The University of Chicago Medical Center
The University of Chicago Medical Center in Chicago, IL publishes cash prices for 462 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Illinois median for 357 of 453 procedures and below it for 91. By typical cash price it ranks #105 of 114 Illinois hospitals and #55 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
5841 South Maryland, Chicago, IL 60637,5700 S Maryland Ave, Chicago, IL 60637,5721 S Maryland Ave, Chicago, IL 60637 Collected Sep 23, 2026 Source price file Check a bill from this hospital (773) 702-9785
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 140088 · CMS hospital register NPI 1508956509
The price file shows no self-pay discount
For 2144 of the 2144 prices listed here, the cash price in The University of Chicago Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
The University of Chicago 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Hc Computed Tomogrphy, Abdmn; W/O Cntrst Materl, Fllwed By Cntrst Materl(S) & Further Sectns | $3,010.00 | $3,010.00 | — | 6% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Hc Computed Tomogrphy, Abdmn; W/O Cntrst Materl, Fllwed By Cntrst Materl(S) & Further Sectns | $3,010.00 | $3,010.00 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 Hc X-Ray Exam Abdomen 2 Views | $492.00 | $492.00 | — | 49% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Hc X-Ray Exam Abdomen 2 Views | $492.00 | $492.00 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 Hc Radiologic Examination, Ankle; Complete, Minimum Of 3 Views | $562.00 | $562.00 | — | 67% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Hc Radiologic Examination, Ankle; Complete, Minimum Of 3 Views | $562.00 | $562.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Hc Limited Bilateral Noninvasive Physiology Studies Of Upper Or Lower Extremity Arteries | $1,504.00 | $1,504.00 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Hc Limited Bilateral Noninvasive Physiology Studies Of Upper Or Lower Extremity Arteries | $1,504.00 | $1,504.00 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Hc Computed Tomography, Upper Extremity; Without Contrast Material | $3,057.00 | $3,057.00 | — | 67% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Hc Computed Tomography, Upper Extremity; Without Contrast Material | $3,057.00 | $3,057.00 | — | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Hc Radiologic Exam; Esophagus | $1,170.00 | $1,170.00 | — | 95% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Hc Radiologic Exam; Esophagus | $1,170.00 | $1,170.00 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Hc Bone And/Or Joint Imaging; Whole Body | $4,906.00 | $4,906.00 | — | 211% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Hc Bone And/Or Joint Imaging; Whole Body | $4,906.00 | $4,906.00 | — | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete | $993.60 | $993.60 | — | 92% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete-Pbb | $994.00 | $994.00 | — | 92% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete | $993.60 | $993.60 | — | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Hc U/S, Breast, Unilat, Real Time W/ Image Documentation, Incl Axilla When Perf, Complete-Pbb | $994.00 | $994.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Ultrasound, Breast, Unilateral-Pbb | $929.00 | $929.00 | — | 112% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Hc Ultrasound, Breast, Unilateral | $929.00 | $929.00 | — | 112% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Ultrasound, Breast, Unilateral-Pbb | $929.00 | $929.00 | — | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Hc Ultrasound, Breast, Unilateral | $929.00 | $929.00 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Hc Ct Anggrphy Abd&Pelv,W/Contrst Mat,Incl Noncontrst Images,If Performed,&Imge Postproc | $5,138.00 | $5,138.00 | — | 38% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Hc Ct Anggrphy Abd&Pelv,W/Contrst Mat,Incl Noncontrst Images,If Performed,&Imge Postproc | $5,138.00 | $5,138.00 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 Hc Cta, Head, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing | $2,822.00 | $2,822.00 | — | 10% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Hc Cta, Head, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing | $2,822.00 | $2,822.00 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 Hc Cta, Neck, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing | $2,627.00 | $2,627.00 | — | 1% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Hc Cta, Neck, W/ Contrast Material, Incl Noncontrast Images, If Performed, And Image Postprocessing | $2,627.00 | $2,627.00 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Hc Cta, Chst, W/ Contrast Material(S), Incl Nonconstract Imges, If Performed, And Img Postprocessing | $3,284.00 | $3,284.00 | — | 12% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Hc Cta, Chst, W/ Contrast Material(S), Incl Nonconstract Imges, If Performed, And Img Postprocessing | $3,284.00 | $3,284.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing- | $1,016.00 | $1,016.00 | — | 43% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing | $1,717.00 | $1,717.00 | — | 3% below | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing- | $1,016.00 | $1,016.00 | — | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Hc Ct Angiography, Heart,Coronary Arteries, Bypass Grafts, W Contrast, Incl 3D Image Postprocessing | $1,717.00 | $1,717.00 | — | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Hc Ct, Heart, Without Contrast Material, With Quantiative Evaluation Of Coronary Calcium Cash | $50.00 | $50.00 | — | 77% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Hc Ct, Heart, Without Contrast Material, With Quantiative Evaluation Of Coronary Calcium Cash | $50.00 | $50.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Hc Computed Tomography, Abdomen And Pelvis; Without Contrast Material | $5,442.00 | $5,442.00 | — | 49% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Hc Computed Tomography, Abdomen And Pelvis; Without Contrast Material | $5,442.00 | $5,442.00 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Computed Tomography, Abdomen And Pelvis; With Contrast Material(S) | $5,839.00 | $5,839.00 | — | 32% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Computed Tomography, Abdomen And Pelvis; With Contrast Material(S) | $5,839.00 | $5,839.00 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Hc Ct Tom, Ab & Pel; Wo Cnt Mat 1 Or Both Bdy Rgns,Fllwd By Cnt Mat(S)&Frthr Sec 1 Or Both Bdy Rgns | $6,718.00 | $6,718.00 | — | 35% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Hc Ct Tom, Ab & Pel; Wo Cnt Mat 1 Or Both Bdy Rgns,Fllwd By Cnt Mat(S)&Frthr Sec 1 Or Both Bdy Rgns | $6,718.00 | $6,718.00 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 Hc Computed Tomography, Abdomen; With Contrast Material(S) | $2,854.00 | $2,854.00 | — | 26% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 Hc Computed Tomography, Abdomen; With Contrast Material(S) | $2,854.00 | $2,854.00 | — | — | — |
| CT scan of the abdomen without contrast CPT 74150 Hc Computed Tomography, Abdomen; Without Contrast Material | $1,968.00 | $1,968.00 | — | 3% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 Hc Computed Tomography, Abdomen; Without Contrast Material | $1,968.00 | $1,968.00 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Hc Ct, Maxillofacial Area; Without Contrast Material | $2,728.00 | $2,728.00 | — | 61% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Hc Ct, Maxillofacial Area; Without Contrast Material | $2,728.00 | $2,728.00 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct, Head Or Brain; Without Contrast Material | $2,610.00 | $2,610.00 | — | 42% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct, Head Or Brain; Without Contrast Material | $2,610.00 | $2,610.00 | — | — | — |
| CT scan of the head with contrast CPT 70460 Hc Ct, Head Or Brain; With Contrast Material | $2,712.00 | $2,712.00 | — | 40% above | — |
| CT scan of the head with contrast inpatient CPT 70460 Hc Ct, Head Or Brain; With Contrast Material | $2,712.00 | $2,712.00 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 Hc Ct, Head Or Brain; W/O Contrast Material, Following By Contrast Material(S) And Further Sections | $3,021.00 | $3,021.00 | — | 24% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Hc Ct, Head Or Brain; W/O Contrast Material, Following By Contrast Material(S) And Further Sections | $3,021.00 | $3,021.00 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Hc Computed Tomography, Lumbar Spine; Without Contrast Material | $2,344.00 | $2,344.00 | — | 7% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Hc Computed Tomography, Lumbar Spine; Without Contrast Material | $2,344.00 | $2,344.00 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Hc Computed Tomography, Cervical Spine; Without Contrast Material | $2,632.00 | $2,632.00 | — | 13% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Hc Computed Tomography, Cervical Spine; Without Contrast Material | $2,632.00 | $2,632.00 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Computed Tomography, Pelvis; With Contrast Material(S) | $2,903.00 | $2,903.00 | — | 34% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Computed Tomography, Pelvis; With Contrast Material(S) | $2,903.00 | $2,903.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Hc Duplex Scan Of Extracranial Arteries; Complete Bilateral Study | $2,755.00 | $2,755.00 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Hc Duplex Scan Of Extracranial Arteries; Complete Bilateral Study | $2,755.00 | $2,755.00 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 Hc Ct, Thorax; Without Contrast Material, Followed By With Contrast Material(S) And Further Sections | $3,264.00 | $3,264.00 | — | 15% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Hc Ct, Thorax; Without Contrast Material, Followed By With Contrast Material(S) And Further Sections | $3,264.00 | $3,264.00 | — | — | — |
| Chest X-ray, 2 views CPT 71046 Hc X-Ray Exam Chest 2 Views | $681.00 | $681.00 | — | 121% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 Hc X-Ray Exam Chest 2 Views | $681.00 | $681.00 | — | — | — |
| Chest X-ray, single view CPT 71045 Hc X-Ray Exam Chest 1 View | $345.00 | $345.00 | — | 35% above | — |
| Chest X-ray, single view inpatient CPT 71045 Hc X-Ray Exam Chest 1 View | $345.00 | $345.00 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 Hc Radiologic Examination; Clavicle, Complete | $466.00 | $466.00 | — | 78% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Hc Radiologic Examination; Clavicle, Complete | $466.00 | $466.00 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Hc Ultrasound, Retroperitoneal, Real Time With Image Documentation, Complete | $2,138.00 | $2,138.00 | — | 160% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Hc Ultrasound, Retroperitoneal, Real Time With Image Documentation, Complete | $2,138.00 | $2,138.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton | $164.00 | $164.00 | — | 66% below | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton-Pbb | $974.00 | $974.00 | — | 105% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton | $164.00 | $164.00 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Hc Dxa, Bone Density Study, 1 Or More Sites; Axial Skeleton-Pbb | $974.00 | $974.00 | — | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Hc Dxa Bone Densitity Study 1/> Sites Appendicular Skel-Pbb | $134.00 | $134.00 | — | 43% below | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Hc Dxa Bone Densitity Study 1/> Sites Appendicular Skel-Pbb | $134.00 | $134.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest-P | $1,678.00 | $1,678.00 | — | 71% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest | $1,678.00 | $1,678.00 | — | 71% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest | $1,678.00 | $1,678.00 | — | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Hc Us, Preg Uterus,Real Time W Img Docn,Fet&Mat Eval Det Fet Anatomic Exam; Transabd;Sing/1St Gest-P | $1,678.00 | $1,678.00 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Hc Ct, Thorax; Without Contrast Material | $2,682.00 | $2,682.00 | — | 45% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Hc Ct, Thorax; Without Contrast Material | $2,682.00 | $2,682.00 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Hc Ct, Thorax; With Contrast Material | $2,846.00 | $2,846.00 | — | 19% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Hc Ct, Thorax; With Contrast Material | $2,846.00 | $2,846.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Bilateral, All Views | $719.00 | $719.00 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Hc Diagnostic Mammography Including Computer-Aided Detection; Bilateral | $719.00 | $719.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Diagnostic Mammography Including Computer-Aided Detection; Bilateral | $719.00 | $719.00 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Bilateral, All Views | $719.00 | $719.00 | — | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Diagnostic Mammography Including Computer-Aided Detection; Unilateral | $538.00 | $538.00 | — | 76% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Unilateral, All Views | $538.00 | $538.00 | — | 76% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Diagnostic Mammography, Producing Direct 2D Digital Image, Unilateral, All Views | $538.00 | $538.00 | — | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Diagnostic Mammography Including Computer-Aided Detection; Unilateral | $538.00 | $538.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Hc Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts; Complete Bilateral Study | $3,109.00 | $3,109.00 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Hc Duplex Scan Of Lower Extremity Arteries Or Arterial Bypass Grafts; Complete Bilateral Study | $3,109.00 | $3,109.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Dplx Scan Of Extremity Veins Incl Responses To Cmpressn And Other Maneuvers; Complete Bilat Study | $3,736.00 | $3,736.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Hc Vasc Lab Dplx Scan L/Extrem Veins/Responses To Compression & Other Maneuvers; Complet Bilat Stdy | $3,736.00 | $3,736.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Vasc Lab Dplx Scan L/Extrem Veins/Responses To Compression & Other Maneuvers; Complet Bilat Stdy | $3,736.00 | $3,736.00 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Hc Dplx Scan Of Extremity Veins Incl Responses To Cmpressn And Other Maneuvers; Complete Bilat Study | $3,736.00 | $3,736.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Tte W Cntrst,Wo Cntrst W Cntrst,Rltm W 2D Img Doc,Inc Mmod Rec,W Spec Dop Echo,&W Clr Flo Dop Ech | $5,935.00 | $5,935.00 | — | 180% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Hc Echcrd,Trnsthor, Rltm W Img Doc(2D),Incl Mmod Rec,Comp,W Spct Dop Echcrd,&W Clr Flow Dop Echcrd | $5,935.00 | $5,935.00 | — | 180% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Echcrd,Trnsthor, Rltm W Img Doc(2D),Incl Mmod Rec,Comp,W Spct Dop Echcrd,&W Clr Flow Dop Echcrd | $5,935.00 | $5,935.00 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Hc Tte W Cntrst,Wo Cntrst W Cntrst,Rltm W 2D Img Doc,Inc Mmod Rec,W Spec Dop Echo,&W Clr Flo Dop Ech | $5,935.00 | $5,935.00 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 Hc Radiologic Examination, Elbow; 2 Views | $398.00 | $398.00 | — | 45% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 Hc Radiologic Examination, Elbow; 2 Views | $398.00 | $398.00 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 Hc Radiologic Examination, Elbow; Complete, Minimum Of 3 Views | $492.00 | $492.00 | — | 45% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Hc Radiologic Examination, Elbow; Complete, Minimum Of 3 Views | $492.00 | $492.00 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Hc Ct, Orbit, Sella, Or Posterior Fossa Or Outer, Middle Or Inner Ear; Without Contrast Material | $2,546.00 | $2,546.00 | — | 52% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Hc Ct, Orbit, Sella, Or Posterior Fossa Or Outer, Middle Or Inner Ear; Without Contrast Material | $2,546.00 | $2,546.00 | — | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Hc Radiologic Exam, Facial Bones; Complete, Minimum Of 3 Views | $813.00 | $813.00 | — | 98% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Hc Radiologic Exam, Facial Bones; Complete, Minimum Of 3 Views | $813.00 | $813.00 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Hc Radiologic Examination; Forearm, 2 Views | $490.00 | $490.00 | — | 54% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Hc Radiologic Examination; Forearm, 2 Views | $490.00 | $490.00 | — | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hc Hepatobiliary System Imaging, Including Gallbladder When Present | $3,888.00 | $3,888.00 | — | 157% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hc Hepatobiliary System Imaging, Including Gallbladder When Present | $3,888.00 | $3,888.00 | — | — | — |
| Hand X-ray, 2 views CPT 73120 Hc Radiologic Examination, Hand; 2 Views | $385.00 | $385.00 | — | 38% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 Hc Radiologic Examination, Hand; 2 Views | $385.00 | $385.00 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Hc Radiologic Examination; Calcaneus, Minimum Of 2 Views | $475.00 | $475.00 | — | 97% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Hc Radiologic Examination; Calcaneus, Minimum Of 2 Views | $475.00 | $475.00 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Home Sleep Test With Type Iii Portable Monitor, Unattented, Min 4 Channels | $583.00 | $583.00 | — | 14% below | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Hc Sleep Study, Unattended, Simultaneous Recording Of, Heart Rate, O2 Sat, Respairflow, & Respeffort | $758.00 | $758.00 | — | 12% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Home Sleep Test With Type Iii Portable Monitor, Unattented, Min 4 Channels | $583.00 | $583.00 | — | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Hc Sleep Study, Unattended, Simultaneous Recording Of, Heart Rate, O2 Sat, Respairflow, & Respeffort | $758.00 | $758.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Split Night Study Tech Only | $450.00 | $450.00 | — | 90% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Cpap Titration Tech Only | $450.00 | $450.00 | — | 90% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Cpap Treatment Night Tech Only | $450.00 | $450.00 | — | 90% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Split Night Study Tech & Scoring | $500.00 | $500.00 | — | 89% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Cpap Titration Tech & Scoring | $500.00 | $500.00 | — | 89% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Split Night Study With Physician Interpretation | $650.00 | $650.00 | — | 86% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Cpap Treatment Night With Physician Interpretation | $650.00 | $650.00 | — | 86% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Cpap Titration With Physician Interpretation | $650.00 | $650.00 | — | 86% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Research Polysomnogram | $1,216.00 | $1,216.00 | — | 74% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Hc Plysongrphy; Slp Stg W 4 Or > Add Par Sleep,W Initiation Of Cpap Ther Or Bilvl Vent, Att By Tech | $8,291.00 | $8,291.00 | — | 76% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Cpap Titration Tech Only | $450.00 | $450.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Split Night Study Tech Only | $450.00 | $450.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Cpap Treatment Night Tech Only | $450.00 | $450.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Split Night Study Tech & Scoring | $500.00 | $500.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Cpap Titration Tech & Scoring | $500.00 | $500.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Cpap Treatment Night With Physician Interpretation | $650.00 | $650.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Cpap Titration With Physician Interpretation | $650.00 | $650.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Split Night Study With Physician Interpretation | $650.00 | $650.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Research Polysomnogram | $1,216.00 | $1,216.00 | — | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Hc Plysongrphy; Slp Stg W 4 Or > Add Par Sleep,W Initiation Of Cpap Ther Or Bilvl Vent, Att By Tech | $8,291.00 | $8,291.00 | — | — | — |
| Knee X-ray, 3 views CPT 73562 Hc Radiologic Examination, Knee; 3 Views | $550.00 | $550.00 | — | 57% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 Hc Radiologic Examination, Knee; 3 Views | $550.00 | $550.00 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 Hc Radiologic Examination, Knee; Complete, 4 Or More Views | $858.00 | $858.00 | — | 94% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Hc Radiologic Examination, Knee; Complete, 4 Or More Views | $858.00 | $858.00 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Hc Computed Tomography, Lower Extremity; Without Contrast Material | $2,822.00 | $2,822.00 | — | 55% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Hc Computed Tomography, Lower Extremity; Without Contrast Material | $2,822.00 | $2,822.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited | $2,075.00 | $2,075.00 | — | 196% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Pbb | $2,075.00 | $2,075.00 | — | 196% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold | $2,075.00 | $2,075.00 | — | 196% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold,Pbb | $2,075.00 | $2,075.00 | — | 196% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold,Pbb | $2,075.00 | $2,075.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited | $2,075.00 | $2,075.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Pbb | $2,075.00 | $2,075.00 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Limited-Gold | $2,075.00 | $2,075.00 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Hc Us, Ltd, Joint Nonvasc Extrmty Structure(S) (Eg, Joint Space, Peri-Articular Tnds) Real-Time W/Im | $348.00 | $348.00 | — | 13% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Hc Us, Ltd, Joint Nonvasc Extrmty Structure(S) (Eg, Joint Space, Peri-Articular Tnds) Real-Time W/Im | $348.00 | $348.00 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Hc Ct Thorax, Low Dose For Lung Cancer Screening, Wo Materials | $2,682.00 | $2,682.00 | — | 375% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Hc Ct Thorax, Low Dose For Lung Cancer Screening, Wo Materials | $2,682.00 | $2,682.00 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Hc Radiologic Examination; Tibia And Fibula, 2 Views | $589.00 | $589.00 | — | 82% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Hc Radiologic Examination; Tibia And Fibula, 2 Views | $589.00 | $589.00 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Hc Mra, Head; Without Contrast Material | $3,650.00 | $3,650.00 | — | 37% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Hc Mra, Head; Without Contrast Material | $3,650.00 | $3,650.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hc Mri With Contrast, Breast; Bilateral | $4,311.00 | $4,311.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Hc Mri Breast Wwo Contrast Including Cad When Performed: Bilateral | $6,583.00 | $6,583.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 Hc Mri Without Contrast Followed By With Contrast, Breast; Bilteral | $6,583.00 | $6,583.00 | — | 2094% above | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hc Mri With Contrast, Breast; Bilateral | $4,311.00 | $4,311.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Hc Mri Breast Wwo Contrast Including Cad When Performed: Bilateral | $6,583.00 | $6,583.00 | — | — | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 Hc Mri Without Contrast Followed By With Contrast, Breast; Bilteral | $6,583.00 | $6,583.00 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Hc Magnetic Resonance Imaging, Any Joint Of Lower Extremity; Without Contrast Material | $4,638.00 | $4,638.00 | — | 65% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Hc Magnetic Resonance Imaging, Any Joint Of Lower Extremity; Without Contrast Material | $4,638.00 | $4,638.00 | — | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Hc Mri, Any Joint Of Lower Extremity;Wo Contrast Mat(S),Followed By Contrast Mat(S)&Further Seq | $7,177.00 | $7,177.00 | — | 108% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Hc Mri, Any Joint Of Lower Extremity;Wo Contrast Mat(S),Followed By Contrast Mat(S)&Further Seq | $7,177.00 | $7,177.00 | — | — | — |
| MRI of the abdomen without contrast CPT 74181 Hc Mri, Abdomen; Without Contrast Material(S) | $5,060.00 | $5,060.00 | — | 83% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Hc Mri, Abdomen; Without Contrast Material(S) | $5,060.00 | $5,060.00 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Hc Mri, Abdomen; W/O Contrast Material(S), Followed By Constrast Material(S) And Further Sequences | $7,364.00 | $7,364.00 | — | 98% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Hc Mri, Abdomen; W/O Contrast Material(S), Followed By Constrast Material(S) And Further Sequences | $7,364.00 | $7,364.00 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 Hc Mri, Brain; Without Contrast Material | $4,097.00 | $4,097.00 | — | 46% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mri, Brain; Without Contrast Material | $4,097.00 | $4,097.00 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri Pituitary, Without Contrast Material, Follow By Contrast Material | $7,132.00 | $7,132.00 | — | 76% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mri, Brain Without Contrast Material, Followed By Contrast Material | $7,132.00 | $7,132.00 | — | 76% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri, Brain Without Contrast Material, Followed By Contrast Material | $7,132.00 | $7,132.00 | — | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mri Pituitary, Without Contrast Material, Follow By Contrast Material | $7,132.00 | $7,132.00 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Lumbar; Without Contrast Material | $5,558.00 | $5,558.00 | — | 92% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Lumbar; Without Contrast Material | $5,558.00 | $5,558.00 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Hc Mri, Spnl Canal & Contents, W/Out Cntrst Mat, Followed By Cntrst Mat(S) & Further Sequ; Lumbar | $9,654.00 | $9,654.00 | — | 136% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Hc Mri, Spnl Canal & Contents, W/Out Cntrst Mat, Followed By Cntrst Mat(S) & Further Sequ; Lumbar | $9,654.00 | $9,654.00 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Thoracic; Without Contrast Material | $6,213.00 | $6,213.00 | — | 116% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Thoracic; Without Contrast Material | $6,213.00 | $6,213.00 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Hc Mri,Spnl Canal&Contents,W/Out Cntrst Mat,Followed By Cntrst Mat&Further Sequ;Cerv | $7,141.00 | $7,141.00 | — | 79% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Hc Mri,Spnl Canal&Contents,W/Out Cntrst Mat,Followed By Cntrst Mat&Further Sequ;Cerv | $7,141.00 | $7,141.00 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Cervical; Without Contrast Material | $4,708.00 | $4,708.00 | — | 61% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Hc Magnetic Resonance Imaging, Spinal Canal And Contents, Cervical; Without Contrast Material | $4,708.00 | $4,708.00 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvis W/O &W Contrast Research | $2,807.00 | $2,807.00 | — | 21% below | — |
| MRI of the pelvis without and with contrast CPT 72197 Hc Mri Pelvic With And Without Contrast | $7,689.00 | $7,689.00 | — | 115% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvis W/O &W Contrast Research | $2,807.00 | $2,807.00 | — | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Hc Mri Pelvic With And Without Contrast | $7,689.00 | $7,689.00 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Hc Magnetic Resonance Imaging, Pelvis; Without Contrast Material(S) | $4,662.00 | $4,662.00 | — | 74% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Hc Magnetic Resonance Imaging, Pelvis; Without Contrast Material(S) | $4,662.00 | $4,662.00 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Hc Magnetic Resonance Imaging, Any Joint Of Upper Extremity; Without Contrast Material(S) | $5,241.00 | $5,241.00 | — | 86% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Hc Magnetic Resonance Imaging, Any Joint Of Upper Extremity; Without Contrast Material(S) | $5,241.00 | $5,241.00 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Hc Radiologic Examination, Spine, Cervical; 4 Or 5 Views | $844.00 | $844.00 | — | 53% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Hc Radiologic Examination, Spine, Cervical; 4 Or 5 Views | $844.00 | $844.00 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Hc Ct, Soft Tissue Neck; With Contrast Material | $2,523.00 | $2,523.00 | — | 18% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Hc Ct, Soft Tissue Neck; With Contrast Material | $2,523.00 | $2,523.00 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Hc Ct, Soft Tissue Neck; Without Contrast Material | $2,378.00 | $2,378.00 | — | 36% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Hc Ct, Soft Tissue Neck; Without Contrast Material | $2,378.00 | $2,378.00 | — | — | — |
| Neck soft tissue X-ray CPT 70360 Hc Radiologic Exam; Neck; Soft Tissue | $573.00 | $573.00 | — | 118% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 Hc Radiologic Exam; Neck; Soft Tissue | $573.00 | $573.00 | — | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Hc Myocard Perf Img,Tomograph;Mult Stdy,Rest &/Or Stress (Ex/Rx) &/Or Redistribution &/Or Rest Reinj | $9,684.00 | $9,684.00 | — | 142% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Hc Myocard Perf Img,Tomograph;Mult Stdy,Rest &/Or Stress (Ex/Rx) &/Or Redistribution &/Or Rest Reinj | $9,684.00 | $9,684.00 | — | — | — |
| OCT scan of the retina (optical coherence tomography) CPT 92134 Hc Scanning Computerized Ophthalmic Diagimaging, Posterior Segment, W/ Interpretatn And Rprt; Retina | $850.00 | $850.00 | — | 806% above | — |
| OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Hc Scanning Computerized Ophthalmic Diagimaging, Posterior Segment, W/ Interpretatn And Rprt; Retina | $850.00 | $850.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Head&Neck Ca Excluding Cns &Thyroid Cancer | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet C11 Prostate Imaging | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Neuroendo Tumor Imaging | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Prostate Imaging | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Tumor Imaging Pet With Concurrent Ct Skull Base To Mid Thigh | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Thyroid Ca Restaging Follicular Cell Ca | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Restaging Esophageal Ca | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Ppet Imaging Initial Staging Esophageal Ca | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Initial Staging Head&Neck | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Restaging Lymphoma | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Initial Staging Lymphoma | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Restaging Colorectal | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Initial Staging Lung Ca Non Small Cell | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Restaging Head&Neck | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Restage Lung Ca Non Small Cell | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Regn Single Pulmonary Nodule | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Initial Staging Colorectal | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Dx Lymphoma | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Dx Lung Ca Non Small Cell | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Dx Esophageal Cancer | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Hc Pet Imaging Dx Colorectal | $15,173.00 | $15,173.00 | — | 157% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Restage Lung Ca Non Small Cell | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Dx Lung Ca Non Small Cell | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Thyroid Ca Restaging Follicular Cell Ca | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Tumor Imaging Pet With Concurrent Ct Skull Base To Mid Thigh | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Initial Staging Colorectal | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Prostate Imaging | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Neuroendo Tumor Imaging | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Initial Staging Lymphoma | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Dx Colorectal | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Initial Staging Lung Ca Non Small Cell | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Dx Lymphoma | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Restaging Head&Neck | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Head&Neck Ca Excluding Cns &Thyroid Cancer | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet C11 Prostate Imaging | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Restaging Lymphoma | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Ppet Imaging Initial Staging Esophageal Ca | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Dx Esophageal Cancer | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Restaging Esophageal Ca | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Regn Single Pulmonary Nodule | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Restaging Colorectal | $15,173.00 | $15,173.00 | — | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Hc Pet Imaging Initial Staging Head&Neck | $15,173.00 | $15,173.00 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 Hc Computed Tomography, Pelvis; Without Contrast Material | $1,973.00 | $1,973.00 | — | 4% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 Hc Computed Tomography, Pelvis; Without Contrast Material | $1,973.00 | $1,973.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up-Pbb | $597.00 | $597.00 | — | 11% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up | $597.00 | $597.00 | — | 11% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up | $597.00 | $597.00 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Limited/Follow-Up-Pbb | $597.00 | $597.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete | $1,887.00 | $1,887.00 | — | 138% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete-Pbb | $1,887.00 | $1,887.00 | — | 138% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete | $1,887.00 | $1,887.00 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Hc Ultrasound, Pelvic (Non-Ob), Real Time With Image Documentation, Complete-Pbb | $1,887.00 | $1,887.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest | $1,423.00 | $1,423.00 | — | 91% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest- | $1,423.00 | $1,423.00 | — | 91% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest | $1,423.00 | $1,423.00 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc U/S,Preg Utrs,Rl Time W Image Doc,Ftl&Matrnl Eval,After 1St Tri,Transabd Appr,Single Or 1St Gest- | $1,423.00 | $1,423.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation | $702.00 | $702.00 | — | 4% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation- | $702.00 | $702.00 | — | 4% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation | $702.00 | $702.00 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Hc U/S, Preg Uterus, Real Time W/Img Doc,Fetal And Maternal Evl,1St Trimester,Sngl /First Gestation- | $702.00 | $702.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses-Pbb | $960.00 | $960.00 | — | 83% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses | $960.00 | $960.00 | — | 83% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses | $960.00 | $960.00 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Hc Ultrasound, Pregnant Uterus, Real With W Image Doc, Limited, 1 Or More Fetuses-Pbb | $960.00 | $960.00 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 Hc Radiologic Exam, Ribs, Unilateral; 2 Views | $393.00 | $393.00 | — | 14% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Hc Radiologic Exam, Ribs, Unilateral; 2 Views | $393.00 | $393.00 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Hc Radiologic Exam, Ribs, Unilateral; Including Posterioranterior Chest, Minimum Of 3 Views | $483.00 | $483.00 | — | at median | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Hc Radiologic Exam, Ribs, Unilateral; Including Posterioranterior Chest, Minimum Of 3 Views | $483.00 | $483.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Hc Screening Mammography, Bilateral Include Cad | $614.00 | $614.00 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Hc Screening Mammography, Producing Direct Digital Image, Bilateral, All Views | $616.00 | $616.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Screening Mammography, Bilateral Include Cad | $614.00 | $614.00 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Screening Mammography, Producing Direct Digital Image, Bilateral, All Views | $616.00 | $616.00 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Hc Radiologic Examination, Shoulder; Complete, Minimum Of 2 Views | $521.00 | $521.00 | — | 45% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Hc Radiologic Examination, Shoulder; Complete, Minimum Of 2 Views | $521.00 | $521.00 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Hc Radiologic Exam, Sinuses, Paranasal, Complete, Minimum Of 3 Views | $741.00 | $741.00 | — | 96% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Hc Radiologic Exam, Sinuses, Paranasal, Complete, Minimum Of 3 Views | $741.00 | $741.00 | — | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 Hc Radiologic Exam, Skull; Less Than 4 Views | $690.00 | $690.00 | — | 124% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Hc Radiologic Exam, Skull; Less Than 4 Views | $690.00 | $690.00 | — | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Research Polysom; Sleep Stage W/ 4 Or More Parameters, Tech Attend | $388.00 | $388.00 | — | 90% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Research Polysomnography Tech Only | $400.00 | $400.00 | — | 90% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Research Polysomnography Tech & Scoring | $450.00 | $450.00 | — | 88% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Research Polysomnography With Physician Interpretation | $600.00 | $600.00 | — | 84% below | — |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnography; Sleep Staging W/ 4 Or More Add Parameters Of Sleep, Attended By A Technologist | $7,842.00 | $7,842.00 | — | 103% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Research Polysom; Sleep Stage W/ 4 Or More Parameters, Tech Attend | $388.00 | $388.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Research Polysomnography Tech Only | $400.00 | $400.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Research Polysomnography Tech & Scoring | $450.00 | $450.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Research Polysomnography With Physician Interpretation | $600.00 | $600.00 | — | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnography; Sleep Staging W/ 4 Or More Add Parameters Of Sleep, Attended By A Technologist | $7,842.00 | $7,842.00 | — | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Hc Swallowing Function, With Cineradioraphy/Videoradiography | $1,293.00 | $1,293.00 | — | 112% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Hc Swallowing Function, With Cineradioraphy/Videoradiography | $1,293.00 | $1,293.00 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Hc Radiologic Exam, Femur, 2 Views | $465.00 | $465.00 | — | 65% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Hc Radiologic Exam, Femur, 2 Views | $465.00 | $465.00 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Hc Computed Tomography, Thoracic Spine; Without Contrast Material | $2,135.00 | $2,135.00 | — | 1% below | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Hc Computed Tomography, Thoracic Spine; Without Contrast Material | $2,135.00 | $2,135.00 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 Hc Radiologic Examination; Toe(S), Minimum Of 2 Views | $557.00 | $557.00 | — | 144% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 Hc Radiologic Examination; Toe(S), Minimum Of 2 Views | $557.00 | $557.00 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Hc Ultrasound, Transvaginal | $1,063.00 | $1,063.00 | — | 66% above | — |
| Transvaginal pelvic ultrasound CPT 76830 Hc Ultrasound, Transvaginal-Pbb | $1,063.00 | $1,063.00 | — | 66% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Ultrasound, Transvaginal-Pbb | $1,063.00 | $1,063.00 | — | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Ultrasound, Transvaginal | $1,063.00 | $1,063.00 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal-Pbb | $710.00 | $710.00 | — | 34% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal | $710.00 | $710.00 | — | 34% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal-Pbb | $710.00 | $710.00 | — | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Hc Ultrasound, Pregnant Uterus, Real Time With Image Documentation, Transvaginal | $710.00 | $710.00 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete | $2,716.00 | $2,716.00 | — | 164% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete-Pbb | $2,716.00 | $2,716.00 | — | 164% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete | $2,716.00 | $2,716.00 | — | — | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Ultrasound, Abdominal, Real Time With Image Documentation, Complete-Pbb | $2,716.00 | $2,716.00 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Hc Ultrasound, Scrotum And Contents | $1,688.00 | $1,688.00 | — | 126% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Hc Ultrasound, Scrotum And Contents | $1,688.00 | $1,688.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document-Pbb | $1,708.00 | $1,708.00 | — | 151% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document | $1,708.00 | $1,708.00 | — | 151% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document | $1,708.00 | $1,708.00 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Hc Ultrasound, Soft Tissue Of Head And Neck, Real Time With Image Document-Pbb | $1,708.00 | $1,708.00 | — | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Hc Radiologic Exam, Gastrointestinal Tract, Upper; With Or Without Delayed Films, Without Kub | $1,624.00 | $1,624.00 | — | 134% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Hc Radiologic Exam, Gastrointestinal Tract, Upper; With Or Without Delayed Films, Without Kub | $1,624.00 | $1,624.00 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 Hc Radiologic Examination; Humerus, Minimum Of 2 Views | $526.00 | $526.00 | — | 79% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Hc Radiologic Examination; Humerus, Minimum Of 2 Views | $526.00 | $526.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Dplx Scan Of Extrmity Veins Incl Responses To Compression And Other Maneuvers; Lmtd Unilat Study | $2,152.00 | $2,152.00 | — | 203% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Hc Vasc Lab Dplx Scan Lower Extrem Veins Incl Respon To Compressn & Other Mnvers;Lmtd Unilat Study | $2,152.00 | $2,152.00 | — | 203% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Dplx Scan Of Extrmity Veins Incl Responses To Compression And Other Maneuvers; Lmtd Unilat Study | $2,152.00 | $2,152.00 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Hc Vasc Lab Dplx Scan Lower Extrem Veins Incl Respon To Compressn & Other Mnvers;Lmtd Unilat Study | $2,152.00 | $2,152.00 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 Hc Radiologic Examination, Wrist; 2 Views | $439.00 | $439.00 | — | 64% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 Hc Radiologic Examination, Wrist; 2 Views | $439.00 | $439.00 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 Hc Radiologic Examination, Wrist; Complete, Minimum Of 3 Views | $555.00 | $555.00 | — | 69% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Hc Radiologic Examination, Wrist; Complete, Minimum Of 3 Views | $555.00 | $555.00 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Hc Radiologic Exam, Hip, With Pelvis When Performed, 2 To 3 Views | $568.00 | $568.00 | — | 88% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Hc Radiologic Exam, Hip, With Pelvis When Performed, 2 To 3 Views | $568.00 | $568.00 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Hc X-Ray Exam Abdomen 1 View | $500.00 | $500.00 | — | 88% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Hc X-Ray Exam Abdomen 1 View | $500.00 | $500.00 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 Hc Radiologic Examination, Ankle; 2 Views | $361.00 | $361.00 | — | 31% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 Hc Radiologic Examination, Ankle; 2 Views | $361.00 | $361.00 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 Hc Radiologic Examination, Finger(S), Minimum Of 2 Views | $386.00 | $386.00 | — | 48% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Hc Radiologic Examination, Finger(S), Minimum Of 2 Views | $386.00 | $386.00 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 Hc Radiologic Examination, Foot; 2 Views | $447.00 | $447.00 | — | 63% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 Hc Radiologic Examination, Foot; 2 Views | $447.00 | $447.00 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 Hc Radiologic Examination, Foot; Complete, Minimum Of 3 Views | $570.00 | $570.00 | — | 65% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Hc Radiologic Examination, Foot; Complete, Minimum Of 3 Views | $570.00 | $570.00 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 Hc Radiologic Examination, Hand; Minimum Of 3 Views | $552.00 | $552.00 | — | 60% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Hc Radiologic Examination, Hand; Minimum Of 3 Views | $552.00 | $552.00 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 Hc Radiologic Examination, Knee; 1 Or 2 Views | $439.00 | $439.00 | — | 52% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Hc Radiologic Examination, Knee; 1 Or 2 Views | $439.00 | $439.00 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Hc Radiologic Examination, Spine, Lumbosacral; 2 Or 3 Views | $524.00 | $524.00 | — | 18% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Hc Radiologic Examination, Spine, Lumbosacral; 2 Or 3 Views | $524.00 | $524.00 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Radiologic Examination, Spine, Lumbosacral; Minimum Of 4 Views | $721.00 | $721.00 | — | 25% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Radiologic Examination, Spine, Lumbosacral; Minimum Of 4 Views | $721.00 | $721.00 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Hc Radiologic Examination, Spine; Thoracic, 2 Views | $352.00 | $352.00 | — | 4% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Hc Radiologic Examination, Spine; Thoracic, 2 Views | $352.00 | $352.00 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Hc Radiologic Exam, Nasal Bones; Complete, Minimum Of 3 Views | $704.00 | $704.00 | — | 136% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Hc Radiologic Exam, Nasal Bones; Complete, Minimum Of 3 Views | $704.00 | $704.00 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Hc Radiologic Examination, Spine, Cervical; 2 Or 3 Views | $718.00 | $718.00 | — | 101% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Hc Radiologic Examination, Spine, Cervical; 2 Or 3 Views | $718.00 | $718.00 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Hc Radiologic Examination, Pelvis; 1 Or 2 Views | $536.00 | $536.00 | — | 55% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Hc Radiologic Examination, Pelvis; 1 Or 2 Views | $536.00 | $536.00 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Hc Radiologic Examination, Sacrum And Coccyx, Minimum Of 2 Views | $673.00 | $673.00 | — | 96% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Hc Radiologic Examination, Sacrum And Coccyx, Minimum Of 2 Views | $673.00 | $673.00 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Hc Adrenocorticotropic Hormone | $619.00 | $619.00 | — | 210% above | — |
| ACTH blood test inpatient CPT 82024 Hc Adrenocorticotropic Hormone | $619.00 | $619.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Transferase; Alanine Amino-Laf | $43.00 | $43.00 | — | 22% below | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Hc Transferase; Alanine Amino | $152.00 | $152.00 | — | 176% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Transferase; Alanine Amino-Laf | $43.00 | $43.00 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Hc Transferase; Alanine Amino | $152.00 | $152.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Transferase; Aspartate Amino-Laf | $43.00 | $43.00 | — | 22% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Hc Transferase; Aspartate Amino | $152.00 | $152.00 | — | 176% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Transferase; Aspartate Amino-Laf | $43.00 | $43.00 | — | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Hc Transferase; Aspartate Amino | $152.00 | $152.00 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hc Hepatitis Panel Acute | $1,118.00 | $1,118.00 | — | 327% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hc Hepatitis Panel Acute | $1,118.00 | $1,118.00 | — | — | — |
| Albumin blood test CPT 82040 Hc Albumin; Serum, Plasma Or Whole Blood-Laf | $43.00 | $43.00 | — | at median | — |
| Albumin blood test CPT 82040 Hc Albumin; Serum, Plasma Or Whole Blood | $147.00 | $147.00 | — | 243% above | — |
| Albumin blood test inpatient CPT 82040 Hc Albumin; Serum, Plasma Or Whole Blood-Laf | $43.00 | $43.00 | — | — | — |
| Albumin blood test inpatient CPT 82040 Hc Albumin; Serum, Plasma Or Whole Blood | $147.00 | $147.00 | — | — | — |
| Aldosterone blood test CPT 82088 Hc Aldosterone, Urine | $342.00 | $342.00 | — | 107% above | — |
| Aldosterone blood test CPT 82088 Hc Aldosterone, Serum | $342.00 | $342.00 | — | 107% above | — |
| Aldosterone blood test inpatient CPT 82088 Hc Aldosterone, Serum | $342.00 | $342.00 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 Hc Aldosterone, Urine | $342.00 | $342.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Phosphatase, Alkaline-Laf | $43.00 | $43.00 | — | 22% below | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Hc Phosphatase, Alkaline | $104.00 | $104.00 | — | 89% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Phosphatase, Alkaline-Laf | $43.00 | $43.00 | — | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Hc Phosphatase, Alkaline | $104.00 | $104.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Midwest Repiratory Panel | $21.00 | $21.00 | — | 24% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Level 1 | $37.00 | $37.00 | — | 35% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Soybean Allergen | $61.00 | $61.00 | — | 122% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige Each Pnl1 | $72.00 | $72.00 | — | 162% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige Each Pnl2 | $90.00 | $90.00 | — | 227% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Level 2 | $96.00 | $96.00 | — | 249% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige Each | $103.00 | $103.00 | — | 275% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Peanut Component | $133.00 | $133.00 | — | 384% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Misc Fish Allergen | $142.00 | $142.00 | — | 416% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Misc Nut Allergen | $142.00 | $142.00 | — | 416% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Allergen Specific Ige | $142.00 | $142.00 | — | 416% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hc Ige Specific Quantitative Multiallergen Panel | $142.00 | $142.00 | — | 416% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Midwest Repiratory Panel | $21.00 | $21.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Level 1 | $37.00 | $37.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Soybean Allergen | $61.00 | $61.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige Each Pnl1 | $72.00 | $72.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige Each Pnl2 | $90.00 | $90.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Level 2 | $96.00 | $96.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige Each | $103.00 | $103.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Peanut Component | $133.00 | $133.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Allergen Specific Ige | $142.00 | $142.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Misc Fish Allergen | $142.00 | $142.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Ige Specific Quantitative Multiallergen Panel | $142.00 | $142.00 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hc Misc Nut Allergen | $142.00 | $142.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Alpha-Fetoprotein, Serum | $454.00 | $454.00 | — | 316% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Hc Aplha-Fetoprotein, Maternal | $454.00 | $454.00 | — | 316% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Alpha-Fetoprotein, Serum | $454.00 | $454.00 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Hc Aplha-Fetoprotein, Maternal | $454.00 | $454.00 | — | — | — |
| Ammonia blood test CPT 82140 Hc Ammonia, Urine | $92.00 | $92.00 | — | 17% below | — |
| Ammonia blood test CPT 82140 Hc Ammonia | $385.00 | $385.00 | — | 246% above | — |
| Ammonia blood test inpatient CPT 82140 Hc Ammonia, Urine | $92.00 | $92.00 | — | — | — |
| Ammonia blood test inpatient CPT 82140 Hc Ammonia | $385.00 | $385.00 | — | — | — |
| Amylase blood test CPT 82150 Hc Amylase, Fluid | $196.00 | $196.00 | — | 143% above | — |
| Amylase blood test CPT 82150 Hc Amylase | $196.00 | $196.00 | — | 143% above | — |
| Amylase blood test CPT 82150 Hc Amaylase, Urine | $196.00 | $196.00 | — | 143% above | — |
| Amylase blood test inpatient CPT 82150 Hc Amaylase, Urine | $196.00 | $196.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Hc Amylase | $196.00 | $196.00 | — | — | — |
| Amylase blood test inpatient CPT 82150 Hc Amylase, Fluid | $196.00 | $196.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Citrullinated Peptide, Antibody-Laf | $116.00 | $116.00 | — | 38% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Connective Tissue Disease Cascade Peptide Ab, S | $311.00 | $311.00 | — | 271% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Hc Cyclic Citrullinated Peptide, Antibody | $416.00 | $416.00 | — | 396% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Citrullinated Peptide, Antibody-Laf | $116.00 | $116.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Connective Tissue Disease Cascade Peptide Ab, S | $311.00 | $311.00 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Hc Cyclic Citrullinated Peptide, Antibody | $416.00 | $416.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Ana Screen | $279.00 | $279.00 | — | 202% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Connective Tissue Disease Cascade Antinuclear Ab, S | $279.00 | $279.00 | — | 202% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Hc Antinuclear Abs, Igg W/ Reflex | $279.00 | $279.00 | — | 202% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Antinuclear Abs, Igg W/ Reflex | $279.00 | $279.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Ana Screen | $279.00 | $279.00 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Hc Connective Tissue Disease Cascade Antinuclear Ab, S | $279.00 | $279.00 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Hc Natriuretic Peptide | $500.00 | $500.00 | — | 165% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Hc Natriuretic Peptide | $500.00 | $500.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Joint (Synovial) Fluid | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Internal Female Genital | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Eye | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture Respiratory | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, External Female Genital | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Ear | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Dialysis Fluid | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Biopsy | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Gall Bladder | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Aerobic | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Male Intern Genital | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Breast Milk | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Pleural Fluid | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Spinal Fluid | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Upper Respiratory | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Misc | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Bone Marrow | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Genital | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Body Fluid | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Lower Respiratory | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Hc Culture, Wound | $385.00 | $385.00 | — | 340% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Pleural Fluid | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Male Intern Genital | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Misc | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Lower Respiratory | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Bone Marrow | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Joint (Synovial) Fluid | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Aerobic | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Gall Bladder | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Biopsy | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Dialysis Fluid | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Ear | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, External Female Genital | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture Respiratory | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Eye | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Genital | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Wound | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Spinal Fluid | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Body Fluid | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Internal Female Genital | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Breast Milk | $385.00 | $385.00 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Hc Culture, Upper Respiratory | $385.00 | $385.00 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel-Laf | $81.00 | $81.00 | — | 37% below | — |
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel | $379.00 | $379.00 | — | 196% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel-Laf | $81.00 | $81.00 | — | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel | $379.00 | $379.00 | — | — | — |
| Bilirubin blood test, total CPT 82247 Hc Bilirubin; Total | $159.00 | $159.00 | — | 159% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Hc Bilirubin; Total | $159.00 | $159.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Oral Path | $325.00 | $325.00 | — | 33% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Surgical Pathology Gross And Micro Cfs-Laf | $464.00 | $464.00 | — | 89% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Surgical Pathology Gross And Micro Cfs | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Prostate Biopsy, Any Mthd | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Surgical Pathology Gross And Micro | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Surg Path Nerve In Epon Bx | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Levl Iv Derm Path | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Muscle Biopsy Level Iv | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Surg Path Cell Block | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hc Level Iv Renal Interpretation | $938.00 | $938.00 | — | 283% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Oral Path | $325.00 | $325.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Surgical Pathology Gross And Micro Cfs-Laf | $464.00 | $464.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Surgical Pathology Gross And Micro Cfs | $938.00 | $938.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Muscle Biopsy Level Iv | $938.00 | $938.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Surg Path Cell Block | $938.00 | $938.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Surg Path Nerve In Epon Bx | $938.00 | $938.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Renal Interpretation | $938.00 | $938.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Prostate Biopsy, Any Mthd | $938.00 | $938.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Levl Iv Derm Path | $938.00 | $938.00 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hc Level Iv Surgical Pathology Gross And Micro | $938.00 | $938.00 | — | — | — |
| Blood culture for bacteria CPT 87040 Hc Culture Bacterial Blood Aerobic W/Id Isolates | $298.00 | $298.00 | — | 106% above | — |
| Blood culture for bacteria CPT 87040 Hc Culture Bacterial Blood Additional | $574.00 | $574.00 | — | 297% above | — |
| Blood culture for bacteria CPT 87040 Hc Culture Bacterial Definitive; Blood | $574.00 | $574.00 | — | 297% above | — |
| Blood culture for bacteria inpatient CPT 87040 Hc Culture Bacterial Blood Aerobic W/Id Isolates | $298.00 | $298.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Hc Culture Bacterial Definitive; Blood | $574.00 | $574.00 | — | — | — |
| Blood culture for bacteria inpatient CPT 87040 Hc Culture Bacterial Blood Additional | $574.00 | $574.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Of Venous Blood By Venipuncture-Laf | $22.00 | $22.00 | — | 7% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Hc Collection Of Venous Blood By Venipuncture | $65.00 | $65.00 | — | 176% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Collection Of Venous Blood By Venipuncture-Laf | $22.00 | $22.00 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Hc Collection Of Venous Blood By Venipuncture | $65.00 | $65.00 | — | — | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Fasting Fbs-Laf | $43.00 | $43.00 | — | 5% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose; Quantitative Blood-Laf | $43.00 | $43.00 | — | 5% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Tolerance Sample-Laf | $43.00 | $43.00 | — | 5% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose, 2 Hr Post Prandial-Laf | $43.00 | $43.00 | — | 5% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Fasting Fbs | $75.00 | $75.00 | — | 83% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose Tolerance Sample | $75.00 | $75.00 | — | 83% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose, 2 Hr Post Prandial | $75.00 | $75.00 | — | 83% above | — |
| Blood glucose (sugar) test CPT 82947 Hc Glucose; Quantitative Blood | $75.00 | $75.00 | — | 83% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose, 2 Hr Post Prandial-Laf | $43.00 | $43.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Fasting Fbs-Laf | $43.00 | $43.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Tolerance Sample-Laf | $43.00 | $43.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose; Quantitative Blood-Laf | $43.00 | $43.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Tolerance Sample | $75.00 | $75.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose; Quantitative Blood | $75.00 | $75.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose Fasting Fbs | $75.00 | $75.00 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 Hc Glucose, 2 Hr Post Prandial | $75.00 | $75.00 | — | — | — |
| Blood lead test CPT 83655 Hc Heavy Metal Lead/Creatinine Ratio, U | $129.00 | $129.00 | — | 136% above | — |
| Blood lead test CPT 83655 Hc Lead | $222.00 | $222.00 | — | 306% above | — |
| Blood lead test inpatient CPT 83655 Hc Heavy Metal Lead/Creatinine Ratio, U | $129.00 | $129.00 | — | — | — |
| Blood lead test inpatient CPT 83655 Hc Lead | $222.00 | $222.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Hcg Qualitative | $63.00 | $63.00 | — | 30% below | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hc Gonadotropin, Chorionic; Qualitative | $110.00 | $110.00 | — | 22% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Hcg Qualitative | $63.00 | $63.00 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hc Gonadotropin, Chorionic; Qualitative | $110.00 | $110.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Typing, Serologic, Abo-Laf | $50.00 | $50.00 | — | 40% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Hc Blood Typing, Serologic, Abo | $163.00 | $163.00 | — | 94% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Typing, Serologic, Abo-Laf | $50.00 | $50.00 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Hc Blood Typing, Serologic, Abo | $163.00 | $163.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Urea Niitrogen, Quantitative-Laf | $43.00 | $43.00 | — | 11% below | — |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Urea Niitrogen, Quantitative | $158.00 | $158.00 | — | 226% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Hc Urea Nitrogen Quantiative, Urine | $158.00 | $158.00 | — | 226% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Urea Niitrogen, Quantitative-Laf | $43.00 | $43.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Urea Nitrogen Quantiative, Urine | $158.00 | $158.00 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Hc Urea Niitrogen, Quantitative | $158.00 | $158.00 | — | — | — |
| C-peptide blood test CPT 84681 Hc C-Peptide | $404.00 | $404.00 | — | 290% above | — |
| C-peptide blood test inpatient CPT 84681 Hc C-Peptide | $404.00 | $404.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein-Laf | $50.00 | $50.00 | — | 29% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Hc C-Reactive Protein | $276.00 | $276.00 | — | 292% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein-Laf | $50.00 | $50.00 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Hc C-Reactive Protein | $276.00 | $276.00 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 Hc Infectious Agent Detection By Dna Or Rna; C-Diff Toxin Gene | $421.00 | $421.00 | — | 129% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Hc Infectious Agent Detection By Dna Or Rna; C-Diff Toxin Gene | $421.00 | $421.00 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Hc Immunoassay For Tumor Antigen, Quantitative; Ca 19-9 | $409.00 | $409.00 | — | 265% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Hc Immunoassay For Tumor Antigen, Quantitative; Ca 19-9 | $409.00 | $409.00 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Hc Immunoassay For Tumor Antigen, Quantitative; Ca 125 | $520.00 | $520.00 | — | 223% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hc Immunoassay For Tumor Antigen, Quantitative; Ca 125 | $520.00 | $520.00 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Hc Sars-Cov-2 Covid-19 Amp Prb | $180.00 | $180.00 | — | 56% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Hc Sars-Cov-2 Covid-19 Amp Prb | $180.00 | $180.00 | — | — | — |
| Calcium blood test, total CPT 82310 Hc Calcium; Total-Laf | $43.00 | $43.00 | — | 2% below | — |
| Calcium blood test, total CPT 82310 Hc Calcium; Total | $162.00 | $162.00 | — | 269% above | — |
| Calcium blood test, total inpatient CPT 82310 Hc Calcium; Total-Laf | $43.00 | $43.00 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 Hc Calcium; Total | $162.00 | $162.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen (Cea)-Laf | $180.00 | $180.00 | — | 26% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Hc Carcinoembryonic Antigen (Cea) | $531.00 | $531.00 | — | 271% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoembryonic Antigen (Cea)-Laf | $180.00 | $180.00 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Hc Carcinoembryonic Antigen (Cea) | $531.00 | $531.00 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella Titer | $55.00 | $55.00 | — | 24% below | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Varicella Zoster Ab Igm, S | $242.00 | $242.00 | — | 234% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Antibody, Varicella-Zoster Igm | $374.00 | $374.00 | — | 416% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Hc Antibody, Varicella-Zoster Igg | $374.00 | $374.00 | — | 416% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella Titer | $55.00 | $55.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Varicella Zoster Ab Igm, S | $242.00 | $242.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Antibody, Varicella-Zoster Igg | $374.00 | $374.00 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Hc Antibody, Varicella-Zoster Igm | $374.00 | $374.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Amplified Probe Assay Anhe-Laf | $113.00 | $113.00 | — | 9% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique-Laf | $113.00 | $113.00 | — | 9% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique | $411.00 | $411.00 | — | 232% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Hc Chlamydia Amplified Probe Assay Anhe | $411.00 | $411.00 | — | 232% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique-Laf | $113.00 | $113.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Amplified Probe Assay Anhe-Laf | $113.00 | $113.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Infectious Agent Detection By Dna Or Rna; Chlamydia Trachomatis, Amplified Probe Technique | $411.00 | $411.00 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Hc Chlamydia Amplified Probe Assay Anhe | $411.00 | $411.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel-Laf | $128.00 | $128.00 | — | 2% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $465.00 | $465.00 | — | 270% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel-Laf | $128.00 | $128.00 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel | $465.00 | $465.00 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 Hc Complete Blood Count Platelet, Differential-Laf | $75.00 | $75.00 | — | 8% below | — |
| Complete blood count (CBC) with differential CPT 85025 Hc Complete Blood Count Platelet, Differential | $281.00 | $281.00 | — | 243% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Complete Blood Count Platelet, Differential-Laf | $75.00 | $75.00 | — | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Complete Blood Count Platelet, Differential | $281.00 | $281.00 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 Hc Blood Count; Complete (Cbc), Automated-Laf | $61.00 | $61.00 | — | 6% below | — |
| Complete blood count (CBC), no differential CPT 85027 Hc Blood Count; Complete (Cbc), Automated | $230.00 | $230.00 | — | 253% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Blood Count; Complete (Cbc), Automated-Laf | $61.00 | $61.00 | — | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Blood Count; Complete (Cbc), Automated | $230.00 | $230.00 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel-Laf | $101.00 | $101.00 | — | 34% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel | $496.00 | $496.00 | — | 222% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel-Laf | $101.00 | $101.00 | — | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel | $496.00 | $496.00 | — | — | — |
| Cortisol blood test, total CPT 82533 Hc Cortisol; Total | $456.00 | $456.00 | — | 305% above | — |
| Cortisol blood test, total inpatient CPT 82533 Hc Cortisol; Total | $456.00 | $456.00 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Creatine Phosphokinase-Serum-Laf | $43.00 | $43.00 | — | 30% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Total Ck Assay-Laf | $43.00 | $43.00 | — | 30% below | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Emergency Total Ck Assay | $133.00 | $133.00 | — | 116% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Total Ck Assay Repeat | $133.00 | $133.00 | — | 116% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Creatine Phosphokinase-Serum | $133.00 | $133.00 | — | 116% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Hc Total Ck Assay | $133.00 | $133.00 | — | 116% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Creatine Phosphokinase-Serum-Laf | $43.00 | $43.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Total Ck Assay-Laf | $43.00 | $43.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Creatine Phosphokinase-Serum | $133.00 | $133.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Emergency Total Ck Assay | $133.00 | $133.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Total Ck Assay Repeat | $133.00 | $133.00 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Hc Total Ck Assay | $133.00 | $133.00 | — | — | — |
| Creatinine blood test CPT 82565 Hc Creatinine; Blood-Laf | $43.00 | $43.00 | — | 10% below | — |
| Creatinine blood test CPT 82565 Hc Creatinine; Blood | $151.00 | $151.00 | — | 217% above | — |
| Creatinine blood test inpatient CPT 82565 Hc Creatinine; Blood-Laf | $43.00 | $43.00 | — | — | — |
| Creatinine blood test inpatient CPT 82565 Hc Creatinine; Blood | $151.00 | $151.00 | — | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Hc Antibody Cytomegalovirus, Igg | $453.00 | $453.00 | — | 418% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Hc Antibody Cytomegalovirus, Igg | $453.00 | $453.00 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 Hc Fibrin Degradation Products; D Dimer; Quantitative | $418.00 | $418.00 | — | 250% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Hc Fibrin Degradation Products; D Dimer; Quantitative | $418.00 | $418.00 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Hc Dehydroepiandrostereone-Sulfate | $567.00 | $567.00 | — | 415% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Hc Dehydroepiandrostereone-Sulfate | $567.00 | $567.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Urine Drug Screen 5 Panel Nida | $42.00 | $42.00 | — | 58% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Urine Drug Screen 5 Panel Non Nida | $42.00 | $42.00 | — | 58% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Urine Drug Screen 9 Panel Non Nida | $42.00 | $42.00 | — | 58% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Test Presumptive Chemistry Analyzers | $70.00 | $70.00 | — | 30% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Presmp Meconium Multicls | $70.00 | $70.00 | — | 30% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Urine Medical Panel Drug Screen | $75.00 | $75.00 | — | 25% below | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Oxycodone Presumptive | $175.00 | $175.00 | — | 75% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Hydrocodone Presumptive | $175.00 | $175.00 | — | 75% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Methadone Metabolite Presumptive | $175.00 | $175.00 | — | 75% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Amphetamines Presumptv | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Alcohol Urn Presumptive | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Barbiturates Presumptv | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Csm Hybrid Drug Profile,20,Hrms/Ia,U | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Phencyclidiness Presumptv | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Benzodiazepines Presumptv | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Cocaine Presumptv | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Cannabinoid Presumptv | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Opiates Presumptv | $182.00 | $182.00 | — | 82% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Salicylate Presumptv | $184.00 | $184.00 | — | 84% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Ethyl Glucuronide Screen U | $209.00 | $209.00 | — | 109% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Hypoglycemic Agent Screen | $227.00 | $227.00 | — | 127% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Ethanol Serum Presumptv | $229.00 | $229.00 | — | 129% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Acetaminophen Presumptv | $349.00 | $349.00 | — | 249% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen Presumptv 1-6 Panel | $364.00 | $364.00 | — | 264% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drugs Of Abuse Screen, S | $385.00 | $385.00 | — | 285% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Hc Drug Screen Presumptv | $955.00 | $955.00 | — | 855% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Urine Drug Screen 5 Panel Nida | $42.00 | $42.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Urine Drug Screen 5 Panel Non Nida | $42.00 | $42.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Urine Drug Screen 9 Panel Non Nida | $42.00 | $42.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Presmp Meconium Multicls | $70.00 | $70.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Test Presumptive Chemistry Analyzers | $70.00 | $70.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Urine Medical Panel Drug Screen | $75.00 | $75.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Oxycodone Presumptive | $175.00 | $175.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Hydrocodone Presumptive | $175.00 | $175.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Methadone Metabolite Presumptive | $175.00 | $175.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Barbiturates Presumptv | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Phencyclidiness Presumptv | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Benzodiazepines Presumptv | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Cocaine Presumptv | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Cannabinoid Presumptv | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Amphetamines Presumptv | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Alcohol Urn Presumptive | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Opiates Presumptv | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Csm Hybrid Drug Profile,20,Hrms/Ia,U | $182.00 | $182.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Salicylate Presumptv | $184.00 | $184.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Ethyl Glucuronide Screen U | $209.00 | $209.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Hypoglycemic Agent Screen | $227.00 | $227.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Ethanol Serum Presumptv | $229.00 | $229.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Acetaminophen Presumptv | $349.00 | $349.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen Presumptv 1-6 Panel | $364.00 | $364.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drugs Of Abuse Screen, S | $385.00 | $385.00 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Hc Drug Screen Presumptv | $955.00 | $955.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel-Laf | $171.00 | $171.00 | — | 77% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Hc Electrolyte Panel | $192.00 | $192.00 | — | 98% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Electrolyte Panel-Laf | $171.00 | $171.00 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Hc Electrolyte Panel | $192.00 | $192.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Antibody Epstein-Barr Eb Virus Viral Capsid Vca | $231.00 | $231.00 | — | 114% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Antibody, Ebv Capsid Igg | $484.00 | $484.00 | — | 348% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Hc Antibody, Ebv Capsid Igm | $484.00 | $484.00 | — | 348% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Antibody Epstein-Barr Eb Virus Viral Capsid Vca | $231.00 | $231.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Antibody, Ebv Capsid Igm | $484.00 | $484.00 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Hc Antibody, Ebv Capsid Igg | $484.00 | $484.00 | — | — | — |
| Estradiol blood test CPT 82670 Hc Estradiol 17 Beta-Laf | $108.00 | $108.00 | — | 1% above | — |
| Estradiol blood test CPT 82670 Hc Estradiol-Laf | $108.00 | $108.00 | — | 1% above | — |
| Estradiol blood test CPT 82670 Hc Estradiol | $450.00 | $450.00 | — | 320% above | — |
| Estradiol blood test CPT 82670 Hc Estradiol 17 Beta | $450.00 | $450.00 | — | 320% above | — |
| Estradiol blood test inpatient CPT 82670 Hc Estradiol 17 Beta-Laf | $108.00 | $108.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Hc Estradiol-Laf | $108.00 | $108.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Hc Estradiol | $450.00 | $450.00 | — | — | — |
| Estradiol blood test inpatient CPT 82670 Hc Estradiol 17 Beta | $450.00 | $450.00 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Gonadotropin; Follicle Stimulating Hormone-Laf | $124.00 | $124.00 | — | 4% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Follicle Stimulating Hormone-Laf | $124.00 | $124.00 | — | 4% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Follicle Stimulating Hormone | $469.00 | $469.00 | — | 293% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Hc Gonadotropin; Follicle Stimulating Hormone | $469.00 | $469.00 | — | 293% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Follicle Stimulating Hormone-Laf | $124.00 | $124.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Gonadotropin; Follicle Stimulating Hormone-Laf | $124.00 | $124.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Follicle Stimulating Hormone | $469.00 | $469.00 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Hc Gonadotropin; Follicle Stimulating Hormone | $469.00 | $469.00 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Hc Calprotectin, Fecal | $358.00 | $358.00 | — | 105% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Hc Calprotectin, Fecal | $358.00 | $358.00 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 Hc Ferritin-Laf | $130.00 | $130.00 | — | at median | — |
| Ferritin blood test (iron stores) CPT 82728 Hc Ferritin | $437.00 | $437.00 | — | 236% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin-Laf | $130.00 | $130.00 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Hc Ferritin | $437.00 | $437.00 | — | — | — |
| Fibrinogen blood test CPT 85384 Hc Fibrinogen; Activity | $286.00 | $286.00 | — | 240% above | — |
| Fibrinogen blood test CPT 85384 Hc Hems-Fibrinogen; Activity | $286.00 | $286.00 | — | 240% above | — |
| Fibrinogen blood test inpatient CPT 85384 Hc Hems-Fibrinogen; Activity | $286.00 | $286.00 | — | — | — |
| Fibrinogen blood test inpatient CPT 85384 Hc Fibrinogen; Activity | $286.00 | $286.00 | — | — | — |
| Folate (folic acid) blood test CPT 82746 Hc Folic Acid; Serum | $439.00 | $439.00 | — | 291% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Hc Folic Acid; Serum | $439.00 | $439.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 Hc Triiodothyronine T3; Free | $473.00 | $473.00 | — | 289% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Hc Triiodothyronine T3; Free | $473.00 | $473.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine, Fti-Laf | $85.00 | $85.00 | — | 26% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Final Free Thyroxine-Laf | $85.00 | $85.00 | — | 26% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine, Free-Laf | $85.00 | $85.00 | — | 26% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine, Free Index Additional-Laf | $85.00 | $85.00 | — | 26% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine, Fti | $347.00 | $347.00 | — | 201% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine, Free Index Additional | $347.00 | $347.00 | — | 201% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Final Free Thyroxine | $347.00 | $347.00 | — | 201% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hc Thyroxine, Free | $347.00 | $347.00 | — | 201% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine, Free Index Additional-Laf | $85.00 | $85.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine, Free-Laf | $85.00 | $85.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Final Free Thyroxine-Laf | $85.00 | $85.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine, Fti-Laf | $85.00 | $85.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine, Free Index Additional | $347.00 | $347.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine, Free | $347.00 | $347.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Thyroxine, Fti | $347.00 | $347.00 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Hc Final Free Thyroxine | $347.00 | $347.00 | — | — | — |
| Free testosterone test CPT 84402 Hc Testosterone, Free | $196.00 | $196.00 | — | 57% above | — |
| Free testosterone test inpatient CPT 84402 Hc Testosterone, Free | $196.00 | $196.00 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Hc Glutamyltransferase, Gamma | $158.00 | $158.00 | — | 174% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Hc Glutamyltransferase, Gamma | $158.00 | $158.00 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Hc General Health Panel | $1,297.00 | $1,297.00 | — | 330% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Hc General Health Panel | $1,297.00 | $1,297.00 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Hc Glucose; Post Glucose Dose | $190.00 | $190.00 | — | 218% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Hc Glucose; Post Glucose Dose | $190.00 | $190.00 | — | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Hc Gestational Glucose Tolerance; 3 Specimens | $403.00 | $403.00 | — | 199% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Hc Glucose; Tolerance Test, 3 Specimens | $403.00 | $403.00 | — | 199% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Gestational Glucose Tolerance; 3 Specimens | $403.00 | $403.00 | — | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Hc Glucose; Tolerance Test, 3 Specimens | $403.00 | $403.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq-Laf | $149.00 | $149.00 | — | 23% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gic Amplified Probe Assay Anhe-Laf | $336.00 | $336.00 | — | 178% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq | $390.00 | $390.00 | — | 222% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Hc Gic Amplified Probe Assay Anhe | $390.00 | $390.00 | — | 222% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq-Laf | $149.00 | $149.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Gic Amplified Probe Assay Anhe-Laf | $336.00 | $336.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Gic Amplified Probe Assay Anhe | $390.00 | $390.00 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Neisseria Gonorrhoeae, Amplified Probe Tchnq | $390.00 | $390.00 | — | — | — |
| H. pylori antibody blood test CPT 86677 Hc Antibody Helicobacter Pylori Igg | $456.00 | $456.00 | — | 292% above | — |
| H. pylori antibody blood test inpatient CPT 86677 Hc Antibody Helicobacter Pylori Igg | $456.00 | $456.00 | — | — | — |
| H. pylori stool antigen test CPT 87338 Hc Infectious Agent Antigen Detect Enzyme Immunoassay Tech, Qual/Semiquant, Multiple-Step; Stool | $443.00 | $443.00 | — | 281% above | — |
| H. pylori stool antigen test inpatient CPT 87338 Hc Infectious Agent Antigen Detect Enzyme Immunoassay Tech, Qual/Semiquant, Multiple-Step; Stool | $443.00 | $443.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Quantitative | $954.00 | $954.00 | — | 181% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hc Hiv-1 Rna Qual Anhe | $954.00 | $954.00 | — | 181% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Rna Qual Anhe | $954.00 | $954.00 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hc Hiv-1 Quantitative | $954.00 | $954.00 | — | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 Hc Antibody; Hiv-1 And Hiv-2; Single Result | $108.00 | $108.00 | — | 8% below | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hc Antibody; Hiv-1 And Hiv-2; Single Result | $108.00 | $108.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single-Laf | $157.00 | $157.00 | — | 37% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single | $241.00 | $241.00 | — | 110% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single-Laf | $157.00 | $157.00 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hc Infect Agent Antigen Detec Enzyme Immunoassay Tech, Qual/Semiquant, Multi; Hiv-1 & 2, Single | $241.00 | $241.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types-Laf | $336.00 | $336.00 | — | 132% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types | $390.00 | $390.00 | — | 169% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types-Laf | $336.00 | $336.00 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hc Infectious Agent Detection By Nucleic Acid Rna Or Dna; Hpv, High-Risk Types | $390.00 | $390.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hemoglobin; Glycosylated A1C-Laf | $92.00 | $92.00 | — | 3% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hc Hemoglobin; Glycosylated A1C | $344.00 | $344.00 | — | 287% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hemoglobin; Glycosylated A1C-Laf | $92.00 | $92.00 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hc Hemoglobin; Glycosylated A1C | $344.00 | $344.00 | — | — | — |
| Hemoglobin blood test CPT 85018 Hc Blood Count; Hemoglobin-Laf | $39.00 | $39.00 | — | 25% above | — |
| Hemoglobin blood test CPT 85018 Hc Blood Count; Hemoglobin | $98.00 | $98.00 | — | 214% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hc Blood Count; Hemoglobin-Laf | $39.00 | $39.00 | — | — | — |
| Hemoglobin blood test inpatient CPT 85018 Hc Blood Count; Hemoglobin | $98.00 | $98.00 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hc Hepatitis B Core Antibody; Total | $390.00 | $390.00 | — | 388% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hc Hepatitis B Core Antibody; Total | $390.00 | $390.00 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hc Hepatitis B Surgact Antibody | $255.00 | $255.00 | — | 172% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hc Hepatitis B Surgact Antibody | $255.00 | $255.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface-Laf | $99.00 | $99.00 | — | 13% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface | $456.00 | $456.00 | — | 419% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface-Laf | $99.00 | $99.00 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hc Infec Agent Antig Detect Enzyme Immuno, Qual/Semiquant, Mult-Step; Hepatitis B Surface | $456.00 | $456.00 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody-Laf | $136.00 | $136.00 | — | 21% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hc Hepatitis C Antibody | $513.00 | $513.00 | — | 358% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody-Laf | $136.00 | $136.00 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hc Hepatitis C Antibody | $513.00 | $513.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf- | $409.00 | $409.00 | — | 54% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf | $1,042.00 | $1,042.00 | — | 293% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf- | $409.00 | $409.00 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hc Inf Agent Detection By Dna Or Rna; Hep C, Quantification, Inclds Reverse Transcription When Perf | $1,042.00 | $1,042.00 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Antibody; Herpes Simplex, Type 1-Laf | $127.00 | $127.00 | — | 88% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Hc Antibody; Herpes Simplex, Type 1 | $263.00 | $263.00 | — | 290% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Antibody; Herpes Simplex, Type 1-Laf | $127.00 | $127.00 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hc Antibody; Herpes Simplex, Type 1 | $263.00 | $263.00 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc Antibody; Herpes Simplex, Type 2-Laf | $127.00 | $127.00 | — | 42% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Hc Antibody; Herpes Simplex, Type 2 | $289.00 | $289.00 | — | 223% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Antibody; Herpes Simplex, Type 2-Laf | $127.00 | $127.00 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hc Antibody; Herpes Simplex, Type 2 | $289.00 | $289.00 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Hc C-Reactive Protein; High Sensitivity | $375.00 | $375.00 | — | 306% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Hc C-Reactive Protein; High Sensitivity | $375.00 | $375.00 | — | — | — |
| Homocysteine blood test CPT 83090 Hc Lrsv-Urine, Homocysteine | $490.00 | $490.00 | — | 306% above | — |
| Homocysteine blood test CPT 83090 Hc Homocysteine | $490.00 | $490.00 | — | 306% above | — |
| Homocysteine blood test inpatient CPT 83090 Hc Homocysteine | $490.00 | $490.00 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 Hc Lrsv-Urine, Homocysteine | $490.00 | $490.00 | — | — | — |
| Insulin blood test CPT 83525 Hc Insulin Total | $338.00 | $338.00 | — | 364% above | — |
| Insulin blood test inpatient CPT 83525 Hc Insulin Total | $338.00 | $338.00 | — | — | — |
| Iron blood test (serum iron) CPT 83540 Hc Iron-Laf | $61.00 | $61.00 | — | 21% below | — |
| Iron blood test (serum iron) CPT 83540 Hc Iron | $213.00 | $213.00 | — | 174% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Hc Iron-Laf | $61.00 | $61.00 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 Hc Iron | $213.00 | $213.00 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Capacity-Laf | $83.00 | $83.00 | — | 5% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Hc Iron Binding Capacity | $269.00 | $269.00 | — | 242% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Capacity-Laf | $83.00 | $83.00 | — | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Hc Iron Binding Capacity | $269.00 | $269.00 | — | — | — |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $432.00 | $432.00 | — | 191% above | — |
| Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel | $432.00 | $432.00 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 Hc Luteinizing Hormone-Laf | $176.00 | $176.00 | — | 53% above | — |
| LH (luteinizing hormone) test CPT 83002 Hc Gonadtropin; Luteinizing Hormone-Laf | $176.00 | $176.00 | — | 53% above | — |
| LH (luteinizing hormone) test CPT 83002 Hc Luteinizing Hormone | $411.00 | $411.00 | — | 258% above | — |
| LH (luteinizing hormone) test CPT 83002 Hc Gonadtropin; Luteinizing Hormone | $411.00 | $411.00 | — | 258% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Hc Luteinizing Hormone-Laf | $176.00 | $176.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Hc Gonadtropin; Luteinizing Hormone-Laf | $176.00 | $176.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Hc Luteinizing Hormone | $411.00 | $411.00 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Hc Gonadtropin; Luteinizing Hormone | $411.00 | $411.00 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 Hc D-Lacate, Urine | $247.00 | $247.00 | — | 175% above | — |
| Lactate (lactic acid) blood test CPT 83605 Hc Lactate (Lactic Acid) | $247.00 | $247.00 | — | 175% above | — |
| Lactate (lactic acid) blood test CPT 83605 Hc Lactate Assay | $247.00 | $247.00 | — | 175% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hc Lactate Assay | $247.00 | $247.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hc Lactate (Lactic Acid) | $247.00 | $247.00 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Hc D-Lacate, Urine | $247.00 | $247.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Lactate Dehydrogenase | $159.00 | $159.00 | — | 196% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Hc Ldh, Fluid | $159.00 | $159.00 | — | 196% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Ldh, Fluid | $159.00 | $159.00 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Hc Lactate Dehydrogenase | $159.00 | $159.00 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Hc Lipase | $293.00 | $293.00 | — | 229% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Hc Lipase | $293.00 | $293.00 | — | — | — |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $330.00 | $330.00 | — | 139% above | — |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel | $330.00 | $330.00 | — | — | — |
| Lyme disease antibody test CPT 86618 Hc Lyme Disease | $280.00 | $280.00 | — | 286% above | — |
| Lyme disease antibody test CPT 86618 Hc B. Burg Ab Serum(Lyme)/Confirmatory | $438.00 | $438.00 | — | 504% above | — |
| Lyme disease antibody test CPT 86618 Hc B. Burgdoferi Ab, Csf | $438.00 | $438.00 | — | 504% above | — |
| Lyme disease antibody test inpatient CPT 86618 Hc Lyme Disease | $280.00 | $280.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Hc B. Burg Ab Serum(Lyme)/Confirmatory | $438.00 | $438.00 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 Hc B. Burgdoferi Ab, Csf | $438.00 | $438.00 | — | — | — |
| Magnesium blood test CPT 83735 Hc Magnesium, Urine | $29.00 | $29.00 | — | 57% below | — |
| Magnesium blood test CPT 83735 Hc Magnesium-Laf | $64.00 | $64.00 | — | 6% below | — |
| Magnesium blood test CPT 83735 Hc Magnesium | $123.00 | $123.00 | — | 81% above | — |
| Magnesium blood test inpatient CPT 83735 Hc Magnesium, Urine | $29.00 | $29.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Hc Magnesium-Laf | $64.00 | $64.00 | — | — | — |
| Magnesium blood test inpatient CPT 83735 Hc Magnesium | $123.00 | $123.00 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 Hc Antibody, Rubeola | $377.00 | $377.00 | — | 403% above | — |
| Measles (rubeola) antibody test CPT 86765 Hc Measles Igm | $392.00 | $392.00 | — | 423% above | — |
| Measles (rubeola) antibody test CPT 86765 Hc Widal Agglutinins | $392.00 | $392.00 | — | 423% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Antibody, Rubeola | $377.00 | $377.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Widal Agglutinins | $392.00 | $392.00 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Hc Measles Igm | $392.00 | $392.00 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Hc Heterophile Antibodies, Screening | $199.00 | $199.00 | — | 158% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Hc Heterophile Antibodies, Screening | $199.00 | $199.00 | — | — | — |
| Mumps immunity blood test CPT 86735 Hc Mumps Titer | $58.00 | $58.00 | — | 23% below | — |
| Mumps immunity blood test CPT 86735 Hc Mumps Antibody Igm | $218.00 | $218.00 | — | 191% above | — |
| Mumps immunity blood test CPT 86735 Hc Antibody Mumps Igg | $218.00 | $218.00 | — | 191% above | — |
| Mumps immunity blood test CPT 86735 Hc Mumps Virus Ab, Igg/Igm | $218.00 | $218.00 | — | 191% above | — |
| Mumps immunity blood test inpatient CPT 86735 Hc Mumps Titer | $58.00 | $58.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Hc Mumps Virus Ab, Igg/Igm | $218.00 | $218.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Hc Mumps Antibody Igm | $218.00 | $218.00 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 Hc Antibody Mumps Igg | $218.00 | $218.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Prostate Specific Antigen (Psa); Free | $356.00 | $356.00 | — | 264% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Prostate Specific Antigen (Psa); Free | $356.00 | $356.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate Specific Antigen (Psa); Total-Laf | $175.00 | $175.00 | — | 54% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Prostate Specific Antigen (Psa); Total | $433.00 | $433.00 | — | 282% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate Specific Antigen (Psa); Total-Laf | $175.00 | $175.00 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Prostate Specific Antigen (Psa); Total | $433.00 | $433.00 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Hc Cytopath C/V Auto Fluid Redo | $186.00 | $186.00 | — | 40% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Hc Cytopath C/V Auto Fluid Redo | $186.00 | $186.00 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Hc Cytopath,Cerv Or Vag,Collctd In Preserv Fluid, Auto Thin Layer Prep,Mnual Scrning Under Md Sprvsn | $234.00 | $234.00 | — | 108% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Hc Cytopath,Cerv Or Vag,Collctd In Preserv Fluid, Auto Thin Layer Prep,Mnual Scrning Under Md Sprvsn | $234.00 | $234.00 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Hc Parathryoid Hormone Test | $594.00 | $594.00 | — | 164% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Hc Parathryoid Hormone Test | $594.00 | $594.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Partial Thromboplastin Time (Ptt) | $216.00 | $216.00 | — | 232% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Partial Thromboplastin Time (Ptt) Hepcheck | $216.00 | $216.00 | — | 232% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Partial Thromboplastin Time (Ptt) Hepcheck | $216.00 | $216.00 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Partial Thromboplastin Time (Ptt) | $216.00 | $216.00 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Hc Phosphorus Inorganic Phosphate | $117.00 | $117.00 | — | 100% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Hc Phosphorus Inorganic Phosphate | $117.00 | $117.00 | — | — | — |
| Potassium blood test CPT 84132 Hc Potassium; Serum, Plasma Or Whole Blood-Laf | $43.00 | $43.00 | — | at median | — |
| Potassium blood test CPT 84132 Hc Potassium; Serum, Plasma Or Whole Blood | $50.00 | $50.00 | — | 16% above | — |
| Potassium blood test inpatient CPT 84132 Hc Potassium; Serum, Plasma Or Whole Blood-Laf | $43.00 | $43.00 | — | — | — |
| Potassium blood test inpatient CPT 84132 Hc Potassium; Serum, Plasma Or Whole Blood | $50.00 | $50.00 | — | — | — |
| Progesterone blood test CPT 84144 Hc Progesterone Lvl-Laf | $199.00 | $199.00 | — | 42% above | — |
| Progesterone blood test CPT 84144 Hc Progesterone-Laf | $199.00 | $199.00 | — | 42% above | — |
| Progesterone blood test CPT 84144 Hc Progesterone | $349.00 | $349.00 | — | 149% above | — |
| Progesterone blood test CPT 84144 Hc Progesterone Lvl | $349.00 | $349.00 | — | 149% above | — |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone-Laf | $199.00 | $199.00 | — | — | — |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone Lvl-Laf | $199.00 | $199.00 | — | — | — |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone | $349.00 | $349.00 | — | — | — |
| Progesterone blood test inpatient CPT 84144 Hc Progesterone Lvl | $349.00 | $349.00 | — | — | — |
| Prolactin blood test CPT 84146 Hc Prolactin-Laf | $155.00 | $155.00 | — | 21% above | — |
| Prolactin blood test CPT 84146 Hc Prolactin | $459.00 | $459.00 | — | 258% above | — |
| Prolactin blood test inpatient CPT 84146 Hc Prolactin-Laf | $155.00 | $155.00 | — | — | — |
| Prolactin blood test inpatient CPT 84146 Hc Prolactin | $459.00 | $459.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Hepcheck Pt-Laf | $36.00 | $36.00 | — | 14% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Protime Padua-Laf | $36.00 | $36.00 | — | 14% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time-Laf | $36.00 | $36.00 | — | 14% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $180.00 | $180.00 | — | 329% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Protime Padua | $180.00 | $180.00 | — | 329% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Hepcheck Pt | $180.00 | $180.00 | — | 329% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time-Laf | $36.00 | $36.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Hepcheck Pt-Laf | $36.00 | $36.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Protime Padua-Laf | $36.00 | $36.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time | $180.00 | $180.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Protime Padua | $180.00 | $180.00 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Hepcheck Pt | $180.00 | $180.00 | — | — | — |
| Rapid flu test (influenza antigen) CPT 87804 Hc Influenza A & B Immunoassay | $252.00 | $252.00 | — | 252% above | — |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Hc Influenza A & B Immunoassay | $252.00 | $252.00 | — | — | — |
| Renin blood test CPT 84244 Hc Renin | $321.00 | $321.00 | — | 179% above | — |
| Renin blood test inpatient CPT 84244 Hc Renin | $321.00 | $321.00 | — | — | — |
| Rh blood typing CPT 86901 Hc Blood Typing, Serologic, Rh (D)-Laf | $52.00 | $52.00 | — | 24% below | — |
| Rh blood typing CPT 86901 Hc Blood Typing, Serologic, Rh (D) | $141.00 | $141.00 | — | 107% above | — |
| Rh blood typing inpatient CPT 86901 Hc Blood Typing, Serologic, Rh (D)-Laf | $52.00 | $52.00 | — | — | — |
| Rh blood typing inpatient CPT 86901 Hc Blood Typing, Serologic, Rh (D) | $141.00 | $141.00 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor; Quantitative-Laf | $54.00 | $54.00 | — | 14% below | — |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor; Iga | $159.00 | $159.00 | — | 154% above | — |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor; Igg | $159.00 | $159.00 | — | 154% above | — |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor; Igm | $159.00 | $159.00 | — | 154% above | — |
| Rheumatoid factor (RF) test CPT 86431 Hc Rheumatoid Factor; Quantitative | $288.00 | $288.00 | — | 360% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor; Quantitative-Laf | $54.00 | $54.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor; Igm | $159.00 | $159.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor; Igg | $159.00 | $159.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor; Iga | $159.00 | $159.00 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Hc Rheumatoid Factor; Quantitative | $288.00 | $288.00 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 Hc Antibody; Rubella-Laf | $81.00 | $81.00 | — | 8% above | — |
| Rubella antibody test (immunity check) CPT 86762 Hc Antibody; Rubella | $350.00 | $350.00 | — | 368% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Antibody; Rubella-Laf | $81.00 | $81.00 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Hc Antibody; Rubella | $350.00 | $350.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Sedimentation Rate Auto-Laf | $26.00 | $26.00 | — | 45% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Hc Sedimentation Rate Auto | $141.00 | $141.00 | — | 199% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hc Sedimentation Rate Auto-Laf | $26.00 | $26.00 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Hc Sedimentation Rate Auto | $141.00 | $141.00 | — | — | — |
| Sodium blood test CPT 84295 Hc Sodium; Serum, Plasma Or Whole Blood-Laf | $43.00 | $43.00 | — | 12% below | — |
| Sodium blood test CPT 84295 Hc Sodium; Serum, Plasma Or Whole Blood | $50.00 | $50.00 | — | 2% above | — |
| Sodium blood test inpatient CPT 84295 Hc Sodium; Serum, Plasma Or Whole Blood-Laf | $43.00 | $43.00 | — | — | — |
| Sodium blood test inpatient CPT 84295 Hc Sodium; Serum, Plasma Or Whole Blood | $50.00 | $50.00 | — | — | — |
| Stool ova and parasites exam CPT 87177 Hc Ova & Parasites Dir Smr W Id | $103.00 | $103.00 | — | 40% above | — |
| Stool ova and parasites exam CPT 87177 Hc Ova And Parasites, Direct Smears, Concentration And Identification | $408.00 | $408.00 | — | 453% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Hc Ova & Parasites Dir Smr W Id | $103.00 | $103.00 | — | — | — |
| Stool ova and parasites exam inpatient CPT 87177 Hc Ova And Parasites, Direct Smears, Concentration And Identification | $408.00 | $408.00 | — | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hc Blood Occult, Peroxidase , Qual, Feces, Consec Spec, Single ,Colorectal Neoplasm Screen | $72.00 | $72.00 | — | 150% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hc Blood Occult, Peroxidase , Qual, Feces, Consec Spec, Single ,Colorectal Neoplasm Screen | $72.00 | $72.00 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Hc Blood, Occult, By Fecal Hemoglobin Determination By Immunoassay, Qual, Feces, 1-3 Simultaneous | $165.00 | $165.00 | — | 122% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Hc Blood, Occult, By Fecal Hemoglobin Determination By Immunoassay, Qual, Feces, 1-3 Simultaneous | $165.00 | $165.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Syphilis Igg Antibody-Laf | $127.00 | $127.00 | — | 91% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody; Treponema Pallidum-Laf | $127.00 | $127.00 | — | 91% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Syphilis Ab Tp-Pa-Laf | $127.00 | $127.00 | — | 91% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Syphilis Ab Tp-Pa | $250.00 | $250.00 | — | 276% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Antibody; Treponema Pallidum | $250.00 | $250.00 | — | 276% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Hc Syphilis Igg Antibody | $250.00 | $250.00 | — | 276% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Syphilis Igg Antibody-Laf | $127.00 | $127.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody; Treponema Pallidum-Laf | $127.00 | $127.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Syphilis Ab Tp-Pa-Laf | $127.00 | $127.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Syphilis Ab Tp-Pa | $250.00 | $250.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Antibody; Treponema Pallidum | $250.00 | $250.00 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Hc Syphilis Igg Antibody | $250.00 | $250.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Vdrl Screen -Csf | $168.00 | $168.00 | — | 229% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Hc Rpr Screen | $168.00 | $168.00 | — | 229% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Rpr Screen | $168.00 | $168.00 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Hc Vdrl Screen -Csf | $168.00 | $168.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon Tb Test Gold | $159.00 | $159.00 | — | 28% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Quantiferon Tb Test Gold-Laf | $263.00 | $263.00 | — | 19% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Tb Cell Mediated Immunity Measurement-Laf | $263.00 | $263.00 | — | 19% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Hc Tb Cell Mediated Immunity Measurement | $453.00 | $453.00 | — | 105% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Quantiferon Tb Test Gold | $159.00 | $159.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Tb Cell Mediated Immunity Measurement-Laf | $263.00 | $263.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Quantiferon Tb Test Gold-Laf | $263.00 | $263.00 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Hc Tb Cell Mediated Immunity Measurement | $453.00 | $453.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Testosterone, Total | $270.00 | $270.00 | — | 113% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Hc Te Tesosterone | $270.00 | $270.00 | — | 113% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Testosterone, Total | $270.00 | $270.00 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Hc Te Tesosterone | $270.00 | $270.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Thyroperoxidase Ab-Serum | $200.00 | $200.00 | — | 152% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Liver/Kidney Microsomal Ab | $412.00 | $412.00 | — | 419% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Hc Throperoxidase Ab | $412.00 | $412.00 | — | 419% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Thyroperoxidase Ab-Serum | $200.00 | $200.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Liver/Kidney Microsomal Ab | $412.00 | $412.00 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Hc Throperoxidase Ab | $412.00 | $412.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc T4 Newborn Screen | $37.00 | $37.00 | — | 69% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Thyroid Stimulating Hormone (Tsh)-Laf | $161.00 | $161.00 | — | 36% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Thyroid Stimulating Hormone (Tsh) | $512.00 | $512.00 | — | 333% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc T4 Newborn Screen | $37.00 | $37.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Thyroid Stimulating Hormone (Tsh)-Laf | $161.00 | $161.00 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Thyroid Stimulating Hormone (Tsh) | $512.00 | $512.00 | — | — | — |
| Total IgE blood test CPT 82785 Hc Gammaglobulin; Ige | $61.00 | $61.00 | — | 30% below | — |
| Total IgE blood test CPT 82785 Hc Total Ige | $84.00 | $84.00 | — | 4% below | — |
| Total IgE blood test inpatient CPT 82785 Hc Gammaglobulin; Ige | $61.00 | $61.00 | — | — | — |
| Total IgE blood test inpatient CPT 82785 Hc Total Ige | $84.00 | $84.00 | — | — | — |
| Total cholesterol blood test CPT 82465 Hc Cholesterol-Laf | $43.00 | $43.00 | — | at median | — |
| Total cholesterol blood test CPT 82465 Hc Cholesterol | $162.00 | $162.00 | — | 279% above | — |
| Total cholesterol blood test inpatient CPT 82465 Hc Cholesterol-Laf | $43.00 | $43.00 | — | — | — |
| Total cholesterol blood test inpatient CPT 82465 Hc Cholesterol | $162.00 | $162.00 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 Hc Thyroxine; Total | $265.00 | $265.00 | — | 224% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 Hc Thyroxine; Total | $265.00 | $265.00 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Hc Triiodothyronine T3; Total | $322.00 | $322.00 | — | 237% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Hc Triiodothyronine T3; Total | $322.00 | $322.00 | — | — | — |
| Transferrin blood test CPT 84466 Hc Transferrin | $237.00 | $237.00 | — | 151% above | — |
| Transferrin blood test inpatient CPT 84466 Hc Transferrin | $237.00 | $237.00 | — | — | — |
| Trichomonas test (NAAT) CPT 87661 Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Trichomonas Vaginalis, Amplified Probe Tchnq | $364.00 | $364.00 | — | 192% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Hc Infct Agent Dtctn By Nucleic Acid Rna Or Dna; Trichomonas Vaginalis, Amplified Probe Tchnq | $364.00 | $364.00 | — | — | — |
| Triglycerides blood test CPT 84478 Hc Triglycerides-Serum-Laf | $43.00 | $43.00 | — | 9% below | — |
| Triglycerides blood test CPT 84478 Hc Triglycerides, Fluid-Laf | $43.00 | $43.00 | — | 9% below | — |
| Triglycerides blood test CPT 84478 Hc Triglycerides, Fluid | $151.00 | $151.00 | — | 218% above | — |
| Triglycerides blood test CPT 84478 Hc Triglycerides-Serum | $151.00 | $151.00 | — | 218% above | — |
| Triglycerides blood test inpatient CPT 84478 Hc Triglycerides, Fluid-Laf | $43.00 | $43.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Hc Triglycerides-Serum-Laf | $43.00 | $43.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Hc Triglycerides-Serum | $151.00 | $151.00 | — | — | — |
| Triglycerides blood test inpatient CPT 84478 Hc Triglycerides, Fluid | $151.00 | $151.00 | — | — | — |
| Troponin test, quantitative CPT 84484 Hc Cardiac Troponin T | $366.00 | $366.00 | — | 141% above | — |
| Troponin test, quantitative CPT 84484 Hc Cardiac Troponin T Repeat | $366.00 | $366.00 | — | 141% above | — |
| Troponin test, quantitative inpatient CPT 84484 Hc Cardiac Troponin T | $366.00 | $366.00 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 Hc Cardiac Troponin T Repeat | $366.00 | $366.00 | — | — | — |
| Uric acid blood test CPT 84550 Hc Uric Acid; Blood-Laf | $43.00 | $43.00 | — | 39% below | — |
| Uric acid blood test CPT 84550 Hc Uric Acid; Blood | $150.00 | $150.00 | — | 113% above | — |
| Uric acid blood test inpatient CPT 84550 Hc Uric Acid; Blood-Laf | $43.00 | $43.00 | — | — | — |
| Uric acid blood test inpatient CPT 84550 Hc Uric Acid; Blood | $150.00 | $150.00 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Hc Ua,By Dip Stck/Tblt Rgnt For Blrbn,Gluc,Hgb,Ket,Lukcytes,Nit,Ph, Prot,Spec Grav,Urobil;Aut,W/Micr | $140.00 | $140.00 | — | 118% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Ua,By Dip Stck/Tblt Rgnt For Blrbn,Gluc,Hgb,Ket,Lukcytes,Nit,Ph, Prot,Spec Grav,Urobil;Aut,W/Micr | $140.00 | $140.00 | — | — | — |
| Urinalysis with microscope exam, manual CPT 81000 Hc Urinalysis, By Dip Stick Or Tablet Reagent ; Non-Automated, With Microscopy | $105.00 | $105.00 | — | 367% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Hc Urinalysis, By Dip Stick Or Tablet Reagent ; Non-Automated, With Microscopy | $105.00 | $105.00 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis, Auto, Without Microscopy-Laf | $22.00 | $22.00 | — | 12% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis, Ph Only-Laf | $22.00 | $22.00 | — | 12% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis, Specific Gravity Only-Laf | $22.00 | $22.00 | — | 12% below | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Protein/Qual/Ur | $92.00 | $92.00 | — | 267% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis, Specific Gravity Only | $112.00 | $112.00 | — | 347% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis, Ph Only | $112.00 | $112.00 | — | 347% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urinalysis, Auto, Without Microscopy | $112.00 | $112.00 | — | 347% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis, Auto, Without Microscopy-Laf | $22.00 | $22.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis, Specific Gravity Only-Laf | $22.00 | $22.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis, Ph Only-Laf | $22.00 | $22.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Protein/Qual/Ur | $92.00 | $92.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis, Auto, Without Microscopy | $112.00 | $112.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis, Specific Gravity Only | $112.00 | $112.00 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urinalysis, Ph Only | $112.00 | $112.00 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urinalysis, By Dip Stick Or Tab Reagent; Non-Auto, W/Out Microscopy | $116.00 | $116.00 | — | 416% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urinalysis, By Dip Stick Or Tab Reagent; Non-Auto, W/Out Microscopy | $116.00 | $116.00 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 Hc Culture, Bacterial, Quantitative Colony Count, Urne-Laf | $77.00 | $77.00 | — | 16% below | — |
| Urine culture for bacteria, with colony count CPT 87086 Hc Culture, Bacterial, Quantitative Colony Count, Urne | $311.00 | $311.00 | — | 239% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture, Bacterial, Quantitative Colony Count, Urne-Laf | $77.00 | $77.00 | — | — | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Hc Culture, Bacterial, Quantitative Colony Count, Urne | $311.00 | $311.00 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 Hc Albumin; Urine (Eg, Microalbumin), Quantitative-Laf | $56.00 | $56.00 | — | 13% below | — |
| Urine microalbumin (albumin) test CPT 82043 Hc Albumin; Urine (Eg, Microalbumin), Quantitative | $224.00 | $224.00 | — | 247% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hc Albumin; Urine (Eg, Microalbumin), Quantitative-Laf | $56.00 | $56.00 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Hc Albumin; Urine (Eg, Microalbumin), Quantitative | $224.00 | $224.00 | — | — | — |
| Urine pregnancy test, read by color change CPT 81025 Hc Urine Pregnancy Test, By Visual Color Comparison Methods | $301.00 | $301.00 | — | 306% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 Hc Urine Pregnancy Test, By Visual Color Comparison Methods | $301.00 | $301.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hc Cyanocobalamin Vitamin B-12-Laf | $143.00 | $143.00 | — | 11% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hc Cyanocobalamin Vitamin B-12 | $428.00 | $428.00 | — | 231% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Cyanocobalamin Vitamin B-12-Laf | $143.00 | $143.00 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Hc Cyanocobalamin Vitamin B-12 | $428.00 | $428.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed-Laf | $283.00 | $283.00 | — | 54% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed | $469.00 | $469.00 | — | 155% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed-Laf | $283.00 | $283.00 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Hc Vitamin D; 25 Hydroxy, Includes Fraction(S), If Performed | $469.00 | $469.00 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Hc Vitamin D; 1, 25 Hydroxy, Includes Fraction(S), If Performed | $442.00 | $442.00 | — | 128% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Hc Vitamin D; 1, 25 Hydroxy, Includes Fraction(S), If Performed | $442.00 | $442.00 | — | — | — |
| Zinc blood test CPT 84630 Hc Zinc | $197.00 | $197.00 | — | 174% above | — |
| Zinc blood test inpatient CPT 84630 Hc Zinc | $197.00 | $197.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg, Alpha-Subunit, Quantitative-Laf | $143.00 | $143.00 | — | 33% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Beta Hcg Quantitative-Laf | $143.00 | $143.00 | — | 33% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Bhcg Quantitative, Serum-Laf | $143.00 | $143.00 | — | 33% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Hcg, Alpha-Subunit, Quantitative | $484.00 | $484.00 | — | 350% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Bhcg Quantitative, Serum | $484.00 | $484.00 | — | 350% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hc Beta Hcg Quantitative | $484.00 | $484.00 | — | 350% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Bhcg Quantitative, Serum-Laf | $143.00 | $143.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg, Alpha-Subunit, Quantitative-Laf | $143.00 | $143.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Beta Hcg Quantitative-Laf | $143.00 | $143.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Beta Hcg Quantitative | $484.00 | $484.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Bhcg Quantitative, Serum | $484.00 | $484.00 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hc Hcg, Alpha-Subunit, Quantitative | $484.00 | $484.00 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat- | $1,008.00 | $1,008.00 | — | — | — |
| Botox injections for chronic migraine both sides CPT 64615 Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat | $4,076.00 | $4,076.00 | — | — | — |
| Botox injections for chronic migraine inpatient both sides CPT 64615 Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat- | $1,008.00 | $1,008.00 | — | — | — |
| Botox injections for chronic migraine inpatient both sides CPT 64615 Hc Chemodenervat Muscle(S); Innervated By Facial/Trigeminal/Cervical Spnal & Accessory Nerves Bilat | $4,076.00 | $4,076.00 | — | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Hc Bx, Brst, W Plcmnt Of Brst Local Device, & Img Of Bx Spec, Perc; 1St Les, Incl Stereotactic Guid | $10,696.00 | $10,696.00 | — | 247% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Hc Bx, Brst, W Plcmnt Of Brst Local Device, & Img Of Bx Spec, Perc; 1St Les, Incl Stereotactic Guid | $10,696.00 | $10,696.00 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation | $2,180.00 | $2,180.00 | — | 419% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation-Pbb | $2,180.00 | $2,180.00 | — | 419% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation-Pbb | $2,180.00 | $2,180.00 | — | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Hc Closed Treatment Of Distal Fibular Fracture; Without Manipulation | $2,180.00 | $2,180.00 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each-Pbb | $1,537.00 | $1,537.00 | — | 138% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each | $1,537.00 | $1,537.00 | — | 138% above | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each | $1,537.00 | $1,537.00 | — | — | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Hc Closed Treatment Of Metatarsal Fracture; Without Manipulation, Each-Pbb | $1,537.00 | $1,537.00 | — | — | — |
| Cardiac catheterization with coronary angiogram one side CPT 93458 Hc Left Heart Artery/Ventricle Angiography With Left Heart Cath Including Intraproc Inj | $25,774.00 | $25,774.00 | — | 151% above | — |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Hc Left Heart Artery/Ventricle Angiography With Left Heart Cath Including Intraproc Inj | $25,774.00 | $25,774.00 | — | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Hc Cardioversion, Elective, Electrical Conversion Of Arrhythmia; External | $5,171.00 | $5,171.00 | — | 331% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Hc Cardioversion, Elective, Electrical Conversion Of Arrhythmia; External | $5,171.00 | $5,171.00 | — | — | — |
| Carpal tunnel release, open surgery CPT 64721 Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel-Pbb | $6,437.00 | $6,437.00 | — | 81% above | — |
| Carpal tunnel release, open surgery CPT 64721 Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel | $6,437.00 | $6,437.00 | — | 81% above | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel-Pbb | $6,437.00 | $6,437.00 | — | — | — |
| Carpal tunnel release, open surgery inpatient CPT 64721 Hc Neuroplasty &/Or Transposition; Median Nerve At Carpal Tunnel | $6,437.00 | $6,437.00 | — | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 Hc Comprehensive Ep Evaluation Transeptal Atrial Fibrillation Pulmonary Vein Isolation | $85,340.00 | $85,340.00 | — | 202% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Hc Comprehensive Ep Evaluation Transeptal Atrial Fibrillation Pulmonary Vein Isolation | $85,340.00 | $85,340.00 | — | — | — |
| Cervical biopsy CPT 57500 Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration-Pb | $4,700.00 | $4,700.00 | — | 395% above | — |
| Cervical biopsy CPT 57500 Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration | $6,248.00 | $6,248.00 | — | 558% above | — |
| Cervical biopsy inpatient CPT 57500 Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration-Pb | $4,700.00 | $4,700.00 | — | — | — |
| Cervical biopsy inpatient CPT 57500 Hc Biopsy Of Cervix, Single Or Multiple, Or Local Excision Of Lesion, With Or Without Fulguration | $6,248.00 | $6,248.00 | — | — | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Hc Circumcision, Using Clamp Or Other Device With Regional Dorsal Penile Or Ring Block | $8,785.00 | $8,785.00 | — | 321% above | — |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Hc Circumcision, Using Clamp Or Other Device With Regional Dorsal Penile Or Ring Block | $8,785.00 | $8,785.00 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip-P | $2,150.00 | $2,150.00 | — | 315% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip | $2,150.00 | $2,150.00 | — | 315% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip | $2,150.00 | $2,150.00 | — | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Hc Closed Tx Of Dist Rad Fx Or Epiphyseal Sep, Includes Closed Tx Of Fx Of Ulnar Styloid; Wo Manip-P | $2,150.00 | $2,150.00 | — | — | — |
| Colonoscopy with endoscopic ultrasound CPT 45391 Hc Clnscpy,Flex;W/Endoscpc U/S Exm Lmtd To The Rctm,Sigm,Desc,Trans,Or Asc Colon&Cecum,& Adj Strctrs | $8,015.00 | $8,015.00 | — | 28% above | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hc Clnscpy,Flex;W/Endoscpc U/S Exm Lmtd To The Rctm,Sigm,Desc,Trans,Or Asc Colon&Cecum,& Adj Strctrs | $8,015.00 | $8,015.00 | — | — | — |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique-Pbb | $5,037.00 | $5,037.00 | — | 69% above | — |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique | $8,724.00 | $8,724.00 | — | 193% above | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique-Pbb | $5,037.00 | $5,037.00 | — | — | — |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Colonoscopy, Flexible; With Removal Of Tumor, Polyp, Or Other Lesion By Snare Technique | $8,724.00 | $8,724.00 | — | — | — |
| Colonoscopy with tissue sample CPT 45380 Hc Research Colonoscopy Complete-Pbb | $2,767.00 | $2,767.00 | — | at median | — |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple-Pbb | $4,703.00 | $4,703.00 | — | 71% above | — |
| Colonoscopy with tissue sample CPT 45380 Hc Research Colonoscopy Complete | $5,566.00 | $5,566.00 | — | 102% above | — |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple | $7,767.00 | $7,767.00 | — | 182% above | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Research Colonoscopy Complete-Pbb | $2,767.00 | $2,767.00 | — | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple-Pbb | $4,703.00 | $4,703.00 | — | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Research Colonoscopy Complete | $5,566.00 | $5,566.00 | — | — | — |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Colonoscopy, Flexible; With Biopsy, Single Or Multiple | $7,767.00 | $7,767.00 | — | — | — |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb | $4,970.00 | $4,970.00 | — | 106% above | — |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf | $7,534.00 | $7,534.00 | — | 213% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb | $4,970.00 | $4,970.00 | — | — | — |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Colonoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf | $7,534.00 | $7,534.00 | — | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix-Pbb | $7,174.00 | $7,174.00 | — | 129% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix | $11,154.00 | $11,154.00 | — | 257% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix-Pbb | $7,174.00 | $7,174.00 | — | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Loop Electrode Biopsy Of The Cervix | $11,154.00 | $11,154.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage- | $1,478.00 | $1,478.00 | — | 208% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage | $1,478.00 | $1,478.00 | — | 208% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage | $1,478.00 | $1,478.00 | — | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Hc Colposcopy Of The Cervix Incl Upper/Adj Vagina; W/ Biop Of The Cervix And Endocervical Curettage- | $1,478.00 | $1,478.00 | — | — | — |
| Coronary stent placement, one artery CPT 92928 Hc Perc Transcath Plcmnt Intrcrnry Stnt(S),W/ Crnry Angplsty When Perf; Singl Maj Crnry Art Or Brnch | $40,846.00 | $40,846.00 | — | 191% above | — |
| Coronary stent placement, one artery CPT 92928 Hc Perc Trnscth Plcmnt Of Drg Elut Intracrnry Stnt W/Crnry Angplsty Whn Perf;Sngle Mj Crnryart/Brnch | $41,577.00 | $41,577.00 | — | 196% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 Hc Perc Transcath Plcmnt Intrcrnry Stnt(S),W/ Crnry Angplsty When Perf; Singl Maj Crnry Art Or Brnch | $40,846.00 | $40,846.00 | — | — | — |
| Coronary stent placement, one artery inpatient CPT 92928 Hc Perc Trnscth Plcmnt Of Drg Elut Intracrnry Stnt W/Crnry Angplsty Whn Perf;Sngle Mj Crnryart/Brnch | $41,577.00 | $41,577.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystourethroscopy | $4,114.00 | $4,114.00 | — | 225% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Hc Cystourethroscopy-Pbb | $4,114.00 | $4,114.00 | — | 225% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Cystourethroscopy-Pbb | $4,114.00 | $4,114.00 | — | — | — |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Hc Cystourethroscopy | $4,114.00 | $4,114.00 | — | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Hc Dilation And Curettage , Diagnostic And/Or Therapeutic-Pbb | $12,710.00 | $12,710.00 | — | 293% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 Hc Dilation And Curettage , Diagnostic And/Or Therapeutic | $12,710.00 | $12,710.00 | — | 293% above | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hc Dilation And Curettage , Diagnostic And/Or Therapeutic-Pbb | $12,710.00 | $12,710.00 | — | — | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Hc Dilation And Curettage , Diagnostic And/Or Therapeutic | $12,710.00 | $12,710.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruction, Premalignant Lesions, 1St Lesion-Pbb | $523.00 | $523.00 | — | 210% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Hc Destruction, Premalignant Lesions, 1St Lesion | $523.00 | $523.00 | — | 210% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Destruction, Premalignant Lesions, 1St Lesion | $523.00 | $523.00 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Hc Destruction, Premalignant Lesions, 1St Lesion-Pbb | $523.00 | $523.00 | — | — | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Hc Tympanostomy, General Anesthesia | $6,083.00 | $6,083.00 | — | 263% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Hc Tympanostomy, General Anesthesia | $6,083.00 | $6,083.00 | — | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hc Tympanostomy, Local Or Topical Anesthesia-Pbb | $5,762.00 | $5,762.00 | — | 948% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Hc Tympanostomy, Local Or Topical Anesthesia | $7,942.00 | $7,942.00 | — | 1344% above | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hc Tympanostomy, Local Or Topical Anesthesia-Pbb | $5,762.00 | $5,762.00 | — | — | — |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Hc Tympanostomy, Local Or Topical Anesthesia | $7,942.00 | $7,942.00 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Hc Remove Impacted Ear Wax Unilateral | $246.00 | $246.00 | — | 113% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Hc Remove Impacted Ear Wax Unilateral | $246.00 | $246.00 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral-Pbb | $546.00 | $546.00 | — | 337% above | — |
| Earwax removal with instruments, one ear one side CPT 69210 Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral | $546.00 | $546.00 | — | 337% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral-Pbb | $546.00 | $546.00 | — | — | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Hc Removal Impacted Cerumen Requiring Instrumentation, Unilateral | $546.00 | $546.00 | — | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method | $3,432.00 | $3,432.00 | — | 886% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Hc Endometrial Sampling With Or Without Endocervical Sampling, Without Cervical Dilation, Any Method | $3,432.00 | $3,432.00 | — | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Hc Nasal/Sinus Endoscopy, Surgical, W/ Maxillary Antrostomy; W/ Maxillary Tissue Removal-Pbb | $16,373.00 | $16,373.00 | — | 118% above | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 Hc Nasal/Sinus Endoscopy, Surgical, W/ Maxillary Antrostomy; W/ Maxillary Tissue Removal-Pbb | $16,373.00 | $16,373.00 | — | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Hc Injection(S) Interlaminar Cervical/Thoracic With Imaging Guidance | $8,842.00 | $8,842.00 | — | 388% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Hc Injection(S) Interlaminar Cervical/Thoracic With Imaging Guidance | $8,842.00 | $8,842.00 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Intravitreal Injection Of Pharmacologic Agent-Pbb | $1,615.00 | $1,615.00 | — | 138% above | — |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Hc Intravitreal Injection Of Pharmacologic Agent | $1,615.00 | $1,615.00 | — | 138% above | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Intravitreal Injection Of Pharmacologic Agent-Pbb | $1,615.00 | $1,615.00 | — | — | — |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Hc Intravitreal Injection Of Pharmacologic Agent | $1,615.00 | $1,615.00 | — | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Lumbar Or Sacral; Single Level | $3,608.40 | $3,608.40 | — | 133% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Hc Inj, Diag Or Thrptc Agent, Paravert Facet Joint W/ Image Guid, Lumbar Or Sacral; Single Level | $3,608.40 | $3,608.40 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Research Flex Sig Diagnostic | $1,065.00 | $1,065.00 | — | at median | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb | $2,930.00 | $2,930.00 | — | 175% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf | $3,804.00 | $3,804.00 | — | 257% above | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc Research Flex Sig Diagnostic | $1,065.00 | $1,065.00 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb | $2,930.00 | $2,930.00 | — | — | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Hc Sigmoidoscopy, Flex; Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf | $3,804.00 | $3,804.00 | — | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation-Pbb | $2,952.00 | $2,952.00 | — | 223% above | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation | $2,952.00 | $2,952.00 | — | 223% above | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation-Pbb | $2,952.00 | $2,952.00 | — | — | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hc Hemorrhoidectomy, Internal, By Rubber Band Ligation | $2,952.00 | $2,952.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography | $1,622.00 | $1,622.00 | — | 319% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography-P | $1,622.00 | $1,622.00 | — | 319% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography-P | $1,622.00 | $1,622.00 | — | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hc Cath & Intr Of Saline/Contrast Material For Saline Inf Sonohysterography/Hysterosalipingography | $1,622.00 | $1,622.00 | — | — | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hc Hysteroscopy, Surgical; With Endometrial Ablation-Pbb | $16,964.00 | $16,964.00 | — | 180% above | — |
| Hysteroscopy with endometrial ablation CPT 58563 Hc Hysteroscopy, Surgical; With Endometrial Ablation | $44,816.00 | $44,816.00 | — | 639% above | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 Hc Hysteroscopy, Surgical; With Endometrial Ablation-Pbb | $16,964.00 | $16,964.00 | — | — | — |
| Hysteroscopy with endometrial ablation inpatient CPT 58563 Hc Hysteroscopy, Surgical; With Endometrial Ablation | $44,816.00 | $44,816.00 | — | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C-Pbb | $13,715.00 | $13,715.00 | — | 297% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C | $20,948.00 | $20,948.00 | — | 507% above | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C-Pbb | $13,715.00 | $13,715.00 | — | — | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hc Hysteroscopy, Surgical; With Sampling Of Endometrium And/Or Polypectomy, With Or Without D&C | $20,948.00 | $20,948.00 | — | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 Hc Insertion Of Iud | $3,140.00 | $3,140.00 | — | 760% above | — |
| IUD insertion (the device itself billed separately) CPT 58300 Hc Insertion Of Iud-Pbb | $3,140.00 | $3,140.00 | — | 760% above | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Insertion Of Iud | $3,140.00 | $3,140.00 | — | — | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Hc Insertion Of Iud-Pbb | $3,140.00 | $3,140.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc I&D Of Abcess Simple/Single | $1,266.00 | $1,266.00 | — | 219% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Hc I&D Of Abcess Simple/Single-Pbb | $1,266.00 | $1,266.00 | — | 219% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I&D Of Abcess Simple/Single | $1,266.00 | $1,266.00 | — | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hc I&D Of Abcess Simple/Single-Pbb | $1,266.00 | $1,266.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 NDC Description Not Available | $103.73 | $103.73 | — | 76% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis-Pbb | $1,664.00 | $1,664.00 | — | 287% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis | $1,664.00 | $1,664.00 | — | 287% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 NDC Description Not Available | $103.73 | $103.73 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis-Pbb | $1,664.00 | $1,664.00 | — | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Hc Injection; Single Tendon Sheath, Or Ligament, Aponeurosis | $1,664.00 | $1,664.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance | $2,540.00 | $2,540.00 | — | 403% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance-Pb | $2,540.00 | $2,540.00 | — | 403% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance-Pb | $2,540.00 | $2,540.00 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Hc Arthrocentesis, Aspiration And/Or Injection, Major Joint Or Bursa; Without Ultrasound Guidance | $2,540.00 | $2,540.00 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion, Non-Biodegradable Drug Delivery Implant | $2,321.00 | $2,321.00 | — | 733% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Hc Insertion, Non-Biodegradable Drug Delivery Implant-Pbb | $2,321.00 | $2,321.00 | — | 733% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insertion, Non-Biodegradable Drug Delivery Implant-Pbb | $2,321.00 | $2,321.00 | — | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Hc Insertion, Non-Biodegradable Drug Delivery Implant | $2,321.00 | $2,321.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid-Pbb | $2,062.00 | $2,062.00 | — | 397% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid | $2,062.00 | $2,062.00 | — | 397% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid | $2,062.00 | $2,062.00 | — | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Hc Arthrocentesis, Aspiration And/Or Inj, Intermediate Joint Or Bursa; W/Out U/S Guid-Pbb | $2,062.00 | $2,062.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance | $1,124.00 | $1,124.00 | — | 260% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance-Pb | $1,124.00 | $1,124.00 | — | 260% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance-Pb | $1,124.00 | $1,124.00 | — | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Hc Arthrocentesis, Aspiration And/Or Injection, Small Joint Or Bursa; Without Ultrasound Guidance | $1,124.00 | $1,124.00 | — | — | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Hc Discission Of Secondary Membranous Cataract; Laser Surgery | $5,356.00 | $5,356.00 | — | 698% above | — |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Hc Discission Of Secondary Membranous Cataract; Laser Surgery | $5,356.00 | $5,356.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less | $3,266.00 | $3,266.00 | — | 443% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less-Pbb | $3,266.00 | $3,266.00 | — | 443% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less | $3,266.00 | $3,266.00 | — | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Hc Repair, Intermediate, Wounds Of Scalp, Axillae, Trunk And/Or Extremities; 2.5 Cm Or Less-Pbb | $3,266.00 | $3,266.00 | — | — | — |
| Left heart catheterization, diagnostic CPT 93452 Hc L Hrt Cath Incl Intrprcdrl Inj(S) Ventriculography,Imgng Supervision & Intrprtn, When Perf | $15,764.00 | $15,764.00 | — | 117% above | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 Hc L Hrt Cath Incl Intrprcdrl Inj(S) Ventriculography,Imgng Supervision & Intrprtn, When Perf | $15,764.00 | $15,764.00 | — | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Injections Interlaminar Lumbar/Sacral With Imaging Guidance | $8,188.00 | $8,188.00 | — | 460% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Injections Interlaminar Lumbar/Sacral With Imaging Guidance | $8,188.00 | $8,188.00 | — | — | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Injections Interlaminar Lumbar/Sacral | $7,762.00 | $7,762.00 | — | 433% above | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Injections Interlaminar Lumbar/Sacral | $7,762.00 | $7,762.00 | — | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural,W/Image Guid; Lumbar Or Sacral, Single Level | $5,519.00 | $5,519.00 | — | 289% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Hc Inj, Anes Agent A/O Steroid, Transforaminal Epidural,W/Image Guid; Lumbar Or Sacral, Single Level | $5,519.00 | $5,519.00 | — | — | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester-Pbb | $11,099.00 | $11,099.00 | — | 222% above | — |
| Miscarriage treatment with D&C, first trimester CPT 59820 Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester | $16,175.00 | $16,175.00 | — | 369% above | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester-Pbb | $11,099.00 | $11,099.00 | — | — | — |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Hc Treatment Of Missed Abortion, Completed Surgically; First Trimester | $16,175.00 | $16,175.00 | — | — | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks-Pbb | $4,201.00 | $4,201.00 | — | 462% above | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks | $4,201.00 | $4,201.00 | — | 462% above | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks | $4,201.00 | $4,201.00 | — | — | — |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Hc Mohs, Head, Neck, Hands, Feet, Geniatlia, First Stage, Up To 5 Tissue Blocks-Pbb | $4,201.00 | $4,201.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Resident Cash-Csm | $600.00 | $600.00 | — | 15% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Cash-Csm,Pbb | $600.00 | $600.00 | — | 15% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Hc Excsn, Benign Les Incl Mrgns, Excpt Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.5 Cm Or Less | $3,701.00 | $3,701.00 | — | 426% above | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Cash-Csm,Pbb | $600.00 | $600.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Exc Benign Les Trunk/Arm/Leg 0.5Cm/< Resident Cash-Csm | $600.00 | $600.00 | — | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Hc Excsn, Benign Les Incl Mrgns, Excpt Skin Tag, Trnk, Arms Or Legs; Excised Diameter 0.5 Cm Or Less | $3,701.00 | $3,701.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or <-P | $3,610.00 | $3,610.00 | — | 428% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or < | $3,610.00 | $3,610.00 | — | 428% above | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or < | $3,610.00 | $3,610.00 | — | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Hc Exc, Oth Bgn Les Inc Mgn, Exc Skin Tag,Face,Ears,Eyelds,Nose,Lips,Muc Mem; Exc Diam 0.5 Cm Or <-P | $3,610.00 | $3,610.00 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single | $1,183.00 | $1,183.00 | — | 311% above | — |
| Nail removal (partial or complete), one nail CPT 11730 Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single-Pbb | $1,183.00 | $1,183.00 | — | 311% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single-Pbb | $1,183.00 | $1,183.00 | — | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Hc Avulsion Of Nail Plate, Partial Or Complete, Simple; Single | $1,183.00 | $1,183.00 | — | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Injection, Anesthetic Agent; Greater Occipital Nervice | $1,796.00 | $1,796.00 | — | 249% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 Hc Injection, Anesthetic Agent; Greater Occipital Nervice-Pbb | $1,796.00 | $1,796.00 | — | 249% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Injection, Anesthetic Agent; Greater Occipital Nervice | $1,796.00 | $1,796.00 | — | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Hc Injection, Anesthetic Agent; Greater Occipital Nervice-Pbb | $1,796.00 | $1,796.00 | — | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Hc Insertn Of New Or Replacemnt Of Prmnent Pacemaker W/ Transven Electrode(S); Atrial And Ventriclr | $22,834.00 | $22,834.00 | — | 98% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Hc Insertn Of New Or Replacemnt Of Prmnent Pacemaker W/ Transven Electrode(S); Atrial And Ventriclr | $22,834.00 | $22,834.00 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance | $5,480.00 | $5,480.00 | — | 277% above | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Pbb | $5,480.00 | $5,480.00 | — | 277% above | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb | $5,480.00 | $5,480.00 | — | 277% above | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Gold | $5,480.00 | $5,480.00 | — | 277% above | — |
| Paracentesis with imaging guidance CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb,Pul | $7,844.00 | $7,844.00 | — | 440% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance | $5,480.00 | $5,480.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb | $5,480.00 | $5,480.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Pbb | $5,480.00 | $5,480.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Gold | $5,480.00 | $5,480.00 | — | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Hc Abdominal Paracentesis; With Imaging Guidance-Gold,Pbb,Pul | $7,844.00 | $7,844.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal | $2,588.00 | $2,588.00 | — | 312% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal-Pbb | $2,588.00 | $2,588.00 | — | 312% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal | $2,588.00 | $2,588.00 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Hc Excision Of Nail And Nail Matrix, Partial Or Complete, For Permanent Removal-Pbb | $2,588.00 | $2,588.00 | — | — | — |
| Prostate biopsy CPT 55700 Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach-Pbb | $6,194.00 | $6,194.00 | — | 93% above | — |
| Prostate biopsy CPT 55700 Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach | $6,194.00 | $6,194.00 | — | 93% above | — |
| Prostate biopsy inpatient CPT 55700 Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach | $6,194.00 | $6,194.00 | — | — | — |
| Prostate biopsy inpatient CPT 55700 Hc Biopsy, Prostate; Needle Or Punch, Single Or Multiple, Any Approach-Pbb | $6,194.00 | $6,194.00 | — | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/Imag Guid, Lumbar/Sacal Ea Add Facet Joint | $5,955.00 | $5,955.00 | — | 113% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Hc Destruct Neurolytic Agnt, Paravert Facet Jnt Nerve W/Imag Guid, Lumbar/Sacal Ea Add Facet Joint | $5,955.00 | $5,955.00 | — | — | — |
| Removal of a breast lump, open surgery CPT 19120 Hc Removal Of Breast Lesion 1+-Pbb | $11,340.00 | $11,340.00 | — | 294% above | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hc Removal Of Breast Lesion 1+-Pbb | $11,340.00 | $11,340.00 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple-Pbb | $1,912.00 | $1,912.00 | — | 296% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple | $1,912.00 | $1,912.00 | — | 296% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple-Pbb | $1,912.00 | $1,912.00 | — | — | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Hc Incision And Removal Of Foreign Body, Subcutaneous Tissues; Simple | $1,912.00 | $1,912.00 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk-Pbb | $2,502.00 | $2,502.00 | — | 2% below | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk | $5,441.00 | $5,441.00 | — | 113% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk-Pbb | $2,502.00 | $2,502.00 | — | — | — |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Hc Colorectal Cancer Screeningl Colonoscpy On Individual Not Meeting Criteria For High Risk | $5,441.00 | $5,441.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk-Pbb | $2,246.00 | $2,246.00 | — | 7% below | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk | $5,034.00 | $5,034.00 | — | 109% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk-Pbb | $2,246.00 | $2,246.00 | — | — | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Hc Colorectal Cancer Screening; Colonoscopy On Individual At High Risk | $5,034.00 | $5,034.00 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm)-Cast,Pbb | $1,092.00 | $1,092.00 | — | 241% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm)-Cast | $1,092.00 | $1,092.00 | — | 241% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm) | $1,092.00 | $1,092.00 | — | 241% above | — |
| Short arm cast (elbow to hand) CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm)-Pbb | $1,092.00 | $1,092.00 | — | 241% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm)-Cast | $1,092.00 | $1,092.00 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm)-Pbb | $1,092.00 | $1,092.00 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm)-Cast,Pbb | $1,092.00 | $1,092.00 | — | — | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Hc Application, Cast; Elbow To Finger (Short Arm) | $1,092.00 | $1,092.00 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Application Of Short Arm Splint (Forearm To Hand); Static | $1,094.00 | $1,094.00 | — | 334% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Application Of Short Arm Splint (Forearm To Hand); Static-Cast,Pbb | $1,094.00 | $1,094.00 | — | 334% above | — |
| Short arm splint (forearm and hand) CPT 29125 Hc Application Of Short Arm Splint (Forearm To Hand); Static-Pbb | $1,094.00 | $1,094.00 | — | 334% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Application Of Short Arm Splint (Forearm To Hand); Static-Pbb | $1,094.00 | $1,094.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Application Of Short Arm Splint (Forearm To Hand); Static-Cast,Pbb | $1,094.00 | $1,094.00 | — | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Hc Application Of Short Arm Splint (Forearm To Hand); Static | $1,094.00 | $1,094.00 | — | — | — |
| Short leg cast (below the knee) CPT 29405 Hc Application Of Short Leg Cast (Below Knee To Toes) | $1,150.00 | $1,150.00 | — | 224% above | — |
| Short leg cast (below the knee) CPT 29405 Hc Application Of Short Leg Cast (Below Knee To Toes)-Pbb | $1,150.00 | $1,150.00 | — | 224% above | — |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Application Of Short Leg Cast (Below Knee To Toes)-Pbb | $1,150.00 | $1,150.00 | — | — | — |
| Short leg cast (below the knee) inpatient CPT 29405 Hc Application Of Short Leg Cast (Below Knee To Toes) | $1,150.00 | $1,150.00 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot) | $1,024.00 | $1,024.00 | — | 287% above | — |
| Short leg splint (calf to foot) CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot)-Pbb | $1,024.00 | $1,024.00 | — | 287% above | — |
| Short leg splint (calf to foot) CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot)-Cast | $1,024.00 | $1,024.00 | — | 287% above | — |
| Short leg splint (calf to foot) CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot)-Cast,Pbb | $1,024.00 | $1,024.00 | — | 287% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot) | $1,024.00 | $1,024.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot)-Pbb | $1,024.00 | $1,024.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot)-Cast,Pbb | $1,024.00 | $1,024.00 | — | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Hc Application Of Short Leg Splint (Calf To Foot)-Cast | $1,024.00 | $1,024.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm | $1,639.00 | $1,639.00 | — | 346% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm-Pb | $1,639.00 | $1,639.00 | — | 346% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm-Pb | $1,639.00 | $1,639.00 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Hc Simple Repair Superficial Wnds Of Scalp/Neck/Axillae/Ext Genit/Trunk And/Or Extremit; =<2.5 Cm | $1,639.00 | $1,639.00 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Cash-Csm,Pbb | $75.00 | $75.00 | — | 80% below | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Of Skin; Single Lesion | $1,163.00 | $1,163.00 | — | 213% above | — |
| Skin biopsy, punch, one lesion CPT 11104 Hc Punch Biopsy Of Skin; Single Lesion-Pbb | $1,163.00 | $1,163.00 | — | 213% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Biopsy Cash-Csm,Pbb | $75.00 | $75.00 | — | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Biopsy Of Skin; Single Lesion | $1,163.00 | $1,163.00 | — | — | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Hc Punch Biopsy Of Skin; Single Lesion-Pbb | $1,163.00 | $1,163.00 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less-Pbb | $3,241.00 | $3,241.00 | — | 470% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less | $3,241.00 | $3,241.00 | — | 470% above | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less | $3,241.00 | $3,241.00 | — | — | — |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Hc Excsn, Malignant Les Incl Mrgns, Trunk, Arms, Or Legs; Excised Diameter 0.5 Cm Or Less-Pbb | $3,241.00 | $3,241.00 | — | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Skin Tag Removal 1 To 15 Cash | $150.00 | $150.00 | — | 40% below | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Skin Tag Removal 1 To 15 Cash-Csm,Pbb | $150.00 | $150.00 | — | 40% below | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions | $650.00 | $650.00 | — | 160% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions-Pbb | $650.00 | $650.00 | — | 160% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Skin Tag Removal 1 To 15 Cash-Csm,Pbb | $150.00 | $150.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Skin Tag Removal 1 To 15 Cash | $150.00 | $150.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions | $650.00 | $650.00 | — | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Hc Removal Of Skin Tags, Multiple Fibrocutaneous Tags, Any Area; Up To And Including 15 Lesions-Pbb | $650.00 | $650.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Diagnostic-Pbb | $3,007.00 | $3,007.00 | — | 216% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Diagnostic-Gold | $3,007.00 | $3,007.00 | — | 216% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Diagnostic-Gold,Pbb | $3,007.00 | $3,007.00 | — | 216% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Hc Spinal Puncture Lumbar Diagnostic | $3,007.00 | $3,007.00 | — | 216% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Diagnostic | $3,007.00 | $3,007.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Diagnostic-Gold,Pbb | $3,007.00 | $3,007.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Diagnostic-Pbb | $3,007.00 | $3,007.00 | — | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Hc Spinal Puncture Lumbar Diagnostic-Gold | $3,007.00 | $3,007.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm- | $2,159.00 | $2,159.00 | — | 421% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm | $2,159.00 | $2,159.00 | — | 421% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm | $2,159.00 | $2,159.00 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Hc Simple Repair Of Superficial Wnds Scalp/Neck/Axillae/Ext Genita/Trunk & Or Extrem; 2.6 Cm-7.5 Cm- | $2,159.00 | $2,159.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or < | $1,626.00 | $1,626.00 | — | 305% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or <-P | $1,626.00 | $1,626.00 | — | 305% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or < | $1,626.00 | $1,626.00 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Hc Smpl Repr Of Suprfcl Wnds Of Face, Ears, Eyelids, Nose, Lips &/Or Mucous Membranes; 2.5 Cm Or <-P | $1,626.00 | $1,626.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Biopsy Of Skin; Single Lesion-Pbb | $1,163.00 | $1,163.00 | — | 292% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hc Tangential Biopsy Of Skin; Single Lesion | $1,163.00 | $1,163.00 | — | 292% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangential Biopsy Of Skin; Single Lesion | $1,163.00 | $1,163.00 | — | — | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hc Tangential Biopsy Of Skin; Single Lesion-Pbb | $1,163.00 | $1,163.00 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance | $4,278.00 | $4,278.00 | — | 242% above | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold,Pb | $4,278.00 | $4,278.00 | — | 242% above | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Pbb | $4,278.00 | $4,278.00 | — | 242% above | — |
| Thoracentesis with imaging guidance CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold | $4,278.00 | $4,278.00 | — | 242% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Pbb | $4,278.00 | $4,278.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance | $4,278.00 | $4,278.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold,Pb | $4,278.00 | $4,278.00 | — | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 Hc Thoracentesis, Needle Or Catheter, Aspiration Of The Pleural Space; With Imaging Guidance-Gold | $4,278.00 | $4,278.00 | — | — | — |
| Trigger finger release surgery CPT 26055 Hc Tendon Sheath Incision-Pbb | $6,060.00 | $6,060.00 | — | 254% above | — |
| Trigger finger release surgery inpatient CPT 26055 Hc Tendon Sheath Incision-Pbb | $6,060.00 | $6,060.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles | $1,939.00 | $1,939.00 | — | 273% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles-Pbb | $1,939.00 | $1,939.00 | — | 273% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles-Pbb | $1,939.00 | $1,939.00 | — | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Hc Injection; Single Or Multiple Trigger Point(S), 1 Or 2 Muscles | $1,939.00 | $1,939.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid | $7,937.00 | $7,937.00 | — | 222% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid-Pbb | $7,937.00 | $7,937.00 | — | 222% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid | $7,937.00 | $7,937.00 | — | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Hc Bx,Brst,Placmnt Of Brst Locl Dev, Hen Perf,&Imging Of The Bx Spec,Perc;1St Les,Incl U/S Guid-Pbb | $7,937.00 | $7,937.00 | — | — | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Transendoscopic Blln Dilation Of Esophagus-Pbb | $4,521.00 | $4,521.00 | — | 93% above | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Transendoscopic Blln Dilation Of Esophagus-Pbb | $4,521.00 | $4,521.00 | — | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple-Pbb | $4,634.00 | $4,634.00 | — | 100% above | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Biopsy, Single Or Multiple-Pbb | $4,634.00 | $4,634.00 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance-Pbb | $4,898.00 | $4,898.00 | — | 133% above | — |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance | $8,274.00 | $8,274.00 | — | 294% above | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance-Pbb | $4,898.00 | $4,898.00 | — | — | — |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Hc Esophagogastroduodenoscopy, Flex, Transoral; W/ Directed Submucosal Inj(S), Any Substance | $8,274.00 | $8,274.00 | — | — | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Hc Esophagogastroduodnoscpy,Flex,Trnsoral W/Rmvl Of Tumor(S), Polyp(S) Or Othr Les(S) By Snare Tchnq | $5,100.00 | $5,100.00 | — | 66% above | — |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Hc Esophagogastroduodnoscpy,Flex,Trnsoral W/Rmvl Of Tumor(S), Polyp(S) Or Othr Les(S) By Snare Tchnq | $5,100.00 | $5,100.00 | — | — | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Hc Egd, Flex, Transoral; W/ Insrtn Of Guide Wire Followed By Passage Of Dilator Thru Esoph Over Gw-P | $4,229.00 | $4,229.00 | — | 42% above | — |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Hc Egd, Flex, Transoral; W/ Insrtn Of Guide Wire Followed By Passage Of Dilator Thru Esoph Over Gw-P | $4,229.00 | $4,229.00 | — | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb | $4,004.00 | $4,004.00 | — | 106% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf | $6,039.00 | $6,039.00 | — | 211% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf-Pbb | $4,004.00 | $4,004.00 | — | — | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Egd, Flex; Transoral, Diag, Incl Collection Of Specimen By Brushing Or Washing, When Perf | $6,039.00 | $6,039.00 | — | — | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Transmural Drainage Of Pseudocyst-Pbb | $4,650.00 | $4,650.00 | — | 6% above | — |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Hc Esophagogastroduodenoscopy, Flexible, Transoral; With Transmural Drainage Of Pseudocyst-Pbb | $4,650.00 | $4,650.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination-Pbb | $8,408.00 | $8,408.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination | $8,408.00 | $8,408.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination-Pbb | $8,408.00 | $8,408.00 | — | — | — |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Hc Vasectomy, Unilateral Or Bilateral, Postop Semen Examination | $8,408.00 | $8,408.00 | — | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 Hc Endovn Abltn Ther Of Incomptnt Vn,Ext,Inclsive Of All Imgng Guid&Montring,Perc,Radfrequ;1St Vn Tx | $8,604.00 | $8,604.00 | — | 66% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Hc Endovn Abltn Ther Of Incomptnt Vn,Ext,Inclsive Of All Imgng Guid&Montring,Perc,Radfrequ;1St Vn Tx | $8,604.00 | $8,604.00 | — | — | — |
| Wart removal, up to 14 warts CPT 17110 Hc Cash Destruct Benign Non Skin Up To 14 Lesions-Csm,Pbb | $200.00 | $200.00 | — | 17% below | — |
| Wart removal, up to 14 warts CPT 17110 Hc Cash Destruct Benign Non Skin Up To 14 Lesions | $200.00 | $200.00 | — | 17% below | — |
| Wart removal, up to 14 warts CPT 17110 Hc Destructn, Of Benign Less Other Than Skin Tags Or Cutaneous Vasc Proliferativ Less; Up To 14 Less | $689.00 | $689.00 | — | 187% above | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Cash Destruct Benign Non Skin Up To 14 Lesions | $200.00 | $200.00 | — | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Cash Destruct Benign Non Skin Up To 14 Lesions-Csm,Pbb | $200.00 | $200.00 | — | — | — |
| Wart removal, up to 14 warts inpatient CPT 17110 Hc Destructn, Of Benign Less Other Than Skin Tags Or Cutaneous Vasc Proliferativ Less; Up To 14 Less | $689.00 | $689.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less | $3,446.00 | $3,446.00 | — | 399% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less-Pbb | $3,446.00 | $3,446.00 | — | 399% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less-Pbb | $3,446.00 | $3,446.00 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Hc Debridement, Subcutaneous Tissue, First 20 Sq Cm Or Less | $3,446.00 | $3,446.00 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Transfusion | $4,189.00 | $4,189.00 | — | 374% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Hc Blood Administration Inpatient | $4,442.00 | $4,442.00 | — | 403% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Transfusion | $4,189.00 | $4,189.00 | — | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Hc Blood Administration Inpatient | $4,442.00 | $4,442.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Metered Dose Inhaler Therapy | $439.00 | $439.00 | — | 128% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Ez Pap | $439.00 | $439.00 | — | 128% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hc Inhalation Treatment For Acute Airway Obstruction | $439.00 | $439.00 | — | 128% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Metered Dose Inhaler Therapy | $439.00 | $439.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Inhalation Treatment For Acute Airway Obstruction | $439.00 | $439.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hc Ez Pap | $439.00 | $439.00 | — | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Hc Chemother Administration, Intravenous Inf Tchnq; Up To 1 Hr, Single Or Ini Substance/Drug | $2,241.00 | $2,241.00 | — | 250% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Hc Chemother Administration, Intravenous Inf Tchnq; Up To 1 Hr, Single Or Ini Substance/Drug | $2,241.00 | $2,241.00 | — | — | — |
| Comprehensive eye exam by an eye doctor, new patient CPT 92004 Hc Ophth Srvcs; Med Exm & Eval W/ Inititatn Of Diag & Tx Prog; Comprhnsve, New Pt, 1 Or More Visits- | $306.00 | $306.00 | — | 124% above | — |
| Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Hc Ophth Srvcs; Med Exm & Eval W/ Inititatn Of Diag & Tx Prog; Comprhnsve, New Pt, 1 Or More Visits- | $306.00 | $306.00 | — | — | — |
| Comprehensive eye exam, returning patient CPT 92014 Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat-Pb | $630.00 | $630.00 | — | 401% above | — |
| Comprehensive eye exam, returning patient CPT 92014 Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat | $926.00 | $926.00 | — | 637% above | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat-Pb | $630.00 | $630.00 | — | — | — |
| Comprehensive eye exam, returning patient inpatient CPT 92014 Hc Opht Srvcs; Med Exm And Eval W/Inititation Or Cont Of Dx And Trtmnt Program; Comprhnsv,Est Pat | $926.00 | $926.00 | — | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Hc Comprehensive Audiometry Threshold Evaluation And Speech Recognition | $748.00 | $748.00 | — | 191% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Hc Comprehensive Audiometry Threshold Evaluation And Speech Recognition | $748.00 | $748.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Hc Critical Care E&M First 30-74 Min | $10,476.00 | $10,476.00 | — | 406% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Hc Critical Care E&M First 30-74 Min | $10,476.00 | $10,476.00 | — | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Hc Electroencephalogram (Eeg); Including Recording Awake And Drowsy | $2,105.00 | $2,105.00 | — | 142% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Hc Electroencephalogram (Eeg); Including Recording Awake And Drowsy | $2,105.00 | $2,105.00 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Hc Electrocardiogram, Routine Ecg W/ At Least 12 Leads; Tracing Only, W/O Interpretation And Report | $551.00 | $551.00 | — | 137% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Hc Electrocardiogram, Routine Ecg W/ At Least 12 Leads; Tracing Only, W/O Interpretation And Report | $551.00 | $551.00 | — | — | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring) | $1,951.00 | $1,951.00 | — | 116% above | — |
| Electroconvulsive therapy (ECT), one session CPT 90870 Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring)-Pbb | $1,951.00 | $1,951.00 | — | 116% above | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring)-Pbb | $1,951.00 | $1,951.00 | — | — | — |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Hc Electroconvulusive Therapy (Ect) (Includes Necessary Monitoring) | $1,951.00 | $1,951.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Emergency Room Elopement- Mse Performed | $383.00 | $383.00 | — | 71% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Hc Emergency Room Problem Focused Visit | $806.00 | $806.00 | — | 260% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Emergency Room Elopement- Mse Performed | $383.00 | $383.00 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Hc Emergency Room Problem Focused Visit | $806.00 | $806.00 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Hc Emergency Department Evaluation And Management Level 2 | $991.00 | $991.00 | — | 148% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Hc Emergency Department Evaluation And Management Level 2 | $991.00 | $991.00 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Hc Emergency Department Evaluation And Management Level 3 | $2,477.00 | $2,477.00 | — | 254% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Hc Emergency Department Evaluation And Management Level 3 | $2,477.00 | $2,477.00 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Hc Emergency Department Evaluation And Management Level 4 | $4,274.00 | $4,274.00 | — | 274% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Hc Emergency Department Evaluation And Management Level 4 | $4,274.00 | $4,274.00 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Hc Emergency Department Evaluation And Management Level 5 | $5,099.00 | $5,099.00 | — | 219% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Hc Emergency Department Evaluation And Management Level 5 | $5,099.00 | $5,099.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Mset Modified Naughton | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Mset Chest Pain Center Protocol | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Mset Modified Bruce | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Stress Test Naughton Balke | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Dipyridamole Mps | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Mset-Modified Bruce W/Np | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Mset - Bruce Protocol | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Cardiovasc Stress Test Pharmacological Stress; Tracing Only, W/Out Interpretation And Report | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Hc Mset-Bruce Protocol W/Np | $2,787.00 | $2,787.00 | — | 192% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Dipyridamole Mps | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Mset Chest Pain Center Protocol | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Stress Test Naughton Balke | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Mset Modified Naughton | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Cardiovasc Stress Test Pharmacological Stress; Tracing Only, W/Out Interpretation And Report | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Mset-Modified Bruce W/Np | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Mset-Bruce Protocol W/Np | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Mset - Bruce Protocol | $2,787.00 | $2,787.00 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Hc Mset Modified Bruce | $2,787.00 | $2,787.00 | — | — | — |
| Eye exam, returning patient, intermediate CPT 92012 Hc Ophthsrvcs; Med Exm And Evl W/ Inititation Or Cont Of Dx And Trtmnt Prgrm; Intermediate,Est Pat-P | $417.00 | $417.00 | — | 235% above | — |
| Eye exam, returning patient, intermediate inpatient CPT 92012 Hc Ophthsrvcs; Med Exm And Evl W/ Inititation Or Cont Of Dx And Trtmnt Prgrm; Intermediate,Est Pat-P | $417.00 | $417.00 | — | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psychotherapy W/Patient Present 50 Mins Cash Technical-Csm,Pbb | $25.00 | $25.00 | — | 86% below | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present)-Pbb | $541.00 | $541.00 | — | 202% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present) | $541.00 | $541.00 | — | 202% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Psychotherapy W/Patient Present 50 Mins Cash Technical-Csm,Pbb | $25.00 | $25.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present) | $541.00 | $541.00 | — | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Family Psychotherapy (Conjoint Psychotherapy) (With Patient Present)-Pbb | $541.00 | $541.00 | — | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psychotherapy W/O Patient Present 50 Mins Cash-Csm,Pbb | $25.00 | $25.00 | — | 86% below | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psychotherapy (Without Patient Present)-Pbb | $435.00 | $435.00 | — | 137% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Family Psychotherapy (Without Patient Present) | $435.00 | $435.00 | — | 137% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Psychotherapy W/O Patient Present 50 Mins Cash-Csm,Pbb | $25.00 | $25.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Psychotherapy (Without Patient Present) | $435.00 | $435.00 | — | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Family Psychotherapy (Without Patient Present)-Pbb | $435.00 | $435.00 | — | — | — |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy-Pbb | $341.00 | $341.00 | — | 165% above | — |
| Group psychotherapy session CPT 90853 Hc Group Psychotherapy | $435.00 | $435.00 | — | 238% above | — |
| Group psychotherapy session inpatient CPT 90853 Hc Group Psychotherapy-Pbb | $341.00 | $341.00 | — | — | — |
| Group psychotherapy session inpatient CPT 90853 Hc Group Psychotherapy | $435.00 | $435.00 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hc Intravenous Infusion, Hydration; Initial, 31 Minutes To 1 Hour | $1,055.00 | $1,055.00 | — | 212% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hc Intravenous Infusion, Hydration; Initial, 31 Minutes To 1 Hour | $1,055.00 | $1,055.00 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 Hc Iv Infusion,Therapy, Prophylaxis, Or Dx; Initial, Up To 1 Hour | $1,579.00 | $1,579.00 | — | 287% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Hc Iv Infusion,Therapy, Prophylaxis, Or Dx; Initial, Up To 1 Hour | $1,579.00 | $1,579.00 | — | — | — |
| IV push of a medicine, first drug CPT 96374 Hc Therapeutic, Prophylactic, Or Dx Inj; Iv Push, Single Or Initial Substance/Drug | $536.00 | $536.00 | — | 149% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 Hc Therapeutic, Prophylactic, Or Dx Inj; Iv Push, Single Or Initial Substance/Drug | $536.00 | $536.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Botox Injection Per Unit Cash-Csm,Pbb | $15.00 | $15.00 | — | 86% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Botox Injection Per Unit Cash-Csm | $15.00 | $15.00 | — | 86% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Travel Immunoglobulin Adminstration | $32.00 | $32.00 | — | 71% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Cosmetic Facility Visit Cash | $50.00 | $50.00 | — | 54% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Cosmetic Facility Visit Cash-Csm,Pbb | $50.00 | $50.00 | — | 54% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Subcutaneous Resident Injection Program | $82.00 | $82.00 | — | 25% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im | $373.00 | $373.00 | — | 242% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im-Pbb | $373.00 | $373.00 | — | 242% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Restylane Injection Per Syringe Cash-Csm,Pbb | $700.00 | $700.00 | — | 541% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Noncdm Charge Record | $700.00 | $700.00 | — | 541% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Radiesse Filler Per Syringe Cash | $800.00 | $800.00 | — | 633% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Radiesse Filler Per Syringe Cash-Csm,Pbb | $800.00 | $800.00 | — | 633% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Sculptra Injection Polylactic Acid Per Vial Cash | $1,000.00 | $1,000.00 | — | 816% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hc Sculptra Injection Polylactic Acid Per Vial Cash-Csm,Pbb | $1,000.00 | $1,000.00 | — | 816% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Botox Injection Per Unit Cash-Csm | $15.00 | $15.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Botox Injection Per Unit Cash-Csm,Pbb | $15.00 | $15.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Travel Immunoglobulin Adminstration | $32.00 | $32.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Cosmetic Facility Visit Cash-Csm,Pbb | $50.00 | $50.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Cosmetic Facility Visit Cash | $50.00 | $50.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Subcutaneous Resident Injection Program | $82.00 | $82.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im | $373.00 | $373.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Therapeutic, Prophylactic, Or Dx Inj; Sq Or Im-Pbb | $373.00 | $373.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Restylane Injection Per Syringe Cash-Csm,Pbb | $700.00 | $700.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Noncdm Charge Record | $700.00 | $700.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Radiesse Filler Per Syringe Cash-Csm,Pbb | $800.00 | $800.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Radiesse Filler Per Syringe Cash | $800.00 | $800.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Sculptra Injection Polylactic Acid Per Vial Cash | $1,000.00 | $1,000.00 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hc Sculptra Injection Polylactic Acid Per Vial Cash-Csm,Pbb | $1,000.00 | $1,000.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Evaluation-Pbb | $385.00 | $385.00 | — | 44% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Evaluation-Pbb,Pul | $385.00 | $385.00 | — | 44% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Hc Psychiatric Diagnostic Evaluation | $385.00 | $385.00 | — | 44% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psychiatric Diagnostic Evaluation | $385.00 | $385.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psychiatric Diagnostic Evaluation-Pbb | $385.00 | $385.00 | — | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Hc Psychiatric Diagnostic Evaluation-Pbb,Pul | $385.00 | $385.00 | — | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Hc Nerve Conduction Studies; 7-8 Studies | $4,416.00 | $4,416.00 | — | 506% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Hc Nerve Conduction Studies; 7-8 Studies | $4,416.00 | $4,416.00 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Hc Thrptc Proc, 1 > Areas, Ea 15 Min; Nromsclr Reedcatn Mvmnt, Blnce, Coord, Knsthtc Snse & Pstre | $204.00 | $204.00 | — | 72% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Hc Thrptc Proc, 1 > Areas, Ea 15 Min; Nromsclr Reedcatn Mvmnt, Blnce, Coord, Knsthtc Snse & Pstre | $204.00 | $204.00 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 Hc Cosmetic Conslt Rfnd Cncl Cash | $52.00 | $52.00 | — | 76% below | — |
| New patient office visit, about 30 minutes CPT 99203 New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid | $425.00 | $425.00 | — | 92% above | — |
| New patient office visit, about 30 minutes CPT 99203 New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid-Pbb | $425.00 | $425.00 | — | 92% above | — |
| New patient office visit, about 30 minutes CPT 99203 Hc Evaluation And Management New Patient Level 3-Pbb | $479.00 | $479.00 | — | 117% above | — |
| New patient office visit, about 30 minutes CPT 99203 Hc Evaluation And Management New Patient Level 3 | $479.00 | $479.00 | — | 117% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hc Cosmetic Conslt Rfnd Cncl Cash | $52.00 | $52.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid-Pbb | $425.00 | $425.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 New Patient Initial Prenatal Visit 99203 & 0500F For Medicaid | $425.00 | $425.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hc Evaluation And Management New Patient Level 3-Pbb | $479.00 | $479.00 | — | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Hc Evaluation And Management New Patient Level 3 | $479.00 | $479.00 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 Hc Evaluation And Management New Patient Level 4-Pbb | $598.00 | $598.00 | — | 101% above | — |
| New patient office visit, about 45 minutes CPT 99204 Hc Evaluation And Management New Patient Level 4 | $598.00 | $598.00 | — | 101% above | — |
| New patient office visit, about 45 minutes CPT 99204 New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid-Pbb | $606.00 | $606.00 | — | 104% above | — |
| New patient office visit, about 45 minutes CPT 99204 New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid | $606.00 | $606.00 | — | 104% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hc Evaluation And Management New Patient Level 4-Pbb | $598.00 | $598.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Hc Evaluation And Management New Patient Level 4 | $598.00 | $598.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid | $606.00 | $606.00 | — | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Patient Initial Prenatal Visit 99204 & 0500F For Medicaid-Pbb | $606.00 | $606.00 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 Hc Evaluation And Management New Patient Level 5-Pbb | $759.00 | $759.00 | — | 95% above | — |
| New patient office visit, about 60 minutes CPT 99205 Hc Evaluation And Management New Patient Level 5 | $759.00 | $759.00 | — | 95% above | — |
| New patient office visit, about 60 minutes CPT 99205 New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid-Pbb | $820.00 | $820.00 | — | 111% above | — |
| New patient office visit, about 60 minutes CPT 99205 New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid | $820.00 | $820.00 | — | 111% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hc Evaluation And Management New Patient Level 5 | $759.00 | $759.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Hc Evaluation And Management New Patient Level 5-Pbb | $759.00 | $759.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid-Pbb | $820.00 | $820.00 | — | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Patient Initial Prenatal Visit 99205 & 0500F For Medicaid | $820.00 | $820.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid-Pbb | $326.00 | $326.00 | — | 87% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid | $326.00 | $326.00 | — | 87% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Evaluation And Management New Patient Level 2-Pbb | $345.00 | $345.00 | — | 98% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hc Evaluation And Management New Patient Level 2 | $345.00 | $345.00 | — | 98% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid-Pbb | $326.00 | $326.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Patient Initial Prenatal Visit 99202 & 0500F For Medicaid | $326.00 | $326.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Evaluation And Management New Patient Level 2 | $345.00 | $345.00 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hc Evaluation And Management New Patient Level 2-Pbb | $345.00 | $345.00 | — | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Hc Med Nutr Ther; Ini Assmnt And Intrvtn, Ind, Face2Face W/ The Pat, Each 15 Min | $217.00 | $217.00 | — | 304% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Hc Med Nutr Ther; Ini Assmnt And Intrvtn, Ind, Face2Face W/ The Pat, Each 15 Min | $217.00 | $217.00 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Hc Occupational Therapy Evaluation Low Complex 30 Min | $302.00 | $302.00 | — | 18% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Hc Occupational Therapy Evaluation Low Complex 30 Min | $302.00 | $302.00 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Hc Physical Therapy High Complex 45 Min | $434.00 | $434.00 | — | 27% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Hc Physical Therapy High Complex 45 Min | $434.00 | $434.00 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Hc Physical Therapy Evaluation Low Complex 20 Min | $304.00 | $304.00 | — | 35% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Hc Physical Therapy Evaluation Low Complex 20 Min | $304.00 | $304.00 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Hc Physical Therapy Evaluation Moderate Complex 30 Min | $434.00 | $434.00 | — | 42% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Hc Physical Therapy Evaluation Moderate Complex 30 Min | $434.00 | $434.00 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Hc Manual Therapy Techniques, 1 Or More Regions, Each 15 Minutes | $226.00 | $226.00 | — | 69% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Hc Manual Therapy Techniques, 1 Or More Regions, Each 15 Minutes | $226.00 | $226.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Research High Intensity Walking Protocol | $100.00 | $100.00 | — | 11% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Hc Therapuetic Exercise Ea 15M | $223.00 | $223.00 | — | 99% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Research High Intensity Walking Protocol | $100.00 | $100.00 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Hc Therapuetic Exercise Ea 15M | $223.00 | $223.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Hc Ocmc-Pre-Employment Exam, Intermediate | $249.00 | $249.00 | — | at median | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Hc Preventive Medicine Evaluation New Patient; 18-39 Years-Pbb | $264.00 | $264.00 | — | 6% above | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Hc Ocmc-Pre-Employment Exam, Intermediate-Pbb | $294.00 | $294.00 | — | 18% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Ocmc-Pre-Employment Exam, Intermediate | $249.00 | $249.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Preventive Medicine Evaluation New Patient; 18-39 Years-Pbb | $264.00 | $264.00 | — | — | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Hc Ocmc-Pre-Employment Exam, Intermediate-Pbb | $294.00 | $294.00 | — | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Hc Preventive Medicine Evaluation New Patient; 40-64 Years-Pbb | $315.00 | $315.00 | — | 29% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Hc Preventive Medicine Evaluation New Patient; 40-64 Years-Pbb | $315.00 | $315.00 | — | — | — |
| Preventive checkup, new patient aged 65 or older CPT 99387 Hc Preventive Medicine Evaluation New Patient; 65 Years And Older-Pbb | $344.00 | $344.00 | — | 54% above | — |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Hc Preventive Medicine Evaluation New Patient; 65 Years And Older-Pbb | $344.00 | $344.00 | — | — | — |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Hc Preventive Medicine Evaluation Established Patient; 18-39 Years-Pbb | $378.00 | $378.00 | — | 100% above | — |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Hc Preventive Medicine Evaluation Established Patient; 18-39 Years-Pbb | $378.00 | $378.00 | — | — | — |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Hc Preventive Medicine Evaluation Established Patient; 40-64 Years-Pbb | $404.00 | $404.00 | — | 90% above | — |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Hc Preventive Medicine Evaluation Established Patient; 40-64 Years-Pbb | $404.00 | $404.00 | — | — | — |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Hc Preventive Medicine Evaluation Established Patient; 65 Years Or Older-Pbb | $435.00 | $435.00 | — | 89% above | — |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Hc Preventive Medicine Evaluation Established Patient; 65 Years Or Older-Pbb | $435.00 | $435.00 | — | — | — |
| Psychiatric evaluation with medical services CPT 90792 Hc Psychiatric Diagnostic Evaluation With Medical Services | $405.00 | $405.00 | — | 13% above | — |
| Psychiatric evaluation with medical services CPT 90792 Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb,Pul | $405.00 | $405.00 | — | 13% above | — |
| Psychiatric evaluation with medical services CPT 90792 Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb | $405.00 | $405.00 | — | 13% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb | $405.00 | $405.00 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psychiatric Diagnostic Evaluation With Medical Services | $405.00 | $405.00 | — | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 Hc Psychiatric Diagnostic Evaluation With Medical Services-Pbb,Pul | $405.00 | $405.00 | — | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Hc Psycl Tst Eval Phys/Qhp 1St Hour-Pbb | $498.00 | $498.00 | — | 59% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Hc Psycl Tst Eval Phys/Qhp 1St Hour-Pbb | $498.00 | $498.00 | — | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Hc Psychotherapy For Crisis; First 60 Minutes-Pbb | $493.00 | $493.00 | — | 97% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Hc Psychotherapy For Crisis; First 60 Minutes-Pbb | $493.00 | $493.00 | — | — | — |
| Psychotherapy session, 30 minutes CPT 90832 Hc Psychotherapy, 30 Minutes With Patient And/Or Family Member-Pbb | $215.00 | $215.00 | — | 14% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Psychotherapy, 30 Minutes With Patient And/Or Family Member-Pbb | $215.00 | $215.00 | — | — | — |
| Psychotherapy session, 45 minutes CPT 90834 Hc Psychotherapy, 45 Minutes With Patient And/Or Family Member-Pbb | $273.00 | $273.00 | — | 41% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Psychotherapy, 45 Minutes With Patient And/Or Family Member-Pbb | $273.00 | $273.00 | — | — | — |
| Psychotherapy session, 60 minutes CPT 90837 Hc Psychotherapy, 60 Minutes With Patient And/Or Family Member-Pbb | $400.00 | $400.00 | — | 39% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Psychotherapy, 60 Minutes With Patient And/Or Family Member-Pbb | $400.00 | $400.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; G.T. 3 Min Up To 10 Min-Pbb | $129.00 | $129.00 | — | 215% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; G.T. 3 Min Up To 10 Min | $219.00 | $219.00 | — | 434% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; G.T. 3 Min Up To 10 Min-Pbb | $129.00 | $129.00 | — | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Hc Smoking And Tobacco Use Cessation Counseling Visit; Intensive; G.T. 3 Min Up To 10 Min | $219.00 | $219.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Estab Pt Subsequent Prenatal Visit 99215 | $590.00 | $590.00 | — | 113% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid | $590.00 | $590.00 | — | 113% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid-Pbb | $590.00 | $590.00 | — | 113% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Estab Pt Subsequent Prenatal Visit 99215-Pbb | $590.00 | $590.00 | — | 113% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Evaluation And Management Return Patient Level 5-Pbb | $598.00 | $598.00 | — | 116% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hc Evaluation And Management Return Patient Level 5 | $598.00 | $598.00 | — | 116% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Estab Pt Subsequent Prenatal Visit 99215 | $590.00 | $590.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid | $590.00 | $590.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Estab Pt Initial Prenatal Visit 99215 & 0500F For Medicaid-Pbb | $590.00 | $590.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Estab Pt Subsequent Prenatal Visit 99215-Pbb | $590.00 | $590.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Evaluation And Management Return Patient Level 5 | $598.00 | $598.00 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Hc Evaluation And Management Return Patient Level 5-Pbb | $598.00 | $598.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Dmpr-Cosmetic Consult Cash-Pbb | $58.00 | $58.00 | — | 62% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Dmpr-Cosmetic Consult Cash | $200.00 | $200.00 | — | 31% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Dmpr-Cosmetic Consult Cash-Csm,Pbb | $200.00 | $200.00 | — | 31% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid-Pbb | $254.00 | $254.00 | — | 67% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Estab Pt Subsequent Prenatal Visit 99213-Pbb | $254.00 | $254.00 | — | 67% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Estab Pt Subsequent Prenatal Visit 99213 | $254.00 | $254.00 | — | 67% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid | $254.00 | $254.00 | — | 67% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Evaluation And Management Return Patient Level 3-Pbb | $409.00 | $409.00 | — | 168% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hc Evaluation And Management Return Patient Level 3 | $409.00 | $409.00 | — | 168% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Dmpr-Cosmetic Consult Cash-Pbb | $58.00 | $58.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Dmpr-Cosmetic Consult Cash | $200.00 | $200.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Dmpr-Cosmetic Consult Cash-Csm,Pbb | $200.00 | $200.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid | $254.00 | $254.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Estab Pt Subsequent Prenatal Visit 99213 | $254.00 | $254.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Estab Pt Initial Prenatal Visit 99213 & 0500F For Medicaid-Pbb | $254.00 | $254.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Estab Pt Subsequent Prenatal Visit 99213-Pbb | $254.00 | $254.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Evaluation And Management Return Patient Level 3 | $409.00 | $409.00 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hc Evaluation And Management Return Patient Level 3-Pbb | $409.00 | $409.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Estab Pt Subsequent Prenatal Visit 99214 | $370.00 | $370.00 | — | 100% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Estab Pt Subsequent Prenatal Visit 99214-Pbb | $370.00 | $370.00 | — | 100% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid-Pbb | $370.00 | $370.00 | — | 100% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid | $370.00 | $370.00 | — | 100% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Evaluation And Management Return Patient Level 4 | $479.00 | $479.00 | — | 159% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hc Evaluation And Management Return Patient Level 4-Pbb | $479.00 | $479.00 | — | 159% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Estab Pt Subsequent Prenatal Visit 99214-Pbb | $370.00 | $370.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Estab Pt Subsequent Prenatal Visit 99214 | $370.00 | $370.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid | $370.00 | $370.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Estab Pt Initial Prenatal Visit 99214 & 0500F For Medicaid-Pbb | $370.00 | $370.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Evaluation And Management Return Patient Level 4-Pbb | $479.00 | $479.00 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Hc Evaluation And Management Return Patient Level 4 | $479.00 | $479.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid-Pbb | $200.00 | $200.00 | — | 60% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Estab Pt Subsequent Prenatal Visit 99212 | $200.00 | $200.00 | — | 60% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Estab Pt Subsequent Prenatal Visit 99212-Pbb | $200.00 | $200.00 | — | 60% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid | $200.00 | $200.00 | — | 60% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Evaluation And Management Return Patient Level 2-Pbb | $345.00 | $345.00 | — | 176% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Hc Evaluation And Management Return Patient Level 2 | $345.00 | $345.00 | — | 176% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Estab Pt Subsequent Prenatal Visit 99212 | $200.00 | $200.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid | $200.00 | $200.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Estab Pt Initial Prenatal Visit 99212 & 0500F For Medicaid-Pbb | $200.00 | $200.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Estab Pt Subsequent Prenatal Visit 99212-Pbb | $200.00 | $200.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Evaluation And Management Return Patient Level 2 | $345.00 | $345.00 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Hc Evaluation And Management Return Patient Level 2-Pbb | $345.00 | $345.00 | — | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Hc Attending Cosmetic Consult Cash-Csm,Pbb | $100.00 | $100.00 | — | 30% below | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Hc Attending Cosmetic Consult Cash-Csm,Pbb | $100.00 | $100.00 | — | — | — |
| Speech and language evaluation CPT 92523 Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Sp | $1,037.00 | $1,037.00 | — | 199% above | — |
| Speech and language evaluation CPT 92523 Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Pb | $1,037.00 | $1,037.00 | — | 199% above | — |
| Speech and language evaluation CPT 92523 Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression | $1,037.00 | $1,037.00 | — | 199% above | — |
| Speech and language evaluation inpatient CPT 92523 Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression | $1,037.00 | $1,037.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Sp | $1,037.00 | $1,037.00 | — | — | — |
| Speech and language evaluation inpatient CPT 92523 Hc Evaluation Of Speech Sound Production With Evaluation Of Language Comprehension And Expression-Pb | $1,037.00 | $1,037.00 | — | — | — |
| Speech therapy session, individual CPT 92507 Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind | $788.00 | $788.00 | — | 359% above | — |
| Speech therapy session, individual CPT 92507 Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Pbb | $788.00 | $788.00 | — | 359% above | — |
| Speech therapy session, individual CPT 92507 Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Spt | $788.00 | $788.00 | — | 359% above | — |
| Speech therapy session, individual CPT 92507 NDC Description Not Available | $1,070.21 | $1,070.21 | — | 524% above | — |
| Speech therapy session, individual CPT 92507 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $1,072.32 | $1,072.32 | — | 525% above | — |
| Speech therapy session, individual inpatient CPT 92507 Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Pbb | $788.00 | $788.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind | $788.00 | $788.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Hc Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Ind-Spt | $788.00 | $788.00 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 NDC Description Not Available | $1,070.21 | $1,070.21 | — | — | — |
| Speech therapy session, individual inpatient CPT 92507 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $1,072.32 | $1,072.32 | — | — | — |
| Spirometry (breathing test) one side CPT 94010 Hc Spirmtry, Incl Graphic Rec,Total&Timed Vit Cap, Exp Flow Rt Measurement,W/Or W/Out Max Volnt Vent | $883.00 | $883.00 | — | 192% above | — |
| Spirometry (breathing test) inpatient one side CPT 94010 Hc Spirmtry, Incl Graphic Rec,Total&Timed Vit Cap, Exp Flow Rt Measurement,W/Or W/Out Max Volnt Vent | $883.00 | $883.00 | — | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Hc Research Spirom Pre/Post Bronchodil | $659.00 | $659.00 | — | 21% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Hc Bronchodilation Responsiveness, Spirometry As In 94010, Pre- And Post-Bronchodilator Administratn | $1,612.00 | $1,612.00 | — | 196% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Research Spirom Pre/Post Bronchodil | $659.00 | $659.00 | — | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Hc Bronchodilation Responsiveness, Spirometry As In 94010, Pre- And Post-Bronchodilator Administratn | $1,612.00 | $1,612.00 | — | — | — |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Hc Tcranial Magn Stim Tx Plan-Pbb | $779.00 | $779.00 | — | 147% above | — |
| TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Pr Repet Tms Tx Initial W/Map/Motr Threshld/Del&M-Pbb | $2,158.00 | $2,158.00 | — | 583% above | — |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Hc Tcranial Magn Stim Tx Plan-Pbb | $779.00 | $779.00 | — | — | — |
| TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Pr Repet Tms Tx Initial W/Map/Motr Threshld/Del&M-Pbb | $2,158.00 | $2,158.00 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Hc Therapeutic Activities, Direct Patient Contact, Each 15 Minutes | $196.00 | $196.00 | — | 57% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Hc Therapeutic Activities, Direct Patient Contact, Each 15 Minutes | $196.00 | $196.00 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Hc Phlebotomy Therapeutic | $623.00 | $623.00 | — | 190% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Hc Phlebotomy Therapeutic | $623.00 | $623.00 | — | — | — |
| Visual field test, extended both sides CPT 92083 Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam-Pbb | $523.00 | $523.00 | — | — | — |
| Visual field test, extended both sides CPT 92083 Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam | $693.00 | $693.00 | — | — | — |
| Visual field test, extended inpatient both sides CPT 92083 Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam-Pbb | $523.00 | $523.00 | — | — | — |
| Visual field test, extended inpatient both sides CPT 92083 Hc Visual Field Exam, Unilteral Or Bilateral, With Interpretation And Report; Extended Exam | $693.00 | $693.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 NDC Description Not Available | $141.50 | $141.50 | — | 31% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01) | $141.80 | $141.80 | — | 31% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-93) / .5 Ml In 1 Syringe, Plastic (80777-110-01) | $141.80 | $141.80 | — | 31% below | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-93) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01) | $220.00 | $220.00 | — | 8% above | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-80) / .25 Ml In 1 Syringe, Plastic (80777-291-09) | $220.00 | $220.00 | — | 8% above | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-96) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01) | $220.00 | $220.00 | — | 8% above | — |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Hc Sars-Cov-2 (Covid-19) Vaccine Mrna-Lnp, Preserv Free, 50 Mcg/0.50 Ml, Im Use (12 Yrs+) | $220.00 | $220.00 | — | 8% above | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 NDC Description Not Available | $141.50 | $141.50 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-93) / .5 Ml In 1 Syringe, Plastic (80777-110-01) | $141.80 | $141.80 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax: 10 Syringe, Plastic In 1 Carton (80777-110-96) / .5 Ml In 1 Syringe, Plastic (80777-110-01) | $141.80 | $141.80 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-93) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01) | $220.00 | $220.00 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Hc Sars-Cov-2 (Covid-19) Vaccine Mrna-Lnp, Preserv Free, 50 Mcg/0.50 Ml, Im Use (12 Yrs+) | $220.00 | $220.00 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Moderna Covid-19 Vaccine: 10 Syringe, Plastic In 1 Carton (80777-291-80) / .25 Ml In 1 Syringe, Plastic (80777-291-09) | $220.00 | $220.00 | — | — | — |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Spikevax: 10 SYRINGE, PLASTIC in 1 CARTON (80777-102-96) / .5 mL in 1 SYRINGE, PLASTIC (80777-102-01) | $220.00 | $220.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Hc Varicella Employee Health | $191.00 | $191.00 | — | 31% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Pr Var Vaccine Live For Subcutaneous Use-Tvl | $199.00 | $199.00 | — | 28% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Pr Var Vaccine Live For Subcutaneous Use-Pbb,Tvl | $199.00 | $199.00 | — | 28% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Pr Var Vaccine Live For Subcutaneous Use | $385.00 | $385.00 | — | 39% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $1,172.63 | $1,172.63 | — | 324% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 NDC Description Not Available | $1,186.20 | $1,186.20 | — | 329% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Hc Varicella Employee Health | $191.00 | $191.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Pr Var Vaccine Live For Subcutaneous Use-Tvl | $199.00 | $199.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Pr Var Vaccine Live For Subcutaneous Use-Pbb,Tvl | $199.00 | $199.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Pr Var Vaccine Live For Subcutaneous Use | $385.00 | $385.00 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax: 10 Vial, Single-Dose In 1 Carton (0006-4827-00) / .5 Ml In 1 Vial, Single-Dose (0006-4827-01) | $1,172.63 | $1,172.63 | — | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 NDC Description Not Available | $1,186.20 | $1,186.20 | — | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 NDC Description Not Available | $139.00 | $139.00 | — | 37% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Pr Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use | $139.00 | $139.00 | — | 37% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43) | $389.13 | $389.13 | — | 283% above | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Pr Dtap-Ipv Vaccine Child 4-6 Yrs For Im Use | $139.00 | $139.00 | — | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 NDC Description Not Available | $139.00 | $139.00 | — | — | — |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Kinrix: 10 Syringe In 1 Carton (58160-812-52) / .5 Ml In 1 Syringe (58160-812-43) | $389.13 | $389.13 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58) | $106.00 | $106.00 | — | 67% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Pr Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im | $106.00 | $106.00 | — | 67% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43) | $179.64 | $179.64 | — | 184% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 NDC Description Not Available | $180.37 | $180.37 | — | 185% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Pr Diphth Tetanus Tox Acell Pertussis Vacc<7 Yr Im | $106.00 | $106.00 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Daptacel: 10 Vial In 1 Package (49281-286-10) / .5 Ml In 1 Vial (49281-286-58) | $106.00 | $106.00 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43) | $179.64 | $179.64 | — | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 NDC Description Not Available | $180.37 | $180.37 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 NDC Description Not Available | $260.00 | $260.00 | — | 63% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pr Dtap-Hepb-Ipv Vaccine Intramuscular | $260.00 | $260.00 | — | 63% above | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Pr Dtap-Hepb-Ipv Vaccine Intramuscular | $260.00 | $260.00 | — | — | — |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 NDC Description Not Available | $260.00 | $260.00 | — | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pr Dtap-Ipv/Hib Vaccine For Intramuscular Use | $178.00 | $178.00 | — | at median | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 NDC Description Not Available | $178.00 | $178.00 | — | at median | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 NDC Description Not Available | $178.00 | $178.00 | — | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Pr Dtap-Ipv/Hib Vaccine For Intramuscular Use | $178.00 | $178.00 | — | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Pr Dtap-Ipv-Hib-Hepb Vaccine Intramuscular | $330.00 | $330.00 | — | 38% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 NDC Description Not Available | $980.55 | $980.55 | — | 309% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis: 10 Syringe In 1 Package (63361-243-15) / .5 Ml In 1 Syringe (63361-243-88) | $980.56 | $980.56 | — | 309% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis: 10 Vial, Single-Dose In 1 Package (63361-243-10) / .5 Ml In 1 Vial, Single-Dose (63361-243-58) | $986.16 | $986.16 | — | 311% above | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 Pr Dtap-Ipv-Hib-Hepb Vaccine Intramuscular | $330.00 | $330.00 | — | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 NDC Description Not Available | $980.55 | $980.55 | — | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 Vaxelis: 10 Syringe In 1 Package (63361-243-15) / .5 Ml In 1 Syringe (63361-243-88) | $980.56 | $980.56 | — | — | — |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 Vaxelis: 10 Vial, Single-Dose In 1 Package (63361-243-10) / .5 Ml In 1 Vial, Single-Dose (63361-243-58) | $986.16 | $986.16 | — | — | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 Hc Flu Vac Tv(18 Yr+)135 Mcg Im Employee Health | $33.00 | $33.00 | — | 68% below | — |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 Pr Riv3 Vaccine Preservative Free For Im Use | $39.00 | $39.00 | — | 62% below | — |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 Hc Flu Vac Tv(18 Yr+)135 Mcg Im Employee Health | $33.00 | $33.00 | — | — | — |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 Pr Riv3 Vaccine Preservative Free For Im Use | $39.00 | $39.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) | $19.93 | $19.93 | — | 44% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41) | $22.35 | $22.35 | — | 37% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 NDC Description Not Available | $22.35 | $22.35 | — | 37% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Hc Flu Vaccine .5Ml Inj 3Yr And Older Employee Health | $35.00 | $35.00 | — | 2% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Pbb,Tvl | $45.00 | $45.00 | — | 26% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Tvl | $45.00 | $45.00 | — | 26% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $66.00 | $66.00 | — | 85% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $68.00 | $68.00 | — | 90% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluzone Trivalent Northern Hemisphere: 10 Syringe, Glass In 1 Package (49281-424-50) / .5 Ml In 1 Syringe, Glass (49281-424-88) | $19.93 | $19.93 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flulaval 2024/2025: 10 Syringe In 1 Carton (19515-810-52) / .5 Ml In 1 Syringe (19515-810-41) | $22.35 | $22.35 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 NDC Description Not Available | $22.35 | $22.35 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Hc Flu Vaccine .5Ml Inj 3Yr And Older Employee Health | $35.00 | $35.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Pbb,Tvl | $45.00 | $45.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use-Tvl | $45.00 | $45.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Fluarix 2024/2025: 10 Syringe In 1 Carton (58160-884-52) / .5 Ml In 1 Syringe (58160-884-41) | $66.00 | $66.00 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Pr Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use | $68.00 | $68.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03) | $574.00 | $574.00 | — | 17% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $574.00 | $574.00 | — | 17% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01) | $574.00 | $574.00 | — | 17% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Pr 9Vhpv Vacc 2/3 Dose Sched Im Use | $574.00 | $574.00 | — | 17% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01) | $1,921.46 | $1,921.46 | — | 292% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 NDC Description Not Available | $1,931.07 | $1,931.07 | — | 294% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $1,994.56 | $1,994.56 | — | 307% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $574.00 | $574.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03) | $574.00 | $574.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Pr 9Vhpv Vacc 2/3 Dose Sched Im Use | $574.00 | $574.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01) | $574.00 | $574.00 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9: 10 Vial, Single-Dose In 1 Carton (0006-4119-03) / .5 Ml In 1 Vial, Single-Dose (0006-4119-01) | $1,921.46 | $1,921.46 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 NDC Description Not Available | $1,931.07 | $1,931.07 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9: 10 Syringe, Glass In 1 Carton (0006-4121-02) / .5 Ml In 1 Syringe, Glass (0006-4121-01) | $1,994.56 | $1,994.56 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 NDC Description Not Available | $126.78 | $126.78 | — | 38% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43) | $126.97 | $126.97 | — | 38% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Pbb,Tvl | $177.00 | $177.00 | — | 13% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Tvl | $177.00 | $177.00 | — | 13% below | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im | $678.00 | $678.00 | — | 233% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 NDC Description Not Available | $126.78 | $126.78 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Twinrix: 10 Syringe In 1 Carton (58160-815-52) / 1 Ml In 1 Syringe (58160-815-43) | $126.97 | $126.97 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Pbb,Tvl | $177.00 | $177.00 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im-Tvl | $177.00 | $177.00 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Pr Hepatitis A & B Vaccine Hepa-Hepb Adult Im | $678.00 | $678.00 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 Pr Hepa Vaccine Adult Dose For Intramuscular Use-Pbb,Tvl | $108.00 | $108.00 | — | 10% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 Pr Hepa Vaccine Adult Dose For Intramuscular Use-Tvl | $108.00 | $108.00 | — | 10% below | — |
| Hepatitis A vaccine, adult dose CPT 90632 NDC Description Not Available | $269.00 | $269.00 | — | 123% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Pr Hepa Vaccine Adult Dose For Intramuscular Use | $269.00 | $269.00 | — | 123% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43) | $269.00 | $269.00 | — | 123% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 Vaqta: 1 Vial, Single-Dose In 1 Carton (0006-4841-00) / 1 Ml In 1 Vial, Single-Dose (0006-4841-01) | $269.00 | $269.00 | — | 123% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Pr Hepa Vaccine Adult Dose For Intramuscular Use-Pbb,Tvl | $108.00 | $108.00 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Pr Hepa Vaccine Adult Dose For Intramuscular Use-Tvl | $108.00 | $108.00 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Vaqta: 1 Vial, Single-Dose In 1 Carton (0006-4841-00) / 1 Ml In 1 Vial, Single-Dose (0006-4841-01) | $269.00 | $269.00 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Pr Hepa Vaccine Adult Dose For Intramuscular Use | $269.00 | $269.00 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 NDC Description Not Available | $269.00 | $269.00 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43) | $269.00 | $269.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43) | $79.58 | $79.58 | — | 4% below | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use | $105.00 | $105.00 | — | 27% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Vaqta: 10 Vial, Single-Dose In 1 Carton (0006-4831-41) / .5 Ml In 1 Vial, Single-Dose (0006-4831-01) | $105.00 | $105.00 | — | 27% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix: 10 Syringe In 1 Carton (58160-825-52) / .5 Ml In 1 Syringe (58160-825-43) | $105.00 | $105.00 | — | 27% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Tvl | $238.00 | $238.00 | — | 187% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Pbb,Tvl | $238.00 | $238.00 | — | 187% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Vaqta: 10 Syringe In 1 Carton (0006-4095-02) / .5 Ml In 1 Syringe (0006-4095-01) | $251.52 | $251.52 | — | 203% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 NDC Description Not Available | $252.26 | $252.26 | — | 204% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix: 10 Syringe In 1 Carton (50090-1502-0) / 1 Ml In 1 Syringe (50090-1502-9) | $508.68 | $508.68 | — | 513% above | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Havrix: 10 Syringe In 1 Carton (58160-826-52) / 1 Ml In 1 Syringe (58160-826-43) | $79.58 | $79.58 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use | $105.00 | $105.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Vaqta: 10 Vial, Single-Dose In 1 Carton (0006-4831-41) / .5 Ml In 1 Vial, Single-Dose (0006-4831-01) | $105.00 | $105.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Havrix: 10 Syringe In 1 Carton (58160-825-52) / .5 Ml In 1 Syringe (58160-825-43) | $105.00 | $105.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Pbb,Tvl | $238.00 | $238.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Pr Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use-Tvl | $238.00 | $238.00 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Vaqta: 10 Syringe In 1 Carton (0006-4095-02) / .5 Ml In 1 Syringe (0006-4095-01) | $251.52 | $251.52 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 NDC Description Not Available | $252.26 | $252.26 | — | — | — |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Havrix: 10 Syringe In 1 Carton (50090-1502-0) / 1 Ml In 1 Syringe (50090-1502-9) | $508.68 | $508.68 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hc Hepatitis B Vac Adlt Dosage Im Use Employee Health | $153.00 | $153.00 | — | 42% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hc Hepatitis B Vac Adlt Dose Im Use Employee Health | $153.00 | $153.00 | — | 42% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use | $192.00 | $192.00 | — | 78% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 NDC Description Not Available | $424.83 | $424.83 | — | 294% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43) | $428.32 | $428.32 | — | 297% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01) | $472.85 | $472.85 | — | 338% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hc Hepatitis B Vac Adlt Dosage Im Use Employee Health | $153.00 | $153.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hc Hepatitis B Vac Adlt Dose Im Use Employee Health | $153.00 | $153.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Pr Hepb Vaccine Adult 3 Dose Schedule For Im Use | $192.00 | $192.00 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 NDC Description Not Available | $424.83 | $424.83 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Engerix-B: 10 Syringe In 1 Carton (58160-821-52) / 1 Ml In 1 Syringe (58160-821-43) | $428.32 | $428.32 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Engerix-B: 10 Vial In 1 Carton (58160-821-11) / 1 Ml In 1 Vial (58160-821-01) | $472.85 | $472.85 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hc Hepb Vacc 2 Dose Adult Im Employee Health | $145.00 | $145.00 | — | 35% below | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01) | $306.00 | $306.00 | — | 36% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Pr Hepb Vaccine Adult 2/4 Dose Schedule For Im Use | $306.00 | $306.00 | — | 36% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 NDC Description Not Available | $1,001.62 | $1,001.62 | — | 347% above | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hc Hepb Vacc 2 Dose Adult Im Employee Health | $145.00 | $145.00 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Heplisav-B: 5 Syringe In 1 Carton (43528-003-05) / .5 Ml In 1 Syringe (43528-003-01) | $306.00 | $306.00 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Pr Hepb Vaccine Adult 2/4 Dose Schedule For Im Use | $306.00 | $306.00 | — | — | — |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 NDC Description Not Available | $1,001.62 | $1,001.62 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Pbb,Tvl | $83.00 | $83.00 | — | 4% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Tvl | $83.00 | $83.00 | — | 4% below | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax Hb: 10 Syringe In 1 Carton (0006-4093-02) / .5 Ml In 1 Syringe (0006-4093-01) | $91.00 | $91.00 | — | 5% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im | $91.00 | $91.00 | — | 5% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax Hb: 10 Vial, Single-Dose In 1 Carton (0006-4981-00) / .5 Ml In 1 Vial, Single-Dose (0006-4981-01) | $91.00 | $91.00 | — | 5% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 NDC Description Not Available | $187.28 | $187.28 | — | 116% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43) | $187.63 | $187.63 | — | 116% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Tvl | $83.00 | $83.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im-Pbb,Tvl | $83.00 | $83.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Pr Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im | $91.00 | $91.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Recombivax Hb: 10 Vial, Single-Dose In 1 Carton (0006-4981-00) / .5 Ml In 1 Vial, Single-Dose (0006-4981-01) | $91.00 | $91.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Recombivax Hb: 10 Syringe In 1 Carton (0006-4093-02) / .5 Ml In 1 Syringe (0006-4093-01) | $91.00 | $91.00 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 NDC Description Not Available | $187.28 | $187.28 | — | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B: 10 Syringe In 1 Carton (58160-820-52) / .5 Ml In 1 Syringe (58160-820-43) | $187.63 | $187.63 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 NDC Description Not Available | $80.76 | $80.76 | — | 52% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-818-11) * 10 Vial In 1 Carton (58160-816-05) / .5 Ml In 1 Vial (58160-816-01) * 10 Vial In 1 Package (58160-817-05) / .85 Ml In 1 Vial (58160-817-01) | $101.00 | $101.00 | — | 91% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43) | $101.00 | $101.00 | — | 91% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-726-15) * .85 Ml In 1 Syringe (58160-817-02) * .5 Ml In 1 Vial (58160-816-03) | $101.00 | $101.00 | — | 91% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $101.00 | $101.00 | — | 91% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Pr Hib Prp-T Vaccine 4 Dose Schedule Im Use | $101.00 | $101.00 | — | 91% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 NDC Description Not Available | $80.76 | $80.76 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Acthib: 1 Kit In 1 Carton (49281-545-03) * .5 Ml In 1 Vial, Single-Dose (49281-547-58) * .6 Ml In 1 Vial, Single-Dose (49281-546-58) | $101.00 | $101.00 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Pr Hib Prp-T Vaccine 4 Dose Schedule Im Use | $101.00 | $101.00 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-818-11) * 10 Vial In 1 Carton (58160-816-05) / .5 Ml In 1 Vial (58160-816-01) * 10 Vial In 1 Package (58160-817-05) / .85 Ml In 1 Vial (58160-817-01) | $101.00 | $101.00 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Infanrix: 10 Syringe In 1 Carton (58160-810-52) / .5 Ml In 1 Syringe (58160-810-43) | $101.00 | $101.00 | — | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Hiberix: 1 Kit In 1 Carton (58160-726-15) * .85 Ml In 1 Syringe (58160-817-02) * .5 Ml In 1 Vial (58160-816-03) | $101.00 | $101.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 NDC Description Not Available | $43.38 | $43.38 | — | 44% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88) | $73.41 | $73.41 | — | 5% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Pr Iiv Vaccine Preserv Free Increased Ag Content Im | $209.00 | $209.00 | — | 171% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-122-65) / .7 mL in 1 SYRINGE, GLASS (49281-122-88) | $209.00 | $209.00 | — | 171% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 NDC Description Not Available | $43.38 | $43.38 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose Northern Hemisphere: 5 Syringe, Glass In 1 Package (49281-124-65) / .5 Ml In 1 Syringe, Glass (49281-124-88) | $73.41 | $73.41 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE High-Dose Quadrivalent Northern Hemisphere: 10 SYRINGE, GLASS in 1 PACKAGE (49281-122-65) / .7 mL in 1 SYRINGE, GLASS (49281-122-88) | $209.00 | $209.00 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Pr Iiv Vaccine Preserv Free Increased Ag Content Im | $209.00 | $209.00 | — | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Pr Japanese Encephalitis Vaccine Inactivated Im | $313.00 | $313.00 | — | 26% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Ixiaro: .5 Ml In 1 Syringe (42515-002-01) | $371.00 | $371.00 | — | 13% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Pr Japanese Encephalitis Vaccine Inactivated Im-Pbb,Tvl | $371.00 | $371.00 | — | 13% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Pr Japanese Encephalitis Vaccine Inactivated Im-Tvl | $371.00 | $371.00 | — | 13% below | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Pr Japanese Encephalitis Vaccine Inactivated Im | $313.00 | $313.00 | — | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Pr Japanese Encephalitis Vaccine Inactivated Im-Tvl | $371.00 | $371.00 | — | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Pr Japanese Encephalitis Vaccine Inactivated Im-Pbb,Tvl | $371.00 | $371.00 | — | — | — |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Ixiaro: .5 Ml In 1 Syringe (42515-002-01) | $371.00 | $371.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Hc Mmr Employee Health | $113.00 | $113.00 | — | 42% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Pr Measles Mumps Rubella Virus Vaccine Live Subq-Pbb,Tvl | $156.00 | $156.00 | — | 20% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Pr Measles Mumps Rubella Virus Vaccine Live Subq-Tvl | $156.00 | $156.00 | — | 20% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Pr Measles Mumps Rubella Virus Vaccine Live Subq | $224.00 | $224.00 | — | 15% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Priorix: 1 Kit In 1 Carton (58160-824-15) * .5 Ml In 1 Vial (58160-831-03) * .5 Ml In 1 Syringe (58160-833-02) | $224.00 | $224.00 | — | 15% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 NDC Description Not Available | $613.63 | $613.63 | — | 216% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $622.78 | $622.78 | — | 221% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Hc Mmr Employee Health | $113.00 | $113.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Pr Measles Mumps Rubella Virus Vaccine Live Subq-Tvl | $156.00 | $156.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Pr Measles Mumps Rubella Virus Vaccine Live Subq-Pbb,Tvl | $156.00 | $156.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Priorix: 1 Kit In 1 Carton (58160-824-15) * .5 Ml In 1 Vial (58160-831-03) * .5 Ml In 1 Syringe (58160-833-02) | $224.00 | $224.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Pr Measles Mumps Rubella Virus Vaccine Live Subq | $224.00 | $224.00 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 NDC Description Not Available | $613.63 | $613.63 | — | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R Ii: 10 Vial, Single-Dose In 1 Carton (0006-4681-00) / .5 Ml In 1 Vial, Single-Dose (0006-4681-01) | $622.78 | $622.78 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Pr Measles Mumps Rubella Varicella Vacc Live Subq | $72.00 | $72.00 | — | 83% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01) | $72.00 | $72.00 | — | 83% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 NDC Description Not Available | $72.00 | $72.00 | — | 83% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Pr Measles Mumps Rubella Varicella Vacc Live Subq-Tvl | $156.00 | $156.00 | — | 62% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Pr Measles Mumps Rubella Varicella Vacc Live Subq-Pbb,Tvl | $156.00 | $156.00 | — | 62% below | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Pr Measles Mumps Rubella Varicella Vacc Live Subq | $72.00 | $72.00 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 NDC Description Not Available | $72.00 | $72.00 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Proquad: 10 Vial, Single-Dose In 1 Carton (0006-4171-00) / .5 Ml In 1 Vial, Single-Dose (0006-4171-01) | $72.00 | $72.00 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Pr Measles Mumps Rubella Varicella Vacc Live Subq-Pbb,Tvl | $156.00 | $156.00 | — | — | — |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Pr Measles Mumps Rubella Varicella Vacc Live Subq-Tvl | $156.00 | $156.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Tvl | $137.00 | $137.00 | — | 45% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Pbb,Tvl | $137.00 | $137.00 | — | 45% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use | $200.00 | $200.00 | — | 19% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $200.00 | $200.00 | — | 19% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo: 5 KIT in 1 CARTON (46028-208-01) / 1 KIT in 1 KIT (46028-208-02) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-218-11) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-219-11) | $200.00 | $200.00 | — | 19% below | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03) | $1,049.23 | $1,049.23 | — | 323% above | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 NDC Description Not Available | $1,064.18 | $1,064.18 | — | 329% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Tvl | $137.00 | $137.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use-Pbb,Tvl | $137.00 | $137.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Pr Menacwyd/Menacwy-Crm Conj Vacc Grps Acwy Im Use | $200.00 | $200.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo: 5 KIT in 1 CARTON (46028-208-01) / 1 KIT in 1 KIT (46028-208-02) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-218-11) * .5 mL in 1 VIAL, SINGLE-DOSE (46028-219-11) | $200.00 | $200.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo: 1 Kit In 1 Carton (58160-955-09) * .5 Ml In 1 Vial, Single-Dose (58160-958-01) * .5 Ml In 1 Vial, Single-Dose (58160-959-01) | $200.00 | $200.00 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo: 10 Vial In 1 Carton (58160-827-30) / .5 Ml In 1 Vial (58160-827-03) | $1,049.23 | $1,049.23 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 NDC Description Not Available | $1,064.18 | $1,064.18 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 NDC Description Not Available | $226.41 | $226.41 | — | 37% below | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Pr Menb-4C Recombnt Prot & Outer Memb Vesic Vacc Im | $760.00 | $760.00 | — | 110% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02) | $1,494.08 | $1,494.08 | — | 313% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 NDC Description Not Available | $226.41 | $226.41 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Pr Menb-4C Recombnt Prot & Outer Memb Vesic Vacc Im | $760.00 | $760.00 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Bexsero: 10 Syringe In 1 Carton (58160-976-20) / .5 Ml In 1 Syringe (58160-976-02) | $1,494.08 | $1,494.08 | — | — | — |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 Pr Laiv3 Vaccine Live For Intranasal Use | $41.00 | $41.00 | — | 50% above | — |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 NDC Description Not Available | $41.00 | $41.00 | — | 50% above | — |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 NDC Description Not Available | $41.00 | $41.00 | — | — | — |
| Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 Pr Laiv3 Vaccine Live For Intranasal Use | $41.00 | $41.00 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 NDC Description Not Available | $156.00 | $156.00 | — | 57% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pr Pcv13 Vaccine For Intramuscular Use | $156.00 | $156.00 | — | 57% below | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pr Pcv13 Vaccine For Intramuscular Use | $156.00 | $156.00 | — | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 NDC Description Not Available | $156.00 | $156.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pr Pcv20 Vaccine For Intramuscular Use-Pbb,Tvl | $295.00 | $295.00 | — | 34% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pr Pcv20 Vaccine For Intramuscular Use-Tvl | $295.00 | $295.00 | — | 34% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pr Pcv20 Vaccine For Intramuscular Use | $565.00 | $565.00 | — | 27% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $565.00 | $565.00 | — | 27% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 NDC Description Not Available | $1,832.85 | $1,832.85 | — | 313% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $1,834.36 | $1,834.36 | — | 313% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pr Pcv20 Vaccine For Intramuscular Use-Pbb,Tvl | $295.00 | $295.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pr Pcv20 Vaccine For Intramuscular Use-Tvl | $295.00 | $295.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pr Pcv20 Vaccine For Intramuscular Use | $565.00 | $565.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 10 Syringe In 1 Carton (0005-2000-10) / .5 Ml In 1 Syringe (0005-2000-01) | $565.00 | $565.00 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 NDC Description Not Available | $1,832.85 | $1,832.85 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20: 1 Syringe In 1 Carton (0005-2000-02) / .5 Ml In 1 Syringe (0005-2000-01) | $1,834.36 | $1,834.36 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use | $83.00 | $83.00 | — | 56% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23: 1 VIAL, MULTI-DOSE in 1 CARTON (0006-4739-00) / .5 mL in 1 VIAL, MULTI-DOSE (0006-4739-01) | $96.50 | $96.50 | — | 49% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01) | $117.08 | $117.08 | — | 38% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $117.09 | $117.09 | — | 38% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Tvl | $142.00 | $142.00 | — | 24% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Pbb,Tvl | $142.00 | $142.00 | — | 24% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 NDC Description Not Available | $784.45 | $784.45 | — | 317% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use | $83.00 | $83.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23: 1 VIAL, MULTI-DOSE in 1 CARTON (0006-4739-00) / .5 mL in 1 VIAL, MULTI-DOSE (0006-4739-01) | $96.50 | $96.50 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23: 10 Vial, Single-Dose In 1 Carton (0006-4943-00) / .5 Ml In 1 Vial, Single-Dose (0006-4943-01) | $117.08 | $117.08 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23: 10 Syringe, Glass In 1 Carton (0006-4837-03) / .5 Ml In 1 Syringe, Glass (0006-4837-01) | $117.09 | $117.09 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Pbb,Tvl | $142.00 | $142.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pr Ppsv23 Vaccine 2 Yrs Or Older For Subq/Im Use-Tvl | $142.00 | $142.00 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 NDC Description Not Available | $784.45 | $784.45 | — | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $38.00 | $38.00 | — | 73% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Pr Poliovirus Vaccine Inactivated Subq/Im-Tvl | $66.00 | $66.00 | — | 53% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Pr Poliovirus Vaccine Inactivated Subq/Im-Pbb,Tvl | $66.00 | $66.00 | — | 53% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 Pr Poliovirus Vaccine Inactivated Subq/Im | $106.00 | $106.00 | — | 25% below | — |
| Polio vaccine, inactivated (IPV) CPT 90713 NDC Description Not Available | $283.46 | $283.46 | — | 101% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Ipol: 1 Vial, Multi-Dose In 1 Package (49281-860-10) / 5 Ml In 1 Vial, Multi-Dose (49281-860-78) | $38.00 | $38.00 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Pr Poliovirus Vaccine Inactivated Subq/Im-Tvl | $66.00 | $66.00 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Pr Poliovirus Vaccine Inactivated Subq/Im-Pbb,Tvl | $66.00 | $66.00 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 Pr Poliovirus Vaccine Inactivated Subq/Im | $106.00 | $106.00 | — | — | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 NDC Description Not Available | $283.46 | $283.46 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe | $507.00 | $507.00 | — | 41% below | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe | $507.00 | $507.00 | — | 41% below | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Pr Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use | $507.00 | $507.00 | — | 41% below | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe | $507.00 | $507.00 | — | 41% below | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe | $507.00 | $507.00 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe | $507.00 | $507.00 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Beyfortus: 5 Syringe In 1 Carton (49281-574-15) / 1 Ml In 1 Syringe | $507.00 | $507.00 | — | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Pr Rsv Monoclonal Antb Seasonal Dose 1 Ml Im Use | $507.00 | $507.00 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe | $253.50 | $253.50 | — | 75% below | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe | $507.00 | $507.00 | — | 50% below | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe | $507.00 | $507.00 | — | 50% below | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Pr Rsv Monoclonal Antb Seasonal Dose 0.5Ml Im Use | $507.00 | $507.00 | — | 50% below | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-574-88) / 1 Ml In 1 Syringe | $253.50 | $253.50 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Pr Rsv Monoclonal Antb Seasonal Dose 0.5Ml Im Use | $507.00 | $507.00 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 5 Syringe In 1 Carton (49281-575-15) / .5 Ml In 1 Syringe | $507.00 | $507.00 | — | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Beyfortus: 1 Syringe In 1 Carton (49281-575-00) / .5 Ml In 1 Syringe | $507.00 | $507.00 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 NDC Description Not Available | $307.00 | $307.00 | — | 33% below | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $307.00 | $307.00 | — | 33% below | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Pr Rsv Vaccine Pref Subunit Bivalent For Im Use | $307.00 | $307.00 | — | 33% below | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Abrysvo: 5 Tray In 1 Carton (0069-0344-05) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $307.00 | $307.00 | — | 33% below | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Abrysvo: 5 Tray In 1 Carton (0069-0344-05) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $307.00 | $307.00 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 NDC Description Not Available | $307.00 | $307.00 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Pr Rsv Vaccine Pref Subunit Bivalent For Im Use | $307.00 | $307.00 | — | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Abrysvo: 1 Tray In 1 Carton (0069-0344-01) / 1 Kit In 1 Tray (0069-0344-21) * .5 Ml In 1 Vial, Glass (0069-0207-01) * .69 Ml In 1 Syringe, Glass (0069-0250-01) | $307.00 | $307.00 | — | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Arexvy: 1 Kit In 1 Carton (58160-848-11) * .5 Ml In 1 Vial (58160-723-03) * .5 Ml In 1 Vial (58160-744-03) | $292.00 | $292.00 | — | 38% below | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 NDC Description Not Available | $292.00 | $292.00 | — | 38% below | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Pr Rsv Vacc Pref Recombinant Adjuvanted For Im Use | $292.00 | $292.00 | — | 38% below | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Arexvy: 1 Kit In 1 Carton (58160-848-11) * .5 Ml In 1 Vial (58160-723-03) * .5 Ml In 1 Vial (58160-744-03) | $292.00 | $292.00 | — | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 NDC Description Not Available | $292.00 | $292.00 | — | — | — |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Pr Rsv Vacc Pref Recombinant Adjuvanted For Im Use | $292.00 | $292.00 | — | — | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01) | $433.81 | $433.81 | — | 43% below | — |
| Rabies vaccine, one dose CPT 90675 Pr Rabies Vaccine Intramuscular-Pbb,Tvl | $439.00 | $439.00 | — | 42% below | — |
| Rabies vaccine, one dose CPT 90675 Pr Rabies Vaccine Intramuscular-Tvl | $439.00 | $439.00 | — | 42% below | — |
| Rabies vaccine, one dose CPT 90675 NDC Description Not Available | $451.16 | $451.16 | — | 40% below | — |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $451.16 | $451.16 | — | 40% below | — |
| Rabies vaccine, one dose CPT 90675 Pr Rabies Vaccine Intramuscular | $974.00 | $974.00 | — | 29% above | — |
| Rabies vaccine, one dose CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $2,773.20 | $2,773.20 | — | 267% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES: 1 KIT in 1 PACKAGE (49281-250-51) * 1 mL in 1 VIAL, SINGLE-USE (49281-248-58) * 1 mL in 1 SYRINGE (49281-249-01) | $433.81 | $433.81 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Pr Rabies Vaccine Intramuscular-Pbb,Tvl | $439.00 | $439.00 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Pr Rabies Vaccine Intramuscular-Tvl | $439.00 | $439.00 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 NDC Description Not Available | $451.16 | $451.16 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Imovax Rabies: 1 Kit In 1 Package (49281-252-51) * 1 Ml In 1 Vial, Single-Use (49281-246-58) * 1 Ml In 1 Syringe (49281-263-58) | $451.16 | $451.16 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Pr Rabies Vaccine Intramuscular | $974.00 | $974.00 | — | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabavert: 1 Kit In 1 Carton (50632-010-01) * 1 Ml In 1 Syringe (50632-011-01) * 1 Ml In 1 Vial, Glass (50632-013-01) | $2,773.20 | $2,773.20 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $706.00 | $706.00 | — | 215% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $706.00 | $706.00 | — | 215% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 NDC Description Not Available | $706.00 | $706.00 | — | 215% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix: 1 Kit In 1 Carton (58160-854-52) * 10 Vial In 1 Carton (58160-851-10) / 1 Ml In 1 Vial (58160-851-01) * 1 Ml In 1 Applicator (58160-853-02) | $706.00 | $706.00 | — | 215% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Pr Rv1 Vaccine 2 Dose Schedule Live For Oral Use | $706.00 | $706.00 | — | 215% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02) | $706.00 | $706.00 | — | 215% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Pr Rv1 Vaccine 2 Dose Schedule Live For Oral Use | $706.00 | $706.00 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $706.00 | $706.00 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotarix: 1 Kit In 1 Carton (58160-854-52) * 10 Vial In 1 Carton (58160-851-10) / 1 Ml In 1 Vial (58160-851-01) * 1 Ml In 1 Applicator (58160-853-02) | $706.00 | $706.00 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 NDC Description Not Available | $706.00 | $706.00 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $706.00 | $706.00 | — | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02) | $706.00 | $706.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02) | $283.00 | $283.00 | — | 92% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $283.00 | $283.00 | — | 92% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Pr Rv5 Vaccine 3 Dose Schedule Live For Oral Use | $283.00 | $283.00 | — | 92% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 NDC Description Not Available | $283.00 | $283.00 | — | 92% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $283.00 | $283.00 | — | 92% above | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Pr Rv5 Vaccine 3 Dose Schedule Live For Oral Use | $283.00 | $283.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotateq: 10 Pouch In 1 Carton (0006-4047-41) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $283.00 | $283.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotarix: 10 Applicator In 1 Carton (58160-740-21) / 1.5 Ml In 1 Applicator (58160-740-02) | $283.00 | $283.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 NDC Description Not Available | $283.00 | $283.00 | — | — | — |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotateq: 25 Pouch In 1 Carton (0006-4047-20) / 1 Tube In 1 Pouch (0006-4047-02) / 2 Ml In 1 Tube (0006-4047-01) | $283.00 | $283.00 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix: 1 Kit In 1 Kit (50090-3372-0) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03) | $1,103.00 | $1,103.00 | — | 347% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Pr Hzv Zoster Vacc Recombinant Adjuvanted Im Use | $1,103.00 | $1,103.00 | — | 347% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 NDC Description Not Available | $1,325.93 | $1,325.93 | — | 437% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01) | $1,325.93 | $1,325.93 | — | 437% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03) | $1,358.75 | $1,358.75 | — | 451% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingrix: 1 Kit In 1 Kit (50090-3372-0) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03) | $1,103.00 | $1,103.00 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Pr Hzv Zoster Vacc Recombinant Adjuvanted Im Use | $1,103.00 | $1,103.00 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingrix: 1 Kit In 1 Carton (58160-819-12) * .5 Ml In 1 Vial (58160-828-01) * .5 Ml In 1 Vial (58160-829-01) | $1,325.93 | $1,325.93 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 NDC Description Not Available | $1,325.93 | $1,325.93 | — | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Shingrix: 1 Kit In 1 Carton (58160-823-11) * .5 Ml In 1 Vial (58160-828-03) * .5 Ml In 1 Vial (58160-829-03) | $1,358.75 | $1,358.75 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Hc Tetanus Diptheria Toxoids > 7 Yrs Employee Health | $207.00 | $207.00 | — | 169% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58) | $220.74 | $220.74 | — | 187% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $243.91 | $243.91 | — | 217% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 NDC Description Not Available | $244.13 | $244.13 | — | 217% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Pr Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use | $270.00 | $270.00 | — | 251% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Hc Tetanus Diptheria Toxoids > 7 Yrs Employee Health | $207.00 | $207.00 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Vial, Single-Dose In 1 Package (49281-215-10) / .5 Ml In 1 Vial, Single-Dose (49281-215-58) | $220.74 | $220.74 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac: 10 Syringe In 1 Package (49281-215-15) / .5 Ml In 1 Syringe (49281-215-88) | $243.91 | $243.91 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 NDC Description Not Available | $244.13 | $244.13 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Pr Td Vaccine Prsrv Free 7 Yrs Or Older For Im Use | $270.00 | $270.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health | $99.00 | $99.00 | — | 6% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health | $99.00 | $99.00 | — | 6% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01) | $303.76 | $303.76 | — | 190% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 NDC Description Not Available | $304.69 | $304.69 | — | 191% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $306.64 | $306.64 | — | 193% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58) | $308.45 | $308.45 | — | 194% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health | $99.00 | $99.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Hc Tdap Vacc Indiv Age 7 Or > Im Use Employee Health | $99.00 | $99.00 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Vial In 1 Carton (58160-842-11) / .5 Ml In 1 Vial (58160-842-01) | $303.76 | $303.76 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 NDC Description Not Available | $304.69 | $304.69 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix: 10 Syringe In 1 Carton (58160-842-52) / .5 Ml In 1 Syringe (58160-842-43) | $306.64 | $306.64 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tdap: 10 Vial In 1 Package (49281-400-10) / .5 Ml In 1 Vial (49281-400-58) | $308.45 | $308.45 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Tvl | $147.00 | $147.00 | — | 30% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Pbb,Tvl | $147.00 | $147.00 | — | 30% below | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Pr Typhoid Vaccine Vi Capsular Polysaccharide Im | $456.00 | $456.00 | — | 117% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 NDC Description Not Available | $456.00 | $456.00 | — | 117% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhim Vi: 1 Syringe In 1 Package (49281-790-51) / .5 Ml In 1 Syringe (49281-790-88) | $705.85 | $705.85 | — | 236% above | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Tvl | $147.00 | $147.00 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Pr Typhoid Vaccine Vi Capsular Polysaccharide Im-Pbb,Tvl | $147.00 | $147.00 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Pr Typhoid Vaccine Vi Capsular Polysaccharide Im | $456.00 | $456.00 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 NDC Description Not Available | $456.00 | $456.00 | — | — | — |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhim Vi: 1 Syringe In 1 Package (49281-790-51) / .5 Ml In 1 Syringe (49281-790-88) | $705.85 | $705.85 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Travel Clinic Immunization Administration; 1 Vaccine | $36.00 | $36.00 | — | 37% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hc Immunization Administration; 1 Vaccine | $81.00 | $81.00 | — | 41% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Travel Clinic Immunization Administration; 1 Vaccine | $36.00 | $36.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hc Immunization Administration; 1 Vaccine | $81.00 | $81.00 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Hc Immunization Administration; Each Additional Vaccine | $43.00 | $43.00 | — | 11% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Hc Immunization Administration; Each Additional Vaccine | $43.00 | $43.00 | — | — | — |
| Yellow fever vaccine, live CPT 90717 Yf-Vax: 5 Vial, Single-Dose In 1 Package (49281-915-01) / .5 Ml In 1 Vial, Single-Dose (49281-915-58) | $151.00 | $151.00 | — | 46% below | — |
| Yellow fever vaccine, live CPT 90717 Pr Yellow Fever Vaccine Live Subq | $151.00 | $151.00 | — | 46% below | — |
| Yellow fever vaccine, live CPT 90717 Pr Yellow Fever Vaccine Live Subq-Tvl | $221.00 | $221.00 | — | 21% below | — |
| Yellow fever vaccine, live CPT 90717 NDC Description Not Available | $221.00 | $221.00 | — | 21% below | — |
| Yellow fever vaccine, live CPT 90717 Pr Yellow Fever Vaccine Live Subq-Pbb,Tvl | $221.00 | $221.00 | — | 21% below | — |
| Yellow fever vaccine, live inpatient CPT 90717 Yf-Vax: 5 Vial, Single-Dose In 1 Package (49281-915-01) / .5 Ml In 1 Vial, Single-Dose (49281-915-58) | $151.00 | $151.00 | — | — | — |
| Yellow fever vaccine, live inpatient CPT 90717 Pr Yellow Fever Vaccine Live Subq | $151.00 | $151.00 | — | — | — |
| Yellow fever vaccine, live inpatient CPT 90717 Pr Yellow Fever Vaccine Live Subq-Tvl | $221.00 | $221.00 | — | — | — |
| Yellow fever vaccine, live inpatient CPT 90717 NDC Description Not Available | $221.00 | $221.00 | — | — | — |
| Yellow fever vaccine, live inpatient CPT 90717 Pr Yellow Fever Vaccine Live Subq-Pbb,Tvl | $221.00 | $221.00 | — | — | — |
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.