SelfPayRates
Hospital Bakersfield-Delano, CA

Ridgecrest Regional Hospital

Ridgecrest Regional Hospital in Ridgecrest, CA publishes cash prices for 458 common procedures listed here, from its own machine-readable price file updated Nov 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the California median for 310 of 447 procedures and above it for 134. By typical cash price it ranks #74 of 226 California hospitals and #5 of 5 hospitals in the Bakersfield, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1081 N China Lake Blvd, , Ridgecrest, CA 93555 Collected Nov 8, 2026 Source price file Check a bill from this hospital (760) 446-3551

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 051333 · CMS hospital register NPI 1447253125

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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

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 5 actions for a hospital named Ridgecrest Regional Hospital in Ridgecrest, CA:

  • Jun 26, 2023 Warning notice
  • Oct 5, 2023 Case closed
  • Mar 6, 2026 Warning notice
  • Jun 22, 2026 Corrective action plan requested
  • Jul 10, 2026 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. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.

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

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Abdominal CT scan without and with contrast CPT 74170 Ct 4 phase liver w/wo $2,597.00 $4,900.00 $594.51 8% below 47%
Abdominal CT scan without and with contrast CPT 74170 Ct abdomen w/o & w/dye $2,597.00 $4,900.00 $594.51 8% below 47%
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct abdomen w/o & w/dye $2,597.00 $4,900.00 $594.51 — 47%
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct 4 phase liver w/wo $2,597.00 $4,900.00 $594.51 — 47%
Abdominal X-ray, 2 views CPT 74019 Abdomen 2 or more $201.40 $380.00 $144.68 53% below 47%
Abdominal X-ray, 2 views CPT 74019 X-ray exam abdomen 2 views $201.40 $380.00 $144.68 53% below 47%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray exam abdomen 2 views $201.40 $380.00 $144.68 — 47%
Abdominal X-ray, 2 views inpatient CPT 74019 Abdomen 2 or more $201.40 $380.00 $144.68 — 47%
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle $331.25 $625.00 $120.43 36% below 47%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle xray left complete min 3 views $219.95 $415.00 $120.43 57% below 47%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle xray-right comf min 3 views $219.95 $415.00 $120.43 57% below 47%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray exam of ankle $331.25 $625.00 $120.43 — 47%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle xray left complete min 3 views $219.95 $415.00 $120.43 — 47%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle xray-right comf min 3 views $219.95 $415.00 $120.43 — 47%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct clavicle $1,669.50 $3,150.00 $306.22 27% below 47%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct upper extremity w/o dye $1,669.50 $3,150.00 $306.22 27% below 47%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct upper extrem w/o contrast-right $1,669.50 $3,150.00 $306.22 27% below 47%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct upper extrem w/o contrast-left $1,669.50 $3,150.00 $306.22 27% below 47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct clavicle $1,669.50 $3,150.00 $306.22 — 47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct upper extremity w/o dye $1,669.50 $3,150.00 $306.22 — 47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct upper extrem w/o contrast-right $1,669.50 $3,150.00 $306.22 — 47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct upper extrem w/o contrast-left $1,669.50 $3,150.00 $306.22 — 47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Esophagus $503.50 $950.00 $242.73 17% below 47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst $503.50 $950.00 $242.73 17% below 47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Esophagus $503.50 $950.00 $242.73 — 47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray xm esophagus 1cntrst $503.50 $950.00 $242.73 — 47%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body $1,235.75 $2,331.60 $553.24 42% below 47%
Bone scan, whole body (nuclear medicine) CPT 78306 Nm bone scan whole body $1,235.75 $2,331.60 $553.24 42% below 47%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm bone scan whole body $1,235.75 $2,331.60 $553.24 — 47%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone imaging whole body $1,235.75 $2,331.60 $553.24 — 47%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete $270.30 $510.00 $144.68 62% below 47%
Breast ultrasound, complete, one breast one side CPT 76641 Us breast-right comp $180.20 $340.00 $144.68 74% below 47%
Breast ultrasound, complete, one breast one side CPT 76641 Us breast-left-comp $180.20 $340.00 $144.68 74% below 47%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound breast complete $270.30 $510.00 $144.68 — 47%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us breast-right comp $180.20 $340.00 $144.68 — 47%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us breast-left-comp $180.20 $340.00 $144.68 — 47%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited $379.25 $715.56 $120.43 29% below 47%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us breast- left limited $122.10 $230.37 $120.43 77% below 47%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us breast- right limited $189.62 $357.78 $120.43 65% below 47%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound breast limited $379.25 $715.56 $120.43 — 47%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us breast- left limited $122.10 $230.37 $120.43 — 47%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us breast- right limited $189.62 $357.78 $120.43 — 47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct angio abd&pelv w/o&w/dye $3,577.50 $6,750.00 $482.80 34% below 47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct angio abdomen & pelvis w/o & w/ dye $3,577.50 $6,750.00 $482.80 34% below 47%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct angio abdomen & pelvis w/o & w/ dye $3,577.50 $6,750.00 $482.80 — 47%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct angio abd&pelv w/o&w/dye $3,577.50 $6,750.00 $482.80 — 47%
CT angiography (CTA) of the head CPT 70496 Ct angiography head $2,628.80 $4,960.00 $594.51 12% below 47%
CT angiography (CTA) of the head CPT 70496 Cta brain $2,628.80 $4,960.00 $594.51 12% below 47%
CT angiography (CTA) of the head inpatient CPT 70496 Ct angiography head $2,628.80 $4,960.00 $594.51 — 47%
CT angiography (CTA) of the head inpatient CPT 70496 Cta brain $2,628.80 $4,960.00 $594.51 — 47%
CT angiography (CTA) of the neck CPT 70498 Cta neck $2,623.50 $4,950.00 $594.51 11% below 47%
CT angiography (CTA) of the neck CPT 70498 Ct angiography neck $2,623.50 $4,950.00 $594.51 11% below 47%
CT angiography (CTA) of the neck inpatient CPT 70498 Ct angiography neck $2,623.50 $4,950.00 $594.51 — 47%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta neck $2,623.50 $4,950.00 $594.51 — 47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest $2,634.10 $4,970.00 $594.51 23% below 47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta chest $2,634.10 $4,970.00 $594.51 23% below 47%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta chest $2,634.10 $4,970.00 $594.51 — 47%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct angiography chest $2,634.10 $4,970.00 $594.51 — 47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct angio of heart cta-coronary $2,639.40 $4,980.00 $482.80 2% below 47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct angio hrt w/3d image $2,639.40 $4,980.00 $482.80 2% below 47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct angio hrt w/3d image $2,639.40 $4,980.00 $482.80 — 47%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct angio of heart cta-coronary $2,639.40 $4,980.00 $482.80 — 47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct hrt w/o dye w/ca test $126.67 $239.00 $120.43 66% below 47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Coronary calcium scoring $126.67 $239.00 $120.43 66% below 47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct hrt w/o dye w/ca test $126.67 $239.00 $120.43 — 47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Coronary calcium scoring $126.67 $239.00 $120.43 — 47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast $1,669.50 $3,150.00 $306.22 48% below 47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abdomen and pelvis wo contrast $1,669.50 $3,150.00 $306.22 48% below 47%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abd & pelvis w/o contrast $1,669.50 $3,150.00 $306.22 — 47%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct abdomen and pelvis wo contrast $1,669.50 $3,150.00 $306.22 — 47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abdomen & pelvis w contrast $2,809.00 $5,300.00 $594.51 32% below 47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelv w/contrast $2,809.00 $5,300.00 $594.51 32% below 47%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abd & pelv w/contrast $2,809.00 $5,300.00 $594.51 — 47%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct abdomen & pelvis w contrast $2,809.00 $5,300.00 $594.51 — 47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd & pelv 1/> regns $3,259.50 $6,150.00 $594.51 31% below 47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abdomen & pelvis w/wo contrast $3,259.50 $6,150.00 $594.51 31% below 47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abdomen & pelvis w/wo contrast $3,259.50 $6,150.00 $594.51 — 47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct abd & pelv 1/> regns $3,259.50 $6,150.00 $594.51 — 47%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/contrast $2,279.00 $4,300.00 $594.51 10% below 47%
CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/dye $2,279.00 $4,300.00 $594.51 10% below 47%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/contrast $2,279.00 $4,300.00 $594.51 — 47%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct abdomen w/dye $2,279.00 $4,300.00 $594.51 — 47%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o contrast $1,391.25 $2,625.00 $306.22 27% below 47%
CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o dye $1,391.25 $2,625.00 $306.22 27% below 47%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o dye $1,391.25 $2,625.00 $306.22 — 47%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct abdomen w/o contrast $1,391.25 $2,625.00 $306.22 — 47%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye $1,551.84 $2,928.00 $306.22 29% below 47%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct sinus axial & coronal $1,551.84 $2,928.00 $306.22 29% below 47%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct maxillofacial w/o dye $1,551.84 $2,928.00 $306.22 — 47%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct sinus axial & coronal $1,551.84 $2,928.00 $306.22 — 47%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head w/o contrast $1,322.35 $2,495.00 $306.22 42% below 47%
CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye $1,322.35 $2,495.00 $306.22 42% below 47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head/brain w/o dye $1,322.35 $2,495.00 $306.22 — 47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct head w/o contrast $1,322.35 $2,495.00 $306.22 — 47%
CT scan of the head with contrast CPT 70460 Ct head/brain w/dye $1,537.00 $2,900.00 $594.51 43% below 47%
CT scan of the head with contrast CPT 70460 Ct head with contrast $1,537.00 $2,900.00 $594.51 43% below 47%
CT scan of the head with contrast inpatient CPT 70460 Ct head with contrast $1,537.00 $2,900.00 $594.51 — 47%
CT scan of the head with contrast inpatient CPT 70460 Ct head/brain w/dye $1,537.00 $2,900.00 $594.51 — 47%
CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye $1,669.50 $3,150.00 $594.51 46% below 47%
CT scan of the head without and with contrast CPT 70470 Ct head w/wo contrast $1,669.50 $3,150.00 $594.51 46% below 47%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head w/wo contrast $1,669.50 $3,150.00 $594.51 — 47%
CT scan of the head without and with contrast inpatient CPT 70470 Ct head/brain w/o & w/dye $1,669.50 $3,150.00 $594.51 — 47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumb spine w/o contrast $1,431.00 $2,700.00 $306.22 50% below 47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye $1,431.00 $2,700.00 $306.22 50% below 47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumbar spine w/o dye $1,431.00 $2,700.00 $306.22 — 47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct lumb spine w/o contrast $1,431.00 $2,700.00 $306.22 — 47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct cerv spine w/o contrst $1,457.50 $2,750.00 $306.22 50% below 47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye $1,457.50 $2,750.00 $306.22 50% below 47%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct cerv spine w/o contrst $1,457.50 $2,750.00 $306.22 — 47%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct neck spine w/o dye $1,457.50 $2,750.00 $306.22 — 47%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye $2,332.00 $4,400.00 $594.51 8% below 47%
CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/contrast $2,332.00 $4,400.00 $594.51 8% below 47%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/contrast $2,332.00 $4,400.00 $594.51 — 47%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct pelvis w/dye $2,332.00 $4,400.00 $594.51 — 47%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Us carotid art bilat complete $1,007.00 $1,900.00 $330.20 — 47%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study $1,007.00 $1,900.00 $330.20 — 47%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Us carotid art bilat complete $1,007.00 $1,900.00 $330.20 — 47%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial bilat study $1,007.00 $1,900.00 $330.20 — 47%
Chest CT scan without and with contrast CPT 71270 Ct thorax w/o & w/dye $1,908.00 $3,600.00 $594.51 42% below 47%
Chest CT scan without and with contrast CPT 71270 Ct chest/thorax w/wo contrast $1,908.00 $3,600.00 $594.51 42% below 47%
Chest CT scan without and with contrast inpatient CPT 71270 Ct chest/thorax w/wo contrast $1,908.00 $3,600.00 $594.51 — 47%
Chest CT scan without and with contrast inpatient CPT 71270 Ct thorax w/o & w/dye $1,908.00 $3,600.00 $594.51 — 47%
Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views $180.20 $340.00 $1,143.13 56% below 47%
Chest X-ray, 2 views CPT 71046 Chest 2 views $180.20 $340.00 $1,143.13 56% below 47%
Chest X-ray, 2 views inpatient CPT 71046 Chest 2 views $180.20 $340.00 $1,143.13 — 47%
Chest X-ray, 2 views inpatient CPT 71046 X-ray exam chest 2 views $180.20 $340.00 $1,143.13 — 47%
Chest X-ray, single view CPT 71045 X-ray exam chest 1 view $153.70 $290.00 $1,143.13 58% below 47%
Chest X-ray, single view CPT 71045 Chest 1 view $153.70 $290.00 $1,143.13 58% below 47%
Chest X-ray, single view inpatient CPT 71045 Chest 1 view $153.70 $290.00 $1,143.13 — 47%
Chest X-ray, single view inpatient CPT 71045 X-ray exam chest 1 view $153.70 $290.00 $1,143.13 — 47%
Collarbone (clavicle) X-ray, complete CPT 73000 X-ray exam of collar bone $410.67 $774.84 $120.43 15% below 47%
Collarbone (clavicle) X-ray, complete CPT 73000 Clavicle complete $410.67 $774.84 $120.43 15% below 47%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle complete-left $190.80 $360.00 $120.43 61% below 47%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle complete-right $190.80 $360.00 $120.43 61% below 47%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-ray exam of collar bone $410.67 $774.84 $120.43 — 47%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Clavicle complete $410.67 $774.84 $120.43 — 47%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Clavicle complete-right $190.80 $360.00 $120.43 — 47%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Clavicle complete-left $190.80 $360.00 $120.43 — 47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp $768.50 $1,450.00 $407.14 9% below 47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us kidney $768.50 $1,450.00 $407.14 9% below 47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us exam abdo back wall comp $768.50 $1,450.00 $407.14 — 47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us kidney $768.50 $1,450.00 $407.14 — 47%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial $304.75 $575.00 $144.68 40% below 47%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa $304.75 $575.00 $144.68 40% below 47%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa $304.75 $575.00 $144.68 — 47%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa bone density axial $304.75 $575.00 $144.68 — 47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct chest high resolution /diff lung dz $1,417.75 $2,675.00 $306.22 30% below 47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax w/o dye $1,417.75 $2,675.00 $306.22 30% below 47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct chest high resolution /diff lung dz $1,417.75 $2,675.00 $306.22 — 47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct thorax w/o dye $1,417.75 $2,675.00 $306.22 — 47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct chest & abd w/contrast $1,696.00 $3,200.00 $594.51 41% below 47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax w/dye $1,696.00 $3,200.00 $594.51 41% below 47%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct thorax w/dye $1,696.00 $3,200.00 $594.51 — 47%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct chest & abd w/contrast $1,696.00 $3,200.00 $594.51 — 47%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi $360.40 $680.00 $168.23 — 47%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx mammo incl cad bi $360.40 $680.00 $168.23 — 47%
Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni $180.20 $340.00 $132.81 52% below 47%
Diagnostic mammogram, one breast one side CPT 77065 Dx mammo incl cad uni lt $180.20 $340.00 — 52% below 47%
Diagnostic mammogram, one breast one side CPT 77065 Spot comp digital right $180.20 $340.00 — 52% below 47%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx mammo incl cad uni $180.20 $340.00 $132.81 — 47%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Spot comp digital right $180.20 $340.00 — — 47%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Dx mammo incl cad uni lt $180.20 $340.00 — — 47%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us arteries complete bilateral le $1,113.00 $2,100.00 $330.20 — 47%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Lower extremity study $1,113.00 $2,100.00 $330.20 6% above 47%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Us arteries complete bilateral le $1,113.00 $2,100.00 $330.20 — 47%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Lower extremity study $1,113.00 $2,100.00 $330.20 — 47%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us extremity veins bilat complete $1,070.60 $2,020.00 $330.20 — 47%
Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study $1,070.60 $2,020.00 $330.20 10% below 47%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Us extremity veins bilat complete $1,070.60 $2,020.00 $330.20 — 47%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Extremity study $1,070.60 $2,020.00 $330.20 — 47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete $1,684.93 $3,179.11 $756.18 37% below 47%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte w/doppler complete $1,684.93 $3,179.11 $756.18 — 47%
Elbow X-ray, 2 views CPT 73070 X-ray exam of elbow $165.36 $312.00 $120.43 58% below 47%
Elbow X-ray, 2 views one side CPT 73070 Elbow (ltd) left 2 views $165.36 $312.00 $120.43 58% below 47%
Elbow X-ray, 2 views one side CPT 73070 Elbow (ltd) right 2 views $165.36 $312.00 $120.43 58% below 47%
Elbow X-ray, 2 views inpatient CPT 73070 X-ray exam of elbow $165.36 $312.00 $120.43 — 47%
Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow (ltd) left 2 views $165.36 $312.00 $120.43 — 47%
Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow (ltd) right 2 views $165.36 $312.00 $120.43 — 47%
Elbow X-ray, complete, 3 or more views CPT 73080 X-ray exam of elbow $283.55 $535.00 $120.43 41% below 47%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow-left complete min 3 views $188.15 $355.00 $120.43 61% below 47%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow-right complete min 3 views $188.15 $355.00 $120.43 61% below 47%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-ray exam of elbow $283.55 $535.00 $120.43 — 47%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow-right complete min 3 views $188.15 $355.00 $120.43 — 47%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow-left complete min 3 views $188.15 $355.00 $120.43 — 47%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct inner ear w/o contrst $1,563.50 $2,950.00 $306.22 32% below 47%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbit/ear/fossa w/o dye $1,563.50 $2,950.00 $306.22 32% below 47%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct orbit/ear/fossa w/o dye $1,563.50 $2,950.00 $306.22 — 47%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct inner ear w/o contrst $1,563.50 $2,950.00 $306.22 — 47%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray exam of facial bones $265.00 $500.00 $144.68 46% below 47%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial bones complete $265.00 $500.00 $144.68 46% below 47%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-ray exam of facial bones $265.00 $500.00 $144.68 — 47%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial bones complete $265.00 $500.00 $144.68 — 47%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray exam of forearm $250.43 $472.50 $120.43 41% below 47%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm-right $166.95 $315.00 $120.43 61% below 47%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm left $166.95 $315.00 $120.43 61% below 47%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-ray exam of forearm $250.43 $472.50 $120.43 — 47%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm-right $166.95 $315.00 $120.43 — 47%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm left $166.95 $315.00 $120.43 — 47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging $1,480.66 $2,793.70 $553.24 17% below 47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm hepatobiliary scan $1,480.66 $2,793.70 $553.24 17% below 47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm hepatobiliary scan $1,480.66 $2,793.70 $553.24 — 47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary system imaging $1,480.66 $2,793.70 $553.24 — 47%
Hand X-ray, 2 views CPT 73120 X-ray exam of hand $270.30 $510.00 $144.68 34% below 47%
Hand X-ray, 2 views one side CPT 73120 Hand right two views $180.20 $340.00 $144.68 56% below 47%
Hand X-ray, 2 views one side CPT 73120 Hand left two views $180.20 $340.00 $144.68 56% below 47%
Hand X-ray, 2 views inpatient CPT 73120 X-ray exam of hand $270.30 $510.00 $144.68 — 47%
Hand X-ray, 2 views inpatient one side CPT 73120 Hand left two views $180.20 $340.00 $144.68 — 47%
Hand X-ray, 2 views inpatient one side CPT 73120 Hand right two views $180.20 $340.00 $144.68 — 47%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray exam of heel $242.74 $458.00 $120.43 31% below 47%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Calcaneus-right $161.65 $305.00 $120.43 54% below 47%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Calcaneus-left $161.65 $305.00 $120.43 54% below 47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-ray exam of heel $242.74 $458.00 $120.43 — 47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Calcaneus-right $161.65 $305.00 $120.43 — 47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Calcaneus-left $161.65 $305.00 $120.43 — 47%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study unatt&resp efft $514.63 $971.00 $298.81 33% below 47%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Psg-sleep study ip unattended $514.63 $971.00 $298.81 33% below 47%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep study unatt&resp efft $514.63 $971.00 $298.81 — 47%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Psg-sleep study ip unattended $514.63 $971.00 $298.81 — 47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Psgc-sleep study with cpap $4,764.90 $8,990.37 $1,188.40 31% above 47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>yrs cpap 4/> parm $4,764.90 $8,990.37 $1,188.40 31% above 47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Psgc-sleep study with cpap $4,764.90 $8,990.37 $1,188.40 — 47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>yrs cpap 4/> parm $4,764.90 $8,990.37 $1,188.40 — 47%
Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3 $377.63 $712.50 $120.43 18% below 47%
Knee X-ray, 3 views one side CPT 73562 Knee 3 view-left $251.75 $475.00 $120.43 45% below 47%
Knee X-ray, 3 views one side CPT 73562 Knee 3 view-right $251.75 $475.00 $120.43 45% below 47%
Knee X-ray, 3 views inpatient CPT 73562 X-ray exam of knee 3 $377.63 $712.50 $120.43 — 47%
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 view-left $251.75 $475.00 $120.43 — 47%
Knee X-ray, 3 views inpatient one side CPT 73562 Knee 3 view-right $251.75 $475.00 $120.43 — 47%
Knee X-ray, complete, 4 or more views CPT 73564 X-ray exam knee 4 or more $417.38 $787.50 $144.68 29% below 47%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee complete left $278.25 $525.00 $144.68 52% below 47%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee complete-right $278.25 $525.00 $144.68 52% below 47%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-ray exam knee 4 or more $417.38 $787.50 $144.68 — 47%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee complete-right $278.25 $525.00 $144.68 — 47%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee complete left $278.25 $525.00 $144.68 — 47%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct lower extremity w/o dye $2,165.05 $4,085.00 $306.22 1% above 47%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct lower extremity w/o-left $1,444.25 $2,725.00 $306.22 32% below 47%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct lower extremity w/o-right $1,444.25 $2,725.00 $306.22 32% below 47%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct lower extremity w/o dye $2,165.05 $4,085.00 $306.22 — 47%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct lower extremity w/o-left $1,444.25 $2,725.00 $306.22 — 47%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct lower extremity w/o-right $1,444.25 $2,725.00 $306.22 — 47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen $583.00 $1,100.00 $407.14 30% below 47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us abdominal ltd $583.00 $1,100.00 $407.14 30% below 47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us abdominal ltd $583.00 $1,100.00 $407.14 — 47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo exam of abdomen $583.00 $1,100.00 $407.14 — 47%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us lmtd jt/nonvasc xtr strux $500.85 $945.00 $144.68 8% below 47%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us soft tissue right non joint $500.85 $945.00 $144.68 8% below 47%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us soft tissue left non joint $500.85 $945.00 $144.68 8% below 47%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us lmtd jt/nonvasc xtr strux $500.85 $945.00 $144.68 — 47%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us soft tissue right non joint $500.85 $945.00 $144.68 — 47%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us soft tissue left non joint $500.85 $945.00 $144.68 — 47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct chest lung ca screening $356.06 $671.81 $144.68 at median 47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c- $356.06 $671.81 $144.68 at median 47%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct thorax lung cancer scr c- $356.06 $671.81 $144.68 — 47%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct chest lung ca screening $356.06 $671.81 $144.68 — 47%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray exam of lower leg $278.25 $525.00 $120.43 36% below 47%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia-fibula right $185.50 $350.00 $120.43 57% below 47%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia-fibula left $185.50 $350.00 $120.43 57% below 47%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-ray exam of lower leg $278.25 $525.00 $120.43 — 47%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia-fibula right $185.50 $350.00 $120.43 — 47%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia-fibula left $185.50 $350.00 $120.43 — 47%
MR angiography (MRA) of the head without contrast CPT 70544 Mra head w/o contrast $1,828.50 $3,450.00 $728.54 37% below 47%
MR angiography (MRA) of the head without contrast CPT 70544 Mr angiography head w/o dye $1,828.50 $3,450.00 $728.54 37% below 47%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mr angiography head w/o dye $1,828.50 $3,450.00 $728.54 — 47%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra head w/o contrast $1,828.50 $3,450.00 $728.54 — 47%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri breast c-+ w/cad bi $2,127.95 $4,015.00 — — 47%
MRI of both breasts, without and then with contrast dye CPT 77049 Mri breasts w&wo $2,127.95 $4,015.00 — 36% below 47%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri breast c-+ w/cad bi $2,127.95 $4,015.00 — — 47%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 Mri breasts w&wo $2,127.95 $4,015.00 — — 47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye $1,775.50 $3,350.00 $728.54 41% below 47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri lower extremi any joint w/o con(lt) $1,775.50 $3,350.00 $728.54 41% below 47%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri knee-left w/o contrast $1,775.50 $3,350.00 $728.54 41% below 47%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri ankle-right w/o contrast $1,775.50 $3,350.00 $728.54 41% below 47%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri lower extremi any joint w/o con(lt) $1,775.50 $3,350.00 $728.54 — 47%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri jnt of lwr extre w/o dye $1,775.50 $3,350.00 $728.54 — 47%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri ankle-right w/o contrast $1,775.50 $3,350.00 $728.54 — 47%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri knee-left w/o contrast $1,775.50 $3,350.00 $728.54 — 47%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye $2,411.50 $4,550.00 $1,174.50 48% below 47%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri low ext joint w&wo lt $2,411.50 $4,550.00 $1,174.50 48% below 47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri joint lwr extr w/o&w/dye $2,411.50 $4,550.00 $1,174.50 — 47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri low ext joint w&wo lt $2,411.50 $4,550.00 $1,174.50 — 47%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o contrast $1,764.90 $3,330.00 $728.54 37% below 47%
MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o dye $1,764.90 $3,330.00 $728.54 37% below 47%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o contrast $1,764.90 $3,330.00 $728.54 — 47%
MRI of the abdomen without contrast inpatient CPT 74181 Mri abdomen w/o dye $1,764.90 $3,330.00 $728.54 — 47%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w&w/o contrast $2,199.50 $4,150.00 $1,174.50 50% below 47%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abdomen w/o & w/dye $2,199.50 $4,150.00 $1,174.50 50% below 47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w&w/o contrast $2,199.50 $4,150.00 $1,174.50 — 47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri abdomen w/o & w/dye $2,199.50 $4,150.00 $1,174.50 — 47%
MRI of the brain, no contrast dye CPT 70551 Mri brain w/o contrast $1,764.90 $3,330.00 $728.54 39% below 47%
MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye $1,764.90 $3,330.00 $728.54 39% below 47%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain w/o contrast $1,764.90 $3,330.00 $728.54 — 47%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri brain stem w/o dye $1,764.90 $3,330.00 $728.54 — 47%
MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye $2,080.25 $3,925.00 $1,174.50 52% below 47%
MRI of the brain, with and without contrast dye CPT 70553 Mr brain w/wo contrast $2,080.25 $3,925.00 $1,174.50 52% below 47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mr brain w/wo contrast $2,080.25 $3,925.00 $1,174.50 — 47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri brain stem w/o & w/dye $2,080.25 $3,925.00 $1,174.50 — 47%
MRI of the lower back, no contrast dye CPT 72148 Mri l spine w/o contrast $1,756.95 $3,315.00 $728.54 43% below 47%
MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye $1,756.95 $3,315.00 $728.54 43% below 47%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri lumbar spine w/o dye $1,756.95 $3,315.00 $728.54 — 47%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri l spine w/o contrast $1,756.95 $3,315.00 $728.54 — 47%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye $2,080.25 $3,925.00 $1,174.50 54% below 47%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri l spine w/wo contrast $2,080.25 $3,925.00 $1,174.50 54% below 47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri l spine w/wo contrast $2,080.25 $3,925.00 $1,174.50 — 47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri lumbar spine w/o & w/dye $2,080.25 $3,925.00 $1,174.50 — 47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye $1,749.00 $3,300.00 $728.54 40% below 47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri t spine w/o contrast $1,749.00 $3,300.00 $728.54 40% below 47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri chest spine w/o dye $1,749.00 $3,300.00 $728.54 — 47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri t spine w/o contrast $1,749.00 $3,300.00 $728.54 — 47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye $2,093.50 $3,950.00 $1,174.50 53% below 47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri c spine w/wo contrast $2,093.50 $3,950.00 $1,174.50 53% below 47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri neck spine w/o & w/dye $2,093.50 $3,950.00 $1,174.50 — 47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri c spine w/wo contrast $2,093.50 $3,950.00 $1,174.50 — 47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye $1,738.40 $3,280.00 $728.54 42% below 47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri c spine w/o contrast $1,738.40 $3,280.00 $728.54 42% below 47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri c spine w/o contrast $1,738.40 $3,280.00 $728.54 — 47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri neck spine w/o dye $1,738.40 $3,280.00 $728.54 — 47%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye $2,120.00 $4,000.00 $1,174.50 49% below 47%
MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w&w/o contrast $2,120.00 $4,000.00 $1,174.50 49% below 47%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w&w/o contrast $2,120.00 $4,000.00 $1,174.50 — 47%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri pelvis w/o & w/dye $2,120.00 $4,000.00 $1,174.50 — 47%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o contrast $1,828.50 $3,450.00 $728.54 29% below 47%
MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye $1,828.50 $3,450.00 $728.54 29% below 47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o contrast $1,828.50 $3,450.00 $728.54 — 47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri pelvis w/o dye $1,828.50 $3,450.00 $728.54 — 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye $1,788.75 $3,375.00 $728.54 32% below 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri shoulder-rt w/o contrast $1,788.75 $3,375.00 $728.54 32% below 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri elbow-left w/o contrast $1,788.75 $3,375.00 $728.54 32% below 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri wrist-right w/o contrast $1,788.75 $3,375.00 $728.54 32% below 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri joint upr extrem w/o dye $1,788.75 $3,375.00 $728.54 — 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri shoulder-rt w/o contrast $1,788.75 $3,375.00 $728.54 — 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri wrist-right w/o contrast $1,788.75 $3,375.00 $728.54 — 47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri elbow-left w/o contrast $1,788.75 $3,375.00 $728.54 — 47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-spine 4 views $296.80 $560.00 $144.68 54% below 47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray exam neck spine 4/5vws $296.80 $560.00 $144.68 54% below 47%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-spine 4 views $296.80 $560.00 $144.68 — 47%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-ray exam neck spine 4/5vws $296.80 $560.00 $144.68 — 47%
Neck soft tissue CT scan with contrast CPT 70491 Ct soft tissue neck w/contrast $1,722.50 $3,250.00 $594.51 37% below 47%
Neck soft tissue CT scan with contrast CPT 70491 Ct soft tissue neck w/dye $1,722.50 $3,250.00 $594.51 37% below 47%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct soft tissue neck w/dye $1,722.50 $3,250.00 $594.51 — 47%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct soft tissue neck w/contrast $1,722.50 $3,250.00 $594.51 — 47%
Neck soft tissue CT scan without contrast CPT 70490 Ct soft tissue neck w/o contrast $1,510.50 $2,850.00 $306.22 29% below 47%
Neck soft tissue CT scan without contrast CPT 70490 Ct soft tissue neck w/o dye $1,510.50 $2,850.00 $306.22 29% below 47%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct soft tissue neck w/o dye $1,510.50 $2,850.00 $306.22 — 47%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct soft tissue neck w/o contrast $1,510.50 $2,850.00 $306.22 — 47%
Neck soft tissue X-ray CPT 70360 Soft tissue neck $177.55 $335.00 $120.43 45% below 47%
Neck soft tissue X-ray CPT 70360 X-ray exam of neck $177.55 $335.00 $120.43 45% below 47%
Neck soft tissue X-ray inpatient CPT 70360 Soft tissue neck $177.55 $335.00 $120.43 — 47%
Neck soft tissue X-ray inpatient CPT 70360 X-ray exam of neck $177.55 $335.00 $120.43 — 47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial multi $3,320.45 $6,265.00 $1,791.65 18% below 47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult $3,320.45 $6,265.00 $1,791.65 18% below 47%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial multi $3,320.45 $6,265.00 $1,791.65 — 47%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht muscle image spect mult $3,320.45 $6,265.00 $1,791.65 — 47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet skull to thigh initial incl ct $3,657.00 $6,900.00 $1,978.89 49% below 47%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet image w/ct skull-thigh $3,657.00 $6,900.00 $1,978.89 49% below 47%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet skull to thigh initial incl ct $3,657.00 $6,900.00 $1,978.89 — 47%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet image w/ct skull-thigh $3,657.00 $6,900.00 $1,978.89 — 47%
Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o contrast $1,404.50 $2,650.00 $306.22 28% below 47%
Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o dye $1,404.50 $2,650.00 $306.22 28% below 47%
Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o contrast $1,404.50 $2,650.00 $306.22 — 47%
Pelvic CT scan without contrast inpatient CPT 72192 Ct pelvis w/o dye $1,404.50 $2,650.00 $306.22 — 47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited $469.05 $885.00 $407.14 13% below 47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us bladder $469.05 $885.00 $407.14 13% below 47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us exam pelvic limited $469.05 $885.00 $407.14 — 47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us bladder $469.05 $885.00 $407.14 — 47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us pelvic complete $675.75 $1,275.00 $407.14 28% below 47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete $675.75 $1,275.00 $407.14 28% below 47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us pelvic complete $675.75 $1,275.00 $407.14 — 47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us exam pelvic complete $675.75 $1,275.00 $407.14 — 47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us ob > 14 wks single $845.35 $1,595.00 $144.68 2% below 47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob us >= 14 wks sngl fetus $845.35 $1,595.00 $144.68 2% below 47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us ob > 14 wks single $845.35 $1,595.00 $144.68 — 47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob us >= 14 wks sngl fetus $845.35 $1,595.00 $144.68 — 47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us ob < 14 wks sngl $728.75 $1,375.00 $144.68 6% below 47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus $728.75 $1,375.00 $144.68 6% below 47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob us < 14 wks single fetus $728.75 $1,375.00 $144.68 — 47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us ob < 14 wks sngl $728.75 $1,375.00 $144.68 — 47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s) $540.60 $1,020.00 $144.68 11% below 47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us ob uterus (ltd) $540.60 $1,020.00 $144.68 11% below 47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us ob uterus (ltd) $540.60 $1,020.00 $144.68 — 47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob us limited fetus(s) $540.60 $1,020.00 $144.68 — 47%
Rib X-ray, one side, 2 views CPT 71100 X-ray exam ribs uni 2 views $214.65 $405.00 $120.43 54% below 47%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs unilateral-left $214.65 $405.00 $120.43 54% below 47%
Rib X-ray, one side, 2 views one side CPT 71100 Ribs unilateral-right $214.65 $405.00 $120.43 54% below 47%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-ray exam ribs uni 2 views $214.65 $405.00 $120.43 — 47%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs unilateral-right $214.65 $405.00 $120.43 — 47%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs unilateral-left $214.65 $405.00 $120.43 — 47%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-ray exam unilat ribs/chest $227.90 $430.00 $144.68 63% below 47%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 X-ray exam unilat ribs/chest $227.90 $430.00 $144.68 — 47%
Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad $214.65 $405.00 $135.66 — 47%
Screening mammogram, both breasts CPT 77067 Cad-screening $214.65 $405.00 $135.66 32% below 47%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr mammo bi incl cad $214.65 $405.00 $135.66 — 47%
Screening mammogram, both breasts inpatient CPT 77067 Cad-screening $214.65 $405.00 $135.66 — 47%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder $299.45 $565.00 $120.43 46% below 47%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder complt rt $198.75 $375.00 $120.43 64% below 47%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder complete-left $198.75 $375.00 $120.43 64% below 47%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray exam of shoulder $299.45 $565.00 $120.43 — 47%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder complt rt $198.75 $375.00 $120.43 — 47%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder complete-left $198.75 $375.00 $120.43 — 47%
Sinus X-ray, complete, 3 or more views CPT 70220 X-ray exam of sinuses $212.00 $400.00 $120.43 54% below 47%
Sinus X-ray, complete, 3 or more views CPT 70220 Sinus complete $212.00 $400.00 $120.43 54% below 47%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-ray exam of sinuses $212.00 $400.00 $120.43 — 47%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinus complete $212.00 $400.00 $120.43 — 47%
Skull X-ray, fewer than 4 views CPT 70250 X-ray exam of skull $212.00 $400.00 $144.68 48% below 47%
Skull X-ray, fewer than 4 views CPT 70250 Skull (ltd) $212.00 $400.00 $144.68 48% below 47%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull (ltd) $212.00 $400.00 $144.68 — 47%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-ray exam of skull $212.00 $400.00 $144.68 — 47%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/> yrs 4/> param $2,046.33 $3,861.00 $1,188.40 58% below 47%
Sleep study in a lab (polysomnography) CPT 95810 Incomplete sleep study $2,046.33 $3,861.00 $1,188.40 58% below 47%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Incomplete sleep study $2,046.33 $3,861.00 $1,188.40 — 47%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/> yrs 4/> param $2,046.33 $3,861.00 $1,188.40 — 47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+ $609.50 $1,150.00 $242.73 8% below 47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing function $609.50 $1,150.00 $242.73 8% below 47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing function $609.50 $1,150.00 $242.73 — 47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 X-ray xm swlng funcj c+ $609.50 $1,150.00 $242.73 — 47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xray exam of femure 2> $206.70 $390.00 $120.43 49% below 47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray exam of femur 2/> $206.70 $390.00 $120.43 49% below 47%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur left $206.70 $390.00 $120.43 49% below 47%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur-right $251.75 $475.00 $120.43 38% below 47%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray exam of femur 2/> $206.70 $390.00 $120.43 — 47%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Xray exam of femure 2> $206.70 $390.00 $120.43 — 47%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur left $206.70 $390.00 $120.43 — 47%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur-right $251.75 $475.00 $120.43 — 47%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct thor spine w/o contrast $1,444.25 $2,725.00 $306.22 49% below 47%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct chest spine w/o dye $1,444.25 $2,725.00 $306.22 49% below 47%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct thor spine w/o contrast $1,444.25 $2,725.00 $306.22 — 47%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct chest spine w/o dye $1,444.25 $2,725.00 $306.22 — 47%
Toe X-ray, 2 or more views CPT 73660 X-ray exam of toe(s) $177.55 $335.00 $120.43 46% below 47%
Toe X-ray, 2 or more views inpatient CPT 73660 X-ray exam of toe(s) $177.55 $335.00 $120.43 — 47%
Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob $840.05 $1,585.00 $144.68 17% above 47%
Transvaginal pelvic ultrasound CPT 76830 Us transvaginal non-ob $840.05 $1,585.00 $144.68 17% above 47%
Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal us non-ob $840.05 $1,585.00 $144.68 — 47%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us transvaginal non-ob $840.05 $1,585.00 $144.68 — 47%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric $569.75 $1,075.00 $144.68 14% below 47%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal us obstetric $569.75 $1,075.00 $144.68 — 47%
Ultrasound of the abdomen, complete CPT 76700 Us abd complete $784.40 $1,480.00 $407.14 28% below 47%
Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete $784.40 $1,480.00 $407.14 28% below 47%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us abd complete $784.40 $1,480.00 $407.14 — 47%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us exam abdom complete $784.40 $1,480.00 $407.14 — 47%
Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum $622.75 $1,175.00 $144.68 30% below 47%
Ultrasound of the scrotum and testicles CPT 76870 Us scrotum $622.75 $1,175.00 $144.68 30% below 47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us scrotum $622.75 $1,175.00 $144.68 — 47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us exam scrotum $622.75 $1,175.00 $144.68 — 47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us soft tissue $834.75 $1,575.00 $144.68 at median 47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck $834.75 $1,575.00 $144.68 at median 47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us soft tissue $834.75 $1,575.00 $144.68 — 47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us exam of head and neck $834.75 $1,575.00 $144.68 — 47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper gi series $795.00 $1,500.00 $242.73 29% above 47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst $795.00 $1,500.00 $242.73 29% above 47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper gi series $795.00 $1,500.00 $242.73 — 47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray xm upr gi trc 1cntrst $795.00 $1,500.00 $242.73 — 47%
Upper arm X-ray (humerus), 2 views CPT 73060 X-ray exam of humerus $188.15 $355.00 $120.43 56% below 47%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus-left $188.15 $355.00 $120.43 56% below 47%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus-right $188.15 $355.00 $120.43 56% below 47%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-ray exam of humerus $188.15 $355.00 $120.43 — 47%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus-right $188.15 $355.00 $120.43 — 47%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus-left $188.15 $355.00 $120.43 — 47%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study $906.30 $1,710.00 $144.68 1% above 47%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us veins (ltd) left $906.30 $1,710.00 $144.68 1% above 47%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us venous(dvt) rt $906.30 $1,710.00 $144.68 1% above 47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Extremity study $906.30 $1,710.00 $144.68 — 47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us veins (ltd) left $906.30 $1,710.00 $144.68 — 47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us venous(dvt) rt $906.30 $1,710.00 $144.68 — 47%
Wrist X-ray, 2 views CPT 73100 X-ray exam of wrist $198.75 $375.00 $120.43 49% below 47%
Wrist X-ray, 2 views one side CPT 73100 Wrist ltd right $198.75 $375.00 $120.43 49% below 47%
Wrist X-ray, 2 views one side CPT 73100 Wrist ltd left $198.75 $375.00 $120.43 49% below 47%
Wrist X-ray, 2 views inpatient CPT 73100 X-ray exam of wrist $198.75 $375.00 $120.43 — 47%
Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist ltd left $198.75 $375.00 $120.43 — 47%
Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist ltd right $198.75 $375.00 $120.43 — 47%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist $389.55 $735.00 $120.43 23% below 47%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist complete-right $259.70 $490.00 $120.43 48% below 47%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist complete left $259.70 $490.00 $120.43 48% below 47%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray exam of wrist $389.55 $735.00 $120.43 — 47%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist complete left $259.70 $490.00 $120.43 — 47%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist complete-right $259.70 $490.00 $120.43 — 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Pelvis & hips child $283.55 $535.00 $120.43 29% below 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views $283.55 $535.00 $120.43 29% below 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip complete right $283.55 $535.00 $120.43 29% below 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip complete min 2 v $283.55 $535.00 $120.43 29% below 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray exam hip uni 2-3 views $283.55 $535.00 $120.43 — 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Pelvis & hips child $283.55 $535.00 $120.43 — 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip complete right $283.55 $535.00 $120.43 — 47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip complete min 2 v $283.55 $535.00 $120.43 — 47%
X-ray of the abdomen, 1 view CPT 74018 X-ray exam abdomen 1 view $165.36 $312.00 $120.43 46% below 47%
X-ray of the abdomen, 1 view CPT 74018 1 kub $165.36 $312.00 $120.43 46% below 47%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray exam abdomen 1 view $165.36 $312.00 $120.43 — 47%
X-ray of the abdomen, 1 view inpatient CPT 74018 1 kub $165.36 $312.00 $120.43 — 47%
X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle $188.15 $355.00 $120.43 52% below 47%
X-ray of the ankle, 2 views one side CPT 73600 Ankle-left 2 views $188.15 $355.00 $120.43 52% below 47%
X-ray of the ankle, 2 views one side CPT 73600 Ankle right 2 views $188.15 $355.00 $120.43 52% below 47%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray exam of ankle $188.15 $355.00 $120.43 — 47%
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle right 2 views $188.15 $355.00 $120.43 — 47%
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle-left 2 views $188.15 $355.00 $120.43 — 47%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s) $251.75 $475.00 $120.43 31% below 47%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray exam of finger(s) $251.75 $475.00 $120.43 — 47%
X-ray of the foot, 2 views CPT 73620 X-ray exam of foot $246.45 $465.00 $120.43 39% below 47%
X-ray of the foot, 2 views one side CPT 73620 Foot right two views $164.30 $310.00 $120.43 59% below 47%
X-ray of the foot, 2 views one side CPT 73620 Foot left two views $164.30 $310.00 $120.43 59% below 47%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray exam of foot $246.45 $465.00 $120.43 — 47%
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot left two views $164.30 $310.00 $120.43 — 47%
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot right two views $164.30 $310.00 $120.43 — 47%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot $325.95 $615.00 $120.43 34% below 47%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot complete-right $217.30 $410.00 $120.43 56% below 47%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot complete-left $217.30 $410.00 $120.43 56% below 47%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray exam of foot $325.95 $615.00 $120.43 — 47%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot complete-left $217.30 $410.00 $120.43 — 47%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot complete-right $217.30 $410.00 $120.43 — 47%
X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand $337.88 $637.50 $120.43 34% below 47%
X-ray of the hand, 3 or more views one side CPT 73130 Hand complete-left $225.25 $425.00 $120.43 56% below 47%
X-ray of the hand, 3 or more views one side CPT 73130 Hand complete-right $225.25 $425.00 $120.43 56% below 47%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray exam of hand $337.88 $637.50 $120.43 — 47%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand complete-left $225.25 $425.00 $120.43 — 47%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand complete-right $225.25 $425.00 $120.43 — 47%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Xray exam knee 1 or 2 views bilateral $410.75 $775.00 $120.43 — 47%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2 $410.75 $775.00 $120.43 3% above 47%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee (ltd) left 1-2 v $201.40 $380.00 $120.43 49% below 47%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee (ltd) right 1-2 v $201.40 $380.00 $120.43 49% below 47%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Xray exam knee 1 or 2 views bilateral $410.75 $775.00 $120.43 — 47%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray exam of knee 1 or 2 $410.75 $775.00 $120.43 — 47%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee (ltd) right 1-2 v $201.40 $380.00 $120.43 — 47%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee (ltd) left 1-2 v $201.40 $380.00 $120.43 — 47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar spine (ltd) 2-3 v $225.25 $425.00 $144.68 52% below 47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws $225.25 $425.00 $144.68 52% below 47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar spine (ltd) 2-3 v $225.25 $425.00 $144.68 — 47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray exam l-s spine 2/3 vws $225.25 $425.00 $144.68 — 47%
X-ray of the lower back, 4 or more views CPT 72110 Lumbar spine min 4 v $288.85 $545.00 $144.68 56% below 47%
X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws $288.85 $545.00 $144.68 56% below 47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar spine min 4 v $288.85 $545.00 $144.68 — 47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray exam l-2 spine 4/>vws $288.85 $545.00 $144.68 — 47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws $180.20 $340.00 $144.68 61% below 47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic spine-2 v $180.20 $340.00 $144.68 61% below 47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray exam thorac spine 2vws $180.20 $340.00 $144.68 — 47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic spine-2 v $180.20 $340.00 $144.68 — 47%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones $227.90 $430.00 $120.43 47% below 47%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal bone min 3 v $227.90 $430.00 $120.43 47% below 47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal bone min 3 v $227.90 $430.00 $120.43 — 47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray exam of nasal bones $227.90 $430.00 $120.43 — 47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cerv spine 2 or 3 views $225.25 $425.00 $120.43 50% below 47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw $225.25 $425.00 $120.43 50% below 47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cerv spine 2 or 3 views $225.25 $425.00 $120.43 — 47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray exam neck spine 2-3 vw $225.25 $425.00 $120.43 — 47%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis $159.00 $300.00 $144.68 59% below 47%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2 v $159.00 $300.00 $144.68 59% below 47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray exam of pelvis $159.00 $300.00 $144.68 — 47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1-2 v $159.00 $300.00 $144.68 — 47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone $188.15 $355.00 $120.43 60% below 47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum/coccyx $188.15 $355.00 $120.43 60% below 47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum/coccyx $188.15 $355.00 $120.43 — 47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray exam sacrum tailbone $188.15 $355.00 $120.43 — 47%

Lab tests

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
ACTH blood test CPT 82024 Acth (211) $14.95 $28.20 — 78% below 47%
ACTH blood test CPT 82024 Assay of acth $14.95 $28.20 — 78% below 47%
ACTH blood test inpatient CPT 82024 Assay of acth $14.95 $28.20 — — 47%
ACTH blood test inpatient CPT 82024 Acth (211) $14.95 $28.20 — — 47%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt) $47.92 $90.42 — 11% above 47%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt $47.92 $90.42 — 11% above 47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt $47.92 $90.42 — — 47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine amino (alt) (sgpt) $47.92 $90.42 — — 47%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast $47.93 $90.44 — 6% above 47%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot) $47.93 $90.44 — 6% above 47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase (ast) (sgot) $47.93 $90.44 — — 47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast $47.93 $90.44 — — 47%
Albumin blood test CPT 82040 Assay of serum albumin $31.49 $59.41 — 26% above 47%
Albumin blood test CPT 82040 Albumin serum $31.49 $59.41 — 26% above 47%
Albumin blood test inpatient CPT 82040 Albumin serum $31.49 $59.41 — — 47%
Albumin blood test inpatient CPT 82040 Assay of serum albumin $31.49 $59.41 — — 47%
Aldosterone blood test CPT 82088 Aldosterone (230) $12.72 $24.00 — 51% below 47%
Aldosterone blood test CPT 82088 Assay of aldosterone $12.72 $24.00 — 51% below 47%
Aldosterone blood test inpatient CPT 82088 Assay of aldosterone $12.72 $24.00 — — 47%
Aldosterone blood test inpatient CPT 82088 Aldosterone (230) $12.72 $24.00 — — 47%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline phospatase $38.52 $72.68 — 4% above 47%
Alkaline phosphatase (ALP) blood test CPT 84075 Assay alkaline phosphatase $38.52 $72.68 — 4% above 47%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Assay alkaline phosphatase $38.52 $72.68 — — 47%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline phospatase $38.52 $72.68 — — 47%
Allergy blood test, specific IgE, per allergen CPT 86003 Food allergy profile x15 $40.15 $75.75 — 703% above 47%
Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea $40.15 $75.75 — 703% above 47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food allergy profile x15 $40.15 $75.75 — — 47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allg spec ige crude xtrc ea $40.15 $75.75 — — 47%
Alpha-fetoprotein (AFP) blood test CPT 82105 Ms afp (a-3000144) $7.76 $14.65 — 90% below 47%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein serum $7.76 $14.65 — 90% below 47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-fetoprotein serum $7.76 $14.65 — — 47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Ms afp (a-3000144) $7.76 $14.65 — — 47%
Ammonia blood test CPT 82140 Assay of ammonia $73.21 $138.13 — 60% below 47%
Ammonia blood test CPT 82140 Ammonia $73.21 $138.13 — 60% below 47%
Ammonia blood test inpatient CPT 82140 Ammonia $73.21 $138.13 — — 47%
Ammonia blood test inpatient CPT 82140 Assay of ammonia $73.21 $138.13 — — 47%
Amylase blood test CPT 82150 Amylase $129.07 $243.52 — 153% above 47%
Amylase blood test CPT 82150 Assay of amylase $129.07 $243.52 — 153% above 47%
Amylase blood test inpatient CPT 82150 Amylase $129.07 $243.52 — — 47%
Amylase blood test inpatient CPT 82150 Assay of amylase $129.07 $243.52 — — 47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody $9.17 $17.30 — 55% below 47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp ab igg & iga $9.17 $17.30 — 55% below 47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp antibody $9.17 $17.30 — — 47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Ccp ab igg & iga $9.17 $17.30 — — 47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide $97.41 $183.79 — 47% below 47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Brain natarietic peptide $97.41 $183.79 — 47% below 47%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Brain natarietic peptide $97.41 $183.79 — — 47%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Assay of natriuretic peptide $97.41 $183.79 — — 47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture any other source $124.80 $235.48 — 3% above 47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture othr specimn aerobic $124.80 $235.48 — 3% above 47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture any other source $124.80 $235.48 — — 47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture othr specimn aerobic $124.80 $235.48 — — 47%
Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel $84.04 $158.57 — 57% below 47%
Basic metabolic panel (blood test) CPT 80048 Metabolic panel total ca $84.04 $158.57 — 57% below 47%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic metabolic panel $84.04 $158.57 — — 47%
Basic metabolic panel (blood test) inpatient CPT 80048 Metabolic panel total ca $84.04 $158.57 — — 47%
Bilirubin blood test, total CPT 82247 Bilirubin total $47.80 $90.18 — 6% above 47%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin total $47.80 $90.18 — — 47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist $438.66 $827.66 $72.12 237% above 47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gross/micro level iv $438.66 $827.66 $72.12 237% above 47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Gross/micro level iv $438.66 $827.66 $72.12 — 47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue exam by pathologist $438.66 $827.66 $72.12 — 47%
Blood culture for bacteria CPT 87040 Blood culture $240.88 $454.49 — 11% below 47%
Blood culture for bacteria CPT 87040 Blood culture for bacteria $240.88 $454.49 — 11% below 47%
Blood culture for bacteria inpatient CPT 87040 Blood culture $240.88 $454.49 — — 47%
Blood culture for bacteria inpatient CPT 87040 Blood culture for bacteria $240.88 $454.49 — — 47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine venipuncture $20.64 $38.95 — 2% below 47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection of venous blood by venipunctu $20.64 $38.95 — 2% below 47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine venipuncture $20.64 $38.95 — — 47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection of venous blood by venipunctu $20.64 $38.95 — — 47%
Blood glucose (sugar) test CPT 82947 Assay glucose blood quant $29.91 $56.44 $3.93 20% below 47%
Blood glucose (sugar) test CPT 82947 Glucose $29.91 $56.44 $3.93 20% below 47%
Blood glucose (sugar) test inpatient CPT 82947 Assay glucose blood quant $29.91 $56.44 $3.93 — 47%
Blood glucose (sugar) test inpatient CPT 82947 Glucose $29.91 $56.44 $3.93 — 47%
Blood lead test CPT 83655 Assay of lead $7.63 $14.40 — 26% below 47%
Blood lead test CPT 83655 Lead screening $7.63 $14.40 — 26% below 47%
Blood lead test inpatient CPT 83655 Lead screening $7.63 $14.40 — — 47%
Blood lead test inpatient CPT 83655 Assay of lead $7.63 $14.40 — — 47%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay $89.85 $169.53 — 44% below 47%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Beta hcg $89.85 $169.53 — 44% below 47%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Beta hcg $89.85 $169.53 — — 47%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chorionic gonadotropin assay $89.85 $169.53 — — 47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood type $75.66 $142.76 $184.12 26% below 47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo $75.66 $142.76 $184.12 26% below 47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood type $75.66 $142.76 $184.12 — 47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood typing serologic abo $75.66 $142.76 $184.12 — 47%
Blood urea nitrogen (BUN) test CPT 84520 Bun $36.71 $69.26 — 11% above 47%
Blood urea nitrogen (BUN) test CPT 84520 Assay of urea nitrogen $36.71 $69.26 — 11% above 47%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun $36.71 $69.26 — — 47%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Assay of urea nitrogen $36.71 $69.26 — — 47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C reactive protein $47.23 $89.12 — 12% below 47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein $47.23 $89.12 — 12% below 47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-reactive protein $47.23 $89.12 — — 47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C reactive protein $47.23 $89.12 — — 47%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe $85.02 $160.41 — 44% below 47%
C. difficile toxin gene test (stool PCR) CPT 87493 C diff testing $85.02 $160.41 — 44% below 47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff testing $85.02 $160.41 — — 47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C diff amplified probe $85.02 $160.41 — — 47%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 (80461) $8.53 $16.10 — 83% below 47%
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9 $8.53 $16.10 — 83% below 47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay tumor ca 19-9 $8.53 $16.10 — — 47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 (80461) $8.53 $16.10 — — 47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 pcr bd max $93.56 $176.53 $51.31 1% below 47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb $93.56 $176.53 $51.31 1% below 47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 covid-19 amp prb $93.56 $176.53 $51.31 — 47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-cov-2 pcr bd max $93.56 $176.53 $51.31 — 47%
Calcium blood test, total CPT 82310 Calcium $47.80 $90.18 — 22% below 47%
Calcium blood test, total CPT 82310 Assay of calcium $47.80 $90.18 — 22% below 47%
Calcium blood test, total inpatient CPT 82310 Assay of calcium $47.80 $90.18 — — 47%
Calcium blood test, total inpatient CPT 82310 Calcium $47.80 $90.18 — — 47%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster antibody $51.04 $96.31 — 66% above 47%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella ab (vidas) igg $51.04 $96.31 — 66% above 47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella ab (vidas) igg $51.04 $96.31 — — 47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-zoster antibody $51.04 $96.31 — — 47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chylmd trach dna amp probe $65.79 $124.13 — 20% above 47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis pcr $65.79 $124.13 — 20% above 47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis pcr $65.79 $124.13 — — 47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chylmd trach dna amp probe $65.79 $124.13 — — 47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel $93.29 $176.01 $13.39 8% below 47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid panel $93.29 $176.01 $13.39 — 47%
Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc $50.09 $94.50 — 55% below 47%
Complete blood count (CBC) with differential CPT 85025 Hemogrm pl diff auto $50.09 $94.50 — 55% below 47%
Complete blood count (CBC) with differential inpatient CPT 85025 Hemogrm pl diff auto $50.09 $94.50 — — 47%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete cbc w/auto diff wbc $50.09 $94.50 — — 47%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel $100.70 $190.00 — 61% below 47%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive metabolic panel $100.70 $190.00 — 61% below 47%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive metabolic panel $100.70 $190.00 — — 47%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehen metabolic panel $100.70 $190.00 — — 47%
Cortisol blood test, total CPT 82533 Total cortisol $22.65 $42.73 — 76% below 47%
Cortisol blood test, total CPT 82533 Cortisol saliva $22.65 $42.73 — 76% below 47%
Cortisol blood test, total inpatient CPT 82533 Total cortisol $22.65 $42.73 — — 47%
Cortisol blood test, total inpatient CPT 82533 Cortisol saliva $22.65 $42.73 — — 47%
Creatine kinase (CK) blood test, total CPT 82550 Cpk $31.49 $59.41 — 64% below 47%
Creatine kinase (CK) blood test, total CPT 82550 Assay of ck (cpk) $31.49 $59.41 — 64% below 47%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk $31.49 $59.41 — — 47%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Assay of ck (cpk) $31.49 $59.41 — — 47%
Creatinine blood test CPT 82565 Creatinine $22.04 $41.59 — 52% below 47%
Creatinine blood test CPT 82565 Assay of creatinine $22.04 $41.59 — 52% below 47%
Creatinine blood test inpatient CPT 82565 Creatinine $22.04 $41.59 — — 47%
Creatinine blood test inpatient CPT 82565 Assay of creatinine $22.04 $41.59 — — 47%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv antibody $6.33 $11.95 — 77% below 47%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv igg ab (403) $6.33 $11.95 — 77% below 47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv antibody $6.33 $11.95 — — 47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv igg ab (403) $6.33 $11.95 — — 47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test prsmv chem anlyzr $150.34 $283.66 — 142% above 47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl urine chem anlyzr $150.34 $283.66 — 142% above 47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug test prsmv chem anlyzr $150.34 $283.66 — — 47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl urine chem anlyzr $150.34 $283.66 — — 47%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel $60.22 $113.62 — 29% below 47%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte panel $60.22 $113.62 — — 47%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein barr virus (6421) $24.59 $46.40 — 7% below 47%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-barr capsid vca $24.59 $46.40 — 7% below 47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein barr virus (6421) $24.59 $46.40 — — 47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein-barr capsid vca $24.59 $46.40 — — 47%
Estradiol blood test CPT 82670 Assay of estradiol $17.76 $33.50 — 79% below 47%
Estradiol blood test CPT 82670 Estradiol (429) $17.76 $33.50 — 79% below 47%
Estradiol blood test inpatient CPT 82670 Estradiol (429) $17.76 $33.50 — — 47%
Estradiol blood test inpatient CPT 82670 Assay of estradiol $17.76 $33.50 — — 47%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay of calprotectin fecal $81.09 $153.00 — 11% above 47%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal $81.09 $153.00 — 11% above 47%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay of calprotectin fecal $81.09 $153.00 — — 47%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay for calprotectin fecal $81.09 $153.00 — — 47%
Fibrinogen blood test CPT 85384 Fibrinogen activity $131.36 $247.85 — 2% below 47%
Fibrinogen blood test CPT 85384 Fibrinogen $131.36 $247.85 — 2% below 47%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen $131.36 $247.85 — — 47%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen activity $131.36 $247.85 — — 47%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine (t3) free $35.09 $66.20 — 57% below 47%
Free T3 thyroid hormone test CPT 84481 Free assay (ft-3) $35.09 $66.20 — 57% below 47%
Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (t3) free $35.09 $66.20 — — 47%
Free T3 thyroid hormone test inpatient CPT 84481 Free assay (ft-3) $35.09 $66.20 — — 47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine $42.90 $80.95 — 37% below 47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 free $42.90 $80.95 — 37% below 47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 free $42.90 $80.95 — — 47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of free thyroxine $42.90 $80.95 — — 47%
Free testosterone test CPT 84402 Assay of free testosterone $22.79 $43.00 — 17% below 47%
Free testosterone test CPT 84402 Testosterone free females (81059) $22.79 $43.00 — 17% below 47%
Free testosterone test inpatient CPT 84402 Assay of free testosterone $22.79 $43.00 — — 47%
Free testosterone test inpatient CPT 84402 Testosterone free females (81059) $22.79 $43.00 — — 47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggt $46.43 $87.60 — 2% above 47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay of ggt $46.43 $87.60 — 2% above 47%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Assay of ggt $46.43 $87.60 — — 47%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggt $46.43 $87.60 — — 47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test $43.59 $82.25 $4.75 16% below 47%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Post glucose $43.59 $82.25 $4.75 16% below 47%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Post glucose $43.59 $82.25 $4.75 — 47%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose test $43.59 $82.25 $4.75 — 47%
Glucose tolerance test, 3 samples CPT 82951 Glucose tol 1st 3 spec $77.42 $146.08 $12.87 44% below 47%
Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt) $77.42 $146.08 $12.87 44% below 47%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tolerance test (gtt) $77.42 $146.08 $12.87 — 47%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose tol 1st 3 spec $77.42 $146.08 $12.87 — 47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob $65.79 $124.13 — 10% above 47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N gonorrhoeae pcr $65.79 $124.13 — 10% above 47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N gonorrhoeae pcr $65.79 $124.13 — — 47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.gonorrhoeae dna amp prob $65.79 $124.13 — — 47%
H. pylori stool antigen test CPT 87338 H pylori stool eia $25.97 $49.00 — 67% below 47%
H. pylori stool antigen test CPT 87338 Hpylori stool ia $25.97 $49.00 — 67% below 47%
H. pylori stool antigen test inpatient CPT 87338 Hpylori stool ia $25.97 $49.00 — — 47%
H. pylori stool antigen test inpatient CPT 87338 H pylori stool eia $25.97 $49.00 — — 47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1 by quantitative naat plasma (3000 $51.94 $98.00 — 49% below 47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj $51.94 $98.00 — 49% below 47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv 1 by quantitative naat plasma (3000 $51.94 $98.00 — — 47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 quant&revrse trnscrpj $51.94 $98.00 — — 47%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1/hiv-2 1 result antbdy $56.28 $106.19 — 4% below 47%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1/hiv-2 1 result antbdy $56.28 $106.19 — — 47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 ag/ab 4th gen w/rflx $30.35 $57.27 — 65% below 47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab $30.35 $57.27 — 65% below 47%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 ag w/hiv-1 & hiv-2 ab $30.35 $57.27 — — 47%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv 1/2 ag/ab 4th gen w/rflx $30.35 $57.27 — — 47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high risk $23.19 $43.75 — 83% below 47%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv high-risk types $23.19 $43.75 — 83% below 47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high risk $23.19 $43.75 — — 47%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv high-risk types $23.19 $43.75 — — 47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb a1c (496) $51.44 $97.05 — 21% below 47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosylated hemoglobin test $51.44 $97.05 — 21% below 47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb a1c (496) $51.44 $97.05 — — 47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosylated hemoglobin test $51.44 $97.05 — — 47%
Hemoglobin blood test CPT 85018 Hemoglobin $46.72 $88.15 — 16% above 47%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin $46.72 $88.15 — — 47%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj $48.97 $92.40 — 44% below 47%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv rna quant r-t pcr $48.97 $92.40 — 44% below 47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv rna quant r-t pcr $48.97 $92.40 — — 47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis c revrs trnscrpj $48.97 $92.40 — — 47%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv i igg (0050292) $12.46 $23.50 — 36% below 47%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test $12.46 $23.50 — 36% below 47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv i igg (0050292) $12.46 $23.50 — — 47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes simplex type 1 test $12.46 $23.50 — — 47%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test $79.50 $150.00 — 238% above 47%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv2 inhibition (q-%17171) $79.50 $150.00 — 238% above 47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv2 inhibition (q-%17171) $79.50 $150.00 — — 47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes simplex type 2 test $79.50 $150.00 — — 47%
Iron blood test (serum iron) CPT 83540 Assay of iron $83.23 $157.03 — 43% above 47%
Iron blood test (serum iron) CPT 83540 Iron $83.23 $157.03 — 43% above 47%
Iron blood test (serum iron) inpatient CPT 83540 Iron $83.23 $157.03 — — 47%
Iron blood test (serum iron) inpatient CPT 83540 Assay of iron $83.23 $157.03 — — 47%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding ca $6.25 $11.80 — 91% below 47%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding test $6.25 $11.80 — 91% below 47%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding ca $6.25 $11.80 — — 47%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding test $6.25 $11.80 — — 47%
Kidney function blood test panel CPT 80069 Renal function panel $91.13 $171.95 — 36% below 47%
Kidney function blood test panel inpatient CPT 80069 Renal function panel $91.13 $171.95 — — 47%
Lactate (lactic acid) blood test CPT 83605 Lactic acid $25.98 $49.02 — 81% below 47%
Lactate (lactic acid) blood test CPT 83605 Assay of lactic acid $25.98 $49.02 — 81% below 47%
Lactate (lactic acid) blood test inpatient CPT 83605 Assay of lactic acid $25.98 $49.02 — — 47%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic acid $25.98 $49.02 — — 47%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh $50.21 $94.74 — 42% above 47%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (ld) (ldh) enzyme $50.21 $94.74 — 42% above 47%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate (ld) (ldh) enzyme $50.21 $94.74 — — 47%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh $50.21 $94.74 — — 47%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase $57.00 $107.54 — 41% below 47%
Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase $57.00 $107.54 — 41% below 47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase $57.00 $107.54 — — 47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of lipase $57.00 $107.54 — — 47%
Liver function blood test panel CPT 80076 Hepatic function panel $96.98 $182.99 — 36% below 47%
Liver function blood test panel inpatient CPT 80076 Hepatic function panel $96.98 $182.99 — — 47%
Lyme disease antibody test CPT 86618 Lyme disease antibody $9.23 $17.42 — 56% below 47%
Lyme disease antibody test CPT 86618 Lyme disease ab w/reflex to immuno $9.23 $17.42 — 56% below 47%
Lyme disease antibody test inpatient CPT 86618 Lyme disease antibody $9.23 $17.42 — — 47%
Lyme disease antibody test inpatient CPT 86618 Lyme disease ab w/reflex to immuno $9.23 $17.42 — — 47%
Magnesium blood test CPT 83735 Assay of magnesium $46.44 $87.63 — 26% below 47%
Magnesium blood test CPT 83735 Magnesium $46.44 $87.63 — 26% below 47%
Magnesium blood test inpatient CPT 83735 Assay of magnesium $46.44 $87.63 — — 47%
Magnesium blood test inpatient CPT 83735 Magnesium $46.44 $87.63 — — 47%
Measles (rubeola) antibody test CPT 86765 Rubeola antibody $7.74 $14.60 — 75% below 47%
Measles (rubeola) antibody test CPT 86765 Meas rubeola igm (a-50375) $7.74 $14.60 — 75% below 47%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola antibody $7.74 $14.60 — — 47%
Measles (rubeola) antibody test inpatient CPT 86765 Meas rubeola igm (a-50375) $7.74 $14.60 — — 47%
Mumps immunity blood test CPT 86735 Mumps antibody $5.09 $9.60 — 68% below 47%
Mumps immunity blood test CPT 86735 Mumps igg (8624) $5.09 $9.60 — 68% below 47%
Mumps immunity blood test inpatient CPT 86735 Mumps antibody $5.09 $9.60 — — 47%
Mumps immunity blood test inpatient CPT 86735 Mumps igg (8624) $5.09 $9.60 — — 47%
PSA (prostate-specific antigen) blood test, free CPT 84154 Free & total psa (31348) $11.93 $22.50 — 80% below 47%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free $11.93 $22.50 — 80% below 47%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free & total psa (31348) $11.93 $22.50 — — 47%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of psa free $11.93 $22.50 — — 47%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total $64.16 $121.05 — 7% above 47%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prost spec ag (psa) $64.16 $121.05 — 7% above 47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prost spec ag (psa) $64.16 $121.05 — — 47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of psa total $64.16 $121.05 — — 47%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap w/rfx to hr hpv (ascus sil agus) $46.64 $88.00 — 43% below 47%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo $46.64 $88.00 — 43% below 47%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap w/rfx to hr hpv (ascus sil agus) $46.64 $88.00 — — 47%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath c/v auto fluid redo $46.64 $88.00 — — 47%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer $39.22 $74.00 — 57% below 47%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Change ig pap to lb pap $39.22 $74.00 — 57% below 47%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytopath c/v thin layer $39.22 $74.00 — — 47%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Change ig pap to lb pap $39.22 $74.00 — — 47%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial $48.80 $92.08 — 22% below 47%
Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt $48.80 $92.08 — 22% below 47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt $48.80 $92.08 — — 47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin time partial $48.80 $92.08 — — 47%
Phosphorus (phosphate) blood test CPT 84100 Assay of phosphorus $31.88 $60.15 — 58% below 47%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus $31.88 $60.15 — 58% below 47%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus $31.88 $60.15 — — 47%
Phosphorus (phosphate) blood test inpatient CPT 84100 Assay of phosphorus $31.88 $60.15 — — 47%
Potassium blood test CPT 84132 Potassium $33.06 $62.38 — 55% below 47%
Potassium blood test CPT 84132 Assay of serum potassium $33.06 $62.38 — 55% below 47%
Potassium blood test inpatient CPT 84132 Potassium $33.06 $62.38 — — 47%
Potassium blood test inpatient CPT 84132 Assay of serum potassium $33.06 $62.38 — — 47%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Non-invasive prenatal testing (2007537) $238.50 $450.00 $759.05 86% below 47%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal chrmoml aneuploidy $238.50 $450.00 $759.05 86% below 47%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal chrmoml aneuploidy $238.50 $450.00 $759.05 — 47%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Non-invasive prenatal testing (2007537) $238.50 $450.00 $759.05 — 47%
Progesterone blood test CPT 84144 Progesterone quant $11.93 $22.50 — 86% below 47%
Progesterone blood test CPT 84144 Assay of progesterone $11.93 $22.50 — 86% below 47%
Progesterone blood test inpatient CPT 84144 Assay of progesterone $11.93 $22.50 — — 47%
Progesterone blood test inpatient CPT 84144 Progesterone quant $11.93 $22.50 — — 47%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin $37.79 $71.30 — 31% below 47%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time $37.79 $71.30 — 31% below 47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin time $37.79 $71.30 — — 47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin $37.79 $71.30 — — 47%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug test prsmv dir opt obs $39.57 $74.66 — 53% below 47%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Amp/methamp $39.57 $74.66 — 53% below 47%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Amp/methamp $39.57 $74.66 — — 47%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug test prsmv dir opt obs $39.57 $74.66 — — 47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic $105.77 $199.56 — 2% below 47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid strep screen $105.77 $199.56 — 2% below 47%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep a assay w/optic $105.77 $199.56 — — 47%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid strep screen $105.77 $199.56 — — 47%
Renin blood test CPT 84244 Assay of renin $11.13 $21.00 — 55% below 47%
Renin blood test CPT 84244 Renin by ria activity (787) $11.13 $21.00 — 55% below 47%
Renin blood test inpatient CPT 84244 Renin by ria activity (787) $11.13 $21.00 — — 47%
Renin blood test inpatient CPT 84244 Assay of renin $11.13 $21.00 — — 47%
Rh blood typing CPT 86901 Blood type rh (o) $89.24 $168.37 $51.69 60% above 47%
Rh blood typing CPT 86901 Blood typing serologic rh(d) $89.24 $168.37 $51.69 60% above 47%
Rh blood typing inpatient CPT 86901 Blood typing serologic rh(d) $89.24 $168.37 $51.69 — 47%
Rh blood typing inpatient CPT 86901 Blood type rh (o) $89.24 $168.37 $51.69 — 47%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor $15.58 $29.40 — 18% above 47%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant $15.58 $29.40 — 18% above 47%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor quant $15.58 $29.40 — — 47%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor $15.58 $29.40 — — 47%
Rubella antibody test (immunity check) CPT 86762 Rubella igg (rrh lab) $55.63 $104.97 — 10% above 47%
Rubella antibody test (immunity check) CPT 86762 Rubella antibody $55.63 $104.97 — 10% above 47%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella antibody $55.63 $104.97 — — 47%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella igg (rrh lab) $55.63 $104.97 — — 47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation rate $31.49 $59.41 — 44% below 47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Rbc sed rate automated $31.49 $59.41 — 44% below 47%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation rate $31.49 $59.41 — — 47%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Rbc sed rate automated $31.49 $59.41 — — 47%
Sodium blood test CPT 84295 Sodium $34.15 $64.43 — 48% below 47%
Sodium blood test CPT 84295 Assay of serum sodium $34.15 $64.43 — 48% below 47%
Sodium blood test inpatient CPT 84295 Sodium $34.15 $64.43 — — 47%
Sodium blood test inpatient CPT 84295 Assay of serum sodium $34.15 $64.43 — — 47%
Stool ova and parasites exam CPT 87177 Ova and parasites smears $16.96 $32.00 — 19% below 47%
Stool ova and parasites exam CPT 87177 Ova & parasites (681) $16.96 $32.00 — 19% below 47%
Stool ova and parasites exam inpatient CPT 87177 Ova & parasites (681) $16.96 $32.00 — — 47%
Stool ova and parasites exam inpatient CPT 87177 Ova and parasites smears $16.96 $32.00 — — 47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult bld colorectal tumor scan $48.78 $92.04 $4.38 25% above 47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces $48.78 $92.04 $4.38 25% above 47%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult blood feces $48.78 $92.04 $4.38 — 47%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult bld colorectal tumor scan $48.78 $92.04 $4.38 — 47%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay test for blood fecal $15.26 $28.80 — 69% below 47%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult bld fecal by ia (a-2007190) $15.26 $28.80 — 69% below 47%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult bld fecal by ia (a-2007190) $15.26 $28.80 — — 47%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay test for blood fecal $15.26 $28.80 — — 47%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum $8.16 $15.40 $13.24 50% below 47%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum antibody (50777) $8.16 $15.40 $13.24 50% below 47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum antibody (50777) $8.16 $15.40 $13.24 — 47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum $8.16 $15.40 $13.24 — 47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual $25.81 $48.70 $4.27 92% above 47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr $25.81 $48.70 $4.27 92% above 47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis test non-trep qual $25.81 $48.70 $4.27 — 47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr $25.81 $48.70 $4.27 — 47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon tb gold + 1 tube $30.74 $58.00 — 64% below 47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure $30.74 $58.00 — 64% below 47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb test cell immun measure $30.74 $58.00 — — 47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon tb gold + 1 tube $30.74 $58.00 — — 47%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone & sex hormone (0081057) $14.84 $28.00 — 63% below 47%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone $14.84 $28.00 — 63% below 47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of total testosterone $14.84 $28.00 — — 47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone & sex hormone (0081057) $14.84 $28.00 — — 47%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each $69.81 $131.72 — 205% above 47%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver cytosol(lc1)autoantibodies (quest) $69.81 $131.72 — 205% above 47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibody each $69.81 $131.72 — — 47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver cytosol(lc1)autoantibodies (quest) $69.81 $131.72 — — 47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh $53.53 $101.00 — 42% below 47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone $53.53 $101.00 — 42% below 47%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh $53.53 $101.00 — — 47%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay thyroid stim hormone $53.53 $101.00 — — 47%
Total cholesterol blood test CPT 82465 Cholesterol $33.46 $63.13 $4.35 20% below 47%
Total cholesterol blood test CPT 82465 Assay bld/serum cholesterol $33.46 $63.13 $4.35 20% below 47%
Total cholesterol blood test inpatient CPT 82465 Assay bld/serum cholesterol $33.46 $63.13 $4.35 — 47%
Total cholesterol blood test inpatient CPT 82465 Cholesterol $33.46 $63.13 $4.35 — 47%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif $56.28 $106.19 — 43% below 47%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis pcr $56.28 $106.19 — 43% below 47%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis amplif $56.28 $106.19 — — 47%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis pcr $56.28 $106.19 — — 47%
Triglycerides blood test CPT 84478 Assay of triglycerides $25.98 $49.02 $5.74 37% below 47%
Triglycerides blood test CPT 84478 Triglycerides $25.98 $49.02 $5.74 37% below 47%
Triglycerides blood test inpatient CPT 84478 Triglycerides $25.98 $49.02 $5.74 — 47%
Triglycerides blood test inpatient CPT 84478 Assay of triglycerides $25.98 $49.02 $5.74 — 47%
Troponin test, quantitative CPT 84484 Troponin $83.44 $157.44 — 53% below 47%
Troponin test, quantitative CPT 84484 Assay of troponin quant $83.44 $157.44 — 53% below 47%
Troponin test, quantitative inpatient CPT 84484 Assay of troponin quant $83.44 $157.44 — — 47%
Troponin test, quantitative inpatient CPT 84484 Troponin $83.44 $157.44 — — 47%
Uric acid blood test CPT 84550 Assay of blood/uric acid $66.11 $124.74 — at median 47%
Uric acid blood test CPT 84550 Uric acid $66.11 $124.74 — at median 47%
Uric acid blood test inpatient CPT 84550 Assay of blood/uric acid $66.11 $124.74 — — 47%
Uric acid blood test inpatient CPT 84550 Uric acid $66.11 $124.74 — — 47%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis nonauto w/scope $56.55 $106.70 — 78% above 47%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis with micro $56.55 $106.70 — 78% above 47%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis nonauto w/scope $56.55 $106.70 — — 47%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis with micro $56.55 $106.70 — — 47%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope $53.65 $101.23 — 4% below 47%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis screen $53.65 $101.23 — 4% below 47%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis screen $53.65 $101.23 — — 47%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis auto w/o scope $53.65 $101.23 — — 47%
Urine culture for bacteria, with colony count CPT 87086 Urine quant cult $90.63 $171.00 — 35% below 47%
Urine culture for bacteria, with colony count CPT 87086 Urine culture/colony count $90.63 $171.00 — 35% below 47%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine quant cult $90.63 $171.00 — — 47%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine culture/colony count $90.63 $171.00 — — 47%
Urine microalbumin (albumin) test CPT 82043 Ur albumin quantitative $29.91 $56.44 — 19% below 47%
Urine microalbumin (albumin) test CPT 82043 Microalbumin $29.91 $56.44 — 19% below 47%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin $29.91 $56.44 — — 47%
Urine microalbumin (albumin) test inpatient CPT 82043 Ur albumin quantitative $29.91 $56.44 — — 47%
Urine pregnancy test, read by color change CPT 81025 Hcg ql ur $89.57 $169.00 — 2% above 47%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $89.57 $169.00 — 2% above 47%
Urine pregnancy test, read by color change inpatient CPT 81025 Hcg ql ur $89.57 $169.00 — — 47%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test $89.57 $169.00 — — 47%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b12 $45.66 $86.15 — 51% below 47%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12 $45.66 $86.15 — 51% below 47%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b-12 $45.66 $86.15 — — 47%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin b12 $45.66 $86.15 — — 47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy $84.88 $160.15 — 33% above 47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25-hydroxy $84.88 $160.15 — 33% above 47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25-hydroxy $84.88 $160.15 — — 47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin d 25 hydroxy $84.88 $160.15 — — 47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit d 1 25-dihydroxy $13.57 $25.60 — 80% below 47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin d (1 25 oh)(4729) $13.57 $25.60 — 80% below 47%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vit d 1 25-dihydroxy $13.57 $25.60 — — 47%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin d (1 25 oh)(4729) $13.57 $25.60 — — 47%
Zinc blood test CPT 84630 Assay of zinc $6.04 $11.40 — 45% below 47%
Zinc blood test CPT 84630 Zinc-plasma (945) $6.04 $11.40 — 45% below 47%
Zinc blood test inpatient CPT 84630 Zinc-plasma (945) $6.04 $11.40 — — 47%
Zinc blood test inpatient CPT 84630 Assay of zinc $6.04 $11.40 — — 47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test $150.58 $284.12 — 16% below 47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hcg quantative $150.58 $284.12 — 16% below 47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chorionic gonadotropin test $150.58 $284.12 — — 47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Beta hcg quantative $150.58 $284.12 — — 47%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendectomy $2,307.58 $4,353.93 — 39% below 47%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 Appendec rptd appendix absc/pritonitis $2,307.58 $4,353.93 — 39% below 47%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendec rptd appendix absc/pritonitis $2,307.58 $4,353.93 — — 47%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 Appendectomy $2,307.58 $4,353.93 — — 47%
Appendectomy, open surgery CPT 44950 Appendectomy $951.37 $1,795.04 $8,959.03 90% below 47%
Appendectomy, open surgery CPT 44950 Appendectomy incindental $951.37 $1,795.04 $8,959.03 90% below 47%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy $951.37 $1,795.04 $8,959.03 — 47%
Appendectomy, open surgery inpatient CPT 44950 Appendectomy incindental $951.37 $1,795.04 $8,959.03 — 47%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Knee arthroscopy/surgery $41,654.67 $78,593.72 $10,041.77 349% above 47%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Knee arthroscopy/surgery $28,772.76 $54,288.22 $10,041.77 210% above 47%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Knee arthroscopy/surgery $47,003.39 $88,685.64 $10,041.77 406% above 47%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 Knee arthroscopy/surgery $41,654.67 $78,593.72 $10,041.77 — 47%
Arthroscopic ACL reconstruction or repair of the knee inpatient one side CPT 29888 Knee arthroscopy/surgery $28,772.76 $54,288.22 $10,041.77 — 47%
Arthroscopic ACL reconstruction or repair of the knee inpatient one side CPT 29888 Knee arthroscopy/surgery $47,003.39 $88,685.64 $10,041.77 — 47%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Arthroscop rotator cuff repr $20,562.47 $38,797.11 $10,041.77 173% above 47%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Arthroscop rotator cuff repr $20,332.32 $38,362.87 $10,041.77 170% above 47%
Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Arthroscop rotator cuff repr $20,562.47 $38,797.11 $10,041.77 173% above 47%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 Arthroscop rotator cuff repr $20,562.47 $38,797.11 $10,041.77 — 47%
Arthroscopic rotator cuff repair of the shoulder inpatient one side CPT 29827 Arthroscop rotator cuff repr $20,332.32 $38,362.87 $10,041.77 — 47%
Arthroscopic rotator cuff repair of the shoulder inpatient one side CPT 29827 Arthroscop rotator cuff repr $20,562.47 $38,797.11 $10,041.77 — 47%
Botox injections for chronic migraine CPT 64615 Chemodenerv musc migraine $196.10 $370.00 $424.79 78% below 47%
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv musc migraine $196.10 $370.00 $424.79 — 47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx breast 1st lesion strtctc $2,146.82 $4,050.60 $2,285.62 51% below 47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx breast w/device 1st lesion stereotact $2,146.82 $4,050.60 $2,285.62 51% below 47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx breast w/device 1st lesion stereotact $2,146.82 $4,050.60 $2,285.62 51% below 47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx breast 1st lesion strtctc $20,535.24 $38,745.74 $2,285.62 — 47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx breast w/device 1st lesion stereotact $2,146.82 $4,050.60 $2,285.62 — 47%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx breast w/device 1st lesion stereotact $2,146.82 $4,050.60 $2,285.62 — 47%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment of ankle fracture $465.62 $878.52 $341.36 13% below 47%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment of ankle fracture $465.62 $878.52 $341.36 — 47%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Tx metatarsal fracture $363.64 $686.12 $341.36 32% below 47%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treat metatarsal fracture $363.64 $686.12 $341.36 32% below 47%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Tx metatarsal fracture $363.64 $686.12 $341.36 — 47%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treat metatarsal fracture $363.64 $686.12 $341.36 — 47%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction hallux valgus $17,661.86 $33,324.27 $4,528.08 322% above 47%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Correction hallux valgus $11,471.42 $21,644.19 $4,528.08 174% above 47%
Bunion correction with a bone cut near the head of the first metatarsal one side CPT 28296 Correction hallux valgus $11,641.00 $21,964.16 $4,528.08 178% above 47%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 Correction hallux valgus $65,783.40 $124,119.62 $4,528.08 — 47%
Bunion correction with a bone cut near the head of the first metatarsal inpatient one side CPT 28296 Correction hallux valgus $11,471.42 $21,644.19 $4,528.08 — 47%
Bunion correction with a bone cut near the head of the first metatarsal inpatient one side CPT 28296 Correction hallux valgus $11,641.00 $21,964.16 $4,528.08 — 47%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction hallux valgus $30,753.01 $58,024.54 $4,528.08 514% above 47%
Bunion correction with removal of part of the big toe joint one side CPT 28292 Correction hallux valgus $10,503.97 $19,818.82 $4,528.08 110% above 47%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 Correction hallux valgus $65,783.40 $124,119.62 $4,528.08 — 47%
Bunion correction with removal of part of the big toe joint inpatient one side CPT 28292 Correction hallux valgus $10,503.97 $19,818.82 $4,528.08 — 47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion ext $893.05 $1,685.00 $914.67 53% below 47%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext $893.05 $1,685.00 $914.67 53% below 47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion electric ext $893.05 $1,685.00 $914.67 — 47%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion ext $893.05 $1,685.00 $914.67 — 47%
Carpal tunnel release, open surgery CPT 64721 Carpal tunnel surgery $6,656.90 $12,560.19 $2,702.35 84% above 47%
Carpal tunnel release, open surgery one side CPT 64721 Carpal tunnel surgery $6,536.92 $12,333.82 $2,702.35 81% above 47%
Carpal tunnel release, open surgery one side CPT 64721 Carpal tunnel surgery $6,839.44 $12,904.60 $2,702.35 90% above 47%
Carpal tunnel release, open surgery inpatient CPT 64721 Carpal tunnel surgery $6,656.90 $12,560.19 $2,702.35 — 47%
Carpal tunnel release, open surgery inpatient one side CPT 64721 Carpal tunnel surgery $6,536.92 $12,333.82 $2,702.35 — 47%
Carpal tunnel release, open surgery inpatient one side CPT 64721 Carpal tunnel surgery $6,839.44 $12,904.60 $2,702.35 — 47%
Cataract surgery with lens implant CPT 66984 Xcapsl ctrc rmvl w/o ecp $9,685.30 $18,274.15 $3,193.77 92% above 47%
Cataract surgery with lens implant one side CPT 66984 Xcapsl ctrc rmvl w/o ecp $9,532.53 $17,985.90 $3,193.77 89% above 47%
Cataract surgery with lens implant one side CPT 66984 Xcapsl ctrc rmvl w/o ecp $9,857.94 $18,599.88 $3,193.77 95% above 47%
Cataract surgery with lens implant inpatient CPT 66984 Xcapsl ctrc rmvl w/o ecp $9,685.30 $18,274.15 $3,193.77 — 47%
Cataract surgery with lens implant inpatient one side CPT 66984 Xcapsl ctrc rmvl w/o ecp $9,532.53 $17,985.90 $3,193.77 — 47%
Cataract surgery with lens implant inpatient one side CPT 66984 Xcapsl ctrc rmvl w/o ecp $9,857.94 $18,599.88 $3,193.77 — 47%
Cervical biopsy CPT 57500 Biopsy of cervix $142.82 $269.47 $1,274.63 93% below 47%
Cervical biopsy CPT 57500 Biopsy of cervix single/mult/exc spx $142.82 $269.47 $1,274.63 93% below 47%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix single/mult/exc spx $142.82 $269.47 $1,274.63 — 47%
Cervical biopsy inpatient CPT 57500 Biopsy of cervix $142.82 $269.47 $1,274.63 — 47%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Cesarean delivery $1,779.61 $3,357.75 — 65% below 47%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Ob care comprehensive c/s deliv $1,779.61 $3,357.75 — 65% below 47%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Ob care comprehensive c/s deliv $1,779.61 $3,357.75 — — 47%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Cesarean delivery $23,804.89 $44,914.88 — — 47%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circum 28 days or older $20,579.53 $38,829.30 $2,892.85 343% above 47%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circum 28 days or older $20,579.53 $38,829.30 $2,892.85 — 47%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision w/regionl block $6,461.81 $12,192.09 $2,892.85 286% above 47%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision w/regionl block $6,461.81 $12,192.09 $2,892.85 — 47%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision neonate $332.87 $628.05 $964.98 39% below 47%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision $332.87 $628.05 $964.98 39% below 47%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision $332.87 $628.05 $964.98 — 47%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision neonate $332.87 $628.05 $964.98 — 47%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treat fracture radius/ulna $508.15 $958.78 $341.36 9% below 47%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treat fracture radius/ulna $508.15 $958.78 $341.36 — 47%
Colonoscopy with polyp removal CPT 45385 Colonoscopy w/lesion removal $6,331.86 $11,946.90 $1,656.02 177% above 47%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy w/lesion removal $6,331.86 $11,946.90 $1,656.02 — 47%
Colonoscopy with tissue sample CPT 45380 Colonoscopy and biopsy $6,400.16 $12,075.77 $1,656.02 175% above 47%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy and biopsy $49,980.29 $94,302.43 $1,656.02 — 47%
Colonoscopy, diagnostic CPT 45378 Diagnostic colonoscopy $4,493.15 $8,477.64 $1,286.96 116% above 47%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic colonoscopy $4,493.15 $8,477.64 $1,286.96 — 47%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Bx of cervix w/scope leep $10,200.42 $19,246.08 $4,479.81 119% above 47%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Bx of cervix w/scope leep $10,200.42 $19,246.08 $4,479.81 — 47%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Bx/curett of cervix w/scope $232.27 $438.25 $421.71 75% below 47%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy w/biopsy and endocervical cur $232.27 $438.25 $421.71 75% below 47%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Bx/curett of cervix w/scope $232.27 $438.25 $421.71 — 47%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy w/biopsy and endocervical cur $232.27 $438.25 $421.71 — 47%
Complex cataract surgery with lens implant CPT 66982 Xcapsl ctrc rmvl cplx wo ecp $840.69 $1,586.20 $3,193.77 79% below 47%
Complex cataract surgery with lens implant inpatient CPT 66982 Xcapsl ctrc rmvl cplx wo ecp $840.69 $1,586.20 $3,193.77 — 47%
Cystoscopy with ureteral stent placement CPT 52332 Cystoscopy and treatment $19,563.15 $36,911.60 $4,878.17 162% above 47%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystoscopy and treatment $19,563.15 $36,911.60 $4,878.17 — 47%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy $10,943.86 $20,648.79 $964.98 577% above 47%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy $10,943.86 $20,648.79 $964.98 — 47%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation and curettage $14,289.43 $26,961.18 $4,479.81 238% above 47%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation and curettage $14,289.43 $26,961.18 $4,479.81 — 47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of benign/premaligant lesion $75.64 $142.72 $277.66 76% below 47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct premalg lesion $75.64 $142.72 $277.66 76% below 47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct premalg lesion $75.64 $142.72 $277.66 — 47%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction of benign/premaligant lesion $75.64 $142.72 $277.66 — 47%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove impacted ear wax uni $78.71 $148.50 $81.64 56% below 47%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove impacted ear wax unilat $78.71 $148.50 $81.64 56% below 47%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove impacted ear wax uni $78.71 $148.50 $81.64 — 47%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Remove impacted ear wax unilat $78.71 $148.50 $81.64 — 47%
Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni $111.17 $209.76 $81.64 41% below 47%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove impacted ear wax uni $111.17 $209.76 $81.64 — 47%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy of uterus lining $20,178.75 $38,073.12 $279.78 3596% above 47%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy of uterus lining $20,178.75 $38,073.12 $279.78 — 47%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr aa hrn 1st 3-10 rdc $627.79 $1,184.50 $8,959.03 92% below 47%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 Rpr aa hrn 1st 3-10 rdc $627.79 $1,184.50 $8,959.03 — 47%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr aa hrn 1st > 10 rdc $840.69 $1,586.20 $8,959.03 89% below 47%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 Rpr aa hrn 1st > 10 rdc $840.69 $1,586.20 $8,959.03 — 47%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr aa hrn 1st < 3 cm rdc $13,680.40 $25,812.08 $4,954.87 103% above 47%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 Rpr aa hrn 1st < 3 cm rdc $13,680.40 $25,812.08 $4,954.87 — 47%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic sigmoidoscopy $3,625.40 $6,840.38 $1,286.96 98% above 47%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic sigmoidoscopy $3,625.40 $6,840.38 $1,286.96 — 47%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopic cholecystectomy $18,380.91 $34,680.96 $8,366.32 39% above 47%
Gallbladder removal, laparoscopic inpatient CPT 47562 Laparoscopic cholecystectomy $29,908.13 $56,430.43 $8,366.32 — 47%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laparo cholecystectomy/graph $30,375.77 $57,312.78 $8,366.32 227% above 47%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 Laparo cholecystectomy/graph $30,375.77 $57,312.78 $8,366.32 — 47%
Gallbladder removal, open surgery through a larger incision CPT 47600 Removal of gallbladder $1,282.55 $2,419.91 — 53% below 47%
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy $1,282.55 $2,419.91 — 53% below 47%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Cholecystectomy $1,282.55 $2,419.91 — — 47%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 Removal of gallbladder $41,218.71 $77,771.16 — — 47%
Hammertoe correction surgery CPT 28285 Repair of hammertoe $8,316.91 $15,692.28 $4,528.08 99% above 47%
Hammertoe correction surgery inpatient CPT 28285 Repair of hammertoe $8,316.91 $15,692.28 $4,528.08 — 47%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation of hemorrhoid(s) $291.26 $549.55 $1,286.96 84% below 47%
Hemorrhoid banding (rubber band ligation) CPT 46221 Hemorrhoidectomy internl rubber band lig $291.26 $549.55 $1,286.96 84% below 47%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation of hemorrhoid(s) $291.26 $549.55 $1,286.96 — 47%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Hemorrhoidectomy internl rubber band lig $291.26 $549.55 $1,286.96 — 47%
Hemorrhoidectomy (internal and external), one area CPT 46255 Remove int/ext hem 1 group $3,633.67 $6,855.98 $3,841.20 20% below 47%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Remove int/ext hem 1 group $3,633.67 $6,855.98 $3,841.20 — 47%
Hip replacement after an earlier hip surgery (conversion to total hip) inpatient CPT 27132 Total hip arthroplasty $18,675.97 $35,237.68 $17,767.27 — 47%
Hysterectomy through an abdominal incision (total) CPT 58150 Total hysterectomy abdominal $1,518.15 $2,864.43 — 55% below 47%
Hysterectomy through an abdominal incision (total) CPT 58150 Total hysterectomy $1,518.15 $2,864.43 — 55% below 47%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total hysterectomy abdominal $1,518.15 $2,864.43 — — 47%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 Total hysterectomy $25,996.76 $49,050.49 — — 47%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy ablation $11,819.27 $22,300.51 $6,922.82 85% above 47%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy ablation $11,819.27 $22,300.51 $6,922.82 — 47%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy biopsy $9,833.73 $18,554.21 $4,479.81 39% above 47%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy biopsy $9,833.73 $18,554.21 $4,479.81 — 47%
IUD insertion (the device itself billed separately) CPT 58300 Insert intrauterine device $8,284.69 $15,631.49 — 1310% above 47%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert intrauterine device $8,284.69 $15,631.49 — — 47%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage of skin abscess $8,921.10 $16,832.27 $277.66 1806% above 47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage of skin abscess $38,469.04 $72,583.09 $277.66 — 47%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Prp i/hern init reduc >5 yr $13,205.72 $24,916.45 $4,954.87 79% above 47%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Prp i/hern init reduc >5 yr $11,051.37 $20,851.65 $4,954.87 50% above 47%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Prp i/hern init reduc >5 yr $12,718.76 $23,997.66 $4,954.87 72% above 47%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Prp i/hern init reduc >5 yr $27,899.01 $52,639.64 $4,954.87 — 47%
Inguinal (groin) hernia repair, age 5 or older inpatient one side CPT 49505 Prp i/hern init reduc >5 yr $11,051.37 $20,851.65 $4,954.87 — 47%
Inguinal (groin) hernia repair, age 5 or older inpatient one side CPT 49505 Prp i/hern init reduc >5 yr $12,718.76 $23,997.66 $4,954.87 — 47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament $392.20 $740.00 $424.79 41% below 47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection single tendon $392.20 $740.00 $424.79 41% below 47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection single tendon $392.20 $740.00 $424.79 — 47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament $11,195.56 $21,123.69 $424.79 — 47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us $14,634.16 $27,611.63 $424.79 1438% above 47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 Drain/inj joint/bursa w/o us $14,634.16 $27,611.63 $424.79 1438% above 47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj joint/bursa w/o us $6,443.60 $12,157.74 $424.79 — 47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 Drain/inj joint/bursa w/o us $14,634.16 $27,611.63 $424.79 — 47%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert drug implant device $162.17 $305.98 $184.12 43% below 47%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion non-biodegradable drug deliver $162.17 $305.98 $184.12 43% below 47%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion non-biodegradable drug deliver $162.17 $305.98 $184.12 — 47%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert drug implant device $162.17 $305.98 $184.12 — 47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis intermediate joint $437.25 $825.00 $424.79 28% below 47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us $437.25 $825.00 $424.79 28% below 47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis intermediate joint $437.25 $825.00 $424.79 — 47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj joint/bursa w/o us $6,443.60 $12,157.74 $424.79 — 47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj joint/bursa w/o us $49.23 $92.89 $424.79 93% below 47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis small joint bursa $49.23 $92.89 $424.79 93% below 47%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis small joint bursa $49.23 $92.89 $424.79 — 47%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/inj joint/bursa w/o us $6,443.60 $12,157.74 $424.79 — 47%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Knee arthroscopy/surgery $26,076.14 $49,200.26 $4,528.08 523% above 47%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Knee arthroscopy/surgery $15,845.20 $29,896.60 $4,528.08 278% above 47%
Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Knee arthroscopy/surgery $30,469.05 $57,488.78 $4,528.08 628% above 47%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 Knee arthroscopy/surgery $26,076.14 $49,200.26 $4,528.08 — 47%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient one side CPT 29882 Knee arthroscopy/surgery $15,845.20 $29,896.60 $4,528.08 — 47%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient one side CPT 29882 Knee arthroscopy/surgery $30,469.05 $57,488.78 $4,528.08 — 47%
Knee arthroscopy with meniscus trim CPT 29881 Knee arthroscopy/surgery $11,037.45 $20,825.37 $4,528.08 114% above 47%
Knee arthroscopy with meniscus trim one side CPT 29881 Knee arthroscopy/surgery $10,193.00 $19,232.08 $4,528.08 98% above 47%
Knee arthroscopy with meniscus trim one side CPT 29881 Knee arthroscopy/surgery $11,639.05 $21,960.48 $4,528.08 126% above 47%
Knee arthroscopy with meniscus trim inpatient CPT 29881 Knee arthroscopy/surgery $65,412.27 $123,419.37 $4,528.08 — 47%
Knee arthroscopy with meniscus trim inpatient one side CPT 29881 Knee arthroscopy/surgery $10,193.00 $19,232.08 $4,528.08 — 47%
Knee arthroscopy with meniscus trim inpatient one side CPT 29881 Knee arthroscopy/surgery $11,639.05 $21,960.48 $4,528.08 — 47%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Knee arthroscopy/surgery $14,764.09 $27,856.78 $4,528.08 253% above 47%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Knee arthroscopy/surgery $13,464.81 $25,405.31 $4,528.08 222% above 47%
Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Knee arthroscopy/surgery $13,709.47 $25,866.93 $4,528.08 227% above 47%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 Knee arthroscopy/surgery $65,412.27 $123,419.37 $4,528.08 — 47%
Knee arthroscopy with removal of both torn meniscus parts inpatient one side CPT 29880 Knee arthroscopy/surgery $13,464.81 $25,405.31 $4,528.08 — 47%
Knee arthroscopy with removal of both torn meniscus parts inpatient one side CPT 29880 Knee arthroscopy/surgery $13,709.47 $25,866.93 $4,528.08 — 47%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Knee arthroscopy/surgery $16,646.68 $31,408.83 $4,528.08 76% above 47%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) one side CPT 29877 Knee arthroscopy/surgery $16,646.68 $31,408.83 $4,528.08 76% above 47%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 Knee arthroscopy/surgery $65,412.27 $123,419.37 $4,528.08 — 47%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient one side CPT 29877 Knee arthroscopy/surgery $16,646.68 $31,408.83 $4,528.08 — 47%
Laparoscopic Roux-en-Y gastric bypass, standard limb length inpatient CPT 43644 Lap gastric bypass/roux-en-y $22,124.83 $41,744.96 — — 47%
Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 Lap place gastr adj device $22,124.83 $41,744.96 $14,710.48 — 47%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopy appendectomy $22,893.48 $43,195.24 $8,366.32 180% above 47%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 Laparoscopy appendectomy $28,443.19 $53,666.40 $8,366.32 — 47%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 Tlh uterus 250 g or less $20,033.51 $37,799.08 $14,710.48 — 47%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Tlh w/t/o 250 g or less $1,068.33 $2,015.71 $14,710.48 92% below 47%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 Tlh w/t/o 250 g or less $1,068.33 $2,015.71 $14,710.48 — 47%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Lap ing hernia repair init $455.80 $860.00 $8,366.32 97% below 47%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 Lap ing hernia repair init $455.80 $860.00 $8,366.32 — 47%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Lap ing hernia repair recur $726.10 $1,370.00 $8,366.32 95% below 47%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 Lap ing hernia repair recur $39,047.81 $73,675.11 $8,366.32 — 47%
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 Lap rmvl gastr adj all parts $22,124.83 $41,744.96 $5,335.53 — 47%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy remove adnexa $17,585.38 $33,179.96 $8,366.32 31% above 47%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Laparoscopy remove adnexa $17,585.38 $33,179.96 $8,366.32 — 47%
Laparoscopic sleeve gastrectomy for weight loss inpatient CPT 43775 Lap sleeve gastrectomy $22,124.83 $41,744.96 — — 47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Layer closure of wound 2.5sm or less $519.40 $980.00 $562.57 40% below 47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< $519.40 $980.00 $562.57 40% below 47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Layer closure of wound 2.5sm or less $519.40 $980.00 $562.57 — 47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< $36,306.69 $68,503.19 $562.57 — 47%
Lower-back epidural injection, without imaging guidance CPT 62322 Epidural steroid injection lumbar $2,089.42 $3,942.30 $1,224.01 17% above 47%
Lower-back epidural injection, without imaging guidance CPT 62322 Njx interlaminar lmbr/sac $2,089.42 $3,942.30 $1,224.01 17% above 47%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Epidural steroid injection lumbar $2,089.42 $3,942.30 $1,224.01 — 47%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx interlaminar lmbr/sac $2,089.42 $3,942.30 $1,224.01 — 47%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj foramen epidural l/s $374.71 $707.00 $1,224.01 82% below 47%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/strd tfrm epi l/s 1 $374.71 $707.00 $1,224.01 82% below 47%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx aa&/strd tfrm epi l/s 1 $374.71 $707.00 $1,224.01 — 47%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj foramen epidural l/s $15,921.74 $30,041.02 $1,224.01 — 47%
Lumpectomy (partial mastectomy) CPT 19301 Partial mastectomy $793.37 $1,496.93 $5,418.51 88% below 47%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy partial $793.37 $1,496.93 $5,418.51 88% below 47%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Partial mastectomy $793.37 $1,496.93 $5,418.51 — 47%
Lumpectomy (partial mastectomy) inpatient CPT 19301 Mastectomy partial $793.37 $1,496.93 $5,418.51 — 47%
Mastectomy (total removal of the breast) CPT 19303 Mast simple complete $1,152.10 $2,173.78 $9,189.23 87% below 47%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy simple complete $1,152.10 $2,173.78 $9,189.23 87% below 47%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mastectomy simple complete $1,152.10 $2,173.78 $9,189.23 — 47%
Mastectomy (total removal of the breast) inpatient CPT 19303 Mast simple complete $1,152.10 $2,173.78 $9,189.23 — 47%
Miscarriage treatment with D&C, first trimester CPT 59820 Care of miscarriage $7,950.77 $15,001.45 $4,479.81 57% above 47%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Care of miscarriage $25,754.12 $48,592.68 $4,479.81 — 47%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Mohs 1 stage h/n/hf/g $764.07 $1,441.64 $1,022.79 54% below 47%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Mohs 1 stage h/n/hf/g $38,952.00 $73,494.34 $1,022.79 — 47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc tr-ext b9+marg 0.5 cm< $143.58 $270.91 $979.97 89% below 47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Excision benign lesion trunk 0.5cm $143.58 $270.91 $979.97 89% below 47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Excision benign lesion trunk 0.5cm $143.58 $270.91 $979.97 — 47%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc tr-ext b9+marg 0.5 cm< $143.58 $270.91 $979.97 — 47%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc face-mm b9+marg 0.5 cm/< $6,938.61 $13,091.72 $979.97 370% above 47%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc face-mm b9+marg 0.5 cm/< $6,938.61 $13,091.72 $979.97 — 47%
Nail removal (partial or complete), one nail CPT 11730 Avulsion of nail plate single simple $263.28 $496.75 $277.66 48% below 47%
Nail removal (partial or complete), one nail CPT 11730 Removal of nail plate $263.28 $496.75 $277.66 48% below 47%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion of nail plate single simple $263.28 $496.75 $277.66 — 47%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal of nail plate $263.28 $496.75 $277.66 — 47%
Occipital nerve block (injection for headaches) CPT 64405 Greater occipital nerve $994.91 $1,877.18 $424.79 13% above 47%
Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv $994.91 $1,877.18 $424.79 13% above 47%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv $994.91 $1,877.18 $424.79 — 47%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Greater occipital nerve $994.91 $1,877.18 $424.79 — 47%
Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial & vent $25,765.15 $48,613.49 $14,464.37 37% above 47%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insrt heart pm atrial & vent $25,765.15 $48,613.49 $14,464.37 — 47%
Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging $1,242.27 $2,343.90 $1,255.16 32% below 47%
Paracentesis with imaging guidance inpatient CPT 49083 Abd paracentesis w/imaging $1,242.27 $2,343.90 $1,255.16 — 47%
Partial knee replacement (one compartment) CPT 27446 Revision of knee joint $36,041.79 $68,003.37 $17,767.27 79% above 47%
Partial knee replacement (one compartment) one side CPT 27446 Revision of knee joint $33,503.09 $63,213.37 $17,767.27 67% above 47%
Partial knee replacement (one compartment) one side CPT 27446 Revision of knee joint $34,448.96 $64,998.04 $17,767.27 71% above 47%
Partial knee replacement (one compartment) inpatient CPT 27446 Revision of knee joint $36,041.79 $68,003.37 $17,767.27 — 47%
Partial knee replacement (one compartment) inpatient one side CPT 27446 Revision of knee joint $33,503.09 $63,213.37 $17,767.27 — 47%
Partial knee replacement (one compartment) inpatient one side CPT 27446 Revision of knee joint $34,448.96 $64,998.04 $17,767.27 — 47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision of nail $492.71 $929.64 $562.57 62% below 47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal of nail bed $492.71 $929.64 $562.57 62% below 47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision of nail $492.71 $929.64 $562.57 — 47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal of nail bed $492.71 $929.64 $562.57 — 47%
Removal of a breast lump, open surgery CPT 19120 Removal of breast lesion $8,901.01 $16,794.36 $5,418.51 78% above 47%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal of breast lesion $8,901.01 $16,794.36 $5,418.51 — 47%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body $6,475.58 $12,218.07 $562.57 558% above 47%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body $18,748.64 $35,374.79 $562.57 — 47%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Partial removal of thyroid $868.72 $1,639.09 $8,366.32 89% below 47%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 Partial removal of thyroid $868.72 $1,639.09 $8,366.32 — 47%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind $4,976.81 $9,390.21 $1,286.96 110% above 47%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colon ca scrn not hi rsk ind $4,976.81 $9,390.21 $1,286.96 — 47%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind $4,296.52 $8,106.64 $1,286.96 78% above 47%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colorectal scrn; hi risk ind $4,296.52 $8,106.64 $1,286.96 — 47%
Short arm cast (elbow to hand) CPT 29075 Application of forearm cast $90.93 $171.56 $387.06 82% below 47%
Short arm cast (elbow to hand) CPT 29075 Application elbow to finger (short arm) $90.93 $171.56 $387.06 82% below 47%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of forearm cast $90.93 $171.56 $387.06 — 47%
Short arm cast (elbow to hand) inpatient CPT 29075 Application elbow to finger (short arm) $90.93 $171.56 $387.06 — 47%
Short arm splint (forearm and hand) CPT 29125 Apply forearm splint $325.95 $615.00 $184.12 22% below 47%
Short arm splint (forearm and hand) CPT 29125 App short arm splint static $325.95 $615.00 $184.12 22% below 47%
Short arm splint (forearm and hand) inpatient CPT 29125 App short arm splint static $325.95 $615.00 $184.12 — 47%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply forearm splint $325.95 $615.00 $184.12 — 47%
Short leg cast (below the knee) CPT 29405 Application of long leg cast $86.29 $162.81 $387.06 83% below 47%
Short leg cast (below the knee) CPT 29405 Apply short leg cast $86.29 $162.81 $387.06 83% below 47%
Short leg cast (below the knee) inpatient CPT 29405 Apply short leg cast $86.29 $162.81 $387.06 — 47%
Short leg cast (below the knee) inpatient CPT 29405 Application of long leg cast $86.29 $162.81 $387.06 — 47%
Short leg splint (calf to foot) CPT 29515 Application lower leg splint $209.35 $395.00 $224.88 58% below 47%
Short leg splint (calf to foot) CPT 29515 Splint-short leg application $209.35 $395.00 $224.88 58% below 47%
Short leg splint (calf to foot) inpatient CPT 29515 Application lower leg splint $209.35 $395.00 $224.88 — 47%
Short leg splint (calf to foot) inpatient CPT 29515 Splint-short leg application $209.35 $395.00 $224.88 — 47%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Shoulder arthroscopy/surgery $15,685.30 $29,594.91 $4,528.08 275% above 47%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 Shoulder arthroscopy/surgery $15,685.30 $29,594.91 $4,528.08 — 47%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shoulder arthroscopy/surgery $20,562.47 $38,797.11 — 292% above 47%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shoulder arthroscopy/surgery $20,104.01 $37,932.09 — 284% above 47%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Shoulder arthroscopy/surgery $20,562.47 $38,797.11 — 292% above 47%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Shoulder arthroscopy/surgery $20,562.47 $38,797.11 — — 47%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient one side CPT 29826 Shoulder arthroscopy/surgery $20,104.01 $37,932.09 — — 47%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient one side CPT 29826 Shoulder arthroscopy/surgery $20,562.47 $38,797.11 — — 47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair lac up to 2.5 cm $265.00 $500.00 $277.66 52% below 47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< $265.00 $500.00 $277.66 52% below 47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair lac up to 2.5 cm $265.00 $500.00 $277.66 — 47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< $5,397.23 $10,183.46 $277.66 — 47%
Skin biopsy, punch, one lesion CPT 11104 Punch bx skin single lesion $148.48 $280.15 $562.57 79% below 47%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch bx skin single lesion $31,485.63 $59,406.84 $562.57 — 47%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision malign lesion trunk (0.5cm) $207.04 $390.65 $979.97 89% below 47%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc tr-ext mal+marg 0.5 cm/< $207.04 $390.65 $979.97 89% below 47%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excision malign lesion trunk (0.5cm) $207.04 $390.65 $979.97 — 47%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc tr-ext mal+marg 0.5 cm/< $41,021.89 $77,399.80 $979.97 — 47%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tags <w/15 $7,489.49 $14,131.12 $277.66 1795% above 47%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tags <w/15 $40,619.71 $76,640.97 $277.66 — 47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr $1,264.05 $2,385.00 $976.86 4% below 47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar puncture $1,264.05 $2,385.00 $976.86 4% below 47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar puncture $1,264.05 $2,385.00 $976.86 — 47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Dx lmbr spi pnxr $38,467.12 $72,579.47 $976.86 — 47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm $296.80 $560.00 $277.66 60% below 47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair 2.6 to 7.5 $296.80 $560.00 $277.66 60% below 47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair 2.6 to 7.5 $296.80 $560.00 $277.66 — 47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm $5,397.23 $10,183.46 $277.66 — 47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair 2.5 cm or less $265.00 $500.00 $277.66 60% below 47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< $265.00 $500.00 $277.66 60% below 47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< $265.00 $500.00 $277.66 — 47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair 2.5 cm or less $265.00 $500.00 $277.66 — 47%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy skin single lesion $118.39 $223.38 $562.57 79% below 47%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl bx skin single les $118.39 $223.38 $562.57 79% below 47%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential biopsy skin single lesion $118.39 $223.38 $562.57 — 47%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl bx skin single les $31,485.63 $59,406.84 $562.57 — 47%
Thoracentesis with imaging guidance CPT 32555 Us thoracentesis $954.00 $1,800.00 $868.12 53% below 47%
Thoracentesis with imaging guidance CPT 32555 Aspirate pleura w/ imaging $954.00 $1,800.00 $868.12 53% below 47%
Thoracentesis with imaging guidance inpatient CPT 32555 Us thoracentesis $954.00 $1,800.00 $868.12 — 47%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate pleura w/ imaging $27,344.06 $51,592.56 $868.12 — 47%
Total hip replacement CPT 27130 Total hip arthroplasty $40,388.69 $76,205.07 $17,767.27 341% above 47%
Total hip replacement one side CPT 27130 Total hip arthroplasty $39,223.97 $74,007.49 $17,767.27 328% above 47%
Total hip replacement one side CPT 27130 Total hip arthroplasty $40,388.69 $76,205.07 $17,767.27 341% above 47%
Total hip replacement inpatient CPT 27130 Total hip arthroplasty $18,675.97 $35,237.68 $17,767.27 — 47%
Total hip replacement inpatient one side CPT 27130 Total hip arthroplasty $39,223.97 $74,007.49 $17,767.27 — 47%
Total hip replacement inpatient one side CPT 27130 Total hip arthroplasty $40,388.69 $76,205.07 $17,767.27 — 47%
Total knee replacement CPT 27447 Total knee arthroplasty $42,432.27 $80,060.89 $17,767.27 65% above 47%
Total knee replacement one side CPT 27447 Total knee arthroplasty $41,054.34 $77,461.01 $17,767.27 59% above 47%
Total knee replacement one side CPT 27447 Total knee arthroplasty $42,003.36 $79,251.63 $17,767.27 63% above 47%
Total knee replacement inpatient CPT 27447 Total knee arthroplasty $18,695.29 $35,274.13 $17,767.27 — 47%
Total knee replacement inpatient one side CPT 27447 Total knee arthroplasty $41,054.34 $77,461.01 $17,767.27 — 47%
Total knee replacement inpatient one side CPT 27447 Total knee arthroplasty $42,003.36 $79,251.63 $17,767.27 — 47%
Total shoulder replacement CPT 23472 Reconstruct shoulder joint $58,182.50 $109,778.31 $24,264.80 413% above 47%
Total shoulder replacement one side CPT 23472 Reconstruct shoulder joint $40,017.53 $75,504.78 $24,264.80 253% above 47%
Total shoulder replacement one side CPT 23472 Reconstruct shoulder joint $50,173.17 $94,666.36 $24,264.80 342% above 47%
Total shoulder replacement inpatient CPT 23472 Reconstruct shoulder joint $8,643.36 $16,308.23 $24,264.80 — 47%
Total shoulder replacement inpatient one side CPT 23472 Reconstruct shoulder joint $40,017.53 $75,504.78 $24,264.80 — 47%
Total shoulder replacement inpatient one side CPT 23472 Reconstruct shoulder joint $50,173.17 $94,666.36 $24,264.80 — 47%
Trigger finger release surgery CPT 26055 Incise finger tendon sheath $5,089.24 $9,602.34 $2,225.28 66% above 47%
Trigger finger release surgery one side CPT 26055 Incise finger tendon sheath $6,249.64 $11,791.78 $2,225.28 103% above 47%
Trigger finger release surgery inpatient CPT 26055 Incise finger tendon sheath $5,089.24 $9,602.34 $2,225.28 — 47%
Trigger finger release surgery inpatient one side CPT 26055 Incise finger tendon sheath $6,249.64 $11,791.78 $2,225.28 — 47%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj trigger point 1/2 muscl $392.20 $740.00 $424.79 39% below 47%
Trigger point injections, 1 or 2 muscles CPT 20552 Inject sngl/mult trigger pnt $392.20 $740.00 $424.79 39% below 47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject sngl/mult trigger pnt $392.20 $740.00 $424.79 — 47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj trigger point 1/2 muscl $10,960.36 $20,679.92 $424.79 — 47%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy tubal cautery $16,429.98 $30,999.96 $8,366.32 280% above 47%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Laparoscopy tubal cautery $16,429.98 $30,999.96 $8,366.32 — 47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Us guided core breast biopsy $1,060.00 $2,000.00 $2,285.62 67% below 47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx breast 1st lesion us imag $1,060.00 $2,000.00 $2,285.62 67% below 47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Us guided core breast biopsy $1,060.00 $2,000.00 $2,285.62 — 47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx breast 1st lesion us imag $20,535.24 $38,745.74 $2,285.62 — 47%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph egd dilation <30 mm $6,469.16 $12,205.97 $2,655.55 164% above 47%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Esoph egd dilation <30 mm $22,124.83 $41,744.96 $2,655.55 — 47%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd biopsy single/multiple $6,309.92 $11,905.51 $1,255.16 257% above 47%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd biopsy single/multiple $21,761.71 $41,059.83 $1,255.16 — 47%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Uppr gi scope w/submuc inj $163.06 $307.66 $1,255.16 91% below 47%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Uppr gi scope w/submuc inj $17,723.00 $33,439.63 $1,255.16 — 47%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd remove lesion snare $9,093.94 $17,158.37 $2,655.55 178% above 47%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd remove lesion snare $34,650.63 $65,378.54 $2,655.55 — 47%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd guide wire insertion $5,472.00 $10,324.52 $1,255.16 192% above 47%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd guide wire insertion $22,124.83 $41,744.96 $1,255.16 — 47%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd diagnostic brush wash $4,429.15 $8,356.89 $1,255.16 137% above 47%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd diagnostic brush wash $21,972.76 $41,458.04 $1,255.16 — 47%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Egd w/transmural drain cyst $22,124.83 $41,744.96 $8,401.43 — 47%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cystouretero w/lithotripsy $449.82 $848.72 $7,420.12 94% below 47%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto w/ureteroscopy w/lithotripsy $449.82 $848.72 $7,420.12 94% below 47%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cystouretero w/lithotripsy $449.82 $848.72 $7,420.12 — 47%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 Cysto w/ureteroscopy w/lithotripsy $449.82 $848.72 $7,420.12 — 47%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/uretero w/lithotripsy $18,058.71 $34,073.03 $7,420.12 49% above 47%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/uretero w/lithotripsy $18,058.71 $34,073.03 $7,420.12 — 47%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Vbac delivery $2,767.71 $5,222.10 — — 47%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Vbac delivery $12,676.97 $23,918.81 — — 47%
Vaginal delivery, including prenatal and postpartum care CPT 59400 Comprehensive obstetrical care including $1,785.01 $3,367.94 — 37% below 47%
Vaginal delivery, including prenatal and postpartum care CPT 59400 Obstetrical care $1,785.01 $3,367.94 — 37% below 47%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Comprehensive obstetrical care including $1,785.01 $3,367.94 — — 47%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Obstetrical care $12,676.97 $23,918.81 — — 47%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal of sperm duct(s) $6,874.55 $12,970.84 $2,892.85 147% above 47%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal of sperm duct(s) $6,874.55 $12,970.84 $2,892.85 — 47%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous rf 1st vein $17,739.23 $33,470.24 $4,369.59 — 47%
Wart removal, up to 14 warts CPT 17110 Destruct b9 lesion 1-14 $128.84 $243.09 $277.66 64% below 47%
Wart removal, up to 14 warts CPT 17110 Destruction of flat warts molluscum mili $128.84 $243.09 $277.66 64% below 47%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction of flat warts molluscum mili $128.84 $243.09 $277.66 — 47%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct b9 lesion 1-14 $128.84 $243.09 $277.66 — 47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb subq tissue 20 sq cm/< $12,014.08 $22,668.07 $562.57 1664% above 47%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb subq tissue 20 sq cm/< $42,112.59 $79,457.72 $562.57 — 47%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Treat fx rad extra-articul $21,291.27 $40,172.20 $10,041.77 249% above 47%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Treat fx rad extra-articul $13,563.99 $25,592.43 $10,041.77 123% above 47%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Treat fx rad extra-articul $22,103.51 $41,704.74 $10,041.77 263% above 47%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 Treat fx rad extra-articul $31,932.51 $60,250.02 $10,041.77 — 47%
Wrist fracture surgery (plate and screws), distal radius inpatient one side CPT 25607 Treat fx rad extra-articul $13,563.99 $25,592.43 $10,041.77 — 47%
Wrist fracture surgery (plate and screws), distal radius inpatient one side CPT 25607 Treat fx rad extra-articul $22,103.51 $41,704.74 $10,041.77 — 47%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion service $588.30 $1,110.00 $610.54 33% below 47%
Blood transfusion (giving blood or blood components) CPT 36430 Blood transfusion $588.30 $1,110.00 $610.54 33% below 47%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion $588.30 $1,110.00 $610.54 — 47%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood transfusion service $23,983.13 $45,251.19 $610.54 — 47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment $270.30 $510.00 $303.04 16% below 47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway inhalation treatment $270.30 $510.00 $303.04 — 47%
Chemotherapy IV infusion, first hour CPT 96413 Chemo admin iv infusion to 1 hr $836.74 $1,578.75 $457.11 4% below 47%
Chemotherapy IV infusion, first hour CPT 96413 Chemo iv infusion 1 hr $836.74 $1,578.75 $457.11 4% below 47%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo iv infusion 1 hr $836.74 $1,578.75 $457.11 — 47%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo admin iv infusion to 1 hr $836.74 $1,578.75 $457.11 — 47%
Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour $3,119.05 $5,885.00 $1,143.13 43% below 47%
Critical care, first 30 to 74 minutes CPT 99291 Critical care 1st 30 to 74 min $3,119.05 $5,885.00 $1,143.13 43% below 47%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care first hour $3,119.05 $5,885.00 $1,143.13 — 47%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care 1st 30 to 74 min $3,119.05 $5,885.00 $1,143.13 — 47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy $740.51 $1,397.19 $298.81 28% below 47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Encephalogram eeg awake /drowsy $740.51 $1,397.19 $298.81 28% below 47%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg awake and drowsy $740.51 $1,397.19 $298.81 — 47%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Encephalogram eeg awake /drowsy $740.51 $1,397.19 $298.81 — 47%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Occ ecg routine ecg w/least 12 lds w/i&r $85.97 $162.21 — 4% below 47%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram complete $85.97 $162.21 — 4% below 47%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Occ ecg routine ecg w/least 12 lds w/i&r $85.97 $162.21 — — 47%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram complete $85.97 $162.21 — — 47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg -urgent care $269.77 $509.00 $81.64 20% below 47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing $269.77 $509.00 $81.64 20% below 47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg -urgent care $269.77 $509.00 $81.64 — 47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram tracing $269.77 $509.00 $81.64 — 47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er level i/esi level 5 $257.05 $485.00 $116.69 39% below 47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency dept visit $257.05 $485.00 $116.69 39% below 47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency dept visit $257.05 $485.00 $116.69 — 47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er level i/esi level 5 $257.05 $485.00 $116.69 — 47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit $527.35 $995.00 $212.49 40% below 47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er level ii/esi level 4 $527.35 $995.00 $212.49 40% below 47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er level ii/esi level 4 $527.35 $995.00 $212.49 — 47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency dept visit $527.35 $995.00 $212.49 — 47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er level iii/esi level iii $845.35 $1,595.00 $377.77 44% below 47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit $845.35 $1,595.00 $377.77 44% below 47%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er level iii/esi level iii $845.35 $1,595.00 $377.77 — 47%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency dept visit $845.35 $1,595.00 $377.77 — 47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit $1,441.60 $2,720.00 $577.44 47% below 47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er level iv/esi level ii $1,441.60 $2,720.00 $577.44 47% below 47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er level iv/esi level ii $1,441.60 $2,720.00 $577.44 — 47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency dept visit $1,441.60 $2,720.00 $577.44 — 47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit $2,085.55 $3,935.00 $824.15 41% below 47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er level 5/esi level 1 $2,085.55 $3,935.00 $824.15 41% below 47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er level 5/esi level 1 $2,085.55 $3,935.00 $824.15 — 47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency dept visit $2,085.55 $3,935.00 $824.15 — 47%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test $874.50 $1,650.00 $298.81 38% below 47%
Exercise stress test, tracing only, the hospital charge CPT 93017 Treadmill w/perf scan $874.50 $1,650.00 $298.81 38% below 47%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Treadmill w/perf scan $874.50 $1,650.00 $298.81 — 47%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test $874.50 $1,650.00 $298.81 — 47%
Family therapy with the patient, 50 minutes CPT 90847 Family psytx w/pt 50 min $94.46 $178.23 $566.81 72% below 47%
Family therapy with the patient, 50 minutes CPT 90847 Family psychotherapy with patient presen $94.46 $178.23 $566.81 72% below 47%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psytx w/pt 50 min $94.46 $178.23 $566.81 — 47%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family psychotherapy with patient presen $94.46 $178.23 $566.81 — 47%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg monit/reprt up to 48 hrs $98.40 $185.66 — 74% below 47%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ecg monitor/report up to 48 hrs $98.40 $185.66 — 74% below 47%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg monit/reprt up to 48 hrs $98.40 $185.66 — — 47%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ecg monitor/report up to 48 hrs $98.40 $185.66 — — 47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init $392.20 $740.00 $294.36 21% below 47%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration iv infusion init $392.20 $740.00 $294.36 — 47%
IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init $469.05 $885.00 $294.36 20% below 47%
IV infusion of a medicine, first hour CPT 96365 Iv infusion for therapy initial 1 hr $469.05 $885.00 $294.36 20% below 47%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv infusion for therapy initial 1 hr $469.05 $885.00 $294.36 — 47%
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/proph/diag iv inf init $469.05 $885.00 $294.36 — 47%
IV push of a medicine, first drug CPT 96374 Iv push single or initial $267.65 $505.00 $294.36 24% below 47%
IV push of a medicine, first drug CPT 96374 Ther/proph/diag inj iv push $267.65 $505.00 $294.36 24% below 47%
IV push of a medicine, first drug inpatient CPT 96374 Ther/proph/diag inj iv push $267.65 $505.00 $294.36 — 47%
IV push of a medicine, first drug inpatient CPT 96374 Iv push single or initial $267.65 $505.00 $294.36 — 47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im $157.94 $298.00 $99.64 12% below 47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection sub or intra $157.94 $298.00 $99.64 12% below 47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/proph/diag inj sc/im $157.94 $298.00 $99.64 — 47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection sub or intra $157.94 $298.00 $99.64 — 47%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation $164.75 $310.84 $566.81 57% below 47%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych diagnostic evaluation $164.75 $310.84 $566.81 — 47%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation $116.96 $220.67 $34.43 8% below 47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation $116.96 $220.67 $34.43 — 47%
New patient office visit, about 30 minutes CPT 99203 E/m new patient (level 3) $384.78 $726.00 — 80% above 47%
New patient office visit, about 30 minutes CPT 99203 Office/outpatient visit new $384.78 $726.00 — 80% above 47%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/outpatient visit new $384.78 $726.00 — — 47%
New patient office visit, about 30 minutes inpatient CPT 99203 E/m new patient (level 3) $384.78 $726.00 — — 47%
New patient office visit, about 45 minutes CPT 99204 Office visit - new pt level 4 $241.15 $455.00 — 1% below 47%
New patient office visit, about 45 minutes CPT 99204 Office/outpatient visit new $241.15 $455.00 — 1% below 47%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/outpatient visit new $241.15 $455.00 — — 47%
New patient office visit, about 45 minutes inpatient CPT 99204 Office visit - new pt level 4 $241.15 $455.00 — — 47%
New patient office visit, about 60 minutes CPT 99205 Office visit - new pt level 5 $241.15 $455.00 — 30% below 47%
New patient office visit, about 60 minutes CPT 99205 Office/outpatient visit new $241.15 $455.00 — 30% below 47%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/outpatient visit new $241.15 $455.00 — — 47%
New patient office visit, about 60 minutes inpatient CPT 99205 Office visit - new pt level 5 $241.15 $455.00 — — 47%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office visit - new pt level 2 $241.15 $455.00 — 73% above 47%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/outpatient visit new $241.15 $455.00 — 73% above 47%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/outpatient visit new $241.15 $455.00 — — 47%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office visit - new pt level 2 $241.15 $455.00 — — 47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition indiv in $88.95 $167.83 $27.39 11% below 47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition therapy initial $88.95 $167.83 $27.39 11% below 47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition indiv in $88.95 $167.83 $27.39 — 47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical nutrition therapy initial $88.95 $167.83 $27.39 — 47%
Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min $190.80 $360.00 $106.06 27% below 47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot eval low complex 30 min $190.80 $360.00 $106.06 — 47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min $284.74 $537.25 $103.14 27% below 47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt eval high complex 45 min $284.74 $537.25 $103.14 — 47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min $158.47 $299.00 $103.14 33% below 47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt eval low complex 20 min $158.47 $299.00 $103.14 — 47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min $219.45 $414.06 $103.14 38% below 47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt eval mod complex 30 min $219.45 $414.06 $103.14 — 47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual thrpy tqs 1/> regions each 15 min $188.15 $355.00 $29.12 57% above 47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions $188.15 $355.00 $29.12 57% above 47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual thrpy tqs 1/> regions each 15 min $188.15 $355.00 $29.12 — 47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy 1/> regions $188.15 $355.00 $29.12 — 47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises $40.81 $77.00 $30.53 68% below 47%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises $40.81 $77.00 $30.53 — 47%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial preventative care new pt 18-39yr $93.36 $176.16 — 38% below 47%
Preventive checkup, new patient aged 18–39 CPT 99385 Prev visit new age 18-39 $93.36 $176.16 — 38% below 47%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial preventative care new pt 18-39yr $93.36 $176.16 — — 47%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prev visit new age 18-39 $93.36 $176.16 — — 47%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial preventive care new pt 40-64yr $99.74 $188.19 — 41% below 47%
Preventive checkup, new patient aged 40–64 CPT 99386 Prev visit new age 40-64 $99.74 $188.19 — 41% below 47%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial preventive care new pt 40-64yr $99.74 $188.19 — — 47%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prev visit new age 40-64 $99.74 $188.19 — — 47%
Preventive checkup, new patient aged 65 or older CPT 99387 Init pm e/m new pat 65+ yrs $105.67 $199.37 — 33% below 47%
Preventive checkup, new patient aged 65 or older CPT 99387 Initial preventive care new pt =/+ 65yr $105.67 $199.37 — 33% below 47%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Init pm e/m new pat 65+ yrs $105.67 $199.37 — — 47%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Initial preventive care new pt =/+ 65yr $105.67 $199.37 — — 47%
Preventive checkup, returning patient aged 18–39 CPT 99395 Prev visit est age 18-39 $83.80 $158.12 — 46% below 47%
Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic prev care estab pt 18-39 yr $83.80 $158.12 — 46% below 47%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Periodic prev care estab pt 18-39 yr $83.80 $158.12 — — 47%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Prev visit est age 18-39 $83.80 $158.12 — — 47%
Preventive checkup, returning patient aged 40–64 CPT 99396 Prev visit est age 40-64 $90.18 $170.15 — 41% below 47%
Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic prev care estab pt 40-64 yr $90.18 $170.15 — 41% below 47%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Prev visit est age 40-64 $90.18 $170.15 — — 47%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Periodic prev care estab pt 40-64 yr $90.18 $170.15 — — 47%
Preventive checkup, returning patient aged 65 or older CPT 99397 Per pm reeval est pat 65+ yr $96.10 $181.32 — 37% below 47%
Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic prev care estab pt =/+ 65 yr $96.10 $181.32 — 37% below 47%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Periodic prev care estab pt =/+ 65 yr $96.10 $181.32 — — 47%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Per pm reeval est pat 65+ yr $96.10 $181.32 — — 47%
Psychiatric evaluation with medical services CPT 90792 Psych diag eval w/med srvcs $132.70 $250.37 $566.81 58% below 47%
Psychiatric evaluation with medical services inpatient CPT 90792 Psych diag eval w/med srvcs $132.70 $250.37 $566.81 — 47%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx crisis initial 60 min $115.83 $218.55 $566.81 66% below 47%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx crisis initial 60 min $115.83 $218.55 $566.81 — 47%
Psychotherapy session, 30 minutes CPT 90832 Psytx w pt 30 minutes $68.04 $128.37 $566.81 79% below 47%
Psychotherapy session, 30 minutes CPT 90832 Psytx pt&/family 30 minutes $68.04 $128.37 $566.81 79% below 47%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx pt&/family 30 minutes $68.04 $128.37 $566.81 — 47%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx w pt 30 minutes $68.04 $128.37 $566.81 — 47%
Psychotherapy session, 45 minutes CPT 90834 Psytx w pt 45 minutes $86.03 $162.32 $566.81 73% below 47%
Psychotherapy session, 45 minutes CPT 90834 Psytx pt&/family 45 minutes $86.03 $162.32 $566.81 73% below 47%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx w pt 45 minutes $86.03 $162.32 $566.81 — 47%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx pt&/family 45 minutes $86.03 $162.32 $566.81 — 47%
Psychotherapy session, 60 minutes CPT 90837 Psytx pt&/family 60 minutes $125.95 $237.64 $566.81 66% below 47%
Psychotherapy session, 60 minutes CPT 90837 Psytx w pt 60 minutes $125.95 $237.64 $566.81 66% below 47%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx pt&/family 60 minutes $125.95 $237.64 $566.81 — 47%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx w pt 60 minutes $125.95 $237.64 $566.81 — 47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco cess 4-10min $54.90 $103.59 $51.85 25% below 47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Behav chng smoking 3-10 min $54.90 $103.59 $51.85 25% below 47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Behav chng smoking 3-10 min $54.90 $103.59 $51.85 — 47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco cess 4-10min $54.90 $103.59 $51.85 — 47%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/outpatient visit est $241.15 $455.00 — 4% below 47%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office visit - est pt level 5 $241.15 $455.00 — 4% below 47%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/outpatient visit est $241.15 $455.00 — — 47%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office visit - est pt level 5 $241.15 $455.00 — — 47%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/outpatient visit est $504.03 $951.00 — 252% above 47%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E/m est. patient (level 3) $504.03 $951.00 — 252% above 47%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E/m est. patient (level 3) $504.03 $951.00 — — 47%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/outpatient visit est $504.03 $951.00 — — 47%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/outpatient visit est $241.15 $455.00 — 20% above 47%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office visit - est pt level 4 $241.15 $455.00 — 20% above 47%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/outpatient visit est $241.15 $455.00 — — 47%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office visit - est pt level 4 $241.15 $455.00 — — 47%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E/m est. patient (level 2) $995.34 $1,878.00 — 766% above 47%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/outpatient visit est $995.34 $1,878.00 — 766% above 47%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/outpatient visit est $995.34 $1,878.00 — — 47%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E/m est. patient (level 2) $995.34 $1,878.00 — — 47%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consultation $119.20 $224.91 — 31% below 47%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office consult new or estab pt - level 3 $119.20 $224.91 — 31% below 47%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consult new or estab pt - level 3 $119.20 $224.91 — — 47%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office consultation $119.20 $224.91 — — 47%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consult new or estab pt - level 4 $169.24 $319.33 — 16% below 47%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office consultation $169.24 $319.33 — 16% below 47%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consult new or estab pt - level 4 $169.24 $319.33 — — 47%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office consultation $169.24 $319.33 — — 47%
Speech and language evaluation CPT 92523 Speech sound lang comprehen $331.86 $626.15 $238.16 27% below 47%
Speech and language evaluation inpatient CPT 92523 Speech sound lang comprehen $331.86 $626.15 $238.16 — 47%
Speech therapy session, individual CPT 92507 Speech/hearing therapy $236.91 $447.00 $79.96 15% below 47%
Speech therapy session, individual inpatient CPT 92507 Speech/hearing therapy $236.91 $447.00 $79.96 — 47%
Spirometry (breathing test) CPT 94010 Breathing capacity test $250.40 $472.46 $298.81 34% below 47%
Spirometry (breathing test) CPT 94010 Pulmonary function modified $250.40 $472.46 $298.81 34% below 47%
Spirometry (breathing test) inpatient CPT 94010 Pulmonary function modified $250.40 $472.46 $298.81 — 47%
Spirometry (breathing test) inpatient CPT 94010 Breathing capacity test $250.40 $472.46 $298.81 — 47%
Spirometry before and after a bronchodilator CPT 94060 Pulmonary function comp $459.14 $866.31 $516.41 43% below 47%
Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing $459.14 $866.31 $516.41 43% below 47%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation of wheezing $459.14 $866.31 $516.41 — 47%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pulmonary function comp $459.14 $866.31 $516.41 — 47%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities $206.70 $390.00 $37.14 51% above 47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities $206.70 $390.00 $37.14 — 47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic phlebotomy $353.29 $666.59 $184.12 9% above 47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy $353.29 $666.59 $184.12 9% above 47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy $353.29 $666.59 $184.12 — 47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic phlebotomy $353.29 $666.59 $184.12 — 47%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cv stress test supvj i&r $106.00 $200.00 — 61% below 47%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Cardiovascular stress test $106.00 $200.00 — 61% below 47%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cardiovascular stress test $106.00 $200.00 — — 47%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Cv stress test supvj i&r $106.00 $200.00 — — 47%

Vaccines

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 vac 50 mcg/0.5ml im $193.34 $364.80 — 20% below 47%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Covid vac 25-26(12up-mod pf)syrg 50mcg $344.50 $650.00 — 42% above 47%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 vac 50 mcg/0.5ml im $193.34 $364.80 — — 47%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Covid vac 25-26(12up-mod pf)syrg 50mcg $344.50 $650.00 — — 47%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscv2 vac 30mcg trs-suc im $243.80 $460.00 — 5% above 47%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscv2 vac 30mcg trs-suc im $243.80 $460.00 — — 47%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella varivax vacc $368.88 $696.00 — 18% above 47%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella varivax vacc $368.88 $696.00 — — 47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-ipv vaccine 4-6 yrs im $117.42 $221.55 — 29% below 47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Diph pertus tet pol (kinrix) $216.77 $409.00 — 30% above 47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-ipv vaccine 4-6 yrs im $117.42 $221.55 — — 47%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Diph pertus tet pol (kinrix) $216.77 $409.00 — — 47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap infanrix vacc $100.17 $189.00 — 40% above 47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap infanrix vacc $100.17 $189.00 — — 47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Dtap-hepb-ipv pediarix vacc $350.33 $661.00 — 113% above 47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Dtap-hepb-ipv pediarix vacc $350.33 $661.00 — — 47%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-hib-ipv pentacel vacc $269.24 $508.00 — 29% above 47%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Dtap-hib-ipv pentacel vacc $269.24 $508.00 — — 47%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Flu vac flublok v(18yr up)pf egg free $210.94 $398.00 — 128% above 47%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 Flu vac flublok v(18yr up)pf egg free $210.94 $398.00 — — 47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine >35mo $13.78 $26.00 — 68% below 47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu ts 2026-27(6mos up)-pf 45mcg $131.44 $248.00 — 207% above 47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu vac ts 2025-26(6mos up)pf syrg 45mcg $156.35 $295.00 — 265% above 47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu vacc ts 6mos up (pf) syr $169.07 $319.00 — 295% above 47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza vaccine >35mo $13.78 $26.00 — — 47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu ts 2026-27(6mos up)-pf 45mcg $131.44 $248.00 — — 47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu vac ts 2025-26(6mos up)pf syrg 45mcg $156.35 $295.00 — — 47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu vacc ts 6mos up (pf) syr $169.07 $319.00 — — 47%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv gardasil-9 vacc $592.54 $1,118.00 — 53% above 47%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Hpv gardasil-9 vacc $592.54 $1,118.00 — — 47%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Hep a-b twinrix vacc $260.76 $492.00 — 21% above 47%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Hep a-b twinrix vacc $260.76 $492.00 — — 47%
Hepatitis A vaccine, adult dose CPT 90632 Hep a havrix adult vacc $313.76 $592.00 — 125% above 47%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Hep a havrix adult vacc $313.76 $592.00 — — 47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis a vacc peds 0.5ml $134.62 $254.00 — 82% above 47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis a vacc peds 0.5ml $134.62 $254.00 — — 47%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis b vacc engerix adult $248.57 $469.00 — 103% above 47%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis b vacc engerix adult $248.57 $469.00 — — 47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepb vacc 2 dose adult im $228.91 $431.90 — 10% below 47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hepatitis b vaccine adult dosage (2 dos $228.91 $431.90 — 10% below 47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepatitis b vaccine adult dosage (2 dos $228.91 $431.90 — — 47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hepb vacc 2 dose adult im $228.91 $431.90 — — 47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis b engerix vacc peds $105.47 $199.00 — 83% above 47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis b engerix vacc peds $105.47 $199.00 — — 47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Haem-b conj pedvaxhib vacc $101.23 $191.00 — 49% above 47%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 Haem-b conj pedvaxhib vacc $101.23 $191.00 — — 47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haem b acthib vacc $99.64 $188.00 — 138% above 47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Haem-b hiberix vacc $104.41 $197.00 — 149% above 47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haem b acthib vacc $99.64 $188.00 — — 47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Haem-b hiberix vacc $104.41 $197.00 — — 47%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu ts2026-27(65yr up)-pf 180mcg $231.08 $436.00 — 84% above 47%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu vacc ts2025-26(65yr up)-pf 180mcg $245.39 $463.00 — 96% above 47%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu vacc high dose ts (65yr up) pf $272.42 $514.00 — 117% above 47%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu ts2026-27(65yr up)-pf 180mcg $231.08 $436.00 — — 47%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu vacc ts2025-26(65yr up)-pf 180mcg $245.39 $463.00 — — 47%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu vacc high dose ts (65yr up) pf $272.42 $514.00 — — 47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr vaccine sc $96.99 $183.00 — 31% below 47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles mumps rubella 0.5ml vacc(pf) $314.82 $594.00 — 125% above 47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr vaccine sc $96.99 $183.00 — — 47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles mumps rubella 0.5ml vacc(pf) $314.82 $594.00 — — 47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Mmr-v proquad vacc $549.08 $1,036.00 — 36% above 47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Mmr-v proquad vacc $549.08 $1,036.00 — — 47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mening a c y w135 dip dil 2/2 2mon-55y $181.26 $342.00 — 31% below 47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mening a c y w 135 dip pwd 1/2 2mon -55y $181.26 $342.00 — 31% below 47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mening a c y w135 dip (pf) $286.73 $541.00 — 10% above 47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mening liq a c y w135 dip(pf)10-55yo $328.07 $619.00 — 26% above 47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mening a c y w 135 dip pwd 1/2 2mon -55y $181.26 $342.00 — — 47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mening a c y w135 dip dil 2/2 2mon-55y $181.26 $342.00 — — 47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mening a c y w135 dip (pf) $286.73 $541.00 — — 47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mening liq a c y w135 dip(pf)10-55yo $328.07 $619.00 — — 47%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Mening group b 10-25yo $475.94 $898.00 — 8% above 47%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Mening group b 10-25yo $475.94 $898.00 — — 47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pcv13 vaccine im $200.87 $379.00 — 36% below 47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumo 13 prevnar 13 vacc $478.59 $903.00 — 53% above 47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pcv13 vaccine im $200.87 $379.00 — — 47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumo 13 prevnar 13 vacc $478.59 $903.00 — — 47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumoc 20-val conj-dip cr(pf) $523.64 $988.00 — 1% above 47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pneumoc 20-val conj-dip cr(pf) $523.64 $988.00 — — 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumo 23 pneumovax 23 vacc $240.62 $454.00 — 49% above 47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumo 23 pneumovax 23 vacc $240.62 $454.00 — — 47%
Polio vaccine, inactivated (IPV) CPT 90713 Ipv polio vacc $108.65 $205.00 — 20% above 47%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Ipv polio vacc $108.65 $205.00 — — 47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Nirsevimab inj 100mg/ml $828.39 $1,563.00 — 12% below 47%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 Nirsevimab inj 100mg/ml $828.39 $1,563.00 — — 47%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Nirsevimab alip inj 50mg/.5ml im $828.39 $1,563.00 — 14% below 47%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 Nirsevimab alip inj 50mg/.5ml im $828.39 $1,563.00 — — 47%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv vacc pref bivalent im $396.78 $748.65 — 28% above 47%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 Rsv vacc pref bivalent im $396.78 $748.65 — — 47%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv vacc pref reomb adjt im $376.91 $711.15 — at median 47%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Rsv vacc pref recomb adjt im $376.91 $711.15 — at median 47%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv vacc pref reomb adjt im $376.91 $711.15 — — 47%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 Rsv vacc pref recomb adjt im $376.91 $711.15 — — 47%
Rabies vaccine, one dose CPT 90675 Rabies vaccine im $394.04 $743.47 $315.22 44% below 47%
Rabies vaccine, one dose CPT 90675 Rabies vaccine $819.91 $1,547.00 $315.22 16% above 47%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine im $394.04 $743.47 $315.22 — 47%
Rabies vaccine, one dose inpatient CPT 90675 Rabies vaccine $819.91 $1,547.00 $315.22 — 47%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotovir g1 2 3 4 9 rotateq vacc $329.13 $621.00 — 123% above 47%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotovir g1 2 3 4 9 rotateq vacc $329.13 $621.00 — — 47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotovir g1 3 4 9 rotarix vacc $311.64 $588.00 — 74% above 47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotovir g1 3 4 9 rotarix vacc $311.64 $588.00 — — 47%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Varicella-zoster ge/as01b/pf $427.71 $807.00 — 97% above 47%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Recom zoster shingrix vacc $427.71 $807.00 — 97% above 47%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Recom zoster shingrix vacc $427.71 $807.00 — — 47%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Varicella-zoster ge/as01b/pf $427.71 $807.00 — — 47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tet-dipth tox tenivac vac $112.89 $213.00 — 39% above 47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tet-dipth tox tenivac vac $112.89 $213.00 — — 47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap vaccine 7 yrs/> im $116.60 $220.00 — 1% above 47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diph pertuss(acell) tet vac-pf 0.5ml $145.22 $274.00 — 25% above 47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap vaccine 7 yrs/> im $116.60 $220.00 — — 47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Diph pertuss(acell) tet vac-pf 0.5ml $145.22 $274.00 — — 47%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid vi polysacch vaccine $248.57 $469.00 — 42% above 47%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Typhoid vi polysacch vaccine $248.57 $469.00 — — 47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immun administration $116.60 $220.00 $99.64 11% above 47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin $116.60 $220.00 $99.64 11% above 47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immun administration $116.60 $220.00 $99.64 — 47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization admin $116.60 $220.00 $99.64 — 47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add $116.60 $220.00 — 46% above 47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization ea addnl $116.60 $220.00 — 46% above 47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization ea addnl $116.60 $220.00 — — 47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization admin each add $116.60 $220.00 — — 47%
Yellow fever vaccine, live CPT 90717 Yellow fever vaccine $498.73 $941.00 — 253% above 47%
Yellow fever vaccine, live inpatient CPT 90717 Yellow fever vaccine $498.73 $941.00 — — 47%
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://cdn.accureg.net/trans/ridgecrest/952082686_Ridgecrest-Regional-Hospital_standardcharges.csv