Hospital Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

St Mary Medical Center

St Mary Medical Center in Langhorne, PA publishes cash prices for 363 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 192 of 358 procedures and below it for 164. By typical cash price it ranks #58 of 108 Pennsylvania hospitals and #14 of 26 hospitals in the Philadelphia, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1201 Langhorne-Newtown Rd, Langhorne, PA 19047 Collected Sep 23, 2026 Source price file Check a bill from this hospital (215) 750-2003

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 390258 · CMS hospital register NPI 1780686931

Financial assistance

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

St Mary 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named St Mary Medical Center in Langhorne, PA:

  • Aug 18, 2023 Met requirements
  • Apr 4, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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

Scans and imaging

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Contrast $1,605.50 $2,470.00 $151.27–$2,346.50 15% below 35%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen W/O & W/Contrast $1,605.50 $2,470.00 $151.27–$2,346.50 — 35%
Abdominal X-ray, 2 views CPT 74019 HC Xr Abdomen 2 Views $341.25 $525.00 $27.06–$498.75 4% above 35%
Abdominal X-ray, 2 views inpatient CPT 74019 HC Xr Abdomen 2 Views $341.25 $525.00 $27.06–$498.75 — 35%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle > 3 Views Bl $299.65 $461.00 $21.54–$437.95 17% below 35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Lt $199.55 $307.00 $21.54–$291.65 45% below 35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Rt $199.55 $307.00 $21.54–$291.65 45% below 35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Rt $399.10 — $27.16–$253.68 10% above —
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle > 3 Views Bl $299.65 $461.00 $21.54–$437.95 — 35%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Xr Ankle > 3 Views Lt $199.55 $307.00 $21.54–$291.65 — 35%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Xr Ankle > 3 Views Rt $199.55 $307.00 $21.54–$291.65 — 35%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC Doppler Upper/Lower Extremity Arteries Limited Bilateral $417.95 $643.00 $56.11–$610.85 — 35%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Doppler Upper/Lower Extremity Arteries Limited Bilateral $417.95 $643.00 $56.11–$610.85 — 35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Contrast Bl $2,146.30 $3,302.00 $90.16–$3,136.90 82% above 35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Upper Extremity W/O Contrast Lt $1,430.65 $2,201.00 $90.16–$2,090.95 21% above 35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Upper Extremity W/O Contrast Rt $1,430.65 $2,201.00 $90.16–$2,090.95 21% above 35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Upper Extremity W/O Contrast Rt $1,430.65 — $90.16–$1,701.00 21% above —
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extremity W/O Contrast Bl $2,146.30 $3,302.00 $90.16–$3,136.90 — 35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT Upper Extremity W/O Contrast Lt $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT Upper Extremity W/O Contrast Rt $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophogram Chest Radiograph(S) & Delayed Images Single Contrast Study $382.85 $589.00 $36.95–$559.55 17% below 35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Xr Esophogram Chest Radiograph(S) & Delayed Images Single Contrast Study $382.85 $589.00 $36.95–$559.55 — 35%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Imaging Bone/Joint Whole Body $1,634.75 $2,515.00 $101.00–$2,389.25 33% above 35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Imaging Bone/Joint Whole Body $1,634.75 $2,515.00 $101.00–$2,389.25 — 35%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Rt $395.85 $609.00 $66.99–$609.00 28% below 35%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Lt $395.85 $609.00 $66.99–$609.00 28% below 35%
Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Bl $594.10 $914.00 $87.74–$914.00 9% above 35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Lt $395.85 $609.00 $66.99–$609.00 — 35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Rt $395.85 $609.00 $66.99–$609.00 — 35%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Bl $594.10 $914.00 $87.74–$914.00 — 35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Rt $395.85 $609.00 $66.99–$609.00 14% below 35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Lt $395.85 $609.00 $66.99–$609.00 14% below 35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Bl $594.10 $914.00 $67.23–$914.00 29% above 35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Lt $915.85 — $59.36–$280.35 99% above —
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Rt $395.85 $609.00 $66.99–$609.00 — 35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Lt $395.85 $609.00 $66.99–$609.00 — 35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Bl $594.10 $914.00 $67.23–$914.00 — 35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angiography Abdomen & Pelvis W/O & W/Contrast $1,901.25 $2,925.00 $300.88–$2,778.75 36% below 35%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT Angiography Abdomen & Pelvis W/O & W/Contrast $1,901.25 $2,925.00 $300.88–$2,778.75 — 35%
CT angiography (CTA) of the head CPT 70496 HC Cta Head W/O &/or W/Contrast $1,013.35 $1,559.00 $151.27–$1,701.00 41% below 35%
CT angiography (CTA) of the head CPT 70496 HC Cta Head W/O &/or W/Contrast $2,254.82 — $290.29–$1,701.00 32% above —
CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head W/O &/or W/Contrast $1,013.35 $1,559.00 $151.27–$1,701.00 — 35%
CT angiography (CTA) of the neck CPT 70498 HC Cta Neck W/O &/or W/Contrast $1,013.35 $1,559.00 $151.27–$1,701.00 39% below 35%
CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck W/O &/or W/Contrast $1,013.35 $1,559.00 $151.27–$1,701.00 — 35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W/O & W/Contrast $1,313.00 $2,020.00 $151.27–$1,919.00 32% below 35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W/O & W/Contrast $1,313.00 $2,020.00 $151.27–$1,919.00 — 35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart W/3d Image W/Contrast $1,142.05 $1,757.00 $228.41–$676.99 42% below 35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart W/3d Image W/Contrast $1,402.57 — $300.25–$1,701.00 29% below —
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Heart W/3d Image W/Contrast $1,142.05 $1,757.00 $228.41–$676.99 — 35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abdomen & Pelvis W/O Contrast $2,896.40 $4,456.00 $116.23–$4,233.20 39% above 35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abdomen & Pelvis W/O Contrast $2,896.40 — $146.55–$1,701.00 39% above —
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abdomen & Pelvis W/O Contrast $2,896.40 $4,456.00 $116.23–$4,233.20 — 35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast $2,891.20 $4,448.00 $221.64–$4,225.60 3% below 35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast $3,227.22 — $279.46–$1,701.00 8% above —
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast $2,891.20 $4,448.00 $221.64–$4,225.60 — 35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrast $3,056.95 $4,703.00 $300.88–$4,467.85 2% above 35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrast $3,411.78 — $300.88–$1,701.00 14% above —
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrast $3,056.95 $4,703.00 $300.88–$4,467.85 — 35%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast $1,520.35 $2,339.00 $147.80–$2,222.05 8% below 35%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Contrast $1,520.35 $2,339.00 $147.80–$2,222.05 — 35%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 27% above 35%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/O Contrast $1,936.35 $2,979.00 $89.13–$2,830.05 72% above 35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillofacial W/O Contrast $1,936.35 $2,979.00 $89.13–$2,830.05 — 35%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast $1,682.85 $2,589.00 $89.13–$2,459.55 55% above 35%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast $1,682.85 — $90.16–$1,701.00 55% above —
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain W/O Contrast $1,682.85 $2,589.00 $89.13–$2,459.55 — 35%
CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/Contrast $1,766.70 $2,718.00 $131.38–$2,582.10 31% above 35%
CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W/Contrast $1,766.70 $2,718.00 $131.38–$2,582.10 — 35%
CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W/O & W/Contrast $2,170.35 $3,339.00 $151.27–$3,172.05 30% above 35%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head/Brain W/O & W/Contrast $2,170.35 $3,339.00 $151.27–$3,172.05 — 35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 24% above 35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 21% above 35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast $1,520.35 $2,339.00 $99.48–$2,222.05 10% below 35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast $1,520.35 $2,339.00 $99.48–$2,222.05 — 35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Scan Duplex Extracranial Arteries Complete Bilateral $940.55 $1,447.00 $170.04–$1,374.65 — 35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Scan Duplex Extracranial Arteries Complete Bilateral $940.55 $1,447.00 $170.04–$1,374.65 — 35%
Chest CT scan without and with contrast CPT 71270 HC CT Thorax Diagnostic W/O & W/Contrast $1,605.50 $2,470.00 $151.27–$2,346.50 at median 35%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT Thorax Diagnostic W/O & W/Contrast $1,605.50 $2,470.00 $151.27–$2,346.50 — 35%
Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 Views $204.75 $315.00 $17.08–$299.25 36% below 35%
Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2 Views $204.75 $315.00 $17.08–$299.25 — 35%
Chest X-ray, single view CPT 71045 HC Xr Chest Single View $111.15 $171.00 $9.33–$253.68 41% below 35%
Chest X-ray, single view CPT 71045 HC Xr Chest Single View $24,824.73 — $9.33–$9,538.08 13077% above —
Chest X-ray, single view inpatient CPT 71045 HC Xr Chest Single View $111.15 $171.00 $9.33–$253.68 — 35%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle Complete Bl $266.50 $410.00 $18.89–$389.50 7% below 35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Xr Clavicle Complete Lt $177.45 $273.00 $18.89–$259.35 38% below 35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Xr Clavicle Complete Rt $177.45 $273.00 $18.89–$259.35 38% below 35%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Xr Clavicle Complete Bl $266.50 $410.00 $18.89–$389.50 — 35%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC Xr Clavicle Complete Lt $177.45 $273.00 $18.89–$259.35 — 35%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC Xr Clavicle Complete Rt $177.45 $273.00 $18.89–$259.35 — 35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitioneal Complete $812.50 $1,250.00 $56.35–$1,187.50 12% above 35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitioneal Complete $812.50 $1,250.00 $56.35–$1,187.50 — 35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa Bone Density Study >=1 Sites Axial Skeleton $473.20 $728.00 $69.13–$691.60 74% above 35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Dexa Bone Density Study >=1 Sites Axial Skeleton $473.20 $728.00 $69.13–$691.60 — 35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Bone Density Study >=1 Sites Appendicular Skeleton (Peripheral) $256.10 $394.00 $29.03–$374.30 42% above 35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Bone Density Study >=1 Sites Appendicular Skeleton (Peripheral) $729.30 — $25.64–$317.46 303% above —
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Dexa Bone Density Study >=1 Sites Appendicular Skeleton (Peripheral) $256.10 $394.00 $29.03–$374.30 — 35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Pregnant Uterus Detailed Fetal Exam Single/1st Gestation $490.75 $755.00 $83.05–$717.25 61% below 35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US Pregnant Uterus Detailed Fetal Exam Single/1st Gestation $490.75 $755.00 $83.05–$717.25 — 35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diagnostic W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 30% above 35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax Diagnostic W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diagnostic W/Contrast $1,520.35 $2,339.00 $100.63–$2,222.05 7% above 35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diagnostic W/Contrast $4,588.97 — $126.88–$1,701.00 222% above —
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax Diagnostic W/Contrast $1,520.35 $2,339.00 $100.63–$2,222.05 — 35%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammography Diagnostic Bilateral $523.25 $805.00 $88.55–$764.75 — 35%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammography Diagnostic Bilateral $523.25 $805.00 $88.55–$764.75 — 35%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Lt $424.45 $653.00 $71.81–$620.35 34% above 35%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Rt $424.45 $653.00 $71.81–$620.35 34% above 35%
Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Lt $915.85 — $71.81–$255.61 189% above —
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Rt $424.45 $653.00 $71.81–$620.35 — 35%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Lt $424.45 $653.00 $71.81–$620.35 — 35%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Scan Duplex Lower Extremity Arteries Complete Bilateral $824.85 $1,269.00 $164.97–$1,205.55 — 35%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Scan Duplex Lower Extremity Arteries Complete Bilateral $824.85 $1,269.00 $164.97–$1,205.55 — 35%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Scan Duplex Extremity Veins Complete Bilateral $1,069.90 $1,646.00 $131.33–$1,563.70 — 35%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Scan Duplex Extremity Veins Complete Bilateral $1,069.90 $1,646.00 $131.33–$1,563.70 — 35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler $1,481.35 $2,279.00 $161.17–$2,165.05 21% below 35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler $1,481.35 $2,279.00 $161.17–$2,165.05 — 35%
Elbow X-ray, 2 views CPT 73070 HC Xr Elbow 2 Views Bl $251.55 $387.00 $18.89–$367.65 18% below 35%
Elbow X-ray, 2 views one side CPT 73070 HC Xr Elbow 2 Views Rt $167.70 $258.00 $18.89–$253.68 45% below 35%
Elbow X-ray, 2 views one side CPT 73070 HC Xr Elbow 2 Views Lt $167.70 $258.00 $18.89–$253.68 45% below 35%
Elbow X-ray, 2 views one side CPT 73070 HC Xr Elbow 2 Views Lt $370.50 — $16.68–$304.76 21% above —
Elbow X-ray, 2 views inpatient CPT 73070 HC Xr Elbow 2 Views Bl $251.55 $387.00 $18.89–$367.65 — 35%
Elbow X-ray, 2 views inpatient one side CPT 73070 HC Xr Elbow 2 Views Rt $167.70 $258.00 $18.89–$253.68 — 35%
Elbow X-ray, 2 views inpatient one side CPT 73070 HC Xr Elbow 2 Views Lt $167.70 $258.00 $18.89–$253.68 — 35%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Xr Elbow >= 3 Views Bl $253.50 $390.00 $13.23–$370.50 27% below 35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Xr Elbow >= 3 Views Lt $169.00 $260.00 $13.23–$253.68 51% below 35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Xr Elbow >= 3 Views Rt $169.00 $260.00 $13.23–$253.68 51% below 35%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Xr Elbow >= 3 Views Bl $253.50 $390.00 $13.23–$370.50 — 35%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC Xr Elbow >= 3 Views Lt $169.00 $260.00 $13.23–$253.68 — 35%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC Xr Elbow >= 3 Views Rt $169.00 $260.00 $13.23–$253.68 — 35%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Sella/ or Posterior Outer Inner or Middle Ear W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 32% above 35%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Sella/ or Posterior Outer Inner or Middle Ear W/O Contrast $1,430.65 — $90.16–$1,701.00 32% above —
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit/Sella/ or Posterior Outer Inner or Middle Ear W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Xr Facial Bones Complete > 3 Views $229.45 $353.00 $36.95–$335.35 44% below 35%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Xr Facial Bones Complete > 3 Views $229.45 $353.00 $36.95–$335.35 — 35%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Forearm 2 Views Bl $196.95 $303.00 $13.23–$287.85 30% below 35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2 Views Rt $131.30 $202.00 $13.23–$253.68 53% below 35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2 Views Lt $131.30 $202.00 $13.23–$253.68 53% below 35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2 Views Rt $262.60 — $16.68–$253.68 6% below —
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Xr Forearm 2 Views Bl $196.95 $303.00 $13.23–$287.85 — 35%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC Xr Forearm 2 Views Rt $131.30 $202.00 $13.23–$253.68 — 35%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC Xr Forearm 2 Views Lt $131.30 $202.00 $13.23–$253.68 — 35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Imaging Hepatobiliary System $793.00 $1,220.00 $134.20–$1,165.36 35% below 35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Imaging Hepatobiliary System $793.00 $1,220.00 $134.20–$1,165.36 — 35%
Hand X-ray, 2 views CPT 73120 HC Xr Hand 2 Views Bl $187.20 $288.00 $16.42–$304.76 33% below 35%
Hand X-ray, 2 views one side CPT 73120 HC Xr Hand 2 Views Lt $124.80 $192.00 $16.42–$304.76 55% below 35%
Hand X-ray, 2 views one side CPT 73120 HC Xr Hand 2 Views Rt $124.80 $192.00 $16.42–$304.76 55% below 35%
Hand X-ray, 2 views one side CPT 73120 HC Xr Hand 2 Views Rt $292.50 — $14.50–$304.76 4% above —
Hand X-ray, 2 views inpatient CPT 73120 HC Xr Hand 2 Views Bl $187.20 $288.00 $16.42–$304.76 — 35%
Hand X-ray, 2 views inpatient one side CPT 73120 HC Xr Hand 2 Views Rt $124.80 $192.00 $16.42–$304.76 — 35%
Hand X-ray, 2 views inpatient one side CPT 73120 HC Xr Hand 2 Views Lt $124.80 $192.00 $16.42–$304.76 — 35%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Heel/Calcaneus > 2 Views Bl $266.50 $410.00 $18.89–$389.50 1% above 35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Lt $177.45 $273.00 $18.89–$259.35 33% below 35%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Rt $177.45 $273.00 $18.89–$259.35 33% below 35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Xr Heel/Calcaneus > 2 Views Bl $266.50 $410.00 $18.89–$389.50 — 35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Lt $177.45 $273.00 $18.89–$259.35 — 35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Rt $177.45 $273.00 $18.89–$259.35 — 35%
Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 Views Bl $332.80 $512.00 $27.10–$486.40 17% below 35%
Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 Views Rt $221.65 $341.00 $27.10–$323.95 44% below 35%
Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 Views Lt $221.65 $341.00 $27.10–$323.95 44% below 35%
Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 Views Bl $332.80 $512.00 $27.10–$486.40 — 35%
Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 Views Rt $221.65 $341.00 $27.10–$323.95 — 35%
Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 Views Lt $221.65 $341.00 $27.10–$323.95 — 35%
Knee X-ray, complete, 4 or more views CPT 73564 HC Xr Knee >=4 Views Bl $351.00 $540.00 $25.78–$513.00 20% below 35%
Knee X-ray, complete, 4 or more views one side CPT 73564 HC Xr Knee >=4 Views Lt $234.00 $360.00 $25.78–$342.00 46% below 35%
Knee X-ray, complete, 4 or more views one side CPT 73564 HC Xr Knee >=4 Views Rt $234.00 — $32.51–$304.76 46% below —
Knee X-ray, complete, 4 or more views one side CPT 73564 HC Xr Knee >=4 Views Rt $234.00 $360.00 $25.78–$342.00 46% below 35%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Xr Knee >=4 Views Bl $351.00 $540.00 $25.78–$513.00 — 35%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC Xr Knee >=4 Views Rt $234.00 $360.00 $25.78–$342.00 — 35%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC Xr Knee >=4 Views Lt $234.00 $360.00 $25.78–$342.00 — 35%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extremity W/O Contrast Bl $2,146.30 $3,302.00 $90.16–$3,136.90 103% above 35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast Lt $1,430.65 $2,201.00 $90.16–$2,090.95 35% above 35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast Rt $1,430.65 $2,201.00 $90.16–$2,090.95 35% above 35%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Extremity W/O Contrast Bl $2,146.30 $3,302.00 $90.16–$3,136.90 — 35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT Lower Extremity W/O Contrast Lt $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT Lower Extremity W/O Contrast Rt $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited $455.00 — $54.38–$304.76 25% below —
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited $455.00 $700.00 $43.13–$665.00 25% below 35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited $455.00 $700.00 $43.13–$665.00 — 35%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Lt $395.85 $609.00 $12.89–$578.55 at median 35%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Rt $395.85 $609.00 $12.89–$578.55 at median 35%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Lt $395.85 $609.00 $12.89–$578.55 — 35%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Rt $395.85 $609.00 $12.89–$578.55 — 35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Thorax Low Dose for Lung Screening Without Contrast $750.00 $750.00 $82.50–$1,701.00 89% above —
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Thorax Low Dose for Lung Screening Without Contrast $750.00 $750.00 $82.50–$1,701.00 — —
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Tibia/Fibula 2 Views Bl $309.40 $476.00 $18.98–$452.20 7% below 35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Xr Tibia/Fibula 2 Views Rt $206.05 $317.00 $18.98–$301.15 38% below 35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Xr Tibia/Fibula 2 Views Lt $206.05 $317.00 $18.98–$301.15 38% below 35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Xr Tibia/Fibula 2 Views Lt $410.80 — $23.93–$253.68 23% above —
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Xr Tibia/Fibula 2 Views Bl $309.40 $476.00 $18.98–$452.20 — 35%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC Xr Tibia/Fibula 2 Views Lt $206.05 $317.00 $18.98–$301.15 — 35%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC Xr Tibia/Fibula 2 Views Rt $206.05 $317.00 $18.98–$301.15 — 35%
MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head W/O Contrast $1,581.45 $2,433.00 $205.78–$2,311.35 12% below 35%
MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head W/O Contrast $1,581.45 — $205.78–$2,313.44 12% below —
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra Head W/O Contrast $1,581.45 $2,433.00 $205.78–$2,311.35 — 35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl $3,214.90 $4,946.00 $205.78–$4,698.70 58% above 35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt $2,143.05 $3,297.00 $205.78–$3,132.15 5% above 35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt $2,143.05 $3,297.00 $205.78–$3,132.15 5% above 35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl $3,214.90 $4,946.00 $205.78–$4,698.70 — 35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl $4,152.85 $6,389.00 $300.88–$6,069.55 18% above 35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt $2,768.35 $4,259.00 $300.88–$4,046.05 21% below 35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt $2,768.35 $4,259.00 $300.88–$4,046.05 21% below 35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl $4,152.85 $6,389.00 $300.88–$6,069.55 — 35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt $2,768.35 $4,259.00 $300.88–$4,046.05 — 35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt $2,768.35 $4,259.00 $300.88–$4,046.05 — 35%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 8% above 35%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 21% below 35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 — 35%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 18% above 35%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 5% below 35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 — 35%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 20% above 35%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 15% below 35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumbar Spine W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 — 35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 4% above 35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Spine W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cervival Spine W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 5% below 35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cervival Spine W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 — 35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 22% above 35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Cervical Spine W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 21% below 35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W/O & W/Contrast $2,768.35 $4,259.00 $300.88–$4,046.05 — 35%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 9% above 35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/O Contrast $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Bl $3,214.90 $4,946.00 $205.78–$4,698.70 51% above 35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Lt $2,143.05 $3,297.00 $205.78–$3,132.15 1% above 35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt $2,143.05 $3,297.00 $205.78–$3,132.15 1% above 35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt $2,143.05 — $205.78–$1,963.00 1% above —
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Bl $3,214.90 $4,946.00 $205.78–$4,698.70 — 35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Lt $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt $2,143.05 $3,297.00 $205.78–$3,132.15 — 35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr Cervical Spine 4-5 Views $365.30 $562.00 $43.52–$533.90 17% below 35%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Xr Cervical Spine 4-5 Views $365.30 $562.00 $43.52–$533.90 — 35%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Soft Tissue W/Contrast $2,057.25 $3,165.00 $94.88–$3,006.75 52% above 35%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Neck Soft Tissue W/Contrast $2,057.25 $3,165.00 $94.88–$3,006.75 — 35%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck Soft Tissue W/O Contrast $1,936.35 $2,979.00 $90.16–$2,830.05 79% above 35%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Neck Soft Tissue W/O Contrast $1,936.35 $2,979.00 $90.16–$2,830.05 — 35%
Neck soft tissue X-ray CPT 70360 HC Xr Neck Soft Tissue $232.05 $357.00 $16.42–$339.15 17% below 35%
Neck soft tissue X-ray inpatient CPT 70360 HC Xr Neck Soft Tissue $232.05 $357.00 $16.42–$339.15 — 35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress $3,619.20 $5,568.00 $391.92–$5,289.60 8% below 35%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress $3,619.20 $5,568.00 $391.92–$5,289.60 — 35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet CT Skull-Mid Thgh Initial $5,165.55 $7,947.00 $874.17–$7,549.65 29% below 35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet CT Skull-Mid Thgh Subsequent $5,165.55 $7,947.00 $874.17–$7,549.65 29% below 35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet CT Skull-Mid Thgh $5,165.55 $7,947.00 $874.17–$7,549.65 29% below 35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet CT Skull-Mid Thgh Subsequent $5,165.55 $7,947.00 $874.17–$7,549.65 — 35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet CT Skull-Mid Thgh $5,165.55 $7,947.00 $874.17–$7,549.65 — 35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC Pet CT Skull-Mid Thgh Initial $5,165.55 $7,947.00 $874.17–$7,549.65 — 35%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 31% above 35%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Non-Obstetric Limited/Follow Up $274.30 $422.00 $31.20–$400.90 39% below 35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Non-Obstetric Limited/Follow Up $274.30 $422.00 $31.20–$400.90 — 35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Non Obstetric Complete $815.10 $1,254.00 $53.48–$1,191.30 40% above 35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Non Obstetric Complete $815.10 $1,254.00 $53.48–$1,191.30 — 35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation $482.95 $743.00 $76.36–$705.85 21% below 35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation $482.95 $743.00 $76.36–$705.85 — 35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Pregnant Uterus < 14 Weeks Single/1st Gestation $406.90 $626.00 $44.15–$594.70 27% below 35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US Pregnant Uterus < 14 Weeks Single/1st Gestation $406.90 $626.00 $44.15–$594.70 — 35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus Limited >= 1 Fetuses $329.55 $507.00 $44.85–$481.65 38% below 35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus Limited >= 1 Fetuses $329.55 — $56.55–$354.56 38% below —
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Pregnant Uterus Limited >= 1 Fetuses $329.55 $507.00 $44.85–$481.65 — 35%
Rib X-ray, one side, 2 views one side CPT 71100 HC Xr Ribs 2 Views Rt $322.40 $496.00 $27.10–$471.20 4% below 35%
Rib X-ray, one side, 2 views one side CPT 71100 HC Xr Ribs 2 Views Lt $322.40 $496.00 $27.10–$471.20 4% below 35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Xr Ribs 2 Views Lt $322.40 $496.00 $27.10–$471.20 — 35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Xr Ribs 2 Views Rt $322.40 $496.00 $27.10–$471.20 — 35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Lt $495.30 $762.00 $18.98–$723.90 20% above 35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Rt $495.30 $762.00 $18.98–$723.90 20% above 35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Rt $495.30 $762.00 $18.98–$723.90 — 35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Lt $495.30 $762.00 $18.98–$723.90 — 35%
Screening mammogram, both breasts both sides CPT 77067 HC Mammography Screen Bilateral $523.90 $806.00 $75.98–$765.70 — 35%
Screening mammogram, both breasts one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed $523.90 $806.00 $75.98–$765.70 104% above 35%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammography Screen Bilateral $523.90 $806.00 $75.98–$765.70 — 35%
Screening mammogram, both breasts inpatient one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed $523.90 $806.00 $75.98–$765.70 — 35%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder > 2 Views Bl $319.15 $491.00 $18.98–$466.45 6% below 35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Rt $212.55 $327.00 $18.98–$310.65 37% below 35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Lt $212.55 $327.00 $18.98–$310.65 37% below 35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Rt $212.55 — $23.93–$253.68 37% below —
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Xr Shoulder > 2 Views Bl $319.15 $491.00 $18.98–$466.45 — 35%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Xr Shoulder > 2 Views Rt $212.55 $327.00 $18.98–$310.65 — 35%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Xr Shoulder > 2 Views Lt $212.55 $327.00 $18.98–$310.65 — 35%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Xr Sinuses Paranasal Complete > 3 Views $450.45 $693.00 $36.95–$658.35 6% above 35%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Xr Sinuses Paranasal Complete > 3 Views $450.45 $693.00 $36.95–$658.35 — 35%
Skull X-ray, fewer than 4 views CPT 70250 HC Xr Skull < 4 Views $202.80 $312.00 $34.32–$304.76 43% below 35%
Skull X-ray, fewer than 4 views CPT 70250 HC Xr Skull < 4 Views $1,885.65 — $30.45–$1,458.45 429% above —
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Xr Skull < 4 Views $202.80 $312.00 $34.32–$304.76 — 35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Echocardiography Transthoracic 2d Rest & Stress W/M-Mode $1,274.00 $1,960.00 $195.77–$1,862.00 30% below 35%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Echocardiography Transthoracic 2d Rest & Stress W/M-Mode $1,274.00 $1,960.00 $195.77–$1,862.00 — 35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study $482.95 $743.00 $45.98–$705.85 18% below 35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study $482.95 $743.00 $45.98–$705.85 — 35%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Xr Femur >=2 Views Bl $405.60 $624.00 $28.00–$624.00 2% above 35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Xr Femur >=2 Views Lt $270.40 $416.00 $28.00–$416.00 32% below 35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Xr Femur >=2 Views Rt $270.40 $416.00 $28.00–$416.00 32% below 35%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Xr Femur >=2 Views Bl $405.60 $624.00 $28.00–$624.00 — 35%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Xr Femur >=2 Views Lt $270.40 $416.00 $28.00–$416.00 — 35%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Xr Femur >=2 Views Rt $270.40 $416.00 $28.00–$416.00 — 35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 22% above 35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine W/O Contrast $1,430.65 — $90.16–$1,701.00 22% above —
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Thoracic Spine W/O Contrast $1,430.65 $2,201.00 $90.16–$2,090.95 — 35%
Toe X-ray, 2 or more views CPT 73660 HC Xr Toe(S) > 2 Views Bl $193.05 $297.00 $14.78–$282.15 31% below 35%
Toe X-ray, 2 or more views one side CPT 73660 HC Xr Toe(S) > 2 Views Rt $128.70 $198.00 $14.78–$253.68 54% below 35%
Toe X-ray, 2 or more views one side CPT 73660 HC Xr Toe(S) > 2 Views Lt $128.70 $198.00 $14.78–$253.68 54% below 35%
Toe X-ray, 2 or more views inpatient CPT 73660 HC Xr Toe(S) > 2 Views Bl $193.05 $297.00 $14.78–$282.15 — 35%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HC Xr Toe(S) > 2 Views Lt $128.70 $198.00 $14.78–$253.68 — 35%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HC Xr Toe(S) > 2 Views Rt $128.70 $198.00 $14.78–$253.68 — 35%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non Obstetric $815.10 $1,254.00 $53.48–$1,191.30 46% above 35%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Non Obstetric $815.10 $1,254.00 $53.48–$1,191.30 — 35%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Pregnant Uterus Transvaginal $815.10 $1,254.00 $60.98–$1,191.30 47% above 35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Pregnant Uterus Transvaginal $815.10 $1,254.00 $60.98–$1,191.30 — 35%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete $568.75 — $83.38–$384.60 27% below —
Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete $568.75 $875.00 $66.13–$831.25 27% below 35%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete $568.75 $875.00 $66.13–$831.25 — 35%
Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum and Contents $815.10 $1,254.00 $50.60–$1,191.30 32% above 35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum and Contents $815.10 $1,254.00 $50.60–$1,191.30 — 35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Soft Tissue $861.25 $1,325.00 $83.72–$1,258.75 50% above 35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head/Neck Soft Tissue $861.25 $1,325.00 $83.72–$1,258.75 — 35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Single Contrast Study $687.05 $1,057.00 $64.05–$1,004.15 9% above 35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Single Contrast Study $687.05 $1,057.00 $64.05–$1,004.15 — 35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Xr Humerus >= 2 Views Rt $161.85 $249.00 $18.89–$253.68 42% below 35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Xr Humerus >= 2 Views Lt $161.85 $249.00 $18.89–$253.68 42% below 35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Xr Humerus >= 2 Views Lt $374.40 — $16.68–$253.68 35% above —
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC Xr Humerus >= 2 Views Rt $161.85 $249.00 $18.89–$253.68 — 35%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC Xr Humerus >= 2 Views Lt $161.85 $249.00 $18.89–$253.68 — 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt $837.85 $1,289.00 $90.16–$1,224.55 31% above 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Rt $837.85 $1,289.00 $90.16–$1,224.55 31% above 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt $837.85 — $90.16–$304.76 31% above —
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt $837.85 $1,289.00 $90.16–$1,224.55 — 35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Rt $837.85 $1,289.00 $90.16–$1,224.55 — 35%
Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Views Bl $251.55 $387.00 $18.89–$367.65 8% below 35%
Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2 Views Lt $167.70 $258.00 $18.89–$253.68 39% below 35%
Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2 Views Rt $167.70 $258.00 $18.89–$253.68 39% below 35%
Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2 Views Lt $326.30 — $16.68–$253.68 19% above —
Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Views Bl $251.55 $387.00 $18.89–$367.65 — 35%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC Xr Wrist 2 Views Rt $167.70 $258.00 $18.89–$253.68 — 35%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC Xr Wrist 2 Views Lt $167.70 $258.00 $18.89–$253.68 — 35%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist >= 3 Views Bl $299.65 $461.00 $13.23–$437.95 7% below 35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Rt $199.55 $307.00 $13.23–$291.65 38% below 35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Lt $199.55 $307.00 $13.23–$291.65 38% below 35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Rt $399.10 — $16.68–$253.68 24% above —
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Wrist >= 3 Views Bl $299.65 $461.00 $13.23–$437.95 — 35%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist >= 3 Views Lt $199.55 $307.00 $13.23–$291.65 — 35%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist >= 3 Views Rt $199.55 $307.00 $13.23–$291.65 — 35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt $270.40 $416.00 $25.71–$395.20 24% below 35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt $270.40 — $32.42–$253.68 24% below —
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Lt $270.40 $416.00 $25.71–$395.20 24% below 35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Lt $270.40 $416.00 $25.71–$395.20 — 35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt $270.40 $416.00 $25.71–$395.20 — 35%
X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View $410.15 $631.00 $15.84–$599.45 46% above 35%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1 View $410.15 $631.00 $15.84–$599.45 — 35%
X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Views Bl $251.55 $387.00 $18.89–$367.65 26% below 35%
X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 Views Rt $167.70 $258.00 $18.89–$253.68 50% below 35%
X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 Views Lt $167.70 $258.00 $18.89–$253.68 50% below 35%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 Views Bl $251.55 $387.00 $18.89–$367.65 — 35%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 Views Rt $167.70 $258.00 $18.89–$253.68 — 35%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 Views Lt $167.70 $258.00 $18.89–$253.68 — 35%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S) >= 2 Views Bl $223.60 $344.00 $10.35–$326.80 7% below 35%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt $148.85 — $13.05–$253.68 38% below —
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt $148.85 $229.00 $10.35–$253.68 38% below 35%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Rt $148.85 $229.00 $10.35–$253.68 38% below 35%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Finger(S) >= 2 Views Bl $223.60 $344.00 $10.35–$326.80 — 35%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt $148.85 $229.00 $10.35–$253.68 — 35%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) >= 2 Views Rt $148.85 $229.00 $10.35–$253.68 — 35%
X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Views Bl $293.80 $452.00 $16.42–$429.40 9% below 35%
X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2 Views Lt $195.65 $301.00 $16.42–$285.95 40% below 35%
X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2 Views Rt $195.65 $301.00 $16.42–$285.95 40% below 35%
X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 2 Views Bl $293.80 $452.00 $16.42–$429.40 — 35%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot 2 Views Rt $195.65 $301.00 $16.42–$285.95 — 35%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot 2 Views Lt $195.65 $301.00 $16.42–$285.95 — 35%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot > 3 Views Bl $299.65 $461.00 $13.23–$437.95 18% below 35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Rt $199.55 $307.00 $13.23–$291.65 45% below 35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Rt $199.55 — $16.68–$253.68 45% below —
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Lt $199.55 $307.00 $13.23–$291.65 45% below 35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot > 3 Views Bl $299.65 $461.00 $13.23–$437.95 — 35%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot > 3 Views Rt $199.55 $307.00 $13.23–$291.65 — 35%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot > 3 Views Lt $199.55 $307.00 $13.23–$291.65 — 35%
X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand >= 3 Views Bl $299.65 $461.00 $13.23–$437.95 1% above 35%
X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Lt $199.55 $307.00 $13.23–$291.65 33% below 35%
X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Rt $199.55 $307.00 $13.23–$291.65 33% below 35%
X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Rt $399.10 — $16.68–$304.76 34% above —
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand >= 3 Views Bl $299.65 $461.00 $13.23–$437.95 — 35%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Xr Hand >= 3 Views Lt $199.55 $307.00 $13.23–$291.65 — 35%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Xr Hand >= 3 Views Rt $199.55 $307.00 $13.23–$291.65 — 35%
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1-2 Views Bl $237.90 $366.00 $18.98–$347.70 16% below 35%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Rt $158.60 $244.00 $18.98–$253.68 44% below 35%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Lt $158.60 $244.00 $18.98–$253.68 44% below 35%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Rt $1,228.50 — $23.93–$1,458.45 335% above —
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 1-2 Views Bl $237.90 $366.00 $18.98–$347.70 — 35%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee 1-2 Views Rt $158.60 $244.00 $18.98–$253.68 — 35%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee 1-2 Views Lt $158.60 $244.00 $18.98–$253.68 — 35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Lumbosacral Spine 2-3 Views $332.80 $512.00 $25.88–$486.40 9% below 35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Lumbosacral Spine 2-3 Views $332.80 $512.00 $25.88–$486.40 — 35%
X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbosacral Spine >= 4 Views $390.65 $601.00 $36.95–$570.95 14% below 35%
X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbosacral Spine >= 4 Views $390.65 — $32.63–$304.76 14% below —
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Lumbosacral Spine >= 4 Views $390.65 $601.00 $36.95–$570.95 — 35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Thoracic Spine 2 Views $332.80 $512.00 $33.16–$486.40 9% below 35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Thoracic Spine 2 Views $332.80 $512.00 $33.16–$486.40 — 35%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones Complete > 3 Views $170.95 $263.00 $18.89–$253.68 37% below 35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bones Complete > 3 Views $170.95 $263.00 $18.89–$253.68 — 35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Cervical Spine 2-3 Views $332.80 $512.00 $27.10–$486.40 at median 35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr Cervical Spine 2-3 Views $332.80 $512.00 $27.10–$486.40 — 35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2 Views $219.05 $337.00 $11.50–$320.15 25% below 35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2 Views $1,388.40 — $14.50–$37,425.54 374% above —
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1-2 Views $219.05 $337.00 $11.50–$320.15 — 35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx >= 2 Views $310.70 $478.00 $18.98–$454.10 7% below 35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum/Coccyx >= 2 Views $310.70 $478.00 $18.98–$454.10 — 35%

Lab tests

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
ACTH blood test CPT 82024 HC Adrenocorticotropic Hormone (Acth) $357.50 $550.00 $38.62–$527.91 61% above 35%
ACTH blood test CPT 82024 HC Quest Adrenocorticotropic Hormone (Acth) $357.50 $550.00 $38.62–$527.91 61% above 35%
ACTH blood test inpatient CPT 82024 HC Adrenocorticotropic Hormone (Acth) $357.50 $550.00 $38.62–$527.91 — 35%
ACTH blood test inpatient CPT 82024 HC Quest Adrenocorticotropic Hormone (Acth) $357.50 $550.00 $38.62–$527.91 — 35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt/Sgpt $71.50 $110.00 $5.30–$104.50 96% above 35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Quest 91979 Alt/Sgpt $71.50 $110.00 $5.30–$104.50 96% above 35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC POCT Alt/Sgpt $71.50 $110.00 $5.30–$104.50 96% above 35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC POCT Alt/Sgpt $71.50 $110.00 $5.30–$104.50 — 35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alt/Sgpt $71.50 $110.00 $5.30–$104.50 — 35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Quest 91979 Alt/Sgpt $71.50 $110.00 $5.30–$104.50 — 35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast/Sgot $71.50 $110.00 $5.18–$104.50 98% above 35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Quest 91979 Ast/Sgot $71.50 $110.00 $5.18–$104.50 98% above 35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC POCT Ast/Sgot $71.50 $110.00 $5.18–$104.50 98% above 35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC POCT Ast/Sgot $71.50 $110.00 $5.18–$104.50 — 35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Quest 91979 Ast/Sgot $71.50 $110.00 $5.18–$104.50 — 35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Ast/Sgot $71.50 $110.00 $5.18–$104.50 — 35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel $233.35 $359.00 $35.90–$577.89 25% below 35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel $233.35 $359.00 $35.90–$577.89 — 35%
Albumin blood test CPT 82040 HC Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 10% above 35%
Albumin blood test CPT 82040 HC Quest 14966 Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 10% above 35%
Albumin blood test CPT 82040 HC Quest 7558 Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 10% above 35%
Albumin blood test CPT 82040 HC POCT Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 10% above 35%
Albumin blood test inpatient CPT 82040 HC Quest 14966 Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 — 35%
Albumin blood test inpatient CPT 82040 HC POCT Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 — 35%
Albumin blood test inpatient CPT 82040 HC Quest 7558 Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 — 35%
Albumin blood test inpatient CPT 82040 HC Albumin Serum Plasma or Whole Blood $35.10 $54.00 $4.20–$51.30 — 35%
Aldosterone blood test CPT 82088 HC Quest 16845 Aldosterone $72.15 $111.00 $11.10–$566.49 65% below 35%
Aldosterone blood test CPT 82088 HC Aldosterone Urine $312.65 $481.00 $29.90–$566.49 50% above 35%
Aldosterone blood test CPT 82088 HC Quest Aldosterone $312.65 $481.00 $29.90–$566.49 50% above 35%
Aldosterone blood test CPT 82088 HC Quest Aldosterone 24 Hour Urine $312.65 $481.00 $29.90–$566.49 50% above 35%
Aldosterone blood test inpatient CPT 82088 HC Quest 16845 Aldosterone $72.15 $111.00 $11.10–$566.49 — 35%
Aldosterone blood test inpatient CPT 82088 HC Quest Aldosterone 24 Hour Urine $312.65 $481.00 $29.90–$566.49 — 35%
Aldosterone blood test inpatient CPT 82088 HC Aldosterone Urine $312.65 $481.00 $29.90–$566.49 — 35%
Aldosterone blood test inpatient CPT 82088 HC Quest Aldosterone $312.65 $481.00 $29.90–$566.49 — 35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC POCT Alkaline Phosphatase $79.30 $122.00 $5.18–$115.90 118% above 35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Alkaline Phosphatase $79.30 $122.00 $5.18–$115.90 118% above 35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Quest Alkaline Phosphatase Bone Specific $79.30 $122.00 $5.18–$115.90 118% above 35%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Quest 231 Alkaline Phosphatase $79.30 $122.00 $5.18–$115.90 118% above 35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Quest 231 Alkaline Phosphatase $79.30 $122.00 $5.18–$115.90 — 35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Quest Alkaline Phosphatase Bone Specific $79.30 $122.00 $5.18–$115.90 — 35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Alkaline Phosphatase $79.30 $122.00 $5.18–$115.90 — 35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC POCT Alkaline Phosphatase $79.30 $122.00 $5.18–$115.90 — 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen White Oak Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Wheat Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Scallop Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Western Ragweed Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Almond Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Almond Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Macadamia Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Egg White Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Giant Ragweed Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 94463 Allergen Cashew Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 94463 Allergen Almond Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Cows Milk Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Codfish Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Peanut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Egg White Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Brazil Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Soybean Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Shrimp Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Sesame Seed Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Sesame Seed Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Scallop Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Salmon Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Peanut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Shrimp Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Wheat Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Soybean Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Mucor Racemosus Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Yeast Bakers/Brewers Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Swordfish Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Mackerel Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Salmon Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Whitefish Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Tilapia Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Tuna Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Mango Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Timothy Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen House Dust (Greer Labs) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Sheep Sorrel (Dock) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen English Plantain Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Dermatophagoides Pteronyssinus (House Dust Mite) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Egg White Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Gluten Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Elm Tree Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Hazelnut/Filbert Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Pistachio Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Lambs Quarter Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Pecan Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Macadamia Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Helminthosporium Halodes Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Ragweed Short/Common Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Banana Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Barley Whole Grain Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Brazil Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Birch Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Cashew Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Chocolate Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Cows Milk Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Codfish Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Cocklebur Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Catfish Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Crab Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Phoma Betae Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Dermatophagoides Farinae Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Hickory/Pecan Tree Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Japanese Cedar Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Timothy Grass Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Sycamore Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Oak Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen White Mulberry Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Walnut Tree Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Dog Dander Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Oak Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Maple Box Elder Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Pigweed Rough/Common Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Mugwort Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen White Ash Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Candida Albicans Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Fusarium Moniliforme Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Epicoccum Purpurascens Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Cladosporium Herbarum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Birch Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10286 Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Cottonwood Tree Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Bermuda Grass Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Salmon Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Cows Milk Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Codfish Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Tuna Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Hazelnut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Blue Mussel Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Red Snapper Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Pineapple Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Trout Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Kiwi Fruit Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 36763 Allergen Cashew Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Tuna Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Hazelnut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 91682 Allergen Cashew Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 11270 Allergen Clam Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Sycamore Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Mouse Urine Proteins Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Alternaria Alternata Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Sheep Sorrel Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Mountain Cedar Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Mucor Racemosus Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen White Mulberry Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Ragweed Short/Common Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Cladosporium Herbarum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Timothy Grass Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 131752 Allergen Stemphylium Botryosum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Ragweed Short/Common Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen House Dust (Greer Labs) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Cladosporium Herbarum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Pigweed Rough Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen English Plantain Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Birch Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Mugwort Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Dog Dander Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Alternaria Alternata Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 43062 Allergen Sheep Sorrel (Dock) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Helminthosporium Halodes Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Alternaria Alternata Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Cockroach Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10286 Allergen Oak Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Elm Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen White Oak Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Dermatophagoides Pteronyssinus (House Dust Mite) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest 10643 Allergen Dermatophagoides Farinae (House Dust Mite) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Penicillium Chrysogenum Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Shrimp Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Scallop Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Peanut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Pine Nut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Wheat Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Cockroach American Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Latex Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen House Dust Hollister Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen White Ash Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Grapefruit Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Melon Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Flounder Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen German Cockroach (Blatella Germanica) Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Halibut Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Lobster Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Maple Box Elder Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Oyster Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Clams Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Dog Dander Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Egg Yolk Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Bermuda Grass Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Dermatophagoides Farinae Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Almonds Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Apple Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Cat Epithellium Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Quest Allergen Aureobasidium Pullulans Ige $50.05 $77.00 $5.22–$73.15 55% above 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Pineapple Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Blue Mussel Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Almonds Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Red Snapper Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Whitefish Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Salmon Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Mackerel Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Bermuda Grass Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Swordfish Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Cockroach American Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Timothy Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Cladosporium Herbarum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen House Dust (Greer Labs) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Maple Box Elder Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Sheep Sorrel (Dock) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Sesame Seed Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Shrimp Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Soybean Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Brazil Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Egg White Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Cows Milk Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Peanut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Codfish Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Cocklebur Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Catfish Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Codfish Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Crab Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Phoma Betae Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Dog Dander Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Dermatophagoides Farinae Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Cows Milk Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Alternaria Alternata Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 94463 Allergen Almond Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 94463 Allergen Cashew Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Giant Ragweed Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Hickory/Pecan Tree Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Egg White Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Sheep Sorrel (Dock) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Mucor Racemosus Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Macadamia Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Japanese Cedar Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Pine Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Helminthosporium Halodes Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Timothy Grass Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Almond Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Sycamore Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Mountain Cedar Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Alternaria Alternata Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Oak Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Almond Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen White Mulberry Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Cat Epithellium Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Western Ragweed Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Sheep Sorrel Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Walnut Tree Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Scallop Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Peanut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Wheat Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Dog Dander Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Oak Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Maple Box Elder Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Pigweed Rough/Common Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Cockroach Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Penicillium Notatum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Mugwort Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10286 Allergen Oak Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen White Ash Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Alternaria Alternata Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Candida Albicans Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Elm Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Aureobasidium Pullulans Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Halibut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Mouse Urine Proteins Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Sycamore Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 11270 Allergen Clam Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Cashew Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Hazelnut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Tuna Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Fusarium Moniliforme Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Cashew Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Epicoccum Purpurascens Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Scallop Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Cladosporium Herbarum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Birch Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Egg Yolk Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Kiwi Fruit Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10286 Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Shrimp Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Cottonwood Tree Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Cat Dander Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Bermuda Grass Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Melon Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Salmon Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen White Oak Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Cows Milk Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Dog Dander Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Codfish Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Dermatophagoides Pteronyssinus (House Dust Mite) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Tuna Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Flounder Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Hazelnut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Dermatophagoides Farinae (House Dust Mite) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Walnut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Trout Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen German Cockroach (Blatella Germanica) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Penicillium Chrysogenum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Timothy Grass Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen English Plantain Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Latex Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Dermatophagoides Pteronyssinus (House Dust Mite) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 131752 Allergen Stemphylium Botryosum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Egg White Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Apple Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Mango Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Tuna Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen Ragweed Short/Common Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Gluten Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Ragweed Short/Common Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Elm Tree Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen House Dust Hollister Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Tilapia Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Hazelnut/Filbert Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen House Dust (Greer Labs) Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Yeast Bakers/Brewers Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Wheat Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Mucor Racemosus Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 10643 Allergen White Mulberry Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Soybean Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Lobster Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Wheat Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen White Oak Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 36763 Allergen Shrimp Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Peanut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Salmon Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Pistachio Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Oyster Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Lambs Quarter Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Cladosporium Herbarum Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Pecan Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen White Ash Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Macadamia Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Pigweed Rough Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Helminthosporium Halodes Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Dermatophagoides Farinae Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Ragweed Short/Common Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen English Plantain Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Banana Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Grapefruit Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Aspergillus Fumigatus Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Birch Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Barley Whole Grain Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Clams Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Brazil Nut Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 43062 Allergen Mugwort Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Birch Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Scallop Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Cashew Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest Allergen Chocolate Ige $50.05 $77.00 $5.22–$73.15 — 35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Quest 91682 Allergen Sesame Seed Ige $50.05 $77.00 $5.22–$73.15 — 35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Quest 15934 Alpha-Fetoprotein Maternal $111.15 $171.00 $16.77–$222.74 1% above 35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Quest 30294 Alpha-Fetoprotein Maternal $111.15 $171.00 $16.77–$222.74 1% above 35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Quest Alpha-Fetoprotein Tumor Marker $111.15 $171.00 $16.77–$222.74 1% above 35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Quest Alpha-Fetoprotein Maternal $111.15 $171.00 $16.77–$222.74 1% above 35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Tumor Marker $111.15 $171.00 $16.77–$222.74 1% above 35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Quest 15934 Alpha-Fetoprotein Maternal $111.15 $171.00 $16.77–$222.74 — 35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Quest 30294 Alpha-Fetoprotein Maternal $111.15 $171.00 $16.77–$222.74 — 35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Quest Alpha-Fetoprotein Tumor Marker $111.15 $171.00 $16.77–$222.74 — 35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Quest Alpha-Fetoprotein Maternal $111.15 $171.00 $16.77–$222.74 — 35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Tumor Marker $111.15 $171.00 $16.77–$222.74 — 35%
Ammonia blood test CPT 82140 HC Ammonia $84.50 $130.00 $5.75–$199.06 7% below 35%
Ammonia blood test CPT 82140 HC Ammonia Urine $84.50 $130.00 $5.75–$199.06 7% below 35%
Ammonia blood test CPT 82140 HC Quest 442 Ammonia 24 Hour Urine $84.50 $130.00 $5.75–$199.06 7% below 35%
Ammonia blood test inpatient CPT 82140 HC Ammonia $84.50 $130.00 $5.75–$199.06 — 35%
Ammonia blood test inpatient CPT 82140 HC Quest 442 Ammonia 24 Hour Urine $84.50 $130.00 $5.75–$199.06 — 35%
Ammonia blood test inpatient CPT 82140 HC Ammonia Urine $84.50 $130.00 $5.75–$199.06 — 35%
Amylase blood test CPT 82150 HC Amylase $85.15 $131.00 $5.75–$124.45 95% above 35%
Amylase blood test CPT 82150 HC POCT Amylase $85.15 $131.00 $5.75–$124.45 95% above 35%
Amylase blood test CPT 82150 HC Amylase Body Fluid $85.15 $131.00 $5.75–$124.45 95% above 35%
Amylase blood test inpatient CPT 82150 HC Amylase Body Fluid $85.15 $131.00 $5.75–$124.45 — 35%
Amylase blood test inpatient CPT 82150 HC Amylase $85.15 $131.00 $5.75–$124.45 — 35%
Amylase blood test inpatient CPT 82150 HC POCT Amylase $85.15 $131.00 $5.75–$124.45 — 35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest 91472 Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 36% below 35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest 36378 Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 36% below 35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest 17669 Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 36% below 35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 36% below 35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest 17669 Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 — 35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest 91472 Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 — 35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 — 35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest 36378 Cyclic Citrullinated Peptide Antibody $54.60 $84.00 $8.40–$168.37 — 35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest Antinuclear Antibodies $68.25 $105.00 $10.50–$164.86 8% below 35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 29839 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 3% below 35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 36378 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 3% below 35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 3% below 35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 10716 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 3% below 35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Quest 37521 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 3% below 35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest Antinuclear Antibodies $68.25 $105.00 $10.50–$164.86 — 35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 — 35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 36378 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 — 35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 37521 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 — 35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 10716 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 — 35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Quest 29839 Antinuclear Antibodies $72.15 $111.00 $11.10–$164.86 — 35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Quest Natriuretic Peptide $219.05 $337.00 $33.70–$415.92 10% above 35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide $219.05 $337.00 $33.70–$415.92 10% above 35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC POCT Natriuretic Peptide $219.05 $337.00 $33.70–$415.92 10% above 35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC POCT Natriuretic Peptide $219.05 $337.00 $33.70–$415.92 — 35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide $219.05 $337.00 $33.70–$415.92 — 35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Quest Natriuretic Peptide $219.05 $337.00 $33.70–$415.92 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Catheter Tip $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Surveillance Culture $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Genital $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Respiratory $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Sputum $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Environmental $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Wound $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Body Fluid $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Tissue $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture CSF $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Throat $92.30 $142.00 $7.94–$134.90 77% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Quest Culture Bacterial Other Source Wound Superficial $267.80 $412.00 $7.94–$391.40 413% above 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Wound $2,245.18 — $7.94–$4,966.89 4201% above —
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Wound $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Body Fluid $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Catheter Tip $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Tissue $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture CSF $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Environmental $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Surveillance Culture $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Respiratory $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Sputum $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Throat $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Genital $92.30 $142.00 $7.94–$134.90 — 35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Quest Culture Bacterial Other Source Wound Superficial $267.80 $412.00 $7.94–$391.40 — 35%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total) $120.25 $185.00 $8.46–$175.75 55% above 35%
Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel (Calcium Total) $120.25 $185.00 $8.46–$175.75 — 35%
Bilirubin blood test, total CPT 82247 HC Quest Bilirubin Total Body Fluid $21.45 $33.00 $3.30–$60.51 33% below 35%
Bilirubin blood test, total CPT 82247 HC POCT Bilirubin Total $37.05 $57.00 $5.02–$60.51 16% above 35%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total Neonatal $37.05 $57.00 $5.02–$60.51 16% above 35%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total Cord Blood $37.05 $57.00 $5.02–$60.51 16% above 35%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total $37.05 $57.00 $5.02–$60.51 16% above 35%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total $154.70 — $5.02–$60.51 384% above —
Bilirubin blood test, total inpatient CPT 82247 HC Quest Bilirubin Total Body Fluid $21.45 $33.00 $3.30–$60.51 — 35%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total Neonatal $37.05 $57.00 $5.02–$60.51 — 35%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total $37.05 $57.00 $5.02–$60.51 — 35%
Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total Cord Blood $37.05 $57.00 $5.02–$60.51 — 35%
Bilirubin blood test, total inpatient CPT 82247 HC POCT Bilirubin Total $37.05 $57.00 $5.02–$60.51 — 35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgical Pathology Level 4 Gross & Microscopic Examination $136.50 $210.00 $10.35–$526.15 23% below 35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgical Pathology Level 4 Skin & Derm Microscopic Examination $178.10 $274.00 $10.35–$526.15 at median 35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC External Surgical Pathology Level 4 Gross & Microscopic Examination $214.50 $330.00 $10.35–$526.15 21% above 35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surgical Pathology Level 4 Gross & Microscopic Examination $136.50 $210.00 $10.35–$526.15 — 35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surgical Pathology Level 4 Skin & Derm Microscopic Examination $178.10 $274.00 $10.35–$526.15 — 35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC External Surgical Pathology Level 4 Gross & Microscopic Examination $214.50 $330.00 $10.35–$526.15 — 35%
Blood culture for bacteria CPT 87040 HC Culture Blood $105.30 $162.00 $10.32–$153.90 24% above 35%
Blood culture for bacteria CPT 87040 HC Culture Blood $384.80 — $32.20–$3,742.00 354% above —
Blood culture for bacteria inpatient CPT 87040 HC Culture Blood $105.30 $162.00 $10.32–$153.90 — 35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection of Venous Blood by Venipuncture $19.50 $30.00 $3.00–$28.50 30% above 35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection of Venous Blood by Venipuncture $19.50 $30.00 $3.00–$28.50 — 35%
Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative POC $26.00 $40.00 $3.93–$38.00 1% above 35%
Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative Postprandial $26.00 $40.00 $3.93–$38.00 1% above 35%
Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative Fasting $26.00 $40.00 $3.93–$38.00 1% above 35%
Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative $26.00 $40.00 $3.93–$38.00 1% above 35%
Blood glucose (sugar) test CPT 82947 HC Quest 91979 Glucose Blood Quantitative $26.00 $40.00 $3.93–$38.00 1% above 35%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative Postprandial $26.00 $40.00 $3.93–$38.00 — 35%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative $26.00 $40.00 $3.93–$38.00 — 35%
Blood glucose (sugar) test inpatient CPT 82947 HC Quest 91979 Glucose Blood Quantitative $26.00 $40.00 $3.93–$38.00 — 35%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative Fasting $26.00 $40.00 $3.93–$38.00 — 35%
Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative POC $26.00 $40.00 $3.93–$38.00 — 35%
Blood lead test CPT 83655 HC Quest 35386 Lead 24 Hour Urine $111.15 $171.00 $11.50–$165.74 42% above 35%
Blood lead test CPT 83655 HC Quest Lead $111.15 $171.00 $11.50–$165.74 42% above 35%
Blood lead test CPT 83655 HC Quest 7655 Lead $111.15 $171.00 $11.50–$165.74 42% above 35%
Blood lead test CPT 83655 HC Quest 7507 Lead Urine $111.15 $171.00 $11.50–$165.74 42% above 35%
Blood lead test CPT 83655 HC Quest Lead Capillary $111.15 $171.00 $11.50–$165.74 42% above 35%
Blood lead test CPT 83655 HC Lead Urine $111.15 $171.00 $11.50–$165.74 42% above 35%
Blood lead test inpatient CPT 83655 HC Quest 7507 Lead Urine $111.15 $171.00 $11.50–$165.74 — 35%
Blood lead test inpatient CPT 83655 HC Quest 35386 Lead 24 Hour Urine $111.15 $171.00 $11.50–$165.74 — 35%
Blood lead test inpatient CPT 83655 HC Quest Lead Capillary $111.15 $171.00 $11.50–$165.74 — 35%
Blood lead test inpatient CPT 83655 HC Quest Lead $111.15 $171.00 $11.50–$165.74 — 35%
Blood lead test inpatient CPT 83655 HC Quest 7655 Lead $111.15 $171.00 $11.50–$165.74 — 35%
Blood lead test inpatient CPT 83655 HC Lead Urine $111.15 $171.00 $11.50–$165.74 — 35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Qualitative $80.60 $124.00 $7.52–$117.80 61% above 35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Qualitative Urine $80.60 $124.00 $7.52–$117.80 61% above 35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Hcg Qualitative $80.60 $124.00 $7.52–$117.80 — 35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Hcg Qualitative Urine $80.60 $124.00 $7.52–$117.80 — 35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo $61.75 $95.00 $4.74–$387.84 54% below 35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo Reference $81.25 $125.00 $4.74–$387.84 39% below 35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo $61.75 $95.00 $4.74–$387.84 — 35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo Reference $81.25 $125.00 $4.74–$387.84 — 35%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen Body Fluid $50.70 $78.00 $3.95–$74.10 88% above 35%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen $50.70 $78.00 $3.95–$74.10 88% above 35%
Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen Pre-Dialysis $50.70 $78.00 $3.95–$74.10 88% above 35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Urea Nitrogen Body Fluid $50.70 $78.00 $3.95–$74.10 — 35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Urea Nitrogen Pre-Dialysis $50.70 $78.00 $3.95–$74.10 — 35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Urea Nitrogen $50.70 $78.00 $3.95–$74.10 — 35%
C-peptide blood test CPT 84681 HC C-Peptide $113.75 $175.00 $17.50–$284.12 5% above 35%
C-peptide blood test CPT 84681 HC Quest C-Peptide $113.75 $175.00 $17.50–$284.12 5% above 35%
C-peptide blood test inpatient CPT 84681 HC Quest C-Peptide $113.75 $175.00 $17.50–$284.12 — 35%
C-peptide blood test inpatient CPT 84681 HC C-Peptide $113.75 $175.00 $17.50–$284.12 — 35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein $33.15 $51.00 $3.45–$71.03 7% below 35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein $33.15 $51.00 $3.45–$71.03 — 35%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S) $158.60 $244.00 $24.40–$261.15 24% below 35%
C. difficile toxin gene test (stool PCR) CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S) Nap-1 $158.60 $244.00 $24.40–$261.15 24% below 35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S) $158.60 $244.00 $24.40–$261.15 — 35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S) Nap-1 $158.60 $244.00 $24.40–$261.15 — 35%
CA 19-9 blood test (tumor marker) CPT 86301 HC Quest Immunoassay Tumor Antigen Quantitative Ca 19-9 $72.15 $111.00 $11.10–$285.88 46% below 35%
CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 $72.15 $111.00 $11.10–$285.88 46% below 35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Quest Immunoassay Tumor Antigen Quantitative Ca 19-9 $72.15 $111.00 $11.10–$285.88 — 35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 $72.15 $111.00 $11.10–$285.88 — 35%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 $195.00 $300.00 $20.81–$285.88 49% above 35%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Quest Immunoassay Tumor Antigen Quantitative Ca 125 $195.00 $300.00 $20.81–$285.88 49% above 35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Quest Immunoassay Tumor Antigen Quantitative Ca 125 $195.00 $300.00 $20.81–$285.88 — 35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 $195.00 $300.00 $20.81–$285.88 — 35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC POCT Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19 $125.45 $193.00 $19.30–$183.35 38% above 35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19 $125.45 $193.00 $19.30–$183.35 38% above 35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19 $125.45 $193.00 $19.30–$183.35 — 35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC POCT Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19 $125.45 $193.00 $19.30–$183.35 — 35%
Calcium blood test, total CPT 82310 HC Quest 8837 Calcium Total $50.70 $78.00 $5.16–$74.10 51% above 35%
Calcium blood test, total CPT 82310 HC Calcium Total Urine $50.70 $78.00 $5.16–$74.10 51% above 35%
Calcium blood test, total CPT 82310 HC Quest Calcium Total Urine $50.70 $78.00 $5.16–$74.10 51% above 35%
Calcium blood test, total CPT 82310 HC Calcium Total $50.70 $78.00 $5.16–$74.10 51% above 35%
Calcium blood test, total inpatient CPT 82310 HC Quest 8837 Calcium Total $50.70 $78.00 $5.16–$74.10 — 35%
Calcium blood test, total inpatient CPT 82310 HC Calcium Total Urine $50.70 $78.00 $5.16–$74.10 — 35%
Calcium blood test, total inpatient CPT 82310 HC Calcium Total $50.70 $78.00 $5.16–$74.10 — 35%
Calcium blood test, total inpatient CPT 82310 HC Quest Calcium Total Urine $50.70 $78.00 $5.16–$74.10 — 35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Ag (Cea) Body Fluid $128.70 $198.00 $18.96–$257.81 9% above 35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Ag (Cea) $128.70 $198.00 $18.96–$257.81 9% above 35%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Quest Carcinoembryonic Ag (Cea) $128.70 $198.00 $18.96–$257.81 9% above 35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Ag (Cea) Body Fluid $128.70 $198.00 $18.96–$257.81 — 35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Quest Carcinoembryonic Ag (Cea) $128.70 $198.00 $18.96–$257.81 — 35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Ag (Cea) $128.70 $198.00 $18.96–$257.81 — 35%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella Zoster Antibody Igm $80.60 $124.00 $12.40–$160.48 5% below 35%
Chickenpox (varicella) immunity blood test CPT 86787 HC Quest Varicella Zoster Antibody Igg $80.60 $124.00 $12.40–$160.48 5% below 35%
Chickenpox (varicella) immunity blood test CPT 86787 HC Quest 34128 Varicella Zoster Antibody Igg $80.60 $124.00 $12.40–$160.48 5% below 35%
Chickenpox (varicella) immunity blood test CPT 86787 HC Quest 34128 Varicella Zoster Antibody Igm $80.60 $124.00 $12.40–$160.48 5% below 35%
Chickenpox (varicella) immunity blood test CPT 86787 HC Quest Varicella Zoster Antibody Igm $80.60 $124.00 $12.40–$160.48 5% below 35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella Zoster Antibody Igm $80.60 $124.00 $12.40–$160.48 — 35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Quest 34128 Varicella Zoster Antibody Igg $80.60 $124.00 $12.40–$160.48 — 35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Quest Varicella Zoster Antibody Igm $80.60 $124.00 $12.40–$160.48 — 35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Quest Varicella Zoster Antibody Igg $80.60 $124.00 $12.40–$160.48 — 35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Quest 34128 Varicella Zoster Antibody Igm $80.60 $124.00 $12.40–$160.48 — 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis Urine $228.15 $351.00 $26.67–$425.31 16% above 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Quest Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis Pharyngeal $228.15 $351.00 $26.67–$425.31 16% above 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis $228.15 $351.00 $26.67–$425.31 16% above 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis $228.15 $351.00 $26.67–$425.31 16% above 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Quest 11363 Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis $228.15 $351.00 $26.67–$425.31 16% above 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis $1,129.05 — $26.67–$425.31 475% above —
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis $228.15 $351.00 $26.67–$425.31 — 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis $228.15 $351.00 $26.67–$425.31 — 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Quest 11363 Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis $228.15 $351.00 $26.67–$425.31 — 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Quest Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis Pharyngeal $228.15 $351.00 $26.67–$425.31 — 35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis Urine $228.15 $351.00 $26.67–$425.31 — 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Quest 37849 Lipid Panel $139.75 $215.00 $13.39–$204.25 56% above 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel $139.75 $215.00 $13.39–$204.25 56% above 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Quest Lipid Panel $139.75 $215.00 $13.39–$204.25 56% above 35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Quest 92145 Lipid Panel $139.75 $215.00 $13.39–$204.25 56% above 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Quest 92145 Lipid Panel $139.75 $215.00 $13.39–$204.25 — 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel $139.75 $215.00 $13.39–$204.25 — 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Quest 37849 Lipid Panel $139.75 $215.00 $13.39–$204.25 — 35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Quest Lipid Panel $139.75 $215.00 $13.39–$204.25 — 35%
Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated $72.15 $111.00 $6.90–$105.45 41% above 35%
Complete blood count (CBC) with differential CPT 85025 HC Labcorp Cbc Automated/Differential Wbc Automated $72.15 $111.00 $6.90–$105.45 41% above 35%
Complete blood count (CBC) with differential CPT 85025 HC POCT Cbc Automated/Differential Wbc Automated $72.15 $111.00 $6.90–$105.45 41% above 35%
Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated $603.20 — $6.90–$151.81 1080% above —
Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc Automated/Differential Wbc Automated $72.15 $111.00 $6.90–$105.45 — 35%
Complete blood count (CBC) with differential inpatient CPT 85025 HC POCT Cbc Automated/Differential Wbc Automated $72.15 $111.00 $6.90–$105.45 — 35%
Complete blood count (CBC) with differential inpatient CPT 85025 HC Labcorp Cbc Automated/Differential Wbc Automated $72.15 $111.00 $6.90–$105.45 — 35%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated $62.40 $96.00 $6.47–$91.20 44% above 35%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated Intrauterine $62.40 $96.00 $6.47–$91.20 44% above 35%
Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated $727.35 — $6.47–$87.69 1583% above —
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated $62.40 $96.00 $6.47–$91.20 — 35%
Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated Intrauterine $62.40 $96.00 $6.47–$91.20 — 35%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel $168.35 $259.00 $10.56–$246.05 90% above 35%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel $707.85 — $10.56–$128.03 700% above —
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel $168.35 $259.00 $10.56–$246.05 — 35%
Cortisol blood test, total CPT 82533 HC Cortisol Total $146.25 $225.00 $13.80–$220.11 42% above 35%
Cortisol blood test, total CPT 82533 HC Cortisol Total Pm $146.25 $225.00 $13.80–$220.11 42% above 35%
Cortisol blood test, total CPT 82533 HC Cortisol Total Am $146.25 $225.00 $13.80–$220.11 42% above 35%
Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total $146.25 $225.00 $13.80–$220.11 — 35%
Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total Am $146.25 $225.00 $13.80–$220.11 — 35%
Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total Pm $146.25 $225.00 $13.80–$220.11 — 35%
Creatine kinase (CK) blood test, total CPT 82550 HC Quest 4451 Creatine Kinase $54.60 $84.00 $5.78–$79.80 21% above 35%
Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase $54.60 $84.00 $5.78–$79.80 21% above 35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Quest 4451 Creatine Kinase $54.60 $84.00 $5.78–$79.80 — 35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Creatine Kinase $54.60 $84.00 $5.78–$79.80 — 35%
Creatinine blood test CPT 82565 HC POCT Creatinine $50.70 $78.00 $5.12–$74.10 50% above 35%
Creatinine blood test CPT 82565 HC Creatinine $50.70 $78.00 $5.12–$74.10 50% above 35%
Creatinine blood test inpatient CPT 82565 HC POCT Creatinine $50.70 $78.00 $5.12–$74.10 — 35%
Creatinine blood test inpatient CPT 82565 HC Creatinine $50.70 $78.00 $5.12–$74.10 — 35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cytomegalovirus (Cmv) Antibody Igg $86.45 $133.00 $13.30–$191.17 at median 35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Quest 6732 Cytomegalovirus (Cmv) Antibody Igg $86.45 $133.00 $13.30–$191.17 at median 35%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Quest Cytomegalovirus (Cmv) Antibody Igg $86.45 $133.00 $13.30–$191.17 at median 35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Quest 6732 Cytomegalovirus (Cmv) Antibody Igg $86.45 $133.00 $13.30–$191.17 — 35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Quest Cytomegalovirus (Cmv) Antibody Igg $86.45 $133.00 $13.30–$191.17 — 35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Cytomegalovirus (Cmv) Antibody Igg $86.45 $133.00 $13.30–$191.17 — 35%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradation D Dimer Quantitative $54.60 $84.00 $8.40–$92.95 20% below 35%
D-dimer blood test (blood clot marker) CPT 85379 HC POCT Fibrin Degradation D Dimer Quantitative $54.60 $84.00 $8.40–$92.95 20% below 35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC POCT Fibrin Degradation D Dimer Quantitative $54.60 $84.00 $8.40–$92.95 — 35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradation D Dimer Quantitative $54.60 $84.00 $8.40–$92.95 — 35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dhea-S (Dehydroepiand Sulfate) $167.05 $257.00 $22.23–$277.11 24% above 35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Quest Dhea-S (Dehydroepiand Sulfate) $167.05 $257.00 $22.23–$277.11 24% above 35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Quest Dhea-S (Dehydroepiand Sulfate) $167.05 $257.00 $22.23–$277.11 — 35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dhea-S (Dehydroepiand Sulfate) $167.05 $257.00 $22.23–$277.11 — 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Acetaminophen $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chem Analyzers Drug Monitoring 5 Urine $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Salicylate $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chem Anal Drg Mon Marijuana Metab W Cnfm Urin $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC External Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chem Anal Drg Mon Mdma/Mdal W/Cnfm Urine $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers $83.85 $129.00 $12.90–$296.84 54% below 35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers $644.15 — $62.14–$296.84 254% above —
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chem Anal Drg Mon Marijuana Metab W Cnfm Urin $83.85 $129.00 $12.90–$296.84 — 35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chem Anal Drg Mon Mdma/Mdal W/Cnfm Urine $83.85 $129.00 $12.90–$296.84 — 35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chem Analyzers Drug Monitoring 5 Urine $83.85 $129.00 $12.90–$296.84 — 35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC External Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers $83.85 $129.00 $12.90–$296.84 — 35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Acetaminophen $83.85 $129.00 $12.90–$296.84 — 35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Salicylate $83.85 $129.00 $12.90–$296.84 — 35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Quest Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers $83.85 $129.00 $12.90–$296.84 — 35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers $83.85 $129.00 $12.90–$296.84 — 35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel $193.70 $298.00 $7.01–$283.10 267% above 35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel $193.70 $298.00 $7.01–$283.10 — 35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Quest 42142 Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 17% below 35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Quest 6421 Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 17% below 35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Quest Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 17% below 35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 17% below 35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Quest 42142 Epstein Barr Viral Capsid Antigen Antibody Igg $95.55 $147.00 $14.70–$226.25 17% below 35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Quest Epstein Barr Viral Capsid Antigen Antibody Igg $95.55 $147.00 $14.70–$226.25 17% below 35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Quest 6421 Epstein Barr Viral Capsid Antigen Antibody Igg $95.55 $147.00 $14.70–$226.25 17% below 35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Quest 42142 Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 — 35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Quest Epstein Barr Viral Capsid Antigen Antibody Igg $95.55 $147.00 $14.70–$226.25 — 35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Quest 42142 Epstein Barr Viral Capsid Antigen Antibody Igg $95.55 $147.00 $14.70–$226.25 — 35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 — 35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Quest 6421 Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 — 35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Quest 6421 Epstein Barr Viral Capsid Antigen Antibody Igg $95.55 $147.00 $14.70–$226.25 — 35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Quest Epstein Barr Viral Capsid Antigen Antibody Igm $95.55 $147.00 $14.70–$226.25 — 35%
Estradiol blood test CPT 82670 HC Quest Estradiol Total $166.40 $256.00 $24.73–$378.83 at median 35%
Estradiol blood test CPT 82670 HC Warde Estradiol Total $166.40 $256.00 $24.73–$378.83 at median 35%
Estradiol blood test CPT 82670 HC Estradiol Total $166.40 $256.00 $24.73–$378.83 at median 35%
Estradiol blood test inpatient CPT 82670 HC Warde Estradiol Total $166.40 $256.00 $24.73–$378.83 — 35%
Estradiol blood test inpatient CPT 82670 HC Estradiol Total $166.40 $256.00 $24.73–$378.83 — 35%
Estradiol blood test inpatient CPT 82670 HC Quest Estradiol Total $166.40 $256.00 $24.73–$378.83 — 35%
FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone (Fsh) $113.75 $175.00 $17.50–$254.31 5% below 35%
FSH (follicle-stimulating hormone) test CPT 83001 HC Quest Gonadotropin Follicle Stimulating Hormone (Fsh) $113.75 $175.00 $17.50–$254.31 5% below 35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Quest Gonadotropin Follicle Stimulating Hormone (Fsh) $113.75 $175.00 $17.50–$254.31 — 35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Follicle Stimulating Hormone (Fsh) $113.75 $175.00 $17.50–$254.31 — 35%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin Fecal $113.10 $174.00 $17.40–$165.30 13% below 35%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Quest Calprotectin Fecal $113.10 $174.00 $17.40–$165.30 13% below 35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Calprotectin Fecal $113.10 $174.00 $17.40–$165.30 — 35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Quest Calprotectin Fecal $113.10 $174.00 $17.40–$165.30 — 35%
Ferritin blood test (iron stores) CPT 82728 HC Ferritin $83.85 $129.00 $12.90–$186.78 3% below 35%
Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin $83.85 $129.00 $12.90–$186.78 — 35%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity $69.55 $107.00 $9.72–$120.14 5% above 35%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity Teg $69.55 $107.00 $9.72–$120.14 5% above 35%
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity $69.55 $107.00 $9.72–$120.14 — 35%
Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity Teg $69.55 $107.00 $9.72–$120.14 — 35%
Folate (folic acid) blood test CPT 82746 HC Quest Folic Acid $62.40 $96.00 $9.60–$198.18 28% below 35%
Folate (folic acid) blood test CPT 82746 HC Quest 7065 Folic Acid $100.75 $155.00 $13.80–$198.18 16% above 35%
Folate (folic acid) blood test CPT 82746 HC Folic Acid $100.75 $155.00 $13.80–$198.18 16% above 35%
Folate (folic acid) blood test inpatient CPT 82746 HC Quest Folic Acid $62.40 $96.00 $9.60–$198.18 — 35%
Folate (folic acid) blood test inpatient CPT 82746 HC Folic Acid $100.75 $155.00 $13.80–$198.18 — 35%
Folate (folic acid) blood test inpatient CPT 82746 HC Quest 7065 Folic Acid $100.75 $155.00 $13.80–$198.18 — 35%
Free T3 thyroid hormone test CPT 84481 HC T3 (Triiodothyronine) Free $138.45 $213.00 $16.94–$231.51 30% above 35%
Free T3 thyroid hormone test CPT 84481 HC Quest T3 (Triiodothyronine) Free $138.45 $213.00 $16.94–$231.51 30% above 35%
Free T3 thyroid hormone test inpatient CPT 84481 HC Quest T3 (Triiodothyronine) Free $138.45 $213.00 $16.94–$231.51 — 35%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 (Triiodothyronine) Free $138.45 $213.00 $16.94–$231.51 — 35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Quest T4 (Thyroxine) Direct Dialysis $66.30 $102.00 $9.02–$120.14 10% above 35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 (Thyroxine) Free $66.30 $102.00 $9.02–$120.14 10% above 35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 (Thyroxine) Free $66.30 $102.00 $9.02–$120.14 — 35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Quest T4 (Thyroxine) Direct Dialysis $66.30 $102.00 $9.02–$120.14 — 35%
Free testosterone test CPT 84402 HC Quest 36170 Testosterone Free $170.95 $263.00 $25.47–$316.57 7% above 35%
Free testosterone test CPT 84402 HC Testosterone Free $170.95 $263.00 $25.47–$316.57 7% above 35%
Free testosterone test CPT 84402 HC Quest Testosterone Free $170.95 $263.00 $25.47–$316.57 7% above 35%
Free testosterone test inpatient CPT 84402 HC Testosterone Free $170.95 $263.00 $25.47–$316.57 — 35%
Free testosterone test inpatient CPT 84402 HC Quest 36170 Testosterone Free $170.95 $263.00 $25.47–$316.57 — 35%
Free testosterone test inpatient CPT 84402 HC Quest Testosterone Free $170.95 $263.00 $25.47–$316.57 — 35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Gamma Glutamyltransferase $89.05 $137.00 $5.78–$130.15 87% above 35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC POCT Gamma Glutamyltransferase $89.05 $137.00 $5.78–$130.15 87% above 35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Gamma Glutamyltransferase $89.05 $137.00 $5.78–$130.15 — 35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC POCT Gamma Glutamyltransferase $89.05 $137.00 $5.78–$130.15 — 35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel $401.05 $617.00 $50.47–$586.15 112% above 35%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel $401.05 $617.00 $50.47–$586.15 — 35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose 2 Hr Post Dose $37.05 $57.00 $4.75–$61.38 at median 35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose 1 Hr Post Dose $37.05 $57.00 $4.75–$61.38 at median 35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose 1 Hr Post Dose $37.05 $57.00 $4.75–$61.38 — 35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose 2 Hr Post Dose $37.05 $57.00 $4.75–$61.38 — 35%
Glucose tolerance test, 3 samples CPT 82951 HC Bundled Glucose Tolerance Test (Gtt) 3 Specimens $80.60 $124.00 $12.40–$175.38 1% below 35%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specimens $80.60 $124.00 $12.40–$175.38 1% below 35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specimens $80.60 $124.00 $12.40–$175.38 — 35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC Bundled Glucose Tolerance Test (Gtt) 3 Specimens $80.60 $124.00 $12.40–$175.38 — 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Quest 11363 Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae $182.65 $281.00 $26.67–$425.31 1% below 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae $182.65 $281.00 $26.67–$425.31 1% below 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae Urine $182.65 $281.00 $26.67–$425.31 1% below 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Quest Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae Pharyngeal $182.65 $281.00 $26.67–$425.31 1% below 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae $182.65 $281.00 $26.67–$425.31 1% below 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae $1,129.05 — $26.67–$425.31 514% above —
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Quest 11363 Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae $182.65 $281.00 $26.67–$425.31 — 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae $182.65 $281.00 $26.67–$425.31 — 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Quest Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae Pharyngeal $182.65 $281.00 $26.67–$425.31 — 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae $182.65 $281.00 $26.67–$425.31 — 35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae Urine $182.65 $281.00 $26.67–$425.31 — 35%
H. pylori antibody blood test CPT 86677 HC External Helicobacter Pylori Antibody Igg $71.50 $110.00 $11.00–$104.50 38% below 35%
H. pylori antibody blood test inpatient CPT 86677 HC External Helicobacter Pylori Antibody Igg $71.50 $110.00 $11.00–$104.50 — 35%
H. pylori stool antigen test CPT 87338 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Helicobacter Pylori Stool $113.75 $175.00 $14.38–$166.25 18% above 35%
H. pylori stool antigen test CPT 87338 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Helicobacter Pylori Stool $113.75 $175.00 $14.38–$166.25 18% above 35%
H. pylori stool antigen test inpatient CPT 87338 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Helicobacter Pylori Stool $113.75 $175.00 $14.38–$166.25 — 35%
H. pylori stool antigen test inpatient CPT 87338 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Helicobacter Pylori Stool $113.75 $175.00 $14.38–$166.25 — 35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Quest Infectious Agent Nucleic Acid Quantification Hiv-1 $288.60 $444.00 $44.40–$1,031.26 42% below 35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Infectious Agent Nucleic Acid Quantification Hiv-1 $288.60 $444.00 $44.40–$1,031.26 42% below 35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Quest Infectious Agent Nucleic Acid Quant Hiv-1 $288.60 $444.00 $44.40–$1,031.26 42% below 35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Quest Infectious Agent Nucleic Acid Quantification Hiv-1 $288.60 $444.00 $44.40–$1,031.26 — 35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Quest Infectious Agent Nucleic Acid Quant Hiv-1 $288.60 $444.00 $44.40–$1,031.26 — 35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Infectious Agent Nucleic Acid Quantification Hiv-1 $288.60 $444.00 $44.40–$1,031.26 — 35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies $138.45 $213.00 $21.30–$213.97 2% below 35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies $138.45 $213.00 $21.30–$213.97 2% below 35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies $138.45 $213.00 $21.30–$213.97 — 35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hiv-1 Antigen(S) Hiv-1&2 Antibodies $138.45 $213.00 $21.30–$213.97 — 35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Quest Infectious Agent Nucleic Acid Human Papillomavirus E6 E7 High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 3% below 35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Quest 90933 Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 3% below 35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Quest 90931 Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 3% below 35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Quest 91414 Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 3% below 35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 3% below 35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Quest Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 3% below 35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $314.60 — $35.09–$227.82 51% above —
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Quest Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 — 35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Quest Infectious Agent Nucleic Acid Human Papillomavirus E6 E7 High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 — 35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Quest 90931 Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 — 35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 — 35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Quest 90933 Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 — 35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Quest 91414 Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result $202.15 $311.00 $31.10–$295.45 — 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated (A1c) $83.85 $129.00 $8.05–$129.78 64% above 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Quest Hemoglobin Glycosylated (A1c) W Calculated Mean Plasma Glucose $83.85 $129.00 $8.05–$129.78 64% above 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC POCT Hemoglobin Glycosylated (A1c) $83.85 $129.00 $8.05–$129.78 64% above 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Quest Hemoglobin Glycosylated (A1c) $83.85 $129.00 $8.05–$129.78 64% above 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated (A1c) $687.05 — $8.05–$129.78 1247% above —
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC POCT Hemoglobin Glycosylated (A1c) $83.85 $129.00 $8.05–$129.78 — 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Quest Hemoglobin Glycosylated (A1c) $83.85 $129.00 $8.05–$129.78 — 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Quest Hemoglobin Glycosylated (A1c) W Calculated Mean Plasma Glucose $83.85 $129.00 $8.05–$129.78 — 35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated (A1c) $83.85 $129.00 $8.05–$129.78 — 35%
Hemoglobin blood test CPT 85018 HC POCT Hemoglobin $14.95 $23.00 $2.30–$26.31 13% below 35%
Hemoglobin blood test CPT 85018 HC Hemoglobin Body Fluid $14.95 $23.00 $2.30–$26.31 13% below 35%
Hemoglobin blood test CPT 85018 HC Quest 35489 Hemoglobin $14.95 $23.00 $2.30–$26.31 13% below 35%
Hemoglobin blood test CPT 85018 HC POCT Hemoglobin Co Oximetry $14.95 $23.00 $2.30–$26.31 13% below 35%
Hemoglobin blood test CPT 85018 HC Hemoglobin $14.95 $23.00 $2.30–$26.31 13% below 35%
Hemoglobin blood test CPT 85018 HC Hemoglobin $3,023.80 — $2.37–$26.31 17542% above —
Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin $14.95 $23.00 $2.30–$26.31 — 35%
Hemoglobin blood test inpatient CPT 85018 HC POCT Hemoglobin Co Oximetry $14.95 $23.00 $2.30–$26.31 — 35%
Hemoglobin blood test inpatient CPT 85018 HC POCT Hemoglobin $14.95 $23.00 $2.30–$26.31 — 35%
Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin Body Fluid $14.95 $23.00 $2.30–$26.31 — 35%
Hemoglobin blood test inpatient CPT 85018 HC Quest 35489 Hemoglobin $14.95 $23.00 $2.30–$26.31 — 35%
Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Antibody Total $71.50 $110.00 $11.00–$146.45 15% below 35%
Hepatitis B core antibody test (total) CPT 86704 HC Quest Hepatitis B Core Antibody Total $71.50 $110.00 $11.00–$146.45 15% below 35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hepatitis B Core Antibody Total $71.50 $110.00 $11.00–$146.45 — 35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Quest Hepatitis B Core Antibody Total $71.50 $110.00 $11.00–$146.45 — 35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody $96.20 $148.00 $10.74–$140.60 31% above 35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Antibody $96.20 $148.00 $10.74–$140.60 — 35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn $44.20 $68.00 $6.80–$125.40 36% below 35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn $61.75 $95.00 $9.50–$125.40 11% below 35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Quest Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn $44.20 $68.00 $6.80–$125.40 — 35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn $61.75 $95.00 $9.50–$125.40 — 35%
Hepatitis C antibody blood test (screening) CPT 86803 HC Quest Hepatitis C Antibody $60.45 $93.00 $9.30–$172.75 39% below 35%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody $87.10 $134.00 $13.40–$172.75 12% below 35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Quest Hepatitis C Antibody $60.45 $93.00 $9.30–$172.75 — 35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody $87.10 $134.00 $13.40–$172.75 — 35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Infectious Agent Nucleic Acid Quantification Hepatitis C $253.50 $390.00 $39.00–$519.14 11% below 35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Quest Infectious Agent Nucleic Acid Quantification Hepatitis C $253.50 $390.00 $39.00–$519.14 11% below 35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Infectious Agent Nucleic Acid Quantification Hepatitis C $253.50 $390.00 $39.00–$519.14 — 35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Quest Infectious Agent Nucleic Acid Quantification Hepatitis C $253.50 $390.00 $39.00–$519.14 — 35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest 42832 Herpes Simplex Type 1 Antibody Igm $85.15 $131.00 $13.10–$199.94 6% above 35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest 42832 Herpes Simplex Type 1 Antibody Igg $85.15 $131.00 $13.10–$199.94 6% above 35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest 85428 Herpes Simplex Type 1 Antibody Igg CSF $85.15 $131.00 $13.10–$199.94 6% above 35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest 6447 Herpes Simplex Type 1 Antibody Igg $85.15 $131.00 $13.10–$199.94 6% above 35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest 17169 Herpes Simplex Type 1 Antibody Igg $85.15 $131.00 $13.10–$199.94 6% above 35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Type 1 Antibody Igm $85.15 $131.00 $13.10–$199.94 6% above 35%
Herpes blood test, HSV-1 antibody CPT 86695 HC Quest Herpes Simplex Type 1 Antibody Titer Igm $85.15 $131.00 $13.10–$199.94 6% above 35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest Herpes Simplex Type 1 Antibody Titer Igm $85.15 $131.00 $13.10–$199.94 — 35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest 42832 Herpes Simplex Type 1 Antibody Igm $85.15 $131.00 $13.10–$199.94 — 35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest 85428 Herpes Simplex Type 1 Antibody Igg CSF $85.15 $131.00 $13.10–$199.94 — 35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest 6447 Herpes Simplex Type 1 Antibody Igg $85.15 $131.00 $13.10–$199.94 — 35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest 42832 Herpes Simplex Type 1 Antibody Igg $85.15 $131.00 $13.10–$199.94 — 35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Type 1 Antibody Igm $85.15 $131.00 $13.10–$199.94 — 35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Quest 17169 Herpes Simplex Type 1 Antibody Igg $85.15 $131.00 $13.10–$199.94 — 35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest 17169 Herpes Simplex Type 2 Antibody Igg $85.15 $131.00 $13.10–$255.18 21% below 35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Type 2 Antibody Titer $115.05 $177.00 $17.70–$255.18 7% above 35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest 42832 Herpes Simplex Type 2 Antibody Igg $115.05 $177.00 $17.70–$255.18 7% above 35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest 42832 Herpes Simplex Type 2 Antibody Igm $115.05 $177.00 $17.70–$255.18 7% above 35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest 85428 Herpes Simplex Type 2 Antibody Igg CSF $115.05 $177.00 $17.70–$255.18 7% above 35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest Herpes Simplex Type 2 Antibody Titer Igm $115.05 $177.00 $17.70–$255.18 7% above 35%
Herpes blood test, HSV-2 antibody CPT 86696 HC Quest 6447 Herpes Simplex Type 2 Antibody Igg $115.05 $177.00 $17.70–$255.18 7% above 35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest 17169 Herpes Simplex Type 2 Antibody Igg $85.15 $131.00 $13.10–$255.18 — 35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest Herpes Simplex Type 2 Antibody Titer Igm $115.05 $177.00 $17.70–$255.18 — 35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Type 2 Antibody Titer $115.05 $177.00 $17.70–$255.18 — 35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest 6447 Herpes Simplex Type 2 Antibody Igg $115.05 $177.00 $17.70–$255.18 — 35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest 85428 Herpes Simplex Type 2 Antibody Igg CSF $115.05 $177.00 $17.70–$255.18 — 35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest 42832 Herpes Simplex Type 2 Antibody Igm $115.05 $177.00 $17.70–$255.18 — 35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Quest 42832 Herpes Simplex Type 2 Antibody Igg $115.05 $177.00 $17.70–$255.18 — 35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity $83.85 $129.00 $12.11–$156.88 7% above 35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity $83.85 $129.00 $12.11–$156.88 — 35%
Homocysteine blood test CPT 83090 HC Homocysteine Urine $193.70 $298.00 $17.92–$283.10 62% above 35%
Homocysteine blood test CPT 83090 HC Quest Homocysteine $260.00 $400.00 $17.92–$380.00 117% above 35%
Homocysteine blood test inpatient CPT 83090 HC Homocysteine Urine $193.70 $298.00 $17.92–$283.10 — 35%
Homocysteine blood test inpatient CPT 83090 HC Quest Homocysteine $260.00 $400.00 $17.92–$380.00 — 35%
Insulin blood test CPT 83525 HC Quest Insulin Total $55.90 $86.00 $8.60–$152.58 23% below 35%
Insulin blood test CPT 83525 HC Insulin Total $55.90 $86.00 $8.60–$152.58 23% below 35%
Insulin blood test inpatient CPT 83525 HC Quest Insulin Total $55.90 $86.00 $8.60–$152.58 — 35%
Insulin blood test inpatient CPT 83525 HC Insulin Total $55.90 $86.00 $8.60–$152.58 — 35%
Iron blood test (serum iron) CPT 83540 HC Mayo Iron Liver Tissue $27.30 $42.00 $4.20–$88.57 40% below 35%
Iron blood test (serum iron) CPT 83540 HC Iron $71.50 $110.00 $6.47–$104.50 57% above 35%
Iron blood test (serum iron) CPT 83540 HC Iron Liver Tissue $71.50 $110.00 $6.47–$104.50 57% above 35%
Iron blood test (serum iron) inpatient CPT 83540 HC Mayo Iron Liver Tissue $27.30 $42.00 $4.20–$88.57 — 35%
Iron blood test (serum iron) inpatient CPT 83540 HC Iron $71.50 $110.00 $6.47–$104.50 — 35%
Iron blood test (serum iron) inpatient CPT 83540 HC Iron Liver Tissue $71.50 $110.00 $6.47–$104.50 — 35%
Kidney function blood test panel CPT 80069 HC Renal Function Panel $37.05 $57.00 $5.70–$105.23 46% below 35%
Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel $37.05 $57.00 $5.70–$105.23 — 35%
LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone (Lh) $128.70 $198.00 $18.52–$258.69 8% above 35%
LH (luteinizing hormone) test CPT 83002 HC Quest Gonadotropin Luteinizing Hormone (Lh) $128.70 $198.00 $18.52–$258.69 8% above 35%
LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Luteinizing Hormone (Lh) $128.70 $198.00 $18.52–$258.69 — 35%
LH (luteinizing hormone) test inpatient CPT 83002 HC Quest Gonadotropin Luteinizing Hormone (Lh) $128.70 $198.00 $18.52–$258.69 — 35%
Lactate (lactic acid) blood test CPT 83605 HC POCT Lactic Acid Venous $63.70 $98.00 $9.20–$144.69 17% below 35%
Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid $63.70 $98.00 $9.20–$144.69 17% below 35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Lactic Acid $63.70 $98.00 $9.20–$144.69 — 35%
Lactate (lactic acid) blood test inpatient CPT 83605 HC POCT Lactic Acid Venous $63.70 $98.00 $9.20–$144.69 — 35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Quest 4411 Lactate Dehydrogenase (Ldh) $55.90 $86.00 $5.78–$81.70 52% above 35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase (Ldh) $55.90 $86.00 $5.78–$81.70 52% above 35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Quest Lactate Dehydrogenase (Ldh) Pleural Fluid $55.90 $86.00 $5.78–$81.70 52% above 35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase (Ldh) Body Fluid $55.90 $86.00 $5.78–$81.70 52% above 35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Quest Lactate Dehydrogenase (Ldh) CSF $55.90 $86.00 $5.78–$81.70 52% above 35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Quest Lactate Dehydrogenase (Ldh) CSF $55.90 $86.00 $5.78–$81.70 — 35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Quest Lactate Dehydrogenase (Ldh) Pleural Fluid $55.90 $86.00 $5.78–$81.70 — 35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase (Ldh) $55.90 $86.00 $5.78–$81.70 — 35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Quest 4411 Lactate Dehydrogenase (Ldh) $55.90 $86.00 $5.78–$81.70 — 35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase (Ldh) Body Fluid $55.90 $86.00 $5.78–$81.70 — 35%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase Body Fluid $72.15 $111.00 $5.75–$105.45 54% above 35%
Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase $72.15 $111.00 $5.75–$105.45 54% above 35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase Body Fluid $72.15 $111.00 $5.75–$105.45 — 35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase $72.15 $111.00 $5.75–$105.45 — 35%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel $144.30 $222.00 $8.17–$210.90 85% above 35%
Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel $144.30 $222.00 $8.17–$210.90 — 35%
Lyme disease antibody test CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific $102.70 $158.00 $15.80–$212.21 8% above 35%
Lyme disease antibody test CPT 86618 HC Quest Borrelia Burgdorferi (Lyme Disease) Antibody $207.35 $319.00 $17.03–$303.05 119% above 35%
Lyme disease antibody test inpatient CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific $102.70 $158.00 $15.80–$212.21 — 35%
Lyme disease antibody test inpatient CPT 86618 HC Quest Borrelia Burgdorferi (Lyme Disease) Antibody $207.35 $319.00 $17.03–$303.05 — 35%
Magnesium blood test CPT 83735 HC Magnesium $42.90 $66.00 $6.60–$92.08 3% above 35%
Magnesium blood test CPT 83735 HC Quest Magnesium RBC $42.90 $66.00 $6.60–$92.08 3% above 35%
Magnesium blood test CPT 83735 HC Quest 15565 Magnesium 24 Hour Urine $42.90 $66.00 $6.60–$92.08 3% above 35%
Magnesium blood test CPT 83735 HC Quest 14460 Magnesium Urine $42.90 $66.00 $6.60–$92.08 3% above 35%
Magnesium blood test CPT 83735 HC Quest 442 Magnesium 24 Hour Urine $42.90 $66.00 $6.60–$92.08 3% above 35%
Magnesium blood test CPT 83735 HC Magnesium Urine $42.90 $66.00 $6.60–$92.08 3% above 35%
Magnesium blood test inpatient CPT 83735 HC Quest 14460 Magnesium Urine $42.90 $66.00 $6.60–$92.08 — 35%
Magnesium blood test inpatient CPT 83735 HC Magnesium Urine $42.90 $66.00 $6.60–$92.08 — 35%
Magnesium blood test inpatient CPT 83735 HC Quest Magnesium RBC $42.90 $66.00 $6.60–$92.08 — 35%
Magnesium blood test inpatient CPT 83735 HC Quest 15565 Magnesium 24 Hour Urine $42.90 $66.00 $6.60–$92.08 — 35%
Magnesium blood test inpatient CPT 83735 HC Magnesium $42.90 $66.00 $6.60–$92.08 — 35%
Magnesium blood test inpatient CPT 83735 HC Quest 442 Magnesium 24 Hour Urine $42.90 $66.00 $6.60–$92.08 — 35%
Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody Igm $77.35 $119.00 $11.90–$113.12 4% below 35%
Measles (rubeola) antibody test CPT 86765 HC Quest Rubeola Antibody Igg $77.35 $119.00 $11.90–$113.12 4% below 35%
Measles (rubeola) antibody test CPT 86765 HC Quest Rubeola Antibody Igm $77.35 $119.00 $11.90–$113.12 4% below 35%
Measles (rubeola) antibody test inpatient CPT 86765 HC Quest Rubeola Antibody Igg $77.35 $119.00 $11.90–$113.12 — 35%
Measles (rubeola) antibody test inpatient CPT 86765 HC Quest Rubeola Antibody Igm $77.35 $119.00 $11.90–$113.12 — 35%
Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Antibody Igm $77.35 $119.00 $11.90–$113.12 — 35%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies Screening $61.75 $95.00 $5.18–$90.25 66% above 35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibodies Screening $61.75 $95.00 $5.18–$90.25 — 35%
Mumps immunity blood test CPT 86735 HC Quest Mumps Antibody Igg $80.60 $124.00 $12.40–$199.94 1% below 35%
Mumps immunity blood test CPT 86735 HC Mumps Antibody Igm $80.60 $124.00 $12.40–$199.94 1% below 35%
Mumps immunity blood test CPT 86735 HC Quest Mumps Antibody Igm $80.60 $124.00 $12.40–$199.94 1% below 35%
Mumps immunity blood test inpatient CPT 86735 HC Quest Mumps Antibody Igm $80.60 $124.00 $12.40–$199.94 — 35%
Mumps immunity blood test inpatient CPT 86735 HC Quest Mumps Antibody Igg $80.60 $124.00 $12.40–$199.94 — 35%
Mumps immunity blood test inpatient CPT 86735 HC Mumps Antibody Igm $80.60 $124.00 $12.40–$199.94 — 35%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Quest 31348 Prostate Specific Antigen Free $68.25 $105.00 $10.50–$222.74 40% below 35%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Prostate Specific Antigen Free $100.10 $154.00 $15.40–$222.74 12% below 35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Quest 31348 Prostate Specific Antigen Free $68.25 $105.00 $10.50–$222.74 — 35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Prostate Specific Antigen Free $100.10 $154.00 $15.40–$222.74 — 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Quest 31348 Prostate Specific Antigen Total $68.25 $105.00 $10.50–$228.88 38% below 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total $110.50 $170.00 $17.00–$228.88 1% above 35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Quest Prostate Specific Antigen Total $213.85 $329.00 $18.39–$312.55 95% above 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Quest 31348 Prostate Specific Antigen Total $68.25 $105.00 $10.50–$228.88 — 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total $110.50 $170.00 $17.00–$228.88 — 35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Quest Prostate Specific Antigen Total $213.85 $329.00 $18.39–$312.55 — 35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Quest Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review $112.45 $173.00 $17.30–$285.00 37% above 35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Quest 90933 Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review $112.45 $173.00 $17.30–$285.00 37% above 35%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Quest 91414 Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review $112.45 $173.00 $17.30–$285.00 37% above 35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Quest Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review $112.45 $173.00 $17.30–$285.00 — 35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Quest 91414 Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review $112.45 $173.00 $17.30–$285.00 — 35%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Quest 90933 Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review $112.45 $173.00 $17.30–$285.00 — 35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Quest 90931 Cytopathology Cervical/Vaginal Thin Layer Manual Screening $96.20 $148.00 $14.80–$285.00 57% above 35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Quest Cytopathology Cervical/Vaginal Thin Layer Manual Screening $96.20 $148.00 $14.80–$285.00 57% above 35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopathology Cervical/Vaginal Thin Layer Manual Screening $96.20 $148.00 $14.80–$285.00 57% above 35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytopathology Cervical/Vaginal Thin Layer Manual Screening $96.20 $148.00 $14.80–$285.00 — 35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Quest 90931 Cytopathology Cervical/Vaginal Thin Layer Manual Screening $96.20 $148.00 $14.80–$285.00 — 35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Quest Cytopathology Cervical/Vaginal Thin Layer Manual Screening $96.20 $148.00 $14.80–$285.00 — 35%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth) Intact $378.95 $583.00 $41.28–$563.86 73% above 35%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth) N Terminal $378.95 $583.00 $41.28–$563.86 73% above 35%
Parathyroid hormone (PTH) blood test CPT 83970 HC Quest 8837 Parathormone (Pth) C Terminal $378.95 $583.00 $41.28–$563.86 73% above 35%
Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth) Intact Intraoperative $378.95 $583.00 $41.28–$563.86 73% above 35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth) Intact $378.95 $583.00 $41.28–$563.86 — 35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Quest 8837 Parathormone (Pth) C Terminal $378.95 $583.00 $41.28–$563.86 — 35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth) N Terminal $378.95 $583.00 $41.28–$563.86 — 35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth) Intact Intraoperative $378.95 $583.00 $41.28–$563.86 — 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Quest 90271 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 2% above 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Quest 7079 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 2% above 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Quest 19790 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 2% above 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 2% above 35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Quest 19872 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 2% above 35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Quest 19872 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 — 35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 — 35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Quest 90271 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 — 35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Quest 19790 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 — 35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Quest 7079 Thromboplastin Time Partial (Ptt) $42.25 $65.00 $6.01–$82.43 — 35%
Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus Body Fluid $50.70 $78.00 $4.74–$74.10 56% above 35%
Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus $50.70 $78.00 $4.74–$74.10 56% above 35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Phosphorus $50.70 $78.00 $4.74–$74.10 — 35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Phosphorus Body Fluid $50.70 $78.00 $4.74–$74.10 — 35%
Potassium blood test CPT 84132 HC Potassium Serum/Plasma/Whole Blood $50.70 $78.00 $4.76–$74.10 59% above 35%
Potassium blood test CPT 84132 HC Potassium Serum/Plasma/Whole Blood $318.50 — $4.76–$24.48 899% above —
Potassium blood test inpatient CPT 84132 HC Potassium Serum/Plasma/Whole Blood $50.70 $78.00 $4.76–$74.10 — 35%
Progesterone blood test CPT 84144 HC Progesterone $109.85 $169.00 $16.90–$285.00 20% below 35%
Progesterone blood test CPT 84144 HC Quest Progesterone $109.85 $169.00 $16.90–$285.00 20% below 35%
Progesterone blood test inpatient CPT 84144 HC Quest Progesterone $109.85 $169.00 $16.90–$285.00 — 35%
Progesterone blood test inpatient CPT 84144 HC Progesterone $109.85 $169.00 $16.90–$285.00 — 35%
Prolactin blood test CPT 84146 HC Quest 40049 Prolactin Diluted $170.95 $263.00 $19.38–$264.83 37% above 35%
Prolactin blood test CPT 84146 HC Quest 40049 Prolactin Undiluted $170.95 $263.00 $19.38–$264.83 37% above 35%
Prolactin blood test CPT 84146 HC Prolactin $170.95 $263.00 $19.38–$264.83 37% above 35%
Prolactin blood test CPT 84146 HC Quest Prolactin $170.95 $263.00 $19.38–$264.83 37% above 35%
Prolactin blood test inpatient CPT 84146 HC Prolactin $170.95 $263.00 $19.38–$264.83 — 35%
Prolactin blood test inpatient CPT 84146 HC Quest Prolactin $170.95 $263.00 $19.38–$264.83 — 35%
Prolactin blood test inpatient CPT 84146 HC Quest 40049 Prolactin Undiluted $170.95 $263.00 $19.38–$264.83 — 35%
Prolactin blood test inpatient CPT 84146 HC Quest 40049 Prolactin Diluted $170.95 $263.00 $19.38–$264.83 — 35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time $26.00 $40.00 $4.00–$49.11 9% below 35%
Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Prothrombin Time $26.00 $40.00 $4.00–$49.11 9% below 35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Prothrombin Time $26.00 $40.00 $4.00–$49.11 — 35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time $26.00 $40.00 $4.00–$49.11 — 35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A $91.65 $141.00 $7.25–$133.95 45% above 35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A $91.65 $141.00 $7.25–$133.95 — 35%
Renin blood test CPT 84244 HC Renin $130.00 $200.00 $13.80–$299.91 10% below 35%
Renin blood test CPT 84244 HC Quest Renin $146.25 $225.00 $13.80–$299.91 1% above 35%
Renin blood test CPT 84244 HC Quest 16845 Renin $146.25 $225.00 $13.80–$299.91 1% above 35%
Renin blood test inpatient CPT 84244 HC Renin $130.00 $200.00 $13.80–$299.91 — 35%
Renin blood test inpatient CPT 84244 HC Quest Renin $146.25 $225.00 $13.80–$299.91 — 35%
Renin blood test inpatient CPT 84244 HC Quest 16845 Renin $146.25 $225.00 $13.80–$299.91 — 35%
Rh blood typing CPT 86901 HC Blood Typing Rh (D) $98.80 $152.00 $4.80–$144.40 73% above 35%
Rh blood typing CPT 86901 HC Blood Typing Rh (D) Reference $98.80 $152.00 $4.80–$144.40 73% above 35%
Rh blood typing inpatient CPT 86901 HC Blood Typing Rh (D) $98.80 $152.00 $4.80–$144.40 — 35%
Rh blood typing inpatient CPT 86901 HC Blood Typing Rh (D) Reference $98.80 $152.00 $4.80–$144.40 — 35%
Rheumatoid factor (RF) test CPT 86431 HC Quest 37521 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 26% above 35%
Rheumatoid factor (RF) test CPT 86431 HC Quest 10716 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 26% above 35%
Rheumatoid factor (RF) test CPT 86431 HC Quest Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 26% above 35%
Rheumatoid factor (RF) test CPT 86431 HC Quest 91472 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 26% above 35%
Rheumatoid factor (RF) test CPT 86431 HC Quest 17669 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 26% above 35%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 26% above 35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Quest 91472 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 — 35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Quest Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 — 35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Quest 10716 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 — 35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 — 35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Quest 17669 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 — 35%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Quest 37521 Rheumatoid Factor Quantitative $49.40 $76.00 $5.67–$76.29 — 35%
Rubella antibody test (immunity check) CPT 86762 HC Quest Rubella Antibody Igm $86.45 $133.00 $13.30–$191.17 2% above 35%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Igm $86.45 $133.00 $13.30–$191.17 2% above 35%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Igg $136.50 $210.00 $14.39–$199.50 62% above 35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Quest Rubella Antibody Igm $86.45 $133.00 $13.30–$191.17 — 35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody Igm $86.45 $133.00 $13.30–$191.17 — 35%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody Igg $136.50 $210.00 $14.39–$199.50 — 35%
Sodium blood test CPT 84295 HC Sodium Serum/Plasma/Whole Blood $50.70 $78.00 $4.81–$74.10 56% above 35%
Sodium blood test inpatient CPT 84295 HC Sodium Serum/Plasma/Whole Blood $50.70 $78.00 $4.81–$74.10 — 35%
Stool ova and parasites exam CPT 87177 HC Quest 681 Ova & Parasites Direct Smear Concentration and ID $76.70 $118.00 $8.63–$119.26 31% above 35%
Stool ova and parasites exam CPT 87177 HC Ova & Parasites Direct Smear Concentration and ID $76.70 $118.00 $8.63–$119.26 31% above 35%
Stool ova and parasites exam inpatient CPT 87177 HC Ova & Parasites Direct Smear Concentration and ID $76.70 $118.00 $8.63–$119.26 — 35%
Stool ova and parasites exam inpatient CPT 87177 HC Quest 681 Ova & Parasites Direct Smear Concentration and ID $76.70 $118.00 $8.63–$119.26 — 35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Feces Colorectal Neoplasm Screening Qualitative $18.20 $28.00 $2.80–$26.60 11% below 35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Feces Colorectal Neoplasm Screening Qualitative $18.20 $28.00 $2.80–$26.60 — 35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Quest Blood Occult Fecal Hemoglobin Immunoassay Qual 1-3 Simultaneous Determinations Screening $67.60 $104.00 $3.22–$199.94 88% above 35%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Quest Blood Occult Fecal Hemoglobin Immunoassay Qual 1-3 Simultaneous Determinations Screening $67.60 $104.00 $3.22–$199.94 — 35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponema Pallidum Antibody $79.30 $122.00 $12.20–$115.90 6% above 35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC External Treponema Pallidum Antibody $79.30 $122.00 $12.20–$115.90 6% above 35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Quest Treponema Pallidum Antibody $79.30 $122.00 $12.20–$115.90 6% above 35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Quest Treponema Pallidum Antibody CSF $79.30 $122.00 $12.20–$115.90 6% above 35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Quest Treponema Pallidum Antibody CSF $79.30 $122.00 $12.20–$115.90 — 35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC External Treponema Pallidum Antibody $79.30 $122.00 $12.20–$115.90 — 35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Quest Treponema Pallidum Antibody $79.30 $122.00 $12.20–$115.90 — 35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Treponema Pallidum Antibody $79.30 $122.00 $12.20–$115.90 — 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Warde Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF $26.00 $40.00 $4.00–$58.75 7% below 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Rpr $26.00 $40.00 $4.00–$58.75 7% below 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF $26.00 $40.00 $4.00–$58.75 7% below 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF $26.00 $40.00 $4.00–$58.75 7% below 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr $26.00 $40.00 $4.00–$58.75 7% below 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl $26.00 $40.00 $4.00–$58.75 7% below 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF $26.00 $40.00 $4.00–$58.75 — 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Warde Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF $26.00 $40.00 $4.00–$58.75 — 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr $26.00 $40.00 $4.00–$58.75 — 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Vdrl $26.00 $40.00 $4.00–$58.75 — 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Quest Syphilis Test Non-Treponemal Antibody Qualitative Rpr $26.00 $40.00 $4.00–$58.75 — 35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Vdrl CSF $26.00 $40.00 $4.00–$58.75 — 35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quest TB Test Cell Mediated Immunity Antigen Response Gamma Interferon 1t $292.50 $450.00 $45.00–$833.07 6% below 35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quest TB Test Cell Mediated Immunity Antigen Response Gamma Interferon 4t $292.50 $450.00 $45.00–$833.07 6% below 35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test Cell Mediated Immunity Antigen Response Gamma Interferon $292.50 $450.00 $45.00–$833.07 6% below 35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Test Cell Mediated Immunity Antigen Response Gamma Interferon $292.50 $450.00 $45.00–$833.07 — 35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Quest TB Test Cell Mediated Immunity Antigen Response Gamma Interferon 4t $292.50 $450.00 $45.00–$833.07 — 35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Quest TB Test Cell Mediated Immunity Antigen Response Gamma Interferon 1t $292.50 $450.00 $45.00–$833.07 — 35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Quest 14966 Testosterone Total $122.20 $188.00 $18.80–$352.52 25% below 35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone Total $122.20 $188.00 $18.80–$352.52 25% below 35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Quest 36170 Testosterone Total $122.20 $188.00 $18.80–$352.52 25% below 35%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Quest Testosterone Total $122.20 $188.00 $18.80–$352.52 25% below 35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Quest 14966 Testosterone Total $122.20 $188.00 $18.80–$352.52 — 35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Quest 36170 Testosterone Total $122.20 $188.00 $18.80–$352.52 — 35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Quest Testosterone Total $122.20 $188.00 $18.80–$352.52 — 35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone Total $122.20 $188.00 $18.80–$352.52 — 35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest 10716 Microsomal Antibody Thyroid Peroxidase (Tpo) $139.75 $215.00 $9.10–$204.25 86% above 35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Thyroid $139.75 $215.00 $9.10–$204.25 86% above 35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest Microsomal Antibody Liver-Kidney $139.75 $215.00 $9.10–$204.25 86% above 35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest Microsomal Antibody Thyroid Peroxidase (Tpo) $139.75 $215.00 $9.10–$204.25 86% above 35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest 36378 Microsomal Antibodies Each $139.75 $215.00 $9.10–$204.25 86% above 35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Quest 7260 Microsomal Antibody Thyroid Peroxidase (Tpo) $139.75 $215.00 $9.10–$204.25 86% above 35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest 10716 Microsomal Antibody Thyroid Peroxidase (Tpo) $139.75 $215.00 $9.10–$204.25 — 35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest Microsomal Antibody Liver-Kidney $139.75 $215.00 $9.10–$204.25 — 35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody Thyroid $139.75 $215.00 $9.10–$204.25 — 35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest Microsomal Antibody Thyroid Peroxidase (Tpo) $139.75 $215.00 $9.10–$204.25 — 35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest 7260 Microsomal Antibody Thyroid Peroxidase (Tpo) $139.75 $215.00 $9.10–$204.25 — 35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Quest 36378 Microsomal Antibodies Each $139.75 $215.00 $9.10–$204.25 — 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Quest Thyroid Stimulating Hormone $137.15 $211.00 $16.80–$229.75 37% above 35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone $137.15 $211.00 $16.80–$229.75 37% above 35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Quest Thyroid Stimulating Hormone $137.15 $211.00 $16.80–$229.75 — 35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone $137.15 $211.00 $16.80–$229.75 — 35%
Total IgE blood test CPT 82785 HC Quest 10643 Gammaglobulin Ige $138.45 $213.00 $16.46–$222.74 33% above 35%
Total IgE blood test CPT 82785 HC Gammaglobulin Ige $138.45 $213.00 $16.46–$222.74 33% above 35%
Total IgE blood test CPT 82785 HC Quest Gammaglobulin Ige $138.45 $213.00 $16.46–$222.74 33% above 35%
Total IgE blood test inpatient CPT 82785 HC Quest 10643 Gammaglobulin Ige $138.45 $213.00 $16.46–$222.74 — 35%
Total IgE blood test inpatient CPT 82785 HC Gammaglobulin Ige $138.45 $213.00 $16.46–$222.74 — 35%
Total IgE blood test inpatient CPT 82785 HC Quest Gammaglobulin Ige $138.45 $213.00 $16.46–$222.74 — 35%
Total cholesterol blood test CPT 82465 HC Cholesterol $32.50 $50.00 $4.35–$47.50 7% above 35%
Total cholesterol blood test inpatient CPT 82465 HC Cholesterol $32.50 $50.00 $4.35–$47.50 — 35%
Total thyroxine (T4) blood test CPT 84436 HC Quest 7020 T4 (Thyroxine) Total $68.25 $105.00 $6.87–$99.75 51% above 35%
Total thyroxine (T4) blood test CPT 84436 HC T4 (Thyroxine) Total $131.30 $202.00 $6.87–$191.90 191% above 35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC Quest 7020 T4 (Thyroxine) Total $68.25 $105.00 $6.87–$99.75 — 35%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 (Thyroxine) Total $131.30 $202.00 $6.87–$191.90 — 35%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 (Triiodothyronine) Total $105.30 $162.00 $9.20–$188.54 9% above 35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 (Triiodothyronine) Total $105.30 $162.00 $9.20–$188.54 — 35%
Transferrin blood test CPT 84466 HC Transferrin $83.20 $128.00 $12.76–$192.92 3% below 35%
Transferrin blood test inpatient CPT 84466 HC Transferrin $83.20 $128.00 $12.76–$192.92 — 35%
Trichomonas test (NAAT) CPT 87661 HC Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 10% below 35%
Trichomonas test (NAAT) CPT 87661 HC Quest Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 10% below 35%
Trichomonas test (NAAT) CPT 87661 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 10% below 35%
Trichomonas test (NAAT) CPT 87661 HC Quest 10119 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 10% below 35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest 10120 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 — 35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 — 35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 — 35%
Trichomonas test (NAAT) inpatient CPT 87661 HC Quest 10119 Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis $165.10 $254.00 $25.40–$241.30 — 35%
Triglycerides blood test CPT 84478 HC Triglycerides $42.90 $66.00 $5.74–$62.70 8% above 35%
Triglycerides blood test CPT 84478 HC Triglycerides Body Fluid $42.90 $66.00 $5.74–$62.70 8% above 35%
Triglycerides blood test inpatient CPT 84478 HC Triglycerides Body Fluid $42.90 $66.00 $5.74–$62.70 — 35%
Triglycerides blood test inpatient CPT 84478 HC Triglycerides $42.90 $66.00 $5.74–$62.70 — 35%
Troponin test, quantitative CPT 84484 HC Quest Troponin Quantitative $109.85 $169.00 $11.35–$160.55 34% above 35%
Troponin test, quantitative CPT 84484 HC Troponin Quantitative $109.85 $169.00 $11.35–$160.55 34% above 35%
Troponin test, quantitative CPT 84484 HC Troponin Quantitative $22,042.24 — $11.35–$9,538.08 26689% above —
Troponin test, quantitative inpatient CPT 84484 HC Troponin Quantitative $109.85 $169.00 $11.35–$160.55 — 35%
Troponin test, quantitative inpatient CPT 84484 HC Quest Troponin Quantitative $109.85 $169.00 $11.35–$160.55 — 35%
Uric acid blood test CPT 84550 HC Uric Acid Blood $50.70 $78.00 $4.52–$74.10 60% above 35%
Uric acid blood test inpatient CPT 84550 HC Uric Acid Blood $50.70 $78.00 $4.52–$74.10 — 35%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated $48.10 $74.00 $3.17–$70.30 46% above 35%
Urinalysis with microscope exam, automated CPT 81001 HC Quest Urinalysis With Microscopy Automated $48.10 $74.00 $3.17–$70.30 46% above 35%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated $256.10 — $3.17–$38.58 677% above —
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Quest Urinalysis With Microscopy Automated $48.10 $74.00 $3.17–$70.30 — 35%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy Automated $48.10 $74.00 $3.17–$70.30 — 35%
Urinalysis without microscope exam, automated CPT 81003 HC POCT Urinalysis Without Microscopy Automated $17.55 $27.00 $2.25–$29.82 2% below 35%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated $17.55 $27.00 $2.25–$29.82 2% below 35%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated $137.80 — $3.57–$171.97 672% above —
Urinalysis without microscope exam, automated inpatient CPT 81003 HC POCT Urinalysis Without Microscopy Automated $17.55 $27.00 $2.25–$29.82 — 35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Without Microscopy Automated $17.55 $27.00 $2.25–$29.82 — 35%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Without Microscopy Nonautomated $9.75 $15.00 $1.50–$43.85 54% below 35%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Without Microscopy Nonautomated $9.75 $15.00 $1.50–$43.85 — 35%
Urine culture for bacteria, with colony count CPT 87086 HC Culture Colony Count Urine $109.20 $168.00 $8.07–$159.60 93% above 35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture Colony Count Urine $109.20 $168.00 $8.07–$159.60 — 35%
Urine microalbumin (albumin) test CPT 82043 HC Quest Microalbumin 24 Hour Urine Quantitative $37.05 $57.00 $5.70–$78.92 6% below 35%
Urine microalbumin (albumin) test CPT 82043 HC Quest 6517 Microalbumin Urine Quantitative $37.05 $57.00 $5.70–$78.92 6% below 35%
Urine microalbumin (albumin) test CPT 82043 HC Quest Albumin 24 Hour Urine Quantitative $37.05 $57.00 $5.70–$78.92 6% below 35%
Urine microalbumin (albumin) test CPT 82043 HC Albumin (Microalbumin) Urine Timed Quantitative $37.05 $57.00 $5.70–$78.92 6% below 35%
Urine microalbumin (albumin) test CPT 82043 HC Albumin (Microalbumin) Urine Quantitative $37.05 $57.00 $5.70–$78.92 6% below 35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Albumin (Microalbumin) Urine Quantitative $37.05 $57.00 $5.70–$78.92 — 35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Quest Albumin 24 Hour Urine Quantitative $37.05 $57.00 $5.70–$78.92 — 35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Quest 6517 Microalbumin Urine Quantitative $37.05 $57.00 $5.70–$78.92 — 35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Quest Microalbumin 24 Hour Urine Quantitative $37.05 $57.00 $5.70–$78.92 — 35%
Urine microalbumin (albumin) test inpatient CPT 82043 HC Albumin (Microalbumin) Urine Timed Quantitative $37.05 $57.00 $5.70–$78.92 — 35%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test $150.80 $232.00 $4.60–$220.40 309% above 35%
Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test $150.80 $232.00 $4.60–$220.40 — 35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Quest Vitamin B-12 $63.70 $98.00 $9.80–$206.08 32% below 35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 $109.20 $168.00 $14.95–$206.08 16% above 35%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Quest 7065 Vitamin B-12 $109.20 $168.00 $14.95–$206.08 16% above 35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Quest Vitamin B-12 $63.70 $98.00 $9.80–$206.08 — 35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12 $109.20 $168.00 $14.95–$206.08 — 35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Quest 7065 Vitamin B-12 $109.20 $168.00 $14.95–$206.08 — 35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Quest Vitamin D 25-Hydroxy D2/D3 $310.05 $477.00 $29.60–$453.15 108% above 35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25-Hydroxy $310.05 $477.00 $29.60–$453.15 108% above 35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Quest Vitamin D 25-Hydroxy D2/D3 $310.05 $477.00 $29.60–$453.15 — 35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D 25-Hydroxy $310.05 $477.00 $29.60–$453.15 — 35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Quest Vitamin D (1 25 Dihydroxy) $356.85 $549.00 $38.50–$521.55 49% above 35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Vitamin D (1 25 Dihydroxy) $356.85 $549.00 $38.50–$521.55 49% above 35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Quest Vitamin D (1 25 Dihydroxy) $356.85 $549.00 $38.50–$521.55 — 35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Vitamin D (1 25 Dihydroxy) $356.85 $549.00 $38.50–$521.55 — 35%
Zinc blood test CPT 84630 HC Quest Zinc $55.90 $86.00 $8.60–$156.97 23% below 35%
Zinc blood test CPT 84630 HC Quest Zinc RBC $55.90 $86.00 $8.60–$156.97 23% below 35%
Zinc blood test CPT 84630 HC Zinc $55.90 $86.00 $8.60–$156.97 23% below 35%
Zinc blood test inpatient CPT 84630 HC Quest Zinc RBC $55.90 $86.00 $8.60–$156.97 — 35%
Zinc blood test inpatient CPT 84630 HC Zinc $55.90 $86.00 $8.60–$156.97 — 35%
Zinc blood test inpatient CPT 84630 HC Quest Zinc $55.90 $86.00 $8.60–$156.97 — 35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Quest 30294 Hcg Quantitative $106.60 $164.00 $15.05–$166.61 19% above 35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Quest 15934 Hcg Quantitative $106.60 $164.00 $15.05–$166.61 19% above 35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative Tumor Marker $106.60 $164.00 $15.05–$166.61 19% above 35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative $106.60 $164.00 $15.05–$166.61 19% above 35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative $106.60 $164.00 $15.05–$166.61 — 35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Quest 15934 Hcg Quantitative $106.60 $164.00 $15.05–$166.61 — 35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Quest 30294 Hcg Quantitative $106.60 $164.00 $15.05–$166.61 — 35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative Tumor Marker $106.60 $164.00 $15.05–$166.61 — 35%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Bl $2,875.60 $4,424.00 $170.55–$8,467.42 26% below 35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt $1,916.85 $2,949.00 $170.55–$8,467.42 51% below 35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt $1,916.85 $2,949.00 $170.55–$8,467.42 51% below 35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt $3,109.85 — $170.55–$5,869.96 21% below —
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Bl $2,875.60 $4,424.00 $170.55–$8,467.42 — 35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt $1,916.85 $2,949.00 $170.55–$8,467.42 — 35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt $1,916.85 $2,949.00 $170.55–$8,467.42 — 35%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Coronary Angio/Lv Gram/Lt Heart $7,099.95 $10,923.00 $1,125.20–$10,376.85 19% below 35%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Coronary Angio/Lv Gram/Lt Heart $11,909.65 — $1,125.20–$10,307.20 35% above —
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC Coronary Angio/Lv Gram/Lt Heart $7,099.95 $10,923.00 $1,125.20–$10,376.85 — 35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External $683.80 $1,052.00 $136.76–$1,282.56 53% below 35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External $3,816.41 — $100.05–$5,714.00 161% above —
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External $683.80 $1,052.00 $136.76–$1,282.56 — 35%
Carpal tunnel release, open surgery one side CPT 64721 HC Neuroplasty Median Nerve Carpal Rt $9,968.07 — $345.00–$5,692.31 137% above —
Catheter ablation for atrial fibrillation CPT 93656 HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation $15,346.50 $23,610.00 $3,069.30–$50,720.49 50% below 35%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Evaluation Electrophysiologic Comprehensive Transeptal Atrial Fibrillation $15,346.50 $23,610.00 $3,069.30–$50,720.49 — 35%
Cervical biopsy CPT 57500 HC Biopsy Cervix $38,007.23 — $76.04–$21,616.45 1395% above —
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Regional Block Reduced $4,093.05 $6,297.00 $90.85–$6,093.59 236% above 35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision W/Regional Block $4,093.05 $6,297.00 $90.85–$6,093.59 236% above 35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Regional Block Reduced $4,093.05 $6,297.00 $90.85–$6,093.59 — 35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision W/Regional Block $4,093.05 $6,297.00 $90.85–$6,093.59 — 35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Colposcopy Loop Biopsy Cervix $11,724.27 — $172.27–$9,436.42 109% above —
Coronary stent placement, one artery CPT 92928 HC Placement Transcath Perc Stent(S) I-Cor W/Angio When Performed Sgl Cor Art/Br 1 Les 1+ Cor Segm $17,509.70 $26,938.00 $1,125.20–$33,652.01 14% below 35%
Coronary stent placement, one artery inpatient CPT 92928 HC Placement Transcath Perc Stent(S) I-Cor W/Angio When Performed Sgl Cor Art/Br 1 Les 1+ Cor Segm $17,509.70 $26,938.00 $1,125.20–$33,652.01 — 35%
Cystoscopy with ureteral stent placement CPT 52332 HC Cystourethroscopy W/Insertion of Indwelling Ureteral Stent Bl $11,642.80 $17,912.00 $165.28–$17,016.40 144% above 35%
Cystoscopy with ureteral stent placement CPT 52332 PR Cystourethroscopy With Insertion Indwelling Ureteral Stent $13,278.58 — $165.28–$10,275.53 179% above —
Cystoscopy with ureteral stent placement one side CPT 52332 HC Cystourethroscopy W/Insertion of Indwelling Ureteral Stent Lt $7,761.65 $11,941.00 $165.28–$11,343.95 63% above 35%
Cystoscopy with ureteral stent placement one side CPT 52332 HC Cystourethroscopy W/Insertion of Indwelling Ureteral Stent Rt $7,761.65 $11,941.00 $165.28–$11,343.95 63% above 35%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC Cystourethroscopy W/Insertion of Indwelling Ureteral Stent Bl $11,642.80 $17,912.00 $165.28–$17,016.40 — 35%
Cystoscopy with ureteral stent placement inpatient one side CPT 52332 HC Cystourethroscopy W/Insertion of Indwelling Ureteral Stent Lt $7,761.65 $11,941.00 $165.28–$11,343.95 — 35%
Cystoscopy with ureteral stent placement inpatient one side CPT 52332 HC Cystourethroscopy W/Insertion of Indwelling Ureteral Stent Rt $7,761.65 $11,941.00 $165.28–$11,343.95 — 35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy $1,609.40 $2,476.00 $86.25–$4,110.00 5% below 35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy $10,051.87 — $86.25–$4,110.00 495% above —
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy $1,609.40 $2,476.00 $86.25–$4,110.00 — 35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation & Curettage Dx and/or Therapeutic Nonobstetric $24,171.91 — $39.10–$14,582.45 310% above —
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Removal Ceremun Impacted Irrigation Bl $365.95 $563.00 $11.04–$3,742.00 162% above 35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Ceremun Impacted Irrigation Lt $243.75 $375.00 $11.04–$3,742.00 74% above 35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Ceremun Impacted Irrigation Rt $243.75 $375.00 $11.04–$3,742.00 74% above 35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Removal Ceremun Impacted Irrigation Bl $365.95 $563.00 $11.04–$3,742.00 — 35%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Ceremun Impacted Irrigation Rt $243.75 $375.00 $11.04–$3,742.00 — 35%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC Removal Ceremun Impacted Irrigation Lt $243.75 $375.00 $11.04–$3,742.00 — 35%
Earwax removal with instruments, one ear CPT 69210 HC Removal Cerumen Impacted Bl $8,966.00 — $23.00–$9,664.76 6586% above —
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Injection(S) Epidural/Subarachnoid Cervical/Thoracic Needle Placement W/Guidance $1,634.75 $2,515.00 $102.58–$3,782.00 32% below 35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Injection(S) Epidural/Subarachnoid Cervical/Thoracic Needle Placement W/Guidance $1,634.75 $2,515.00 $102.58–$3,782.00 — 35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level $2,087.80 $3,212.00 $82.81–$3,782.00 45% above 35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl $3,131.70 $4,818.00 $82.81–$4,577.10 117% above 35%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt $2,087.80 $3,212.00 $82.81–$3,782.00 45% above 35%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt $2,087.80 $3,212.00 $82.81–$3,782.00 45% above 35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level $2,087.80 $3,212.00 $82.81–$3,782.00 — 35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl $3,131.70 $4,818.00 $82.81–$4,577.10 — 35%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt $2,087.80 $3,212.00 $82.81–$3,782.00 — 35%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt $2,087.80 $3,212.00 $82.81–$3,782.00 — 35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC Sigmoidoscopy Flexible Diagnostic W/Collection of Specimen(S) by Brushing/Washing $2,599.71 — $1,002.55–$3,782.00 124% above —
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $276.90 $426.00 $59.80–$7,033.00 28% below 35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Catheterization/Introduction Saline/Contrast Material Sis/Hysterosalpingogram $276.90 $426.00 $59.80–$7,033.00 — 35%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC Hysteroscopy W/Biopsy Endometrium and/or Polypectomy W/O and/or W/D&C $15,329.00 — $274.59–$9,436.42 190% above —
IUD insertion (the device itself billed separately) CPT 58300 HC Insertion Intrauterine Device $23,000.89 — $19.84–$9,436.42 7358% above —
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single $378.95 $583.00 $27.03–$3,742.00 26% below 35%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single $8,609.36 — $27.03–$3,742.00 1586% above —
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage Abscess Simple/Single $378.95 $583.00 $27.03–$3,742.00 — 35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Bl $1,268.80 $1,952.00 $36.80–$3,782.00 123% above 35%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Rt $845.65 $1,301.00 $36.80–$3,782.00 48% above 35%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt $845.65 $1,301.00 $36.80–$3,782.00 48% above 35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Bl $1,268.80 $1,952.00 $36.80–$3,782.00 — 35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Rt $845.65 $1,301.00 $36.80–$3,782.00 — 35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 HC Injection(S) Tendon Sheath/Ligament Aponeurosis Single Lt $845.65 $1,301.00 $36.80–$3,782.00 — 35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl $1,201.20 $1,848.00 $27.03–$3,782.00 157% above 35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $800.80 $1,232.00 $27.03–$3,782.00 71% above 35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt $800.80 $1,232.00 $27.03–$3,782.00 71% above 35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $1,488.43 — $27.03–$3,782.00 218% above —
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl $1,201.20 $1,848.00 $27.03–$3,782.00 — 35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt $800.80 $1,232.00 $27.03–$3,782.00 — 35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt $800.80 $1,232.00 $27.03–$3,782.00 — 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance $696.80 $1,072.00 $24.73–$3,782.00 97% above 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Bl $1,045.20 $1,608.00 $24.73–$3,782.00 195% above 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt $696.80 $1,072.00 $24.73–$3,782.00 97% above 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt $696.80 $1,072.00 $24.73–$3,782.00 97% above 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt $11,974.10 — $24.73–$5,869.96 3284% above —
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance $696.80 $1,072.00 $24.73–$3,782.00 — 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Bl $1,045.20 $1,608.00 $24.73–$3,782.00 — 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Lt $696.80 $1,072.00 $24.73–$3,782.00 — 35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC Arthrocentesis/Aspiration/Injection Intermediate Joint/Bursa W/O Ultrasound Guidance Rt $696.80 $1,072.00 $24.73–$3,782.00 — 35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance $760.50 $1,170.00 $20.70–$3,782.00 85% above 35%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Lt $760.50 $1,170.00 $20.70–$3,782.00 85% above 35%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Rt $760.50 $1,170.00 $20.70–$3,782.00 85% above 35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance $760.50 $1,170.00 $20.70–$3,782.00 — 35%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Lt $760.50 $1,170.00 $20.70–$3,782.00 — 35%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC Arthrocentesis/Aspiration/Injection Small Joint/Bursa W/O Ultrasound Guidance Rt $760.50 $1,170.00 $20.70–$3,782.00 — 35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Repair Intermediate Wounds Scalp/Axillae/Trunk/Extremities <= 2.5 Cm $11,402.30 — $28.18–$3,742.00 1845% above —
Left heart catheterization, diagnostic one side CPT 93452 HC Cath Lt Heart/Lv Gram $6,454.50 $9,930.00 $1,125.20–$10,307.20 1% below 35%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Cath Lt Heart/Lv Gram $6,454.50 $9,930.00 $1,125.20–$10,307.20 — 35%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance $1,634.75 $2,515.00 $93.52–$3,782.00 22% below 35%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance $2,335.03 — $93.52–$3,782.00 11% above —
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance $1,634.75 $2,515.00 $93.52–$3,782.00 — 35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl $3,131.70 $4,818.00 $109.30–$4,577.10 63% above 35%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt $2,087.80 $3,212.00 $109.30–$3,782.00 9% above 35%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt $2,087.80 $3,212.00 $109.30–$3,782.00 9% above 35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl $3,131.70 $4,818.00 $109.30–$4,577.10 — 35%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt $2,087.80 $3,212.00 $109.30–$3,782.00 — 35%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt $2,087.80 $3,212.00 $109.30–$3,782.00 — 35%
Miscarriage treatment with D&C, first trimester CPT 59820 HC Treatment Missed Abortion Completed Surgically 1st Trimester $10,484.79 — $223.10–$9,436.42 94% above —
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Excision Benign Lesion Trunk/Arms/Legs <= 0.5 Cm $11,402.30 — $43.13–$3,782.00 755% above —
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Excision Benign Lesion Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 0.5 Cm $10,971.56 — $62.68–$3,782.00 521% above —
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate $276.90 $426.00 $29.61–$3,742.00 41% below 35%
Nail removal (partial or complete), one nail CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate $7,735.71 — $29.61–$3,742.00 1542% above —
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion Nail Plate Partial/Complete Simple Single Nail Plate $276.90 $426.00 $29.61–$3,742.00 — 35%
Occipital nerve block (injection for headaches) CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl $1,236.30 $1,902.00 $40.25–$3,782.00 119% above 35%
Occipital nerve block (injection for headaches) one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt $824.20 $1,268.00 $40.25–$3,782.00 46% above 35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl $1,236.30 $1,902.00 $40.25–$3,782.00 — 35%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt $824.20 $1,268.00 $40.25–$3,782.00 — 35%
Pacemaker implant (dual chamber) CPT 33208 HC Insertion of New/Replacement Ppm W/Transvenous Electrode(S) Atrial & Ventricular $7,176.65 $11,041.00 $532.53–$30,468.20 44% below 35%
Pacemaker implant (dual chamber) CPT 33208 HC Insertion of New/Replacement Ppm W/Transvenous Electrode(S) Atrial & Ventricular $27,979.54 — $532.53–$30,468.20 120% above —
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insertion of New/Replacement Ppm W/Transvenous Electrode(S) Atrial & Ventricular $7,176.65 $11,041.00 $532.53–$30,468.20 — 35%
Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Image Guidance $1,279.20 $1,968.00 $96.98–$4,966.89 24% below 35%
Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Image Guidance $1,632.07 — $96.98–$4,966.89 3% below —
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdominal Paracentesis W/Image Guidance $1,279.20 $1,968.00 $96.98–$4,966.89 — 35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision Nail/Nail Matrix Partial/Complete Permanent Removal $6,778.84 — $115.00–$3,782.00 713% above —
Prostate biopsy CPT 55700 HC Biopsy Prostate Needle/Punch Single/Multiple Any Approach $12,005.31 — $102.93–$10,275.53 213% above —
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl $5,249.40 $8,076.00 $206.24–$7,672.20 76% above 35%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Lt $3,499.60 $5,384.00 $206.24–$6,382.00 17% above 35%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Rt $3,499.60 $5,384.00 $206.24–$6,382.00 17% above 35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Bl $5,249.40 $8,076.00 $206.24–$7,672.20 — 35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Rt $3,499.60 $5,384.00 $206.24–$6,382.00 — 35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Lt $3,499.60 $5,384.00 $206.24–$6,382.00 — 35%
Removal of a breast lump, open surgery one side CPT 19120 HC Excision Cyst/Fibroadenoma/Other Benign/Malignant Tumor Open Male/Female >= 1 Lesion Lt $12,209.53 — $198.95–$11,413.73 35% above —
Removal of a foreign object under the skin, simple CPT 10120 HC Incision & Drainage Foreign Body Subcutaneous Tissues Simple $2,333.01 — $35.08–$3,742.00 329% above —
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC Lithotripsy Eswl Bl $9,332.05 $14,357.00 $286.93–$13,639.15 40% above 35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Lithotripsy Eswl Rt $6,221.15 $9,571.00 $286.93–$12,884.00 7% below 35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Lithotripsy Eswl Lt $6,221.15 $9,571.00 $286.93–$12,884.00 7% below 35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HC Lithotripsy Eswl Lt $9,457.30 — $286.93–$12,884.00 42% above —
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC Lithotripsy Eswl Bl $9,332.05 $14,357.00 $286.93–$13,639.15 — 35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HC Lithotripsy Eswl Rt $6,221.15 $9,571.00 $286.93–$12,884.00 — 35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HC Lithotripsy Eswl Lt $6,221.15 $9,571.00 $286.93–$12,884.00 — 35%
Short arm cast (elbow to hand) CPT 29075 HC Application Cast Short Arm Bl $1,375.40 $2,116.00 $52.33–$3,742.00 231% above 35%
Short arm cast (elbow to hand) one side CPT 29075 HC Application Cast Short Arm Lt $687.70 $1,058.00 $52.33–$3,742.00 65% above 35%
Short arm cast (elbow to hand) one side CPT 29075 HC Application Cast Short Arm Rt $687.70 $1,058.00 $52.33–$3,742.00 65% above 35%
Short arm cast (elbow to hand) inpatient CPT 29075 HC Application Cast Short Arm Bl $1,375.40 $2,116.00 $52.33–$3,742.00 — 35%
Short arm cast (elbow to hand) inpatient one side CPT 29075 HC Application Cast Short Arm Rt $687.70 $1,058.00 $52.33–$3,742.00 — 35%
Short arm cast (elbow to hand) inpatient one side CPT 29075 HC Application Cast Short Arm Lt $687.70 $1,058.00 $52.33–$3,742.00 — 35%
Short arm splint (forearm and hand) one side CPT 29125 HC Ot Application Splint Static Short Arm Lt $343.85 $529.00 $29.90–$515.35 9% above 35%
Short arm splint (forearm and hand) one side CPT 29125 HC Ot Application Splint Static Short Arm Rt $343.85 $529.00 $29.90–$515.35 9% above 35%
Short arm splint (forearm and hand) one side CPT 29125 HC Application Splint Static Short Arm Rt $343.85 $529.00 $29.90–$3,742.00 9% above 35%
Short arm splint (forearm and hand) one side CPT 29125 HC Application Splint Static Short Arm Lt $343.85 $529.00 $29.90–$3,742.00 9% above 35%
Short arm splint (forearm and hand) inpatient one side CPT 29125 HC Ot Application Splint Static Short Arm Lt $343.85 $529.00 $29.90–$515.35 — 35%
Short arm splint (forearm and hand) inpatient one side CPT 29125 HC Ot Application Splint Static Short Arm Rt $343.85 $529.00 $29.90–$515.35 — 35%
Short arm splint (forearm and hand) inpatient one side CPT 29125 HC Application Splint Static Short Arm Rt $343.85 $529.00 $29.90–$3,742.00 — 35%
Short arm splint (forearm and hand) inpatient one side CPT 29125 HC Application Splint Static Short Arm Lt $343.85 $529.00 $29.90–$3,742.00 — 35%
Short leg cast (below the knee) CPT 29405 HC Application Cast Short Leg Bl $1,031.55 $1,587.00 $58.08–$3,742.00 98% above 35%
Short leg cast (below the knee) one side CPT 29405 HC Application Cast Short Leg Rt $687.70 $1,058.00 $58.08–$3,742.00 32% above 35%
Short leg cast (below the knee) one side CPT 29405 HC Application Cast Short Leg Lt $687.70 $1,058.00 $58.08–$3,742.00 32% above 35%
Short leg cast (below the knee) inpatient CPT 29405 HC Application Cast Short Leg Bl $1,031.55 $1,587.00 $58.08–$3,742.00 — 35%
Short leg cast (below the knee) inpatient one side CPT 29405 HC Application Cast Short Leg Rt $687.70 $1,058.00 $58.08–$3,742.00 — 35%
Short leg cast (below the knee) inpatient one side CPT 29405 HC Application Cast Short Leg Lt $687.70 $1,058.00 $58.08–$3,742.00 — 35%
Short leg splint (calf to foot) one side CPT 29515 HC Application Splint Short Leg Rt $328.90 $506.00 $40.25–$3,742.00 29% below 35%
Short leg splint (calf to foot) inpatient one side CPT 29515 HC Application Splint Short Leg Rt $328.90 $506.00 $40.25–$3,742.00 — 35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm $570.05 $877.00 $28.18–$3,742.00 11% above 35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities <= 2.5 Cm $570.05 $877.00 $28.18–$3,742.00 — 35%
Skin biopsy, punch, one lesion CPT 11104 HC Biopsy Skin Punch Single Lesion $601.25 $925.00 $46.49–$3,742.00 9% below 35%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC Biopsy Skin Punch Single Lesion $601.25 $925.00 $46.49–$3,742.00 — 35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Puncture Spinal Lumbar Diagnostic $1,879.15 $2,891.00 $48.30–$3,782.00 54% above 35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Puncture Spinal Lumbar Diagnostic $4,483.05 — $48.30–$3,782.00 267% above —
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Puncture Spinal Lumbar Diagnostic $1,879.15 $2,891.00 $48.30–$3,782.00 — 35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities 2.6 - 7.5 Cm $598.00 $920.00 $40.83–$3,742.00 13% above 35%
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 Repair Superficial Wounds Simple Scalp/Neck/Axillae/Genitalia/Trunk/Extermities 2.6 - 7.5 Cm $598.00 $920.00 $40.83–$3,742.00 — 35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Repair Superficial Wounds Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm $674.70 $1,038.00 $36.23–$3,742.00 32% above 35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Repair Superficial Wounds Simple Face/Ears/Eyelids/Nose/Lips/Muc Memb <= 2.5 Cm $674.70 $1,038.00 $36.23–$3,742.00 — 35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Biopsy Skin Tangential Single Lesion $601.25 $925.00 $37.06–$3,742.00 6% above 35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Biopsy Skin Tangential Single Lesion $15,327.28 — $37.06–$3,742.00 2608% above —
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Biopsy Skin Tangential Single Lesion $601.25 $925.00 $37.06–$3,742.00 — 35%
Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Bl $4,531.80 $6,972.00 $102.01–$6,623.40 207% above 35%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt $3,021.20 $4,648.00 $102.01–$4,966.89 105% above 35%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Lt $3,021.20 $4,648.00 $102.01–$4,966.89 105% above 35%
Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt $3,629.98 — $102.01–$4,966.89 146% above —
Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Bl $4,531.80 $6,972.00 $102.01–$6,623.40 — 35%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt $3,021.20 $4,648.00 $102.01–$4,966.89 — 35%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Lt $3,021.20 $4,648.00 $102.01–$4,966.89 — 35%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S) $800.80 $1,232.00 $35.72–$3,782.00 48% above 35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S) $800.80 $1,232.00 $35.72–$3,782.00 — 35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Bl $2,875.60 $4,424.00 $159.72–$8,467.42 20% below 35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Lt $1,916.85 $2,949.00 $159.72–$8,467.42 47% below 35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt $1,916.85 $2,949.00 $159.72–$8,467.42 47% below 35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Lt $3,353.76 — $159.72–$8,467.42 7% below —
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Bl $2,875.60 $4,424.00 $159.72–$8,467.42 — 35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Lt $1,916.85 $2,949.00 $159.72–$8,467.42 — 35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt $1,916.85 $2,949.00 $159.72–$8,467.42 — 35%
Vein ablation, radiofrequency, first vein CPT 36475 HC Ablation Extremity Percutaneous Radiofrequency 1st Vein Treated Bl $10,358.40 $15,936.00 $1,958.40–$15,139.20 11% above 35%
Vein ablation, radiofrequency, first vein one side CPT 36475 HC Ablation Extremity Percutaneous Radiofrequency 1st Vein Treated Lt $6,905.60 $10,624.00 $1,958.40–$10,092.80 26% below 35%
Vein ablation, radiofrequency, first vein one side CPT 36475 HC Ablation Extremity Percutaneous Radiofrequency 1st Vein Treated Rt $6,905.60 $10,624.00 $1,958.40–$10,092.80 26% below 35%
Vein ablation, radiofrequency, first vein one side CPT 36475 HC Ablation Extremity Percutaneous Radiofrequency 1st Vein Treated Rt $7,469.28 — $1,958.40–$9,204.25 20% below —
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Ablation Extremity Percutaneous Radiofrequency 1st Vein Treated Bl $10,358.40 $15,936.00 $1,958.40–$15,139.20 — 35%
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 HC Ablation Extremity Percutaneous Radiofrequency 1st Vein Treated Rt $6,905.60 $10,624.00 $1,958.40–$10,092.80 — 35%
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 HC Ablation Extremity Percutaneous Radiofrequency 1st Vein Treated Lt $6,905.60 $10,624.00 $1,958.40–$10,092.80 — 35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm $494.65 $761.00 $37.95–$4,966.89 54% below 35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm $806.65 — $37.95–$4,966.89 25% below —
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm $494.65 $761.00 $37.95–$4,966.89 — 35%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Component(S) $376.35 $579.00 $32.02–$1,958.40 60% below 35%
Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Component(S) $1,491.75 — $32.02–$1,958.40 58% above —
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood/Blood Component(S) $376.35 $579.00 $32.02–$1,958.40 — 35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction $227.50 $350.00 $45.50–$638.33 2% above 35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction $227.50 $350.00 $45.50–$638.33 — 35%
Chemotherapy IV infusion, first hour CPT 96413 HC Administration Chemotherapy IV Infusion Up to 1 Hour Single/Initial Substance/Drug $360.10 $554.00 $72.02–$962.86 50% below 35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Administration Chemotherapy IV Infusion Up to 1 Hour Single/Initial Substance/Drug $360.10 $554.00 $72.02–$962.86 — 35%
Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Minutes $2,585.05 $3,977.00 $151.63–$3,778.15 38% above 35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Minutes $2,585.05 $3,977.00 $151.63–$3,778.15 — 35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Recording Awake and Drowsy $440.70 $678.00 $22.17–$644.10 42% below 35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Recording Awake and Drowsy $440.70 $678.00 $22.17–$644.10 — 35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only $120.25 $185.00 $12.03–$175.75 31% below 35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only $358.80 — $12.03–$76,193.45 106% above —
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg 12 Lead Tracing Only $120.25 $185.00 $12.03–$175.75 — 35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 Sane_Safe $186.55 $287.00 $16.19–$1,636.00 39% below 35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 $186.55 — $16.19–$1,636.00 39% below —
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 $186.55 $287.00 $16.19–$1,636.00 39% below 35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 OB Triage $186.55 $287.00 $16.19–$1,636.00 39% below 35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1 Sane_Safe $186.55 $287.00 $16.19–$1,636.00 — 35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1 $186.55 $287.00 $16.19–$1,636.00 — 35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1 OB Triage $186.55 $287.00 $16.19–$1,636.00 — 35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 Sane_Safe $308.75 $475.00 $26.85–$1,636.00 36% below 35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 $308.75 $475.00 $26.85–$1,636.00 36% below 35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 OB Triage $308.75 $475.00 $26.85–$1,636.00 36% below 35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 $310.96 — $26.85–$1,636.00 35% below —
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2 $308.75 $475.00 $26.85–$1,636.00 — 35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2 OB Triage $308.75 $475.00 $26.85–$1,636.00 — 35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2 Sane_Safe $308.75 $475.00 $26.85–$1,636.00 — 35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 Sane_Safe $534.95 $823.00 $35.00–$1,636.00 28% below 35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 $534.95 $823.00 $35.00–$1,636.00 28% below 35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 OB Triage $534.95 $823.00 $35.00–$1,636.00 28% below 35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 $993.85 — $35.00–$1,636.00 34% above —
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3 OB Triage $534.95 $823.00 $35.00–$1,636.00 — 35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3 $534.95 $823.00 $35.00–$1,636.00 — 35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3 Sane_Safe $534.95 $823.00 $35.00–$1,636.00 — 35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 $818.35 $1,259.00 $50.00–$1,684.00 33% below 35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 OB Triage $818.35 $1,259.00 $50.00–$1,684.00 33% below 35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 Sane_Safe $818.35 $1,259.00 $50.00–$1,684.00 33% below 35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 $2,507.54 — $50.00–$1,684.00 105% above —
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4 Sane_Safe $818.35 $1,259.00 $50.00–$1,684.00 — 35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4 OB Triage $818.35 $1,259.00 $50.00–$1,684.00 — 35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4 $818.35 $1,259.00 $50.00–$1,684.00 — 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 Sane_Safe $1,697.80 $2,612.00 $50.00–$2,481.40 6% above 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 $1,697.80 $2,612.00 $50.00–$2,481.40 6% above 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 OB Triage $1,697.80 $2,612.00 $50.00–$2,481.40 6% above 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Partial Trauma W/O Pre Notification Critical Care - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 62% above 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Full Trauma W/O Pre Notification Critical Care - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 62% above 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 62% above 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Critical Care 30-74 Minutes - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 62% above 35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 $4,232.77 — $50.00–$1,736.01 165% above —
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5 OB Triage $1,697.80 $2,612.00 $50.00–$2,481.40 — 35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5 Sane_Safe $1,697.80 $2,612.00 $50.00–$2,481.40 — 35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5 $1,697.80 $2,612.00 $50.00–$2,481.40 — 35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 — 35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Full Trauma W/O Pre Notification Critical Care - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 — 35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Partial Trauma W/O Pre Notification Critical Care - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 — 35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Critical Care 30-74 Minutes - Downgrade $2,585.05 $3,977.00 $50.00–$3,778.15 — 35%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Test Stress Cardiovascular Tracing Only $654.55 $1,007.00 $53.48–$956.65 31% below 35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Test Stress Cardiovascular Tracing Only $654.55 $1,007.00 $53.48–$956.65 — 35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour $364.00 $560.00 $36.37–$620.04 16% below 35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour $382.20 — $36.37–$620.04 12% below —
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour $364.00 $560.00 $36.37–$620.04 — 35%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour $415.35 $639.00 $45.20–$620.04 8% below 35%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour $795.34 — $45.20–$620.04 76% above —
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour $415.35 $639.00 $45.20–$620.04 — 35%
IV push of a medicine, first drug CPT 96374 HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug $255.45 $393.00 $35.67–$620.04 22% below 35%
IV push of a medicine, first drug CPT 96374 HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug $1,465.03 — $35.67–$620.04 346% above —
IV push of a medicine, first drug inpatient CPT 96374 HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug $255.45 $393.00 $35.67–$620.04 — 35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im $52.00 $80.00 $10.40–$209.89 58% below 35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im $8,136.31 — $14.61–$209.89 6499% above —
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im $52.00 $80.00 $10.40–$209.89 — 35%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes $130.00 $200.00 $19.26–$358.00 1% above 35%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes $130.00 $200.00 $19.26–$358.00 1% above 35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes $130.00 $200.00 $19.26–$358.00 — 35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes $130.00 $200.00 $19.26–$358.00 — 35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Therapy Nutrition Individual Initial F2f W/Patient Each 15 Minutes $80.00 $80.00 $10.40–$76.00 59% above —
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Therapy Nutrition Individual Initial F2f W/Patient Each 15 Minutes $80.00 $80.00 $10.40–$76.00 — —
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 12% above 35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 — 35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 10% above 35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation High Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 — 35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 27% above 35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation Low Complexity Patient/Family $375.70 $578.00 $75.14–$549.10 — 35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Moderate Complexity Patient/Family $375.70 $578.00 $41.60–$549.10 11% above 35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Moderate Complexity Patient/Family $375.70 $578.00 $41.60–$549.10 — 35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therpy Techniques >=1 Region Each 15 Minutes $139.75 $215.00 $22.86–$358.00 6% above 35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therpy Techniques >=1 Region Each 15 Minutes $139.75 $215.00 $22.86–$358.00 6% above 35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therpy Techniques >=1 Region Each 15 Minutes $1,475.50 — $22.86–$358.00 1022% above —
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therpy Techniques >=1 Region Each 15 Minutes $139.75 $215.00 $22.86–$358.00 — 35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therpy Techniques >=1 Region Each 15 Minutes $139.75 $215.00 $22.86–$358.00 — 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $126.75 $195.00 $9.64–$358.00 4% below 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $126.75 $195.00 $9.64–$358.00 4% below 35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $1,275.95 — $19.27–$358.00 865% above —
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $126.75 $195.00 $9.64–$358.00 — 35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes $126.75 $195.00 $9.64–$358.00 — 35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Counseling Smoke/Tobacco Intermediate 3 - 10 Minutes $59.15 $91.00 $11.83–$109.22 30% above 35%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Counseling Smoke/Tobacco Intermediate 3 - 10 Minutes $59.15 $91.00 $11.83–$109.22 — 35%
Speech and language evaluation CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive $375.70 $578.00 $75.14–$632.76 30% below 35%
Speech and language evaluation inpatient CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive $375.70 $578.00 $75.14–$632.76 — 35%
Speech therapy session, individual CPT 92507 HC St Treatment Speech Individual $280.80 $432.00 $24.96–$410.40 8% below 35%
Speech therapy session, individual inpatient CPT 92507 HC St Treatment Speech Individual $280.80 $432.00 $24.96–$410.40 — 35%
Spirometry (breathing test) CPT 94010 HC Spirometry $204.75 $315.00 $14.78–$629.43 32% below 35%
Spirometry (breathing test) inpatient CPT 94010 HC Spirometry $204.75 $315.00 $14.78–$629.43 — 35%
Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Bronchodilation Responsiveness Pre/Post Bronchodilator Administration $973.05 $1,497.00 $18.72–$1,422.15 50% above 35%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry Bronchodilation Responsiveness Pre/Post Bronchodilator Administration $973.05 $1,497.00 $18.72–$1,422.15 — 35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes $126.75 $195.00 $14.95–$358.00 1% below 35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activities Direct Patient Contact Each 15 Minutes $126.75 $195.00 $14.95–$358.00 1% below 35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes $126.75 $195.00 $14.95–$358.00 — 35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activities Direct Patient Contact Each 15 Minutes $126.75 $195.00 $14.95–$358.00 — 35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic $394.55 $607.00 $3.40–$576.65 71% above 35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic $394.55 $607.00 $3.40–$576.65 — 35%

Vaccines

ProcedureCash priceList priceInsurers payvs PennsylvaniaOff list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP $1,344.85 $1,344.85 $11.50–$1,277.61 553% above —
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP $1,344.85 $1,344.85 $11.50–$1,277.61 — —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (ACEL) PED VACCINE (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSPENSION $204.25 $204.25 $11.50–$194.04 497% above —
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTHERIA-TETANUS-PERTUSSIS (ACEL) PED VACCINE (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSPENSION $204.25 $204.25 $11.50–$194.04 — —
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $143.45 $143.45 $11.50–$136.28 115% above —
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE $143.45 $143.45 $11.50–$136.28 — —
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML IM (WRAPPER) $484.00 $484.00 $11.50–$459.80 487% above —
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML IM (WRAPPER) $484.00 $484.00 $11.50–$459.80 — —
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE (WRAPPER) $194.30 $194.30 $11.50–$184.59 310% above —
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE (WRAPPER) $194.30 $194.30 $11.50–$184.59 — —
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN $90.05 $90.05 $11.50–$85.55 188% above —
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN $90.05 $90.05 $11.50–$85.55 — —
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im $39.00 $60.00 $7.80–$137.42 55% below 35%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Vaccine Influenza (Iiv) Preservative Free Antigen Content Im $39.00 $60.00 $7.80–$137.42 — 35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT $652.45 $652.45 $11.50–$619.83 898% above —
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT $652.45 $652.45 $11.50–$619.83 — —
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION $1,138.20 $1,138.20 $11.50–$1,081.29 1116% above —
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A CONJ VACC 2 OF 2(PF) 10 MCG/0.5 ML (FINAL) IM SOLUTION $1,138.20 $1,138.20 $11.50–$1,081.29 — —
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE $1,618.55 $1,618.55 $11.50–$1,537.62 743% above —
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE $1,618.55 $1,618.55 $11.50–$1,537.62 — —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $1,927.20 $1,927.20 $11.50–$1,830.84 497% above —
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE $1,927.20 $1,927.20 $11.50–$1,830.84 — —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML (WRAPPER) $778.60 $778.60 $11.50–$739.67 506% above —
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML (WRAPPER) $778.60 $778.60 $11.50–$739.67 — —
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE $3,831.40 $3,831.40 $16.42–$3,639.83 327% above —
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE $3,831.40 $3,831.40 $16.42–$3,639.83 — —
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP $2,798.35 $2,798.35 $11.50–$2,658.43 368% above —
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP $2,798.35 $2,798.35 $11.50–$2,658.43 — —
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM (WRAPPER) $296.50 $296.50 $11.50–$281.68 431% above —
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM (WRAPPER) $296.50 $296.50 $11.50–$281.68 — —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA-PERTUSSIS(ACEL)-TETANUS VACCINE 2.5 LF UNIT- 8 MCG-5 LF/0.5 ML IM (WRAPPER) $324.15 $324.15 $11.50–$307.94 478% above —
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHERIA-PERTUSSIS(ACEL)-TETANUS VACCINE 2.5 LF UNIT- 8 MCG-5 LF/0.5 ML IM (WRAPPER) $324.15 $324.15 $11.50–$307.94 — —
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Vfc Administration Immunization 1 Vaccine $15.60 $24.00 $3.12–$209.89 76% below 35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Administration Immunization 1 Vaccine $44.20 $68.00 $8.84–$209.89 31% below 35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Administration Immunization 1 Vaccine $12,431.91 — $11.50–$10,307.20 19407% above —
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Vfc Administration Immunization 1 Vaccine $15.60 $24.00 $3.12–$209.89 — 35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Administration Immunization 1 Vaccine $44.20 $68.00 $8.84–$209.89 — 35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Vfc Administration Immunization Each Additional Vaccine $15.04 $23.14 $3.01–$24.00 44% below 35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration Immunization Each Additional Vaccine $26.65 $41.00 $5.33–$38.95 1% below 35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Vfc Administration Immunization Each Additional Vaccine $15.04 $23.14 $3.01–$24.00 — 35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Administration Immunization Each Additional Vaccine $26.65 $41.00 $5.33–$38.95 — 35%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://hpt.trinity-health.org/231913910_st-mary-medical-center_standardcharges.zip