Payer
Medicare preventive services
These procedures are flagged by Medicare as preventive services typically covered at no cost-sharing under Part B when ordered for a qualifying indication. Always confirm with your plan — coverage can vary by code modifier and reason for the visit.
Procedures
9
in this collection
With data on file
9
0 pending hospital coverage
Hospital-procedure pairs
1,003
reported across TX
CMS shoppable
2 of 9
on the federal mandate list
Procedures in this collection
How far apart the middle half of hospitals price this procedure:
- narrow range
- under 3×
- notable range
- 3× to 6×
- wide range
- 6× or more
Pneumovax 23 (PPSV23 Pneumococcal)
23-valent pneumococcal polysaccharide vaccine recommended for adults 65 and older, and earlier for those with chronic conditions.
CPT 90732·VaccinesMedicare preventive
$205 – $342
83 hospitals · 25th–75th
Typical range:narrow(1.7×)For this procedure, the middle half of reporting hospitals span a 1.7× range (narrow range).Prevnar 20 (PCV20 Pneumococcal Conjugate)
20-valent pneumococcal conjugate vaccine, the broader-coverage option for adults 65+ alongside or instead of PPSV23.
CPT 90671·VaccinesMedicare preventive
$272 – $714
67 hospitals · 25th–75th
Typical range:narrow(2.6×)For this procedure, the middle half of reporting hospitals span a 2.6× range (narrow range).Influenza Vaccine, Quadrivalent (Flu Shot)
Annual quadrivalent flu vaccine for adults. CDC recommends for everyone 6 months and older, with high-dose variants for adults 65+.
CPT 90686·VaccinesMedicare preventive
$22 – $60
96 hospitals · 25th–75th
Typical range:narrow(2.8×)For this procedure, the middle half of reporting hospitals span a 2.8× range (narrow range).Screening Mammography (Bilateral)
Annual or biennial screening mammogram for breast cancer detection. Recommended for women starting at 40-50 depending on guideline body, continuing through age 74.
CPT 77067·Cancer ScreeningCMS shoppableMedicare preventive
$94 – $283
113 hospitals · 25th–75th
Typical range:notable(3.0×)For this procedure, the middle half of reporting hospitals span a 3.0× range (notable range).Low-Dose CT for Lung Cancer Screening
Low-dose chest CT for adults 50-80 with significant smoking history. Annual screening reduces lung cancer mortality and is covered with no cost-sharing under Medicare and most insurers.
CPT 71271·Cancer ScreeningMedicare preventive
$109 – $241
104 hospitals · 25th–75th
Typical range:narrow(2.2×)For this procedure, the middle half of reporting hospitals span a 2.2× range (narrow range).PSA (Prostate-Specific Antigen) Test
Blood test measuring prostate-specific antigen, used as an early indicator for prostate cancer in men 50+ (or earlier with risk factors).
CPT 84153·Cancer ScreeningCMS shoppableMedicare preventive
$19 – $73
139 hospitals · 25th–75th
Typical range:notable(3.8×)For this procedure, the middle half of reporting hospitals span a 3.8× range (notable range).Flexible Sigmoidoscopy
Examination of the lower colon (sigmoid) — a less-extensive alternative to full colonoscopy, sometimes paired with stool testing.
CPT 45330·Cancer ScreeningMedicare preventive
$884 – $1,861
127 hospitals · 25th–75th
Typical range:narrow(2.1×)For this procedure, the middle half of reporting hospitals span a 2.1× range (narrow range).Lipid Panel
Measures total cholesterol, HDL, LDL, and triglycerides. Cornerstone of cardiovascular-risk screening.
CPT 80061·LabMedicare preventive
$14 – $180
143 hospitals · 25th–75th
Typical range:wide(13×)For this procedure, the middle half of reporting hospitals span a 13× range (wide range).DEXA Scan (Bone Density)
Dual-energy X-ray absorptiometry to measure bone mineral density. Recommended for women 65+ and men 70+ to screen for osteoporosis.
CPT 77080·ImagingMedicare preventive
$75 – $376
131 hospitals · 25th–75th
Typical range:notable(5.0×)For this procedure, the middle half of reporting hospitals span a 5.0× range (notable range).