Hospital Oil City, PA

UPMC Northwest

UPMC Northwest in Seneca, PA publishes cash prices for 356 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 202 of 352 procedures and above it for 136. By typical cash price it ranks #52 of 108 Pennsylvania hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

100 Fairfield Drive, Seneca, PA 16346 Collected Sep 27, 2026 Source price file Check a bill from this hospital (814) 676-7600

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 390091 · CMS hospital register NPI 1619069440

Financial assistance

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

UPMC Northwest 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.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W WO CON	$1,533.00	$2,555.00	$153.92–$2,171.75	19% below	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W WO CON	$1,533.00	$2,555.00	$1,022.00–$3,704.00	—	40%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$186.00	$310.00	$28.40–$263.50	43% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS	$186.00	$310.00	$124.00–$3,704.00	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMP MIN 3 VIEWS	$119.40	$199.00	$26.26–$169.15	67% below	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE COMP MIN 3 VIEWS	$119.40	$199.00	$79.60–$3,704.00	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 UP/LOW EXT ART EVAL SNG LEV BI	$339.60	$566.00	$53.67–$481.10	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 UP/LOW EXT ART EVAL SNG LEV BI	$339.60	$566.00	$226.40–$3,704.00	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREM WO CON	$1,068.00	$1,780.00	$91.94–$1,513.00	9% below	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREM WO CON	$1,068.00	$1,780.00	$712.00–$3,704.00	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS X-RAY XM SNGL CNTRST	$253.20	$422.00	$41.25–$358.70	45% below	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS X-RAY XM SNGL CNTRST	$253.20	$422.00	$168.80–$3,704.00	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE/JNT IMAG WHOLE BODY	$797.40	$1,329.00	$111.63–$1,129.65	35% below	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE/JNT IMAG WHOLE BODY	$797.40	$1,329.00	$531.60–$3,704.00	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPLETE UNILATERAL	$627.00	$1,045.00	$91.94–$888.25	15% above	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPLETE UNILATERAL	$627.00	$1,045.00	$418.00–$3,704.00	—	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED UNILATERAL	$400.20	$667.00	$54.53–$566.95	13% below	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED UNILATERAL	$400.20	$667.00	$266.80–$3,704.00	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLV W/WO CON W/POSTPRC	$3,063.00	$5,105.00	$308.78–$4,339.25	3% above	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD&PLV W/WO CON W/POSTPRC	$3,063.00	$5,105.00	$2,042.00–$4,339.25	—	40%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CON W/PST PROC	$1,533.00	$2,555.00	$153.92–$2,171.75	10% below	40%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CON W/PST PROC	$1,533.00	$2,555.00	$1,022.00–$3,704.00	—	40%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CON W/PST PROC	$1,533.00	$2,555.00	$153.92–$2,171.75	8% below	40%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CON W/PST PROC	$1,533.00	$2,555.00	$1,022.00–$3,704.00	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/WO CON W/PST PROC	$1,576.80	$2,628.00	$153.92–$2,233.80	18% below	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/WO CON W/PST PROC	$1,576.80	$2,628.00	$1,051.20–$3,704.00	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PLVS WO CONTRAST	$1,226.40	$2,044.00	$185.12–$1,737.40	41% below	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PLVS WO CONTRAST	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PLVS W CONTRAST	$1,368.00	$2,280.00	$289.48–$1,938.00	54% below	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PLVS W CONTRAST	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PLVS W WO CONTRAST	$1,533.00	$2,555.00	$308.78–$2,171.75	49% below	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PLVS W WO CONTRAST	$1,533.00	$2,555.00	$1,022.00–$3,704.00	—	40%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CON	$1,368.00	$2,280.00	$153.92–$1,938.00	17% below	40%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CON	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CON	$1,226.40	$2,044.00	$91.94–$1,737.40	9% above	40%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CON	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL WO CON	$1,226.40	$2,044.00	$91.94–$1,737.40	9% above	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL WO CON	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST	$1,226.40	$2,044.00	$91.94–$1,737.40	13% above	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$1,368.00	$2,280.00	$147.40–$1,938.00	1% above	40%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
CT scan of the head without and with contrast CPT 70470 CT HEAD W WO CONTRAST	$1,533.00	$2,555.00	$153.92–$2,171.75	8% below	40%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W WO CONTRAST	$1,533.00	$2,555.00	$1,022.00–$3,704.00	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CON	$1,368.00	$2,280.00	$91.94–$1,938.00	19% above	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CON	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO CON	$1,368.00	$2,280.00	$91.94–$1,938.00	16% above	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO CON	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CON	$1,368.00	$2,280.00	$153.92–$1,938.00	19% below	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CON	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX EXTRACRANIAL ART BIL	$979.80	$1,633.00	$162.65–$1,388.05	21% above	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX EXTRACRANIAL ART BIL	$979.80	$1,633.00	$653.20–$3,704.00	—	40%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX W/WO CON	$1,533.00	$2,555.00	$153.92–$2,171.75	5% below	40%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX DX W/WO CON	$1,533.00	$2,555.00	$1,022.00–$3,704.00	—	40%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS	$141.00	$235.00	$26.00–$199.75	56% below	40%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS	$141.00	$235.00	$94.00–$3,704.00	—	40%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$108.60	$181.00	$16.69–$153.85	42% below	40%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$108.60	$181.00	$72.40–$3,704.00	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE	$118.20	$197.00	$30.35–$167.45	59% below	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE	$118.20	$197.00	$78.80–$3,704.00	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$639.00	$1,065.00	$89.65–$905.25	12% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$639.00	$1,065.00	$426.00–$3,704.00	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKL 1 OR MORE SITES	$240.00	$400.00	$66.12–$385.94	12% below	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL SKL 1 OR MORE SITES	$240.00	$400.00	$160.00–$3,704.00	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPEND SKEL PERIPHERAL	$121.20	$202.00	$30.23–$171.70	33% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APPEND SKEL PERIPHERAL	$121.20	$202.00	$80.80–$3,704.00	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX WO CON	$1,226.40	$2,044.00	$91.94–$1,737.40	11% above	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DX WO CON	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX W CON	$1,368.00	$2,280.00	$153.92–$1,938.00	4% below	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DX W CON	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD	$591.60	$986.00	$142.84–$838.10	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIGITAL DX BILAT WWO CAD	$591.60	$986.00	$394.40–$3,704.00	—	40%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIGITAL DX UNI WWO CAD	$487.20	$812.00	$112.65–$690.20	54% above	40%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIGITAL DX UNI WWO CAD	$487.20	$812.00	$324.80–$3,704.00	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOWER EXT ARTERY BIL	$539.40	$899.00	$161.49–$764.15	35% below	40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUPLEX LOWER EXT ARTERY BIL	$539.40	$899.00	$359.60–$3,704.00	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX EXT VEINS W/COMP/MAN BI	$505.80	$843.00	$161.33–$716.55	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX EXT VEINS W/COMP/MAN BI	$505.80	$843.00	$337.20–$3,704.00	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W / DOPPLER COMP (BUNDLED)	$1,820.40	$3,034.00	$155.12–$2,578.90	3% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W / DOPPLER COMP (BUNDLED)	$1,820.40	$3,034.00	$1,213.60–$3,704.00	—	40%
Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS	$105.00	$175.00	$25.58–$148.75	66% below	40%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS	$105.00	$175.00	$70.00–$3,704.00	—	40%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MIN 3 VIEWS	$129.60	$216.00	$27.96–$183.60	63% below	40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW MIN 3 VIEWS	$129.60	$216.00	$86.40–$3,704.00	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA P FOS EAR WO	$1,226.40	$2,044.00	$91.94–$1,737.40	13% above	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT SELLA P FOS EAR WO	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMP MIN 3 VWS	$194.40	$324.00	$37.69–$275.40	53% below	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES COMP MIN 3 VWS	$194.40	$324.00	$129.60–$3,704.00	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS	$105.00	$175.00	$30.88–$148.75	62% below	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS	$105.00	$175.00	$70.00–$3,704.00	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBIL SYS IMG INC GB	$855.60	$1,426.00	$195.39–$1,212.10	30% below	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBIL SYS IMG INC GB	$855.60	$1,426.00	$570.40–$3,704.00	—	40%
Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS	$99.00	$165.00	$29.77–$140.25	65% below	40%
Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS	$99.00	$165.00	$66.00–$3,704.00	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEOUS MIN 2 VIEWS	$97.20	$162.00	$28.65–$137.70	63% below	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEOUS MIN 2 VIEWS	$97.20	$162.00	$64.80–$3,704.00	—	40%
Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS	$162.00	$270.00	$33.77–$229.50	59% below	40%
Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS	$162.00	$270.00	$108.00–$3,704.00	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMP 4 OR MORE VIEWS	$162.00	$270.00	$37.55–$229.50	63% below	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMP 4 OR MORE VIEWS	$162.00	$270.00	$108.00–$3,704.00	—	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREM WO CONT	$989.40	$1,649.00	$91.94–$1,401.65	6% below	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREM WO CONT	$989.40	$1,649.00	$659.60–$3,704.00	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LIMITED	$315.00	$525.00	$68.75–$446.25	48% below	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LIMITED	$315.00	$525.00	$210.00–$3,704.00	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$557.40	$929.00	$45.40–$789.65	41% above	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$557.40	$929.00	$371.60–$3,704.00	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG CANCER SCRN	$666.60	$1,111.00	$91.94–$944.35	68% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT LUNG CANCER SCRN	$666.60	$1,111.00	$444.40–$3,704.00	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA FIBULA 2 VIEWS	$112.80	$188.00	$26.49–$159.80	66% below	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA FIBULA 2 VIEWS	$112.80	$188.00	$75.20–$3,704.00	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN WO CON	$2,205.00	$3,675.00	$209.00–$3,123.75	23% above	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN WO CON	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LOW EXTREM ANY JNT WO	$2,205.00	$3,675.00	$209.00–$3,123.75	8% above	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LOW EXTREM ANY JNT WO	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LOW EXTREM ANY JNT W/WO	$3,815.40	$6,359.00	$308.78–$5,405.15	8% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LOW EXTREM ANY JNT W/WO	$3,815.40	$6,359.00	$2,543.60–$5,405.15	—	40%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO	$2,205.00	$3,675.00	$209.00–$3,123.75	12% above	40%
MRI of the abdomen without contrast CPT 74181 MRCP WO CONTRAST	$2,205.00	$3,675.00	$209.00–$3,123.75	12% above	40%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP WO CONTRAST	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/WO	$3,815.40	$6,359.00	$308.78–$5,405.15	8% above	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/WO	$3,815.40	$6,359.00	$2,543.60–$5,405.15	—	40%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CON	$2,205.00	$3,675.00	$209.00–$3,123.75	21% above	40%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CON	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W WO CON	$3,827.40	$6,379.00	$308.78–$5,422.15	32% above	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W WO CON	$3,827.40	$6,379.00	$2,551.60–$5,422.15	—	40%
MRI of the lower back, no contrast dye CPT 72148 MR SP CANAL LUMBAR WO	$2,205.00	$3,675.00	$209.00–$3,123.75	23% above	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR SP CANAL LUMBAR WO	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 MR SP CANAL LUMBAR W WO	$3,827.40	$6,379.00	$308.78–$5,422.15	17% above	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR SP CANAL LUMBAR W WO	$3,827.40	$6,379.00	$2,551.60–$5,422.15	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR SP CANAL THORACIC WO	$2,205.00	$3,675.00	$209.00–$3,123.75	7% above	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR SP CANAL THORACIC WO	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR SP CANAL CERVICAL W WO	$3,864.00	$6,440.00	$308.78–$5,474.00	33% above	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR SP CANAL CERVICAL W WO	$3,864.00	$6,440.00	$2,576.00–$5,474.00	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR SP CANAL CERVICAL WO	$2,205.00	$3,675.00	$209.00–$3,123.75	26% above	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR SP CANAL CERVICAL WO	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W WO	$3,815.40	$6,359.00	$308.78–$5,405.15	8% above	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W WO	$3,815.40	$6,359.00	$2,543.60–$5,405.15	—	40%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO	$2,205.00	$3,675.00	$209.00–$3,123.75	13% above	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UP EXTREM ANY JOINT WO	$2,205.00	$3,675.00	$209.00–$3,123.75	4% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UP EXTREM ANY JOINT WO	$2,205.00	$3,675.00	$1,470.00–$3,704.00	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS	$222.00	$370.00	$44.68–$314.50	50% below	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4 OR 5 VIEWS	$222.00	$370.00	$148.00–$3,704.00	—	40%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W CON	$1,368.00	$2,280.00	$151.25–$1,938.00	1% above	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W CON	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO CON	$1,226.40	$2,044.00	$91.94–$1,737.40	13% above	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO CON	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$99.00	$165.00	$19.25–$140.25	65% below	40%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$99.00	$165.00	$66.00–$3,704.00	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MSCL IMG SPECT MLT	$2,641.80	$4,403.00	$374.88–$3,742.55	33% below	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MSCL IMG SPECT MLT	$2,641.80	$4,403.00	$1,761.20–$3,742.55	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 TUMOR IMAGE PET/CT SKULL-THIGH	$10,513.20	$17,522.00	$777.40–$14,893.70	45% above	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 TUMOR IMAGE PET/CT SKULL-THIGH	$10,513.20	$17,522.00	$3,704.00–$14,893.70	—	40%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CON	$1,226.40	$2,044.00	$91.94–$1,737.40	12% above	40%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CON	$1,226.40	$2,044.00	$817.60–$3,704.00	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FOLLOW UP	$354.00	$590.00	$35.20–$501.50	21% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FOLLOW UP	$354.00	$590.00	$236.00–$3,704.00	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS COMP (NONOBSTETRIC)	$490.20	$817.00	$84.15–$694.45	16% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS COMP (NONOBSTETRIC)	$490.20	$817.00	$326.80–$3,704.00	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS>14WKS	$610.80	$1,018.00	$85.25–$865.30	1% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS>14WKS	$610.80	$1,018.00	$407.20–$3,704.00	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG UTERUS 1ST TRI <14WKS	$610.80	$1,018.00	$91.94–$865.30	9% above	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG UTERUS 1ST TRI <14WKS	$610.80	$1,018.00	$407.20–$3,704.00	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS LTD	$321.00	$535.00	$70.40–$454.75	40% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS LTD	$321.00	$535.00	$214.00–$3,704.00	—	40%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT MIN 2 VWS	$175.20	$292.00	$29.15–$248.20	48% below	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT MIN 2 VWS	$175.20	$292.00	$116.80–$3,704.00	—	40%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI W/PA CXR MIN 3VW	$216.00	$360.00	$29.15–$306.00	47% below	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI W/PA CXR MIN 3VW	$216.00	$360.00	$144.00–$3,704.00	—	40%
Screening mammogram, both breasts both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD	$205.20	$342.00	$85.50–$348.04	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO DIGI SCR BILAT WWO CAD	$205.20	$342.00	$136.80–$3,704.00	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER MIN 2 VIEWS	$118.20	$197.00	$28.59–$167.45	65% below	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER MIN 2 VIEWS	$118.20	$197.00	$78.80–$3,704.00	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUS COMP MIN 3 VWS	$194.40	$324.00	$37.27–$275.40	54% below	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUS COMP MIN 3 VWS	$194.40	$324.00	$129.60–$3,704.00	—	40%
Skull X-ray, fewer than 4 views CPT 70250 SKULL <4 VIEWS	$154.80	$258.00	$34.97–$219.30	57% below	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4 VIEWS	$154.80	$258.00	$103.20–$3,704.00	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNC ESOPH	$610.80	$1,018.00	$50.60–$865.30	3% above	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNC ESOPH	$610.80	$1,018.00	$407.20–$3,704.00	—	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$129.60	$216.00	$38.64–$183.60	67% below	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM OF FEMUR 2/>	$129.60	$216.00	$86.40–$3,704.00	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO CON	$1,368.00	$2,280.00	$91.94–$1,938.00	17% above	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO CON	$1,368.00	$2,280.00	$912.00–$3,704.00	—	40%
Toe X-ray, 2 or more views CPT 73660 TOE(S) MIN 2 VIEWS	$93.60	$156.00	$20.13–$132.60	67% below	40%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) MIN 2 VIEWS	$93.60	$156.00	$62.40–$3,704.00	—	40%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$354.00	$590.00	$84.15–$501.50	37% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$354.00	$590.00	$236.00–$3,704.00	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANT UTERUS TRANSVAG	$441.60	$736.00	$91.94–$625.60	20% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANT UTERUS TRANSVAG	$441.60	$736.00	$294.40–$3,704.00	—	40%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE	$564.00	$940.00	$91.94–$799.00	28% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMINAL COMPLETE	$564.00	$940.00	$376.00–$3,704.00	—	40%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM TESTES	$490.20	$817.00	$81.40–$694.45	20% below	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM TESTES	$490.20	$817.00	$326.80–$3,704.00	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID/NECK/SOFT TISSUE	$315.00	$525.00	$83.98–$446.25	45% below	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID/NECK/SOFT TISSUE	$315.00	$525.00	$210.00–$3,704.00	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI W WO DLAYED FILMS W WO KUB	$520.80	$868.00	$71.50–$737.80	17% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI W WO DLAYED FILMS W WO KUB	$520.80	$868.00	$347.20–$3,704.00	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS MIN 2 VIEWS	$119.40	$199.00	$28.02–$169.15	57% below	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS MIN 2 VIEWS	$119.40	$199.00	$79.60–$3,704.00	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP EX VEINS W/COM-MAN UNI/LTD	$339.60	$566.00	$91.94–$481.10	47% below	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP EX VEINS W/COM-MAN UNI/LTD	$339.60	$566.00	$226.40–$3,704.00	—	40%
Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS	$99.00	$165.00	$29.71–$140.25	64% below	40%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS	$99.00	$165.00	$66.00–$3,704.00	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST MIN 3 VIEWS	$118.20	$197.00	$30.92–$167.45	63% below	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST MIN 3 VIEWS	$118.20	$197.00	$78.80–$3,704.00	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$134.40	$224.00	$50.70–$190.40	62% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$134.40	$224.00	$89.60–$3,704.00	—	40%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW	$119.40	$199.00	$23.25–$169.15	57% below	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW	$119.40	$199.00	$79.60–$3,704.00	—	40%
X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS	$99.00	$165.00	$24.81–$140.25	71% below	40%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS	$99.00	$165.00	$66.00–$3,704.00	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) MIN 2 VIEWS	$93.60	$156.00	$25.37–$132.60	61% below	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) MIN 2 VIEWS	$93.60	$156.00	$62.40–$3,704.00	—	40%
X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS	$99.00	$165.00	$28.75–$140.25	69% below	40%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS	$99.00	$165.00	$66.00–$3,704.00	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT MIN 3 VIEWS	$118.20	$197.00	$31.25–$167.45	68% below	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT MIN 3 VIEWS	$118.20	$197.00	$78.80–$3,704.00	—	40%
X-ray of the hand, 3 or more views CPT 73130 HAND MIN 3 VIEWS	$119.40	$199.00	$26.77–$169.15	60% below	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND MIN 3 VIEWS	$119.40	$199.00	$79.60–$3,704.00	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 OR 2 VIEWS	$119.40	$199.00	$30.18–$169.15	58% below	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 OR 2 VIEWS	$119.40	$199.00	$79.60–$3,704.00	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS	$154.80	$258.00	$34.30–$219.30	58% below	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBOSACRAL 2-3 VIEWS	$154.80	$258.00	$103.20–$3,704.00	—	40%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBOSAC MIN 4 VWS	$257.40	$429.00	$40.28–$364.65	43% below	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBOSAC MIN 4 VWS	$257.40	$429.00	$171.60–$3,704.00	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS	$154.80	$258.00	$34.03–$219.30	58% below	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS	$154.80	$258.00	$103.20–$3,704.00	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES COMP MIN 3 VWS	$118.20	$197.00	$20.90–$167.45	56% below	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES COMP MIN 3 VWS	$118.20	$197.00	$78.80–$3,704.00	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS	$129.60	$216.00	$29.15–$183.60	61% below	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS OR LESS	$129.60	$216.00	$86.40–$3,704.00	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$168.00	$280.00	$19.25–$238.00	43% below	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$168.00	$280.00	$112.00–$3,704.00	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM & COCCYX MIN 2 VWS	$119.40	$199.00	$26.99–$169.15	64% below	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM & COCCYX MIN 2 VWS	$119.40	$199.00	$79.60–$3,704.00	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 ACTH PLASMA 2 SPECIMENS	$192.60	$321.00	$35.02–$272.85	13% below	40%
ACTH blood test CPT 82024 ADRENOCORT HORMONE PLASMA	$192.60	$321.00	$35.02–$272.85	13% below	40%
ACTH blood test CPT 82024 ACTH ADRENOCORTICOTROPIC HORMN	$192.60	$321.00	$35.02–$272.85	13% below	40%
ACTH blood test inpatient CPT 82024 ACTH PLASMA 2 SPECIMENS	$192.60	$321.00	$128.40–$3,704.00	—	40%
ACTH blood test inpatient CPT 82024 ACTH ADRENOCORTICOTROPIC HORMN	$192.60	$321.00	$128.40–$3,704.00	—	40%
ACTH blood test inpatient CPT 82024 ADRENOCORT HORMONE PLASMA	$192.60	$321.00	$128.40–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT)	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO P9445	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT P8027	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO P3896	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO(ALT)(SGPT) P3356	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT/ALT P5140	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO ALT SGPT P3044	$37.20	$62.00	$4.81–$52.70	2% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO P3896	$37.20	$62.00	$24.80–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT)	$37.20	$62.00	$24.80–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO ALT SGPT P3044	$37.20	$62.00	$24.80–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT P8027	$37.20	$62.00	$24.80–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO P9445	$37.20	$62.00	$24.80–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINO(ALT)(SGPT) P3356	$37.20	$62.00	$24.80–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT	$37.20	$62.00	$24.80–$3,704.00	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT/ALT P5140	$37.20	$62.00	$24.80–$3,704.00	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST	$36.00	$60.00	$4.70–$51.00	1% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT/AST P5140	$36.00	$60.00	$4.70–$51.00	1% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) P3044	$36.00	$60.00	$4.70–$51.00	1% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST)	$36.00	$60.00	$4.70–$51.00	1% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE P9445	$36.00	$60.00	$4.70–$51.00	1% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST P8027	$36.00	$60.00	$4.70–$51.00	1% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST)(SGOT) P3356	$36.00	$60.00	$4.70–$51.00	1% below	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST P5140	$36.00	$60.00	$24.00–$3,704.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE P9445	$36.00	$60.00	$24.00–$3,704.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST P8027	$36.00	$60.00	$24.00–$3,704.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST)(SGOT) P3356	$36.00	$60.00	$24.00–$3,704.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE (AST) (SGOT) P3044	$36.00	$60.00	$24.00–$3,704.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT/AST	$36.00	$60.00	$24.00–$3,704.00	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST)	$36.00	$60.00	$24.00–$3,704.00	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$306.00	$510.00	$43.20–$433.50	1% below	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$306.00	$510.00	$204.00–$3,704.00	—	40%
Albumin blood test CPT 82040 ALBUMIN SERUM P4556	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN SERUM P2435	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN PNL	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN IN SERUM PNL 1810	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN SERUM PNL 2260	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN SERUM P8000	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN SERUM P8027	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test CPT 82040 ALBUMIN SERUM	$33.00	$55.00	$4.01–$46.75	3% above	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P2435	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN PNL	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P4556	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN IN SERUM PNL 1810	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P8027	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM P8000	$33.00	$55.00	$22.00–$3,704.00	—	40%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM PNL 2260	$33.00	$55.00	$22.00–$3,704.00	—	40%
Aldosterone blood test CPT 82088 ALDOSTERONE ADRENAL VEIN	$201.60	$336.00	$28.60–$285.60	3% below	40%
Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE	$201.60	$336.00	$28.60–$285.60	3% below	40%
Aldosterone blood test CPT 82088 ALDOSTERONE	$201.60	$336.00	$28.60–$285.60	3% below	40%
Aldosterone blood test CPT 82088 ALDOSTERONE P2402	$201.60	$336.00	$28.60–$285.60	3% below	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE ADRENAL VEIN	$201.60	$336.00	$134.40–$3,704.00	—	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE P2402	$201.60	$336.00	$134.40–$3,704.00	—	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24HR URINE	$201.60	$336.00	$134.40–$3,704.00	—	40%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$201.60	$336.00	$134.40–$3,704.00	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$34.80	$58.00	$4.70–$49.30	4% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 TOTAL ALP PNL 1480	$34.80	$58.00	$4.70–$49.30	4% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE	$34.80	$58.00	$4.70–$49.30	4% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE P3374	$34.80	$58.00	$4.70–$49.30	4% below	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE	$34.80	$58.00	$23.20–$3,704.00	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$34.80	$58.00	$23.20–$3,704.00	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE P3374	$34.80	$58.00	$23.20–$3,704.00	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 TOTAL ALP PNL 1480	$34.80	$58.00	$23.20–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 B LACTOGLOBULIN ALLERGEN P5416	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY INSECT VENOM PANEL	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE(T213)IGE ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CARAWAY SEED	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 POMEGRANATE IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDR IGE W/RFLX TO COM PN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECI IGE EA ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDR IGE W/RFLX TO COM PN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/BOVINE GELATIN IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BUMBLEBEE VEN(BOM TE)(I205)IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL MOLD GROUP	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EPID & ANIMAL PRO PARAKEET FEA	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTER ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY MOLD PANEL COMPLETE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN LATEX IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIUS T. ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/IGE CHICK PEA	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PNL W/REFLEXES	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP EPITHELIA IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN 13 STINGNG INSCT GR	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHITE POPLAR	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MELONS IGE SERUM	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG MIX IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE EA P1235	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK COMPONENT PANEL	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RED CEDAR IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 AL SPEC IGE CRUDE XTR EA P7115	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 7 TREES	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD AND TREE NUT ALLERGY PN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN REGION 6 GRASSES	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CURRY IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 COWS MILK COMPONENT PANEL	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIA IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CANARY FEATHERS IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY/SHELLFISH PANEL	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALRGY PNL18 NUT MIX GRP 7918X	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MELONS IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL ALLERGEN PNL 5410	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER (EPITHEL) ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/GINGER IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN/EGGPLANT IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN 15 CEREAL GROUP	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH ALLERGEN PNL 5410	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOZZARELLA IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE FUSARM SOLAN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P0861	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BRUSSEL SPROUTS (F217) IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TREE NUT ALL PN W/REFL TO COMP	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ZUCCHINI (CUCURBITA SPP) IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE TUMERIC C.LONGA	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY MEAT IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ACREMONIUM KILIENSE IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN PNL 5410	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 THYME IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT TL RFX TO PEANT COM PN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN PNL 5410	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P0722	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN CULT RYE GRASS IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS (F59) IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN PNL 5410	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SAGE IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMEN RED DYE IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE P3921	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN ALLERGEN PNL 5416	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PORCINE GELATIN IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE (BOX ELDER) TREE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SINGLE ORDER	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG COMPONENT PANEL	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PN 12 ANIMAL GROUP	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 THISTLE (RUSSIAN) ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN COFFEE IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WATERMELON IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT SWEET IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 TREE OF HEAVEN IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN ASPARAGUS IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 UPMC MW ALLERGEN PROFILE 24	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 B TROPICALIS IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 LENTILS IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 UPMC NW ALLERGEN PROFILE 22	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EUROGLYPHUS MAYNEI IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE CANTALOPE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTSE-ALPHA-1 3-GALACTS IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 A LACTOALBUMIN ALLERGEN P 5416	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE W/RFX COMP PN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK ALLERGEN	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE QUANT P1246	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MAPLE SUGAR SPEC IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 OXEYE DAISY IGE	$39.00	$65.00	$4.73–$55.25	21% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B LACTOGLOBULIN ALLERGEN P5416	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECI IGE EA ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMEN RED DYE IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P0722	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P0861	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OREGANO IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/BOVINE GELATIN IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PORCINE GELATIN IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN COFFEE IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE OF HEAVEN IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIUS T. ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTILS IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE CANTALOPE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MAPLE SUGAR SPEC IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY INSECT VENOM PANEL	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE(T213)IGE ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARAWAY SEED	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POMEGRANATE IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDR IGE W/RFLX TO COM PN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDR IGE W/RFLX TO COM PN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUMBLEBEE VEN(BOM TE)(I205)IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPID & ANIMAL PRO PARAKEET FEA	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY MOLD PANEL COMPLETE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIA IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHITE POPLAR	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS IGE SERUM	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE EA P1235	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED CEDAR IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AL SPEC IGE CRUDE XTR EA P7115	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL REGION 7 TREES	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD AND TREE NUT ALLERGY PN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN REGION 6 GRASSES	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY/SHELLFISH PANEL	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER (EPITHEL) ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COWS MILK COMPONENT PANEL	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN 15 CEREAL GROUP	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE FUSARM SOLAN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRUSSEL SPROUTS (F217) IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZUCCHINI (CUCURBITA SPP) IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLG SPEC IGE TUMERIC C.LONGA	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THYME IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACREMONIUM KILIENSE IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OCTOPUS (F59) IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE W/RFX COMP PN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CULT RYE GRASS IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT TL RFX TO PEANT COM PN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY MEAT IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE NUT ALL PN W/REFL TO COMP	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE MOZZARELLA IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/EGGPLANT IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/GINGER IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTER ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL MOLD GROUP	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE P3921	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE (BOX ELDER) TREE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT SWEET IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN ASPARAGUS IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B TROPICALIS IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EUROGLYPHUS MAYNEI IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTSE-ALPHA-1 3-GALACTS IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE QUANT P1246	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OXEYE DAISY IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THISTLE (RUSSIAN) ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY ALLERGEN	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN 12 ANIMAL GROUP	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN/IGE CHICK PEA	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG COMPONENT PANEL	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PNL W/REFLEXES	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP EPITHELIA IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PN 13 STINGNG INSCT GR	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG MIX IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK COMPONENT PANEL	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN CURRY IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARY FEATHERS IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGY PNL18 NUT MIX GRP 7918X	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 UPMC NW ALLERGEN PROFILE 22	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 UPMC MW ALLERGEN PROFILE 24	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WATERMELON IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SINGLE ORDER	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN ALLERGEN PNL 5416	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN LATEX IGE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL ALLERGEN PNL 5410	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH ALLERGEN PNL 5410	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN PNL 5410	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN PNL 5410	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP ALLERGEN PNL 5410	$39.00	$65.00	$26.00–$3,704.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A LACTOALBUMIN ALLERGEN P 5416	$39.00	$65.00	$26.00–$3,704.00	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN MATRN SERUM	$102.00	$170.00	$15.21–$144.50	7% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM (STAND ALONE)	$102.00	$170.00	$15.21–$144.50	7% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM P0493	$102.00	$170.00	$15.21–$144.50	7% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP ANALYSIS-SERUM P0010	$102.00	$170.00	$15.21–$144.50	7% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP TUMOR MARKER SERUM	$102.00	$170.00	$15.21–$144.50	7% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$102.00	$170.00	$15.21–$144.50	7% below	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM P0493	$102.00	$170.00	$68.00–$3,704.00	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP ANALYSIS-SERUM P0010	$102.00	$170.00	$68.00–$3,704.00	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM (STAND ALONE)	$102.00	$170.00	$68.00–$3,704.00	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN MATRN SERUM	$102.00	$170.00	$68.00–$3,704.00	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP TUMOR MARKER SERUM	$102.00	$170.00	$68.00–$3,704.00	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER	$102.00	$170.00	$68.00–$3,704.00	—	40%
Ammonia blood test CPT 82140 AMMONIA	$80.40	$134.00	$5.50–$113.90	12% below	40%
Ammonia blood test CPT 82140 AMMONIUM RANDOM URINE	$80.40	$134.00	$5.50–$113.90	12% below	40%
Ammonia blood test CPT 82140 AMMONIA P7923	$80.40	$134.00	$5.50–$113.90	12% below	40%
Ammonia blood test inpatient CPT 82140 AMMONIA	$80.40	$134.00	$53.60–$3,704.00	—	40%
Ammonia blood test inpatient CPT 82140 AMMONIA P7923	$80.40	$134.00	$53.60–$3,704.00	—	40%
Ammonia blood test inpatient CPT 82140 AMMONIUM RANDOM URINE	$80.40	$134.00	$53.60–$3,704.00	—	40%
Amylase blood test CPT 82150 AMYLASE	$40.80	$68.00	$5.50–$57.80	7% below	40%
Amylase blood test CPT 82150 AMYLASE PANCREATIC CYST	$40.80	$68.00	$5.50–$57.80	7% below	40%
Amylase blood test CPT 82150 AMYLASE/FLUID	$40.80	$68.00	$5.50–$57.80	7% below	40%
Amylase blood test CPT 82150 SALIVARY AMYLASE PNL 1190	$40.80	$68.00	$5.50–$57.80	7% below	40%
Amylase blood test inpatient CPT 82150 AMYLASE PANCREATIC CYST	$40.80	$68.00	$27.20–$3,704.00	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE	$40.80	$68.00	$27.20–$3,704.00	—	40%
Amylase blood test inpatient CPT 82150 SALIVARY AMYLASE PNL 1190	$40.80	$68.00	$27.20–$3,704.00	—	40%
Amylase blood test inpatient CPT 82150 AMYLASE/FLUID	$40.80	$68.00	$27.20–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY P4660	$91.80	$153.00	$11.74–$130.05	8% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULINATED PEPT P4307	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLIN PEPTIDE AB P5076	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEP IGG	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTIDE P3164	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 QUANT NOT OTHERWISE SPEC P3885	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINE PEP P0305	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY P6842	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTIDE P4262	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY P6897	$97.20	$162.00	$11.74–$137.70	14% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY P4660	$91.80	$153.00	$61.20–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 QUANT NOT OTHERWISE SPEC P3885	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY P6842	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLIN PEPTIDE P3164	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYC CITRULLIN PEPTIDE AB P5076	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEP IGG	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULINATED PEPT P4307	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY P6897	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLIN PEPTIDE P4262	$97.20	$162.00	$64.80–$3,704.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINE PEP P0305	$97.20	$162.00	$64.80–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA P4660	$58.80	$98.00	$10.96–$83.30	21% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SPEC ANTI CASCADING	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTI NUCLEAR ANTIBODIES)	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE AB W/TITER REFLEX	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 TITER P3355	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P9012	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANACHOICE SCREEN W/RFX DSDNA	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P9430	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P5919	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA W/RFX TITR/PAT/SCL ABS	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IFA W/RFLX TITR/CASCADE	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P8130	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTIBODIES P4769	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4262	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4307	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P4312	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCR IFA W/RFX TITR&PAT/MIX	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/REFLEX LUPUS/SLE	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P6842	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB ANA P5076	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P5091	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES P0653	$62.40	$104.00	$10.96–$88.40	16% below	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA P4660	$58.80	$98.00	$39.20–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB ANA P5076	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P5091	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P0653	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANACHOICE SPEC ANTI CASCADING	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTI NUCLEAR ANTIBODIES)	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE AB W/TITER REFLEX	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P6842	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 TITER P3355	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA W/REFLEX LUPUS/SLE	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P9012	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCR IFA W/RFX TITR&PAT/MIX	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANACHOICE SCREEN W/RFX DSDNA	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4312	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4307	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P4262	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTIBODIES P4769	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P8130	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA W/RFLX TITR/CASCADE	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA IFA W/RFX TITR/PAT/SCL ABS	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P9430	$62.40	$104.00	$41.60–$3,704.00	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES P5919	$62.40	$104.00	$41.60–$3,704.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATIURETIC PEPTIDE	$287.40	$479.00	$35.60–$407.15	44% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL	$287.40	$479.00	$35.60–$407.15	44% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRAIN NATRIURETIC PEPTIDE	$287.40	$479.00	$35.60–$407.15	44% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 CARDIO IQ NT PROBNP	$287.40	$479.00	$35.60–$407.15	44% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATIURETIC PEPTIDE	$287.40	$479.00	$191.60–$3,704.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 CARDIO IQ NT PROBNP	$287.40	$479.00	$191.60–$3,704.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP N TERMINAL	$287.40	$479.00	$191.60–$3,704.00	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRAIN NATRIURETIC PEPTIDE	$287.40	$479.00	$191.60–$3,704.00	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE	$84.60	$141.00	$7.59–$119.85	62% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC	$84.60	$141.00	$7.59–$119.85	62% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOCARDIA CULT AND GRAM STAIN	$84.60	$141.00	$7.59–$119.85	62% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC	$84.60	$141.00	$56.40–$3,704.00	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOCARDIA CULT AND GRAM STAIN	$84.60	$141.00	$56.40–$3,704.00	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE	$84.60	$141.00	$56.40–$3,704.00	—	40%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$84.60	$141.00	$7.67–$119.85	15% above	40%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$84.60	$141.00	$56.40–$3,704.00	—	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TTL	$33.00	$55.00	$4.55–$46.75	3% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P3356	$33.00	$55.00	$4.55–$46.75	3% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P6317	$33.00	$55.00	$4.55–$46.75	3% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P3896	$33.00	$55.00	$4.55–$46.75	3% above	40%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL P9445	$33.00	$55.00	$4.55–$46.75	3% above	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P6317	$33.00	$55.00	$22.00–$3,704.00	—	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TTL	$33.00	$55.00	$22.00–$3,704.00	—	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P3356	$33.00	$55.00	$22.00–$3,704.00	—	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P9445	$33.00	$55.00	$22.00–$3,704.00	—	40%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL P3896	$33.00	$55.00	$22.00–$3,704.00	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK	$169.20	$282.00	$27.80–$239.70	5% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL 4 GROSS & MICRO EXAM	$169.20	$282.00	$27.80–$239.70	5% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 EM LEVEL 4 SURG PATH EXAM	$169.20	$282.00	$27.80–$239.70	5% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW CORE(S) ONLY	$169.20	$282.00	$27.80–$239.70	5% below	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 EM LEVEL 4 SURG PATH EXAM	$169.20	$282.00	$112.80–$3,704.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL 4 GROSS & MICRO EXAM	$169.20	$282.00	$112.80–$3,704.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW CORE(S) ONLY	$169.20	$282.00	$112.80–$3,704.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK	$169.20	$282.00	$112.80–$3,704.00	—	40%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$137.40	$229.00	$9.36–$194.65	62% above	40%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$137.40	$229.00	$91.60–$3,704.00	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE SPEC COLL	$10.20	$17.00	$0.05–$14.45	32% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE PCI STAFF	$10.20	$17.00	$0.05–$14.45	32% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE LAB STAFF	$10.20	$17.00	$0.05–$14.45	32% below	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE PCI STAFF	$10.20	$17.00	$6.80–$3,704.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE LAB STAFF	$10.20	$17.00	$6.80–$3,704.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE SPEC COLL	$10.20	$17.00	$6.80–$3,704.00	—	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE SERUM QUANT	$34.80	$58.00	$3.56–$49.30	35% above	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT P8027	$34.80	$58.00	$3.56–$49.30	35% above	40%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT P9445	$34.80	$58.00	$3.56–$49.30	35% above	40%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLD QUANT P3356	$34.80	$58.00	$3.56–$49.30	35% above	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT P9445	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SERUM QUANT	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY GLUCOSE BLD QUANT P3356	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT P8027	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood lead test CPT 83655 LEAD	$85.20	$142.00	$10.98–$120.70	9% above	40%
Blood lead test CPT 83655 LEAD BLOOD PNL 2787	$85.20	$142.00	$10.98–$120.70	9% above	40%
Blood lead test CPT 83655 LEAD RAND URINE PNL 1750	$85.20	$142.00	$10.98–$120.70	9% above	40%
Blood lead test CPT 83655 LEAD CAPILLARY	$85.20	$142.00	$10.98–$120.70	9% above	40%
Blood lead test CPT 83655 LEAD 24HR URINE PNL 5331	$85.20	$142.00	$10.98–$120.70	9% above	40%
Blood lead test CPT 83655 RANDOM URINE LEAD PNL 7901	$85.20	$142.00	$10.98–$120.70	9% above	40%
Blood lead test inpatient CPT 83655 LEAD 24HR URINE PNL 5331	$85.20	$142.00	$56.80–$3,704.00	—	40%
Blood lead test inpatient CPT 83655 LEAD RAND URINE PNL 1750	$85.20	$142.00	$56.80–$3,704.00	—	40%
Blood lead test inpatient CPT 83655 LEAD CAPILLARY	$85.20	$142.00	$56.80–$3,704.00	—	40%
Blood lead test inpatient CPT 83655 LEAD	$85.20	$142.00	$56.80–$3,704.00	—	40%
Blood lead test inpatient CPT 83655 LEAD BLOOD PNL 2787	$85.20	$142.00	$56.80–$3,704.00	—	40%
Blood lead test inpatient CPT 83655 RANDOM URINE LEAD PNL 7901	$85.20	$142.00	$56.80–$3,704.00	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUAL W REFLEX TO QUANT	$74.40	$124.00	$6.82–$105.40	49% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC URINE HCG QUAL CLINITEK	$74.40	$124.00	$6.82–$105.40	49% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE	$74.40	$124.00	$6.82–$105.40	49% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE - SERUM	$74.40	$124.00	$6.82–$105.40	49% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE - SERUM	$74.40	$124.00	$49.60–$3,704.00	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUAL W REFLEX TO QUANT	$74.40	$124.00	$49.60–$3,704.00	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC URINE HCG QUAL CLINITEK	$74.40	$124.00	$49.60–$3,704.00	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE	$74.40	$124.00	$49.60–$3,704.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO	$34.80	$58.00	$2.71–$49.30	74% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ISOHEMAGGLUTIN TITER IGG & IGM	$34.80	$58.00	$2.71–$49.30	74% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING P2168	$34.80	$58.00	$2.71–$49.30	74% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TYPE ABO*(X)	$34.80	$58.00	$2.71–$49.30	74% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$34.80	$58.00	$2.71–$49.30	74% below	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING P2168	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TYPE ABO*(X)	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ISOHEMAGGLUTIN TITER IGG & IGM	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN P4233	$34.80	$58.00	$3.58–$49.30	29% above	40%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$34.80	$58.00	$3.58–$49.30	29% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN P4233	$34.80	$58.00	$23.20–$3,704.00	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$34.80	$58.00	$23.20–$3,704.00	—	40%
C-peptide blood test CPT 84681 C-PEPTIDE RESP TO GLUC 2 SPEC	$102.60	$171.00	$18.87–$145.35	6% below	40%
C-peptide blood test CPT 84681 C-PEPTIDE P2381	$102.60	$171.00	$18.87–$145.35	6% below	40%
C-peptide blood test CPT 84681 C-PEPTIDE	$102.60	$171.00	$18.87–$145.35	6% below	40%
C-peptide blood test CPT 84681 C-PEPTIDE P4981	$102.60	$171.00	$18.87–$145.35	6% below	40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE P4981	$102.60	$171.00	$68.40–$3,704.00	—	40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE RESP TO GLUC 2 SPEC	$102.60	$171.00	$68.40–$3,704.00	—	40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$102.60	$171.00	$68.40–$3,704.00	—	40%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE P2381	$102.60	$171.00	$68.40–$3,704.00	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$40.80	$68.00	$3.30–$57.80	14% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN P6330	$40.80	$68.00	$3.30–$57.80	14% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$40.80	$68.00	$27.20–$3,704.00	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN P6330	$40.80	$68.00	$27.20–$3,704.00	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE DNA	$547.80	$913.00	$33.80–$776.05	164% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE DNA	$547.80	$913.00	$365.20–$3,704.00	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 QUANT	$141.00	$235.00	$18.87–$199.75	6% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 PANCREATIC CYST	$141.00	$235.00	$18.87–$199.75	6% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN-GI (CA 19-9)	$141.00	$235.00	$18.87–$199.75	6% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-1/CA 19-9 TUMOR MARKER	$141.00	$235.00	$18.87–$199.75	6% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA ANTIGEN-GI(CA 19-9)BODY FL	$141.00	$235.00	$18.87–$199.75	6% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9/FLUID	$141.00	$235.00	$18.87–$199.75	6% above	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9/FLUID	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-1/CA 19-9 TUMOR MARKER	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 PANCREATIC CYST	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 QUANT	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA ANTIGEN-GI(CA 19-9)BODY FL	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN-GI (CA 19-9)	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 TUMOR MARKER	$141.00	$235.00	$18.87–$199.75	8% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 QUANT	$141.00	$235.00	$18.87–$199.75	8% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA125	$141.00	$235.00	$18.87–$199.75	8% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 QUANT	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 TUMOR MARKER	$141.00	$235.00	$94.00–$3,704.00	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA125	$141.00	$235.00	$94.00–$3,704.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INF AG DET AMP PRB TEC COVID19	$75.00	$125.00	$39.04–$305.10	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5060	$75.00	$125.00	$39.04–$305.10	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5068	$75.00	$125.00	$39.04–$305.10	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IN AG DET NU AC(RNAORDNA)P5063	$75.00	$125.00	$39.04–$305.10	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 TEST	$75.00	$125.00	$39.04–$305.10	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS COVID19/2 RNA QL RT-PCR	$75.00	$125.00	$39.04–$305.10	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5060	$75.00	$125.00	$50.00–$3,704.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5068	$75.00	$125.00	$50.00–$3,704.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 INF AG DET AMP PRB TEC COVID19	$75.00	$125.00	$50.00–$3,704.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IN AG DET NU AC(RNAORDNA)P5063	$75.00	$125.00	$50.00–$3,704.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 TEST	$75.00	$125.00	$50.00–$3,704.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS COVID19/2 RNA QL RT-PCR	$75.00	$125.00	$50.00–$3,704.00	—	40%
Calcium blood test, total CPT 82310 CALCIUM RANDOM URINE	$37.20	$62.00	$4.68–$52.70	11% above	40%
Calcium blood test, total CPT 82310 CALCIUM RANDM UR W/O CREATININ	$37.20	$62.00	$4.68–$52.70	11% above	40%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$37.20	$62.00	$4.68–$52.70	11% above	40%
Calcium blood test, total inpatient CPT 82310 CALCIUM RANDM UR W/O CREATININ	$37.20	$62.00	$24.80–$3,704.00	—	40%
Calcium blood test, total inpatient CPT 82310 CALCIUM RANDOM URINE	$37.20	$62.00	$24.80–$3,704.00	—	40%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$37.20	$62.00	$24.80–$3,704.00	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$96.60	$161.00	$17.19–$136.85	19% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 FLUID CEA	$96.60	$161.00	$17.19–$136.85	19% below	40%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG	$96.60	$161.00	$17.19–$136.85	19% below	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 FLUID CEA	$96.60	$161.00	$64.40–$3,704.00	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$96.60	$161.00	$64.40–$3,704.00	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG	$96.60	$161.00	$64.40–$3,704.00	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOST AB IMM SCR ACIF	$64.80	$108.00	$11.68–$91.80	23% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P7969	$64.80	$108.00	$11.68–$91.80	23% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P1665	$64.80	$108.00	$11.68–$91.80	23% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM	$64.80	$108.00	$11.68–$91.80	23% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB PANEL CSF	$64.80	$108.00	$11.68–$91.80	23% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER P0786	$64.80	$108.00	$11.68–$91.80	23% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB - IGG	$64.80	$108.00	$11.68–$91.80	23% below	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGM	$64.80	$108.00	$43.20–$3,704.00	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P7969	$64.80	$108.00	$43.20–$3,704.00	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB PANEL CSF	$64.80	$108.00	$43.20–$3,704.00	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOST AB IMM SCR ACIF	$64.80	$108.00	$43.20–$3,704.00	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P0786	$64.80	$108.00	$43.20–$3,704.00	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER P1665	$64.80	$108.00	$43.20–$3,704.00	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB - IGG	$64.80	$108.00	$43.20–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P7084	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P4224	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P9043	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PR P4792	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P8866	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA TMA	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACHOMATIS TMA UROGENIIAL	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS P3680	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLM TRACH DNA AMP PROBE P0648	$203.40	$339.00	$25.51–$288.28	4% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P7084	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLM TRACH DNA AMP PROBE P0648	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P3680	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACHOMATIS TMA UROGENIIAL	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P4224	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA AMP PR P4792	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P9043	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS P8866	$203.40	$339.00	$135.60–$3,704.00	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA TMA	$203.40	$339.00	$135.60–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P5181	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL W/RFX LDL	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIO IQ LIPID PANEL	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P4483	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL P8093	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARD IQ LIPID PN W/REF DIR LDL	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$133.20	$222.00	$12.14–$188.70	49% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$133.20	$222.00	$88.80–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIO IQ LIPID PANEL	$133.20	$222.00	$88.80–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P8093	$133.20	$222.00	$88.80–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL W/RFX LDL	$133.20	$222.00	$88.80–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P4483	$133.20	$222.00	$88.80–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$133.20	$222.00	$88.80–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARD IQ LIPID PN W/REF DIR LDL	$133.20	$222.00	$88.80–$3,704.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL P5181	$133.20	$222.00	$88.80–$3,704.00	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC & PLT & AUTO COMP DIFF	$89.40	$149.00	$6.60–$126.65	75% above	40%
Complete blood count (CBC) with differential CPT 85025 OXLDL	$89.40	$149.00	$6.60–$126.65	75% above	40%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF & PLATELETS	$89.40	$149.00	$6.60–$126.65	75% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF & PLATELETS	$89.40	$149.00	$59.60–$3,704.00	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC & PLT & AUTO COMP DIFF	$89.40	$149.00	$59.60–$3,704.00	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 OXLDL	$89.40	$149.00	$59.60–$3,704.00	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC & PLT ONLY	$51.00	$85.00	$5.87–$72.25	18% above	40%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC & PLT ONLY	$51.00	$85.00	$34.00–$3,704.00	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOL PN P5147	$126.60	$211.00	$9.58–$179.35	43% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$126.60	$211.00	$9.58–$179.35	43% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$126.60	$211.00	$84.40–$3,704.00	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOL PN P5147	$126.60	$211.00	$84.40–$3,704.00	—	40%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL LC/MS/MS	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 CORTISOL SERUM	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 CORTISOL	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 CORTISOL BASELINE PNL 1964	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 CORTISOL 60 MINUTE PNL 1964	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 AM CORTISOL	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 CORTISOL 30 MINUTE PNL 1964	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total CPT 82533 CORTISOL A.M.	$89.40	$149.00	$13.20–$126.65	13% below	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL BASELINE PNL 1964	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL LC/MS/MS	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 AM CORTISOL	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 60 MINUTE PNL 1964	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 30 MINUTE PNL 1964	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL A.M.	$89.40	$149.00	$59.60–$3,704.00	—	40%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SERUM	$89.40	$149.00	$59.60–$3,704.00	—	40%
Creatine kinase (CK) blood test, total CPT 82550 CPK (CREATINE PHOSPHOKINASE)	$40.80	$68.00	$5.90–$57.80	9% below	40%
Creatine kinase (CK) blood test, total CPT 82550 CK (CPK) TOTAL	$40.80	$68.00	$5.90–$57.80	9% below	40%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE P2392	$40.80	$68.00	$5.90–$57.80	9% below	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK (CREATINE PHOSPHOKINASE)	$40.80	$68.00	$27.20–$3,704.00	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK) TOTAL	$40.80	$68.00	$27.20–$3,704.00	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE P2392	$40.80	$68.00	$27.20–$3,704.00	—	40%
Creatinine blood test CPT 82565 CREATININE BLOOD P5026	$34.80	$58.00	$4.64–$49.30	3% above	40%
Creatinine blood test CPT 82565 CREATININE SERUM	$34.80	$58.00	$4.64–$49.30	3% above	40%
Creatinine blood test CPT 82565 CREATININE P4233	$34.80	$58.00	$4.64–$49.30	3% above	40%
Creatinine blood test CPT 82565 WHOLE BLOOD CREATININE	$34.80	$58.00	$4.64–$49.30	3% above	40%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM	$34.80	$58.00	$23.20–$3,704.00	—	40%
Creatinine blood test inpatient CPT 82565 WHOLE BLOOD CREATININE	$34.80	$58.00	$23.20–$3,704.00	—	40%
Creatinine blood test inpatient CPT 82565 CREATININE P4233	$34.80	$58.00	$23.20–$3,704.00	—	40%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD P5026	$34.80	$58.00	$23.20–$3,704.00	—	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS(CMV)(IGG)AB	$70.80	$118.00	$13.05–$100.30	18% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY INDEX	$70.80	$118.00	$13.05–$100.30	18% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG AB PNL8733	$70.80	$118.00	$13.05–$100.30	18% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS P0786	$71.40	$119.00	$13.05–$101.15	17% below	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG AB PNL8733	$70.80	$118.00	$47.20–$3,704.00	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AVIDITY INDEX	$70.80	$118.00	$47.20–$3,704.00	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS(CMV)(IGG)AB	$70.80	$118.00	$47.20–$3,704.00	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS P0786	$71.40	$119.00	$47.60–$3,704.00	—	40%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER P P7021	$93.60	$156.00	$9.23–$132.60	37% above	40%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE	$93.60	$156.00	$9.23–$132.60	37% above	40%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE BCS	$93.60	$156.00	$9.23–$132.60	37% above	40%
D-dimer blood test (blood clot marker) CPT 85379 QUANTITATIVE P6203	$93.60	$156.00	$9.23–$132.60	37% above	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE	$93.60	$156.00	$62.40–$3,704.00	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER P P7021	$93.60	$156.00	$62.40–$3,704.00	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE BCS	$93.60	$156.00	$62.40–$3,704.00	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 QUANTITATIVE P6203	$93.60	$156.00	$62.40–$3,704.00	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$111.60	$186.00	$20.16–$158.10	17% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$111.60	$186.00	$20.16–$158.10	17% below	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S	$111.60	$186.00	$20.16–$158.10	17% below	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$111.60	$186.00	$74.40–$3,704.00	—	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$111.60	$186.00	$74.40–$3,704.00	—	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S	$111.60	$186.00	$74.40–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CLONAZEPAM & METABOLITE SCR UR	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN P8040	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG TST PRSMV CHEM ANLY P3352	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DIURETICS SCREEN URINE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DTM FENTANYL WITH CONF URINE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN URINE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TESTING P1966	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SNGLE DRUG CLASS METHD P9910	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 THIORIDAZINE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 9 MECONIUM	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OCC MED DRUG SCREEN URINE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE-COTININE URINE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE AND METABOLITE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL URINE QUALITATIVE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL 5 MECONIUM	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING PNL 5 SCR URN	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLICS QUAL	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 POSTMORTEM BASIC BLD FORENSIC	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN P4177	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NOVEL PSYCHOACT SUBST SCR 2	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PM ALCOHOL METABOLITE W/CONF	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SYN CANNABINOID MET SCR-EXP UR	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG TOX MON ETHYL AL W/CONF UR	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 POSTMORTEM EXPD SER FORENSIC	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QUALITATIVE P3632	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE QUAL	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN FORENSIC(GC/MS)UR	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORING & SCRN UR	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT AMPHETAMINES	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 10 DRUG URINE THC 50	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG CLASS SNGL METHOD P0560	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN P4015	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING W/CONF URINE	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORING 1 SCR UR	$146.40	$244.00	$56.35–$336.63	20% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TOX MONITORING 9 SCR UR	$239.40	$399.00	$56.35–$339.15	32% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL URINE QUALITATIVE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN P4177	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TESTING P1966	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CLONAZEPAM & METABOLITE SCR UR	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING PNL 5 SCR URN	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PM ALCOHOL METABOLITE W/CONF	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 POSTMORTEM EXPD SER FORENSIC	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN FORENSIC(GC/MS)UR	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 10 DRUG URINE THC 50	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING W/CONF URINE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG TST PRSMV CHEM ANLY P3352	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THIORIDAZINE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 POSTMORTEM BASIC BLD FORENSIC	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NOVEL PSYCHOACT SUBST SCR 2	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYN CANNABINOID MET SCR-EXP UR	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRG TOX MON ETHYL AL W/CONF UR	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DTM FENTANYL WITH CONF URINE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE QUAL	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORING & SCRN UR	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT AMPHETAMINES	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG CLASS SNGL METHOD P0560	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN P4015	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORING 1 SCR UR	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN P8040	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DIURETICS SCREEN URINE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QUALITATIVE P3632	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN URINE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SNGLE DRUG CLASS METHD P9910	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL 9 MECONIUM	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OCC MED DRUG SCREEN URINE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE-COTININE URINE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE AND METABOLITE	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PANEL 5 MECONIUM	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLICS QUAL	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL	$146.40	$244.00	$97.60–$3,704.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TOX MONITORING 9 SCR UR	$239.40	$399.00	$159.60–$3,704.00	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$51.00	$85.00	$6.36–$72.25	3% below	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$51.00	$85.00	$34.00–$3,704.00	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV (VCA) IGG PNL 1380	$105.00	$175.00	$16.45–$148.75	8% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG IGG	$105.00	$175.00	$16.45–$148.75	8% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV (VCA) IGM PNL 1380	$105.00	$175.00	$16.45–$148.75	8% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VIRAL CAPSID AG IGM	$105.00	$175.00	$16.45–$148.75	8% below	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV (VCA) IGM PNL 1380	$105.00	$175.00	$70.00–$3,704.00	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV (VCA) IGG PNL 1380	$105.00	$175.00	$70.00–$3,704.00	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID AG IGM	$105.00	$175.00	$70.00–$3,704.00	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VIRAL CAPSID AG IGG	$105.00	$175.00	$70.00–$3,704.00	—	40%
Estradiol blood test CPT 82670 ESTRADIOL EXTRACTION	$137.40	$229.00	$23.65–$194.65	17% below	40%
Estradiol blood test CPT 82670 ESTRADIOL (E2)	$137.40	$229.00	$23.65–$194.65	17% below	40%
Estradiol blood test CPT 82670 ESTRADIOL/FREE/SERUM	$137.40	$229.00	$23.65–$194.65	17% below	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL EXTRACTION	$137.40	$229.00	$91.60–$3,704.00	—	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL (E2)	$137.40	$229.00	$91.60–$3,704.00	—	40%
Estradiol blood test inpatient CPT 82670 ESTRADIOL/FREE/SERUM	$137.40	$229.00	$91.60–$3,704.00	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$84.60	$141.00	$16.85–$119.85	29% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH PNL 2828	$89.40	$149.00	$16.85–$126.65	25% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMO	$89.40	$149.00	$16.85–$126.65	25% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 FSH/3RD GENERATION	$89.40	$149.00	$16.85–$126.65	25% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$84.60	$141.00	$56.40–$3,704.00	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMO	$89.40	$149.00	$59.60–$3,704.00	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH PNL 2828	$89.40	$149.00	$59.60–$3,704.00	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH/3RD GENERATION	$89.40	$149.00	$59.60–$3,704.00	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL	$175.20	$292.00	$17.80–$248.20	36% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL	$175.20	$292.00	$116.80–$3,704.00	—	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN P9262	$76.20	$127.00	$12.36–$107.95	12% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN P5087	$76.20	$127.00	$12.36–$107.95	12% below	40%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$76.20	$127.00	$12.36–$107.95	12% below	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN P5087	$76.20	$127.00	$50.80–$3,704.00	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN P9262	$76.20	$127.00	$50.80–$3,704.00	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$76.20	$127.00	$50.80–$3,704.00	—	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY P4341	$105.00	$175.00	$8.82–$148.75	59% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN CLAUSS P P7021	$105.00	$175.00	$8.82–$148.75	59% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ASSAY	$105.00	$175.00	$8.82–$148.75	59% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY P9418	$105.00	$175.00	$8.82–$148.75	59% above	40%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY CLAUSS	$105.00	$175.00	$8.82–$148.75	59% above	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY CLAUSS	$105.00	$175.00	$70.00–$3,704.00	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY P9418	$105.00	$175.00	$70.00–$3,704.00	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ASSAY	$105.00	$175.00	$70.00–$3,704.00	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN CLAUSS P P7021	$105.00	$175.00	$70.00–$3,704.00	—	40%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY P4341	$105.00	$175.00	$70.00–$3,704.00	—	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (SERUM FOLATE)	$89.40	$149.00	$13.20–$126.65	3% above	40%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$89.40	$149.00	$13.20–$126.65	3% above	40%
Folate (folic acid) blood test CPT 82746 FOLIC ACID SERUM PNL 2979	$89.40	$149.00	$13.20–$126.65	3% above	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (SERUM FOLATE)	$89.40	$149.00	$59.60–$3,704.00	—	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$89.40	$149.00	$59.60–$3,704.00	—	40%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID SERUM PNL 2979	$89.40	$149.00	$59.60–$3,704.00	—	40%
Free T3 thyroid hormone test CPT 84481 DIRECT FREE T3	$85.20	$142.00	$15.36–$120.70	20% below	40%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$85.20	$142.00	$15.36–$120.70	20% below	40%
Free T3 thyroid hormone test inpatient CPT 84481 DIRECT FREE T3	$85.20	$142.00	$56.80–$3,704.00	—	40%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$85.20	$142.00	$56.80–$3,704.00	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 DIRECT FREE T4 (THYROXINE)	$42.00	$70.00	$8.18–$59.50	30% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 (THYROXINE) FREE S	$42.00	$70.00	$8.18–$59.50	30% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THROXINE FREE P4354	$42.00	$70.00	$8.18–$59.50	30% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE ANALOG METHOD	$42.00	$70.00	$8.18–$59.50	30% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 EQUILBRIUM DIALYSIS	$42.00	$70.00	$8.18–$59.50	30% below	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE ANALOG METHOD	$42.00	$70.00	$28.00–$3,704.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THROXINE FREE P4354	$42.00	$70.00	$28.00–$3,704.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 (THYROXINE) FREE S	$42.00	$70.00	$28.00–$3,704.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 EQUILBRIUM DIALYSIS	$42.00	$70.00	$28.00–$3,704.00	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 DIRECT FREE T4 (THYROXINE)	$42.00	$70.00	$28.00–$3,704.00	—	40%
Free testosterone test CPT 84402 FREE TESTOSTERONE PNL 1540	$129.60	$216.00	$23.10–$183.60	19% below	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$129.60	$216.00	$23.10–$183.60	19% below	40%
Free testosterone test CPT 84402 TESTOSTERONE FREE P4882	$129.60	$216.00	$23.10–$183.60	19% below	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE P4882	$129.60	$216.00	$86.40–$3,704.00	—	40%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE PNL 1540	$129.60	$216.00	$86.40–$3,704.00	—	40%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$129.60	$216.00	$86.40–$3,704.00	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANS GAMMA GGT P3896	$45.00	$75.00	$6.53–$63.75	5% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT P3356	$45.00	$75.00	$6.53–$63.75	5% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$45.00	$75.00	$6.53–$63.75	5% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP(GAMMA GLUTAMYL TRANSF)	$45.00	$75.00	$6.53–$63.75	5% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE P9445	$45.00	$75.00	$6.53–$63.75	5% below	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$45.00	$75.00	$30.00–$3,704.00	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP(GAMMA GLUTAMYL TRANSF)	$45.00	$75.00	$30.00–$3,704.00	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE P9445	$45.00	$75.00	$30.00–$3,704.00	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANS GAMMA GGT P3896	$45.00	$75.00	$30.00–$3,704.00	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT P3356	$45.00	$75.00	$30.00–$3,704.00	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST 1HR POST GLUCOLA	$54.00	$90.00	$4.31–$76.50	45% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TEST 1HR POST GLUCOLA	$54.00	$90.00	$36.00–$3,704.00	—	40%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS	$96.60	$161.00	$11.67–$136.85	19% above	40%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE TST GTT 3 SPEC P0281	$96.60	$161.00	$11.67–$136.85	19% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE TST GTT 3 SPEC P0281	$96.60	$161.00	$64.40–$3,704.00	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3 SPECIMENS	$96.60	$161.00	$64.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P3680	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P4224	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P8866	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PR P4792	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISERIA GONORRHOEAE P9043	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE TMA UROGENITAL	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMPL PROBE P1815	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PCR ONLY	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRH DNA AMP PROB P0648	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P7084	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE P3690	$198.60	$331.00	$25.51–$288.28	8% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P4224	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PR P4792	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE PCR ONLY	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE TMA UROGENITAL	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P8866	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P3680	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMPL PROBE P1815	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P3690	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISERIA GONORRHOEAE P9043	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE P7084	$198.60	$331.00	$132.40–$3,704.00	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRH DNA AMP PROB P0648	$198.60	$331.00	$132.40–$3,704.00	—	40%
H. pylori stool antigen test CPT 87338 ANTIGEN QUALITATIVE STOOL	$88.20	$147.00	$13.04–$124.95	8% below	40%
H. pylori stool antigen test inpatient CPT 87338 ANTIGEN QUALITATIVE STOOL	$88.20	$147.00	$58.80–$3,704.00	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA/QUANT/REAL-TIME PCR	$754.20	$1,257.00	$77.18–$1,068.45	52% above	40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RBA QN RT-PCR W/RFX GENO	$754.20	$1,257.00	$77.18–$1,068.45	52% above	40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 QUANT HIV-1 RT-PCR	$754.20	$1,257.00	$77.18–$1,068.45	52% above	40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QN RT-PCR RFX IN GN	$754.20	$1,257.00	$77.18–$1,068.45	52% above	40%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QN RT-PCR CSF	$754.20	$1,257.00	$77.18–$1,068.45	52% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA/QUANT/REAL-TIME PCR	$754.20	$1,257.00	$502.80–$3,704.00	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA QN RT-PCR RFX IN GN	$754.20	$1,257.00	$502.80–$3,704.00	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA QN RT-PCR CSF	$754.20	$1,257.00	$502.80–$3,704.00	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 QUANT HIV-1 RT-PCR	$754.20	$1,257.00	$502.80–$3,704.00	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RBA QN RT-PCR W/RFX GENO	$754.20	$1,257.00	$502.80–$3,704.00	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1/HIV2 1 RSLT ANTBDY	$255.60	$426.00	$12.43–$362.10	148% above	40%
HIV-1 and HIV-2 antibody test CPT 86703 DONOR HIV-1/2 AB SCREEN	$255.60	$426.00	$12.43–$362.10	148% above	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1/HIV2 1 RSLT ANTBDY	$255.60	$426.00	$170.40–$3,704.00	—	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 DONOR HIV-1/2 AB SCREEN	$255.60	$426.00	$170.40–$3,704.00	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB 4TH GEN W/RFX	$268.80	$448.00	$21.84–$380.80	90% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB 4TH GEN W/RFX	$268.80	$448.00	$179.20–$3,704.00	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 ORARISK HPV	$284.40	$474.00	$31.82–$402.90	37% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES	$284.40	$474.00	$31.82–$402.90	37% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 POST-HYSTER VAG	$284.40	$474.00	$31.82–$402.90	37% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 POST-HYSTER VAG	$284.40	$474.00	$189.60–$3,704.00	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES	$284.40	$474.00	$189.60–$3,704.00	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 ORARISK HPV	$284.40	$474.00	$189.60–$3,704.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLBN A1C&MEAN PLASMA GLUCO	$74.40	$124.00	$7.70–$105.40	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG	$74.40	$124.00	$7.70–$105.40	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$74.40	$124.00	$7.70–$105.40	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLO A1C W/EAG W/RFX 1 5 AG	$74.40	$124.00	$7.70–$105.40	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CARDIO IQ HA1C	$74.40	$124.00	$7.70–$105.40	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLO A1C W/RFX TO GLYCOMARK	$74.40	$124.00	$7.70–$105.40	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED	$74.40	$124.00	$7.70–$105.40	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C WITH EAG	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLO A1C W/EAG W/RFX 1 5 AG	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CARDIO IQ HA1C	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCOSYLATED	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLBN A1C&MEAN PLASMA GLUCO	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLO A1C W/RFX TO GLYCOMARK	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$24.00	$40.00	$2.15–$34.00	40% above	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN P0581	$24.00	$40.00	$2.15–$34.00	40% above	40%
Hemoglobin blood test CPT 85018 HEMOGLOBIN P9262	$24.00	$40.00	$2.15–$34.00	40% above	40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$24.00	$40.00	$16.00–$3,704.00	—	40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN P0581	$24.00	$40.00	$16.00–$3,704.00	—	40%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN P9262	$24.00	$40.00	$16.00–$3,704.00	—	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P3081	$74.40	$124.00	$10.93–$105.40	12% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P6911	$74.40	$124.00	$10.93–$105.40	12% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL P4034	$74.40	$124.00	$10.93–$105.40	12% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL P5760	$74.40	$124.00	$10.93–$105.40	12% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$74.40	$124.00	$10.93–$105.40	12% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB P9276	$74.40	$124.00	$10.93–$105.40	12% below	40%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOT W/REFL	$74.40	$124.00	$10.93–$105.40	12% below	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL P5760	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P6911	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P9276	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB P3081	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOT W/REFL	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL P4034	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY	$74.40	$124.00	$49.60–$3,704.00	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$42.00	$70.00	$9.74–$88.21	43% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB P9276	$67.20	$112.00	$9.74–$95.20	8% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB P3081	$67.20	$112.00	$9.74–$95.20	8% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB P5760	$67.20	$112.00	$9.74–$95.20	8% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY (EIA)	$67.20	$112.00	$9.74–$95.20	8% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$42.00	$70.00	$28.00–$3,704.00	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB P3081	$67.20	$112.00	$44.80–$3,704.00	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB P9276	$67.20	$112.00	$44.80–$3,704.00	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB P5760	$67.20	$112.00	$44.80–$3,704.00	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY (EIA)	$67.20	$112.00	$44.80–$3,704.00	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN W/ REFLX	$76.20	$127.00	$9.37–$107.95	9% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P9276	$76.20	$127.00	$9.37–$107.95	9% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P3081	$76.20	$127.00	$9.37–$107.95	9% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG P6911	$76.20	$127.00	$9.37–$107.95	9% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG IA P4034	$76.20	$127.00	$9.37–$107.95	9% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$76.20	$127.00	$9.37–$107.95	9% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P3081	$76.20	$127.00	$50.80–$3,704.00	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P6911	$76.20	$127.00	$50.80–$3,704.00	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$76.20	$127.00	$50.80–$3,704.00	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG P9276	$76.20	$127.00	$50.80–$3,704.00	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN W/ REFLX	$76.20	$127.00	$50.80–$3,704.00	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG IA P4034	$76.20	$127.00	$50.80–$3,704.00	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB P9276	$90.60	$151.00	$12.94–$128.35	9% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 DNR HCV AB SC W/RFX 2ND HCV SC	$90.60	$151.00	$12.94–$128.35	9% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB P3081	$90.60	$151.00	$12.94–$128.35	9% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPC AB RF HCV RNA PCR RF LIPA	$90.60	$151.00	$12.94–$128.35	9% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$90.60	$151.00	$12.94–$128.35	9% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY P6911	$90.60	$151.00	$12.94–$128.35	9% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C SCREENING BY ORAQUICK	$90.60	$151.00	$12.94–$128.35	9% below	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 DNR HCV AB SC W/RFX 2ND HCV SC	$90.60	$151.00	$60.40–$3,704.00	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPC AB RF HCV RNA PCR RF LIPA	$90.60	$151.00	$60.40–$3,704.00	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB P3081	$90.60	$151.00	$60.40–$3,704.00	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY P6911	$90.60	$151.00	$60.40–$3,704.00	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C SCREENING BY ORAQUICK	$90.60	$151.00	$60.40–$3,704.00	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB P9276	$90.60	$151.00	$60.40–$3,704.00	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$90.60	$151.00	$60.40–$3,704.00	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN PCR W/RFL GENOTYPE	$346.80	$578.00	$38.85–$491.30	22% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QN RL TME PCR W/RFX QL	$346.80	$578.00	$38.85–$491.30	22% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV-QUANT	$346.80	$578.00	$38.85–$491.30	22% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA BY PCR (QUANT)	$346.80	$578.00	$38.85–$491.30	22% above	40%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HEP C VIR RNA QN RT-PCR W/RFX	$346.80	$578.00	$38.85–$491.30	22% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN RL TME PCR W/RFX QL	$346.80	$578.00	$231.20–$3,704.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA BY PCR (QUANT)	$346.80	$578.00	$231.20–$3,704.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QN PCR W/RFL GENOTYPE	$346.80	$578.00	$231.20–$3,704.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV-QUANT	$346.80	$578.00	$231.20–$3,704.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HEP C VIR RNA QN RT-PCR W/RFX	$346.80	$578.00	$231.20–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3497	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE 1 IGG AB P0086	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P0786	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P3862	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV TYPE I P5909	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P3325	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV I IGG ANTIBODY	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGM TITER	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HSV AB SCREEN/IGM P1641	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P3731	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I P7969	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 P4899	$85.20	$142.00	$11.96–$120.70	6% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P4899	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE 1 IGG AB P0086	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P0786	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3497	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 P3731	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV AB SCREEN/IGM P1641	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGM TITER	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P7969	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV I IGG ANTIBODY	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P3325	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV TYPE I P5909	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE I P3862	$85.20	$142.00	$56.80–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE II P0786	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 IGG AB P0086	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM TITER	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3862	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P7969	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 P5909	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3497	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG HERPESELECT AB	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P4899	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3731	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG HERPESEL W/REFLEX	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 P3325	$175.80	$293.00	$17.55–$249.05	64% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P7969	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG HERPESELECT AB	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE II P0786	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 IGG AB P0086	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM TITER	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 P5909	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3497	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3731	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3862	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P3325	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG HERPESEL W/REFLEX	$175.80	$293.00	$117.20–$3,704.00	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 P4899	$175.80	$293.00	$117.20–$3,704.00	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO IQ HS-CRP	$137.40	$229.00	$11.58–$194.65	75% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP P8093	$137.40	$229.00	$11.58–$194.65	75% above	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIO CRP (QUANTATATIVE CRP)	$137.40	$229.00	$11.58–$194.65	75% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO IQ HS-CRP	$137.40	$229.00	$91.60–$3,704.00	—	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIO CRP (QUANTATATIVE CRP)	$137.40	$229.00	$91.60–$3,704.00	—	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP P8093	$137.40	$229.00	$91.60–$3,704.00	—	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE P6881	$114.60	$191.00	$16.25–$162.35	4% below	40%
Homocysteine blood test CPT 83090 CARDIO IQ HOMOCYSTEINE	$114.60	$191.00	$16.25–$162.35	4% below	40%
Homocysteine blood test CPT 83090 HOMOCYSTINE SERUM	$114.60	$191.00	$16.25–$162.35	4% below	40%
Homocysteine blood test CPT 83090 TOTAL HOMOCYSTEINE	$114.60	$191.00	$16.25–$162.35	4% below	40%
Homocysteine blood test CPT 83090 HOMOCYSTEINE NUTR/CONGNT P8743	$114.60	$191.00	$16.25–$162.35	4% below	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE NUTR/CONGNT P8743	$114.60	$191.00	$76.40–$3,704.00	—	40%
Homocysteine blood test inpatient CPT 83090 TOTAL HOMOCYSTEINE	$114.60	$191.00	$76.40–$3,704.00	—	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE SERUM	$114.60	$191.00	$76.40–$3,704.00	—	40%
Homocysteine blood test inpatient CPT 83090 CARDIO IQ HOMOCYSTEINE	$114.60	$191.00	$76.40–$3,704.00	—	40%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE P6881	$114.60	$191.00	$76.40–$3,704.00	—	40%
Insulin blood test CPT 83525 INSULIN INTACT LC MS MS	$57.00	$95.00	$10.37–$80.75	21% below	40%
Insulin blood test CPT 83525 CARDIO IQ INSULIN	$57.00	$95.00	$10.37–$80.75	21% below	40%
Insulin blood test CPT 83525 INSULIN TOTAL P4981	$57.00	$95.00	$10.37–$80.75	21% below	40%
Insulin blood test CPT 83525 INSULIN TOTAL	$57.00	$95.00	$10.37–$80.75	21% below	40%
Insulin blood test CPT 83525 INSULIN	$57.00	$95.00	$10.37–$80.75	21% below	40%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL P4981	$57.00	$95.00	$38.00–$3,704.00	—	40%
Insulin blood test inpatient CPT 83525 CARDIO IQ INSULIN	$57.00	$95.00	$38.00–$3,704.00	—	40%
Insulin blood test inpatient CPT 83525 INSULIN INTACT LC MS MS	$57.00	$95.00	$38.00–$3,704.00	—	40%
Insulin blood test inpatient CPT 83525 INSULIN	$57.00	$95.00	$38.00–$3,704.00	—	40%
Insulin blood test inpatient CPT 83525 INSULIN TOTAL	$57.00	$95.00	$38.00–$3,704.00	—	40%
Iron blood test (serum iron) CPT 83540 IRON P5087	$60.00	$100.00	$5.87–$85.00	32% above	40%
Iron blood test (serum iron) CPT 83540 IRON PNL 1160	$60.00	$100.00	$5.87–$85.00	32% above	40%
Iron blood test (serum iron) CPT 83540 IRON LIVER TISSUE (MAYO)	$60.00	$100.00	$5.87–$85.00	32% above	40%
Iron blood test (serum iron) CPT 83540 FE	$60.00	$100.00	$5.87–$85.00	32% above	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER TISSUE (MAYO)	$60.00	$100.00	$40.00–$3,704.00	—	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON PNL 1160	$60.00	$100.00	$40.00–$3,704.00	—	40%
Iron blood test (serum iron) inpatient CPT 83540 IRON P5087	$60.00	$100.00	$40.00–$3,704.00	—	40%
Iron blood test (serum iron) inpatient CPT 83540 FE	$60.00	$100.00	$40.00–$3,704.00	—	40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$58.80	$98.00	$5.50–$83.30	2% below	40%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY P5087	$58.80	$98.00	$5.50–$83.30	2% below	40%
Iron-binding capacity (TIBC) test CPT 83550 TIBC PNL 1160	$58.80	$98.00	$5.50–$83.30	2% below	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY P5087	$58.80	$98.00	$39.20–$3,704.00	—	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$58.80	$98.00	$39.20–$3,704.00	—	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC PNL 1160	$58.80	$98.00	$39.20–$3,704.00	—	40%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$105.00	$175.00	$7.87–$148.75	54% above	40%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$105.00	$175.00	$70.00–$3,704.00	—	40%
LH (luteinizing hormone) test CPT 83002 LH 3RD GENERATION	$84.60	$141.00	$16.80–$119.85	29% below	40%
LH (luteinizing hormone) test CPT 83002 LH/3RD GENERATION PNL 2828	$84.60	$141.00	$16.80–$119.85	29% below	40%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE	$84.60	$141.00	$16.80–$119.85	29% below	40%
LH (luteinizing hormone) test CPT 83002 LH	$84.60	$141.00	$16.80–$119.85	29% below	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH/3RD GENERATION PNL 2828	$84.60	$141.00	$56.40–$3,704.00	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$84.60	$141.00	$56.40–$3,704.00	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE	$84.60	$141.00	$56.40–$3,704.00	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 LH 3RD GENERATION	$84.60	$141.00	$56.40–$3,704.00	—	40%
Lactate (lactic acid) blood test CPT 83605 LACTATE WHOLE BLOOD STAT ICU	$91.20	$152.00	$8.80–$129.20	19% above	40%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID PNL	$91.20	$152.00	$8.80–$129.20	19% above	40%
Lactate (lactic acid) blood test CPT 83605 D-LACTATE	$91.20	$152.00	$8.80–$129.20	19% above	40%
Lactate (lactic acid) blood test CPT 83605 CSF LA	$91.20	$152.00	$8.80–$129.20	19% above	40%
Lactate (lactic acid) blood test CPT 83605 LACTATE P8892	$91.20	$152.00	$8.80–$129.20	19% above	40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE WHOLE BLOOD STAT ICU	$91.20	$152.00	$60.80–$3,704.00	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTATE	$91.20	$152.00	$60.80–$3,704.00	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID PNL	$91.20	$152.00	$60.80–$3,704.00	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 CSF LA	$91.20	$152.00	$60.80–$3,704.00	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE P8892	$91.20	$152.00	$60.80–$3,704.00	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD PLEURAL FLUID	$36.00	$60.00	$5.48–$51.00	2% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 TOTAL LD PNL 1900	$36.00	$60.00	$5.48–$51.00	2% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD PERITONEAL FLUID	$36.00	$60.00	$5.48–$51.00	2% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$36.00	$60.00	$5.48–$51.00	2% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD CSF	$36.00	$60.00	$5.48–$51.00	2% below	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD PERITONEAL FLUID	$36.00	$60.00	$24.00–$3,704.00	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD PLEURAL FLUID	$36.00	$60.00	$24.00–$3,704.00	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD CSF	$36.00	$60.00	$24.00–$3,704.00	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 TOTAL LD PNL 1900	$36.00	$60.00	$24.00–$3,704.00	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE	$36.00	$60.00	$24.00–$3,704.00	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PLEURAL FLUID	$54.00	$90.00	$5.50–$76.50	15% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$54.00	$90.00	$5.50–$76.50	15% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PERITONEAL FLUID	$54.00	$90.00	$5.50–$76.50	15% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PERITONEAL FLUID	$54.00	$90.00	$36.00–$3,704.00	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PLEURAL FLUID	$54.00	$90.00	$36.00–$3,704.00	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$54.00	$90.00	$36.00–$3,704.00	—	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$198.60	$331.00	$7.41–$281.35	154% above	40%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL P5144	$198.60	$331.00	$7.41–$281.35	154% above	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL P5144	$198.60	$331.00	$132.40–$3,704.00	—	40%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$198.60	$331.00	$132.40–$3,704.00	—	40%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI P2435	$99.00	$165.00	$15.44–$140.25	4% above	40%
Lyme disease antibody test CPT 86618 LYME POLYV AIB SCREEN W/REF	$99.00	$165.00	$15.44–$140.25	4% above	40%
Lyme disease antibody test CPT 86618 LYME DIS AB W/RFLX TO IMMUNOA	$99.00	$165.00	$15.44–$140.25	4% above	40%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI P8139	$99.00	$165.00	$15.44–$140.25	4% above	40%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI P2435	$99.00	$165.00	$66.00–$3,704.00	—	40%
Lyme disease antibody test inpatient CPT 86618 LYME POLYV AIB SCREEN W/REF	$99.00	$165.00	$66.00–$3,704.00	—	40%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI P8139	$99.00	$165.00	$66.00–$3,704.00	—	40%
Lyme disease antibody test inpatient CPT 86618 LYME DIS AB W/RFLX TO IMMUNOA	$99.00	$165.00	$66.00–$3,704.00	—	40%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$39.00	$65.00	$6.08–$55.25	6% below	40%
Magnesium blood test CPT 83735 MAGNESIUM URINE 24HR PNL	$39.00	$65.00	$6.08–$55.25	6% below	40%
Magnesium blood test CPT 83735 MAGNESIUM	$39.00	$65.00	$6.08–$55.25	6% below	40%
Magnesium blood test CPT 83735 MAGNESIUM P6856	$39.00	$65.00	$6.08–$55.25	6% below	40%
Magnesium blood test CPT 83735 MAGNESIUM 24 HOUR URINE	$39.00	$65.00	$6.08–$55.25	6% below	40%
Magnesium blood test CPT 83735 MAGNESIUM P7923	$39.00	$65.00	$6.08–$55.25	6% below	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24HR PNL	$39.00	$65.00	$26.00–$3,704.00	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$39.00	$65.00	$26.00–$3,704.00	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HOUR URINE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM P6856	$39.00	$65.00	$26.00–$3,704.00	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM P7923	$39.00	$65.00	$26.00–$3,704.00	—	40%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$39.00	$65.00	$26.00–$3,704.00	—	40%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGM / RUBEOLA	$67.20	$112.00	$11.68–$95.20	17% below	40%
Measles (rubeola) antibody test CPT 86765 MEASLES AB IGG IGM DIAGNOSTIC	$67.20	$112.00	$11.68–$95.20	17% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA P3261	$67.20	$112.00	$11.68–$95.20	17% below	40%
Measles (rubeola) antibody test CPT 86765 RUBEOLA P7969	$67.20	$112.00	$11.68–$95.20	17% below	40%
Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODY (IGG)	$67.20	$112.00	$11.68–$95.20	17% below	40%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES ANTIBODY (IGG)	$67.20	$112.00	$44.80–$3,704.00	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGM / RUBEOLA	$67.20	$112.00	$44.80–$3,704.00	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA P7969	$67.20	$112.00	$44.80–$3,704.00	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA P3261	$67.20	$112.00	$44.80–$3,704.00	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB IGG IGM DIAGNOSTIC	$67.20	$112.00	$44.80–$3,704.00	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT	$37.20	$62.00	$4.70–$52.70	at median	40%
Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST (HETEROPHILE SCREEN)	$37.20	$62.00	$4.70–$52.70	at median	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT	$37.20	$62.00	$24.80–$3,704.00	—	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST (HETEROPHILE SCREEN)	$37.20	$62.00	$24.80–$3,704.00	—	40%
Mumps immunity blood test CPT 86735 MUMPS P3261	$108.00	$180.00	$11.84–$153.00	33% above	40%
Mumps immunity blood test CPT 86735 MUMPS P3862	$108.00	$180.00	$11.84–$153.00	33% above	40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY - IGG	$108.00	$180.00	$11.84–$153.00	33% above	40%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM	$108.00	$180.00	$11.84–$153.00	33% above	40%
Mumps immunity blood test CPT 86735 MUMPS AB (IGG/M) PANEL	$108.00	$180.00	$11.84–$153.00	33% above	40%
Mumps immunity blood test CPT 86735 MUMPS P0786	$108.00	$180.00	$11.84–$153.00	33% above	40%
Mumps immunity blood test CPT 86735 MUMPS P7969	$108.00	$180.00	$11.84–$153.00	33% above	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS P3261	$108.00	$180.00	$72.00–$3,704.00	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB (IGG/M) PANEL	$108.00	$180.00	$72.00–$3,704.00	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS P0786	$108.00	$180.00	$72.00–$3,704.00	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS P3862	$108.00	$180.00	$72.00–$3,704.00	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGM	$108.00	$180.00	$72.00–$3,704.00	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY - IGG	$108.00	$180.00	$72.00–$3,704.00	—	40%
Mumps immunity blood test inpatient CPT 86735 MUMPS P7969	$108.00	$180.00	$72.00–$3,704.00	—	40%
Obstetric blood test panel CPT 80055 OBSTETRICS PANEL	$594.60	$991.00	$13.20–$842.35	91% above	40%
Obstetric blood test panel inpatient CPT 80055 OBSTETRICS PANEL	$594.60	$991.00	$396.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE REFLEX	$129.60	$216.00	$16.68–$183.60	14% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA PNL 2770	$129.60	$216.00	$16.68–$183.60	14% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA PNL 2770	$129.60	$216.00	$86.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE REFLEX	$129.60	$216.00	$86.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRA-SENSITIVE	$96.60	$161.00	$16.68–$136.85	12% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$96.60	$161.00	$16.68–$136.85	12% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA PNL 2770	$96.60	$161.00	$16.68–$136.85	12% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 DIAGNOSTIC PSA	$96.60	$161.00	$16.68–$136.85	12% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA POST-PROSTECTOMY HAMA	$96.60	$161.00	$16.68–$136.85	12% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL REFLEX TO FREE PSA	$96.60	$161.00	$16.68–$136.85	12% below	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA POST-PROSTECTOMY HAMA	$96.60	$161.00	$64.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 DIAGNOSTIC PSA	$96.60	$161.00	$64.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$96.60	$161.00	$64.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA PNL 2770	$96.60	$161.00	$64.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRA-SENSITIVE	$96.60	$161.00	$64.40–$3,704.00	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL REFLEX TO FREE PSA	$96.60	$161.00	$64.40–$3,704.00	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP SMEAR DX THIN W/RESCREEN	$78.00	$130.00	$24.13–$226.88	5% below	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP SMEAR DX THIN W/RESCREEN	$78.00	$130.00	$52.00–$3,704.00	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP-DIAGNOSTIC	$61.20	$102.00	$17.60–$142.89	at median	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP-DIAGNOSTIC	$61.20	$102.00	$40.80–$3,704.00	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT FINE NEEDLE ASPIR	$204.00	$340.00	$37.44–$289.00	7% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT(WITHOUT CALCIUM)	$204.00	$340.00	$37.44–$289.00	7% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE QUICK	$204.00	$340.00	$37.44–$289.00	7% below	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE QUICK	$204.00	$340.00	$136.00–$3,704.00	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT FINE NEEDLE ASPIR	$204.00	$340.00	$136.00–$3,704.00	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT(WITHOUT CALCIUM)	$204.00	$340.00	$136.00–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P0229	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P2635	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPL TIME PARTL(PTT)P2441	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P3417	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT ACTIVATED	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P3391	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL PROTHROMBIN TIME P4160	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBPL TIME PART(PTT) P6881	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACT PART THROMBOP TIME P P7021	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P0267	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PTT	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT (BASELINE) PNL 5464	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA W/RFX HEXAGONAL CONFIRM	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN PL 2848	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME P9418	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 INHIBITOR ASSAY PTT W/REFLEX	$119.40	$199.00	$5.45–$169.15	189% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P3417	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P3391	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN PL 2848	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT ACTIVATED	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PTT	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA W/RFX HEXAGONAL CONFIRM	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P9418	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL PROTHROMBIN TIME P4160	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBPL TIME PART(PTT) P6881	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPL TIME PARTL(PTT)P2441	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P2635	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P0229	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACT PART THROMBOP TIME P P7021	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 INHIBITOR ASSAY PTT W/REFLEX	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME P0267	$119.40	$199.00	$79.60–$3,704.00	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT (BASELINE) PNL 5464	$119.40	$199.00	$79.60–$3,704.00	—	40%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM	$37.20	$62.00	$4.30–$52.70	14% above	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM	$37.20	$62.00	$24.80–$3,704.00	—	40%
Potassium blood test CPT 84132 POTASSIUM SERUM	$34.80	$58.00	$4.32–$49.30	9% above	40%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL ADVANCED	$3,621.60	$6,036.00	$667.96–$5,130.60	55% above	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL ADVANCED	$3,621.60	$6,036.00	$2,414.40–$5,130.60	—	40%
Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS	$102.60	$171.00	$18.70–$145.35	25% below	40%
Progesterone blood test CPT 84144 PROGESTERONE	$102.60	$171.00	$18.70–$145.35	25% below	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$102.60	$171.00	$68.40–$3,704.00	—	40%
Progesterone blood test inpatient CPT 84144 PROGESTERONE LC/MS/MS	$102.60	$171.00	$68.40–$3,704.00	—	40%
Prolactin blood test CPT 84146 PROLACTIN	$102.00	$170.00	$17.58–$144.50	18% below	40%
Prolactin blood test CPT 84146 MACROPROLACTIN	$102.00	$170.00	$17.58–$144.50	18% below	40%
Prolactin blood test CPT 84146 PROLACTIN DILUTION STUDY	$102.00	$170.00	$17.58–$144.50	18% below	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN DILUTION STUDY	$102.00	$170.00	$68.00–$3,704.00	—	40%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$102.00	$170.00	$68.00–$3,704.00	—	40%
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN	$102.00	$170.00	$68.00–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P4160	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME PNL 2848	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P P7021	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P2680	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PT PROTHROMBIN TIME	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P0229	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME P5674	$34.80	$58.00	$3.61–$49.30	22% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P P7021	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P0229	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P4160	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P5674	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME PNL 2848	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME P2680	$34.80	$58.00	$23.20–$3,704.00	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT PROTHROMBIN TIME	$34.80	$58.00	$23.20–$3,704.00	—	40%
Renin blood test CPT 84244 RENIN ACTIVITY PLASMA	$108.00	$180.00	$13.20–$153.00	25% below	40%
Renin blood test CPT 84244 RENIN P2402	$108.00	$180.00	$13.20–$153.00	25% below	40%
Renin blood test inpatient CPT 84244 RENIN P2402	$108.00	$180.00	$72.00–$3,704.00	—	40%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA	$108.00	$180.00	$72.00–$3,704.00	—	40%
Rh blood typing CPT 86901 TYPE RH *(X)	$47.40	$79.00	$2.71–$67.15	17% below	40%
Rh blood typing CPT 86901 RH P2168	$47.40	$79.00	$2.71–$67.15	17% below	40%
Rh blood typing CPT 86901 RH TYPING	$47.40	$79.00	$2.71–$67.15	17% below	40%
Rh blood typing CPT 86901 HC BLOOD TYPING RH(D)	$47.40	$79.00	$2.71–$67.15	17% below	40%
Rh blood typing inpatient CPT 86901 RH TYPING	$47.40	$79.00	$31.60–$3,704.00	—	40%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH(D)	$47.40	$79.00	$31.60–$3,704.00	—	40%
Rh blood typing inpatient CPT 86901 RH P2168	$47.40	$79.00	$31.60–$3,704.00	—	40%
Rh blood typing inpatient CPT 86901 TYPE RH *(X)	$47.40	$79.00	$31.60–$3,704.00	—	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P9430	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P6842	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QN P5076	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4312	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4307	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P4262	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P0305	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR TITER QUANT	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTR(RA/RF FACTR)	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P8130	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR BODY FLUID	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMO FACT QUANT P3355	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT P6897	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P3164	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P5919	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P5091	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test CPT 86431 QUANTITATIVE P9012	$54.00	$90.00	$5.14–$76.50	38% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4307	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTR(RA/RF FACTR)	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR TITER QUANT	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMO FACT QUANT P3355	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P0305	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P8130	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P6842	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P5919	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P9012	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P9430	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR BODY FLUID	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4262	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT P6897	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QN P5076	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P5091	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P4312	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 QUANTITATIVE P3164	$54.00	$90.00	$36.00–$3,704.00	—	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB(IGG IGM) DIAGNOSTIC	$67.20	$112.00	$13.05–$95.20	20% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY - IGG	$67.20	$112.00	$13.05–$95.20	20% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA P3261	$67.20	$112.00	$13.05–$95.20	20% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGM (GERMAN MEASLS)	$67.20	$112.00	$13.05–$95.20	20% below	40%
Rubella antibody test (immunity check) CPT 86762 SCREEN RUBELLA AB IGG	$67.20	$112.00	$13.05–$95.20	20% below	40%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB/IGM P1641	$67.20	$112.00	$13.05–$95.20	20% below	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGM (GERMAN MEASLS)	$67.20	$112.00	$44.80–$3,704.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY - IGG	$67.20	$112.00	$44.80–$3,704.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 SCREEN RUBELLA AB IGG	$67.20	$112.00	$44.80–$3,704.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB/IGM P1641	$67.20	$112.00	$44.80–$3,704.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA P3261	$67.20	$112.00	$44.80–$3,704.00	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB(IGG IGM) DIAGNOSTIC	$67.20	$112.00	$44.80–$3,704.00	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED	$33.00	$55.00	$2.45–$53.14	53% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED	$33.00	$55.00	$22.00–$3,704.00	—	40%
Sodium blood test CPT 84295 SODIUM PNL	$34.80	$58.00	$4.36–$49.30	7% above	40%
Sodium blood test inpatient CPT 84295 SODIUM PNL	$34.80	$58.00	$23.20–$3,704.00	—	40%
Stool ova and parasites exam CPT 87177 OVA & PARASITE CONCTRN PNL2831	$84.60	$141.00	$8.07–$119.85	44% above	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES PNL 5271	$84.60	$141.00	$8.07–$119.85	44% above	40%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS P5135	$84.60	$141.00	$8.07–$119.85	44% above	40%
Stool ova and parasites exam CPT 87177 OVA & PARAS DIR SMEARS P0164	$84.60	$141.00	$8.07–$119.85	44% above	40%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES SMEARS P5135	$84.60	$141.00	$56.40–$3,704.00	—	40%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES PNL 5271	$84.60	$141.00	$56.40–$3,704.00	—	40%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARAS DIR SMEARS P0164	$84.60	$141.00	$56.40–$3,704.00	—	40%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE CONCTRN PNL2831	$84.60	$141.00	$56.40–$3,704.00	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 SCREENING HEMOCCULT	$20.40	$34.00	$1.26–$28.90	at median	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$20.40	$34.00	$1.26–$28.90	at median	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 SCREENING HEMOCCULT	$20.40	$34.00	$13.60–$3,704.00	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$20.40	$34.00	$13.60–$3,704.00	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY	$30.60	$51.00	$3.08–$43.35	15% below	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL GLOBIN IMMUNOCHEMISTRY	$30.60	$51.00	$20.40–$3,704.00	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS AB CASCADING REFLEX	$67.20	$112.00	$12.01–$112.76	10% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONMA PALLIDM AB PART AGGLU	$67.20	$112.00	$12.01–$112.76	10% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 TOTAL SYPHILIS	$67.20	$112.00	$12.01–$112.76	10% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA - SERUM	$67.20	$112.00	$12.01–$112.76	10% below	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA - SERUM	$67.20	$112.00	$44.80–$3,704.00	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TOTAL SYPHILIS	$67.20	$112.00	$44.80–$3,704.00	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILLIS AB CASCADING REFLEX	$67.20	$112.00	$44.80–$3,704.00	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONMA PALLIDM AB PART AGGLU	$67.20	$112.00	$44.80–$3,704.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL - CSF	$43.80	$73.00	$3.87–$62.05	56% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$43.80	$73.00	$3.87–$62.05	56% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN	$43.80	$73.00	$3.87–$62.05	56% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM	$43.80	$73.00	$3.87–$62.05	56% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR QUAL	$43.80	$73.00	$3.87–$62.05	56% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$43.80	$73.00	$29.20–$3,704.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL - CSF	$43.80	$73.00	$29.20–$3,704.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR QUAL	$43.80	$73.00	$29.20–$3,704.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM	$43.80	$73.00	$29.20–$3,704.00	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SCREEN	$43.80	$73.00	$29.20–$3,704.00	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON - TB GOLD	$547.20	$912.00	$56.21–$775.20	77% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST P6941	$547.20	$912.00	$56.21–$775.20	77% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST P6911	$547.20	$912.00	$56.21–$775.20	77% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST P6941	$547.20	$912.00	$364.80–$3,704.00	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON - TB GOLD	$547.20	$912.00	$364.80–$3,704.00	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST P6911	$547.20	$912.00	$364.80–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LC-MS/MS	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE P5150	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL P4882	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL HORMONE P4556	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LC/MS/MS	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (ANDROGEN)	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE PNL 1540	$126.60	$211.00	$23.41–$179.35	22% below	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL HORMONE P4556	$126.60	$211.00	$84.40–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL LC/MS/MS	$126.60	$211.00	$84.40–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (ANDROGEN)	$126.60	$211.00	$84.40–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE PNL 1540	$126.60	$211.00	$84.40–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$126.60	$211.00	$84.40–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LC-MS/MS	$126.60	$211.00	$84.40–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE P5150	$126.60	$211.00	$84.40–$3,704.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL P4882	$126.60	$211.00	$84.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE PL2554	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P9705	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODY	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AN TYPE 1 AB IGG	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P5091	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB S	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYROID PEROXIDASE AB	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-LIVER/KIDNEY MICROSOML AB	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB S P5910	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOM AB EA P3355	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 PEROXIDASE ANTIBODY	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES P4758	$78.60	$131.00	$8.70–$111.35	4% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P4758	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYROID PEROXIDASE AB	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-LIVER/KIDNEY MICROSOML AB	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 PEROXIDASE ANTIBODY	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE PL2554	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOM AB EA P3355	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P9705	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB S P5910	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB S	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AN TYPE 1 AB IGG	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES P5091	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODY	$78.60	$131.00	$52.40–$3,704.00	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/FREE T4 RFX	$89.40	$149.00	$15.24–$126.65	11% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THS P5910	$89.40	$149.00	$15.24–$126.65	11% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID FUNCTION CASCADE SERUM	$89.40	$149.00	$15.24–$126.65	11% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH W/HAMA TREATMENT	$89.40	$149.00	$15.24–$126.65	11% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE	$89.40	$149.00	$15.24–$126.65	11% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THIRD GENERATION	$89.40	$149.00	$15.24–$126.65	11% below	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/HAMA TREATMENT	$89.40	$149.00	$59.60–$3,704.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH W/FREE T4 RFX	$89.40	$149.00	$59.60–$3,704.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID FUNCTION CASCADE SERUM	$89.40	$149.00	$59.60–$3,704.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THIRD GENERATION	$89.40	$149.00	$59.60–$3,704.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE	$89.40	$149.00	$59.60–$3,704.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THS P5910	$89.40	$149.00	$59.60–$3,704.00	—	40%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN IGE	$80.40	$134.00	$14.93–$113.90	22% below	40%
Total IgE blood test CPT 82785 IGE P0722	$80.40	$134.00	$14.93–$113.90	22% below	40%
Total IgE blood test CPT 82785 GAMMAGLOBULIN IGE P1235	$80.40	$134.00	$14.93–$113.90	22% below	40%
Total IgE blood test CPT 82785 IGE P3921	$80.40	$134.00	$14.93–$113.90	22% below	40%
Total IgE blood test CPT 82785 IGE P3280	$80.40	$134.00	$14.93–$113.90	22% below	40%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E (IGE)	$80.40	$134.00	$14.93–$113.90	22% below	40%
Total IgE blood test inpatient CPT 82785 IGE P0722	$80.40	$134.00	$53.60–$3,704.00	—	40%
Total IgE blood test inpatient CPT 82785 IGE P3280	$80.40	$134.00	$53.60–$3,704.00	—	40%
Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN IGE P1235	$80.40	$134.00	$53.60–$3,704.00	—	40%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E (IGE)	$80.40	$134.00	$53.60–$3,704.00	—	40%
Total IgE blood test inpatient CPT 82785 IGE P3921	$80.40	$134.00	$53.60–$3,704.00	—	40%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN IGE	$80.40	$134.00	$53.60–$3,704.00	—	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL PNL 7905	$40.80	$68.00	$3.95–$57.80	35% above	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL PNL	$40.80	$68.00	$3.95–$57.80	35% above	40%
Total cholesterol blood test CPT 82465 ASSAY BLD/SER CHOLESTERL P3356	$40.80	$68.00	$3.95–$57.80	35% above	40%
Total cholesterol blood test CPT 82465 CHOLESTRL SERUM WHOLE BL P9445	$40.80	$68.00	$3.95–$57.80	35% above	40%
Total cholesterol blood test CPT 82465 CHOLESTEROL P4399	$40.80	$68.00	$3.95–$57.80	35% above	40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PNL	$40.80	$68.00	$27.20–$3,704.00	—	40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL P4399	$40.80	$68.00	$27.20–$3,704.00	—	40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTRL SERUM WHOLE BL P9445	$40.80	$68.00	$27.20–$3,704.00	—	40%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PNL 7905	$40.80	$68.00	$27.20–$3,704.00	—	40%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SER CHOLESTERL P3356	$40.80	$68.00	$27.20–$3,704.00	—	40%
Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL P4354	$45.00	$75.00	$6.23–$63.75	at median	40%
Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE TOTAL)	$45.00	$75.00	$6.23–$63.75	at median	40%
Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE	$45.00	$75.00	$6.23–$63.75	at median	40%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4 PNL	$45.00	$75.00	$6.23–$63.75	at median	40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE TOTAL)	$45.00	$75.00	$30.00–$3,704.00	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4 PNL	$45.00	$75.00	$30.00–$3,704.00	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL P4354	$45.00	$75.00	$30.00–$3,704.00	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE	$45.00	$75.00	$30.00–$3,704.00	—	40%
Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 (TRIIODOTHYRONINE)	$70.80	$118.00	$8.80–$100.30	27% below	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$70.80	$118.00	$8.80–$100.30	27% below	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL S	$70.80	$118.00	$8.80–$100.30	27% below	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 (TRIIODOTHYRONINE) TOTAL S	$70.80	$118.00	$47.20–$3,704.00	—	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$70.80	$118.00	$47.20–$3,704.00	—	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 (TRIIODOTHYRONINE)	$70.80	$118.00	$47.20–$3,704.00	—	40%
Transferrin blood test CPT 84466 TRANSFERRIN	$56.40	$94.00	$11.57–$81.25	34% below	40%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$56.40	$94.00	$37.60–$3,704.00	—	40%
Trichomonas test (NAAT) CPT 87661 TRICH VAG RNA QL TMA PAP VIAL	$231.00	$385.00	$31.82–$327.25	26% above	40%
Trichomonas test (NAAT) CPT 87661 SURESWAB THRIC VAG RNA QL MALE	$231.00	$385.00	$31.82–$327.25	26% above	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P3680	$231.00	$385.00	$31.82–$327.25	26% above	40%
Trichomonas test (NAAT) CPT 87661 SURESWAB TRICH VAGINAL RNA QL	$231.00	$385.00	$31.82–$327.25	26% above	40%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINAL RNA P3686	$231.00	$385.00	$31.82–$327.25	26% above	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS P7084	$231.00	$385.00	$31.82–$327.25	26% above	40%
Trichomonas test (NAAT) CPT 87661 TRICH VAGINALIS AMPLIF P0648	$231.00	$385.00	$31.82–$327.25	26% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 SURESWAB TRICH VAGINAL RNA QL	$231.00	$385.00	$154.00–$3,704.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG RNA QL TMA PAP VIAL	$231.00	$385.00	$154.00–$3,704.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P7084	$231.00	$385.00	$154.00–$3,704.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS P3680	$231.00	$385.00	$154.00–$3,704.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 SURESWAB THRIC VAG RNA QL MALE	$231.00	$385.00	$154.00–$3,704.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINAL RNA P3686	$231.00	$385.00	$154.00–$3,704.00	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGINALIS AMPLIF P0648	$231.00	$385.00	$154.00–$3,704.00	—	40%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES P3356	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES PNL 7905	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES PLEURAL FLUID	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES P3038	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDES P4399	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test CPT 84478 VLDL CHOLESTEROL	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test CPT 84478 TRIGLYCERIDE	$39.00	$65.00	$5.21–$55.25	2% below	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE	$39.00	$65.00	$26.00–$3,704.00	—	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES P3038	$39.00	$65.00	$26.00–$3,704.00	—	40%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES P3356	$39.00	$65.00	$26.00–$3,704.00	—	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES P4399	$39.00	$65.00	$26.00–$3,704.00	—	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES PLEURAL FLUID	$39.00	$65.00	$26.00–$3,704.00	—	40%
Triglycerides blood test inpatient CPT 84478 VLDL CHOLESTEROL	$39.00	$65.00	$26.00–$3,704.00	—	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$39.00	$65.00	$26.00–$3,704.00	—	40%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES PNL 7905	$39.00	$65.00	$26.00–$3,704.00	—	40%
Troponin test, quantitative CPT 84484 TROPONIN T	$114.60	$191.00	$10.86–$162.35	39% above	40%
Troponin test, quantitative CPT 84484 TROPONIN I QUANT	$114.60	$191.00	$10.86–$162.35	39% above	40%
Troponin test, quantitative CPT 84484 TROPONIN T HIGH SENSITIVITY	$114.60	$191.00	$10.86–$162.35	39% above	40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T HIGH SENSITIVITY	$114.60	$191.00	$76.40–$3,704.00	—	40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN T	$114.60	$191.00	$76.40–$3,704.00	—	40%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I QUANT	$114.60	$191.00	$76.40–$3,704.00	—	40%
Uric acid blood test CPT 84550 URIC ACID	$36.00	$60.00	$4.10–$51.00	14% above	40%
Uric acid blood test inpatient CPT 84550 URIC ACID	$36.00	$60.00	$24.00–$3,704.00	—	40%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS R & M	$36.00	$60.00	$2.87–$51.00	9% above	40%
Urinalysis with microscope exam, automated CPT 81001 UR COMPL W/REFLEX TO CULTURE	$36.00	$60.00	$2.87–$51.00	9% above	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS R & M	$36.00	$60.00	$24.00–$3,704.00	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 UR COMPL W/REFLEX TO CULTURE	$36.00	$60.00	$24.00–$3,704.00	—	40%
Urinalysis without microscope exam, automated CPT 81003 URINE MACRO	$17.40	$29.00	$2.04–$24.65	3% below	40%
Urinalysis without microscope exam, automated CPT 81003 POC URINALYSIS/CLINITEK	$17.40	$29.00	$2.04–$24.65	3% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTOMATED	$17.40	$29.00	$2.04–$24.65	3% below	40%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE-C	$17.40	$29.00	$2.04–$24.65	3% below	40%
Urinalysis without microscope exam, automated CPT 81003 URINE KETONE	$17.40	$29.00	$2.04–$24.65	3% below	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTOMATED	$17.40	$29.00	$11.60–$3,704.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE KETONE	$17.40	$29.00	$11.60–$3,704.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE MACRO	$17.40	$29.00	$11.60–$3,704.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE-C	$17.40	$29.00	$11.60–$3,704.00	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC URINALYSIS/CLINITEK	$17.40	$29.00	$11.60–$3,704.00	—	40%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$18.60	$31.00	$3.16–$26.35	11% below	40%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP	$18.60	$31.00	$3.16–$26.35	11% below	40%
Urinalysis without microscope exam, manual CPT 81002 NON AUTOMATED W/O MICRO P3632	$18.60	$31.00	$3.16–$26.35	11% below	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP	$18.60	$31.00	$12.40–$3,704.00	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 NON AUTOMATED W/O MICRO P3632	$18.60	$31.00	$12.40–$3,704.00	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$18.60	$31.00	$12.40–$3,704.00	—	40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE ROUTINE	$84.60	$141.00	$7.32–$119.85	49% above	40%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE QNT COL CT	$84.60	$141.00	$7.32–$119.85	49% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE QNT COL CT	$84.60	$141.00	$56.40–$3,704.00	—	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE ROUTINE	$84.60	$141.00	$56.40–$3,704.00	—	40%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN RAND UR W/O CREATININE	$33.00	$55.00	$5.24–$46.75	17% below	40%
Urine microalbumin (albumin) test CPT 82043 URINE-MICROALBUMIN	$33.00	$55.00	$5.24–$46.75	17% below	40%
Urine microalbumin (albumin) test CPT 82043 PEDIATRIC URINE ALBUMIN	$33.00	$55.00	$5.24–$46.75	17% below	40%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR UR W/O CREAT	$33.00	$55.00	$5.24–$46.75	17% below	40%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URINE QNT	$33.00	$55.00	$5.24–$46.75	17% below	40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM URINE QNT	$33.00	$55.00	$22.00–$3,704.00	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24HR UR W/O CREAT	$33.00	$55.00	$22.00–$3,704.00	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 URINE-MICROALBUMIN	$33.00	$55.00	$22.00–$3,704.00	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 PEDIATRIC URINE ALBUMIN	$33.00	$55.00	$22.00–$3,704.00	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN RAND UR W/O CREATININE	$33.00	$55.00	$22.00–$3,704.00	—	40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST VIS COLOR COMP	$39.00	$65.00	$4.40–$55.25	6% above	40%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY URINE QUAL BETA HCG	$39.00	$65.00	$4.40–$55.25	6% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY URINE QUAL BETA HCG	$39.00	$65.00	$26.00–$3,704.00	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST VIS COLOR COMP	$39.00	$65.00	$26.00–$3,704.00	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 TEST	$89.40	$149.00	$13.68–$126.65	5% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 PNL 2979	$89.40	$149.00	$13.68–$126.65	5% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$89.40	$149.00	$13.68–$126.65	5% below	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 PNL 2979	$89.40	$149.00	$59.60–$3,704.00	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 TEST	$89.40	$149.00	$59.60–$3,704.00	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$89.40	$149.00	$59.60–$3,704.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CARD IQ VIT D 25HYDRX LC/MS/MS	$145.80	$243.00	$26.84–$206.55	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 QUESTASSURE D INF 25-HYDROX D	$145.80	$243.00	$26.84–$206.55	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D IMMUNOASSAY	$145.80	$243.00	$26.84–$206.55	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-OH VITAMIN D3 P3433	$145.80	$243.00	$26.84–$206.55	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D/25-HYDROXY	$145.80	$243.00	$26.84–$206.55	2% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D/25-HYDROXY	$145.80	$243.00	$97.20–$3,704.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D IMMUNOASSAY	$145.80	$243.00	$97.20–$3,704.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 QUESTASSURE D INF 25-HYDROX D	$145.80	$243.00	$97.20–$3,704.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-OH VITAMIN D3 P3433	$145.80	$243.00	$97.20–$3,704.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CARD IQ VIT D 25HYDRX LC/MS/MS	$145.80	$243.00	$97.20–$3,704.00	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D 1-25 P3433	$192.60	$321.00	$34.92–$272.85	20% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25-DIHYDROXY	$192.60	$321.00	$34.92–$272.85	20% below	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXYVITAMIN D 1-25 P3433	$192.60	$321.00	$128.40–$3,704.00	—	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25-DIHYDROXY	$192.60	$321.00	$128.40–$3,704.00	—	40%
Zinc blood test CPT 84630 ZINC BLOOD	$62.40	$104.00	$10.33–$88.40	14% below	40%
Zinc blood test CPT 84630 ZINC RBCS	$62.40	$104.00	$10.33–$88.40	14% below	40%
Zinc blood test CPT 84630 ZINC RBC	$62.40	$104.00	$10.33–$88.40	14% below	40%
Zinc blood test CPT 84630 24 HR URINE ZINC	$62.40	$104.00	$10.33–$88.40	14% below	40%
Zinc blood test inpatient CPT 84630 24 HR URINE ZINC	$62.40	$104.00	$41.60–$3,704.00	—	40%
Zinc blood test inpatient CPT 84630 ZINC BLOOD	$62.40	$104.00	$41.60–$3,704.00	—	40%
Zinc blood test inpatient CPT 84630 ZINC RBC	$62.40	$104.00	$41.60–$3,704.00	—	40%
Zinc blood test inpatient CPT 84630 ZINC RBCS	$62.40	$104.00	$41.60–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG TUMOR/PREG QUANT	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITATIVE INTACT	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 INTERFERANCE EV HETEROPH HCG	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIO QUAN P0493	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG OTHER	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TOTAL WITH HAMA TREATMENT	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QN TUMOR MARKER	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORNC(QNT) P0010	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG SERUM QN TUMOR MARKER	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADATROP CHRNC QNT FTS P0020	$84.60	$141.00	$13.65–$119.85	6% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG SERUM QN TUMOR MARKER	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADATROP CHRNC QNT FTS P0020	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 INTERFERANCE EV HETEROPH HCG	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG OTHER	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TOTAL WITH HAMA TREATMENT	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORNC(QNT) P0010	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITATIVE INTACT	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN CHORIO QUAN P0493	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG TUMOR/PREG QUANT	$84.60	$141.00	$56.40–$3,704.00	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG QN TUMOR MARKER	$84.60	$141.00	$56.40–$3,704.00	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$5,112.00	$8,520.00	$163.13–$7,242.00	31% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRTCTC	$5,112.00	$8,520.00	$3,408.00–$7,242.00	—	40%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ART VNTRCL ANGIO IMG S&I	$8,070.00	$13,450.00	$1,564.80–$11,432.50	8% below	40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L HRT ART VNTRCL ANGIO IMG S&I	$8,070.00	$13,450.00	$3,704.00–$11,432.50	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDOVERSION ELECTIVE EXTERNAL	$883.20	$1,472.00	$95.70–$1,284.28	40% below	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$883.20	$1,472.00	$95.70–$1,284.28	40% below	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDOVERSION ELECTIVE EXTERNAL	$883.20	$1,472.00	$588.80–$3,704.00	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$883.20	$1,472.00	$588.80–$3,704.00	—	40%
Cervical biopsy CPT 57500 BX CERVIX W/WO FULGURATION	$8,072.40	$13,454.00	$72.73–$11,435.90	217% above	40%
Cervical biopsy inpatient CPT 57500 BX CERVIX W/WO FULGURATION	$8,072.40	$13,454.00	$3,704.00–$11,435.90	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$2,149.20	$3,582.00	$86.90–$4,412.91	76% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION	$2,149.20	$3,582.00	$1,432.80–$3,704.00	—	40%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE	$2,132.40	$3,554.00	$294.89–$3,020.90	16% below	40%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/SNARE TECHNIQUE	$2,132.40	$3,554.00	$1,421.60–$3,704.00	—	40%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SINGLE/MULT	$2,132.40	$3,554.00	$247.96–$3,020.90	4% below	40%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY W/BX SINGLE/MULT	$2,132.40	$3,554.00	$1,421.60–$3,704.00	—	40%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING	$1,500.00	$2,500.00	$198.55–$2,333.69	at median	40%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY DIAG W/WO BRUSHING	$1,500.00	$2,500.00	$1,000.00–$3,704.00	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$3,031.80	$5,053.00	$82.50–$4,295.05	80% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$3,031.80	$5,053.00	$2,021.20–$4,295.05	—	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 RMV IMPACT CERUMEN IRR/LAV	$79.80	$133.00	$16.06–$115.74	43% below	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 RMV IMPACT CERUMEN IRR/LAV	$79.80	$133.00	$53.20–$3,704.00	—	40%
Earwax removal with instruments, one ear CPT 69210 RMV IMPACT CERUMEN INSTR	$79.80	$133.00	$23.04–$113.05	40% below	40%
Earwax removal with instruments, one ear inpatient CPT 69210 RMV IMPACT CERUMEN INSTR	$79.80	$133.00	$53.20–$3,704.00	—	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL	$2,193.00	$3,655.00	$56.10–$3,106.75	454% above	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY ENDOMETRIAL	$2,193.00	$3,655.00	$1,462.00–$3,704.00	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTRLMNR CRV/TRC W/IMG GDE	$4,189.80	$6,983.00	$98.12–$5,935.55	74% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTRLMNR CRV/TRC W/IMG GDE	$4,189.80	$6,983.00	$2,793.20–$5,935.55	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,885.20	$3,142.00	$239.89–$2,670.70	31% above	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,885.20	$3,142.00	$1,256.80–$3,704.00	—	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$607.20	$1,012.00	$18.98–$860.20	97% above	40%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION IUD	$607.20	$1,012.00	$18.98–$860.20	97% above	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERT INTRAUTERINE DEVICE	$607.20	$1,012.00	$404.80–$3,704.00	—	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION IUD	$607.20	$1,012.00	$404.80–$3,704.00	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 ID SIMPLE ABSCESS	$431.40	$719.00	$25.85–$611.15	16% below	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ID SIMPLE ABSCESS	$431.40	$719.00	$287.60–$3,704.00	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TEND LIGAMENT GANLION CYST	$1,294.20	$2,157.00	$35.20–$1,833.45	127% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TEND LIGAMENT GANLION CYST	$1,294.20	$2,157.00	$862.80–$3,704.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASP/INJ LG JT WO/US	$366.60	$611.00	$25.85–$519.35	22% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO ASP/INJ MAJOR JOINT	$366.60	$611.00	$25.85–$519.35	22% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASP/INJ MAJOR JOINT	$366.60	$611.00	$244.40–$3,704.00	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO ASP/INJ LG JT WO/US	$366.60	$611.00	$244.40–$3,704.00	—	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE	$1,447.80	$2,413.00	$83.30–$2,051.05	469% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE	$1,447.80	$2,413.00	$965.20–$3,704.00	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO ASP/INJ INT JT WO/US	$271.20	$452.00	$23.65–$384.20	23% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO ASP/INJ INTERMED JOINT	$271.20	$452.00	$23.65–$384.20	23% below	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO ASP/INJ INT JT WO/US	$271.20	$452.00	$180.80–$3,704.00	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO ASP/INJ INTERMED JOINT	$271.20	$452.00	$180.80–$3,704.00	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT LAC RPR 0-2.5CM SCLP TRNK	$388.80	$648.00	$26.95–$550.80	34% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT LAC RPR 0-2.5CM SCLP TRNK	$388.80	$648.00	$259.20–$3,704.00	—	40%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W VENTRCLGRPHY	$5,695.80	$9,493.00	$1,257.63–$8,069.05	13% below	40%
Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HRT CATH W VENTRCLGRPHY	$5,695.80	$9,493.00	$3,704.00–$8,069.05	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTRLMNR LUM/SAC W/IMG GDE	$3,253.20	$5,422.00	$89.45–$4,608.70	55% above	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 NJX INTRLMNR LUM/SAC W/IMG GDE	$3,253.20	$5,422.00	$2,168.80–$4,608.70	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ TRANSFRMN EPI LUM/SAC SNGL	$2,674.80	$4,458.00	$104.54–$3,789.30	40% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ ANES LUM/SA TRANSF SNG LEV	$2,674.80	$4,458.00	$104.54–$3,789.30	40% above	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ TRANSFRMN EPI LUM/SAC SNGL	$2,674.80	$4,458.00	$1,783.20–$3,789.30	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ ANES LUM/SA TRANSF SNG LEV	$2,674.80	$4,458.00	$1,783.20–$3,789.30	—	40%
Miscarriage treatment with D&C, first trimester CPT 59820 D & C FIRST TRIM	$8,491.80	$14,153.00	$829.74–$12,030.05	57% above	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 D & C FIRST TRIM	$8,491.80	$14,153.00	$3,704.00–$12,030.05	—	40%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION COMP/PART SNGL	$417.00	$695.00	$28.32–$590.75	11% below	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION COMP/PART SNGL	$417.00	$695.00	$278.00–$3,704.00	—	40%
Occipital nerve block (injection for headaches) CPT 64405 INJ GREATER OCCIPITAL NERVE	$1,959.60	$3,266.00	$38.50–$2,776.10	247% above	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ GREATER OCCIPITAL NERVE	$1,959.60	$3,266.00	$1,306.40–$3,704.00	—	40%
Paracentesis with imaging guidance CPT 49083 ABD PARACNT DX/THR W IMG GUID	$1,898.40	$3,164.00	$92.76–$2,689.40	13% above	40%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACNT DX/THR W IMG GUID	$1,898.40	$3,164.00	$1,265.60–$3,704.00	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL COMP/PART	$1,802.40	$3,004.00	$345.44–$2,553.40	116% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL COMP/PART	$1,802.40	$3,004.00	$1,201.60–$3,704.00	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DEST LUMB/SAC FACET JNT W IMG	$4,350.00	$7,250.00	$618.25–$6,162.50	46% above	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DEST LUMB/SAC FACET JNT W IMG	$4,350.00	$7,250.00	$2,900.00–$6,162.50	—	40%
Removal of a foreign object under the skin, simple CPT 10120 SUBCUT FB REMOVAL SIMPLE	$388.80	$648.00	$33.55–$550.80	28% below	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 SUBCUT FB REMOVAL SIMPLE	$388.80	$648.00	$259.20–$3,704.00	—	40%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$213.00	$355.00	$28.60–$301.75	32% below	40%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT	$213.00	$355.00	$142.00–$3,704.00	—	40%
Short leg cast (below the knee) CPT 29405 APPL SHORT LEG CAST	$366.60	$611.00	$55.55–$519.35	30% below	40%
Short leg cast (below the knee) inpatient CPT 29405 APPL SHORT LEG CAST	$366.60	$611.00	$244.40–$3,704.00	—	40%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT	$388.80	$648.00	$38.50–$550.80	16% below	40%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY LOWER LEG SPLINT	$388.80	$648.00	$259.20–$3,704.00	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL LAC RPR 0-2.5CM SCALP	$388.80	$648.00	$26.95–$550.80	24% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL LAC RPR 0-2.5CM SCALP	$388.80	$648.00	$259.20–$3,704.00	—	40%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$658.20	$1,097.00	$44.47–$932.45	at median	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$658.20	$1,097.00	$438.80–$3,704.00	—	40%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS UP TO 15	$628.20	$1,047.00	$34.10–$889.95	4% above	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS UP TO 15	$628.20	$1,047.00	$418.80–$3,704.00	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNC LUMBAR DX	$1,156.80	$1,928.00	$46.20–$1,742.87	5% below	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNC LUMBAR DX	$1,156.80	$1,928.00	$771.20–$3,704.00	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP	$388.80	$648.00	$39.05–$550.80	26% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL LAC RPR 2.6-7.5CM SCALP	$388.80	$648.00	$259.20–$3,704.00	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL LAC RPR 0-2.5CM FACE	$388.80	$648.00	$34.65–$550.80	24% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL LAC RPR 0-2.5CM FACE	$388.80	$648.00	$259.20–$3,704.00	—	40%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W GUIDANCE	$1,509.00	$2,515.00	$534.56–$2,137.75	2% above	40%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W GUIDANCE	$1,509.00	$2,515.00	$1,006.00–$3,704.00	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SNG/MUL TRG PTS 1-2 MUS GR	$571.20	$952.00	$34.17–$809.20	6% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SG/MUL TRG PTS 1-2 MUSCLES	$571.20	$952.00	$34.17–$809.20	6% above	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SG/MUL TRG PTS 1-2 MUSCLES	$571.20	$952.00	$380.80–$3,704.00	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ SNG/MUL TRG PTS 1-2 MUS GR	$571.20	$952.00	$380.80–$3,704.00	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$3,145.20	$5,242.00	$152.78–$4,455.70	12% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US IMAG	$3,145.20	$5,242.00	$2,096.80–$4,455.70	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BALLOON DILATION	$2,132.40	$3,554.00	$606.94–$3,020.90	38% below	40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 EGD W/BALLOON DILATION	$2,132.40	$3,554.00	$1,421.60–$3,704.00	—	40%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY SINGLE/MULT	$2,132.40	$3,554.00	$163.44–$3,020.90	2% below	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY SINGLE/MULT	$2,132.40	$3,554.00	$1,421.60–$3,704.00	—	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/REMOVAL BY SNARE	$2,132.40	$3,554.00	$208.28–$3,020.90	33% below	40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/REMOVAL BY SNARE	$2,132.40	$3,554.00	$1,421.60–$3,704.00	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD W/WO BRUSHINGS	$1,558.20	$2,597.00	$137.74–$2,207.45	18% below	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD W/WO BRUSHINGS	$1,558.20	$2,597.00	$1,038.80–$3,704.00	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN AND SQ TISSUE	$2,116.20	$3,527.00	$36.30–$2,997.95	96% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN AND SQ TISSUE	$2,116.20	$3,527.00	$1,410.80–$3,704.00	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMPONENTS	$931.80	$1,553.00	$30.62–$1,320.05	1% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TX (CELL SAVER/BLD BANK)	$931.80	$1,553.00	$30.62–$1,320.05	1% below	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TX (CELL SAVER/BLD BANK)	$931.80	$1,553.00	$621.20–$3,704.00	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMPONENTS	$931.80	$1,553.00	$621.20–$3,704.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 DRUG AEROSOL INITIAL	$74.40	$124.00	$34.78–$213.30	67% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL	$74.40	$124.00	$34.78–$213.30	67% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL	$74.40	$124.00	$49.60–$3,704.00	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 DRUG AEROSOL INITIAL	$74.40	$124.00	$49.60–$3,704.00	—	40%
Chemotherapy IV infusion, first hour CPT 96413 IV INF CHEMO 1ST HR	$912.00	$1,520.00	$137.28–$1,292.00	26% above	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INF CHEMO 1ST HR	$912.00	$1,520.00	$608.00–$3,704.00	—	40%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE - FIRST 30-74MIN	$1,263.00	$2,105.00	$166.79–$1,789.25	33% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE - FIRST 30-74MIN	$1,263.00	$2,105.00	$842.00–$3,704.00	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY	$584.40	$974.00	$24.75–$827.90	23% below	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY	$584.40	$974.00	$389.60–$3,704.00	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING WO INTERP & RPT	$147.60	$246.00	$11.51–$209.10	15% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 NEONATAL MONITOR	$147.60	$246.00	$11.51–$209.10	15% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING WO INTERP & RPT	$147.60	$246.00	$98.40–$3,704.00	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 NEONATAL MONITOR	$147.60	$246.00	$98.40–$3,704.00	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ACUITY LEVEL 1 NON EMERGENT	$213.00	$355.00	$51.26–$301.75	30% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ACUITY LEVEL 1	$213.00	$355.00	$51.26–$301.75	30% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ACUITY LEVEL 1 NON EMERGENT	$213.00	$355.00	$142.00–$3,704.00	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ACUITY LEVEL 1	$213.00	$355.00	$142.00–$3,704.00	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ACUITY LEVEL 2 NON EMERGENT	$265.20	$442.00	$36.28–$375.70	45% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ACUITY LEVEL 2	$265.20	$442.00	$36.28–$375.70	45% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ACUITY LEVEL 2	$265.20	$442.00	$176.80–$3,704.00	—	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ACUITY LEVEL 2 NON EMERGENT	$265.20	$442.00	$176.80–$3,704.00	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ACUITY LEVEL 3	$336.60	$561.00	$62.31–$476.85	55% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ACUITY LEVEL 3	$336.60	$561.00	$224.40–$3,704.00	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ACUITY LEVEL 4	$570.00	$950.00	$104.86–$807.50	53% below	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ACUITY LEVEL 4	$570.00	$950.00	$380.00–$3,704.00	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ACUITY LEVEL 5	$703.20	$1,172.00	$152.61–$996.20	56% below	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ACUITY LEVEL 5	$703.20	$1,172.00	$468.80–$3,704.00	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 PROGRESSIVE STRESS TEST	$665.40	$1,109.00	$51.15–$942.65	30% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 ECG STRESS WITH ECHO	$665.40	$1,109.00	$51.15–$942.65	30% below	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PROGRESSIVE STRESS TEST	$665.40	$1,109.00	$443.60–$3,704.00	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ECG STRESS WITH ECHO	$665.40	$1,109.00	$443.60–$3,704.00	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST HR	$388.20	$647.00	$34.79–$549.95	11% below	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYDRATION 1ST HR	$388.20	$647.00	$258.80–$3,704.00	—	40%
IV infusion of a medicine, first hour CPT 96365 IV INF NONCHEMO 1ST HR	$411.60	$686.00	$43.23–$583.10	9% below	40%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF NONCHEMO 1ST HR	$411.60	$686.00	$274.40–$3,704.00	—	40%
IV push of a medicine, first drug CPT 96374 IV PUSH NONCHEMO 1ST DRUG	$306.00	$510.00	$34.12–$433.50	7% below	40%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH NONCHEMO 1ST DRUG	$306.00	$510.00	$204.00–$3,704.00	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SQ	$121.20	$202.00	$13.97–$171.70	2% below	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SQ	$121.20	$202.00	$80.80–$3,704.00	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND MTR/SEN 7-8 STUDIES	$1,450.20	$2,417.00	$153.85–$2,054.45	1% below	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE COND MTR/SEN 7-8 STUDIES	$1,450.20	$2,417.00	$966.80–$3,704.00	—	40%
New patient office visit, about 30 minutes CPT 99203 CLINIC VISIT NEW 99203	$281.40	$469.00	$36.08–$398.65	18% above	40%
New patient office visit, about 30 minutes inpatient CPT 99203 CLINIC VISIT NEW 99203	$281.40	$469.00	$187.60–$3,704.00	—	40%
New patient office visit, about 45 minutes CPT 99204 CLINIC VISIT NEW 99204	$358.80	$598.00	$36.08–$508.30	20% above	40%
New patient office visit, about 45 minutes inpatient CPT 99204 CLINIC VISIT NEW 99204	$358.80	$598.00	$239.20–$3,704.00	—	40%
New patient office visit, about 60 minutes CPT 99205 CLINIC VISIT NEW 99205	$526.20	$877.00	$36.08–$745.45	1% above	40%
New patient office visit, about 60 minutes inpatient CPT 99205 CLINIC VISIT NEW 99205	$526.20	$877.00	$350.80–$3,704.00	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CLINIC VISIT NEW 99202	$216.00	$360.00	$36.08–$306.00	18% above	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CLINIC VISIT NEW 99202	$216.00	$360.00	$144.00–$3,704.00	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THER INIT IND P/15M	$27.00	$45.00	$11.25–$41.49	46% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THER INIT IND P/15M	$27.00	$45.00	$18.00–$3,704.00	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN	$30.00	$50.00	$19.22–$70.38	34% below	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKE/TOBACCO COUNSEL 3-10 MIN	$30.00	$50.00	$20.00–$3,704.00	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT EST 99215	$291.00	$485.00	$36.08–$412.25	7% above	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINIC VISIT EST PT 99215	$291.00	$485.00	$36.08–$412.25	7% above	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT EST 99215	$291.00	$485.00	$194.00–$3,704.00	—	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINIC VISIT EST PT 99215	$291.00	$485.00	$194.00–$3,704.00	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT EST 99213	$186.60	$311.00	$36.08–$264.35	1% above	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT EST PT 99213	$186.60	$311.00	$36.08–$264.35	1% above	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT EST 99213	$186.60	$311.00	$124.40–$3,704.00	—	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT EST PT 99213	$186.60	$311.00	$124.40–$3,704.00	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EST PT 99214	$201.60	$336.00	$36.08–$285.60	at median	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINIC VISIT EST 99214	$201.60	$336.00	$36.08–$285.60	at median	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EST 99214	$201.60	$336.00	$134.40–$3,704.00	—	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINIC VISIT EST PT 99214	$201.60	$336.00	$134.40–$3,704.00	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT EST PT 99212	$145.80	$243.00	$28.60–$206.55	10% below	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINIC VISIT EST 99212	$145.80	$243.00	$28.60–$206.55	10% below	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT EST 99212	$145.80	$243.00	$97.20–$3,704.00	—	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINIC VISIT EST PT 99212	$145.80	$243.00	$97.20–$3,704.00	—	40%
Spirometry (breathing test) CPT 94010 SPIROMETRY PRE BRONCH REMOTE	$301.20	$502.00	$16.50–$426.70	at median	40%
Spirometry (breathing test) CPT 94010 BEDSIDE SPIROMETRY	$301.20	$502.00	$16.50–$426.70	at median	40%
Spirometry (breathing test) CPT 94010 BEDSIDE PFT PRE/POST BRNCHDLTR	$301.20	$502.00	$16.50–$426.70	at median	40%
Spirometry (breathing test) CPT 94010 SPIROMETRY VC EXP FLOW MVV	$301.20	$502.00	$16.50–$426.70	at median	40%
Spirometry (breathing test) inpatient CPT 94010 BEDSIDE SPIROMETRY	$301.20	$502.00	$200.80–$3,704.00	—	40%
Spirometry (breathing test) inpatient CPT 94010 BEDSIDE PFT PRE/POST BRNCHDLTR	$301.20	$502.00	$200.80–$3,704.00	—	40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY PRE BRONCH REMOTE	$301.20	$502.00	$200.80–$3,704.00	—	40%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY VC EXP FLOW MVV	$301.20	$502.00	$200.80–$3,704.00	—	40%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY PRE & POST BRONCH	$281.40	$469.00	$20.90–$398.65	57% below	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY PRE & POST BRONCH	$281.40	$469.00	$187.60–$3,704.00	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$331.80	$553.00	$11.00–$470.05	44% above	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$331.80	$553.00	$221.20–$3,704.00	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y	$199.20	$332.00	$44.00–$981.87	at median	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y	$340.00	$425.00	$44.00–$981.87	71% above	20%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y	$199.20	$332.00	$127.42–$3,704.00	—	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y	$340.00	$425.00	$163.12–$3,704.00	—	20%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE	$30.00	$50.00	$11.00–$120.74	at median	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE	$40.00	$50.00	$11.00–$120.74	33% above	20%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE	$30.00	$50.00	$19.19–$3,704.00	—	40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE	$40.00	$50.00	$19.19–$3,704.00	—	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE ADULT IM	$81.00	$135.00	$11.00–$353.36	9% below	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE ADULT IM	$81.00	$135.00	$51.81–$3,704.00	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ	$64.80	$108.00	$11.00–$332.92	21% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ	$86.40	$108.00	$11.00–$332.92	5% above	20%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ	$64.80	$108.00	$41.45–$3,704.00	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ	$86.40	$108.00	$41.45–$3,704.00	—	20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML	$168.80	$211.00	$11.00–$256.00	3% below	20%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML	$168.80	$211.00	$80.98–$3,704.00	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ	$47.40	$79.00	$11.00–$136.59	at median	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ	$63.20	$79.00	$11.00–$136.59	33% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ	$47.40	$79.00	$30.32–$3,704.00	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10MCG/.5ML PED INJ	$63.20	$79.00	$30.32–$3,704.00	—	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 H. INFLUENZA B PRP-T VACCINE	$31.20	$52.00	$11.00–$118.05	at median	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 H. INFLUENZA B PRP-T VACCINE	$31.20	$52.00	$19.96–$3,704.00	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ	$48.60	$81.00	$11.00–$106.73	26% below	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ	$64.80	$81.00	$11.00–$106.73	1% below	20%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ	$48.60	$81.00	$31.09–$3,704.00	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ	$64.80	$81.00	$31.09–$3,704.00	—	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE)	$81.60	$136.00	$11.00–$555.64	13% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOC VAC A C Y W 135.5ML	$81.60	$136.00	$11.00–$555.64	13% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE)	$108.80	$136.00	$11.00–$555.64	16% above	20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOC VAC A C Y W 135.5ML	$81.60	$136.00	$52.20–$3,704.00	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE)	$81.60	$136.00	$52.20–$3,704.00	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE)	$108.80	$136.00	$52.20–$3,704.00	—	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML	$82.20	$137.00	$11.00–$409.18	57% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML	$109.60	$137.00	$11.00–$409.18	43% below	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML	$82.20	$137.00	$52.58–$3,704.00	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML	$109.60	$137.00	$52.58–$3,704.00	—	20%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOC 13-VAL VAC 0.5ML	$144.00	$240.00	$11.00–$736.03	at median	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOC 13-VAL VAC 0.5ML	$144.00	$240.00	$92.11–$3,704.00	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ	$144.00	$240.00	$11.00–$384.87	55% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ	$192.00	$240.00	$11.00–$384.87	41% below	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ	$144.00	$240.00	$92.11–$3,704.00	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ	$192.00	$240.00	$92.11–$3,704.00	—	20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR	$189.60	$316.00	$11.00–$403.31	at median	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR	$252.80	$316.00	$11.00–$403.31	33% above	20%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR	$189.60	$316.00	$121.28–$3,704.00	—	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR	$252.80	$316.00	$121.28–$3,704.00	—	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVAL INJ	$75.00	$125.00	$11.00–$164.17	42% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVAL INJ	$75.00	$125.00	$47.98–$3,704.00	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 IPOL POLIOVIRUS VAC .5ML INJ	$38.40	$64.00	$11.00–$54.40	36% below	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL POLIOVIRUS VAC .5ML INJ	$38.40	$64.00	$24.56–$3,704.00	—	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML	$897.00	$1,495.00	$11.00–$3,883.74	at median	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML	$1,196.00	$1,495.00	$11.00–$3,883.74	33% above	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML	$897.00	$1,495.00	$573.78–$3,704.00	—	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV 50MG/0.5ML	$1,196.00	$1,495.00	$573.78–$3,704.00	—	20%
Rabies vaccine, one dose CPT 90675 RABIES VAC HUM 1ML	$600.00	$1,000.00	$11.00–$850.00	at median	40%
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT	$600.00	$1,000.00	$11.00–$850.00	at median	40%
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT	$800.00	$1,000.00	$11.00–$850.00	34% above	20%
Rabies vaccine, one dose CPT 90675 RABIES VAC HUM 1ML	$800.00	$1,000.00	$11.00–$850.00	34% above	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM 1ML	$600.00	$1,000.00	$383.80–$3,704.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT	$600.00	$1,000.00	$383.80–$3,704.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT	$800.00	$1,000.00	$383.80–$3,704.00	—	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM 1ML	$800.00	$1,000.00	$383.80–$3,704.00	—	20%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE INJ	$150.00	$250.00	$11.00–$323.65	43% below	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE INJ	$150.00	$250.00	$95.95–$3,704.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ	$55.80	$93.00	$11.00–$123.99	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPHTHERIA/TOXOID .5ML	$55.80	$93.00	$11.00–$123.99	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ	$74.40	$93.00	$11.00–$123.99	33% above	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPHTHERIA/TOXOID .5ML	$55.80	$93.00	$35.69–$3,704.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ	$55.80	$93.00	$35.69–$3,704.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ	$74.40	$93.00	$35.69–$3,704.00	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE	$31.80	$53.00	$11.00–$236.33	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS DIP PERT (TDAP) 7+ INJ	$31.80	$53.00	$11.00–$236.33	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE	$42.40	$53.00	$11.00–$236.33	24% below	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE	$31.80	$53.00	$20.34–$3,704.00	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS DIP PERT (TDAP) 7+ INJ	$31.80	$53.00	$20.34–$3,704.00	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE	$42.40	$53.00	$20.34–$3,704.00	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADM ONE VAC SGL/COMB	$12.00	$20.00	$1.42–$74.64	81% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADM ONE VAC SGL/COMB	$12.00	$20.00	$8.00–$3,704.00	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM	$12.00	$20.00	$0.68–$17.00	55% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACC SGL/COM	$12.00	$20.00	$8.00–$3,704.00	—	40%

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://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/250489010_upmc-northwest_standardcharges.csv?la=en&rev=6154868cfbc54d44b47451c2d062b845&hash=F96EBF837C415FFB226384D898DB5BC8