Hospital

Olivia Hospital

Olivia Hospital in Olivia, MN publishes cash prices for 378 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Minnesota median for 192 of 378 procedures and below it for 182. By typical cash price it ranks #43 of 85 Minnesota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

100 Healthy Way, Olivia, MN 56277-1117 Collected Sep 23, 2026 Source price file Check a bill from this hospital (320) 523-1261

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 241306 · CMS hospital register NPI 1629091871

Financial assistance

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

Olivia 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

Minnesota law (Minn. Stat. §144.589): a hospital may not charge an uninsured patient whose household income is under $125,000 more than the lowest amount it would be paid for the same service by a private insurer, counting the insured patient's share. If the cash price below is higher, ask the billing office to apply this limit. Each hospital's page here shows the range of insurer rates in its own file (the "Insurers pay" column), a starting point when you ask. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen with and without contrast	$1,674.45	$2,745.00	$446.60–$2,719.20	4% below	39%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen with and without contrast	$1,674.45	$2,745.00	$446.60–$2,719.20	—	39%
Abdominal X-ray, 2 views CPT 74019 X-ray; abdomen	$283.04	$464.00	$80.83–$459.64	3% above	39%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray; abdomen	$283.04	$464.00	$80.83–$459.64	—	39%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray; ankle	$250.71	$411.00	$71.60–$407.14	8% above	39%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray; ankle	$250.71	$411.00	$71.60–$407.14	—	39%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Extremity study	$151.28	$248.00	$43.20–$245.67	56% below	39%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Extremity study	$151.28	$248.00	$43.20–$245.67	—	39%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extremity	$1,174.86	$1,926.00	$352.55–$1,907.90	7% below	39%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extremity	$1,174.86	$1,926.00	$352.55–$1,907.90	—	39%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone and Joint imaging; whole body	$1,557.33	$2,553.00	$531.18–$2,529.00	27% above	39%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone and Joint imaging; whole body	$1,557.33	$2,553.00	$531.18–$2,529.00	—	39%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete	$507.52	$832.00	$144.93–$824.18	27% above	39%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete	$507.52	$832.00	$144.93–$824.18	—	39%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound Breast	$449.57	$737.00	$128.39–$730.07	43% above	39%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound Breast	$449.57	$737.00	$128.39–$730.07	—	39%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$2,373.51	$3,891.00	$607.75–$3,854.42	7% below	39%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angiography abdomen and pelvis with and without contrast	$2,373.51	$3,891.00	$607.75–$3,854.42	—	39%
CT angiography (CTA) of the head CPT 70496 CT Angiography, head	$1,523.78	$2,498.00	$446.60–$2,474.52	16% below	39%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angiography, head	$1,523.78	$2,498.00	$446.60–$2,474.52	—	39%
CT angiography (CTA) of the neck CPT 70498 CT Angiography, neck	$2,009.95	$3,295.00	$446.60–$3,264.03	14% above	39%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiography, neck	$2,009.95	$3,295.00	$446.60–$3,264.03	—	39%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography, chest	$1,618.33	$2,653.00	$446.60–$2,628.06	12% below	39%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography, chest	$1,618.33	$2,653.00	$446.60–$2,628.06	—	39%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT Heart with 3D imaging	$1,273.68	$2,088.00	$446.60–$2,068.37	at median	39%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT Heart with 3D imaging	$1,273.68	$2,088.00	$446.60–$2,068.37	—	39%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen and Pelvis	$1,978.23	$3,243.00	$578.05–$3,212.52	5% below	39%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen and Pelvis	$1,978.23	$3,243.00	$578.05–$3,212.52	—	39%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen and Pelvis with contrast	$2,160.62	$3,542.00	$607.75–$3,508.71	14% below	39%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen and Pelvis with contrast	$2,160.62	$3,542.00	$607.75–$3,508.71	—	39%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen and/or pelvis with contrast	$2,377.17	$3,897.00	$607.75–$3,860.37	12% below	39%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen and/or pelvis with contrast	$2,377.17	$3,897.00	$607.75–$3,860.37	—	39%
CT scan of the abdomen with contrast CPT 74160 CT abdomen with contrast	$1,461.56	$2,396.00	$446.60–$2,373.48	6% above	39%
CT scan of the abdomen with contrast inpatient CPT 74160 CT abdomen with contrast	$1,461.56	$2,396.00	$446.60–$2,373.48	—	39%
CT scan of the abdomen without contrast CPT 74150 CT abdomen	$1,461.56	$2,396.00	$352.55–$2,373.48	24% above	39%
CT scan of the abdomen without contrast inpatient CPT 74150 CT abdomen	$1,461.56	$2,396.00	$352.55–$2,373.48	—	39%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT of face	$1,215.73	$1,993.00	$352.55–$1,974.27	3% below	39%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT of face	$1,215.73	$1,993.00	$352.55–$1,974.27	—	39%
CT scan of the head or brain, no contrast dye CPT 70450 CT of Head/Brain	$1,301.74	$2,134.00	$470.25–$2,113.94	3% above	39%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT of Head/Brain	$1,301.74	$2,134.00	$470.25–$2,113.94	—	39%
CT scan of the head with contrast CPT 70460 CT head/brain with contrast	$1,301.74	$2,134.00	$446.60–$2,113.94	at median	39%
CT scan of the head with contrast inpatient CPT 70460 CT head/brain with contrast	$1,301.74	$2,134.00	$446.60–$2,113.94	—	39%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain with and without contrast	$1,742.16	$2,856.00	$446.60–$2,829.15	10% above	39%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain with and without contrast	$1,742.16	$2,856.00	$446.60–$2,829.15	—	39%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine	$1,642.12	$2,692.00	$352.55–$2,666.70	21% above	39%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine	$1,642.12	$2,692.00	$352.55–$2,666.70	—	39%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine	$1,442.65	$2,365.00	$352.55–$2,342.77	1% above	39%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine	$1,442.65	$2,365.00	$352.55–$2,342.77	—	39%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with contrast	$1,305.40	$2,140.00	$446.60–$2,119.88	8% below	39%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with contrast	$1,305.40	$2,140.00	$446.60–$2,119.88	—	39%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Extracranial study	$949.77	$1,557.00	$271.23–$1,542.36	15% above	39%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Extracranial study	$949.77	$1,557.00	$271.23–$1,542.36	—	39%
Chest CT scan without and with contrast CPT 71270 CT Thorax with and without contrast	$1,905.03	$3,123.00	$446.60–$3,093.64	20% above	39%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax with and without contrast	$1,905.03	$3,123.00	$446.60–$3,093.64	—	39%
Chest X-ray, 2 views CPT 71046 X-ray chest	$251.93	$413.00	$118.25–$409.12	11% above	39%
Chest X-ray, 2 views inpatient CPT 71046 X-ray chest	$251.93	$413.00	$118.25–$409.12	—	39%
Chest X-ray, single view CPT 71045 X-ray chest	$220.82	$362.00	$63.06–$358.60	9% above	39%
Chest X-ray, single view inpatient CPT 71045 X-ray chest	$220.82	$362.00	$63.06–$358.60	—	39%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray; collar bone	$203.13	$333.00	$58.01–$329.87	2% above	39%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray; collar bone	$203.13	$333.00	$58.01–$329.87	—	39%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ultrasound abdominal back wall	$696.62	$1,142.00	$198.94–$1,131.27	35% above	39%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ultrasound abdominal back wall	$696.62	$1,142.00	$198.94–$1,131.27	—	39%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density	$350.75	$575.00	$100.17–$569.60	6% below	39%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density	$350.75	$575.00	$100.17–$569.60	—	39%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density	$123.83	$203.00	$62.45–$201.09	38% below	39%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone Density	$123.83	$203.00	$62.45–$201.09	—	39%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax	$1,392.63	$2,283.00	$352.55–$2,261.54	9% above	39%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax	$1,392.63	$2,283.00	$352.55–$2,261.54	—	39%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax with contrast	$1,392.63	$2,283.00	$446.60–$2,261.54	5% below	39%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax with contrast	$1,392.63	$2,283.00	$446.60–$2,261.54	—	39%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammogram	$286.70	$470.00	$81.87–$465.58	11% below	39%
Diagnostic mammogram, both breasts inpatient CPT 77066 Diagnostic mammogram	$286.70	$470.00	$81.87–$465.58	—	39%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammogram	$237.29	$389.00	$67.76–$385.34	24% below	39%
Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic mammogram	$237.29	$389.00	$67.76–$385.34	—	39%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study	$904.63	$1,483.00	$419.41–$1,469.06	22% above	39%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study	$904.63	$1,483.00	$419.41–$1,469.06	—	39%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study	$904.63	$1,483.00	$258.34–$1,469.06	2% above	39%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study	$904.63	$1,483.00	$258.34–$1,469.06	—	39%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram	$1,270.63	$2,083.00	$704.57–$2,549.25	12% below	39%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo with doppler	$1,305.40	$2,140.00	$723.86–$2,549.25	10% below	39%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram	$1,270.63	$2,083.00	$704.57–$2,549.25	—	39%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo with doppler	$1,305.40	$2,140.00	$723.86–$2,549.25	—	39%
Elbow X-ray, 2 views CPT 73070 X-ray; elbow	$196.42	$322.00	$56.09–$318.97	4% below	39%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray; elbow	$196.42	$322.00	$56.09–$318.97	—	39%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray; elbow	$220.21	$361.00	$62.89–$357.61	5% below	39%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray; elbow	$220.21	$361.00	$62.89–$357.61	—	39%
Eye socket (orbit) CT scan without contrast CPT 70480 CT orbit/ear/fossa	$1,298.69	$2,129.00	$352.55–$2,108.99	9% above	39%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT orbit/ear/fossa	$1,298.69	$2,129.00	$352.55–$2,108.99	—	39%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray; Facial Bones	$319.64	$524.00	$91.28–$519.07	25% above	39%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray; Facial Bones	$319.64	$524.00	$91.28–$519.07	—	39%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray; Forearm	$203.13	$333.00	$58.01–$329.87	at median	39%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray; Forearm	$203.13	$333.00	$58.01–$329.87	—	39%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System imaging	$1,816.58	$2,978.00	$518.77–$2,950.01	49% above	39%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System imaging	$1,816.58	$2,978.00	$518.77–$2,950.01	—	39%
Hand X-ray, 2 views CPT 73120 X-ray; Hand	$202.52	$332.00	$57.83–$328.88	6% above	39%
Hand X-ray, 2 views inpatient CPT 73120 X-ray; Hand	$202.52	$332.00	$57.83–$328.88	—	39%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray; Heel	$193.37	$317.00	$55.22–$314.02	8% above	39%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray; Heel	$193.37	$317.00	$55.22–$314.02	—	39%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 sleep study with titration	$2,902.99	$4,759.00	$829.02–$4,714.27	16% below	39%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 sleep study with titration	$2,902.99	$4,759.00	$829.02–$4,714.27	—	39%
Knee X-ray, 3 views CPT 73562 X-ray; knee	$243.39	$399.00	$69.51–$395.25	3% above	39%
Knee X-ray, 3 views inpatient CPT 73562 X-ray; knee	$243.39	$399.00	$69.51–$395.25	—	39%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray; knee	$269.62	$442.00	$93.35–$437.85	4% below	39%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray; knee	$269.62	$442.00	$93.35–$437.85	—	39%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower extremity	$1,167.54	$1,914.00	$352.55–$1,896.01	11% below	39%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower extremity	$1,167.54	$1,914.00	$352.55–$1,896.01	—	39%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound abdomen	$539.24	$884.00	$153.99–$875.69	22% above	39%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound abdomen	$539.24	$884.00	$153.99–$875.69	—	39%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound limited joint; nonvascular	$335.50	$550.00	$95.81–$544.83	3% below	39%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound limited joint; nonvascular	$335.50	$550.00	$95.81–$544.83	—	39%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Thorax Lung Cancer Scr C-	$1,455.46	$2,386.00	$415.64–$2,363.57	83% above	39%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Thorax Lung Cancer Scr C-	$1,455.46	$2,386.00	$415.64–$2,363.57	—	39%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray; lower leg	$220.82	$362.00	$63.06–$358.60	4% above	39%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray; lower leg	$220.82	$362.00	$63.06–$358.60	—	39%
MR angiography (MRA) of the head without contrast CPT 70544 MRA head	$2,168.55	$3,555.00	$578.05–$3,521.58	2% above	39%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA head	$2,168.55	$3,555.00	$578.05–$3,521.58	—	39%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI lower extremity joint	$2,121.58	$3,478.00	$578.05–$3,445.31	8% above	39%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI lower extremity joint	$2,121.58	$3,478.00	$578.05–$3,445.31	—	39%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI lower extremity joint with and without contrast	$2,411.33	$3,953.00	$607.75–$3,915.84	6% below	39%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI lower extremity joint with and without contrast	$2,411.33	$3,953.00	$607.75–$3,915.84	—	39%
MRI of the abdomen without contrast CPT 74181 MRI abdomen	$2,179.53	$3,573.00	$578.05–$3,539.41	2% above	39%
MRI of the abdomen without contrast inpatient CPT 74181 MRI abdomen	$2,179.53	$3,573.00	$578.05–$3,539.41	—	39%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI abdomen with and without contrast	$2,411.33	$3,953.00	$607.75–$3,915.84	18% below	39%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI abdomen with and without contrast	$2,411.33	$3,953.00	$607.75–$3,915.84	—	39%
MRI of the brain, no contrast dye CPT 70551 MRI Brain	$1,820.24	$2,984.00	$578.05–$2,955.95	13% below	39%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain	$1,820.24	$2,984.00	$578.05–$2,955.95	—	39%
MRI of the brain, with and without contrast dye CPT 70553 MRI brain with and without contrast	$2,431.46	$3,986.00	$607.75–$3,948.53	16% below	39%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI brain with and without contrast	$2,431.46	$3,986.00	$607.75–$3,948.53	—	39%
MRI of the lower back, no contrast dye CPT 72148 MRI lumbar spine	$2,179.53	$3,573.00	$578.05–$3,539.41	7% above	39%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI lumbar spine	$2,179.53	$3,573.00	$578.05–$3,539.41	—	39%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI lumbar spine with and without contrast	$2,549.19	$4,179.00	$607.75–$4,139.72	4% below	39%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI lumbar spine with and without contrast	$2,549.19	$4,179.00	$607.75–$4,139.72	—	39%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Thoracic MRI	$2,179.53	$3,573.00	$578.05–$3,539.41	6% above	39%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Thoracic MRI	$2,179.53	$3,573.00	$578.05–$3,539.41	—	39%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI cervical spine with and without contrast	$2,426.58	$3,978.00	$607.75–$3,940.61	3% below	39%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI cervical spine with and without contrast	$2,426.58	$3,978.00	$607.75–$3,940.61	—	39%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Cervial spine	$2,179.53	$3,573.00	$578.05–$3,539.41	9% above	39%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Cervial spine	$2,179.53	$3,573.00	$578.05–$3,539.41	—	39%
MRI of the pelvis without and with contrast CPT 72197 MRI pelvis with and without contrast	$2,612.02	$4,282.00	$607.75–$4,241.75	2% below	39%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI pelvis with and without contrast	$2,612.02	$4,282.00	$607.75–$4,241.75	—	39%
MRI of the pelvis, no contrast dye CPT 72195 MRI chest	$2,179.53	$3,573.00	$578.05–$3,539.41	3% above	39%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI chest	$2,179.53	$3,573.00	$578.05–$3,539.41	—	39%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI upper extremity joint	$2,121.58	$3,478.00	$578.05–$3,445.31	at median	39%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI upper extremity joint	$2,121.58	$3,478.00	$578.05–$3,445.31	—	39%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray; spine	$380.64	$624.00	$108.70–$618.13	22% above	39%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray; spine	$380.64	$624.00	$108.70–$618.13	—	39%
Neck soft tissue CT scan with contrast CPT 70491 CT of neck with contrast	$1,264.53	$2,073.00	$446.60–$2,053.51	7% below	39%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT of neck with contrast	$1,264.53	$2,073.00	$446.60–$2,053.51	—	39%
Neck soft tissue CT scan without contrast CPT 70490 CT of Neck	$1,264.53	$2,073.00	$352.55–$2,053.51	11% above	39%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT of Neck	$1,264.53	$2,073.00	$352.55–$2,053.51	—	39%
Neck soft tissue X-ray CPT 70360 X-ray; Neck	$179.95	$295.00	$51.39–$292.23	2% above	39%
Neck soft tissue X-ray inpatient CPT 70360 X-ray; Neck	$179.95	$295.00	$51.39–$292.23	—	39%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial SPECT multiple Studies	$2,528.45	$4,145.00	$1,402.05–$4,669.50	7% below	39%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial SPECT multiple Studies	$2,528.45	$4,145.00	$1,402.05–$4,669.50	—	39%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET Scan; skull or thigh	$2,515.03	$4,123.00	$718.23–$4,084.24	9% below	39%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET Scan; skull or thigh	$2,515.03	$4,123.00	$718.23–$4,084.24	—	39%
Pelvic CT scan without contrast CPT 72192 CT Pelvis	$1,335.90	$2,190.00	$352.55–$2,169.41	1% above	39%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis	$1,335.90	$2,190.00	$352.55–$2,169.41	—	39%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Ultrasound	$341.60	$560.00	$97.55–$554.74	1% above	39%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Ultrasound	$341.60	$560.00	$97.55–$554.74	—	39%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Ultrasound	$600.24	$984.00	$171.41–$974.75	23% above	39%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Ultrasound	$600.24	$984.00	$171.41–$974.75	—	39%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 14 week OB Ultrasound	$786.90	$1,290.00	$224.72–$1,277.87	57% above	39%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 14 week OB Ultrasound	$786.90	$1,290.00	$224.72–$1,277.87	—	39%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 14 week OB Ultrasound	$786.90	$1,290.00	$224.72–$1,277.87	83% above	39%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 14 week OB Ultrasound	$786.90	$1,290.00	$224.72–$1,277.87	—	39%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB Ultrasound	$434.32	$712.00	$124.03–$705.31	29% above	39%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB Ultrasound	$434.32	$712.00	$124.03–$705.31	—	39%
Rib X-ray, one side, 2 views CPT 71100 X-ray; Ribs	$83.57	$137.00	$23.87–$135.71	59% below	39%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray; Ribs	$83.57	$137.00	$23.87–$135.71	—	39%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray; ribs/chest	$395.28	$648.00	$112.88–$641.91	36% above	39%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-ray; ribs/chest	$395.28	$648.00	$112.88–$641.91	—	39%
Screening mammogram, both breasts CPT 77067 screening mammogram	$291.58	$478.00	$90.60–$495.00	11% below	39%
Screening mammogram, both breasts inpatient CPT 77067 screening mammogram	$291.58	$478.00	$90.60–$495.00	—	39%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray; shoulder	$227.53	$373.00	$64.98–$369.49	3% below	39%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray; shoulder	$227.53	$373.00	$64.98–$369.49	—	39%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray; sinuses	$214.72	$352.00	$74.29–$348.69	8% below	39%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray; sinuses	$214.72	$352.00	$74.29–$348.69	—	39%
Skull X-ray, fewer than 4 views CPT 70250 X-ray; skull	$238.51	$391.00	$68.11–$387.32	6% above	39%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray; skull	$238.51	$391.00	$68.11–$387.32	—	39%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study	$2,669.36	$4,376.00	$762.30–$4,334.87	13% below	39%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep study	$2,669.36	$4,376.00	$762.30–$4,334.87	—	39%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallow Test with Contrast	$583.77	$957.00	$166.71–$948.00	60% above	39%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallow Test with Contrast	$583.77	$957.00	$166.71–$948.00	—	39%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray; thigh bone	$237.90	$390.00	$67.94–$386.33	5% above	39%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray; thigh bone	$237.90	$390.00	$67.94–$386.33	—	39%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine	$1,531.10	$2,510.00	$352.55–$2,486.41	14% above	39%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine	$1,531.10	$2,510.00	$352.55–$2,486.41	—	39%
Toe X-ray, 2 or more views CPT 73660 X-ray; toe	$171.41	$281.00	$48.95–$278.36	8% below	39%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray; toe	$171.41	$281.00	$48.95–$278.36	—	39%
Transvaginal pelvic ultrasound CPT 76830 Tranvaginal ultrasound	$626.47	$1,027.00	$178.90–$1,017.35	57% above	39%
Transvaginal pelvic ultrasound inpatient CPT 76830 Tranvaginal ultrasound	$626.47	$1,027.00	$178.90–$1,017.35	—	39%
Transvaginal ultrasound during pregnancy CPT 76817 Tranvaginal ultrasound	$477.63	$783.00	$136.40–$775.64	34% above	39%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Tranvaginal ultrasound	$477.63	$783.00	$136.40–$775.64	—	39%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound abdomen	$690.52	$1,132.00	$197.19–$1,121.36	14% above	39%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound abdomen	$690.52	$1,132.00	$197.19–$1,121.36	—	39%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound; scrotum	$599.02	$982.00	$171.06–$972.77	33% above	39%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound; scrotum	$599.02	$982.00	$171.06–$972.77	—	39%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultra sound of head and neck	$528.87	$867.00	$151.03–$858.85	21% above	39%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultra sound of head and neck	$528.87	$867.00	$151.03–$858.85	—	39%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray; upper arm	$221.43	$363.00	$63.23–$359.59	4% above	39%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray; upper arm	$221.43	$363.00	$63.23–$359.59	—	39%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex scan of extremity veins	$678.93	$1,113.00	$193.88–$1,102.54	26% above	39%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex scan of extremity veins	$678.93	$1,113.00	$193.88–$1,102.54	—	39%
Wrist X-ray, 2 views CPT 73100 Xray; wrist	$214.72	$352.00	$61.32–$348.69	9% above	39%
Wrist X-ray, 2 views inpatient CPT 73100 Xray; wrist	$214.72	$352.00	$61.32–$348.69	—	39%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray; wrist	$250.71	$411.00	$71.60–$407.14	8% above	39%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray; wrist	$250.71	$411.00	$71.60–$407.14	—	39%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray; hip	$294.02	$482.00	$83.96–$477.47	6% above	39%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray; hip	$294.02	$482.00	$83.96–$477.47	—	39%
X-ray of the abdomen, 1 view CPT 74018 X-ray; abdomen	$238.51	$391.00	$68.11–$387.32	13% above	39%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray; abdomen	$238.51	$391.00	$68.11–$387.32	—	39%
X-ray of the ankle, 2 views CPT 73600 X-ray; ankle	$221.43	$363.00	$63.23–$359.59	8% above	39%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray; ankle	$221.43	$363.00	$63.23–$359.59	—	39%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray; finger	$171.41	$281.00	$48.95–$278.36	12% below	39%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray; finger	$171.41	$281.00	$48.95–$278.36	—	39%
X-ray of the foot, 2 views CPT 73620 X-ray; foot	$214.72	$352.00	$61.32–$348.69	12% above	39%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray; foot	$214.72	$352.00	$61.32–$348.69	—	39%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray; foot	$243.39	$399.00	$69.51–$395.25	10% above	39%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray; foot	$243.39	$399.00	$69.51–$395.25	—	39%
X-ray of the hand, 3 or more views CPT 73130 X-ray; Hand	$243.39	$399.00	$69.51–$395.25	11% above	39%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray; Hand	$243.39	$399.00	$69.51–$395.25	—	39%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray; knee	$208.62	$342.00	$59.58–$338.79	4% below	39%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray; knee	$208.62	$342.00	$59.58–$338.79	—	39%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray; lower spine	$308.05	$505.00	$87.97–$500.25	20% above	39%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray; lower spine	$308.05	$505.00	$87.97–$500.25	—	39%
X-ray of the lower back, 4 or more views CPT 72110 Xray; Lower spine	$100.65	$165.00	$28.74–$163.45	70% below	39%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xray; Lower spine	$100.65	$165.00	$28.74–$163.45	—	39%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray; spine	$263.52	$432.00	$75.25–$427.94	13% above	39%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray; spine	$263.52	$432.00	$75.25–$427.94	—	39%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray; nose	$234.24	$384.00	$66.89–$380.39	7% above	39%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray; nose	$234.24	$384.00	$66.89–$380.39	—	39%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray; spine	$297.68	$488.00	$85.01–$483.41	21% above	39%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray; spine	$297.68	$488.00	$85.01–$483.41	—	39%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray; pelvis	$256.20	$420.00	$73.16–$416.05	16% above	39%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray; pelvis	$256.20	$420.00	$73.16–$416.05	—	39%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray; Tailbone	$224.48	$368.00	$64.11–$364.54	2% above	39%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray; Tailbone	$224.48	$368.00	$64.11–$364.54	—	39%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
ACTH blood test CPT 82024 Chemistry	$50.63	$83.00	$14.46–$82.22	52% below	39%
ACTH blood test inpatient CPT 82024 Chemistry	$50.63	$83.00	$14.46–$82.22	—	39%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chemistry	$62.83	$103.00	$4.94–$102.03	28% above	39%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chemistry	$62.83	$103.00	$4.94–$102.03	—	39%
AST (aspartate aminotransferase) enzyme test CPT 84450 Chemistry	$63.44	$104.00	$4.83–$103.02	28% above	39%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chemistry	$63.44	$104.00	$4.83–$103.02	—	39%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Organ/Disease oriented panels	$110.41	$181.00	$31.53–$179.30	53% below	39%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Organ/Disease oriented panels	$110.41	$181.00	$31.53–$179.30	—	39%
Albumin blood test CPT 82040 Chemistry	$62.83	$103.00	$4.62–$102.03	121% above	39%
Albumin blood test inpatient CPT 82040 Chemistry	$62.83	$103.00	$4.62–$102.03	—	39%
Aldosterone blood test CPT 82088 Chemistry	$136.64	$224.00	$38.00–$221.89	94% above	39%
Aldosterone blood test inpatient CPT 82088 Chemistry	$136.64	$224.00	$38.00–$221.89	—	39%
Alkaline phosphatase (ALP) blood test CPT 84075 Chemistry	$63.44	$104.00	$4.83–$103.02	64% above	39%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Chemistry	$63.44	$104.00	$4.83–$103.02	—	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Scallop	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Swine Epithelial	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Sheep Epithelial/Wool	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Basil	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Ragweed Giant	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 White Pine Tree, Ige	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, False Ragweed	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Black Pepper	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Component Panel	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Horse Dander	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Penicilloyl V	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Ampicillin	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Penicillin G (Major)	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Squid	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Storage Mite	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Chocolate (Cacao)	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Hymenoptera Rast Inh	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergy Respiratory Panel	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige, Banana	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kidney Bean	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Bean	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Poppy Seed	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lemon	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rye	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cheese Mold Type	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken Feathers	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Goose Feathers	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Ragweed Western	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pepper Green/Bell	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gluten	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Garlic	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cranberry	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coriander	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cinnamon	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chili Pepper	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chick Pea	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Celery	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blue Mussel	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Parsley Allergen	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Watermelon	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Trout	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Spinach	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Octopus	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cucumber	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Goat Milk	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Duck Feathers	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cauliflower	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Botrytis Cinerea	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paprika	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Gelatin	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Potato	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walleyed Pike	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Turkey Meat	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rat Epithelium	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rabbit Epith	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pear	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mushroom	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Macadamia Nut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Linseed	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lettuce	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Grapes	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Melon	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pineapple	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pistachio	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Immunology	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Clam	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oyster	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sesame Seed	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Greer	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dust, Hs	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Almond	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Alpha Lactalbumin	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Apple	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Dandelion	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Brazil Nut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Carrot	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Casein	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cashew	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cheddar Cheese	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Chicken Meat	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mite B Tropicali	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Codfish	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Corn	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Crab	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg White	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Egg Yolk	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Halibut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hazelnut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lobster	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Oat	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orange	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pea	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peach	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Peanut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pecan Nut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Rice	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Salmon	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Strawberry	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tomato	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tuna	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Walnut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Whey	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Honey Bee	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige White Faced Hornet	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Hornet	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Yellow Jacket	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Paper Wasp	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Latex	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Orchard Grass	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Sunflower Seed	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Blueberry	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Raspberry	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Lentils	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Broccoli	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Coconut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Kiwi	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mango	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Tilapia	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Avocado	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Barley	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Cherry	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Epithelial Cells	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mouse Urine	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Onion	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Pine Nut	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige G. Domesticus	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Mandarin	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Green Bean	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Guinea Pig Epithelium	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen CPT 86003 Ige Hop Fruit	$16.47	$27.00	$4.70–$26.75	21% below	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lettuce	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Casein	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken Feathers	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Urine	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Goose Feathers	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cashew	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Ragweed Western	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Faced Hornet	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pepper Green/Bell	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cheddar Cheese	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gluten	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mango	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Garlic	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chicken Meat	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cranberry	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Hornet	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coriander	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mite B Tropicali	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cinnamon	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Clam	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Guinea Pig Epithelium	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Immunology	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Salmon	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Green Bean	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chili Pepper	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Codfish	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Chick Pea	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Yellow Jacket	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Celery	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Corn	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blue Mussel	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tilapia	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Parsley Allergen	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pistachio	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lentils	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pineapple	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Crab	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Watermelon	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paper Wasp	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Trout	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg White	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Spinach	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Onion	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Octopus	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Egg Yolk	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cucumber	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rice	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Melon	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Latex	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Goat Milk	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cherry	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Halibut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Duck Feathers	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Grapes	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Avocado	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cauliflower	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hazelnut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Botrytis Cinerea	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pecan Nut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orchard Grass	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Paprika	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lobster	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Gelatin	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mandarin	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Potato	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oat	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walleyed Pike	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sunflower Seed	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Turkey Meat	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Orange	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rat Epithelium	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Barley	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rabbit Epith	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pea	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pear	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Blueberry	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mushroom	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peach	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Macadamia Nut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Pine Nut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Raspberry	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Linseed	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Peanut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Swine Epithelial	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Strawberry	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Sheep Epithelial/Wool	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Oyster	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Basil	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Hop Fruit	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Ragweed Giant	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Scallop	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Pine Tree, Ige	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Broccoli	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, False Ragweed	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Sesame Seed	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Black Pepper	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tomato	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Component Panel	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Greer	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Horse Dander	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Mouse Epithelial Cells	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Penicilloyl V	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dust, Hs	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Ampicillin	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Tuna	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Penicillin G (Major)	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Almond	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Squid	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Coconut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Storage Mite	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Alpha Lactalbumin	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Chocolate (Cacao)	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Walnut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hymenoptera Rast Inh	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Apple	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergy Respiratory Panel	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige G. Domesticus	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige, Banana	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Dandelion	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kidney Bean	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Whey	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige White Bean	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Brazil Nut	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Poppy Seed	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Kiwi	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Lemon	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Carrot	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Rye	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Honey Bee	$16.47	$27.00	$4.70–$26.75	—	39%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ige Cheese Mold Type	$16.47	$27.00	$4.70–$26.75	—	39%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Maternal Serum	$23.18	$38.00	$6.62–$37.64	52% below	39%
Alpha-fetoprotein (AFP) blood test CPT 82105 Chemistry	$51.24	$84.00	$14.63–$83.21	6% above	39%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Maternal Serum	$23.18	$38.00	$6.62–$37.64	—	39%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chemistry	$51.24	$84.00	$14.63–$83.21	—	39%
Ammonia blood test CPT 82140 Chemistry	$102.48	$168.00	$13.59–$166.42	13% above	39%
Ammonia blood test inpatient CPT 82140 Chemistry	$102.48	$168.00	$13.59–$166.42	—	39%
Amylase blood test CPT 82150 Amylase Isoenzymes	$25.62	$42.00	$6.04–$41.61	61% below	39%
Amylase blood test CPT 82150 Chemistry	$102.48	$168.00	$6.04–$166.42	55% above	39%
Amylase blood test inpatient CPT 82150 Amylase Isoenzymes	$25.62	$42.00	$6.04–$41.61	—	39%
Amylase blood test inpatient CPT 82150 Chemistry	$102.48	$168.00	$6.04–$166.42	—	39%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Immunology	$59.78	$98.00	$12.08–$97.08	5% above	39%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Immunology	$59.78	$98.00	$12.08–$97.08	—	39%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Immunology	$53.07	$87.00	$15.16–$86.18	3% above	39%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Immunology	$53.07	$87.00	$15.16–$86.18	—	39%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Chemistry	$132.37	$217.00	$36.61–$214.96	17% below	39%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Chemistry	$132.37	$217.00	$36.61–$214.96	—	39%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Microbiology	$98.21	$161.00	$8.04–$159.49	41% above	39%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Microbiology	$98.21	$161.00	$8.04–$159.49	—	39%
Basic metabolic panel (blood test) CPT 80048 Organ/Disease oriented panels	$128.10	$210.00	$7.89–$208.03	28% above	39%
Basic metabolic panel (blood test) inpatient CPT 80048 Organ/Disease oriented panels	$128.10	$210.00	$7.89–$208.03	—	39%
Bilirubin blood test, total CPT 82247 Chemistry	$63.44	$104.00	$4.68–$103.02	30% above	39%
Bilirubin blood test, total inpatient CPT 82247 Chemistry	$63.44	$104.00	$4.68–$103.02	—	39%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surgical Pathology study	$105.53	$173.00	$58.52–$239.25	24% below	39%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surgical Pathology study	$105.53	$173.00	$58.52–$239.25	—	39%
Blood culture for bacteria CPT 87040 Microbiology	$137.25	$225.00	$9.62–$222.89	15% above	39%
Blood culture for bacteria inpatient CPT 87040 Microbiology	$137.25	$225.00	$9.62–$222.89	—	39%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Draw	$32.94	$54.00	$8.23–$57.75	53% above	39%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Draw	$32.94	$54.00	$8.23–$57.75	—	39%
Blood glucose (sugar) test CPT 82947 Glucose, Fasting	$76.25	$125.00	$3.67–$123.83	66% above	39%
Blood glucose (sugar) test CPT 82947 Chemistry	$76.25	$125.00	$3.67–$123.83	66% above	39%
Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fasting	$76.25	$125.00	$3.67–$123.83	—	39%
Blood glucose (sugar) test inpatient CPT 82947 Chemistry	$76.25	$125.00	$3.67–$123.83	—	39%
Blood lead test CPT 83655 Chemistry	$73.20	$120.00	$11.29–$118.87	58% above	39%
Blood lead test inpatient CPT 83655 Chemistry	$73.20	$120.00	$11.29–$118.87	—	39%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chemistry	$82.35	$135.00	$7.01–$133.73	15% above	39%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chemistry	$82.35	$135.00	$7.01–$133.73	—	39%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Transfusion Medicine	$43.92	$72.00	$2.79–$71.32	18% below	39%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Transfusion Medicine	$43.92	$72.00	$2.79–$71.32	—	39%
Blood urea nitrogen (BUN) test CPT 84520 Chemistry	$62.83	$103.00	$3.68–$102.03	37% above	39%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Chemistry	$62.83	$103.00	$3.68–$102.03	—	39%
C-peptide blood test CPT 84681 Chemistry	$46.97	$77.00	$13.41–$76.28	43% below	39%
C-peptide blood test inpatient CPT 84681 Chemistry	$46.97	$77.00	$13.41–$76.28	—	39%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Immunology	$78.08	$128.00	$4.83–$126.80	26% above	39%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Immunology	$78.08	$128.00	$4.83–$126.80	—	39%
C. difficile toxin gene test (stool PCR) CPT 87493 Microbiology	$50.63	$83.00	$14.46–$82.22	63% below	39%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Microbiology	$50.63	$83.00	$14.46–$82.22	—	39%
CA 19-9 blood test (tumor marker) CPT 86301 Immunology	$89.67	$147.00	$19.41–$145.62	12% below	39%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunology	$89.67	$147.00	$19.41–$145.62	—	39%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunology	$129.32	$212.00	$19.41–$210.01	27% above	39%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunology	$129.32	$212.00	$19.41–$210.01	—	39%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Microbiology	$80.52	$132.00	$44.65–$198.00	33% below	39%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Microbiology	$80.52	$132.00	$44.65–$198.00	—	39%
Calcium blood test, total CPT 82310 Chemistry	$62.83	$103.00	$4.81–$102.03	31% above	39%
Calcium blood test, total inpatient CPT 82310 Chemistry	$62.83	$103.00	$4.81–$102.03	—	39%
Carcinoembryonic antigen (CEA) test CPT 82378 Chemistry	$122.00	$200.00	$17.68–$198.12	22% above	39%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chemistry	$122.00	$200.00	$17.68–$198.12	—	39%
Chickenpox (varicella) immunity blood test CPT 86787 Immunology	$42.09	$69.00	$12.01–$68.35	23% below	39%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Immunology	$42.09	$69.00	$12.01–$68.35	—	39%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Microbiology	$65.27	$107.00	$18.64–$105.99	31% below	39%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Microbiology	$65.27	$107.00	$18.64–$105.99	—	39%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Organ/Disease oriented panels	$114.68	$188.00	$12.49–$186.23	22% above	39%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Organ/Disease oriented panels	$114.68	$188.00	$12.49–$186.23	—	39%
Complete blood count (CBC) with differential CPT 85025 Hematology and Coagulation	$120.78	$198.00	$7.25–$196.14	42% above	39%
Complete blood count (CBC) with differential inpatient CPT 85025 Hematology and Coagulation	$120.78	$198.00	$7.25–$196.14	—	39%
Complete blood count (CBC), no differential CPT 85027 Hematology and Coagulation	$106.75	$175.00	$6.03–$173.36	49% above	39%
Complete blood count (CBC), no differential inpatient CPT 85027 Hematology and Coagulation	$106.75	$175.00	$6.03–$173.36	—	39%
Comprehensive metabolic panel (blood test) CPT 80053 Organ/Disease oriented panels	$178.73	$293.00	$9.85–$290.25	66% above	39%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Organ/Disease oriented panels	$178.73	$293.00	$9.85–$290.25	—	39%
Cortisol blood test, total CPT 82533 Dexamethasone Overnight	$50.63	$83.00	$14.46–$82.22	21% below	39%
Cortisol blood test, total CPT 82533 Chemistry	$89.06	$146.00	$15.20–$144.63	40% above	39%
Cortisol blood test, total inpatient CPT 82533 Dexamethasone Overnight	$50.63	$83.00	$14.46–$82.22	—	39%
Cortisol blood test, total inpatient CPT 82533 Chemistry	$89.06	$146.00	$15.20–$144.63	—	39%
Creatine kinase (CK) blood test, total CPT 82550 Chemistry	$65.88	$108.00	$6.07–$106.98	11% above	39%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Chemistry	$65.88	$108.00	$6.07–$106.98	—	39%
Creatinine blood test CPT 82565 Chemistry	$62.83	$103.00	$4.77–$102.03	23% above	39%
Creatinine blood test inpatient CPT 82565 Chemistry	$62.83	$103.00	$4.77–$102.03	—	39%
D-dimer blood test (blood clot marker) CPT 85379 Hematology and Coagulation	$75.64	$124.00	$9.49–$122.83	27% below	39%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Hematology and Coagulation	$75.64	$124.00	$9.49–$122.83	—	39%
DHEA sulfate (DHEA-S) blood test CPT 82627 Chemistry	$54.29	$89.00	$15.50–$88.16	6% below	39%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Chemistry	$54.29	$89.00	$15.50–$88.16	—	39%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Assay	$111.02	$182.00	$31.70–$180.29	55% above	39%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Pain Management Panel	$111.02	$182.00	$31.70–$180.29	55% above	39%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Date Rape Panel	$111.02	$182.00	$31.70–$180.29	55% above	39%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Comprehensive Panel	$111.02	$182.00	$31.70–$180.29	55% above	39%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Synthetic Cannabinoid Metabolites Screen With Reflex	$111.02	$182.00	$31.70–$180.29	55% above	39%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Pain Management Panel	$111.02	$182.00	$31.70–$180.29	—	39%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Comprehensive Panel	$111.02	$182.00	$31.70–$180.29	—	39%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Date Rape Panel	$111.02	$182.00	$31.70–$180.29	—	39%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Synthetic Cannabinoid Metabolites Screen With Reflex	$111.02	$182.00	$31.70–$180.29	—	39%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Assay	$111.02	$182.00	$31.70–$180.29	—	39%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Organ/Disease oriented panels	$128.10	$210.00	$6.54–$208.03	66% above	39%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Organ/Disease oriented panels	$128.10	$210.00	$6.54–$208.03	—	39%
Epstein-Barr virus (EBV) antibody test CPT 86665 Immunology	$28.67	$47.00	$8.19–$46.56	45% below	39%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Immunology	$28.67	$47.00	$8.19–$46.56	—	39%
Estradiol blood test CPT 82670 Chemistry	$96.38	$158.00	$26.06–$156.51	45% above	39%
Estradiol blood test inpatient CPT 82670 Chemistry	$96.38	$158.00	$26.06–$156.51	—	39%
FSH (follicle-stimulating hormone) test CPT 83001 Chemistry	$53.68	$88.00	$15.33–$87.17	35% below	39%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Chemistry	$53.68	$88.00	$15.33–$87.17	—	39%
Fecal calprotectin (stool inflammation test) CPT 83993 Chemistry	$193.37	$317.00	$18.31–$314.02	120% above	39%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Chemistry	$193.37	$317.00	$18.31–$314.02	—	39%
Ferritin blood test (iron stores) CPT 82728 Chemistry	$93.33	$153.00	$12.71–$151.56	2% below	39%
Ferritin blood test (iron stores) inpatient CPT 82728 Chemistry	$93.33	$153.00	$12.71–$151.56	—	39%
Fibrinogen blood test CPT 85384 Hematology and Coagulation	$65.88	$108.00	$9.06–$106.98	37% above	39%
Fibrinogen blood test inpatient CPT 85384 Hematology and Coagulation	$65.88	$108.00	$9.06–$106.98	—	39%
Folate (folic acid) blood test CPT 82746 Chemistry	$79.91	$131.00	$13.71–$129.77	6% below	39%
Folate (folic acid) blood test inpatient CPT 82746 Chemistry	$79.91	$131.00	$13.71–$129.77	—	39%
Free T3 thyroid hormone test CPT 84481 Chemistry	$67.71	$111.00	$15.80–$109.96	36% below	39%
Free T3 thyroid hormone test inpatient CPT 84481 Chemistry	$67.71	$111.00	$15.80–$109.96	—	39%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Chemistry	$76.25	$125.00	$8.41–$123.83	11% above	39%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chemistry	$76.25	$125.00	$8.41–$123.83	—	39%
Free testosterone test CPT 84402 Chemistry	$34.16	$56.00	$9.76–$55.47	46% below	39%
Free testosterone test CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$66.49	$109.00	$18.99–$107.98	5% above	39%
Free testosterone test inpatient CPT 84402 Chemistry	$34.16	$56.00	$9.76–$55.47	—	39%
Free testosterone test inpatient CPT 84402 Testosterone Bioavailable and Shbg, Female and Children	$66.49	$109.00	$18.99–$107.98	—	39%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chemistry	$94.55	$155.00	$6.71–$153.54	105% above	39%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chemistry	$94.55	$155.00	$6.71–$153.54	—	39%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Chemistry	$40.26	$66.00	$4.43–$65.38	6% below	39%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 1 Hour	$40.26	$66.00	$4.43–$65.38	6% below	39%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Chemistry	$40.26	$66.00	$4.43–$65.38	—	39%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, 1 Hour	$40.26	$66.00	$4.43–$65.38	—	39%
Glucose tolerance test, 3 samples CPT 82951 Glucose, Pregnant 2 Hour	$101.87	$167.00	$12.00–$165.43	at median	39%
Glucose tolerance test, 3 samples CPT 82951 Chemistry	$101.87	$167.00	$12.00–$165.43	at median	39%
Glucose tolerance test, 3 samples CPT 82951 Glucose, 2 Hour	$101.87	$167.00	$12.00–$165.43	at median	39%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose, Pregnant 2 Hour	$101.87	$167.00	$12.00–$165.43	—	39%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose, 2 Hour	$101.87	$167.00	$12.00–$165.43	—	39%
Glucose tolerance test, 3 samples inpatient CPT 82951 Chemistry	$101.87	$167.00	$12.00–$165.43	—	39%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Microbiology	$65.27	$107.00	$18.64–$105.99	24% below	39%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Microbiology	$65.27	$107.00	$18.64–$105.99	—	39%
H. pylori stool antigen test CPT 87338 Microbiology	$92.11	$151.00	$13.41–$149.58	16% below	39%
H. pylori stool antigen test inpatient CPT 87338 Microbiology	$92.11	$151.00	$13.41–$149.58	—	39%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Microbiology	$104.31	$171.00	$29.79–$169.39	9% below	39%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Microbiology	$104.31	$171.00	$29.79–$169.39	—	39%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Microbiology	$76.25	$125.00	$21.78–$123.83	1% below	39%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Microbiology	$76.25	$125.00	$21.78–$123.83	—	39%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Genotyping Pcr	$62.83	$103.00	$17.94–$102.03	50% below	39%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Microbiology	$62.83	$103.00	$17.94–$102.03	50% below	39%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Microbiology	$62.83	$103.00	$17.94–$102.03	—	39%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Genotyping Pcr	$62.83	$103.00	$17.94–$102.03	—	39%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chemistry	$85.40	$140.00	$9.06–$138.68	34% above	39%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Chemistry	$85.40	$140.00	$9.06–$138.68	—	39%
Hemoglobin blood test CPT 85018 Hematology and Coagulation	$46.97	$77.00	$2.21–$76.28	38% above	39%
Hemoglobin blood test inpatient CPT 85018 Hematology and Coagulation	$46.97	$77.00	$2.21–$76.28	—	39%
Hepatitis B core antibody test (total) CPT 86704 Immunology	$87.23	$143.00	$11.24–$141.66	23% above	39%
Hepatitis B core antibody test (total) inpatient CPT 86704 Immunology	$87.23	$143.00	$11.24–$141.66	—	39%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Immunology	$62.83	$103.00	$10.02–$102.03	13% below	39%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Immunology	$62.83	$103.00	$10.02–$102.03	—	39%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Microbiology	$62.83	$103.00	$9.63–$102.03	6% above	39%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Microbiology	$62.83	$103.00	$9.63–$102.03	—	39%
Hepatitis C antibody blood test (screening) CPT 86803 Immunology	$88.45	$145.00	$13.31–$143.64	8% below	39%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Immunology	$88.45	$145.00	$13.31–$143.64	—	39%
Hepatitis C viral load (HCV RNA) test CPT 87522 Microbiology	$233.63	$383.00	$39.95–$379.40	82% above	39%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Microbiology	$233.63	$383.00	$39.95–$379.40	—	39%
Herpes blood test, HSV-1 antibody CPT 86695 Immunology	$55.51	$91.00	$12.30–$90.14	16% above	39%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Immunology	$55.51	$91.00	$12.30–$90.14	—	39%
Herpes blood test, HSV-2 antibody CPT 86696 Immunology	$55.51	$91.00	$15.85–$90.14	4% below	39%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Immunology	$55.51	$91.00	$15.85–$90.14	—	39%
High-sensitivity CRP (hs-CRP) test CPT 86141 Immunology	$77.47	$127.00	$12.08–$125.81	4% above	39%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Immunology	$77.47	$127.00	$12.08–$125.81	—	39%
Homocysteine blood test CPT 83090 Chemistry	$92.72	$152.00	$16.71–$150.57	2% below	39%
Homocysteine blood test inpatient CPT 83090 Chemistry	$92.72	$152.00	$16.71–$150.57	—	39%
Insulin blood test CPT 83525 Chemistry	$83.57	$137.00	$10.66–$135.71	50% above	39%
Insulin blood test inpatient CPT 83525 Chemistry	$83.57	$137.00	$10.66–$135.71	—	39%
Iron blood test (serum iron) CPT 83540 Chemistry	$84.18	$138.00	$6.03–$136.70	62% above	39%
Iron blood test (serum iron) inpatient CPT 83540 Chemistry	$84.18	$138.00	$6.03–$136.70	—	39%
Iron-binding capacity (TIBC) test CPT 83550 Chemistry	$76.25	$125.00	$21.78–$123.83	15% above	39%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Chemistry	$76.25	$125.00	$21.78–$123.83	—	39%
Kidney function blood test panel CPT 80069 Organ/Disease oriented panels	$250.71	$411.00	$8.09–$407.14	137% above	39%
Kidney function blood test panel inpatient CPT 80069 Organ/Disease oriented panels	$250.71	$411.00	$8.09–$407.14	—	39%
LH (luteinizing hormone) test CPT 83002 Chemistry	$33.55	$55.00	$9.58–$54.48	60% below	39%
LH (luteinizing hormone) test inpatient CPT 83002 Chemistry	$33.55	$55.00	$9.58–$54.48	—	39%
Lactate (lactic acid) blood test CPT 83605 Chemistry	$52.46	$86.00	$10.79–$85.19	37% below	39%
Lactate (lactic acid) blood test inpatient CPT 83605 Chemistry	$52.46	$86.00	$10.79–$85.19	—	39%
Lactate dehydrogenase (LDH) blood test CPT 83615 Chemistry	$62.83	$103.00	$5.63–$102.03	30% above	39%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chemistry	$62.83	$103.00	$5.63–$102.03	—	39%
Lipase blood test (pancreas enzyme) CPT 83690 Chemistry	$79.91	$131.00	$6.43–$129.77	19% above	39%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Chemistry	$79.91	$131.00	$6.43–$129.77	—	39%
Liver function blood test panel CPT 80076 Organ/Disease oriented panels	$193.98	$318.00	$7.62–$315.01	90% above	39%
Liver function blood test panel inpatient CPT 80076 Organ/Disease oriented panels	$193.98	$318.00	$7.62–$315.01	—	39%
Lyme disease antibody test CPT 86618 Immunology	$93.94	$154.00	$15.88–$152.55	35% above	39%
Lyme disease antibody test inpatient CPT 86618 Immunology	$93.94	$154.00	$15.88–$152.55	—	39%
Magnesium blood test CPT 83735 Supersaturation Profile, Urine 24 Hr	$47.58	$78.00	$6.25–$77.27	13% above	39%
Magnesium blood test CPT 83735 Chemistry	$76.25	$125.00	$6.25–$123.83	82% above	39%
Magnesium blood test inpatient CPT 83735 Supersaturation Profile, Urine 24 Hr	$47.58	$78.00	$6.25–$77.27	—	39%
Magnesium blood test inpatient CPT 83735 Chemistry	$76.25	$125.00	$6.25–$123.83	—	39%
Measles (rubeola) antibody test CPT 86765 Immunology	$43.92	$72.00	$12.01–$71.32	9% above	39%
Measles (rubeola) antibody test inpatient CPT 86765 Immunology	$43.92	$72.00	$12.01–$71.32	—	39%
Mono test (heterophile antibody, Monospot) CPT 86308 Immunology	$51.24	$84.00	$4.83–$83.21	5% below	39%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Immunology	$51.24	$84.00	$4.83–$83.21	—	39%
Mumps immunity blood test CPT 86735 Immunology	$63.44	$104.00	$12.17–$103.02	26% above	39%
Mumps immunity blood test inpatient CPT 86735 Immunology	$63.44	$104.00	$12.17–$103.02	—	39%
PSA (prostate-specific antigen) blood test, free CPT 84154 Chemistry	$25.01	$41.00	$7.14–$40.61	57% below	39%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Chemistry	$25.01	$41.00	$7.14–$40.61	—	39%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chemistry	$98.82	$162.00	$17.15–$160.48	10% above	39%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Chemistry	$98.82	$162.00	$17.15–$160.48	—	39%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath Cerv/Vag Thin Layer	$35.38	$58.00	$19.62–$57.45	54% below	39%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath Cerv/Vag Thin Layer	$35.38	$58.00	$19.62–$57.45	—	39%
Parathyroid hormone (PTH) blood test CPT 83970 Chemistry	$94.55	$155.00	$27.00–$153.54	21% below	39%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chemistry	$94.55	$155.00	$27.00–$153.54	—	39%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hematology and Coagulation	$87.84	$144.00	$5.60–$142.65	36% above	39%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hematology and Coagulation	$87.84	$144.00	$5.60–$142.65	—	39%
Phosphorus (phosphate) blood test CPT 84100 Chemistry	$62.83	$103.00	$4.42–$102.03	63% above	39%
Phosphorus (phosphate) blood test inpatient CPT 84100 Chemistry	$62.83	$103.00	$4.42–$102.03	—	39%
Potassium blood test CPT 84132 Chemistry	$62.83	$103.00	$4.44–$102.03	42% above	39%
Potassium blood test inpatient CPT 84132 Chemistry	$62.83	$103.00	$4.44–$102.03	—	39%
Progesterone blood test CPT 84144 Chemistry	$77.47	$127.00	$19.45–$125.81	9% below	39%
Progesterone blood test inpatient CPT 84144 Chemistry	$77.47	$127.00	$19.45–$125.81	—	39%
Prolactin blood test CPT 84146 Chemistry	$56.12	$92.00	$16.03–$91.14	39% below	39%
Prolactin blood test inpatient CPT 84146 Chemistry	$56.12	$92.00	$16.03–$91.14	—	39%
Prothrombin time (PT/INR) clotting test CPT 85610 Hematology and Coagulation	$71.98	$118.00	$4.00–$116.89	117% above	39%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hematology and Coagulation	$71.98	$118.00	$4.00–$116.89	—	39%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug assay	$31.11	$51.00	$8.88–$50.52	47% below	39%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug assay	$31.11	$51.00	$8.88–$50.52	—	39%
Rapid flu test (influenza antigen) CPT 87804 Microbiology	$46.97	$77.00	$16.55–$76.28	23% below	39%
Rapid flu test (influenza antigen) inpatient CPT 87804 Microbiology	$46.97	$77.00	$16.55–$76.28	—	39%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a Assay W/Optic	$50.63	$83.00	$16.53–$82.22	7% below	39%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Microbiology	$84.18	$138.00	$16.53–$136.70	55% above	39%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a Assay W/Optic	$50.63	$83.00	$16.53–$82.22	—	39%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Microbiology	$84.18	$138.00	$16.53–$136.70	—	39%
Renin blood test CPT 84244 Chemistry	$149.45	$245.00	$20.51–$242.70	220% above	39%
Renin blood test inpatient CPT 84244 Chemistry	$149.45	$245.00	$20.51–$242.70	—	39%
Rh blood typing CPT 86901 Transfusion Medicine	$43.92	$72.00	$2.79–$71.32	2% above	39%
Rh blood typing inpatient CPT 86901 Transfusion Medicine	$43.92	$72.00	$2.79–$71.32	—	39%
Rheumatoid factor (RF) test CPT 86431 Immunology	$78.69	$129.00	$5.29–$127.79	61% above	39%
Rheumatoid factor (RF) test inpatient CPT 86431 Immunology	$78.69	$129.00	$5.29–$127.79	—	39%
Rubella antibody test (immunity check) CPT 86762 Immunology	$38.43	$63.00	$10.97–$62.41	20% below	39%
Rubella antibody test (immunity check) inpatient CPT 86762 Immunology	$38.43	$63.00	$10.97–$62.41	—	39%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hematology and Coagulation	$45.14	$74.00	$2.52–$73.30	18% above	39%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hematology and Coagulation	$45.14	$74.00	$2.52–$73.30	—	39%
Sodium blood test CPT 84295 Chemistry	$60.39	$99.00	$4.49–$98.07	32% above	39%
Sodium blood test inpatient CPT 84295 Chemistry	$60.39	$99.00	$4.49–$98.07	—	39%
Stool ova and parasites exam CPT 87177 Microbiology	$79.91	$131.00	$8.30–$129.77	75% above	39%
Stool ova and parasites exam inpatient CPT 87177 Microbiology	$79.91	$131.00	$8.30–$129.77	—	39%
Syphilis antibody test (Treponema pallidum) CPT 86780 Immunology	$17.69	$29.00	$5.05–$28.73	67% below	39%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Immunology	$17.69	$29.00	$5.05–$28.73	—	39%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Immunology	$19.52	$32.00	$3.98–$31.70	41% below	39%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Immunology	$19.52	$32.00	$3.98–$31.70	—	39%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$46.97	$77.00	$13.41–$76.28	27% below	39%
Testosterone blood test, total (not free testosterone) CPT 84403 Chemistry	$84.18	$138.00	$24.04–$136.70	32% above	39%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Bioavailable and Shbg, Female or Children	$46.97	$77.00	$13.41–$76.28	—	39%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Chemistry	$84.18	$138.00	$24.04–$136.70	—	39%
Thyroid peroxidase (TPO) antibody test CPT 86376 Immunology	$43.31	$71.00	$12.37–$70.33	20% below	39%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Immunology	$43.31	$71.00	$12.37–$70.33	—	39%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chemistry	$112.85	$185.00	$15.67–$183.26	20% above	39%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chemistry	$112.85	$185.00	$15.67–$183.26	—	39%
Total IgE blood test CPT 82785 Chemistry	$49.41	$81.00	$14.11–$80.24	4% below	39%
Total IgE blood test inpatient CPT 82785 Chemistry	$49.41	$81.00	$14.11–$80.24	—	39%
Total cholesterol blood test CPT 82465 Chemistry	$62.83	$103.00	$4.35–$102.03	80% above	39%
Total cholesterol blood test inpatient CPT 82465 Chemistry	$62.83	$103.00	$4.35–$102.03	—	39%
Total thyroxine (T4) blood test CPT 84436 Chemistry	$79.30	$130.00	$6.41–$128.78	84% above	39%
Total thyroxine (T4) blood test inpatient CPT 84436 Chemistry	$79.30	$130.00	$6.41–$128.78	—	39%
Total triiodothyronine (T3) blood test CPT 84480 Chemistry	$29.28	$48.00	$8.36–$47.55	58% below	39%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Chemistry	$29.28	$48.00	$8.36–$47.55	—	39%
Transferrin blood test CPT 84466 Chemistry	$74.42	$122.00	$11.90–$120.85	at median	39%
Transferrin blood test inpatient CPT 84466 Chemistry	$74.42	$122.00	$11.90–$120.85	—	39%
Trichomonas test (NAAT) CPT 87661 Microbiology	$79.91	$131.00	$22.82–$129.77	59% above	39%
Trichomonas test (NAAT) inpatient CPT 87661 Microbiology	$79.91	$131.00	$22.82–$129.77	—	39%
Triglycerides blood test CPT 84478 Chemistry	$59.78	$98.00	$5.35–$97.08	39% above	39%
Triglycerides blood test inpatient CPT 84478 Chemistry	$59.78	$98.00	$5.35–$97.08	—	39%
Troponin test, quantitative CPT 84484 Chemistry	$117.73	$193.00	$11.63–$191.19	15% above	39%
Troponin test, quantitative inpatient CPT 84484 Chemistry	$117.73	$193.00	$11.63–$191.19	—	39%
Uric acid blood test CPT 84550 Chemistry	$62.83	$103.00	$4.22–$102.03	37% above	39%
Uric acid blood test inpatient CPT 84550 Chemistry	$62.83	$103.00	$4.22–$102.03	—	39%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis	$63.44	$104.00	$2.96–$103.02	23% above	39%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis	$63.44	$104.00	$2.96–$103.02	—	39%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis	$35.38	$58.00	$2.10–$57.45	36% above	39%
Urinalysis without microscope exam, automated CPT 81003 Dot Urinalysis, No Micro	$58.00	$58.00	$2.10–$57.45	123% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis	$35.38	$58.00	$2.10–$57.45	—	39%
Urinalysis without microscope exam, automated inpatient CPT 81003 Dot Urinalysis, No Micro	$58.00	$58.00	$2.10–$57.45	—	—
Urinalysis without microscope exam, manual CPT 81002 Urinalysis	$11.59	$19.00	$3.31–$18.82	48% below	39%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis	$11.59	$19.00	$3.31–$18.82	—	39%
Urine culture for bacteria, with colony count CPT 87086 Microbiology	$104.31	$171.00	$7.53–$169.39	75% above	39%
Urine culture for bacteria, with colony count inpatient CPT 87086 Microbiology	$104.31	$171.00	$7.53–$169.39	—	39%
Urine microalbumin (albumin) test CPT 82043 Chemistry	$39.04	$64.00	$5.39–$63.40	33% below	39%
Urine microalbumin (albumin) test inpatient CPT 82043 Chemistry	$39.04	$64.00	$5.39–$63.40	—	39%
Urine pregnancy test, read by color change CPT 81025 Urinalysis	$62.83	$103.00	$8.03–$102.03	51% above	39%
Urine pregnancy test, read by color change inpatient CPT 81025 Urinalysis	$62.83	$103.00	$8.03–$102.03	—	39%
Vitamin B12 (cobalamin) blood test CPT 82607 Chemistry	$84.79	$139.00	$14.06–$137.69	5% below	39%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Chemistry	$84.79	$139.00	$14.06–$137.69	—	39%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Chemistry	$124.44	$204.00	$27.60–$202.08	17% above	39%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Chemistry	$124.44	$204.00	$27.60–$202.08	—	39%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Chemistry	$60.39	$99.00	$33.49–$98.07	21% below	39%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Chemistry	$60.39	$99.00	$33.49–$98.07	—	39%
Zinc blood test CPT 84630 Chemistry	$88.45	$145.00	$10.62–$143.64	194% above	39%
Zinc blood test inpatient CPT 84630 Chemistry	$88.45	$145.00	$10.62–$143.64	—	39%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chemistry	$60.39	$99.00	$14.04–$98.07	35% below	39%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chemistry	$60.39	$99.00	$14.04–$98.07	—	39%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine	$491.66	$806.00	$140.41–$798.42	19% below	39%
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv Musc Migraine	$491.66	$806.00	$140.41–$798.42	—	39%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture	$314.76	$516.00	$89.89–$511.15	30% below	39%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment of ankle fracture	$314.76	$516.00	$89.89–$511.15	—	39%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treatment of foot fracture	$350.75	$575.00	$100.17–$569.60	6% below	39%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treatment of foot fracture	$350.75	$575.00	$100.17–$569.60	—	39%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion	$595.97	$977.00	$170.19–$967.82	43% below	39%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion	$595.97	$977.00	$170.19–$967.82	—	39%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$1,864.77	$3,057.00	$532.53–$3,028.26	665% above	39%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision	$1,864.77	$3,057.00	$532.53–$3,028.26	—	39%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treatment of wrist fracture	$418.46	$686.00	$119.50–$679.55	15% below	39%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treatment of wrist fracture	$418.46	$686.00	$119.50–$679.55	—	39%
Colonoscopy with polyp removal CPT 45385 Colonoscopy with lesion removal	$1,798.89	$2,949.00	$724.00–$3,573.90	10% above	39%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy with lesion removal	$1,798.89	$2,949.00	$724.00–$3,573.90	—	39%
Colonoscopy with tissue sample CPT 45380 Colonoscopy with biopsy	$1,734.84	$2,844.00	$724.00–$3,573.90	8% above	39%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy with biopsy	$1,734.84	$2,844.00	$724.00–$3,573.90	—	39%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy	$1,451.19	$2,379.00	$724.00–$4,113.45	8% above	39%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy	$1,451.19	$2,379.00	$724.00–$4,113.45	—	39%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$786.90	$1,290.00	$224.72–$1,277.87	5% below	39%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$786.90	$1,290.00	$224.72–$1,277.87	—	39%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion	$183.00	$300.00	$52.26–$297.18	1% above	39%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion	$183.00	$300.00	$52.26–$297.18	—	39%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax	$55.51	$91.00	$15.85–$90.14	28% below	39%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax	$55.51	$91.00	$15.85–$90.14	—	39%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax	$137.86	$226.00	$39.37–$223.88	12% above	39%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax	$137.86	$226.00	$39.37–$223.88	—	39%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$491.66	$806.00	$140.41–$798.42	59% below	39%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc W/Img	$491.66	$806.00	$140.41–$798.42	—	39%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 injection; lumbar/sacral, single level	$834.48	$1,368.00	$238.31–$1,355.14	40% below	39%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 injection; lumbar/sacral, single level	$834.48	$1,368.00	$238.31–$1,355.14	—	39%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy	$885.11	$1,451.00	$116.91–$1,437.36	6% below	39%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy	$885.11	$1,451.00	$116.91–$1,437.36	—	39%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surgical; Cholect	$5,281.38	$8,658.00	$1,508.22–$8,576.61	23% above	39%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopy Surgical; Cholect	$5,281.38	$8,658.00	$1,508.22–$8,576.61	—	39%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidect Intrl&External Smpl;	$2,570.54	$4,214.00	$734.08–$4,174.39	15% below	39%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidect Intrl&External Smpl;	$2,570.54	$4,214.00	$734.08–$4,174.39	—	39%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter for Hysterograp F	$431.27	$707.00	$119.68–$700.35	38% above	39%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter for Hysterograp F	$431.27	$707.00	$119.68–$700.35	—	39%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess	$161.04	$264.00	$45.99–$299.00	44% below	39%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess	$161.04	$264.00	$45.99–$299.00	—	39%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp I/Hern Init Reduc >5 Yr	$3,167.12	$5,192.00	$904.45–$5,143.20	11% above	39%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp I/Hern Init Reduc >5 Yr	$3,167.12	$5,192.00	$904.45–$5,143.20	—	39%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection tendon sheath/ligament	$270.84	$444.00	$77.34–$439.83	27% below	39%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection tendon sheath/ligament	$270.84	$444.00	$77.34–$439.83	—	39%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drainage/injection major joint	$375.76	$616.00	$107.31–$610.21	4% above	39%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drainage/injection major joint	$375.76	$616.00	$107.31–$610.21	—	39%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drainage/injection intermediate joint	$280.60	$460.00	$80.13–$455.68	8% below	39%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drainage/injection intermediate joint	$280.60	$460.00	$80.13–$455.68	—	39%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drainage/injection small joint w/imaging	$478.85	$785.00	$136.75–$777.62	48% above	39%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drainage/injection small joint w/imaging	$478.85	$785.00	$136.75–$777.62	—	39%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy Surgical Appendectomy	$5,281.38	$8,658.00	$1,508.22–$8,576.61	30% above	39%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy Surgical Appendectomy	$5,281.38	$8,658.00	$1,508.22–$8,576.61	—	39%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparscpy Surg; Repr Init Ing Hern	$5,281.38	$8,658.00	$907.64–$8,576.61	128% above	39%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Laparscpy Surg; Repr Init Ing Hern	$5,281.38	$8,658.00	$907.64–$8,576.61	—	39%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair wound scalp, trunk extremities	$368.44	$604.00	$105.22–$598.32	19% below	39%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair wound scalp, trunk extremities	$368.44	$604.00	$105.22–$598.32	—	39%
Lower-back epidural injection, with imaging guidance CPT 62323 injection of diagnostic or therapeutic agent	$491.66	$806.00	$140.41–$798.42	59% below	39%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 injection of diagnostic or therapeutic agent	$491.66	$806.00	$140.41–$798.42	—	39%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection foramen epidural; lumbar or sacral	$834.48	$1,368.00	$238.31–$1,355.14	36% below	39%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection foramen epidural; lumbar or sacral	$834.48	$1,368.00	$238.31–$1,355.14	—	39%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage	$2,861.51	$4,691.00	$817.17–$4,646.90	67% above	39%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage	$2,861.51	$4,691.00	$817.17–$4,646.90	—	39%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-Mm B9+Marg 0.5	$644.16	$1,056.00	$224.14–$1,046.07	8% above	39%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-Mm B9+Marg 0.5	$644.16	$1,056.00	$224.14–$1,046.07	—	39%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate	$183.00	$300.00	$52.26–$299.00	32% below	39%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate	$183.00	$300.00	$52.26–$299.00	—	39%
Occipital nerve block (injection for headaches) CPT 64405 Injection; Occipital nerve	$491.66	$806.00	$140.41–$798.42	20% below	39%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection; Occipital nerve	$491.66	$806.00	$140.41–$798.42	—	39%
Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis w/imaging	$672.83	$1,103.00	$192.14–$1,092.63	24% below	39%
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal paracentesis w/imaging	$672.83	$1,103.00	$192.14–$1,092.63	—	39%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed	$306.83	$503.00	$87.62–$498.27	40% below	39%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed	$306.83	$503.00	$87.62–$498.27	—	39%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,767.17	$2,897.00	$504.66–$2,869.77	17% below	39%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy Lumb/Sac Facet Jnt	$1,767.17	$2,897.00	$504.66–$2,869.77	—	39%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion	$2,497.95	$4,095.00	$875.82–$4,056.51	25% above	39%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion	$2,497.95	$4,095.00	$875.82–$4,056.51	—	39%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body	$409.31	$671.00	$116.89–$664.69	1% above	39%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body	$409.31	$671.00	$116.89–$664.69	—	39%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Ca Screen Colonoscopy	$1,454.24	$2,384.00	$449.00–$3,428.70	7% below	39%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Ca Screen Colonoscopy	$1,454.24	$2,384.00	$449.00–$3,428.70	—	39%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hi risk screening colonoscopy	$1,449.36	$2,376.00	$449.00–$3,428.70	5% below	39%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hi risk screening colonoscopy	$1,449.36	$2,376.00	$449.00–$3,428.70	—	39%
Short arm cast (elbow to hand) CPT 29075 Apply Short Arm Cast	$298.29	$489.00	$130.75–$484.40	14% above	39%
Short arm cast (elbow to hand) inpatient CPT 29075 Apply Short Arm Cast	$298.29	$489.00	$130.75–$484.40	—	39%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint	$184.22	$302.00	$52.61–$299.16	7% below	39%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint	$184.22	$302.00	$52.61–$299.16	—	39%
Short leg splint (calf to foot) CPT 29515 Application of lower leg splint	$176.29	$289.00	$16.61–$280.33	21% below	39%
Short leg splint (calf to foot) inpatient CPT 29515 Application of lower leg splint	$176.29	$289.00	$16.61–$280.33	—	39%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair superficial wound	$222.04	$364.00	$63.41–$360.58	20% below	39%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair superficial wound	$222.04	$364.00	$63.41–$360.58	—	39%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy skin single lesion	$365.39	$599.00	$104.35–$593.37	23% above	39%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy skin single lesion	$365.39	$599.00	$104.35–$593.37	—	39%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags	$155.55	$255.00	$44.42–$252.60	27% below	39%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags	$155.55	$255.00	$44.42–$252.60	—	39%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic spinal tap	$632.57	$1,037.00	$180.65–$1,027.25	14% below	39%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic spinal tap	$632.57	$1,037.00	$180.65–$1,027.25	—	39%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair superficial wound	$254.37	$417.00	$18.48–$404.49	21% below	39%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair superficial wound	$254.37	$417.00	$18.48–$404.49	—	39%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair superficial wound	$259.25	$425.00	$17.53–$412.25	10% below	39%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repair superficial wound	$259.25	$425.00	$17.53–$412.25	—	39%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection trigger point	$491.66	$806.00	$140.41–$798.42	54% above	39%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection trigger point	$491.66	$806.00	$140.41–$798.42	—	39%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,808.04	$2,964.00	$724.00–$2,936.14	4% below	39%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD ballon dilation less than 30 mm diameter	$1,808.04	$2,964.00	$724.00–$2,936.14	—	39%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD with biopsy	$1,532.93	$2,513.00	$724.00–$3,405.60	9% above	39%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD with biopsy	$1,532.93	$2,513.00	$724.00–$3,405.60	—	39%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Upper GI scope	$1,892.22	$3,102.00	$540.37–$3,072.84	23% above	39%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Upper GI scope	$1,892.22	$3,102.00	$540.37–$3,072.84	—	39%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD remove lesion; snare technique	$1,468.27	$2,407.00	$399.86–$2,384.37	18% below	39%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD remove lesion; snare technique	$1,468.27	$2,407.00	$399.86–$2,384.37	—	39%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD guide wire insertion	$1,614.06	$2,646.00	$460.93–$2,621.13	at median	39%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD guide wire insertion	$1,614.06	$2,646.00	$460.93–$2,621.13	—	39%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD	$1,162.66	$1,906.00	$644.70–$3,405.60	4% below	39%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD	$1,162.66	$1,906.00	$644.70–$3,405.60	—	39%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Vasect Uni/Bil-Sep Proc-Postop Sem	$1,864.77	$3,057.00	$532.53–$3,028.26	8% above	39%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Vasect Uni/Bil-Sep Proc-Postop Sem	$1,864.77	$3,057.00	$532.53–$3,028.26	—	39%
Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein	$2,918.24	$4,784.00	$833.37–$4,739.03	23% below	39%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf 1st Vein	$2,918.24	$4,784.00	$833.37–$4,739.03	—	39%
Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion, 1-14	$138.47	$227.00	$39.54–$224.87	29% below	39%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct B9 Lesion, 1-14	$138.47	$227.00	$39.54–$224.87	—	39%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride skin tissue; 1st 20 cm	$365.39	$599.00	$104.35–$593.37	19% below	39%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride skin tissue; 1st 20 cm	$365.39	$599.00	$104.35–$593.37	—	39%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion	$819.84	$1,344.00	$234.12–$1,331.37	16% above	39%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion	$819.84	$1,344.00	$234.12–$1,331.37	—	39%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment	$195.20	$320.00	$55.74–$316.99	67% above	39%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatm	$195.20	$320.00	$55.74–$316.99	67% above	39%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatm	$195.20	$320.00	$55.74–$316.99	—	39%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment	$195.20	$320.00	$55.74–$316.99	—	39%
Chemotherapy IV infusion, first hour CPT 96413 Chemo IV infusion; 1 hour	$405.04	$664.00	$115.67–$657.76	21% below	39%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV infusion; 1 hour	$405.04	$664.00	$115.67–$657.76	—	39%
Critical care, first 30 to 74 minutes CPT 99291 Critical care	$1,259.04	$2,064.00	$218.17–$2,044.60	21% below	39%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care	$1,259.04	$2,064.00	$218.17–$2,044.60	—	39%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$157.99	$259.00	$4.81–$256.57	8% below	39%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$157.99	$259.00	$4.81–$256.57	—	39%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room visit	$155.55	$255.00	$7.89–$252.60	24% below	39%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room visit	$155.55	$255.00	$7.89–$252.60	—	39%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room visit	$261.69	$429.00	$32.05–$424.97	13% below	39%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room visit	$261.69	$429.00	$32.05–$424.97	—	39%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room visit	$395.28	$648.00	$49.09–$641.91	18% below	39%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room visit	$395.28	$648.00	$49.09–$641.91	—	39%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room visit	$547.17	$897.00	$83.87–$888.57	30% below	39%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Room visit	$547.17	$897.00	$83.87–$888.57	—	39%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room visit	$656.36	$1,076.00	$121.35–$1,065.89	43% below	39%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Room visit	$656.36	$1,076.00	$121.35–$1,065.89	—	39%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress test	$863.15	$1,415.00	$246.49–$1,401.70	20% above	39%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress test	$863.15	$1,415.00	$246.49–$1,401.70	—	39%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Therapy	$230.58	$378.00	$65.85–$374.45	15% below	39%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Therapy	$230.58	$378.00	$65.85–$374.45	—	39%
IV infusion of a medicine, first hour CPT 96365 IV Therapy	$307.44	$504.00	$87.80–$499.26	6% below	39%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Therapy	$307.44	$504.00	$87.80–$499.26	—	39%
IV push of a medicine, first drug CPT 96374 IV Therapy	$154.94	$254.00	$44.25–$251.61	16% below	39%
IV push of a medicine, first drug inpatient CPT 96374 IV Therapy	$154.94	$254.00	$44.25–$251.61	—	39%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic injection	$97.60	$160.00	$27.87–$158.50	26% above	39%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic injection	$97.60	$160.00	$27.87–$158.50	—	39%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation	$96.38	$158.00	$29.96–$189.75	19% above	39%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation	$96.38	$158.00	$29.96–$189.75	—	39%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition assessment	$42.70	$70.00	$12.19–$69.34	31% below	39%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition assessment	$42.70	$70.00	$12.19–$69.34	—	39%
Occupational therapy evaluation, low complexity CPT 97165 Occupational Therapy evaluation	$139.08	$228.00	$39.72–$225.86	18% below	39%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Occupational Therapy evaluation	$139.08	$228.00	$39.72–$225.86	—	39%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Evaulation	$162.87	$267.00	$46.51–$264.49	19% below	39%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Physical Therapy Evaulation	$162.87	$267.00	$46.51–$264.49	—	39%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Evaulation	$149.45	$245.00	$82.87–$346.50	11% below	39%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Physical Therapy Evaulation	$149.45	$245.00	$82.87–$346.50	—	39%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Evaulation	$155.55	$255.00	$44.42–$252.60	19% below	39%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Physical Therapy Evaulation	$155.55	$255.00	$44.42–$252.60	—	39%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy	$96.38	$158.00	$25.38–$189.75	14% above	39%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy	$96.38	$158.00	$25.38–$189.75	—	39%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercises	$93.94	$154.00	$26.91–$189.75	3% above	39%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercises	$93.94	$154.00	$26.91–$189.75	—	39%
Speech and language evaluation CPT 92523 Speech/sound language comprehension	$96.38	$158.00	$27.52–$208.11	70% below	39%
Speech and language evaluation inpatient CPT 92523 Speech/sound language comprehension	$96.38	$158.00	$27.52–$208.11	—	39%
Speech therapy session, individual CPT 92507 Speech/Hearing Therapy	$264.13	$433.00	$69.95–$503.25	24% above	39%
Speech therapy session, individual inpatient CPT 92507 Speech/Hearing Therapy	$264.13	$433.00	$69.95–$503.25	—	39%
Spirometry (breathing test) CPT 94010 Breathing capacity test	$205.57	$337.00	$58.71–$333.83	26% above	39%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test	$205.57	$337.00	$58.71–$333.83	—	39%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing	$234.85	$385.00	$67.07–$381.38	26% below	39%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing	$234.85	$385.00	$67.07–$381.38	—	39%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities	$90.28	$148.00	$32.48–$181.50	16% above	39%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities	$90.28	$148.00	$32.48–$181.50	—	39%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phelbotomy, Lab	$149.45	$245.00	$42.68–$242.70	26% below	39%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy	$169.58	$278.00	$48.43–$275.39	17% below	39%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phelbotomy, Lab	$149.45	$245.00	$42.68–$242.70	—	39%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy	$169.58	$278.00	$48.43–$275.39	—	39%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$67.10	$110.00	$19.16–$108.97	1% below	39%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv Adjuvant Vaccine Im	$67.10	$110.00	$19.16–$108.97	1% below	39%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv Adjuvant Vaccine Im	$67.10	$110.00	$19.16–$108.97	—	39%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$67.10	$110.00	$19.16–$108.97	—	39%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$181.17	$297.00	$51.74–$294.21	1% below	39%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vac 50 Mcg/0.5ml Im	$181.17	$297.00	$51.74–$294.21	—	39%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$175.07	$287.00	$50.00–$284.30	1% above	39%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vac 30mcg Trs-Suc Im	$175.07	$287.00	$50.00–$284.30	—	39%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$170.19	$279.00	$98.63–$270.63	13% below	39%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var Vaccine Live for Subcutaneous Use	$170.19	$279.00	$98.63–$270.63	—	39%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$50.02	$82.00	$21.73–$79.54	46% below	39%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-Ipv Vaccine Child 4-6 Yrs for Im Use	$50.02	$82.00	$21.73–$79.54	—	39%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Immunization, Im, <7 Yo	$28.06	$46.00	$12.19–$44.62	47% below	39%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Immunization, Im, <7 Yo	$28.06	$46.00	$12.19–$44.62	—	39%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$69.54	$114.00	$30.21–$121.55	18% below	39%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap-Hepb-Ipv Vaccine Intramuscular	$69.54	$114.00	$30.21–$121.55	—	39%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$26.84	$44.00	$14.88–$116.18	73% below	39%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Dtap-Ipv/Hib Vaccine for Intramuscular Use	$26.84	$44.00	$14.88–$116.18	—	39%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use	$26.23	$43.00	$14.54–$42.60	18% above	39%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 Vacc Preservative Free 3 Yrs & Older Im Use	$26.23	$43.00	$14.54–$42.60	—	39%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vaccine 3 Dose Schedule for Im Use	$199.47	$327.00	$115.59–$386.02	47% below	39%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9vhpv Vaccine 3 Dose Schedule for Im Use	$199.47	$327.00	$115.59–$386.02	—	39%
Hepatitis A vaccine, adult dose CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$78.69	$129.00	$22.47–$127.79	25% below	39%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hepa Vaccine Adult Dose for Intramuscular Use	$78.69	$129.00	$22.47–$127.79	—	39%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$61.61	$101.00	$26.77–$97.97	9% above	39%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$61.61	$101.00	$26.77–$97.97	—	39%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$78.69	$129.00	$43.63–$127.79	30% below	39%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$79.79	$130.80	$44.24–$129.57	29% below	39%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$78.69	$129.00	$43.63–$127.79	—	39%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$79.79	$130.80	$44.24–$129.57	—	39%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb (Heplisav-B, 18+ Yrs)	$189.10	$310.00	$54.00–$307.09	18% above	39%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$248.48	$407.35	$70.96–$403.52	55% above	39%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepb (Heplisav-B, 18+ Yrs)	$189.10	$310.00	$54.00–$307.09	—	39%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$248.48	$407.35	$70.96–$403.52	—	39%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitus B Vaccine	$34.77	$57.00	$19.28–$56.46	33% below	39%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$50.26	$82.40	$27.87–$81.63	4% below	39%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitus B Vaccine	$34.77	$57.00	$19.28–$56.46	—	39%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$50.26	$82.40	$27.87–$81.63	—	39%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$29.89	$49.00	$17.32–$47.53	58% below	39%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Hib Prp-Omp Vaccine 3 Dose Schedule Im Use	$29.89	$49.00	$17.32–$47.53	—	39%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$38.43	$63.00	$10.97–$62.41	2% below	39%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hib Prp-T Vaccine 4 Dose Schedule Im Use	$38.43	$63.00	$10.97–$62.41	—	39%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu vaccine	$86.01	$141.00	$47.69–$139.67	33% above	39%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu vaccine	$86.01	$141.00	$47.69–$139.67	—	39%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr Virus Immunization, Subcut	$87.84	$144.00	$50.90–$139.68	25% below	39%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$96.68	$158.50	$56.03–$153.75	18% below	39%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr Virus Immunization, Subcut	$87.84	$144.00	$50.90–$139.68	—	39%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$96.68	$158.50	$56.03–$153.75	—	39%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Combined Vaccine,Mmr+Varicella,Sub-Q	$243.39	$399.00	$105.74–$387.03	12% above	39%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Combined Vaccine,Mmr+Varicella,Sub-Q	$243.39	$399.00	$105.74–$387.03	—	39%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo, Meningococcal Conjugate Vaccine (V03.89)	$112.85	$185.00	$65.40–$195.60	42% below	39%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwy Conjugate Vaccine Groups Acyw-135 Im Use	$112.85	$185.00	$65.40–$195.60	42% below	39%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo, Meningococcal Conjugate Vaccine (V03.89)	$112.85	$185.00	$65.40–$195.60	—	39%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menacwy Conjugate Vaccine Groups Acyw-135 Im Use	$112.85	$185.00	$65.40–$195.60	—	39%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Menb Recombinant Prot W/Out Membr Vesic Vacc Im	$181.78	$298.00	$105.34–$289.06	40% below	39%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Menb Recombinant Prot W/Out Membr Vesic Vacc Im	$181.78	$298.00	$105.34–$289.06	—	39%
Nasal spray flu vaccine, live (FluMist) CPT 90660 Laiv3 Vaccine Live for Intranasal Use	$30.50	$50.00	$17.68–$48.50	4% below	39%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 Laiv3 Vaccine Live for Intranasal Use	$30.50	$50.00	$17.68–$48.50	—	39%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal 13 Vax,(V03.82)	$289.14	$474.00	$160.33–$469.54	7% above	39%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal 13 Vax,(V03.82)	$289.14	$474.00	$160.33–$469.54	—	39%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$334.28	$548.00	$95.46–$542.85	17% below	39%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$447.65	$733.85	$127.84–$726.95	11% above	39%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine for Intramuscular Use	$334.28	$548.00	$95.46–$542.85	—	39%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$447.65	$733.85	$127.84–$726.95	—	39%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$150.06	$246.00	$83.21–$243.69	18% above	39%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine	$150.06	$246.00	$83.21–$243.69	18% above	39%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine	$150.06	$246.00	$83.21–$243.69	—	39%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$150.06	$246.00	$83.21–$243.69	—	39%
Polio vaccine, inactivated (IPV) CPT 90713 Poliomyelitis Immunizatn,Inactv,Sub-Q	$37.82	$62.00	$20.97–$61.42	50% below	39%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliomyelitis Immunizatn,Inactv,Sub-Q	$37.82	$62.00	$20.97–$61.42	—	39%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im	$524.60	$860.00	$304.01–$834.20	13% below	39%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$887.40	$1,454.75	$484.72–$1,411.11	46% above	39%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$887.40	$1,454.75	$484.72–$1,411.11	46% above	39%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Rsv Monoc Antb Seasn 1 Ml Im	$524.60	$860.00	$304.01–$834.20	—	39%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY	$887.40	$1,454.75	$484.72–$1,411.11	—	39%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY	$887.40	$1,454.75	$484.72–$1,411.11	—	39%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Rsv Monoc Antb Seasn .5ml Im	$524.60	$860.00	$149.81–$851.92	3% below	39%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Rsv Monoc Antb Seasn .5ml Im	$524.60	$860.00	$149.81–$851.92	—	39%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine, Im	$392.84	$644.00	$112.18–$637.95	23% below	39%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$648.98	$1,063.90	$185.33–$1,053.90	27% above	39%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine, Im	$392.84	$644.00	$112.18–$637.95	—	39%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$648.98	$1,063.90	$185.33–$1,053.90	—	39%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$86.01	$141.00	$37.37–$136.77	33% below	39%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$86.01	$141.00	$37.37–$136.77	—	39%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$198.86	$326.00	$110.27–$322.94	11% below	39%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$198.86	$326.00	$110.27–$322.94	—	39%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$48.80	$80.00	$13.94–$79.25	22% below	39%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$80.58	$132.10	$23.01–$130.86	29% above	39%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine Prsrv Free 7 Yrs or Older for Im Use	$48.80	$80.00	$13.94–$79.25	—	39%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$80.58	$132.10	$23.01–$130.86	—	39%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Yo, Im	$42.70	$70.00	$12.19–$69.34	46% below	39%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$88.82	$145.60	$25.36–$144.23	13% above	39%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Yo, Im	$42.70	$70.00	$12.19–$69.34	—	39%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP SUPER RECORD	$88.82	$145.60	$25.36–$144.23	—	39%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immuniz Admin,1 Single/Comb Vac/Toxoid	$48.80	$80.00	$13.94–$79.25	18% above	39%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization administration	$48.80	$80.00	$13.94–$79.25	18% above	39%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization administration	$48.80	$80.00	$13.94–$79.25	—	39%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immuniz Admin,1 Single/Comb Vac/Toxoid	$48.80	$80.00	$13.94–$79.25	—	39%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Each additional immunization administration	$24.40	$40.00	$5.03–$38.80	4% below	39%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Each additional immunization administration	$24.40	$40.00	$5.03–$38.80	—	39%

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.healthpartners.com/content/dam/brand-identity/pdfs/care/416005580_oliviahospital_standardcharges.csv