nitrogen Quantitative	$17.85	—	$3.52–$8.89	20% below	—
C-peptide blood test CPT 84681 HB Assay of C-Peptide	$98.60	—	$18.52–$46.82	15% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB C-Reactive Protein	$17.00	—	$3.64–$9.32	36% below	—
C. difficile toxin gene test (stool PCR) CPT 87493 HB Inf Agent Det Nucleic Acid Clostridium Amp Probe	$168.30	—	$33.17–$190.00	33% above	—
CA 19-9 blood test (tumor marker) CPT 86301 HB Immunoassay Tumor Antigen Quantitative Ca 19-9	$98.60	—	$18.52–$46.82	31% above	—
CA-125 blood test (ovarian cancer marker) CPT 86304 HB Immunoassay Tumor Antigen Quantitative Ca 125	$98.60	—	$18.52–$46.82	28% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB Coronavirus Ql Pcr Low	$147.05	—	$34.96–$69.28	50% above	—
Calcium blood test, total CPT 82310 HB Calcium Total	$27.20	—	$4.59–$11.43	7% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 HB Carcinoembryonic Antigen Cea	$90.95	—	$16.87–$42.66	13% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HB Antibody Varicella-Zoster	$43.35	—	$8.88–$21.25	4% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB C. Trachomatis Confirm by Tma	$26.35	—	$24.89–$57.90	74% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB N. Gonorhoeae Confirm by Tma	$26.35	—	$24.89–$57.90	74% below	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB Iadna Chlamydia Trachomatis Amplified Probe Tq	$168.30	—	$24.89–$57.90	68% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB Lipid Panel	$62.90	—	$7.02–$22.09	8% below	—
Complete blood count (CBC) with differential CPT 85025 HB Blood Count Complete Auto&Auto Difrntl Wbc	$38.25	—	$3.68–$12.82	7% below	—
Complete blood count (CBC), no differential CPT 85027 HB Blood Count Complete Automated	$32.30	—	$3.68–$10.68	12% above	—
Comprehensive metabolic panel (blood test) CPT 80053 HB Comprehensive Metabolic Panel	$51.00	—	$9.40–$22.73	13% below	—
Cortisol blood test, total CPT 82533 HB Cortisol Total	$79.05	—	$14.51–$36.68	61% above	—
Cortisol blood test, total CPT 82533 HB Cortisol, Salivary	$118.15	—	$14.51–$36.68	141% above	—
Creatine kinase (CK) blood test, total CPT 82550 HB Creatine Kinase Total	$32.30	—	$5.79–$11.43	29% above	—
Creatine kinase (CK) blood test, total CPT 82550 HB CK	$143.65	—	$5.79–$11.43	476% above	—
Creatine kinase (CK) blood test, total CPT 82550 HB Creatine Kinase; Total	$147.05	—	—	489% above	—
Creatinine blood test CPT 82565 HB Creatinine Blood	$34.85	—	$4.56–$11.43	41% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 HB Antibody Cytomegalovirus Cmv	$44.20	—	$9.01–$32.38	15% below	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HB Dehydroepiandrosterone-Sulfate	$106.25	—	$19.78–$50.02	25% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ethyl Glucuronide Scrn UR	$28.90	—	$8.71–$102.53	76% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Drug Panel 9 UR Reflex to Conf	$42.50	—	$8.71–$102.53	65% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Drug Svreen Serum W/ Conf	$94.35	—	$8.71–$102.53	23% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Drug Scrn Targeted Serum/Plasma	$114.75	—	$8.71–$102.53	6% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Cannabinoids Synthetic Met Scrn	$116.45	—	$8.71–$102.53	4% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Anab Ster Scrn W/Rflx to Conf	$119.85	—	$8.71–$102.53	2% below	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ethyl Glucuronide Scr W/Rfx Cn UR	$136.00	—	$8.71–$102.53	12% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Lsd UR	$158.95	—	$8.71–$102.53	30% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Additional Drug(S) (Dtp)	$265.20	—	$8.71–$102.53	118% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Drug Presumptive Analyzer	$265.20	—	$8.71–$102.53	118% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Semi Quant Thc UR	$265.20	—	$8.71–$102.53	118% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Acetominophen	$265.20	—	$8.71–$102.53	118% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ethyl Glucuronide UR	$265.20	—	$8.71–$102.53	118% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Salicylate	$265.20	—	$8.71–$102.53	118% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Ethanol	$265.20	—	$8.71–$102.53	118% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Flunitrazepam and Metabolite	$273.70	—	$8.71–$102.53	124% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB Gamma Hydroxybutyric Acid UR	$287.30	—	$8.71–$102.53	136% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB Electrolyte Panel	$32.30	—	$6.09–$13.73	3% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HB Antibody Epstein-Barr Eb Virus Viral Capsid Vca	$45.05	—	$9.31–$40.82	1% below	—
Estradiol blood test CPT 82670 HB Assay of Estradiol	$130.90	—	$24.87–$62.87	28% above	—
FSH (follicle-stimulating hormone) test CPT 83001 HB Gonadotropin Follicle Stimulating Hormone	$89.25	—	$16.54–$41.81	18% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 HB Calprotectin, Fecal	$52.70	—	$13.10–$32.39	42% below	—
Fecal calprotectin (stool inflammation test) CPT 83993 HB Assay of Calprotectin Fecal	$110.50	—	$13.10–$32.39	22% above	—
Ferritin blood test (iron stores) CPT 82728 HB Assay of Ferritin	$67.15	—	$12.13–$12,320.22	11% above	—
Ferritin blood test (iron stores) CPT 82728 HB Ferritin	$129.20	—	$12.13–$30.67	113% above	—
Fibrinogen blood test CPT 85384 HB Fibrinogen Activity	$40.80	—	$8.01–$20.11	8% above	—
Folate (folic acid) blood test CPT 82746 HB Assay of Folic Acid Serum	$67.15	—	$12.87–$28.42	22% above	—
Free T3 thyroid hormone test CPT 84481 HB Assay of Triiodothyronine T3 Free	$81.60	—	$10.45–$27.95	29% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB Assay of Free Thyroxine	$42.50	—	$8.03–$20.25	11% below	—
Free testosterone test CPT 84402 HB Testosterone, Free	$17.85	—	$22.67–$57.31	81% below	—
Free testosterone test CPT 84402 HB Assay of Testosterone Free	$27.20	—	$22.67–$57.31	70% below	—
Free testosterone test CPT 84402 HB Testosterone; Free	$48.45	—	$22.67–$57.31	47% below	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB Assay of Glutamyltrase Gamma	$35.70	—	$5.84–$11.88	33% above	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB General Health Panel	$88.40	—	$27.24–$100.00	44% below	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB Glucose Post Glucose Dose	$18.70	—	$4.17–$12,320.22	12% below	—
Glucose tolerance test, 3 samples CPT 82951 HB Glucose Tolerance Test Gtt 3 Specimens	$55.25	—	$7.94–$12,320.22	4% below	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB Iadna Neisseria Gonorrhoeae Amplified Probe Tq	$168.30	—	$24.89–$57.90	68% above	—
H. pylori antibody blood test CPT 86677 HB Antibody Helicobacter Pylori	$45.05	—	$9.31–$27.80	14% below	—
H. pylori stool antigen test CPT 87338 HB Iaad Eia Hpylori Stool	$70.55	—	$9.33–$23.73	32% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB Iadna Hiv-1 Quant & Reverse Transcription	$408.00	—	$75.74–$191.48	74% above	—
HIV-1 and HIV-2 antibody test CPT 86703 HB Antibody Hiv-1&Hiv-2 Single Result	$33.15	—	$8.88–$48.18	34% below	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB Iaad Eia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$100.30	—	$20.37–$42.02	39% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Hpv High Risk 16/18/Otr Rec	$73.10	—	$31.23–$63.29	23% below	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Iadna Human Papillomavirus High-Risk Types	$75.65	—	$31.23–$63.29	20% below	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB Hpv High Risk Nucleic Acd	$168.30	—	$31.23–$63.29	77% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB Hemoglobin Glycosylated A1c	$45.05	—	$8.64–$21.85	26% above	—
Hemoglobin blood test CPT 85018 HB Blood Count Hemoglobin	$10.20	—	$2.11–$4.55	29% below	—
Hepatitis B core antibody test (total) CPT 86704 HB Hepatitis B Core Antibody Hbcab Total	$56.95	—	$10.72–$22.95	31% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB Hepatitis B Surf Antibody Hbsab	$51.00	—	$9.56–$22.95	29% above	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Iaad Ia Hepatitis B Surface Antigen	$33.15	—	$9.19–$23.24	11% below	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB Iaad Eia Hepatitis B Surface Antigen	$49.30	—	$9.19–$23.24	32% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HB Hepatitis C Antibody	$69.70	—	$11.62–$23.55	31% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Hcv Qnt by Naat	$139.40	—	$38.13–$96.39	2% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HB Iadna Hepatitis C Quant & Reverse Transcription	$206.55	—	$38.13–$96.39	51% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HB Antibody Herpes Smplx Type 1	$43.35	—	$8.88–$43.00	8% above	—
Herpes blood test, HSV-2 antibody CPT 86696 HB Antibody Herpes Smplx Type 2	$92.65	—	$16.84–$32.96	60% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HB C-Reactive Protein High Sensitivity	$61.20	—	$11.53–$23.29	28% above	—
Homocysteine blood test CPT 83090 HB Assay of Homocysteine	$78.20	—	$15.95–$40.32	7% above	—
Insulin blood test CPT 83525 HB Assay of Insulin Total	$54.40	—	$10.17–$25.72	29% above	—
Iron blood test (serum iron) CPT 83540 HB Assay of Iron	$32.30	—	$5.76–$11.43	26% above	—
Iron-binding capacity (TIBC) test CPT 83550 HB Iron Binding Capacity	$41.65	—	$5.84–$14.42	4% above	—
Kidney function blood test panel CPT 80069 HB Renal Function Panel	$41.65	—	$7.73–$19.53	38% below	—
LH (luteinizing hormone) test CPT 83002 HB Gonadotropin Luteinizing Hormone	$89.25	—	$16.48–$41.67	16% above	—
Lactate (lactic acid) blood test CPT 83605 HB Lactic Acid Fluid	$15.30	—	$10.19–$40.66	62% below	—
Lactate (lactic acid) blood test CPT 83605 HB Assay of Lactate	$56.95	—	$10.19–$40.66	41% above	—
Lactate (lactic acid) blood test CPT 83605 Assay of Lactate	$56.95	—	$10.19–$40.66	41% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HB Lactate Dehydrogenase Fluid	$12.75	—	$5.38–$12.50	43% below	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HB Lactate Dehydrogenase Ldh	$30.60	—	$5.38–$12.50	37% above	—
Lipase blood test (pancreas enzyme) CPT 83690 HB Lipase Fluid	$15.30	—	$6.11–$13.07	46% below	—
Lipase blood test (pancreas enzyme) CPT 83690 HB Assay of Lipase	$32.30	—	$6.11–$13.07	15% above	—
Liver function blood test panel CPT 80076 HB Hepatic Function Panel	$39.10	—	$7.27–$16.48	31% below	—
Lyme disease antibody test CPT 86618 HB Antibody Borrelia Burgdorferi Lyme Disease	$45.05	—	$9.31–$38.32	7% below	—
Magnesium blood test CPT 83735 HB Assay of Magnesium	$33.15	—	$5.84–$11.43	34% above	—
Measles (rubeola) antibody test CPT 86765 HB Antibody Rubeola	$43.35	—	$8.88–$28.98	6% below	—
Mono test (heterophile antibody, Monospot) CPT 86308 HB Heterophile Antibodies Screen	$27.20	—	$4.61–$10.76	21% below	—
Mumps immunity blood test CPT 86735 HB Antibody Mumps	$43.35	—	$8.88–$21.53	2% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Prostate Specific Antigen Free	$59.50	—	$16.37–$41.38	11% below	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HB Assay of Prostate Specific Antigen Free	$89.25	—	$16.37–$41.38	34% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Prostate Health Index	$20.40	—	$16.37–$41.38	69% below	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HB Assay of Prostate Specific Antigen Total	$89.25	—	$16.37–$41.38	34% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 HB Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys	$108.80	—	$23.68–$59.87	60% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen	$35.70	—	$18.03–$211.18	49% below	—
Parathyroid hormone (PTH) blood test CPT 83970 HB Parathyroid Hormone, Fna	$38.25	—	$36.74–$92.88	74% below	—
Parathyroid hormone (PTH) blood test CPT 83970 HB Assay of Parathormone	$199.75	—	$36.74–$92.88	36% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HB Thromboplastin Time Partial Plasma/Whole Blood	$30.60	—	$5.35–$13.52	30% above	—
Phosphorus (phosphate) blood test CPT 84100 HB Assay of Phosphorus Inorganic	$25.50	—	$4.22–$10.67	25% above	—
Potassium blood test CPT 84132 Potassium Serum Plasma/Whole Blood	$25.50	—	$4.24–$10.71	11% above	—
Potassium blood test CPT 84132 HB Potassium Serum Plasma/Whole Blood	$25.50	—	$4.24–$10.71	11% above	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Fetal Chrom Aneuploidy 13,18,21	$297.50	—	$350.00–$1,707.86	74% below	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Fetal Chromosomal Aneuploidy Genomic Seq Analys	$552.50	—	$539.65–$1,707.86	52% below	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HB Fetal Chrom Aneup 13,18,21	$678.30	—	$539.65–$1,707.86	41% below	—
Progesterone blood test CPT 84144 HB Assay of Progesterone	$98.60	—	$18.57–$46.94	15% above	—
Prolactin blood test CPT 84146 HB Assay of Prolactin	$92.65	—	$17.25–$43.61	28% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$25.50	—	$3.75–$8.89	65% above	—
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB Drugs of Abuse Scrn, UR	$51.00	—	$5.81–$48.03	46% above	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB Iaadiadoo Streptococcus Group A	$54.40	—	$4.36–$63.01	36% above	—
Renin blood test CPT 84244 HB Assay of Renin	$28.90	—	$19.57–$49.48	64% below	—
Rh blood typing CPT 86901 HB Blood Typing Rh (D)	$249.05	—	$2.66–$59.46	353% above	—
Rheumatoid factor (RF) test CPT 86431 HB Rheumatoid Factor Quantitative	$29.75	—	$5.05–$11.82	42% above	—
Rubella antibody test (immunity check) CPT 86762 HB Antibody Rubella	$44.20	—	$9.01–$32.38	1% below	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB Sedimentation Rate RBC Automated	$11.05	—	$2.32–$4.55	55% below	—
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HB Semen Analysis Volume Count Motility Different	$55.25	—	$10.96–$63.00	47% above	—
Sodium blood test CPT 84295 HB Sodium Serum Plasma or Whole Blood	$26.35	—	$4.28–$10.82	21% above	—
Sodium blood test CPT 84295 Sodium Serum Plasma or Whole Blood	$26.35	—	$4.28–$10.82	21% above	—
Sodium blood test CPT 84295 HB POCT Whole Blood Sodium	$26.35	—	$4.28–$10.82	21% above	—
Stool ova and parasites exam CPT 87177 HB Ova&Parasites Direct Smears Concentration & ID	$81.60	—	$7.92–$20.03	148% above	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB Blood Occult Peroxidase Actv Qual Feces 1 Deter	$14.45	—	$3.10–$7.73	2% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3	$58.65	—	$3.95–$32.94	20% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HB Syphilis Igg	$62.90	—	$11.78–$28.71	49% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HB Antibody Treponema Pallidum	$62.90	—	$11.78–$28.71	49% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB Syphilis Test Non-Treponemal Antibody Qual	$11.90	—	$2.75–$7.43	24% below	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB TB Cell Mediated Antign Respnse Gamma Interferon	$294.95	—	$55.16–$113.63	81% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HB Testosterone, Total	$33.15	—	$22.97–$58.07	65% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 HB Testosterone; Total	$48.45	—	$22.97–$58.07	48% below	—
Testosterone blood test, total (not free testosterone) CPT 84403 HB Assay of Testosterone Total	$125.80	—	$22.97–$58.07	35% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Thyroid Peroxidase Tpo Ab	$15.30	—	$12.95–$32.74	71% below	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HB Microsomal Antibodies Each	$57.80	—	$12.95–$32.74	9% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB Assay of Thyroid Stimulating Hormone Tsh	$81.60	—	$10.45–$27.72	11% above	—
Total IgE blood test CPT 82785 HB Assay of Gammaglobulin Ige	$79.05	—	$14.52–$12,320.22	30% above	—
Total cholesterol blood test CPT 82465 HB Cholesterol Serum/Whole Blood Total	$18.70	—	$3.87–$9.79	17% below	—
Total thyroxine (T4) blood test CPT 84436 HB Assay of Thyroxine Total	$34.85	—	$6.11–$12.96	19% above	—
Total triiodothyronine (T3) blood test CPT 84480 HB Assay of Triiodothyronine T3 Total Tt3	$69.70	—	$6.62–$23.40	10% above	—
Transferrin blood test CPT 84466 HB Assay of L7383transferrin	$59.50	—	$11.36–$28.42	26% above	—
Trichomonas test (NAAT) CPT 87661 HB Iadna Trichomonas Vaginalis Amplified Probe Tech	$124.10	—	$24.89–$57.90	63% above	—
Triglycerides blood test CPT 84478 HB Assay of Triglycerides	$29.75	—	$5.11–$11.88	22% above	—
Troponin test, quantitative CPT 84484 HB Assay of Troponin Quantitative	$46.75	—	$9.35–$20.58	8% above	—
Troponin test, quantitative CPT 84484 HB Troponin I Hich Sens Plasma	$273.70	—	$9.35–$20.58	532% above	—
Uric acid blood test CPT 84550 HB Assay of Blood/Uric Acid	$23.80	—	$4.02–$10.17	18% above	—
Urinalysis with microscope exam, automated CPT 81001 HB Urnls Dip Stick/Tablet Reagent Auto Microscopy	$12.75	—	$2.82–$7.13	61% below	—
Urinalysis with microscope exam, manual CPT 81000 HB Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy	$5.10	—	$3.02–$15.32	57% below	—
Urinalysis with microscope exam, manual CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY	$7.50	$15.00	$2.65–$16.84	36% below	50%
Urinalysis with microscope exam, manual inpatient CPT 81000 CHG URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY	$7.50	$15.00	$2.65–$16.84	—	50%
Urinalysis without microscope exam, automated CPT 81003 HB Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy	$7.65	—	$2.00–$4.55	55% below	—
Urinalysis without microscope exam, manual CPT 81002 HB Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp	$11.90	—	$2.32–$5.74	14% above	—
Urine culture for bacteria, with colony count CPT 87086 HB Culture Bacterial Quanttative Colony Count Urine	$39.10	—	$7.18–$18.16	3% above	—
Urine microalbumin (albumin) test CPT 82043 HB Albumin Urine Microalbumin Quantiative	$29.75	—	$5.14–$11.43	at median	—
Urine pregnancy test, read by color change CPT 81025 HB Urine Pregnancy Test Visual Color Cmprsn Meths	$26.35	—	$2.32–$14.21	9% below	—
Vitamin B12 (cobalamin) blood test CPT 82607 HB Cyanocobalamin Vitamin B-12	$71.40	—	$13.42–$28.42	28% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB 25 Hydroxy Includes Fractions if Performed	$136.85	—	$26.34–$66.60	28% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB 1 25 Dihydroxy Includes Fractions if Performed	$46.75	—	$34.27–$86.63	56% below	—
Zinc blood test CPT 84630 HB Assay of Zinc	$18.70	—	$9.18–$18.79	54% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Beta Hcg Quant	$23.80	—	$13.39–$28.11	57% below	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB Gonadotropin Chorionic Quantitative	$73.95	—	$13.39–$28.11	33% above	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Botox injections for chronic migraine CPT 64615 HB Chemodervate Facial/Trigem/Cerv Musc Migraine	$1,258.00	—	$178.62–$1,331.61	189% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HB Bx Breast W Device 1st Lesion Stereotactic Guide	$6,298.50	—	$894.54–$7,308.86	104% above	—
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HB Cltx Dstl Fibular Fx Lat Malls W/O Manj	$949.45	—	$134.79–$1,082.07	80% above	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HB Closed Tx Metatarsal Fracture W/O Manipulation	$949.45	—	$134.79–$1,082.07	108% above	—
Cardiac catheterization with coronary angiogram one side CPT 93458 Crnry Angio Lt Heart/Cath/Inj/S&I	$12,353.05	—	$1,754.55–$14,509.12	102% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External	$2,704.70	—	$384.19–$2,951.90	162% above	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion External	$2,704.70	—	$384.19–$2,951.90	162% above	—
Catheter ablation for atrial fibrillation CPT 93656 Ablation Atrial Fib	$61,116.70	—	$8,680.47–$110,664.42	111% above	—
Cervical biopsy CPT 57500 HB Biopsy Cervix Single/Mult/Excision of Lesion Spx	$3,048.10	—	$436.79–$3,927.88	104% above	—
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB Circumcision Age >28 Days	$8,132.80	—	$2,191.40–$9,240.75	123% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB Circumcision W/Clamp/Oth Dev W/Block	$306.00	—	$47.81–$9,240.75	87% below	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block	$2,481.25	—	$2,541.05–$5,168.77	2% above	—
Circumcision, surgical, older than a newborn CPT 54160 HB Circumcision Neonate	$4,822.05	—	$714.03–$4,564.00	276% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HB Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$931.60	—	$132.27–$1,082.07	66% above	—
Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx Prox Splenic Flxr Ndsc US Xm	$4,973.35	—	$706.36–$5,318.81	241% above	—
Colonoscopy with polyp removal CPT 45385 Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq	$4,973.35	—	$706.36–$5,318.81	159% above	—
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$4,973.35	—	$706.36–$5,318.81	256% above	—
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/WO Collj Specimens	$3,819.90	—	$542.49–$4,112.69	96% above	—
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HB Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$12,465.25	—	$3,401.33–$14,342.76	230% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB Colposcopy Cervix Bx Cervix & Endocrv Curretage	$1,354.90	—	$192.43–$1,372.21	103% above	—
Coronary stent placement, one artery CPT 92928 Stent Place W/Plasty Sngl 10430492	$29,572.35	—	$4,200.20–$51,156.96	112% above	—
Cystoscopy with ureteral stent placement CPT 52332 HB Cysto W/Insert Ureteral Stent	$13,816.75	—	$1,962.39–$15,558.18	215% above	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB Cystourethroscopy	$2,754.85	—	$391.23–$2,607.00	91% above	—
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation/Curettage,Diagnostic	$12,465.25	—	$3,401.33–$14,342.76	231% above	—
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HB Destruction Premalignant Lesion 1st	$863.60	—	$122.71–$896.32	198% above	—
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HB Tympanostomy Local/Topical Anesthesia	$2,454.80	—	$348.60–$2,323.00	125% above	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HB Remove Impacted Ear Wax Unilat	$226.95	—	$32.27–$267.95	88% above	—
Earwax removal with instruments, one ear one side CPT 69210 HB Removal Impacted Cerumen Instrumentation Unilat	$269.45	—	$38.25–$267.95	107% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HB Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$819.40	—	$116.33–$907.48	78% above	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB Plc Cath Interlaminar Crv/Thrc W/Img	$3,048.95	—	$433.06–$3,123.93	118% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 HB Intravitreal Njx Pharmacologic Agt Spx	$1,845.35	—	$262.15–$1,747.00	156% above	—
Eye injection into the vitreous (intravitreal injection) CPT 67028 HB Intravitreal Njx Pharm Agt Bil	$1,845.35	—	$262.15–$1,747.00	156% above	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$3,951.65	—	$561.21–$4,016.06	97% above	—
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/WO Collj Specimens	$3,819.90	—	$542.49–$4,112.69	92% above	—
Hemorrhoid banding (rubber band ligation) CPT 46221 HB Hemorrhoidectomy Internal Rubber Band Ligations	$3,819.90	—	$542.49–$4,112.69	235% above	—
Hemorrhoidectomy (internal and external), one area CPT 46255 HB Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$11,575.30	—	$2,933.69–$12,370.82	217% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HB Cath & Saline/Contrast Sonohyster/Hysterosalpi	$1,606.50	—	$228.15–$1,520.00	430% above	—
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HB Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$12,465.25	—	$3,401.33–$14,342.76	190% above	—
IUD insertion (the device itself billed separately) CPT 58300 HB Insertion Intrauterine Device Iud	$213.35	—	$30.28–$202.00	48% below	—
Incision and drainage of a simple or single skin abscess CPT 10060 HB Incision & Drainage Abscess Simple/Single	$863.60	—	$122.71–$896.32	113% above	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB Injection 1 Tendon Sheath/Ligament Aponeurosis	$1,258.00	—	$178.62–$1,331.61	155% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB Arthrocentesis Aspir&/Injection Major Jt/Bursa	$1,258.00	—	$178.62–$1,331.61	149% above	—
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB Insj Non-Biodegradable Drug Delivery Implant	$538.90	—	$76.49–$581.48	91% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB Arthrocentesis Aspir&/Injection Interm Jt/Burs	$1,258.00	—	$178.62–$1,331.61	175% above	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB Arthrocentesis Aspir&/Injection Small Jt/Bursa	$1,258.00	—	$178.62–$1,331.61	180% above	—
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HB Laparoscopy W/Rmvl Adnexal Structures	$21,982.70	—	$6,241.35–$26,318.62	218% above	—
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HB Post-Cataract Laser Surgery	$2,425.05	—	$344.48–$2,474.71	93% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB Repair Intermediate S/a/T/E 2.5 Cm/<	$1,665.15	—	$236.52–$1,802.28	182% above	—
Left heart catheterization, diagnostic CPT 93452 Lt Heart Cath/Inj/Vntrclgrm/S&I	$12,353.05	—	$3,440.78–$14,509.12	78% above	—
Lower-back epidural injection, with imaging guidance CPT 62323 HB Plc Cath Interlaminar Lmbr/Sac W/Img	$3,048.95	—	$433.06–$3,123.93	104% above	—
Lower-back epidural injection, without imaging guidance CPT 62322 HB Plc Cath Interlaminar Lmbr/Sac W/O Img	$3,048.95	—	$433.06–$4,016.06	110% above	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl	$3,951.65	—	$561.21–$4,016.06	156% above	—
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 HB Lamnotmy Incl W/Dcmprsn Nrv Root 1 Intrspc Lumbr	$22,308.25	—	$3,196.66–$32,225.12	164% above	—
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Arthdsis Post/Posterolatrl/Postinterbody Lumbar	$32,608.55	—	$19,672.89–$82,956.93	50% above	—
Lumbar spinal fusion (posterior), one level CPT 22612 HB Arthrodesis Posterior/Posterolateral Lumbar	$33,949.00	—	$19,672.89–$82,956.93	56% above	—
Miscarriage treatment with D&C, first trimester CPT 59820 HB Surg Rx Missed Abortn,1st Tri	$12,465.25	—	$1,770.49–$14,342.76	205% above	—
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HB Mohs Micrographic H/N/H/F/G 1st Stage 5 Blocks	$2,521.95	—	$358.16–$2,761.30	105% above	—
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB Exc B9 Les Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$2,896.80	—	$752.67–$3,173.87	168% above	—
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB Exc B9 Les Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$2,896.80	—	$752.67–$3,173.87	175% above	—
Nail removal (partial or complete), one nail CPT 11730 HB Avulsion Nail Plate Partial/Complete Simple 1	$863.60	—	$122.71–$896.32	159% above	—
Occipital nerve block (injection for headaches) CPT 64405 HB Injection Anesthetic Agent Greater Occipital Nrv	$1,359.15	—	$193.09–$1,331.61	187% above	—
Pacemaker implant (dual chamber) CPT 33208 HB Perm Pacer (Atrial & Vent)	$19,069.75	—	$2,708.46–$47,208.76	54% above	—
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$3,818.20	—	$542.36–$4,229.30	168% above	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB Excision Nail Matrix Permanent Removal	$1,665.15	—	$427.40–$1,802.28	127% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HB Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$8,408.20	—	$1,194.27–$8,808.88	147% above	—
Removal of a foreign object under the skin, simple CPT 10120 HB Incision & Removal Foreign Body Subq Tiss Simple	$1,665.15	—	$236.52–$1,802.28	159% above	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind	$1,103.85	—	$1,130.45–$2,299.45	28% below	—
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind	$2,852.60	—	—	85% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind	$1,103.85	—	$1,130.45–$2,299.45	2% above	—
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind	$2,852.60	—	—	164% above	—
Short arm cast (elbow to hand) CPT 29075 HB Application Cast Elbow Finger Short Arm	$996.20	—	$284.11–$1,198.04	133% above	—
Short arm splint (forearm and hand) CPT 29125 HB Application Short Arm Splint Forearm-Hand Static	$538.90	—	$76.49–$581.48	156% above	—
Short leg cast (below the knee) CPT 29405 HB Application Short Leg Cast Below Knee-Toe	$996.20	—	$284.11–$1,198.04	103% above	—
Short leg splint (calf to foot) CPT 29515 HB Application Short Leg Splint Calf Foot	$583.95	—	$86.85–$711.78	104% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$863.60	—	$122.71–$896.32	128% above	—
Skin biopsy, punch, one lesion CPT 11104 HB Punch Biopsy Skin Single Lesion	$1,665.15	—	$236.52–$1,802.28	141% above	—
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HB Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$2,896.80	—	$752.67–$3,173.87	237% above	—
Skin tag removal, up to 15 tags CPT 11200 HB Removal Skn Tags Mlt Fibrq Tags Any Area Upw/15	$863.60	—	$122.71–$896.32	137% above	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB Spinal Puncture Lumbar Diagnostic	$3,048.95	—	$433.06–$3,123.93	157% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$863.60	—	$122.71–$896.32	118% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB Simple Repair F/E/E/N/L/M 2.5cm/<	$863.60	—	$122.71–$896.32	128% above	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB Tangential Biopsy Skin Single Lesion	$863.60	—	$122.71–$896.32	74% above	—
Thoracentesis with imaging guidance CPT 32555 Thoracentesis With Image	$2,544.05	—	$361.35–$2,788.94	98% above	—
Trigger point injections, 1 or 2 muscles CPT 20552 HB Injection Single/Mlt Trigger Point 1/2 Muscles	$1,258.00	—	$178.62–$1,331.61	200% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB Bx Breast W Device 1st Lesion Ultrasound Guide	$6,298.50	—	$894.54–$7,308.86	117% above	—
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Edg Balloon Dilation Esophagus <30 Mm Diam	$7,132.35	—	$1,013.00–$8,557.25	192% above	—
Upper endoscopy (EGD) with biopsy CPT 43239 Edg Transoral Biopsy Single/Multiple	$3,818.20	—	$542.36–$4,229.30	129% above	—
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$3,818.20	—	$542.36–$4,229.30	185% above	—
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Edg Removal Tumor Polyp/Other Lesion Snare Tech	$7,132.35	—	$1,013.00–$8,557.25	207% above	—
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Edg Insert Guide Wire Dilator Passage Esophagus	$3,818.20	—	$542.36–$4,229.30	208% above	—
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$3,818.20	—	$542.36–$4,229.30	132% above	—
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Edg Transoral Transmural Drainage Pseudocyst	$12,976.95	—	$1,843.13–$26,852.95	84% above	—
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HB Vasectomy Uni/Bi Spx W/Postop Semen Exams	$8,103.90	—	$1,150.98–$9,240.75	—	—
Vein ablation, radiofrequency, first vein CPT 36475 HB Perq Ablate Extremity Vein Initial	$11,248.90	—	$1,597.72–$14,198.29	148% above	—
Wart removal, up to 14 warts CPT 17110 HB Destruction Benign Lesions Up to 14	$863.60	—	$122.71–$896.32	149% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB Debridement Subcutaneous Tissue 20 Sq Cm/<	$1,665.15	—	$236.52–$1,802.28	98% above	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB RBC Transfusion - 1 Unit	$1,910.80	—	$8.08–$1,972.10	161% above	—
Blood transfusion (giving blood or blood components) CPT 36430 HB Platelet Transfusion	$1,910.80	—	$8.08–$1,972.10	161% above	—
Blood transfusion (giving blood or blood components) CPT 36430 RBC Transfusion - 2 Units	$1,910.80	—	$8.08–$1,972.10	161% above	—
Blood transfusion (giving blood or blood components) CPT 36430 RBC Transfusion - 3 Units	$2,094.40	—	$8.08–$1,972.10	186% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Emergent Transfusion 0-4 Hours	$2,188.75	—	$8.08–$1,972.10	199% above	—
Blood transfusion (giving blood or blood components) CPT 36430 HB Transfusion Blood/Blood Components	$2,188.75	—	$8.08–$1,972.10	199% above	—
Blood transfusion (giving blood or blood components) CPT 36430 HB Transfusion, 1 Unit W Platelet	$2,301.80	—	$8.08–$1,972.10	214% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Emergent Transfusion 4-6 Hours	$2,350.25	—	$8.08–$1,972.10	221% above	—
Blood transfusion (giving blood or blood components) CPT 36430 HB Transfusion, 2 Unit W Platelet	$2,610.35	—	$8.08–$1,972.10	256% above	—
Blood transfusion (giving blood or blood components) CPT 36430 Emergent Transfusion Over 6 Hours	$2,636.70	—	$8.08–$1,972.10	260% above	—
Blood transfusion (giving blood or blood components) CPT 36430 HB Transfusion, 3+ Units W Platelet	$2,754.85	—	$8.08–$1,972.10	276% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/Nonpressurized Inhalation Treatment	$212.50	—	$3.03–$917.47	5% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB Sputum Induction	$212.50	—	$3.03–$917.47	5% below	—
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$259.92	—	$266.19–$541.45	16% above	—
Chemotherapy IV infusion, first hour CPT 96413 HB Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug	$1,496.00	—	$35.35–$1,496.25	145% above	—
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HB Ophth Medical Xm&Eval Compre New Pt 1/> Vst	$571.20	—	$30.30–$581.33	148% above	—
Comprehensive eye exam, returning patient CPT 92014 HB Ophth Medical Xm&Eval Comprhnsv Estab Pt 1/>	$571.20	—	$30.30–$581.33	193% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Diagnostic Aud Eval C	$474.30	—	$25.25–$705.79	156% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Diag Aud Eval B Nmc	$474.30	—	$25.25–$705.79	156% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Diagnostic Aud Eval B	$474.30	—	$25.25–$705.79	156% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Diagnostic Aud Eval E	$515.10	—	$25.25–$705.79	178% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Diagnostic Aud Eval D	$527.00	—	$25.25–$705.79	185% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Diagnostic Aud Eval F	$771.80	—	$25.25–$705.79	317% above	—
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB Diagnostic Aud Eval G	$830.45	—	$25.25–$705.79	349% above	—
Critical care, first 30 to 74 minutes CPT 99291 HB Critical Care Ill/Injured Patient Init 30-74 Min	$3,530.90	—	$501.45–$3,800.98	106% above	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB Electroencephalogram W/Rec Awake&Drowsy	$1,017.45	—	$35.35–$1,404.72	48% above	—
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HB Ecg Routine Ecg W/Least 12 Lds W/I&R	$42.50	—	$13.34–$50.85	31% below	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R	$208.25	—	$7.58–$267.95	46% above	—
Electroconvulsive therapy (ECT), one session CPT 90870 HB Electroconvulsive Therapy	$1,821.55	—	$258.69–$1,948.00	111% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB Medical Visit Fee I	$549.95	—	$78.09–$520.00	121% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB Cpep Triage/Screening-Level 1	$611.15	—	$86.85–$579.00	145% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 HB Medical Visit Fee I - Left Before Eval	$348.50	—	$49.53–$397.17	40% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB Medical Visit Fee II	$802.40	—	$113.94–$759.00	138% above	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB Cpep Triage/Screening-Level 2	$931.60	—	$132.27–$881.00	176% above	—
Emergency room visit, level 2 of 5, straightforward problem one side CPT 99282 HB Medical Visit Fee II - Left Before Eval	$634.10	—	$90.04–$714.37	88% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB Medical Visit Fee III	$1,811.35	—	$257.23–$1,714.00	222% above	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB Cpep Triage/Screening-Level 3	$1,951.60	—	$277.15–$1,847.00	247% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB Cpep Triage/Screening-Level 4	$3,006.45	—	$426.95–$2,845.00	256% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB Medical Visit Fee IV	$3,065.10	—	$435.32–$2,901.00	263% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB Cpep Triage/Screening-Level 5	$3,337.10	—	$473.96–$3,158.00	181% above	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB Medical Visit Fee V	$3,400.00	—	$482.86–$3,218.00	187% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Test	$989.40	—	$30.30–$1,404.72	80% above	—
Eye exam, returning patient, intermediate CPT 92012 HB Ophth Medical Xm&Eval Intermediate Estab Pt	$571.20	—	$30.30–$581.33	148% above	—
Family therapy with the patient, 50 minutes CPT 90847 HB Family Psychotherapy W/Patient Present	$343.40	—	$48.74–$393.38	23% above	—
Family therapy without the patient, 50 minutes CPT 90846 HB Family Psychotherapy W/O Patient Present	$330.65	—	$47.01–$393.38	25% above	—
Group psychotherapy session CPT 90853 HB Group Psychotherapy	$169.15	—	$24.04–$417.26	33% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, Up to 1 Hr	$817.70	—	$35.35–$950.41	120% above	—
IV infusion of a medicine, first hour CPT 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr	$817.70	—	$35.35–$950.41	95% above	—
IV push of a medicine, first drug CPT 96374 Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug	$827.90	—	$117.53–$950.41	224% above	—
IV push of a medicine, first drug CPT 96374 HB Endo Stim Test IV Push 1 Drug	$827.90	—	$117.53–$950.41	224% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Therapeutic Prophylactic/Dx Injection Subq/Im	$252.45	—	$13.36–$321.05	127% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Administration, Xolair	$252.45	—	$13.36–$321.05	127% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB Administration, Synagis	$252.45	—	$13.36–$321.05	127% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psych Diagnostic Eval Grtr 1hr	$442.00	—	$62.81–$419.00	74% above	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB Psychiatric Diagnostic Evaluation	$442.00	—	$62.81–$419.00	74% above	—
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB Nerve Conduction Studies 7-8 Studies	$2,170.90	—	$58.74–$1,404.72	375% above	—
Neuromuscular re-education, 15 minutes CPT 97112 HB Ot Ther Px 1/> Areas Ea 15 Min Neuromusc Reeduca	$90.10	—	$12.75–$93.00	10% above	—
Neuromuscular re-education, 15 minutes CPT 97112 HB Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca	$90.10	—	$12.75–$93.00	10% above	—
New patient office visit, about 60 minutes CPT 99205 HB Initial Comp Evaluation	$848.30	—	$120.45–$852.00	125% above	—
New patient office visit, about 60 minutes CPT 99205 HB Renal Recipient Evaluation	$2,969.05	—	$152.50–$2,981.00	687% above	—
New patient office visit, about 60 minutes CPT 99205 HB Renal Donor Evaluation	$2,969.05	—	$152.50–$2,981.00	687% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$56.95	—	$8.10–$116.57	7% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI	$80.00	$160.00	$8.27–$178.22	51% above	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 PR MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI	$80.00	$160.00	$8.27–$178.22	—	50%
Occupational therapy evaluation, low complexity CPT 97165 HB Occupational Therapy Eval Low Complex 30 Mins	$288.15	—	$40.90–$299.00	68% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB Physical Therapy Evaluation High Complex 45 Mins	$311.10	—	$44.22–$323.00	18% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB Physical Therapy Evaluation Low Complex 20 Mins	$227.80	—	$32.40–$267.33	27% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$247.50	$495.00	$29.19–$491.13	38% above	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$247.50	$495.00	$29.19–$491.13	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB Physical Therapy Evaluation Mod Complex 30 Mins	$269.45	—	$38.25–$280.00	12% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB Manual Therapy Tqs 1/> Regions Each 15 Minutes	$84.15	—	$11.95–$87.00	1% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Therapeutic Px 1/> Areas Each 15 Min Exercises	$84.15	—	$11.95–$87.00	11% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB Ot Therapeutic Px 1/> Areas Ea 15 Min Exercises	$84.15	—	$11.95–$87.00	11% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 HB Ped New Wcc, 18-39 Years	$323.85	—	$47.94–$342.00	60% above	—
Preventive checkup, new patient aged 18–39 CPT 99385 HB Initial Preventive Medicine New Pt Age 18-39yrs	$323.85	—	$47.94–$342.00	60% above	—
Preventive checkup, new patient aged 40–64 CPT 99386 HB Initial Preventive Medicine New Patient 40-64yrs	$374.85	—	$55.51–$396.00	67% above	—
Preventive checkup, new patient aged 65 or older CPT 99387 HB Initial Preventive Medicine New Patient 65yrs&>	$407.15	—	$60.29–$430.00	59% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 HB Periodic Preventive Med Est Patient 18-39 Yrs	$293.25	—	$43.43–$310.00	45% above	—
Preventive checkup, returning patient aged 18–39 CPT 99395 HB Ped Wcc Visit, Est 18-39 Yr	$293.25	—	$43.43–$310.00	45% above	—
Preventive checkup, returning patient aged 40–64 CPT 99396 HB Periodic Preventive Med Est Patient 40-64yrs	$311.10	—	$46.08–$329.00	33% above	—
Preventive checkup, returning patient aged 65 or older CPT 99397 HB Periodic Preventive Med Est Patient 65yrs& Older	$334.90	—	$49.53–$354.00	64% above	—
Psychiatric evaluation with medical services CPT 90792 HB Preadmit Screening(15min)	$480.25	—	$68.26–$455.00	61% above	—
Psychiatric evaluation with medical services CPT 90792 HB Psychiatric Diagnostic Eval W/Medical Services	$480.25	—	$68.26–$455.00	61% above	—
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB Psychological Tst Eval Svc Phys/Qhp First Hour	$1,274.15	—	$140.00–$1,206.00	267% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 HB Fam Psychotherapy for Crisis Initial 60 Min	$304.30	—	$43.16–$724.78	14% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 HB Psychotherapy for Crisis Initial 60 Min	$304.30	—	$43.16–$724.78	14% above	—
Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$377.50	$755.00	$72.75–$751.90	41% above	50%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$377.50	$755.00	$72.75–$751.90	—	50%
Psychotherapy session, 30 minutes CPT 90832 HB Psychotherapy Patient 30 Minutes	$221.85	—	$31.47–$393.38	12% above	—
Psychotherapy session, 30 minutes CPT 90832 HB Postadmit Brief Tx Ea 16min	$221.85	—	$31.47–$393.38	12% above	—
Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy Patient 45 Minutes	$299.20	—	$42.50–$393.38	14% above	—
Psychotherapy session, 45 minutes CPT 90834 HB Psychotherapy Patient 60 Minutes	$448.80	—	—	72% above	—
Psychotherapy session, 45 minutes CPT 90834 HB Ph Crisis Visit (1 Hr)	$454.75	—	$71.05–$746.00	74% above	—
Psychotherapy session, 60 minutes CPT 90837 HB Psychotherapy Patient 60 Minutes	$448.80	—	$63.74–$425.00	50% above	—
Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (2 Hr)	$454.75	—	$71.05–$837.00	52% above	—
Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (3 Hr)	$506.60	—	$79.15–$837.00	69% above	—
Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (4 Hr)	$633.25	—	$98.94–$837.00	112% above	—
Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (5 Hr)	$1,584.40	—	$161.20–$1,864.00	430% above	—
Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (6 Hr)	$1,745.05	—	$161.20–$2,053.00	483% above	—
Psychotherapy session, 60 minutes CPT 90837 HB Ph Crisis Visit (7 Hr)	$1,903.15	—	$161.20–$2,239.00	536% above	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HB Tobacco Use Cessation Intermediate 3-10 Minutes	$124.95	—	$17.80–$134.37	167% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit, Est, Level V	$345.95	—	$38.51–$513.97	47% above	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit, New, Level V	$493.00	—	—	110% above	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit, Est, Level III	$179.35	—	$19.92–$236.04	2% below	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit, New, Level lII	$256.70	—	—	40% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit, Est, Level IV	$259.25	—	$29.22–$347.43	31% above	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit, New, Level lV	$391.85	—	—	98% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit, Est, Level II	$153.00	—	$13.28–$125.95	9% below	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit, New, Level ll	$172.55	—	—	3% above	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB Triage Assessment, Labor	$797.30	—	$113.28–$801.00	376% above	—
Specialist consultation, low complexity or 30+ minutes CPT 99243 HB Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$332.35	—	$47.14–$581.33	12% above	—
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HB Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$498.10	—	$70.78–$581.33	67% above	—
Speech and language evaluation CPT 92523 HB Compr Lang/Cogn Lngstc Eval 16-30min	$403.75	—	$58.42–$608.88	3% above	—
Speech and language evaluation CPT 92523 HB Compr Lang/Cogn Lngstc Eval to 15 Min	$403.75	—	$58.42–$608.88	3% above	—
Speech and language evaluation CPT 92523 HB Compr Lang/Cogn Lngstc Eval46-60min	$403.75	—	$58.42–$608.88	3% above	—
Speech and language evaluation CPT 92523 HB Eval Speech Sound Product Language Comprehension	$403.75	—	$58.42–$608.88	3% above	—
Speech and language evaluation CPT 92523 HB Compr Lang/Cogn Lngstc Eval 31-45min	$403.75	—	$58.42–$608.88	3% above	—
Speech therapy session, individual CPT 92507 HB Speech/Lang Screening A	$90.10	—	$4.75–$203.98	46% below	—
Speech therapy session, individual CPT 92507 HB Aural Rehab/Counseling A	$102.85	—	$4.75–$203.98	39% below	—
Speech therapy session, individual CPT 92507 HB Speech/Language Screening B	$184.45	—	$4.75–$203.98	10% above	—
Speech therapy session, individual CPT 92507 HB Speech Tx (>60 Min)	$212.50	—	$4.75–$203.98	27% above	—
Speech therapy session, individual CPT 92507 HB Speech Tx (30 Min)	$212.50	—	$4.75–$203.98	27% above	—
Speech therapy session, individual CPT 92507 HB Speech Tx (60 Min)	$212.50	—	$4.75–$203.98	27% above	—
Speech therapy session, individual CPT 92507 HB Speech Therapy Individual	$212.50	—	$4.75–$203.98	27% above	—
Speech therapy session, individual CPT 92507 HB Tx Speech Lang Voice Commj &/Auditory Proc Ind	$212.50	—	$4.75–$203.98	27% above	—
Speech therapy session, individual CPT 92507 HB Aural Rehab/Counseling B	$251.60	—	$4.75–$203.98	50% above	—
Speech therapy session, individual CPT 92507 HB Speech/Lang Screening C	$328.10	—	$4.75–$203.98	95% above	—
Speech therapy session, individual CPT 92507 HB Aural Rehab/Counseling C	$368.90	—	$4.75–$203.98	120% above	—
Spirometry (breathing test) CPT 94010 HB Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj	$672.35	—	$15.15–$705.79	203% above	—
Spirometry (breathing test) CPT 94010 HB Peak Flow Rate	$672.35	—	$15.15–$705.79	203% above	—
Spirometry before and after a bronchodilator CPT 94060 HB Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$1,274.15	—	$25.25–$1,404.72	228% above	—
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HB Repet Tms Tx Initial W/Map/Motr Threshld/Del&Mng	$1,274.15	—	$181.01–$1,206.00	246% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Therapeut Actvity Direct Pt Contact Each 15 Min	$90.95	—	$2.37–$97.21	6% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HB Ot Therapeut Activity Direct Pt Contact Ea 15 Min	$90.95	—	$2.37–$97.21	6% above	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB Phlebotomy Therapeutic Separate Procedure	$455.60	—	$10.10–$581.48	114% above	—
Visual field test, extended both sides CPT 92083 HB Visual Field Xm Uni/Bi W/Interp Extended Exam	$538.90	—	$8.08–$581.48	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT (FLUAD) ADJ 0.5 ML IM SUSY I	$56.53	$141.32	—	47% below	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HB Influenza Vaccine Inact Subunit Adjuvant Im	$119.85	—	$17.80–$129.00	13% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT (FLUAD) ADJ 0.5 ML IM SUSY I	$56.53	$141.32	—	—	60%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACCINE (MODERNA) 50 MCG/0.5ML IM SYRINGE (>/= 12Y) I	$93.59	$233.97	—	54% below	60%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$339.15	—	$50.46–$564.35	65% above	—
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACCINE (MODERNA) 50 MCG/0.5ML IM SYRINGE (>/= 12Y) I	$93.59	$233.97	—	—	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use	$304.30	—	$131.10–$460.69	51% above	—
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR I	$119.83	$299.57	—	55% below	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HB Varicella Virus Vaccine Live Subq	$273.70	—	$40.77–$382.39	3% above	—
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR I	$119.83	$299.57	—	—	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 HB Dtap-Ipv Inactivated Admin Pts Age 4-6 Yrs Im	$106.25	—	$15.80–$130.32	16% above	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERT-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP I	$19.48	$48.70	—	60% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HB Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im	$42.50	—	$6.37–$61.09	13% below	—
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERT-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP I	$19.48	$48.70	—	—	60%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY I	$67.80	$169.49	—	51% below	60%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HB Dtap-Hepb-Ipv Vaccine Intramuscular	$125.80	—	$18.72–$215.36	9% below	—
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY I	$67.80	$169.49	—	—	60%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 HB Dtap-Hib-Ipv Inactivated Vaccine Im	$215.90	—	$233.00	48% above	—
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HB Influenza Virus Vaccine Trivalen Riv3 Prsr Fr Im	$93.50	—	$45.15–$101.00	12% below	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY (FLULAVAL) I	$13.02	$32.56	—	54% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC TRIVALENT PF (AFLURIA) 0.5 ML IM SYR (36M-64 YR) I	$14.12	$35.30	—	50% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$32.30	—	$4.78–$42.59	14% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY (FLULAVAL) I	$13.02	$32.56	—	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VAC TRIVALENT PF (AFLURIA) 0.5 ML IM SYR (36M-64 YR) I	$14.12	$35.30	—	—	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM WRAPPED I	$206.24	$515.61	—	59% below	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HB 9vhpv Vaccine 3 Dose Im	$416.50	—	$62.02–$642.95	16% below	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM WRAPPED I	$206.24	$515.61	—	—	60%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HB Hepatitis a & B Vaccine Hepa-Hepb Adult Im	$185.30	—	$27.62–$276.40	18% below	—
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP I	$53.00	$132.51	—	48% below	60%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP WRAPPED I	$56.86	$142.15	—	45% below	60%
Hepatitis A vaccine, adult dose CPT 90632 HB Hepatitis a Vaccine Adult for Intramuscular Use	$120.70	—	$17.93–$169.77	17% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP I	$53.00	$132.51	—	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP WRAPPED I	$56.86	$142.15	—	—	60%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP I	$21.49	$53.73	—	62% below	60%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HB Hepatitis a Vaccine Pediatric 2 Dose Schedule Im	$51.85	—	$7.70–$80.96	8% below	—
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP I	$21.49	$53.73	—	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ VIAL/SYR WRAPPED	$45.18	$112.96	—	49% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HB Hepatitis B Vaccine Adult 3 Dose Im	$92.65	—	$13.81–$143.62	4% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ VIAL/SYR WRAPPED	$45.18	$112.96	—	—	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HB Hepatitis B Vaccine Adult 2 Dose Im	$92.65	—	$13.81–$325.67	62% below	—
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOLN WRAPPED A	$99.14	$247.86	—	59% below	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 PR HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE	$177.50	$355.00	$152.08–$310.73	27% below	50%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOLN WRAPPED A	$99.14	$247.86	—	—	60%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 PR HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE	$177.50	$355.00	$152.08–$310.73	—	50%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP WRAPPED	$18.87	$47.17	—	58% below	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HB Hepatitis B Vaccine Pediatric3 Dose Im	$30.60	—	$4.52–$58.09	33% below	—
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP WRAPPED	$18.87	$47.17	—	—	60%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP I	$20.26	$50.65	—	68% below	60%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HB Hemophilus Influenza B Vaccine Prp-Omp 3 Dose Im	$52.70	—	$7.84–$63.67	16% below	—
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP I	$20.26	$50.65	—	—	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10-25 MCG IM SOLR I	$8.66	$21.65	—	73% below	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR I	$8.84	$22.10	—	72% below	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HB Hemophilus Influenza B Vaccine Prp-T 4 Dose Im	$22.95	—	$3.45–$27.27	29% below	—
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10-25 MCG IM SOLR I	$8.66	$21.65	—	—	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR I	$8.84	$22.10	—	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HB Influenza Vaccine Splt Prsrv Free Inc Antigen Im	$96.05	—	$14.34–$104.00	14% below	—
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC INJ I	$62.81	$157.02	—	53% below	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HB Measles Mumps Rubella Virus Vaccine Live Subq	$141.95	—	$21.12–$198.28	5% above	—
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC INJ I	$62.81	$157.02	—	—	60%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 HB Measles Mumps Rubella Varicella Vacc Live Subq	$437.75	—	$65.07–$580.58	at median	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR I	$107.58	$268.94	—	47% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN (>/=10Y) I	$109.00	$272.49	—	47% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HB Meningococcal Conj Vaccine Tetravalent Im	$243.10	—	$36.12–$348.41	19% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR I	$107.58	$268.94	—	—	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN (>/=10Y) I	$109.00	$272.49	—	—	60%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$328.10	—	$48.87–$359.32	34% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL VAC B (RECOMB) IM SUSY I	$145.22	$363.04	—	56% below	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HB Menb Recombinant Prot W/Out Membr Vesic Vacc Im	$290.70	—	$43.29–$495.57	12% below	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL VAC B (RECOMB) IM SUSY I	$145.22	$363.04	—	—	60%
Meningococcal B vaccine (Trumenba) CPT 90621 PR MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM	$137.50	$275.00	$236.20–$298.03	60% below	50%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 PR MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM	$137.50	$275.00	$236.20–$298.03	—	50%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 HB Smallpox&Monkeypox Vac 0.5ml	$607.75	—	$0.01–$564.57	at median	—
Nasal spray flu vaccine, live (FluMist) CPT 90660 HB Laiv3 Vaccine Live for Intranasal Use	$47.60	—	—	10% above	—
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HB Pneumococcal Conj Vaccine 13 Valent Im	$375.70	—	$55.91–$405.00	15% above	—
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 HB Pcv15 Vaccine for Intramuscular Use	$478.55	—	$71.18–$515.00	36% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY I	$179.66	$449.15	—	58% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine Im	$624.75	—	$92.96–$673.00	46% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY I	$179.66	$449.15	—	—	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ WRAPPED	$77.27	$193.18	—	54% below	60%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HB Pneumococcal Polysac Vaccine 23-V 2 Yrs/>Subq/Im	$191.25	—	$28.42–$206.00	13% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ WRAPPED	$77.27	$193.18	—	—	60%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED SC INJ I	$29.47	$73.68	—	65% below	60%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP I	$29.52	$73.81	—	65% below	60%
Polio vaccine, inactivated (IPV) CPT 90713 HB Poliovirus Vaccine Inactivated Subq/Im	$64.60	—	$9.56–$93.28	24% below	—
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED SC INJ I	$29.47	$73.68	—	—	60%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP I	$29.52	$73.81	—	—	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY I	$153.88	$384.69	—	85% below	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HB Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use	$1,044.65	—	$155.38–$1,162.87	1% above	—
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY I	$153.88	$384.69	—	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY I	$149.10	$372.74	—	86% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HB Rsv Monoclonal Antb Seasonal Dose 0.5ml Im Use	$1,044.65	—	$155.38–$1,162.87	1% above	—
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY I	$149.10	$372.74	—	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR I	$201.71	$504.27	—	52% below	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HB Rsv Vaccine Pref Subunit Bivalent for Im Use	$577.15	—	$85.92–$641.52	36% above	—
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM SOLR I	$201.71	$504.27	—	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HB Rsv Vacc Pref Recomb Adjt for Im Use	$576.30	—	$85.79–$640.58	41% above	—
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR I	$279.43	$698.57	—	41% below	60%
Rabies vaccine, one dose CPT 90675 HB Rabies Vaccine Intramuscular	$1,314.95	—	$311.06–$1,416.00	179% above	—
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR I	$279.43	$698.57	—	—	60%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SUSP I	$65.54	$163.84	—	50% below	60%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HB Rotavirus Vaccine Pentavalent 3 Dose Live Oral	$196.35	—	$29.22–$212.00	49% above	—
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SUSP I	$65.54	$163.84	—	—	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG IM SUSR I	$140.98	$352.45	—	64% below	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HB Shingrix 0.5mg - Single Dose	$306.85	—	$45.68–$450.63	22% below	—
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG IM SUSR I	$140.98	$352.45	—	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD TETANUS DIPHTHERIA TOXOIDS VACCINE WRAPPED	$27.46	$68.64	—	48% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HB Td Toxoids Adsorbed Prsrv Fr 7 Yr/> Im	$64.60	—	$9.56–$87.82	22% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD TETANUS DIPHTHERIA TOXOIDS VACCINE WRAPPED	$27.46	$68.64	—	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2.5-18.5 LF-MCG/0.5 IM SUSP WRAPPED	$31.86	$79.65	—	43% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2-15.5 LF-MCG/0.5 IM SUSP I	$32.46	$81.14	—	42% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2-15.5 LF-MCG/0.5 IM SUSP WRAPPED I	$32.47	$81.18	—	41% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HB Tdap Vaccine 7 Yrs/> Im	$76.50	—	$11.42–$101.15	38% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2.5-18.5 LF-MCG/0.5 IM SUSP WRAPPED	$31.86	$79.65	—	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2-15.5 LF-MCG/0.5 IM SUSP I	$32.46	$81.14	—	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERT 5-2-15.5 LF-MCG/0.5 IM SUSP WRAPPED I	$32.47	$81.18	—	—	60%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HB Typhoid Vaccine VI Capsular Polysaccharide Im	$195.50	—	$31.95–$213.58	16% below	—
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 HB Typhoid Vaccine Live Oral	$225.25	—	$242.00	109% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB Imadm Prq ID Subq/Im Njxs 1 Vaccine	$298.35	—	$14.78–$321.05	254% above	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB Imadm Prq ID Subq/Im Njxs Ea Vaccine	$98.60	—	$11.14–$25.07	119% above	—

Dental

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HB Perio Scaling/Root Planing	$193.80	—	$28.82–$7,500.07	88% below	—
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 Periodontal scaling & root	$767.37	—	$785.86–$1,598.53	51% below	—
Dental implant, surgical placement CDT D6010 HB Endosseous Implant	$942.65	—	—	22% below	—
Porcelain crown CDT D2740 Crown porcelain/ceramic	$767.37	—	$785.86–$1,598.53	29% below	—
Porcelain crown CDT D2740 HB Labial Veneer(Porcelain) Crown	$879.75	—	—	19% below	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HB Remov Imp Tooth-Complete Bony	$640.05	—	—	31% below	—
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 Impact tooth remov comp bony	$767.37	—	$785.86–$1,598.53	17% below	—
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 End thxpy, molar tooth	$767.37	—	$785.86–$1,598.53	60% below	—
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HB Endodontic Tx-3 Canal Molar	$1,127.10	—	$167.73–$7,500.07	41% below	—
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HB Oral Prophylaxis-Adult	$123.25	—	$18.33–$581.33	19% below	—
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 Dental prophylaxis adult	$158.03	—	$161.84–$329.20	4% above	—
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HB Extraction-Single	$203.15	—	$30.28–$7,500.07	89% below	—
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth/exr	$767.37	—	$785.86–$1,598.53	59% below	—

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.urmc.rochester.edu/getmedia/b1fa98a4-bf2c-4b54-883d-edbc50653e7a/161029490-STRONG-MEMORIAL-HOSPITAL-standardcharges.csv