Canonsburg General Hospital
Canonsburg General Hospital in Canonsburg, PA publishes cash prices for 281 common procedures listed here, from its own machine-readable price file updated Oct 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 166 of 278 procedures and below it for 94. By typical cash price it ranks #55 of 108 Pennsylvania hospitals and #10 of 26 hospitals in the Pittsburgh, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
100 MEDICAL BOULEVARD, CANONSBURG, PA 15317 Collected Nov 6, 2026 Source price file Check a bill from this hospital (724) 745-6100
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 390160 · CMS hospital register NPI 1962401497
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Canonsburg General Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABD W/WO CNTRST | $2,265.12 | $2,904.00 | $110.19–$539.04 | 20% above | 22% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABD W/WO CNTRST | $2,265.12 | $2,904.00 | $197.75–$511.37 | — | 22% |
| Abdominal X-ray, 2 views CPT 74019 HC XR ABD AP W OBL CONE V | $411.06 | $527.00 | $25.82–$321.99 | 26% above | 22% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABD AP W OBL CONE V | $411.06 | $527.00 | $29.75–$66.02 | — | 22% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE >=3V COMPLT | $425.10 | $545.00 | $29.66–$266.61 | 17% above | 22% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE >=3V COMPLT | $425.10 | $545.00 | $29.66–$63.83 | — | 22% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXT WO CONTRAST | $1,082.64 | $1,388.00 | $65.82–$328.12 | 8% below | 22% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXT WO CONTRAST | $1,082.64 | $1,388.00 | $124.59–$328.12 | — | 22% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS W CNTRST | $687.18 | $881.00 | $36.00–$539.04 | 49% above | 22% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS W CNTRST | $687.18 | $881.00 | $79.03–$177.06 | — | 22% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE/JOINT IMG WB | $986.70 | $1,265.00 | $98.40–$1,216.72 | 20% below | 22% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE/JOINT IMG WB | $986.70 | $1,265.00 | $217.71–$558.59 | — | 22% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE | $560.04 | $718.00 | $65.82–$321.99 | 2% above | 22% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE | $560.04 | $718.00 | $83.45–$197.57 | — | 22% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED | $463.32 | $594.00 | $54.50–$266.61 | 1% above | 22% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED | $463.32 | $594.00 | $69.15–$161.95 | — | 22% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD&PELVIS W/WO CNTRST | $3,634.80 | $4,660.00 | $221.05–$1,081.37 | 22% above | 22% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD&PELVIS W/WO CNTRST | $3,634.80 | $4,660.00 | $316.62–$743.35 | — | 22% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CNTRST | $2,265.12 | $2,904.00 | $110.19–$545.08 | 33% above | 22% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CNTRST | $2,265.12 | $2,904.00 | $211.23–$545.08 | — | 22% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NK W/WO CNTRST | $2,265.12 | $2,904.00 | $110.19–$544.45 | 36% above | 22% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NK W/WO CNTRST | $2,265.12 | $2,904.00 | $211.23–$544.45 | — | 22% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/WO CNTRST | $2,265.12 | $2,904.00 | $110.19–$556.97 | 18% above | 22% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/WO CNTRST | $2,265.12 | $2,904.00 | $213.95–$556.97 | — | 22% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CORONARIES W CNTRST | $3,634.80 | $4,660.00 | $221.05–$1,081.37 | 84% above | 22% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CORONARIES W CNTRST | $3,634.80 | $4,660.00 | $235.67–$662.45 | — | 22% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT WO CNTRST W CA TEST | $896.22 | $1,149.00 | $54.50–$266.61 | 407% above | 22% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT WO CNTRST W CA TEST | $896.22 | $1,149.00 | $82.96–$192.41 | — | 22% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PELVIS WO CNTRST | $2,460.90 | $3,155.00 | $149.62–$731.92 | 18% above | 22% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PELVIS WO CNTRST | $2,460.90 | $3,155.00 | $153.01–$369.98 | — | 22% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD&PELVIS W CNTRST | $3,634.80 | $4,660.00 | $221.05–$1,081.37 | 22% above | 22% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD&PELVIS W CNTRST | $3,634.80 | $4,660.00 | $252.74–$600.72 | — | 22% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD&PELVIS W/WO CNTRST | $4,544.28 | $5,826.00 | $221.05–$1,081.37 | 52% above | 22% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD&PELVIS W/WO CNTRST | $4,544.28 | $5,826.00 | $283.50–$674.92 | — | 22% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABD W CNTRST | $1,811.94 | $2,323.00 | $110.19–$539.04 | 9% above | 22% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABD W CNTRST | $1,811.94 | $2,323.00 | $193.00–$453.48 | — | 22% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABD WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 4% below | 22% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD WO CNTRST | $1,082.64 | $1,388.00 | $114.06–$275.54 | — | 22% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAX/FAC WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 4% below | 22% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAX/FAC WO CNTRST | $1,082.64 | $1,388.00 | $106.71–$256.03 | — | 22% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | at median | 22% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CNTRST | $1,082.64 | $1,388.00 | $88.46–$212.91 | — | 22% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CNTRST | $1,811.94 | $2,323.00 | $110.19–$539.04 | 34% above | 22% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CNTRST | $1,811.94 | $2,323.00 | $123.64–$300.35 | — | 22% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/WO CNTRST | $2,265.12 | $2,904.00 | $110.19–$539.04 | 36% above | 22% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W/WO CNTRST | $2,265.12 | $2,904.00 | $144.67–$351.83 | — | 22% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 6% below | 22% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CNTRST | $1,082.64 | $1,388.00 | $107.67–$284.99 | — | 22% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERV SPINE WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 8% below | 22% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERV SPINE WO CNTRST | $1,082.64 | $1,388.00 | $108.48–$286.29 | — | 22% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CNTRST | $1,811.94 | $2,323.00 | $110.19–$539.04 | 7% above | 22% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CNTRST | $1,811.94 | $2,323.00 | $188.61–$443.34 | — | 22% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/WO CNTRST | $2,265.12 | $2,904.00 | $110.19–$539.04 | 41% above | 22% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W/WO CNTRST | $2,265.12 | $2,904.00 | $163.49–$426.29 | — | 22% |
| Chest X-ray, 2 views CPT 71046 HC XR CHEST 2V | $425.10 | $545.00 | $23.64–$266.61 | 32% above | 22% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2V | $425.10 | $545.00 | $27.31–$60.19 | — | 22% |
| Chest X-ray, single view CPT 71045 HC XR CHEST 1V | $340.08 | $436.00 | $12.98–$266.61 | 81% above | 22% |
| Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1V | $340.08 | $436.00 | $20.81–$47.14 | — | 22% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLT | $340.08 | $436.00 | $18.40–$266.61 | 19% above | 22% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLT | $340.08 | $436.00 | $26.42–$57.36 | — | 22% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RPERIT COMPLT | $560.04 | $718.00 | $65.82–$321.99 | 23% below | 22% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RPERIT COMPLT | $560.04 | $718.00 | $88.03–$208.55 | — | 22% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA BN DENSITY AXIAL | $411.06 | $527.00 | $31.58–$321.99 | 51% above | 22% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA BN DENSITY AXIAL | $411.06 | $527.00 | $31.58–$72.33 | — | 22% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA BN DENSITY PERIPHERAL | $340.08 | $436.00 | $25.67–$266.61 | 88% above | 22% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA BN DENSITY PERIPHERAL | $340.08 | $436.00 | $25.67–$59.45 | — | 22% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US DETAILED SINGLE FETUS | $1,272.96 | $1,632.00 | $145.16–$731.92 | 1% above | 22% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US DETAILED SINGLE FETUS | $1,272.96 | $1,632.00 | $145.16–$330.74 | — | 22% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 2% below | 22% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CNTRST | $1,082.64 | $1,388.00 | $110.95–$291.48 | — | 22% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CNTRST | $1,811.94 | $2,323.00 | $110.19–$539.04 | 27% above | 22% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CNTRST | $1,811.94 | $2,323.00 | $139.20–$360.69 | — | 22% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $429.00 | $550.00 | $128.83–$310.74 | — | 22% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI | $429.00 | $550.00 | $128.83–$310.74 | — | 22% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $343.98 | $441.00 | $101.82–$246.86 | 9% above | 22% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $343.98 | $441.00 | $101.82–$246.86 | — | 22% |
| Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2V | $340.08 | $436.00 | $18.40–$266.61 | 11% above | 22% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2V | $340.08 | $436.00 | $23.74–$52.20 | — | 22% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLT MIN 3V | $425.10 | $545.00 | $18.40–$266.61 | 23% above | 22% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLT MIN 3V | $425.10 | $545.00 | $26.71–$56.75 | — | 22% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$368.59 | at median | 22% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CNTRST | $1,082.64 | $1,388.00 | $132.60–$368.59 | — | 22% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BN MIN 3V | $411.06 | $527.00 | $34.26–$321.99 | at median | 22% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BN MIN 3V | $411.06 | $527.00 | $38.38–$84.17 | — | 22% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2V | $340.08 | $436.00 | $18.40–$266.61 | 21% above | 22% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2V | $340.08 | $436.00 | $23.74–$52.85 | — | 22% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILI SYS IMG W/WO GB IMG | $986.70 | $1,265.00 | $239.49–$1,216.72 | 20% below | 22% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILI SYS IMG W/WO GB IMG | $986.70 | $1,265.00 | $239.49–$606.94 | — | 22% |
| Hand X-ray, 2 views CPT 73120 HC XR HAND 2V | $411.06 | $527.00 | $16.00–$321.99 | 47% above | 22% |
| Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2V | $411.06 | $527.00 | $25.62–$55.42 | — | 22% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS MIN 2V | $340.08 | $436.00 | $18.40–$266.61 | 28% above | 22% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS MIN 2V | $340.08 | $436.00 | $23.20–$51.55 | — | 22% |
| Knee X-ray, 3 views CPT 73562 HC XR KNEE 3V | $425.10 | $545.00 | $26.40–$266.61 | 7% above | 22% |
| Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3V | $425.10 | $545.00 | $33.16–$71.59 | — | 22% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE MIN 4V COMPLT | $411.06 | $527.00 | $35.87–$321.99 | 6% below | 22% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE MIN 4V COMPLT | $411.06 | $527.00 | $38.32–$80.14 | — | 22% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXT WO CONTRAST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 2% above | 22% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXT WO CONTRAST | $1,082.64 | $1,388.00 | $107.94–$284.99 | — | 22% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABD LTD | $560.04 | $718.00 | $60.00–$321.99 | 8% below | 22% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABD LTD | $560.04 | $718.00 | $70.69–$168.00 | — | 22% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/NONVASC EXTREM STRUCT | $560.04 | $718.00 | $12.56–$321.99 | 42% above | 22% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/NONVASC EXTREM STRUCT | $560.04 | $718.00 | $51.71–$161.13 | — | 22% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCRN WO CONTRAST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 173% above | 22% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCRN WO CONTRAST | $1,082.64 | $1,388.00 | $114.65–$286.63 | — | 22% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA&FIBULA 2V | $340.08 | $436.00 | $25.62–$266.61 | 2% above | 22% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA&FIBULA 2V | $340.08 | $436.00 | $25.62–$56.06 | — | 22% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 13% above | 22% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CNTRST | $2,036.58 | $2,611.00 | $179.74–$449.34 | — | 22% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILAT W/CONTRAST | $2,100.54 | $2,693.00 | $286.22–$730.26 | — | 22% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST BILAT W/OUT & W/CON | $2,100.54 | $2,693.00 | $286.22–$730.26 | — | 22% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILAT W/OUT & W/CON | $2,100.54 | $2,693.00 | $286.22–$730.26 | — | 22% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST BILAT W/CONTRAST | $2,100.54 | $2,693.00 | $286.22–$730.26 | — | 22% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LE JNT WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | at median | 22% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LE JNT WO CNTRST | $2,036.58 | $2,611.00 | $169.22–$420.39 | — | 22% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LE JNT W/WO CNTRST | $3,760.38 | $4,821.00 | $221.05–$1,081.37 | 7% above | 22% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LE JNT W/WO CNTRST | $3,760.38 | $4,821.00 | $321.77–$826.74 | — | 22% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABD WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 3% above | 22% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABD WO CNTRST | $2,036.58 | $2,611.00 | $163.68–$414.45 | — | 22% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABD W/WO CNTRST | $3,760.38 | $4,821.00 | $221.05–$1,081.37 | 7% above | 22% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABD W/WO CNTRST | $3,760.38 | $4,821.00 | $282.38–$718.21 | — | 22% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 12% above | 22% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CNTRST | $2,036.58 | $2,611.00 | $163.97–$410.69 | — | 22% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CNTRST | $3,760.38 | $4,821.00 | $221.05–$1,081.37 | 30% above | 22% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CNTRST | $3,760.38 | $4,821.00 | $266.06–$671.00 | — | 22% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMB SPINE WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 14% above | 22% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMB SPINE WO CNTRST | $2,036.58 | $2,611.00 | $159.94–$400.37 | — | 22% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMB SPINE W/WO CNTRST | $3,760.38 | $4,821.00 | $221.05–$1,081.37 | 15% above | 22% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMB SPINE W/WO CNTRST | $3,760.38 | $4,821.00 | $266.87–$674.86 | — | 22% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THOR SPINE WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 2% below | 22% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THOR SPINE WO CNTRST | $2,036.58 | $2,611.00 | $159.14–$399.74 | — | 22% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERV SPINE W/WO CNTRST | $3,760.38 | $4,821.00 | $221.05–$1,081.37 | 29% above | 22% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERV SPINE W/WO CNTRST | $3,760.38 | $4,821.00 | $267.41–$676.15 | — | 22% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERV SPINE WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 16% above | 22% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERV SPINE WO CNTRST | $2,036.58 | $2,611.00 | $159.41–$399.74 | — | 22% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CNTRST | $3,760.38 | $4,821.00 | $221.05–$1,081.37 | 7% above | 22% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CNTRST | $3,760.38 | $4,821.00 | $281.30–$716.92 | — | 22% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 4% above | 22% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CNTRST | $2,036.58 | $2,611.00 | $191.33–$488.46 | — | 22% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPR EXT JNT WO CNTRST | $2,036.58 | $2,611.00 | $149.62–$731.92 | 4% below | 22% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPR EXT JNT WO CNTRST | $2,036.58 | $2,611.00 | $169.49–$422.35 | — | 22% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERV MIN 4V | $411.06 | $527.00 | $40.62–$321.99 | 7% below | 22% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERV MIN 4V | $411.06 | $527.00 | $43.50–$92.58 | — | 22% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NK/SOFT TISS W CNTRST | $1,811.94 | $2,323.00 | $110.19–$539.04 | 34% above | 22% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NK/SOFT TISS W CNTRST | $1,811.94 | $2,323.00 | $153.69–$372.89 | — | 22% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NK/SOFT TISS WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | at median | 22% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NK/SOFT TISS WO CNTRST | $1,082.64 | $1,388.00 | $125.14–$303.60 | — | 22% |
| Neck soft tissue X-ray CPT 70360 HC XR NK/SOFT TISS | $340.08 | $436.00 | $16.00–$266.61 | 21% above | 22% |
| Neck soft tissue X-ray inpatient CPT 70360 HC XR NK/SOFT TISS | $340.08 | $436.00 | $25.38–$56.16 | — | 22% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL PERF SPECT MULT | $3,207.36 | $4,112.00 | $340.80–$3,952.94 | 18% below | 22% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL PERF SPECT MULT | $3,207.36 | $4,112.00 | $350.28–$871.48 | — | 22% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W/CT SKULL-THIGH | $8,959.86 | $11,487.00 | $902.81–$4,416.55 | 24% above | 22% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W/CT SKULL-THIGH | $8,959.86 | $11,487.00 | $1,101.68–$2,800.36 | — | 22% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 1% below | 22% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CNTRST | $1,082.64 | $1,388.00 | $110.97–$268.02 | — | 22% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LTD/FU | $560.04 | $718.00 | $30.40–$321.99 | 25% above | 22% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LTD/FU | $560.04 | $718.00 | $40.28–$90.37 | — | 22% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS COMPLT | $560.04 | $718.00 | $65.82–$321.99 | 4% below | 22% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS COMPLT | $560.04 | $718.00 | $85.60–$201.89 | — | 22% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB OVER 14WKS SNGL | $560.04 | $718.00 | $65.82–$321.99 | 9% below | 22% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB OVER 14WKS SNGL | $560.04 | $718.00 | $110.35–$258.56 | — | 22% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB 1ST TRIMST TXABD SNGL | $560.04 | $718.00 | $61.42–$321.99 | at median | 22% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB 1ST TRIMST TXABD SNGL | $560.04 | $718.00 | $95.64–$226.40 | — | 22% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREG 1 OR MORE FETUSES LTD | $560.04 | $718.00 | $62.40–$321.99 | 5% above | 22% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREG 1 OR MORE FETUSES LTD | $560.04 | $718.00 | $65.94–$155.38 | — | 22% |
| Rib X-ray, one side, 2 views CPT 71100 HC XR RIB UNI 2V | $340.08 | $436.00 | $26.40–$266.61 | 1% above | 22% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIB UNI 2V | $340.08 | $436.00 | $29.73–$65.33 | — | 22% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIB UNI MIN 3V INCL PA CHST | $411.06 | $527.00 | $26.40–$321.99 | at median | 22% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIB UNI MIN 3V INCL PA CHST | $411.06 | $527.00 | $34.37–$75.21 | — | 22% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $351.78 | $451.00 | $103.90–$251.79 | — | 22% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $351.78 | $451.00 | $103.90–$251.79 | — | 22% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLT MIN 2V | $425.10 | $545.00 | $26.40–$266.61 | 26% above | 22% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLT MIN 2V | $425.10 | $545.00 | $28.33–$60.65 | — | 22% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUS MIN 3V | $425.10 | $545.00 | $30.54–$266.61 | at median | 22% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUS MIN 3V | $425.10 | $545.00 | $30.54–$67.27 | — | 22% |
| Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3V | $411.06 | $527.00 | $29.14–$321.99 | 15% above | 22% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3V | $411.06 | $527.00 | $29.14–$65.16 | — | 22% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR SWALLOWING STUDY W VIDEO | $687.18 | $881.00 | $44.80–$539.04 | 16% above | 22% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR SWALLOWING STUDY W VIDEO | $687.18 | $881.00 | $100.94–$236.58 | — | 22% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $425.10 | $545.00 | $27.28–$266.61 | 7% above | 22% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $425.10 | $545.00 | $28.87–$63.24 | — | 22% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THOR SPINE WO CNTRST | $1,082.64 | $1,388.00 | $65.82–$321.99 | 8% below | 22% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THOR SPINE WO CNTRST | $1,082.64 | $1,388.00 | $108.21–$286.29 | — | 22% |
| Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2V | $340.08 | $436.00 | $14.40–$266.61 | 21% above | 22% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2V | $340.08 | $436.00 | $23.69–$51.44 | — | 22% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TV | $560.04 | $718.00 | $65.82–$321.99 | at median | 22% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TV | $560.04 | $718.00 | $96.82–$226.34 | — | 22% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TV | $560.04 | $718.00 | $65.82–$321.99 | 1% above | 22% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TV | $560.04 | $718.00 | $75.48–$177.06 | — | 22% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABD COMPLT | $560.04 | $718.00 | $65.82–$321.99 | 29% below | 22% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABD COMPLT | $560.04 | $718.00 | $94.51–$226.89 | — | 22% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM | $560.04 | $718.00 | $65.82–$321.99 | 9% below | 22% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM | $560.04 | $718.00 | $81.23–$193.31 | — | 22% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD&NK SOFT TISS | $560.04 | $718.00 | $65.82–$321.99 | 2% below | 22% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD&NK SOFT TISS | $560.04 | $718.00 | $89.44–$212.91 | — | 22% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR UGI SINGLE CONTRAST | $687.18 | $881.00 | $62.40–$539.04 | 9% above | 22% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR UGI SINGLE CONTRAST | $687.18 | $881.00 | $99.66–$221.70 | — | 22% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2V | $340.08 | $436.00 | $18.40–$266.61 | 23% above | 22% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2V | $340.08 | $436.00 | $25.89–$57.36 | — | 22% |
| Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2V | $340.08 | $436.00 | $18.40–$266.61 | 24% above | 22% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2V | $340.08 | $436.00 | $27.50–$59.93 | — | 22% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST>=3V COMPLT | $425.10 | $545.00 | $18.40–$266.61 | 32% above | 22% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST>=3V COMPLT | $425.10 | $545.00 | $33.42–$70.91 | — | 22% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY HIP UNI 2-3 VIEWS | $425.10 | $545.00 | $35.78–$266.61 | 20% above | 22% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY HIP UNI 2-3 VIEWS | $425.10 | $545.00 | $38.59–$82.70 | — | 22% |
| X-ray of the abdomen, 1 view CPT 74018 HC XR ABD AP | $340.08 | $436.00 | $21.14–$266.61 | 21% above | 22% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABD AP | $340.08 | $436.00 | $24.57–$53.57 | — | 22% |
| X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2V | $340.08 | $436.00 | $18.40–$266.61 | 1% above | 22% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2V | $340.08 | $436.00 | $26.15–$58.00 | — | 22% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) MIN 2V | $340.08 | $436.00 | $14.40–$266.61 | 41% above | 22% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) MIN 2V | $340.08 | $436.00 | $30.94–$64.95 | — | 22% |
| X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2V | $340.08 | $436.00 | $16.00–$266.61 | 5% above | 22% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2V | $340.08 | $436.00 | $23.20–$50.92 | — | 22% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT >=3V COMPLT | $425.10 | $545.00 | $18.40–$266.61 | 17% above | 22% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT >=3V COMPLT | $425.10 | $545.00 | $27.78–$59.96 | — | 22% |
| X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3V | $340.08 | $436.00 | $18.40–$266.61 | 14% above | 22% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3V | $340.08 | $436.00 | $30.20–$63.83 | — | 22% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2V | $340.08 | $436.00 | $26.40–$266.61 | 21% above | 22% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2V | $340.08 | $436.00 | $27.77–$61.22 | — | 22% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2-3V | $411.06 | $527.00 | $32.42–$321.99 | 13% above | 22% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2-3V | $411.06 | $527.00 | $32.42–$69.84 | — | 22% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4V | $513.24 | $658.00 | $36.00–$321.99 | 13% above | 22% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBOSACRAL MIN 4V | $513.24 | $658.00 | $42.14–$88.68 | — | 22% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THOR 2V | $411.06 | $527.00 | $26.75–$321.99 | 13% above | 22% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THOR 2V | $411.06 | $527.00 | $26.75–$58.17 | — | 22% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BN MIN 3V | $340.08 | $436.00 | $18.40–$266.61 | 25% above | 22% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BN MIN 3V | $340.08 | $436.00 | $30.46–$66.41 | — | 22% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERV 2-3V | $425.10 | $545.00 | $26.40–$266.61 | 28% above | 22% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERV 2-3V | $425.10 | $545.00 | $32.15–$69.84 | — | 22% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2V | $411.06 | $527.00 | $16.00–$321.99 | 40% above | 22% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2V | $411.06 | $527.00 | $22.68–$52.26 | — | 22% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM COCCYX MIN 2V | $340.08 | $436.00 | $24.54–$266.61 | 1% above | 22% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM COCCYX MIN 2V | $340.08 | $436.00 | $26.44–$57.39 | — | 22% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ADRENOCORT HORMONE (ACTH) | $244.14 | $313.00 | $18.71–$99.64 | 10% above | 22% |
| ACTH blood test inpatient CPT 82024 HC ADRENOCORT HORMONE (ACTH) | $244.14 | $313.00 | $25.49–$46.42 | — | 22% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (SGPT) | $33.54 | $43.00 | $2.57–$14.70 | 8% below | 22% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (SGPT) | $33.54 | $43.00 | $3.50–$14.70 | — | 22% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (SGOT) | $32.76 | $42.00 | $2.51–$14.70 | 10% below | 22% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (SGOT) | $32.76 | $42.00 | $3.42–$14.70 | — | 22% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $301.08 | $386.00 | $23.07–$122.89 | 3% below | 22% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $301.08 | $386.00 | $31.44–$57.25 | — | 22% |
| Albumin blood test CPT 82040 HC ALBUMIN SRM/PLAS/WHOLE BLD | $31.98 | $41.00 | $2.40–$12.77 | at median | 22% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SRM/PLAS/WHOLE BLD | $31.98 | $41.00 | $3.27–$8.40 | — | 22% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $257.40 | $330.00 | $19.74–$105.14 | 23% above | 22% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $257.40 | $330.00 | $26.00–$48.98 | — | 22% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATASE | $32.76 | $42.00 | $2.51–$14.70 | 10% below | 22% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATASE | $32.76 | $42.00 | $3.42–$14.70 | — | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGN IGE QN CRUDE EXTRT EA | $32.76 | $42.00 | $2.53–$13.47 | 1% above | 22% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGN IGE QN CRUDE EXTRT EA | $32.76 | $42.00 | $3.44–$7.21 | — | 22% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM | $106.08 | $136.00 | $8.12–$43.27 | 4% below | 22% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM | $106.08 | $136.00 | $11.07–$20.16 | — | 22% |
| Ammonia blood test CPT 82140 HC AMMONIA | $92.04 | $118.00 | $5.00–$37.59 | 1% above | 22% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $92.04 | $118.00 | $5.00–$17.51 | — | 22% |
| Amylase blood test CPT 82150 HC AMYLASE | $40.56 | $52.00 | $3.14–$17.85 | 7% below | 22% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $40.56 | $52.00 | $4.28–$17.85 | — | 22% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATE PEPT AB | $81.90 | $105.00 | $6.27–$33.41 | 4% below | 22% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATE PEPT AB | $81.90 | $105.00 | $8.55–$15.56 | — | 22% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ABS (ANA) | $76.44 | $98.00 | $5.86–$31.19 | 3% above | 22% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ABS (ANA) | $76.44 | $98.00 | $7.98–$15.00 | — | 22% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $248.04 | $318.00 | $19.02–$101.29 | 25% above | 22% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $248.04 | $318.00 | $25.92–$47.19 | — | 22% |
| Basic metabolic panel (blood test) CPT 80048 HC BMP TOTAL CALCIUM | $53.04 | $68.00 | $4.10–$23.10 | 32% below | 22% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BMP TOTAL CALCIUM | $53.04 | $68.00 | $5.59–$23.10 | — | 22% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $31.98 | $41.00 | $2.43–$13.65 | at median | 22% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $31.98 | $41.00 | $3.31–$13.65 | — | 22% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $57.72 | $74.00 | $3.10–$23.45 | 285% above | 22% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC RESEARCH VENIPUNCTURE | $57.72 | $74.00 | $3.10–$23.45 | 285% above | 22% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $57.72 | $74.00 | $3.10–$11.74 | — | 22% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC RESEARCH VENIPUNCTURE | $57.72 | $74.00 | $3.10–$11.74 | — | 22% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD QUANT | $24.96 | $32.00 | $1.90–$11.55 | 3% below | 22% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD QUANT | $24.96 | $32.00 | $2.60–$11.55 | — | 22% |
| Blood lead test CPT 83655 HC LEAD | $76.44 | $98.00 | $5.87–$33.60 | 2% below | 22% |
| Blood lead test inpatient CPT 83655 HC LEAD | $76.44 | $98.00 | $8.00–$33.60 | — | 22% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUAL | $47.58 | $61.00 | $3.64–$21.00 | 5% below | 22% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUAL | $47.58 | $61.00 | $4.96–$21.00 | — | 22% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN) | $24.96 | $32.00 | $1.91–$11.55 | 8% below | 22% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN) | $24.96 | $32.00 | $2.61–$11.55 | — | 22% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $131.04 | $168.00 | $10.08–$53.69 | 21% above | 22% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $131.04 | $168.00 | $13.74–$28.75 | — | 22% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $32.76 | $42.00 | $2.51–$14.00 | 8% below | 22% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $32.76 | $42.00 | $3.00–$14.00 | — | 22% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSY TUMOR CA 19-9 | $131.04 | $168.00 | $10.08–$53.69 | 1% below | 22% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSY TUMOR CA 19-9 | $131.04 | $168.00 | $13.74–$25.01 | — | 22% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSY TUMO CA 125 | $131.04 | $168.00 | $10.08–$53.69 | at median | 22% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSY TUMO CA 125 | $131.04 | $168.00 | $13.74–$25.01 | — | 22% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $31.98 | $41.00 | $2.50–$14.70 | 5% below | 22% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL | $31.98 | $41.00 | $3.41–$14.70 | — | 22% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC AG (CEA) | $120.12 | $154.00 | $9.18–$65.00 | 1% above | 22% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC AG (CEA) | $120.12 | $154.00 | $12.52–$65.00 | — | 22% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER AB | $81.12 | $104.00 | $6.24–$33.23 | 4% below | 22% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER AB | $81.12 | $104.00 | $8.50–$17.81 | — | 22% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $85.02 | $109.00 | $6.49–$36.75 | 5% below | 22% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $85.02 | $109.00 | $8.83–$36.75 | — | 22% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC AUTO W AUTO DIFF | $49.14 | $63.00 | $3.76–$22.05 | 4% below | 22% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC AUTO W AUTO DIFF | $49.14 | $63.00 | $5.13–$22.05 | — | 22% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AUTO WO DIFF | $40.56 | $52.00 | $3.13–$17.85 | 6% below | 22% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTO WO DIFF | $40.56 | $52.00 | $4.27–$17.85 | — | 22% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PNL | $67.08 | $86.00 | $5.12–$29.40 | 24% below | 22% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PNL | $67.08 | $86.00 | $6.97–$29.40 | — | 22% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $102.96 | $132.00 | $7.90–$42.05 | at median | 22% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $102.96 | $132.00 | $10.76–$19.59 | — | 22% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL | $41.34 | $53.00 | $3.15–$17.85 | 8% below | 22% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL | $41.34 | $53.00 | $4.30–$17.85 | — | 22% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $31.98 | $41.00 | $2.48–$14.70 | 5% below | 22% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $31.98 | $41.00 | $3.38–$14.70 | — | 22% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS AB | $91.26 | $117.00 | $6.97–$37.13 | 6% above | 22% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS AB | $91.26 | $117.00 | $9.49–$19.83 | — | 22% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE | $64.74 | $83.00 | $4.93–$26.26 | 5% below | 22% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE | $64.74 | $83.00 | $6.72–$12.24 | — | 22% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $140.40 | $180.00 | $10.77–$57.35 | 5% above | 22% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE | $140.40 | $180.00 | $14.67–$26.72 | — | 22% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCRN CHEMISTRY ANALYZER | $392.34 | $503.00 | $30.10–$160.32 | 116% above | 22% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCRN CHEMISTRY ANALYZER | $392.34 | $503.00 | $41.01–$74.69 | — | 22% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $44.46 | $57.00 | $3.40–$19.95 | 16% below | 22% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $44.46 | $57.00 | $4.63–$19.95 | — | 22% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VCA AB | $114.66 | $147.00 | $8.79–$46.80 | at median | 22% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VCA AB | $114.66 | $147.00 | $11.97–$25.07 | — | 22% |
| Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL | $176.28 | $226.00 | $13.53–$72.09 | 6% above | 22% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL | $176.28 | $226.00 | $18.44–$33.58 | — | 22% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH (FOLLICLE STIM HORMONE) | $117.00 | $150.00 | $9.00–$63.00 | 2% below | 22% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH (FOLLICLE STIM HORMONE) | $117.00 | $150.00 | $12.27–$63.00 | — | 22% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $124.02 | $159.00 | $9.51–$50.65 | 4% below | 22% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $124.02 | $159.00 | $12.96–$23.59 | — | 22% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $86.58 | $111.00 | $6.60–$37.80 | at median | 22% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $86.58 | $111.00 | $9.00–$37.80 | — | 22% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTVTY | $60.84 | $78.00 | $4.71–$25.08 | 8% below | 22% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTVTY | $60.84 | $78.00 | $6.41–$11.68 | — | 22% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM | $92.82 | $119.00 | $7.12–$40.95 | 7% above | 22% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM | $92.82 | $119.00 | $9.70–$40.95 | — | 22% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE (T3) FREE | $106.86 | $137.00 | $8.21–$43.71 | at median | 22% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE (T3) FREE | $106.86 | $137.00 | $11.18–$23.41 | — | 22% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE (T4) FREE | $56.94 | $73.00 | $4.37–$25.20 | 5% below | 22% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE (T4) FREE | $56.94 | $73.00 | $5.95–$25.20 | — | 22% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $160.68 | $206.00 | $12.34–$87.00 | 1% above | 22% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $160.68 | $206.00 | $16.81–$87.00 | — | 22% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFE GAMMA (GGT) | $46.02 | $59.00 | $3.49–$18.58 | 3% below | 22% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFE GAMMA (GGT) | $46.02 | $59.00 | $4.75–$9.36 | — | 22% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL | $191.88 | $246.00 | $32.49–$99.48 | 1% above | 22% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL | $191.88 | $246.00 | $32.49–$99.48 | — | 22% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $30.42 | $39.00 | $2.30–$16.00 | 18% below | 22% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE | $30.42 | $39.00 | $3.14–$16.00 | — | 22% |
| Glucose tolerance test, 3 samples CPT 82951 HC GTT 3 SPECIMENS | $81.12 | $104.00 | $6.23–$35.70 | at median | 22% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GTT 3 SPECIMENS | $81.12 | $104.00 | $8.49–$35.70 | — | 22% |
| H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB | $106.86 | $137.00 | $8.16–$49.00 | 7% below | 22% |
| H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB | $106.86 | $137.00 | $11.12–$49.00 | — | 22% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1&2 AB SNGL RESULT DIAG | $123.24 | $158.00 | $6.64–$35.37 | 19% above | 22% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1&2 AB SNGL RESULT DIAG | $123.24 | $158.00 | $9.05–$29.40 | — | 22% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCATED A1C | $60.84 | $78.00 | $4.70–$27.30 | 19% above | 22% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCATED A1C | $60.84 | $78.00 | $6.41–$27.30 | — | 22% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $14.82 | $19.00 | $1.15–$7.35 | 14% below | 22% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $14.82 | $19.00 | $1.56–$7.35 | — | 22% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL | $75.66 | $97.00 | $5.84–$31.09 | 10% below | 22% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL | $75.66 | $97.00 | $7.95–$15.00 | — | 22% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB | $67.86 | $87.00 | $5.20–$27.71 | 7% below | 22% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB | $67.86 | $87.00 | $7.08–$13.18 | — | 22% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB | $89.70 | $115.00 | $6.91–$36.82 | 10% below | 22% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB | $89.70 | $115.00 | $9.42–$32.55 | — | 22% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 AB | $83.46 | $107.00 | $6.39–$34.03 | 4% above | 22% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 AB | $83.46 | $107.00 | $8.70–$18.22 | — | 22% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 AB | $122.46 | $157.00 | $9.37–$49.92 | 14% above | 22% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 AB | $122.46 | $157.00 | $12.77–$23.26 | — | 22% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PRO SENSITIVE | $81.90 | $105.00 | $6.27–$35.70 | 4% above | 22% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PRO SENSITIVE | $81.90 | $105.00 | $8.55–$35.70 | — | 22% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE | $113.10 | $145.00 | $8.68–$46.23 | 5% below | 22% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $113.10 | $145.00 | $11.83–$21.54 | — | 22% |
| Insulin blood test CPT 83525 HC INSULIN TOTAL | $72.54 | $93.00 | $5.54–$29.49 | at median | 22% |
| Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL | $72.54 | $93.00 | $7.55–$13.74 | — | 22% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $40.56 | $52.00 | $3.13–$17.85 | 11% below | 22% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $40.56 | $52.00 | $4.27–$17.85 | — | 22% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $55.38 | $71.00 | $4.23–$24.15 | 7% below | 22% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $55.38 | $71.00 | $5.00–$24.15 | — | 22% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $54.60 | $70.00 | $4.20–$24.15 | 20% below | 22% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $54.60 | $70.00 | $5.73–$24.15 | — | 22% |
| LH (luteinizing hormone) test CPT 83002 HC LH (LUTENIZING HORMONE) | $117.00 | $150.00 | $8.97–$63.00 | 2% below | 22% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LH (LUTENIZING HORMONE) | $117.00 | $150.00 | $12.22–$63.00 | — | 22% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID (LACT) | $73.32 | $94.00 | $5.60–$29.85 | 5% below | 22% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID (LACT) | $73.32 | $94.00 | $7.63–$13.91 | — | 22% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACT DEHYDROGENASE (LDH) | $38.22 | $49.00 | $2.93–$15.58 | 4% above | 22% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACT DEHYDROGENASE (LDH) | $38.22 | $49.00 | $3.98–$7.26 | — | 22% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $43.68 | $56.00 | $3.34–$18.90 | 7% below | 22% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $43.68 | $56.00 | $4.54–$18.90 | — | 22% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $52.26 | $67.00 | $3.96–$23.10 | 33% below | 22% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $52.26 | $67.00 | $5.39–$23.10 | — | 22% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE AB | $107.64 | $138.00 | $8.25–$43.94 | 14% above | 22% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE AB | $107.64 | $138.00 | $11.24–$38.85 | — | 22% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $42.12 | $54.00 | $3.25–$18.90 | 1% above | 22% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $42.12 | $54.00 | $4.42–$18.90 | — | 22% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB | $81.12 | $104.00 | $6.24–$35.70 | 1% above | 22% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB | $81.12 | $104.00 | $8.50–$35.70 | — | 22% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ABS SCREEN | $32.76 | $42.00 | $2.51–$14.70 | 12% below | 22% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ABS SCREEN | $32.76 | $42.00 | $3.42–$14.70 | — | 22% |
| Mumps immunity blood test CPT 86735 HC MUMPS AB | $81.90 | $105.00 | $6.32–$35.70 | 1% above | 22% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB | $81.90 | $105.00 | $8.61–$35.70 | — | 22% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $301.86 | $387.00 | $12.00–$123.35 | 3% below | 22% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $301.86 | $387.00 | $12.00–$57.46 | — | 22% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $116.22 | $149.00 | $8.91–$47.45 | 2% above | 22% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $116.22 | $149.00 | $12.13–$22.10 | — | 22% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL | $122.46 | $157.00 | $8.91–$50.40 | 12% above | 22% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL | $122.46 | $157.00 | $12.13–$50.40 | — | 22% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PTH) | $261.30 | $335.00 | $20.00–$106.50 | 20% above | 22% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PTH) | $261.30 | $335.00 | $27.25–$49.62 | — | 22% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME (APTT) | $38.22 | $49.00 | $2.91–$20.00 | 7% below | 22% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME (APTT) | $38.22 | $49.00 | $3.97–$20.00 | — | 22% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $30.42 | $39.00 | $2.30–$13.65 | 7% below | 22% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $30.42 | $39.00 | $3.12–$13.65 | — | 22% |
| Potassium blood test CPT 84132 HC POTASS SRM/PLAS/WHOLE BLOOD | $30.42 | $39.00 | $2.31–$12.60 | 5% below | 22% |
| Potassium blood test inpatient CPT 84132 HC POTASS SRM/PLAS/WHOLE BLOOD | $30.42 | $39.00 | $3.15–$12.60 | — | 22% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROM ANEUPLOIDY GENOMIC SEQ ANALY | $2,130.96 | $2,732.00 | $367.68–$1,958.35 | 9% below | 22% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROM ANEUPLOIDY GENOMIC SEQ ANALY | $2,130.96 | $2,732.00 | $500.97–$893.40 | — | 22% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $131.82 | $169.00 | $10.10–$53.82 | 4% below | 22% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $131.82 | $169.00 | $13.77–$25.07 | — | 22% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $122.46 | $157.00 | $9.39–$66.00 | 2% below | 22% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $122.46 | $157.00 | $12.79–$66.00 | — | 22% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $27.30 | $35.00 | $2.08–$11.55 | 4% below | 22% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $27.30 | $35.00 | $2.83–$11.55 | — | 22% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS | $79.56 | $102.00 | $6.10–$32.51 | 43% above | 22% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS | $79.56 | $102.00 | $8.32–$24.15 | — | 22% |
| Renin blood test CPT 84244 HC RENIN | $138.84 | $178.00 | $10.65–$56.73 | 4% below | 22% |
| Renin blood test inpatient CPT 84244 HC RENIN | $138.84 | $178.00 | $12.00–$26.43 | — | 22% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $35.88 | $46.00 | $2.75–$15.75 | 8% below | 22% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $35.88 | $46.00 | $3.74–$15.75 | — | 22% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB | $91.26 | $117.00 | $6.97–$39.90 | 8% above | 22% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB | $91.26 | $117.00 | $9.49–$39.90 | — | 22% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE AUTO | $17.16 | $22.00 | $1.31–$7.35 | 21% below | 22% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE AUTO | $17.16 | $22.00 | $1.78–$7.35 | — | 22% |
| Sodium blood test CPT 84295 HC SODIUM SRM/PLAS/WHOLE BLOOD | $30.42 | $39.00 | $2.33–$13.65 | 6% below | 22% |
| Sodium blood test inpatient CPT 84295 HC SODIUM SRM/PLAS/WHOLE BLOOD | $30.42 | $39.00 | $3.18–$13.65 | — | 22% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCC BLD FECES SCRN 1-3 SPEC | $27.30 | $35.00 | $2.12–$11.30 | 34% above | 22% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCC BLD FECES SCRN 1-3 SPEC | $27.30 | $35.00 | $2.89–$9.45 | — | 22% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLD OCC FECAL HGB DET IA QL1-3 | $113.88 | $146.00 | $2.80–$41.07 | 216% above | 22% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLD OCC FECAL HGB DET IA QL1-3 | $113.88 | $146.00 | $2.80–$38.85 | — | 22% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB | $83.46 | $107.00 | $6.41–$36.75 | 12% above | 22% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB | $83.46 | $107.00 | $8.73–$36.75 | — | 22% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUAL | $26.52 | $34.00 | $2.07–$15.00 | 6% below | 22% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUAL | $26.52 | $34.00 | $2.82–$15.00 | — | 22% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST GAMMA INTERFERON | $391.56 | $502.00 | $30.02–$159.91 | 26% above | 22% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST GAMMA INTERFERON | $391.56 | $502.00 | $40.91–$74.49 | — | 22% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $163.02 | $209.00 | $12.50–$88.00 | at median | 22% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $163.02 | $209.00 | $17.04–$88.00 | — | 22% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH | $92.04 | $118.00 | $7.05–$37.54 | 22% above | 22% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH | $92.04 | $118.00 | $7.91–$17.49 | — | 22% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $106.08 | $136.00 | $8.14–$46.20 | 6% above | 22% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $106.08 | $136.00 | $11.09–$46.20 | — | 22% |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN IGE | $103.74 | $133.00 | $7.97–$42.47 | at median | 22% |
| Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN IGE | $103.74 | $133.00 | $10.87–$19.78 | — | 22% |
| Total cholesterol blood test CPT 82465 HC CHOLEST SRM/WHOLE BLD TOTAL | $27.30 | $35.00 | $2.11–$12.60 | 10% below | 22% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLEST SRM/WHOLE BLD TOTAL | $27.30 | $35.00 | $2.87–$12.60 | — | 22% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T4) TOTAL | $43.68 | $56.00 | $3.33–$23.00 | 3% below | 22% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE (T4) TOTAL | $43.68 | $56.00 | $4.53–$23.00 | — | 22% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE (T3) TOTAL | $89.70 | $115.00 | $6.87–$36.58 | 7% below | 22% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE (T3) TOTAL | $89.70 | $115.00 | $8.00–$17.04 | — | 22% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $81.12 | $104.00 | $6.18–$32.92 | 6% below | 22% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $81.12 | $104.00 | $8.43–$17.00 | — | 22% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $36.66 | $47.00 | $2.78–$15.75 | 7% below | 22% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $36.66 | $47.00 | $3.78–$15.75 | — | 22% |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE | $78.78 | $101.00 | $6.04–$32.17 | 4% below | 22% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE | $78.78 | $101.00 | $8.23–$14.99 | — | 22% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $28.86 | $37.00 | $2.19–$12.60 | 9% below | 22% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $28.86 | $37.00 | $2.98–$12.60 | — | 22% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINE AUTO W MICROSCOPY | $20.28 | $26.00 | $1.54–$9.45 | 38% below | 22% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE AUTO W MICROSCOPY | $20.28 | $26.00 | $2.09–$9.45 | — | 22% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE AUTO WO MICROSCOPY | $14.04 | $18.00 | $1.09–$6.30 | 21% below | 22% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE AUTO WO MICROSCOPY | $14.04 | $18.00 | $1.49–$6.30 | — | 22% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS DIPSTICK WO MICRO POC | $21.84 | $28.00 | $1.69–$8.98 | 4% above | 22% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS DIPSTICK WO MICRO POC | $21.84 | $28.00 | $2.30–$7.35 | — | 22% |
| Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN URINE QUANT | $36.66 | $47.00 | $2.80–$14.91 | 7% below | 22% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN URINE QUANT | $36.66 | $47.00 | $3.82–$14.70 | — | 22% |
| Urine pregnancy test, read by color change CPT 81025 HC PREG TEST URINE VIS COMP | $53.82 | $69.00 | $4.00–$22.21 | 46% above | 22% |
| Urine pregnancy test, read by color change CPT 81025 HC PREG TEST URINE VIS COMP POC | $53.82 | $69.00 | $4.00–$22.21 | 46% above | 22% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREG TEST URINE VIS COMP | $53.82 | $69.00 | $4.00–$17.85 | — | 22% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREG TEST URINE VIS COMP POC | $53.82 | $69.00 | $4.00–$17.85 | — | 22% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $95.16 | $122.00 | $7.30–$40.95 | 1% above | 22% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $95.16 | $122.00 | $9.96–$40.95 | — | 22% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $186.42 | $239.00 | $14.34–$80.85 | 25% above | 22% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $186.42 | $239.00 | $19.54–$80.85 | — | 22% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $243.36 | $312.00 | $18.65–$99.33 | 1% above | 22% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DIHYDROXY | $243.36 | $312.00 | $25.41–$53.78 | — | 22% |
| Zinc blood test CPT 84630 HC ZINC | $72.54 | $93.00 | $5.52–$29.39 | at median | 22% |
| Zinc blood test inpatient CPT 84630 HC ZINC | $72.54 | $93.00 | $7.51–$13.69 | — | 22% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE | $95.16 | $122.00 | $7.29–$38.83 | 6% above | 22% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE | $95.16 | $122.00 | $9.93–$18.09 | — | 22% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC | $4,549.74 | $5,833.00 | $8.00–$4,906.02 | 16% above | 22% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC | $4,549.74 | $5,833.00 | $131.34–$324.92 | — | 22% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CFX DISTL FIB WO MANIP | $673.92 | $864.00 | $22.72–$1,241.60 | 2% above | 22% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CFX DISTL FIB WO MANIP | $673.92 | $864.00 | $124.43–$729.75 | — | 22% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CFX METATARSAL WO MANIP | $673.92 | $864.00 | $37.14–$1,241.60 | 29% above | 22% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CFX METATARSAL WO MANIP | $673.92 | $864.00 | $88.73–$507.15 | — | 22% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CFX DIST RADL WO MANIP | $673.92 | $864.00 | $11.59–$1,241.60 | 2% above | 22% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CFX DIST RADL WO MANIP | $673.92 | $864.00 | $120.23–$983.22 | — | 22% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM CERUMEN IRRIG/LAVAGE BIL | $166.92 | $214.00 | $12.83–$1,241.60 | 19% above | 22% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM CERUMEN IRRIG/LAVAGE UNI | $166.92 | $214.00 | $12.83–$1,241.60 | 19% above | 22% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM CERUMEN IRRIG/LAVAGE UNI | $166.92 | $214.00 | $12.83–$43.42 | — | 22% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM CERUMEN IRRIG/LAVAGE BIL | $166.92 | $214.00 | $12.83–$43.42 | — | 22% |
| Earwax removal with instruments, one ear CPT 69210 HC RMVL IMPACTED CERUMEN | $166.92 | $214.00 | $26.43–$1,241.60 | 24% above | 22% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC RMVL IMPACTED CERUMEN | $166.92 | $214.00 | $26.43–$135.07 | — | 22% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLAMINAR CRV/THRC W/ IMAG | $2,431.26 | $3,117.00 | $87.57–$2,096.92 | 1% above | 22% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX INTERLAMINAR CRV/THRC W/ IMAG | $2,431.26 | $3,117.00 | $87.57–$207.56 | — | 22% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARAVRT JT L/S 1 LVL | $2,499.90 | $3,205.00 | $73.77–$2,695.76 | 74% above | 22% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARAVRT JT L/S 1 LVL | $2,499.90 | $3,205.00 | $73.77–$172.81 | — | 22% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC SMPL/SNGL | $558.48 | $716.00 | $14.00–$990.40 | 9% above | 22% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC SMPL/SNGL | $558.48 | $716.00 | $24.68–$356.03 | — | 22% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SNGL TNDN/SHTH/LGMNT | $829.14 | $1,063.00 | $18.50–$893.82 | 46% above | 22% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SNGL TNDN/SHTH/LGMNT | $829.14 | $1,063.00 | $31.62–$164.03 | — | 22% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHCS MAJOR JT/BUR WO US GUID | $829.14 | $1,063.00 | $17.00–$1,241.60 | 77% above | 22% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHCS MAJOR JT/BUR WO US GUID | $829.14 | $1,063.00 | $24.68–$185.26 | — | 22% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHCS INTER JT/BUR WO US GUID | $829.14 | $1,063.00 | $5.00–$1,750.40 | 134% above | 22% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHCS INTER JT/BUR WO US GUID | $829.14 | $1,063.00 | $22.58–$156.31 | — | 22% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHCS SM JT/BURSA WO US GUID | $829.14 | $1,063.00 | $7.15–$1,241.60 | 102% above | 22% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHCS SM JT/BURSA WO US GUID | $829.14 | $1,063.00 | $18.90–$123.90 | — | 22% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC RPR SCLP/AX/TR/EXG/EXT <=2.5CM INT | $1,121.64 | $1,438.00 | $24.50–$1,209.76 | 91% above | 22% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC RPR SCLP/AX/TR/EXG/EXT <=2.5CM INT | $1,121.64 | $1,438.00 | $25.73–$579.60 | — | 22% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMAG | $2,431.26 | $3,117.00 | $80.97–$2,096.92 | 16% above | 22% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLAMINAR LMBR/SAC W/IMAG | $2,431.26 | $3,117.00 | $80.97–$192.13 | — | 22% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX INTERLAMINAR LMBR/SAC W/O IMAG | $2,499.90 | $3,205.00 | $64.56–$2,695.76 | 30% above | 22% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX INTERLAMINAR LMBR/SAC W/O IMAG | $2,499.90 | $3,205.00 | $64.56–$163.32 | — | 22% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANES FORAMEN EPI LUMB 1ST LVL | $2,499.90 | $3,205.00 | $90.78–$2,695.76 | 30% above | 22% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANES FORAMEN EPI LUMB 1ST LVL | $2,499.90 | $3,205.00 | $90.78–$215.08 | — | 22% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC TRT MISSED ABORTION, FIRST TRI | $8,927.88 | $11,446.00 | $203.70–$9,627.48 | 65% above | 22% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TRT MISSED ABORTION, FIRST TRI | $8,927.88 | $11,446.00 | $203.70–$938.00 | — | 22% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL | $1,975.74 | $2,533.00 | $11.76–$2,130.44 | 12% above | 22% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC SKIN BENIG <0.5 CM FACE,FACIAL | $1,975.74 | $2,533.00 | $57.23–$412.97 | — | 22% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVUL NAIL PLATE SMPL SNGL | $558.48 | $716.00 | $27.04–$1,241.60 | 19% above | 22% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVUL NAIL PLATE SMPL SNGL | $558.48 | $716.00 | $27.04–$257.25 | — | 22% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANES/STER GRTR OCCIP NRV | $829.14 | $1,063.00 | $35.00–$1,241.60 | 47% above | 22% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANES/STER GRTR OCCIP NRV | $829.14 | $1,063.00 | $36.75–$205.80 | — | 22% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W IMG | $2,632.50 | $3,375.00 | $84.33–$2,838.89 | 56% above | 22% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W IMG | $2,632.50 | $3,375.00 | $85.43–$209.06 | — | 22% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISN NAIL BED PARTL/COMPLT | $1,121.64 | $1,438.00 | $83.65–$1,241.60 | 34% above | 22% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISN NAIL BED PARTL/COMPLT | $1,121.64 | $1,438.00 | $83.65–$446.25 | — | 22% |
| Prostate biopsy CPT 55700 HC US BIOPHYSICAL PROSTATE PUNCH/NDL | $5,752.50 | $7,375.00 | $89.50–$6,202.80 | 50% above | 22% |
| Prostate biopsy inpatient CPT 55700 HC US BIOPHYSICAL PROSTATE PUNCH/NDL | $5,752.50 | $7,375.00 | $93.98–$547.00 | — | 22% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DEST PARAVER FACT NRV LUMB/SAC SNGL | $5,483.40 | $7,030.00 | $157.22–$5,912.91 | 84% above | 22% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DEST PARAVER FACT NRV LUMB/SAC SNGL | $5,483.40 | $7,030.00 | $157.22–$426.82 | — | 22% |
| Removal of a foreign object under the skin, simple CPT 10120 HC INCISN/RMVL FB SUBQ SMPL | $1,121.64 | $1,438.00 | $30.50–$1,243.20 | 106% above | 22% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISN/RMVL FB SUBQ SMPL | $1,121.64 | $1,438.00 | $32.03–$351.75 | — | 22% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY | $9,684.48 | $12,416.00 | $249.50–$10,443.34 | 46% above | 22% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY | $9,684.48 | $12,416.00 | $261.98–$1,100.71 | — | 22% |
| Short arm cast (elbow to hand) CPT 29075 HC APP CAST SHORT ELBOW-FGR | $745.68 | $956.00 | $45.50–$1,241.60 | 79% above | 22% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APP CAST SHORT ELBOW-FGR | $745.68 | $956.00 | $47.78–$204.75 | — | 22% |
| Short arm splint (forearm and hand) CPT 29125 HC APP SPLINT SHORT ARM STATIC | $361.92 | $464.00 | $26.00–$390.30 | 15% above | 22% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APP SPLINT SHORT ARM STATIC | $361.92 | $464.00 | $27.30–$147.00 | — | 22% |
| Short leg cast (below the knee) CPT 29405 HC APP CAST KNEE-TOE | $745.68 | $956.00 | $47.88–$1,241.60 | 43% above | 22% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APP CAST KNEE-TOE | $745.68 | $956.00 | $47.88–$186.90 | — | 22% |
| Short leg splint (calf to foot) CPT 29515 HC APP SPLINT SHORT LEG | $443.04 | $568.00 | $30.80–$477.78 | 4% below | 22% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APP SPLINT SHORT LEG | $443.04 | $568.00 | $36.75–$163.80 | — | 22% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR SCLP/NK/TR/EXT <=2.5CM | $558.48 | $716.00 | $24.50–$841.60 | 9% above | 22% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR SCLP/NK/TR/EXT <=2.5CM | $558.48 | $716.00 | $25.73–$270.17 | — | 22% |
| Skin biopsy, punch, one lesion CPT 11104 HC BX SKIN PUNCH INCL CLOSURE 1ST LESN | $1,121.64 | $1,438.00 | $14.98–$1,241.60 | 70% above | 22% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC BX SKIN PUNCH INCL CLOSURE 1ST LESN | $1,121.64 | $1,438.00 | $37.91–$365.68 | — | 22% |
| Skin tag removal, up to 15 tags CPT 11200 HC RMVL SKIN TAGS <=15 | $558.48 | $716.00 | $14.47–$1,241.60 | 8% below | 22% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC RMVL SKIN TAGS <=15 | $558.48 | $716.00 | $32.55–$257.62 | — | 22% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC PUNC SPINAL LUMBAR DX | $1,944.54 | $2,493.00 | $42.00–$2,096.92 | 59% above | 22% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC PUNC SPINAL LUMBAR DX | $1,944.54 | $2,493.00 | $44.10–$402.00 | — | 22% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RPR SCLP/NK/TR/EXT 2.6-7.5CM | $698.10 | $895.00 | $35.50–$1,241.60 | 32% above | 22% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RPR SCLP/NK/TR/EXT 2.6-7.5CM | $698.10 | $895.00 | $37.28–$257.25 | — | 22% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RPR F/E/EY/N/L/MM<=2.5CM | $558.48 | $716.00 | $31.50–$788.80 | 10% above | 22% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RPR F/E/EY/N/L/MM<=2.5CM | $558.48 | $716.00 | $33.08–$257.25 | — | 22% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC BX SKIN TANGENTIAL 1ST LESN | $558.48 | $716.00 | $14.75–$1,241.60 | 1% below | 22% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC BX SKIN TANGENTIAL 1ST LESN | $558.48 | $716.00 | $30.60–$294.29 | — | 22% |
| Thoracentesis with imaging guidance CPT 32555 HC ASP PLEURA W IMAGING | $1,736.28 | $2,226.00 | $87.85–$1,872.07 | 18% above | 22% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC ASP PLEURA W IMAGING | $1,736.28 | $2,226.00 | $87.85–$217.34 | — | 22% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PNT<=2 MUS | $1,035.84 | $1,328.00 | $6.41–$893.82 | 92% above | 22% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER PNT<=2 MUS | $1,035.84 | $1,328.00 | $30.00–$153.42 | — | 22% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST W DEVICE 1ST LESION US GUIDE | $4,549.74 | $5,833.00 | $9.00–$4,906.02 | 27% above | 22% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST W DEVICE 1ST LESION US GUIDE | $4,549.74 | $5,833.00 | $124.08–$307.35 | — | 22% |
| Wart removal, up to 14 warts CPT 17110 HC DEST BENIGN LESN OTHR<=14 | $558.48 | $716.00 | $23.19–$1,032.00 | at median | 22% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DEST BENIGN LESN OTHR<=14 | $558.48 | $716.00 | $51.45–$325.16 | — | 22% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DBRD SKIN & SQ TISS 1ST 20SCM | $1,121.64 | $1,438.00 | $10.99–$1,209.76 | 4% above | 22% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DBRD SKIN & SQ TISS 1ST 20SCM | $1,121.64 | $1,438.00 | $34.65–$373.40 | — | 22% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION | $1,227.72 | $1,574.00 | $27.84–$1,323.76 | 30% above | 22% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION | $1,227.72 | $1,574.00 | $29.23–$63.73 | — | 22% |
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.