OneCore Health

Cash prices

1. Blood type test (ABO)

   CPT 86900

   Facility fee only
   $170
   US typical $58

   Doctor fees are billed separately.
2. Rh blood type test (Rh D)

   CPT 86901

   Facility fee only
   $50
   US typical $40

   Doctor fees are billed separately.
3. Red blood cell antibody screen

   CPT 86850

   Facility fee only
   $70
   US typical $75

   Doctor fees are billed separately.
4. Wrist X-ray, 2 views

   CPT 73100

   Scan only
   $110
   US typical $203

   The radiologist read is billed separately.
5. EKG, 12-lead, tracing only (no interpretation)

   CPT 93005

   Facility fee only
   $80
   US typical $162

   Doctor fees are billed separately.
6. Nebulizer or inhaler breathing treatment

   CPT 94640

   Facility fee only
   $260
   US typical $140

   Doctor fees are billed separately.
7. Emergency breathing tube placement (intubation)

   CPT 31500

   Facility fee only
   $300
   US typical $433

   Doctor fees are billed separately.
8. Joint injection (large joint, e.g. knee)

   CPT 20610

   Facility fee only
   $380
   US typical $392

   Doctor fees are billed separately.
9. IV hydration infusion, first 31-60 minutes

   CPT 96360

   Facility fee only
   $270
   US typical $307

   Doctor fees are billed separately.
10. IV infusion (first hour)

    CPT 96365

    Facility fee only
    $270
    US typical $362

    Doctor fees are billed separately.
11. IV hydration infusion, each additional hour

    CPT 96361

    Facility fee only
    $60
    US typical $107

    Doctor fees are billed separately.
12. Emergency room visit, level 4 (moderate complexity)

    CPT 99284

    Facility fee only
    $550
    US typical $850

    Doctor fees are billed separately.
13. Brain MRI, with contrast

    CPT 70552

    Scan only
    $460
    US typical $1,951

    The radiologist read is billed separately.
14. MRA of neck blood vessels, without contrast

    CPT 70547

    Scan only
    $310
    US typical $1,505

    The radiologist read is billed separately.
15. Emergency room visit (level 1, minor)

    CPT 99281

    Facility fee only
    $110
    US typical $183

    Doctor fees are billed separately.
16. MRI of lower back (lumbar spine), with contrast

    CPT 72149

    Scan only
    $460
    US typical $2,013

    The radiologist read is billed separately.
17. CT angiogram of leg blood vessels, with contrast

    CPT 73706

    Scan only
    $230
    US typical $1,511

    The radiologist read is billed separately.
18. Fluoroscopy (live X-ray), up to 1 hour

    CPT 76000

    Scan only
    $310
    US typical $424

    The radiologist read is billed separately.
19. Insertion of temporary urinary catheter (Foley)

    CPT 51702

    Facility fee only
    $170
    US typical $175

    Doctor fees are billed separately.
20. Incision and drainage of hematoma, seroma, or fluid collection

    CPT 10140

    Facility fee only
    $2,110
    US typical $1,467

    Doctor fees are billed separately.
21. Medium joint aspiration or injection, without ultrasound

    CPT 20605

    Scan only
    $380
    US typical $327

    The radiologist read is billed separately.
22. Wound debridement under the skin, first 20 sq cm or less

    CPT 11042

    Facility fee only
    $520
    US typical $515

    Doctor fees are billed separately.
23. Simple removal of foreign object under the skin

    CPT 10120

    Facility fee only
    $520
    US typical $416

    Doctor fees are billed separately.
24. Nerve block injection, other peripheral nerve

    CPT 64450

    Facility fee only
    $900
    US typical $639

    Doctor fees are billed separately.
25. PICC line placement without imaging, age 5 and older

    CPT 36569

    Scan only
    $2,020
    US typical $1,759

    The radiologist read is billed separately.
26. Trigger point injection, 1 or 2 muscles

    CPT 20552

    Facility fee only
    $380
    US typical $335

    Doctor fees are billed separately.
27. Impacted earwax removal with instruments, one ear

    CPT 69210

    Facility fee only
    $80
    US typical $105

    Doctor fees are billed separately.
28. Small joint drain or injection (e.g. finger, toe), without ultrasound

    CPT 20600

    Scan only
    $380
    US typical $323

    The radiologist read is billed separately.
29. CT angiogram of pelvis, without and with contrast

    CPT 72191

    Scan only
    $230
    US typical $1,685

    The radiologist read is billed separately.
30. Permanent fingernail or toenail removal (including nail root)

    CPT 11750

    Facility fee only
    $520
    US typical $480

    Doctor fees are billed separately.
31. Duplex ultrasound of aorta, vena cava, iliac vessels or grafts, complete

    CPT 93978

    Scan only
    $310
    US typical $700

    The radiologist read is billed separately.
32. Wound debridement down to muscle or fascia, first 20 sq cm or less

    CPT 11043

    Facility fee only
    $800
    US typical $800

    Doctor fees are billed separately.
33. Epidural blood patch

    CPT 62273

    Facility fee only
    $900
    US typical $969

    Doctor fees are billed separately.
34. Wound debridement down to bone, first 20 sq cm or less

    CPT 11044

    Facility fee only
    $2,110
    US typical $1,790

    Doctor fees are billed separately.
35. Removal of implanted port or pump (tunneled central line)

    CPT 36590

    Facility fee only
    $2,020
    US typical $1,759

    Doctor fees are billed separately.
36. X-ray of abscess, fistula or sinus tract with contrast

    CPT 76080

    Scan only
    $710
    US typical $602

    The radiologist read is billed separately.
37. Trigger point injections, 3 or more muscles

    CPT 20553

    Facility fee only
    $380
    US typical $374

    Doctor fees are billed separately.
38. Broken wrist (distal radius) set without surgery

    CPT 25605

    Facility fee only
    $2,080
    US typical $1,220

    Doctor fees are billed separately.
39. Muscle biopsy, needle

    CPT 20206

    Facility fee only
    $2,110
    US typical $1,597

    Doctor fees are billed separately.
40. Nail bed repair

    CPT 11760

    Facility fee only
    $800
    US typical $540

    Doctor fees are billed separately.
41. Lower back facet joint injection with imaging, first level

    CPT 64493

    Scan only
    $1,160
    US typical $1,356

    The radiologist read is billed separately.
42. Removal of foreign object under the skin, complicated

    CPT 10121

    Facility fee only
    $2,110
    US typical $1,421

    Doctor fees are billed separately.
43. Blood compatibility test (crossmatch), electronic, each unit

    CPT 86923

    Facility fee only
    $220
    US typical $165

    Doctor fees are billed separately.
44. Epidural steroid injection (lower back)

    CPT 64483

    Facility fee only
    $1,160
    US typical $1,245

    Doctor fees are billed separately.
45. Skin substitute graft, face/hands/feet/genitals, first 25 sq cm

    CPT 15275

    Facility fee only
    $2,380
    US typical $1,599

    Doctor fees are billed separately.
46. Fetal biophysical profile ultrasound with non-stress test

    CPT 76818

    Scan only
    $140
    US typical $438

    The radiologist read is billed separately.
47. Skin substitute graft, trunk/arms/legs, first 25 sq cm

    CPT 15271

    Facility fee only
    $2,380
    US typical $1,562

    Doctor fees are billed separately.
48. Femoral nerve block injection with imaging guidance

    CPT 64447

    Scan only
    $900
    US typical $878

    The radiologist read is billed separately.
49. Removal of benign skin growth, trunk/arms/legs, 1.1-2.0 cm

    CPT 11402

    Facility fee only
    $910
    US typical $676

    Doctor fees are billed separately.
50. Complex wound repair, face/neck/armpit/genitals/hands/feet, 1.1–2.5 cm

    CPT 13131

    Facility fee only
    $520
    US typical $635

    Doctor fees are billed separately.

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.