AdventHealth Durand
AdventHealth Durand in Durand, WI publishes cash prices for 304 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Wisconsin median for 290 of 299 procedures and below it for 9. By typical cash price it ranks #103 of 103 Wisconsin hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1220 3Rd Ave W, Durand, WI 54736 Collected Oct 31, 2026 Source price file Check a bill from this hospital (715) 672-4211
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 521307 · CMS hospital register NPI 1194737817
The price file shows no self-pay discount
For 970 of the 970 prices listed here, the cash price in AdventHealth Durand's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
AdventHealth Durand is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named AdventHealth Durand in Durand, WI:
- Mar 4, 2025 Warning notice
- Jun 4, 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 Wisconsin | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN W/WO CONT | $3,990.92 | $3,990.92 | — | 67% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT SCAN OF ABDOMEN W/WO CONT | $3,990.92 | $3,990.92 | — | — | — |
| Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $437.86 | $437.86 | — | 82% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $437.86 | $437.86 | — | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VW | $474.26 | $474.26 | — | 101% above | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3+ VW | $474.26 | $474.26 | — | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $1,103.90 | $1,103.90 | — | 187% above | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $1,103.90 | $1,103.90 | — | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST | $2,845.58 | $2,845.58 | — | 98% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST | $2,845.58 | $2,845.58 | — | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY | $3,828.09 | $3,828.09 | — | 157% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY | $3,828.09 | $3,828.09 | — | — | — |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $889.74 | $889.74 | — | 68% above | — |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $889.74 | $889.74 | — | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $736.64 | $736.64 | — | 88% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $736.64 | $736.64 | — | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $6,323.51 | $6,323.51 | — | 108% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $6,323.51 | $6,323.51 | — | — | — |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS | $6,323.51 | $6,323.51 | — | 205% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS | $6,323.51 | $6,323.51 | — | — | — |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS | $6,323.51 | $6,323.51 | — | 212% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS | $6,323.51 | $6,323.51 | — | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC | $5,555.61 | $5,555.61 | — | 174% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC | $5,555.61 | $5,555.61 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST | $4,968.48 | $4,968.48 | — | 98% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST | $4,968.48 | $4,968.48 | — | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $5,871.84 | $5,871.84 | — | 83% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $5,871.84 | $5,871.84 | — | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT SCAN,ABDOMEN AND PELVIS,COMBO | $6,442.34 | $6,442.34 | — | 75% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT SCAN,ABDOMEN AND PELVIS,COMBO | $6,442.34 | $6,442.34 | — | — | — |
| CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $3,254.59 | $3,254.59 | — | 98% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $3,254.59 | $3,254.59 | — | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST | $2,845.58 | $2,845.58 | — | 104% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST | $2,845.58 | $2,845.58 | — | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $2,845.58 | $2,845.58 | — | 121% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $2,845.58 | $2,845.58 | — | — | — |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO | $3,477.94 | $3,477.94 | — | 89% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO | $3,477.94 | $3,477.94 | — | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST | $2,984.05 | $2,984.05 | — | 94% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST | $2,984.05 | $2,984.05 | — | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST | $2,952.46 | $2,952.46 | — | 92% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST | $2,952.46 | $2,952.46 | — | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $3,176.06 | $3,176.06 | — | 94% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $3,176.06 | $3,176.06 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT | $1,834.79 | $1,834.79 | — | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT | $1,834.79 | $1,834.79 | — | — | — |
| Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO | $2,829.03 | $2,829.03 | — | 23% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CAT SCAN OF CHEST COMBO | $2,829.03 | $2,829.03 | — | — | — |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS | $474.26 | $474.26 | — | 121% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS | $474.26 | $474.26 | — | — | — |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW | $395.22 | $395.22 | — | 144% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW | $395.22 | $395.22 | — | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY CLAVICLE | $395.22 | $395.22 | — | 91% above | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-RAY CLAVICLE | $395.22 | $395.22 | — | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE | $1,495.12 | $1,495.12 | — | 172% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE | $1,495.12 | $1,495.12 | — | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON | $948.54 | $948.54 | — | 138% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON | $948.54 | $948.54 | — | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST | $2,845.58 | $2,845.58 | — | 98% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST | $2,845.58 | $2,845.58 | — | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST | $3,347.79 | $3,347.79 | — | 104% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST | $3,347.79 | $3,347.79 | — | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $616.54 | $616.54 | — | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $616.54 | $616.54 | — | — | — |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $436.63 | $436.63 | — | 42% above | — |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $436.63 | $436.63 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT | $1,751.79 | $1,751.79 | — | — | — |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT | $1,751.79 | $1,751.79 | — | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT | $2,975.02 | $2,975.02 | — | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT | $2,975.02 | $2,975.02 | — | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TRANSTHORACIC ECHO (TTE) COMPLETE | $3,636.02 | $3,636.02 | — | 107% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TRANSTHORACIC ECHO (TTE) COMPLETE | $3,636.02 | $3,636.02 | — | — | — |
| Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VW | $395.22 | $395.22 | — | 107% above | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY ELBOW 2 VW | $395.22 | $395.22 | — | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW 3+ VW | $474.26 | $474.26 | — | 101% above | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY ELBOW 3+ VW | $474.26 | $474.26 | — | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O | $2,845.58 | $2,845.58 | — | 97% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O | $2,845.58 | $2,845.58 | — | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VW | $395.22 | $395.22 | — | 100% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY FOREARM 2 VW | $395.22 | $395.22 | — | — | — |
| Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VW | $395.22 | $395.22 | — | 110% above | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY HAND 2 VW | $395.22 | $395.22 | — | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY HEEL | $395.22 | $395.22 | — | 99% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-RAY HEEL | $395.22 | $395.22 | — | — | — |
| Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW | $474.26 | $474.26 | — | 87% above | — |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW | $474.26 | $474.26 | — | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE 4+ VIEW | $632.34 | $632.34 | — | 128% above | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY KNEE 4+ VIEW | $632.34 | $632.34 | — | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST | $2,845.58 | $2,845.58 | — | 95% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST | $2,845.58 | $2,845.58 | — | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED | $1,081.53 | $1,081.53 | — | 143% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED | $1,081.53 | $1,081.53 | — | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $811.40 | $811.40 | — | 183% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $811.40 | $811.40 | — | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CA SCREEN | $1,355.78 | $1,355.78 | — | 205% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CA SCREEN | $1,355.78 | $1,355.78 | — | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY TIB + FIB, 2VW | $395.22 | $395.22 | — | 86% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-RAY TIB + FIB, 2VW | $395.22 | $395.22 | — | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST | $5,058.83 | $5,058.83 | — | 129% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST | $5,058.83 | $5,058.83 | — | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST | $5,058.83 | $5,058.83 | — | 129% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST | $5,058.83 | $5,058.83 | — | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO | $6,956.58 | $6,956.58 | — | 104% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO | $6,956.58 | $6,956.58 | — | — | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN | $5,058.83 | $5,058.83 | — | 129% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN | $5,058.83 | $5,058.83 | — | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO | $7,480.33 | $7,480.33 | — | 119% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO | $7,480.33 | $7,480.33 | — | — | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE | $5,058.83 | $5,058.83 | — | 129% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE | $5,058.83 | $5,058.83 | — | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO | $6,685.06 | $6,685.06 | — | 96% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO | $6,685.06 | $6,685.06 | — | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE | $5,147.81 | $5,147.81 | — | 133% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE | $5,147.81 | $5,147.81 | — | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO | $6,716.03 | $6,716.03 | — | 97% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO | $6,716.03 | $6,716.03 | — | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE | $5,058.83 | $5,058.83 | — | 129% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE | $5,058.83 | $5,058.83 | — | — | — |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO | $6,178.67 | $6,178.67 | — | 81% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO | $6,178.67 | $6,178.67 | — | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST | $5,058.83 | $5,058.83 | — | 129% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST | $5,058.83 | $5,058.83 | — | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, JOINT UPPER EXTREM | $5,058.83 | $5,058.83 | — | 129% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, JOINT UPPER EXTREM | $5,058.83 | $5,058.83 | — | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $948.54 | $948.54 | — | 195% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $948.54 | $948.54 | — | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST | $3,161.76 | $3,161.76 | — | 93% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST | $3,161.76 | $3,161.76 | — | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST | $2,845.58 | $2,845.58 | — | 100% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST | $2,845.58 | $2,845.58 | — | — | — |
| Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE | $395.22 | $395.22 | — | 88% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE | $395.22 | $395.22 | — | — | — |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST | $2,845.58 | $2,845.58 | — | 123% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST | $2,845.58 | $2,845.58 | — | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED | $772.67 | $772.67 | — | 93% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED | $772.67 | $772.67 | — | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) | $989.91 | $989.91 | — | 89% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) | $989.91 | $989.91 | — | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $743.01 | $743.01 | — | 30% above | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $743.01 | $743.01 | — | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $1,088.76 | $1,088.76 | — | 112% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $1,088.76 | $1,088.76 | — | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $876.34 | $876.34 | — | 139% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $876.34 | $876.34 | — | — | — |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT | $395.22 | $395.22 | — | 76% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT | $395.22 | $395.22 | — | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS, CHEST 3+ VW | $727.20 | $727.20 | — | 162% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-RAY RIBS, CHEST 3+ VW | $727.20 | $727.20 | — | — | — |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $498.60 | $498.60 | — | — | — |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $498.60 | $498.60 | — | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW | $395.22 | $395.22 | — | 68% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW | $395.22 | $395.22 | — | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW | $474.26 | $474.26 | — | 79% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3+ VW | $474.26 | $474.26 | — | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $395.22 | $395.22 | — | 61% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $395.22 | $395.22 | — | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST | $2,845.58 | $2,845.58 | — | 85% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST | $2,845.58 | $2,845.58 | — | — | — |
| Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S) | $395.22 | $395.22 | — | 96% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY TOE(S) | $395.22 | $395.22 | — | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $949.62 | $949.62 | — | 102% above | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $949.62 | $949.62 | — | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL | $810.52 | $810.52 | — | 107% above | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL | $810.52 | $810.52 | — | — | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $1,201.46 | $1,201.46 | — | 77% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $1,201.46 | $1,201.46 | — | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM & CONTENTS | $881.62 | $881.62 | — | 79% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM & CONTENTS | $881.62 | $881.62 | — | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $900.94 | $900.94 | — | 77% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $900.94 | $900.94 | — | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS | $395.22 | $395.22 | — | 88% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY HUMERUS | $395.22 | $395.22 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG | $1,234.70 | $1,234.70 | — | 73% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM | $1,234.70 | $1,234.70 | — | 73% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM | $1,234.70 | $1,234.70 | — | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG | $1,234.70 | $1,234.70 | — | — | — |
| Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VW | $395.22 | $395.22 | — | 83% above | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY WRIST 2 VW | $395.22 | $395.22 | — | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW | $474.26 | $474.26 | — | 87% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VW | $474.26 | $474.26 | — | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $516.59 | $516.59 | — | 77% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $516.59 | $516.59 | — | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $395.22 | $395.22 | — | 88% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $395.22 | $395.22 | — | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW | $395.22 | $395.22 | — | 99% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW | $395.22 | $395.22 | — | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) | $395.22 | $395.22 | — | 62% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S) | $395.22 | $395.22 | — | — | — |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW | $395.22 | $395.22 | — | 108% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW | $395.22 | $395.22 | — | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW | $474.26 | $474.26 | — | 97% above | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VW | $474.26 | $474.26 | — | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW | $395.22 | $395.22 | — | 68% above | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW | $395.22 | $395.22 | — | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW | $405.07 | $405.07 | — | 91% above | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW | $405.07 | $405.07 | — | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW | $453.03 | $453.03 | — | 56% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW | $453.03 | $453.03 | — | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $750.92 | $750.92 | — | 101% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $750.92 | $750.92 | — | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW | $422.77 | $422.77 | — | 78% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW | $422.77 | $422.77 | — | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES | $474.26 | $474.26 | — | 96% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES | $474.26 | $474.26 | — | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $750.92 | $750.92 | — | 212% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $750.92 | $750.92 | — | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW | $342.27 | $342.27 | — | 54% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW | $342.27 | $342.27 | — | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW | $395.22 | $395.22 | — | 83% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW | $395.22 | $395.22 | — | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ASSAY OF ACTH - ACTH | $345.45 | $345.45 | — | 57% above | — |
| ACTH blood test CPT 82024 HC ACTH LEVEL - ARUP | $345.45 | $345.45 | — | 57% above | — |
| ACTH blood test inpatient CPT 82024 HC ACTH LEVEL - ARUP | $345.45 | $345.45 | — | — | — |
| ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH - ACTH | $345.45 | $345.45 | — | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (SPGT) SERUM/PLASMA | $85.90 | $85.90 | — | 145% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (SPGT) SERUM/PLASMA | $85.90 | $85.90 | — | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (SGOT) SERUM/PLASMA | $83.96 | $83.96 | — | 77% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (SGOT) SERUM/PLASMA | $83.96 | $83.96 | — | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $703.51 | $703.51 | — | 132% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $703.51 | $703.51 | — | — | — |
| Albumin blood test CPT 82040 HC ALBUMIN LEVEL | $150.18 | $150.18 | — | 300% above | — |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL | $150.18 | $150.18 | — | — | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $356.16 | $356.16 | — | 83% above | — |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE LEVEL - ARUP | $356.16 | $356.16 | — | 83% above | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $356.16 | $356.16 | — | — | — |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE LEVEL - ARUP | $356.16 | $356.16 | — | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE LEVEL | $197.61 | $197.61 | — | 305% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE LEVEL | $197.61 | $197.61 | — | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PORK IGE | $62.25 | $62.25 | — | 149% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BEEF IGE | $63.95 | $63.95 | — | 156% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE | $64.02 | $64.02 | — | 156% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PORK IGE | $62.25 | $62.25 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BEEF IGE | $63.95 | $63.95 | — | — | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE | $64.02 | $64.02 | — | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN MATERNAL SERUM - ARUP | $263.66 | $263.66 | — | 216% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER | $271.79 | $271.79 | — | 225% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN, TUMOR MARKER - QWDL | $271.79 | $271.79 | — | 225% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP | $271.79 | $271.79 | — | 225% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN MATERNAL SERUM - ARUP | $263.66 | $263.66 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER | $271.79 | $271.79 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP | $271.79 | $271.79 | — | — | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN, TUMOR MARKER - QWDL | $271.79 | $271.79 | — | — | — |
| Ammonia blood test CPT 82140 HC AMMONIA LEVEL | $222.90 | $222.90 | — | 148% above | — |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA LEVEL | $222.90 | $222.90 | — | — | — |
| Amylase blood test CPT 82150 HC AMYLASE LEVEL | $228.48 | $228.48 | — | 270% above | — |
| Amylase blood test inpatient CPT 82150 HC AMYLASE LEVEL | $228.48 | $228.48 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $371.50 | $371.50 | — | 350% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP | $371.50 | $371.50 | — | 350% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $371.50 | $371.50 | — | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP | $371.50 | $371.50 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA (ANTINUCLEAR ANTIBODIES) | $245.03 | $245.03 | — | 257% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP | $245.03 | $245.03 | — | 257% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA IFA SCREEN W/RFLX - QWDL | $245.03 | $245.03 | — | 257% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA (ANTINUCLEAR ANTIBODIES) | $245.03 | $245.03 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA IFA SCREEN W/RFLX - QWDL | $245.03 | $245.03 | — | — | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP | $245.03 | $245.03 | — | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC N-TERMINAL PRO-BNP | $433.89 | $433.89 | — | 204% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC N-TERMINAL PRO-BNP | $433.89 | $433.89 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC MICROBIOLOGY - CULTURE AEROBIC | $118.18 | $118.18 | — | 125% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPUTUM CULTURE | $213.41 | $213.41 | — | 306% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC THROAT CULTURE COMPREHENSIVE | $213.41 | $213.41 | — | 306% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC MICROBIOLOGY - CULTURE AEROBIC | $118.18 | $118.18 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPUTUM CULTURE | $213.41 | $213.41 | — | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC THROAT CULTURE COMPREHENSIVE | $213.41 | $213.41 | — | — | — |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $300.37 | $300.37 | — | 240% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL | $300.37 | $300.37 | — | — | — |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $181.79 | $181.79 | — | 288% above | — |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $181.79 | $181.79 | — | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV | $549.65 | $549.65 | — | 155% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV | $549.65 | $549.65 | — | — | — |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $384.36 | $384.36 | — | 348% above | — |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $384.36 | $384.36 | — | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $62.48 | $62.48 | — | 326% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $62.48 | $62.48 | — | — | — |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER | $89.59 | $89.59 | — | 267% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL | $98.66 | $98.66 | — | 304% above | — |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL FASTING | $158.09 | $158.09 | — | 547% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER | $89.59 | $89.59 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL | $98.66 | $98.66 | — | — | — |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL FASTING | $158.09 | $158.09 | — | — | — |
| Blood lead test CPT 83655 HC LEAD CAPILLARY - ARUP | $38.60 | $38.60 | — | 30% below | — |
| Blood lead test CPT 83655 HC LEAD VENOUS - ARUP | $144.33 | $144.33 | — | 162% above | — |
| Blood lead test CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP | $144.33 | $144.33 | — | 162% above | — |
| Blood lead test CPT 83655 HC LEAD - QWDL | $144.33 | $144.33 | — | 162% above | — |
| Blood lead test inpatient CPT 83655 HC LEAD CAPILLARY - ARUP | $38.60 | $38.60 | — | — | — |
| Blood lead test inpatient CPT 83655 HC LEAD VENOUS - ARUP | $144.33 | $144.33 | — | — | — |
| Blood lead test inpatient CPT 83655 HC LEAD - QWDL | $144.33 | $144.33 | — | — | — |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP | $144.33 | $144.33 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG PREGNANCY URINE QUAL | $208.68 | $208.68 | — | 236% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM PLASMA | $208.68 | $208.68 | — | 236% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG PREGNANCY URINE QUAL | $208.68 | $208.68 | — | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM PLASMA | $208.68 | $208.68 | — | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE | $200.00 | $200.00 | — | 371% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE | $200.00 | $200.00 | — | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC BLOOD UREA NITROGEN - BUN | $100.88 | $100.88 | — | 292% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN) | $144.66 | $144.66 | — | 462% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BLOOD UREA NITROGEN - BUN | $100.88 | $100.88 | — | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN) | $144.66 | $144.66 | — | — | — |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $125.19 | $125.19 | — | 44% above | — |
| C-peptide blood test CPT 84681 HC C PEPTIDE LEVEL - ARUP | $125.19 | $125.19 | — | 44% above | — |
| C-peptide blood test CPT 84681 HC C PEPTIDE LEVEL - QWDL | $125.19 | $125.19 | — | 44% above | — |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE LEVEL - ARUP | $125.19 | $125.19 | — | — | — |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE LEVEL - QWDL | $125.19 | $125.19 | — | — | — |
| C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $125.19 | $125.19 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP (C-REACTIVE PROTEIN) INFLAMMATORY | $173.90 | $173.90 | — | 218% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN LEVEL MG/DL INFLAMMATORY | $173.90 | $173.90 | — | 218% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP (C-REACTIVE PROTEIN) INFLAMMATORY | $173.90 | $173.90 | — | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN LEVEL MG/DL INFLAMMATORY | $173.90 | $173.90 | — | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR | $272.08 | $272.08 | — | 80% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR | $272.08 | $272.08 | — | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN 19-9 | $301.14 | $301.14 | — | 168% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN 19-9 | $301.14 | $301.14 | — | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 - ARUP | $337.27 | $337.27 | — | 181% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 - QWDL | $337.27 | $337.27 | — | 181% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $337.27 | $337.27 | — | 181% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $337.27 | $337.27 | — | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 - QWDL | $337.27 | $337.27 | — | — | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 - ARUP | $337.27 | $337.27 | — | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 SARS-COV-2 AMPLIFIED PROBE | $488.44 | $488.44 | — | 262% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 SARS-COV-2 AMPLIFIED PROBE | $488.44 | $488.44 | — | — | — |
| Calcium blood test, total CPT 82310 HC CALCIUM LEVEL TOTAL - PTH INTACT WITH CALCIUM - ARUP | $83.62 | $83.62 | — | 59% above | — |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL LEVEL | $83.62 | $83.62 | — | 59% above | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM LEVEL TOTAL - PTH INTACT WITH CALCIUM - ARUP | $83.62 | $83.62 | — | — | — |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL LEVEL | $83.62 | $83.62 | — | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) (ARUP) | $328.52 | $328.52 | — | 142% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) | $328.52 | $328.52 | — | 142% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) (QWDL) | $328.52 | $328.52 | — | 142% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) (QWDL) | $328.52 | $328.52 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) (ARUP) | $328.52 | $328.52 | — | — | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) | $328.52 | $328.52 | — | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG - ARUP | $227.63 | $227.63 | — | 211% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG - QWDL | $227.63 | $227.63 | — | 211% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG | $227.63 | $227.63 | — | 211% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY (IGG) - QWDL | $227.63 | $227.63 | — | 211% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM - ARUP | $269.87 | $269.87 | — | 269% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY (IGG) - QWDL | $227.63 | $227.63 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG - QWDL | $227.63 | $227.63 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG | $227.63 | $227.63 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG - ARUP | $227.63 | $227.63 | — | — | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM - ARUP | $269.87 | $269.87 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP | $335.39 | $335.39 | — | 135% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA UROGENITAL - QDID | $335.39 | $335.39 | — | 135% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP | $335.39 | $335.39 | — | 135% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID | $335.39 | $335.39 | — | 135% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - QWDL | $335.39 | $335.39 | — | 135% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED | $335.39 | $335.39 | — | 135% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP | $335.39 | $335.39 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED | $335.39 | $335.39 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - QWDL | $335.39 | $335.39 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP | $335.39 | $335.39 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA UROGENITAL - QDID | $335.39 | $335.39 | — | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID | $335.39 | $335.39 | — | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $320.23 | $320.23 | — | 259% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE | $320.23 | $320.23 | — | — | — |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF | $224.51 | $224.51 | — | 210% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF | $224.51 | $224.51 | — | — | — |
| Complete blood count (CBC), no differential CPT 85027 HC CBC | $189.69 | $189.69 | — | 261% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC | $189.69 | $189.69 | — | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL - CMP | $370.69 | $370.69 | — | 226% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL - CMP | $370.69 | $370.69 | — | — | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL INTERNAL SAMPLING - ARUP | $247.78 | $247.78 | — | 106% above | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION BASELINE | $247.78 | $247.78 | — | 106% above | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $247.78 | $247.78 | — | 106% above | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL - ARUP | $247.78 | $247.78 | — | 106% above | — |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL - QWDL | $247.78 | $247.78 | — | 106% above | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR | $269.87 | $269.87 | — | 125% above | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL AM - QWDL | $269.87 | $269.87 | — | 125% above | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES | $269.87 | $269.87 | — | 125% above | — |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 90 MINUTES | $360.71 | $360.71 | — | 201% above | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $247.78 | $247.78 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL - QWDL | $247.78 | $247.78 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL - ARUP | $247.78 | $247.78 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL INTERNAL SAMPLING - ARUP | $247.78 | $247.78 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION BASELINE | $247.78 | $247.78 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL AM - QWDL | $269.87 | $269.87 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES | $269.87 | $269.87 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR | $269.87 | $269.87 | — | — | — |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 90 MINUTES | $360.71 | $360.71 | — | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK (CPK) TOTAL | $249.80 | $249.80 | — | 292% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK) TOTAL | $249.80 | $249.80 | — | 292% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK (CPK) TOTAL | $249.80 | $249.80 | — | — | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK) TOTAL | $249.80 | $249.80 | — | — | — |
| Creatinine blood test CPT 82565 HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP | $158.09 | $158.09 | — | 399% above | — |
| Creatinine blood test CPT 82565 HC CREATININE LEVEL | $158.09 | $158.09 | — | 399% above | — |
| Creatinine blood test inpatient CPT 82565 HC CREATININE LEVEL | $158.09 | $158.09 | — | — | — |
| Creatinine blood test inpatient CPT 82565 HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP | $158.09 | $158.09 | — | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE | $497.97 | $497.97 | — | 526% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE | $497.97 | $497.97 | — | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - QWDL | $95.33 | $95.33 | — | 33% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $95.33 | $95.33 | — | 33% below | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP | $95.33 | $95.33 | — | 33% below | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP | $95.33 | $95.33 | — | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $95.33 | $95.33 | — | — | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - QWDL | $95.33 | $95.33 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - BARBITURATES SCREEN URINE | $726.50 | $726.50 | — | 527% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP | $1,170.94 | $1,170.94 | — | 910% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TOXICOLOGY SCREEN URINE, 9 DRUG CLASSES | $1,189.51 | $1,189.51 | — | 926% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - BARBITURATES SCREEN URINE | $726.50 | $726.50 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP | $1,170.94 | $1,170.94 | — | — | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TOXICOLOGY SCREEN URINE, 9 DRUG CLASSES | $1,189.51 | $1,189.51 | — | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $265.88 | $265.88 | — | 444% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE | $265.88 | $265.88 | — | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGM | $90.17 | $90.17 | — | 9% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP | $90.17 | $90.17 | — | 9% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV VIRAL CAPSID AG (VCA) AB (IGM) - QWDL | $90.17 | $90.17 | — | 9% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - QWDL | $90.17 | $90.17 | — | 9% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - ARUP | $182.92 | $182.92 | — | 122% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - QWDL | $182.92 | $182.92 | — | 122% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGG | $182.92 | $182.92 | — | 122% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV VIRAL CAPSID AG (VCA) AB (IGG) - QWDL | $182.92 | $182.92 | — | 122% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - EBV ANTIBODY PANEL | $262.49 | $262.49 | — | 218% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP | $90.17 | $90.17 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGM | $90.17 | $90.17 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - QWDL | $90.17 | $90.17 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV VIRAL CAPSID AG (VCA) AB (IGM) - QWDL | $90.17 | $90.17 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - QWDL | $182.92 | $182.92 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV VIRAL CAPSID AG (VCA) AB (IGG) - QWDL | $182.92 | $182.92 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGG | $182.92 | $182.92 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - ARUP | $182.92 | $182.92 | — | — | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - EBV ANTIBODY PANEL | $262.49 | $262.49 | — | — | — |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $424.92 | $424.92 | — | 231% above | — |
| Estradiol blood test CPT 82670 HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP | $424.92 | $424.92 | — | 231% above | — |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP | $424.92 | $424.92 | — | — | — |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $424.92 | $424.92 | — | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP | $320.13 | $320.13 | — | 177% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - QWDL | $320.13 | $320.13 | — | 177% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH | $320.13 | $320.13 | — | 177% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH | $320.13 | $320.13 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - QWDL | $320.13 | $320.13 | — | — | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP | $320.13 | $320.13 | — | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $222.11 | $222.11 | — | 18% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $358.31 | $358.31 | — | 90% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL - ARUP | $358.31 | $358.31 | — | 90% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN | $222.11 | $222.11 | — | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL - ARUP | $358.31 | $358.31 | — | — | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $358.31 | $358.31 | — | — | — |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN LEVEL - QWDL | $234.89 | $234.89 | — | 160% above | — |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN LEVEL | $234.89 | $234.89 | — | 160% above | — |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN LEVEL - ARUP | $234.89 | $234.89 | — | 160% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN LEVEL - ARUP | $234.89 | $234.89 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN LEVEL | $234.89 | $234.89 | — | — | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN LEVEL - QWDL | $234.89 | $234.89 | — | — | — |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN QUANTITATIVE | $200.81 | $200.81 | — | 197% above | — |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN QUANTITATIVE | $200.81 | $200.81 | — | — | — |
| Folate (folic acid) blood test CPT 82746 HC FOLATE LEVEL SERUM - QWDL | $267.00 | $267.00 | — | 170% above | — |
| Folate (folic acid) blood test CPT 82746 HC FOLATE LEVEL SERUM | $267.00 | $267.00 | — | 170% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE LEVEL SERUM | $267.00 | $267.00 | — | — | — |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE LEVEL SERUM - QWDL | $267.00 | $267.00 | — | — | — |
| Free T3 thyroid hormone test CPT 84481 HC T3, FREE - ARUP | $297.73 | $297.73 | — | 205% above | — |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $297.73 | $297.73 | — | 205% above | — |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE - QWDL | $297.73 | $297.73 | — | 205% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE - QWDL | $297.73 | $297.73 | — | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE | $297.73 | $297.73 | — | — | — |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3, FREE - ARUP | $297.73 | $297.73 | — | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE - THYROXINE FREE | $251.77 | $251.77 | — | 212% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE - THYROXINE FREE | $251.77 | $251.77 | — | — | — |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $376.76 | $376.76 | — | 221% above | — |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $376.76 | $376.76 | — | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT LEVEL | $128.99 | $128.99 | — | 142% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT LEVEL | $128.99 | $128.99 | — | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE | $891.83 | $891.83 | — | 224% above | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE | $891.83 | $891.83 | — | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TOLERANCE TEST (GTT) 1 HOUR SPECIMEN | $80.40 | $80.40 | — | 63% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TOLERANCE TEST (GTT) 1 HOUR SPECIMEN | $80.40 | $80.40 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID | $335.39 | $335.39 | — | 135% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE BY TMA - ARUP | $335.39 | $335.39 | — | 135% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA THROAT - QDID | $335.39 | $335.39 | — | 135% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP | $335.39 | $335.39 | — | 135% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - QWDL | $335.39 | $335.39 | — | 135% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEA DNA PROBE | $335.39 | $335.39 | — | 135% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - QWDL | $335.39 | $335.39 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP | $335.39 | $335.39 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE BY TMA - ARUP | $335.39 | $335.39 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID | $335.39 | $335.39 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA THROAT - QDID | $335.39 | $335.39 | — | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEA DNA PROBE | $335.39 | $335.39 | — | — | — |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP | $263.48 | $263.48 | — | 104% above | — |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL | $263.48 | $263.48 | — | 104% above | — |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL | $263.48 | $263.48 | — | — | — |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP | $263.48 | $263.48 | — | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 PCR QUANTITATIVE | $291.27 | $291.27 | — | 25% below | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 PCR QUANTITATIVE | $291.27 | $291.27 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN | $102.10 | $102.10 | — | at median | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY 4TH GENERATION WITH REFLEX - QWDL | $102.10 | $102.10 | — | at median | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP | $102.10 | $102.10 | — | at median | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP | $102.10 | $102.10 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY 4TH GENERATION WITH REFLEX - QWDL | $102.10 | $102.10 | — | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN | $102.10 | $102.10 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP | $386.58 | $386.58 | — | 170% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR | $404.32 | $404.32 | — | 183% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE THIN PREP- ARUP | $404.32 | $404.32 | — | 183% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP | $404.32 | $404.32 | — | 183% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP | $386.58 | $386.58 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR | $404.32 | $404.32 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE THIN PREP- ARUP | $404.32 | $404.32 | — | — | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP | $404.32 | $404.32 | — | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $193.18 | $193.18 | — | 180% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $193.18 | $193.18 | — | — | — |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $150.18 | $150.18 | — | 758% above | — |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $150.18 | $150.18 | — | — | — |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $147.80 | $147.80 | — | 85% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $147.80 | $147.80 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $171.58 | $171.58 | — | 132% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY QUAL - QWDL | $171.58 | $171.58 | — | 132% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY - ARUP | $171.58 | $171.58 | — | 132% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY - ARUP | $171.58 | $171.58 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY QUAL - QWDL | $171.58 | $171.58 | — | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $171.58 | $171.58 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX CONFIRMATION - QWDL | $149.48 | $149.48 | — | 130% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION - ARUP | $149.48 | $149.48 | — | 130% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $149.48 | $149.48 | — | 130% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $149.48 | $149.48 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION - ARUP | $149.48 | $149.48 | — | — | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX CONFIRMATION - QWDL | $149.48 | $149.48 | — | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB W/REFL TO HCV RNA, QN, PCR - QWDL | $259.44 | $259.44 | — | 223% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP | $259.44 | $259.44 | — | 223% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR - QWDL | $259.44 | $259.44 | — | 223% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE | $259.44 | $259.44 | — | 223% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE | $259.44 | $259.44 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR - QWDL | $259.44 | $259.44 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP | $259.44 | $259.44 | — | — | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB W/REFL TO HCV RNA, QN, PCR - QWDL | $259.44 | $259.44 | — | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $446.94 | $446.94 | — | 89% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANT PCR - QWDL | $446.94 | $446.94 | — | 89% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $446.94 | $446.94 | — | — | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANT PCR - QWDL | $446.94 | $446.94 | — | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC TYPE 1 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL | $165.99 | $165.99 | — | 145% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 IGG | $165.99 | $165.99 | — | 145% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 IGG | $165.99 | $165.99 | — | — | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC TYPE 1 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL | $165.99 | $165.99 | — | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP | $201.99 | $201.99 | — | 148% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL | $201.99 | $201.99 | — | 148% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX VIRUS 2 SPECIFC IGG - HSV 1&2 IGG TYPE SPECIFIC AB - QWDL | $201.99 | $201.99 | — | 148% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 1/2 IGG TYPE SPECIFIC AB - QWDL | $201.99 | $201.99 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX VIRUS 2 SPECIFC IGG - HSV 1&2 IGG TYPE SPECIFIC AB - QWDL | $201.99 | $201.99 | — | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP | $201.99 | $201.99 | — | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY CARDIAC MG/L | $336.72 | $336.72 | — | 321% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC | $336.72 | $336.72 | — | 321% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY CARDIAC MG/L | $336.72 | $336.72 | — | — | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC | $336.72 | $336.72 | — | — | — |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL | $268.77 | $268.77 | — | 127% above | — |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE LEVEL - QWDL | $284.27 | $284.27 | — | 140% above | — |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE LEVEL - ARUP | $284.27 | $284.27 | — | 140% above | — |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL | $268.77 | $268.77 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE LEVEL - QWDL | $284.27 | $284.27 | — | — | — |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE LEVEL - ARUP | $284.27 | $284.27 | — | — | — |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL RANDOM - ARUP | $103.16 | $103.16 | — | 53% above | — |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL | $103.16 | $103.16 | — | 53% above | — |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL - QWDL | $103.16 | $103.16 | — | 53% above | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL | $103.16 | $103.16 | — | — | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL - QWDL | $103.16 | $103.16 | — | — | — |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL RANDOM - ARUP | $103.16 | $103.16 | — | — | — |
| Iron blood test (serum iron) CPT 83540 HC IRON LEVEL - ARUP | $144.06 | $144.06 | — | 170% above | — |
| Iron blood test (serum iron) CPT 83540 HC IRON LEVEL TOTAL - IRON AND TIBC - ARUP | $144.06 | $144.06 | — | 170% above | — |
| Iron blood test (serum iron) CPT 83540 HC IRON LEVEL | $144.06 | $144.06 | — | 170% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON LEVEL - ARUP | $144.06 | $144.06 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON LEVEL | $144.06 | $144.06 | — | — | — |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON LEVEL TOTAL - IRON AND TIBC - ARUP | $144.06 | $144.06 | — | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAPACITY | $152.28 | $152.28 | — | 145% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TOTAL IRON BINDING CAPACITY | $152.28 | $152.28 | — | — | — |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $289.95 | $289.95 | — | 182% above | — |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE | $289.95 | $289.95 | — | — | — |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL - ARUP | $310.88 | $310.88 | — | 219% above | — |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL | $310.88 | $310.88 | — | 219% above | — |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL - QWDL | $310.88 | $310.88 | — | 219% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL | $310.88 | $310.88 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL - ARUP | $310.88 | $310.88 | — | — | — |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL - QWDL | $310.88 | $310.88 | — | — | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL REFLEX | $173.90 | $173.90 | — | 149% above | — |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL | $173.90 | $173.90 | — | 149% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL | $173.90 | $173.90 | — | — | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL REFLEX | $173.90 | $173.90 | — | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD (LDH) TOTAL | $165.27 | $165.27 | — | 231% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL | $165.27 | $165.27 | — | 231% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $165.27 | $165.27 | — | 231% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $165.27 | $165.27 | — | 231% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $165.27 | $165.27 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL | $165.27 | $165.27 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD (LDH) TOTAL | $165.27 | $165.27 | — | — | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $165.27 | $165.27 | — | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE LEVEL | $181.79 | $181.79 | — | 168% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE LEVEL | $181.79 | $181.79 | — | — | — |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $298.80 | $298.80 | — | 193% above | — |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE | $298.80 | $298.80 | — | — | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY (BORRELIA BURGDORFERI) - MAYO | $155.25 | $155.25 | — | 86% above | — |
| Lyme disease antibody test CPT 86618 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP | $286.56 | $286.56 | — | 243% above | — |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $527.99 | $527.99 | — | 533% above | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY (BORRELIA BURGDORFERI) - MAYO | $155.25 | $155.25 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP | $286.56 | $286.56 | — | — | — |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $527.99 | $527.99 | — | — | — |
| Magnesium blood test CPT 83735 HC MAGNESIUM LEVEL | $181.79 | $181.79 | — | 246% above | — |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM LEVEL | $181.79 | $181.79 | — | — | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGG - QWDL | $95.62 | $95.62 | — | 16% above | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGG - ARUP | $95.62 | $95.62 | — | 16% above | — |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY IGG | $95.62 | $95.62 | — | 16% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGG - QWDL | $95.62 | $95.62 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY IGG | $95.62 | $95.62 | — | — | — |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGG - ARUP | $95.62 | $95.62 | — | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONONUCLEOSIS SCREEN | $189.69 | $189.69 | — | 243% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONONUCLEOSIS SCREEN | $189.69 | $189.69 | — | — | — |
| Mumps immunity blood test CPT 86735 HC MUMPS IGG - ARUP | $283.43 | $283.43 | — | 230% above | — |
| Mumps immunity blood test CPT 86735 HC MUMPS IGG - QWDL | $283.43 | $283.43 | — | 230% above | — |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $283.43 | $283.43 | — | 230% above | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $283.43 | $283.43 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG - QWDL | $283.43 | $283.43 | — | — | — |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG - ARUP | $283.43 | $283.43 | — | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL DIAGNOSTIC | $298.04 | $298.04 | — | 213% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $298.04 | $298.04 | — | 213% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL SCREENING | $311.91 | $311.91 | — | 228% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREEN | $311.91 | $311.91 | — | 228% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL SCREENING - ARUP | $311.91 | $311.91 | — | 228% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL DIAGNOSTIC | $298.04 | $298.04 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $298.04 | $298.04 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL SCREENING | $311.91 | $311.91 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREEN | $311.91 | $311.91 | — | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL SCREENING - ARUP | $311.91 | $311.91 | — | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR SCREENING IMAGED ALT CODE G0145 | $77.02 | $77.02 | — | 27% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR DIAGNOSTIC IMAGED NO ALT CODE | $446.58 | $446.58 | — | 324% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR SCREENING IMAGED ALT CODE G0145 | $77.02 | $77.02 | — | — | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR DIAGNOSTIC IMAGED NO ALT CODE | $446.58 | $446.58 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR SCREENING MANUAL ALT CODE G0123 | $184.72 | $184.72 | — | 105% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE | $236.78 | $236.78 | — | 163% above | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR SCREENING MANUAL ALT CODE G0123 | $184.72 | $184.72 | — | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE | $236.78 | $236.78 | — | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT - PTH INTACT WITH CALCIUM - ARUP | $480.18 | $480.18 | — | 125% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT - ARUP | $480.18 | $480.18 | — | 125% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT WITHOUT CALCIUM - QWDL | $480.18 | $480.18 | — | 125% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT | $480.18 | $480.18 | — | 125% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT - ARUP | $480.18 | $480.18 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT | $480.18 | $480.18 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT WITHOUT CALCIUM - QWDL | $480.18 | $480.18 | — | — | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT - PTH INTACT WITH CALCIUM - ARUP | $480.18 | $480.18 | — | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $140.70 | $140.70 | — | 168% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP | $140.70 | $140.70 | — | 168% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP | $140.70 | $140.70 | — | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $140.70 | $140.70 | — | — | — |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $215.00 | $215.00 | — | 417% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $215.00 | $215.00 | — | — | — |
| Potassium blood test CPT 84132 HC POTASSIUM LEVEL | $199.17 | $199.17 | — | 626% above | — |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM LEVEL | $199.17 | $199.17 | — | — | — |
| Progesterone blood test CPT 84144 HC PROGESTERONE LEVEL - ARUP | $243.35 | $243.35 | — | 101% above | — |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $243.35 | $243.35 | — | 101% above | — |
| Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $243.35 | $243.35 | — | — | — |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE LEVEL - ARUP | $243.35 | $243.35 | — | — | — |
| Prolactin blood test CPT 84146 HC PROLACTIN | $368.33 | $368.33 | — | 205% above | — |
| Prolactin blood test CPT 84146 HC PROLACTIN - ARUP | $368.33 | $368.33 | — | 205% above | — |
| Prolactin blood test CPT 84146 HC PROLACTIN - QWDL | $368.33 | $368.33 | — | 205% above | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN - ARUP | $368.33 | $368.33 | — | — | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN - QWDL | $368.33 | $368.33 | — | — | — |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $368.33 | $368.33 | — | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR | $132.78 | $132.78 | — | 294% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POC PROTHROMBIN TIME INR | $132.78 | $132.78 | — | 294% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP | $132.78 | $132.78 | — | 294% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR | $132.78 | $132.78 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POC PROTHROMBIN TIME INR | $132.78 | $132.78 | — | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP | $132.78 | $132.78 | — | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION | $165.99 | $165.99 | — | 264% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION | $165.99 | $165.99 | — | — | — |
| Renin blood test CPT 84244 HC RENIN LEVEL | $261.63 | $261.63 | — | 77% above | — |
| Renin blood test CPT 84244 HC RENIN DIRECT LEVEL - ARUP | $388.12 | $388.12 | — | 163% above | — |
| Renin blood test CPT 84244 HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $388.12 | $388.12 | — | 163% above | — |
| Renin blood test inpatient CPT 84244 HC RENIN LEVEL | $261.63 | $261.63 | — | — | — |
| Renin blood test inpatient CPT 84244 HC RENIN DIRECT LEVEL - ARUP | $388.12 | $388.12 | — | — | — |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $388.12 | $388.12 | — | — | — |
| Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE | $120.44 | $120.44 | — | 204% above | — |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE | $120.44 | $120.44 | — | — | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - QWDL | $140.70 | $140.70 | — | 141% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $140.70 | $140.70 | — | 141% above | — |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - ARUP | $140.70 | $140.70 | — | 141% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $140.70 | $140.70 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - QWDL | $140.70 | $140.70 | — | — | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - ARUP | $140.70 | $140.70 | — | — | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG - ARUP | $153.11 | $153.11 | — | 86% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC IGG - RUBELLA IMMUNE STATUS - QWDL | $153.11 | $153.11 | — | 86% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG (IMMUNE STATUS) - QWDL | $153.11 | $153.11 | — | 86% above | — |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG QUANTITATIVE | $153.11 | $153.11 | — | 86% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG - ARUP | $153.11 | $153.11 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG QUANTITATIVE | $153.11 | $153.11 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC IGG - RUBELLA IMMUNE STATUS - QWDL | $153.11 | $153.11 | — | — | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG (IMMUNE STATUS) - QWDL | $153.11 | $153.11 | — | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED | $107.50 | $107.50 | — | 158% above | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED | $107.50 | $107.50 | — | — | — |
| Sodium blood test CPT 84295 HC SODIUM LEVEL | $205.52 | $205.52 | — | 729% above | — |
| Sodium blood test inpatient CPT 84295 HC SODIUM LEVEL | $205.52 | $205.52 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1 | $195.27 | $195.27 | — | 223% above | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES SCREENING SPECIMEN #1 | $258.01 | $258.01 | — | 327% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1 | $195.27 | $195.27 | — | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECES SCREENING SPECIMEN #1 | $258.01 | $258.01 | — | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM CONFIRMATION | $94.09 | $94.09 | — | 71% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY | $291.14 | $291.14 | — | 429% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM CONFIRMATION | $94.09 | $94.09 | — | — | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY | $291.14 | $291.14 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $94.76 | $94.76 | — | 139% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL WITH REFLEX TO TITER, SERUM - ARUP | $108.69 | $108.69 | — | 174% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUAL | $139.73 | $139.73 | — | 252% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP | $139.73 | $139.73 | — | 252% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR (MONITOR) W/REFL TITER - QWDL | $139.73 | $139.73 | — | 252% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $94.76 | $94.76 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL WITH REFLEX TO TITER, SERUM - ARUP | $108.69 | $108.69 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR (MONITOR) W/REFL TITER - QWDL | $139.73 | $139.73 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUAL | $139.73 | $139.73 | — | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP | $139.73 | $139.73 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD PLUS 1 TUBE - QWDL | $260.81 | $260.81 | — | 3% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB PLUS - ARUP | $260.81 | $260.81 | — | 3% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON | $260.81 | $260.81 | — | 3% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD PLUS 1 TUBE - QWDL | $260.81 | $260.81 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB PLUS - ARUP | $260.81 | $260.81 | — | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON | $260.81 | $260.81 | — | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP | $286.63 | $286.63 | — | 149% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL - MASS SPEC - QWDL | $286.63 | $286.63 | — | 149% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP | $286.63 | $286.63 | — | 149% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL ADULT MALE - ARUP | $286.63 | $286.63 | — | 149% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL ADULT MALE - QWDL | $286.63 | $286.63 | — | 149% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP | $286.63 | $286.63 | — | 149% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $286.63 | $286.63 | — | 149% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP | $286.63 | $286.63 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $286.63 | $286.63 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL ADULT MALE - ARUP | $286.63 | $286.63 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP | $286.63 | $286.63 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP | $286.63 | $286.63 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL - MASS SPEC - QWDL | $286.63 | $286.63 | — | — | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL ADULT MALE - QWDL | $286.63 | $286.63 | — | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP | $170.05 | $170.05 | — | 143% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE ANTIBODY - ARUP | $170.05 | $170.05 | — | 143% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE ANTIBODY - QWDL | $170.05 | $170.05 | — | 143% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODIES - QWDL | $170.05 | $170.05 | — | 143% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $170.05 | $170.05 | — | 143% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP | $170.05 | $170.05 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $170.05 | $170.05 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODIES - QWDL | $170.05 | $170.05 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE ANTIBODY - QWDL | $170.05 | $170.05 | — | — | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE ANTIBODY - ARUP | $170.05 | $170.05 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $317.17 | $317.17 | — | 253% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL | $317.17 | $317.17 | — | 253% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL | $317.17 | $317.17 | — | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $317.17 | $317.17 | — | — | — |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E - IGE | $140.91 | $140.91 | — | 38% above | — |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E (IGE) - ARUP | $140.91 | $140.91 | — | 38% above | — |
| Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E - IGE | $140.91 | $140.91 | — | — | — |
| Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E (IGE) - ARUP | $140.91 | $140.91 | — | — | — |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $147.24 | $147.24 | — | 219% above | — |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $147.24 | $147.24 | — | — | — |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4 TOTAL | $145.37 | $145.37 | — | 180% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4 TOTAL | $145.37 | $145.37 | — | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) | $187.68 | $187.68 | — | 75% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) | $187.68 | $187.68 | — | — | — |
| Transferrin blood test CPT 84466 HC TRANSFERRIN LEVEL | $225.36 | $225.36 | — | 137% above | — |
| Transferrin blood test CPT 84466 HC TRANSFERRIN LEVEL - QWDL | $225.36 | $225.36 | — | 137% above | — |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN LEVEL | $225.36 | $225.36 | — | — | — |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN LEVEL - QWDL | $225.36 | $225.36 | — | — | — |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $174.16 | $174.16 | — | 223% above | — |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $174.16 | $174.16 | — | — | — |
| Troponin test, quantitative CPT 84484 HC TROPONIN T QUANT HIGH SENSITIVITY | $395.22 | $395.22 | — | 368% above | — |
| Troponin test, quantitative CPT 84484 HC TROPONIN T HIGH SENSITIVITY | $395.22 | $395.22 | — | 368% above | — |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN I | $417.87 | $417.87 | — | 395% above | — |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T HIGH SENSITIVITY | $395.22 | $395.22 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T QUANT HIGH SENSITIVITY | $395.22 | $395.22 | — | — | — |
| Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN I | $417.87 | $417.87 | — | — | — |
| Uric acid blood test CPT 84550 HC URIC ACID LEVEL | $199.17 | $199.17 | — | 295% above | — |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID LEVEL | $199.17 | $199.17 | — | — | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO WITH MICROSCOPIC | $119.15 | $119.15 | — | 230% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO WITH MICROSCOPIC | $119.15 | $119.15 | — | — | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS DIPSTICK | $69.55 | $69.55 | — | 178% above | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - SPECIFIC GRAVITY | $169.98 | $169.98 | — | 580% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS DIPSTICK | $69.55 | $69.55 | — | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - SPECIFIC GRAVITY | $169.98 | $169.98 | — | — | — |
| Urinalysis without microscope exam, manual CPT 81002 HC PBB URINALYSIS NONAUTO W/O SCOPE | $56.41 | $56.41 | — | 309% above | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC PBB URINALYSIS NONAUTO W/O SCOPE | $56.41 | $56.41 | — | — | — |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE QUANTITATIVE | $210.78 | $210.78 | — | 180% above | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE QUANTITATIVE | $210.78 | $210.78 | — | — | — |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOME URINE MG/DL | $116.32 | $116.32 | — | 79% above | — |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE | $116.32 | $116.32 | — | 79% above | — |
| Urine microalbumin (albumin) test CPT 82043 HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE - QWDL | $194.38 | $194.38 | — | 199% above | — |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN / CREATININE URINE RATIO | $194.38 | $194.38 | — | 199% above | — |
| Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP | $194.38 | $194.38 | — | 199% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE | $116.32 | $116.32 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOME URINE MG/DL | $116.32 | $116.32 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC CREATININE LEVEL - MICROALBUMIN/CREATININE RATIO RANDOM URINE - QWDL | $194.38 | $194.38 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP | $194.38 | $194.38 | — | — | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN / CREATININE URINE RATIO | $194.38 | $194.38 | — | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 - QWDL | $284.32 | $284.32 | — | 177% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 LEVEL | $284.32 | $284.32 | — | 177% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 - QWDL | $284.32 | $284.32 | — | — | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 LEVEL | $284.32 | $284.32 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP | $346.40 | $346.40 | — | 123% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY | $346.40 | $346.40 | — | 123% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP | $346.40 | $346.40 | — | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY | $346.40 | $346.40 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1,25 DIHYDROXY - ARUP | $379.48 | $379.48 | — | 137% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 | $379.48 | $379.48 | — | 137% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 | $379.48 | $379.48 | — | — | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1,25 DIHYDROXY - ARUP | $379.48 | $379.48 | — | — | — |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC | $114.16 | $114.16 | — | 43% above | — |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC | $114.16 | $114.16 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG TUMOR MARKER | $78.75 | $78.75 | — | 33% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $287.66 | $287.66 | — | 145% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG TUMOR MARKER | $78.75 | $78.75 | — | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $287.66 | $287.66 | — | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $3,315.14 | $3,315.14 | — | 237% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $3,315.14 | $3,315.14 | — | — | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION | $614.50 | $614.50 | — | 241% above | — |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC BENIGN/PREMAL,FIRST LESION | $614.50 | $614.50 | — | — | — |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $461.34 | $461.34 | — | 398% above | — |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $461.34 | $461.34 | — | — | — |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $186.35 | $186.35 | — | 122% above | — |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $186.35 | $186.35 | — | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $1,131.06 | $1,131.06 | — | 287% above | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $1,131.06 | $1,131.06 | — | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $852.03 | $852.03 | — | 97% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $852.03 | $852.03 | — | — | — |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $653.78 | $653.78 | — | 178% above | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $653.78 | $653.78 | — | — | — |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,562.88 | $3,562.88 | — | 177% above | — |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $3,562.88 | $3,562.88 | — | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $739.49 | $739.49 | — | 127% above | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $739.49 | $739.49 | — | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $987.22 | $987.22 | — | 194% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $987.22 | $987.22 | — | — | — |
| Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST | $1,578.53 | $1,578.53 | — | 527% above | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST | $1,578.53 | $1,578.53 | — | — | — |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $843.54 | $843.54 | — | 380% above | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $843.54 | $843.54 | — | — | — |
| Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT | $1,064.78 | $1,064.78 | — | 413% above | — |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT | $1,064.78 | $1,064.78 | — | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM | $102.10 | $102.10 | — | 69% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM | $102.10 | $102.10 | — | — | — |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $1,199.56 | $1,199.56 | — | 400% above | — |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $1,199.56 | $1,199.56 | — | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM | $390.12 | $390.12 | — | 93% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM | $390.12 | $390.12 | — | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM | $1,142.40 | $1,142.40 | — | 269% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM | $1,142.40 | $1,142.40 | — | — | — |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $3,168.96 | $3,168.96 | — | 164% above | — |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $3,168.96 | $3,168.96 | — | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $1,263.38 | $1,263.38 | — | 256% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $1,263.38 | $1,263.38 | — | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $2,328.63 | $2,328.63 | — | 337% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $2,328.63 | $2,328.63 | — | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $2,323.89 | $2,323.89 | — | 298% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE | $2,323.89 | $2,323.89 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER | $316.84 | $316.84 | — | 267% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI | $906.26 | $906.26 | — | 948% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT | $957.84 | $957.84 | — | 1008% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER | $316.84 | $316.84 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI | $906.26 | $906.26 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT | $957.84 | $957.84 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $3,187.80 | $3,187.80 | — | 78% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $3,187.80 | $3,187.80 | — | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD | $265.61 | $265.61 | — | 80% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD | $265.61 | $265.61 | — | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1 | $252.96 | $252.96 | — | 35% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1 | $252.96 | $252.96 | — | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2 | $466.35 | $466.35 | — | 44% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2 | $466.35 | $466.35 | — | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 | $720.93 | $720.93 | — | 22% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 | $720.93 | $720.93 | — | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4 | $1,092.42 | $1,092.42 | — | 19% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4 | $1,092.42 | $1,092.42 | — | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5 | $1,743.42 | $1,743.42 | — | 19% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5 | $1,743.42 | $1,743.42 | — | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST EXERCISE/PHARM - TRACING ONLY | $1,118.65 | $1,118.65 | — | 41% above | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, PHARM | $1,118.65 | $1,118.65 | — | 41% above | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, PHARM | $1,118.65 | $1,118.65 | — | — | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST EXERCISE/PHARM - TRACING ONLY | $1,118.65 | $1,118.65 | — | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION, 30-60 MIN | $396.97 | $396.97 | — | 39% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION, 30-60 MIN | $396.97 | $396.97 | — | — | — |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR | $481.25 | $481.25 | — | 52% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR | $481.25 | $481.25 | — | — | — |
| IV push of a medicine, first drug CPT 96374 HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG | $252.76 | $252.76 | — | 53% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG | $252.76 | $252.76 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN | $49.89 | $49.89 | — | 38% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM | $126.08 | $126.08 | — | 56% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN | $49.89 | $49.89 | — | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM | $126.08 | $126.08 | — | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $174.20 | $174.20 | — | 82% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $174.20 | $174.20 | — | 82% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $174.20 | $174.20 | — | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $174.20 | $174.20 | — | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM | $925.85 | $925.85 | — | 369% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM | $925.85 | $925.85 | — | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM | $1,190.41 | $1,190.41 | — | 430% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM | $1,190.41 | $1,190.41 | — | — | — |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM | $1,484.31 | $1,484.31 | — | 387% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM | $1,484.31 | $1,484.31 | — | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE OUTPATIENT NEW PT SF MDM | $690.73 | $690.73 | — | 429% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE OUTPATIENT NEW PT SF MDM | $690.73 | $690.73 | — | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $272.32 | $272.32 | — | 47% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $272.32 | $272.32 | — | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $272.32 | $272.32 | — | 14% below | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $272.32 | $272.32 | — | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $272.32 | $272.32 | — | 47% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $272.32 | $272.32 | — | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $272.32 | $272.32 | — | 9% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $272.32 | $272.32 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $150.73 | $150.73 | — | 56% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $150.73 | $150.73 | — | 56% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $150.73 | $150.73 | — | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $150.73 | $150.73 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $117.90 | $117.90 | — | 22% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $117.90 | $117.90 | — | 22% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $117.90 | $117.90 | — | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $117.90 | $117.90 | — | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM | $361.63 | $361.63 | — | 23% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM | $361.63 | $361.63 | — | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OUTPATIENT VISIT EST PT LOW LVL MDM | $306.77 | $306.77 | — | 87% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OUTPATIENT VISIT EST PT LOW LVL MDM | $306.77 | $306.77 | — | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OUTPATIENT VISIT EST PT MOD LVL MDM | $431.79 | $431.79 | — | 132% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OUTPATIENT VISIT EST PT MOD LVL MDM | $431.79 | $431.79 | — | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OUTPATIENT VISIT EST PT SF MDM | $118.20 | $118.20 | — | 22% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OUTPATIENT VISIT EST PT SF MDM | $118.20 | $118.20 | — | — | — |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $491.72 | $491.72 | — | 39% above | — |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $491.72 | $491.72 | — | — | — |
| Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY, INDIVIDUAL | $405.17 | $405.17 | — | 60% above | — |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY, INDIVIDUAL | $405.17 | $405.17 | — | — | — |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $406.97 | $406.97 | — | 46% above | — |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST | $406.97 | $406.97 | — | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $116.87 | $116.87 | — | 30% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $122.38 | $122.38 | — | 36% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $116.87 | $116.87 | — | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $122.38 | $122.38 | — | — | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE) | $450.54 | $450.54 | — | 125% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE) | $450.54 | $450.54 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD 0.5 ML IM SUSY | $145.14 | $145.14 | — | 115% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD 0.5 ML IM SUSY | $145.14 | $145.14 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX 0.5 ML IM SUSY | $78.08 | $78.08 | — | 145% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA PRESERVATIVE FREE 0.5 ML IM SUSY | $80.57 | $80.57 | — | 152% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE 0.5 ML IM SUSY | $99.41 | $99.41 | — | 211% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX 0.5 ML IM SUSY | $78.08 | $78.08 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA PRESERVATIVE FREE 0.5 ML IM SUSY | $80.57 | $80.57 | — | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE 0.5 ML IM SUSY | $99.41 | $99.41 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 0.5 ML IM SUSP | $413.94 | $413.94 | — | 30% above | — |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 0.5 ML IM SUSY | $583.20 | $583.20 | — | 83% above | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 0.5 ML IM SUSP | $413.94 | $413.94 | — | — | — |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 0.5 ML IM SUSY | $583.20 | $583.20 | — | — | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX 720-20 ELU-MCG/ML IM SUSY | $446.01 | $446.01 | — | 133% above | — |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX 720-20 ELU-MCG/ML IM SUSY | $446.01 | $446.01 | — | — | — |
| Hepatitis A vaccine, adult dose CPT 90632 VAQTA 50 UNIT/ML IM SUSP | $155.61 | $155.61 | — | 18% above | — |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440 EL U/ML IM SUSP | $162.33 | $162.33 | — | 23% above | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA 50 UNIT/ML IM SUSP | $155.61 | $155.61 | — | — | — |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1440 EL U/ML IM SUSP | $162.33 | $162.33 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSY | $127.40 | $127.40 | — | 10% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSP | $188.95 | $188.95 | — | 64% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 10 MCG/0.5ML IJ SUSY | $189.13 | $189.13 | — | 64% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20 MCG/ML IJ SUSY | $234.02 | $234.02 | — | 103% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSY | $127.40 | $127.40 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSP | $188.95 | $188.95 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 10 MCG/0.5ML IJ SUSY | $189.13 | $189.13 | — | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20 MCG/ML IJ SUSY | $234.02 | $234.02 | — | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE 0.5 ML IM SUSY | $313.43 | $313.43 | — | 295% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE 0.5 ML IM SUSY | $313.43 | $313.43 | — | — | — |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENQUADFI 0.5 ML IM SOLN | $325.41 | $325.41 | — | 42% above | — |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENQUADFI 0.5 ML IM SOLN | $325.41 | $325.41 | — | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5 ML IM SUSY | $336.70 | $336.70 | — | 45% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 0.5 ML IM SUSY | $336.70 | $336.70 | — | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 0.5 ML IM SUSY | $470.44 | $470.44 | — | 61% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 0.5 ML IM SUSY | $470.44 | $470.44 | — | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML IJ SOSY | $232.77 | $232.77 | — | 65% above | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML IJ SOSY | $232.77 | $232.77 | — | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 5-2 LFU IM INJ | $183.70 | $183.70 | — | 343% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 5-2 LFU IM INJ | $183.70 | $183.70 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $178.14 | $178.14 | — | 118% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP | $220.77 | $220.77 | — | 171% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $178.14 | $178.14 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP | $220.77 | $220.77 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $126.46 | $126.46 | — | 227% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN, PNEUMOCOCCAL | $126.46 | $126.46 | — | 227% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $126.46 | $126.46 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN, PNEUMOCOCCAL | $126.46 | $126.46 | — | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $134.53 | $134.53 | — | 314% above | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $134.53 | $134.53 | — | — | — |
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://HospitalPriceDisclosure.com/download.aspx?pi=GWQ6hVIDeHKPPO7oxssXNA*-*