Capital Health Regional Medical Center
Capital Health Regional Medical Center in Trenton, NJ publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Jun 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 376 of 388 procedures and below it for 12. By typical cash price it ranks #54 of 55 New Jersey hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
750 Brunswick Ave, Trenton, NJ 08638-4514 Collected Sep 23, 2026 Source price file Check a bill from this hospital (609) 394-6000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 310092 · CMS hospital register NPI 1275583726
The price file shows no self-pay discount
For 3204 of the 3204 prices listed here, the cash price in Capital Health Regional Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Capital Health Regional Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 IR CT ABDN WO/WITH CONT | $30,181.00 | $30,181.00 | $194.55–$25,653.85 | 4276% above | — |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/W CON | $30,181.00 | $30,181.00 | $194.55–$25,653.85 | 4276% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 IR CT ABDN WO/WITH CONT | $30,181.00 | $30,181.00 | $22,635.75–$25,653.85 | — | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WO/W CON | $30,181.00 | $30,181.00 | $22,635.75–$25,653.85 | — | — |
| Abdominal X-ray, 2 views CPT 74019 KUB,ERECT & SUPINE | $454.00 | $454.00 | $18.16–$385.90 | 269% above | — |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN,AP & LATERAL | $1,411.00 | $1,411.00 | $53.96–$1,199.35 | 1047% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 KUB,ERECT & SUPINE | $454.00 | $454.00 | $340.50–$385.90 | — | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN,AP & LATERAL | $1,411.00 | $1,411.00 | $1,058.25–$1,199.35 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 CHC ANKLE XRAY | $520.00 | $520.00 | $20.80–$442.00 | 343% above | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE CMPLT 3+ VWS BIL | $12,509.00 | $12,509.00 | $51.22–$10,632.65 | 10547% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE CMPLT 3+VWS LT | $6,255.00 | $6,255.00 | $51.22–$5,316.75 | 5224% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE CMPLT 3+ VWS RT | $6,255.00 | $6,255.00 | $51.22–$5,316.75 | 5224% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 CHC ANKLE XRAY | $520.00 | $520.00 | $390.00–$442.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE CMPLT 3+ VWS BIL | $12,509.00 | $12,509.00 | $9,381.75–$10,632.65 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE CMPLT 3+ VWS RT | $6,255.00 | $6,255.00 | $4,691.25–$5,316.75 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE CMPLT 3+VWS LT | $6,255.00 | $6,255.00 | $4,691.25–$5,316.75 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 TCOM-SINGLE LEVEL | $3,304.00 | $3,304.00 | $132.16–$2,808.40 | 1776% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UP LIMB ARTERIAL LTD | $11,526.00 | $11,526.00 | $140.87–$9,797.10 | 6446% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LOWER LIMB ARTERIAL LTD | $11,526.00 | $11,526.00 | $140.87–$9,797.10 | 6446% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 TCOM-SINGLE LEVEL | $3,304.00 | $3,304.00 | $2,478.00–$2,808.40 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LOWER LIMB ARTERIAL LTD | $11,526.00 | $11,526.00 | $8,644.50–$9,797.10 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UP LIMB ARTERIAL LTD | $11,526.00 | $11,526.00 | $8,644.50–$9,797.10 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT HUMERUS W/O CON BIL | $28,945.00 | $28,945.00 | $116.22–$24,603.25 | 6187% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT ELBOW W/O CON BIL | $28,945.00 | $28,945.00 | $116.22–$24,603.25 | 6187% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT HAND/WRIST W/O CON BIL | $28,945.00 | $28,945.00 | $116.22–$24,603.25 | 6187% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT FOREARM W/O CON BIL | $28,945.00 | $28,945.00 | $116.22–$24,603.25 | 6187% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT SHOULDER W/O CON BIL | $28,945.00 | $28,945.00 | $116.22–$24,603.25 | 6187% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT W/O CON BIL | $31,842.00 | $31,842.00 | $116.22–$27,065.70 | 6816% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS W/O CON LT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW W/O CON LT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM W/O CON LT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT FOREARM W/O CON RT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT ELBOW W/O CON RT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HUMERUS W/O CON RT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER W/O CON LT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SHOULDER W/O CON RT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND/WRIST W/O CON RT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT HAND/WRIST W/O CON LT | $14,473.00 | $14,473.00 | $116.22–$12,302.05 | 3044% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CON RT | $15,920.00 | $15,920.00 | $116.22–$13,532.00 | 3358% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXT W/O CON LT | $15,920.00 | $15,920.00 | $116.22–$13,532.00 | 3358% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT FOREARM W/O CON BIL | $28,945.00 | $28,945.00 | $21,708.75–$24,603.25 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT ELBOW W/O CON BIL | $28,945.00 | $28,945.00 | $21,708.75–$24,603.25 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT HAND/WRIST W/O CON BIL | $28,945.00 | $28,945.00 | $21,708.75–$24,603.25 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT SHOULDER W/O CON BIL | $28,945.00 | $28,945.00 | $21,708.75–$24,603.25 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT HUMERUS W/O CON BIL | $28,945.00 | $28,945.00 | $21,708.75–$24,603.25 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT W/O CON BIL | $31,842.00 | $31,842.00 | $23,881.50–$27,065.70 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM W/O CON RT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND/WRIST W/O CON RT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER W/O CON LT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT SHOULDER W/O CON RT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS W/O CON RT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HAND/WRIST W/O CON LT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT FOREARM W/O CON LT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT HUMERUS W/O CON LT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW W/O CON LT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT ELBOW W/O CON RT | $14,473.00 | $14,473.00 | $10,854.75–$12,302.05 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CON LT | $15,920.00 | $15,920.00 | $11,940.00–$13,532.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXT W/O CON RT | $15,920.00 | $15,920.00 | $11,940.00–$13,532.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHOGRAM | $7,046.00 | $7,046.00 | $94.36–$5,989.10 | 3261% above | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHOGRAM | $7,046.00 | $7,046.00 | $5,284.50–$5,989.10 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 GALLIUM ABSCESS | $7,501.00 | $7,501.00 | $300.04–$6,375.85 | 1326% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE TOTAL BODY | $32,705.00 | $32,705.00 | $439.15–$27,799.25 | 6118% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 GALLIUM ABSCESS | $7,501.00 | $7,501.00 | $5,625.75–$6,375.85 | — | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE TOTAL BODY | $32,705.00 | $32,705.00 | $24,528.75–$27,799.25 | — | — |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPLETE BILAT | $14,058.00 | $14,058.00 | $116.22–$11,949.30 | — | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE | $14,058.00 | $14,058.00 | $116.22–$11,949.30 | 9738% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE | $14,058.00 | $14,058.00 | $116.22–$11,949.30 | 9738% above | — |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMPLETE BILAT | $14,058.00 | $14,058.00 | $10,543.50–$11,949.30 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLETE | $14,058.00 | $14,058.00 | $10,543.50–$11,949.30 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT COMPLETE | $14,058.00 | $14,058.00 | $10,543.50–$11,949.30 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 POC US BREAST | $532.00 | $532.00 | $21.28–$452.20 | 281% above | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED BIL | $617.00 | $617.00 | $24.68–$524.45 | 341% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LT | $617.00 | $617.00 | $24.68–$524.45 | 341% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMTED LEFT | $617.00 | $617.00 | $24.68–$524.45 | 341% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LMTED RIGHT | $617.00 | $617.00 | $24.68–$524.45 | 341% above | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RT | $617.00 | $617.00 | $24.68–$524.45 | 341% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 POC US BREAST | $532.00 | $532.00 | $399.00–$452.20 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED BIL | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMTED LEFT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LMTED RIGHT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA DISSECTN ABD/PEL W/WO | $5,238.00 | $5,238.00 | $209.52–$4,452.30 | 718% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS WO/W CON | $5,238.00 | $5,238.00 | $209.52–$4,452.30 | 718% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA DISSECTN ABD/PEL W/WO | $5,238.00 | $5,238.00 | $3,928.50–$4,452.30 | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS WO/W CON | $5,238.00 | $5,238.00 | $3,928.50–$4,452.30 | — | — |
| CT angiography (CTA) of the head CPT 70496 CTA/CTV HEAD | $22,981.00 | $22,981.00 | $194.55–$19,533.85 | 4141% above | — |
| CT angiography (CTA) of the head CPT 70496 CTV HEAD | $22,981.00 | $22,981.00 | $194.55–$19,533.85 | 4141% above | — |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD WO/W CON | $25,279.00 | $25,279.00 | $194.55–$21,487.15 | 4565% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTV HEAD | $22,981.00 | $22,981.00 | $17,235.75–$19,533.85 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA/CTV HEAD | $22,981.00 | $22,981.00 | $17,235.75–$19,533.85 | — | — |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WO/W CON | $25,279.00 | $25,279.00 | $18,959.25–$21,487.15 | — | — |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK WO/W CON | $23,626.00 | $23,626.00 | $194.55–$20,082.10 | 3397% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK WO/W CON | $23,626.00 | $23,626.00 | $17,719.50–$20,082.10 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WO/W CON | $12,375.00 | $12,375.00 | $194.55–$10,518.75 | 1541% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA DISSECTN CHEST W/WO | $12,375.00 | $12,375.00 | $194.55–$10,518.75 | 1541% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST PE PROTOCOL | $21,450.00 | $21,450.00 | $194.55–$18,232.50 | 2745% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA DISSECTN CHEST W/WO | $12,375.00 | $12,375.00 | $9,281.25–$10,518.75 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WO/W CON | $12,375.00 | $12,375.00 | $9,281.25–$10,518.75 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST PE PROTOCOL | $21,450.00 | $21,450.00 | $16,087.50–$18,232.50 | — | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARIES | $5,333.00 | $5,333.00 | $213.32–$4,533.05 | 1019% above | — |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARIES | $5,333.00 | $5,333.00 | $3,999.75–$4,533.05 | — | — |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING | $288.00 | $288.00 | $11.52–$244.80 | 191% above | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING | $288.00 | $288.00 | $216.00–$244.80 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE STUDY | $3,242.00 | $3,242.00 | $129.68–$2,755.70 | 414% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 IR CT ABDN/PELVIS WO CONT | $41,950.00 | $41,950.00 | $264.17–$35,657.50 | 6547% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS W/O CON | $41,950.00 | $41,950.00 | $264.17–$35,657.50 | 6547% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT RENAL STONE STUDY | $3,242.00 | $3,242.00 | $2,431.50–$2,755.70 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 IR CT ABDN/PELVIS WO CONT | $41,950.00 | $41,950.00 | $31,462.50–$35,657.50 | — | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS W/O CON | $41,950.00 | $41,950.00 | $31,462.50–$35,657.50 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY | $44,856.00 | $44,856.00 | $390.30–$38,127.60 | 5881% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 IR CT ABDN/PELVIS WI CONT | $44,856.00 | $44,856.00 | $390.30–$38,127.60 | 5881% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W/ CON | $44,856.00 | $44,856.00 | $390.30–$38,127.60 | 5881% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W/ CON | $44,856.00 | $44,856.00 | $33,642.00–$38,127.60 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY | $44,856.00 | $44,856.00 | $33,642.00–$38,127.60 | — | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 IR CT ABDN/PELVIS WI CONT | $44,856.00 | $44,856.00 | $33,642.00–$38,127.60 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM | $5,238.00 | $5,238.00 | $209.52–$4,452.30 | 462% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS WO/W CON | $67,470.00 | $67,470.00 | $390.30–$57,349.50 | 7135% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 IR CT ABDOMEN/PELVIS W/WO | $67,470.00 | $67,470.00 | $390.30–$57,349.50 | 7135% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM | $5,238.00 | $5,238.00 | $3,928.50–$4,452.30 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS WO/W CON | $67,470.00 | $67,470.00 | $50,602.50–$57,349.50 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 IR CT ABDOMEN/PELVIS W/WO | $67,470.00 | $67,470.00 | $50,602.50–$57,349.50 | — | — |
| CT scan of the abdomen with contrast CPT 74160 IR CT ABDOMEN WITH CONT | $20,222.00 | $20,222.00 | $194.55–$17,188.70 | 3455% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CON | $20,222.00 | $20,222.00 | $194.55–$17,188.70 | 3455% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 IR CT ABDOMEN WITH CONT | $20,222.00 | $20,222.00 | $15,166.50–$17,188.70 | — | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CON | $20,222.00 | $20,222.00 | $15,166.50–$17,188.70 | — | — |
| CT scan of the abdomen without contrast CPT 74150 IR CT ABDOMEN W/O CONTR | $19,210.00 | $19,210.00 | $116.22–$16,328.50 | 4288% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CON | $19,210.00 | $19,210.00 | $116.22–$16,328.50 | 4288% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 IR CT ABDOMEN W/O CONTR | $19,210.00 | $19,210.00 | $14,407.50–$16,328.50 | — | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CON | $19,210.00 | $19,210.00 | $14,407.50–$16,328.50 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES | $1,695.00 | $1,695.00 | $67.80–$1,440.75 | 235% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES WO CONTRAST | $18,495.00 | $18,495.00 | $116.22–$15,720.75 | 3560% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES W/O CON | $18,495.00 | $18,495.00 | $116.22–$15,720.75 | 3560% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CON | $22,380.00 | $22,380.00 | $116.22–$19,023.00 | 4329% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES | $1,695.00 | $1,695.00 | $1,271.25–$1,440.75 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES W/O CON | $18,495.00 | $18,495.00 | $13,871.25–$15,720.75 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES WO CONTRAST | $18,495.00 | $18,495.00 | $13,871.25–$15,720.75 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CON | $22,380.00 | $22,380.00 | $16,785.00–$19,023.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT DE BRAIN | $3,078.00 | $3,078.00 | $116.22–$2,616.30 | 642% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT PORT HEAD W/O CON | $3,078.00 | $3,078.00 | $116.22–$2,616.30 | 642% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CON | $18,988.00 | $18,988.00 | $116.22–$16,139.80 | 4479% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD TRAUMATIC INJ W/O | $18,988.00 | $18,988.00 | $116.22–$16,139.80 | 4479% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD(STROKE PROTOCOL) | $18,988.00 | $18,988.00 | $116.22–$16,139.80 | 4479% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT PORT HEAD W/O CON | $3,078.00 | $3,078.00 | $2,308.50–$2,616.30 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT DE BRAIN | $3,078.00 | $3,078.00 | $2,308.50–$2,616.30 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CON | $18,988.00 | $18,988.00 | $14,241.00–$16,139.80 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD TRAUMATIC INJ W/O | $18,988.00 | $18,988.00 | $14,241.00–$16,139.80 | — | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD(STROKE PROTOCOL) | $18,988.00 | $18,988.00 | $14,241.00–$16,139.80 | — | — |
| CT scan of the head with contrast CPT 70460 CT HEAD TRAUMATIC INJ W/ | $2,723.00 | $2,723.00 | $108.92–$2,314.55 | 469% above | — |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CON | $2,723.00 | $2,723.00 | $108.92–$2,314.55 | 469% above | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD TRAUMATIC INJ W/ | $2,723.00 | $2,723.00 | $2,042.25–$2,314.55 | — | — |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CON | $2,723.00 | $2,723.00 | $2,042.25–$2,314.55 | — | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD WO/W CON | $5,389.00 | $5,389.00 | $194.55–$4,580.65 | 782% above | — |
| CT scan of the head without and with contrast CPT 70470 CT HEAD TRAUMATIC W & W/O | $5,389.00 | $5,389.00 | $194.55–$4,580.65 | 782% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO/W CON | $5,389.00 | $5,389.00 | $4,041.75–$4,580.65 | — | — |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD TRAUMATIC W & W/O | $5,389.00 | $5,389.00 | $4,041.75–$4,580.65 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE MYLEOGRAM | $32,822.00 | $32,822.00 | $116.22–$27,898.70 | 6021% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CON | $36,104.00 | $36,104.00 | $116.22–$30,688.40 | 6633% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE MYLEOGRAM | $32,822.00 | $32,822.00 | $24,616.50–$27,898.70 | — | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CON | $36,104.00 | $36,104.00 | $27,078.00–$30,688.40 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE MYELOGRAM | $19,074.00 | $19,074.00 | $116.22–$16,212.90 | 3360% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O CON | $20,981.00 | $20,981.00 | $116.22–$17,833.85 | 3706% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE MYELOGRAM | $19,074.00 | $19,074.00 | $14,305.50–$16,212.90 | — | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O CON | $20,981.00 | $20,981.00 | $15,735.75–$17,833.85 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CON | $44,856.00 | $44,856.00 | $194.55–$38,127.60 | 8515% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CON | $44,856.00 | $44,856.00 | $33,642.00–$38,127.60 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX BILAT | $16,169.00 | $16,169.00 | $264.17–$13,743.65 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DEB US CAROTID DUPLEX BIL | $16,169.00 | $16,169.00 | $264.17–$13,743.65 | 4913% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX BILAT | $16,169.00 | $16,169.00 | $12,126.75–$13,743.65 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DEB US CAROTID DUPLEX BIL | $16,169.00 | $16,169.00 | $12,126.75–$13,743.65 | — | — |
| Chest CT scan without and with contrast CPT 71270 CT CHEST WO/W CON | $37,170.00 | $37,170.00 | $194.55–$31,594.50 | 4729% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST WO/W CON | $37,170.00 | $37,170.00 | $27,877.50–$31,594.50 | — | — |
| Chest X-ray, 2 views CPT 71046 CHC CHEST PA/LAT XRAY | $383.00 | $383.00 | $15.32–$325.55 | 242% above | — |
| Chest X-ray, 2 views CPT 71046 CHC CHEST INSP/EXP XRAY | $383.00 | $383.00 | $15.32–$325.55 | 242% above | — |
| Chest X-ray, 2 views CPT 71046 DECUBITUS VIEWS | $903.00 | $903.00 | $36.12–$767.55 | 706% above | — |
| Chest X-ray, 2 views CPT 71046 SNIFF TEST | $5,004.00 | $5,004.00 | $48.64–$4,253.40 | 4365% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST INSPIRATION & EXPIR | $5,007.00 | $5,007.00 | $48.64–$4,255.95 | 4367% above | — |
| Chest X-ray, 2 views CPT 71046 CHEST(PA&LATERAL ROUTINE) | $5,007.00 | $5,007.00 | $48.64–$4,255.95 | 4367% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHC CHEST PA/LAT XRAY | $383.00 | $383.00 | $287.25–$325.55 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHC CHEST INSP/EXP XRAY | $383.00 | $383.00 | $287.25–$325.55 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 DECUBITUS VIEWS | $903.00 | $903.00 | $677.25–$767.55 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 SNIFF TEST | $5,004.00 | $5,004.00 | $3,753.00–$4,253.40 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST INSPIRATION & EXPIR | $5,007.00 | $5,007.00 | $3,755.25–$4,255.95 | — | — |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST(PA&LATERAL ROUTINE) | $5,007.00 | $5,007.00 | $3,755.25–$4,255.95 | — | — |
| Chest X-ray, single view CPT 71045 CHC CHEST PA XRAY | $252.00 | $252.00 | $10.08–$214.20 | 142% above | — |
| Chest X-ray, single view CPT 71045 XR INFANT CHEST/ABDOMEN | $596.00 | $596.00 | $23.84–$506.60 | 472% above | — |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW DECUBITUS | $617.00 | $617.00 | $24.68–$524.45 | 492% above | — |
| Chest X-ray, single view CPT 71045 CHEST (PA ONLY) | $617.00 | $617.00 | $24.68–$524.45 | 492% above | — |
| Chest X-ray, single view CPT 71045 PORTABLE CHEST | $678.00 | $678.00 | $26.45–$576.30 | 551% above | — |
| Chest X-ray, single view CPT 71045 APICAL LORDOTIC VIEW | $4,387.00 | $4,387.00 | $26.45–$3,728.95 | 4111% above | — |
| Chest X-ray, single view inpatient CPT 71045 CHC CHEST PA XRAY | $252.00 | $252.00 | $189.00–$214.20 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR INFANT CHEST/ABDOMEN | $596.00 | $596.00 | $447.00–$506.60 | — | — |
| Chest X-ray, single view inpatient CPT 71045 CHEST (PA ONLY) | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW DECUBITUS | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Chest X-ray, single view inpatient CPT 71045 PORTABLE CHEST | $678.00 | $678.00 | $508.50–$576.30 | — | — |
| Chest X-ray, single view inpatient CPT 71045 APICAL LORDOTIC VIEW | $4,387.00 | $4,387.00 | $3,290.25–$3,728.95 | — | — |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BILATERAL | $13,235.00 | $13,235.00 | $47.18–$11,249.75 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 CHC CLAVICLE XRAY | $582.00 | $582.00 | $23.28–$494.70 | 395% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE - LEFT | $6,618.00 | $6,618.00 | $47.18–$5,625.30 | 5533% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE - RIGHT | $6,618.00 | $6,618.00 | $47.18–$5,625.30 | 5533% above | — |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE BILATERAL | $13,235.00 | $13,235.00 | $9,926.25–$11,249.75 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CHC CLAVICLE XRAY | $582.00 | $582.00 | $436.50–$494.70 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE - LEFT | $6,618.00 | $6,618.00 | $4,963.50–$5,625.30 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE - RIGHT | $6,618.00 | $6,618.00 | $4,963.50–$5,625.30 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROP BLADR/KDNY COMP | $928.00 | $928.00 | $37.12–$788.80 | 346% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROP BLADR/KDNY COMP | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 MG DEXA BONE DENSITY STDY | $9,266.00 | $9,266.00 | $79.70–$7,876.10 | 6430% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA BONE DENSITY STUDY | $9,266.00 | $9,266.00 | $79.70–$7,876.10 | 6430% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA BONE DENSITY STUDY | $9,266.00 | $9,266.00 | $6,949.50–$7,876.10 | — | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MG DEXA BONE DENSITY STDY | $9,266.00 | $9,266.00 | $6,949.50–$7,876.10 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 COMP DETAIL SING/MULTIP | $27,831.00 | $27,831.00 | $215.33–$23,656.35 | 8915% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US MF CMPLT DET SING/MULT | $27,831.00 | $27,831.00 | $215.33–$23,656.35 | 8915% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US MF CMPLT DET SING/MULT | $27,831.00 | $27,831.00 | $20,873.25–$23,656.35 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 COMP DETAIL SING/MULTIP | $27,831.00 | $27,831.00 | $20,873.25–$23,656.35 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 IR CT CHEST W/O CONTRAST | $23,111.00 | $23,111.00 | $116.22–$19,644.35 | 4330% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O HI RESOLUTIN | $23,111.00 | $23,111.00 | $116.22–$19,644.35 | 4330% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CON | $23,111.00 | $23,111.00 | $116.22–$19,644.35 | 4330% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O HI RESOLUTIN | $23,111.00 | $23,111.00 | $17,333.25–$19,644.35 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 IR CT CHEST W/O CONTRAST | $23,111.00 | $23,111.00 | $17,333.25–$19,644.35 | — | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CON | $23,111.00 | $23,111.00 | $17,333.25–$19,644.35 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/ CON | $25,955.00 | $25,955.00 | $194.55–$22,061.75 | 4143% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/ CON | $25,955.00 | $25,955.00 | $19,466.25–$22,061.75 | — | — |
| Diagnostic mammogram, both breasts CPT 77066 MG MAMMO DIG DIAGNOS BILA | $13,663.00 | $13,663.00 | $119.82–$11,613.55 | 8575% above | — |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MG MAMMO DIG DIAGNOS BILA | $13,663.00 | $13,663.00 | $10,247.25–$11,613.55 | — | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIG DIAG LT | $4,566.00 | $4,566.00 | $94.06–$3,881.10 | 2675% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 MG MAMMO DIG DIAG RT | $4,566.00 | $4,566.00 | $94.06–$3,881.10 | 2675% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG MAMMO DIG DIAG RT | $4,566.00 | $4,566.00 | $3,424.50–$3,881.10 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG MAMMO DIG DIAG LT | $4,566.00 | $4,566.00 | $3,424.50–$3,881.10 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART GROIN DUPLEX LW BILAT | $27,143.00 | $27,143.00 | $264.17–$23,071.55 | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX LWR EXT/GRFT BILAT | $59,340.00 | $59,340.00 | $264.17–$50,439.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DEB US GROIN DUPLEX BIL | $24,675.00 | $24,675.00 | $264.17–$20,973.75 | 8023% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DEB US LW EX ART DUPX BIL | $29,670.00 | $29,670.00 | $264.17–$25,219.50 | 9668% above | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ART GROIN DUPLEX LW BILAT | $27,143.00 | $27,143.00 | $20,357.25–$23,071.55 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX LWR EXT/GRFT BILAT | $59,340.00 | $59,340.00 | $44,505.00–$50,439.00 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DEB US GROIN DUPLEX BIL | $24,675.00 | $24,675.00 | $18,506.25–$20,973.75 | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DEB US LW EX ART DUPX BIL | $29,670.00 | $29,670.00 | $22,252.50–$25,219.50 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS LWR BILAT | $42,766.00 | $42,766.00 | $264.17–$36,351.10 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 DUPLEX VENOUS UPPER BILAT | $42,766.00 | $42,766.00 | $264.17–$36,351.10 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX PERFORATOR LWR BIL | $21,384.00 | $21,384.00 | $264.17–$18,176.40 | 6530% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 RAD US UPP EX VEN DUP BIL | $42,766.00 | $42,766.00 | $264.17–$36,351.10 | 13159% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 RAD US LWR EX VEN DUP BIL | $42,766.00 | $42,766.00 | $264.17–$36,351.10 | 13159% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US UPP EXT VENOUS DUP BIL | $42,766.00 | $42,766.00 | $264.17–$36,351.10 | 13159% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US LWR EXT VENOUS DUP BIL | $42,766.00 | $42,766.00 | $264.17–$36,351.10 | 13159% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX VENOUS UPPER BILAT | $42,766.00 | $42,766.00 | $32,074.50–$36,351.10 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 DUPLEX VENOUS LWR BILAT | $42,766.00 | $42,766.00 | $32,074.50–$36,351.10 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX PERFORATOR LWR BIL | $21,384.00 | $21,384.00 | $16,038.00–$18,176.40 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 RAD US LWR EX VEN DUP BIL | $42,766.00 | $42,766.00 | $32,074.50–$36,351.10 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US LWR EXT VENOUS DUP BIL | $42,766.00 | $42,766.00 | $32,074.50–$36,351.10 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 RAD US UPP EX VEN DUP BIL | $42,766.00 | $42,766.00 | $32,074.50–$36,351.10 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US UPP EXT VENOUS DUP BIL | $42,766.00 | $42,766.00 | $32,074.50–$36,351.10 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2-D ECHO | $28,367.00 | $28,367.00 | $597.92–$24,111.95 | 3777% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 PED 2-D ECHO | $28,727.00 | $28,727.00 | $597.92–$24,417.95 | 3826% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2-D ECHO | $28,367.00 | $28,367.00 | $21,275.25–$24,111.95 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 PED 2-D ECHO | $28,727.00 | $28,727.00 | $21,545.25–$24,417.95 | — | — |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW 2 VIEWS BIL | $4,759.00 | $4,759.00 | $47.75–$4,045.15 | 4174% above | — |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 1 VIEW LEFT | $617.00 | $617.00 | $24.68–$524.45 | 454% above | — |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW 1 VIEW RIGHT | $617.00 | $617.00 | $24.68–$524.45 | 454% above | — |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW,AP-LATERAL - RIGHT | $2,380.00 | $2,380.00 | $47.75–$2,023.00 | 2037% above | — |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW,AP-LATERAL - LEFT | $2,380.00 | $2,380.00 | $47.75–$2,023.00 | 2037% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW 2 VIEWS BIL | $4,759.00 | $4,759.00 | $3,569.25–$4,045.15 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 1 VIEW RIGHT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 1 VIEW LEFT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW,AP-LATERAL - RIGHT | $2,380.00 | $2,380.00 | $1,785.00–$2,023.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW,AP-LATERAL - LEFT | $2,380.00 | $2,380.00 | $1,785.00–$2,023.00 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 CHC ELBOW XRAY | $678.00 | $678.00 | $27.12–$576.30 | 477% above | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW CMPLT 3+VIEW BIL | $10,800.00 | $10,800.00 | $55.61–$9,180.00 | 9092% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW,COMPLETE - LEFT | $5,400.00 | $5,400.00 | $55.61–$4,590.00 | 4496% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW,COMPLETE - RIGHT | $5,400.00 | $5,400.00 | $55.61–$4,590.00 | 4496% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 CHC ELBOW XRAY | $678.00 | $678.00 | $508.50–$576.30 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW CMPLT 3+VIEW BIL | $10,800.00 | $10,800.00 | $8,100.00–$9,180.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW,COMPLETE - RIGHT | $5,400.00 | $5,400.00 | $4,050.00–$4,590.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW,COMPLETE - LEFT | $5,400.00 | $5,400.00 | $4,050.00–$4,590.00 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC WO CONTRAST | $29,087.00 | $29,087.00 | $116.22–$24,723.95 | 6860% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS/EAR W/O CON | $31,996.00 | $31,996.00 | $116.22–$27,196.60 | 7556% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC WO CONTRAST | $29,087.00 | $29,087.00 | $21,815.25–$24,723.95 | — | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS/EAR W/O CON | $31,996.00 | $31,996.00 | $23,997.00–$27,196.60 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 CHC MAXILLA XRAY | $642.00 | $642.00 | $25.68–$545.70 | 358% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 CHC FACIAL BONES XRAY | $722.00 | $722.00 | $28.88–$613.70 | 415% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES | $8,699.00 | $8,699.00 | $67.40–$7,394.15 | 6108% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CHC MAXILLA XRAY | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 CHC FACIAL BONES XRAY | $722.00 | $722.00 | $541.50–$613.70 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES | $8,699.00 | $8,699.00 | $6,524.25–$7,394.15 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 CHC FOREARM XRAY | $424.00 | $424.00 | $16.96–$360.40 | 261% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 UPP EXT PED BIL >12MTHS | $6,232.00 | $6,232.00 | $43.31–$5,297.20 | 5204% above | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2 VIEWS BIL | $12,509.00 | $12,509.00 | $43.31–$10,632.65 | 10547% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 UPP EXT PED RT >12MTHS | $6,232.00 | $6,232.00 | $43.31–$5,297.20 | 5204% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 UPP EXT PED LT >12MTHS | $6,232.00 | $6,232.00 | $43.31–$5,297.20 | 5204% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM - RIGHT | $6,255.00 | $6,255.00 | $43.31–$5,316.75 | 5224% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM - LEFT | $6,255.00 | $6,255.00 | $43.31–$5,316.75 | 5224% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 CHC FOREARM XRAY | $424.00 | $424.00 | $318.00–$360.40 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 UPP EXT PED BIL >12MTHS | $6,232.00 | $6,232.00 | $4,674.00–$5,297.20 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM 2 VIEWS BIL | $12,509.00 | $12,509.00 | $9,381.75–$10,632.65 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 UPP EXT PED LT >12MTHS | $6,232.00 | $6,232.00 | $4,674.00–$5,297.20 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 UPP EXT PED RT >12MTHS | $6,232.00 | $6,232.00 | $4,674.00–$5,297.20 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM - RIGHT | $6,255.00 | $6,255.00 | $4,691.25–$5,316.75 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM - LEFT | $6,255.00 | $6,255.00 | $4,691.25–$5,316.75 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 G.I./G.B. BILIARY | $3,145.00 | $3,145.00 | $125.80–$2,673.25 | 515% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 G.I./G.B. BILIARY | $3,145.00 | $3,145.00 | $2,358.75–$2,673.25 | — | — |
| Hand X-ray, 2 views CPT 73120 XR HAND 2 VIEWS BIL | $18,282.00 | $18,282.00 | $37.07–$15,539.70 | 13416% above | — |
| Hand X-ray, 2 views one side CPT 73120 HAND AP-LATERAL-LEFT | $9,140.00 | $9,140.00 | $37.07–$7,769.00 | 6657% above | — |
| Hand X-ray, 2 views one side CPT 73120 HAND AP-LATERAL - RIGHT | $9,140.00 | $9,140.00 | $37.07–$7,769.00 | 6657% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 XR HAND 2 VIEWS BIL | $18,282.00 | $18,282.00 | $13,711.50–$15,539.70 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND AP-LATERAL-LEFT | $9,140.00 | $9,140.00 | $6,855.00–$7,769.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND AP-LATERAL - RIGHT | $9,140.00 | $9,140.00 | $6,855.00–$7,769.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CHC HEEL XRAY | $582.00 | $582.00 | $23.28–$494.70 | 407% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEOUS BIL | $7,877.00 | $7,877.00 | $45.33–$6,695.45 | 6761% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS - LEFT | $3,939.00 | $3,939.00 | $45.33–$3,348.15 | 3331% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 OS CALCIS - RIGHT | $3,939.00 | $3,939.00 | $45.33–$3,348.15 | 3331% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CHC HEEL XRAY | $582.00 | $582.00 | $436.50–$494.70 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR CALCANEOUS BIL | $7,877.00 | $7,877.00 | $5,907.75–$6,695.45 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS - RIGHT | $3,939.00 | $3,939.00 | $2,954.25–$3,348.15 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 OS CALCIS - LEFT | $3,939.00 | $3,939.00 | $2,954.25–$3,348.15 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INPT PORTABLE | $1,504.00 | $1,504.00 | $60.16–$1,648.75 | 304% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY (T3) | $4,754.00 | $4,754.00 | $170.99–$4,040.90 | 1178% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY INPT PORTABLE | $1,504.00 | $1,504.00 | $1,128.00–$1,278.40 | — | — |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY (T3) | $4,754.00 | $4,754.00 | $3,565.50–$4,040.90 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 < 6HRS PSG/W CPAP TITRATN | $33,788.00 | $33,788.00 | $966.14–$28,719.80 | 2389% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG W/CPAP TITRATION | $56,305.00 | $56,305.00 | $966.14–$47,859.25 | 4047% above | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 < 6HRS PSG/W CPAP TITRATN | $33,788.00 | $33,788.00 | $25,341.00–$28,719.80 | — | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG W/CPAP TITRATION | $56,305.00 | $56,305.00 | $42,228.75–$47,859.25 | — | — |
| Knee X-ray, 3 views CPT 73562 CHC KNEE XRAY | $520.00 | $520.00 | $20.80–$442.00 | 343% above | — |
| Knee X-ray, 3 views CPT 73562 CHC PATELLA XRAY | $642.00 | $642.00 | $25.68–$545.70 | 446% above | — |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS BIL | $4,666.00 | $4,666.00 | $55.61–$3,966.10 | 3871% above | — |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS LT | $2,332.00 | $2,332.00 | $55.61–$1,982.20 | 1885% above | — |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEWS RT | $2,332.00 | $2,332.00 | $55.61–$1,982.20 | 1885% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 CHC KNEE XRAY | $520.00 | $520.00 | $390.00–$442.00 | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 CHC PATELLA XRAY | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEWS BIL | $4,666.00 | $4,666.00 | $3,499.50–$3,966.10 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS RT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEWS LT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE CMPLT 4+ VWS BIL | $19,588.00 | $19,588.00 | $70.83–$16,649.80 | 13704% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE,COMPLETE - RIGHT | $9,793.00 | $9,793.00 | $70.83–$8,324.05 | 6801% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPL&PATELLA - LEFT | $9,793.00 | $9,793.00 | $70.83–$8,324.05 | 6801% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE - LEFT | $9,793.00 | $9,793.00 | $70.83–$8,324.05 | 6801% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE,COMPL&PATELLA RIGHT | $9,793.00 | $9,793.00 | $70.83–$8,324.05 | 6801% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE CMPLT 4+ VWS BIL | $19,588.00 | $19,588.00 | $14,691.00–$16,649.80 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE,COMPLETE - RIGHT | $9,793.00 | $9,793.00 | $7,344.75–$8,324.05 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPL&PATELLA - LEFT | $9,793.00 | $9,793.00 | $7,344.75–$8,324.05 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPLETE - LEFT | $9,793.00 | $9,793.00 | $7,344.75–$8,324.05 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE,COMPL&PATELLA RIGHT | $9,793.00 | $9,793.00 | $7,344.75–$8,324.05 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT FEMUR W/O CON BIL | $43,416.00 | $43,416.00 | $116.22–$36,903.60 | 9482% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT TIB/FIB W/O CON BIL | $43,416.00 | $43,416.00 | $116.22–$36,903.60 | 9482% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT FOOT/ANKLE W/O CON BIL | $43,416.00 | $43,416.00 | $116.22–$36,903.60 | 9482% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT KNEE W/O CON BIL | $43,416.00 | $43,416.00 | $116.22–$36,903.60 | 9482% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT HIP W/O CON BIL | $43,416.00 | $43,416.00 | $116.22–$36,903.60 | 9482% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXT W/O CON BIL | $47,759.00 | $47,759.00 | $116.22–$40,595.15 | 10440% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CON LT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT HIP W/O CON RT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR W/O CON RT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FEMUR W/O CON LT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CON RT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT KNEE W/O CON LT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB W/O CON RT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT TIB/FIB W/O CON LT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT/ANKLE W/O CON RT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT FOOT/ANKLE W/O CON LT | $21,709.00 | $21,709.00 | $116.22–$18,452.65 | 4691% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CON RT | $23,880.00 | $23,880.00 | $116.22–$20,298.00 | 5170% above | — |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O CON LT | $23,880.00 | $23,880.00 | $116.22–$20,298.00 | 5170% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT TIB/FIB W/O CON BIL | $43,416.00 | $43,416.00 | $32,562.00–$36,903.60 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT FOOT/ANKLE W/O CON BIL | $43,416.00 | $43,416.00 | $32,562.00–$36,903.60 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT HIP W/O CON BIL | $43,416.00 | $43,416.00 | $32,562.00–$36,903.60 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT KNEE W/O CON BIL | $43,416.00 | $43,416.00 | $32,562.00–$36,903.60 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT FEMUR W/O CON BIL | $43,416.00 | $43,416.00 | $32,562.00–$36,903.60 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXT W/O CON BIL | $47,759.00 | $47,759.00 | $35,819.25–$40,595.15 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR W/O CON RT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP W/O CON RT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT HIP W/O CON LT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FEMUR W/O CON LT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE W/O CON LT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT KNEE W/O CON RT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB W/O CON RT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT TIB/FIB W/O CON LT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT/ANKLE W/O CON LT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT FOOT/ANKLE W/O CON RT | $21,709.00 | $21,709.00 | $16,281.75–$18,452.65 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CON LT | $23,880.00 | $23,880.00 | $17,910.00–$20,298.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXT W/O CON RT | $23,880.00 | $23,880.00 | $17,910.00–$20,298.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ICU POC US ABDOMEN LIMITD | $721.00 | $721.00 | $28.84–$612.85 | 341% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ICU POC US FAST EXAM | $721.00 | $721.00 | $28.84–$612.85 | 341% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 POC US ABDOMEN LIMITED | $721.00 | $721.00 | $28.84–$612.85 | 341% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 POC US RENAL | $721.00 | $721.00 | $28.84–$612.85 | 341% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ICU POC US RENAL | $721.00 | $721.00 | $28.84–$612.85 | 341% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US INTUSSUSCEPTION | $1,813.00 | $1,813.00 | $72.52–$1,541.05 | 1008% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PALPABLE MASS ABDOMEN | $5,845.00 | $5,845.00 | $116.22–$4,968.25 | 3473% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORUS | $8,230.00 | $8,230.00 | $116.22–$6,995.50 | 4931% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US COMMON BILE DUCT | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALL BLADDER | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR US ABDOMEN LMTED | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN | $8,278.00 | $8,278.00 | $116.22–$7,036.30 | 4960% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ASCITES | $11,128.00 | $11,128.00 | $116.22–$9,458.80 | 6702% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER HISTOTRP PRESCRN | $24,297.00 | $24,297.00 | $116.22–$20,652.45 | 14751% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 POC US ABDOMEN LIMITED | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ICU POC US RENAL | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 POC US RENAL | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ICU POC US FAST EXAM | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ICU POC US ABDOMEN LIMITD | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US INTUSSUSCEPTION | $1,813.00 | $1,813.00 | $1,359.75–$1,541.05 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PALPABLE MASS ABDOMEN | $5,845.00 | $5,845.00 | $4,383.75–$4,968.25 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PYLORUS | $8,230.00 | $8,230.00 | $6,172.50–$6,995.50 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 IR US ABDOMEN LMTED | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALL BLADDER | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US COMMON BILE DUCT | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS | $8,278.00 | $8,278.00 | $6,208.50–$7,036.30 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ASCITES | $11,128.00 | $11,128.00 | $8,346.00–$9,458.80 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER HISTOTRP PRESCRN | $24,297.00 | $24,297.00 | $18,222.75–$20,652.45 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ICU POC US MSK/SOFT TISS | $721.00 | $721.00 | $28.84–$612.85 | 429% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 POC US MSK | $721.00 | $721.00 | $28.84–$612.85 | 429% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LTD REAL TIME NON VAS | $836.00 | $836.00 | $33.44–$710.60 | 513% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 IR US LIMITED SOFT TISSUE | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED HAND LT | $844.00 | $844.00 | $33.76–$717.40 | 519% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLA RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED ELBOW RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED ANKLE LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US AXILLA LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED FOOT LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED FOOT RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED HAND RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED ELBOW LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED KNEE LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED KNEE RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED WRIST LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED WRIST RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED ANKLE RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED SHLDER LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED SHLDER RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED HIP LT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LIMITED HIP RT | $928.00 | $928.00 | $37.12–$788.80 | 581% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT UPPER LIMITED RT | $1,209.00 | $1,209.00 | $48.36–$1,027.65 | 787% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LOWER LIMITED LT | $1,209.00 | $1,209.00 | $48.36–$1,027.65 | 787% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LOWER LIMITED RT | $1,209.00 | $1,209.00 | $48.36–$1,027.65 | 787% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT UPPER LIMITED LT | $1,209.00 | $1,209.00 | $48.36–$1,027.65 | 787% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 POC US MSK | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ICU POC US MSK/SOFT TISS | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LTD REAL TIME NON VAS | $836.00 | $836.00 | $627.00–$710.60 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 IR US LIMITED SOFT TISSUE | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED HAND LT | $844.00 | $844.00 | $633.00–$717.40 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLA RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED ELBOW LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED ELBOW RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED ANKLE LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED HIP LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED WRIST LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US AXILLA LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED WRIST RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED KNEE RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED KNEE LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED HIP RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED SHLDER RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED SHLDER LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED ANKLE RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED HAND RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED FOOT RT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LIMITED FOOT LT | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LOWER LIMITED LT | $1,209.00 | $1,209.00 | $906.75–$1,027.65 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT UPPER LIMITED LT | $1,209.00 | $1,209.00 | $906.75–$1,027.65 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LOWER LIMITED RT | $1,209.00 | $1,209.00 | $906.75–$1,027.65 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT UPPER LIMITED RT | $1,209.00 | $1,209.00 | $906.75–$1,027.65 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $480.00 | $480.00 | $19.20–$408.00 | 238% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING | $480.00 | $480.00 | $360.00–$408.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 CHC LOWER LEG XRAY | $336.00 | $336.00 | $13.44–$285.60 | 186% above | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIB/FIB 2 VIEWS BIL | $17,315.00 | $17,315.00 | $50.42–$14,717.75 | 14637% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG 1 VIEW LEFT | $1,810.00 | $1,810.00 | $50.42–$1,538.50 | 1441% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG 1 VIEW RIGHT | $1,810.00 | $1,810.00 | $50.42–$1,538.50 | 1441% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG(TIB&FIB) RIGHT | $8,656.00 | $8,656.00 | $50.42–$7,357.60 | 7267% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG(TIB_FIB) - LEFT | $8,656.00 | $8,656.00 | $50.42–$7,357.60 | 7267% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 CHC LOWER LEG XRAY | $336.00 | $336.00 | $252.00–$285.60 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIB/FIB 2 VIEWS BIL | $17,315.00 | $17,315.00 | $12,986.25–$14,717.75 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG 1 VIEW RIGHT | $1,810.00 | $1,810.00 | $1,357.50–$1,538.50 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG 1 VIEW LEFT | $1,810.00 | $1,810.00 | $1,357.50–$1,538.50 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG(TIB&FIB) RIGHT | $8,656.00 | $8,656.00 | $6,492.00–$7,357.60 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG(TIB_FIB) - LEFT | $8,656.00 | $8,656.00 | $6,492.00–$7,357.60 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA BRAIN W/O CON | $4,957.00 | $4,957.00 | $198.28–$4,213.45 | 612% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV BRAIN | $4,957.00 | $4,957.00 | $198.28–$4,213.45 | 612% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA BRAIN W/O CON | $4,957.00 | $4,957.00 | $3,717.75–$4,213.45 | — | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV BRAIN | $4,957.00 | $4,957.00 | $3,717.75–$4,213.45 | — | — |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST WO/W BIL | $59,459.00 | $59,459.00 | $367.07–$50,540.15 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST WO/W BIL | $59,459.00 | $59,459.00 | $44,594.25–$50,540.15 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CON LT | $15,487.00 | $15,487.00 | $264.17–$13,163.95 | 3635% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE W/O CON RT | $15,487.00 | $15,487.00 | $264.17–$13,163.95 | 3635% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CON LT | $15,487.00 | $15,487.00 | $264.17–$13,163.95 | 3635% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP W/O CON RT | $15,487.00 | $15,487.00 | $264.17–$13,163.95 | 3635% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT LOW EXT WO CON RT | $17,036.00 | $17,036.00 | $264.17–$14,480.60 | 4009% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JNT LOW EXT WO CON LT | $17,036.00 | $17,036.00 | $264.17–$14,480.60 | 4009% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O CON LT | $18,997.00 | $18,997.00 | $264.17–$16,147.45 | 4482% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE W/O RT | $18,997.00 | $18,997.00 | $264.17–$16,147.45 | 4482% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CON RT | $15,487.00 | $15,487.00 | $11,615.25–$13,163.95 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W/O CON LT | $15,487.00 | $15,487.00 | $11,615.25–$13,163.95 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP W/O CON RT | $15,487.00 | $15,487.00 | $11,615.25–$13,163.95 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE W/O CON LT | $15,487.00 | $15,487.00 | $11,615.25–$13,163.95 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT LOW EXT WO CON RT | $17,036.00 | $17,036.00 | $12,777.00–$14,480.60 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI JNT LOW EXT WO CON LT | $17,036.00 | $17,036.00 | $12,777.00–$14,480.60 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE W/O RT | $18,997.00 | $18,997.00 | $14,247.75–$16,147.45 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE W/O CON LT | $18,997.00 | $18,997.00 | $14,247.75–$16,147.45 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP WO/W CON LT | $19,307.00 | $19,307.00 | $390.30–$16,410.95 | 2577% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE WO/W CON LT | $19,307.00 | $19,307.00 | $390.30–$16,410.95 | 2577% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE WO/W CON RT | $19,307.00 | $19,307.00 | $390.30–$16,410.95 | 2577% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP WO/W CON RT | $19,307.00 | $19,307.00 | $390.30–$16,410.95 | 2577% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE WO/W CON LT | $19,307.00 | $19,307.00 | $390.30–$16,410.95 | 2577% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE WO/W CON RT | $19,307.00 | $19,307.00 | $390.30–$16,410.95 | 2577% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE WO/W CON RT | $19,307.00 | $19,307.00 | $14,480.25–$16,410.95 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE WO/W CON LT | $19,307.00 | $19,307.00 | $14,480.25–$16,410.95 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE WO/W CON RT | $19,307.00 | $19,307.00 | $14,480.25–$16,410.95 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE WO/W CON LT | $19,307.00 | $19,307.00 | $14,480.25–$16,410.95 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP WO/W CON RT | $19,307.00 | $19,307.00 | $14,480.25–$16,410.95 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP WO/W CON LT | $19,307.00 | $19,307.00 | $14,480.25–$16,410.95 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI LIVER W/O CON | $17,923.00 | $17,923.00 | $264.17–$15,234.55 | 2689% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI SPLEEN W/O CON | $17,923.00 | $17,923.00 | $264.17–$15,234.55 | 2689% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI PANCREAS W/O CON | $17,923.00 | $17,923.00 | $264.17–$15,234.55 | 2689% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ADRENALS W/O CON | $17,923.00 | $17,923.00 | $264.17–$15,234.55 | 2689% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI KIDNEYS W/O CON | $17,923.00 | $17,923.00 | $264.17–$15,234.55 | 2689% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CON | $19,715.00 | $19,715.00 | $264.17–$16,757.75 | 2968% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI LIVER W/O CON | $17,923.00 | $17,923.00 | $13,442.25–$15,234.55 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI PANCREAS W/O CON | $17,923.00 | $17,923.00 | $13,442.25–$15,234.55 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI SPLEEN W/O CON | $17,923.00 | $17,923.00 | $13,442.25–$15,234.55 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ADRENALS W/O CON | $17,923.00 | $17,923.00 | $13,442.25–$15,234.55 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI KIDNEYS W/O CON | $17,923.00 | $17,923.00 | $13,442.25–$15,234.55 | — | — |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CON | $19,715.00 | $19,715.00 | $14,786.25–$16,757.75 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ENTEROGRAPHY | $42,269.00 | $42,269.00 | $390.30–$35,928.65 | 4387% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI KIDNEYS WO/W CON | $42,269.00 | $42,269.00 | $390.30–$35,928.65 | 4387% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI LIVER WO/W CON | $42,269.00 | $42,269.00 | $390.30–$35,928.65 | 4387% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ADRENALS WO/W CON | $42,269.00 | $42,269.00 | $390.30–$35,928.65 | 4387% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SPLEEN WO/W CON | $42,269.00 | $42,269.00 | $390.30–$35,928.65 | 4387% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI PANCREAS WO/W CON | $42,269.00 | $42,269.00 | $390.30–$35,928.65 | 4387% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W CON | $46,496.00 | $46,496.00 | $390.30–$39,521.60 | 4836% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ENTEROGRAPHY | $42,269.00 | $42,269.00 | $31,701.75–$35,928.65 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI SPLEEN WO/W CON | $42,269.00 | $42,269.00 | $31,701.75–$35,928.65 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI KIDNEYS WO/W CON | $42,269.00 | $42,269.00 | $31,701.75–$35,928.65 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI LIVER WO/W CON | $42,269.00 | $42,269.00 | $31,701.75–$35,928.65 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ADRENALS WO/W CON | $42,269.00 | $42,269.00 | $31,701.75–$35,928.65 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI PANCREAS WO/W CON | $42,269.00 | $42,269.00 | $31,701.75–$35,928.65 | — | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W CON | $46,496.00 | $46,496.00 | $34,872.00–$39,521.60 | — | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN PITUIT W/O CON | $10,725.00 | $10,725.00 | $264.17–$9,116.25 | 1510% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CINE | $10,725.00 | $10,725.00 | $264.17–$9,116.25 | 1510% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN IAC W/O CON | $10,725.00 | $10,725.00 | $264.17–$9,116.25 | 1510% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN TRAUMATIC W/O | $11,798.00 | $11,798.00 | $264.17–$10,028.30 | 1671% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STROKE PROTOCOL | $11,798.00 | $11,798.00 | $264.17–$10,028.30 | 1671% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CON | $11,798.00 | $11,798.00 | $264.17–$10,028.30 | 1671% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN IAC W/O CON | $10,725.00 | $10,725.00 | $8,043.75–$9,116.25 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN PITUIT W/O CON | $10,725.00 | $10,725.00 | $8,043.75–$9,116.25 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CINE | $10,725.00 | $10,725.00 | $8,043.75–$9,116.25 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN TRAUMATIC W/O | $11,798.00 | $11,798.00 | $8,848.50–$10,028.30 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CON | $11,798.00 | $11,798.00 | $8,848.50–$10,028.30 | — | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STROKE PROTOCOL | $11,798.00 | $11,798.00 | $8,848.50–$10,028.30 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN IAC WO/W CON | $25,214.00 | $25,214.00 | $390.30–$21,431.90 | 2364% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN PITUIT WO/W CON | $25,214.00 | $25,214.00 | $390.30–$21,431.90 | 2364% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO PLUS STRYK | $27,735.00 | $27,735.00 | $390.30–$23,574.75 | 2610% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CINE | $27,735.00 | $27,735.00 | $390.30–$23,574.75 | 2610% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN TRAUMATIC W&W/O | $27,735.00 | $27,735.00 | $390.30–$23,574.75 | 2610% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CON | $27,735.00 | $27,735.00 | $390.30–$23,574.75 | 2610% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN PITUIT WO/W CON | $25,214.00 | $25,214.00 | $18,910.50–$21,431.90 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN IAC WO/W CON | $25,214.00 | $25,214.00 | $18,910.50–$21,431.90 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CON | $27,735.00 | $27,735.00 | $20,801.25–$23,574.75 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CINE | $27,735.00 | $27,735.00 | $20,801.25–$23,574.75 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO PLUS STRYK | $27,735.00 | $27,735.00 | $20,801.25–$23,574.75 | — | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN TRAUMATIC W&W/O | $27,735.00 | $27,735.00 | $20,801.25–$23,574.75 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE | $32,281.00 | $32,281.00 | $264.17–$27,438.85 | 5354% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE | $32,281.00 | $32,281.00 | $24,210.75–$27,438.85 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE WO/W CON | $34,880.00 | $34,880.00 | $390.30–$29,648.00 | 3361% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE WO/W CON | $34,880.00 | $34,880.00 | $26,160.00–$29,648.00 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE | $32,281.00 | $32,281.00 | $264.17–$27,438.85 | 5095% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T-SPINE | $32,281.00 | $32,281.00 | $24,210.75–$27,438.85 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE WO/W CON | $50,713.00 | $50,713.00 | $390.30–$43,106.05 | 4985% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE WO/W CON | $50,713.00 | $50,713.00 | $38,034.75–$43,106.05 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE | $32,281.00 | $32,281.00 | $264.17–$27,438.85 | 5542% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE | $32,281.00 | $32,281.00 | $24,210.75–$27,438.85 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI LUMBAR PLEXUS WO/W CO | $31,709.00 | $31,709.00 | $390.30–$26,952.65 | 2935% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PENIS WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI APPENDIX WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI RECTUM WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI SI JOINTS WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS FEMALE WO/W CO | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI BONY PELVIS WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCROTUM WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM WO/W CON | $47,581.00 | $47,581.00 | $390.30–$40,443.85 | 4454% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CON | $52,339.00 | $52,339.00 | $390.30–$44,488.15 | 4909% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI LUMBAR PLEXUS WO/W CO | $31,709.00 | $31,709.00 | $23,781.75–$26,952.65 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PENIS WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SCROTUM WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI BONY PELVIS WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SI JOINTS WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS FEMALE WO/W CO | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI RECTUM WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI APPENDIX WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM WO/W CON | $47,581.00 | $47,581.00 | $35,685.75–$40,443.85 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/W CON | $52,339.00 | $52,339.00 | $39,254.25–$44,488.15 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS FEMALE W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI BONY PELVIS W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI DEFECOGRAM | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI APPENDIX W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI RECTUM W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SI JOINT W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PENIS W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI SCROTUM W/O CON | $28,082.00 | $28,082.00 | $264.17–$23,869.70 | 4141% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI LUMBAR PLEXUS W/O CON | $29,346.00 | $29,346.00 | $264.17–$24,944.10 | 4331% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CON | $30,890.00 | $30,890.00 | $264.17–$26,256.50 | 4565% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PENIS W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI APPENDIX W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI DEFECOGRAM | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS FEMALE W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI RECTUM W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI BONY PELVIS W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SCROTUM W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SI JOINT W/O CON | $28,082.00 | $28,082.00 | $21,061.50–$23,869.70 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI LUMBAR PLEXUS W/O CON | $29,346.00 | $29,346.00 | $22,009.50–$24,944.10 | — | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CON | $30,890.00 | $30,890.00 | $23,167.50–$26,256.50 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CON LT | $16,641.00 | $16,641.00 | $264.17–$14,144.85 | 3914% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI AC JOINT W/O CON RT | $16,641.00 | $16,641.00 | $264.17–$14,144.85 | 3914% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CON RT | $16,641.00 | $16,641.00 | $264.17–$14,144.85 | 3914% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER W/O CON LT | $16,641.00 | $16,641.00 | $264.17–$14,144.85 | 3914% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW W/O CON RT | $16,641.00 | $16,641.00 | $264.17–$14,144.85 | 3914% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WO CON RT | $16,641.00 | $16,641.00 | $264.17–$14,144.85 | 3914% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST W/O CON LT | $16,641.00 | $16,641.00 | $264.17–$14,144.85 | 3914% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI AC JOINT W/O CON LT | $16,706.00 | $16,706.00 | $264.17–$14,200.10 | 3929% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW W/O CON LT | $16,641.00 | $16,641.00 | $12,480.75–$14,144.85 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST WO CON RT | $16,641.00 | $16,641.00 | $12,480.75–$14,144.85 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST W/O CON LT | $16,641.00 | $16,641.00 | $12,480.75–$14,144.85 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW W/O CON RT | $16,641.00 | $16,641.00 | $12,480.75–$14,144.85 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI AC JOINT W/O CON RT | $16,641.00 | $16,641.00 | $12,480.75–$14,144.85 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER W/O CON RT | $16,641.00 | $16,641.00 | $12,480.75–$14,144.85 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER W/O CON LT | $16,641.00 | $16,641.00 | $12,480.75–$14,144.85 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI AC JOINT W/O CON LT | $16,706.00 | $16,706.00 | $12,529.50–$14,200.10 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CHC CERV SPINE XRAY | $922.00 | $922.00 | $36.88–$783.70 | 430% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE | $13,695.00 | $13,695.00 | $73.49–$11,640.75 | 7771% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CHC CERV SPINE XRAY | $922.00 | $922.00 | $691.50–$783.70 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL SPINE | $13,695.00 | $13,695.00 | $10,271.25–$11,640.75 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/ CON | $28,817.00 | $28,817.00 | $194.55–$24,494.45 | 4755% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/ CON | $28,817.00 | $28,817.00 | $21,612.75–$24,494.45 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CON | $27,442.00 | $27,442.00 | $116.22–$23,325.70 | 5346% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CON | $27,442.00 | $27,442.00 | $20,581.50–$23,325.70 | — | — |
| Neck soft tissue X-ray CPT 70360 SOFT TISSUE LATERAL NECK | $730.00 | $730.00 | $29.20–$620.50 | 551% above | — |
| Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK | $3,944.00 | $3,944.00 | $43.51–$3,352.40 | 3419% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE LATERAL NECK | $730.00 | $730.00 | $547.50–$620.50 | — | — |
| Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK | $3,944.00 | $3,944.00 | $2,958.00–$3,352.40 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 SPECT REST TL-201/REDIST | $32,384.00 | $32,384.00 | $1,033.00–$27,526.40 | 2017% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR STRESS/REST SPECT | $58,651.00 | $58,651.00 | $1,033.00–$49,853.35 | 3733% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR PHARM STRESS/REST | $58,651.00 | $58,651.00 | $1,033.00–$49,853.35 | 3733% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 SPECT REST TL-201/REDIST | $32,384.00 | $32,384.00 | $24,288.00–$27,526.40 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NUCLEAR PHARM STRESS/REST | $58,651.00 | $58,651.00 | $43,988.25–$49,853.35 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NUCLEAR STRESS/REST SPECT | $58,651.00 | $58,651.00 | $43,988.25–$49,853.35 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT GA68 PSMA SCAN | $62,247.00 | $62,247.00 | $1,594.06–$52,909.95 | 3265% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT GA68 PSMA SCAN SUB | $62,247.00 | $62,247.00 | $1,594.06–$52,909.95 | 3265% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT GA 68 NEURO TUMOR | $62,247.00 | $62,247.00 | $1,594.06–$52,909.95 | 3265% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT PROSTATE CANCER | $62,247.00 | $62,247.00 | $1,594.06–$52,909.95 | 3265% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PETCT SKULL BAS-MDTH INIT | $62,247.00 | $62,247.00 | $1,594.06–$52,909.95 | 3265% above | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PETCT SKUL BAS-MDTH MNTR | $62,247.00 | $62,247.00 | $1,594.06–$52,909.95 | 3265% above | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT PROSTATE CANCER | $62,247.00 | $62,247.00 | $46,685.25–$52,909.95 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT GA68 PSMA SCAN | $62,247.00 | $62,247.00 | $46,685.25–$52,909.95 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PETCT SKULL BAS-MDTH INIT | $62,247.00 | $62,247.00 | $46,685.25–$52,909.95 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PETCT SKUL BAS-MDTH MNTR | $62,247.00 | $62,247.00 | $46,685.25–$52,909.95 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT GA 68 NEURO TUMOR | $62,247.00 | $62,247.00 | $46,685.25–$52,909.95 | — | — |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT GA68 PSMA SCAN SUB | $62,247.00 | $62,247.00 | $46,685.25–$52,909.95 | — | — |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CON | $41,950.00 | $41,950.00 | $116.22–$35,657.50 | 9882% above | — |
| Pelvic CT scan without contrast CPT 72192 IR CT PELVIS W/O CONTRAST | $41,950.00 | $41,950.00 | $116.22–$35,657.50 | 9882% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 IR CT PELVIS W/O CONTRAST | $41,950.00 | $41,950.00 | $31,462.50–$35,657.50 | — | — |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CON | $41,950.00 | $41,950.00 | $31,462.50–$35,657.50 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC ULTRASOUND LIMITED | $264.00 | $264.00 | $10.56–$286.93 | 98% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 POC US BLADDER | $721.00 | $721.00 | $28.84–$612.85 | 440% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 POC US PELVIS GYN | $721.00 | $721.00 | $28.84–$612.85 | 440% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US URINARY BLADDER | $15,914.00 | $15,914.00 | $59.29–$13,526.90 | 11809% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FOLLOW UP | $15,914.00 | $15,914.00 | $59.29–$13,526.90 | 11809% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC ULTRASOUND LIMITED | $264.00 | $264.00 | $198.00–$224.40 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 POC US BLADDER | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 POC US PELVIS GYN | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FOLLOW UP | $15,914.00 | $15,914.00 | $11,935.50–$13,526.90 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US URINARY BLADDER | $15,914.00 | $15,914.00 | $11,935.50–$13,526.90 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC ULTRASOUND COMPLET | $3,274.00 | $3,274.00 | $116.22–$2,782.90 | 1286% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $15,914.00 | $15,914.00 | $116.22–$13,526.90 | 6636% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC REGION | $15,914.00 | $15,914.00 | $116.22–$13,526.90 | 6636% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC ULTRASOUND COMPLET | $3,274.00 | $3,274.00 | $2,455.50–$2,782.90 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC REGION | $15,914.00 | $15,914.00 | $11,935.50–$13,526.90 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $15,914.00 | $15,914.00 | $11,935.50–$13,526.90 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US MF COMP ANAT SING | $4,549.00 | $4,549.00 | $116.22–$3,866.65 | 2305% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US 1ST TRIMESTER >14WKS | $4,549.00 | $4,549.00 | $116.22–$3,866.65 | 2305% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US TRNSAB SNG FETUS >14WK | $4,549.00 | $4,549.00 | $116.22–$3,866.65 | 2305% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US MF COMP ANAT SING | $4,549.00 | $4,549.00 | $3,411.75–$3,866.65 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US TRNSAB SNG FETUS >14WK | $4,549.00 | $4,549.00 | $3,411.75–$3,866.65 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US 1ST TRIMESTER >14WKS | $4,549.00 | $4,549.00 | $3,411.75–$3,866.65 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US MF ANAT SNG 1ST <14WKS | $16,801.00 | $16,801.00 | $116.22–$14,280.85 | 11740% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG NONTRNSVAG <14WKS | $16,801.00 | $16,801.00 | $116.22–$14,280.85 | 11740% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US 1ST TRIMESTER <14 WKS | $16,801.00 | $16,801.00 | $116.22–$14,280.85 | 11740% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US MF ANAT SNG 1ST <14WKS | $16,801.00 | $16,801.00 | $12,600.75–$14,280.85 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG NONTRNSVAG <14WKS | $16,801.00 | $16,801.00 | $12,600.75–$14,280.85 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US 1ST TRIMESTER <14 WKS | $16,801.00 | $16,801.00 | $12,600.75–$14,280.85 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ICU POC US OBGYN | $721.00 | $721.00 | $28.84–$612.85 | 298% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 POC US OB/GYN | $721.00 | $721.00 | $28.84–$612.85 | 298% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US MF LTD VIABILIT <14WKS | $2,795.00 | $2,795.00 | $111.80–$2,375.75 | 1442% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED SINGLETON/MULTIP | $2,795.00 | $2,795.00 | $111.80–$2,375.75 | 1442% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FETAL GROWTH ULTRASOUND | $2,795.00 | $2,795.00 | $111.80–$2,375.75 | 1442% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ICU POC US OBGYN | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 POC US OB/GYN | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LIMITED SINGLETON/MULTIP | $2,795.00 | $2,795.00 | $2,096.25–$2,375.75 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US MF LTD VIABILIT <14WKS | $2,795.00 | $2,795.00 | $2,096.25–$2,375.75 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 FETAL GROWTH ULTRASOUND | $2,795.00 | $2,795.00 | $2,096.25–$2,375.75 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 CHC RIBS UNI XRAY | $678.00 | $678.00 | $27.12–$576.30 | 508% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS,UNILATERAL LT 2 VIEW | $4,974.00 | $4,974.00 | $50.55–$4,227.90 | 4357% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS,UNILATERAL RT 2 VIEW | $4,974.00 | $4,974.00 | $50.55–$4,227.90 | 4357% above | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 CHC RIBS UNI XRAY | $678.00 | $678.00 | $508.50–$576.30 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS,UNILATERAL RT 2 VIEW | $4,974.00 | $4,974.00 | $3,730.50–$4,227.90 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS,UNILATERAL LT 2 VIEW | $4,974.00 | $4,974.00 | $3,730.50–$4,227.90 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILAT- LT 3 VIEWS | $928.00 | $928.00 | $37.12–$788.80 | 594% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILAT- RT 3 VIEWS | $928.00 | $928.00 | $37.12–$788.80 | 594% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILAT- RT 3 VIEWS | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS UNILAT- LT 3 VIEWS | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 MG MAMMO DIG SCREEN BILAT | $11,598.00 | $11,598.00 | $99.09–$9,858.30 | — | — |
| Screening mammogram, both breasts one side CPT 77067 MG MAMMO DIG SCREEN RT | $5,799.00 | $5,799.00 | $99.09–$4,929.15 | 4370% above | — |
| Screening mammogram, both breasts one side CPT 77067 MG MAMMO DIG SCREEN LT | $5,799.00 | $5,799.00 | $99.09–$4,929.15 | 4370% above | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG MAMMO DIG SCREEN BILAT | $11,598.00 | $11,598.00 | $8,698.50–$9,858.30 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG MAMMO DIG SCREEN LT | $5,799.00 | $5,799.00 | $4,349.25–$4,929.15 | — | — |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG MAMMO DIG SCREEN RT | $5,799.00 | $5,799.00 | $4,349.25–$4,929.15 | — | — |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 SHOULDER 2+ VIEWS BILAT | $12,782.00 | $12,782.00 | $49.52–$10,864.70 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 CHC SHOULDER XRAY | $705.00 | $705.00 | $28.20–$599.25 | 500% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2+ VIEWS LEFT | $7,030.00 | $7,030.00 | $49.52–$5,975.50 | 5883% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2+ VIEWS RIGHT | $7,030.00 | $7,030.00 | $49.52–$5,975.50 | 5883% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER 2+ VIEWS BILAT | $12,782.00 | $12,782.00 | $9,586.50–$10,864.70 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 CHC SHOULDER XRAY | $705.00 | $705.00 | $528.75–$599.25 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2+ VIEWS RIGHT | $7,030.00 | $7,030.00 | $5,272.50–$5,975.50 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2+ VIEWS LEFT | $7,030.00 | $7,030.00 | $5,272.50–$5,975.50 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES | $11,725.00 | $11,725.00 | $61.95–$9,966.25 | 10267% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES | $11,725.00 | $11,725.00 | $8,793.75–$9,966.25 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL <4VIEWS | $1,217.00 | $1,217.00 | $48.68–$1,034.45 | 910% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 SHUNT DIALVW PRE/POST MRI | $1,411.00 | $1,411.00 | $56.44–$1,199.35 | 1071% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 SHUNT SERIES | $1,411.00 | $1,411.00 | $56.44–$1,199.35 | 1071% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL <4VIEWS | $1,217.00 | $1,217.00 | $912.75–$1,034.45 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SHUNT DIALVW PRE/POST MRI | $1,411.00 | $1,411.00 | $1,058.25–$1,199.35 | — | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SHUNT SERIES | $1,411.00 | $1,411.00 | $1,058.25–$1,199.35 | — | — |
| Sleep study in a lab (polysomnography) CPT 95810 < 6HRS PSG ADULT | $33,788.00 | $33,788.00 | $966.14–$28,719.80 | 2471% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $56,305.00 | $56,305.00 | $966.14–$47,859.25 | 4185% above | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 < 6HRS PSG ADULT | $33,788.00 | $33,788.00 | $25,341.00–$28,719.80 | — | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY | $56,305.00 | $56,305.00 | $42,228.75–$47,859.25 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 VIDEO SWALLOWING FUNCTION | $1,217.00 | $1,217.00 | $48.68–$1,034.45 | 435% above | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 VIDEO SWALLOWING FUNCTION | $1,217.00 | $1,217.00 | $912.75–$1,034.45 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 CHC FEMUR XRAY | $471.00 | $471.00 | $18.84–$400.35 | 319% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 LWR EXT PED BIL >12MTHS | $3,698.00 | $3,698.00 | $58.40–$3,143.30 | 3192% above | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR 2 VIEWS BIL | $6,337.00 | $6,337.00 | $58.40–$5,386.45 | 5541% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS LEFT | $3,168.00 | $3,168.00 | $58.40–$2,692.80 | 2720% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2 VIEWS RIGHT | $3,168.00 | $3,168.00 | $58.40–$2,692.80 | 2720% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 LWR EXT PED LT >12MTHS | $3,698.00 | $3,698.00 | $58.40–$3,143.30 | 3192% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 LWR EXT PED RT >12MTHS | $3,698.00 | $3,698.00 | $58.40–$3,143.30 | 3192% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 CHC FEMUR XRAY | $471.00 | $471.00 | $353.25–$400.35 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 LWR EXT PED BIL >12MTHS | $3,698.00 | $3,698.00 | $2,773.50–$3,143.30 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR 2 VIEWS BIL | $6,337.00 | $6,337.00 | $4,752.75–$5,386.45 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS LEFT | $3,168.00 | $3,168.00 | $2,376.00–$2,692.80 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2 VIEWS RIGHT | $3,168.00 | $3,168.00 | $2,376.00–$2,692.80 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 LWR EXT PED LT >12MTHS | $3,698.00 | $3,698.00 | $2,773.50–$3,143.30 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 LWR EXT PED RT >12MTHS | $3,698.00 | $3,698.00 | $2,773.50–$3,143.30 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE MYELOGRAM | $23,313.00 | $23,313.00 | $116.22–$19,816.05 | 4762% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT DORSAL SPINE W/O CON | $25,644.00 | $25,644.00 | $116.22–$21,797.40 | 5248% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE MYELOGRAM | $23,313.00 | $23,313.00 | $17,484.75–$19,816.05 | — | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT DORSAL SPINE W/O CON | $25,644.00 | $25,644.00 | $19,233.00–$21,797.40 | — | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT RT, 3RD DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT RT, 4TH DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT RT, 5TH DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT LT, GREAT TOE | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT LT, 2ND DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT LT, 3RD DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT RT, 2ND DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT RT, GREAT TOE | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT LT, 5TH DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 FOOT LT, 4TH DIGIT | $2,079.00 | $2,079.00 | $23.59–$1,767.15 | 1767% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT LT, 3RD DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT LT, 2ND DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT LT, GREAT TOE | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT LT, 5TH DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT RT, 2ND DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT RT, 4TH DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT RT, 5TH DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT LT, 4TH DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT RT, GREAT TOE | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT RT, 3RD DIGIT | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL (NON OB) | $21,997.00 | $21,997.00 | $116.22–$18,697.45 | 9822% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB | $21,997.00 | $21,997.00 | $116.22–$18,697.45 | 9822% above | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAG ONLY (NON OB) | $21,997.00 | $21,997.00 | $116.22–$18,697.45 | 9822% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL (NON OB) | $21,997.00 | $21,997.00 | $16,497.75–$18,697.45 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAG ONLY (NON OB) | $21,997.00 | $21,997.00 | $16,497.75–$18,697.45 | — | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB | $21,997.00 | $21,997.00 | $16,497.75–$18,697.45 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL | $1,153.00 | $1,153.00 | $46.12–$980.05 | 713% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US PREG TRANSVAG <14 WKS | $1,153.00 | $1,153.00 | $46.12–$980.05 | 713% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 US MF TRANSVAGINAL | $1,153.00 | $1,153.00 | $46.12–$980.05 | 713% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US MF TRANSVAGINAL | $1,153.00 | $1,153.00 | $864.75–$980.05 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREG TRANSVAG <14 WKS | $1,153.00 | $1,153.00 | $864.75–$980.05 | — | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL | $1,153.00 | $1,153.00 | $864.75–$980.05 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $11,128.00 | $11,128.00 | $116.22–$9,458.80 | 4921% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $11,128.00 | $11,128.00 | $8,346.00–$9,458.80 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 ICU POC US SCROTUM | $721.00 | $721.00 | $28.84–$612.85 | 281% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $8,328.00 | $8,328.00 | $90.35–$7,078.80 | 4303% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 ICU POC US SCROTUM | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $8,328.00 | $8,328.00 | $6,246.00–$7,078.80 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 POC US THYROID NECK | $721.00 | $721.00 | $28.84–$612.85 | 212% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 IR US SOFT TISSUE | $13,266.00 | $13,266.00 | $116.22–$11,276.10 | 5632% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD &NECK | $13,266.00 | $13,266.00 | $116.22–$11,276.10 | 5632% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $13,266.00 | $13,266.00 | $116.22–$11,276.10 | 5632% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 POC US THYROID NECK | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $13,266.00 | $13,266.00 | $9,949.50–$11,276.10 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD &NECK | $13,266.00 | $13,266.00 | $9,949.50–$11,276.10 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 IR US SOFT TISSUE | $13,266.00 | $13,266.00 | $9,949.50–$11,276.10 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONT W/SB F.T. | $15,236.00 | $15,236.00 | $161.36–$12,950.60 | 6457% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER G.I. SINGLE CONTR | $15,236.00 | $15,236.00 | $161.36–$12,950.60 | 6457% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CONT W/SB F.T. | $15,236.00 | $15,236.00 | $11,427.00–$12,950.60 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER G.I. SINGLE CONTR | $15,236.00 | $15,236.00 | $11,427.00–$12,950.60 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 CHC HUMERUS XRAY | $520.00 | $520.00 | $20.80–$442.00 | 343% above | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS 2 VIEWS BIL | $7,841.00 | $7,841.00 | $51.30–$6,664.85 | 6574% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 1 VIEW RIGHT | $617.00 | $617.00 | $24.68–$524.45 | 425% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 1 VIEW LEFT | $617.00 | $617.00 | $24.68–$524.45 | 425% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS RIGHT | $3,920.00 | $3,920.00 | $51.30–$3,332.00 | 3236% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2 VIEWS LEFT | $3,920.00 | $3,920.00 | $51.30–$3,332.00 | 3236% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 CHC HUMERUS XRAY | $520.00 | $520.00 | $390.00–$442.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS 2 VIEWS BIL | $7,841.00 | $7,841.00 | $5,880.75–$6,664.85 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 1 VIEW LEFT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 1 VIEW RIGHT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS RIGHT | $3,920.00 | $3,920.00 | $2,940.00–$3,332.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2 VIEWS LEFT | $3,920.00 | $3,920.00 | $2,940.00–$3,332.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 DUPLEX VM LOWER BILATERAL | $17,673.00 | $17,673.00 | $116.22–$15,022.05 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 VEIN MAPPING UPPER BILAT | $21,451.00 | $21,451.00 | $116.22–$18,233.35 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 POC US VENOUS DUPLX LIMTD | $721.00 | $721.00 | $28.84–$2,514.00 | 260% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ICU POC US VEN DUPX LIM | $721.00 | $721.00 | $28.84–$2,514.00 | 260% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX PERF LWR UNI LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DEB DUP VENOUS LWR UNI LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DEB DUP VENOUS LWR UNI RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DEB DUP VENOUS UPP UNI LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DEB DUP VENOUS UPP UNI RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS LWR UNI LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS LWR UNI RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS UPP UNI LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX VENOUS UPP UNI RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX PERF LWR UNI RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN MAP UPP UNI LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN MAP UPP UNI RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN MAP LWR UNI LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUP VEIN MAP LWR UNI RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US LWR EXT VEN DUP LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US LWR EXT VEN DUP RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US UPP EXT VEN DUP LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 RAD US UPP EXT VEN DUP RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LWR EXT VENOUS DUP RT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LWR EXT VENOUS DUP LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UPP EXT VENOUS DUP LT | $12,978.00 | $12,978.00 | $116.22–$11,031.30 | 6389% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 DUPLEX VM LOWER BILATERAL | $17,673.00 | $17,673.00 | $13,254.75–$15,022.05 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 VEIN MAPPING UPPER BILAT | $21,451.00 | $21,451.00 | $16,088.25–$18,233.35 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ICU POC US VEN DUPX LIM | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 POC US VENOUS DUPLX LIMTD | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US UPP EXT VEN DUP LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS LWR UNI RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS LWR UNI LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DEB DUP VENOUS LWR UNI RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS UPP UNI LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DEB DUP VENOUS LWR UNI LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DEB DUP VENOUS UPP UNI LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UPP EXT VENOUS DUP LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP VEIN MAP UPP UNI RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US LWR EXT VEN DUP LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US LWR EXT VEN DUP RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DEB DUP VENOUS UPP UNI RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP VEIN MAP LWR UNI LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX VENOUS UPP UNI RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX PERF LWR UNI LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX PERF LWR UNI RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP VEIN MAP UPP UNI LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUP VEIN MAP LWR UNI RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 RAD US UPP EXT VEN DUP RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LWR EXT VENOUS DUP RT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LWR EXT VENOUS DUP LT | $12,978.00 | $12,978.00 | $9,733.50–$11,031.30 | — | — |
| Wrist X-ray, 2 views CPT 73100 XR WRIST 2 VIEWS BIL | $4,995.00 | $4,995.00 | $46.54–$4,245.75 | 4385% above | — |
| Wrist X-ray, 2 views one side CPT 73100 WRIST,AP-LATERAL LEFT | $2,499.00 | $2,499.00 | $46.54–$2,124.15 | 2144% above | — |
| Wrist X-ray, 2 views one side CPT 73100 WRIST,AP-LATERAL - RIGHT | $2,499.00 | $2,499.00 | $46.54–$2,124.15 | 2144% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST 2 VIEWS BIL | $4,995.00 | $4,995.00 | $3,746.25–$4,245.75 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST,AP-LATERAL LEFT | $2,499.00 | $2,499.00 | $1,874.25–$2,124.15 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST,AP-LATERAL - RIGHT | $2,499.00 | $2,499.00 | $1,874.25–$2,124.15 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 CHC WRIST XRAY | $576.00 | $576.00 | $23.04–$489.60 | 390% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST CMPLT 3+VWS BIL | $9,169.00 | $9,169.00 | $55.61–$7,793.65 | 7704% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST,COMPLETE - RIGHT | $4,584.00 | $4,584.00 | $55.61–$3,896.40 | 3802% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST,COMPLETE - LEFT | $4,584.00 | $4,584.00 | $55.61–$3,896.40 | 3802% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 CHC WRIST XRAY | $576.00 | $576.00 | $432.00–$489.60 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST CMPLT 3+VWS BIL | $9,169.00 | $9,169.00 | $6,876.75–$7,793.65 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST,COMPLETE - RIGHT | $4,584.00 | $4,584.00 | $3,438.00–$3,896.40 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST,COMPLETE - LEFT | $4,584.00 | $4,584.00 | $3,438.00–$3,896.40 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 CHC HIP XRAY | $471.00 | $471.00 | $18.84–$400.35 | 319% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 PED HIP-TOES UP TO 24 MTH | $615.00 | $615.00 | $24.60–$522.75 | 447% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP - LEFT | $8,058.00 | $8,058.00 | $75.27–$6,849.30 | 7073% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP - RIGHT | $8,058.00 | $8,058.00 | $75.27–$6,849.30 | 7073% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 CHC HIP XRAY | $471.00 | $471.00 | $353.25–$400.35 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 PED HIP-TOES UP TO 24 MTH | $615.00 | $615.00 | $461.25–$522.75 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP - RIGHT | $8,058.00 | $8,058.00 | $6,043.50–$6,849.30 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP - LEFT | $8,058.00 | $8,058.00 | $6,043.50–$6,849.30 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 CHC ABDOMEN | $471.00 | $471.00 | $18.84–$400.35 | 324% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR GASTROGRAFIN CHALLNG | $1,889.00 | $1,889.00 | $45.08–$1,605.65 | 1602% above | — |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN DECUB/1VW | $1,889.00 | $1,889.00 | $45.08–$1,605.65 | 1602% above | — |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN PORTABLE | $2,078.00 | $2,078.00 | $45.08–$1,766.30 | 1773% above | — |
| X-ray of the abdomen, 1 view CPT 74018 KUB-FLAT PLATE ABDOMEN | $2,078.00 | $2,078.00 | $45.08–$1,766.30 | 1773% above | — |
| X-ray of the abdomen, 1 view CPT 74018 SITZMARKER STUDY | $2,078.00 | $2,078.00 | $45.08–$1,766.30 | 1773% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 CHC ABDOMEN | $471.00 | $471.00 | $353.25–$400.35 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN DECUB/1VW | $1,889.00 | $1,889.00 | $1,416.75–$1,605.65 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR GASTROGRAFIN CHALLNG | $1,889.00 | $1,889.00 | $1,416.75–$1,605.65 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 SITZMARKER STUDY | $2,078.00 | $2,078.00 | $1,558.50–$1,766.30 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN PORTABLE | $2,078.00 | $2,078.00 | $1,558.50–$1,766.30 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 KUB-FLAT PLATE ABDOMEN | $2,078.00 | $2,078.00 | $1,558.50–$1,766.30 | — | — |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 VIEWS BIL | $8,523.00 | $8,523.00 | $46.54–$7,244.55 | 7487% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS LT | $4,261.00 | $4,261.00 | $46.54–$3,621.85 | 3693% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEWS RT | $4,261.00 | $4,261.00 | $46.54–$3,621.85 | 3693% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2 VIEWS BIL | $8,523.00 | $8,523.00 | $6,392.25–$7,244.55 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS RT | $4,261.00 | $4,261.00 | $3,195.75–$3,621.85 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEWS LT | $4,261.00 | $4,261.00 | $3,195.75–$3,621.85 | — | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND LT, 2ND DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND LT, 3RD DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND LT, 4TH DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND LT, 5TH DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND RT, THUMB | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND RT, 2ND DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND RT, 3RD DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND RT, 4TH DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND RT, 5TH DIGIT | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HAND LT, THUMB | $2,332.00 | $2,332.00 | $23.59–$1,982.20 | 1994% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND RT, 4TH DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND LT, 2ND DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND LT, 3RD DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND LT, 4TH DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND LT, 5TH DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND RT, 3RD DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND RT, 5TH DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND LT, THUMB | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND RT, THUMB | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HAND RT, 2ND DIGIT | $2,332.00 | $2,332.00 | $1,749.00–$1,982.20 | — | — |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 VIEWS BIL | $5,273.00 | $5,273.00 | $45.98–$4,482.05 | 4442% above | — |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS RT | $2,637.00 | $2,637.00 | $45.98–$2,241.45 | 2171% above | — |
| X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEWS LEFT | $2,637.00 | $2,637.00 | $45.98–$2,241.45 | 2171% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2 VIEWS BIL | $5,273.00 | $5,273.00 | $3,954.75–$4,482.05 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS LEFT | $2,637.00 | $2,637.00 | $1,977.75–$2,241.45 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEWS RT | $2,637.00 | $2,637.00 | $1,977.75–$2,241.45 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 CHC FOOT XRAY | $582.00 | $582.00 | $23.28–$494.70 | 395% above | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT CMPLT 3+ VWS BIL | $6,079.00 | $6,079.00 | $51.22–$5,167.15 | 5074% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT CMPLT 3+VWS RT | $3,039.00 | $3,039.00 | $51.22–$2,583.15 | 2487% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT CMPLT 3+ VWS LT | $3,039.00 | $3,039.00 | $51.22–$2,583.15 | 2487% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 CHC FOOT XRAY | $582.00 | $582.00 | $436.50–$494.70 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT CMPLT 3+ VWS BIL | $6,079.00 | $6,079.00 | $4,559.25–$5,167.15 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT CMPLT 3+VWS RT | $3,039.00 | $3,039.00 | $2,279.25–$2,583.15 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT CMPLT 3+ VWS LT | $3,039.00 | $3,039.00 | $2,279.25–$2,583.15 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 CHC HAND XRAY | $520.00 | $520.00 | $20.80–$442.00 | 343% above | — |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND CMPLT 3+VWS BIL | $12,470.00 | $12,470.00 | $55.61–$10,599.50 | 10514% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND,COMPLETE - LEFT | $6,234.00 | $6,234.00 | $55.61–$5,298.90 | 5206% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND,COMPLETE - RIGHT | $6,234.00 | $6,234.00 | $55.61–$5,298.90 | 5206% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 CHC HAND XRAY | $520.00 | $520.00 | $390.00–$442.00 | — | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND CMPLT 3+VWS BIL | $12,470.00 | $12,470.00 | $9,352.50–$10,599.50 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND,COMPLETE - RIGHT | $6,234.00 | $6,234.00 | $4,675.50–$5,298.90 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND,COMPLETE - LEFT | $6,234.00 | $6,234.00 | $4,675.50–$5,298.90 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1 OR 2 VIEWS BIL | $1,235.00 | $1,235.00 | $49.40–$1,049.75 | 951% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW RIGHT | $617.00 | $617.00 | $24.68–$524.45 | 425% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 VIEW LEFT | $617.00 | $617.00 | $24.68–$524.45 | 425% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE,AP & LATERAL - RIGHT | $6,216.00 | $6,216.00 | $55.61–$5,283.60 | 5191% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE,AP & LATERAL - LEFT | $6,216.00 | $6,216.00 | $55.61–$5,283.60 | 5191% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1 OR 2 VIEWS BIL | $1,235.00 | $1,235.00 | $926.25–$1,049.75 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 VIEW RIGHT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 VIEW LEFT | $617.00 | $617.00 | $462.75–$524.45 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE,AP & LATERAL - LEFT | $6,216.00 | $6,216.00 | $4,662.00–$5,283.60 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE,AP & LATERAL - RIGHT | $6,216.00 | $6,216.00 | $4,662.00–$5,283.60 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBOSAC SPINE AP/LAT | $9,313.00 | $9,313.00 | $59.29–$7,916.05 | 7055% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBOSAC SPINE AP/LAT | $9,313.00 | $9,313.00 | $6,984.75–$7,916.05 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 CHC LUMBAR SPINE XRAY | $837.00 | $837.00 | $33.48–$711.45 | 422% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBOSACRAL ROUTINE | $21,797.00 | $21,797.00 | $82.37–$18,527.45 | 13492% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 CHC LUMBAR SPINE XRAY | $837.00 | $837.00 | $627.75–$711.45 | — | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBOSACRAL ROUTINE | $21,797.00 | $21,797.00 | $16,347.75–$18,527.45 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 CHC THOR SPINE XRAY | $520.00 | $520.00 | $20.80–$442.00 | 290% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS | $1,877.00 | $1,877.00 | $56.63–$1,595.45 | 1307% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 CHC THOR SPINE XRAY | $520.00 | $520.00 | $390.00–$442.00 | — | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS | $1,877.00 | $1,877.00 | $1,407.75–$1,595.45 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 CHC NASAL BONES XRAY | $642.00 | $642.00 | $25.68–$545.70 | 465% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES | $8,008.00 | $8,008.00 | $55.61–$6,806.80 | 6949% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 CHC NASAL BONES XRAY | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES | $8,008.00 | $8,008.00 | $6,006.00–$6,806.80 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV FLEX/EXT 2-3 VWS | $3,296.00 | $3,296.00 | $54.85–$2,801.60 | 2705% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV FLEX/EXT 2-3 VWS | $3,296.00 | $3,296.00 | $2,472.00–$2,801.60 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 CHC PELVIS XRAY | $336.00 | $336.00 | $13.44–$286.93 | 170% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS | $1,339.00 | $1,339.00 | $53.56–$1,138.15 | 976% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 CHC PELVIS XRAY | $336.00 | $336.00 | $252.00–$285.60 | — | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS | $1,339.00 | $1,339.00 | $1,004.25–$1,138.15 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CHC SACRUM & COCCYX XRAY | $604.00 | $604.00 | $24.16–$513.40 | 414% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 CHC COCCYX XRAY | $604.00 | $604.00 | $24.16–$513.40 | 414% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX-SACRUM | $4,986.00 | $4,986.00 | $48.64–$4,238.10 | 4144% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CHC COCCYX XRAY | $604.00 | $604.00 | $453.00–$513.40 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 CHC SACRUM & COCCYX XRAY | $604.00 | $604.00 | $453.00–$513.40 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX-SACRUM | $4,986.00 | $4,986.00 | $3,739.50–$4,238.10 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH LEVEL | $3,671.00 | $3,671.00 | $30.00–$3,120.35 | 8166% above | — |
| ACTH blood test inpatient CPT 82024 ACTH LEVEL | $3,671.00 | $3,671.00 | $2,753.25–$3,120.35 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIBROSURE NASH P2 | $85.00 | $85.00 | $3.00–$72.25 | 1293% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIBROSURE HCV P3 | $130.00 | $130.00 | $3.00–$110.50 | 2031% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 FIRBROSURE ASH P5 | $318.00 | $318.00 | $3.00–$270.30 | 5113% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER FIBROSIS P6 | $549.00 | $549.00 | $3.00–$466.65 | 8900% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $604.00 | $604.00 | $3.00–$513.40 | 9802% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FIBROSURE NASH P2 | $85.00 | $85.00 | $63.75–$72.25 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FIBROSURE HCV P3 | $130.00 | $130.00 | $97.50–$110.50 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 FIRBROSURE ASH P5 | $318.00 | $318.00 | $238.50–$270.30 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LIVER FIBROSIS P6 | $549.00 | $549.00 | $411.75–$466.65 | — | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $604.00 | $604.00 | $453.00–$513.40 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROSURE NASH | $85.00 | $85.00 | $3.00–$72.25 | 1326% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROSURE ASH P4 | $318.00 | $318.00 | $3.00–$270.30 | 5236% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $604.00 | $604.00 | $3.00–$513.40 | 10034% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST FLUID | $875.00 | $875.00 | $3.00–$743.75 | 14581% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIBROSURE NASH | $85.00 | $85.00 | $63.75–$72.25 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIBROSURE ASH P4 | $318.00 | $318.00 | $238.50–$270.30 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $604.00 | $604.00 | $453.00–$513.40 | — | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST FLUID | $875.00 | $875.00 | $656.25–$743.75 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS B PROFILE, SERU | $3,154.00 | $3,154.00 | $30.00–$2,680.90 | 5659% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE, SERUM | $3,154.00 | $3,154.00 | $30.00–$2,680.90 | 5659% above | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE | $8,931.00 | $8,931.00 | $30.00–$7,591.35 | 16206% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE, SERUM | $3,154.00 | $3,154.00 | $2,365.50–$2,680.90 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS B PROFILE, SERU | $3,154.00 | $3,154.00 | $2,365.50–$2,680.90 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE | $8,931.00 | $8,931.00 | $6,698.25–$7,591.35 | — | — |
| Albumin blood test CPT 82040 ALBUMIN BLOOD | $55.00 | $55.00 | $1.80–$46.75 | 867% above | — |
| Albumin blood test CPT 82040 ALBUMIN | $55.00 | $55.00 | $1.80–$46.75 | 867% above | — |
| Albumin blood test CPT 82040 ALBUMIN-CSF | $76.00 | $76.00 | $1.80–$64.60 | 1236% above | — |
| Albumin blood test CPT 82040 LUPUS CNS EVALUATION PRT2 | $150.00 | $150.00 | $1.80–$127.50 | 2536% above | — |
| Albumin blood test CPT 82040 LUPUS CNS EVALUATION PRT1 | $150.00 | $150.00 | $1.80–$127.50 | 2536% above | — |
| Albumin blood test CPT 82040 CNS SYNTH. RATE | $354.00 | $354.00 | $1.80–$300.90 | 6121% above | — |
| Albumin blood test CPT 82040 CNS SYNTH RATE PART 1 | $354.00 | $354.00 | $1.80–$300.90 | 6121% above | — |
| Albumin blood test CPT 82040 PROTEIN TOT&A/G RATIO BLD | $450.00 | $450.00 | $1.80–$382.50 | 7809% above | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN BLOOD | $55.00 | $55.00 | $41.25–$46.75 | — | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $55.00 | $55.00 | $41.25–$46.75 | — | — |
| Albumin blood test inpatient CPT 82040 ALBUMIN-CSF | $76.00 | $76.00 | $57.00–$64.60 | — | — |
| Albumin blood test inpatient CPT 82040 LUPUS CNS EVALUATION PRT2 | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Albumin blood test inpatient CPT 82040 LUPUS CNS EVALUATION PRT1 | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Albumin blood test inpatient CPT 82040 CNS SYNTH RATE PART 1 | $354.00 | $354.00 | $265.50–$300.90 | — | — |
| Albumin blood test inpatient CPT 82040 CNS SYNTH. RATE | $354.00 | $354.00 | $265.50–$300.90 | — | — |
| Albumin blood test inpatient CPT 82040 PROTEIN TOT&A/G RATIO BLD | $450.00 | $450.00 | $337.50–$382.50 | — | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE, URINE | $6,260.00 | $6,260.00 | $40.00–$5,321.00 | 13259% above | — |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM | $6,260.00 | $6,260.00 | $40.00–$5,321.00 | 13259% above | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, URINE | $6,260.00 | $6,260.00 | $4,695.00–$5,321.00 | — | — |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM | $6,260.00 | $6,260.00 | $4,695.00–$5,321.00 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE | $471.00 | $471.00 | $3.60–$400.35 | 7803% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $657.00 | $657.00 | $3.60–$558.45 | 10923% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE FRAC | $657.00 | $657.00 | $3.60–$558.45 | 10923% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS FLUID | $822.00 | $822.00 | $3.60–$698.70 | 13692% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 NTX TELOPEPTIDE PART 5 | $5,319.00 | $5,319.00 | $3.60–$4,521.15 | 89145% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE | $471.00 | $471.00 | $353.25–$400.35 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE FRAC | $657.00 | $657.00 | $492.75–$558.45 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $657.00 | $657.00 | $492.75–$558.45 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS FLUID | $822.00 | $822.00 | $616.50–$698.70 | — | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 NTX TELOPEPTIDE PART 5 | $5,319.00 | $5,319.00 | $3,989.25–$4,521.15 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC MIX FOOD SCR P6 | $81.00 | $81.00 | $3.46–$68.85 | 1250% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC MIX FOOD SCR P3 | $81.00 | $81.00 | $3.46–$68.85 | 1250% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC MIX FOOD SCR P4 | $81.00 | $81.00 | $3.46–$68.85 | 1250% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC MIX FOOD SCR P2 | $81.00 | $81.00 | $3.46–$68.85 | 1250% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC MIXED FOOD SCRN | $81.00 | $81.00 | $3.46–$68.85 | 1250% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEDIATRIC MIX FOOD SCR P5 | $81.00 | $81.00 | $3.46–$68.85 | 1250% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ECHINOCOCCUS IGE, RAST | $84.00 | $84.00 | $3.59–$71.40 | 1300% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ASPERGILLUS FUMIGATU | $92.00 | $92.00 | $3.93–$78.20 | 1433% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RAT EPITHELIUM | $92.00 | $92.00 | $3.93–$78.20 | 1433% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST DOG EPITHELIUM | $103.00 | $103.00 | $4.00–$87.55 | 1617% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST D PTERONYSSINUS | $103.00 | $103.00 | $4.00–$87.55 | 1617% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALTERNATIVE TENUIS | $121.00 | $121.00 | $4.00–$102.85 | 1917% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RYE | $121.00 | $121.00 | $4.00–$102.85 | 1917% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PENICILLIUM NOTATUM | $121.00 | $121.00 | $4.00–$102.85 | 1917% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST HELMINTHOS HALODES | $121.00 | $121.00 | $4.00–$102.85 | 1917% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ENGLISH PLANTAIN | $121.00 | $121.00 | $4.00–$102.85 | 1917% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RUSSIAN THISTLE | $121.00 | $121.00 | $4.00–$102.85 | 1917% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST FALSE RAGWEED | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST D PTERONSSINUS | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST TREES | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WESTERN RAGWEED | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST GRASS | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY RAST | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST GIANT RAGWEED | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COMMON RAGWEED SHORT | $124.00 | $124.00 | $4.00–$105.40 | 1967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COCKROACH | $133.00 | $133.00 | $4.00–$113.05 | 2117% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PIGWEED | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ELM | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COMMON SILVER BIRCH | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ASPERGILLUS NIGER | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ORCHARD GRASS | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST HOUSE DUST HOLI/STER | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CANDIDA ALBICANS | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BOX ELDER MAPLE | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA RAST | $136.00 | $136.00 | $4.00–$115.60 | 2167% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS-RAST | $150.00 | $150.00 | $4.00–$127.50 | 2400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RAGWEED | $150.00 | $150.00 | $4.00–$127.50 | 2400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY RAST | $150.00 | $150.00 | $4.00–$127.50 | 2400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEAS,GREEN,RAST | $156.00 | $156.00 | $4.00–$132.60 | 2500% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TOMATOES,RAST | $156.00 | $156.00 | $4.00–$132.60 | 2500% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENVIROMENT SPECIFIC ALLER | $156.00 | $156.00 | $4.00–$132.60 | 2500% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 FOOD SPECIFIC ALLERGY | $156.00 | $156.00 | $4.00–$132.60 | 2500% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY RAST | $156.00 | $156.00 | $4.00–$132.60 | 2500% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEARS, RAST | $156.00 | $156.00 | $4.00–$132.60 | 2500% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST D FARINAE (DUST MITE | $158.00 | $158.00 | $4.00–$134.30 | 2533% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER RAST | $158.00 | $158.00 | $4.00–$134.30 | 2533% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE, RAST | $172.00 | $172.00 | $4.00–$146.20 | 2767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX RAST | $177.00 | $177.00 | $4.00–$150.45 | 2850% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL | $338.00 | $338.00 | $4.00–$287.30 | 5533% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL P5 | $338.00 | $338.00 | $4.00–$287.30 | 5533% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL P4 | $338.00 | $338.00 | $4.00–$287.30 | 5533% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL P3 | $338.00 | $338.00 | $4.00–$287.30 | 5533% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOLD PANEL P2 | $338.00 | $338.00 | $4.00–$287.30 | 5533% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ANCHOVY(RAST) | $528.00 | $528.00 | $4.00–$448.80 | 8700% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT IGE | $567.00 | $567.00 | $4.00–$481.95 | 9350% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP EPITHELIA | $567.00 | $567.00 | $4.00–$481.95 | 9350% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTIN IGE | $567.00 | $567.00 | $4.00–$481.95 | 9350% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT IGE | $567.00 | $567.00 | $4.00–$481.95 | 9350% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED | $596.00 | $596.00 | $4.00–$506.60 | 9833% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT IGE | $596.00 | $596.00 | $4.00–$506.60 | 9833% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZEL NUT IGE | $596.00 | $596.00 | $4.00–$506.60 | 9833% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND IGE | $674.00 | $674.00 | $4.00–$572.90 | 11133% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP | $723.00 | $723.00 | $4.00–$614.55 | 11950% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN UT IGE | $723.00 | $723.00 | $4.00–$614.55 | 11950% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE RAST | $723.00 | $723.00 | $4.00–$614.55 | 11950% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE IGE | $723.00 | $723.00 | $4.00–$614.55 | 11950% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPITHELIA | $767.00 | $767.00 | $4.00–$651.95 | 12683% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT IGE | $772.00 | $772.00 | $4.00–$656.20 | 12767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEE | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE-FACED HORNET | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HONEYBEE | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB | $892.00 | $892.00 | $4.00–$758.20 | 14767% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTERS | $1,067.00 | $1,067.00 | $4.00–$906.95 | 17683% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK TREE | $1,067.00 | $1,067.00 | $4.00–$906.95 | 17683% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER | $1,067.00 | $1,067.00 | $4.00–$906.95 | 17683% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIO ALTERNATA | $1,067.00 | $1,067.00 | $4.00–$906.95 | 17683% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUST-DERMATAPHAGOIDES | $1,147.00 | $1,147.00 | $4.00–$974.95 | 19017% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 COD FISH | $1,147.00 | $1,147.00 | $4.00–$974.95 | 19017% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 APPLE | $1,170.00 | $1,170.00 | $4.00–$994.50 | 19400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT | $1,170.00 | $1,170.00 | $4.00–$994.50 | 19400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARROT | $1,170.00 | $1,170.00 | $4.00–$994.50 | 19400% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE | $1,207.00 | $1,207.00 | $4.00–$1,025.95 | 20017% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK | $1,207.00 | $1,207.00 | $4.00–$1,025.95 | 20017% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CORN | $1,234.00 | $1,234.00 | $4.00–$1,048.90 | 20467% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT | $1,504.00 | $1,504.00 | $4.00–$1,278.40 | 24967% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK | $1,504.00 | $1,504.00 | $4.00–$1,278.40 | 24967% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC MIX FOOD SCR P3 | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC MIX FOOD SCR P5 | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC MIX FOOD SCR P6 | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC MIX FOOD SCR P4 | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC MIXED FOOD SCRN | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDIATRIC MIX FOOD SCR P2 | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ECHINOCOCCUS IGE, RAST | $84.00 | $84.00 | $63.00–$71.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RAT EPITHELIUM | $92.00 | $92.00 | $69.00–$78.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ASPERGILLUS FUMIGATU | $92.00 | $92.00 | $69.00–$78.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST D PTERONYSSINUS | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST DOG EPITHELIUM | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RYE | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HELMINTHOS HALODES | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ENGLISH PLANTAIN | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PENICILLIUM NOTATUM | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RUSSIAN THISTLE | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALTERNATIVE TENUIS | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WESTERN RAGWEED | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST GIANT RAGWEED | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST FALSE RAGWEED | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST GRASS | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY RAST | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST D PTERONSSINUS | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TREES | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COMMON RAGWEED SHORT | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COCKROACH | $133.00 | $133.00 | $99.75–$113.05 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BOX ELDER MAPLE | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ORCHARD GRASS | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST HOUSE DUST HOLI/STER | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ELM | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COMMON SILVER BIRCH | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CANDIDA ALBICANS | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ASPERGILLUS NIGER | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PIGWEED | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA RAST | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY RAST | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RAGWEED | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS-RAST | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENVIROMENT SPECIFIC ALLER | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY RAST | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATOES,RAST | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAS,GREEN,RAST | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEARS, RAST | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD SPECIFIC ALLERGY | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST D FARINAE (DUST MITE | $158.00 | $158.00 | $118.50–$134.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER RAST | $158.00 | $158.00 | $118.50–$134.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE, RAST | $172.00 | $172.00 | $129.00–$146.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX RAST | $177.00 | $177.00 | $132.75–$150.45 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL P5 | $338.00 | $338.00 | $253.50–$287.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL P4 | $338.00 | $338.00 | $253.50–$287.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL P2 | $338.00 | $338.00 | $253.50–$287.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL | $338.00 | $338.00 | $253.50–$287.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOLD PANEL P3 | $338.00 | $338.00 | $253.50–$287.30 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANCHOVY(RAST) | $528.00 | $528.00 | $396.00–$448.80 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTIN IGE | $567.00 | $567.00 | $425.25–$481.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT IGE | $567.00 | $567.00 | $425.25–$481.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP EPITHELIA | $567.00 | $567.00 | $425.25–$481.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT IGE | $567.00 | $567.00 | $425.25–$481.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED | $596.00 | $596.00 | $447.00–$506.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT IGE | $596.00 | $596.00 | $447.00–$506.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZEL NUT IGE | $596.00 | $596.00 | $447.00–$506.60 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND IGE | $674.00 | $674.00 | $505.50–$572.90 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN UT IGE | $723.00 | $723.00 | $542.25–$614.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE RAST | $723.00 | $723.00 | $542.25–$614.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP | $723.00 | $723.00 | $542.25–$614.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE IGE | $723.00 | $723.00 | $542.25–$614.55 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPITHELIA | $767.00 | $767.00 | $575.25–$651.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT IGE | $772.00 | $772.00 | $579.00–$656.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE-FACED HORNET | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEE | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEYBEE | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS | $892.00 | $892.00 | $669.00–$758.20 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIO ALTERNATA | $1,067.00 | $1,067.00 | $800.25–$906.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER | $1,067.00 | $1,067.00 | $800.25–$906.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTERS | $1,067.00 | $1,067.00 | $800.25–$906.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK TREE | $1,067.00 | $1,067.00 | $800.25–$906.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD FISH | $1,147.00 | $1,147.00 | $860.25–$974.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUST-DERMATAPHAGOIDES | $1,147.00 | $1,147.00 | $860.25–$974.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT | $1,170.00 | $1,170.00 | $877.50–$994.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT | $1,170.00 | $1,170.00 | $877.50–$994.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE | $1,170.00 | $1,170.00 | $877.50–$994.50 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE | $1,207.00 | $1,207.00 | $905.25–$1,025.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK | $1,207.00 | $1,207.00 | $905.25–$1,025.95 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CORN | $1,234.00 | $1,234.00 | $925.50–$1,048.90 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK | $1,504.00 | $1,504.00 | $1,128.00–$1,278.40 | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT | $1,504.00 | $1,504.00 | $1,128.00–$1,278.40 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP PROFILE 1 | $424.00 | $424.00 | $10.20–$360.40 | 2098% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 INTEGRATED 2 | $528.00 | $528.00 | $10.20–$448.80 | 2637% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPH FETO PROTEIN,MATERNA | $2,531.00 | $2,531.00 | $10.20–$2,151.35 | 13021% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN,MATERNL | $3,412.00 | $3,412.00 | $10.20–$2,900.20 | 17588% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, TUMOR MARKER | $4,187.00 | $4,187.00 | $10.20–$3,558.95 | 21606% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP PROFILE 1 | $424.00 | $424.00 | $318.00–$360.40 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 INTEGRATED 2 | $528.00 | $528.00 | $396.00–$448.80 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPH FETO PROTEIN,MATERNA | $2,531.00 | $2,531.00 | $1,898.25–$2,151.35 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN,MATERNL | $3,412.00 | $3,412.00 | $2,559.00–$2,900.20 | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, TUMOR MARKER | $4,187.00 | $4,187.00 | $3,140.25–$3,558.95 | — | — |
| Ammonia blood test CPT 82140 KIDNEY STONE/URINE SAT P3 | $50.00 | $50.00 | $2.14–$53.10 | 198% above | — |
| Ammonia blood test CPT 82140 LITHOLINK P2 | $101.00 | $101.00 | $4.31–$85.85 | 503% above | — |
| Ammonia blood test CPT 82140 AMMONIA | $279.00 | $279.00 | $6.00–$237.15 | 1565% above | — |
| Ammonia blood test inpatient CPT 82140 KIDNEY STONE/URINE SAT P3 | $50.00 | $50.00 | $37.50–$42.50 | — | — |
| Ammonia blood test inpatient CPT 82140 LITHOLINK P2 | $101.00 | $101.00 | $75.75–$85.85 | — | — |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $279.00 | $279.00 | $209.25–$237.15 | — | — |
| Amylase blood test CPT 82150 AMYLASE FLUID | $414.00 | $414.00 | $4.50–$351.90 | 5457% above | — |
| Amylase blood test CPT 82150 AMYLASE, 2 HR, URINE | $547.00 | $547.00 | $4.50–$464.95 | 7242% above | — |
| Amylase blood test CPT 82150 AMYLASE | $642.00 | $642.00 | $4.50–$545.70 | 8517% above | — |
| Amylase blood test CPT 82150 AMYLASE, URINE | $642.00 | $642.00 | $4.50–$545.70 | 8517% above | — |
| Amylase blood test CPT 82150 AMYLASE CLEARANCE | $3,755.00 | $3,755.00 | $4.50–$3,191.75 | 50303% above | — |
| Amylase blood test inpatient CPT 82150 AMYLASE FLUID | $414.00 | $414.00 | $310.50–$351.90 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE, 2 HR, URINE | $547.00 | $547.00 | $410.25–$464.95 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE, URINE | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| Amylase blood test inpatient CPT 82150 AMYLASE CLEARANCE | $3,755.00 | $3,755.00 | $2,816.25–$3,191.75 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 RADX6 P3 | $750.00 | $750.00 | $8.46–$637.50 | 4937% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRALLINE PEPT | $1,305.00 | $1,305.00 | $8.46–$1,109.25 | 8664% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 RADX6 P3 | $750.00 | $750.00 | $562.50–$637.50 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRALLINE PEPT | $1,305.00 | $1,305.00 | $978.75–$1,109.25 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB | $156.00 | $156.00 | $6.66–$132.60 | 1073% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 BILIARY CIRRHOSIS P2 | $484.00 | $484.00 | $7.80–$411.40 | 3539% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCLERODERMA PANEL P2 | $521.00 | $521.00 | $7.80–$442.85 | 3817% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE LIVER P3 | $521.00 | $521.00 | $7.80–$442.85 | 3817% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCLERODOMA PROFILE P2 | $630.00 | $630.00 | $7.80–$535.50 | 4637% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SENSORMTR NEURPTY PROF P7 | $837.00 | $837.00 | $7.80–$711.45 | 6193% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE HEPATIS PNL P3 | $1,835.00 | $1,835.00 | $7.80–$1,559.75 | 13697% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 BILIARY CIRRHOSIS P2 | $484.00 | $484.00 | $363.00–$411.40 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE LIVER P3 | $521.00 | $521.00 | $390.75–$442.85 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SCLERODERMA PANEL P2 | $521.00 | $521.00 | $390.75–$442.85 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SCLERODOMA PROFILE P2 | $630.00 | $630.00 | $472.50–$535.50 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 SENSORMTR NEURPTY PROF P7 | $837.00 | $837.00 | $627.75–$711.45 | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE HEPATIS PNL P3 | $1,835.00 | $1,835.00 | $1,376.25–$1,559.75 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 POC BNP | $442.00 | $442.00 | $18.87–$375.70 | 879% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP | $662.00 | $662.00 | $18.97–$562.70 | 1366% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 POC BNP | $442.00 | $442.00 | $331.50–$375.70 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP | $662.00 | $662.00 | $496.50–$562.70 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 COLLECT THROAT/NOSE CULTU | $279.00 | $279.00 | $8.62–$237.15 | 2715% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,GASTRIC | $370.00 | $370.00 | $8.62–$314.50 | 3634% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,PROSTRATE | $408.00 | $408.00 | $8.62–$346.80 | 4017% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,ASCITIC W/GRAM STAIN | $449.00 | $449.00 | $8.62–$381.65 | 4431% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,CENTRAL LINE(TIP) | $466.00 | $466.00 | $8.62–$396.10 | 4602% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RECTAL | $494.00 | $494.00 | $8.62–$419.90 | 4885% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,DECUBITUS | $494.00 | $494.00 | $8.62–$419.90 | 4885% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TRACH | $549.00 | $549.00 | $8.62–$466.65 | 5440% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GALLBLADDER | $549.00 | $549.00 | $8.62–$466.65 | 5440% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT, CORD W/GRAM STAIN | $772.00 | $772.00 | $8.62–$656.20 | 7690% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT, NOSE | $772.00 | $772.00 | $8.62–$656.20 | 7690% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GC(PLATED) | $959.00 | $959.00 | $8.62–$815.15 | 9577% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GC (PLATED) | $959.00 | $959.00 | $8.62–$815.15 | 9577% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, URETHRAL | $1,048.00 | $1,048.00 | $8.62–$890.80 | 10475% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $1,048.00 | $1,048.00 | $8.62–$890.80 | 10475% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT, BRONCH W/GRAM STAIN | $1,067.00 | $1,067.00 | $8.62–$906.95 | 10667% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,RESPIRATORY | $1,067.00 | $1,067.00 | $8.62–$906.95 | 10667% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,ROUTINE | $1,099.00 | $1,099.00 | $8.62–$934.15 | 10990% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, EAR | $1,109.00 | $1,109.00 | $8.62–$942.65 | 11091% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, FLUID IN BOTTLES | $1,112.00 | $1,112.00 | $8.62–$945.20 | 11121% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT, SKIN | $1,183.00 | $1,183.00 | $8.62–$1,005.55 | 11837% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, UTERUS/CERVIX | $1,223.00 | $1,223.00 | $8.62–$1,039.55 | 12241% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,PLEURAL W/GRAM STAIN | $1,287.00 | $1,287.00 | $8.62–$1,093.95 | 12887% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, EYE | $1,365.00 | $1,365.00 | $8.62–$1,160.25 | 13674% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, MEDICAL DEVICE | $1,365.00 | $1,365.00 | $8.62–$1,160.25 | 13674% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SURVEILLANCE | $1,365.00 | $1,365.00 | $8.62–$1,160.25 | 13674% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SINUS W/GRAM | $1,365.00 | $1,365.00 | $8.62–$1,160.25 | 13674% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE PLACENTA W/STAIN | $1,365.00 | $1,365.00 | $8.62–$1,160.25 | 13674% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND | $1,365.00 | $1,365.00 | $8.62–$1,160.25 | 13674% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, VRE | $1,384.00 | $1,384.00 | $8.62–$1,176.40 | 13866% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,PERITONEAL W/GRAM ST | $1,410.00 | $1,410.00 | $8.62–$1,198.50 | 14128% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, VAGINAL | $1,477.00 | $1,477.00 | $8.62–$1,255.45 | 14804% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,GENITAL | $1,477.00 | $1,477.00 | $8.62–$1,255.45 | 14804% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT,SYNOVIAL W/GRAM STAN | $1,620.00 | $1,620.00 | $8.62–$1,377.00 | 16247% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, THROAT | $2,081.00 | $2,081.00 | $8.62–$1,768.85 | 20899% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,FLUID | $2,210.00 | $2,210.00 | $8.62–$1,878.50 | 22201% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT, CSF W/GRAM STAIN | $2,224.00 | $2,224.00 | $8.62–$1,890.40 | 22342% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SYNERCID FOR ENTEROCOCCUS | $2,266.00 | $2,266.00 | $8.62–$1,926.10 | 22766% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE | $3,862.00 | $3,862.00 | $8.62–$3,282.70 | 38871% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 COLLECT THROAT/NOSE CULTU | $279.00 | $279.00 | $209.25–$237.15 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,GASTRIC | $370.00 | $370.00 | $277.50–$314.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,PROSTRATE | $408.00 | $408.00 | $306.00–$346.80 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,ASCITIC W/GRAM STAIN | $449.00 | $449.00 | $336.75–$381.65 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,CENTRAL LINE(TIP) | $466.00 | $466.00 | $349.50–$396.10 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE RECTAL | $494.00 | $494.00 | $370.50–$419.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,DECUBITUS | $494.00 | $494.00 | $370.50–$419.90 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,GALLBLADDER | $549.00 | $549.00 | $411.75–$466.65 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TRACH | $549.00 | $549.00 | $411.75–$466.65 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT, NOSE | $772.00 | $772.00 | $579.00–$656.20 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT, CORD W/GRAM STAIN | $772.00 | $772.00 | $579.00–$656.20 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GC (PLATED) | $959.00 | $959.00 | $719.25–$815.15 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GC(PLATED) | $959.00 | $959.00 | $719.25–$815.15 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $1,048.00 | $1,048.00 | $786.00–$890.80 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, URETHRAL | $1,048.00 | $1,048.00 | $786.00–$890.80 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT, BRONCH W/GRAM STAIN | $1,067.00 | $1,067.00 | $800.25–$906.95 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,RESPIRATORY | $1,067.00 | $1,067.00 | $800.25–$906.95 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,ROUTINE | $1,099.00 | $1,099.00 | $824.25–$934.15 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, EAR | $1,109.00 | $1,109.00 | $831.75–$942.65 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, FLUID IN BOTTLES | $1,112.00 | $1,112.00 | $834.00–$945.20 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT, SKIN | $1,183.00 | $1,183.00 | $887.25–$1,005.55 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, UTERUS/CERVIX | $1,223.00 | $1,223.00 | $917.25–$1,039.55 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,PLEURAL W/GRAM STAIN | $1,287.00 | $1,287.00 | $965.25–$1,093.95 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE PLACENTA W/STAIN | $1,365.00 | $1,365.00 | $1,023.75–$1,160.25 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SINUS W/GRAM | $1,365.00 | $1,365.00 | $1,023.75–$1,160.25 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SURVEILLANCE | $1,365.00 | $1,365.00 | $1,023.75–$1,160.25 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND | $1,365.00 | $1,365.00 | $1,023.75–$1,160.25 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, EYE | $1,365.00 | $1,365.00 | $1,023.75–$1,160.25 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, MEDICAL DEVICE | $1,365.00 | $1,365.00 | $1,023.75–$1,160.25 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, VRE | $1,384.00 | $1,384.00 | $1,038.00–$1,176.40 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,PERITONEAL W/GRAM ST | $1,410.00 | $1,410.00 | $1,057.50–$1,198.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, VAGINAL | $1,477.00 | $1,477.00 | $1,107.75–$1,255.45 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,GENITAL | $1,477.00 | $1,477.00 | $1,107.75–$1,255.45 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT,SYNOVIAL W/GRAM STAN | $1,620.00 | $1,620.00 | $1,215.00–$1,377.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, THROAT | $2,081.00 | $2,081.00 | $1,560.75–$1,768.85 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,FLUID | $2,210.00 | $2,210.00 | $1,657.50–$1,878.50 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT, CSF W/GRAM STAIN | $2,224.00 | $2,224.00 | $1,668.00–$1,890.40 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SYNERCID FOR ENTEROCOCCUS | $2,266.00 | $2,266.00 | $1,699.50–$1,926.10 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE | $3,862.00 | $3,862.00 | $2,896.50–$3,282.70 | — | — |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $755.00 | $755.00 | $8.46–$641.75 | 7660% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $755.00 | $755.00 | $566.25–$641.75 | — | — |
| Bilirubin blood test, total CPT 82247 FIBROSURE NASH P9 | $85.00 | $85.00 | $3.00–$72.25 | 1373% above | — |
| Bilirubin blood test, total CPT 82247 FIBROSURE HCV | $130.00 | $130.00 | $3.00–$110.50 | 2153% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN,TOTAL | $177.00 | $177.00 | $3.00–$150.45 | 2968% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN,NB | $195.00 | $195.00 | $3.00–$165.75 | 3280% above | — |
| Bilirubin blood test, total CPT 82247 FIBROSURE ASH P2 | $318.00 | $318.00 | $3.00–$270.30 | 5411% above | — |
| Bilirubin blood test, total CPT 82247 BILIRUBIN FLUID | $328.00 | $328.00 | $3.00–$278.80 | 5585% above | — |
| Bilirubin blood test, total CPT 82247 LIVER FIBROSIS P2 | $549.00 | $549.00 | $3.00–$466.65 | 9415% above | — |
| Bilirubin blood test, total inpatient CPT 82247 FIBROSURE NASH P9 | $85.00 | $85.00 | $63.75–$72.25 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 FIBROSURE HCV | $130.00 | $130.00 | $97.50–$110.50 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN,TOTAL | $177.00 | $177.00 | $132.75–$150.45 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN,NB | $195.00 | $195.00 | $146.25–$165.75 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 FIBROSURE ASH P2 | $318.00 | $318.00 | $238.50–$270.30 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN FLUID | $328.00 | $328.00 | $246.00–$278.80 | — | — |
| Bilirubin blood test, total inpatient CPT 82247 LIVER FIBROSIS P2 | $549.00 | $549.00 | $411.75–$466.65 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $1,597.00 | $1,597.00 | $40.00–$1,357.45 | 1531% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATHOLOGY LEVEL IV | $8,726.00 | $8,726.00 | $40.00–$7,417.10 | 8811% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURAL NERVE BIOPSY - H6P | $35,151.00 | $35,151.00 | $40.00–$29,878.35 | 35798% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK | $1,597.00 | $1,597.00 | $1,197.75–$1,357.45 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATHOLOGY LEVEL IV | $8,726.00 | $8,726.00 | $6,544.50–$7,417.10 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURAL NERVE BIOPSY - H6P | $35,151.00 | $35,151.00 | $26,363.25–$29,878.35 | — | — |
| Blood culture for bacteria CPT 87040 CULTURE,TRANSFUSION | $1,551.00 | $1,551.00 | $9.00–$1,318.35 | 2706% above | — |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD | $1,706.00 | $1,706.00 | $9.00–$1,450.10 | 2987% above | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE,TRANSFUSION | $1,551.00 | $1,551.00 | $1,163.25–$1,318.35 | — | — |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD | $1,706.00 | $1,706.00 | $1,279.50–$1,450.10 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 C/H VENIPUNCTURE FEE | $124.00 | $124.00 | $1.80–$105.40 | 1177% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $454.00 | $454.00 | $1.80–$385.90 | 4576% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECT,VENIPUNC | $1,008.00 | $1,008.00 | $1.80–$856.80 | 10281% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN DISPATCH | $1,043.00 | $1,043.00 | $1.80–$886.55 | 10642% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 C/H VENIPUNCTURE FEE | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $454.00 | $454.00 | $340.50–$385.90 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECT,VENIPUNC | $1,008.00 | $1,008.00 | $756.00–$856.80 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN DISPATCH | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Blood glucose (sugar) test CPT 82947 FIBROSURE NASH P6 | $85.00 | $85.00 | $3.63–$72.25 | 1781% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $301.00 | $301.00 | $3.93–$255.85 | 6559% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE ARTERIAL | $301.00 | $301.00 | $3.93–$255.85 | 6559% above | — |
| Blood glucose (sugar) test CPT 82947 FIRBROSURE ASH P9 | $318.00 | $318.00 | $3.93–$270.30 | 6935% above | — |
| Blood glucose (sugar) test CPT 82947 GLUCOSE PRE NATAL FASTING | $376.00 | $376.00 | $3.93–$319.60 | 8219% above | — |
| Blood glucose (sugar) test CPT 82947 CORRELATION GLUCOSE | $408.00 | $408.00 | $3.93–$346.80 | 8927% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 FIBROSURE NASH P6 | $85.00 | $85.00 | $63.75–$72.25 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $301.00 | $301.00 | $225.75–$255.85 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE ARTERIAL | $301.00 | $301.00 | $225.75–$255.85 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 FIRBROSURE ASH P9 | $318.00 | $318.00 | $238.50–$270.30 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE PRE NATAL FASTING | $376.00 | $376.00 | $282.00–$319.60 | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 CORRELATION GLUCOSE | $408.00 | $408.00 | $306.00–$346.80 | — | — |
| Blood lead test CPT 83655 HEAVY METALS GR SC BLD P2 | $627.00 | $627.00 | $9.00–$532.95 | 4401% above | — |
| Blood lead test CPT 83655 LEAD, 24 HOUR URINE | $784.00 | $784.00 | $9.00–$666.40 | 5528% above | — |
| Blood lead test CPT 83655 HEAVY METALS SCR PAN 9 P3 | $2,916.00 | $2,916.00 | $9.00–$2,478.60 | 20833% above | — |
| Blood lead test CPT 83655 LEAD PEDS CAPILLARY | $4,890.00 | $4,890.00 | $9.00–$4,156.50 | 35004% above | — |
| Blood lead test CPT 83655 LEAD PEDIATRIC | $4,890.00 | $4,890.00 | $9.00–$4,156.50 | 35004% above | — |
| Blood lead test CPT 83655 LEAD ADULT | $4,890.00 | $4,890.00 | $9.00–$4,156.50 | 35004% above | — |
| Blood lead test inpatient CPT 83655 HEAVY METALS GR SC BLD P2 | $627.00 | $627.00 | $470.25–$532.95 | — | — |
| Blood lead test inpatient CPT 83655 LEAD, 24 HOUR URINE | $784.00 | $784.00 | $588.00–$666.40 | — | — |
| Blood lead test inpatient CPT 83655 HEAVY METALS SCR PAN 9 P3 | $2,916.00 | $2,916.00 | $2,187.00–$2,478.60 | — | — |
| Blood lead test inpatient CPT 83655 LEAD PEDIATRIC | $4,890.00 | $4,890.00 | $3,667.50–$4,156.50 | — | — |
| Blood lead test inpatient CPT 83655 LEAD PEDS CAPILLARY | $4,890.00 | $4,890.00 | $3,667.50–$4,156.50 | — | — |
| Blood lead test inpatient CPT 83655 LEAD ADULT | $4,890.00 | $4,890.00 | $3,667.50–$4,156.50 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG, QUAL BLD | $1,327.00 | $1,327.00 | $3.00–$1,127.95 | 15241% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG, QUAL BLD | $1,327.00 | $1,327.00 | $995.25–$1,127.95 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 OB PANEL W/4TH HIV P5 | $70.00 | $70.00 | $2.00–$152.68 | 51% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ISOHEMAGLUTININS PART 3 | $585.00 | $585.00 | $2.00–$497.25 | 310% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE | $1,437.00 | $1,437.00 | $2.00–$1,221.45 | 907% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 UNIT ABO CONFIRMATION | $2,008.00 | $2,008.00 | $2.00–$1,706.80 | 1307% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 OB PANEL W/4TH HIV P5 | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ISOHEMAGLUTININS PART 3 | $585.00 | $585.00 | $438.75–$497.25 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE | $1,437.00 | $1,437.00 | $1,077.75–$1,221.45 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 UNIT ABO CONFIRMATION | $2,008.00 | $2,008.00 | $1,506.00–$1,706.80 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 POC BUN | $50.00 | $50.00 | $2.14–$42.50 | 1001% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 PRE TREATMENT BUN | $336.00 | $336.00 | $3.00–$285.60 | 7301% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 POST TREATMENT BUN | $336.00 | $336.00 | $3.00–$285.60 | 7301% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN, FLUID | $370.00 | $370.00 | $3.00–$314.50 | 8050% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $370.00 | $370.00 | $3.00–$314.50 | 8050% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN ANGIOJET | $370.00 | $370.00 | $3.00–$314.50 | 8050% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 BUN PROFILE | $518.00 | $518.00 | $3.00–$440.30 | 11310% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 POC BUN | $50.00 | $50.00 | $37.50–$42.50 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 PRE TREATMENT BUN | $336.00 | $336.00 | $252.00–$285.60 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 POST TREATMENT BUN | $336.00 | $336.00 | $252.00–$285.60 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $370.00 | $370.00 | $277.50–$314.50 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN ANGIOJET | $370.00 | $370.00 | $277.50–$314.50 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN, FLUID | $370.00 | $370.00 | $277.50–$314.50 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN PROFILE | $518.00 | $518.00 | $388.50–$440.30 | — | — |
| C-peptide blood test CPT 84681 C-PEPTIDE | $2,962.00 | $2,962.00 | $20.81–$2,517.70 | 12278% above | — |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $2,962.00 | $2,962.00 | $2,221.50–$2,517.70 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $2,475.00 | $2,475.00 | $3.00–$2,103.75 | 41427% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $2,475.00 | $2,475.00 | $1,856.25–$2,103.75 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM, DIFF TOXIN | $524.00 | $524.00 | $19.88–$445.40 | 1123% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM, DIFF TOXIN | $524.00 | $524.00 | $393.00–$445.40 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 C19-9 FLUID | $316.00 | $316.00 | $11.72–$268.60 | 1221% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $2,726.00 | $2,726.00 | $11.72–$2,317.10 | 11292% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 C19-9 FLUID | $316.00 | $316.00 | $237.00–$268.60 | — | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $2,726.00 | $2,726.00 | $2,044.50–$2,317.10 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA125 FLUID | $831.00 | $831.00 | $11.79–$706.35 | 3373% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 | $3,923.00 | $3,923.00 | $11.79–$3,334.55 | 16294% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA125 FLUID | $831.00 | $831.00 | $623.25–$706.35 | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125 | $3,923.00 | $3,923.00 | $2,942.25–$3,334.55 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 POC COVID-19 PCR,IDNOW | $257.00 | $257.00 | $10.97–$218.45 | 355% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR, QIAGEN | $264.00 | $264.00 | $11.27–$224.40 | 368% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 POC COVID-19(NEGATIVE) | $361.00 | $361.00 | $15.41–$306.85 | 540% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 POC COVID-19(POSITIVE) | $361.00 | $361.00 | $15.41–$306.85 | 540% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR,DIASORIN MDX | $394.00 | $394.00 | $16.82–$334.90 | 598% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 ON-SITE | $439.00 | $439.00 | $18.75–$373.15 | 678% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19-ON-SITE | $439.00 | $439.00 | $18.75–$373.15 | 678% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 CORONAVIRUS REF LAB2 CV19 | $568.00 | $568.00 | $24.25–$482.80 | 906% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 LABCORP | $708.00 | $708.00 | $30.23–$601.80 | 1154% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 POC COVID-19 PCR,IDNOW | $257.00 | $257.00 | $192.75–$218.45 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR, QIAGEN | $264.00 | $264.00 | $198.00–$224.40 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 POC COVID-19(POSITIVE) | $361.00 | $361.00 | $270.75–$306.85 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 POC COVID-19(NEGATIVE) | $361.00 | $361.00 | $270.75–$306.85 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR,DIASORIN MDX | $394.00 | $394.00 | $295.50–$334.90 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19-ON-SITE | $439.00 | $439.00 | $329.25–$373.15 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 ON-SITE | $439.00 | $439.00 | $329.25–$373.15 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 CORONAVIRUS REF LAB2 CV19 | $568.00 | $568.00 | $426.00–$482.80 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 LABCORP | $708.00 | $708.00 | $531.00–$601.80 | — | — |
| Calcium blood test, total CPT 82310 CALCIUM, URINE | $47.00 | $47.00 | $2.01–$39.95 | 693% above | — |
| Calcium blood test, total CPT 82310 CALCIUM BLOOD | $70.00 | $70.00 | $2.99–$59.50 | 1080% above | — |
| Calcium blood test, total CPT 82310 CALCIUM | $70.00 | $70.00 | $2.99–$59.50 | 1080% above | — |
| Calcium blood test, total CPT 82310 URINE CALCIUM-RANDOM | $103.00 | $103.00 | $3.00–$87.55 | 1637% above | — |
| Calcium blood test, total CPT 82310 CALCIUM FLUID | $196.00 | $196.00 | $3.00–$166.60 | 3205% above | — |
| Calcium blood test, total CPT 82310 PTH N-TERMINAL-PART 1 | $543.00 | $543.00 | $3.00–$461.55 | 9057% above | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, URINE | $47.00 | $47.00 | $35.25–$39.95 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Calcium blood test, total inpatient CPT 82310 URINE CALCIUM-RANDOM | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Calcium blood test, total inpatient CPT 82310 CALCIUM FLUID | $196.00 | $196.00 | $147.00–$166.60 | — | — |
| Calcium blood test, total inpatient CPT 82310 PTH N-TERMINAL-PART 1 | $543.00 | $543.00 | $407.25–$461.55 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $287.00 | $287.00 | $12.25–$243.95 | 1217% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA ASCITIC FLUID | $376.00 | $376.00 | $16.06–$319.60 | 1625% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 SCC PART 1 | $656.00 | $656.00 | $18.96–$557.60 | 2909% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA-ABBOTT | $950.00 | $950.00 | $18.96–$807.50 | 4258% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA FLUID | $1,278.00 | $1,278.00 | $18.96–$1,086.30 | 5762% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $287.00 | $287.00 | $215.25–$243.95 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA ASCITIC FLUID | $376.00 | $376.00 | $282.00–$319.60 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 SCC PART 1 | $656.00 | $656.00 | $492.00–$557.60 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA-ABBOTT | $950.00 | $950.00 | $712.50–$807.50 | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA FLUID | $1,278.00 | $1,278.00 | $958.50–$1,086.30 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBDY | $22.00 | $22.00 | $0.94–$46.73 | 49% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLAZOSTIGG | $150.00 | $150.00 | $6.41–$127.50 | 913% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGM | $1,583.00 | $1,583.00 | $12.60–$1,345.55 | 10589% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBDY | $22.00 | $22.00 | $16.50–$18.70 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLAZOSTIGG | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER IGM | $1,583.00 | $1,583.00 | $1,187.25–$1,345.55 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PAP WITH GC+CHLAM | $144.00 | $144.00 | $6.15–$127.44 | 257% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GONOCOCCUS,NAA | $198.00 | $198.00 | $8.45–$168.30 | 391% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE GC & CHLAMYDIA PCR | $703.00 | $703.00 | $19.88–$597.55 | 1642% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA PCR, ICR | $728.00 | $728.00 | $19.88–$618.80 | 1704% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA GC RNA TMA | $866.00 | $866.00 | $19.88–$736.10 | 2046% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TMA | $1,078.00 | $1,078.00 | $19.88–$916.30 | 2572% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM/GC TMA | $1,141.00 | $1,141.00 | $19.88–$969.85 | 2728% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 URINE GC/CHLAMYDIA LCR P2 | $1,904.00 | $1,904.00 | $19.88–$1,618.40 | 4619% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA/GC | $1,920.00 | $1,920.00 | $19.88–$1,632.00 | 4658% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DETECTION B/LCR | $3,025.00 | $3,025.00 | $19.88–$2,571.25 | 7397% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 PAP WITH GC+CHLAM | $144.00 | $144.00 | $108.00–$122.40 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GONOCOCCUS,NAA | $198.00 | $198.00 | $148.50–$168.30 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 URINE GC & CHLAMYDIA PCR | $703.00 | $703.00 | $527.25–$597.55 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA PCR, ICR | $728.00 | $728.00 | $546.00–$618.80 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA GC RNA TMA | $866.00 | $866.00 | $649.50–$736.10 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TMA | $1,078.00 | $1,078.00 | $808.50–$916.30 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM/GC TMA | $1,141.00 | $1,141.00 | $855.75–$969.85 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 URINE GC/CHLAMYDIA LCR P2 | $1,904.00 | $1,904.00 | $1,428.00–$1,618.40 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA/GC | $1,920.00 | $1,920.00 | $1,440.00–$1,632.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DETECTION B/LCR | $3,025.00 | $3,025.00 | $2,268.75–$2,571.25 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HYPERSENSITIVITY PNEU QUA | $200.00 | $200.00 | $8.54–$170.00 | 1199% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CARDIAC IQ LIPID | $316.00 | $316.00 | $13.39–$268.60 | 1952% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $4,098.00 | $4,098.00 | $13.39–$3,483.30 | 26510% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HYPERSENSITIVITY PNEU QUA | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CARDIAC IQ LIPID | $316.00 | $316.00 | $237.00–$268.60 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $4,098.00 | $4,098.00 | $3,073.50–$3,483.30 | — | — |
| Complete blood count (CBC) with differential CPT 85025 LIVER FIBROSIS RISK P2 | $48.00 | $48.00 | $1.92–$40.80 | 437% above | — |
| Complete blood count (CBC) with differential CPT 85025 OB PANEL W/4TH HIV | $70.00 | $70.00 | $2.80–$59.50 | 683% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF (SED) | $1,485.00 | $1,485.00 | $5.00–$1,262.25 | 16511% above | — |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $1,634.00 | $1,634.00 | $5.00–$1,388.90 | 18177% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 LIVER FIBROSIS RISK P2 | $48.00 | $48.00 | $36.00–$40.80 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 OB PANEL W/4TH HIV | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/DIFF (SED) | $1,485.00 | $1,485.00 | $1,113.75–$1,262.25 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL | $1,634.00 | $1,634.00 | $1,225.50–$1,388.90 | — | — |
| Complete blood count (CBC), no differential CPT 85027 POC CBC | $41.00 | $41.00 | $1.75–$34.85 | 451% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC ANGIOJET | $466.00 | $466.00 | $4.80–$396.10 | 6163% above | — |
| Complete blood count (CBC), no differential CPT 85027 CBC | $466.00 | $466.00 | $4.80–$396.10 | 6163% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 POC CBC | $41.00 | $41.00 | $30.75–$34.85 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $466.00 | $466.00 | $349.50–$396.10 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC ANGIOJET | $466.00 | $466.00 | $349.50–$396.10 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOL PAN | $1,434.00 | $1,434.00 | $10.50–$1,218.90 | 11712% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP, SERUM | $1,434.00 | $1,434.00 | $10.50–$1,218.90 | 11712% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOL PAN | $1,434.00 | $1,434.00 | $1,075.50–$1,218.90 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP, SERUM | $1,434.00 | $1,434.00 | $1,075.50–$1,218.90 | — | — |
| Cortisol blood test, total CPT 82533 CORTISOL AM | $142.00 | $142.00 | $6.06–$120.70 | 657% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL, A.M. | $172.00 | $172.00 | $7.34–$146.20 | 817% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL, P.M. | $172.00 | $172.00 | $7.34–$146.20 | 817% above | — |
| Cortisol blood test, total CPT 82533 ADRENAL INSUFFICIENCY PRF | $188.00 | $188.00 | $8.03–$159.80 | 903% above | — |
| Cortisol blood test, total CPT 82533 ADRENAL INSUF PROFILE P3 | $188.00 | $188.00 | $8.03–$159.80 | 903% above | — |
| Cortisol blood test, total CPT 82533 ADRENAL INSUFF PROFILE P2 | $188.00 | $188.00 | $8.03–$159.80 | 903% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $237.00 | $237.00 | $10.12–$201.45 | 1164% above | — |
| Cortisol blood test, total CPT 82533 CORTISOL RANDOM | $237.00 | $237.00 | $10.12–$201.45 | 1164% above | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL AM | $142.00 | $142.00 | $106.50–$120.70 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, A.M. | $172.00 | $172.00 | $129.00–$146.20 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, P.M. | $172.00 | $172.00 | $129.00–$146.20 | — | — |
| Cortisol blood test, total inpatient CPT 82533 ADRENAL INSUF PROFILE P3 | $188.00 | $188.00 | $141.00–$159.80 | — | — |
| Cortisol blood test, total inpatient CPT 82533 ADRENAL INSUFF PROFILE P2 | $188.00 | $188.00 | $141.00–$159.80 | — | — |
| Cortisol blood test, total inpatient CPT 82533 ADRENAL INSUFFICIENCY PRF | $188.00 | $188.00 | $141.00–$159.80 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PM | $237.00 | $237.00 | $177.75–$201.45 | — | — |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL RANDOM | $237.00 | $237.00 | $177.75–$201.45 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE,TOTAL | $15.00 | $15.00 | $0.64–$23.36 | 100% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE ISOENZYME | $306.00 | $306.00 | $4.80–$260.10 | 3985% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK (CREATINE KINASE) | $409.00 | $409.00 | $4.80–$347.65 | 5361% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 CK FLUID | $875.00 | $875.00 | $4.80–$743.75 | 11582% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE,TOTAL | $15.00 | $15.00 | $11.25–$12.75 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE ISOENZYME | $306.00 | $306.00 | $229.50–$260.10 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CREATINE KINASE) | $409.00 | $409.00 | $306.75–$347.65 | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK FLUID | $875.00 | $875.00 | $656.25–$743.75 | — | — |
| Creatinine blood test CPT 82565 POC CREATININE | $50.00 | $50.00 | $2.14–$42.50 | 749% above | — |
| Creatinine blood test CPT 82565 CREATININE ANGIOJET | $371.00 | $371.00 | $3.00–$315.35 | 6199% above | — |
| Creatinine blood test CPT 82565 CREATININE | $371.00 | $371.00 | $3.00–$315.35 | 6199% above | — |
| Creatinine blood test inpatient CPT 82565 POC CREATININE | $50.00 | $50.00 | $37.50–$42.50 | — | — |
| Creatinine blood test inpatient CPT 82565 CREATININE | $371.00 | $371.00 | $278.25–$315.35 | — | — |
| Creatinine blood test inpatient CPT 82565 CREATININE ANGIOJET | $371.00 | $371.00 | $278.25–$315.35 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 TORCH IGG PANEL | $196.00 | $196.00 | $8.37–$166.60 | 1138% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGLO IGG | $208.00 | $208.00 | $8.88–$176.80 | 1214% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AVIDITY | $800.00 | $800.00 | $12.00–$680.00 | 4954% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB, CF | $1,977.00 | $1,977.00 | $12.00–$1,680.45 | 12389% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG FLD | $2,473.00 | $2,473.00 | $12.00–$2,102.05 | 15522% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TORCH IGG PANEL | $196.00 | $196.00 | $147.00–$166.60 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGLO IGG | $208.00 | $208.00 | $156.00–$176.80 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AVIDITY | $800.00 | $800.00 | $600.00–$680.00 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB, CF | $1,977.00 | $1,977.00 | $1,482.75–$1,680.45 | — | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG FLD | $2,473.00 | $2,473.00 | $1,854.75–$2,102.05 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 THROMBOSIS VENOUS RISK P6 | $1,060.00 | $1,060.00 | $5.00–$901.00 | 8952% above | — |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER | $2,760.00 | $2,760.00 | $5.00–$2,346.00 | 23470% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 THROMBOSIS VENOUS RISK P6 | $1,060.00 | $1,060.00 | $795.00–$901.00 | — | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER | $2,760.00 | $2,760.00 | $2,070.00–$2,346.00 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HIRSUTISM PROFILE P2 | $4,330.00 | $4,330.00 | $22.23–$3,680.50 | 17213% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEAS | $4,807.00 | $4,807.00 | $22.23–$4,085.95 | 19120% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HIRSUTISM PROFILE P2 | $4,330.00 | $4,330.00 | $3,247.50–$3,680.50 | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEAS | $4,807.00 | $4,807.00 | $3,605.25–$4,085.95 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE URINE | $110.00 | $110.00 | $4.70–$116.73 | 54% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOXASSURE27 | $113.00 | $113.00 | $4.83–$116.73 | 58% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MDMA | $129.00 | $129.00 | $5.51–$116.73 | 81% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE | $172.00 | $172.00 | $7.34–$146.20 | 141% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PRSMPTV 1 CLA | $184.00 | $184.00 | $7.86–$156.40 | 157% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINES, URINE | $242.00 | $242.00 | $10.33–$205.70 | 239% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES, URINE | $242.00 | $242.00 | $10.33–$205.70 | 239% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS, URINE | $242.00 | $242.00 | $10.33–$205.70 | 239% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE, URINE | $264.00 | $264.00 | $11.27–$224.40 | 269% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PHENCYCLIDINE, URINE | $264.00 | $264.00 | $11.27–$224.40 | 269% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUTORPHANOL | $397.00 | $397.00 | $16.95–$337.45 | 456% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN(ADL) | $397.00 | $397.00 | $16.95–$337.45 | 456% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOXICOLOGY URINE 10 DRUG | $399.00 | $399.00 | $17.04–$339.15 | 458% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PSILOCIN SCREEN | $411.00 | $411.00 | $17.55–$349.35 | 475% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ID SYRINGE CONTENT | $448.00 | $448.00 | $19.13–$380.80 | 527% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE | $452.00 | $452.00 | $19.30–$384.20 | 533% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN, MECONIUM | $484.00 | $484.00 | $20.67–$411.40 | 577% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ANABOLIC STEROIDS | $613.00 | $613.00 | $26.18–$521.05 | 758% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE | $715.00 | $715.00 | $30.53–$607.75 | 901% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE BREAST MLK | $1,272.00 | $1,272.00 | $49.71–$1,081.20 | 1680% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN | $1,301.00 | $1,301.00 | $49.71–$1,105.85 | 1721% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS/ABUSE URINE | $1,315.00 | $1,315.00 | $49.71–$1,117.75 | 1740% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATES UA | $1,454.00 | $1,454.00 | $49.71–$1,235.90 | 1935% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ANTIHISTAMINE | $1,948.00 | $1,948.00 | $49.71–$1,655.80 | 2626% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB | $1,967.00 | $1,967.00 | $49.71–$1,671.95 | 2653% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE | $2,081.00 | $2,081.00 | $49.71–$1,768.85 | 2812% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 THC (DELTA-9) SERUM | $2,289.00 | $2,289.00 | $49.71–$1,945.65 | 3103% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE URINE | $110.00 | $110.00 | $82.50–$93.50 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOXASSURE27 | $113.00 | $113.00 | $84.75–$96.05 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MDMA | $129.00 | $129.00 | $96.75–$109.65 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE | $172.00 | $172.00 | $129.00–$146.20 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PRSMPTV 1 CLA | $184.00 | $184.00 | $138.00–$156.40 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINES, URINE | $242.00 | $242.00 | $181.50–$205.70 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOIDS, URINE | $242.00 | $242.00 | $181.50–$205.70 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINES, URINE | $242.00 | $242.00 | $181.50–$205.70 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE, URINE | $264.00 | $264.00 | $198.00–$224.40 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PHENCYCLIDINE, URINE | $264.00 | $264.00 | $198.00–$224.40 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN(ADL) | $397.00 | $397.00 | $297.75–$337.45 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUTORPHANOL | $397.00 | $397.00 | $297.75–$337.45 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOXICOLOGY URINE 10 DRUG | $399.00 | $399.00 | $299.25–$339.15 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PSILOCIN SCREEN | $411.00 | $411.00 | $308.25–$349.35 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ID SYRINGE CONTENT | $448.00 | $448.00 | $336.00–$380.80 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE | $452.00 | $452.00 | $339.00–$384.20 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL SCREEN, MECONIUM | $484.00 | $484.00 | $363.00–$411.40 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ANABOLIC STEROIDS | $613.00 | $613.00 | $459.75–$521.05 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE | $715.00 | $715.00 | $536.25–$607.75 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE BREAST MLK | $1,272.00 | $1,272.00 | $954.00–$1,081.20 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN | $1,301.00 | $1,301.00 | $975.75–$1,105.85 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS/ABUSE URINE | $1,315.00 | $1,315.00 | $986.25–$1,117.75 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATES UA | $1,454.00 | $1,454.00 | $1,090.50–$1,235.90 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ANTIHISTAMINE | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB | $1,967.00 | $1,967.00 | $1,475.25–$1,671.95 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATE | $2,081.00 | $2,081.00 | $1,560.75–$1,768.85 | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC (DELTA-9) SERUM | $2,289.00 | $2,289.00 | $1,716.75–$1,945.65 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 EP + ANION GAP | $39.00 | $39.00 | $1.67–$33.15 | 384% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POC LYTES | $50.00 | $50.00 | $2.14–$42.50 | 520% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $165.00 | $165.00 | $5.90–$140.25 | 1947% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 EP + ANION GAP | $39.00 | $39.00 | $29.25–$33.15 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 POC LYTES | $50.00 | $50.00 | $37.50–$42.50 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $165.00 | $165.00 | $123.75–$140.25 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB COMPR PART 2 | $408.00 | $408.00 | $17.42–$346.80 | 1871% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM | $510.00 | $510.00 | $18.14–$433.50 | 2364% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR PROFILE 1 P2 | $686.00 | $686.00 | $18.14–$583.10 | 3214% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR PROFILE 1 P3 | $686.00 | $686.00 | $18.14–$583.10 | 3214% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ESP BARR VIRUS VCA-IGM | $921.00 | $921.00 | $18.14–$782.85 | 4349% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV SCREEN PART 1 | $2,869.00 | $2,869.00 | $18.14–$2,438.65 | 13760% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB COMPR PART 3 | $3,988.00 | $3,988.00 | $18.14–$3,389.80 | 19166% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB COMPR PART 2 | $408.00 | $408.00 | $306.00–$346.80 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM | $510.00 | $510.00 | $382.50–$433.50 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR PROFILE 1 P2 | $686.00 | $686.00 | $514.50–$583.10 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR PROFILE 1 P3 | $686.00 | $686.00 | $514.50–$583.10 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 ESP BARR VIRUS VCA-IGM | $921.00 | $921.00 | $690.75–$782.85 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV SCREEN PART 1 | $2,869.00 | $2,869.00 | $2,151.75–$2,438.65 | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB COMPR PART 3 | $3,988.00 | $3,988.00 | $2,991.00–$3,389.80 | — | — |
| Estradiol blood test CPT 82670 ESTRADIOL,FREE | $295.00 | $295.00 | $12.60–$250.75 | 818% above | — |
| Estradiol blood test CPT 82670 ESTRADIOL | $3,763.00 | $3,763.00 | $25.00–$3,198.55 | 11612% above | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL,FREE | $295.00 | $295.00 | $221.25–$250.75 | — | — |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $3,763.00 | $3,763.00 | $2,822.25–$3,198.55 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $133.00 | $133.00 | $5.68–$113.05 | 522% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH, 24 HOUR URINE | $722.00 | $722.00 | $17.00–$613.70 | 3279% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $133.00 | $133.00 | $99.75–$113.05 | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, 24 HOUR URINE | $722.00 | $722.00 | $541.50–$613.70 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL | $1,598.00 | $1,598.00 | $10.97–$1,358.30 | 6980% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL | $1,598.00 | $1,598.00 | $1,198.50–$1,358.30 | — | — |
| Ferritin blood test (iron stores) CPT 82728 THAL&HEMOGLOBPATHY EVL P6 | $293.00 | $293.00 | $12.51–$249.05 | 1770% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRATIN | $307.00 | $307.00 | $13.11–$260.95 | 1859% above | — |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $307.00 | $307.00 | $13.11–$260.95 | 1859% above | — |
| Ferritin blood test (iron stores) CPT 82728 THAL&HEMOGLOBPATHY EVL P5 | $994.00 | $994.00 | $13.63–$844.90 | 6243% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 THAL&HEMOGLOBPATHY EVL P6 | $293.00 | $293.00 | $219.75–$249.05 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRATIN | $307.00 | $307.00 | $230.25–$260.95 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $307.00 | $307.00 | $230.25–$260.95 | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 THAL&HEMOGLOBPATHY EVL P5 | $994.00 | $994.00 | $745.50–$844.90 | — | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ANGIOJET | $386.00 | $386.00 | $9.60–$328.10 | 3353% above | — |
| Fibrinogen blood test CPT 85384 FIBRINOGEN QUANT | $386.00 | $386.00 | $9.60–$328.10 | 3353% above | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ANGIOJET | $386.00 | $386.00 | $289.50–$328.10 | — | — |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN QUANT | $386.00 | $386.00 | $289.50–$328.10 | — | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID-FOLATE | $108.00 | $108.00 | $4.61–$91.80 | 539% above | — |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID FOLATE | $195.00 | $195.00 | $8.33–$165.75 | 1053% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID-FOLATE | $144.00 | $144.00 | $108.00–$122.40 | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID FOLATE | $195.00 | $195.00 | $146.25–$165.75 | — | — |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $688.00 | $688.00 | $15.00–$584.80 | 3432% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $688.00 | $688.00 | $516.00–$584.80 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIALYSIABLE METHD | $354.00 | $354.00 | $9.02–$300.90 | 3314% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIALYSIBLE MET P2 | $354.00 | $354.00 | $9.02–$300.90 | 3314% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE SERUM/PLSM | $1,473.00 | $1,473.00 | $9.02–$1,252.05 | 14104% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIALYSIABLE METHD | $354.00 | $354.00 | $265.50–$300.90 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIALYSIBLE MET P2 | $354.00 | $354.00 | $265.50–$300.90 | — | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE SERUM/PLSM | $1,473.00 | $1,473.00 | $1,104.75–$1,252.05 | — | — |
| Free testosterone test CPT 84402 TESTOSTERONE BIOABAILABLE | $4,030.00 | $4,030.00 | $25.47–$3,425.50 | 14283% above | — |
| Free testosterone test CPT 84402 HIRSUTISM PROFILE P4 | $4,288.00 | $4,288.00 | $25.47–$3,644.80 | 15203% above | — |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $8,626.00 | $8,626.00 | $25.47–$7,332.10 | 30685% above | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE BIOABAILABLE | $4,030.00 | $4,030.00 | $3,022.50–$3,425.50 | — | — |
| Free testosterone test inpatient CPT 84402 HIRSUTISM PROFILE P4 | $4,288.00 | $4,288.00 | $3,216.00–$3,644.80 | — | — |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $8,626.00 | $8,626.00 | $6,469.50–$7,332.10 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROSURE NASH P5 | $85.00 | $85.00 | $3.63–$72.25 | 927% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT | $98.00 | $98.00 | $4.18–$83.30 | 1084% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROSURE HCV | $130.00 | $130.00 | $4.80–$110.50 | 1470% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIRBROSURE ASH P8 | $318.00 | $318.00 | $4.80–$270.30 | 3741% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LIVER FIBROSIS P3 | $549.00 | $549.00 | $4.80–$466.65 | 6530% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT FLUID | $875.00 | $875.00 | $4.80–$743.75 | 10468% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIBROSURE NASH P5 | $85.00 | $85.00 | $63.75–$72.25 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT | $98.00 | $98.00 | $73.50–$83.30 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIBROSURE HCV | $130.00 | $130.00 | $97.50–$110.50 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIRBROSURE ASH P8 | $318.00 | $318.00 | $238.50–$270.30 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LIVER FIBROSIS P3 | $549.00 | $549.00 | $411.75–$466.65 | — | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT FLUID | $875.00 | $875.00 | $656.25–$743.75 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $6,149.00 | $6,149.00 | $36.00–$5,226.65 | 2397% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $6,149.00 | $6,149.00 | $4,611.75–$5,226.65 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE PRE NATAL 1 HOUR | $103.00 | $103.00 | $3.00–$87.55 | 1786% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE PRE NATAL 1 HOUR | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 TOLERENCE 3 SPEC | $242.00 | $242.00 | $5.00–$205.70 | 1535% above | — |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE TEST | $408.00 | $408.00 | $5.00–$346.80 | 2657% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLU TOL 3HR- GESTATIONAL | $627.00 | $627.00 | $5.00–$532.95 | 4136% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 3 HR | $627.00 | $627.00 | $5.00–$532.95 | 4136% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 4 HR | $703.00 | $703.00 | $5.00–$597.55 | 4650% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE,5 HR | $757.00 | $757.00 | $5.00–$643.45 | 5015% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 6 HR | $757.00 | $757.00 | $5.00–$643.45 | 5015% above | — |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 2HR 4BLOOD | $1,246.00 | $1,246.00 | $5.00–$1,059.10 | 8319% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERENCE 3 SPEC | $242.00 | $242.00 | $181.50–$205.70 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE TEST | $408.00 | $408.00 | $306.00–$346.80 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 3 HR | $627.00 | $627.00 | $470.25–$532.95 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLU TOL 3HR- GESTATIONAL | $627.00 | $627.00 | $470.25–$532.95 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 4 HR | $703.00 | $703.00 | $527.25–$597.55 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 6 HR | $757.00 | $757.00 | $567.75–$643.45 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE,5 HR | $757.00 | $757.00 | $567.75–$643.45 | — | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLER 2HR 4BLOOD | $1,246.00 | $1,246.00 | $934.50–$1,059.10 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 PAP WITH GC+CHLAM P3 | $144.00 | $144.00 | $6.15–$127.44 | 257% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GONOCOCC,NAA P2 | $198.00 | $198.00 | $8.45–$168.30 | 391% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GC TMA | $1,141.00 | $1,141.00 | $35.09–$969.85 | 2728% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 URINE GC & CHLAMYDIA P P2 | $1,481.00 | $1,481.00 | $35.09–$1,258.85 | 3570% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA GC RNA TMA P2 | $1,872.00 | $1,872.00 | $35.09–$1,591.20 | 4539% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/ GC P2 | $1,920.00 | $1,920.00 | $35.09–$1,632.00 | 4658% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CULT GC(NON-GENITAL ONLY) | $2,081.00 | $2,081.00 | $35.09–$1,768.85 | 5057% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CHLAMYDIA/GC DNA BY PCR | $2,966.00 | $2,966.00 | $35.09–$2,521.10 | 7251% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 URINE GC/CHLAMYDIA LCR | $4,028.00 | $4,028.00 | $35.09–$3,423.80 | 9883% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 PAP WITH GC+CHLAM P3 | $144.00 | $144.00 | $108.00–$122.40 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/GONOCOCC,NAA P2 | $198.00 | $198.00 | $148.50–$168.30 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GC TMA | $1,141.00 | $1,141.00 | $855.75–$969.85 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 URINE GC & CHLAMYDIA P P2 | $1,481.00 | $1,481.00 | $1,110.75–$1,258.85 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA GC RNA TMA P2 | $1,872.00 | $1,872.00 | $1,404.00–$1,591.20 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/ GC P2 | $1,920.00 | $1,920.00 | $1,440.00–$1,632.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CULT GC(NON-GENITAL ONLY) | $2,081.00 | $2,081.00 | $1,560.75–$1,768.85 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 CHLAMYDIA/GC DNA BY PCR | $2,966.00 | $2,966.00 | $2,224.50–$2,521.10 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 URINE GC/CHLAMYDIA LCR | $4,028.00 | $4,028.00 | $3,021.00–$3,423.80 | — | — |
| H. pylori antibody blood test CPT 86677 H PYLORI SERUM | $428.00 | $428.00 | $12.00–$363.80 | 2108% above | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI-IGA | $1,128.00 | $1,128.00 | $12.00–$958.80 | 5720% above | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI IGG | $1,156.00 | $1,156.00 | $12.00–$982.60 | 5865% above | — |
| H. pylori antibody blood test CPT 86677 H. PYLORI - IGM | $1,350.00 | $1,350.00 | $12.00–$1,147.50 | 6866% above | — |
| H. pylori antibody blood test CPT 86677 HELICOB PYLORI AB IGM QNT | $1,848.00 | $1,848.00 | $12.00–$1,570.80 | 9436% above | — |
| H. pylori antibody blood test inpatient CPT 86677 H PYLORI SERUM | $428.00 | $428.00 | $321.00–$363.80 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI-IGA | $1,128.00 | $1,128.00 | $846.00–$958.80 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI IGG | $1,156.00 | $1,156.00 | $867.00–$982.60 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI - IGM | $1,350.00 | $1,350.00 | $1,012.50–$1,147.50 | — | — |
| H. pylori antibody blood test inpatient CPT 86677 HELICOB PYLORI AB IGM QNT | $1,848.00 | $1,848.00 | $1,386.00–$1,570.80 | — | — |
| H. pylori stool antigen test CPT 87338 H PYLORI SCREEN | $1,255.00 | $1,255.00 | $8.15–$1,066.75 | 7833% above | — |
| H. pylori stool antigen test CPT 87338 H. PYLORI AG - STOOL | $2,164.00 | $2,164.00 | $8.15–$1,839.40 | 13579% above | — |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI SCREEN | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI AG - STOOL | $2,164.00 | $2,164.00 | $1,623.00–$1,839.40 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 VIRAL LOAD PCR | $1,634.00 | $1,634.00 | $69.77–$1,388.90 | 1570% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA PCR (VIRAL LOAD | $2,178.00 | $2,178.00 | $85.10–$1,851.30 | 2125% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-RNA ULTRASENSITIVE | $3,202.00 | $3,202.00 | $85.10–$2,721.70 | 3172% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA VIRALLOAK-PCR | $4,469.00 | $4,469.00 | $85.10–$3,798.65 | 4466% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QNT REVERSE PROGR | $6,037.00 | $6,037.00 | $85.10–$5,131.45 | 6068% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA VIRAL LOAD -PCR | $7,461.00 | $7,461.00 | $85.10–$6,341.85 | 7523% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA ULTRA QUANT | $7,564.00 | $7,564.00 | $85.10–$6,429.40 | 7629% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 VIRAL LOAD PCR | $1,634.00 | $1,634.00 | $1,225.50–$1,388.90 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA PCR (VIRAL LOAD | $2,178.00 | $2,178.00 | $1,633.50–$1,851.30 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-RNA ULTRASENSITIVE | $3,202.00 | $3,202.00 | $2,401.50–$2,721.70 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA VIRALLOAK-PCR | $4,469.00 | $4,469.00 | $3,351.75–$3,798.65 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QNT REVERSE PROGR | $6,037.00 | $6,037.00 | $4,527.75–$5,131.45 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA VIRAL LOAD -PCR | $7,461.00 | $7,461.00 | $5,595.75–$6,341.85 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA ULTRA QUANT | $7,564.00 | $7,564.00 | $5,673.00–$6,429.40 | — | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 WESTERN BLOT | $822.00 | $822.00 | $13.71–$698.70 | 5112% above | — |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 WESTERN BLOT | $822.00 | $822.00 | $616.50–$698.70 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 OB PANEL W/4TH HIV P8 | $70.00 | $70.00 | $2.99–$88.15 | 153% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DONOR PANEL | $373.00 | $373.00 | $13.65–$317.05 | 1247% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIBODY SCREEN 1&2 | $834.00 | $834.00 | $13.65–$708.90 | 2912% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AG/AB | $834.00 | $834.00 | $13.65–$708.90 | 2912% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 OB PANEL W/4TH HIV P8 | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 DONOR PANEL | $373.00 | $373.00 | $279.75–$317.05 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AG/AB | $834.00 | $834.00 | $625.50–$708.90 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIBODY SCREEN 1&2 | $834.00 | $834.00 | $625.50–$708.90 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 IGP,APTIMAHPV,RFX16/18,45 | $174.00 | $174.00 | $7.43–$147.90 | 351% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK | $182.00 | $182.00 | $7.77–$154.70 | 372% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA TEST (SEROTYPING) | $642.00 | $642.00 | $19.10–$545.70 | 1563% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 THIN PREP/HPV MRNA P2 | $908.00 | $908.00 | $19.10–$771.80 | 2252% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 IGP,APTIMAHPV,RFX16/18,45 | $174.00 | $174.00 | $130.50–$147.90 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK | $182.00 | $182.00 | $136.50–$154.70 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA TEST (SEROTYPING) | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 THIN PREP/HPV MRNA P2 | $908.00 | $908.00 | $681.00–$771.80 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C (REF) | $25.00 | $25.00 | $1.07–$35.05 | 124% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYOSYLATED HEMOGLOBIN | $349.00 | $349.00 | $6.60–$296.65 | 3024% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHGB(A1C) | $376.00 | $376.00 | $6.60–$319.60 | 3266% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHGB (A1) | $386.00 | $386.00 | $6.60–$328.10 | 3356% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C (REF) | $25.00 | $25.00 | $18.75–$21.25 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYOSYLATED HEMOGLOBIN | $349.00 | $349.00 | $261.75–$296.65 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHGB(A1C) | $376.00 | $376.00 | $282.00–$319.60 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHGB (A1) | $386.00 | $386.00 | $289.50–$328.10 | — | — |
| Hemoglobin blood test CPT 85018 POC HEMOGLOBIN (AVOX) | $11.00 | $11.00 | $0.47–$9.35 | 170% above | — |
| Hemoglobin blood test CPT 85018 CARBOXY-HGB PROFILE | $23.00 | $23.00 | $0.98–$19.55 | 465% above | — |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $34.00 | $34.00 | $1.20–$28.90 | 735% above | — |
| Hemoglobin blood test CPT 85018 POC HEMOGLOBIN | $41.00 | $41.00 | $1.20–$34.85 | 907% above | — |
| Hemoglobin blood test CPT 85018 THAL&HEMOGLOBOPATHY EV P2 | $414.00 | $414.00 | $1.20–$351.90 | 10072% above | — |
| Hemoglobin blood test inpatient CPT 85018 POC HEMOGLOBIN (AVOX) | $11.00 | $11.00 | $8.25–$9.35 | — | — |
| Hemoglobin blood test inpatient CPT 85018 CARBOXY-HGB PROFILE | $23.00 | $23.00 | $17.25–$19.55 | — | — |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $34.00 | $34.00 | $25.50–$28.90 | — | — |
| Hemoglobin blood test inpatient CPT 85018 POC HEMOGLOBIN | $41.00 | $41.00 | $30.75–$34.85 | — | — |
| Hemoglobin blood test inpatient CPT 85018 THAL&HEMOGLOBOPATHY EV P2 | $414.00 | $414.00 | $310.50–$351.90 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOT-WCC | $1,674.00 | $1,674.00 | $12.05–$1,422.90 | 12524% above | — |
| Hepatitis B core antibody test (total) CPT 86704 HBCAB-TOTAL | $2,121.00 | $2,121.00 | $12.05–$1,802.85 | 15895% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE TOT-WCC | $1,674.00 | $1,674.00 | $1,255.50–$1,422.90 | — | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HBCAB-TOTAL | $2,121.00 | $2,121.00 | $1,590.75–$1,802.85 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $103.00 | $103.00 | $4.40–$87.55 | 734% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $103.00 | $103.00 | $4.40–$87.55 | 734% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIB | $1,269.00 | $1,269.00 | $10.74–$1,078.65 | 10175% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIB | $1,269.00 | $1,269.00 | $951.75–$1,078.65 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 OB PANEL W/4TH HIV P7 | $70.00 | $70.00 | $2.99–$59.50 | 489% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $422.00 | $422.00 | $10.33–$358.70 | 3452% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 OB PANEL W/4TH HIV P7 | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG | $422.00 | $422.00 | $316.50–$358.70 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C AB WITH REFLEX | $43.00 | $43.00 | $1.84–$52.04 | 162% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $2,880.00 | $2,880.00 | $14.27–$2,448.00 | 17450% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C AB WITH REFLEX | $43.00 | $43.00 | $32.25–$36.55 | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $2,880.00 | $2,880.00 | $2,160.00–$2,448.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C - VIRAL DNA | $2,245.00 | $2,245.00 | $20.00–$1,908.25 | 4457% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA DIAGNOSIS | $3,275.00 | $3,275.00 | $20.00–$2,783.75 | 6547% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS-QUANT | $3,603.00 | $3,603.00 | $20.00–$3,062.55 | 7213% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA ULTRA QUANT | $4,528.00 | $4,528.00 | $20.00–$3,848.80 | 9090% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 CRNA ULTRAQNT W/REFLEX ST | $12,067.00 | $12,067.00 | $20.00–$10,256.95 | 24392% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C - VIRAL DNA | $2,245.00 | $2,245.00 | $1,683.75–$1,908.25 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA DIAGNOSIS | $3,275.00 | $3,275.00 | $2,456.25–$2,783.75 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS-QUANT | $3,603.00 | $3,603.00 | $2,702.25–$3,062.55 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA ULTRA QUANT | $4,528.00 | $4,528.00 | $3,396.00–$3,848.80 | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 CRNA ULTRAQNT W/REFLEX ST | $12,067.00 | $12,067.00 | $9,050.25–$10,256.95 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 TORCH IGG PANEL-PART 2 | $293.00 | $293.00 | $12.51–$249.05 | 1831% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 TORCH IGM PANEL-PART 2 | $449.00 | $449.00 | $12.80–$381.65 | 2860% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1-2 IGG FL | $585.00 | $585.00 | $12.80–$497.25 | 3756% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HRPS SMPLX VRS1&2 IGG,AB, | $604.00 | $604.00 | $12.80–$513.40 | 3882% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES AB TYPE 1 | $969.00 | $969.00 | $12.80–$823.65 | 6288% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS ANTIBODY, SE | $1,461.00 | $1,461.00 | $12.80–$1,241.85 | 9531% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES VIRUS AB I | $1,522.00 | $1,522.00 | $12.80–$1,293.70 | 9933% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VRS1&2 IGG | $1,904.00 | $1,904.00 | $12.80–$1,618.40 | 12451% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH IGG PANEL-PART 2 | $293.00 | $293.00 | $219.75–$249.05 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 TORCH IGM PANEL-PART 2 | $449.00 | $449.00 | $336.75–$381.65 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1-2 IGG FL | $585.00 | $585.00 | $438.75–$497.25 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HRPS SMPLX VRS1&2 IGG,AB, | $604.00 | $604.00 | $453.00–$513.40 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES AB TYPE 1 | $969.00 | $969.00 | $726.75–$823.65 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES VIRUS ANTIBODY, SE | $1,461.00 | $1,461.00 | $1,095.75–$1,241.85 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES VIRUS AB I | $1,522.00 | $1,522.00 | $1,141.50–$1,293.70 | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX VRS1&2 IGG | $1,904.00 | $1,904.00 | $1,428.00–$1,618.40 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 TORCH IGG PANEL P6 | $165.00 | $165.00 | $7.05–$140.25 | 642% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 TORCH IGM PANEL P6 | $386.00 | $386.00 | $10.96–$328.10 | 1635% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPS SMPLX 1-2IGG FL PT1 | $750.00 | $750.00 | $10.96–$637.50 | 3271% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1&2 IGG AB PART 1 | $1,207.00 | $1,207.00 | $10.96–$1,025.95 | 5325% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES VIRUS AB II | $2,871.00 | $2,871.00 | $10.96–$2,440.35 | 12803% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 TORCH IGG PANEL P6 | $165.00 | $165.00 | $123.75–$140.25 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 TORCH IGM PANEL P6 | $386.00 | $386.00 | $289.50–$328.10 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPS SMPLX 1-2IGG FL PT1 | $750.00 | $750.00 | $562.50–$637.50 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1&2 IGG AB PART 1 | $1,207.00 | $1,207.00 | $905.25–$1,025.95 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES VIRUS AB II | $2,871.00 | $2,871.00 | $2,153.25–$2,440.35 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP ULTRAQUANT | $5,799.00 | $5,799.00 | $7.34–$4,929.15 | 38846% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP ULTRAQUANT | $5,799.00 | $5,799.00 | $4,349.25–$4,929.15 | — | — |
| Homocysteine blood test CPT 83090 VENOUS THROM PROFILE P3 | $397.00 | $397.00 | $9.56–$337.45 | 1826% above | — |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, SERUM | $1,797.00 | $1,797.00 | $9.56–$1,527.45 | 8619% above | — |
| Homocysteine blood test inpatient CPT 83090 VENOUS THROM PROFILE P3 | $397.00 | $397.00 | $297.75–$337.45 | — | — |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, SERUM | $1,797.00 | $1,797.00 | $1,347.75–$1,527.45 | — | — |
| Insulin blood test CPT 83525 INSULIN LEVELS (5SPECS)P3 | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 LINSULIN LEVELS 3HR P4 | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN LEVELS 3HR P3 | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN LEVELS 3HR | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN LEVELS (5SPECS) | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN LEVELS (5SPEC) P5 | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN LEVELS 3HR PT2 | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN LEVELS(5SPECS) P2 | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN LEVELS (5SPECS)P4 | $200.00 | $200.00 | $8.54–$170.00 | 1422% above | — |
| Insulin blood test CPT 83525 INSULIN FREE TOTAL &BOUND | $220.00 | $220.00 | $9.39–$187.00 | 1574% above | — |
| Insulin blood test CPT 83525 INSULIN LEVEL | $370.00 | $370.00 | $11.43–$314.50 | 2716% above | — |
| Insulin blood test CPT 83525 INSULIN RESPONSE TO GLUCO | $1,504.00 | $1,504.00 | $11.43–$1,278.40 | 11346% above | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS (5SPEC) P5 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 LINSULIN LEVELS 3HR P4 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS 3HR | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS (5SPECS)P4 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS(5SPECS) P2 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS (5SPECS) | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS (5SPECS)P3 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS 3HR PT2 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVELS 3HR P3 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN FREE TOTAL &BOUND | $220.00 | $220.00 | $165.00–$187.00 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $370.00 | $370.00 | $277.50–$314.50 | — | — |
| Insulin blood test inpatient CPT 83525 INSULIN RESPONSE TO GLUCO | $1,504.00 | $1,504.00 | $1,128.00–$1,278.40 | — | — |
| Iron blood test (serum iron) CPT 83540 IRON AND TIBC | $15.00 | $15.00 | $0.64–$23.36 | 102% above | — |
| Iron blood test (serum iron) CPT 83540 IRON TOTAL | $57.00 | $57.00 | $2.43–$48.45 | 666% above | — |
| Iron blood test (serum iron) CPT 83540 IRON BINDING&TOTAL | $57.00 | $57.00 | $2.43–$48.45 | 666% above | — |
| Iron blood test (serum iron) CPT 83540 IRON FLUID | $196.00 | $196.00 | $4.50–$166.60 | 2534% above | — |
| Iron blood test (serum iron) CPT 83540 IRON, 24 HOUR URINE | $196.00 | $196.00 | $4.50–$166.60 | 2534% above | — |
| Iron blood test (serum iron) CPT 83540 IRON, TOTAL | $422.00 | $422.00 | $4.50–$358.70 | 5572% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON AND TIBC | $15.00 | $15.00 | $11.25–$12.75 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON BINDING&TOTAL | $57.00 | $57.00 | $42.75–$48.45 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON TOTAL | $57.00 | $57.00 | $42.75–$48.45 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, 24 HOUR URINE | $196.00 | $196.00 | $147.00–$166.60 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON FLUID | $196.00 | $196.00 | $147.00–$166.60 | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, TOTAL | $422.00 | $422.00 | $316.50–$358.70 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON AND TIBC P2 | $15.00 | $15.00 | $0.64–$31.86 | 49% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON, BINDING | $172.00 | $172.00 | $7.20–$146.20 | 1611% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING | $172.00 | $172.00 | $7.20–$146.20 | 1611% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON AND TIBC P2 | $15.00 | $15.00 | $11.25–$12.75 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON, BINDING | $172.00 | $172.00 | $129.00–$146.20 | — | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING | $172.00 | $172.00 | $129.00–$146.20 | — | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $642.00 | $642.00 | $4.92–$545.70 | 2080% above | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZINGHORM | $182.00 | $182.00 | $7.77–$154.70 | 793% above | — |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE, URIN | $838.00 | $838.00 | $17.00–$712.30 | 4014% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZINGHORM | $182.00 | $182.00 | $136.50–$154.70 | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE, URIN | $838.00 | $838.00 | $628.50–$712.30 | — | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE FLUID | $50.00 | $50.00 | $2.14–$42.50 | 276% above | — |
| Lactate (lactic acid) blood test CPT 83605 POC LACTATE | $113.00 | $113.00 | $4.83–$96.05 | 749% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID ARTERIAL | $136.00 | $136.00 | $5.81–$115.60 | 922% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID VENOUS | $136.00 | $136.00 | $5.81–$115.60 | 922% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE CSF (M DIAL) | $150.00 | $150.00 | $6.41–$127.50 | 1027% above | — |
| Lactate (lactic acid) blood test CPT 83605 LACTATE ASCITIC FLUID | $268.00 | $268.00 | $11.44–$227.80 | 1914% above | — |
| Lactate (lactic acid) blood test CPT 83605 D-LACTIC ACID | $810.00 | $810.00 | $11.57–$688.50 | 5986% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE FLUID | $50.00 | $50.00 | $37.50–$42.50 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTATE | $113.00 | $113.00 | $84.75–$96.05 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID ARTERIAL | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID VENOUS | $136.00 | $136.00 | $102.00–$115.60 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE CSF (M DIAL) | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE ASCITIC FLUID | $268.00 | $268.00 | $201.00–$227.80 | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 D-LACTIC ACID | $810.00 | $810.00 | $607.50–$688.50 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, CSF | $43.00 | $43.00 | $1.84–$36.55 | 519% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 CSF-LDH | $124.00 | $124.00 | $4.20–$105.40 | 1684% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, FLUID | $215.00 | $215.00 | $4.20–$182.75 | 2994% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD FLUID | $215.00 | $215.00 | $4.20–$182.75 | 2994% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD (LDH) | $408.00 | $408.00 | $4.20–$346.80 | 5771% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, CSF | $43.00 | $43.00 | $32.25–$36.55 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 CSF-LDH | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD FLUID | $215.00 | $215.00 | $161.25–$182.75 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, FLUID | $215.00 | $215.00 | $161.25–$182.75 | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD (LDH) | $408.00 | $408.00 | $306.00–$346.80 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $692.00 | $692.00 | $4.50–$588.20 | 8637% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE FLUID | $873.00 | $873.00 | $4.50–$742.05 | 10923% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $692.00 | $692.00 | $519.00–$588.20 | — | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE FLUID | $873.00 | $873.00 | $654.75–$742.05 | — | — |
| Liver function blood test panel CPT 80076 LIVER FIBROSIS RISK | $48.00 | $48.00 | $2.05–$40.80 | 88% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNC (BABY) | $914.00 | $914.00 | $7.00–$776.90 | 3477% above | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $914.00 | $914.00 | $7.00–$776.90 | 3477% above | — |
| Liver function blood test panel CPT 80076 HEPATIC,SERUM | $914.00 | $914.00 | $7.00–$776.90 | 3477% above | — |
| Liver function blood test panel CPT 80076 HEPATIC,BABY,SERUM | $914.00 | $914.00 | $7.00–$776.90 | 3477% above | — |
| Liver function blood test panel inpatient CPT 80076 LIVER FIBROSIS RISK | $48.00 | $48.00 | $36.00–$40.80 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $914.00 | $914.00 | $685.50–$776.90 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNC (BABY) | $914.00 | $914.00 | $685.50–$776.90 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC,SERUM | $914.00 | $914.00 | $685.50–$776.90 | — | — |
| Liver function blood test panel inpatient CPT 80076 HEPATIC,BABY,SERUM | $914.00 | $914.00 | $685.50–$776.90 | — | — |
| Lyme disease antibody test CPT 86618 LYME TOTAL AB WITH REFLEX | $196.00 | $196.00 | $8.37–$166.60 | 901% above | — |
| Lyme disease antibody test CPT 86618 LYME IGG,IGM ABW/REFLEX | $216.00 | $216.00 | $9.22–$183.60 | 1003% above | — |
| Lyme disease antibody test CPT 86618 LYME TITER BLOOD IGG/IGM | $422.00 | $422.00 | $17.03–$358.70 | 2055% above | — |
| Lyme disease antibody test CPT 86618 LYME C6 AB P3 | $497.00 | $497.00 | $17.03–$422.45 | 2438% above | — |
| Lyme disease antibody test CPT 86618 LYME AB IGG/IGM CSF | $3,694.00 | $3,694.00 | $17.03–$3,139.90 | 18766% above | — |
| Lyme disease antibody test inpatient CPT 86618 LYME TOTAL AB WITH REFLEX | $196.00 | $196.00 | $147.00–$166.60 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME IGG,IGM ABW/REFLEX | $216.00 | $216.00 | $162.00–$183.60 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME TITER BLOOD IGG/IGM | $422.00 | $422.00 | $316.50–$358.70 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME C6 AB P3 | $497.00 | $497.00 | $372.75–$422.45 | — | — |
| Lyme disease antibody test inpatient CPT 86618 LYME AB IGG/IGM CSF | $3,694.00 | $3,694.00 | $2,770.50–$3,139.90 | — | — |
| Magnesium blood test CPT 83735 KIDNEY STONE/URINE SAT P8 | $50.00 | $50.00 | $2.14–$42.50 | 549% above | — |
| Magnesium blood test CPT 83735 LITHOLINK P8 | $101.00 | $101.00 | $4.31–$85.85 | 1210% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM 24HR URINE | $133.00 | $133.00 | $4.50–$113.05 | 1625% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM, 24HR URINE | $172.00 | $172.00 | $4.50–$146.20 | 2131% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM FLUID | $196.00 | $196.00 | $4.50–$166.60 | 2442% above | — |
| Magnesium blood test CPT 83735 MAGNESIUM | $307.00 | $307.00 | $4.50–$260.95 | 3882% above | — |
| Magnesium blood test CPT 83735 RBC-MAGNESIUM | $450.00 | $450.00 | $4.50–$382.50 | 5737% above | — |
| Magnesium blood test CPT 83735 STOOL F/CATHARDIC LAXA P2 | $450.00 | $450.00 | $4.50–$382.50 | 5737% above | — |
| Magnesium blood test inpatient CPT 83735 KIDNEY STONE/URINE SAT P8 | $50.00 | $50.00 | $37.50–$42.50 | — | — |
| Magnesium blood test inpatient CPT 83735 LITHOLINK P8 | $101.00 | $101.00 | $75.75–$85.85 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 24HR URINE | $133.00 | $133.00 | $99.75–$113.05 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24HR URINE | $172.00 | $172.00 | $129.00–$146.20 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM FLUID | $196.00 | $196.00 | $147.00–$166.60 | — | — |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $307.00 | $307.00 | $230.25–$260.95 | — | — |
| Magnesium blood test inpatient CPT 83735 STOOL F/CATHARDIC LAXA P2 | $450.00 | $450.00 | $337.50–$382.50 | — | — |
| Magnesium blood test inpatient CPT 83735 RBC-MAGNESIUM | $450.00 | $450.00 | $337.50–$382.50 | — | — |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $22.00 | $22.00 | $0.94–$46.73 | 49% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $150.00 | $150.00 | $6.41–$127.50 | 913% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA CSF | $1,217.00 | $1,217.00 | $10.00–$1,034.45 | 8117% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA SERUM IGM | $1,649.00 | $1,649.00 | $10.00–$1,401.65 | 11034% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG | $22.00 | $22.00 | $16.50–$18.70 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG | $150.00 | $150.00 | $112.50–$127.50 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA CSF | $1,217.00 | $1,217.00 | $912.75–$1,034.45 | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA SERUM IGM | $1,649.00 | $1,649.00 | $1,236.75–$1,401.65 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO-SCREEN | $1,904.00 | $1,904.00 | $3.00–$1,618.40 | 16104% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO-SCREEN | $1,904.00 | $1,904.00 | $1,428.00–$1,618.40 | — | — |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $22.00 | $22.00 | $0.94–$47.79 | 47% above | — |
| Mumps immunity blood test CPT 86735 MUMPS TITER-IGM | $279.00 | $279.00 | $11.91–$237.15 | 1759% above | — |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS AG AB | $1,674.00 | $1,674.00 | $13.05–$1,422.90 | 11053% above | — |
| Mumps immunity blood test CPT 86735 MUMPS IMMUNE ST(MUMPS AB) | $2,696.00 | $2,696.00 | $13.05–$2,291.60 | 17861% above | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG | $22.00 | $22.00 | $16.50–$18.70 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS TITER-IGM | $279.00 | $279.00 | $209.25–$237.15 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AG AB | $1,674.00 | $1,674.00 | $1,255.50–$1,422.90 | — | — |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IMMUNE ST(MUMPS AB) | $2,696.00 | $2,696.00 | $2,022.00–$2,291.60 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA TOTAL/FREE PART 1 | $414.00 | $414.00 | $10.42–$351.90 | 1857% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA TOTAL/FREE PART 1 | $414.00 | $414.00 | $310.50–$351.90 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL/FREE | $1,128.00 | $1,128.00 | $18.39–$958.80 | 5233% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA/PROSTATIC SPECIFIC AG | $3,326.00 | $3,326.00 | $18.39–$2,827.10 | 15626% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL/FREE | $1,128.00 | $1,128.00 | $846.00–$958.80 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA/PROSTATIC SPECIFIC AG | $3,326.00 | $3,326.00 | $2,494.50–$2,827.10 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP WITH GC+CHLAM P2 | $144.00 | $144.00 | $6.15–$122.40 | 392% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 GYN PAP TEST (IMAGE),LB | $152.00 | $152.00 | $6.49–$129.20 | 419% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP,APT.HPV,RFX16/18,45P2 | $174.00 | $174.00 | $7.43–$147.90 | 494% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP WITH GC+CHLAM P2 | $144.00 | $144.00 | $108.00–$122.40 | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 GYN PAP TEST (IMAGE),LB | $152.00 | $152.00 | $114.00–$129.20 | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP,APT.HPV,RFX16/18,45P2 | $174.00 | $174.00 | $130.50–$147.90 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LIQUID PAP | $336.00 | $336.00 | $14.35–$285.60 | 1342% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP PAP | $455.00 | $455.00 | $18.00–$386.75 | 1853% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP/HPV MRNA | $908.00 | $908.00 | $18.00–$771.80 | 3797% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP W/E6/E7 | $1,132.00 | $1,132.00 | $18.00–$962.20 | 4758% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP/HPV 16/18 | $1,370.00 | $1,370.00 | $18.00–$1,164.50 | 5780% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LIQUID PAP | $336.00 | $336.00 | $252.00–$285.60 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP PAP | $455.00 | $455.00 | $341.25–$386.75 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP/HPV MRNA | $908.00 | $908.00 | $681.00–$771.80 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP W/E6/E7 | $1,132.00 | $1,132.00 | $849.00–$962.20 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP/HPV 16/18 | $1,370.00 | $1,370.00 | $1,027.50–$1,164.50 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $306.00 | $306.00 | $13.07–$260.10 | 545% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH-C-TERMINAL PART 1 | $408.00 | $408.00 | $17.42–$346.80 | 759% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT IRMA PT 1 | $422.00 | $422.00 | $18.02–$358.70 | 789% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT IRMA PART 1 | $422.00 | $422.00 | $18.02–$358.70 | 789% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH N-TERMINAL | $1,375.00 | $1,375.00 | $41.28–$1,168.75 | 2797% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE INTAC | $1,852.00 | $1,852.00 | $41.28–$1,574.20 | 3801% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $306.00 | $306.00 | $229.50–$260.10 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH-C-TERMINAL PART 1 | $408.00 | $408.00 | $306.00–$346.80 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT IRMA PT 1 | $422.00 | $422.00 | $316.50–$358.70 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT IRMA PART 1 | $422.00 | $422.00 | $316.50–$358.70 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH N-TERMINAL | $1,375.00 | $1,375.00 | $1,031.25–$1,168.75 | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE INTAC | $1,852.00 | $1,852.00 | $1,389.00–$1,574.20 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAG/CARDIO P5 | $101.00 | $101.00 | $3.00–$85.85 | 1362% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ANTIPHOSPHOLIP SYNDROM P4 | $228.00 | $228.00 | $3.00–$193.80 | 3200% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 VENOUS THROM PROFILE | $397.00 | $397.00 | $3.00–$337.45 | 5645% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT*THROMBOPLASTIN TIME P | $936.00 | $936.00 | $3.00–$795.60 | 13446% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT ANGIOJET | $936.00 | $936.00 | $3.00–$795.60 | 13446% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOSI VENOUS RISK P11 | $1,060.00 | $1,060.00 | $3.00–$901.00 | 15240% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR INHIBITOR PANEL | $2,574.00 | $2,574.00 | $3.00–$2,187.90 | 37150% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAG/CARDIO P5 | $101.00 | $101.00 | $75.75–$85.85 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ANTIPHOSPHOLIP SYNDROM P4 | $228.00 | $228.00 | $171.00–$193.80 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 VENOUS THROM PROFILE | $397.00 | $397.00 | $297.75–$337.45 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT*THROMBOPLASTIN TIME P | $936.00 | $936.00 | $702.00–$795.60 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT ANGIOJET | $936.00 | $936.00 | $702.00–$795.60 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOSI VENOUS RISK P11 | $1,060.00 | $1,060.00 | $795.00–$901.00 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 FACTOR INHIBITOR PANEL | $2,574.00 | $2,574.00 | $1,930.50–$2,187.90 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS,INORGANIC | $111.00 | $111.00 | $3.00–$94.35 | 1937% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $111.00 | $111.00 | $3.00–$94.35 | 1937% above | — |
| Phosphorus (phosphate) blood test CPT 84100 PHOS FLUID | $316.00 | $316.00 | $3.00–$268.60 | 5698% above | — |
| Phosphorus (phosphate) blood test CPT 84100 STOOL F/CATHARDIC LAX P3 | $747.00 | $747.00 | $3.00–$634.95 | 13606% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC | $111.00 | $111.00 | $83.25–$94.35 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS,INORGANIC | $111.00 | $111.00 | $83.25–$94.35 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOS FLUID | $316.00 | $316.00 | $237.00–$268.60 | — | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 STOOL F/CATHARDIC LAX P3 | $747.00 | $747.00 | $560.25–$634.95 | — | — |
| Potassium blood test CPT 84132 POTASSIUM | $103.00 | $103.00 | $3.90–$87.55 | 1783% above | — |
| Potassium blood test CPT 84132 POTASSIUM BLOOD | $103.00 | $103.00 | $3.90–$87.55 | 1783% above | — |
| Potassium blood test CPT 84132 POC POTASSIUM | $216.00 | $216.00 | $3.90–$183.60 | 3849% above | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Potassium blood test inpatient CPT 84132 POTASSIUM BLOOD | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Potassium blood test inpatient CPT 84132 POC POTASSIUM | $216.00 | $216.00 | $162.00–$183.60 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNITI GENOME | $4,781.00 | $4,781.00 | $191.24–$4,063.85 | 473% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MATERNIT21 PLUS | $6,236.00 | $6,236.00 | $249.44–$5,300.60 | 647% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 QNATAL ADVANCED | $22,769.00 | $22,769.00 | $759.05–$19,353.65 | 2627% above | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNITI GENOME | $4,781.00 | $4,781.00 | $3,585.75–$4,063.85 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MATERNIT21 PLUS | $6,236.00 | $6,236.00 | $4,677.00–$5,300.60 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 QNATAL ADVANCED | $22,769.00 | $22,769.00 | $17,076.75–$19,353.65 | — | — |
| Progesterone blood test CPT 84144 PROGESTERONE | $182.00 | $182.00 | $7.77–$154.70 | 659% above | — |
| Progesterone blood test CPT 84144 PROGERTERONE LC/MS/MS | $254.00 | $254.00 | $10.85–$215.90 | 959% above | — |
| Progesterone blood test CPT 84144 PROGESTERONE TOTAL+FREE | $1,067.00 | $1,067.00 | $20.00–$906.95 | 4348% above | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $182.00 | $182.00 | $136.50–$154.70 | — | — |
| Progesterone blood test inpatient CPT 84144 PROGERTERONE LC/MS/MS | $254.00 | $254.00 | $190.50–$215.90 | — | — |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE TOTAL+FREE | $1,067.00 | $1,067.00 | $800.25–$906.95 | — | — |
| Prolactin blood test CPT 84146 PROLACTIN,SERUM | $182.00 | $182.00 | $7.77–$154.70 | 717% above | — |
| Prolactin blood test CPT 84146 PROLACTIN | $182.00 | $182.00 | $7.77–$154.70 | 717% above | — |
| Prolactin blood test CPT 84146 MACROPROLACTIN | $527.00 | $527.00 | $19.38–$447.95 | 2264% above | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN,SERUM | $182.00 | $182.00 | $136.50–$154.70 | — | — |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $182.00 | $182.00 | $136.50–$154.70 | — | — |
| Prolactin blood test inpatient CPT 84146 MACROPROLACTIN | $527.00 | $527.00 | $395.25–$447.95 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAG/CARDIO P2 | $101.00 | $101.00 | $3.00–$85.85 | 1949% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PT/INR | $121.00 | $121.00 | $3.00–$102.85 | 2354% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 SM POC PT/INR | $121.00 | $121.00 | $3.00–$102.85 | 2354% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT ANGIOJET | $800.00 | $800.00 | $3.00–$680.00 | 16127% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT* PROTHROMBIN TIME/INR | $800.00 | $800.00 | $3.00–$680.00 | 16127% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 THROMBOSIS VENOUS RISK P8 | $1,060.00 | $1,060.00 | $3.00–$901.00 | 21401% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LUPUS ANTICOAG/CARDIO P2 | $101.00 | $101.00 | $75.75–$85.85 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PT/INR | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 SM POC PT/INR | $121.00 | $121.00 | $90.75–$102.85 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT* PROTHROMBIN TIME/INR | $800.00 | $800.00 | $600.00–$680.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT ANGIOJET | $800.00 | $800.00 | $600.00–$680.00 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 THROMBOSIS VENOUS RISK P8 | $1,060.00 | $1,060.00 | $795.00–$901.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC GROUP A STREP | $301.00 | $301.00 | $12.00–$255.85 | 1556% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 GROUP A STREP SCREEN | $307.00 | $307.00 | $12.00–$260.95 | 1589% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC GROUP A STREP | $301.00 | $301.00 | $225.75–$255.85 | — | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 GROUP A STREP SCREEN | $307.00 | $307.00 | $230.25–$260.95 | — | — |
| Renin blood test CPT 84244 RENIN ACTIVITY, PLASMA | $1,075.00 | $1,075.00 | $21.99–$913.75 | 4245% above | — |
| Renin blood test CPT 84244 RENIN,DIRECT,PLASMA | $4,644.00 | $4,644.00 | $21.99–$3,947.40 | 18671% above | — |
| Renin blood test inpatient CPT 84244 RENIN ACTIVITY, PLASMA | $1,075.00 | $1,075.00 | $806.25–$913.75 | — | — |
| Renin blood test inpatient CPT 84244 RENIN,DIRECT,PLASMA | $4,644.00 | $4,644.00 | $3,483.00–$3,947.40 | — | — |
| Rh blood typing CPT 86901 OB PANEL W/4TH HIV P6 | $70.00 | $70.00 | $2.00–$59.50 | 51% above | — |
| Rh blood typing CPT 86901 ISOHEMAGLUTININS PART 4 | $428.00 | $428.00 | $2.00–$363.80 | 826% above | — |
| Rh blood typing CPT 86901 RH TYPE | $736.00 | $736.00 | $2.00–$625.60 | 1492% above | — |
| Rh blood typing CPT 86901 UNIT RH CONFIRMATION | $831.00 | $831.00 | $2.00–$706.35 | 1698% above | — |
| Rh blood typing inpatient CPT 86901 OB PANEL W/4TH HIV P6 | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Rh blood typing inpatient CPT 86901 ISOHEMAGLUTININS PART 4 | $428.00 | $428.00 | $321.00–$363.80 | — | — |
| Rh blood typing inpatient CPT 86901 RH TYPE | $736.00 | $736.00 | $552.00–$625.60 | — | — |
| Rh blood typing inpatient CPT 86901 UNIT RH CONFIRMATION | $831.00 | $831.00 | $623.25–$706.35 | — | — |
| Rheumatoid factor (RF) test CPT 86431 RA SCREEN | $103.00 | $103.00 | $4.40–$87.55 | 1480% above | — |
| Rheumatoid factor (RF) test CPT 86431 SYSTEMIC LUPUS PROF A P3 | $113.00 | $113.00 | $4.50–$96.05 | 1633% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR FLUID | $208.00 | $208.00 | $4.50–$176.80 | 3090% above | — |
| Rheumatoid factor (RF) test CPT 86431 RADX6 P4 | $750.00 | $750.00 | $4.50–$637.50 | 11403% above | — |
| Rheumatoid factor (RF) test CPT 86431 SENSORMTR NEURPTY PRO P11 | $837.00 | $837.00 | $4.50–$711.45 | 12737% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA SCREEN | $103.00 | $103.00 | $77.25–$87.55 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 SYSTEMIC LUPUS PROF A P3 | $113.00 | $113.00 | $84.75–$96.05 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR FLUID | $208.00 | $208.00 | $156.00–$176.80 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 RADX6 P4 | $750.00 | $750.00 | $562.50–$637.50 | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 SENSORMTR NEURPTY PRO P11 | $837.00 | $837.00 | $627.75–$711.45 | — | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG | $22.00 | $22.00 | $0.94–$52.04 | 33% above | — |
| Rubella antibody test (immunity check) CPT 86762 TORCH IGG PANEL-PART 3 | $45.00 | $45.00 | $1.92–$52.04 | 172% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG QUANT. | $45.00 | $45.00 | $1.92–$52.04 | 172% above | — |
| Rubella antibody test (immunity check) CPT 86762 TORCH IGM PANEL-PART 3 | $70.00 | $70.00 | $2.99–$59.50 | 323% above | — |
| Rubella antibody test (immunity check) CPT 86762 OB PANEL W/4TH HIV P3 | $70.00 | $70.00 | $2.99–$59.50 | 323% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IMMUNE STATUS | $70.00 | $70.00 | $2.99–$59.50 | 323% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM (ACUTE) | $165.00 | $165.00 | $7.05–$140.25 | 897% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG | $22.00 | $22.00 | $16.50–$18.70 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG QUANT. | $45.00 | $45.00 | $33.75–$38.25 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 TORCH IGG PANEL-PART 3 | $45.00 | $45.00 | $33.75–$38.25 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IMMUNE STATUS | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 TORCH IGM PANEL-PART 3 | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 OB PANEL W/4TH HIV P3 | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM (ACUTE) | $165.00 | $165.00 | $123.75–$140.25 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE (AUTO) | $921.00 | $921.00 | $1.50–$782.85 | 5842% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE (AUTO) | $921.00 | $921.00 | $690.75–$782.85 | — | — |
| Sodium blood test CPT 84295 POC SODIUM | $216.00 | $216.00 | $3.90–$183.60 | 3983% above | — |
| Sodium blood test CPT 84295 SODIUM BLOOD | $757.00 | $757.00 | $3.90–$643.45 | 14210% above | — |
| Sodium blood test CPT 84295 SODIUM | $757.00 | $757.00 | $3.90–$643.45 | 14210% above | — |
| Sodium blood test inpatient CPT 84295 POC SODIUM | $216.00 | $216.00 | $162.00–$183.60 | — | — |
| Sodium blood test inpatient CPT 84295 SODIUM BLOOD | $757.00 | $757.00 | $567.75–$643.45 | — | — |
| Sodium blood test inpatient CPT 84295 SODIUM | $757.00 | $757.00 | $567.75–$643.45 | — | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $133.00 | $133.00 | $5.10–$113.05 | 1199% above | — |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES (DEBORAH) | $133.00 | $133.00 | $5.10–$113.05 | 1199% above | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES (DEBORAH) | $133.00 | $133.00 | $99.75–$113.05 | — | — |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $133.00 | $133.00 | $99.75–$113.05 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 POC HEMOCCULT | $55.00 | $55.00 | $1.20–$46.75 | 991% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD TEST | $142.00 | $142.00 | $1.20–$120.70 | 2717% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD 1ST SPC SCREEN | $257.00 | $257.00 | $1.20–$218.45 | 4999% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 POC HEMOCCULT | $55.00 | $55.00 | $41.25–$46.75 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD TEST | $142.00 | $142.00 | $106.50–$120.70 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD 1ST SPC SCREEN | $257.00 | $257.00 | $192.75–$218.45 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL GLOBIN | $757.00 | $757.00 | $3.70–$643.45 | 4034% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL GLOBIN | $757.00 | $757.00 | $567.75–$643.45 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS | $142.00 | $142.00 | $6.06–$120.70 | 832% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS AB SCREEN | $443.00 | $443.00 | $10.59–$376.55 | 2809% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-CSF | $1,437.00 | $1,437.00 | $10.59–$1,221.45 | 9335% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS | $142.00 | $142.00 | $106.50–$120.70 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS AB SCREEN | $443.00 | $443.00 | $332.25–$376.55 | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-CSF | $1,437.00 | $1,437.00 | $1,077.75–$1,221.45 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 OB PANEL W/4TH HIV P2 | $70.00 | $70.00 | $1.50–$59.50 | 1326% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TORCH IGG PANEL-PART 5 | $76.00 | $76.00 | $1.50–$64.60 | 1448% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF | $81.00 | $81.00 | $1.50–$68.85 | 1550% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM | $81.00 | $81.00 | $1.50–$68.85 | 1550% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TORCH IGM PANEL-PART 5 | $110.00 | $110.00 | $1.50–$93.50 | 2140% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR,QUAL RAPID PLASMA REA | $161.00 | $161.00 | $1.50–$136.85 | 3179% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 OB PANEL W/4TH HIV P2 | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TORCH IGG PANEL-PART 5 | $76.00 | $76.00 | $57.00–$64.60 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM | $81.00 | $81.00 | $60.75–$68.85 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TORCH IGM PANEL-PART 5 | $110.00 | $110.00 | $82.50–$93.50 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR,QUAL RAPID PLASMA REA | $161.00 | $161.00 | $120.75–$136.85 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS | $22.00 | $22.00 | $0.94–$226.20 | 68% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON | $4,859.00 | $4,859.00 | $40.45–$4,130.15 | 7027% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS | $22.00 | $22.00 | $16.50–$18.70 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON | $4,859.00 | $4,859.00 | $3,644.25–$4,130.15 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, URINE | $1,056.00 | $1,056.00 | $25.81–$897.60 | 3458% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HIRSUTISM PROFILE P5 | $4,330.00 | $4,330.00 | $25.81–$3,680.50 | 14489% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $11,725.00 | $11,725.00 | $25.81–$9,966.25 | 39405% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, URINE | $1,056.00 | $1,056.00 | $792.00–$897.60 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HIRSUTISM PROFILE P5 | $4,330.00 | $4,330.00 | $3,247.50–$3,680.50 | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $11,725.00 | $11,725.00 | $8,793.75–$9,966.25 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI THYTROID PEROXIDASE | $200.00 | $200.00 | $6.60–$170.00 | 1149% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTI | $208.00 | $208.00 | $6.60–$176.80 | 1199% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $495.00 | $495.00 | $6.60–$420.75 | 2992% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 AUTOIMMUNE LIVER P5 | $521.00 | $521.00 | $6.60–$442.85 | 3154% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 AUTOIMMUNE HEPATIS PNL P5 | $1,052.00 | $1,052.00 | $6.60–$894.20 | 6471% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AB | $1,065.00 | $1,065.00 | $6.60–$905.25 | 6552% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI LIVER/KIDNEY | $2,431.00 | $2,431.00 | $6.60–$2,066.35 | 15084% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 GALACTOSYLCEA BETAGAL LEU | $3,326.00 | $3,326.00 | $6.60–$2,827.10 | 20675% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI THYTROID PEROXIDASE | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTI | $208.00 | $208.00 | $156.00–$176.80 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $495.00 | $495.00 | $371.25–$420.75 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 AUTOIMMUNE LIVER P5 | $521.00 | $521.00 | $390.75–$442.85 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 AUTOIMMUNE HEPATIS PNL P5 | $1,052.00 | $1,052.00 | $789.00–$894.20 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AB | $1,065.00 | $1,065.00 | $798.75–$905.25 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI LIVER/KIDNEY | $2,431.00 | $2,431.00 | $1,823.25–$2,066.35 | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 GALACTOSYLCEA BETAGAL LEU | $3,326.00 | $3,326.00 | $2,494.50–$2,827.10 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID CASCADE REFLEX | $208.00 | $208.00 | $8.88–$176.80 | 977% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH WITH REFLEX | $252.00 | $252.00 | $10.76–$214.20 | 1204% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIM.HORMONE | $3,083.00 | $3,083.00 | $16.80–$2,620.55 | 15858% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID CASCADE REFLEX | $208.00 | $208.00 | $156.00–$176.80 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH WITH REFLEX | $252.00 | $252.00 | $189.00–$214.20 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIM.HORMONE | $3,083.00 | $3,083.00 | $2,312.25–$2,620.55 | — | — |
| Total IgE blood test CPT 82785 IGE | $156.00 | $156.00 | $6.66–$132.60 | 724% above | — |
| Total IgE blood test inpatient CPT 82785 IGE | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Total cholesterol blood test CPT 82465 FIBROSURE ASH P4 | $85.00 | $85.00 | $3.00–$72.25 | 1600% above | — |
| Total cholesterol blood test CPT 82465 LIPOPROTEIN ELECTROPHORES | $165.00 | $165.00 | $3.00–$140.25 | 3200% above | — |
| Total cholesterol blood test CPT 82465 FIBROSURE ASH P7 | $318.00 | $318.00 | $3.00–$270.30 | 6260% above | — |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $1,217.00 | $1,217.00 | $3.00–$1,034.45 | 24240% above | — |
| Total cholesterol blood test inpatient CPT 82465 FIBROSURE ASH P4 | $85.00 | $85.00 | $63.75–$72.25 | — | — |
| Total cholesterol blood test inpatient CPT 82465 LIPOPROTEIN ELECTROPHORES | $165.00 | $165.00 | $123.75–$140.25 | — | — |
| Total cholesterol blood test inpatient CPT 82465 FIBROSURE ASH P7 | $318.00 | $318.00 | $238.50–$270.30 | — | — |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $1,217.00 | $1,217.00 | $912.75–$1,034.45 | — | — |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) | $84.00 | $84.00 | $3.59–$71.40 | 963% above | — |
| Total thyroxine (T4) blood test CPT 84436 FREE THYROXINE INDEX P2 | $425.00 | $425.00 | $6.00–$361.25 | 5280% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T4) | $84.00 | $84.00 | $63.00–$71.40 | — | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 FREE THYROXINE INDEX P2 | $425.00 | $425.00 | $318.75–$361.25 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $2,313.00 | $2,313.00 | $14.18–$1,966.05 | 14081% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $2,313.00 | $2,313.00 | $1,734.75–$1,966.05 | — | — |
| Transferrin blood test CPT 84466 TRANSFERRIN | $77.00 | $77.00 | $3.29–$65.45 | 425% above | — |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $77.00 | $77.00 | $57.75–$65.45 | — | — |
| Trichomonas test (NAAT) CPT 87661 TRICOMONAS VAGINALIS | $249.00 | $249.00 | $10.63–$211.65 | 517% above | — |
| Trichomonas test (NAAT) CPT 87661 VAGINITIS NUSWAB P2 | $407.00 | $407.00 | $17.38–$345.95 | 909% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICOMONAS VAGINALIS | $249.00 | $249.00 | $186.75–$211.65 | — | — |
| Trichomonas test (NAAT) inpatient CPT 87661 VAGINITIS NUSWAB P2 | $407.00 | $407.00 | $305.25–$345.95 | — | — |
| Triglycerides blood test CPT 84478 FIBROSURE NASH P3 | $85.00 | $85.00 | $3.63–$72.25 | 1188% above | — |
| Triglycerides blood test CPT 84478 FLUID FOR TRIGLYCERIDES | $111.00 | $111.00 | $4.74–$94.35 | 1582% above | — |
| Triglycerides blood test CPT 84478 LIPOPROTEIN ELECTROPORSP2 | $200.00 | $200.00 | $5.74–$170.00 | 2930% above | — |
| Triglycerides blood test CPT 84478 FIBROSURE ASH P6 | $318.00 | $318.00 | $5.74–$270.30 | 4718% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $450.00 | $450.00 | $5.74–$382.50 | 6718% above | — |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE FLUID | $642.00 | $642.00 | $5.74–$545.70 | 9627% above | — |
| Triglycerides blood test CPT 84478 VAP CHOLESTEROL P2 | $794.00 | $794.00 | $5.74–$674.90 | 11930% above | — |
| Triglycerides blood test inpatient CPT 84478 FIBROSURE NASH P3 | $85.00 | $85.00 | $63.75–$72.25 | — | — |
| Triglycerides blood test inpatient CPT 84478 FLUID FOR TRIGLYCERIDES | $111.00 | $111.00 | $83.25–$94.35 | — | — |
| Triglycerides blood test inpatient CPT 84478 LIPOPROTEIN ELECTROPORSP2 | $200.00 | $200.00 | $150.00–$170.00 | — | — |
| Triglycerides blood test inpatient CPT 84478 FIBROSURE ASH P6 | $318.00 | $318.00 | $238.50–$270.30 | — | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $450.00 | $450.00 | $337.50–$382.50 | — | — |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE FLUID | $642.00 | $642.00 | $481.50–$545.70 | — | — |
| Triglycerides blood test inpatient CPT 84478 VAP CHOLESTEROL P2 | $794.00 | $794.00 | $595.50–$674.90 | — | — |
| Troponin test, quantitative CPT 84484 POC TROPONIN | $290.00 | $290.00 | $9.51–$246.50 | 1922% above | — |
| Troponin test, quantitative CPT 84484 TROPONIN-I CARDIAC MARKER | $722.00 | $722.00 | $9.51–$613.70 | 4935% above | — |
| Troponin test, quantitative CPT 84484 TROPONIN-HIGH SENSITIVITY | $2,884.00 | $2,884.00 | $9.51–$2,451.40 | 20012% above | — |
| Troponin test, quantitative inpatient CPT 84484 POC TROPONIN | $290.00 | $290.00 | $217.50–$246.50 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-I CARDIAC MARKER | $722.00 | $722.00 | $541.50–$613.70 | — | — |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN-HIGH SENSITIVITY | $2,884.00 | $2,884.00 | $2,163.00–$2,451.40 | — | — |
| Uric acid blood test CPT 84550 URIC ACID | $549.00 | $549.00 | $3.00–$466.65 | 10458% above | — |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $549.00 | $549.00 | $411.75–$466.65 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS W/MICRO | $94.00 | $94.00 | $1.20–$79.90 | 278% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS W/MICRO | $94.00 | $94.00 | $70.50–$79.90 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 COMPONENTS OF URINALYSIS | $337.00 | $337.00 | $1.20–$286.45 | 7524% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 COMPONENTS OF URINALYSIS | $337.00 | $337.00 | $252.75–$286.45 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS REFLEX TO CULT | $37.00 | $37.00 | $1.50–$31.45 | 627% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS ROUTINE | $37.00 | $37.00 | $1.50–$31.45 | 627% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $41.00 | $41.00 | $1.50–$34.85 | 706% above | — |
| Urinalysis without microscope exam, automated CPT 81003 KIDNEY STONE/URINE SAT | $50.00 | $50.00 | $1.50–$42.50 | 882% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HEMOGLOBIN, FREE,URINE | $216.00 | $216.00 | $1.50–$183.60 | 4144% above | — |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY, URINE | $252.00 | $252.00 | $1.50–$214.20 | 4851% above | — |
| Urinalysis without microscope exam, automated CPT 81003 ACETONE, URINE | $264.00 | $264.00 | $1.50–$224.40 | 5087% above | — |
| Urinalysis without microscope exam, automated CPT 81003 URINE KETONES | $264.00 | $264.00 | $1.50–$224.40 | 5087% above | — |
| Urinalysis without microscope exam, automated CPT 81003 PH, URINE, SEMI-QUANT | $279.00 | $279.00 | $1.50–$237.15 | 5381% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HEMOGLOBIN, QUAL URINE | $520.00 | $520.00 | $1.50–$442.00 | 10116% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS ROUTINE | $37.00 | $37.00 | $27.75–$31.45 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS REFLEX TO CULT | $37.00 | $37.00 | $27.75–$31.45 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $41.00 | $41.00 | $30.75–$34.85 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 KIDNEY STONE/URINE SAT | $50.00 | $50.00 | $37.50–$42.50 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HEMOGLOBIN, FREE,URINE | $216.00 | $216.00 | $162.00–$183.60 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY, URINE | $252.00 | $252.00 | $189.00–$214.20 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE KETONES | $264.00 | $264.00 | $198.00–$224.40 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ACETONE, URINE | $264.00 | $264.00 | $198.00–$224.40 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH, URINE, SEMI-QUANT | $279.00 | $279.00 | $209.25–$237.15 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HEMOGLOBIN, QUAL URINE | $520.00 | $520.00 | $390.00–$442.00 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 POC URINALYSIS | $604.00 | $604.00 | $1.00–$513.40 | 15670% above | — |
| Urinalysis without microscope exam, manual CPT 81002 POC UA DIPSTICK | $604.00 | $604.00 | $1.00–$513.40 | 15670% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC UA DIPSTICK | $604.00 | $604.00 | $453.00–$513.40 | — | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINALYSIS | $604.00 | $604.00 | $453.00–$513.40 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE | $1,221.00 | $1,221.00 | $6.00–$1,037.85 | 13057% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE | $1,221.00 | $1,221.00 | $915.75–$1,037.85 | — | — |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN | $4,143.00 | $4,143.00 | $4.30–$3,521.55 | 62201% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN | $4,143.00 | $4,143.00 | $3,107.25–$3,521.55 | — | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $70.00 | $70.00 | $2.99–$59.50 | 607% above | — |
| Urine pregnancy test, read by color change CPT 81025 POC URINE PREG | $1,195.00 | $1,195.00 | $3.00–$1,015.75 | 11971% above | — |
| Urine pregnancy test, read by color change CPT 81025 HCG URINE | $1,195.00 | $1,195.00 | $3.00–$1,015.75 | 11971% above | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $70.00 | $70.00 | $52.50–$59.50 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG URINE | $1,195.00 | $1,195.00 | $896.25–$1,015.75 | — | — |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC URINE PREG | $1,195.00 | $1,195.00 | $896.25–$1,015.75 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $218.00 | $218.00 | $9.31–$185.30 | 1157% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $218.00 | $218.00 | $163.50–$185.30 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH | $173.00 | $173.00 | $7.39–$147.05 | 408% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $8,008.00 | $8,008.00 | $29.60–$6,806.80 | 23425% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH | $173.00 | $173.00 | $129.75–$147.05 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $8,008.00 | $8,008.00 | $6,006.00–$6,806.80 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D1-25 DIHYDROXY | $5,345.00 | $5,345.00 | $38.50–$4,543.25 | 11971% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D1 25 DIHYDROXY | $5,345.00 | $5,345.00 | $38.50–$4,543.25 | 11971% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D1-25 DIHYDROXY | $5,345.00 | $5,345.00 | $4,008.75–$4,543.25 | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D1 25 DIHYDROXY | $5,345.00 | $5,345.00 | $4,008.75–$4,543.25 | — | — |
| Zinc blood test CPT 84630 ZINC RANDOM URINE | $188.00 | $188.00 | $8.03–$159.80 | 1335% above | — |
| Zinc blood test CPT 84630 ZINC 24 HOUR URINE | $407.00 | $407.00 | $11.39–$345.95 | 3007% above | — |
| Zinc blood test CPT 84630 HEAVY METALS SCR PNL 9 P6 | $1,755.00 | $1,755.00 | $11.39–$1,491.75 | 13297% above | — |
| Zinc blood test CPT 84630 ZINC | $2,632.00 | $2,632.00 | $11.39–$2,237.20 | 19992% above | — |
| Zinc blood test CPT 84630 RBC-ZINC | $3,166.00 | $3,166.00 | $11.39–$2,691.10 | 24068% above | — |
| Zinc blood test inpatient CPT 84630 ZINC RANDOM URINE | $188.00 | $188.00 | $141.00–$159.80 | — | — |
| Zinc blood test inpatient CPT 84630 ZINC 24 HOUR URINE | $407.00 | $407.00 | $305.25–$345.95 | — | — |
| Zinc blood test inpatient CPT 84630 HEAVY METALS SCR PNL 9 P6 | $1,755.00 | $1,755.00 | $1,316.25–$1,491.75 | — | — |
| Zinc blood test inpatient CPT 84630 ZINC | $2,632.00 | $2,632.00 | $1,974.00–$2,237.20 | — | — |
| Zinc blood test inpatient CPT 84630 RBC-ZINC | $3,166.00 | $3,166.00 | $2,374.50–$2,691.10 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 STEP WISE P2 | $386.00 | $386.00 | $11.39–$328.10 | 2130% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 INTEGRATED 2 P3 | $528.00 | $528.00 | $11.39–$448.80 | 2950% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 AFP PROFILE 1 PART 2 | $692.00 | $692.00 | $11.39–$588.20 | 3898% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CARDIAC SPECIFIC CRP | $1,753.00 | $1,753.00 | $11.39–$1,490.05 | 10027% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG,BETA,QUANT | $3,915.00 | $3,915.00 | $11.39–$3,327.75 | 22517% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, TOTAL (TUMOR) | $4,293.00 | $4,293.00 | $11.39–$3,649.05 | 24701% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 STEP WISE P2 | $386.00 | $386.00 | $289.50–$328.10 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 INTEGRATED 2 P3 | $528.00 | $528.00 | $396.00–$448.80 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 AFP PROFILE 1 PART 2 | $692.00 | $692.00 | $519.00–$588.20 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CARDIAC SPECIFIC CRP | $1,753.00 | $1,753.00 | $1,314.75–$1,490.05 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG,BETA,QUANT | $3,915.00 | $3,915.00 | $2,936.25–$3,327.75 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, TOTAL (TUMOR) | $4,293.00 | $4,293.00 | $3,219.75–$3,649.05 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CDNV FACE TRIG,CS&ACC BIL | $13,177.00 | $13,177.00 | $62.14–$13,177.00 | 604% above | — |
| Botox injections for chronic migraine inpatient CPT 64615 CDNV FACE TRIG,CS&ACC BIL | $13,177.00 | $13,177.00 | $9,882.75–$11,200.45 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG BREAST W/STEREO 1ST RT | $18,481.00 | $18,481.00 | $79.71–$18,481.00 | 521% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG BREAST W/STEREO 1ST LT | $18,481.00 | $18,481.00 | $79.71–$18,481.00 | 521% above | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG BREAST W/STEREO 1ST RT | $18,481.00 | $18,481.00 | $13,860.75–$15,708.85 | — | — |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG BREAST W/STEREO 1ST LT | $18,481.00 | $18,481.00 | $13,860.75–$15,708.85 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 P REDUC DSTL FIB W/O MANI | $1,599.00 | $1,599.00 | $63.96–$6,481.72 | 24% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 REDUCT DSTL FIB W/O MANIP | $1,599.00 | $1,599.00 | $63.96–$6,481.72 | 24% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 REDUCT DSTL FIB W/O MANIP | $1,599.00 | $1,599.00 | $1,199.25–$1,359.15 | — | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 P REDUC DSTL FIB W/O MANI | $1,599.00 | $1,599.00 | $1,199.25–$1,359.15 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 CATH LAB KIT A | $133,099.00 | $133,099.00 | $3,515.15–$133,099.00 | 3090% above | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH LAB KIT A | $133,099.00 | $133,099.00 | $16,732.00–$113,134.15 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EP ELECTV EXT CARDIOVERS | $3,380.00 | $3,380.00 | $135.20–$17,536.00 | 306% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION IN PACU | $18,847.00 | $18,847.00 | $523.18–$16,019.95 | 2163% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $18,847.00 | $18,847.00 | $523.18–$16,019.95 | 2163% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 P CARDIOVERSION | $18,847.00 | $18,847.00 | $523.18–$16,019.95 | 2163% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EP ELECTV EXT CARDIOVERS | $3,380.00 | $3,380.00 | $2,535.00–$16,732.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 P CARDIOVERSION | $18,847.00 | $18,847.00 | $14,135.25–$16,019.95 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $18,847.00 | $18,847.00 | $14,135.25–$16,019.95 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION IN PACU | $18,847.00 | $18,847.00 | $14,135.25–$16,019.95 | — | — |
| Catheter ablation for atrial fibrillation CPT 93656 EP ABLATION ATRIAL FIB | $135,001.00 | $135,001.00 | $4,015.00–$135,001.00 | 397% above | — |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP ABLATION ATRIAL FIB | $135,001.00 | $135,001.00 | $16,732.00–$114,750.85 | — | — |
| Cervical biopsy CPT 57500 CERVICAL BIOPSY/POLYP | $2,209.00 | $2,209.00 | $25.45–$6,481.72 | 77% above | — |
| Cervical biopsy inpatient CPT 57500 CERVICAL BIOPSY/POLYP | $2,209.00 | $2,209.00 | $1,656.75–$1,877.65 | — | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION IN NBN | $2,717.00 | $2,717.00 | $70.70–$7,687.00 | 16% below | — |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION | $2,717.00 | $2,717.00 | $70.70–$7,687.00 | 16% below | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION IN NBN | $2,717.00 | $2,717.00 | $2,037.75–$2,309.45 | — | — |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION | $2,717.00 | $2,717.00 | $2,037.75–$2,309.45 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 REDUCT DIST RADL W/O MAN | $1,599.00 | $1,599.00 | $63.96–$6,481.72 | 19% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 P REDUC DIST RAD W/O MANI | $1,599.00 | $1,599.00 | $63.96–$6,481.72 | 19% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 REDUCT DIST RADL W/O MAN | $1,599.00 | $1,599.00 | $1,199.25–$1,359.15 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 P REDUC DIST RAD W/O MANI | $1,599.00 | $1,599.00 | $1,199.25–$1,359.15 | — | — |
| Colonoscopy, diagnostic CPT 45378 COLONOSCOPY | $31,686.00 | $31,686.00 | $167.76–$31,686.00 | 2505% above | — |
| Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY | $31,686.00 | $31,686.00 | $23,764.50–$26,933.10 | — | — |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 LEEP | $22,558.00 | $22,558.00 | $84.84–$22,558.00 | 432% above | — |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 LEEP | $22,558.00 | $22,558.00 | $16,918.50–$19,174.30 | — | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLP W/BIO ENDO CURTTAGE | $3,451.00 | $3,451.00 | $87.11–$7,684.00 | 563% above | — |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLP W/BIO ENDO CURTTAGE | $3,451.00 | $3,451.00 | $2,588.25–$2,933.35 | — | — |
| Coronary stent placement, one artery CPT 92928 PTCA W/STNT EA ADL ART/BR | $41,141.00 | $41,141.00 | $1,645.64–$41,141.00 | 205% above | — |
| Coronary stent placement, one artery CPT 92928 PTCA-BMS 1ST VESSEL | $66,323.00 | $66,323.00 | $2,652.92–$66,323.00 | 391% above | — |
| Coronary stent placement, one artery inpatient CPT 92928 PTCA W/STNT EA ADL ART/BR | $41,141.00 | $41,141.00 | $16,732.00–$34,969.85 | — | — |
| Coronary stent placement, one artery inpatient CPT 92928 PTCA-BMS 1ST VESSEL | $66,323.00 | $66,323.00 | $16,732.00–$56,374.55 | — | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 POLYPECTOMY ENDOCERVICAL | $16,254.00 | $16,254.00 | $99.77–$16,254.00 | 283% above | — |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 POLYPECTOMY ENDOCERVICAL | $16,254.00 | $16,254.00 | $12,190.50–$13,815.90 | — | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 IRRIG/LAV EAR CERUMEN UNI | $411.00 | $411.00 | $7.25–$6,481.72 | 10% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 SM CERUM REMOVL IRRIG/LAV | $411.00 | $411.00 | $7.32–$6,481.72 | 10% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 P FB RMVL CERUMEN IRR/LAV | $411.00 | $411.00 | $7.32–$6,481.72 | 10% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 FB RMVL CERUMEN IRRIG/LAV | $411.00 | $411.00 | $7.32–$6,481.72 | 10% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 FB RMVL CERUMEN IRRIG/LAV | $411.00 | $411.00 | $308.25–$349.35 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 P FB RMVL CERUMEN IRR/LAV | $411.00 | $411.00 | $308.25–$349.35 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 SM CERUM REMOVL IRRIG/LAV | $411.00 | $411.00 | $308.25–$349.35 | — | — |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 IRRIG/LAV EAR CERUMEN UNI | $411.00 | $411.00 | $308.25–$349.35 | — | — |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL W/INSTRUM | $341.00 | $341.00 | $13.64–$6,481.72 | 22% above | — |
| Earwax removal with instruments, one ear CPT 69210 FB RMVL CERUMEN W/INSTRUM | $411.00 | $411.00 | $16.44–$6,481.72 | 47% above | — |
| Earwax removal with instruments, one ear CPT 69210 P FB RMVL CERUMEN W/INST | $411.00 | $411.00 | $16.44–$6,481.72 | 47% above | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 CERUMEN REMOVAL W/INSTRUM | $341.00 | $341.00 | $255.75–$289.85 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 FB RMVL CERUMEN W/INSTRUM | $411.00 | $411.00 | $308.25–$349.35 | — | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 P FB RMVL CERUMEN W/INST | $411.00 | $411.00 | $308.25–$349.35 | — | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMP W/O CER | $1,671.00 | $1,671.00 | $62.61–$6,481.72 | 523% above | — |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL SAMP W/O CER | $1,671.00 | $1,671.00 | $1,253.25–$1,420.35 | — | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPIDURAL INJ CERVICAL | $8,979.00 | $8,979.00 | $129.66–$8,979.00 | 849% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPIDURAL INJ CERVICAL | $8,979.00 | $8,979.00 | $6,734.25–$7,632.15 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR INJ LUMBAR FACET BIL | $15,751.00 | $15,751.00 | $102.22–$15,751.00 | 454% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 IR INJ LUMBAR FACET RT | $7,876.00 | $7,876.00 | $102.22–$7,876.00 | 177% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 IR INJ LUMBAR FACET LT | $7,876.00 | $7,876.00 | $102.22–$7,876.00 | 177% above | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR INJ LUMBAR FACET BIL | $15,751.00 | $15,751.00 | $11,813.25–$13,388.35 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 IR INJ LUMBAR FACET LT | $7,876.00 | $7,876.00 | $5,907.00–$6,694.60 | — | — |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 IR INJ LUMBAR FACET RT | $7,876.00 | $7,876.00 | $5,907.00–$6,694.60 | — | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGOGRAM INJ | $794.00 | $794.00 | $31.76–$6,481.72 | 71% above | — |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTEROSALPINGOGRAM INJ | $794.00 | $794.00 | $595.50–$674.90 | — | — |
| IUD insertion (the device itself billed separately) CPT 58300 IUD INSERTION | $1,246.00 | $1,246.00 | $49.84–$6,481.72 | 54% below | — |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 IUD INSERTION | $1,246.00 | $1,246.00 | $934.50–$1,059.10 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 US ABSCES DRAIN SUBCUT PR | $875.00 | $875.00 | $25.77–$6,481.72 | 154% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 ABSCESS DRAINAGE SUBCUT | $875.00 | $875.00 | $25.77–$6,481.72 | 154% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS | $1,038.00 | $1,038.00 | $25.77–$6,481.72 | 202% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D VAGINAL WALL | $1,999.00 | $1,999.00 | $25.77–$6,481.72 | 481% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 US ABSCES DRAIN SUBCUT PR | $875.00 | $875.00 | $656.25–$743.75 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ABSCESS DRAINAGE SUBCUT | $875.00 | $875.00 | $656.25–$743.75 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS | $1,038.00 | $1,038.00 | $778.50–$882.30 | — | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D VAGINAL WALL | $1,999.00 | $1,999.00 | $1,499.25–$1,699.15 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TENDON SHEATH/TRIGGER INJ | $481.00 | $481.00 | $19.24–$6,481.72 | 44% below | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SM INJ TENDN SHTH/LIGMNT | $1,525.00 | $1,525.00 | $32.23–$6,481.72 | 78% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SINGLE TEND,LIG,APON | $1,565.00 | $1,565.00 | $32.23–$6,481.72 | 83% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 US TENDON SHEATH INJEC RT | $2,041.00 | $2,041.00 | $32.23–$6,481.72 | 138% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 US TENDON SHEATH INJEC LT | $2,041.00 | $2,041.00 | $32.23–$6,481.72 | 138% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TENDON SHEATH/TRIGGER INJ | $481.00 | $481.00 | $360.75–$408.85 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SM INJ TENDN SHTH/LIGMNT | $1,525.00 | $1,525.00 | $1,143.75–$1,296.25 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SINGLE TEND,LIG,APON | $1,565.00 | $1,565.00 | $1,173.75–$1,330.25 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 US TENDON SHEATH INJEC RT | $2,041.00 | $2,041.00 | $1,530.75–$1,734.85 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 US TENDON SHEATH INJEC LT | $2,041.00 | $2,041.00 | $1,530.75–$1,734.85 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION JOINT | $584.00 | $584.00 | $23.36–$6,481.72 | 45% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JNT ASP/INJ W/O US | $1,948.00 | $1,948.00 | $39.57–$6,481.72 | 83% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT ASP/INJ | $1,948.00 | $1,948.00 | $39.57–$6,481.72 | 83% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 P MAJR JNT ASP/INJ W/O US | $1,948.00 | $1,948.00 | $39.57–$6,481.72 | 83% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MAJOR JOINT ASP/INJ BIL | $3,897.00 | $3,897.00 | $39.57–$6,481.72 | 266% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ORTHO INJ-DEPOMED W/ LIDO | $4,302.00 | $4,302.00 | $39.57–$6,481.72 | 304% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SM INJ/ASP MAJ JNT W/O US | $4,302.00 | $4,302.00 | $39.57–$6,481.72 | 304% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ORTHO INJ-DEPO W/LIDO BIL | $8,603.00 | $8,603.00 | $39.57–$8,603.00 | 708% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR HIP/KN/SHD ASP/INJ RT | $4,302.00 | $4,302.00 | $39.57–$6,481.72 | 304% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR HIP/KN/SHD ASP/INJ LT | $4,302.00 | $4,302.00 | $39.57–$6,481.72 | 304% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIRATION JOINT | $584.00 | $584.00 | $438.00–$496.40 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JNT ASP/INJ W/O US | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 P MAJR JNT ASP/INJ W/O US | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT ASP/INJ | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MAJOR JOINT ASP/INJ BIL | $3,897.00 | $3,897.00 | $2,922.75–$3,312.45 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SM INJ/ASP MAJ JNT W/O US | $4,302.00 | $4,302.00 | $3,226.50–$3,656.70 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ORTHO INJ-DEPOMED W/ LIDO | $4,302.00 | $4,302.00 | $3,226.50–$3,656.70 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ORTHO INJ-DEPO W/LIDO BIL | $8,603.00 | $8,603.00 | $6,452.25–$7,312.55 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR HIP/KN/SHD ASP/INJ RT | $4,302.00 | $4,302.00 | $3,226.50–$3,656.70 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR HIP/KN/SHD ASP/INJ LT | $4,302.00 | $4,302.00 | $3,226.50–$3,656.70 | — | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 NEXPLANON INSERTION | $666.00 | $666.00 | $26.64–$6,481.72 | 287% above | — |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 NEXPLANON INSERTION | $666.00 | $666.00 | $499.50–$566.10 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJ/ASP INTERMED JOINT | $1,421.00 | $1,421.00 | $25.73–$6,481.72 | 66% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SM INJ/ASP INTM JT W/O US | $1,525.00 | $1,525.00 | $25.73–$6,481.72 | 78% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMED ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $25.73–$6,481.72 | 127% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 P INTERM ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $25.73–$6,481.72 | 127% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERM JOINT ASP/INJ | $1,948.00 | $1,948.00 | $25.73–$6,481.72 | 127% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERM JOINT ASP/INJ BIL | $3,897.00 | $3,897.00 | $25.73–$6,481.72 | 354% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 US MAK WRST/ANK/FT/ELB RT | $1,370.00 | $1,370.00 | $25.73–$6,481.72 | 60% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 IR WR/ELB/ANK ASP/INJ LT | $1,370.00 | $1,370.00 | $25.73–$6,481.72 | 60% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 IR WR/ELB/ANK ASP/INJ RT | $1,370.00 | $1,370.00 | $25.73–$6,481.72 | 60% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 US MSK WRST/ANK/FT/ELB LT | $1,370.00 | $1,370.00 | $25.73–$6,481.72 | 60% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJ/ASP INTERMED JOINT | $1,421.00 | $1,421.00 | $1,065.75–$1,207.85 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SM INJ/ASP INTM JT W/O US | $1,525.00 | $1,525.00 | $1,143.75–$1,296.25 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERM JOINT ASP/INJ | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 P INTERM ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMED ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERM JOINT ASP/INJ BIL | $3,897.00 | $3,897.00 | $2,922.75–$3,312.45 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 US MAK WRST/ANK/FT/ELB RT | $1,370.00 | $1,370.00 | $1,027.50–$1,164.50 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 IR WR/ELB/ANK ASP/INJ LT | $1,370.00 | $1,370.00 | $1,027.50–$1,164.50 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 IR WR/ELB/ANK ASP/INJ RT | $1,370.00 | $1,370.00 | $1,027.50–$1,164.50 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 US MSK WRST/ANK/FT/ELB LT | $1,370.00 | $1,370.00 | $1,027.50–$1,164.50 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 JOINT INJECTION | $481.00 | $481.00 | $19.24–$6,481.72 | 34% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJ/ASP SMALL JOINT | $1,421.00 | $1,421.00 | $30.37–$6,481.72 | 95% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT ASP/INJ | $1,948.00 | $1,948.00 | $30.37–$6,481.72 | 167% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 P SM JNT ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $30.37–$6,481.72 | 167% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SM JOINT ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $30.37–$6,481.72 | 167% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SMALL JOINT ASP/INJ BIL | $3,897.00 | $3,897.00 | $30.37–$6,481.72 | 435% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 IR FINGR/TOE ASP/INJ LT | $1,395.00 | $1,395.00 | $30.37–$6,481.72 | 91% above | — |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 IR FINGR/TOE ASP/INJ RT | $1,395.00 | $1,395.00 | $30.37–$6,481.72 | 91% above | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 JOINT INJECTION | $481.00 | $481.00 | $360.75–$408.85 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJ/ASP SMALL JOINT | $1,421.00 | $1,421.00 | $1,065.75–$1,207.85 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 P SM JNT ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT ASP/INJ | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SM JOINT ASPIR/INJ W/O US | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SMALL JOINT ASP/INJ BIL | $3,897.00 | $3,897.00 | $2,922.75–$3,312.45 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 IR FINGR/TOE ASP/INJ RT | $1,395.00 | $1,395.00 | $1,046.25–$1,185.75 | — | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 IR FINGR/TOE ASP/INJ LT | $1,395.00 | $1,395.00 | $1,046.25–$1,185.75 | — | — |
| Left heart catheterization, diagnostic CPT 93452 CATH LAB KIT G | $119,803.00 | $119,803.00 | $3,515.15–$119,803.00 | 3262% above | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HEART CATH | $111,486.00 | $111,486.00 | $3,515.15–$111,486.00 | 3029% above | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 CATH LAB KIT G | $119,803.00 | $119,803.00 | $16,732.00–$101,832.55 | — | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 LEFT HEART CATH | $111,486.00 | $111,486.00 | $16,732.00–$94,763.10 | — | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJ/ANESTHESIA | $7,160.00 | $7,160.00 | $127.27–$7,160.00 | 198% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPIDURAL INJ LUMB/SAC | $7,876.00 | $7,876.00 | $127.27–$7,876.00 | 228% above | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJ/ANESTHESIA | $7,160.00 | $7,160.00 | $5,370.00–$6,086.00 | — | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPIDURAL INJ LUMB/SAC | $7,876.00 | $7,876.00 | $5,907.00–$6,694.60 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR INJ LUMBAR TRANSF BIL | $14,433.00 | $14,433.00 | $141.31–$14,433.00 | 382% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 IR INJ LUMBAR TRANSF LT | $7,216.00 | $7,216.00 | $141.31–$7,216.00 | 141% above | — |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 IR INJ LUMBAR TRANSF RT | $7,216.00 | $7,216.00 | $141.31–$7,216.00 | 141% above | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IR INJ LUMBAR TRANSF BIL | $14,433.00 | $14,433.00 | $10,824.75–$12,268.05 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 IR INJ LUMBAR TRANSF RT | $7,216.00 | $7,216.00 | $5,412.00–$6,133.60 | — | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 IR INJ LUMBAR TRANSF LT | $7,216.00 | $7,216.00 | $5,412.00–$6,133.60 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 REM NAIL PLATE SINGL SIMP | $955.00 | $955.00 | $38.20–$6,481.72 | 212% above | — |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE SINGL | $1,298.00 | $1,298.00 | $51.92–$6,481.72 | 324% above | — |
| Nail removal (partial or complete), one nail CPT 11730 P AVULSION NAILPLATE SNGL | $1,298.00 | $1,298.00 | $51.92–$6,481.72 | 324% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 REM NAIL PLATE SINGL SIMP | $955.00 | $955.00 | $716.25–$811.75 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION NAIL PLATE SINGL | $1,298.00 | $1,298.00 | $973.50–$1,103.30 | — | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 P AVULSION NAILPLATE SNGL | $1,298.00 | $1,298.00 | $973.50–$1,103.30 | — | — |
| Occipital nerve block (injection for headaches) CPT 64405 P GREAT OCCIPT NRVE BLOCK | $1,948.00 | $1,948.00 | $48.57–$6,481.72 | 45% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 GREAT OCCIPTL NERVE BLOCK | $1,948.00 | $1,948.00 | $48.57–$6,481.72 | 45% above | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 P GREAT OCCIPT NRVE BLOCK | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 GREAT OCCIPTL NERVE BLOCK | $1,948.00 | $1,948.00 | $1,461.00–$1,655.80 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 EP INS PACMKR ATRL & VENT | $61,051.00 | $61,051.00 | $2,442.04–$61,051.00 | 427% above | — |
| Pacemaker implant (dual chamber) CPT 33208 CATH LB PERM PACE INS DUA | $67,156.00 | $67,156.00 | $295.23–$67,156.00 | 479% above | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 EP INS PACMKR ATRL & VENT | $61,051.00 | $61,051.00 | $16,732.00–$51,893.35 | — | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 CATH LB PERM PACE INS DUA | $67,156.00 | $67,156.00 | $50,367.00–$57,082.60 | — | — |
| Paracentesis with imaging guidance CPT 49083 ICU POC US GUID ABD PAR | $721.00 | $721.00 | $28.84–$7,684.00 | 41% below | — |
| Paracentesis with imaging guidance CPT 49083 POC US GUIDED PARACENTES | $2,067.00 | $2,067.00 | $82.68–$7,684.00 | 70% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGE | $5,841.00 | $5,841.00 | $179.99–$7,684.00 | 382% above | — |
| Paracentesis with imaging guidance CPT 49083 P ABD PARACENTESIS W/IMAG | $5,841.00 | $5,841.00 | $179.99–$7,684.00 | 382% above | — |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS PROCEDURE | $8,436.00 | $8,436.00 | $179.99–$8,436.00 | 596% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ICU POC US GUID ABD PAR | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 POC US GUIDED PARACENTES | $2,067.00 | $2,067.00 | $1,550.25–$1,756.95 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGE | $5,841.00 | $5,841.00 | $4,380.75–$4,964.85 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 P ABD PARACENTESIS W/IMAG | $5,841.00 | $5,841.00 | $4,380.75–$4,964.85 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS PROCEDURE | $8,436.00 | $8,436.00 | $6,327.00–$7,170.60 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REM NAIL BED PERMANENT | $1,923.00 | $1,923.00 | $76.92–$6,481.72 | 236% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 P EXCISION OF NAIL | $4,927.00 | $4,927.00 | $123.84–$6,481.72 | 761% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL | $4,927.00 | $4,927.00 | $123.84–$6,481.72 | 761% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REM NAIL BED PERMANENT | $1,923.00 | $1,923.00 | $1,442.25–$1,634.55 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL | $4,927.00 | $4,927.00 | $3,695.25–$4,187.95 | — | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 P EXCISION OF NAIL | $4,927.00 | $4,927.00 | $3,695.25–$4,187.95 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 IR LUMB/SACR NRV BLK BIL | $15,751.00 | $15,751.00 | $256.25–$15,751.00 | 313% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 IR LUMB/SACR NRV BLK LT | $7,876.00 | $7,876.00 | $256.25–$7,876.00 | 107% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 IR LUMB/SACR NRV BLK RT | $7,876.00 | $7,876.00 | $256.25–$7,876.00 | 107% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 IR LUMB/SACR NRV BLK BIL | $15,751.00 | $15,751.00 | $11,813.25–$13,388.35 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 IR LUMB/SACR NRV BLK LT | $7,876.00 | $7,876.00 | $5,907.00–$6,694.60 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 IR LUMB/SACR NRV BLK RT | $7,876.00 | $7,876.00 | $5,907.00–$6,694.60 | — | — |
| Short arm splint (forearm and hand) CPT 29125 P APPLIC SHORT ARM SPLINT | $809.00 | $809.00 | $29.29–$1,538.00 | 5% above | — |
| Short arm splint (forearm and hand) CPT 29125 APPLIC SHORT ARM SPLINT | $809.00 | $809.00 | $29.29–$1,538.00 | 5% above | — |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT/VOLAR | $963.00 | $963.00 | $29.00–$1,538.00 | 25% above | — |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT | $1,620.00 | $1,620.00 | $29.29–$1,538.00 | 111% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 P APPLIC SHORT ARM SPLINT | $809.00 | $809.00 | $606.75–$687.65 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLIC SHORT ARM SPLINT | $809.00 | $809.00 | $606.75–$687.65 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT/VOLAR | $963.00 | $963.00 | $722.25–$818.55 | — | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT | $1,620.00 | $1,620.00 | $1,215.00–$1,377.00 | — | — |
| Short leg splint (calf to foot) CPT 29515 P APPLIC SHORT LEG SPLINT | $993.00 | $993.00 | $39.72–$1,538.00 | 57% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLIC SHORT LEG SPLINT | $993.00 | $993.00 | $39.72–$1,538.00 | 57% above | — |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT/POSTERIO | $1,447.00 | $1,447.00 | $42.00–$1,538.00 | 128% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 P APPLIC SHORT LEG SPLINT | $993.00 | $993.00 | $744.75–$844.05 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 APPLIC SHORT LEG SPLINT | $993.00 | $993.00 | $744.75–$844.05 | — | — |
| Short leg splint (calf to foot) inpatient CPT 29515 SHORT LEG SPLINT/POSTERIO | $1,447.00 | $1,447.00 | $1,085.25–$1,229.95 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LACERATION <2.5CM ARM/LEG | $1,043.00 | $1,043.00 | $38.00–$6,481.72 | 148% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LACERATION <2.5CM ARM/LEG | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF EXTRA DIGIT | $1,038.00 | $1,038.00 | $30.00–$6,481.72 | 113% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAG | $1,038.00 | $1,038.00 | $30.00–$6,481.72 | 113% above | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAG | $1,038.00 | $1,038.00 | $778.50–$882.30 | — | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF EXTRA DIGIT | $1,038.00 | $1,038.00 | $778.50–$882.30 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNC.FOR DIAG PROC | $3,434.00 | $3,434.00 | $90.42–$6,481.72 | 264% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE PROCEDURE | $3,434.00 | $3,434.00 | $90.42–$6,481.72 | 264% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 P LUMBAR PUNCTURE DIAGNOS | $11,405.00 | $11,405.00 | $90.42–$9,694.25 | 1108% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTR DIAGNOSTIC | $11,405.00 | $11,405.00 | $90.42–$9,694.25 | 1108% above | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNC.FOR DIAG PROC | $3,434.00 | $3,434.00 | $2,575.50–$2,918.90 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE PROCEDURE | $3,434.00 | $3,434.00 | $2,575.50–$2,918.90 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTR DIAGNOSTIC | $11,405.00 | $11,405.00 | $8,553.75–$9,694.25 | — | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 P LUMBAR PUNCTURE DIAGNOS | $11,405.00 | $11,405.00 | $8,553.75–$9,694.25 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LACERATION 2.5-7.5CM ARM/ | $1,162.00 | $1,162.00 | $46.48–$1,538.00 | 123% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 P WD CLOSURE SIMP 4 SITES | $18,198.00 | $18,198.00 | $50.90–$15,468.30 | 3398% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 WD CLOS SIMP/4 SITES | $18,198.00 | $18,198.00 | $50.90–$15,468.30 | 3398% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LACERATION 2.5-7.5CM ARM/ | $1,162.00 | $1,162.00 | $871.50–$987.70 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 P WD CLOSURE SIMP 4 SITES | $18,198.00 | $18,198.00 | $13,648.50–$15,468.30 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 WD CLOS SIMP/4 SITES | $18,198.00 | $18,198.00 | $13,648.50–$15,468.30 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LACERATION <2.5CM FACE | $1,043.00 | $1,043.00 | $37.80–$1,538.00 | 6% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LACERATION <2.5CM FACE | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX MUC/TNGNT SQ SING LSN | $955.00 | $955.00 | $38.20–$6,481.72 | 75% above | — |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX MUC/TNGNT SQ SING LSN | $955.00 | $955.00 | $716.25–$811.75 | — | — |
| Thoracentesis with imaging guidance CPT 32555 ICU POC US GUIDED THORAC | $721.00 | $721.00 | $28.84–$6,481.72 | 60% below | — |
| Thoracentesis with imaging guidance CPT 32555 IR THORAC W/IMAG GUID BIL | $12,521.00 | $12,521.00 | $385.15–$12,521.00 | 603% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 IR THORAC W/IMAG GUID LT | $6,260.00 | $6,260.00 | $250.40–$6,481.72 | 251% above | — |
| Thoracentesis with imaging guidance one side CPT 32555 IR THORAC W/IMAG GUID RT | $6,260.00 | $6,260.00 | $250.40–$6,481.72 | 251% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 ICU POC US GUIDED THORAC | $721.00 | $721.00 | $540.75–$612.85 | — | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 IR THORAC W/IMAG GUID BIL | $12,521.00 | $12,521.00 | $9,390.75–$10,642.85 | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 IR THORAC W/IMAG GUID RT | $6,260.00 | $6,260.00 | $4,695.00–$5,321.00 | — | — |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 IR THORAC W/IMAG GUID LT | $6,260.00 | $6,260.00 | $4,695.00–$5,321.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 SM TRIG PNT INJ 1-2 MUSC | $1,421.00 | $1,421.00 | $30.43–$6,481.72 | 258% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PNT INJ 1-2 MUSCL | $1,421.00 | $1,421.00 | $30.43–$6,481.72 | 258% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 SM TRIG PNT INJ 1-2 MUSC | $1,421.00 | $1,421.00 | $1,065.75–$1,207.85 | — | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER PNT INJ 1-2 MUSCL | $1,421.00 | $1,421.00 | $1,065.75–$1,207.85 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BREAST BX LOC/US INIT LT | $8,620.00 | $8,620.00 | $74.68–$8,620.00 | 190% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BREAST BX LOC/US INIT RT | $8,620.00 | $8,620.00 | $74.68–$8,620.00 | 190% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BX W/US GUID LT | $18,481.00 | $18,481.00 | $74.68–$18,481.00 | 521% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BREAST BX W/US GUID RT | $18,481.00 | $18,481.00 | $74.68–$18,481.00 | 521% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BREAST BX LOC/US INIT RT | $8,620.00 | $8,620.00 | $6,465.00–$7,327.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BREAST BX LOC/US INIT LT | $8,620.00 | $8,620.00 | $6,465.00–$7,327.00 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BREAST BX W/US GUID RT | $18,481.00 | $18,481.00 | $13,860.75–$15,708.85 | — | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BREAST BX W/US GUID LT | $18,481.00 | $18,481.00 | $13,860.75–$15,708.85 | — | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDO | $25,106.00 | $25,106.00 | $152.51–$25,106.00 | 1064% above | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDO | $25,106.00 | $25,106.00 | $18,829.50–$21,340.10 | — | — |
| Vein ablation, radiofrequency, first vein CPT 36475 RFA VEIN | $44,263.00 | $44,263.00 | $1,236.75–$44,263.00 | 810% above | — |
| Vein ablation, radiofrequency, first vein CPT 36475 IR RFA VEIN BIL | $45,498.00 | $45,498.00 | $1,236.75–$45,498.00 | 836% above | — |
| Vein ablation, radiofrequency, first vein one side CPT 36475 IR RFA VEIN RT | $22,749.00 | $22,749.00 | $909.96–$22,749.00 | 368% above | — |
| Vein ablation, radiofrequency, first vein one side CPT 36475 IR RFA VEIN LT | $22,749.00 | $22,749.00 | $909.96–$22,749.00 | 368% above | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 RFA VEIN | $44,263.00 | $44,263.00 | $33,197.25–$37,623.55 | — | — |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 IR RFA VEIN BIL | $45,498.00 | $45,498.00 | $34,123.50–$38,673.30 | — | — |
| Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 IR RFA VEIN LT | $22,749.00 | $22,749.00 | $17,061.75–$19,336.65 | — | — |
| Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 IR RFA VEIN RT | $22,749.00 | $22,749.00 | $17,061.75–$19,336.65 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SK/SUQ TISS-HBO | $999.00 | $999.00 | $39.42–$7,684.00 | 85% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN/TISS =<20SQCM | $3,071.00 | $3,071.00 | $39.42–$7,684.00 | 470% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SK/SUQ TISS-HBO | $999.00 | $999.00 | $749.25–$849.15 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRID SKIN/TISS =<20SQCM | $3,071.00 | $3,071.00 | $2,303.25–$2,610.35 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 ARC PACS CX BEFORE SETUP | $1,200.00 | $1,200.00 | $13.00–$6,481.72 | 44% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 ARC OFFHOURS RESPONSE FEE | $1,230.00 | $1,230.00 | $13.00–$6,481.72 | 48% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 EP BLOOD/BLD COMP TRANSFU | $2,343.00 | $2,343.00 | $13.00–$6,481.72 | 181% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 ARC NON-SCHED CASE FEE | $2,400.00 | $2,400.00 | $13.00–$6,481.72 | 188% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS/BLOOD 4-8 HR | $12,566.00 | $12,566.00 | $13.00–$10,681.10 | 1409% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANFUS/BLOODS UP TO 4 HR | $12,566.00 | $12,566.00 | $13.00–$10,681.10 | 1409% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 P BLOOD ADMINISTRATION | $12,566.00 | $12,566.00 | $13.00–$10,681.10 | 1409% above | — |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $12,566.00 | $12,566.00 | $13.00–$10,681.10 | 1409% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ARC PACS CX BEFORE SETUP | $1,200.00 | $1,200.00 | $900.00–$1,020.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ARC OFFHOURS RESPONSE FEE | $1,230.00 | $1,230.00 | $922.50–$1,045.50 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 EP BLOOD/BLD COMP TRANSFU | $2,343.00 | $2,343.00 | $1,757.25–$1,991.55 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ARC NON-SCHED CASE FEE | $2,400.00 | $2,400.00 | $1,800.00–$2,040.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $12,566.00 | $12,566.00 | $9,424.50–$10,681.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUS/BLOOD 4-8 HR | $12,566.00 | $12,566.00 | $9,424.50–$10,681.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANFUS/BLOODS UP TO 4 HR | $12,566.00 | $12,566.00 | $9,424.50–$10,681.10 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 P BLOOD ADMINISTRATION | $12,566.00 | $12,566.00 | $9,424.50–$10,681.10 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL | $1,560.00 | $1,560.00 | $37.37–$1,326.00 | 593% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEB INITIAL | $1,654.00 | $1,654.00 | $37.37–$1,405.90 | 634% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 STAT NEB TX | $4,907.00 | $4,907.00 | $37.37–$4,170.95 | 2079% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL | $1,560.00 | $1,560.00 | $1,170.00–$1,326.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEB INITIAL | $1,654.00 | $1,654.00 | $1,240.50–$1,405.90 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 STAT NEB TX | $4,907.00 | $4,907.00 | $3,680.25–$4,170.95 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 INFUSION MAB INIT 1ST HR | $2,916.00 | $2,916.00 | $116.64–$2,921.00 | 559% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 ONCOLOGY MAB 1ST HR INF | $2,916.00 | $2,916.00 | $116.64–$2,921.00 | 559% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF 1/HR SIN/INT | $2,916.00 | $2,916.00 | $116.64–$2,921.00 | 559% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 NON ONCOLOGY MAB 1ST HR | $2,916.00 | $2,916.00 | $116.64–$2,921.00 | 559% above | — |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION (PD) | $2,916.00 | $2,916.00 | $116.64–$2,921.00 | 559% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF 1/HR SIN/INT | $2,916.00 | $2,916.00 | $2,187.00–$2,478.60 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION (PD) | $2,916.00 | $2,916.00 | $2,187.00–$2,478.60 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 INFUSION MAB INIT 1ST HR | $2,916.00 | $2,916.00 | $2,187.00–$2,478.60 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 ONCOLOGY MAB 1ST HR INF | $2,916.00 | $2,916.00 | $2,187.00–$2,478.60 | — | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 NON ONCOLOGY MAB 1ST HR | $2,916.00 | $2,916.00 | $2,187.00–$2,478.60 | — | — |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE AUDIO | $4,307.00 | $4,307.00 | $125.24–$3,660.95 | 2237% above | — |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 COMPREHENSIVE AUDIO | $4,307.00 | $4,307.00 | $3,230.25–$3,660.95 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 LEVEL 6 | $20,582.00 | $20,582.00 | $878.85–$17,494.70 | 1798% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 P LEVEL 6 | $20,582.00 | $20,582.00 | $878.85–$17,494.70 | 1798% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 TRAUMA, MINOR | $33,853.00 | $33,853.00 | $920.87–$28,775.05 | 3022% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 TRAUMA, MAJOR | $43,416.00 | $43,416.00 | $920.87–$36,903.60 | 3904% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 P LEVEL 6 | $20,582.00 | $20,582.00 | $15,436.50–$17,494.70 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 LEVEL 6 | $20,582.00 | $20,582.00 | $15,436.50–$17,494.70 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 TRAUMA, MINOR | $33,853.00 | $33,853.00 | $25,389.75–$28,775.05 | — | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 TRAUMA, MAJOR | $43,416.00 | $43,416.00 | $32,562.00–$36,903.60 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG ROUTINE AWAKE&DROWSY | $8,722.00 | $8,722.00 | $242.93–$7,413.70 | 2428% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG ROUTINE AWAKE&DROWSY | $8,722.00 | $8,722.00 | $6,541.50–$7,413.70 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG POSTERIOR | $220.00 | $220.00 | $8.80–$1,302.00 | 195% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG (STROKE PROTOCOL) | $220.00 | $220.00 | $8.80–$1,302.00 | 195% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $334.00 | $334.00 | $13.36–$1,302.00 | 348% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ROUTINE | $391.00 | $391.00 | $15.64–$1,302.00 | 424% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE SPECIFY MEDS | $391.00 | $391.00 | $15.64–$1,302.00 | 424% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 PED EKG | $391.00 | $391.00 | $15.64–$1,302.00 | 424% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge one side CPT 93005 ECG RIGHT SIDED | $220.00 | $220.00 | $8.80–$1,302.00 | 195% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG (STROKE PROTOCOL) | $220.00 | $220.00 | $165.00–$187.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG POSTERIOR | $220.00 | $220.00 | $165.00–$187.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $334.00 | $334.00 | $250.50–$283.90 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 PED EKG | $391.00 | $391.00 | $293.25–$332.35 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE SPECIFY MEDS | $391.00 | $391.00 | $293.25–$332.35 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ROUTINE | $391.00 | $391.00 | $293.25–$332.35 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient one side CPT 93005 ECG RIGHT SIDED | $220.00 | $220.00 | $165.00–$187.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 | $6,206.00 | $6,206.00 | $94.87–$5,275.10 | 2742% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 P LEVEL 1 | $6,206.00 | $6,206.00 | $94.87–$5,275.10 | 2742% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 | $6,206.00 | $6,206.00 | $4,654.50–$5,275.10 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 P LEVEL 1 | $6,206.00 | $6,206.00 | $4,654.50–$5,275.10 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 | $8,171.00 | $8,171.00 | $172.75–$6,945.35 | 2658% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 P LEVEL 2 | $8,171.00 | $8,171.00 | $172.75–$6,945.35 | 2658% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 | $8,171.00 | $8,171.00 | $6,128.25–$6,945.35 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 P LEVEL 2 | $8,171.00 | $8,171.00 | $6,128.25–$6,945.35 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 | $10,451.00 | $10,451.00 | $302.61–$8,883.35 | 2729% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 P LEVEL 3 | $10,451.00 | $10,451.00 | $302.61–$8,883.35 | 2729% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 P LEVEL 3 | $10,451.00 | $10,451.00 | $7,838.25–$8,883.35 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 | $10,451.00 | $10,451.00 | $7,838.25–$8,883.35 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 P LEVEL 4 | $13,078.00 | $13,078.00 | $465.37–$11,116.30 | 2275% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 | $13,078.00 | $13,078.00 | $465.37–$11,116.30 | 2275% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 | $13,078.00 | $13,078.00 | $9,808.50–$11,116.30 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 P LEVEL 4 | $13,078.00 | $13,078.00 | $9,808.50–$11,116.30 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 P LEVEL 5 | $16,459.00 | $16,459.00 | $533.38–$13,990.15 | 1985% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 | $16,459.00 | $16,459.00 | $533.38–$13,990.15 | 1985% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 | $16,459.00 | $16,459.00 | $12,344.25–$13,990.15 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 P LEVEL 5 | $16,459.00 | $16,459.00 | $12,344.25–$13,990.15 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 ROUTINE STRESS TEST-CORPH | $8,119.00 | $8,119.00 | $242.93–$6,901.15 | 1948% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 NUCLEAR STRESS TEST | $15,816.00 | $15,816.00 | $242.93–$13,443.60 | 3890% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS TEST | $15,816.00 | $15,816.00 | $242.93–$13,443.60 | 3890% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGIC STRESS TEST | $15,816.00 | $15,816.00 | $242.93–$13,443.60 | 3890% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ROUTINE STRESS TEST-CORPH | $8,119.00 | $8,119.00 | $6,089.25–$6,901.15 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL STRESS TEST | $15,816.00 | $15,816.00 | $11,862.00–$13,443.60 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMACOLOGIC STRESS TEST | $15,816.00 | $15,816.00 | $11,862.00–$13,443.60 | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NUCLEAR STRESS TEST | $15,816.00 | $15,816.00 | $11,862.00–$13,443.60 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 OP PSYCHO FAM W/PT 50 MIN | $788.00 | $788.00 | $31.52–$669.80 | 306% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 OP PSYCHO FAM W/PT 50 MIN | $788.00 | $788.00 | $591.00–$712.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS INITIAL HYDRAT | $1,419.00 | $1,419.00 | $56.76–$1,206.15 | 470% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS INITIAL HYDRAT | $1,419.00 | $1,419.00 | $1,064.25–$1,206.15 | — | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION 1ST HR IR | $2,470.00 | $2,470.00 | $37.63–$2,099.50 | 841% above | — |
| IV infusion of a medicine, first hour CPT 96365 IV INF INITIAL UP 1 HR | $2,717.00 | $2,717.00 | $37.63–$2,309.45 | 935% above | — |
| IV infusion of a medicine, first hour CPT 96365 MED INFUSION | $2,811.00 | $2,811.00 | $37.63–$2,389.35 | 970% above | — |
| IV infusion of a medicine, first hour CPT 96365 P INFUSION INITIAL | $2,811.00 | $2,811.00 | $37.63–$2,389.35 | 970% above | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL | $2,811.00 | $2,811.00 | $37.63–$2,389.35 | 970% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION 1ST HR IR | $2,470.00 | $2,470.00 | $1,852.50–$2,099.50 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF INITIAL UP 1 HR | $2,717.00 | $2,717.00 | $2,037.75–$2,309.45 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 MED INFUSION | $2,811.00 | $2,811.00 | $2,108.25–$2,389.35 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INITIAL | $2,811.00 | $2,811.00 | $2,108.25–$2,389.35 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 P INFUSION INITIAL | $2,811.00 | $2,811.00 | $2,108.25–$2,389.35 | — | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL MED | $1,109.00 | $1,109.00 | $32.07–$942.65 | 376% above | — |
| IV push of a medicine, first drug CPT 96374 P IV PUSH INJ | $2,162.00 | $2,162.00 | $32.07–$1,837.70 | 827% above | — |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG | $2,162.00 | $2,162.00 | $32.07–$1,837.70 | 827% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL MED | $1,109.00 | $1,109.00 | $831.75–$942.65 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL DRUG | $2,162.00 | $2,162.00 | $1,621.50–$1,837.70 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 P IV PUSH INJ | $2,162.00 | $2,162.00 | $1,621.50–$1,837.70 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMINISTRATION FEE INJECT | $252.00 | $252.00 | $10.08–$1,847.00 | 201% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 MED ADMIN IM/SC | $834.00 | $834.00 | $11.85–$1,847.00 | 895% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 P AMINISTRATION FEE IM/SQ | $1,255.00 | $1,255.00 | $11.85–$1,066.75 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMINISTR FEE IM/INJ | $1,255.00 | $1,255.00 | $11.85–$1,066.75 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 MEDICATION ADMINISTRATION | $1,255.00 | $1,255.00 | $11.85–$1,847.00 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMINISTRATION SQ/IM MED | $1,255.00 | $1,255.00 | $11.85–$1,847.00 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ OR IM | $1,255.00 | $1,255.00 | $11.85–$1,847.00 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM MED ADMINISTRATION-MH | $1,255.00 | $1,255.00 | $11.85–$1,847.00 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN IM MEDICATION | $1,255.00 | $1,255.00 | $11.85–$1,066.75 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ | $1,255.00 | $1,255.00 | $11.85–$1,847.00 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ADMIN OF IM MEDS | $1,255.00 | $1,255.00 | $11.85–$1,066.75 | 1397% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMINISTRATION FEE INJECT | $252.00 | $252.00 | $189.00–$214.20 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MED ADMIN IM/SC | $834.00 | $834.00 | $625.50–$708.90 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN IM MEDICATION | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMINISTR FEE IM/INJ | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJ | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MEDICATION ADMINISTRATION | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMIN OF IM MEDS | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 P AMINISTRATION FEE IM/SQ | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ADMINISTRATION SQ/IM MED | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ OR IM | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM MED ADMINISTRATION-MH | $1,255.00 | $1,255.00 | $941.25–$1,066.75 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 OP PSYCH DIAGNOSTIC EVAL | $788.00 | $788.00 | $31.52–$1,018.00 | 316% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL | $788.00 | $788.00 | $31.52–$669.80 | 316% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL | $788.00 | $788.00 | $591.00–$669.80 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 OP PSYCH DIAGNOSTIC EVAL | $788.00 | $788.00 | $591.00–$712.00 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NCV 7-8 STUDIES | $30,743.00 | $30,743.00 | $105.07–$26,131.55 | 8812% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NCV 7-8 STUDIES | $30,743.00 | $30,743.00 | $23,057.25–$26,131.55 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-ED 15M | $703.00 | $703.00 | $28.12–$597.55 | 1605% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 BC NEUROMUSCUL RE-ED 15M | $1,043.00 | $1,043.00 | $34.37–$886.55 | 2429% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCUL REEDUCAT 15M | $1,043.00 | $1,043.00 | $34.37–$886.55 | 2429% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCL REEDUCAT 15MIN | $1,043.00 | $1,043.00 | $34.37–$886.55 | 2429% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE-ED 15M | $703.00 | $703.00 | $527.25–$597.55 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCL REEDUCAT 15MIN | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 BC NEUROMUSCUL RE-ED 15M | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCUL REEDUCAT 15M | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| New patient office visit, about 30 minutes CPT 99203 PHYS EXAM VISIT | $376.00 | $376.00 | $15.04–$319.60 | 285% above | — |
| New patient office visit, about 30 minutes CPT 99203 COT PHYS EXAM VISIT | $376.00 | $376.00 | $15.04–$319.60 | 285% above | — |
| New patient office visit, about 30 minutes CPT 99203 DOT PHYS VISIT W/DIP | $376.00 | $376.00 | $15.04–$319.60 | 285% above | — |
| New patient office visit, about 30 minutes CPT 99203 COT DOT PHYS VISIT | $376.00 | $376.00 | $15.04–$319.60 | 285% above | — |
| New patient office visit, about 30 minutes CPT 99203 INITIAL VISIT | $678.00 | $678.00 | $27.12–$576.30 | 594% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT SELF LOW COMPLEXIT | $864.00 | $864.00 | $34.56–$734.40 | 785% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW VST LEV 3 W/PROC/RES | $1,195.00 | $1,195.00 | $42.70–$1,015.75 | 1123% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW VST LEVL THREE/W PROC | $1,671.00 | $1,671.00 | $42.70–$1,420.35 | 1611% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW VST LEVL THREE W/PROC | $1,671.00 | $1,671.00 | $42.70–$1,420.35 | 1611% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW DET/LOW COMPLEX NURSE | $1,862.00 | $1,862.00 | $42.70–$1,582.70 | 1806% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW VISIT LEVEL 3/RESID | $2,566.00 | $2,566.00 | $42.70–$2,181.10 | 2527% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW VISIT LEVEL THREE | $2,717.00 | $2,717.00 | $42.70–$2,309.45 | 2682% above | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PT INTERMEDIATE-HBO | $5,667.00 | $5,667.00 | $42.70–$4,816.95 | 5702% above | — |
| New patient office visit, about 30 minutes CPT 99203 VISIT NEW PT INTERMEDIATE | $5,667.00 | $5,667.00 | $42.70–$4,816.95 | 5702% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 PHYS EXAM VISIT | $376.00 | $376.00 | $282.00–$319.60 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 DOT PHYS VISIT W/DIP | $376.00 | $376.00 | $282.00–$319.60 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 COT DOT PHYS VISIT | $376.00 | $376.00 | $282.00–$319.60 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 COT PHYS EXAM VISIT | $376.00 | $376.00 | $282.00–$319.60 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 INITIAL VISIT | $678.00 | $678.00 | $508.50–$576.30 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT SELF LOW COMPLEXIT | $864.00 | $864.00 | $648.00–$734.40 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW VST LEV 3 W/PROC/RES | $1,195.00 | $1,195.00 | $896.25–$1,015.75 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW VST LEVL THREE/W PROC | $1,671.00 | $1,671.00 | $1,253.25–$1,420.35 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW VST LEVL THREE W/PROC | $1,671.00 | $1,671.00 | $1,253.25–$1,420.35 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW DET/LOW COMPLEX NURSE | $1,862.00 | $1,862.00 | $1,396.50–$1,582.70 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW VISIT LEVEL 3/RESID | $2,566.00 | $2,566.00 | $1,924.50–$2,181.10 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW VISIT LEVEL THREE | $2,717.00 | $2,717.00 | $2,037.75–$2,309.45 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW PT INTERMEDIATE | $5,667.00 | $5,667.00 | $4,250.25–$4,816.95 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT INTERMEDIATE-HBO | $5,667.00 | $5,667.00 | $4,250.25–$4,816.95 | — | — |
| New patient office visit, about 45 minutes CPT 99204 NEW COMPRE/MOD COMPLEX | $1,153.00 | $1,153.00 | $46.12–$980.05 | 681% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW VST LEV 4 W/PROC/RES | $2,310.00 | $2,310.00 | $60.00–$1,963.50 | 1464% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW VST LEVL FOUR/ W PROC | $2,433.00 | $2,433.00 | $60.00–$2,068.05 | 1547% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW VST LEVL FOUR W/PROC | $2,433.00 | $2,433.00 | $60.00–$2,068.05 | 1547% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW VISIT LEVEL 4/RESID | $3,000.00 | $3,000.00 | $60.00–$2,550.00 | 1931% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT SELF MODER COMPLEX | $3,136.00 | $3,136.00 | $60.00–$2,665.60 | 2023% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW VISIT LEVEL FOUR | $3,168.00 | $3,168.00 | $60.00–$2,692.80 | 2045% above | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PT EXTENDED-HBO | $3,777.00 | $3,777.00 | $60.00–$3,210.45 | 2457% above | — |
| New patient office visit, about 45 minutes CPT 99204 VISIT NEW PT EXTENDED | $3,777.00 | $3,777.00 | $60.00–$3,210.45 | 2457% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW COMPRE/MOD COMPLEX | $1,153.00 | $1,153.00 | $864.75–$980.05 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW VST LEV 4 W/PROC/RES | $2,310.00 | $2,310.00 | $1,732.50–$1,963.50 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW VST LEVL FOUR/ W PROC | $2,433.00 | $2,433.00 | $1,824.75–$2,068.05 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW VST LEVL FOUR W/PROC | $2,433.00 | $2,433.00 | $1,824.75–$2,068.05 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW VISIT LEVEL 4/RESID | $3,000.00 | $3,000.00 | $2,250.00–$2,550.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT SELF MODER COMPLEX | $3,136.00 | $3,136.00 | $2,352.00–$2,665.60 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW VISIT LEVEL FOUR | $3,168.00 | $3,168.00 | $2,376.00–$2,692.80 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT EXTENDED-HBO | $3,777.00 | $3,777.00 | $2,832.75–$3,210.45 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW PT EXTENDED | $3,777.00 | $3,777.00 | $2,832.75–$3,210.45 | — | — |
| New patient office visit, about 60 minutes CPT 99205 NEW COMPRE/HIGH COMPLEX | $956.00 | $956.00 | $38.24–$812.60 | 458% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PT COMPLEX-HBO | $1,965.00 | $1,965.00 | $60.00–$1,670.25 | 1046% above | — |
| New patient office visit, about 60 minutes CPT 99205 VISIT NEW PATIENT COMPLEX | $1,965.00 | $1,965.00 | $60.00–$1,670.25 | 1046% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW VISIT LEVEL 5/RESID | $2,006.00 | $2,006.00 | $60.00–$1,705.10 | 1070% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW VST LEV 5 W/PROC/RES | $2,145.00 | $2,145.00 | $60.00–$1,823.25 | 1151% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW VST LEVL FIVE/ W PROC | $2,266.00 | $2,266.00 | $60.00–$1,926.10 | 1222% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW VST LEVL FIVE W/PROC | $2,266.00 | $2,266.00 | $60.00–$1,926.10 | 1222% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW VISIT LEVEL FIVE | $2,811.00 | $2,811.00 | $60.00–$2,389.35 | 1540% above | — |
| New patient office visit, about 60 minutes CPT 99205 NEW PT SELF HIGH COMPLEX | $3,543.00 | $3,543.00 | $60.00–$3,011.55 | 1967% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW COMPRE/HIGH COMPLEX | $956.00 | $956.00 | $717.00–$812.60 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW PATIENT COMPLEX | $1,965.00 | $1,965.00 | $1,473.75–$1,670.25 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT COMPLEX-HBO | $1,965.00 | $1,965.00 | $1,473.75–$1,670.25 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW VISIT LEVEL 5/RESID | $2,006.00 | $2,006.00 | $1,504.50–$1,705.10 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW VST LEV 5 W/PROC/RES | $2,145.00 | $2,145.00 | $1,608.75–$1,823.25 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW VST LEVL FIVE/ W PROC | $2,266.00 | $2,266.00 | $1,699.50–$1,926.10 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW VST LEVL FIVE W/PROC | $2,266.00 | $2,266.00 | $1,699.50–$1,926.10 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW VISIT LEVEL FIVE | $2,811.00 | $2,811.00 | $2,108.25–$2,389.35 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT SELF HIGH COMPLEX | $3,543.00 | $3,543.00 | $2,657.25–$3,011.55 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ANTHRAX EVALUATION | $240.00 | $240.00 | $9.60–$204.00 | 218% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ANTHRAX EVAL AFTER HOURS | $322.00 | $322.00 | $12.88–$273.70 | 326% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 AFTERCARE PROGRAM | $640.00 | $640.00 | $25.60–$544.00 | 747% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 CONSULT PRE LARYNGECTOMY | $662.00 | $662.00 | $26.48–$562.70 | 776% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 INITIAL CAST ROOM VISIT | $767.00 | $767.00 | $28.76–$651.95 | 915% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT SELF PROB FOCUSED | $854.00 | $854.00 | $28.76–$725.90 | 1030% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SENIORCARE | $903.00 | $903.00 | $28.76–$767.55 | 1095% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW PATIENT LIMITED | $963.00 | $963.00 | $28.76–$818.55 | 1174% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT LIMITED-HBO | $963.00 | $963.00 | $28.76–$818.55 | 1174% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT LEVEL 2/RESID | $1,008.00 | $1,008.00 | $28.76–$856.80 | 1234% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT LEVEL 1/RESID | $1,008.00 | $1,008.00 | $28.76–$856.80 | 1234% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PEDS VISIT NEW | $1,052.00 | $1,052.00 | $28.76–$894.20 | 1292% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VST LEV 1 W/PROC/RES | $1,078.00 | $1,078.00 | $28.76–$916.30 | 1326% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VST LEV 2 W/PROC/RES | $1,162.00 | $1,162.00 | $28.76–$987.70 | 1437% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW EXPANDED NURSE VISIT | $1,411.00 | $1,411.00 | $28.76–$1,199.35 | 1767% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW NURSE VISIT | $1,429.00 | $1,429.00 | $28.76–$1,214.65 | 1791% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW PATIENT BRIEF | $1,557.00 | $1,557.00 | $28.76–$1,323.45 | 1960% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT BRIEF-HBO | $1,557.00 | $1,557.00 | $28.76–$1,323.45 | 1960% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VST LEVEL TWO W/PROC | $1,628.00 | $1,628.00 | $28.76–$1,383.80 | 2054% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VST LEVEL TWO/W PROC | $1,628.00 | $1,628.00 | $28.76–$1,383.80 | 2054% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PR SELF PROB EXPANDED | $1,668.00 | $1,668.00 | $28.76–$1,417.80 | 2107% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 SM NEW VISIT | $1,885.00 | $1,885.00 | $28.76–$1,602.25 | 2394% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT LEVEL ONE | $1,885.00 | $1,885.00 | $28.76–$1,602.25 | 2394% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT LEVEL TWO | $1,885.00 | $1,885.00 | $28.76–$1,602.25 | 2394% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VIST LEVEL ONE/W PROC | $2,023.00 | $2,023.00 | $28.76–$1,719.55 | 2577% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VST LEVEL ONE W/PROC | $2,023.00 | $2,023.00 | $28.76–$1,719.55 | 2577% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ANTHRAX EVALUATION | $240.00 | $240.00 | $180.00–$204.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ANTHRAX EVAL AFTER HOURS | $322.00 | $322.00 | $241.50–$273.70 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 AFTERCARE PROGRAM | $640.00 | $640.00 | $480.00–$544.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CONSULT PRE LARYNGECTOMY | $662.00 | $662.00 | $496.50–$562.70 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 INITIAL CAST ROOM VISIT | $767.00 | $767.00 | $575.25–$651.95 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT SELF PROB FOCUSED | $854.00 | $854.00 | $640.50–$725.90 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SENIORCARE | $903.00 | $903.00 | $677.25–$767.55 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW PATIENT LIMITED | $963.00 | $963.00 | $722.25–$818.55 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT LIMITED-HBO | $963.00 | $963.00 | $722.25–$818.55 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VISIT LEVEL 2/RESID | $1,008.00 | $1,008.00 | $756.00–$856.80 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VISIT LEVEL 1/RESID | $1,008.00 | $1,008.00 | $756.00–$856.80 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PEDS VISIT NEW | $1,052.00 | $1,052.00 | $789.00–$894.20 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VST LEV 1 W/PROC/RES | $1,078.00 | $1,078.00 | $808.50–$916.30 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VST LEV 2 W/PROC/RES | $1,162.00 | $1,162.00 | $871.50–$987.70 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW EXPANDED NURSE VISIT | $1,411.00 | $1,411.00 | $1,058.25–$1,199.35 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW NURSE VISIT | $1,429.00 | $1,429.00 | $1,071.75–$1,214.65 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT BRIEF-HBO | $1,557.00 | $1,557.00 | $1,167.75–$1,323.45 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW PATIENT BRIEF | $1,557.00 | $1,557.00 | $1,167.75–$1,323.45 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VST LEVEL TWO W/PROC | $1,628.00 | $1,628.00 | $1,221.00–$1,383.80 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VST LEVEL TWO/W PROC | $1,628.00 | $1,628.00 | $1,221.00–$1,383.80 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PR SELF PROB EXPANDED | $1,668.00 | $1,668.00 | $1,251.00–$1,417.80 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 SM NEW VISIT | $1,885.00 | $1,885.00 | $1,413.75–$1,602.25 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VISIT LEVEL ONE | $1,885.00 | $1,885.00 | $1,413.75–$1,602.25 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VISIT LEVEL TWO | $1,885.00 | $1,885.00 | $1,413.75–$1,602.25 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VST LEVEL ONE W/PROC | $2,023.00 | $2,023.00 | $1,517.25–$1,719.55 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VIST LEVEL ONE/W PROC | $2,023.00 | $2,023.00 | $1,517.25–$1,719.55 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTR INITIAL 15MIN/UN | $189.00 | $189.00 | $7.56–$898.00 | 362% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OUTPT NUTRITION CONSULT | $1,805.00 | $1,805.00 | $22.22–$1,534.25 | 4309% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTR INITIAL 15MIN/UN | $189.00 | $189.00 | $141.75–$160.65 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OUTPT NUTRITION CONSULT | $1,805.00 | $1,805.00 | $1,353.75–$1,534.25 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT SENSIBILITY EVALUATION | $224.00 | $224.00 | $8.96–$368.00 | 74% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LC | $838.00 | $838.00 | $33.52–$712.30 | 550% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAULATION LC | $838.00 | $838.00 | $33.52–$712.30 | 550% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT SENSIBILITY EVALUATION | $224.00 | $224.00 | $168.00–$190.40 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LC | $838.00 | $838.00 | $628.50–$712.30 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAULATION LC | $838.00 | $838.00 | $628.50–$712.30 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HC | $1,375.00 | $1,375.00 | $55.00–$1,168.75 | 990% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HC | $1,375.00 | $1,375.00 | $1,031.25–$1,168.75 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 SULLIVAN POSTOFFER SCREEN | $306.00 | $306.00 | $12.24–$368.00 | 142% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 POST OFFER SCREEN RP DRIV | $322.00 | $322.00 | $12.88–$368.00 | 155% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TRENTON AVIATION | $557.00 | $557.00 | $22.28–$473.45 | 341% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 POST OFFER SCREEN GMH | $644.00 | $644.00 | $25.76–$547.40 | 410% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 POST OFFER SCREEN RC | $799.00 | $799.00 | $31.96–$679.15 | 533% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LC | $838.00 | $838.00 | $33.52–$712.30 | 564% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT PEDIATRIC BRIEF EVAL | $857.00 | $857.00 | $34.28–$728.45 | 579% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 SULLIVAN POSTOFFER SCREEN | $306.00 | $306.00 | $229.50–$260.10 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 POST OFFER SCREEN RP DRIV | $322.00 | $322.00 | $241.50–$273.70 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TRENTON AVIATION | $557.00 | $557.00 | $417.75–$473.45 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 POST OFFER SCREEN GMH | $644.00 | $644.00 | $483.00–$547.40 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 POST OFFER SCREEN RC | $799.00 | $799.00 | $599.25–$679.15 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LC | $838.00 | $838.00 | $628.50–$712.30 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT PEDIATRIC BRIEF EVAL | $857.00 | $857.00 | $642.75–$728.45 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MC | $1,093.00 | $1,093.00 | $43.72–$929.05 | 766% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MC | $1,093.00 | $1,093.00 | $819.75–$929.05 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MLD 15MINS | $678.00 | $678.00 | $27.12–$576.30 | 1826% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BC MANUAL THERAPY | $730.00 | $730.00 | $29.15–$620.50 | 1974% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY 15 MIN | $854.00 | $854.00 | $29.15–$725.90 | 2326% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M | $1,014.00 | $1,014.00 | $29.15–$861.90 | 2781% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $1,014.00 | $1,014.00 | $29.15–$861.90 | 2781% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MLD 15MIN | $1,014.00 | $1,014.00 | $29.15–$861.90 | 2781% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MLD 15MINS | $678.00 | $678.00 | $508.50–$576.30 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 BC MANUAL THERAPY | $730.00 | $730.00 | $547.50–$620.50 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY 15 MIN | $854.00 | $854.00 | $640.50–$725.90 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY | $1,014.00 | $1,014.00 | $760.50–$861.90 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MLD 15MIN | $1,014.00 | $1,014.00 | $760.50–$861.90 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15M | $1,014.00 | $1,014.00 | $760.50–$861.90 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXER/PROC 15M | $1,043.00 | $1,043.00 | $30.90–$886.55 | 2714% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX/PROC 15 | $1,043.00 | $1,043.00 | $30.90–$886.55 | 2714% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EX/PROC | $1,043.00 | $1,043.00 | $30.90–$886.55 | 2714% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BC THERAPEUTIC EXER 15M | $1,043.00 | $1,043.00 | $30.90–$886.55 | 2714% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXER/PROC 15M | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX/PROC | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BC THERAPEUTIC EXER 15M | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EX/PROC 15 | $1,043.00 | $1,043.00 | $782.25–$886.55 | — | — |
| Psychiatric evaluation with medical services CPT 90792 OP PSYCH DIAG EVAL W/MED | $788.00 | $788.00 | $31.52–$1,018.00 | 316% above | — |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SCR | $788.00 | $788.00 | $31.52–$669.80 | 316% above | — |
| Psychiatric evaluation with medical services CPT 90792 CRISIS EVALUATION -BASIC | $11,209.00 | $11,209.00 | $175.59–$9,527.65 | 5824% above | — |
| Psychiatric evaluation with medical services CPT 90792 CRISIS EVAL -INTERMEDIATE | $11,209.00 | $11,209.00 | $175.59–$9,527.65 | 5824% above | — |
| Psychiatric evaluation with medical services CPT 90792 CRISIS EVALUATION EXPAND | $11,209.00 | $11,209.00 | $175.59–$9,527.65 | 5824% above | — |
| Psychiatric evaluation with medical services CPT 90792 CRISIS EVAL-COMPREHENSIVE | $11,209.00 | $11,209.00 | $175.59–$9,527.65 | 5824% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 OP PSYCH DIAG EVAL W/MED | $788.00 | $788.00 | $591.00–$712.00 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SCR | $788.00 | $788.00 | $591.00–$669.80 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 CRISIS EVAL-COMPREHENSIVE | $11,209.00 | $11,209.00 | $8,406.75–$9,527.65 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 CRISIS EVALUATION EXPAND | $11,209.00 | $11,209.00 | $8,406.75–$9,527.65 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 CRISIS EVALUATION -BASIC | $11,209.00 | $11,209.00 | $8,406.75–$9,527.65 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 CRISIS EVAL -INTERMEDIATE | $11,209.00 | $11,209.00 | $8,406.75–$9,527.65 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 FOLLOW UP MOBILE OUTREACH | $1,172.00 | $1,172.00 | $46.88–$1,018.00 | 519% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 FOLLOW UP MOBILE OUTREACH | $1,172.00 | $1,172.00 | $879.00–$996.20 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 OP PSYCHOTHY W/ PT 30 MIN | $788.00 | $788.00 | $31.52–$669.80 | 343% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 OP PSYCHOTHY W/ PT 30 MIN | $788.00 | $788.00 | $591.00–$712.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB VISIT LEVEL 5/RESID | $2,079.00 | $2,079.00 | $40.00–$1,767.15 | 1375% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB VISIT LEVEL FIVE | $2,352.00 | $2,352.00 | $40.00–$1,999.20 | 1569% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST VST LEV 5/W PROC/RES | $2,591.00 | $2,591.00 | $40.00–$2,202.35 | 1739% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 TREATMT ROOM-COMPLEX | $2,624.00 | $2,624.00 | $40.00–$2,230.40 | 1762% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EMERG VISIT - NO LINE CHG | $2,845.00 | $2,845.00 | $40.40–$2,418.25 | 1919% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST VST LEVL FIVE W/PROC | $2,928.00 | $2,928.00 | $40.00–$2,488.80 | 1978% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST VST LEVL FIVE/ W PROC | $2,928.00 | $2,928.00 | $40.00–$2,488.80 | 1978% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EMERGENCY LINE CHG-INPT | $4,098.00 | $4,098.00 | $40.40–$3,483.30 | 2808% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EMERG VISIT-NO LN CHG 1HR | $4,248.00 | $4,248.00 | $40.40–$3,610.80 | 2915% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EMERG VISIT - LINE CHANGE | $4,411.00 | $4,411.00 | $40.40–$3,749.35 | 3030% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT ESTAB PT COMPLEX | $4,461.00 | $4,461.00 | $40.00–$3,791.85 | 3066% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT COMPLEX-HBO | $4,461.00 | $4,461.00 | $40.00–$3,791.85 | 3066% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB COMPRE/HIGH COMPLEX | $4,763.00 | $4,763.00 | $40.00–$4,048.55 | 3280% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EMERG VISIT-LINE CHG-CCPD | $4,916.00 | $4,916.00 | $40.40–$4,178.60 | 3389% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 RECONSULT HIGH COMPLEXITY | $6,405.00 | $6,405.00 | $40.00–$5,444.25 | 4445% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 FOL-UP COMP HIGH COMPLEX | $7,055.00 | $7,055.00 | $40.00–$5,996.75 | 4907% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB VISIT LEVEL 5/RESID | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB VISIT LEVEL FIVE | $2,352.00 | $2,352.00 | $1,764.00–$1,999.20 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST VST LEV 5/W PROC/RES | $2,591.00 | $2,591.00 | $1,943.25–$2,202.35 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TREATMT ROOM-COMPLEX | $2,624.00 | $2,624.00 | $1,968.00–$2,230.40 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EMERG VISIT - NO LINE CHG | $2,845.00 | $2,845.00 | $2,133.75–$2,418.25 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST VST LEVL FIVE W/PROC | $2,928.00 | $2,928.00 | $2,196.00–$2,488.80 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST VST LEVL FIVE/ W PROC | $2,928.00 | $2,928.00 | $2,196.00–$2,488.80 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EMERGENCY LINE CHG-INPT | $4,098.00 | $4,098.00 | $3,073.50–$3,483.30 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EMERG VISIT-NO LN CHG 1HR | $4,248.00 | $4,248.00 | $3,186.00–$3,610.80 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EMERG VISIT - LINE CHANGE | $4,411.00 | $4,411.00 | $3,308.25–$3,749.35 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB PT COMPLEX-HBO | $4,461.00 | $4,461.00 | $3,345.75–$3,791.85 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT ESTAB PT COMPLEX | $4,461.00 | $4,461.00 | $3,345.75–$3,791.85 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB COMPRE/HIGH COMPLEX | $4,763.00 | $4,763.00 | $3,572.25–$4,048.55 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EMERG VISIT-LINE CHG-CCPD | $4,916.00 | $4,916.00 | $3,687.00–$4,178.60 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 RECONSULT HIGH COMPLEXITY | $6,405.00 | $6,405.00 | $4,803.75–$5,444.25 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 FOL-UP COMP HIGH COMPLEX | $7,055.00 | $7,055.00 | $5,291.25–$5,996.75 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RESPIRATOR FIT TEST | $124.00 | $124.00 | $4.96–$105.40 | 17% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FOLLOW-UP VISIT | $591.00 | $591.00 | $23.50–$502.35 | 456% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 RECONSULT LOW COMPLEXITY | $864.00 | $864.00 | $23.50–$734.40 | 712% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CONSULT LOW COMPLEXITY | $1,183.00 | $1,183.00 | $23.50–$1,005.55 | 1012% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB VISIT LEVEL 3/RESID | $1,332.00 | $1,332.00 | $23.50–$1,132.20 | 1152% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TREATMT ROOM-BRIEF | $1,461.00 | $1,461.00 | $23.50–$1,241.85 | 1273% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB VISIT LEVEL THREE | $1,531.00 | $1,531.00 | $23.50–$1,301.35 | 1339% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST VST LEVL THREE W/PROC | $1,690.00 | $1,690.00 | $23.50–$1,436.50 | 1488% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST VST LEVL THRE/ W PROC | $1,690.00 | $1,690.00 | $23.50–$1,436.50 | 1488% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 FOLLOW UP EXPAND LOW COMP | $2,289.00 | $2,289.00 | $23.50–$1,945.65 | 2052% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB ROUTINE NURSE | $4,068.00 | $4,068.00 | $23.50–$3,457.80 | 3724% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT ESTAB PT INTERMEDIA | $4,498.00 | $4,498.00 | $23.50–$3,823.30 | 4128% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 P.D.CLINIC-NO LINE CHANGE | $6,084.00 | $6,084.00 | $23.74–$5,171.40 | 5619% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINIC VISIT HOME HEMO | $6,084.00 | $6,084.00 | $23.74–$5,171.40 | 5619% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 P.D. CLINIC - LINE CHG | $6,840.00 | $6,840.00 | $23.74–$5,814.00 | 6329% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PD CLINIC-LINE CHG -CCPD | $6,840.00 | $6,840.00 | $23.74–$5,814.00 | 6329% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT INTERMEDIATE-HBO | $8,307.00 | $8,307.00 | $23.50–$7,060.95 | 7708% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RESPIRATOR FIT TEST | $124.00 | $124.00 | $93.00–$105.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FOLLOW-UP VISIT | $591.00 | $591.00 | $443.25–$502.35 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 RECONSULT LOW COMPLEXITY | $864.00 | $864.00 | $648.00–$734.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CONSULT LOW COMPLEXITY | $1,183.00 | $1,183.00 | $887.25–$1,005.55 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB VISIT LEVEL 3/RESID | $1,332.00 | $1,332.00 | $999.00–$1,132.20 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TREATMT ROOM-BRIEF | $1,461.00 | $1,461.00 | $1,095.75–$1,241.85 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB VISIT LEVEL THREE | $1,531.00 | $1,531.00 | $1,148.25–$1,301.35 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST VST LEVL THRE/ W PROC | $1,690.00 | $1,690.00 | $1,267.50–$1,436.50 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST VST LEVL THREE W/PROC | $1,690.00 | $1,690.00 | $1,267.50–$1,436.50 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FOLLOW UP EXPAND LOW COMP | $2,289.00 | $2,289.00 | $1,716.75–$1,945.65 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB ROUTINE NURSE | $4,068.00 | $4,068.00 | $3,051.00–$3,457.80 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT ESTAB PT INTERMEDIA | $4,498.00 | $4,498.00 | $3,373.50–$3,823.30 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINIC VISIT HOME HEMO | $6,084.00 | $6,084.00 | $4,563.00–$5,171.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 P.D.CLINIC-NO LINE CHANGE | $6,084.00 | $6,084.00 | $4,563.00–$5,171.40 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PD CLINIC-LINE CHG -CCPD | $6,840.00 | $6,840.00 | $5,130.00–$5,814.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 P.D. CLINIC - LINE CHG | $6,840.00 | $6,840.00 | $5,130.00–$5,814.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PT INTERMEDIATE-HBO | $8,307.00 | $8,307.00 | $6,230.25–$7,060.95 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HSTRT PROBLEM VISIT CNM | $1,113.00 | $1,113.00 | $36.51–$946.05 | 852% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 TREATMT ROOM-INTERMEDIATE | $2,044.00 | $2,044.00 | $36.51–$1,737.40 | 1647% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB VISIT LEVEL 4/RESID | $2,079.00 | $2,079.00 | $36.51–$1,767.15 | 1677% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST VST LEV 4/W PROC/RES | $2,307.00 | $2,307.00 | $36.51–$1,960.95 | 1872% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB VISIT LEVEL FOUR | $2,352.00 | $2,352.00 | $36.51–$1,999.20 | 1911% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST VST LEVL FOUR/ W PROC | $2,614.00 | $2,614.00 | $36.51–$2,221.90 | 2135% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST VST LEVL FOUR W/PROC | $2,614.00 | $2,614.00 | $36.51–$2,221.90 | 2135% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 FOLLOW UP DETAIL MOD COMP | $3,523.00 | $3,523.00 | $36.51–$2,994.55 | 2912% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB COMPRE/MOD COMPLEX | $3,834.00 | $3,834.00 | $36.51–$3,258.90 | 3178% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CONSULT MODERATE COMPLEXI | $5,238.00 | $5,238.00 | $36.51–$4,452.30 | 4378% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CONSULT HIGH COMPLEXITY | $7,055.00 | $7,055.00 | $36.51–$5,996.75 | 5931% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT EXTENDED-HBO | $7,778.00 | $7,778.00 | $36.51–$6,611.30 | 6550% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT ESTAB PT EXTENDED | $7,778.00 | $7,778.00 | $36.51–$6,611.30 | 6550% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HSTRT PROBLEM VISIT CNM | $1,113.00 | $1,113.00 | $834.75–$946.05 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TREATMT ROOM-INTERMEDIATE | $2,044.00 | $2,044.00 | $1,533.00–$1,737.40 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB VISIT LEVEL 4/RESID | $2,079.00 | $2,079.00 | $1,559.25–$1,767.15 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST VST LEV 4/W PROC/RES | $2,307.00 | $2,307.00 | $1,730.25–$1,960.95 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB VISIT LEVEL FOUR | $2,352.00 | $2,352.00 | $1,764.00–$1,999.20 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST VST LEVL FOUR W/PROC | $2,614.00 | $2,614.00 | $1,960.50–$2,221.90 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST VST LEVL FOUR/ W PROC | $2,614.00 | $2,614.00 | $1,960.50–$2,221.90 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 FOLLOW UP DETAIL MOD COMP | $3,523.00 | $3,523.00 | $2,642.25–$2,994.55 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB COMPRE/MOD COMPLEX | $3,834.00 | $3,834.00 | $2,875.50–$3,258.90 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CONSULT MODERATE COMPLEXI | $5,238.00 | $5,238.00 | $3,928.50–$4,452.30 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CONSULT HIGH COMPLEXITY | $7,055.00 | $7,055.00 | $5,291.25–$5,996.75 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT ESTAB PT EXTENDED | $7,778.00 | $7,778.00 | $5,833.50–$6,611.30 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PT EXTENDED-HBO | $7,778.00 | $7,778.00 | $5,833.50–$6,611.30 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB VISIT LEVEL 2/RESID | $999.00 | $999.00 | $23.50–$849.15 | 936% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RECONSULT PROBLEM EXPANED | $1,132.00 | $1,132.00 | $23.50–$962.20 | 1074% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PEDS VISIT FOLLOW UP | $1,396.00 | $1,396.00 | $23.50–$1,186.60 | 1348% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST VST LEV 2/W PROC/RES | $1,476.00 | $1,476.00 | $23.50–$1,254.60 | 1430% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB VISIT LEVEL TWO | $1,507.00 | $1,507.00 | $23.50–$1,280.95 | 1463% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CONSULT PROBLEM EXPANDED | $1,560.00 | $1,560.00 | $23.50–$1,326.00 | 1518% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST VST LEVL TWO/W PROC | $1,668.00 | $1,668.00 | $23.50–$1,417.80 | 1630% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST VST LEVL TWO W/PROC | $1,668.00 | $1,668.00 | $23.50–$1,417.80 | 1630% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 FOLLOW UP PROBLEM EXPAND | $1,680.00 | $1,680.00 | $23.50–$1,428.00 | 1642% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HIGH RISK INFANT F/U | $1,965.00 | $1,965.00 | $23.50–$1,670.25 | 1938% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB EXPANDED NURSE | $2,142.00 | $2,142.00 | $23.50–$1,820.70 | 2121% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT LIMITED-HBO | $2,899.00 | $2,899.00 | $23.50–$2,464.15 | 2906% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT ESTAB PT LIMITED | $2,899.00 | $2,899.00 | $23.50–$2,464.15 | 2906% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PEDIATRIC FOLLOW UP | $4,222.00 | $4,222.00 | $23.50–$3,588.70 | 4278% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB VISIT LEVEL 2/RESID | $999.00 | $999.00 | $749.25–$849.15 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RECONSULT PROBLEM EXPANED | $1,132.00 | $1,132.00 | $849.00–$962.20 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PEDS VISIT FOLLOW UP | $1,396.00 | $1,396.00 | $1,047.00–$1,186.60 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST VST LEV 2/W PROC/RES | $1,476.00 | $1,476.00 | $1,107.00–$1,254.60 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB VISIT LEVEL TWO | $1,507.00 | $1,507.00 | $1,130.25–$1,280.95 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CONSULT PROBLEM EXPANDED | $1,560.00 | $1,560.00 | $1,170.00–$1,326.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST VST LEVL TWO W/PROC | $1,668.00 | $1,668.00 | $1,251.00–$1,417.80 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST VST LEVL TWO/W PROC | $1,668.00 | $1,668.00 | $1,251.00–$1,417.80 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 FOLLOW UP PROBLEM EXPAND | $1,680.00 | $1,680.00 | $1,260.00–$1,428.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HIGH RISK INFANT F/U | $1,965.00 | $1,965.00 | $1,473.75–$1,670.25 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB EXPANDED NURSE | $2,142.00 | $2,142.00 | $1,606.50–$1,820.70 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT ESTAB PT LIMITED | $2,899.00 | $2,899.00 | $2,174.25–$2,464.15 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT LIMITED-HBO | $2,899.00 | $2,899.00 | $2,174.25–$2,464.15 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PEDIATRIC FOLLOW UP | $4,222.00 | $4,222.00 | $3,166.50–$3,588.70 | — | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULT INTERMEDIATE-HBO | $4,093.00 | $4,093.00 | $64.70–$3,479.05 | 1537% above | — |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULT INTERMEDIATE-HBO | $4,093.00 | $4,093.00 | $3,069.75–$3,479.05 | — | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULT EXTENDED-HBO | $7,075.00 | $7,075.00 | $91.10–$6,013.75 | 14858% above | — |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULT EXTENDED-HBO | $7,075.00 | $7,075.00 | $5,306.25–$6,013.75 | — | — |
| Speech and language evaluation CPT 92523 BRIEF EVAL ADULT SPEECH | $1,175.00 | $1,175.00 | $47.00–$998.75 | 302% above | — |
| Speech and language evaluation CPT 92523 BRIEF EVAL PEDS SPEECH | $1,481.00 | $1,481.00 | $59.24–$1,258.85 | 407% above | — |
| Speech and language evaluation CPT 92523 EVAL SPEECH/LANG W/REPORT | $4,447.00 | $4,447.00 | $60.00–$3,779.95 | 1423% above | — |
| Speech and language evaluation CPT 92523 EVAL SPEECH/LANG | $5,919.00 | $5,919.00 | $60.00–$5,031.15 | 1926% above | — |
| Speech and language evaluation inpatient CPT 92523 BRIEF EVAL ADULT SPEECH | $1,175.00 | $1,175.00 | $881.25–$998.75 | — | — |
| Speech and language evaluation inpatient CPT 92523 BRIEF EVAL PEDS SPEECH | $1,346.00 | $1,346.00 | $1,009.50–$1,144.10 | — | — |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH/LANG W/REPORT | $4,447.00 | $4,447.00 | $3,335.25–$3,779.95 | — | — |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH/LANG | $5,381.00 | $5,381.00 | $4,035.75–$4,573.85 | — | — |
| Speech therapy session, individual CPT 92507 HVSD EDUCATION AUDIO OBS | $400.00 | $400.00 | $9.90–$1,546.00 | 307% above | — |
| Speech therapy session, individual CPT 92507 THERAPY SPEECH/LANG BRIEF | $928.00 | $928.00 | $37.12–$788.80 | 844% above | — |
| Speech therapy session, individual CPT 92507 THERAPY SPEECH/LANG | $2,765.00 | $2,765.00 | $60.00–$2,350.25 | 2714% above | — |
| Speech therapy session, individual CPT 92507 THERAPY SPEECH/LANG EXT | $3,136.00 | $3,136.00 | $60.00–$2,665.60 | 3091% above | — |
| Speech therapy session, individual inpatient CPT 92507 HVSD EDUCATION AUDIO OBS | $400.00 | $400.00 | $300.00–$340.00 | — | — |
| Speech therapy session, individual inpatient CPT 92507 THERAPY SPEECH/LANG BRIEF | $928.00 | $928.00 | $696.00–$788.80 | — | — |
| Speech therapy session, individual inpatient CPT 92507 THERAPY SPEECH/LANG | $2,765.00 | $2,765.00 | $2,073.75–$2,350.25 | — | — |
| Speech therapy session, individual inpatient CPT 92507 THERAPY SPEECH/LANG EXT | $3,136.00 | $3,136.00 | $2,352.00–$2,665.60 | — | — |
| Spirometry (breathing test) CPT 94010 PULMONARY FUNCTION TEST | $264.00 | $264.00 | $10.56–$3,798.00 | 42% above | — |
| Spirometry (breathing test) CPT 94010 RESP MECHANICS | $1,420.00 | $1,420.00 | $56.80–$3,798.00 | 662% above | — |
| Spirometry (breathing test) CPT 94010 SPIROMETRY W/MMV&FVL | $6,507.00 | $6,507.00 | $160.59–$5,530.95 | 3392% above | — |
| Spirometry (breathing test) inpatient CPT 94010 PULMONARY FUNCTION TEST | $264.00 | $264.00 | $198.00–$224.40 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 RESP MECHANICS | $1,420.00 | $1,420.00 | $1,065.00–$1,207.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/MMV&FVL | $6,507.00 | $6,507.00 | $4,880.25–$5,530.95 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 SPIRO W/MVV/FVL/BRONCHODL | $7,280.00 | $7,280.00 | $219.17–$6,188.00 | 2012% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIRO W/MVV/FVL/BRONCHODL | $7,280.00 | $7,280.00 | $5,460.00–$6,188.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT FUNCT ACTIVITIES 15MIN | $165.00 | $165.00 | $6.60–$368.00 | 270% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ACTIVITIES TRAINING 15MIN | $234.00 | $234.00 | $9.36–$368.00 | 424% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ACTIVITES TRAINING | $234.00 | $234.00 | $9.36–$368.00 | 424% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT FUNCT ACTIVITIES 15MIN | $165.00 | $165.00 | $123.75–$140.25 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ACTIVITES TRAINING | $234.00 | $234.00 | $175.50–$198.90 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ACTIVITIES TRAINING 15MIN | $234.00 | $234.00 | $175.50–$198.90 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY/THERAPEUTIC 1H | $2,428.00 | $2,428.00 | $52.52–$2,063.80 | 1422% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 RC THERAPEUTIC PHLEBOTOMY | $4,690.00 | $4,690.00 | $52.52–$3,986.50 | 2841% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY/THERAPEUTIC 1H | $2,428.00 | $2,428.00 | $1,821.00–$2,063.80 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 RC THERAPEUTIC PHLEBOTOMY | $4,690.00 | $4,690.00 | $3,517.50–$3,986.50 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE 0.5 ML | $2,712.00 | $2,712.00 | $108.48–$2,416.39 | 1757% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARIVAX VACCINE | $2,983.00 | $2,983.00 | $119.32–$2,657.85 | 1943% above | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE | $854.00 | $854.00 | $640.50–$760.91 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARIVAX VACCINE 0.5 ML | $2,712.00 | $2,712.00 | $2,034.00–$2,416.39 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX VACCINE 0.5 ML | $142.00 | $142.00 | $5.68–$126.52 | 228% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 TRIPEDIA VACCINE 0.5 ML | $2,726.00 | $2,726.00 | $109.04–$2,428.87 | 6197% above | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX VACCINE 0.5 ML | $142.00 | $142.00 | $106.50–$126.52 | — | — |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 TRIPEDIA VACCINE 0.5 ML | $2,726.00 | $2,726.00 | $2,044.50–$2,428.87 | — | — |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 PENTACEL KIT | $1,037.00 | $1,037.00 | $41.48–$923.97 | 985% above | — |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 PENTACEL KIT | $1,037.00 | $1,037.00 | $777.75–$923.97 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX 0.5ML TRIVAL VACC | $62.00 | $62.00 | $2.48–$55.24 | 47% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX 0.5ML TRIVAL VACC | $62.00 | $62.00 | $46.50–$55.24 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL VACCINE 0.5ML | $1,389.00 | $1,389.00 | $55.56–$1,237.60 | 482% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL | $2,431.00 | $2,431.00 | $97.24–$2,166.02 | 918% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL VACCINE 0.5ML | $1,389.00 | $1,389.00 | $1,041.75–$1,237.60 | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL | $2,431.00 | $2,431.00 | $1,823.25–$2,166.02 | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE | $591.00 | $591.00 | $23.64–$526.58 | 538% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACC 1440 UN | $784.00 | $784.00 | $31.36–$698.54 | 746% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE | $591.00 | $591.00 | $443.25–$526.58 | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACC 1440 UN | $784.00 | $784.00 | $588.00–$698.54 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE | $1,211.00 | $1,211.00 | $48.44–$1,079.00 | 1498% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B IG 0.5 ML | $2,940.00 | $2,940.00 | $70.38–$2,619.54 | 3779% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B 0.5 ML >20 | $2,940.00 | $2,940.00 | $70.38–$2,619.54 | 3779% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE | $1,211.00 | $1,211.00 | $908.25–$1,079.00 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B IG 0.5 ML | $2,940.00 | $2,940.00 | $2,205.00–$2,619.54 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B 0.5 ML >20 | $2,940.00 | $2,940.00 | $2,205.00–$2,619.54 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B 0.5 ML 0-11 | $542.00 | $542.00 | $21.68–$482.92 | 1708% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B 0.5 ML 0-11 | $542.00 | $542.00 | $406.50–$482.92 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB VACCINE 0.5 ML | $1,272.00 | $1,272.00 | $50.88–$1,133.35 | 11495% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ACTHIB VACCINE 0.5 ML | $1,272.00 | $1,272.00 | $954.00–$1,133.35 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE 0.5ML TRIV HD VAC | $229.00 | $229.00 | $9.16–$204.04 | 100% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HD QUAD (FLU VAC) | $315.00 | $315.00 | $12.60–$280.67 | 175% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE 0.5ML TRIV HD VAC | $229.00 | $229.00 | $171.75–$204.04 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HD QUAD (FLU VAC) | $315.00 | $315.00 | $236.25–$280.67 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 PRIORIX (MMR) 0.5ML VACC | $440.00 | $440.00 | $17.60–$392.04 | 569% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE | $1,659.00 | $1,659.00 | $66.36–$1,478.17 | 2422% above | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR II VACCINE 0.5 ML | $2,210.00 | $2,210.00 | $88.40–$1,969.11 | 3260% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 PRIORIX (MMR) 0.5ML VACC | $440.00 | $440.00 | $330.00–$392.04 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR VACCINE | $1,659.00 | $1,659.00 | $1,244.25–$1,478.17 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR II VACCINE 0.5 ML | $2,210.00 | $2,210.00 | $1,657.50–$1,969.11 | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO VACCINE 0.5ML | $1,272.00 | $1,272.00 | $50.88–$1,133.35 | 978% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO VACCINE 0.5ML | $1,272.00 | $1,272.00 | $954.00–$1,133.35 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5ML | $1,580.00 | $1,580.00 | $63.20–$1,407.78 | 688% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 0.5ML | $1,580.00 | $1,580.00 | $1,185.00–$1,407.78 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR-13 0.5 ML SYRINGE | $2,410.00 | $2,410.00 | $96.40–$2,147.31 | 879% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 0.5ML | $2,410.00 | $2,410.00 | $96.40–$2,147.31 | 879% above | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR-13 0.5 ML SYRINGE | $2,410.00 | $2,410.00 | $1,807.50–$2,147.31 | — | — |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PREVNAR 13 0.5ML | $2,410.00 | $2,410.00 | $1,807.50–$2,147.31 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR-20 0.5ML | $1,283.00 | $1,283.00 | $51.32–$1,143.15 | 557% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR-20 0.5ML | $1,283.00 | $1,283.00 | $962.25–$1,143.15 | — | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE 0.5ML VACCINE | $1,184.00 | $1,184.00 | $47.36–$1,054.94 | 189% above | — |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE 0.5ML VACCINE | $1,184.00 | $1,184.00 | $888.00–$1,054.94 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 0.5ML | $1,021.00 | $1,021.00 | $40.84–$909.71 | 474% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX-23 0.5 ML VIAL | $1,021.00 | $1,021.00 | $40.84–$909.71 | 474% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 0.5ML | $1,021.00 | $1,021.00 | $40.84–$909.71 | 474% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 0.5ML | $1,021.00 | $1,021.00 | $765.75–$909.71 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 0.5ML | $1,021.00 | $1,021.00 | $765.75–$909.71 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX-23 0.5 ML VIAL | $1,021.00 | $1,021.00 | $765.75–$909.71 | — | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 BEYFORTUS PFS 1ML | $2,561.00 | $2,561.00 | $102.44–$2,281.85 | 362% above | — |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 BEYFORTUS PFS 1ML | $2,561.00 | $2,561.00 | $1,920.75–$2,281.85 | — | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS PFS 0.5 ML | $2,561.00 | $2,561.00 | $102.44–$2,281.85 | 186% above | — |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS PFS 0.5 ML | $2,561.00 | $2,561.00 | $1,920.75–$2,281.85 | — | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACCINE (ABRYSVO)0.5M | $1,334.00 | $1,334.00 | $53.36–$1,188.59 | 63% above | — |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACCINE (ABRYSVO)0.5M | $1,334.00 | $1,334.00 | $1,000.50–$1,188.59 | — | — |
| Rabies vaccine, one dose CPT 90675 RABAVERT VACCINE | $1,420.00 | $1,420.00 | $56.80–$1,265.22 | 292% above | — |
| Rabies vaccine, one dose CPT 90675 IMOVAX | $3,189.00 | $3,189.00 | $127.56–$2,841.40 | 780% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE KIT 1 ML | $5,531.00 | $5,531.00 | $221.24–$4,928.12 | 1426% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT VACCINE | $1,420.00 | $1,420.00 | $1,065.00–$1,265.22 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 IMOVAX | $3,189.00 | $3,189.00 | $2,391.75–$2,841.40 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE KIT 1 ML | $5,531.00 | $5,531.00 | $4,148.25–$4,928.12 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX ORAL VACCINE 1ML | $156.00 | $156.00 | $6.24–$132.60 | 93% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTARIX 1.5ML ORAL VACC | $658.00 | $658.00 | $26.32–$559.30 | 714% above | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTARIX ORAL VACCINE 1ML | $156.00 | $156.00 | $117.00–$132.60 | — | — |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTARIX 1.5ML ORAL VACC | $658.00 | $658.00 | $493.50–$559.30 | — | — |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE 0.5ML | $934.00 | $934.00 | $37.36–$832.19 | 1294% above | — |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE 0.5ML | $934.00 | $934.00 | $700.50–$832.19 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPH TOXOID 1/2CC | $103.00 | $103.00 | $4.12–$91.77 | 136% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPTH TOX ADULT | $322.00 | $322.00 | $12.88–$286.90 | 637% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD ADULT 0.5ML | $354.00 | $354.00 | $14.16–$315.41 | 710% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE | $354.00 | $354.00 | $14.16–$315.41 | 710% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 ADACEL VACCINE 0.5ML | $640.00 | $640.00 | $25.60–$570.24 | 1364% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS DIPH TOXOID 1/2CC | $103.00 | $103.00 | $77.25–$91.77 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPTH TOX ADULT | $322.00 | $322.00 | $241.50–$286.90 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE | $354.00 | $354.00 | $265.50–$315.41 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD ADULT 0.5ML | $354.00 | $354.00 | $265.50–$315.41 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 ADACEL VACCINE 0.5ML | $640.00 | $640.00 | $480.00–$570.24 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP | $376.00 | $376.00 | $15.04–$335.02 | 567% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 0.5ML VIAL | $582.00 | $582.00 | $23.28–$518.56 | 933% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP | $376.00 | $376.00 | $282.00–$335.02 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 0.5ML VIAL | $582.00 | $582.00 | $436.50–$518.56 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION > 8YRS OLD | $24.00 | $24.00 | $0.96–$82.63 | 67% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION <8YRS OLD | $24.00 | $24.00 | $0.96–$82.63 | 67% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF H1N1 VACCINE | $110.00 | $110.00 | $4.40–$93.50 | 53% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 H1N1 VACCINE ADMIN | $110.00 | $110.00 | $4.40–$93.50 | 53% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VAC NON MEDIC | $208.00 | $208.00 | $8.32–$176.80 | 189% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINI OF VACCINE | $399.00 | $399.00 | $15.96–$339.15 | 454% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION TDAP | $1,395.00 | $1,395.00 | $19.19–$1,185.75 | 1838% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION | $1,395.00 | $1,395.00 | $19.19–$1,185.75 | 1838% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 P IMMUNIZATION | $1,395.00 | $1,395.00 | $19.19–$1,185.75 | 1838% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION > 8YRS OLD | $24.00 | $24.00 | $18.00–$20.40 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION <8YRS OLD | $24.00 | $24.00 | $18.00–$20.40 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN OF H1N1 VACCINE | $110.00 | $110.00 | $82.50–$93.50 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 H1N1 VACCINE ADMIN | $110.00 | $110.00 | $82.50–$93.50 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VAC NON MEDIC | $208.00 | $208.00 | $156.00–$176.80 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINI OF VACCINE | $399.00 | $399.00 | $299.25–$339.15 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 P IMMUNIZATION | $1,395.00 | $1,395.00 | $1,046.25–$1,185.75 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION TDAP | $1,395.00 | $1,395.00 | $1,046.25–$1,185.75 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION | $1,395.00 | $1,395.00 | $1,046.25–$1,185.75 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADD'L >8YR | $24.00 | $24.00 | $0.96–$38.00 | 31% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADD'L <8YRS | $24.00 | $24.00 | $0.96–$38.00 | 31% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN ADDTL VACCINE | $132.00 | $132.00 | $5.28–$112.20 | 280% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADD'L VACCNS | $1,487.00 | $1,487.00 | $11.11–$1,263.95 | 4179% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 P IMMUNIZATION ADD'L VACC | $1,487.00 | $1,487.00 | $11.11–$1,263.95 | 4179% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADD'L <8YRS | $24.00 | $24.00 | $18.00–$20.40 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADD'L >8YR | $24.00 | $24.00 | $18.00–$20.40 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN ADDTL VACCINE | $132.00 | $132.00 | $99.00–$112.20 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADD'L VACCNS | $1,487.00 | $1,487.00 | $1,115.25–$1,263.95 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 P IMMUNIZATION ADD'L VACC | $1,487.00 | $1,487.00 | $1,115.25–$1,263.95 | — | — |
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.