Hospital Kankakee, IL

Riverside Medical Center

Riverside Medical Center in Kankakee, IL publishes cash prices for 447 common procedures listed here, from its own machine-readable price file updated Mar 15, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 402 of 443 procedures and above it for 35. By typical cash price it ranks #15 of 117 Illinois hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

350 N Wall St,Kankakee,IL,60901 Collected Sep 22, 2026 Source price file Check a bill from this hospital (815) 933-1671

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 140186 · CMS hospital register NPI 1538208210

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Riverside Medical Center in Kankakee, IL:

Sep 24, 2024 Warning notice
Nov 14, 2024 Case closed
Sep 26, 2025 Warning notice
Dec 3, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$1,392.23	$5,230.00	$187.04–$1,260.00	51% below	73%
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$1,410.86	$5,300.00	$187.04–$1,260.00	50% below	73%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$149.07	$560.00	$111.48–$850.00	55% below	73%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$153.60	$577.00	$111.48–$850.00	54% below	73%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$186.34	$700.00	$92.80–$850.00	45% below	73%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$186.34	$700.00	$92.80–$850.00	45% below	73%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$186.34	$700.00	$92.80–$850.00	45% below	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$121.39	$456.00	$141.88–$184.44	71% below	73%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES	$219.88	$826.00	$141.88–$184.44	47% below	73%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$829.48	$3,116.00	$111.48–$1,260.00	55% below	73%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,003.57	$3,770.00	$111.48–$1,260.00	45% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,003.57	$3,770.00	$111.48–$1,260.00	45% below	73%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,003.57	$3,770.00	$111.48–$1,260.00	45% below	73%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$266.20	$1,000.00	$187.04–$850.00	56% below	73%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$769.32	$2,890.00	$426.30–$850.00	51% below	73%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$792.48	$2,977.00	$426.30–$850.00	50% below	73%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$316.25	$1,188.00	$111.48–$850.00	39% below	73%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$263.54	$990.00	$111.48–$850.00	49% below	73%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$263.54	$990.00	$111.48–$850.00	49% below	73%
Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$185.28	$696.00	$92.80–$850.00	58% below	73%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$200.18	$752.00	$92.80–$850.00	54% below	73%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$185.28	$696.00	$92.80–$850.00	58% below	73%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$185.28	$696.00	$92.80–$850.00	58% below	73%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST	$1,251.14	$4,700.00	$372.03–$1,260.00	66% below	73%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$1,288.67	$4,841.00	$372.03–$1,260.00	65% below	73%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$605.61	$2,275.00	$187.04–$1,260.00	76% below	73%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$1,050.69	$3,947.00	$187.04–$1,260.00	58% below	73%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST	$825.22	$3,100.00	$187.04–$1,260.00	68% below	73%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$1,050.69	$3,947.00	$187.04–$1,260.00	59% below	73%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$1,024.87	$3,850.00	$187.04–$1,260.00	65% below	73%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,050.69	$3,947.00	$187.04–$1,260.00	64% below	73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$364.69	$1,370.00	$372.03–$1,260.00	79% below	73%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$1,050.69	$3,947.00	$372.03–$1,260.00	41% below	73%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$1,969.88	$7,400.00	$254.44–$1,260.00	43% below	73%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$2,502.28	$9,400.00	$372.03–$1,260.00	43% below	73%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$2,784.45	$10,460.00	$372.03–$1,260.00	43% below	73%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$1,155.57	$4,341.00	$187.04–$1,260.00	49% below	73%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$1,301.72	$4,890.00	$187.04–$1,260.00	43% below	73%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$959.12	$3,603.00	$111.48–$1,260.00	48% below	73%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$1,221.86	$4,590.00	$111.48–$1,260.00	34% below	73%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$829.48	$3,116.00	$111.48–$1,260.00	51% below	73%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$939.69	$3,530.00	$111.48–$1,260.00	45% below	73%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$805.26	$3,025.00	$111.48–$1,260.00	56% below	73%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$829.48	$3,116.00	$111.48–$1,260.00	54% below	73%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$897.09	$3,370.00	$187.04–$1,260.00	53% below	73%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$1,050.69	$3,947.00	$187.04–$1,260.00	45% below	73%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$1,235.17	$4,640.00	$187.04–$1,260.00	49% below	73%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,272.17	$4,779.00	$187.04–$1,260.00	47% below	73%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$959.12	$3,603.00	$111.48–$1,260.00	56% below	73%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$1,118.04	$4,200.00	$111.48–$1,260.00	49% below	73%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$959.12	$3,603.00	$111.48–$1,260.00	58% below	73%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$1,112.72	$4,180.00	$111.48–$1,260.00	51% below	73%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,155.57	$4,341.00	$187.04–$1,260.00	46% below	73%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$1,157.97	$4,350.00	$187.04–$1,260.00	46% below	73%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$493.53	$1,854.00	$254.44–$330.77	—	73%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$479.16	$1,800.00	$254.44–$330.77	45% below	73%
Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST	$947.67	$3,560.00	$187.04–$1,260.00	66% below	73%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$1,272.17	$4,779.00	$187.04–$1,260.00	55% below	73%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$146.41	$550.00	$92.80–$850.00	51% below	73%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$158.12	$594.00	$92.80–$850.00	48% below	73%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$109.94	$413.00	$92.80–$850.00	58% below	73%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$113.14	$425.00	$92.80–$850.00	56% below	73%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$123.52	$464.00	$92.80–$850.00	56% below	73%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$114.47	$430.00	$92.80–$850.00	59% below	73%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$114.47	$430.00	$92.80–$850.00	59% below	73%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$359.37	$1,350.00	$111.48–$850.00	55% below	73%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$370.28	$1,391.00	$111.48–$850.00	54% below	73%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$292.82	$1,100.00	$111.48–$850.00	38% below	73%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$322.10	$1,210.00	$111.48–$850.00	31% below	73%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT	$42.59	$160.00	$92.80–$850.00	82% below	73%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$43.92	$165.00	$92.80–$850.00	81% below	73%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS	$404.62	$1,520.00	$254.44–$850.00	59% below	73%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$745.36	$2,800.00	$111.48–$1,260.00	59% below	73%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$829.48	$3,116.00	$111.48–$1,260.00	54% below	73%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$1,050.69	$3,947.00	$187.04–$1,260.00	56% below	73%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$1,118.04	$4,200.00	$187.04–$1,260.00	53% below	73%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$152.53	$573.00	$46.54–$850.00	—	73%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$139.76	$525.00	$46.54–$850.00	58% below	73%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$150.94	$567.00	$37.84–$850.00	51% below	73%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$141.35	$531.00	$37.84–$850.00	54% below	73%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$141.35	$531.00	$37.84–$850.00	54% below	73%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$546.77	$2,054.00	$254.44–$330.77	43% below	73%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$563.28	$2,116.00	$254.44–$330.77	41% below	73%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$610.93	$2,295.00	$254.44–$330.77	56% below	73%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$629.30	$2,364.00	$254.44–$330.77	55% below	73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$957.26	$3,596.00	$582.68–$757.48	54% below	73%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$1,304.38	$4,900.00	$582.68–$757.48	38% below	73%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$117.13	$440.00	$92.80–$850.00	59% below	73%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$117.13	$440.00	$92.80–$850.00	59% below	73%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$117.13	$440.00	$92.80–$850.00	59% below	73%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$189.00	$710.00	$92.80–$850.00	44% below	73%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$189.00	$710.00	$92.80–$850.00	44% below	73%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$189.00	$710.00	$92.80–$850.00	44% below	73%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$829.48	$3,116.00	$111.48–$1,260.00	50% below	73%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$982.28	$3,690.00	$111.48–$1,260.00	41% below	73%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS	$207.90	$781.00	$111.48–$850.00	50% below	73%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$181.02	$680.00	$92.80–$850.00	43% below	73%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$181.02	$680.00	$92.80–$850.00	43% below	73%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$181.02	$680.00	$92.80–$850.00	43% below	73%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM	$452.54	$1,700.00	$426.30–$850.00	69% below	73%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$115.26	$433.00	$111.48–$850.00	60% below	73%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$111.80	$420.00	$111.48–$850.00	61% below	73%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$111.80	$420.00	$111.48–$850.00	61% below	73%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$122.45	$460.00	$92.80–$850.00	53% below	73%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$122.45	$460.00	$92.80–$850.00	53% below	73%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$122.45	$460.00	$92.80–$850.00	53% below	73%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT	$279.51	$1,050.00	$230.26–$299.34	55% below	73%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$301.87	$1,134.00	$230.26–$299.34	51% below	73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER)	$1,823.20	$6,849.00	$915.73–$1,190.45	60% below	73%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$1,969.08	$7,397.00	$915.73–$1,190.45	57% below	73%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$156.26	$587.00	$92.80–$850.00	55% below	73%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$151.73	$570.00	$92.80–$850.00	57% below	73%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$151.73	$570.00	$92.80–$850.00	57% below	73%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$211.63	$795.00	$111.48–$850.00	52% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$195.92	$736.00	$111.48–$850.00	56% below	73%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$195.92	$736.00	$111.48–$850.00	56% below	73%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$829.48	$3,116.00	$111.48–$1,260.00	54% below	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$923.71	$3,470.00	$111.48–$1,260.00	49% below	73%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$923.71	$3,470.00	$111.48–$1,260.00	49% below	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$319.44	$1,200.00	$111.48–$850.00	54% below	73%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$343.13	$1,289.00	$111.48–$850.00	50% below	73%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$196.46	$738.00	$111.48–$850.00	36% below	73%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$212.16	$797.00	$111.48–$850.00	31% below	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING	$66.55	$250.00	$111.48–$1,260.00	88% below	73%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$79.86	$300.00	$111.48–$1,260.00	86% below	73%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$150.94	$567.00	$92.80–$850.00	53% below	73%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$146.41	$550.00	$92.80–$850.00	55% below	73%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$146.41	$550.00	$92.80–$850.00	55% below	73%
MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST	$1,232.51	$4,630.00	$254.44–$1,774.00	53% below	73%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS	$1,139.34	$4,280.00	$106.00–$1,774.00	280% above	73%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$1,179.27	$4,430.00	$254.44–$1,774.00	58% below	73%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$1,203.22	$4,520.00	$254.44–$1,774.00	57% below	73%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$1,203.22	$4,520.00	$254.44–$1,774.00	57% below	73%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$1,479.01	$5,556.00	$372.03–$1,774.00	57% below	73%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$1,762.24	$6,620.00	$372.03–$1,774.00	49% below	73%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$1,762.24	$6,620.00	$372.03–$1,774.00	49% below	73%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$1,349.63	$5,070.00	$254.44–$1,774.00	51% below	73%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,528.90	$9,500.00	$254.44–$1,774.00	8% below	73%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$1,479.01	$5,556.00	$372.03–$1,774.00	60% below	73%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$1,834.12	$6,890.00	$372.03–$1,774.00	51% below	73%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$1,480.07	$5,560.00	$254.44–$1,774.00	47% below	73%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$1,532.78	$5,758.00	$254.44–$1,774.00	45% below	73%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$2,116.29	$7,950.00	$372.03–$1,774.00	47% below	73%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$3,939.76	$14,800.00	$372.03–$1,774.00	2% below	73%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$1,179.27	$4,430.00	$254.44–$1,774.00	59% below	73%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$1,317.69	$4,950.00	$254.44–$1,774.00	54% below	73%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$1,479.01	$5,556.00	$372.03–$1,774.00	63% below	73%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$1,658.43	$6,230.00	$372.03–$1,774.00	59% below	73%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$1,179.27	$4,430.00	$254.44–$1,774.00	59% below	73%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$1,315.03	$4,940.00	$254.44–$1,774.00	54% below	73%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$1,479.01	$5,556.00	$372.03–$1,774.00	62% below	73%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$1,637.13	$6,150.00	$372.03–$1,774.00	58% below	73%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$1,179.27	$4,430.00	$254.44–$1,774.00	60% below	73%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$1,320.35	$4,960.00	$254.44–$1,774.00	55% below	73%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$1,479.01	$5,556.00	$372.03–$1,774.00	59% below	73%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$1,484.60	$5,577.00	$372.03–$1,774.00	58% below	73%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$1,168.62	$4,390.00	$254.44–$1,774.00	55% below	73%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$1,179.27	$4,430.00	$254.44–$1,774.00	55% below	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,179.27	$4,430.00	$254.44–$1,774.00	58% below	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$1,203.22	$4,520.00	$254.44–$1,774.00	57% below	73%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$1,203.22	$4,520.00	$254.44–$1,774.00	57% below	73%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$165.58	$622.00	$111.48–$850.00	69% below	73%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$204.97	$770.00	$111.48–$850.00	62% below	73%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,050.69	$3,947.00	$187.04–$1,260.00	50% below	73%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$1,099.41	$4,130.00	$187.04–$1,260.00	48% below	73%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$829.48	$3,116.00	$111.48–$1,260.00	53% below	73%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST	$865.15	$3,250.00	$111.48–$1,260.00	51% below	73%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$79.86	$300.00	$92.80–$850.00	70% below	73%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$133.10	$500.00	$92.80–$850.00	49% below	73%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT	$1,637.13	$6,150.00	$850.00–$1,794.74	59% below	73%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,686.38	$6,335.00	$850.00–$1,794.74	58% below	73%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$1,782.21	$6,695.00	$850.00–$2,787.00	70% below	73%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$769.32	$2,890.00	$111.48–$1,260.00	59% below	73%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$959.12	$3,603.00	$111.48–$1,260.00	49% below	73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$322.10	$1,210.00	$111.48–$850.00	40% below	73%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$766.66	$2,880.00	$111.48–$850.00	42% above	73%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$389.45	$1,463.00	$111.48–$850.00	51% below	73%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$420.60	$1,580.00	$111.48–$850.00	47% below	73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$388.65	$1,460.00	$111.48–$850.00	47% below	73%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$419.80	$1,577.00	$111.48–$850.00	43% below	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS	$356.71	$1,340.00	$111.48–$850.00	47% below	73%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$385.19	$1,447.00	$111.48–$850.00	42% below	73%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS	$274.19	$1,030.00	$111.48–$850.00	48% below	73%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$247.57	$930.00	$111.48–$850.00	46% below	73%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$212.96	$800.00	$111.48–$850.00	54% below	73%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$247.57	$930.00	$111.48–$850.00	46% below	73%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$247.57	$930.00	$111.48–$850.00	46% below	73%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$165.04	$620.00	$35.04–$850.00	—	73%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$152.80	$574.00	$35.04–$850.00	44% below	73%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$176.76	$664.00	$92.80–$850.00	51% below	73%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$171.70	$645.00	$92.80–$850.00	52% below	73%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$171.70	$645.00	$92.80–$850.00	52% below	73%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$79.86	$300.00	$92.80–$850.00	78% below	73%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS	$247.57	$930.00	$92.80–$850.00	33% below	73%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$79.86	$300.00	$111.48–$850.00	75% below	73%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS	$130.44	$490.00	$111.48–$850.00	58% below	73%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$1,743.61	$6,550.00	$915.73–$1,190.45	55% below	73%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$1,883.10	$7,074.00	$915.73–$1,190.45	51% below	73%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$1,113.25	$4,182.00	$582.68–$757.48	33% below	73%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT	$1,173.41	$4,408.00	$582.68–$757.48	30% below	73%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$242.24	$910.00	$187.04–$850.00	60% below	73%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$431.78	$1,622.00	$187.04–$850.00	29% below	73%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$134.43	$505.00	$92.80–$850.00	52% below	73%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$130.44	$490.00	$92.80–$850.00	54% below	73%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$130.44	$490.00	$92.80–$850.00	54% below	73%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$959.12	$3,603.00	$111.48–$1,260.00	55% below	73%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$1,224.52	$4,600.00	$111.48–$1,260.00	43% below	73%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$109.14	$410.00	$92.80–$850.00	54% below	73%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$272.86	$1,025.00	$111.48–$850.00	58% below	73%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$294.68	$1,107.00	$111.48–$850.00	55% below	73%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS	$324.76	$1,220.00	$111.48–$850.00	39% below	73%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$412.61	$1,550.00	$111.48–$850.00	59% below	73%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$445.62	$1,674.00	$111.48–$850.00	56% below	73%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$351.38	$1,320.00	$111.48–$850.00	52% below	73%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$379.60	$1,426.00	$111.48–$850.00	49% below	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$329.02	$1,236.00	$111.48–$850.00	52% below	73%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$355.38	$1,335.00	$111.48–$850.00	48% below	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$250.23	$940.00	$187.04–$850.00	65% below	73%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$444.55	$1,670.00	$187.04–$850.00	37% below	73%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$189.00	$710.00	$92.80–$850.00	36% below	73%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$189.00	$710.00	$92.80–$850.00	36% below	73%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$189.00	$710.00	$92.80–$850.00	36% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$400.36	$1,504.00	$111.48–$144.92	40% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$412.34	$1,549.00	$111.48–$144.92	38% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$400.36	$1,504.00	$111.48–$144.92	40% below	73%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$400.36	$1,504.00	$111.48–$144.92	40% below	73%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$115.00	$432.00	$92.80–$850.00	57% below	73%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$106.48	$400.00	$92.80–$850.00	60% below	73%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$106.48	$400.00	$92.80–$850.00	60% below	73%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$181.02	$680.00	$92.80–$850.00	45% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$167.71	$630.00	$92.80–$850.00	49% below	73%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$167.71	$630.00	$92.80–$850.00	49% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$141.09	$530.00	$92.80–$850.00	53% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$137.09	$515.00	$92.80–$850.00	55% below	73%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$137.09	$515.00	$92.80–$850.00	55% below	73%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$139.76	$525.00	$92.80–$850.00	48% below	73%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$119.79	$450.00	$92.80–$850.00	57% below	73%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$119.79	$450.00	$92.80–$850.00	57% below	73%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$119.79	$450.00	$92.80–$850.00	57% below	73%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$120.85	$454.00	$92.80–$850.00	55% below	73%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$167.71	$630.00	$92.80–$850.00	39% below	73%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$167.71	$630.00	$92.80–$850.00	39% below	73%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$167.71	$630.00	$92.80–$850.00	39% below	73%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$186.34	$700.00	$92.80–$850.00	46% below	73%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$186.34	$700.00	$92.80–$850.00	46% below	73%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$186.34	$700.00	$92.80–$850.00	46% below	73%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$181.02	$680.00	$92.80–$850.00	48% below	73%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$167.71	$630.00	$92.80–$850.00	51% below	73%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$167.71	$630.00	$92.80–$850.00	51% below	73%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$173.03	$650.00	$92.80–$850.00	40% below	73%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$173.03	$650.00	$92.80–$850.00	40% below	73%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$173.03	$650.00	$92.80–$850.00	40% below	73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$165.58	$622.00	$111.48–$850.00	63% below	73%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$182.08	$684.00	$111.48–$850.00	59% below	73%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$207.64	$780.00	$111.48–$850.00	63% below	73%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$231.59	$870.00	$111.48–$850.00	58% below	73%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$63.89	$240.00	$111.48–$850.00	83% below	73%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$165.58	$622.00	$111.48–$850.00	55% below	73%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$178.35	$670.00	$92.80–$850.00	41% below	73%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$192.73	$724.00	$92.80–$850.00	36% below	73%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$143.75	$540.00	$92.80–$850.00	60% below	73%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$148.01	$556.00	$92.80–$850.00	59% below	73%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$79.86	$300.00	$111.48–$850.00	77% below	73%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$125.11	$470.00	$111.48–$850.00	64% below	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$79.86	$300.00	$92.80–$850.00	77% below	73%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$282.17	$1,060.00	$92.80–$850.00	18% below	73%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL	$25.82	$97.00	$38.62–$543.11	87% below	73%
ACTH blood test CPT 82024 ASSAY OF ACTH	$27.95	$105.00	$38.62–$543.11	86% below	73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$48.71	$183.00	$5.30–$74.55	11% below	73%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$56.43	$212.00	$5.30–$74.55	3% above	73%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$45.52	$171.00	$5.18–$72.86	17% below	73%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$49.25	$185.00	$5.18–$72.86	10% below	73%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$171.17	$643.00	$47.63–$669.79	34% below	73%
Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL	$26.89	$101.00	$4.95–$69.60	37% below	73%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$27.68	$104.00	$4.95–$69.60	36% below	73%
Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL	$27.15	$102.00	$40.75–$573.04	84% below	73%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$29.28	$110.00	$40.75–$573.04	82% below	73%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE	$5.32	$20.00	$5.18–$72.86	90% below	73%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$34.34	$129.00	$5.18–$72.86	38% below	73%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$30.88	$116.00	$5.22–$73.43	12% above	73%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$802.86	$3,016.00	$5.22–$73.43	2819% above	73%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$19.17	$72.00	$16.77–$235.84	84% below	73%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$85.98	$323.00	$16.77–$235.84	26% below	73%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$47.92	$180.00	$14.57–$204.90	56% below	73%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$55.90	$210.00	$6.48–$91.13	31% below	73%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$64.42	$242.00	$6.48–$91.13	20% below	73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT	$29.55	$111.00	$12.95–$182.10	65% below	73%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$31.94	$120.00	$12.95–$182.10	62% below	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$18.63	$70.00	$12.09–$170.03	80% below	73%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$20.23	$76.00	$12.09–$170.03	78% below	73%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$88.38	$332.00	$39.26–$552.11	53% below	73%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$91.04	$342.00	$39.26–$552.11	52% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$26.62	$100.00	$8.62–$121.24	70% below	73%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$27.42	$103.00	$8.62–$121.24	69% below	73%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$62.29	$234.00	$8.46–$118.99	51% below	73%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$67.88	$255.00	$8.46–$118.99	46% below	73%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$27.95	$105.00	$5.02–$70.61	54% below	73%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL	$30.08	$113.00	$5.02–$70.61	50% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$164.25	$617.00	$55.57–$705.11	33% below	73%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$637.82	$2,396.00	$55.57–$705.11	160% above	73%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$37.53	$141.00	$10.32–$145.13	74% below	73%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$72.94	$274.00	$10.32–$145.13	50% below	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$5.59	$21.00	$9.34–$120.53	76% below	73%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$8.25	$31.00	$9.34–$120.53	65% below	73%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$21.30	$80.00	$3.93–$55.28	46% below	73%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$26.62	$100.00	$3.93–$55.28	33% below	73%
Blood lead test CPT 83655 LEAD LEVEL	$9.05	$34.00	$12.11–$170.29	83% below	73%
Blood lead test CPT 83655 ASSAY OF LEAD	$9.85	$37.00	$12.11–$170.29	82% below	73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$34.07	$128.00	$36.65–$184.44	59% below	73%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$89.44	$336.00	$36.65–$184.44	6% above	73%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$29.28	$110.00	$3.95–$55.54	40% below	73%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$30.08	$113.00	$3.95–$55.54	38% below	73%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$9.32	$35.00	$20.81–$292.65	91% below	73%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL	$13.84	$52.00	$20.81–$292.65	87% below	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$32.48	$122.00	$5.18–$72.86	53% below	73%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$35.14	$132.00	$5.18–$72.86	49% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$54.84	$206.00	$37.27–$524.10	70% below	73%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$106.48	$400.00	$37.27–$524.10	43% below	73%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$19.97	$75.00	$20.81–$292.65	82% below	73%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$20.50	$77.00	$20.81–$292.65	82% below	73%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$19.97	$75.00	$20.81–$292.65	88% below	73%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$20.50	$77.00	$20.81–$292.65	87% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN	$34.34	$129.00	$51.31–$721.54	70% below	73%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$37.00	$139.00	$51.31–$721.54	68% below	73%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$30.08	$113.00	$5.16–$72.56	31% below	73%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$34.61	$130.00	$5.16–$72.56	21% below	73%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL	$26.62	$100.00	$18.96–$266.63	81% below	73%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$27.42	$103.00	$18.96–$266.63	81% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)	$31.94	$120.00	$12.88–$181.13	56% below	73%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$34.61	$130.00	$12.88–$181.13	52% below	73%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$25.82	$97.00	$35.09–$493.46	79% below	73%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$103.55	$389.00	$13.39–$188.29	17% below	73%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$59.90	$225.00	$7.77–$109.28	25% below	73%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$62.02	$233.00	$7.77–$109.28	22% below	73%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$53.24	$200.00	$6.47–$90.98	18% below	73%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$58.56	$220.00	$6.47–$90.98	10% below	73%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$122.45	$460.00	$10.56–$148.50	20% below	73%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$128.57	$483.00	$10.56–$148.50	16% below	73%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$41.53	$156.00	$16.30–$229.24	63% below	73%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$44.72	$168.00	$16.30–$229.24	60% below	73%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$33.54	$126.00	$6.51–$91.54	50% below	73%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$38.87	$146.00	$5.12–$72.00	18% below	73%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV)	$13.31	$50.00	$14.39–$202.35	85% below	73%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$13.84	$52.00	$14.39–$202.35	84% below	73%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$13.31	$50.00	$10.18–$143.18	89% below	73%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$25.56	$96.00	$10.18–$143.18	79% below	73%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL	$14.91	$56.00	$22.23–$312.60	86% below	73%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$15.97	$60.00	$22.23–$312.60	85% below	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$45.52	$171.00	$62.14–$873.86	54% below	73%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$99.03	$372.00	$62.14–$873.86	1% below	73%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE)	$67.35	$253.00	$7.01–$98.59	26% below	73%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$15.97	$60.00	$18.14–$255.11	85% below	73%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID	$26.62	$100.00	$18.14–$255.11	75% below	73%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$49.51	$186.00	$27.94–$392.93	55% below	73%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$54.57	$205.00	$27.94–$392.93	50% below	73%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$95.83	$360.00	$18.58–$261.30	20% below	73%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$24.49	$92.00	$19.63–$276.04	86% below	73%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$26.35	$99.00	$19.63–$276.04	85% below	73%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$76.40	$287.00	$13.63–$191.66	42% below	73%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$9.32	$35.00	$9.72–$136.69	89% below	73%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$51.91	$195.00	$9.72–$136.69	38% below	73%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$61.76	$232.00	$14.70–$206.74	46% below	73%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$63.62	$239.00	$14.70–$206.74	44% below	73%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$75.87	$285.00	$16.94–$238.24	38% below	73%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$81.99	$308.00	$16.94–$238.24	33% below	73%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$65.49	$246.00	$9.02–$126.86	43% below	73%
Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE	$17.04	$64.00	$25.47–$358.16	86% below	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$44.99	$169.00	$7.20–$101.25	23% below	73%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$51.91	$195.00	$7.20–$101.25	11% below	73%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$271.52	$1,020.00	$498.08–$571.80	10% below	73%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE	$26.62	$100.00	$4.75–$66.79	54% below	73%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$29.02	$109.00	$4.75–$66.79	50% below	73%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$40.20	$151.00	$12.87–$180.98	69% below	73%
Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS	$55.90	$210.00	$12.87–$180.98	57% below	73%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$25.82	$97.00	$35.09–$493.46	78% below	73%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$78.26	$294.00	$16.85–$236.96	33% below	73%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$49.25	$185.00	$14.38–$202.24	58% below	73%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION	$59.90	$225.00	$85.10–$1,196.74	82% below	73%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$61.76	$232.00	$85.10–$1,196.74	82% below	73%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$57.50	$216.00	$13.71–$192.79	51% below	73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$18.63	$70.00	$24.08–$338.63	84% below	73%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$22.36	$84.00	$24.08–$338.63	81% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$17.30	$65.00	$35.09–$493.46	88% below	73%
HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES	$61.49	$231.00	$35.09–$493.46	58% below	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$51.91	$195.00	$9.71–$136.54	41% below	73%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$56.17	$211.00	$9.71–$136.54	37% below	73%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$12.78	$48.00	$2.37–$33.34	59% below	73%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$14.37	$54.00	$2.37–$33.34	54% below	73%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$9.05	$34.00	$12.05–$169.46	89% below	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$66.55	$250.00	$10.74–$151.05	29% below	73%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$68.15	$256.00	$10.74–$151.05	27% below	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$14.11	$53.00	$10.33–$145.28	84% below	73%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$50.84	$191.00	$10.33–$145.28	43% below	73%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$10.65	$40.00	$14.27–$200.66	90% below	73%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$39.93	$150.00	$42.84–$602.44	85% below	73%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$41.26	$155.00	$42.84–$602.44	84% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1	$10.65	$40.00	$13.19–$185.48	84% below	73%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$11.45	$43.00	$13.19–$185.48	83% below	73%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$15.97	$60.00	$19.35–$272.10	83% below	73%
High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY	$31.41	$118.00	$12.95–$182.10	66% below	73%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$33.81	$127.00	$12.95–$182.10	63% below	73%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$12.78	$48.00	$17.92–$252.00	89% below	73%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$7.72	$29.00	$11.43–$160.73	90% below	73%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$9.05	$34.00	$11.43–$160.73	88% below	73%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$37.27	$140.00	$6.47–$90.98	52% below	73%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$40.20	$151.00	$6.47–$90.98	48% below	73%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$61.49	$231.00	$8.74–$122.93	22% below	73%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$85.72	$322.00	$8.68–$122.06	42% below	73%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$80.66	$303.00	$18.52–$260.44	30% below	73%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$48.71	$183.00	$11.57–$162.71	46% below	73%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$50.05	$188.00	$11.57–$162.71	44% below	73%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$9.05	$34.00	$6.04–$84.94	83% below	73%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$50.58	$190.00	$6.04–$84.94	4% below	73%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$48.18	$181.00	$6.89–$96.90	46% below	73%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$51.91	$195.00	$6.89–$96.90	42% below	73%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$127.24	$478.00	$8.17–$114.90	9% below	73%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$39.93	$150.00	$17.03–$239.48	46% below	73%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$43.12	$162.00	$17.03–$239.48	42% below	73%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$16.77	$63.00	$6.70–$94.24	76% below	73%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$31.94	$120.00	$12.88–$181.13	57% below	73%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$39.93	$150.00	$5.18–$72.86	48% below	73%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$43.12	$162.00	$5.18–$72.86	44% below	73%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$27.68	$104.00	$13.05–$183.53	63% below	73%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE	$12.25	$46.00	$18.39–$258.60	87% below	73%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$12.51	$47.00	$18.39–$258.60	87% below	73%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$9.32	$35.00	$18.39–$258.60	92% below	73%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$86.52	$325.00	$18.39–$258.60	25% below	73%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING	$70.54	$265.00	$26.61–$374.21	47% below	73%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING	$50.84	$191.00	$20.26–$284.93	55% below	73%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$55.37	$208.00	$41.28–$580.50	75% below	73%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$56.97	$214.00	$41.28–$580.50	75% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$21.83	$82.00	$6.01–$84.53	67% below	73%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$22.36	$84.00	$6.01–$84.53	66% below	73%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$23.96	$90.00	$4.74–$66.68	59% below	73%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$24.76	$93.00	$4.74–$66.68	58% below	73%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$31.94	$120.00	$4.76–$66.94	26% below	73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 TEST FOR DETECTING GENES ASSOCIATED WITH FETAL DISEASE; ANEUPLOIDY GENOMIC SEQUENCE ANALYSIS PANEL	$505.78	$1,900.00	$759.05–$10,674.15	43% below	73%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$546.24	$2,052.00	$759.05–$10,674.15	38% below	73%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$64.95	$244.00	$20.86–$293.36	54% below	73%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$116.33	$437.00	$19.38–$272.55	10% below	73%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$25.56	$96.00	$4.29–$60.34	41% below	73%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$28.48	$107.00	$4.29–$60.34	34% below	73%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$8.52	$32.00	$12.60–$177.19	90% below	73%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$31.68	$119.00	$16.55–$232.73	56% below	73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP)	$43.66	$164.00	$16.53–$232.46	28% below	73%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$47.12	$177.00	$16.53–$232.46	23% below	73%
Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL	$14.64	$55.00	$21.99–$309.23	87% below	73%
Renin blood test CPT 84244 ASSAY OF RENIN	$15.71	$59.00	$21.99–$309.23	86% below	73%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$34.07	$128.00	$36.65–$51.78	49% below	73%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$26.62	$100.00	$5.67–$79.73	57% below	73%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$28.75	$108.00	$5.67–$79.73	54% below	73%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$31.94	$120.00	$14.39–$202.35	56% below	73%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED	$21.83	$82.00	$2.70–$37.99	55% below	73%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$23.69	$89.00	$2.70–$37.99	51% below	73%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL	$25.29	$95.00	$4.81–$67.65	48% below	73%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$13.31	$50.00	$8.90–$125.18	82% below	73%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$14.37	$54.00	$8.90–$125.18	81% below	73%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$20.76	$78.00	$15.92–$223.88	72% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$29.81	$112.00	$13.24–$186.19	55% below	73%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM	$37.00	$139.00	$13.24–$186.19	44% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$26.62	$100.00	$4.27–$60.04	48% below	73%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$27.42	$103.00	$4.27–$60.04	46% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$65.22	$245.00	$61.98–$871.61	70% below	73%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$70.54	$265.00	$61.98–$871.61	68% below	73%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$59.36	$223.00	$25.81–$362.96	53% below	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$26.62	$100.00	$14.55–$204.60	67% below	73%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$31.94	$120.00	$14.55–$204.60	60% below	73%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$83.05	$312.00	$16.80–$236.25	25% below	73%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL	$78.80	$296.00	$16.46–$231.49	10% below	73%
Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL	$20.23	$76.00	$4.35–$61.16	53% below	73%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL	$68.15	$256.00	$6.87–$96.60	18% below	73%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$75.87	$285.00	$14.18–$199.43	21% below	73%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$81.99	$308.00	$14.18–$199.43	15% below	73%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$34.61	$130.00	$12.76–$179.44	64% below	73%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$37.27	$140.00	$12.76–$179.44	61% below	73%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$23.43	$88.00	$35.09–$493.46	81% below	73%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$27.15	$102.00	$5.74–$80.74	43% below	73%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$27.95	$105.00	$5.74–$80.74	41% below	73%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$39.40	$148.00	$12.47–$175.35	74% below	73%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$76.67	$288.00	$12.47–$175.35	49% below	73%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$15.71	$59.00	$4.52–$63.56	78% below	73%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$15.97	$60.00	$4.52–$63.56	77% below	73%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$34.61	$130.00	$3.17–$44.59	46% below	73%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$29.55	$111.00	$2.25–$31.65	16% above	73%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$2.66	$10.00	$3.48–$48.94	88% below	73%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL	$26.62	$100.00	$5.78–$81.30	60% below	73%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$28.75	$108.00	$5.78–$81.30	57% below	73%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$56.43	$212.00	$8.61–$121.09	24% below	73%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$81.99	$308.00	$15.08–$212.06	37% below	73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$68.68	$258.00	$29.60–$416.25	62% below	73%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$74.27	$279.00	$29.60–$416.25	59% below	73%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL	$25.82	$97.00	$38.50–$541.43	87% below	73%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$26.62	$100.00	$38.50–$541.43	86% below	73%
Zinc blood test CPT 84630 ZINC LEVEL	$9.32	$35.00	$11.39–$160.16	87% below	73%
Zinc blood test CPT 84630 ASSAY OF ZINC	$10.12	$38.00	$11.39–$160.16	86% below	73%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$8.78	$33.00	$15.05–$211.65	92% below	73%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$17.57	$66.00	$15.05–$211.65	84% below	73%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$2,610.09	$9,805.00	$3,535.50–$4,596.15	51% below	73%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC	$5,821.79	$21,870.00	$13,690.75–$17,797.97	52% below	73%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$11,786.01	$44,275.00	$7,737.79–$10,059.13	8% below	73%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$4,292.48	$16,125.00	$7,737.79–$10,059.13	54% below	73%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$5,636.79	$21,175.00	$7,737.79–$10,059.13	39% below	73%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$1,128.69	$4,240.00	$1,761.21–$2,289.57	63% below	73%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$1,999.16	$7,510.00	$1,761.21–$2,289.57	35% below	73%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$7,100.89	$26,675.00	$1,761.21–$2,289.57	130% above	73%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA	$5,343.97	$20,075.00	$3,489.16–$4,535.91	33% above	73%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA	$6,002.81	$22,550.00	$3,489.16–$4,535.91	49% above	73%
Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION	$2,681.97	$10,075.00	$3,489.16–$4,535.91	23% below	73%
Bunion correction with removal of part of the big toe joint one side CPT 28292 CORRECTION OF BUNION	$5,343.97	$20,075.00	$3,489.16–$4,535.91	53% above	73%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$4,149.26	$15,587.00	$3,457.09–$4,494.22	60% below	73%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$4,028.40	$15,133.00	$3,457.09–$4,494.22	61% below	73%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$588.30	$2,210.00	$270.00–$2,200.00	51% below	73%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$3,550.44	$13,337.50	$2,082.33–$2,707.03	at median	73%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$4,126.10	$15,500.00	$2,082.33–$2,707.03	16% above	73%
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION	$14,507.90	$54,500.00	$27,872.57–$36,234.34	49% below	73%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX OR REMOVAL OF GROWTH	$1,647.11	$6,187.50	$982.17–$1,276.82	73% above	73%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$2,662.00	$10,000.00	$2,229.11–$2,897.84	7% above	73%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE	$2,662.00	$10,000.00	$2,229.11–$2,897.84	58% above	73%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION NEONATE	$604.81	$2,272.00	—	—	73%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,976.54	$7,425.00	$1,276.06–$1,658.88	30% below	73%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,597.20	$6,000.00	$1,276.06–$1,658.88	42% below	73%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,382.49	$8,950.00	$991.68–$1,289.18	1% below	73%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE	$3,147.82	$11,825.00	$3,451.96–$4,487.55	1% above	73%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$5,801.30	$21,793.00	$12,310.35–$16,003.46	59% below	73%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$2,415.77	$9,075.00	$3,758.93–$4,886.61	42% below	73%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$1,863.40	$7,000.00	$3,758.93–$4,886.61	56% below	73%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$3,367.43	$12,650.00	$3,758.93–$4,886.61	20% below	73%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$1,896.68	$7,125.00	$743.58–$966.65	50% above	73%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$3,513.84	$13,200.00	$3,451.96–$4,487.55	15% above	73%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH	$1,390.90	$5,225.00	$213.95–$278.14	747% above	73%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$1,904.66	$7,155.00	$1,654.56–$2,150.93	14% above	73%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$798.60	$3,000.00	$1,654.56–$2,150.93	52% below	73%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$1,622.49	$6,095.00	$1,654.56–$2,150.93	3% below	73%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$45.25	$170.00	$62.91–$2,200.00	61% below	73%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$45.25	$170.00	$62.91–$2,200.00	61% below	73%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$47.38	$178.00	$62.91–$81.78	62% below	73%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$50.05	$188.00	$62.91–$2,200.00	60% below	73%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$50.05	$188.00	$62.91–$2,200.00	60% below	73%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$50.05	$188.00	$62.91–$2,200.00	60% below	73%
Endoscopic sinus surgery: full ethmoid sinus opening one side CPT 31255 REMOVAL OF NASAL SINUS USING AN ENDOSCOPE	$2,807.08	$10,545.00	$7,525.84–$9,783.59	63% below	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$489.81	$1,840.00	$752.73–$978.55	73% below	73%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$931.70	$3,500.00	$752.73–$978.55	49% below	73%
Epidural steroid injection, neck or mid back, with imaging guidance one side CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$931.70	$3,500.00	$752.73–$978.55	49% below	73%
Epidural steroid injection, neck or mid back, with imaging guidance one side CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$1,304.38	$4,900.00	$752.73–$978.55	28% below	73%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$652.19	$2,450.00	$943.18–$1,226.13	58% below	73%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$771.98	$2,900.00	$943.18–$1,226.13	50% below	73%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$9,255.77	$34,770.00	$6,903.48–$8,974.52	21% below	73%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$2,662.00	$10,000.00	$3,818.02–$4,963.43	66% below	73%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$4,764.98	$17,900.00	$991.68–$1,289.18	347% above	73%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$6,600.43	$24,795.00	$6,446.76–$8,380.79	at median	73%
Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING	$1,976.54	$7,425.00	$991.68–$1,289.18	116% above	73%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES	$585.64	$2,200.00	$53.11–$69.04	51% above	73%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$3,733.46	$14,025.00	$5,334.45–$6,934.78	38% below	73%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$2,415.77	$9,075.00	$3,451.96–$4,487.55	28% below	73%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$1,171.28	$4,400.00	—	221% above	73%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$147.21	$553.00	$213.95–$2,200.00	62% below	73%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$5,270.76	$19,800.00	$3,818.02–$4,963.43	23% above	73%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$6,002.81	$22,550.00	$3,818.02–$4,963.43	40% above	73%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$8,418.58	$31,625.00	$3,818.02–$4,963.43	97% above	73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$206.31	$775.00	$327.33–$425.53	52% below	73%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$210.30	$790.00	$327.33–$425.53	51% below	73%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$931.70	$3,500.00	$327.33–$425.53	117% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$231.59	$870.00	$270.00–$2,200.00	53% below	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$931.70	$3,500.00	$327.33–$425.53	89% above	73%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$931.70	$3,500.00	$327.33–$425.53	89% above	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$175.69	$660.00	$327.33–$425.53	58% below	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$206.31	$775.00	$327.33–$425.53	50% below	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$175.69	$660.00	$327.33–$425.53	58% below	73%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$175.69	$660.00	$327.33–$425.53	58% below	73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$178.35	$670.00	$327.33–$425.53	43% below	73%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$206.31	$775.00	$327.33–$425.53	34% below	73%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$178.35	$670.00	$327.33–$425.53	43% below	73%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$178.35	$670.00	$327.33–$425.53	43% below	73%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$5,783.20	$21,725.00	$3,489.16–$4,535.91	at median	73%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 REPAIR OF INSIDE OR OUTSIDE KNEE JOINT CARTILAGE USING AN ENDOSCOPE	$6,368.84	$23,925.00	$3,489.16–$4,535.91	10% above	73%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$3,879.87	$14,575.00	$3,489.16–$4,535.91	45% below	73%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$4,355.70	$16,362.50	$3,489.16–$4,535.91	38% below	73%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$5,008.55	$18,815.00	$6,446.76–$8,380.79	22% below	73%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$11,000.72	$41,325.00	$11,335.31–$14,735.90	3% below	73%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$7,890.17	$29,640.00	$6,446.76–$8,380.79	18% above	73%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$6,979.76	$26,220.00	$6,446.76–$8,380.79	4% above	73%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$10,242.05	$38,475.00	$6,446.76–$8,380.79	53% above	73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$8,497.10	$31,920.00	$6,446.76–$8,380.79	29% above	73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$6,752.16	$25,365.00	$6,446.76–$8,380.79	2% above	73%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$8,876.44	$33,345.00	$6,446.76–$8,380.79	35% above	73%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$4,538.71	$17,050.00	$6,446.76–$8,380.79	30% below	73%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$3,587.05	$13,475.00	$6,446.76–$8,380.79	44% below	73%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$115.53	$434.00	$270.00–$2,200.00	81% below	73%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$124.85	$469.00	$270.00–$2,200.00	79% below	73%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$3,574.80	$13,429.00	$3,457.09–$4,494.22	51% below	73%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$489.81	$1,840.00	$752.73–$978.55	66% below	73%
Lower-back epidural injection, with imaging guidance one side CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$931.70	$3,500.00	$752.73–$978.55	35% below	73%
Lower-back epidural injection, with imaging guidance one side CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$931.70	$3,500.00	$752.73–$978.55	35% below	73%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$622.91	$2,340.00	$943.18–$1,226.13	57% below	73%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL	$931.70	$3,500.00	$943.18–$1,226.13	36% below	73%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$622.91	$2,340.00	$943.18–$1,226.13	56% below	73%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$652.19	$2,450.00	$943.18–$1,226.13	54% below	73%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$1,304.38	$4,900.00	$943.18–$1,226.13	8% below	73%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$9,407.51	$35,340.00	$7,737.79–$10,059.13	10% above	73%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$9,862.71	$37,050.00	$7,737.79–$10,059.13	15% above	73%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$12,745.66	$47,880.00	$7,737.79–$10,059.13	49% above	73%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC	$9,760.22	$36,665.00	$28,934.84–$37,615.29	at median	73%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$8,332.06	$31,300.00	$7,737.79–$10,059.13	4% above	73%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$8,518.40	$32,000.00	$7,737.79–$10,059.13	6% above	73%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$9,635.11	$36,195.00	$7,737.79–$10,059.13	20% above	73%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$2,562.18	$9,625.00	$4,175.29–$5,427.88	39% below	73%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$3,367.43	$12,650.00	$4,175.29–$5,427.88	19% below	73%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$4,282.49	$16,087.50	$7,080.86–$9,205.12	40% below	73%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$7,400.36	$27,800.00	$7,080.86–$9,205.12	5% above	73%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$1,537.31	$5,775.00	$3,451.96–$4,487.55	55% below	73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$2,535.56	$9,525.00	$755.13–$981.67	303% above	73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$1,252.14	$4,703.75	$755.13–$981.67	99% above	73%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm one side CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$1,252.14	$4,703.75	$755.13–$981.67	99% above	73%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$129.91	$488.00	$213.95–$2,200.00	55% below	73%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$259.81	$976.00	$213.95–$278.14	10% below	73%
Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT	$9,757.83	$36,656.00	$11,145.67–$14,489.37	15% below	73%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$833.21	$3,130.00	$967.18–$1,257.33	42% below	73%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$10,393.78	$39,045.00	$13,690.75–$17,797.97	18% above	73%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$300.27	$1,128.00	$433.50–$563.55	52% below	73%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$1,437.48	$5,400.00	—	55% below	73%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$2,708.59	$10,175.00	—	15% below	73%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$652.19	$2,450.00	$2,082.33–$2,707.03	76% below	73%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$978.29	$3,675.00	$2,082.33–$2,707.03	64% below	73%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$2,415.77	$9,075.00	$4,175.29–$5,427.88	16% below	73%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$3,513.84	$13,200.00	$4,175.29–$5,427.88	22% above	73%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$212.69	$799.00	$270.00–$2,200.00	56% below	73%
Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$2,892.26	$10,865.00	$433.50–$563.55	499% above	73%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$931.70	$3,500.00	$991.68–$1,289.18	63% below	73%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$2,382.49	$8,950.00	$991.68–$1,289.18	1% below	73%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$931.70	$3,500.00	$3,758.93–$4,886.61	87% below	73%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$1,940.33	$7,289.00	$3,758.93–$4,886.61	72% below	73%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$3,803.73	$14,289.00	$3,758.93–$4,886.61	46% below	73%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$176.49	$663.00	$270.00–$2,200.00	41% below	73%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$87.85	$330.00	$141.88–$2,200.00	65% below	73%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$94.77	$356.00	$141.88–$2,200.00	62% below	73%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$87.85	$330.00	$141.88–$2,200.00	65% below	73%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$87.85	$330.00	$141.88–$2,200.00	65% below	73%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$177.29	$666.00	$298.25–$387.72	50% below	73%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$92.90	$349.00	$173.29–$2,200.00	66% below	73%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$85.98	$323.00	$173.29–$2,200.00	68% below	73%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$85.98	$323.00	$173.29–$2,200.00	68% below	73%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$2,671.98	$10,037.50	$155.89–$202.66	65% below	73%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$122.72	$461.00	$213.95–$278.14	67% below	73%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$129.91	$488.00	$213.95–$278.14	65% below	73%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$238.78	$897.00	$433.50–$563.55	36% below	73%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC TR-EXT MAL+MARG 0.5 CM/<	$281.64	$1,058.00	$270.00–$2,200.00	50% below	73%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 REMOVAL OF CANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$1,331.00	$5,000.00	$755.13–$981.67	134% above	73%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$60.43	$227.00	$213.95–$2,200.00	76% below	73%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$2,129.60	$8,000.00	$213.95–$278.14	759% above	73%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$798.60	$3,000.00	$270.00–$2,200.00	18% below	73%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$122.72	$461.00	$213.95–$278.14	70% below	73%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$129.91	$488.00	$213.95–$278.14	69% below	73%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$129.91	$488.00	$213.95–$2,200.00	69% below	73%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$122.98	$462.00	$213.95–$2,200.00	70% below	73%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$132.83	$499.00	$213.95–$2,200.00	67% below	73%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$1,772.89	$6,660.00	$5,717.65–$7,432.94	69% below	73%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$225.47	$847.00	$433.50–$563.55	24% below	73%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$479.16	$1,800.00	$668.94–$869.62	62% below	73%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$1,184.59	$4,450.00	$668.94–$869.62	5% below	73%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$1,184.59	$4,450.00	$668.94–$869.62	5% below	73%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$1,184.59	$4,450.00	$668.94–$869.62	5% below	73%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$4,091.49	$15,370.00	$3,535.50–$4,596.15	41% below	73%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$2,186.83	$8,215.00	$6,312.72–$8,206.54	69% below	73%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$4,162.04	$15,635.00	$3,535.50–$4,596.15	18% above	73%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS)	$3,174.44	$11,925.00	$6,312.72–$8,206.54	36% below	73%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$12,138.72	$45,600.00	$13,690.75–$17,797.97	at median	73%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$12,973.26	$48,735.00	$13,690.75–$17,797.97	7% above	73%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$8,193.64	$30,780.00	$13,690.75–$17,797.97	29% below	73%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$8,269.50	$31,065.00	$13,690.75–$17,797.97	28% below	73%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$9,331.64	$35,055.00	$18,697.49–$24,306.74	5% below	73%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$10,924.85	$41,040.00	$18,697.49–$24,306.74	11% above	73%
Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER	$2,415.77	$9,075.00	$1,714.71–$2,229.12	41% above	73%
Trigger finger release surgery one side CPT 26055 INCISION OF TENDON COVERING OF FINGER	$2,830.59	$10,633.33	$1,714.71–$2,229.12	65% above	73%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$186.61	$701.00	$270.00–$2,200.00	64% below	73%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$206.31	$775.00	$327.33–$425.53	60% below	73%
Trigger point injections, 1 or 2 muscles one side CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$931.70	$3,500.00	$327.33–$425.53	79% above	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,128.69	$4,240.00	$1,761.21–$2,289.57	53% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$792.48	$2,977.00	$1,761.21–$2,289.57	67% below	73%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$792.48	$2,977.00	$1,761.21–$2,289.57	67% below	73%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$1,597.20	$6,000.00	$2,046.26–$2,660.14	32% below	73%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,382.49	$8,950.00	$967.18–$1,257.33	6% above	73%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$1,677.06	$6,300.00	$2,046.26–$2,660.14	45% below	73%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE	$1,091.42	$4,100.00	$967.18–$1,257.33	63% below	73%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$2,382.49	$8,950.00	$967.18–$1,257.33	18% above	73%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$3,001.41	$11,275.00	$5,717.65–$7,432.94	79% below	73%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$4,172.69	$15,675.00	$5,717.65–$7,432.94	70% below	73%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$1,573.91	$5,912.50	$5,717.65–$7,432.94	74% below	73%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$3,803.73	$14,289.00	$5,717.65–$7,432.94	38% below	73%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$3,803.73	$14,289.00	$5,717.65–$7,432.94	38% below	73%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN	$2,193.49	$8,240.00	$3,367.04–$4,377.15	56% below	73%
Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$2,052.40	$7,710.00	$3,367.04–$4,377.15	59% below	73%
Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE	$2,052.40	$7,710.00	$3,367.04–$4,377.15	59% below	73%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$1,597.20	$6,000.00	$213.95–$278.14	577% above	73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$250.23	$940.00	$270.00–$2,200.00	64% below	73%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$368.69	$1,385.00	$433.50–$563.55	47% below	73%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$3,513.84	$13,200.00	$433.50–$563.55	409% above	73%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$7,359.10	$27,645.00	$7,737.79–$10,059.13	5% below	73%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$463.19	$1,740.00	$470.45–$611.58	46% below	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$75.87	$285.00	—	—	73%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$442.42	$1,662.00	—	—	73%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$359.37	$1,350.00	$352.23–$457.90	44% below	73%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$388.12	$1,458.00	$352.23–$457.90	39% below	73%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$921.85	$3,463.00	$270.00–$2,200.00	56% below	73%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$949.54	$3,567.00	$270.00–$2,200.00	54% below	73%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$199.65	$750.00	$230.26–$299.34	77% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$74.80	$281.00	$62.91–$81.78	68% below	73%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$76.93	$289.00	$62.91–$81.78	67% below	73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$103.82	$390.00	$89.92–$2,200.00	54% below	73%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$112.07	$421.00	$89.92–$2,200.00	50% below	73%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$208.70	$784.00	$163.73–$2,200.00	48% below	73%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$225.47	$847.00	$163.73–$2,200.00	44% below	73%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$350.59	$1,317.00	$270.00–$2,200.00	50% below	73%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$378.54	$1,422.00	$270.00–$2,200.00	46% below	73%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$535.33	$2,011.00	$270.00–$2,200.00	53% below	73%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$578.19	$2,172.00	$270.00–$2,200.00	49% below	73%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$753.35	$2,830.00	$270.00–$2,200.00	53% below	73%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$775.97	$2,915.00	$270.00–$2,200.00	51% below	73%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$439.23	$1,650.00	$230.26–$299.34	55% below	73%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$474.37	$1,782.00	$230.26–$299.34	51% below	73%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$319.44	$1,200.00	$226.82–$294.87	5% below	73%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$359.37	$1,350.00	$226.82–$294.87	11% below	73%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$105.15	$395.00	$226.82–$294.87	51% below	73%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$119.79	$450.00	$226.82–$294.87	44% below	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$76.67	$288.00	$76.78–$99.81	30% below	73%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$223.61	$840.00	$76.78–$99.81	104% above	73%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION; 7-8 STUDIES	$580.32	$2,180.00	$397.92–$517.30	20% below	73%
Nerve conduction study, 7 or 8 nerve studies one side CPT 95910 NERVE CONDUCTION; 7-8 STUDIES	$580.32	$2,180.00	$397.92–$517.30	20% below	73%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$47.92	$180.00	$31.55–$41.02	60% below	73%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$216.95	$815.00	$73.38–$95.39	2% below	73%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN	$252.09	$947.00	$119.50–$155.35	15% below	73%
New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES	$300.01	$1,127.00	$164.36–$213.67	23% below	73%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN	$308.79	$1,160.00	$164.36–$213.67	20% below	73%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$160.52	$603.00	$41.73–$54.25	4% below	73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$24.76	$93.00	$25.85–$33.60	53% below	73%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES	$74.27	$279.00	$25.85–$33.60	41% above	73%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$132.83	$499.00	$96.48–$125.42	48% below	73%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$179.69	$675.00	$94.04–$122.25	47% below	73%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$107.01	$402.00	$94.04–$122.25	53% below	73%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$132.83	$499.00	$94.04–$122.25	57% below	73%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$47.92	$180.00	$26.78–$34.81	64% below	73%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$55.90	$210.00	$28.05–$36.47	50% below	73%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$20.76	$78.00	$39.95–$51.94	47% below	73%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES	$300.01	$1,127.00	$127.36–$165.57	9% above	73%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$308.79	$1,160.00	$127.36–$165.57	12% above	73%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$210.56	$791.00	$58.18–$75.63	38% above	73%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$244.64	$919.00	$85.77–$111.50	32% above	73%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$155.73	$585.00	$31.70–$81.00	25% above	73%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$144.01	$541.00	$218.13–$283.57	58% below	73%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$119.26	$448.00	$73.52–$95.58	36% below	73%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$75.87	$285.00	$230.26–$299.34	74% below	73%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$78.26	$294.00	$230.26–$299.34	74% below	73%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$137.36	$516.00	$397.92–$517.30	75% below	73%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$149.34	$561.00	$397.92–$517.30	73% below	73%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$47.92	$180.00	$33.51–$43.56	62% below	73%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$127.78	$480.00	$141.88–$184.44	41% below	73%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$137.89	$518.00	$141.88–$184.44	36% below	73%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax	$247.07	$928.13	—	11% below	73%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix	$83.71	$314.47	—	16% below	73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix	$42.91	$161.20	—	32% below	73%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Daptacel	$52.20	$196.11	—	17% below	73%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel	$139.06	$522.38	—	22% below	73%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FluLaval 2025-2026 Formula	$35.21	$132.26	—	at median	73%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix	$180.87	$679.47	—	11% below	73%
Hepatitis A vaccine, adult dose CPT 90632 Vaqta	$121.12	$455.00	—	1% above	73%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix Pediatric	$63.89	$240.00	—	23% below	73%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B	$52.36	$196.70	—	40% below	73%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Pedvaxhib	$54.80	$205.85	—	12% below	73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM	$22.15	$83.19	—	58% below	73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hiberix	$22.15	$83.19	—	58% below	73%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ActHIB	$23.47	$88.18	—	56% below	73%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2025-2026 Formula	$121.12	$455.00	—	57% above	73%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$129.98	$488.28	—	33% below	73%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 ProQuad	$369.46	$1,387.92	—	6% below	73%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menactra	$191.08	$717.80	—	23% below	73%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$227.18	$853.40	—	8% below	73%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero	$323.49	$1,215.22	—	11% below	73%
Meningococcal B vaccine (Trumenba) CPT 90621 Trumenba	$290.70	$1,092.03	—	8% below	73%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FluMist Trivalent 2025-2026 Formula	$22.36	$84.00	—	18% below	73%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Prevnar 13	$291.37	$1,094.56	—	20% below	73%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20	$364.68	$1,369.94	—	18% below	73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$30.61	$115.00	—	84% below	73%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$151.16	$567.85	—	20% below	73%
Polio vaccine, inactivated (IPV) CPT 90713 Ipol	$505.78	$1,900.00	—	259% above	73%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 RSV MONOC ANTB SEASN 1 ML IM	$314.76	$1,182.43	—	—	73%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 RSV MONOC ANTB SEASN .5ML IM	$314.76	$1,182.43	—	—	73%
Rabies vaccine, one dose CPT 90675 RabAvert	$489.37	$1,838.35	$319.75–$415.68	35% below	73%
Rabies vaccine, one dose CPT 90675 Imovax Rabies	$505.78	$1,900.00	$319.75–$415.68	33% below	73%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE	$505.78	$1,900.00	$319.75–$415.68	33% below	73%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix	$70.09	$263.29	—	69% below	73%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix	$278.24	$1,045.23	—	29% above	73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDVAX	$49.91	$187.50	—	35% below	73%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$70.94	$266.48	—	8% below	73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$72.10	$270.86	—	33% below	73%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel	$77.20	$290.00	—	28% below	73%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhim Vi	$208.64	$783.76	—	1% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$27.15	$102.00	$76.78–$99.81	53% below	73%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$29.28	$110.00	$76.78–$99.81	49% below	73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$25.56	$96.00	—	34% below	73%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$29.28	$110.00	—	24% below	73%

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://apim.services.craneware.com/api-pricing-transparency/api/public/40e3102d5608e1d56aa13fa18d40822d/charges/mrf