Hospital Portland-Vancouver-Hillsboro, OR-WA

PeaceHealth Southwest Medical Center

PeaceHealth Southwest Medical Center in Vancouver, WA publishes cash prices for 461 common procedures listed here, from its own machine-readable price file updated Mar 20, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Washington median for 339 of 458 procedures and below it for 106. By typical cash price it ranks #50 of 60 Washington hospitals and #15 of 16 hospitals in the Portland, OR area, cheapest first. Select a procedure to compare it with other hospitals nearby.

400 NE Mother Joseph Pl,Vancouver,WA,98664 Collected Sep 23, 2026 Source price file Check a bill from this hospital (360) 256-2000

Acute care hospital Nonprofit hospital No emergency department CMS star rating 3 of 5 CCN 500050 · CMS hospital register NPI 1134178999

Financial assistance

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

PeaceHealth Southwest 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

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

CMS price transparency record

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

Apr 14, 2025 Warning notice
Jul 18, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$2,249.00	$3,460.00	$77.80–$631.06	8% above	35%
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$2,316.60	$3,564.00	$77.80–$631.06	12% above	35%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$326.95	$503.00	$46.37–$376.13	1% above	35%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$562.90	$866.00	$46.37–$376.13	73% above	35%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$295.10	$454.00	$38.60–$313.09	5% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$289.25	$445.00	$38.60–$313.09	7% below	35%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$289.25	$445.00	$38.60–$313.09	7% below	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES	$491.40	$756.00	$59.01–$478.66	30% above	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$501.15	$771.00	$59.01–$478.66	33% above	35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	12% below	35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,291.55	$1,987.00	$46.37–$376.13	9% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	12% below	35%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT SCAN OF ARM WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	12% below	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$937.95	$1,443.00	$77.80–$631.06	54% above	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$956.80	$1,472.00	$77.80–$631.06	57% above	35%
Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY	$1,459.25	$2,245.00	$177.32–$1,438.29	2% below	35%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$1,502.80	$2,312.00	$177.32–$1,438.29	1% above	35%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$526.50	$810.00	$46.37–$376.13	22% above	35%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$516.10	$794.00	$46.37–$376.13	19% above	35%
Breast ultrasound, complete, one breast one side CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$516.10	$794.00	$46.37–$376.13	19% above	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$338.00	$520.00	$38.60–$313.09	at median	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$331.50	$510.00	$38.60–$313.09	2% below	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$331.50	$510.00	$38.60–$313.09	2% below	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST	$4,301.05	$6,617.00	$154.75–$1,255.20	20% above	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$4,430.40	$6,816.00	$154.75–$1,255.20	23% above	35%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$5,197.40	$7,996.00	$77.80–$631.06	146% above	35%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$5,353.40	$8,236.00	$77.80–$631.06	153% above	35%
CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST	$2,586.35	$3,979.00	$77.80–$631.06	15% above	35%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$2,663.70	$4,098.00	$77.80–$631.06	18% above	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$2,249.00	$3,460.00	$77.80–$631.06	6% below	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$2,316.60	$3,564.00	$77.80–$631.06	4% below	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT SCAN OF BLOOD VESSELS AND GRAFTS OF HEART WITH CONTRAST	$2,249.00	$3,460.00	$154.75–$1,255.20	93% above	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$2,316.60	$3,564.00	$154.75–$1,255.20	99% above	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT SCAN OF HEART WITH EVALUATION OF BLOOD VESSEL CALCIUM	$168.35	$259.00	$38.60–$313.09	27% above	35%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$173.55	$267.00	$38.60–$313.09	31% above	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$2,570.10	$3,954.00	$105.83–$858.43	2% above	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$2,647.45	$4,073.00	$105.83–$858.43	5% above	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$2,373.80	$3,652.00	$154.75–$1,255.20	23% below	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$2,492.75	$3,835.00	$154.75–$1,255.20	19% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST	$4,946.50	$7,610.00	$154.75–$1,255.20	33% above	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$5,094.70	$7,838.00	$154.75–$1,255.20	37% above	35%
CT scan of the abdomen with contrast CPT 74160 CT SCAN OF ABDOMEN WITH CONTRAST	$2,249.00	$3,460.00	$77.80–$631.06	20% above	35%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$2,316.60	$3,564.00	$77.80–$631.06	23% above	35%
CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST	$1,442.35	$2,219.00	$46.37–$376.13	at median	35%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$1,485.90	$2,286.00	$46.37–$376.13	4% above	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	14% above	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$1,291.55	$1,987.00	$46.37–$376.13	17% above	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$1,191.45	$1,833.00	$46.37–$376.13	11% below	35%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$1,251.25	$1,925.00	$46.37–$376.13	6% below	35%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$1,101.75	$1,695.00	$77.80–$631.06	24% below	35%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$1,179.75	$1,815.00	$77.80–$631.06	19% below	35%
CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST	$1,467.05	$2,257.00	$77.80–$631.06	15% below	35%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,511.25	$2,325.00	$77.80–$631.06	13% below	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$1,494.35	$2,299.00	$46.37–$376.13	4% above	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,539.20	$2,368.00	$46.37–$376.13	7% above	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	16% below	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$1,291.55	$1,987.00	$46.37–$376.13	14% below	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST	$1,815.45	$2,793.00	$77.80–$631.06	1% above	35%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,906.45	$2,933.00	$77.80–$631.06	6% above	35%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$1,140.75	$1,755.00	$105.83–$858.43	—	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW	$1,118.65	$1,721.00	$105.83–$858.43	27% above	35%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$2,530.45	$3,893.00	$77.80–$631.06	22% above	35%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$311.35	$479.00	$38.60–$313.09	7% above	35%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$317.85	$489.00	$38.60–$313.09	10% above	35%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$311.35	$479.00	$38.60–$313.09	30% above	35%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$317.85	$489.00	$38.60–$313.09	33% above	35%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$295.10	$454.00	$38.60–$313.09	7% above	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$289.25	$445.00	$38.60–$313.09	5% above	35%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$289.25	$445.00	$38.60–$313.09	5% above	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$588.25	$905.00	$46.37–$376.13	5% below	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$599.95	$923.00	$46.37–$376.13	3% below	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$446.55	$687.00	$46.37–$376.13	7% above	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$455.65	$701.00	$46.37–$376.13	9% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY MEASUREMENT OF FOREARM; FINGER; HAND; OR FOOT	$208.65	$321.00	$38.60–$313.09	20% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$212.55	$327.00	$38.60–$313.09	23% above	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS	$1,057.55	$1,627.00	$105.83–$858.43	49% above	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SNGL FETUS	$1,079.00	$1,660.00	$105.83–$858.43	52% above	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$1,567.15	$2,411.00	$46.37–$376.13	5% above	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$1,613.95	$2,483.00	$46.37–$376.13	8% above	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$2,249.00	$3,460.00	$77.80–$631.06	19% above	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$2,316.60	$3,564.00	$77.80–$631.06	22% above	35%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI	$637.00	$980.00	$18.80–$489.41	—	35%
Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS	$606.45	$933.00	$18.80–$489.41	34% above	35%
Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$473.85	$729.00	$15.28–$386.65	23% above	35%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI	$497.25	$765.00	$15.28–$386.65	29% above	35%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$473.85	$729.00	$15.28–$123.94	23% above	35%
Diagnostic mammogram, one breast one side CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST	$473.85	$729.00	$15.28–$123.94	23% above	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS	$1,174.55	$1,807.00	$105.83–$858.43	18% above	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$1,197.95	$1,843.00	$105.83–$858.43	20% above	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$1,348.10	$2,074.00	$105.83–$858.43	25% above	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$1,374.75	$2,115.00	$105.83–$858.43	28% above	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$1,742.00	$2,680.00	$242.36–$1,965.87	4% above	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$1,794.00	$2,760.00	$242.36–$1,965.87	7% above	35%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$260.65	$401.00	$38.60–$313.09	3% below	35%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$251.55	$387.00	$38.60–$313.09	6% below	35%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$251.55	$387.00	$38.60–$313.09	6% below	35%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$263.25	$405.00	$38.60–$313.09	17% below	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$258.05	$397.00	$38.60–$313.09	19% below	35%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$258.05	$397.00	$38.60–$313.09	19% below	35%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$867.75	$1,335.00	$46.37–$445.75	29% below	35%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$969.15	$1,491.00	$46.37–$445.75	21% below	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$368.55	$567.00	$46.37–$376.13	at median	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS	$442.00	$680.00	$46.37–$376.13	19% above	35%
Facial bones X-ray, complete, 3 or more views one side CPT 70150 X-RAY OF FACE BONES; MINIMUM OF 3 VIEWS	$442.00	$680.00	$46.37–$376.13	19% above	35%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$301.60	$464.00	$38.60–$313.09	10% above	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	6% above	35%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	6% above	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUCLEAR MEDICINE STUDY OF LIVER AND BILE DUCT SYSTEM	$1,460.55	$2,247.00	$177.32–$1,438.29	24% above	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,650.35	$2,539.00	$177.32–$1,438.29	40% above	35%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$309.40	$476.00	$44.01–$376.13	9% above	35%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$455.00	$700.00	$46.37–$376.13	60% above	35%
Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND; 2 VIEWS	$455.00	$700.00	$46.37–$376.13	60% above	35%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$245.70	$378.00	$38.60–$313.09	6% below	35%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$251.55	$387.00	$38.60–$313.09	3% below	35%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$263.25	$405.00	$38.60–$313.09	15% below	35%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$258.05	$397.00	$38.60–$313.09	17% below	35%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$258.05	$397.00	$38.60–$313.09	17% below	35%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$464.10	$714.00	$46.37–$376.13	10% above	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$455.00	$700.00	$46.37–$376.13	8% above	35%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$455.00	$700.00	$46.37–$376.13	8% above	35%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,291.55	$1,987.00	$46.37–$376.13	4% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	7% below	35%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	7% below	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$516.10	$794.00	$46.37–$376.13	2% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$526.50	$810.00	$46.37–$376.13	4% above	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$516.10	$794.00	$28.07–$376.13	62% above	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$526.50	$810.00	$28.07–$376.13	66% above	35%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$516.10	$794.00	$46.37–$376.13	62% above	35%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$516.10	$794.00	$46.37–$376.13	62% above	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING	$258.05	$397.00	$46.37–$376.13	9% above	35%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$283.40	$436.00	$46.37–$376.13	20% above	35%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$295.10	$454.00	$38.60–$313.09	7% above	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	5% above	35%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	5% above	35%
MR angiography (MRA) of the head without contrast CPT 70544 MRI SCAN OF BLOOD VESSELS OF HEAD WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$877.41	12% above	35%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$2,292.55	$3,527.00	$105.83–$877.41	16% above	35%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS	$3,474.25	$5,345.00	$42.89–$1,086.64	45% above	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,220.40	$3,416.00	$105.83–$858.43	17% above	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,114.45	$3,253.00	$105.83–$858.43	12% above	35%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,114.45	$3,253.00	$105.83–$858.43	12% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$3,835.00	$5,900.00	$154.75–$1,255.20	31% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$3,723.20	$5,728.00	$154.75–$1,255.20	27% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$3,723.20	$5,728.00	$154.75–$1,255.20	27% above	35%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$858.43	6% above	35%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$2,292.55	$3,527.00	$105.83–$858.43	10% above	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$4,281.55	$6,587.00	$154.75–$1,255.20	37% above	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$4,410.25	$6,785.00	$154.75–$1,255.20	41% above	35%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$858.43	15% above	35%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$2,292.55	$3,527.00	$105.83–$858.43	19% above	35%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$4,067.05	$6,257.00	$154.75–$1,255.20	40% above	35%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$4,270.50	$6,570.00	$154.75–$1,255.20	47% above	35%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$2,114.45	$3,253.00	$105.83–$858.43	1% above	35%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$2,220.40	$3,416.00	$105.83–$858.43	6% above	35%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$4,281.55	$6,587.00	$154.75–$1,255.20	41% above	35%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$4,410.25	$6,785.00	$154.75–$1,255.20	45% above	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$858.43	5% above	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$2,292.55	$3,527.00	$105.83–$858.43	8% above	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$4,281.55	$6,587.00	$154.75–$1,255.20	45% above	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$4,410.25	$6,785.00	$154.75–$1,255.20	50% above	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$858.43	10% above	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$2,292.55	$3,527.00	$105.83–$858.43	14% above	35%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$4,281.55	$6,587.00	$154.75–$1,255.20	41% above	35%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$4,410.25	$6,785.00	$154.75–$1,255.20	45% above	35%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$858.43	16% above	35%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$2,292.55	$3,527.00	$105.83–$858.43	19% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$2,292.55	$3,527.00	$105.83–$858.43	20% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$858.43	17% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$2,225.60	$3,424.00	$105.83–$858.43	17% above	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$446.55	$687.00	$46.37–$376.13	at median	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$538.85	$829.00	$46.37–$376.13	21% above	35%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$2,249.00	$3,460.00	$77.80–$631.06	34% above	35%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$2,316.60	$3,564.00	$77.80–$631.06	38% above	35%
Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST	$1,253.85	$1,929.00	$46.37–$376.13	6% below	35%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$1,285.70	$1,978.00	$46.37–$376.13	4% below	35%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$289.25	$445.00	$38.60–$313.09	22% above	35%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$295.10	$454.00	$38.60–$313.09	24% above	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT	$3,976.70	$6,118.00	$574.24–$4,657.84	12% above	35%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$4,096.30	$6,302.00	$574.24–$4,657.84	16% above	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NUCLEAR MEDICINE STUDY FROM SKULL BASE TO MID-THIGH WITH CT SCAN	$4,936.75	$7,595.00	$634.26–$5,144.61	12% above	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$5,035.55	$7,747.00	$634.26–$5,144.61	15% above	35%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$1,455.35	$2,239.00	$46.37–$376.13	1% above	35%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$1,498.90	$2,306.00	$46.37–$376.13	4% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 LIMITED ULTRASOUND SCAN OF PELVIS	$516.10	$794.00	$46.37–$376.13	13% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$526.50	$810.00	$46.37–$376.13	15% above	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$549.25	$845.00	$46.37–$376.13	8% below	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$560.30	$862.00	$46.37–$376.13	6% below	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS	$589.55	$907.00	$46.37–$376.13	9% below	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$618.80	$952.00	$46.37–$376.13	4% below	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS	$516.10	$794.00	$46.37–$376.13	3% above	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$526.50	$810.00	$46.37–$376.13	5% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS	$516.10	$794.00	$46.37–$376.13	18% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$526.50	$810.00	$46.37–$376.13	21% above	35%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$277.55	$427.00	$38.60–$313.09	6% below	35%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	2% below	35%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	2% below	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST	$354.90	$546.00	$46.37–$376.13	3% below	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$455.00	$700.00	$46.37–$376.13	24% above	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY OF RIBS ON SIDE OF BODY; MINIMUM OF 3 VIEWS	$455.00	$700.00	$46.37–$376.13	24% above	35%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD	$526.50	$810.00	$14.22–$395.12	—	35%
Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY	$501.15	$771.00	$14.22–$395.12	48% above	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$321.10	$494.00	$38.60–$313.09	2% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$314.60	$484.00	$38.60–$313.09	4% below	35%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$314.60	$484.00	$38.60–$313.09	4% below	35%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS	$195.65	$301.00	$38.60–$313.09	40% below	35%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$313.95	$483.00	$38.60–$313.09	3% below	35%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$279.50	$430.00	$46.37–$376.13	3% below	35%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS	$455.00	$700.00	$46.37–$376.13	57% above	35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ULTRASOUND OF HEART WITH CONTINUOUS ELECTROCARDIOGRAM (ECG) DURING REST; EXERCISE AND/OR DRUG INDUCED STRESS WITH REVIEW AND REPORT	$2,304.90	$3,546.00	$242.36–$1,965.87	103% above	35%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$2,604.55	$4,007.00	$242.36–$1,965.87	130% above	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$462.15	$711.00	$77.80–$631.06	14% below	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$471.25	$725.00	$77.80–$631.06	13% below	35%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$256.75	$395.00	$38.60–$313.09	1% below	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$251.55	$387.00	$38.60–$313.09	3% below	35%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$251.55	$387.00	$38.60–$313.09	3% below	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$1,324.05	$2,037.00	$46.37–$376.13	8% below	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$1,363.70	$2,098.00	$46.37–$376.13	6% below	35%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$255.45	$393.00	$38.60–$313.09	4% above	35%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$289.25	$445.00	$38.60–$313.09	18% above	35%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$289.25	$445.00	$38.60–$313.09	18% above	35%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$490.75	$755.00	$46.37–$376.13	2% below	35%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$515.45	$793.00	$46.37–$376.13	3% above	35%
Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS	$516.10	$794.00	$46.37–$376.13	21% above	35%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$526.50	$810.00	$46.37–$376.13	24% above	35%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$528.45	$813.00	$46.37–$376.13	24% below	35%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$555.10	$854.00	$46.37–$376.13	20% below	35%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$593.45	$913.00	$46.37–$376.13	3% above	35%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$605.15	$931.00	$46.37–$376.13	5% above	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$516.10	$794.00	$46.37–$376.13	8% below	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$526.50	$810.00	$46.37–$376.13	6% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$815.75	$1,255.00	$77.80–$631.06	19% above	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$832.00	$1,280.00	$77.80–$631.06	22% above	35%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$301.60	$464.00	$38.60–$313.09	9% above	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$251.55	$387.00	$38.60–$313.09	9% below	35%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$251.55	$387.00	$38.60–$313.09	9% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$790.40	$1,216.00	$46.37–$376.13	18% above	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$806.00	$1,240.00	$46.37–$376.13	20% above	35%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$256.75	$395.00	$38.60–$313.09	3% above	35%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$251.55	$387.00	$38.60–$313.09	1% above	35%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$251.55	$387.00	$38.60–$313.09	1% above	35%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$321.10	$494.00	$38.60–$313.09	2% above	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$314.60	$484.00	$38.60–$313.09	at median	35%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$314.60	$484.00	$38.60–$313.09	at median	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$376.35	$579.00	$38.60–$313.09	16% above	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$369.20	$568.00	$38.60–$313.09	14% above	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$369.20	$568.00	$38.60–$313.09	14% above	35%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$358.80	$552.00	$38.60–$313.09	39% above	35%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$365.95	$563.00	$38.60–$313.09	41% above	35%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$268.45	$413.00	$38.60–$313.09	6% above	35%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$251.55	$387.00	$38.60–$313.09	1% below	35%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$251.55	$387.00	$38.60–$313.09	1% below	35%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$295.10	$454.00	$38.60–$313.09	11% above	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$289.25	$445.00	$38.60–$313.09	9% above	35%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$289.25	$445.00	$38.60–$313.09	9% above	35%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$295.10	$454.00	$38.60–$313.09	6% above	35%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	4% above	35%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$289.25	$445.00	$38.60–$313.09	4% above	35%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$263.25	$405.00	$38.60–$313.09	13% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$258.05	$397.00	$38.60–$313.09	14% below	35%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$258.05	$397.00	$38.60–$313.09	14% below	35%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$256.75	$395.00	$38.60–$313.09	17% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$251.55	$387.00	$38.60–$313.09	19% below	35%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$251.55	$387.00	$38.60–$313.09	19% below	35%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$256.75	$395.00	$38.60–$313.09	10% below	35%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$503.10	$774.00	$38.60–$313.09	76% above	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$251.55	$387.00	$38.60–$313.09	12% below	35%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$251.55	$387.00	$38.60–$313.09	12% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$455.00	$700.00	$46.37–$376.13	23% above	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$464.10	$714.00	$46.37–$376.13	25% above	35%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$431.60	$664.00	$46.37–$376.13	4% below	35%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$453.05	$697.00	$46.37–$376.13	at median	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$313.95	$483.00	$46.37–$376.13	1% below	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$455.00	$700.00	$46.37–$376.13	43% above	35%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$249.60	$384.00	$38.60–$313.09	3% below	35%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$251.55	$387.00	$38.60–$313.09	2% below	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$316.55	$487.00	$38.60–$313.09	1% below	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$341.25	$525.00	$38.60–$313.09	7% above	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$329.55	$507.00	$46.37–$376.13	15% above	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$455.00	$700.00	$46.37–$376.13	59% above	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$219.70	$338.00	$38.60–$313.09	22% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$224.25	$345.00	$38.60–$313.09	21% below	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL	$580.45	$893.00	$15.45–$125.30	163% above	35%
ACTH blood test CPT 82024 ASSAY OF ACTH	$598.00	$920.00	$15.45–$125.30	171% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$53.95	$83.00	$2.12–$17.20	14% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$55.25	$85.00	$2.12–$17.20	17% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$53.95	$83.00	$2.07–$16.81	27% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$55.25	$85.00	$2.07–$16.81	30% above	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$168.35	$259.00	$19.05–$154.54	32% below	35%
Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL	$46.80	$72.00	$1.98–$16.06	32% above	35%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$48.10	$74.00	$1.98–$16.06	35% above	35%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$189.15	$291.00	$16.30–$132.21	12% above	35%
Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL	$519.35	$799.00	$16.30–$132.21	208% above	35%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$22.10	$34.00	$2.07–$16.81	42% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE	$46.80	$72.00	$2.07–$16.81	23% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$72.15	$111.00	$2.09–$16.94	170% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$3,246.75	$4,995.00	$2.09–$16.94	12042% above	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$78.00	$120.00	$6.71–$54.41	6% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$224.90	$346.00	$6.71–$54.41	170% above	35%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$195.00	$300.00	$5.83–$47.27	70% above	35%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$200.85	$309.00	$5.83–$47.27	76% above	35%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$98.80	$152.00	$2.59–$21.02	59% above	35%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$102.05	$157.00	$2.59–$21.02	64% above	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT	$174.20	$268.00	$5.18–$42.02	124% above	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$179.40	$276.00	$5.18–$42.02	131% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER	$191.75	$295.00	$4.84–$39.23	173% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$197.60	$304.00	$4.84–$39.23	181% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$344.50	$530.00	$15.70–$127.38	78% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$354.90	$546.00	$15.70–$127.38	84% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$116.35	$179.00	$3.45–$27.97	32% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$119.60	$184.00	$3.45–$27.97	36% above	35%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$101.40	$156.00	$3.38–$27.45	35% above	35%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$106.60	$164.00	$3.38–$27.45	42% above	35%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL	$51.35	$79.00	$2.01–$16.29	16% above	35%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$52.65	$81.00	$2.01–$16.29	19% above	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$259.35	$399.00	$23.12–$187.50	48% above	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY	$1,257.75	$1,935.00	$23.12–$187.50	618% above	35%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$167.70	$258.00	$4.13–$33.48	13% above	35%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$325.00	$500.00	$4.13–$33.48	118% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$21.45	$33.00	$3.74–$30.30	14% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$42.90	$66.00	$3.74–$30.30	72% above	35%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$41.60	$64.00	$1.57–$12.75	11% above	35%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$42.90	$66.00	$1.57–$12.75	15% above	35%
Blood lead test CPT 83655 LEAD LEVEL	$74.75	$115.00	$4.84–$39.29	18% above	35%
Blood lead test CPT 83655 ASSAY OF LEAD	$76.70	$118.00	$4.84–$39.29	21% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$118.30	$182.00	$3.01–$24.40	59% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$121.55	$187.00	$3.01–$24.40	63% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$215.80	$332.00	$3.59–$478.66	233% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$222.30	$342.00	$3.59–$478.66	243% above	35%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$46.80	$72.00	$1.58–$12.82	29% above	35%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$48.10	$74.00	$1.58–$12.82	32% above	35%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$91.65	$141.00	$8.32–$67.52	17% below	35%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL	$219.70	$338.00	$8.32–$67.52	99% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$107.90	$166.00	$2.07–$16.81	84% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$111.15	$171.00	$2.07–$16.81	90% above	35%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$383.50	$590.00	$14.91–$120.92	119% above	35%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$395.20	$608.00	$14.91–$120.92	125% above	35%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9	$247.65	$381.00	$8.32–$67.52	124% above	35%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$254.80	$392.00	$8.32–$67.52	131% above	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$146.25	$225.00	$8.32–$67.52	22% above	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125	$251.55	$387.00	$8.32–$67.52	110% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN	$66.95	$103.00	$20.52–$166.48	36% below	35%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$68.25	$105.00	$2.06–$16.74	61% above	35%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$70.20	$108.00	$2.06–$16.74	66% above	35%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL	$217.10	$334.00	$7.58–$61.52	67% above	35%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$223.60	$344.00	$7.58–$61.52	72% above	35%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)	$78.65	$121.00	$5.15–$41.79	1% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$81.25	$125.00	$5.15–$41.79	3% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$224.25	$345.00	$14.04–$113.85	67% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$230.75	$355.00	$14.04–$113.85	72% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$200.20	$308.00	$5.36–$43.44	125% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$209.95	$323.00	$5.36–$43.44	136% above	35%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$96.20	$148.00	$3.11–$25.21	43% above	35%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$100.75	$155.00	$3.11–$25.21	49% above	35%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$61.75	$95.00	$2.59–$20.99	21% above	35%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$65.00	$100.00	$2.59–$20.99	27% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$114.40	$176.00	$4.22–$34.26	25% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$218.40	$336.00	$4.22–$34.26	139% above	35%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$252.20	$388.00	$6.52–$52.89	139% above	35%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$260.00	$400.00	$6.52–$52.89	146% above	35%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$87.75	$135.00	$2.60–$21.12	32% above	35%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$90.35	$139.00	$2.60–$21.12	36% above	35%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$42.25	$65.00	$2.05–$16.61	2% below	35%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$43.55	$67.00	$2.05–$16.61	1% above	35%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV)	$82.55	$127.00	$5.76–$46.69	8% above	35%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$85.15	$131.00	$5.76–$46.69	12% above	35%
D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE	$173.55	$267.00	$4.07–$33.03	46% above	35%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$199.55	$307.00	$4.07–$33.03	68% above	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL	$107.25	$165.00	$8.89–$72.13	17% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$110.50	$170.00	$8.89–$72.13	14% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$328.90	$506.00	$24.86–$201.61	104% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$366.60	$564.00	$24.86–$201.61	128% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$79.30	$122.00	$2.80–$22.74	45% above	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$115.05	$177.00	$7.26–$58.86	21% above	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID	$223.60	$344.00	$7.26–$58.86	135% above	35%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$174.20	$268.00	$11.18–$90.65	25% above	35%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$179.40	$276.00	$11.18–$90.65	29% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$107.25	$165.00	$7.43–$60.28	14% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$110.50	$170.00	$7.43–$60.28	18% above	35%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$400.40	$616.00	$7.85–$63.69	101% above	35%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$412.10	$634.00	$7.85–$63.69	107% above	35%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$157.30	$242.00	$5.45–$44.22	60% above	35%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$161.85	$249.00	$5.45–$44.22	64% above	35%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$128.70	$198.00	$3.89–$31.54	60% above	35%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$132.60	$204.00	$3.89–$31.54	65% above	35%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$209.95	$323.00	$5.88–$47.69	99% above	35%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$216.45	$333.00	$5.88–$47.69	105% above	35%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$143.00	$220.00	$6.78–$54.96	60% above	35%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$147.55	$227.00	$6.78–$54.96	65% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$117.00	$180.00	$3.61–$29.27	69% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$120.25	$185.00	$3.61–$29.27	74% above	35%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$127.40	$196.00	$10.19–$82.64	at median	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$72.15	$111.00	$2.88–$23.36	33% above	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$74.10	$114.00	$2.88–$23.36	36% above	35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$390.00	$600.00	—	68% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE	$39.00	$60.00	$1.90–$15.41	5% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$40.30	$62.00	$1.90–$15.41	2% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$217.10	$334.00	$14.04–$113.85	72% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$223.60	$344.00	$14.04–$113.85	77% above	35%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$134.55	$207.00	$5.75–$46.66	6% below	35%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$138.45	$213.00	$5.75–$46.66	3% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION	$496.60	$764.00	$34.04–$276.11	29% above	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$511.55	$787.00	$34.04–$276.11	33% above	35%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$101.40	$156.00	$5.48–$44.48	18% above	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES	$82.55	$127.00	$9.63–$78.13	16% below	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$85.15	$131.00	$9.63–$78.13	13% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES	$130.65	$201.00	$14.04–$113.85	8% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$134.55	$207.00	$14.04–$113.85	5% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$63.70	$98.00	$3.88–$31.50	10% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$65.65	$101.00	$3.88–$31.50	7% below	35%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$29.90	$46.00	$0.95–$7.69	2% above	35%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$30.55	$47.00	$0.95–$7.69	4% above	35%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT	$160.55	$247.00	$4.82–$39.10	134% above	35%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$165.10	$254.00	$4.82–$39.10	141% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$144.30	$222.00	$4.30–$34.85	95% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$148.85	$229.00	$4.30–$34.85	101% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$100.75	$155.00	$4.13–$33.52	33% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$104.00	$160.00	$4.13–$33.52	37% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$125.45	$193.00	$5.71–$46.30	46% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$129.35	$199.00	$5.71–$46.30	50% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$398.45	$613.00	$17.14–$138.99	19% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$410.15	$631.00	$17.14–$138.99	22% above	35%
Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1	$82.55	$127.00	$5.28–$42.79	19% above	35%
Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2	$118.95	$183.00	$7.74–$62.78	35% above	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$52.00	$80.00	$5.18–$42.02	30% below	35%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$117.00	$180.00	$7.17–$58.14	4% below	35%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$120.25	$185.00	$7.17–$58.14	1% below	35%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$157.30	$242.00	$4.57–$37.08	91% above	35%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$94.25	$145.00	$2.59–$20.99	100% above	35%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$96.85	$149.00	$2.59–$20.99	106% above	35%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$70.20	$108.00	$3.50–$28.36	17% above	35%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$72.15	$111.00	$3.50–$28.36	20% above	35%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$100.75	$155.00	$3.47–$28.16	33% above	35%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$105.95	$163.00	$3.47–$28.16	39% above	35%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$229.45	$353.00	$7.41–$60.09	138% above	35%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$236.60	$364.00	$7.41–$60.09	146% above	35%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$114.40	$176.00	$4.63–$37.54	14% above	35%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$222.30	$342.00	$4.63–$37.54	122% above	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$62.40	$96.00	$2.42–$19.60	44% above	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$64.35	$99.00	$2.42–$19.60	49% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$152.10	$234.00	$2.76–$22.35	81% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$156.65	$241.00	$2.76–$22.35	86% above	35%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$72.80	$112.00	$3.27–$26.51	11% above	35%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$76.70	$118.00	$3.27–$26.51	17% above	35%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$106.60	$164.00	$6.81–$55.25	11% above	35%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$109.85	$169.00	$6.81–$55.25	14% above	35%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$91.65	$141.00	$2.68–$21.74	70% above	35%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$94.25	$145.00	$2.68–$21.74	75% above	35%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$105.95	$163.00	$5.15–$41.79	49% above	35%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$205.40	$316.00	$5.15–$41.79	190% above	35%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$89.70	$138.00	$2.07–$16.81	57% above	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$92.30	$142.00	$2.07–$16.81	61% above	35%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$106.60	$164.00	$5.22–$42.34	48% above	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE	$107.90	$166.00	$7.36–$59.67	10% above	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE	$113.10	$174.00	$7.36–$59.67	15% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$191.10	$294.00	$7.36–$59.67	73% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$200.85	$309.00	$7.36–$59.67	81% above	35%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING	$173.55	$267.00	$10.64–$86.34	90% above	35%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$178.75	$275.00	$10.64–$86.34	96% above	35%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$322.40	$496.00	$16.51–$133.93	52% above	35%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$332.15	$511.00	$16.51–$133.93	57% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$76.70	$118.00	$2.40–$19.50	86% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$80.60	$124.00	$2.40–$19.50	96% above	35%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$62.40	$96.00	$1.90–$15.38	56% above	35%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$64.35	$99.00	$1.90–$15.38	61% above	35%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$61.10	$94.00	$1.90–$15.44	48% above	35%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$63.05	$97.00	$1.90–$15.44	53% above	35%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$1,620.45	$2,493.00	$303.62–$2,462.74	112% above	35%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$60.45	$93.00	$8.34–$67.68	38% below	35%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$62.40	$96.00	$8.34–$67.68	36% below	35%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$89.05	$137.00	$7.75–$54.12	18% below	35%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$243.10	$374.00	$7.75–$62.88	124% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$65.65	$101.00	$1.72–$13.92	64% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$68.90	$106.00	$1.72–$13.92	72% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION	$89.05	$137.00	$5.04–$40.88	79% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS	$91.65	$141.00	$5.04–$40.88	85% above	35%
Renin blood test CPT 84244 ASSAY OF RENIN	$117.65	$181.00	$8.80–$71.35	10% below	35%
Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL	$338.65	$521.00	$8.80–$71.35	158% above	35%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$69.55	$107.00	$3.59–$134.39	45% above	35%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$135.20	$208.00	$3.59–$134.39	183% above	35%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$91.65	$141.00	$2.27–$18.40	129% above	35%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$94.25	$145.00	$2.27–$18.40	136% above	35%
Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS)	$82.55	$127.00	$5.76–$46.69	20% above	35%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$85.15	$131.00	$5.76–$46.69	23% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED	$39.65	$61.00	$1.08–$8.76	11% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED	$40.95	$63.00	$1.08–$8.76	15% above	35%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL	$46.80	$72.00	$1.92–$15.61	11% above	35%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$48.10	$74.00	$1.92–$15.61	14% above	35%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$91.65	$141.00	$3.56–$28.88	36% above	35%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$94.25	$145.00	$3.56–$28.88	40% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS	$41.60	$64.00	$1.75–$14.21	37% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$42.90	$66.00	$1.75–$14.21	41% above	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL	$56.55	$87.00	$6.37–$51.65	24% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 ANALYSIS FOR ANTIBODY; TREPONEMA PALLIDUM	$178.10	$274.00	$5.30–$42.96	161% above	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$183.30	$282.00	$5.30–$42.96	168% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$66.95	$103.00	$1.71–$13.85	108% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$68.90	$106.00	$1.71–$13.85	114% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON	$383.50	$590.00	$24.79–$201.09	85% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$395.20	$608.00	$24.79–$201.09	90% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$159.90	$246.00	$10.32–$83.74	25% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$164.45	$253.00	$10.32–$83.74	28% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$163.80	$252.00	$5.82–$47.21	102% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$169.00	$260.00	$5.82–$47.21	109% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$184.60	$284.00	$6.72–$54.51	75% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$193.70	$298.00	$6.72–$54.51	84% above	35%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL	$195.65	$301.00	$6.58–$53.40	103% above	35%
Total IgE blood test CPT 82785 ASSAY OF IGE	$201.50	$310.00	$6.58–$53.40	109% above	35%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$37.70	$58.00	$1.74–$14.11	4% above	35%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$92.30	$142.00	$2.75–$22.29	63% above	35%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$189.15	$291.00	$5.67–$46.01	108% above	35%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$195.00	$300.00	$5.67–$46.01	115% above	35%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$75.40	$116.00	$5.10–$41.40	15% below	35%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$117.00	$180.00	$5.10–$41.40	32% above	35%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$217.10	$334.00	$14.04–$113.85	98% above	35%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$223.60	$344.00	$14.04–$113.85	104% above	35%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$62.40	$96.00	$2.30–$18.62	41% above	35%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$64.35	$99.00	$2.30–$18.62	45% above	35%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$176.15	$271.00	$4.99–$40.46	29% above	35%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$181.35	$279.00	$4.99–$40.46	33% above	35%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$46.80	$72.00	$1.81–$14.67	4% above	35%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$48.10	$74.00	$1.81–$14.67	7% above	35%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$70.85	$109.00	$1.27–$10.29	79% above	35%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$74.10	$114.00	$1.27–$10.29	88% above	35%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$49.40	$76.00	$0.90–$7.30	72% above	35%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$93.60	$144.00	$0.90–$7.30	226% above	35%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST	$21.45	$33.00	$1.39–$11.29	5% above	35%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$22.75	$35.00	$1.39–$11.29	12% above	35%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$98.80	$152.00	$3.23–$26.18	17% above	35%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$102.05	$157.00	$3.23–$26.18	21% above	35%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL	$74.75	$115.00	$2.31–$18.75	42% above	35%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$76.70	$118.00	$2.31–$18.75	46% above	35%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$50.05	$77.00	$3.44–$27.94	at median	35%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$232.70	$358.00	$6.03–$48.93	134% above	35%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$239.85	$369.00	$6.03–$48.93	141% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$138.45	$213.00	$11.84–$96.04	2% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$142.35	$219.00	$11.84–$96.04	5% above	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL	$207.35	$319.00	$15.40–$124.91	19% above	35%
Zinc blood test CPT 84630 ASSAY OF ZINC	$44.85	$69.00	$4.56–$36.95	41% below	35%
Zinc blood test CPT 84630 ZINC LEVEL	$83.20	$128.00	$4.56–$36.95	10% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$241.15	$371.00	$6.02–$48.83	122% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$248.30	$382.00	$6.02–$48.83	129% above	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$5,069.57	$7,799.34	$1,470.58–$11,928.27	7% below	35%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC	$15,810.94	$24,324.52	$5,694.64–$46,190.68	13% below	35%
Appendectomy, open surgery CPT 44950 REMOVAL OF APPENDIX	$9,649.25	$14,845.00	$2,871.49–$23,291.36	42% above	35%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$26,878.15	$41,351.00	$3,218.52–$26,106.22	119% above	35%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$10,103.93	$15,544.50	$3,218.52–$26,106.22	51% above	35%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE	$12,646.09	$19,455.52	$3,218.52–$26,106.22	89% above	35%
Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE	$871.65	$1,341.00	$136.15–$4,569.31	130% above	35%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$897.65	$1,381.00	$136.15–$4,569.31	137% above	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$3,997.50	$6,150.00	$732.57–$5,942.07	80% above	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$3,881.15	$5,971.00	$732.57–$5,942.07	75% above	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH	$3,881.15	$5,971.00	$732.57–$5,942.07	75% above	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$678.60	$1,044.00	$109.41–$4,569.31	4% above	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE	$1,025.05	$1,577.00	$109.41–$4,569.31	57% above	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$573.95	$883.00	$109.41–$4,569.31	at median	35%
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 CLOSED TREATMENT OF BROKEN BONE IN FOREFOOT OR MIDFOOT	$2,560.08	$3,938.58	$109.41–$4,569.31	346% above	35%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA	$13,929.50	$21,430.00	$1,451.31–$11,771.92	127% above	35%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 CORRECTION OF BUNION WITH ALIGNMENT CORRECTION OF MIDFOOT BONE TOWARD TOE AREA	$17,031.95	$26,203.00	$1,451.31–$11,771.92	178% above	35%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$15,568.15	$23,951.00	$1,437.97–$11,663.75	47% above	35%
Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST	$15,114.45	$23,253.00	$1,437.97–$11,663.75	43% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT	$1,653.60	$2,544.00	$106.71–$2,377.93	51% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$1,703.00	$2,620.00	$106.71–$2,377.93	56% above	35%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$5,559.45	$8,553.00	$866.14–$7,025.48	66% above	35%
Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE	$5,842.85	$8,989.00	$866.14–$7,025.48	75% above	35%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,995.20	$4,608.00	$1,023.64–$8,919.43	18% below	35%
Cataract surgery with lens implant one side CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,995.20	$4,608.00	$1,023.64–$8,919.43	18% below	35%
Catheter ablation for atrial fibrillation CPT 93656 COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION OF UPPER CHAMBERS OF HEART) BY PULMONARY VEIN ISOLATION	$63,538.80	$97,752.00	$9,795.24–$94,038.13	147% above	35%
Catheter ablation for atrial fibrillation CPT 93656 COMPRE EP EVAL ABLTJ ATR FIB	$65,445.25	$100,685.00	$9,795.24–$94,038.13	154% above	35%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$11,415.30	$17,562.00	$927.20–$7,520.75	239% above	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$5,791.50	$8,910.00	$927.20–$7,520.75	1253% above	35%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE	$1,951.30	$3,002.00	$309.29–$3,943.35	430% above	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$530.40	$816.00	$109.41–$4,569.31	14% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$530.40	$816.00	$109.41–$4,569.31	14% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$1,055.60	$1,624.00	$109.41–$4,569.31	71% above	35%
Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$3,035.50	$4,670.00	$530.78–$4,305.26	29% above	35%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$8,271.25	$12,725.00	$530.78–$4,305.26	269% above	35%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,587.95	$2,443.00	$412.48–$3,943.35	18% below	35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BIOPSY OF CERVIX USING AN ENDOSCOPE WITH LOOP ELECTRODE	$6,869.64	$10,568.67	$1,435.84–$11,646.42	108% above	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BIOPSY AND SCRAPING OF CERVIX USING AN ENDOSCOPE	$6,993.57	$10,759.34	$135.16–$3,943.35	1485% above	35%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,995.20	$4,608.00	$1,023.64–$8,919.43	18% below	35%
Complex cataract surgery with lens implant one side CPT 66982 COMPLEX REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS	$2,995.20	$4,608.00	$1,023.64–$8,919.43	18% below	35%
Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES	$24,369.15	$37,491.00	$5,120.47–$41,533.40	14% above	35%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$4,604.60	$7,084.00	$1,563.52–$12,682.07	11% below	35%
Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$8,445.45	$12,993.00	$1,563.52–$12,682.07	63% above	35%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$2,877.06	$4,426.25	$1,563.52–$12,682.07	45% below	35%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$5,666.91	$8,718.33	$1,563.52–$12,682.07	9% above	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$1,330.55	$2,047.00	$309.29–$4,569.31	44% above	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE	$4,982.46	$7,665.33	$309.29–$4,569.31	439% above	35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS	$2,089.75	$3,215.00	$1,435.84–$11,646.42	29% below	35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE	$4,774.25	$7,345.00	$1,435.84–$11,646.42	61% above	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$175.50	$270.00	$88.99–$4,569.31	5% below	35%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$8,817.25	$13,565.00	$688.21–$7,751.99	461% above	35%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$4,165.20	$6,408.00	$688.21–$7,751.99	165% above	35%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$4,537.00	$6,980.00	$688.21–$7,751.99	189% above	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$119.60	$184.00	$26.17–$4,569.31	7% above	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$116.35	$179.00	$26.17–$4,569.31	4% above	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$119.60	$184.00	$26.17–$4,569.31	7% above	35%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$293.15	$451.00	$26.17–$4,569.31	72% above	35%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$302.25	$465.00	$26.17–$4,569.31	77% above	35%
Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX	$293.15	$451.00	$26.17–$4,569.31	72% above	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$365.30	$562.00	$89.68–$4,569.31	25% above	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF LINING OF UTERUS	$4,847.05	$7,457.00	$89.68–$4,569.31	1555% above	35%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$2,924.42	$4,499.10	$3,130.36–$25,391.13	12% below	35%
Endoscopic sinus surgery: opening the frontal sinus one side CPT 31276 EXPLORATION OF NASAL SINUS USING AN ENDOSCOPE	$7,474.03	$11,498.50	$3,130.36–$25,391.13	125% above	35%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$2,066.45	$3,179.16	$1,653.72–$13,413.74	60% below	35%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$3,372.85	$5,189.00	$1,653.72–$13,413.74	34% below	35%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus one side CPT 31256 INCISION OF NASAL SINUS USING AN ENDOSCOPE	$9,282.00	$14,280.00	$1,653.72–$13,413.74	81% above	35%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$12,915.83	$19,870.50	$3,130.36–$25,391.13	97% above	35%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$10,091.90	$15,526.00	$3,130.36–$25,391.13	54% above	35%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE	$11,694.15	$17,991.00	$3,130.36–$25,391.13	79% above	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE	$2,286.70	$3,518.00	$313.10–$4,569.31	50% above	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC	$2,355.60	$3,624.00	$313.10–$4,569.31	54% above	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,388.45	$5,213.00	$392.31–$4,569.31	47% above	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$3,489.85	$5,369.00	$392.31–$4,569.31	52% above	35%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,388.45	$5,213.00	$392.31–$4,569.31	47% above	35%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJECTION OF LOWER OR SACRAL SPINE FACET JOINT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,489.85	$5,369.00	$392.31–$4,569.31	52% above	35%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); 3 CM TO 10 CM; REDUCIBLE	$11,638.04	$17,904.67	$2,871.49–$23,291.36	at median	35%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); GREATER THAN 10 CM; REDUCIBLE	$11,787.10	$18,134.00	$2,871.49–$23,291.36	at median	35%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$7,610.20	$11,708.00	$1,588.10–$12,881.48	6% above	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC EXAM OF LOWER PORTION OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,346.50	$3,610.00	$412.48–$4,569.31	49% above	35%
Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$11,460.80	$17,632.00	$2,681.52–$21,750.45	14% below	35%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE	$55,081.65	$84,741.00	$2,681.52–$21,750.45	395% above	35%
Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP	$8,711.95	$13,403.00	$1,231.15–$9,986.18	117% above	35%
Hip replacement after an earlier hip surgery (conversion to total hip) one side CPT 27132 TOTAL HIP REPLACEMENT AFTER PREVIOUS HIP SURGERY	$39,606.45	$60,933.00	$5,694.64–$46,190.68	83% above	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES	$308.10	$474.00	$20.94–$4,569.31	22% above	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATHETER FOR HYSTEROGRAPHY	$317.20	$488.00	$20.94–$4,569.31	25% above	35%
Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE	$3,558.75	$5,475.00	$2,218.86–$17,997.70	24% below	35%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE	$6,869.64	$10,568.67	$1,435.84–$11,646.42	99% above	35%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$4,635.80	$7,132.00	$150.09–$4,569.31	1517% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$1,019.85	$1,569.00	$88.99–$4,569.31	172% above	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$1,050.40	$1,616.00	$88.99–$4,569.31	180% above	35%
Incision and drainage of a simple or single skin abscess one side CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$7,604.35	$11,699.00	$88.99–$4,569.31	1929% above	35%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$7,976.15	$12,271.00	$1,588.10–$12,881.48	at median	35%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$12,437.75	$19,135.00	$1,588.10–$12,881.48	56% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT	$838.50	$1,290.00	$136.15–$4,569.31	177% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,095.25	$1,685.00	$136.15–$4,569.31	126% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$1,128.40	$1,736.00	$136.15–$4,569.31	133% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$1,095.25	$1,685.00	$136.15–$4,569.31	126% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$11,941.80	$18,372.00	$136.15–$4,569.31	2363% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$517.40	$796.00	$136.15–$4,569.31	13% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$594.75	$915.00	$136.15–$4,569.31	30% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$517.40	$796.00	$136.15–$4,569.31	13% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$517.40	$796.00	$136.15–$4,569.31	13% above	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ASPIRATION AND/OR INJECTION OF FLUID FROM SMALL JOINT	$427.05	$657.00	$136.15–$4,569.31	13% above	35%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$8,817.25	$13,565.00	$1,451.31–$11,771.92	25% above	35%
Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$9,467.90	$14,566.00	$1,451.31–$11,771.92	35% above	35%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE	$8,259.55	$12,707.00	$1,451.31–$11,771.92	16% above	35%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 BYPASS OF STOMACH USING AN ENDOSCOPE	$36,469.77	$56,107.34	$636.49–$7,492.10	—	35%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$10,870.60	$16,724.00	$2,681.52–$21,750.45	40% above	35%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE	$39,600.60	$60,924.00	$4,714.90–$38,243.77	23% below	35%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$47,769.15	$73,491.00	$4,714.90–$38,243.77	101% above	35%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS	$50,450.40	$77,616.00	$4,714.90–$38,243.77	67% above	35%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$19,658.60	$30,244.00	$2,681.52–$21,750.45	69% above	35%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$24,369.15	$37,491.00	$2,681.52–$21,750.45	109% above	35%
Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE	$41,431.65	$63,741.00	$2,681.52–$21,750.45	255% above	35%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$5,819.01	$8,952.33	$2,681.52–$21,750.45	at median	35%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia one side CPT 49651 REPAIR OF RECURRENT GROIN HERNIA USING AN ENDOSCOPE	$25,530.70	$39,278.00	$2,681.52–$21,750.45	339% above	35%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 REMOVAL OF STOMACH REDUCTION DEVICE AND PORT USING AN ENDOSCOPE	$9,608.95	$14,783.00	$1,710.11–$13,871.11	104% above	35%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$11,029.85	$16,969.00	$2,681.52–$21,750.45	53% above	35%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$5,479.71	$8,430.33	$2,681.52–$21,750.45	24% below	35%
Laparoscopic removal of fallopian tubes and/or ovaries one side CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE	$12,442.30	$19,142.00	$2,681.52–$21,750.45	73% above	35%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 PARTIAL REMOVAL OF STOMACH FOR WEIGHT LOSS USING AN ENDOSCOPE	$51,425.40	$79,116.00	$390.07–$8,635.00	1854% above	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$1,814.80	$2,792.00	$180.31–$4,569.31	175% above	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$1,869.40	$2,876.00	$180.31–$4,569.31	183% above	35%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$10,708.75	$16,475.00	$1,437.97–$11,663.75	32% above	35%
Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$2,988.05	$4,597.00	$313.10–$4,569.31	95% above	35%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$3,137.55	$4,827.00	$313.10–$4,569.31	105% above	35%
Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL	$1,645.15	$2,531.00	$392.31–$4,569.31	44% above	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$2,239.25	$3,445.00	$392.31–$4,569.31	30% above	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1	$2,351.05	$3,617.00	$392.31–$4,569.31	37% above	35%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$2,239.25	$3,445.00	$392.31–$4,569.31	30% above	35%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$2,239.25	$3,445.00	$392.31–$4,569.31	30% above	35%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$10,148.13	$15,612.50	$3,218.52–$26,106.22	at median	35%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$13,278.85	$20,429.00	$3,218.52–$26,106.22	31% above	35%
Lumbar discectomy or laminotomy to free a nerve root, one level one side CPT 63030 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD OR NERVES AND/OR REMOVAL OF DISC	$13,836.55	$21,287.00	$3,218.52–$26,106.22	36% above	35%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 FUSION OF SPINE IN LOWER BACK WITH PARTIAL REMOVAL OF SPINE BONE AND DISC	$17,644.91	$27,146.02	$12,035.40–$97,622.11	67% below	35%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 FUSION OF LOWER SPINE BONE AND PARTIAL REMOVAL OF SPINE BONE OR DISC THROUGH BACK; 1 DISC	$24,006.45	$36,933.00	$12,035.40–$97,622.11	41% below	35%
Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$11,048.05	$16,997.00	$3,218.52–$26,106.22	21% above	35%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$9,810.24	$15,092.67	$3,218.52–$26,106.22	7% above	35%
Lumbar laminectomy (spinal decompression), one level one side CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT	$13,179.84	$20,276.67	$3,218.52–$26,106.22	44% above	35%
Lumbar spinal fusion (posterior), one level CPT 22612 FUSION OF SPINE IN LOWER BACK	$34,731.45	$53,433.00	$7,777.19–$63,082.72	90% above	35%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$5,317.44	$8,180.67	$1,736.70–$14,086.84	27% below	35%
Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST	$8,440.90	$12,986.00	$1,736.70–$14,086.84	16% above	35%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$3,226.76	$4,964.25	$2,945.27–$23,889.81	50% below	35%
Mastectomy (total removal of the breast) one side CPT 19303 SIMPLE COMPLETE REMOVAL OF BREAST	$12,622.69	$19,419.52	$2,945.27–$23,889.81	96% above	35%
Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE	$4,774.25	$7,345.00	$1,435.84–$11,646.42	1% below	35%
Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER	$7,511.40	$11,556.00	$1,435.84–$11,646.42	56% above	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$1,812.20	$2,788.00	$314.09–$4,569.31	146% above	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS	$5,383.40	$8,282.16	$314.09–$4,569.31	631% above	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS	$3,433.30	$5,282.00	$314.09–$3,943.35	357% above	35%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$312.65	$481.00	$88.99–$4,569.31	12% above	35%
Nail removal (partial or complete), one nail CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$955.50	$1,470.00	$88.99–$4,569.31	241% above	35%
Nail removal (partial or complete), one nail one side CPT 11730 SIMPLE SEPARATION OF FINGERNAIL OR TOENAIL FROM NAIL BED; FIRST NAIL	$955.50	$1,470.00	$88.99–$4,569.31	241% above	35%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$727.35	$1,119.00	$136.15–$4,569.31	10% above	35%
Occipital nerve block (injection for headaches) one side CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$749.45	$1,153.00	$136.15–$4,569.31	13% above	35%
Pacemaker implant (dual chamber) CPT 33208 INSERTION OF PACEMAKER AND UPPER AND LOWER HEART CHAMBER ELECTRODE	$27,352.65	$42,081.00	$4,636.02–$37,603.92	162% above	35%
Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE	$4,399.85	$6,769.00	$402.30–$3,943.35	232% above	35%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$4,531.80	$6,972.00	$402.30–$3,943.35	242% above	35%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$18,893.34	$29,066.67	$5,694.64–$46,190.68	1% above	35%
Partial knee replacement (one compartment) one side CPT 27446 REPLACEMENT OF KNEE JOINT ON SIDE OF KNEE	$40,700.40	$62,616.00	$5,694.64–$46,190.68	117% above	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$848.25	$1,305.00	$180.31–$4,569.31	25% above	35%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND	$8,631.35	$13,279.00	$2,048.51–$3,943.35	370% above	35%
Prostate removal (prostatectomy), laparoscopic CPT 55866 SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$64,346.10	$98,994.00	$4,714.90–$38,243.77	22% above	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$7,870.20	$12,108.00	$866.14–$7,025.48	149% above	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$8,106.15	$12,471.00	$866.14–$7,025.48	156% above	35%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$7,870.20	$12,108.00	$866.14–$7,025.48	149% above	35%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT	$8,106.15	$12,471.00	$866.14–$7,025.48	156% above	35%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$1,574.84	$2,422.83	$1,736.70–$14,086.84	68% below	35%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$7,511.40	$11,556.00	$1,736.70–$14,086.84	54% above	35%
Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$7,883.20	$12,128.00	$1,736.70–$14,086.84	62% above	35%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$681.20	$1,048.00	$180.31–$4,569.31	31% above	35%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$1,649.70	$2,538.00	$180.31–$4,569.31	218% above	35%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$14,208.35	$21,859.00	$2,681.52–$21,750.45	9% above	35%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$13,650.65	$21,001.00	$2,681.52–$21,750.45	5% above	35%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK	$23,038.60	$35,444.00	$2,681.52–$21,750.45	77% above	35%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$1,587.95	$2,443.00	$412.48–$3,943.35	at median	35%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK	$7,936.50	$12,210.00	$412.48–$3,943.35	309% above	35%
Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE	$4,821.70	$7,418.00	$1,470.58–$11,928.27	3% below	35%
Septoplasty to straighten the nasal septum one side CPT 30520 RESHAPING OF NASAL CARTILAGE	$5,105.75	$7,855.00	$1,470.58–$11,928.27	3% above	35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$18,461.08	$28,401.66	$1,563.52–$12,682.07	116% above	35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$21,200.40	$32,616.00	$1,563.52–$12,682.07	148% above	35%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES	$23,964.85	$36,869.00	$1,563.52–$12,682.07	180% above	35%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$478.40	$736.00	$63.40–$1,006.25	9% above	35%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$615.55	$947.00	$40.98–$478.66	122% above	35%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$633.75	$975.00	$40.98–$478.66	128% above	35%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$615.55	$947.00	$59.01–$478.66	122% above	35%
Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$615.55	$947.00	$59.01–$478.66	122% above	35%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$345.15	$531.00	$59.37–$1,006.25	1% below	35%
Short leg cast (below the knee) one side CPT 29405 APPLICATION OF SHORT LEG CAST	$5,479.71	$8,430.33	$124.06–$1,006.25	1477% above	35%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$778.05	$1,197.00	$50.26–$584.63	120% above	35%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$801.45	$1,233.00	$50.26–$584.63	126% above	35%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$778.05	$1,197.00	$72.08–$584.63	120% above	35%
Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$778.05	$1,197.00	$72.08–$584.63	120% above	35%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 PARTIAL REMOVAL OF COLLAR BONE AT SHOULDER USING AN ENDOSCOPE	$8,790.60	$13,524.00	$1,451.31–$11,771.92	121% above	35%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$4,215.35	$6,485.16	$58.35–$7,751.99	48% above	35%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$1,752.80	$2,696.62	$58.35–$7,751.99	38% below	35%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$7,997.38	$12,303.66	$58.35–$7,751.99	181% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$1,019.85	$1,569.00	$88.99–$4,569.31	201% above	35%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH	$566.15	$871.00	$180.31–$4,569.31	68% above	35%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$583.05	$897.00	$180.31–$4,569.31	73% above	35%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS	$289.90	$446.00	$88.99–$4,569.31	33% above	35%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$298.35	$459.00	$88.99–$4,569.31	37% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$1,463.80	$2,252.00	$313.10–$4,569.31	48% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$3,459.95	$5,323.00	$313.10–$4,569.31	249% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$1,019.85	$1,569.00	$57.94–$721.84	146% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$1,050.40	$1,616.00	$57.94–$721.84	154% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$1,019.85	$1,569.00	$54.64–$721.84	152% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$1,050.40	$1,616.00	$54.64–$721.84	159% above	35%
TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE	$5,355.78	$8,239.66	$2,378.24–$19,290.53	37% below	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BIOPSY OF RELATED SKIN GROWTH; FIRST GROWTH	$514.15	$791.00	$180.31–$4,569.31	95% above	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$529.75	$815.00	$180.31–$4,569.31	101% above	35%
Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$2,972.45	$4,573.00	$278.24–$4,569.31	125% above	35%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$3,061.50	$4,710.00	$278.24–$4,569.31	132% above	35%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$2,972.45	$4,573.00	$278.24–$4,569.31	125% above	35%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE	$2,972.45	$4,573.00	$278.24–$4,569.31	125% above	35%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$8,663.64	$13,328.67	$1,470.58–$11,928.27	46% above	35%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$8,069.10	$12,414.00	$2,625.76–$21,298.23	17% above	35%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$9,184.50	$14,130.00	$1,470.58–$11,928.27	94% above	35%
Tonsil removal (tonsillectomy) only, age 12 or older one side CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER)	$5,692.27	$8,757.34	$1,470.58–$11,928.27	20% above	35%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS)	$5,568.23	$8,566.50	$2,625.76–$21,298.23	at median	35%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$30,748.25	$47,305.00	$5,694.64–$46,190.68	10% above	35%
Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$40,116.05	$61,717.00	$5,694.64–$46,190.68	43% above	35%
Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$24,865.10	$38,254.00	$5,694.64–$46,190.68	15% above	35%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$26,409.50	$40,630.00	$5,694.64–$46,190.68	22% above	35%
Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$34,606.65	$53,241.00	$5,694.64–$46,190.68	60% above	35%
Total shoulder replacement CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$29,305.25	$45,085.00	$7,777.19–$63,082.72	8% above	35%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$28,146.95	$43,303.00	$7,777.19–$63,082.72	4% above	35%
Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER	$30,849.65	$47,461.00	$7,777.19–$63,082.72	14% above	35%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$25,269.40	$38,876.00	$2,681.52–$21,750.45	48% above	35%
Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH	$4,026.75	$6,195.00	$713.23–$5,785.20	37% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$492.70	$758.00	$136.15–$4,569.31	37% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$1,430.00	$2,200.00	$136.15–$4,569.31	297% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$3,881.15	$5,971.00	$732.57–$5,942.07	55% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$3,997.50	$6,150.00	$732.57–$5,942.07	59% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$3,881.15	$5,971.00	$732.57–$5,942.07	55% above	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH	$3,881.15	$5,971.00	$732.57–$5,942.07	55% above	35%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM	$4,232.37	$6,511.34	$851.14–$6,903.78	83% above	35%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,970.80	$3,032.00	$402.30–$3,943.35	2% above	35%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$6,348.55	$9,767.00	$402.30–$3,943.35	228% above	35%
Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$7,174.05	$11,037.00	$402.30–$3,943.35	287% above	35%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$2,116.18	$3,255.66	$851.14–$6,903.78	at median	35%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 INSERTION OF GUIDE WIRE WITH DILATION OF ESOPHAGUS USING A FLEXIBLE ENDOSCOPE	$2,116.18	$3,255.66	$402.30–$3,943.35	79% above	35%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$2,127.45	$3,273.00	$402.30–$3,943.35	80% above	35%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,618.20	$4,028.00	$402.30–$4,569.31	61% above	35%
Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$6,348.55	$9,767.00	$402.30–$4,569.31	289% above	35%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$7,475.00	$11,500.00	$2,378.24–$19,290.53	3% above	35%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$18,580.90	$28,586.00	$2,378.24–$19,290.53	156% above	35%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$13,265.85	$20,409.00	$2,378.24–$19,290.53	83% above	35%
Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$19,871.15	$30,571.00	$2,378.24–$19,290.53	174% above	35%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$27,346.15	$42,071.00	$2,378.24–$19,290.53	180% above	35%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$10,304.45	$15,853.00	$2,378.24–$19,290.53	6% above	35%
Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE	$21,884.85	$33,669.00	$2,378.24–$19,290.53	124% above	35%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT	$5,103.15	$7,851.00	$927.20–$7,520.75	139% above	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$927.55	$1,427.00	$88.99–$4,569.31	290% above	35%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$2,048.69	$3,151.83	$88.99–$4,569.31	762% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$1,070.55	$1,647.00	$180.31–$3,943.35	66% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$1,102.40	$1,696.00	$180.31–$3,943.35	71% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm one side CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$6,679.40	$10,276.00	$180.31–$3,943.35	937% above	35%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$7,303.40	$11,236.00	$3,218.52–$26,106.22	31% below	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$1,741.35	$2,679.00	$195.68–$4,569.31	78% above	35%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$1,793.35	$2,759.00	$195.68–$4,569.31	83% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$369.20	$568.00	—	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$1,432.60	$2,204.00	—	—	35%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$867.75	$1,335.00	$133.46–$1,188.36	11% above	35%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$928.20	$1,428.00	$133.46–$1,188.36	19% above	35%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$3,959.80	$6,092.00	$210.19–$2,971.86	23% above	35%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES	$6,047.60	$9,304.00	$210.19–$2,971.86	88% above	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY	$845.65	$1,301.00	$95.77–$776.83	9% above	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$852.15	$1,311.00	$95.77–$776.83	10% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$274.95	$423.00	$26.17–$212.26	48% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$801.45	$1,233.00	$26.17–$212.26	330% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$305.50	$470.00	$11.26–$362.00	22% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$570.70	$878.00	$41.12–$552.41	26% above	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$1,031.55	$1,587.00	$69.95–$1,255.00	29% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$1,806.35	$2,779.00	$118.98–$1,501.20	34% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$2,965.30	$4,562.00	$172.31–$2,142.60	33% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$9,753.25	$15,005.00	$172.31–$2,142.60	336% above	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$834.60	$1,284.00	$95.77–$776.83	41% above	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$859.95	$1,323.00	$95.77–$776.83	45% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$573.30	$882.00	$33.31–$765.25	70% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$590.20	$908.00	$33.31–$765.25	75% above	35%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$601.25	$925.00	$64.54–$765.25	48% above	35%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$619.45	$953.00	$64.54–$765.25	53% above	35%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$367.25	$565.00	$37.73–$765.25	57% above	35%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$378.30	$582.00	$37.73–$765.25	62% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$133.25	$205.00	$14.62–$259.04	37% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$517.40	$796.00	$14.62–$259.04	431% above	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$667.55	$1,027.00	$165.52–$1,342.54	14% above	35%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$125.45	$193.00	$13.48–$109.34	27% above	35%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$234.65	$361.00	$28.63–$232.21	30% above	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$195.65	$301.00	$16.54–$134.13	34% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$63.70	$98.00	$10.79–$96.68	at median	35%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$252.85	$389.00	$41.48–$336.49	17% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$382.20	$588.00	$40.36–$327.34	38% above	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$258.05	$397.00	$40.36–$327.34	17% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$295.75	$455.00	$40.36–$327.34	20% above	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$111.15	$171.00	$11.41–$92.53	31% above	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$121.55	$187.00	$11.96–$97.01	27% above	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES	$13.65	$21.00	$11.70–$134.81	60% below	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$67.60	$104.00	$11.70–$134.81	99% above	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$204.75	$315.00	$50.58–$410.30	16% below	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES	$181.35	$279.00	—	—	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$204.75	$315.00	$23.15–$187.79	43% above	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$181.35	$279.00	—	—	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$204.75	$315.00	$34.02–$275.94	14% above	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$181.35	$279.00	—	—	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$204.75	$315.00	$12.48–$101.20	97% above	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$181.35	$279.00	—	—	35%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$403.65	$621.00	$93.29–$756.71	5% above	35%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$286.00	$440.00	$31.34–$254.24	31% above	35%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$273.00	$420.00	$95.77–$776.83	10% above	35%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$510.25	$785.00	$165.52–$1,342.54	21% above	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$128.70	$198.00	$14.50–$117.58	23% above	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM	$300.95	$463.00	$59.01–$478.66	49% above	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$333.45	$513.00	$59.01–$478.66	65% above	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Daptacel	$22.13	$34.05	—	52% below	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM	$56.51	$86.94	—	22% above	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM	$49.70	$76.46	—	15% below	35%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 RIV3 VACCINE NO PRESERV IM	$192.76	$296.56	$93.00–$152.15	13% above	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2024-2025 Formula PFS	$21.26	$32.70	$18.55–$35.98	26% below	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone 2025-2026 Formula PFS	$21.39	$32.90	$18.55–$35.98	26% below	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM	$52.59	$80.90	$18.55–$35.98	82% above	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9	$247.26	$380.40	—	9% below	35%
Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM	$52.14	$80.22	$108.11–$113.99	32% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE; ADULT DOSAGE (3 DOSE SCHEDULE)	$36.47	$56.10	$56.10–$116.47	53% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM	$105.48	$162.28	$77.89–$116.47	36% above	35%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM	$94.13	$144.82	$144.82–$275.21	50% below	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Recombivax HB Pediatric-Adolescent	$58.90	$90.61	$31.46–$51.47	5% above	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM	$15.92	$24.49	—	49% below	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula	$55.51	$85.40	$85.40–$152.15	34% below	35%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM	$63.85	$98.23	$93.00–$152.15	24% below	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$189.97	$292.26	—	10% above	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Abrysvo	$629.93	$969.12	—	265% above	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM	$239.12	$367.88	—	51% above	35%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM	$251.26	$386.56	—	64% above	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM	$351.32	$540.49	—	1% above	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20	$158.65	$244.08	$244.08–$485.00	66% below	35%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM	$659.76	$1,015.01	—	787% above	35%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE	$220.09	$338.60	$127.90–$1,037.43	65% below	35%
Rabies vaccine, one dose CPT 90675 RabAvert	$221.26	$340.40	$127.90–$1,037.43	64% below	35%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$231.78	$356.58	$127.90–$1,037.43	63% below	35%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM	$134.68	$207.20	—	39% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$26.88	$41.35	$57.29–$60.41	52% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM	$27.48	$42.27	$57.29–$60.41	51% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER)	$30.52	$46.95	$58.34–$61.52	63% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$30.52	$46.95	$58.34–$61.52	63% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$31.54	$48.53	$58.34–$61.52	62% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE	$176.15	$271.00	$21.20–$259.04	319% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$181.35	$279.00	$21.20–$259.04	331% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE	$50.05	$77.00	$14.99–$44.97	39% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$51.35	$79.00	$14.99–$44.97	42% above	35%
Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE SUBQ	$174.41	$268.33	—	—	35%

Dental

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY	$5,232.01	$8,049.25	$286.75–$2,325.92	at median	35%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/b1e365651e596ad4292eca2291145dc7/charges/mrf