Hospital Santa Rosa-Petaluma, CA

Healdsburg Hospital

Listed in its price file as “NorCal HealthConnect LLC”.

Healdsburg Hospital in Healdsburg, CA publishes cash prices for 392 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 303 of 389 procedures and above it for 86. By typical cash price it ranks #42 of 226 California hospitals and #1 of 6 hospitals in the Santa Rosa, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1375 University Ave, Healdsburg, CA 95448 Collected Sep 23, 2026 Source price file Check a bill from this hospital (707) 431-6500

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 051321 · CMS hospital register NPI 1861009672

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Abdominal CT scan without and with contrast CPT 74170 HC PR 74170 CT ABDOMEN W/O & W/CONTRAST MATERIAL	$601.29	$1,179.00	—	79% below	49%
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,945.65	$3,815.00	—	31% below	49%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC PR 74170 CT ABDOMEN W/O & W/CONTRAST MATERIAL	$601.29	$1,179.00	—	—	49%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,945.65	$3,815.00	—	—	49%
Abdominal X-ray, 2 views CPT 74019 HC PR 74019 XR EXAM ABDOMEN 2 VIEWS	$80.58	$158.00	—	81% below	49%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$369.24	$724.00	—	14% below	49%
Abdominal X-ray, 2 views inpatient CPT 74019 HC PR 74019 XR EXAM ABDOMEN 2 VIEWS	$80.58	$158.00	—	—	49%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$369.24	$724.00	—	—	49%
Ankle X-ray, complete, 3 or more views CPT 73610 HC PR 73610 XR ANKLE 3 VIEWS	$81.60	$160.00	—	84% below	49%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$425.85	$835.00	—	17% below	49%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC PR 73610 XR ANKLE 3 VIEWS	$81.60	$160.00	—	—	49%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$425.85	$835.00	—	—	49%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC PR 93922 ABI BILAT LTD W DOPP	$181.05	$355.00	—	—	49%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$187.68	$368.00	—	66% below	49%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC PR 93922 ABI BILAT LTD W DOPP	$181.05	$355.00	—	—	49%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$187.68	$368.00	—	—	49%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC PR 73200 CT UPPER EXTREMITY W/O CONTRAST MATERIAL	$366.69	$719.00	—	84% below	49%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$878.73	$1,723.00	—	61% below	49%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC PR 73200 CT UPPER EXTREMITY W/O CONTRAST MATERIAL	$366.69	$719.00	—	—	49%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$878.73	$1,723.00	—	—	49%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC PR 74220 RADEX ESOPHAGUS	$216.24	$424.00	—	64% below	49%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS W CONTRAST	$747.15	$1,465.00	—	23% above	49%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC PR 74220 RADEX ESOPHAGUS	$216.24	$424.00	—	—	49%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS W CONTRAST	$747.15	$1,465.00	—	—	49%
Breast ultrasound, complete, one breast CPT 76641 HC PR 76641 ULTRASOUND UNI BREAST COMPLETE	$223.38	$438.00	—	68% below	49%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE	$342.72	$672.00	—	51% below	49%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC PR 76641 ULTRASOUND UNI BREAST COMPLETE	$223.38	$438.00	—	—	49%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE	$342.72	$672.00	—	—	49%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC PR 76642 ULTRASOUND UNI BREAST LIMITED	$59.67	$117.00	—	89% below	49%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US ED BREAST UNI LIMITED CDM	$131.58	$258.00	—	75% below	49%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED	$342.72	$672.00	—	36% below	49%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC PR 76642 ULTRASOUND UNI BREAST LIMITED	$59.67	$117.00	—	—	49%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US ED BREAST UNI LIMITED CDM	$131.58	$258.00	—	—	49%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED	$342.72	$672.00	—	—	49%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC PR 74174 CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG	$863.94	$1,694.00	—	84% below	49%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS	$2,707.59	$5,309.00	—	50% below	49%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC PR 74174 CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG	$863.94	$1,694.00	—	—	49%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS	$2,707.59	$5,309.00	—	—	49%
CT angiography (CTA) of the head CPT 70496 HC PR 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST	$622.20	$1,220.00	—	79% below	49%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,559.07	$3,057.00	—	48% below	49%
CT angiography (CTA) of the head inpatient CPT 70496 HC PR 70496 CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST	$622.20	$1,220.00	—	—	49%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,559.07	$3,057.00	—	—	49%
CT angiography (CTA) of the neck CPT 70498 HC PR 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST	$621.18	$1,218.00	—	79% below	49%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,559.07	$3,057.00	—	47% below	49%
CT angiography (CTA) of the neck inpatient CPT 70498 HC PR 70498 CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST	$621.18	$1,218.00	—	—	49%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,559.07	$3,057.00	—	—	49%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC PR 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	$633.42	$1,242.00	—	82% below	49%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST	$2,026.74	$3,974.00	—	41% below	49%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC PR 71275 CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST	$633.42	$1,242.00	—	—	49%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST	$2,026.74	$3,974.00	—	—	49%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC PR 74176 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	$399.84	$784.00	—	88% below	49%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$1,678.92	$3,292.00	—	48% below	49%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC PR 74176 CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL	$399.84	$784.00	—	—	49%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$1,678.92	$3,292.00	—	—	49%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC PR 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$693.60	$1,360.00	—	83% below	49%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$2,707.59	$5,309.00	—	34% below	49%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC PR 74177 CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$693.60	$1,360.00	—	—	49%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$2,707.59	$5,309.00	—	—	49%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC PR 74178 CT ABDOMEN & PELVIS W/O CONTRST 1/GT BODY RE	$777.24	$1,524.00	—	83% below	49%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$2,707.59	$5,309.00	—	42% below	49%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC PR 74178 CT ABDOMEN & PELVIS W/O CONTRST 1/GT BODY RE	$777.24	$1,524.00	—	—	49%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$2,707.59	$5,309.00	—	—	49%
CT scan of the abdomen with contrast CPT 74160 HC PR 74160 CT ABDOMEN W/CONTRAST MATERIAL	$535.50	$1,050.00	—	79% below	49%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$1,728.39	$3,389.00	—	31% below	49%
CT scan of the abdomen with contrast inpatient CPT 74160 HC PR 74160 CT ABDOMEN W/CONTRAST MATERIAL	$535.50	$1,050.00	—	—	49%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$1,728.39	$3,389.00	—	—	49%
CT scan of the abdomen without contrast CPT 74150 HC PR 74150 CT ABDOMEN W/O CONTRAST MATERIAL	$301.41	$591.00	—	84% below	49%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$878.73	$1,723.00	—	54% below	49%
CT scan of the abdomen without contrast inpatient CPT 74150 HC PR 74150 CT ABDOMEN W/O CONTRAST MATERIAL	$301.41	$591.00	—	—	49%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$878.73	$1,723.00	—	—	49%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC PR 70486 CT MAXILLOFACIAL W/O DYE LIMITED	$288.15	$565.00	—	87% below	49%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$676.26	$1,326.00	—	69% below	49%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O DYE LIMITED	$676.26	$1,326.00	—	69% below	49%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC PR 70486 CT MAXILLOFACIAL W/O DYE LIMITED	$288.15	$565.00	—	—	49%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O DYE LIMITED	$676.26	$1,326.00	—	—	49%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$676.26	$1,326.00	—	—	49%
CT scan of the head or brain, no contrast dye CPT 70450 HC PR 70450 CT HEAD/BRAIN W/O DYE	$235.11	$461.00	—	90% below	49%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$676.26	$1,326.00	—	70% below	49%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC PR 70450 CT HEAD/BRAIN W/O DYE	$235.11	$461.00	—	—	49%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$676.26	$1,326.00	—	—	49%
CT scan of the head with contrast CPT 70460 HC PR 70460 CT HEAD/BRAIN W/CONTRAST MATERIAL	$329.46	$646.00	—	88% below	49%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,329.57	$2,607.00	—	51% below	49%
CT scan of the head with contrast inpatient CPT 70460 HC PR 70460 CT HEAD/BRAIN W/CONTRAST MATERIAL	$329.46	$646.00	—	—	49%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,329.57	$2,607.00	—	—	49%
CT scan of the head without and with contrast CPT 70470 HC PR 70470 CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	$387.60	$760.00	—	87% below	49%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,496.85	$2,935.00	—	52% below	49%
CT scan of the head without and with contrast inpatient CPT 70470 HC PR 70470 CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL	$387.60	$760.00	—	—	49%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,496.85	$2,935.00	—	—	49%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC PR 72131 CT LUMBAR SPINE W/O CONTRAST MATERIAL	$287.13	$563.00	—	90% below	49%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$878.73	$1,723.00	—	69% below	49%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC PR 72131 CT LUMBAR SPINE W/O CONTRAST MATERIAL	$287.13	$563.00	—	—	49%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$878.73	$1,723.00	—	—	49%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC PR 72125 CT CERVICAL SPINE W/O CONTRAST MATERIAL	$289.17	$567.00	—	90% below	49%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE WO CONTRAST	$676.26	$1,326.00	—	77% below	49%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC PR 72125 CT CERVICAL SPINE W/O CONTRAST MATERIAL	$289.17	$567.00	—	—	49%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT NECK SPINE WO CONTRAST	$676.26	$1,326.00	—	—	49%
CT scan of the pelvis, with contrast dye CPT 72193 HC PR 72193 CT PELVIS W/CONTRAST MATERIAL	$527.85	$1,035.00	—	79% below	49%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,728.39	$3,389.00	—	32% below	49%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC PR 72193 CT PELVIS W/CONTRAST MATERIAL	$527.85	$1,035.00	—	—	49%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,728.39	$3,389.00	—	—	49%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC PR 93880 DUPLEX EXTRACRANIAL STUDY BILAT	$420.24	$824.00	—	—	49%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$508.98	$998.00	—	—	49%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC PR 93880 DUPLEX EXTRACRANIAL STUDY BILAT	$420.24	$824.00	—	—	49%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$508.98	$998.00	—	—	49%
Chest CT scan without and with contrast CPT 71270 HC PR 71270 CT THORAX W/O & W/CONTRAST MATERIAL	$443.70	$870.00	—	86% below	49%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,945.65	$3,815.00	—	40% below	49%
Chest CT scan without and with contrast inpatient CPT 71270 HC PR 71270 CT THORAX W/O & W/CONTRAST MATERIAL	$443.70	$870.00	—	—	49%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,945.65	$3,815.00	—	—	49%
Chest X-ray, 2 views CPT 71046 HC PR 71046 XR EXAM CHEST 2 VIEWS	$72.93	$143.00	—	82% below	49%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$373.83	$733.00	—	8% below	49%
Chest X-ray, 2 views inpatient CPT 71046 HC PR 71046 XR EXAM CHEST 2 VIEWS	$72.93	$143.00	—	—	49%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$373.83	$733.00	—	—	49%
Chest X-ray, single view CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$373.83	$733.00	—	3% above	49%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$373.83	$733.00	—	3% above	49%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$373.83	$733.00	—	—	49%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$373.83	$733.00	—	—	49%
Collarbone (clavicle) X-ray, complete CPT 73000 HC PR 73000 XR COLLAR BONE	$70.89	$139.00	—	85% below	49%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$379.95	$745.00	—	21% below	49%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC PR 73000 XR COLLAR BONE	$70.89	$139.00	—	—	49%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$379.95	$745.00	—	—	49%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC PR RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$235.62	$462.00	—	72% below	49%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$467.16	$916.00	—	45% below	49%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC PR RETROPERITONEAL REAL TIME W/IMAGE COMPLETE	$235.62	$462.00	—	—	49%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$467.16	$916.00	—	—	49%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC PR 77080 BONE DENSITY AXIAL SKELETON	$83.13	$163.00	—	84% below	49%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$547.74	$1,074.00	—	9% above	49%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC PR 77080 BONE DENSITY AXIAL SKELETON	$83.13	$163.00	—	—	49%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$547.74	$1,074.00	—	—	49%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC PR 77081 DXA BONE DENSITY STUDY 1/GT SITES APPENDICLR SKEL	$67.83	$133.00	—	75% below	49%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$379.95	$745.00	—	37% above	49%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC PR 77081 DXA BONE DENSITY STUDY 1/GT SITES APPENDICLR SKEL	$67.83	$133.00	—	—	49%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$379.95	$745.00	—	—	49%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$150.96	$296.00	—	93% below	49%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST	$150.96	$296.00	—	93% below	49%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC PR 71250 CT THORAX W/O CONTRAST MATERIAL	$294.78	$578.00	—	85% below	49%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$150.96	$296.00	—	—	49%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST	$150.96	$296.00	—	—	49%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC PR 71250 CT THORAX W/O CONTRAST MATERIAL	$294.78	$578.00	—	—	49%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC PR 71260 CT THORAX W/CONTRAST MATERIAL	$373.32	$732.00	—	87% below	49%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$1,728.39	$3,389.00	—	40% below	49%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC PR 71260 CT THORAX W/CONTRAST MATERIAL	$373.32	$732.00	—	—	49%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$1,728.39	$3,389.00	—	—	49%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD	$539.58	$1,058.00	—	10% above	49%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD	$539.58	$1,058.00	—	—	49%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD	$314.16	$616.00	—	16% below	49%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD	$314.16	$616.00	—	—	49%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC PR 93925 LE ARTERIAL DUPLEX BILAT	$533.46	$1,046.00	—	—	49%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$661.47	$1,297.00	—	—	49%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC PR 93925 LE ARTERIAL DUPLEX BILAT	$533.46	$1,046.00	—	—	49%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$661.47	$1,297.00	—	—	49%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC PR 93970 EXTREMITY STUDY VENOUS DUPLEX BILAT	$416.67	$817.00	—	—	49%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$661.47	$1,297.00	—	—	49%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC PR 93970 EXTREMITY STUDY VENOUS DUPLEX BILAT	$416.67	$817.00	—	—	49%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$661.47	$1,297.00	—	—	49%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC PR 93306 ECHO TTE 2D W/COLOR & DOP	$776.22	$1,522.00	—	71% below	49%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,140.36	$2,236.00	—	58% below	49%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC PR 93306 ECHO TTE 2D W/COLOR & DOP	$776.22	$1,522.00	—	—	49%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,140.36	$2,236.00	—	—	49%
Elbow X-ray, 2 views CPT 73070 HC PR 73070 XR ELBOW	$63.75	$125.00	—	84% below	49%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$425.85	$835.00	—	7% above	49%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW LIMITED	$425.85	$835.00	—	7% above	49%
Elbow X-ray, 2 views inpatient CPT 73070 HC PR 73070 XR ELBOW	$63.75	$125.00	—	—	49%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$425.85	$835.00	—	—	49%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW LIMITED	$425.85	$835.00	—	—	49%
Elbow X-ray, complete, 3 or more views CPT 73080 HC PR 73080 XR ELBOW 3 VIEWS	$71.40	$140.00	—	85% below	49%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$425.85	$835.00	—	12% below	49%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC PR 73080 XR ELBOW 3 VIEWS	$71.40	$140.00	—	—	49%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$425.85	$835.00	—	—	49%
Eye socket (orbit) CT scan without contrast CPT 70480 HC PR 70480 CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL	$351.39	$689.00	—	85% below	49%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$676.26	$1,326.00	—	70% below	49%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC PR 70480 CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL	$351.39	$689.00	—	—	49%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$676.26	$1,326.00	—	—	49%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC PR 70150 RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS	$103.02	$202.00	—	79% below	49%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$551.82	$1,082.00	—	12% above	49%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC PR 70150 RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS	$103.02	$202.00	—	—	49%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$551.82	$1,082.00	—	—	49%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC PR 73090 XR FOREARM	$63.75	$125.00	—	85% below	49%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 1 VIEW	$90.27	$177.00	—	79% below	49%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$425.85	$835.00	—	at median	49%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC PR 73090 XR FOREARM	$63.75	$125.00	—	—	49%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 1 VIEW	$90.27	$177.00	—	—	49%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$425.85	$835.00	—	—	49%
Hand X-ray, 2 views CPT 73120 HC PR 73120 XR HAND 1-2 VIEWS	$68.85	$135.00	—	83% below	49%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$425.85	$835.00	—	5% above	49%
Hand X-ray, 2 views inpatient CPT 73120 HC PR 73120 XR HAND 1-2 VIEWS	$68.85	$135.00	—	—	49%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$425.85	$835.00	—	—	49%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC PR 73650 XR HEEL 2 VIEWS	$62.22	$122.00	—	82% below	49%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL MIN 2 VIEWS	$347.31	$681.00	—	2% below	49%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC PR 73650 XR HEEL 2 VIEWS	$62.22	$122.00	—	—	49%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL MIN 2 VIEWS	$347.31	$681.00	—	—	49%
Knee X-ray, 3 views CPT 73562 HC PR 73562 XR KNEE 3 VIEWS	$89.25	$175.00	—	81% below	49%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$379.95	$745.00	—	17% below	49%
Knee X-ray, 3 views inpatient CPT 73562 HC PR 73562 XR KNEE 3 VIEWS	$89.25	$175.00	—	—	49%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$379.95	$745.00	—	—	49%
Knee X-ray, complete, 4 or more views CPT 73564 HC PR 73564 XR KNEE 4/PLUS VIEWS	$103.02	$202.00	—	82% below	49%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4/PLUS VIEWS	$479.91	$941.00	—	18% below	49%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC PR 73564 XR KNEE 4/PLUS VIEWS	$103.02	$202.00	—	—	49%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4/PLUS VIEWS	$479.91	$941.00	—	—	49%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC PR 73700 CT LOWER EXTREMITY W/O CONTRAST MATERIAL	$288.15	$565.00	—	86% below	49%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$878.73	$1,723.00	—	59% below	49%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC PR 73700 CT LOWER EXTREMITY W/O CONTRAST MATERIAL	$288.15	$565.00	—	—	49%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$878.73	$1,723.00	—	—	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ED ABDOMEN LIMITED CDM	$359.55	$705.00	—	57% below	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC PR 76705 ECHO EXAM OF ABDOMEN	$377.91	$741.00	—	54% below	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$467.16	$916.00	—	44% below	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ED ABDOMEN LIMITED CDM	$359.55	$705.00	—	—	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC PR 76705 ECHO EXAM OF ABDOMEN	$377.91	$741.00	—	—	49%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$467.16	$916.00	—	—	49%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC PR 76882 US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$82.62	$162.00	—	85% below	49%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$366.18	$718.00	—	33% below	49%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$475.83	$933.00	—	13% below	49%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC PR 76882 US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$82.62	$162.00	—	—	49%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$366.18	$718.00	—	—	49%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$475.83	$933.00	—	—	49%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC PR XR LOWER LEG	$69.36	$136.00	—	84% below	49%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG 2 VIEWS	$379.95	$745.00	—	12% below	49%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG LIMITED	$379.95	$745.00	—	12% below	49%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC PR XR LOWER LEG	$69.36	$136.00	—	—	49%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG 2 VIEWS	$379.95	$745.00	—	—	49%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG LIMITED	$379.95	$745.00	—	—	49%
MR angiography (MRA) of the head without contrast CPT 70544 HC PR 70544 MRA HEAD W/O CONTRST MATERIAL	$491.13	$963.00	—	83% below	49%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$1,730.43	$3,393.00	—	40% below	49%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC PR 70544 MRA HEAD W/O CONTRST MATERIAL	$491.13	$963.00	—	—	49%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$1,730.43	$3,393.00	—	—	49%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC PR 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$456.45	$895.00	—	85% below	49%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED	$1,788.57	$3,507.00	—	41% below	49%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,788.57	$3,507.00	—	41% below	49%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC PR 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$456.45	$895.00	—	—	49%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JNT OF LWR EXTRE W/O DYE LIMITED	$1,788.57	$3,507.00	—	—	49%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,788.57	$3,507.00	—	—	49%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC PR 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL	$886.38	$1,738.00	—	81% below	49%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$2,993.70	$5,870.00	—	35% below	49%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC PR 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL	$886.38	$1,738.00	—	—	49%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$2,993.70	$5,870.00	—	—	49%
MRI of the abdomen without contrast CPT 74181 HC PR 74181 MRI ABDOMEN W/O CONTRAST MATERIAL	$440.13	$863.00	—	84% below	49%
MRI of the abdomen without contrast CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$1,975.74	$3,874.00	—	29% below	49%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O DYE LIMITED	$1,975.74	$3,874.00	—	29% below	49%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,975.74	$3,874.00	—	29% below	49%
MRI of the abdomen without contrast inpatient CPT 74181 HC PR 74181 MRI ABDOMEN W/O CONTRAST MATERIAL	$440.13	$863.00	—	—	49%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O DYE LIMITED	$1,975.74	$3,874.00	—	—	49%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,975.74	$3,874.00	—	—	49%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$1,975.74	$3,874.00	—	—	49%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC PR 74183 MRI ABDOMEN W/O & W/CONTRAST MATERIAL	$769.08	$1,508.00	—	82% below	49%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,993.70	$5,870.00	—	31% below	49%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC PR 74183 MRI ABDOMEN W/O & W/CONTRAST MATERIAL	$769.08	$1,508.00	—	—	49%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,993.70	$5,870.00	—	—	49%
MRI of the brain, no contrast dye CPT 70551 HC PR 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL	$438.09	$859.00	—	85% below	49%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE	$1,708.50	$3,350.00	—	41% below	49%
MRI of the brain, no contrast dye inpatient CPT 70551 HC PR 70551 MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL	$438.09	$859.00	—	—	49%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE	$1,708.50	$3,350.00	—	—	49%
MRI of the brain, with and without contrast dye CPT 70553 HC PR 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$717.06	$1,406.00	—	83% below	49%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE	$3,564.39	$6,989.00	—	18% below	49%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC PR 70553 MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$717.06	$1,406.00	—	—	49%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE	$3,564.39	$6,989.00	—	—	49%
MRI of the lower back, no contrast dye CPT 72148 HC PR 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$426.87	$837.00	—	86% below	49%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED	$1,788.57	$3,507.00	—	42% below	49%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$1,788.57	$3,507.00	—	42% below	49%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC PR 72148 MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$426.87	$837.00	—	—	49%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$1,788.57	$3,507.00	—	—	49%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE LIMITED	$1,788.57	$3,507.00	—	—	49%
MRI of the lower back, without and then with contrast dye CPT 72158 HC PR 72158 MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL	$719.10	$1,410.00	—	84% below	49%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE LIMITED	$4,236.57	$8,307.00	—	6% below	49%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$4,236.57	$8,307.00	—	6% below	49%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC PR 72158 MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL	$719.10	$1,410.00	—	—	49%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$4,236.57	$8,307.00	—	—	49%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE LIMITED	$4,236.57	$8,307.00	—	—	49%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC PR 72146 MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$425.34	$834.00	—	85% below	49%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,788.57	$3,507.00	—	38% below	49%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE LIMITED	$1,788.57	$3,507.00	—	38% below	49%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC PR 72146 MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL	$425.34	$834.00	—	—	49%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,788.57	$3,507.00	—	—	49%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE LIMITED	$1,788.57	$3,507.00	—	—	49%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC PR 72156 MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL	$720.63	$1,413.00	—	84% below	49%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,895.27	$5,677.00	—	35% below	49%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE LIMITED	$2,895.27	$5,677.00	—	35% below	49%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC PR 72156 MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL	$720.63	$1,413.00	—	—	49%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,895.27	$5,677.00	—	—	49%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE LIMITED	$2,895.27	$5,677.00	—	—	49%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC PR 72141 MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$425.34	$834.00	—	86% below	49%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE LIMITED	$1,730.43	$3,393.00	—	42% below	49%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$1,730.43	$3,393.00	—	42% below	49%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC PR 72141 MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL	$425.34	$834.00	—	—	49%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$1,730.43	$3,393.00	—	—	49%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE LIMITED	$1,730.43	$3,393.00	—	—	49%
MRI of the pelvis without and with contrast CPT 72197 HC PR 72197 MRI PELVIS W/O & W/CONTRAST MATERIAL	$766.02	$1,502.00	—	82% below	49%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & W CONTRAST	$2,993.70	$5,870.00	—	28% below	49%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC PR 72197 MRI PELVIS W/O & W/CONTRAST MATERIAL	$766.02	$1,502.00	—	—	49%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & W CONTRAST	$2,993.70	$5,870.00	—	—	49%
MRI of the pelvis, no contrast dye CPT 72195 HC PR 72195 MRI PELVIS W/O CONTRAST MATERIAL	$520.20	$1,020.00	—	80% below	49%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$2,680.05	$5,255.00	—	4% above	49%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O DYE LIMITED	$2,680.05	$5,255.00	—	4% above	49%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC PR 72195 MRI PELVIS W/O CONTRAST MATERIAL	$520.20	$1,020.00	—	—	49%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O DYE LIMITED	$2,680.05	$5,255.00	—	—	49%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$2,680.05	$5,255.00	—	—	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC PR 73221 MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL	$457.47	$897.00	—	83% below	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,788.57	$3,507.00	—	32% below	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE LIMITED	$1,788.57	$3,507.00	—	32% below	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC PR 73221 MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL	$457.47	$897.00	—	—	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,788.57	$3,507.00	—	—	49%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE LIMITED	$1,788.57	$3,507.00	—	—	49%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC PR 72050 XR SPINE 4/PLUS VIEWS CERVICAL	$117.30	$230.00	—	82% below	49%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$597.72	$1,172.00	—	7% below	49%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC PR 72050 XR SPINE 4/PLUS VIEWS CERVICAL	$117.30	$230.00	—	—	49%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$597.72	$1,172.00	—	—	49%
Neck soft tissue CT scan with contrast CPT 70491 HC PR 70491 CT SOFT TISSUE NECK W/CONTRAST MATERIAL	$412.59	$809.00	—	85% below	49%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,329.57	$2,607.00	—	51% below	49%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC PR 70491 CT SOFT TISSUE NECK W/CONTRAST MATERIAL	$412.59	$809.00	—	—	49%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,329.57	$2,607.00	—	—	49%
Neck soft tissue CT scan without contrast CPT 70490 HC PR 70490 CT SOFT TISSUE NECK W/O CONTRAST MATERIAL	$331.50	$650.00	—	84% below	49%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,206.66	$2,366.00	—	43% below	49%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC PR 70490 CT SOFT TISSUE NECK W/O CONTRAST MATERIAL	$331.50	$650.00	—	—	49%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,206.66	$2,366.00	—	—	49%
Neck soft tissue X-ray CPT 70360 HC PR 70360 RADIOLOGIC EXAMINATION NECK SOFT TISSUE	$68.85	$135.00	—	79% below	49%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$327.42	$642.00	—	1% above	49%
Neck soft tissue X-ray inpatient CPT 70360 HC PR 70360 RADIOLOGIC EXAMINATION NECK SOFT TISSUE	$68.85	$135.00	—	—	49%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$327.42	$642.00	—	—	49%
Pelvic CT scan without contrast CPT 72192 HC PR 72192 CT PELVIS W/O CONTRAST MATERIAL	$294.78	$578.00	—	85% below	49%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$878.73	$1,723.00	—	55% below	49%
Pelvic CT scan without contrast inpatient CPT 72192 HC PR 72192 CT PELVIS W/O CONTRAST MATERIAL	$294.78	$578.00	—	—	49%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$878.73	$1,723.00	—	—	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC PR 76857 US EXAM PELVIC LIMITED	$102.00	$200.00	—	81% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$328.44	$644.00	—	39% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED	$426.87	$837.00	—	21% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC FOLLICLE LIMITED	$426.87	$837.00	—	21% below	49%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC PR 76857 US EXAM PELVIC LIMITED	$102.00	$200.00	—	—	49%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$328.44	$644.00	—	—	49%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LIMITED	$426.87	$837.00	—	—	49%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC FOLLICLE LIMITED	$426.87	$837.00	—	—	49%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC PR 76856 US EXAM PELVIC COMPLETE	$230.01	$451.00	—	76% below	49%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON-OB COMPLETE	$467.16	$916.00	—	50% below	49%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC PR 76856 US EXAM PELVIC COMPLETE	$230.01	$451.00	—	—	49%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON-OB COMPLETE	$467.16	$916.00	—	—	49%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC PR 76805 US OB AFTER 1ST TRIMEST 1/1ST FETUS	$293.25	$575.00	—	66% below	49%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$467.16	$916.00	—	46% below	49%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC PR 76805 US OB AFTER 1ST TRIMEST 1/1ST FETUS	$293.25	$575.00	—	—	49%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$467.16	$916.00	—	—	49%
Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC PR 76801 US OB LT/14 WKS SINGLE FETUS	$251.94	$494.00	—	67% below	49%
Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$467.16	$916.00	—	40% below	49%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC PR 76801 US OB LT/14 WKS SINGLE FETUS	$251.94	$494.00	—	—	49%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$467.16	$916.00	—	—	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$359.55	$705.00	—	41% below	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC PR 76815 US OB LIMITED FETUS(S)	$377.91	$741.00	—	38% below	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED FETUS(S) CDM	$467.16	$916.00	—	23% below	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$359.55	$705.00	—	—	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC PR 76815 US OB LIMITED FETUS(S)	$377.91	$741.00	—	—	49%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED FETUS(S) CDM	$467.16	$916.00	—	—	49%
Rib X-ray, one side, 2 views CPT 71100 HC PR 71100 XR RIBS UNLTRL XRAY MDC	$80.58	$158.00	—	83% below	49%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS UNI 2 VIEWS	$425.85	$835.00	—	8% below	49%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC PR 71100 XR RIBS UNLTRL XRAY MDC	$80.58	$158.00	—	—	49%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS UNI 2 VIEWS	$425.85	$835.00	—	—	49%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC PR 71101 XR RIBS CHEST 3/PLUS VIEWS	$91.29	$179.00	—	85% below	49%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$597.72	$1,172.00	—	3% below	49%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC PR 71101 XR RIBS CHEST 3/PLUS VIEWS	$91.29	$179.00	—	—	49%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$597.72	$1,172.00	—	—	49%
Screening mammogram, both breasts both sides CPT 77067 HC PR MAMMO SCREEN BILAT INCL CAD	$279.48	$548.00	—	—	49%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$349.86	$686.00	—	11% above	49%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD	$349.86	$686.00	—	11% above	49%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC PR MAMMO SCREEN BILAT INCL CAD	$279.48	$548.00	—	—	49%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD	$349.86	$686.00	—	—	49%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$349.86	$686.00	—	—	49%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC PR 73030 XR SHOULER 2 VIEWS	$75.48	$148.00	—	86% below	49%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$425.85	$835.00	—	23% below	49%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC PR 73030 XR SHOULER 2 VIEWS	$75.48	$148.00	—	—	49%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$425.85	$835.00	—	—	49%
Sinus X-ray, complete, 3 or more views CPT 70220 HC PR 70220 RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS	$82.11	$161.00	—	82% below	49%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$347.31	$681.00	—	24% below	49%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC PR 70220 RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS	$82.11	$161.00	—	—	49%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$347.31	$681.00	—	—	49%
Skull X-ray, fewer than 4 views CPT 70250 HC PR 70250 XR EXAM OF SKULL	$79.05	$155.00	—	81% below	49%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3 VIEWS	$479.91	$941.00	—	18% above	49%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC PR 70250 XR EXAM OF SKULL	$79.05	$155.00	—	—	49%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3 VIEWS	$479.91	$941.00	—	—	49%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC PR 93351 ECHO STRESS W/INTERP REPT & MONITOR	$714.51	$1,401.00	—	78% below	49%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO STRESS W/INTERP REPT & MONITOR	$909.33	$1,783.00	—	71% below	49%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC PR 93351 ECHO STRESS W/INTERP REPT & MONITOR	$714.51	$1,401.00	—	—	49%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO STRESS W/INTERP REPT & MONITOR	$909.33	$1,783.00	—	—	49%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC PR 74230 SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG	$281.52	$552.00	—	57% below	49%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$600.27	$1,177.00	—	9% below	49%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC PR 74230 SWALLOWING FUNCJ W/CINERADIOGRAPY/VIDRADIOG	$281.52	$552.00	—	—	49%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$600.27	$1,177.00	—	—	49%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC PR 73552 XR EXAM OF FEMUR MIN 2 VWS	$78.03	$153.00	—	81% below	49%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$379.95	$745.00	—	7% below	49%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC PR 73552 XR EXAM OF FEMUR MIN 2 VWS	$78.03	$153.00	—	—	49%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$379.95	$745.00	—	—	49%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC PR 72128 CT THORACIC SPINE W/O CONTRAST MATERIAL	$289.17	$567.00	—	90% below	49%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE WO CONTRAST	$878.73	$1,723.00	—	69% below	49%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC PR 72128 CT THORACIC SPINE W/O CONTRAST MATERIAL	$289.17	$567.00	—	—	49%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT CHEST SPINE WO CONTRAST	$878.73	$1,723.00	—	—	49%
Toe X-ray, 2 or more views CPT 73660 HC PR 73660 XR TOES(S) 2 VIEWS	$64.26	$126.00	—	81% below	49%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$425.85	$835.00	—	29% above	49%
Toe X-ray, 2 or more views inpatient CPT 73660 HC PR 73660 XR TOES(S) 2 VIEWS	$64.26	$126.00	—	—	49%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$425.85	$835.00	—	—	49%
Transvaginal pelvic ultrasound CPT 76830 HC PR 76830 US TRANSVAGINAL NON-OB	$262.65	$515.00	—	63% below	49%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$467.16	$916.00	—	35% below	49%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC PR 76830 US TRANSVAGINAL NON-OB	$262.65	$515.00	—	—	49%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$467.16	$916.00	—	—	49%
Transvaginal ultrasound during pregnancy CPT 76817 HC PR 76817 US OB TRANSVAGINAL	$198.39	$389.00	—	70% below	49%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL CDM	$467.16	$916.00	—	30% below	49%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC PR 76817 US OB TRANSVAGINAL	$198.39	$389.00	—	—	49%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL CDM	$467.16	$916.00	—	—	49%
Ultrasound of the abdomen, complete CPT 76700 HC PR 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$252.45	$495.00	—	77% below	49%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE	$467.16	$916.00	—	57% below	49%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC PR 76700 US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$252.45	$495.00	—	—	49%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE	$467.16	$916.00	—	—	49%
Ultrasound of the scrotum and testicles CPT 76870 HC PR 76870 US EXAM SCROTUM & CONTENTS	$219.81	$431.00	—	75% below	49%
Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM & CONTENTS	$467.16	$916.00	—	48% below	49%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC PR 76870 US EXAM SCROTUM & CONTENTS	$219.81	$431.00	—	—	49%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US EXAM SCROTUM & CONTENTS	$467.16	$916.00	—	—	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC PR 76536 HEAD AND NECK SOFT TISSUES	$244.80	$480.00	—	71% below	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$359.55	$705.00	—	57% below	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$467.16	$916.00	—	44% below	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC PR 76536 HEAD AND NECK SOFT TISSUES	$244.80	$480.00	—	—	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$359.55	$705.00	—	—	49%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$467.16	$916.00	—	—	49%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC PR 74240 XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$270.30	$530.00	—	56% below	49%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$706.35	$1,385.00	—	15% above	49%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC PR 74240 XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$270.30	$530.00	—	—	49%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$706.35	$1,385.00	—	—	49%
Upper arm X-ray (humerus), 2 views CPT 73060 HC PR 73060 XR HUMERUS 2/PLUS VIEWS	$70.89	$139.00	—	83% below	49%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 1 VIEW	$425.85	$835.00	—	at median	49%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$425.85	$835.00	—	at median	49%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC PR 73060 XR HUMERUS 2/PLUS VIEWS	$70.89	$139.00	—	—	49%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 1 VIEW	$425.85	$835.00	—	—	49%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$425.85	$835.00	—	—	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC PR 93971 EXTREMITY STUDY VENOUS DUPLEX	$264.18	$518.00	—	71% below	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$543.66	$1,066.00	—	40% below	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC PR 93971 EXTREMITY STUDY VENOUS DUPLEX	$264.18	$518.00	—	—	49%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$543.66	$1,066.00	—	—	49%
Wrist X-ray, 2 views CPT 73100 HC PR 73100 XR WRIST 1-2 VIEWS	$74.46	$146.00	—	81% below	49%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$425.85	$835.00	—	9% above	49%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 1 VIEW	$425.85	$835.00	—	9% above	49%
Wrist X-ray, 2 views inpatient CPT 73100 HC PR 73100 XR WRIST 1-2 VIEWS	$74.46	$146.00	—	—	49%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 1 VIEW	$425.85	$835.00	—	—	49%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$425.85	$835.00	—	—	49%
Wrist X-ray, complete, 3 or more views CPT 73110 HC PR 73110 XR WRIST 3/PLUS VIEWS	$337.11	$661.00	—	33% below	49%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$425.85	$835.00	—	15% below	49%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC PR 73110 XR WRIST 3/PLUS VIEWS	$337.11	$661.00	—	—	49%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$425.85	$835.00	—	—	49%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC PR 73502 XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$103.53	$203.00	—	74% below	49%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$379.95	$745.00	—	5% below	49%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC PR 73502 XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$103.53	$203.00	—	—	49%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$379.95	$745.00	—	—	49%
X-ray of the abdomen, 1 view CPT 74018 HC PR 74018 XR EXAM ABDOMEN 1 VIEW	$64.77	$127.00	—	79% below	49%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$292.23	$573.00	—	4% below	49%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$292.23	$573.00	—	4% below	49%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC PR 74018 XR EXAM ABDOMEN 1 VIEW	$64.77	$127.00	—	—	49%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$292.23	$573.00	—	—	49%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$292.23	$573.00	—	—	49%
X-ray of the ankle, 2 views CPT 73600 HC PR 73600 XR ANKLE 2 VIEWS	$71.40	$140.00	—	82% below	49%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$425.85	$835.00	—	9% above	49%
X-ray of the ankle, 2 views inpatient CPT 73600 HC PR 73600 XR ANKLE 2 VIEWS	$71.40	$140.00	—	—	49%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$425.85	$835.00	—	—	49%
X-ray of the finger(s), 2 or more views CPT 73140 HC PR 73140 XR FINGER(S) 2 VIEWS	$84.15	$165.00	—	77% below	49%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$425.85	$835.00	—	17% above	49%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC PR 73140 XR FINGER(S) 2 VIEWS	$84.15	$165.00	—	—	49%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$425.85	$835.00	—	—	49%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$425.85	$835.00	—	5% above	49%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$425.85	$835.00	—	—	49%
X-ray of the foot, complete, 3 or more views CPT 73630 HC PR 73630 XR FOOT 3 VIEWS	$74.97	$147.00	—	85% below	49%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$425.85	$835.00	—	14% below	49%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC PR 73630 XR FOOT 3 VIEWS	$74.97	$147.00	—	—	49%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$425.85	$835.00	—	—	49%
X-ray of the hand, 3 or more views CPT 73130 HC PR 73130 XR HAND 3 VIEWS	$81.60	$160.00	—	84% below	49%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VIEWS	$425.85	$835.00	—	16% below	49%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC PR 73130 XR HAND 3 VIEWS	$81.60	$160.00	—	—	49%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VIEWS	$425.85	$835.00	—	—	49%
X-ray of the knee, 1 or 2 views CPT 73560 HC PR 73560 XR KNEE 1-2 VIEWS	$74.97	$147.00	—	81% below	49%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2 VIEWS	$379.95	$745.00	—	4% below	49%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC PR 73560 XR KNEE 1-2 VIEWS	$74.97	$147.00	—	—	49%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2 VIEWS	$379.95	$745.00	—	—	49%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$597.72	$1,172.00	—	27% above	49%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$597.72	$1,172.00	—	—	49%
X-ray of the lower back, 4 or more views CPT 72110 HC PR 72110 XR SPINE 4/PLUS VIEWS LUMBAR	$112.20	$220.00	—	83% below	49%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$597.72	$1,172.00	—	8% below	49%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC PR 72110 XR SPINE 4/PLUS VIEWS LUMBAR	$112.20	$220.00	—	—	49%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$597.72	$1,172.00	—	—	49%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$533.97	$1,047.00	—	16% above	49%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$533.97	$1,047.00	—	—	49%
X-ray of the nasal bones, 3 or more views CPT 70160 HC PR 70160 RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	$84.15	$165.00	—	81% below	49%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$347.31	$681.00	—	20% below	49%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC PR 70160 RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS	$84.15	$165.00	—	—	49%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$347.31	$681.00	—	—	49%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC PR 72040 XR SPINE 2-3 VIEWS CERVICAL	$86.19	$169.00	—	81% below	49%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$379.95	$745.00	—	16% below	49%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC PR 72040 XR SPINE 2-3 VIEWS CERVICAL	$86.19	$169.00	—	—	49%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$379.95	$745.00	—	—	49%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$594.66	$1,166.00	—	54% above	49%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$594.66	$1,166.00	—	—	49%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC PR 72220 XR EXAM SACRUM TAILBONE	$71.40	$140.00	—	85% below	49%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$425.85	$835.00	—	9% below	49%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC PR 72220 XR EXAM SACRUM TAILBONE	$71.40	$140.00	—	—	49%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$425.85	$835.00	—	—	49%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs California	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT)	$44.37	$87.00	—	3% above	49%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT)	$44.37	$87.00	—	—	49%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST)	$42.33	$83.00	—	7% below	49%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST)	$42.33	$83.00	—	—	49%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE PANEL	$233.07	$457.00	—	14% below	49%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE PANEL	$233.07	$457.00	—	—	49%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN	$40.29	$79.00	—	61% above	49%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN	$40.29	$79.00	—	—	49%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS	$17.85	$35.00	—	52% below	49%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS	$17.85	$35.00	—	—	49%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE	$16.32	$32.00	—	226% above	49%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE	$16.32	$32.00	—	—	49%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$77.01	$151.00	—	at median	49%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$77.01	$151.00	—	—	49%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA LAB	$118.83	$233.00	—	34% below	49%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA LAB	$118.83	$233.00	—	—	49%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE CDM	$53.04	$104.00	—	4% above	49%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE LAB	$53.04	$104.00	—	4% above	49%
Amylase blood test CPT 82150 HC AMYLASE	$53.04	$104.00	—	4% above	49%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE CDM	$53.04	$104.00	—	—	49%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$53.04	$104.00	—	—	49%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE LAB	$53.04	$104.00	—	—	49%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE LAB	$277.44	$544.00	—	50% above	49%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE LAB	$277.44	$544.00	—	—	49%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIA OTHER	$79.05	$155.00	—	34% below	49%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIA OTHER	$79.05	$155.00	—	—	49%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$51.00	$100.00	—	74% below	49%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$51.00	$100.00	—	—	49%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$41.82	$82.00	—	8% below	49%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL LAB	$41.82	$82.00	—	8% below	49%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL LAB	$41.82	$82.00	—	—	49%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$41.82	$82.00	—	—	49%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$119.34	$234.00	—	8% below	49%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$119.34	$234.00	—	—	49%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$85.68	$168.00	—	69% below	49%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$85.68	$168.00	—	—	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ED ROUTINE VENIPUNCTURE OR LEGAL DRAW CDM	$13.77	$27.00	—	35% below	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$13.77	$27.00	—	35% below	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$13.77	$27.00	—	35% below	49%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE	$20.40	$40.00	—	3% below	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ED ROUTINE VENIPUNCTURE OR LEGAL DRAW CDM	$13.77	$27.00	—	—	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$13.77	$27.00	—	—	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$13.77	$27.00	—	—	49%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE	$20.40	$40.00	—	—	49%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$32.64	$64.00	—	13% below	49%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$32.64	$64.00	—	—	49%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$62.22	$122.00	—	61% below	49%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$62.22	$122.00	—	—	49%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$17.85	$35.00	—	83% below	49%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$55.08	$108.00	—	46% below	49%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$17.85	$35.00	—	—	49%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$55.08	$108.00	—	—	49%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$32.64	$64.00	—	2% below	49%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$32.64	$64.00	—	—	49%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$135.15	$265.00	—	151% above	49%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$135.15	$265.00	—	—	49%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$40.80	$80.00	—	73% below	49%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$40.80	$80.00	—	—	49%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$218.28	$428.00	—	337% above	49%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$218.28	$428.00	—	—	49%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$218.28	$428.00	—	58% above	49%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$218.28	$428.00	—	—	49%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB	$105.06	$206.00	—	11% above	49%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ CDM	$105.06	$206.00	—	11% above	49%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB	$105.06	$206.00	—	—	49%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ CDM	$105.06	$206.00	—	—	49%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL LAB	$42.33	$83.00	—	31% below	49%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$42.33	$83.00	—	31% below	49%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL LAB	$42.33	$83.00	—	—	49%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$42.33	$83.00	—	—	49%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$151.98	$298.00	—	82% above	49%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$151.98	$298.00	—	—	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$95.37	$187.00	—	75% above	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ LAB	$265.71	$521.00	—	387% above	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$95.37	$187.00	—	—	49%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ LAB	$265.71	$521.00	—	—	49%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB	$81.60	$160.00	—	20% below	49%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$81.60	$160.00	—	20% below	49%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$81.60	$160.00	—	20% below	49%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL OF NMR	$81.60	$160.00	—	20% below	49%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL OF NMR	$81.60	$160.00	—	—	49%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$81.60	$160.00	—	—	49%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB	$81.60	$160.00	—	—	49%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$81.60	$160.00	—	—	49%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$49.98	$98.00	—	55% below	49%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$49.98	$98.00	—	—	49%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$41.31	$81.00	—	53% below	49%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$41.31	$81.00	—	—	49%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL	$66.81	$131.00	—	74% below	49%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL	$66.81	$131.00	—	—	49%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL LAB	$117.30	$230.00	—	23% above	49%
Cortisol blood test, total CPT 82533 HC CORTISOL	$149.94	$294.00	—	57% above	49%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL LAB	$117.30	$230.00	—	—	49%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$149.94	$294.00	—	—	49%
Creatine kinase (CK) blood test, total CPT 82550 HC CK TOTAL	$53.04	$104.00	—	39% below	49%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOTAL	$53.04	$104.00	—	—	49%
Creatinine blood test CPT 82565 HC ASSAY CREATININE	$42.33	$83.00	—	9% below	49%
Creatinine blood test inpatient CPT 82565 HC ASSAY CREATININE	$42.33	$83.00	—	—	49%
D-dimer blood test (blood clot marker) CPT 85379 HC DDIMER QUANT	$65.28	$128.00	—	55% below	49%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DDIMER QUANT	$65.28	$128.00	—	—	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$82.62	$162.00	—	33% above	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$82.62	$162.00	—	33% above	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$82.62	$162.00	—	33% above	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$82.62	$162.00	—	33% above	49%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEMAN LAB	$82.62	$162.00	—	33% above	49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$82.62	$162.00	—	—	49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$82.62	$162.00	—	—	49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$82.62	$162.00	—	—	49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEMAN LAB	$82.62	$162.00	—	—	49%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$82.62	$162.00	—	—	49%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$43.86	$86.00	—	48% below	49%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$43.86	$86.00	—	—	49%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL LAB	$265.71	$521.00	—	208% above	49%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL LAB	$265.71	$521.00	—	—	49%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$136.17	$267.00	—	34% above	49%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$136.17	$267.00	—	—	49%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN CDM	$112.20	$220.00	—	5% above	49%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN CDM	$112.20	$220.00	—	—	49%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$54.06	$106.00	—	60% below	49%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$54.06	$106.00	—	—	49%
Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$95.88	$188.00	—	12% below	49%
Folate (folic acid) blood test inpatient CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$95.88	$188.00	—	—	49%
Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$77.52	$152.00	—	4% below	49%
Free T3 thyroid hormone test inpatient CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$77.52	$152.00	—	—	49%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$56.61	$111.00	—	17% below	49%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$66.30	$130.00	—	3% below	49%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$56.61	$111.00	—	—	49%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$66.30	$130.00	—	—	49%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT TOTAL	$154.02	$302.00	—	239% above	49%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT TOTAL	$154.02	$302.00	—	—	49%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST 1HR PP LAB	$44.37	$87.00	—	15% below	49%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$44.37	$87.00	—	15% below	49%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$44.37	$87.00	—	15% below	49%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST 1HR PP LAB	$44.37	$87.00	—	—	49%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$44.37	$87.00	—	—	49%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$44.37	$87.00	—	—	49%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$87.21	$171.00	—	36% below	49%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$87.21	$171.00	—	—	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$95.37	$187.00	—	60% above	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ LAB	$265.71	$521.00	—	345% above	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$95.37	$187.00	—	—	49%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ LAB	$265.71	$521.00	—	—	49%
H. pylori antibody blood test CPT 86677 HC ANTIBODY HELICOBACTER PYLORI CDM	$121.89	$239.00	—	7% above	49%
H. pylori antibody blood test inpatient CPT 86677 HC ANTIBODY HELICOBACTER PYLORI CDM	$121.89	$239.00	—	—	49%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY	$68.85	$135.00	—	17% above	49%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY	$68.85	$135.00	—	—	49%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$93.33	$183.00	—	7% above	49%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$93.33	$183.00	—	—	49%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES LAB	$116.28	$228.00	—	14% below	49%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES LAB	$116.28	$228.00	—	—	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$79.56	$156.00	—	22% above	49%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$79.56	$156.00	—	—	49%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$14.79	$29.00	—	63% below	49%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$14.79	$29.00	—	63% below	49%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$14.79	$29.00	—	63% below	49%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$14.79	$29.00	—	—	49%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$14.79	$29.00	—	—	49%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$14.79	$29.00	—	—	49%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL LAB	$94.86	$186.00	—	170% above	49%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL LAB	$94.86	$186.00	—	—	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB	$104.04	$204.00	—	146% above	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$135.15	$265.00	—	219% above	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB	$104.04	$204.00	—	—	49%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$135.15	$265.00	—	—	49%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$65.28	$128.00	—	9% below	49%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$65.28	$128.00	—	—	49%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY LAB	$94.35	$185.00	—	72% above	49%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY CDM	$94.35	$185.00	—	72% above	49%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY LAB	$94.35	$185.00	—	—	49%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY CDM	$94.35	$185.00	—	—	49%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$408.00	$800.00	—	590% above	49%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$408.00	$800.00	—	—	49%
Iron blood test (serum iron) CPT 83540 HC IRON	$53.04	$104.00	—	9% below	49%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON CDM	$53.04	$104.00	—	9% below	49%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON CDM	$53.04	$104.00	—	—	49%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$53.04	$104.00	—	—	49%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY CDM	$58.14	$114.00	—	20% below	49%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY CDM	$58.14	$114.00	—	—	49%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM	$53.55	$105.00	—	62% below	49%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM	$53.55	$105.00	—	—	49%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$135.66	$266.00	—	30% above	49%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$135.66	$266.00	—	—	49%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE LAB	$103.53	$203.00	—	22% below	49%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE	$103.53	$203.00	—	22% below	49%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE	$103.53	$203.00	—	—	49%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE LAB	$103.53	$203.00	—	—	49%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH SERUM	$49.47	$97.00	—	40% above	49%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID	$69.87	$137.00	—	98% above	49%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH SERUM	$49.47	$97.00	—	—	49%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BODY FLUID	$69.87	$137.00	—	—	49%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE CDM	$56.61	$111.00	—	41% below	49%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE CDM	$56.61	$111.00	—	—	49%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$60.69	$119.00	—	60% below	49%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$60.69	$119.00	—	—	49%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM CDM	$55.59	$109.00	—	11% below	49%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM CDM	$55.59	$109.00	—	—	49%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES	$97.92	$192.00	—	5% below	49%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES	$97.92	$192.00	—	—	49%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$150.45	$295.00	—	150% above	49%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$150.45	$295.00	—	—	49%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$92.82	$182.00	—	55% above	49%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$150.45	$295.00	—	152% above	49%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$92.82	$182.00	—	—	49%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$150.45	$295.00	—	—	49%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN	$90.27	$177.00	—	1% below	49%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN	$90.27	$177.00	—	—	49%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$137.70	$270.00	—	25% above	49%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE LAB	$137.70	$270.00	—	25% above	49%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$137.70	$270.00	—	—	49%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE LAB	$137.70	$270.00	—	—	49%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$37.74	$74.00	—	40% below	49%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$37.74	$74.00	—	—	49%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY PHOSPHORUS	$38.25	$75.00	—	49% below	49%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY PHOSPHORUS	$38.25	$75.00	—	—	49%
Potassium blood test CPT 84132 HC POTASSIUM	$37.74	$74.00	—	48% below	49%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$37.74	$74.00	—	—	49%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE CDM	$83.64	$164.00	—	1% above	49%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE CDM	$83.64	$164.00	—	—	49%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610	$25.50	$50.00	—	54% below	49%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM	$25.50	$50.00	—	54% below	49%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB	$25.50	$50.00	—	54% below	49%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB	$25.50	$50.00	—	—	49%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610	$25.50	$50.00	—	—	49%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME CDM	$25.50	$50.00	—	—	49%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A SCREEN	$56.61	$111.00	—	25% below	49%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA B SCREEN	$56.61	$111.00	—	25% below	49%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A SCREEN	$56.61	$111.00	—	—	49%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA B SCREEN	$56.61	$111.00	—	—	49%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$77.01	$151.00	—	29% below	49%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$77.01	$151.00	—	—	49%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$20.40	$40.00	—	63% below	49%
Rh blood typing CPT 86901 HC RH TYPE	$62.73	$123.00	—	13% above	49%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$20.40	$40.00	—	—	49%
Rh blood typing inpatient CPT 86901 HC RH TYPE	$62.73	$123.00	—	—	49%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$155.04	$304.00	—	205% above	49%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY	$155.04	$304.00	—	—	49%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTOMATED	$16.83	$33.00	—	70% below	49%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTOMATED	$16.83	$33.00	—	—	49%
Sodium blood test CPT 84295 HC SODIUM	$39.78	$78.00	—	39% below	49%
Sodium blood test inpatient CPT 84295 HC SODIUM	$39.78	$78.00	—	—	49%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$28.05	$55.00	—	28% below	49%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$28.05	$55.00	—	—	49%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$52.02	$102.00	—	6% above	49%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$52.02	$102.00	—	—	49%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM - AB	$85.68	$168.00	—	429% above	49%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM - AB	$85.68	$168.00	—	—	49%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE	$73.95	$145.00	—	85% above	49%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE	$73.95	$145.00	—	—	49%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$137.70	$270.00	—	49% above	49%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4	$137.70	$270.00	—	49% above	49%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$137.70	$270.00	—	49% above	49%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4	$137.70	$270.00	—	—	49%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$137.70	$270.00	—	—	49%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$137.70	$270.00	—	—	49%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$35.70	$70.00	—	15% below	49%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$35.70	$70.00	—	—	49%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4	$56.61	$111.00	—	44% above	49%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4	$56.61	$111.00	—	—	49%
Transferrin blood test CPT 84466 HC ASSAY TRANSFERRIN	$152.49	$299.00	—	182% above	49%
Transferrin blood test inpatient CPT 84466 HC ASSAY TRANSFERRIN	$152.49	$299.00	—	—	49%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB	$65.28	$128.00	—	33% below	49%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB	$65.28	$128.00	—	—	49%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$46.92	$92.00	—	14% above	49%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$46.92	$92.00	—	—	49%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE	$80.07	$157.00	—	55% below	49%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE	$80.07	$157.00	—	—	49%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$36.72	$72.00	—	44% below	49%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$36.72	$72.00	—	—	49%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$35.70	$70.00	—	57% below	49%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$35.70	$70.00	—	57% below	49%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$35.70	$70.00	—	—	49%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$35.70	$70.00	—	—	49%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$23.46	$46.00	—	58% below	49%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$23.46	$46.00	—	58% below	49%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB	$23.46	$46.00	—	58% below	49%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB	$23.46	$46.00	—	—	49%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$23.46	$46.00	—	—	49%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$23.46	$46.00	—	—	49%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$26.01	$51.00	—	24% below	49%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$26.01	$51.00	—	—	49%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT	$102.51	$201.00	—	26% below	49%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT	$102.51	$201.00	—	—	49%
Urine microalbumin (albumin) test CPT 82043 HC URINE ALBUMIN QUANTITATIVE LAB	$46.92	$92.00	—	28% above	49%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE	$46.92	$92.00	—	28% above	49%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE	$46.92	$92.00	—	—	49%
Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE ALBUMIN QUANTITATIVE LAB	$46.92	$92.00	—	—	49%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$30.60	$60.00	—	65% below	49%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$30.60	$60.00	—	—	49%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN-B12	$93.84	$184.00	—	at median	49%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN-B12	$93.84	$184.00	—	—	49%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$94.35	$185.00	—	48% above	49%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$94.35	$185.00	—	—	49%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$123.42	$242.00	—	31% below	49%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$123.42	$242.00	—	—	49%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HC PR 29888 KNEE SCOPE,AID ANT CRUCIATE REPAIR	$1,541.22	$3,022.00	—	83% below	49%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 HC PR 29888 KNEE SCOPE,AID ANT CRUCIATE REPAIR	$1,541.22	$3,022.00	—	—	49%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC PR 29827 SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR	$1,671.78	$3,278.00	—	78% below	49%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 HC PR 29827 SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR	$1,671.78	$3,278.00	—	—	49%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$10,665.12	$20,912.00	—	124% above	49%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$10,665.12	$20,912.00	—	—	49%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$652.29	$1,279.00	—	22% above	49%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC PR 27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ CDM	$1,092.42	$2,142.00	—	104% above	49%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$652.29	$1,279.00	—	—	49%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC PR 27786 CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ CDM	$1,092.42	$2,142.00	—	—	49%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLTX METATARSAL FRACTURE W/O MANIPULATION CDM	$254.49	$499.00	—	53% below	49%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC PR 28470 TREAT METATARSAL FRACTURE W/O MANIPULATION	$406.98	$798.00	—	24% below	49%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$836.40	$1,640.00	—	56% above	49%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLTX METATARSAL FRACTURE W/O MANIPULATION CDM	$254.49	$499.00	—	—	49%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC PR 28470 TREAT METATARSAL FRACTURE W/O MANIPULATION	$406.98	$798.00	—	—	49%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$836.40	$1,640.00	—	—	49%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC ED CORRECTION OF BUNION CDM	$3,657.72	$7,172.00	—	13% below	49%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC ED CORRECTION OF BUNION CDM	$3,657.72	$7,172.00	—	—	49%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$2,366.91	$4,641.00	—	24% above	49%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$2,366.91	$4,641.00	—	—	49%
Carpal tunnel release, open surgery CPT 64721 HC PR 64721 CARPAL TUNNEL SURGERY, SEPARATE PROC	$684.42	$1,342.00	—	81% below	49%
Carpal tunnel release, open surgery CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$2,208.81	$4,331.00	—	39% below	49%
Carpal tunnel release, open surgery inpatient CPT 64721 HC PR 64721 CARPAL TUNNEL SURGERY, SEPARATE PROC	$684.42	$1,342.00	—	—	49%
Carpal tunnel release, open surgery inpatient CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$2,208.81	$4,331.00	—	—	49%
Cervical biopsy CPT 57500 HC PR 57500 BIOPSY OF CERVIX	$1,180.14	$2,314.00	—	39% below	49%
Cervical biopsy CPT 57500 HC ED BIOPSY OF CERVIX CDM	$1,353.54	$2,654.00	—	30% below	49%
Cervical biopsy inpatient CPT 57500 HC PR 57500 BIOPSY OF CERVIX	$1,180.14	$2,314.00	—	—	49%
Cervical biopsy inpatient CPT 57500 HC ED BIOPSY OF CERVIX CDM	$1,353.54	$2,654.00	—	—	49%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC PR 54161 CIRCUMCISION AGE >28 DAYS CDM	$306.00	$600.00	—	93% below	49%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC PR 54161 CIRCUMCISION AGE >28 DAYS CDM	$306.00	$600.00	—	—	49%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$302.94	$594.00	—	46% below	49%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC PR 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ CDM	$873.63	$1,713.00	—	56% above	49%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$302.94	$594.00	—	—	49%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC PR 25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ CDM	$873.63	$1,713.00	—	—	49%
Colonoscopy with polyp removal CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM	$854.25	$1,675.00	—	63% below	49%
Colonoscopy with polyp removal inpatient CPT 45385 HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM	$854.25	$1,675.00	—	—	49%
Colonoscopy with tissue sample CPT 45380 HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM	$760.92	$1,492.00	—	67% below	49%
Colonoscopy with tissue sample inpatient CPT 45380 HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM	$760.92	$1,492.00	—	—	49%
Colonoscopy, diagnostic CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM	$640.56	$1,256.00	—	69% below	49%
Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$847.62	$1,662.00	—	59% below	49%
Colonoscopy, diagnostic inpatient CPT 45378 HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM	$640.56	$1,256.00	—	—	49%
Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$847.62	$1,662.00	—	—	49%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC PR 57460 BX OF CERVIX W/SCOPE LEEP	$272.85	$535.00	—	94% below	49%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC PR 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX CDM	$542.64	$1,064.00	—	88% below	49%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC PR 57460 BX OF CERVIX W/SCOPE LEEP	$272.85	$535.00	—	—	49%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC PR 57460 COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX CDM	$542.64	$1,064.00	—	—	49%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC PR 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE CDM	$997.05	$1,955.00	—	5% above	49%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC PR 57454 COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE CDM	$997.05	$1,955.00	—	—	49%
Cystoscopy with ureteral stent placement CPT 52332 HC PR 52332 CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STEN	$824.16	$1,616.00	—	89% below	49%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC PR 52332 CYSTOURETHROSCOPY W/ INSERTION OF INDWELLING URETERAL STEN	$824.16	$1,616.00	—	—	49%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC PR 52000 CYSTOURETHROSCOPY CDM	$327.93	$643.00	—	80% below	49%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,078.14	$2,114.00	—	33% below	49%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC PR 52000 CYSTOURETHROSCOPY CDM	$327.93	$643.00	—	—	49%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,078.14	$2,114.00	—	—	49%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC PR 58120 DILATION AND CURETTAGE	$596.19	$1,169.00	—	86% below	49%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC ED DILATION AND CURETTAGE CDM	$3,474.63	$6,813.00	—	18% below	49%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC PR 58120 DILATION AND CURETTAGE	$596.19	$1,169.00	—	—	49%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC ED DILATION AND CURETTAGE CDM	$3,474.63	$6,813.00	—	—	49%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$369.75	$725.00	—	16% above	49%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST CDM	$483.99	$949.00	—	51% above	49%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$369.75	$725.00	—	—	49%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST CDM	$483.99	$949.00	—	—	49%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$74.46	$146.00	—	58% below	49%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$71.91	$141.00	—	59% below	49%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC PR 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$95.37	$187.00	—	46% below	49%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$74.46	$146.00	—	—	49%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$71.91	$141.00	—	—	49%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC PR 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT CDM	$95.37	$187.00	—	—	49%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$130.05	$255.00	—	31% below	49%
Earwax removal with instruments, one ear one side CPT 69210 HC ED REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$130.05	$255.00	—	31% below	49%
Earwax removal with instruments, one ear one side CPT 69210 HC PR 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$167.79	$329.00	—	11% below	49%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC ED REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$130.05	$255.00	—	—	49%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$130.05	$255.00	—	—	49%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC PR 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$167.79	$329.00	—	—	49%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC PR 58100 BIOPSY OF UTERUS LINING	$259.59	$509.00	—	52% below	49%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$378.42	$742.00	—	31% below	49%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC PR 58100 BIOPSY OF UTERUS LINING	$259.59	$509.00	—	—	49%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$378.42	$742.00	—	—	49%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ W/NDL OR CATH PLCMNT EPIDRL C/T W/IMG	$1,674.84	$3,284.00	—	31% below	49%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$1,674.84	$3,284.00	—	31% below	49%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$1,674.84	$3,284.00	—	—	49%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ W/NDL OR CATH PLCMNT EPIDRL C/T W/IMG	$1,674.84	$3,284.00	—	—	49%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$440.64	$864.00	—	50% below	49%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$440.64	$864.00	—	—	49%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV	$493.17	$967.00	—	76% below	49%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVERT F JNT L/S 1 LEV	$493.17	$967.00	—	—	49%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC PR 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE CDM	$1,019.49	$1,999.00	—	86% below	49%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HC PR 49593 RPR AA HERNIA 1ST 3-10 CM REDUCIBLE CDM	$1,019.49	$1,999.00	—	—	49%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC PR 49591 RPR AA HERNIA 1ST/LESS THAN 3 CM REDUCIBLE CDM	$565.08	$1,108.00	—	92% below	49%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC PR 49591 RPR AA HERNIA 1ST/LESS THAN 3 CM REDUCIBLE CDM	$565.08	$1,108.00	—	—	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC PR 45330 DIAGNOSTIC SIGMOIDOSCOPY	$183.09	$359.00	—	90% below	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$847.62	$1,662.00	—	54% below	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC PR 45330 DIAGNOSTIC SIGMOIDOSCOPY	$183.09	$359.00	—	—	49%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$847.62	$1,662.00	—	—	49%
Gallbladder removal, laparoscopic CPT 47562 HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$993.48	$1,948.00	—	92% below	49%
Gallbladder removal, laparoscopic inpatient CPT 47562 HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$993.48	$1,948.00	—	—	49%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$5,316.24	$10,424.00	—	43% below	49%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$5,316.24	$10,424.00	—	—	49%
Gallbladder removal, open surgery through a larger incision CPT 47600 HC PR 47600 CHOLECYSTECTOMY	$1,607.01	$3,151.00	—	40% below	49%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 HC PR 47600 CHOLECYSTECTOMY	$1,607.01	$3,151.00	—	—	49%
Hammertoe correction surgery CPT 28285 HC PR 28285 REPAIR OF HAMMERTOE	$685.95	$1,345.00	—	84% below	49%
Hammertoe correction surgery inpatient CPT 28285 HC PR 28285 REPAIR OF HAMMERTOE	$685.95	$1,345.00	—	—	49%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC PR 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$618.63	$1,213.00	—	67% below	49%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,021.02	$2,002.00	—	45% below	49%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC PR 46221 HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$618.63	$1,213.00	—	—	49%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,021.02	$2,002.00	—	—	49%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$3,157.41	$6,191.00	—	31% below	49%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$3,157.41	$6,191.00	—	—	49%
Hysteroscopy with endometrial ablation CPT 58563 HC PR 58563 HYSTEROSCOPY ABLATION	$4,830.72	$9,472.00	—	25% below	49%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HC PR 58563 HYSTEROSCOPY ABLATION	$4,830.72	$9,472.00	—	—	49%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC PR 58558 HYSTEROSCOPY BIOPSY	$683.40	$1,340.00	—	90% below	49%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC PR 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C CDM	$1,260.72	$2,472.00	—	82% below	49%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC PR 58558 HYSTEROSCOPY BIOPSY	$683.40	$1,340.00	—	—	49%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC PR 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C CDM	$1,260.72	$2,472.00	—	—	49%
IUD insertion (the device itself billed separately) CPT 58300 HC PR 58300 INSERT INTRAUTERINE DEVICE	$111.18	$218.00	—	81% below	49%
IUD insertion (the device itself billed separately) CPT 58300 HC ED INSERTION INTRAUTERINE DEVICE IUD CDM	$128.01	$251.00	—	78% below	49%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC PR 58300 INSERT INTRAUTERINE DEVICE	$111.18	$218.00	—	—	49%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC ED INSERTION INTRAUTERINE DEVICE IUD CDM	$128.01	$251.00	—	—	49%
Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE	$259.59	$509.00	—	45% below	49%
Incision and drainage of a simple or single skin abscess CPT 10060 HC PR 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE CDM	$287.64	$564.00	—	39% below	49%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$363.63	$713.00	—	22% below	49%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$363.63	$713.00	—	22% below	49%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE	$363.63	$713.00	—	22% below	49%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR 10060 DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE	$259.59	$509.00	—	—	49%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC PR 10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE CDM	$287.64	$564.00	—	—	49%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$363.63	$713.00	—	—	49%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE	$363.63	$713.00	—	—	49%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$363.63	$713.00	—	—	49%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE	$1,979.31	$3,881.00	—	73% below	49%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$4,352.85	$8,535.00	—	41% below	49%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE	$1,979.31	$3,881.00	—	—	49%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$4,352.85	$8,535.00	—	—	49%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS CDM	$140.76	$276.00	—	79% below	49%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC PR 20550 INJ TENDON SHEATH/LIGAMENT	$388.62	$762.00	—	41% below	49%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$458.49	$899.00	—	31% below	49%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$458.49	$899.00	—	31% below	49%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PR 20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS CDM	$140.76	$276.00	—	—	49%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC PR 20550 INJ TENDON SHEATH/LIGAMENT	$388.62	$762.00	—	—	49%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS	$458.49	$899.00	—	—	49%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$458.49	$899.00	—	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 DRAIN/INJECT JOINT/BURSA MAJOR JOINT W/O ULTRASOUND GUIDANCE	$91.29	$179.00	—	90% below	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 DRAIN/INJECT JOINT/BURSA MAJOR	$128.01	$251.00	—	87% below	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$1,647.81	$3,231.00	—	73% above	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,647.81	$3,231.00	—	73% above	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC PR 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$1,676.37	$3,287.00	—	76% above	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 DRAIN/INJECT JOINT/BURSA MAJOR JOINT W/O ULTRASOUND GUIDANCE	$91.29	$179.00	—	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 DRAIN/INJECT JOINT/BURSA MAJOR	$128.01	$251.00	—	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,647.81	$3,231.00	—	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$1,647.81	$3,231.00	—	—	49%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC PR 20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$1,676.37	$3,287.00	—	—	49%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT DEVICE	$359.04	$704.00	—	26% above	49%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT CDM	$537.03	$1,053.00	—	89% above	49%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DELIVERY IMPLANT DEVICE	$359.04	$704.00	—	—	49%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC PR 11981 INSJ NON-BIODEGRADABLE DRUG DELIVERY IMPLANT CDM	$537.03	$1,053.00	—	—	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$497.25	$975.00	—	18% below	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERMED	$497.25	$975.00	—	18% below	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC PR 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDA	$634.44	$1,244.00	—	4% above	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT JOINT/BURSA INTERMED	$497.25	$975.00	—	—	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$497.25	$975.00	—	—	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC PR 20605 DRAIN/INJECT JOINT/BURSA INTERM W/O ULTRASOUND GUIDA	$634.44	$1,244.00	—	—	49%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC PR 20600 DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDAN	$193.29	$379.00	—	73% below	49%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE	$349.86	$686.00	—	52% below	49%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$349.86	$686.00	—	52% below	49%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC PR 20600 DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDAN	$193.29	$379.00	—	—	49%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJECT JOINT/BURSA SMALL W/O ULTRASOUND GUIDANCE	$349.86	$686.00	—	—	49%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$349.86	$686.00	—	—	49%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC PR 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	$1,098.03	$2,153.00	—	74% below	49%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 HC PR 29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL	$1,098.03	$2,153.00	—	—	49%
Knee arthroscopy with meniscus trim CPT 29881 HC PR 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$856.80	$1,680.00	—	83% below	49%
Knee arthroscopy with meniscus trim inpatient CPT 29881 HC PR 29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG	$856.80	$1,680.00	—	—	49%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HC PR 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$890.97	$1,747.00	—	79% below	49%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 HC PR 29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING	$890.97	$1,747.00	—	—	49%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC PR 29877 KNEE SCOPE SHAVE ARTICULAR CARTILAGE CDM	$982.26	$1,926.00	—	90% below	49%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 HC PR 29877 KNEE SCOPE SHAVE ARTICULAR CARTILAGE CDM	$982.26	$1,926.00	—	—	49%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC PR 44970 LAPAROSCOPY APPENDECTOMY	$910.35	$1,785.00	—	89% below	49%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC PR 44970 LAPAROSCOPY APPENDECTOMY	$910.35	$1,785.00	—	—	49%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HC PR 58571 TLH W/T/O 250 G OR LESS	$1,699.83	$3,333.00	—	88% below	49%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 HC PR 58571 TLH W/T/O 250 G OR LESS	$1,699.83	$3,333.00	—	—	49%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC PR 49650 LAPAROSCOPY INGUINAL HERNIA REPAIR, INITIAL	$1,349.97	$2,647.00	—	92% below	49%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC PR 49650 LAPAROSCOPY INGUINAL HERNIA REPAIR, INITIAL	$1,349.97	$2,647.00	—	—	49%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HC PR 49651 LAPAROSCOPY INGUINAL HERNIA REPAIR, RECURRENT	$988.38	$1,938.00	—	93% below	49%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HC PR 49651 LAPAROSCOPY INGUINAL HERNIA REPAIR, RECURRENT	$988.38	$1,938.00	—	—	49%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC PR 58661 LAPAROSCOPY REMOVE ADNEXA	$1,206.15	$2,365.00	—	91% below	49%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC PR 58661 LAPAROSCOPY REMOVE ADNEXA	$1,206.15	$2,365.00	—	—	49%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$452.37	$887.00	—	48% below	49%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$452.37	$887.00	—	—	49%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$1,571.82	$3,082.00	—	29% below	49%
Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,571.82	$3,082.00	—	29% below	49%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,571.82	$3,082.00	—	—	49%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$1,571.82	$3,082.00	—	—	49%
Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,170.45	$2,295.00	—	35% below	49%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,170.45	$2,295.00	—	—	49%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL	$610.98	$1,198.00	—	—	49%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC PR 64483 NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$229.50	$450.00	—	89% below	49%
Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL	$610.98	$1,198.00	—	—	49%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC PR 64483 NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$229.50	$450.00	—	—	49%
Lumbar laminectomy (spinal decompression), one level CPT 63047 HC PR 63047 REMOVAL OF SPINAL LAMINA LUMBAR	$2,237.37	$4,387.00	—	90% below	49%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 HC PR 63047 REMOVAL OF SPINAL LAMINA LUMBAR	$2,237.37	$4,387.00	—	—	49%
Miscarriage treatment with D&C, first trimester CPT 59820 HC PR 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$861.39	$1,689.00	—	83% below	49%
Miscarriage treatment with D&C, first trimester CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$3,474.63	$6,813.00	—	31% below	49%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC PR 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL	$861.39	$1,689.00	—	—	49%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$3,474.63	$6,813.00	—	—	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LESS CDM	$797.64	$1,564.00	—	40% below	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC PR11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/OR LESS	$882.30	$1,730.00	—	33% below	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC PR11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/OR LESS CDM	$1,407.09	$2,759.00	—	6% above	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LESS CDM	$797.64	$1,564.00	—	—	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC PR11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/OR LESS	$882.30	$1,730.00	—	—	49%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC PR11400 EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/OR LESS CDM	$1,407.09	$2,759.00	—	—	49%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LESS CDM	$797.64	$1,564.00	—	46% below	49%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LESS CDM	$797.64	$1,564.00	—	—	49%
Nail removal (partial or complete), one nail CPT 11730 HC PR 11730 REMOVAL OF NAIL PLATE	$259.59	$509.00	—	48% below	49%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 CDM	$335.58	$658.00	—	33% below	49%
Nail removal (partial or complete), one nail CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$335.58	$658.00	—	33% below	49%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC PR 11730 REMOVAL OF NAIL PLATE	$259.59	$509.00	—	—	49%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$335.58	$658.00	—	—	49%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 CDM	$335.58	$658.00	—	—	49%
Occipital nerve block (injection for headaches) CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$755.82	$1,482.00	—	14% below	49%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$755.82	$1,482.00	—	14% below	49%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$755.82	$1,482.00	—	—	49%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$755.82	$1,482.00	—	—	49%
Paracentesis with imaging guidance CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$2,265.93	$4,443.00	—	23% above	49%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$2,265.93	$4,443.00	—	23% above	49%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$2,265.93	$4,443.00	—	—	49%
Paracentesis with imaging guidance inpatient CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$2,265.93	$4,443.00	—	—	49%
Partial knee replacement (one compartment) CPT 27446 HC PR 27446 PLASTY KNEE MED OR LAT COMPARTMT (27446) CDM	$1,538.16	$3,016.00	—	92% below	49%
Partial knee replacement (one compartment) inpatient CPT 27446 HC PR 27446 PLASTY KNEE MED OR LAT COMPARTMT (27446) CDM	$1,538.16	$3,016.00	—	—	49%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL CDM	$213.18	$418.00	—	84% below	49%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC PR 11750 REMOVAL OF NAIL BED	$590.07	$1,157.00	—	54% below	49%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL MATRIX PERMANENT REMOVAL	$593.13	$1,163.00	—	54% below	49%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$1,448.40	$2,840.00	—	12% above	49%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR 11750 EXCISION NAIL MATRIX PERMANENT REMOVAL CDM	$213.18	$418.00	—	—	49%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC PR 11750 REMOVAL OF NAIL BED	$590.07	$1,157.00	—	—	49%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL MATRIX PERMANENT REMOVAL	$593.13	$1,163.00	—	—	49%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$1,448.40	$2,840.00	—	—	49%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$761.43	$1,493.00	—	84% below	49%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$761.43	$1,493.00	—	—	49%
Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE CDM	$318.75	$625.00	—	68% below	49%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$1,088.85	$2,135.00	—	11% above	49%
Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$1,088.85	$2,135.00	—	11% above	49%
Removal of a foreign object under the skin, simple CPT 10120 HC PR 10120 REMOVE FOREIGN BODY SIMPLE	$1,265.31	$2,481.00	—	29% above	49%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR 10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE CDM	$318.75	$625.00	—	—	49%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE	$1,088.85	$2,135.00	—	—	49%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$1,088.85	$2,135.00	—	—	49%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC PR 10120 REMOVE FOREIGN BODY SIMPLE	$1,265.31	$2,481.00	—	—	49%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC PR G0121 COLORECTAL SCRN NOT HI RISK IND	$640.56	$1,256.00	—	73% below	49%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC PR G0121 COLORECTAL SCRN NOT HI RISK IND	$640.56	$1,256.00	—	—	49%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC PR G0105 COLORECTAL SCRN HI RISK IND	$640.56	$1,256.00	—	73% below	49%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC PR G0105 COLORECTAL SCRN HI RISK IND	$640.56	$1,256.00	—	—	49%
Septoplasty to straighten the nasal septum CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$3,496.05	$6,855.00	—	29% below	49%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$3,496.05	$6,855.00	—	—	49%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC PR 50590 LITHOTRIPSY XTRCORP SHOCK WAVE CDM	$1,146.48	$2,248.00	—	85% below	49%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC PR 50590 LITHOTRIPSY XTRCORP SHOCK WAVE CDM	$1,146.48	$2,248.00	—	—	49%
Short arm cast (elbow to hand) CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$294.78	$578.00	—	41% below	49%
Short arm cast (elbow to hand) CPT 29075 HC PR 29075 APPLICATION CAST ELBOW FINGER SHORT ARM	$345.78	$678.00	—	31% below	49%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$294.78	$578.00	—	—	49%
Short arm cast (elbow to hand) inpatient CPT 29075 HC PR 29075 APPLICATION CAST ELBOW FINGER SHORT ARM	$345.78	$678.00	—	—	49%
Short arm splint (forearm and hand) CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$465.63	$913.00	—	11% above	49%
Short arm splint (forearm and hand) CPT 29125 HC PR 29125 SHORT ARM SPLINT APPLICATION	$541.11	$1,061.00	—	29% above	49%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$465.63	$913.00	—	—	49%
Short arm splint (forearm and hand) inpatient CPT 29125 HC PR 29125 SHORT ARM SPLINT APPLICATION	$541.11	$1,061.00	—	—	49%
Short leg cast (below the knee) CPT 29405 HC PR 29405 SHORT LEG CAST APPLICATION	$175.95	$345.00	—	65% below	49%
Short leg cast (below the knee) CPT 29405 HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$412.08	$808.00	—	17% below	49%
Short leg cast (below the knee) CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$412.08	$808.00	—	17% below	49%
Short leg cast (below the knee) inpatient CPT 29405 HC PR 29405 SHORT LEG CAST APPLICATION	$175.95	$345.00	—	—	49%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLICATION SHORT LEG CAST BELOW KNEE-TOE	$412.08	$808.00	—	—	49%
Short leg cast (below the knee) inpatient CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$412.08	$808.00	—	—	49%
Short leg splint (calf to foot) CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$202.98	$398.00	—	59% below	49%
Short leg splint (calf to foot) CPT 29515 HC PR 29515 SHORT LEG SPLINT APPLICATION	$245.82	$482.00	—	50% below	49%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$202.98	$398.00	—	—	49%
Short leg splint (calf to foot) inpatient CPT 29515 HC PR 29515 SHORT LEG SPLINT APPLICATION	$245.82	$482.00	—	—	49%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HC PR 29824 SHOULDER ARTHROSCOPY/SURGERY	$1,067.94	$2,094.00	—	74% below	49%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 HC PR 29824 SHOULDER ARTHROSCOPY/SURGERY	$1,067.94	$2,094.00	—	—	49%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC PR 29826 ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE	$366.18	$718.00	—	93% below	49%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC PR 29826 ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE	$366.18	$718.00	—	—	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC PR 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/OR LESS	$221.85	$435.00	—	60% below	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SMPL REPAIR SCLP/NK/AX/GEN/TRNK LTE 2.5CM CDM	$354.96	$696.00	—	36% below	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/OR LESS	$354.96	$696.00	—	36% below	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$379.95	$745.00	—	31% below	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC PR 12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/OR LESS	$221.85	$435.00	—	—	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SMPL REPAIR SCLP/NK/AX/GEN/TRNK LTE 2.5CM CDM	$354.96	$696.00	—	—	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/OR LESS	$354.96	$696.00	—	—	49%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$379.95	$745.00	—	—	49%
Skin biopsy, punch, one lesion CPT 11104 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION	$172.38	$338.00	—	76% below	49%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$257.55	$505.00	—	64% below	49%
Skin biopsy, punch, one lesion CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$458.49	$899.00	—	37% below	49%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION	$172.38	$338.00	—	—	49%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$257.55	$505.00	—	—	49%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$458.49	$899.00	—	—	49%
Skin tag removal, up to 15 tags CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$234.60	$460.00	—	41% below	49%
Skin tag removal, up to 15 tags CPT 11200 HC PR 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 CDM	$483.99	$949.00	—	22% above	49%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$234.60	$460.00	—	—	49%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC PR 11200 REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 CDM	$483.99	$949.00	—	—	49%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$1,236.75	$2,425.00	—	6% below	49%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$1,715.13	$3,363.00	—	30% above	49%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$1,236.75	$2,425.00	—	—	49%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$1,715.13	$3,363.00	—	—	49%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$455.94	$894.00	—	39% below	49%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC PR 12002 REPAIR SUPERFICIAL WOUND(S) 2.6 TO 7.5CM SLP NK AX E	$529.89	$1,039.00	—	29% below	49%
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 ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$455.94	$894.00	—	—	49%
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 PR 12002 REPAIR SUPERFICIAL WOUND(S) 2.6 TO 7.5CM SLP NK AX E	$529.89	$1,039.00	—	—	49%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$767.04	$1,504.00	—	16% above	49%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$767.04	$1,504.00	—	—	49%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$210.12	$412.00	—	62% below	49%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$221.85	$435.00	—	60% below	49%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$259.59	$509.00	—	53% below	49%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$210.12	$412.00	—	—	49%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$221.85	$435.00	—	—	49%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC PR 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$259.59	$509.00	—	—	49%
Thoracentesis with imaging guidance CPT 32555 HC CT THORACENTESIS	$2,204.22	$4,322.00	—	8% above	49%
Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$2,204.22	$4,322.00	—	8% above	49%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$2,204.22	$4,322.00	—	8% above	49%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$2,204.22	$4,322.00	—	—	49%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$2,204.22	$4,322.00	—	—	49%
Thoracentesis with imaging guidance inpatient CPT 32555 HC CT THORACENTESIS	$2,204.22	$4,322.00	—	—	49%
Total hip replacement CPT 27130 HC PR 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,032.86	$3,986.00	—	78% below	49%
Total hip replacement inpatient CPT 27130 HC PR 27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$2,032.86	$3,986.00	—	—	49%
Total knee replacement CPT 27447 HC PR 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,101.20	$4,120.00	—	92% below	49%
Total knee replacement inpatient CPT 27447 HC PR 27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$2,101.20	$4,120.00	—	—	49%
Total shoulder replacement CPT 23472 HC PR 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$1,772.25	$3,475.00	—	84% below	49%
Total shoulder replacement inpatient CPT 23472 HC PR 23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER	$1,772.25	$3,475.00	—	—	49%
Trigger finger release surgery CPT 26055 HC PR 26055 INCISE FINGER TENDON SHEATH (26055) CDM	$940.44	$1,844.00	—	69% below	49%
Trigger finger release surgery CPT 26055 HC PR 26055 INCISE FINGER TENDON SHEATH	$1,537.14	$3,014.00	—	50% below	49%
Trigger finger release surgery inpatient CPT 26055 HC PR 26055 INCISE FINGER TENDON SHEATH (26055) CDM	$940.44	$1,844.00	—	—	49%
Trigger finger release surgery inpatient CPT 26055 HC PR 26055 INCISE FINGER TENDON SHEATH	$1,537.14	$3,014.00	—	—	49%
Trigger point injections, 1 or 2 muscles CPT 20552 HC IR INJ TRIGGER POINT(S)1TO2 MUSC	$918.51	$1,801.00	—	44% above	49%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$918.51	$1,801.00	—	44% above	49%
Trigger point injections, 1 or 2 muscles CPT 20552 HC PR 20552 INJ TRIGGER POINT 1/2 MUSCL	$1,189.32	$2,332.00	—	86% above	49%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC IR INJ TRIGGER POINT(S)1TO2 MUSC	$918.51	$1,801.00	—	—	49%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$918.51	$1,801.00	—	—	49%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC PR 20552 INJ TRIGGER POINT 1/2 MUSCL	$1,189.32	$2,332.00	—	—	49%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC PR 43249 EGD BALLOON DILATION ESOPHAGUS/LESS THAN 30MM	$287.13	$563.00	—	88% below	49%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$1,776.33	$3,483.00	—	28% below	49%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC PR 43249 EGD BALLOON DILATION ESOPHAGUS/LESS THAN 30MM	$287.13	$563.00	—	—	49%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$1,776.33	$3,483.00	—	—	49%
Upper endoscopy (EGD) with biopsy CPT 43239 HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE	$678.81	$1,331.00	—	62% below	49%
Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$842.01	$1,651.00	—	52% below	49%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE	$678.81	$1,331.00	—	—	49%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$842.01	$1,651.00	—	—	49%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC PR 43251 EGD REMOVE LESION SNARE	$412.08	$808.00	—	87% below	49%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC PR 43251 EGD REMOVE LESION SNARE	$412.08	$808.00	—	—	49%
Upper endoscopy (EGD), diagnostic CPT 43235 HC PR 43235 EGD DIAGNOSTIC BRUSH WASH	$227.97	$447.00	—	88% below	49%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$842.01	$1,651.00	—	55% below	49%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC PR 43235 EGD DIAGNOSTIC BRUSH WASH	$227.97	$447.00	—	—	49%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$842.01	$1,651.00	—	—	49%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC PR 55250 REMOVAL OF SPERM DUCT(S)	$634.44	$1,244.00	—	77% below	49%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC PR 55250 REMOVAL OF SPERM DUCT(S)	$634.44	$1,244.00	—	—	49%
Wart removal, up to 14 warts CPT 17110 HC PR 17110 DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$147.90	$290.00	—	59% below	49%
Wart removal, up to 14 warts CPT 17110 HC PR 17110 DESTRUCT B9 LESION 1-14	$287.64	$564.00	—	20% below	49%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$297.33	$583.00	—	17% below	49%
Wart removal, up to 14 warts CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$329.97	$647.00	—	8% below	49%
Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$147.90	$290.00	—	—	49%
Wart removal, up to 14 warts inpatient CPT 17110 HC PR 17110 DESTRUCT B9 LESION 1-14	$287.64	$564.00	—	—	49%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$297.33	$583.00	—	—	49%
Wart removal, up to 14 warts inpatient CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$329.97	$647.00	—	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LESS CDM	$385.56	$756.00	—	43% below	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC PR 11042 DEB SUBQ TISSUE FIRST 20 SQ OR LESS	$572.22	$1,122.00	—	16% below	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBQ TISSUE LTE 20 SQ CM	$624.75	$1,225.00	—	8% below	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE FIRST 20 SQ CM OR LESS	$624.75	$1,225.00	—	8% below	49%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$624.75	$1,225.00	—	8% below	49%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC PR 11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM OR LESS CDM	$385.56	$756.00	—	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC PR 11042 DEB SUBQ TISSUE FIRST 20 SQ OR LESS	$572.22	$1,122.00	—	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE FIRST 20 SQ CM OR LESS	$624.75	$1,225.00	—	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$624.75	$1,225.00	—	—	49%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBQ TISSUE LTE 20 SQ CM	$624.75	$1,225.00	—	—	49%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC PR 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP CDM	$1,158.21	$2,271.00	—	81% below	49%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$4,657.32	$9,132.00	—	24% below	49%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC PR 25607 OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP CDM	$1,158.21	$2,271.00	—	—	49%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$4,657.32	$9,132.00	—	—	49%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$534.48	$1,048.00	—	39% below	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$534.48	$1,048.00	—	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PR 94640 AIRWAY INHALATION TREATMENT	$19.38	$38.00	—	94% below	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT DAILY	$225.42	$442.00	—	30% below	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED INHALATION TREATMENT CDM	$225.42	$442.00	—	30% below	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC PR 94640 AIRWAY INHALATION TREATMENT	$19.38	$38.00	—	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED INHALATION TREATMENT CDM	$225.42	$442.00	—	—	49%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT DAILY	$225.42	$442.00	—	—	49%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$699.72	$1,372.00	—	20% below	49%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$699.72	$1,372.00	—	—	49%
Critical care, first 30 to 74 minutes CPT 99291 HC PR 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN CDM	$673.71	$1,321.00	—	88% below	49%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$4,671.60	$9,160.00	—	15% below	49%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC PR 99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN CDM	$673.71	$1,321.00	—	—	49%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$4,671.60	$9,160.00	—	—	49%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ECG 12 LEAD W/INTERP & REPORT	$65.79	$129.00	—	27% below	49%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ECG 12 LEAD W/INTERP & REPORT	$65.79	$129.00	—	—	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY	$166.26	$326.00	—	51% below	49%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY	$166.26	$326.00	—	—	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED OB FAC E&M VISIT LEVEL 1 CDM	$358.02	$702.00	—	15% below	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$546.72	$1,072.00	—	30% above	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED OB FAC E&M VISIT LEVEL 1 CDM	$358.02	$702.00	—	—	49%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$546.72	$1,072.00	—	—	49%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$1,005.21	$1,971.00	—	15% above	49%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$1,005.21	$1,971.00	—	—	49%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$1,753.38	$3,438.00	—	17% above	49%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$1,753.38	$3,438.00	—	—	49%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$2,726.46	$5,346.00	—	1% above	49%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$2,726.46	$5,346.00	—	—	49%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$3,535.32	$6,932.00	—	at median	49%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$3,535.32	$6,932.00	—	—	49%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$464.61	$911.00	—	67% below	49%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$464.61	$911.00	—	—	49%
Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC	$191.25	$375.00	—	44% below	49%
Family therapy with the patient, 50 minutes CPT 90847 HC PR 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$343.23	$673.00	—	at median	49%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC	$191.25	$375.00	—	—	49%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR 90847 FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$343.23	$673.00	—	—	49%
Family therapy without the patient, 50 minutes CPT 90846 HC PSYTX FAMILY WO PT 50 MIN IOP CDM	$241.23	$473.00	—	30% below	49%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYTX FAMILY WO PT 50 MIN IOP CDM	$241.23	$473.00	—	—	49%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL HR CDM	$624.75	$1,225.00	—	26% above	49%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$624.75	$1,225.00	—	26% above	49%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL HR CDM	$624.75	$1,225.00	—	—	49%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$624.75	$1,225.00	—	—	49%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL HR CDM	$624.75	$1,225.00	—	6% above	49%
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$699.72	$1,372.00	—	19% above	49%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL HR CDM	$624.75	$1,225.00	—	—	49%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$699.72	$1,372.00	—	—	49%
IV push of a medicine, first drug CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$624.75	$1,225.00	—	77% above	49%
IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$624.75	$1,225.00	—	77% above	49%
IV push of a medicine, first drug CPT 96374 HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG CDM	$624.75	$1,225.00	—	77% above	49%
IV push of a medicine, first drug inpatient CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$624.75	$1,225.00	—	—	49%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$624.75	$1,225.00	—	—	49%
IV push of a medicine, first drug inpatient CPT 96374 HC THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG CDM	$624.75	$1,225.00	—	—	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$205.53	$403.00	—	15% above	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SQ OR IM CDM	$205.53	$403.00	—	15% above	49%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$205.53	$403.00	—	15% above	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$205.53	$403.00	—	—	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SQ OR IM CDM	$205.53	$403.00	—	—	49%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$205.53	$403.00	—	—	49%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PR 90791 PSYCH DIAG EVAL RHC	$212.16	$416.00	—	45% below	49%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PR 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$544.68	$1,068.00	—	42% above	49%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PR 90791 PSYCH DIAG EVAL RHC	$212.16	$416.00	—	—	49%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PR 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$544.68	$1,068.00	—	—	49%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$97.41	$191.00	—	24% below	49%
Neuromuscular re-education, 15 minutes CPT 97112 HC VIRTUAL THERAPY NEUROMUSC REEDUCA PX 1 OR MORE AREAS EACH 15MINS CDM	$97.41	$191.00	—	24% below	49%
Neuromuscular re-education, 15 minutes CPT 97112 HC CRISIS TELEH 97112 NEUROMUSCUL REEDUCAT EA 15 MIN CDM	$97.41	$191.00	—	24% below	49%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC VIRTUAL THERAPY NEUROMUSC REEDUCA PX 1 OR MORE AREAS EACH 15MINS CDM	$97.41	$191.00	—	—	49%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC CRISIS TELEH 97112 NEUROMUSCUL REEDUCAT EA 15 MIN CDM	$97.41	$191.00	—	—	49%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$97.41	$191.00	—	—	49%
New patient office visit, about 30 minutes CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3	$234.60	$460.00	—	10% above	49%
New patient office visit, about 30 minutes CPT 99203 HC NEW PT VISIT - LEVEL 3	$298.35	$585.00	—	39% above	49%
New patient office visit, about 30 minutes inpatient CPT 99203 HC PR 99203 NEW PT VISIT - LEVEL 3	$234.60	$460.00	—	—	49%
New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT VISIT - LEVEL 3	$298.35	$585.00	—	—	49%
New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4	$292.74	$574.00	—	20% above	49%
New patient office visit, about 45 minutes CPT 99204 HC NEW PT VISIT - LEVEL 4	$421.77	$827.00	—	73% above	49%
New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4	$292.74	$574.00	—	—	49%
New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT VISIT - LEVEL 4	$421.77	$827.00	—	—	49%
New patient office visit, about 60 minutes CPT 99205 HC NEW PT VISIT - LEVEL 5	$520.20	$1,020.00	—	52% above	49%
New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5	$550.29	$1,079.00	—	61% above	49%
New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT VISIT - LEVEL 5	$520.20	$1,020.00	—	—	49%
New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5	$550.29	$1,079.00	—	—	49%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC PR 99202 NEW PT VISIT - LEVEL 2	$153.51	$301.00	—	10% above	49%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PT VISIT - LEVEL 2	$192.78	$378.00	—	38% above	49%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC PR 99202 NEW PT VISIT - LEVEL 2	$153.51	$301.00	—	—	49%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC NEW PT VISIT - LEVEL 2	$192.78	$378.00	—	—	49%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEX	$224.40	$440.00	—	14% below	49%
Occupational therapy evaluation, low complexity CPT 97165 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM	$224.40	$440.00	—	14% below	49%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC VIRTUAL THERAPY OT EVALUATION LOW COMPLEX CDM	$224.40	$440.00	—	—	49%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEX	$224.40	$440.00	—	—	49%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM	$266.73	$523.00	—	32% below	49%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEX	$266.73	$523.00	—	32% below	49%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEX	$266.73	$523.00	—	—	49%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM	$266.73	$523.00	—	—	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM	$236.13	$463.00	—	at median	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$236.13	$463.00	—	at median	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM	$236.13	$463.00	—	at median	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$236.13	$463.00	—	—	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM	$236.13	$463.00	—	—	49%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC CRISIS TELEH 97161 PT EVALUATION LOW COMPLEX CDM	$236.13	$463.00	—	—	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$236.13	$463.00	—	33% below	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM	$236.13	$463.00	—	33% below	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC CRISIS TELEH 97162 PT EVALUATION MOD COMPLEX CDM	$236.13	$463.00	—	33% below	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM	$236.13	$463.00	—	—	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$236.13	$463.00	—	—	49%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC CRISIS TELEH 97162 PT EVALUATION MOD COMPLEX CDM	$236.13	$463.00	—	—	49%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$69.36	$136.00	—	42% below	49%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$69.36	$136.00	—	—	49%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$84.66	$166.00	—	35% below	49%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM	$84.66	$166.00	—	35% below	49%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM	$84.66	$166.00	—	35% below	49%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$84.66	$166.00	—	—	49%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM	$84.66	$166.00	—	—	49%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC VIRTUAL THERAPY THER EXERCISES PX 1 OR MORE AREAS EACH 15MINS CDM	$84.66	$166.00	—	—	49%
Preventive checkup, new patient aged 18–39 CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39	$160.14	$314.00	—	6% above	49%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR 99385 PREV VISIT NEW AGE 18-39	$160.14	$314.00	—	—	49%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV VISIT NEW AGE 40-64	$132.60	$260.00	—	21% below	49%
Preventive checkup, new patient aged 40–64 CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64	$197.37	$387.00	—	18% above	49%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV VISIT NEW AGE 40-64	$132.60	$260.00	—	—	49%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR 99386 PREV VISIT NEW AGE 40-64	$197.37	$387.00	—	—	49%
Preventive checkup, new patient aged 65 or older CPT 99387 HC INIT PM E/M NEW PAT 65+ YRS	$132.60	$260.00	—	15% below	49%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PR 99387 INIT PM E/M NEW PAT 65+ YRS	$197.37	$387.00	—	26% above	49%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC INIT PM E/M NEW PAT 65+ YRS	$132.60	$260.00	—	—	49%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PR 99387 INIT PM E/M NEW PAT 65+ YRS	$197.37	$387.00	—	—	49%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PR 99395 PREV VISIT EST AGE 18-39	$143.31	$281.00	—	7% below	49%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREV VISIT EST AGE 18-39	$165.75	$325.00	—	7% above	49%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PR 99395 PREV VISIT EST AGE 18-39	$143.31	$281.00	—	—	49%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREV VISIT EST AGE 18-39	$165.75	$325.00	—	—	49%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREV VISIT EST AGE 40-64	$132.60	$260.00	—	14% below	49%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PR 99396 PREV VISIT EST AGE 40-64	$160.14	$314.00	—	4% above	49%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREV VISIT EST AGE 40-64	$132.60	$260.00	—	—	49%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PR 99396 PREV VISIT EST AGE 40-64	$160.14	$314.00	—	—	49%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PER PM REEVAL EST PAT 65+ YR	$132.60	$260.00	—	12% below	49%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PR 99397 PER PM REEVAL EST PAT 65+ YR	$136.17	$267.00	—	10% below	49%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PER PM REEVAL EST PAT 65+ YR	$132.60	$260.00	—	—	49%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PR 99397 PER PM REEVAL EST PAT 65+ YR	$136.17	$267.00	—	—	49%
Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC	$191.25	$375.00	—	40% below	49%
Psychotherapy session, 30 minutes CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES	$288.15	$565.00	—	9% below	49%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYTX W PT 30 MIN RHC	$191.25	$375.00	—	—	49%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES	$288.15	$565.00	—	—	49%
Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC	$212.16	$416.00	—	33% below	49%
Psychotherapy session, 45 minutes CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES	$344.25	$675.00	—	8% above	49%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYTX W PT 45 MIN RHC	$212.16	$416.00	—	—	49%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES	$344.25	$675.00	—	—	49%
Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC	$212.16	$416.00	—	42% below	49%
Psychotherapy session, 60 minutes CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES	$399.84	$784.00	—	9% above	49%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYTX W PT 60 MIN RHC	$212.16	$416.00	—	—	49%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES	$399.84	$784.00	—	—	49%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC PR 99406 BEHAV CHNG SMOKING 3-10 MIN	$40.80	$80.00	—	44% below	49%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$76.50	$150.00	—	4% above	49%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC PR 99406 BEHAV CHNG SMOKING 3-10 MIN	$40.80	$80.00	—	—	49%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$76.50	$150.00	—	—	49%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PR 99215 ESTAB PT VISIT - LEVEL 5	$243.78	$478.00	—	3% below	49%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC ESTAB PT VISIT - LEVEL 5	$368.22	$722.00	—	46% above	49%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC PR 99215 ESTAB PT VISIT - LEVEL 5	$243.78	$478.00	—	—	49%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC ESTAB PT VISIT - LEVEL 5	$368.22	$722.00	—	—	49%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC PR 99213 ESTAB PT VISIT - LEVEL 3	$151.47	$297.00	—	6% above	49%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC ESTAB PT VISIT - LEVEL 3	$187.68	$368.00	—	31% above	49%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC PR 99213 ESTAB PT VISIT - LEVEL 3	$151.47	$297.00	—	—	49%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC ESTAB PT VISIT - LEVEL 3	$187.68	$368.00	—	—	49%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 ESTAB PT VISIT - LEVEL 4	$237.66	$466.00	—	18% above	49%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC ESTAB PT VISIT - LEVEL 4	$276.93	$543.00	—	38% above	49%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PR 99214 ESTAB PT VISIT - LEVEL 4	$237.66	$466.00	—	—	49%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC ESTAB PT VISIT - LEVEL 4	$276.93	$543.00	—	—	49%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR 99212 ESTAB PT VISIT - LEVEL 2	$91.80	$180.00	—	20% below	49%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC ESTAB PT VISIT - LEVEL 2	$139.23	$273.00	—	21% above	49%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PR 99212 ESTAB PT VISIT - LEVEL 2	$91.80	$180.00	—	—	49%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC ESTAB PT VISIT - LEVEL 2	$139.23	$273.00	—	—	49%
Speech and language evaluation CPT 92523 HC VIRTUAL THERAPY SPEECH SOUND LANG COMPREHEN EXTENDED CDM	$439.11	$861.00	—	4% below	49%
Speech and language evaluation CPT 92523 HC CRISIS TELEH 92523 SPEECH SOUND LANG COMPREHEN CDM	$439.11	$861.00	—	4% below	49%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$439.11	$861.00	—	4% below	49%
Speech and language evaluation inpatient CPT 92523 HC CRISIS TELEH 92523 SPEECH SOUND LANG COMPREHEN CDM	$439.11	$861.00	—	—	49%
Speech and language evaluation inpatient CPT 92523 HC VIRTUAL THERAPY SPEECH SOUND LANG COMPREHEN EXTENDED CDM	$439.11	$861.00	—	—	49%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$439.11	$861.00	—	—	49%
Speech therapy session, individual CPT 92507 HC CRISIS TELEH 92507 SPEECH/HEARING THERAPY - INDIV CDM	$181.56	$356.00	—	35% below	49%
Speech therapy session, individual CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$181.56	$356.00	—	35% below	49%
Speech therapy session, individual CPT 92507 HC VIRTUAL THERAPY SPEECH-HEARING THERAPY INDIV CDM	$181.56	$356.00	—	35% below	49%
Speech therapy session, individual inpatient CPT 92507 HC VIRTUAL THERAPY SPEECH-HEARING THERAPY INDIV CDM	$181.56	$356.00	—	—	49%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$181.56	$356.00	—	—	49%
Speech therapy session, individual inpatient CPT 92507 HC CRISIS TELEH 92507 SPEECH/HEARING THERAPY - INDIV CDM	$181.56	$356.00	—	—	49%
Spirometry (breathing test) CPT 94010 HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ	$195.84	$384.00	—	49% below	49%
Spirometry (breathing test) inpatient CPT 94010 HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ	$195.84	$384.00	—	—	49%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$357.51	$701.00	—	55% below	49%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$357.51	$701.00	—	—	49%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC VIRTUAL THERAPY THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15MINS CDM	$110.16	$216.00	—	20% below	49%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$110.16	$216.00	—	20% below	49%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC CRISIS TELEH 97530 THERAPEUTIC ACTIVITIES EA 15 MIN	$110.16	$216.00	—	20% below	49%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC VIRTUAL THERAPY THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15MINS CDM	$110.16	$216.00	—	—	49%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$110.16	$216.00	—	—	49%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC CRISIS TELEH 97530 THERAPEUTIC ACTIVITIES EA 15 MIN	$110.16	$216.00	—	—	49%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$495.21	$971.00	—	53% above	49%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY	$495.21	$971.00	—	53% above	49%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY	$495.21	$971.00	—	—	49%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$495.21	$971.00	—	—	49%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs California	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML	$229.84	$450.67	—	63% above	49%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML	$244.43	$479.27	—	73% above	49%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC PR RX INFLUENZA INACTIVATED IIV ADJUVANTED IM 0.5 ML	$229.84	$450.67	—	—	49%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML	$244.43	$479.27	—	—	49%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACCINE-MODERNA IM SUSP PREF SYR 50 MCG/0.5ML	$116.30	$228.04	—	52% below	49%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$148.84	$291.84	—	38% below	49%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACCINE-MODERNA IM SUSP PREF SYR 50 MCG/0.5ML	$116.30	$228.04	—	—	49%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$148.84	$291.84	—	—	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC TRIS-PFIZER IM SUSP PREF SYR 30 MCG/0.3ML	$98.50	$193.14	—	58% below	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$133.72	$262.20	—	43% below	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC TRIS-PFIZER IM SUSP PREF SYR 30 MCG/0.3ML	$98.50	$193.14	—	—	49%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$133.72	$262.20	—	—	49%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC PR RX VARICELLA VACCINE LIVE SQ 0.5 ML	$272.34	$534.00	—	13% below	49%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC PR RX VARICELLA VACCINE LIVE SQ 0.5 ML	$272.34	$534.00	—	—	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC PR RX DIPHTH TETANUS TOX ACELL PERTUSSIS VACC/YOUNGER THAN 7 YRS/IM	$45.90	$90.00	—	36% below	49%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC PR RX DIPHTH TETANUS TOX ACELL PERTUSSIS VACC/YOUNGER THAN 7 YRS/IM	$45.90	$90.00	—	—	49%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC PR RX INFLUENZA TRIVALENT IIV3 SPLIT VIRUS PF IM 0.5 ML	$98.22	$192.59	—	129% above	49%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC PR RX INFLUENZA TRIVALENT IIV3 SPLIT VIRUS PF IM 0.5 ML	$98.22	$192.59	—	—	49%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC PR RX 9VHPV VACCINE 2/3 DOSE IM 0.5 ML	$383.52	$752.00	—	1% below	49%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC PR RX 9VHPV VACCINE 2/3 DOSE IM 0.5 ML	$383.52	$752.00	—	—	49%
Hepatitis A vaccine, adult dose CPT 90632 HC PR RX HEPATITIS A VACCINE ADULT IM 1 ML	$101.57	$199.15	—	27% below	49%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC PR RX HEPATITIS A VACCINE ADULT IM 1 ML	$101.57	$199.15	—	—	49%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC PR RX HEPB VACCINE ADULT 3 DOSE IM 1 ML	$83.27	$163.28	—	32% below	49%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$216.42	$424.35	—	76% above	49%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC PR RX HEPB VACCINE ADULT 3 DOSE IM 1 ML	$83.27	$163.28	—	—	49%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$216.42	$424.35	—	—	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC PR RX HEPB VACCINE PED/ADOLESC 3 DOSE IM 0.5 ML	$36.01	$70.60	—	38% below	49%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC PR RX HEPB VACCINE PED/ADOLESC 3 DOSE IM 0.5 ML	$36.01	$70.60	—	—	49%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC PR RX MEASLES MUMPS RUBELLA VACCINE LIVE SQ 1 EA	$144.84	$284.00	—	3% above	49%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC PR RX MEASLES MUMPS RUBELLA VACCINE LIVE SQ 1 EA	$144.84	$284.00	—	—	49%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC PR RX MENACWYD/MENACWY-CRM CONJ VACCINE GRPS ACYW IM 0.5 ML	$45.90	$90.00	—	82% below	49%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC PR RX MENACWYD/MENACWY-CRM CONJ VACCINE GRPS ACYW IM 0.5 ML	$45.90	$90.00	—	—	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC PR RX MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM 0.5 ML	$629.24	$1,233.81	—	42% above	49%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC PR RX MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM 0.5 ML	$629.24	$1,233.81	—	—	49%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PR RX PNEUMOCOCCAL VACCINE 13 VALENT IM 0.5 ML	$326.40	$640.00	—	4% above	49%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PR RX PNEUMOCOCCAL VACCINE 13 VALENT IM 0.5 ML	$326.40	$640.00	—	—	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA	$326.40	$640.00	—	37% below	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML	$720.50	$1,412.75	—	39% above	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PR RX PNEUMOCOCCAL CONJ 20 VALENT VACCINE (PCV20) IM 1 EA	$326.40	$640.00	—	—	49%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJUGATE VACCINE SUS PREF SYR 0.5 ML	$720.50	$1,412.75	—	—	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PR RX PNEUMOCOCCAL VACCINE 23 VALENT 2 YRS OR OLDER SQ/IM 0.5	$286.21	$561.20	—	77% above	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VACCINE POLYVALENT SOLN PREF SYR 25 MCG/0.5ML	$349.78	$685.85	—	116% above	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PR RX PNEUMOCOCCAL VACCINE 23 VALENT 2 YRS OR OLDER SQ/IM 0.5	$286.21	$561.20	—	—	49%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VACCINE POLYVALENT SOLN PREF SYR 25 MCG/0.5ML	$349.78	$685.85	—	—	49%
Polio vaccine, inactivated (IPV) CPT 90713 HC PR RX POLIOVIRUS VACCINE INACTIVATED SQ/IM 0.5 ML	$86.70	$170.00	—	4% below	49%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC PR RX POLIOVIRUS VACCINE INACTIVATED SQ/IM 0.5 ML	$86.70	$170.00	—	—	49%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC FOR INJ	$911.02	$1,786.31	—	29% above	49%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC FOR INJ	$911.02	$1,786.31	—	—	49%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC PR RX HZV ZOSTER VACCINE RECOMBINANT ADJUVANTED IM 0.5 ML	$257.15	$504.21	—	18% above	49%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMBINANT ADJUVANTED FOR IM INJ 50 MCG/0.5ML	$627.58	$1,230.54	—	189% above	49%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC PR RX HZV ZOSTER VACCINE RECOMBINANT ADJUVANTED IM 0.5 ML	$257.15	$504.21	—	—	49%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMBINANT ADJUVANTED FOR IM INJ 50 MCG/0.5ML	$627.58	$1,230.54	—	—	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML	$195.37	$383.08	—	140% above	49%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 5-2 LF/0.5ML	$195.37	$383.08	—	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML	$64.34	$126.15	—	44% below	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$183.33	$359.47	—	58% above	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC PR RX TDAP VACCINE 7 YRS OR OLDER IM 0.5 ML	$64.34	$126.15	—	—	49%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$183.33	$359.47	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$13.26	$26.00	—	87% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE HEPATITIS B CDM	$13.77	$27.00	—	87% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$49.47	$97.00	—	53% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$49.47	$97.00	—	53% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INFLUENZA CDM	$50.49	$99.00	—	52% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE PNEUMONIA CDM	$50.49	$99.00	—	52% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN CDM	$87.72	$172.00	—	16% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PR ADMIN VACCINE INITIAL CDM	$89.25	$175.00	—	15% below	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$13.26	$26.00	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE HEPATITIS B CDM	$13.77	$27.00	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$49.47	$97.00	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$49.47	$97.00	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INFLUENZA CDM	$50.49	$99.00	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE PNEUMONIA CDM	$50.49	$99.00	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN CDM	$87.72	$172.00	—	—	49%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PR ADMIN VACCINE INITIAL CDM	$89.25	$175.00	—	—	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$45.90	$90.00	—	43% below	49%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL CDM	$46.92	$92.00	—	41% below	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$45.90	$90.00	—	—	49%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC PR 90472 ADMIN VACCINE EA ADDL CDM	$46.92	$92.00	—	—	49%

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://pricetransparency.providence.org/norcal/live/852390012_healdsburg-hospital_standardcharges.json