Weirton Medical Center
Weirton Medical Center in Weirton, WV publishes cash prices for 457 common procedures listed here, from its own machine-readable price file updated Jul 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the West Virginia median for 253 of 455 procedures and below it for 180. By typical cash price it ranks #28 of 36 West Virginia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
601 Colliers Way,Weirton,WV,26062 Collected Nov 8, 2026 Source price file Check a bill from this hospital (304) 797-6000
Acute care hospital Government-owned hospital Emergency department CMS star rating 1 of 5 CCN 510023 · CMS hospital register NPI 1619921947
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Weirton Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $581.50 | $1,163.00 | $47.87–$852.12 | 53% below | 50% |
| Abdominal CT scan without and with contrast CPT 74170 CT SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $581.50 | $1,163.00 | $47.87–$852.12 | 53% below | 50% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $639.50 | $1,279.00 | $47.87–$852.12 | 48% below | 50% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST | $639.50 | $1,279.00 | $47.87–$852.12 | 48% below | 50% |
| Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS | $289.00 | $578.00 | $8.23–$507.92 | 32% above | 50% |
| Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS | $289.00 | $578.00 | $8.23–$507.92 | 32% above | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $367.00 | $734.00 | $6.17–$422.78 | 103% above | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $367.00 | $734.00 | $6.17–$422.78 | 103% above | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES | $258.50 | $517.00 | $9.01–$646.35 | 11% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ULTRASOUND STUDY OF ARM AND LEG ARTERIES | $258.50 | $517.00 | $9.01–$646.35 | 11% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $278.00 | $556.00 | $9.01–$646.35 | 4% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $278.00 | $556.00 | $9.01–$646.35 | 4% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE | $290.50 | $581.00 | $33.97–$507.92 | 59% below | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE | $290.50 | $581.00 | $33.97–$507.92 | 59% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $581.50 | $1,163.00 | $21.36–$852.12 | 58% above | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS | $581.50 | $1,163.00 | $21.36–$852.12 | 58% above | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $625.00 | $1,250.00 | $21.36–$852.12 | 70% above | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $625.00 | $1,250.00 | $21.36–$852.12 | 70% above | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $871.00 | $1,742.00 | $29.85–$1,942.12 | at median | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUCLEAR MEDICINE STUDY OF BONE AND/OR JOINT WHOLE BODY | $871.00 | $1,742.00 | $29.85–$1,942.12 | at median | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $1,063.50 | $2,127.00 | $29.85–$1,942.12 | 22% above | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $1,063.50 | $2,127.00 | $29.85–$1,942.12 | 22% above | 50% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $259.50 | $519.00 | $26.00–$507.92 | 11% below | 50% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $259.50 | $519.00 | $26.00–$507.92 | 11% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $379.50 | $759.00 | $24.44–$422.78 | 44% above | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $379.50 | $759.00 | $24.44–$422.78 | 44% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $176.50 | $353.00 | $83.07–$422.78 | 33% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $176.50 | $353.00 | $83.07–$422.78 | 33% below | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $353.00 | $706.00 | $83.07–$422.78 | 34% above | 50% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST | $353.00 | $706.00 | $83.07–$422.78 | 34% above | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST | $910.00 | $1,820.00 | $77.98–$1,694.87 | 47% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT SCAN OF BLOOD VESSELS OF ABDOMEN AND PELVIS WITH CONTRAST | $910.00 | $1,820.00 | $77.98–$1,694.87 | 47% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST | $1,001.00 | $2,002.00 | $77.98–$1,694.87 | 42% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST | $1,001.00 | $2,002.00 | $77.98–$1,694.87 | 42% below | 50% |
| CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST | $581.50 | $1,163.00 | $60.22–$852.12 | 52% below | 50% |
| CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST | $581.50 | $1,163.00 | $60.22–$852.12 | 52% below | 50% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $639.50 | $1,279.00 | $60.22–$852.12 | 47% below | 50% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $639.50 | $1,279.00 | $60.22–$852.12 | 47% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST | $581.50 | $1,163.00 | $60.22–$852.12 | 49% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT SCAN OF BLOOD VESSELS OF NECK WITH CONTRAST | $581.50 | $1,163.00 | $60.22–$852.12 | 49% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $639.50 | $1,279.00 | $60.22–$852.12 | 44% below | 50% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $639.50 | $1,279.00 | $60.22–$852.12 | 44% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $581.50 | $1,163.00 | $63.05–$852.12 | 54% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST | $581.50 | $1,163.00 | $63.05–$852.12 | 54% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $639.50 | $1,279.00 | $63.05–$852.12 | 49% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $639.50 | $1,279.00 | $63.05–$852.12 | 49% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $154.50 | $309.00 | $84.67–$1,694.87 | 86% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE | $154.50 | $309.00 | $84.67–$1,694.87 | 86% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $555.50 | $1,111.00 | $61.51–$1,159.16 | 59% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST | $555.50 | $1,111.00 | $61.51–$1,159.16 | 59% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $611.00 | $1,222.00 | $61.51–$1,159.16 | 55% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $611.00 | $1,222.00 | $61.51–$1,159.16 | 55% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $910.00 | $1,820.00 | $64.86–$1,694.87 | 44% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $910.00 | $1,820.00 | $64.86–$1,694.87 | 44% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,001.00 | $2,002.00 | $64.86–$1,694.87 | 38% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $1,001.00 | $2,002.00 | $64.86–$1,694.87 | 38% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $71.03–$1,694.87 | 47% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT SCAN OF ABDOMEN AND PELVIS BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $71.03–$1,694.87 | 47% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $1,001.00 | $2,002.00 | $71.03–$1,694.87 | 41% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $1,001.00 | $2,002.00 | $71.03–$1,694.87 | 41% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $639.50 | $1,279.00 | $45.03–$852.12 | 40% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $639.50 | $1,279.00 | $45.03–$852.12 | 40% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $269.00 | $538.00 | $41.95–$507.92 | 64% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN OF ABDOMEN WITHOUT CONTRAST | $269.00 | $538.00 | $41.95–$507.92 | 64% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $296.00 | $592.00 | $41.95–$507.92 | 60% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $296.00 | $592.00 | $41.95–$507.92 | 60% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $269.00 | $538.00 | $30.37–$507.92 | 61% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST | $269.00 | $538.00 | $30.37–$507.92 | 61% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $296.00 | $592.00 | $30.37–$507.92 | 57% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $296.00 | $592.00 | $30.37–$507.92 | 57% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $269.00 | $538.00 | $30.11–$507.92 | 62% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $269.00 | $538.00 | $30.11–$507.92 | 62% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $296.00 | $592.00 | $30.11–$507.92 | 58% below | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $296.00 | $592.00 | $30.11–$507.92 | 58% below | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $581.50 | $1,163.00 | $39.89–$852.12 | 43% below | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $581.50 | $1,163.00 | $39.89–$852.12 | 43% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $581.50 | $1,163.00 | $45.03–$852.12 | 50% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN OF HEAD OR BRAIN BEFORE AND AFTER CONTRAST | $581.50 | $1,163.00 | $45.03–$852.12 | 50% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $639.50 | $1,279.00 | $45.03–$852.12 | 45% below | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $639.50 | $1,279.00 | $45.03–$852.12 | 45% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $269.00 | $538.00 | $35.00–$507.92 | 68% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST | $269.00 | $538.00 | $35.00–$507.92 | 68% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $296.00 | $592.00 | $35.00–$507.92 | 65% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $296.00 | $592.00 | $35.00–$507.92 | 65% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $269.00 | $538.00 | $35.00–$507.92 | 67% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SCAN OF UPPER SPINE WITHOUT CONTRAST | $269.00 | $538.00 | $35.00–$507.92 | 67% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $296.00 | $592.00 | $35.00–$507.92 | 64% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $296.00 | $592.00 | $35.00–$507.92 | 64% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $581.50 | $1,163.00 | $40.92–$852.12 | 39% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $581.50 | $1,163.00 | $40.92–$852.12 | 39% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $625.00 | $1,250.00 | $40.92–$852.12 | 34% below | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $625.00 | $1,250.00 | $40.92–$852.12 | 34% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $597.00 | $1,194.00 | $28.31–$1,159.16 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $597.00 | $1,194.00 | $28.31–$1,159.16 | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $555.50 | $1,111.00 | $28.31–$1,159.16 | 3% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 ULTRASOUND OF BOTH SIDES OF HEAD AND NECK BLOOD FLOW | $555.50 | $1,111.00 | $28.31–$1,159.16 | 3% below | 50% |
| Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST | $581.50 | $1,163.00 | $44.27–$852.12 | 54% below | 50% |
| Chest CT scan without and with contrast CPT 71270 CT SCAN OF CHEST BEFORE AND AFTER CONTRAST | $581.50 | $1,163.00 | $44.27–$852.12 | 54% below | 50% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+ | $639.50 | $1,279.00 | $44.27–$852.12 | 49% below | 50% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+ | $639.50 | $1,279.00 | $44.27–$852.12 | 49% below | 50% |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $188.50 | $377.00 | $7.72–$422.78 | at median | 50% |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $188.50 | $377.00 | $7.72–$422.78 | at median | 50% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $202.50 | $405.00 | $7.72–$422.78 | 7% above | 50% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $202.50 | $405.00 | $7.72–$422.78 | 7% above | 50% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $196.50 | $393.00 | $6.44–$422.78 | 12% above | 50% |
| Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW | $196.50 | $393.00 | $6.44–$422.78 | 12% above | 50% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $211.00 | $422.00 | $6.44–$422.78 | 20% above | 50% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $211.00 | $422.00 | $6.44–$422.78 | 20% above | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE | $201.00 | $402.00 | $5.92–$422.78 | 15% above | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE | $201.00 | $402.00 | $5.92–$422.78 | 15% above | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $282.50 | $565.00 | $26.00–$507.92 | 36% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | $282.50 | $565.00 | $26.00–$507.92 | 36% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $303.50 | $607.00 | $26.00–$507.92 | 31% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $303.50 | $607.00 | $26.00–$507.92 | 31% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $278.00 | $556.00 | $6.95–$507.92 | 12% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE | $278.00 | $556.00 | $6.95–$507.92 | 12% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $322.50 | $645.00 | $6.95–$507.92 | 2% above | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $322.50 | $645.00 | $6.95–$507.92 | 2% above | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR | $266.00 | $532.00 | $6.95–$422.78 | 20% above | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR | $266.00 | $532.00 | $6.95–$422.78 | 20% above | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS | $555.50 | $1,111.00 | $66.40–$1,159.16 | 17% above | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 ULTRASOUND SCAN OF PREGNANT UTERUS WITH DETAILED FETAL ANATOMIC EXAMINATION; SINGLE OR FIRST FETUS | $555.50 | $1,111.00 | $66.40–$1,159.16 | 17% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $269.00 | $538.00 | $38.35–$507.92 | 66% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST | $269.00 | $538.00 | $38.35–$507.92 | 66% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $296.00 | $592.00 | $38.35–$507.92 | 62% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $296.00 | $592.00 | $38.35–$507.92 | 62% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $581.50 | $1,163.00 | $41.18–$852.12 | 47% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST | $581.50 | $1,163.00 | $41.18–$852.12 | 47% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $639.50 | $1,279.00 | $41.18–$852.12 | 42% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $639.50 | $1,279.00 | $41.18–$852.12 | 42% below | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $380.00 | $760.00 | $35.00–$232.89 | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $380.00 | $760.00 | $35.00–$232.89 | — | 50% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $353.50 | $707.00 | $35.00–$232.89 | 16% above | 50% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $353.50 | $707.00 | $35.00–$232.89 | 16% above | 50% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $292.00 | $584.00 | $28.57–$189.33 | 34% above | 50% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $292.00 | $584.00 | $28.57–$189.33 | 34% above | 50% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $314.00 | $628.00 | $28.57–$189.33 | 44% above | 50% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $314.00 | $628.00 | $28.57–$189.33 | 44% above | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $555.50 | $1,111.00 | $28.06–$1,159.16 | 11% below | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 ULTRASOUND OF LEG ARTERIES OR ARTERY GRAFTS | $555.50 | $1,111.00 | $28.06–$1,159.16 | 11% below | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $558.00 | $1,116.00 | $28.06–$1,159.16 | 11% below | 50% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $558.00 | $1,116.00 | $28.06–$1,159.16 | 11% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $555.50 | $1,111.00 | $24.44–$1,159.16 | 7% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 ULTRASOUND STUDY OF ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $555.50 | $1,111.00 | $24.44–$1,159.16 | 7% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $558.00 | $1,116.00 | $24.44–$1,159.16 | 6% below | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $558.00 | $1,116.00 | $24.44–$1,159.16 | 6% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $1,115.00 | $2,230.00 | $50.44–$2,654.53 | 3% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $1,115.00 | $2,230.00 | $50.44–$2,654.53 | 3% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,659.50 | $3,319.00 | $50.44–$2,654.53 | 44% above | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,659.50 | $3,319.00 | $50.44–$2,654.53 | 44% above | 50% |
| Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW | $359.50 | $719.00 | $5.92–$422.78 | 88% above | 50% |
| Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW | $359.50 | $719.00 | $5.92–$422.78 | 88% above | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW | $349.50 | $699.00 | $6.17–$422.78 | 94% above | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW | $349.50 | $699.00 | $6.17–$422.78 | 94% above | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST | $269.00 | $538.00 | $45.55–$507.92 | 61% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST | $269.00 | $538.00 | $45.55–$507.92 | 61% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $296.00 | $592.00 | $45.55–$507.92 | 57% below | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $296.00 | $592.00 | $45.55–$507.92 | 57% below | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES | $284.00 | $568.00 | $9.26–$507.92 | 21% above | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES | $284.00 | $568.00 | $9.26–$507.92 | 21% above | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM | $359.50 | $719.00 | $5.66–$422.78 | 101% above | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM | $359.50 | $719.00 | $5.66–$422.78 | 101% above | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $936.50 | $1,873.00 | $26.00–$1,942.12 | 10% above | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $936.50 | $1,873.00 | $26.00–$1,942.12 | 10% above | 50% |
| Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND | $264.00 | $528.00 | $5.92–$507.92 | 35% above | 50% |
| Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND | $264.00 | $528.00 | $5.92–$507.92 | 35% above | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL | $356.00 | $712.00 | $5.66–$422.78 | 106% above | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL | $356.00 | $712.00 | $5.66–$422.78 | 106% above | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT | $322.50 | $645.00 | $32.17–$1,049.03 | 9% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT | $322.50 | $645.00 | $32.17–$1,049.03 | 9% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $346.50 | $693.00 | $32.17–$1,049.03 | 2% below | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $346.50 | $693.00 | $32.17–$1,049.03 | 2% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER) | $2,124.50 | $4,249.00 | $90.59–$4,171.83 | 26% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER) | $2,124.50 | $4,249.00 | $90.59–$4,171.83 | 26% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $2,284.00 | $4,568.00 | $90.59–$4,171.83 | 21% below | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $2,284.00 | $4,568.00 | $90.59–$4,171.83 | 21% below | 50% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $192.50 | $385.00 | $6.69–$422.78 | 4% below | 50% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $192.50 | $385.00 | $6.69–$422.78 | 4% below | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $503.00 | $1,006.00 | $8.23–$507.92 | 88% above | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE | $503.00 | $1,006.00 | $8.23–$507.92 | 88% above | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $564.50 | $1,129.00 | $35.00–$507.92 | 22% below | 50% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE | $564.50 | $1,129.00 | $35.00–$507.92 | 22% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $282.50 | $565.00 | $20.84–$507.92 | 30% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN | $282.50 | $565.00 | $20.84–$507.92 | 30% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $303.50 | $607.00 | $20.84–$507.92 | 25% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $303.50 | $607.00 | $20.84–$507.92 | 25% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $264.00 | $528.00 | $7.85–$507.92 | 11% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $264.00 | $528.00 | $7.85–$507.92 | 11% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $284.00 | $568.00 | $7.85–$507.92 | 4% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $284.00 | $568.00 | $7.85–$507.92 | 4% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $264.00 | $528.00 | $99.80–$507.92 | 11% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $264.00 | $528.00 | $99.80–$507.92 | 11% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $264.00 | $528.00 | $99.80–$507.92 | 11% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS | $264.00 | $528.00 | $99.80–$507.92 | 11% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $246.00 | $492.00 | $38.35–$507.92 | 58% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $246.00 | $492.00 | $38.35–$507.92 | 58% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $258.50 | $517.00 | $38.35–$507.92 | 66% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $258.50 | $517.00 | $38.35–$507.92 | 66% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG | $359.50 | $719.00 | $5.66–$422.78 | 87% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG | $359.50 | $719.00 | $5.66–$422.78 | 87% above | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE | $1,406.00 | $2,812.00 | $42.21–$1,159.16 | at median | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE | $1,406.00 | $2,812.00 | $42.21–$1,159.16 | at median | 50% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS | $2,366.00 | $4,732.00 | $82.10–$530.57 | 19% above | 50% |
| MRI of both breasts, without and then with contrast dye CPT 77049 MRI SCAN OF BOTH BREASTS | $2,366.00 | $4,732.00 | $82.10–$530.57 | 19% above | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $563.00 | $1,126.00 | $47.87–$1,159.16 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $563.00 | $1,126.00 | $47.87–$1,159.16 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 57% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 57% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,783.50 | $5,567.00 | $76.69–$1,694.87 | 50% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,783.50 | $5,567.00 | $76.69–$1,694.87 | 50% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $1,206.50 | $2,413.00 | $333.02–$1,694.87 | 35% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $1,206.50 | $2,413.00 | $333.02–$1,694.87 | 35% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $1,206.50 | $2,413.00 | $333.02–$1,694.87 | 35% below | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $1,206.50 | $2,413.00 | $333.02–$1,694.87 | 35% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $747.50 | $1,495.00 | $51.47–$1,159.16 | 41% below | 50% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $747.50 | $1,495.00 | $51.47–$1,159.16 | 41% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $1,054.50 | $2,109.00 | $78.24–$1,694.87 | 46% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $1,054.50 | $2,109.00 | $78.24–$1,694.87 | 46% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $1,781.00 | $3,562.00 | $78.24–$1,694.87 | 9% below | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $1,781.00 | $3,562.00 | $78.24–$1,694.87 | 9% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.25–$1,159.16 | 60% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.25–$1,159.16 | 60% below | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,407.50 | $2,815.00 | $52.25–$1,159.16 | 2% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,407.50 | $2,815.00 | $52.25–$1,159.16 | 2% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $81.59–$1,694.87 | 53% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $81.59–$1,694.87 | 53% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $1,867.50 | $3,735.00 | $81.59–$1,694.87 | 4% below | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $1,867.50 | $3,735.00 | $81.59–$1,694.87 | 4% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.50–$1,159.16 | 59% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.50–$1,159.16 | 59% below | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,443.50 | $2,887.00 | $52.50–$1,159.16 | 7% above | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,443.50 | $2,887.00 | $52.50–$1,159.16 | 7% above | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $81.84–$1,694.87 | 52% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $81.84–$1,694.87 | 52% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $1,849.00 | $3,698.00 | $81.84–$1,694.87 | 3% below | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $1,849.00 | $3,698.00 | $81.84–$1,694.87 | 3% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.50–$1,159.16 | 59% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.50–$1,159.16 | 59% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,441.00 | $2,882.00 | $52.50–$1,159.16 | 7% above | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,441.00 | $2,882.00 | $52.50–$1,159.16 | 7% above | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $81.84–$1,694.87 | 52% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST | $910.00 | $1,820.00 | $81.84–$1,694.87 | 52% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $1,314.50 | $2,629.00 | $81.84–$1,694.87 | 30% below | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $1,314.50 | $2,629.00 | $81.84–$1,694.87 | 30% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.50–$1,159.16 | 62% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST | $555.50 | $1,111.00 | $52.50–$1,159.16 | 62% below | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,455.50 | $2,911.00 | $52.50–$1,159.16 | at median | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,455.50 | $2,911.00 | $52.50–$1,159.16 | at median | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $1,051.00 | $2,102.00 | $78.24–$1,694.87 | 46% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST | $1,051.00 | $2,102.00 | $78.24–$1,694.87 | 46% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $1,130.00 | $2,260.00 | $78.24–$1,694.87 | 42% below | 50% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $1,130.00 | $2,260.00 | $78.24–$1,694.87 | 42% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $871.00 | $1,742.00 | $51.73–$1,159.16 | 36% below | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $871.00 | $1,742.00 | $51.73–$1,159.16 | 36% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $563.00 | $1,126.00 | $47.87–$1,159.16 | 58% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $563.00 | $1,126.00 | $47.87–$1,159.16 | 58% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 58% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 58% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 58% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST | $563.00 | $1,126.00 | $227.76–$1,159.16 | 58% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS | $288.00 | $576.00 | $9.52–$507.92 | 4% above | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS | $288.00 | $576.00 | $9.52–$507.92 | 4% above | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST | $581.50 | $1,163.00 | $48.64–$852.12 | 46% below | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST | $581.50 | $1,163.00 | $48.64–$852.12 | 46% below | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE | $639.50 | $1,279.00 | $48.64–$852.12 | 41% below | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE | $639.50 | $1,279.00 | $48.64–$852.12 | 41% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST | $269.00 | $538.00 | $45.55–$507.92 | 61% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SCAN OF SOFT TISSUE OF NECK WITHOUT CONTRAST | $269.00 | $538.00 | $45.55–$507.92 | 61% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE | $296.00 | $592.00 | $45.55–$507.92 | 57% below | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE | $296.00 | $592.00 | $45.55–$507.92 | 57% below | 50% |
| Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK | $201.00 | $402.00 | $6.44–$422.78 | 10% above | 50% |
| Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK | $201.00 | $402.00 | $6.44–$422.78 | 10% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,167.00 | $6,334.00 | $55.85–$6,289.53 | 13% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,167.00 | $6,334.00 | $55.85–$6,289.53 | 13% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $3,404.50 | $6,809.00 | $55.85–$6,289.53 | 21% above | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $3,404.50 | $6,809.00 | $55.85–$6,289.53 | 21% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $3,675.00 | $7,350.00 | $82.61–$6,946.88 | 9% above | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH | $3,675.00 | $7,350.00 | $82.61–$6,946.88 | 9% above | 50% |
| Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST | $269.00 | $538.00 | $38.61–$507.92 | 66% below | 50% |
| Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST | $269.00 | $538.00 | $38.61–$507.92 | 66% below | 50% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE | $296.00 | $592.00 | $38.61–$507.92 | 63% below | 50% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE | $296.00 | $592.00 | $38.61–$507.92 | 63% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $269.00 | $538.00 | $17.76–$507.92 | 13% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $269.00 | $538.00 | $17.76–$507.92 | 13% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $269.00 | $538.00 | $24.44–$507.92 | 35% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS | $269.00 | $538.00 | $24.44–$507.92 | 35% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $289.00 | $578.00 | $24.44–$507.92 | 30% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $289.00 | $578.00 | $24.44–$507.92 | 30% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $269.00 | $538.00 | $35.26–$507.92 | 37% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $269.00 | $538.00 | $35.26–$507.92 | 37% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $558.00 | $1,116.00 | $35.26–$507.92 | 32% above | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $558.00 | $1,116.00 | $35.26–$507.92 | 32% above | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $269.00 | $538.00 | $35.00–$507.92 | 34% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 ULTRASOUND SCAN OF PREGNANT UTERUS (LESS THAN 14 WEEKS); SINGLE OR FIRST FETUS | $269.00 | $538.00 | $35.00–$507.92 | 34% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $271.00 | $542.00 | $35.00–$507.92 | 33% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $271.00 | $542.00 | $35.00–$507.92 | 33% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS | $269.00 | $538.00 | $23.16–$507.92 | 11% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS | $269.00 | $538.00 | $23.16–$507.92 | 11% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $289.00 | $578.00 | $23.16–$507.92 | 5% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $289.00 | $578.00 | $23.16–$507.92 | 5% below | 50% |
| Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS | $197.50 | $395.00 | $7.98–$422.78 | 2% above | 50% |
| Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS | $197.50 | $395.00 | $7.98–$422.78 | 2% above | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST | $284.00 | $568.00 | $9.52–$507.92 | 23% above | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY EXAM UNILAT RIBS/CHEST | $284.00 | $568.00 | $9.52–$507.92 | 23% above | 50% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $332.00 | $664.00 | $27.03–$175.38 | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $332.00 | $664.00 | $27.03–$175.38 | — | 50% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $309.00 | $618.00 | $27.03–$175.38 | 8% above | 50% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $309.00 | $618.00 | $27.03–$175.38 | 8% above | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $377.00 | $754.00 | $6.69–$422.78 | 111% above | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $377.00 | $754.00 | $6.69–$422.78 | 111% above | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES | $180.50 | $361.00 | $7.72–$422.78 | 18% below | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES | $180.50 | $361.00 | $7.72–$422.78 | 18% below | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL | $289.00 | $578.00 | $6.44–$507.92 | 43% above | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL | $289.00 | $578.00 | $6.44–$507.92 | 43% above | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $2,124.50 | $4,249.00 | $86.98–$4,171.83 | 17% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $2,124.50 | $4,249.00 | $86.98–$4,171.83 | 17% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $2,284.00 | $4,568.00 | $86.98–$4,171.83 | 11% below | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $2,284.00 | $4,568.00 | $86.98–$4,171.83 | 11% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $663.50 | $1,327.00 | $60.48–$2,654.53 | 29% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE | $663.50 | $1,327.00 | $60.48–$2,654.53 | 29% below | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $467.00 | $934.00 | $18.78–$852.12 | 18% above | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $467.00 | $934.00 | $18.78–$852.12 | 18% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $356.00 | $712.00 | $6.44–$422.78 | 89% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/> | $356.00 | $712.00 | $6.44–$422.78 | 89% above | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST | $269.00 | $538.00 | $35.00–$507.92 | 68% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST | $269.00 | $538.00 | $35.00–$507.92 | 68% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE | $296.00 | $592.00 | $35.00–$507.92 | 64% below | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE | $296.00 | $592.00 | $35.00–$507.92 | 64% below | 50% |
| Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) | $201.00 | $402.00 | $4.63–$422.78 | 16% above | 50% |
| Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S) | $201.00 | $402.00 | $4.63–$422.78 | 16% above | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $250.50 | $501.00 | $24.44–$507.92 | 38% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $250.50 | $501.00 | $24.44–$507.92 | 38% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $269.00 | $538.00 | $24.44–$507.92 | 33% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $269.00 | $538.00 | $24.44–$507.92 | 33% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $269.00 | $538.00 | $26.51–$507.92 | 7% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 VAGINAL ULTRASOUND OF PREGNANT UTERUS | $269.00 | $538.00 | $26.51–$507.92 | 7% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $289.00 | $578.00 | $26.51–$507.92 | at median | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $289.00 | $578.00 | $26.51–$507.92 | at median | 50% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $269.00 | $538.00 | $28.57–$507.92 | 39% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $269.00 | $538.00 | $28.57–$507.92 | 39% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $289.00 | $578.00 | $28.57–$507.92 | 34% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $289.00 | $578.00 | $28.57–$507.92 | 34% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $269.00 | $538.00 | $22.65–$507.92 | 29% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM | $269.00 | $538.00 | $22.65–$507.92 | 29% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $289.00 | $578.00 | $22.65–$507.92 | 23% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $289.00 | $578.00 | $22.65–$507.92 | 23% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $269.00 | $538.00 | $20.08–$507.92 | 27% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE | $269.00 | $538.00 | $20.08–$507.92 | 27% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $289.00 | $578.00 | $20.08–$507.92 | 22% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $289.00 | $578.00 | $20.08–$507.92 | 22% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $581.50 | $1,163.00 | $28.57–$852.12 | 55% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST | $581.50 | $1,163.00 | $28.57–$852.12 | 55% above | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS | $201.00 | $402.00 | $5.66–$422.78 | 11% above | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS | $201.00 | $402.00 | $5.66–$422.78 | 11% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $282.50 | $565.00 | $15.70–$507.92 | 26% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS | $282.50 | $565.00 | $15.70–$507.92 | 26% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $303.50 | $607.00 | $15.70–$507.92 | 21% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $303.50 | $607.00 | $15.70–$507.92 | 21% below | 50% |
| Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST | $386.50 | $773.00 | $5.92–$422.78 | 142% above | 50% |
| Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST | $386.50 | $773.00 | $5.92–$422.78 | 142% above | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $193.00 | $386.00 | $6.17–$422.78 | 9% above | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $193.00 | $386.00 | $6.17–$422.78 | 9% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $194.00 | $388.00 | $7.98–$422.78 | 3% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $194.00 | $388.00 | $7.98–$422.78 | 3% above | 50% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $211.00 | $422.00 | $6.44–$422.78 | 14% above | 50% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $211.00 | $422.00 | $6.44–$422.78 | 14% above | 50% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $359.50 | $719.00 | $5.66–$422.78 | 103% above | 50% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $359.50 | $719.00 | $5.66–$422.78 | 103% above | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $356.00 | $712.00 | $4.89–$422.78 | 101% above | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $356.00 | $712.00 | $4.89–$422.78 | 101% above | 50% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $197.50 | $395.00 | $5.41–$422.78 | 23% above | 50% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $197.50 | $395.00 | $5.41–$422.78 | 23% above | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $202.50 | $405.00 | $5.92–$422.78 | 14% above | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $202.50 | $405.00 | $5.92–$422.78 | 14% above | 50% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $366.50 | $733.00 | $6.17–$422.78 | 101% above | 50% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $366.50 | $733.00 | $6.17–$422.78 | 101% above | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $374.00 | $748.00 | $5.92–$422.78 | 107% above | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $374.00 | $748.00 | $5.92–$422.78 | 107% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $303.50 | $607.00 | $7.98–$507.92 | 40% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $303.50 | $607.00 | $7.98–$507.92 | 40% above | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $281.50 | $563.00 | $9.26–$507.92 | 1% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $281.50 | $563.00 | $9.26–$507.92 | 1% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $289.00 | $578.00 | $7.20–$507.92 | 26% above | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $289.00 | $578.00 | $7.20–$507.92 | 26% above | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $187.00 | $374.00 | $6.17–$422.78 | 1% above | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $187.00 | $374.00 | $6.17–$422.78 | 1% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $201.00 | $402.00 | $7.98–$422.78 | 3% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $201.00 | $402.00 | $7.98–$422.78 | 3% above | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $269.00 | $538.00 | $6.17–$507.92 | 37% above | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $269.00 | $538.00 | $6.17–$507.92 | 37% above | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $281.50 | $563.00 | $6.17–$422.78 | 57% above | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $281.50 | $563.00 | $6.17–$422.78 | 57% above | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ASSAY OF ACTH | $176.00 | $352.00 | $36.50–$196.55 | 6% below | 50% |
| ACTH blood test CPT 82024 ASSAY OF ACTH | $176.00 | $352.00 | $36.50–$196.55 | 6% below | 50% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL | $352.00 | $704.00 | $36.50–$196.55 | 87% above | 50% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL | $352.00 | $704.00 | $36.50–$196.55 | 87% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $39.00 | $78.00 | $5.01–$26.97 | 34% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $39.00 | $78.00 | $5.01–$26.97 | 34% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $42.00 | $84.00 | $5.01–$26.97 | 45% above | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $42.00 | $84.00 | $5.01–$26.97 | 45% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $36.00 | $72.00 | $4.89–$26.36 | 18% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $36.00 | $72.00 | $4.89–$26.36 | 18% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $38.50 | $77.00 | $4.89–$26.36 | 26% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $38.50 | $77.00 | $4.89–$26.36 | 26% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $215.50 | $431.00 | $45.01–$242.41 | 2% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $215.50 | $431.00 | $45.01–$242.41 | 2% below | 50% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $7.00 | $14.00 | $3.65–$25.19 | 61% below | 50% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $7.00 | $14.00 | $3.65–$25.19 | 61% below | 50% |
| Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL | $35.00 | $70.00 | $3.65–$25.19 | 94% above | 50% |
| Albumin blood test CPT 82040 ALBUMIN (PROTEIN) LEVEL | $35.00 | $70.00 | $3.65–$25.19 | 94% above | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL | $264.50 | $529.00 | $26.00–$207.39 | 620% above | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL | $264.50 | $529.00 | $26.00–$207.39 | 620% above | 50% |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $284.50 | $569.00 | $26.00–$207.39 | 674% above | 50% |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $284.50 | $569.00 | $26.00–$207.39 | 674% above | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE | $31.50 | $63.00 | $4.89–$26.36 | 52% above | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE | $31.50 | $63.00 | $4.89–$26.36 | 52% above | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $34.00 | $68.00 | $4.89–$26.36 | 64% above | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $34.00 | $68.00 | $4.89–$26.36 | 64% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $16.50 | $33.00 | $4.94–$26.57 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $16.50 | $33.00 | $4.94–$26.57 | 4% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $7,030.00 | $14,060.00 | $4.94–$26.57 | 40915% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $7,030.00 | $14,060.00 | $4.94–$26.57 | 40915% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM | $86.00 | $172.00 | $15.84–$85.35 | 13% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM | $86.00 | $172.00 | $15.84–$85.35 | 13% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $93.00 | $186.00 | $15.84–$85.35 | 22% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $93.00 | $186.00 | $15.84–$85.35 | 22% above | 50% |
| Ammonia blood test CPT 82140 ASSAY OF AMMONIA | $28.50 | $57.00 | $5.00–$74.15 | 38% below | 50% |
| Ammonia blood test CPT 82140 ASSAY OF AMMONIA | $28.50 | $57.00 | $5.00–$74.15 | 38% below | 50% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $70.50 | $141.00 | $5.00–$74.15 | 53% above | 50% |
| Ammonia blood test CPT 82140 AMMONIA LEVEL | $70.50 | $141.00 | $5.00–$74.15 | 53% above | 50% |
| Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL | $43.50 | $87.00 | $5.00–$32.98 | 13% above | 50% |
| Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL | $43.50 | $87.00 | $5.00–$32.98 | 13% above | 50% |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $237.00 | $474.00 | $5.00–$32.98 | 516% above | 50% |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $237.00 | $474.00 | $5.00–$32.98 | 516% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $68.50 | $137.00 | $12.24–$65.91 | 62% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $68.50 | $137.00 | $12.24–$65.91 | 62% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $73.50 | $147.00 | $12.24–$65.91 | 74% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $73.50 | $147.00 | $12.24–$65.91 | 74% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $62.00 | $124.00 | $11.42–$61.53 | 2% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $62.00 | $124.00 | $11.42–$61.53 | 2% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $63.50 | $127.00 | $11.42–$61.53 | 5% above | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $63.50 | $127.00 | $11.42–$61.53 | 5% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $147.50 | $295.00 | $37.10–$199.81 | 23% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $147.50 | $295.00 | $37.10–$199.81 | 23% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $158.50 | $317.00 | $37.10–$199.81 | 32% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $158.50 | $317.00 | $37.10–$199.81 | 32% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC | $50.50 | $101.00 | $6.90–$43.87 | 2% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC | $50.50 | $101.00 | $6.90–$43.87 | 2% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $54.50 | $109.00 | $6.90–$43.87 | 6% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC | $54.50 | $109.00 | $6.90–$43.87 | 6% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $45.00 | $90.00 | $7.99–$43.06 | 17% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $45.00 | $90.00 | $7.99–$43.06 | 17% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $48.50 | $97.00 | $7.99–$43.06 | 10% below | 50% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $48.50 | $97.00 | $7.99–$43.06 | 10% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL | $21.50 | $43.00 | $4.75–$25.55 | 12% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL | $21.50 | $43.00 | $4.75–$25.55 | 12% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $23.00 | $46.00 | $4.75–$25.55 | 6% below | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $23.00 | $46.00 | $4.75–$25.55 | 6% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $136.00 | $272.00 | $9.00–$253.20 | 25% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $136.00 | $272.00 | $9.00–$253.20 | 25% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $379.50 | $759.00 | $9.00–$253.20 | 249% above | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $379.50 | $759.00 | $9.00–$253.20 | 249% above | 50% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $80.00 | $160.00 | $9.75–$52.52 | 8% above | 50% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $80.00 | $160.00 | $9.75–$52.52 | 8% above | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $86.00 | $172.00 | $9.75–$52.52 | 16% above | 50% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $86.00 | $172.00 | $9.75–$52.52 | 16% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $20.50 | $41.00 | $9.34–$47.53 | 95% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $20.50 | $41.00 | $9.34–$47.53 | 95% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $30.00 | $60.00 | $9.34–$47.53 | 186% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $30.00 | $60.00 | $9.34–$47.53 | 186% above | 50% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $21.50 | $43.00 | $3.72–$20.00 | 7% below | 50% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $21.50 | $43.00 | $3.72–$20.00 | 7% below | 50% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $23.00 | $46.00 | $3.72–$20.00 | at median | 50% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $23.00 | $46.00 | $3.72–$20.00 | at median | 50% |
| Blood lead test CPT 83655 LEAD LEVEL | $22.00 | $44.00 | $10.00–$61.63 | 39% below | 50% |
| Blood lead test CPT 83655 LEAD LEVEL | $22.00 | $44.00 | $10.00–$61.63 | 39% below | 50% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $85.00 | $170.00 | $10.00–$61.63 | 136% above | 50% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $85.00 | $170.00 | $10.00–$61.63 | 136% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $41.50 | $83.00 | $7.11–$38.27 | at median | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $41.50 | $83.00 | $7.11–$38.27 | at median | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $44.50 | $89.00 | $7.11–$38.27 | 7% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $44.50 | $89.00 | $7.11–$38.27 | 7% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $89.00 | $178.00 | $2.82–$646.35 | 118% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $89.00 | $178.00 | $2.82–$646.35 | 118% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $136.50 | $273.00 | $2.82–$646.35 | 235% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $136.50 | $273.00 | $2.82–$646.35 | 235% above | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE | $27.00 | $54.00 | $3.74–$20.10 | 2% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE | $27.00 | $54.00 | $3.74–$20.10 | 2% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $29.00 | $58.00 | $3.74–$20.10 | 5% above | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $29.00 | $58.00 | $3.74–$20.10 | 5% above | 50% |
| C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL | $100.50 | $201.00 | $19.67–$105.91 | 36% above | 50% |
| C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL | $100.50 | $201.00 | $19.67–$105.91 | 36% above | 50% |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $106.00 | $212.00 | $19.67–$105.91 | 44% above | 50% |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $106.00 | $212.00 | $19.67–$105.91 | 44% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $34.00 | $68.00 | $3.00–$26.36 | 11% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $34.00 | $68.00 | $3.00–$26.36 | 11% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $36.50 | $73.00 | $3.00–$26.36 | 20% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $36.50 | $73.00 | $3.00–$26.36 | 20% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $115.50 | $231.00 | $35.22–$189.68 | 2% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $115.50 | $231.00 | $35.22–$189.68 | 2% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $121.00 | $242.00 | $35.22–$189.68 | 7% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $121.00 | $242.00 | $35.22–$189.68 | 7% above | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $108.50 | $217.00 | $19.67–$105.91 | 31% above | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $108.50 | $217.00 | $19.67–$105.91 | 31% above | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $109.00 | $218.00 | $19.67–$105.91 | 31% above | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $109.00 | $218.00 | $19.67–$105.91 | 31% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $116.50 | $233.00 | $19.67–$105.91 | 9% above | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $116.50 | $233.00 | $19.67–$105.91 | 9% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $125.50 | $251.00 | $35.49–$261.14 | 16% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $125.50 | $251.00 | $35.49–$261.14 | 16% above | 50% |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL | $29.00 | $58.00 | $4.87–$26.26 | 15% above | 50% |
| Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL | $29.00 | $58.00 | $4.87–$26.26 | 15% above | 50% |
| Calcium blood test, total CPT 82310 ASSAY OF CALCIUM | $31.00 | $62.00 | $4.87–$26.26 | 23% above | 50% |
| Calcium blood test, total CPT 82310 ASSAY OF CALCIUM | $31.00 | $62.00 | $4.87–$26.26 | 23% above | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL | $91.00 | $182.00 | $17.00–$96.50 | 12% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) PROTEIN LEVEL | $91.00 | $182.00 | $17.00–$96.50 | 12% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $103.50 | $207.00 | $17.00–$96.50 | at median | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $103.50 | $207.00 | $17.00–$96.50 | at median | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $85.00 | $170.00 | $12.17–$65.55 | 122% above | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $85.00 | $170.00 | $12.17–$65.55 | 122% above | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX) | $170.00 | $340.00 | $12.17–$65.55 | 345% above | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX) | $170.00 | $340.00 | $12.17–$65.55 | 345% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $161.50 | $323.00 | $23.19–$178.59 | 185% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $161.50 | $323.00 | $23.19–$178.59 | 185% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $173.50 | $347.00 | $23.19–$178.59 | 206% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $173.50 | $347.00 | $23.19–$178.59 | 206% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $69.50 | $139.00 | $12.65–$68.15 | 11% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $69.50 | $139.00 | $12.65–$68.15 | 11% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $74.50 | $149.00 | $12.65–$68.15 | 19% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $74.50 | $149.00 | $12.65–$68.15 | 19% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $41.50 | $83.00 | $6.00–$39.54 | at median | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $41.50 | $83.00 | $6.00–$39.54 | at median | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $44.50 | $89.00 | $6.00–$39.54 | 7% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $44.50 | $89.00 | $6.00–$39.54 | 7% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $34.00 | $68.00 | $6.11–$32.93 | 3% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $34.00 | $68.00 | $6.11–$32.93 | 3% below | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $36.50 | $73.00 | $6.11–$32.93 | 4% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $36.50 | $73.00 | $6.11–$32.93 | 4% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $49.50 | $99.00 | $9.98–$53.74 | 1% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $49.50 | $99.00 | $9.98–$53.74 | 1% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $53.00 | $106.00 | $9.98–$53.74 | 8% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $53.00 | $106.00 | $9.98–$53.74 | 8% above | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL | $80.00 | $160.00 | $12.00–$82.96 | 35% above | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL | $80.00 | $160.00 | $12.00–$82.96 | 35% above | 50% |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $82.00 | $164.00 | $12.00–$82.96 | 38% above | 50% |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $82.00 | $164.00 | $12.00–$82.96 | 38% above | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL | $48.00 | $96.00 | $6.15–$33.13 | 10% above | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL | $48.00 | $96.00 | $6.15–$33.13 | 10% above | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) | $48.50 | $97.00 | $6.15–$33.13 | 11% above | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) | $48.50 | $97.00 | $6.15–$33.13 | 11% above | 50% |
| Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL | $25.50 | $51.00 | $4.84–$26.06 | 14% below | 50% |
| Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL | $25.50 | $51.00 | $4.84–$26.06 | 14% below | 50% |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE | $27.50 | $55.00 | $4.84–$26.06 | 7% below | 50% |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE | $27.50 | $55.00 | $4.84–$26.06 | 7% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV) | $111.50 | $223.00 | $13.60–$73.24 | 121% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV) | $111.50 | $223.00 | $13.60–$73.24 | 121% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY | $120.00 | $240.00 | $13.60–$73.24 | 138% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY | $120.00 | $240.00 | $13.60–$73.24 | 138% above | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $53.50 | $107.00 | $9.62–$51.81 | 16% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $53.50 | $107.00 | $9.62–$51.81 | 16% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $57.50 | $115.00 | $9.62–$51.81 | 10% below | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $57.50 | $115.00 | $9.62–$51.81 | 10% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $118.50 | $237.00 | $21.00–$113.14 | 27% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $118.50 | $237.00 | $21.00–$113.14 | 27% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $127.50 | $255.00 | $21.00–$113.14 | 37% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $127.50 | $255.00 | $21.00–$113.14 | 37% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $28.00 | $56.00 | $56.00–$316.26 | 8% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $28.00 | $56.00 | $56.00–$316.26 | 8% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS | $246.00 | $492.00 | $58.73–$316.26 | 710% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS | $246.00 | $492.00 | $58.73–$316.26 | 710% above | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE) | $30.00 | $60.00 | $6.63–$35.68 | 8% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 BLOOD TEST PANEL FOR ELECTROLYTES (SODIUM POTASSIUM; CHLORIDE; CARBON DIOXIDE) | $30.00 | $60.00 | $6.63–$35.68 | 8% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $31.50 | $63.00 | $6.63–$35.68 | 3% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $31.50 | $63.00 | $6.63–$35.68 | 3% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID | $68.00 | $136.00 | $17.15–$92.32 | 12% above | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID | $68.00 | $136.00 | $17.15–$92.32 | 12% above | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $73.00 | $146.00 | $17.15–$92.32 | 20% above | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $73.00 | $146.00 | $17.15–$92.32 | 20% above | 50% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $125.50 | $251.00 | $21.50–$142.20 | 46% above | 50% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $125.50 | $251.00 | $21.50–$142.20 | 46% above | 50% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $141.50 | $283.00 | $21.50–$142.20 | 65% above | 50% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $141.50 | $283.00 | $21.50–$142.20 | 65% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $89.50 | $179.00 | $17.50–$94.56 | 7% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $89.50 | $179.00 | $17.50–$94.56 | 7% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $94.50 | $189.00 | $17.50–$94.56 | 12% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $94.50 | $189.00 | $17.50–$94.56 | 12% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $100.50 | $201.00 | $18.55–$99.90 | 11% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $100.50 | $201.00 | $18.55–$99.90 | 11% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $108.00 | $216.00 | $18.55–$99.90 | 20% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $108.00 | $216.00 | $18.55–$99.90 | 20% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $69.00 | $138.00 | $12.00–$69.37 | 2% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $69.00 | $138.00 | $12.00–$69.37 | 2% below | 50% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $74.00 | $148.00 | $12.00–$69.37 | 5% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $74.00 | $148.00 | $12.00–$69.37 | 5% above | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT | $40.50 | $81.00 | $9.19–$49.47 | 21% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT | $40.50 | $81.00 | $9.19–$49.47 | 21% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $44.00 | $88.00 | $9.19–$49.47 | 14% below | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $44.00 | $88.00 | $9.19–$49.47 | 14% below | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $103.00 | $206.00 | $12.00–$74.81 | 46% above | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $103.00 | $206.00 | $12.00–$74.81 | 46% above | 50% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $110.50 | $221.00 | $12.00–$74.81 | 56% above | 50% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $110.50 | $221.00 | $12.00–$74.81 | 56% above | 50% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $87.00 | $174.00 | $16.01–$86.21 | 5% below | 50% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $87.00 | $174.00 | $16.01–$86.21 | 5% below | 50% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $93.50 | $187.00 | $16.01–$86.21 | 2% above | 50% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $93.50 | $187.00 | $16.01–$86.21 | 2% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $53.00 | $106.00 | $8.00–$45.91 | 9% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $53.00 | $106.00 | $8.00–$45.91 | 9% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $57.00 | $114.00 | $8.00–$45.91 | 2% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $57.00 | $114.00 | $8.00–$45.91 | 2% below | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $121.50 | $243.00 | $24.07–$129.63 | 72% above | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $121.50 | $243.00 | $24.07–$129.63 | 72% above | 50% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $130.50 | $261.00 | $24.07–$129.63 | 85% above | 50% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $130.50 | $261.00 | $24.07–$129.63 | 85% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL | $35.50 | $71.00 | $6.80–$36.64 | 3% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL | $35.50 | $71.00 | $6.80–$36.64 | 3% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $38.00 | $76.00 | $6.80–$36.64 | 10% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $38.00 | $76.00 | $6.80–$36.64 | 10% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $201.00 | $402.00 | $43.89–$55.30 | 12% below | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $201.00 | $402.00 | $43.89–$55.30 | 12% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $30.00 | $60.00 | $4.49–$24.17 | 10% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $30.00 | $60.00 | $4.49–$24.17 | 10% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $32.50 | $65.00 | $4.49–$24.17 | 3% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $32.50 | $65.00 | $4.49–$24.17 | 3% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $65.00 | $130.00 | $12.16–$65.50 | at median | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $65.00 | $130.00 | $12.16–$65.50 | at median | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $76.00 | $152.00 | $23.19–$178.59 | 25% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $76.00 | $152.00 | $23.19–$178.59 | 25% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $161.50 | $323.00 | $23.19–$178.59 | 165% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $161.50 | $323.00 | $23.19–$178.59 | 165% above | 50% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $95.50 | $191.00 | $13.59–$73.19 | 61% above | 50% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $95.50 | $191.00 | $13.59–$73.19 | 61% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $401.00 | $802.00 | $80.42–$433.11 | 59% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $401.00 | $802.00 | $80.42–$433.11 | 59% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $431.00 | $862.00 | $80.42–$433.11 | 71% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $431.00 | $862.00 | $80.42–$433.11 | 71% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $102.50 | $205.00 | $22.75–$122.55 | 61% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $102.50 | $205.00 | $22.75–$122.55 | 61% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $50.00 | $100.00 | $33.16–$178.59 | 22% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $50.00 | $100.00 | $33.16–$178.59 | 22% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $167.00 | $334.00 | $33.16–$178.59 | 161% above | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $167.00 | $334.00 | $33.16–$178.59 | 161% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $52.50 | $105.00 | $7.00–$49.42 | 5% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $52.50 | $105.00 | $7.00–$49.42 | 5% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $53.50 | $107.00 | $7.00–$49.42 | 7% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $53.50 | $107.00 | $7.00–$49.42 | 7% above | 50% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN | $13.50 | $27.00 | $2.24–$12.06 | 4% below | 50% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN | $13.50 | $27.00 | $2.24–$12.06 | 4% below | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $14.50 | $29.00 | $2.24–$12.06 | 4% above | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $14.50 | $29.00 | $2.24–$12.06 | 4% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT | $70.00 | $140.00 | $11.39–$61.33 | 40% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT | $70.00 | $140.00 | $11.39–$61.33 | 40% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL | $75.50 | $151.00 | $11.39–$61.33 | 51% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL | $75.50 | $151.00 | $11.39–$61.33 | 51% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $57.00 | $114.00 | $10.15–$54.66 | 20% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $57.00 | $114.00 | $10.15–$54.66 | 20% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $60.50 | $121.00 | $10.15–$54.66 | 27% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $60.50 | $121.00 | $10.15–$54.66 | 27% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $54.00 | $108.00 | $9.77–$52.57 | 55% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $54.00 | $108.00 | $9.77–$52.57 | 55% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $58.00 | $116.00 | $9.77–$52.57 | 67% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $58.00 | $116.00 | $9.77–$52.57 | 67% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $69.00 | $138.00 | $13.48–$72.63 | 18% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $69.00 | $138.00 | $13.48–$72.63 | 18% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $71.00 | $142.00 | $13.48–$72.63 | 21% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $71.00 | $142.00 | $13.48–$72.63 | 21% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $203.50 | $407.00 | $39.65–$218.03 | 2% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $203.50 | $407.00 | $39.65–$218.03 | 2% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $219.00 | $438.00 | $39.65–$218.03 | 10% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $219.00 | $438.00 | $39.65–$218.03 | 10% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $64.00 | $128.00 | $12.46–$67.13 | 46% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $64.00 | $128.00 | $12.46–$67.13 | 46% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $69.00 | $138.00 | $12.46–$67.13 | 58% above | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $69.00 | $138.00 | $12.46–$67.13 | 58% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $93.00 | $186.00 | $18.29–$98.48 | 94% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $93.00 | $186.00 | $18.29–$98.48 | 94% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $112.00 | $224.00 | $18.29–$98.48 | 133% above | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $112.00 | $224.00 | $18.29–$98.48 | 133% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $56.00 | $112.00 | $10.53–$65.91 | 9% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $56.00 | $112.00 | $10.53–$65.91 | 9% below | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $74.00 | $148.00 | $10.53–$65.91 | 20% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $74.00 | $148.00 | $10.53–$65.91 | 20% above | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $81.50 | $163.00 | $16.94–$91.20 | 7% below | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $81.50 | $163.00 | $16.94–$91.20 | 7% below | 50% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $87.50 | $175.00 | $16.94–$91.20 | 1% below | 50% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $87.50 | $175.00 | $16.94–$91.20 | 1% below | 50% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $64.50 | $129.00 | $10.80–$58.17 | 16% above | 50% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $64.50 | $129.00 | $10.80–$58.17 | 16% above | 50% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $69.50 | $139.00 | $10.80–$58.17 | 25% above | 50% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $69.50 | $139.00 | $10.80–$58.17 | 25% above | 50% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $40.50 | $81.00 | $6.11–$32.93 | 4% below | 50% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $40.50 | $81.00 | $6.11–$32.93 | 4% below | 50% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $43.50 | $87.00 | $6.11–$32.93 | 3% above | 50% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $43.50 | $87.00 | $6.11–$32.93 | 3% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $51.00 | $102.00 | $5.00–$44.48 | 15% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $51.00 | $102.00 | $5.00–$44.48 | 15% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $55.50 | $111.00 | $5.00–$44.48 | 25% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $55.50 | $111.00 | $5.00–$44.48 | 25% above | 50% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $43.00 | $86.00 | $8.20–$44.18 | at median | 50% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $43.00 | $86.00 | $8.20–$44.18 | at median | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $46.00 | $92.00 | $8.20–$44.18 | 7% above | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $46.00 | $92.00 | $8.20–$44.18 | 7% above | 50% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $89.00 | $178.00 | $17.00–$94.26 | 6% above | 50% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $89.00 | $178.00 | $17.00–$94.26 | 6% above | 50% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $93.50 | $187.00 | $17.00–$94.26 | 11% above | 50% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $93.50 | $187.00 | $17.00–$94.26 | 11% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $51.00 | $102.00 | $8.00–$58.88 | 10% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL | $51.00 | $102.00 | $8.00–$58.88 | 10% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $54.00 | $108.00 | $8.00–$58.88 | 5% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $54.00 | $108.00 | $8.00–$58.88 | 5% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL | $40.00 | $80.00 | $5.71–$30.74 | 110% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL | $40.00 | $80.00 | $5.71–$30.74 | 110% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $44.00 | $88.00 | $5.71–$30.74 | 131% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $44.00 | $88.00 | $5.71–$30.74 | 131% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $42.00 | $84.00 | $5.00–$35.07 | 5% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $42.00 | $84.00 | $5.00–$35.07 | 5% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $45.00 | $90.00 | $5.00–$35.07 | 12% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $45.00 | $90.00 | $5.00–$35.07 | 12% above | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $55.00 | $110.00 | $7.72–$41.58 | 16% above | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $55.00 | $110.00 | $7.72–$41.58 | 16% above | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $59.00 | $118.00 | $7.72–$41.58 | 25% above | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $59.00 | $118.00 | $7.72–$41.58 | 25% above | 50% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $30.50 | $61.00 | $16.10–$86.67 | 3% below | 50% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $30.50 | $61.00 | $16.10–$86.67 | 3% below | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $82.50 | $165.00 | $16.10–$86.67 | 162% above | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $82.50 | $165.00 | $16.10–$86.67 | 162% above | 50% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $13.50 | $27.00 | $6.33–$34.10 | 31% below | 50% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $13.50 | $27.00 | $6.33–$34.10 | 31% below | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $46.50 | $93.00 | $6.33–$34.10 | 138% above | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $46.50 | $93.00 | $6.33–$34.10 | 138% above | 50% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $62.00 | $124.00 | $11.80–$65.55 | 58% above | 50% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $62.00 | $124.00 | $11.80–$65.55 | 58% above | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $74.00 | $148.00 | $11.80–$65.55 | 89% above | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $74.00 | $148.00 | $11.80–$65.55 | 89% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $32.00 | $64.00 | $4.89–$26.36 | 9% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $32.00 | $64.00 | $4.89–$26.36 | 9% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $136.50 | $273.00 | $4.89–$26.36 | 290% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $136.50 | $273.00 | $4.89–$26.36 | 290% above | 50% |
| Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS | $63.50 | $127.00 | $12.34–$66.42 | 43% above | 50% |
| Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS | $63.50 | $127.00 | $12.34–$66.42 | 43% above | 50% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $68.50 | $137.00 | $12.34–$66.42 | 54% above | 50% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $68.50 | $137.00 | $12.34–$66.42 | 54% above | 50% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $301.50 | $603.00 | $12.00–$243.32 | 36% above | 50% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $301.50 | $603.00 | $12.00–$243.32 | 36% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $88.50 | $177.00 | $17.38–$93.59 | 48% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $88.50 | $177.00 | $17.38–$93.59 | 48% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $95.00 | $190.00 | $17.38–$93.59 | 59% above | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $95.00 | $190.00 | $17.38–$93.59 | 59% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $95.00 | $190.00 | $17.38–$93.59 | 50% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $95.00 | $190.00 | $17.38–$93.59 | 50% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $116.00 | $232.00 | $17.38–$93.59 | 84% above | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $116.00 | $232.00 | $17.38–$93.59 | 84% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING | $32.50 | $65.00 | $16.00–$103.11 | 35% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP TEST; MANUAL SCREENING | $32.50 | $65.00 | $16.00–$103.11 | 35% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $86.50 | $173.00 | $16.00–$103.11 | 73% above | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $86.50 | $173.00 | $16.00–$103.11 | 73% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $186.50 | $373.00 | $39.01–$210.09 | 23% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $186.50 | $373.00 | $39.01–$210.09 | 23% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $200.50 | $401.00 | $39.01–$210.09 | 32% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $200.50 | $401.00 | $39.01–$210.09 | 32% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $45.00 | $90.00 | $5.68–$30.59 | 8% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $45.00 | $90.00 | $5.68–$30.59 | 8% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $48.50 | $97.00 | $5.68–$30.59 | 17% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $48.50 | $97.00 | $5.68–$30.59 | 17% above | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL | $23.00 | $46.00 | $4.48–$24.12 | 27% below | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL | $23.00 | $46.00 | $4.48–$24.12 | 27% below | 50% |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS | $23.50 | $47.00 | $4.48–$24.12 | 25% below | 50% |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS | $23.50 | $47.00 | $4.48–$24.12 | 25% below | 50% |
| Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL | $23.00 | $46.00 | $4.49–$24.23 | 15% below | 50% |
| Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL | $23.00 | $46.00 | $4.49–$24.23 | 15% below | 50% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM | $24.50 | $49.00 | $4.49–$24.23 | 9% below | 50% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM | $24.50 | $49.00 | $4.49–$24.23 | 9% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $97.50 | $195.00 | $17.00–$106.16 | 2% below | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $97.50 | $195.00 | $17.00–$106.16 | 2% below | 50% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $120.00 | $240.00 | $17.00–$106.16 | 21% above | 50% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $120.00 | $240.00 | $17.00–$106.16 | 21% above | 50% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $96.00 | $192.00 | $18.31–$98.63 | 49% above | 50% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $96.00 | $192.00 | $18.31–$98.63 | 49% above | 50% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $103.00 | $206.00 | $18.31–$98.63 | 60% above | 50% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $103.00 | $206.00 | $18.31–$98.63 | 60% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $21.50 | $43.00 | $4.00–$21.83 | 25% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $21.50 | $43.00 | $4.00–$21.83 | 25% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $22.00 | $44.00 | $4.00–$21.83 | 23% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $22.00 | $44.00 | $4.00–$21.83 | 23% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS | $57.00 | $114.00 | $11.35–$84.23 | 23% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS | $57.00 | $114.00 | $11.35–$84.23 | 23% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $58.50 | $117.00 | $11.35–$84.23 | 26% above | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $58.50 | $117.00 | $11.35–$84.23 | 26% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $58.50 | $117.00 | $6.30–$84.13 | 44% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $58.50 | $117.00 | $6.30–$84.13 | 44% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $61.50 | $123.00 | $6.30–$84.13 | 51% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $61.50 | $123.00 | $6.30–$84.13 | 51% above | 50% |
| Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL | $126.50 | $253.00 | $12.00–$111.92 | 119% above | 50% |
| Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL | $126.50 | $253.00 | $12.00–$111.92 | 119% above | 50% |
| Renin blood test CPT 84244 ASSAY OF RENIN | $136.00 | $272.00 | $12.00–$111.92 | 135% above | 50% |
| Renin blood test CPT 84244 ASSAY OF RENIN | $136.00 | $272.00 | $12.00–$111.92 | 135% above | 50% |
| Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN | $84.00 | $168.00 | $2.82–$181.44 | 194% above | 50% |
| Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN | $84.00 | $168.00 | $2.82–$181.44 | 194% above | 50% |
| Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) | $90.50 | $181.00 | $2.82–$181.44 | 216% above | 50% |
| Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D) | $90.50 | $181.00 | $2.82–$181.44 | 216% above | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $38.50 | $77.00 | $5.36–$28.86 | 8% above | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $38.50 | $77.00 | $5.36–$28.86 | 8% above | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $41.50 | $83.00 | $5.36–$28.86 | 16% above | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $41.50 | $83.00 | $5.36–$28.86 | 16% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $70.00 | $140.00 | $13.60–$73.24 | 41% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $70.00 | $140.00 | $13.60–$73.24 | 41% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $94.50 | $189.00 | $13.60–$73.24 | 91% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $94.50 | $189.00 | $13.60–$73.24 | 91% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $15.50 | $31.00 | $2.55–$13.74 | 7% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $15.50 | $31.00 | $2.55–$13.74 | 7% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $18.00 | $36.00 | $2.55–$13.74 | 7% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $18.00 | $36.00 | $2.55–$13.74 | 7% above | 50% |
| Sodium blood test CPT 84295 BLOOD SODIUM LEVEL | $24.00 | $48.00 | $4.55–$24.48 | 8% below | 50% |
| Sodium blood test CPT 84295 BLOOD SODIUM LEVEL | $24.00 | $48.00 | $4.55–$24.48 | 8% below | 50% |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM | $26.00 | $52.00 | $4.55–$24.48 | at median | 50% |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM | $26.00 | $52.00 | $4.55–$24.48 | at median | 50% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $44.50 | $89.00 | $7.50–$45.30 | 7% below | 50% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $44.50 | $89.00 | $7.50–$45.30 | 7% below | 50% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $46.00 | $92.00 | $7.50–$45.30 | 4% below | 50% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $46.00 | $92.00 | $7.50–$45.30 | 4% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $17.50 | $35.00 | $3.47–$22.29 | 9% above | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $17.50 | $35.00 | $3.47–$22.29 | 9% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM | $87.50 | $175.00 | $12.52–$67.38 | 182% above | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM | $87.50 | $175.00 | $12.52–$67.38 | 182% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $21.00 | $42.00 | $4.00–$21.73 | 22% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $21.00 | $42.00 | $4.00–$21.73 | 22% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $26.50 | $53.00 | $4.00–$21.73 | 2% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $26.50 | $53.00 | $4.00–$21.73 | 2% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $285.00 | $570.00 | $58.57–$315.44 | 50% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $285.00 | $570.00 | $58.57–$315.44 | 50% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $314.50 | $629.00 | $58.57–$315.44 | 66% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $314.50 | $629.00 | $58.57–$315.44 | 66% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $95.00 | $190.00 | $24.39–$131.36 | 8% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $95.00 | $190.00 | $24.39–$131.36 | 8% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $104.50 | $209.00 | $24.39–$131.36 | 19% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $104.50 | $209.00 | $24.39–$131.36 | 19% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $69.00 | $138.00 | $7.91–$74.05 | 5% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $69.00 | $138.00 | $7.91–$74.05 | 5% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $71.00 | $142.00 | $7.91–$74.05 | 2% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $71.00 | $142.00 | $7.91–$74.05 | 2% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $92.50 | $185.00 | $15.88–$85.50 | 43% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $92.50 | $185.00 | $15.88–$85.50 | 43% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $99.50 | $199.00 | $15.88–$85.50 | 54% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $99.50 | $199.00 | $15.88–$85.50 | 54% above | 50% |
| Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL | $79.50 | $159.00 | $15.55–$83.77 | 46% above | 50% |
| Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL | $79.50 | $159.00 | $15.55–$83.77 | 46% above | 50% |
| Total IgE blood test CPT 82785 ASSAY OF IGE | $85.50 | $171.00 | $15.55–$83.77 | 57% above | 50% |
| Total IgE blood test CPT 82785 ASSAY OF IGE | $85.50 | $171.00 | $15.55–$83.77 | 57% above | 50% |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $23.50 | $47.00 | $4.12–$22.14 | at median | 50% |
| Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL | $23.50 | $47.00 | $4.12–$22.14 | at median | 50% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL | $37.00 | $74.00 | $6.49–$34.96 | 19% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL | $37.00 | $74.00 | $6.49–$34.96 | 19% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $40.00 | $80.00 | $6.49–$34.96 | 12% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $40.00 | $80.00 | $6.49–$34.96 | 12% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL | $69.00 | $138.00 | $8.00–$72.17 | 12% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL | $69.00 | $138.00 | $8.00–$72.17 | 12% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) | $72.00 | $144.00 | $8.00–$72.17 | 8% below | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) | $72.00 | $144.00 | $8.00–$72.17 | 8% below | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL | $59.00 | $118.00 | $12.05–$64.94 | 6% above | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL | $59.00 | $118.00 | $12.05–$64.94 | 6% above | 50% |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $63.00 | $126.00 | $12.05–$64.94 | 13% above | 50% |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $63.00 | $126.00 | $12.05–$64.94 | 13% above | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $95.50 | $191.00 | $33.16–$178.59 | 24% above | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $95.50 | $191.00 | $33.16–$178.59 | 24% above | 50% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $51.00 | $102.00 | $5.43–$29.21 | 74% above | 50% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $51.00 | $102.00 | $5.43–$29.21 | 74% above | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE | $62.00 | $124.00 | $9.87–$63.46 | 17% below | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE | $62.00 | $124.00 | $9.87–$63.46 | 17% below | 50% |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $66.50 | $133.00 | $9.87–$63.46 | 11% below | 50% |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $66.50 | $133.00 | $9.87–$63.46 | 11% below | 50% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $24.50 | $49.00 | $4.27–$23.00 | 26% below | 50% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $24.50 | $49.00 | $4.27–$23.00 | 26% below | 50% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $26.50 | $53.00 | $4.27–$23.00 | 20% below | 50% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $26.50 | $53.00 | $4.27–$23.00 | 20% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $19.00 | $38.00 | $2.99–$16.13 | 37% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $19.00 | $38.00 | $2.99–$16.13 | 37% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $35.00 | $70.00 | $2.99–$16.13 | 17% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $35.00 | $70.00 | $2.99–$16.13 | 17% above | 50% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $8.00 | $16.00 | $3.80–$20.46 | 50% below | 50% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $8.00 | $16.00 | $3.80–$20.46 | 50% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $15.50 | $31.00 | $2.13–$11.45 | at median | 50% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $15.50 | $31.00 | $2.13–$11.45 | at median | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $16.50 | $33.00 | $2.13–$11.45 | 6% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $16.50 | $33.00 | $2.13–$11.45 | 6% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $13.50 | $27.00 | $3.29–$17.71 | 8% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $13.50 | $27.00 | $3.29–$17.71 | 8% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $60.00 | $120.00 | $7.62–$41.07 | 2% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $60.00 | $120.00 | $7.62–$41.07 | 2% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $64.50 | $129.00 | $7.62–$41.07 | 10% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $64.50 | $129.00 | $7.62–$41.07 | 10% above | 50% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL | $29.50 | $59.00 | $5.46–$29.42 | 11% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL | $29.50 | $59.00 | $5.46–$29.42 | 11% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE | $31.50 | $63.00 | $5.46–$29.42 | 5% below | 50% |
| Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE | $31.50 | $63.00 | $5.46–$29.42 | 5% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $33.50 | $67.00 | $4.00–$43.82 | 51% above | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $33.50 | $67.00 | $4.00–$43.82 | 51% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $80.50 | $161.00 | $13.00–$76.75 | at median | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $80.50 | $161.00 | $13.00–$76.75 | at median | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $86.50 | $173.00 | $13.00–$76.75 | 7% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $86.50 | $173.00 | $13.00–$76.75 | 7% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $155.00 | $310.00 | $27.97–$150.65 | 81% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $155.00 | $310.00 | $27.97–$150.65 | 81% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $166.50 | $333.00 | $27.97–$150.65 | 94% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $166.50 | $333.00 | $27.97–$150.65 | 94% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL | $226.50 | $453.00 | $36.38–$195.94 | 194% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL | $226.50 | $453.00 | $36.38–$195.94 | 194% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY | $243.50 | $487.00 | $36.38–$195.94 | 216% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY | $243.50 | $487.00 | $36.38–$195.94 | 216% above | 50% |
| Zinc blood test CPT 84630 ZINC LEVEL | $56.00 | $112.00 | $10.76–$57.97 | 43% above | 50% |
| Zinc blood test CPT 84630 ZINC LEVEL | $56.00 | $112.00 | $10.76–$57.97 | 43% above | 50% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $60.00 | $120.00 | $10.76–$57.97 | 54% above | 50% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $60.00 | $120.00 | $10.76–$57.97 | 54% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $85.50 | $171.00 | $14.23–$76.60 | 16% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $85.50 | $171.00 | $14.23–$76.60 | 16% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $92.00 | $184.00 | $14.23–$76.60 | 25% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $92.00 | $184.00 | $14.23–$76.60 | 25% above | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $8,974.50 | $17,949.00 | $205.80–$16,106.93 | 126% above | 50% |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $8,974.50 | $17,949.00 | $205.80–$16,106.93 | 126% above | 50% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $127.00 | $254.00 | $96.51–$1,491.25 | 64% below | 50% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE | $127.00 | $254.00 | $96.51–$1,491.25 | 64% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $6,208.00 | $12,416.00 | $148.30–$8,023.69 | 135% above | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $6,208.00 | $12,416.00 | $148.30–$8,023.69 | 135% above | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $6,208.00 | $12,416.00 | $1,576.55–$8,023.69 | 135% above | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING X-RAY WITH NEEDLE; FIRST GROWTH | $6,208.00 | $12,416.00 | $1,576.55–$8,023.69 | 135% above | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $323.00 | $646.00 | $118.50–$1,198.35 | 6% above | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $323.00 | $646.00 | $118.50–$1,198.35 | 6% above | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $205.50 | $411.00 | $84.50–$1,198.35 | 13% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $205.50 | $411.00 | $84.50–$1,198.35 | 13% below | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $7,197.00 | $14,394.00 | $222.87–$15,749.66 | 1% below | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $7,197.00 | $14,394.00 | $222.87–$15,749.66 | 1% below | 50% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST | $6,695.00 | $13,390.00 | $222.87–$15,749.66 | 8% below | 50% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 INSERTION OF TUBE IN LEFT LOWER HEART CHAMBER AND CORONARY ARTERY FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST | $6,695.00 | $13,390.00 | $222.87–$15,749.66 | 8% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $1,297.50 | $2,595.00 | $80.29–$3,210.95 | 22% above | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $1,297.50 | $2,595.00 | $80.29–$3,210.95 | 22% above | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,395.00 | $2,790.00 | $80.29–$3,210.95 | 31% above | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,395.00 | $2,790.00 | $80.29–$3,210.95 | 31% above | 50% |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $8,891.50 | $17,783.00 | $1,863.98–$9,486.54 | 227% above | 50% |
| Carpal tunnel release, open surgery one side CPT 64721 RELEASE AND/OR RELOCATION OF HAND NERVE | $8,891.50 | $17,783.00 | $1,863.98–$9,486.54 | 227% above | 50% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $145.00 | $290.00 | $66.12–$4,474.55 | 87% below | 50% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $145.00 | $290.00 | $66.12–$4,474.55 | 87% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $4,141.00 | $8,282.00 | $79.00–$10,155.29 | 72% above | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $4,141.00 | $8,282.00 | $79.00–$10,155.29 | 72% above | 50% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $4,141.00 | $8,282.00 | $128.00–$3,387.56 | 417% above | 50% |
| Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE | $4,141.00 | $8,282.00 | $128.00–$3,387.56 | 417% above | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $236.50 | $473.00 | $114.50–$1,198.35 | 26% below | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $236.50 | $473.00 | $114.50–$1,198.35 | 26% below | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,395.00 | $4,790.00 | $205.80–$5,813.47 | 65% above | 50% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,395.00 | $4,790.00 | $205.80–$5,813.47 | 65% above | 50% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,666.67 | $7,333.34 | $205.80–$5,813.47 | 152% above | 50% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $3,666.67 | $7,333.34 | $205.80–$5,813.47 | 152% above | 50% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,333.34 | $4,666.67 | $205.80–$5,813.47 | 45% above | 50% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,333.34 | $4,666.67 | $205.80–$5,813.47 | 45% above | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,395.00 | $4,790.00 | $205.80–$5,813.47 | 49% above | 50% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $2,395.00 | $4,790.00 | $205.80–$5,813.47 | 49% above | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,833.00 | $3,666.00 | $105.00–$4,517.86 | 45% above | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,833.00 | $3,666.00 | $105.00–$4,517.86 | 45% above | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,125.00 | $6,250.00 | $105.00–$4,517.86 | 147% above | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,125.00 | $6,250.00 | $105.00–$4,517.86 | 147% above | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $182.00 | $364.00 | $105.00–$1,480.40 | 45% below | 50% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE | $182.00 | $364.00 | $105.00–$1,480.40 | 45% below | 50% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $25,721.50 | $51,443.00 | $450.63–$56,083.05 | 61% above | 50% |
| Coronary stent placement, one artery CPT 92928 PRQ TCAT PLMT NTRAC ST 1 LES | $25,721.50 | $51,443.00 | $450.63–$56,083.05 | 61% above | 50% |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $2,222.75 | $4,445.50 | $3,364.79–$17,124.76 | 32% below | 50% |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $2,222.75 | $4,445.50 | $3,364.79–$17,124.76 | 32% below | 50% |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $4,673.67 | $9,347.34 | $3,364.79–$17,124.76 | 42% above | 50% |
| Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $4,673.67 | $9,347.34 | $3,364.79–$17,124.76 | 42% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $1,512.00 | $3,024.00 | $75.00–$3,387.56 | 84% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $1,512.00 | $3,024.00 | $75.00–$3,387.56 | 84% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $3,000.00 | $6,000.00 | $75.00–$3,387.56 | 265% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $3,000.00 | $6,000.00 | $75.00–$3,387.56 | 265% above | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,780.00 | $7,560.00 | $205.80–$15,726.30 | at median | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $3,780.00 | $7,560.00 | $205.80–$15,726.30 | at median | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS | $4,294.50 | $8,589.00 | $205.80–$15,726.30 | 14% above | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS | $4,294.50 | $8,589.00 | $205.80–$15,726.30 | 14% above | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $415.00 | $830.00 | $20.00–$974.72 | 100% above | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION | $415.00 | $830.00 | $20.00–$974.72 | 100% above | 50% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $181.00 | $362.00 | $98.50–$7,537.81 | 90% below | 50% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $181.00 | $362.00 | $98.50–$7,537.81 | 90% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $203.50 | $407.00 | $75.50–$2,620.07 | 67% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING | $203.50 | $407.00 | $75.50–$2,620.07 | 67% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $169.00 | $338.00 | $9.60–$286.58 | 101% above | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $169.00 | $338.00 | $9.60–$286.58 | 101% above | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $155.00 | $310.00 | $20.00–$286.58 | 119% above | 50% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $155.00 | $310.00 | $20.00–$286.58 | 119% above | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX | $155.00 | $310.00 | $56.31–$286.58 | 119% above | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 REMOVAL OF IMPACTED EAR WAX | $155.00 | $310.00 | $56.31–$286.58 | 119% above | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $143.00 | $286.00 | $51.00–$982.15 | 29% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $143.00 | $286.00 | $51.00–$982.15 | 29% below | 50% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE | $10,769.50 | $21,539.00 | $205.80–$34,285.96 | 349% above | 50% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE | $10,769.50 | $21,539.00 | $205.80–$34,285.96 | 349% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,875.50 | $3,751.00 | $89.20–$3,429.24 | 88% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,875.50 | $3,751.00 | $89.20–$3,429.24 | 88% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $2,623.00 | $5,246.00 | $89.20–$3,429.24 | 162% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $2,623.00 | $5,246.00 | $89.20–$3,429.24 | 162% above | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $4,064.00 | $8,128.00 | $72.01–$4,296.88 | 299% above | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $4,064.00 | $8,128.00 | $72.01–$4,296.88 | 299% above | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $10,430.50 | $20,861.00 | $205.80–$17,393.99 | 79% above | 50% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $10,430.50 | $20,861.00 | $205.80–$17,393.99 | 79% above | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,833.00 | $3,666.00 | $53.15–$4,517.86 | 113% above | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,833.00 | $3,666.00 | $53.15–$4,517.86 | 113% above | 50% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $13,618.88 | $27,237.75 | $205.80–$29,369.86 | 40% above | 50% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $13,618.88 | $27,237.75 | $205.80–$29,369.86 | 40% above | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $1,833.00 | $3,666.00 | $46.00–$4,517.86 | 55% above | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $1,833.00 | $3,666.00 | $46.00–$4,517.86 | 55% above | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $3,647.67 | $7,295.34 | $46.00–$4,517.86 | 209% above | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $3,647.67 | $7,295.34 | $46.00–$4,517.86 | 209% above | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES | $558.50 | $1,117.00 | $51.67–$262.97 | 102% above | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INSERTION OF TUBE AND INTRODUCTION OF CONTRAST FOR X-RAY OF UTERUS AND FALLOPIAN TUBES | $558.50 | $1,117.00 | $51.67–$262.97 | 102% above | 50% |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $6,839.50 | $13,679.00 | $205.80–$24,302.50 | 43% above | 50% |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $6,839.50 | $13,679.00 | $205.80–$24,302.50 | 43% above | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $6,839.50 | $13,679.00 | $205.80–$15,726.30 | 63% above | 50% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $6,839.50 | $13,679.00 | $205.80–$15,726.30 | 63% above | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $116.50 | $233.00 | $17.25–$110.00 | 29% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $116.50 | $233.00 | $17.25–$110.00 | 29% below | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $3,325.00 | $6,650.00 | $17.25–$110.00 | 1921% above | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $3,325.00 | $6,650.00 | $17.25–$110.00 | 1921% above | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $414.50 | $829.00 | $23.50–$974.72 | 76% above | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $414.50 | $829.00 | $23.50–$974.72 | 76% above | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $435.00 | $870.00 | $23.50–$974.72 | 85% above | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $435.00 | $870.00 | $23.50–$974.72 | 85% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $624.00 | $1,248.00 | $32.00–$1,491.25 | 88% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $624.00 | $1,248.00 | $32.00–$1,491.25 | 88% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $1,248.00 | $2,496.00 | $23.50–$1,491.25 | 263% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $1,248.00 | $2,496.00 | $23.50–$1,491.25 | 263% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $1,248.00 | $2,496.00 | $293.01–$1,491.25 | 263% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $1,248.00 | $2,496.00 | $293.01–$1,491.25 | 263% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $2,735.50 | $5,471.00 | $293.01–$1,491.25 | 696% above | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $2,735.50 | $5,471.00 | $293.01–$1,491.25 | 696% above | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $147.00 | $294.00 | $48.64–$646.35 | 11% below | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $147.00 | $294.00 | $48.64–$646.35 | 11% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $624.00 | $1,248.00 | $21.50–$1,491.25 | 82% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $624.00 | $1,248.00 | $21.50–$1,491.25 | 82% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $624.00 | $1,248.00 | $293.01–$1,491.25 | 82% above | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $624.00 | $1,248.00 | $293.01–$1,491.25 | 82% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $624.00 | $1,248.00 | $18.00–$1,491.25 | 78% above | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $624.00 | $1,248.00 | $18.00–$1,491.25 | 78% above | 50% |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $11,662.00 | $23,324.00 | $3,123.31–$15,895.77 | 137% above | 50% |
| Knee arthroscopy with meniscus trim one side CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $11,662.00 | $23,324.00 | $3,123.31–$15,895.77 | 137% above | 50% |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $9,062.50 | $18,125.00 | $3,123.31–$15,895.77 | 97% above | 50% |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 REMOVAL OF BOTH KNEE CARTILAGES USING AN ENDOSCOPE | $9,062.50 | $18,125.00 | $3,123.31–$15,895.77 | 97% above | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $10,916.00 | $21,832.00 | $205.80–$29,369.86 | 50% above | 50% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $10,916.00 | $21,832.00 | $205.80–$29,369.86 | 50% above | 50% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE | $36,410.50 | $72,821.00 | $205.80–$51,641.02 | 76% above | 50% |
| Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 STRENGTHENING OF MUSCLE BETWEEN ESOPHAGUS AND STOMACH BY WRAPPING PART OF STOMACH AROUND ESOPHAGUS USING AN ENDOSCOPE | $36,410.50 | $72,821.00 | $205.80–$51,641.02 | 76% above | 50% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $32,198.50 | $64,397.00 | $205.80–$51,641.02 | 108% above | 50% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 REMOVAL OF UTERUS; TUBES; AND/OR OVARIES THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $32,198.50 | $64,397.00 | $205.80–$51,641.02 | 108% above | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $23,306.50 | $46,613.00 | $5,770.79–$29,369.86 | 153% above | 50% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side one side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $23,306.50 | $46,613.00 | $5,770.79–$29,369.86 | 153% above | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $1,208.50 | $2,417.00 | $205.80–$2,671.93 | 64% above | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $1,208.50 | $2,417.00 | $205.80–$2,671.93 | 64% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $168.50 | $337.00 | $24.50–$1,974.89 | 60% below | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $168.50 | $337.00 | $24.50–$1,974.89 | 60% below | 50% |
| 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/< | $947.00 | $1,894.00 | $24.50–$1,974.89 | 123% above | 50% |
| 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/< | $947.00 | $1,894.00 | $24.50–$1,974.89 | 123% above | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,786.00 | $3,572.00 | $74.37–$3,429.24 | 61% above | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,786.00 | $3,572.00 | $74.37–$3,429.24 | 61% above | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,920.00 | $3,840.00 | $74.37–$3,429.24 | 73% above | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,920.00 | $3,840.00 | $74.37–$3,429.24 | 73% above | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,465.50 | $2,931.00 | $71.15–$4,296.88 | 27% above | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,465.50 | $2,931.00 | $71.15–$4,296.88 | 27% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $2,123.50 | $4,247.00 | $95.04–$4,296.88 | 55% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $2,123.50 | $4,247.00 | $95.04–$4,296.88 | 55% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $2,123.50 | $4,247.00 | $844.28–$4,296.88 | 55% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $2,123.50 | $4,247.00 | $844.28–$4,296.88 | 55% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $3,079.00 | $6,158.00 | $844.28–$4,296.88 | 125% above | 50% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $3,079.00 | $6,158.00 | $844.28–$4,296.88 | 125% above | 50% |
| Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST | $4,360.38 | $8,720.75 | $3,737.51–$19,021.68 | 2% below | 50% |
| Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST | $4,360.38 | $8,720.75 | $3,737.51–$19,021.68 | 2% below | 50% |
| Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST | $12,653.50 | $25,307.00 | $3,737.51–$19,021.68 | 185% above | 50% |
| Lumpectomy (partial mastectomy) one side CPT 19301 PARTIAL REMOVAL OF BREAST | $12,653.50 | $25,307.00 | $3,737.51–$19,021.68 | 185% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $1,658.50 | $3,317.00 | $37.50–$3,440.18 | 151% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $1,658.50 | $3,317.00 | $37.50–$3,440.18 | 151% above | 50% |
| 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/< | $131.50 | $263.00 | $54.50–$3,440.18 | 81% below | 50% |
| 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/< | $131.50 | $263.00 | $54.50–$3,440.18 | 81% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $7,010.50 | $14,021.00 | $54.50–$3,440.18 | 922% above | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $7,010.50 | $14,021.00 | $54.50–$3,440.18 | 922% above | 50% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $451.00 | $902.00 | $25.75–$974.72 | 68% above | 50% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $451.00 | $902.00 | $25.75–$974.72 | 68% above | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $633.50 | $1,267.00 | $35.00–$1,491.25 | 73% above | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $633.50 | $1,267.00 | $35.00–$1,491.25 | 73% above | 50% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $4,988.50 | $9,977.00 | $205.80–$50,776.99 | 6% below | 50% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT HEART PM ATRIAL & VENT | $4,988.50 | $9,977.00 | $205.80–$50,776.99 | 6% below | 50% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $1,870.00 | $3,740.00 | $84.33–$4,406.25 | 31% above | 50% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $1,870.00 | $3,740.00 | $84.33–$4,406.25 | 31% above | 50% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,880.00 | $3,760.00 | $84.33–$4,406.25 | 32% above | 50% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,880.00 | $3,760.00 | $84.33–$4,406.25 | 32% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $799.00 | $1,598.00 | $100.00–$1,974.89 | 71% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $799.00 | $1,598.00 | $100.00–$1,974.89 | 71% above | 50% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $4,274.50 | $8,549.00 | $89.50–$215.60 | 42% above | 50% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $4,274.50 | $8,549.00 | $89.50–$215.60 | 42% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $3,591.00 | $7,182.00 | $179.34–$9,486.54 | 63% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $3,591.00 | $7,182.00 | $179.34–$9,486.54 | 63% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $3,591.00 | $7,182.00 | $1,863.98–$9,486.54 | 63% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $3,591.00 | $7,182.00 | $1,863.98–$9,486.54 | 63% above | 50% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,500.50 | $9,001.00 | $173.00–$19,021.68 | 4% above | 50% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,500.50 | $9,001.00 | $173.00–$19,021.68 | 4% above | 50% |
| Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $9,575.50 | $19,151.00 | $3,737.51–$19,021.68 | 122% above | 50% |
| Removal of a breast lump, open surgery one side CPT 19120 REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE | $9,575.50 | $19,151.00 | $3,737.51–$19,021.68 | 122% above | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $108.00 | $216.00 | $30.50–$1,974.89 | 72% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $108.00 | $216.00 | $30.50–$1,974.89 | 72% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $799.00 | $1,598.00 | $30.50–$1,974.89 | 105% above | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $799.00 | $1,598.00 | $30.50–$1,974.89 | 105% above | 50% |
| Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $799.00 | $1,598.00 | $388.04–$1,974.89 | 105% above | 50% |
| Removal of a foreign object under the skin, simple one side CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $799.00 | $1,598.00 | $388.04–$1,974.89 | 105% above | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,025.00 | $6,050.00 | $138.72–$4,517.86 | 102% above | 50% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $3,025.00 | $6,050.00 | $138.72–$4,517.86 | 102% above | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $1,166.67 | $2,333.33 | $138.20–$4,517.86 | 16% below | 50% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $1,166.67 | $2,333.33 | $138.20–$4,517.86 | 16% below | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $13,712.50 | $27,425.00 | $205.80–$17,124.76 | 65% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $13,712.50 | $27,425.00 | $205.80–$17,124.76 | 65% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $9,266.50 | $18,533.00 | $3,364.79–$17,124.76 | 11% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $9,266.50 | $18,533.00 | $3,364.79–$17,124.76 | 11% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $9,734.50 | $19,469.00 | $3,364.79–$17,124.76 | 17% above | 50% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $9,734.50 | $19,469.00 | $3,364.79–$17,124.76 | 17% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $321.50 | $643.00 | $45.50–$1,358.82 | 12% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST | $321.50 | $643.00 | $45.50–$1,358.82 | 12% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $276.50 | $553.00 | $26.00–$646.35 | 50% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $276.50 | $553.00 | $26.00–$646.35 | 50% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $290.50 | $581.00 | $26.00–$646.35 | 58% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $290.50 | $581.00 | $26.00–$646.35 | 58% above | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $276.50 | $553.00 | $127.00–$646.35 | 50% above | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $276.50 | $553.00 | $127.00–$646.35 | 50% above | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $276.50 | $553.00 | $127.00–$646.35 | 50% above | 50% |
| Short arm splint (forearm and hand) one side CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $276.50 | $553.00 | $127.00–$646.35 | 50% above | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $368.00 | $736.00 | $35.00–$789.47 | 59% above | 50% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $368.00 | $736.00 | $35.00–$789.47 | 59% above | 50% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $350.50 | $701.00 | $155.12–$789.47 | 52% above | 50% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $350.50 | $701.00 | $155.12–$789.47 | 52% above | 50% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $350.50 | $701.00 | $155.12–$789.47 | 52% above | 50% |
| Short leg splint (calf to foot) one side CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $350.50 | $701.00 | $155.12–$789.47 | 52% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $452.00 | $904.00 | $24.50–$974.72 | 60% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $452.00 | $904.00 | $24.50–$974.72 | 60% above | 50% |
| 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/< | $474.50 | $949.00 | $24.50–$974.72 | 68% above | 50% |
| 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/< | $474.50 | $949.00 | $24.50–$974.72 | 68% above | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $466.50 | $933.00 | $40.43–$1,974.89 | 21% above | 50% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $466.50 | $933.00 | $40.43–$1,974.89 | 21% above | 50% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $414.50 | $829.00 | $31.00–$974.72 | 112% above | 50% |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $414.50 | $829.00 | $31.00–$974.72 | 112% above | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $779.00 | $1,558.00 | $42.00–$3,429.24 | 23% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $779.00 | $1,558.00 | $42.00–$3,429.24 | 23% below | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $452.00 | $904.00 | $35.50–$974.72 | 75% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $452.00 | $904.00 | $35.50–$974.72 | 75% above | 50% |
| 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 | $474.50 | $949.00 | $35.50–$974.72 | 84% above | 50% |
| 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 | $474.50 | $949.00 | $35.50–$974.72 | 84% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $452.00 | $904.00 | $31.50–$974.72 | 57% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $452.00 | $904.00 | $31.50–$974.72 | 57% above | 50% |
| 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/< | $474.50 | $949.00 | $31.50–$974.72 | 64% above | 50% |
| 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/< | $474.50 | $949.00 | $31.50–$974.72 | 64% above | 50% |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $13,337.50 | $26,675.00 | $205.80–$26,048.26 | 170% above | 50% |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $13,337.50 | $26,675.00 | $205.80–$26,048.26 | 170% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $414.50 | $829.00 | $32.23–$1,974.89 | 20% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $414.50 | $829.00 | $32.23–$1,974.89 | 20% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,615.00 | $3,230.00 | $88.70–$3,047.48 | 29% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $1,615.00 | $3,230.00 | $88.70–$3,047.48 | 29% above | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $1,502.50 | $3,005.00 | $598.79–$3,047.48 | 20% above | 50% |
| Thoracentesis with imaging guidance one side CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $1,502.50 | $3,005.00 | $598.79–$3,047.48 | 20% above | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $9,746.50 | $19,493.00 | $205.80–$28,759.23 | 86% above | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $9,746.50 | $19,493.00 | $205.80–$28,759.23 | 86% above | 50% |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $27,537.50 | $55,075.00 | $12,255.24–$62,371.82 | 171% above | 50% |
| Total hip replacement one side CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $27,537.50 | $55,075.00 | $12,255.24–$62,371.82 | 171% above | 50% |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $31,070.50 | $62,141.00 | $12,255.24–$62,371.82 | 205% above | 50% |
| Total knee replacement one side CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $31,070.50 | $62,141.00 | $12,255.24–$62,371.82 | 205% above | 50% |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $28,220.50 | $56,441.00 | $16,737.01–$85,181.34 | 184% above | 50% |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $28,220.50 | $56,441.00 | $16,737.01–$85,181.34 | 184% above | 50% |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $29,858.50 | $59,717.00 | $16,737.01–$85,181.34 | 200% above | 50% |
| Total shoulder replacement one side CPT 23472 PROSTHETIC REPAIR OF SHOULDER JOINT; TOTAL SHOULDER | $29,858.50 | $59,717.00 | $16,737.01–$85,181.34 | 200% above | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $605.50 | $1,211.00 | $31.06–$1,491.25 | 106% above | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $605.50 | $1,211.00 | $31.06–$1,491.25 | 106% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $3,600.50 | $7,201.00 | $138.89–$8,023.69 | 52% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $3,600.50 | $7,201.00 | $138.89–$8,023.69 | 52% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,349.50 | $6,699.00 | $1,576.55–$8,023.69 | 41% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,349.50 | $6,699.00 | $1,576.55–$8,023.69 | 41% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,349.50 | $6,699.00 | $1,576.55–$8,023.69 | 41% above | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BIOPSY OF BREAST AND PLACEMENT OF LOCATING DEVICE USING ULTRASOUND; FIRST GROWTH | $3,349.50 | $6,699.00 | $1,576.55–$8,023.69 | 41% above | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $1,750.00 | $3,500.00 | $205.80–$9,322.25 | 12% above | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $1,750.00 | $3,500.00 | $205.80–$9,322.25 | 12% above | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $283.50 | $567.00 | $148.58–$4,406.25 | 74% below | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $283.50 | $567.00 | $148.58–$4,406.25 | 74% below | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $4,250.00 | $8,500.00 | $148.58–$4,406.25 | 292% above | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $4,250.00 | $8,500.00 | $148.58–$4,406.25 | 292% above | 50% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $4,500.00 | $9,000.00 | $151.55–$4,406.25 | 197% above | 50% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 INJECTION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $4,500.00 | $9,000.00 | $151.55–$4,406.25 | 197% above | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,083.34 | $2,166.67 | $189.35–$9,322.25 | 25% below | 50% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,083.34 | $2,166.67 | $189.35–$9,322.25 | 25% below | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,000.00 | $4,000.00 | $105.00–$4,406.25 | 141% above | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,000.00 | $4,000.00 | $105.00–$4,406.25 | 141% above | 50% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $10,441.50 | $20,883.00 | $205.80–$26,048.26 | 66% above | 50% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $10,441.50 | $20,883.00 | $205.80–$26,048.26 | 66% above | 50% |
| Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $10,020.50 | $20,041.00 | $5,118.14–$26,048.26 | 59% above | 50% |
| Ureteroscopy with laser stone breaking (lithotripsy) one side CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE | $10,020.50 | $20,041.00 | $5,118.14–$26,048.26 | 59% above | 50% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $6,820.67 | $13,641.34 | $5,118.14–$26,048.26 | 6% above | 50% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $6,820.67 | $13,641.34 | $5,118.14–$26,048.26 | 6% above | 50% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $9,487.00 | $18,974.00 | $5,118.14–$26,048.26 | 48% above | 50% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 CRUSHING OF STONE OF URETER WITH INSERTION OF STENT USING AN ENDOSCOPE | $9,487.00 | $18,974.00 | $5,118.14–$26,048.26 | 48% above | 50% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $1,840.00 | $3,680.00 | $1,868.92–$11,624.80 | — | 50% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $1,840.00 | $3,680.00 | $1,868.92–$11,624.80 | — | 50% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT | $6,839.67 | $13,679.34 | $148.50–$10,155.29 | 169% above | 50% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT | $6,839.67 | $13,679.34 | $148.50–$10,155.29 | 169% above | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $6,603.00 | $13,206.00 | $205.80–$15,339.40 | 130% above | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS RF 1ST VEIN | $6,603.00 | $13,206.00 | $205.80–$15,339.40 | 130% above | 50% |
| Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE | $6,603.00 | $13,206.00 | $3,013.99–$15,339.40 | 130% above | 50% |
| Vein ablation, radiofrequency, first vein one side CPT 36475 DESTRUCTION OF FIRST INCOMPETENT VEIN OF ARM OR LEG USING RADIOFREQUENCY AND IMAGING GUIDANCE | $6,603.00 | $13,206.00 | $3,013.99–$15,339.40 | 130% above | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $129.50 | $259.00 | $49.00–$974.72 | 37% below | 50% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $129.50 | $259.00 | $49.00–$974.72 | 37% below | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $799.00 | $1,598.00 | $33.00–$1,974.89 | 112% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $799.00 | $1,598.00 | $33.00–$1,974.89 | 112% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $839.00 | $1,678.00 | $33.00–$1,974.89 | 123% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $839.00 | $1,678.00 | $33.00–$1,974.89 | 123% above | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $924.50 | $1,849.00 | $27.84–$2,143.30 | 45% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $924.50 | $1,849.00 | $27.84–$2,143.30 | 45% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $994.00 | $1,988.00 | $27.84–$2,143.30 | 56% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $994.00 | $1,988.00 | $27.84–$2,143.30 | 56% above | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $433.50 | $867.00 | $750.00–$12,172.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $433.50 | $867.00 | $750.00–$12,172.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $466.00 | $932.00 | $750.00–$12,172.00 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $466.00 | $932.00 | $750.00–$12,172.00 | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $718.00 | $1,436.00 | $83.64–$1,604.69 | 17% above | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $718.00 | $1,436.00 | $83.64–$1,604.69 | 17% above | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $772.00 | $1,544.00 | $83.64–$1,604.69 | 26% above | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR | $772.00 | $1,544.00 | $83.64–$1,604.69 | 26% above | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $148.00 | $296.00 | $23.42–$625.13 | 8% above | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST | $148.00 | $296.00 | $23.42–$625.13 | 8% above | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,841.50 | $3,683.00 | $151.63–$4,012.94 | 46% above | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $1,841.50 | $3,683.00 | $151.63–$4,012.94 | 46% above | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY | $611.00 | $1,222.00 | $13.50–$1,049.03 | 2% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY | $611.00 | $1,222.00 | $13.50–$1,049.03 | 2% below | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $657.00 | $1,314.00 | $13.50–$1,049.03 | 6% above | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $657.00 | $1,314.00 | $13.50–$1,049.03 | 6% above | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $23.50 | $47.00 | $10.55–$24.22 | 84% below | 50% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $23.50 | $47.00 | $10.55–$24.22 | 84% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $134.00 | $268.00 | $4.38–$286.58 | 11% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $134.00 | $268.00 | $4.38–$286.58 | 11% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $144.00 | $288.00 | $4.38–$286.58 | 19% above | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $144.00 | $288.00 | $4.38–$286.58 | 19% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $186.00 | $372.00 | $16.19–$1,200.00 | 17% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $186.00 | $372.00 | $16.19–$1,200.00 | 17% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $204.00 | $408.00 | $16.19–$1,200.00 | 28% above | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $204.00 | $408.00 | $16.19–$1,200.00 | 28% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $319.50 | $639.00 | $26.85–$1,200.00 | 26% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $319.50 | $639.00 | $26.85–$1,200.00 | 26% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $387.50 | $775.00 | $26.85–$1,200.00 | 53% above | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $387.50 | $775.00 | $26.85–$1,200.00 | 53% above | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $561.00 | $1,122.00 | $35.00–$1,326.20 | 40% above | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $561.00 | $1,122.00 | $35.00–$1,326.20 | 40% above | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $583.50 | $1,167.00 | $35.00–$1,326.20 | 45% above | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $583.50 | $1,167.00 | $35.00–$1,326.20 | 45% above | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $882.00 | $1,764.00 | $50.00–$2,027.11 | 29% above | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $882.00 | $1,764.00 | $50.00–$2,027.11 | 29% above | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $948.50 | $1,897.00 | $50.00–$2,027.11 | 38% above | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $948.50 | $1,897.00 | $50.00–$2,027.11 | 38% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,266.00 | $2,532.00 | $50.00–$2,893.17 | 33% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,266.00 | $2,532.00 | $50.00–$2,893.17 | 33% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,409.50 | $2,819.00 | $50.00–$2,893.17 | 49% above | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $1,409.50 | $2,819.00 | $50.00–$2,893.17 | 49% above | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $611.00 | $1,222.00 | $25.74–$1,049.03 | 5% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $611.00 | $1,222.00 | $25.74–$1,049.03 | 5% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $611.50 | $1,223.00 | $25.74–$1,049.03 | 4% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $611.50 | $1,223.00 | $25.74–$1,049.03 | 4% below | 50% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS | $100.00 | $200.00 | $48.64–$118.00 | 86% below | 50% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 XTRNL ECG REC UP TO 48 HRS | $100.00 | $200.00 | $48.64–$118.00 | 86% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $447.00 | $894.00 | $21.36–$1,033.35 | 98% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $447.00 | $894.00 | $21.36–$1,033.35 | 98% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $469.50 | $939.00 | $21.36–$1,033.35 | 108% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $469.50 | $939.00 | $21.36–$1,033.35 | 108% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $492.50 | $985.00 | $39.30–$1,033.35 | 99% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $492.50 | $985.00 | $39.30–$1,033.35 | 99% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $517.00 | $1,034.00 | $39.30–$1,033.35 | 109% above | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $517.00 | $1,034.00 | $39.30–$1,033.35 | 109% above | 50% |
| IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN | $517.00 | $1,034.00 | $24.19–$1,033.35 | 153% above | 50% |
| IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN | $517.00 | $1,034.00 | $24.19–$1,033.35 | 153% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $202.00 | $404.00 | $10.29–$349.79 | 183% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $202.00 | $404.00 | $10.29–$349.79 | 183% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION; 7-8 STUDIES | $859.00 | $1,718.00 | $58.99–$1,812.84 | 100% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION; 7-8 STUDIES | $859.00 | $1,718.00 | $58.99–$1,812.84 | 100% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $923.50 | $1,847.00 | $58.99–$1,812.84 | 115% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $923.50 | $1,847.00 | $58.99–$1,812.84 | 115% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $97.00 | $194.00 | $23.68–$156.86 | 25% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $97.00 | $194.00 | $23.68–$156.86 | 25% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $126.50 | $253.00 | $35.00–$209.12 | 85% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $126.50 | $253.00 | $35.00–$209.12 | 85% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $103.00 | $206.00 | $23.42–$129.42 | 115% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $103.00 | $206.00 | $23.42–$129.42 | 115% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $412.00 | $824.00 | $23.42–$129.42 | 758% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $412.00 | $824.00 | $23.42–$129.42 | 758% above | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $250.50 | $501.00 | $61.73–$479.88 | 36% above | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $250.50 | $501.00 | $61.73–$479.88 | 36% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $261.00 | $522.00 | $63.61–$468.07 | 24% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $261.00 | $522.00 | $63.61–$468.07 | 24% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $274.00 | $548.00 | $63.61–$468.07 | 48% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $274.00 | $548.00 | $63.61–$468.07 | 48% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $261.00 | $522.00 | $63.61–$468.07 | 25% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $261.00 | $522.00 | $63.61–$468.07 | 25% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $84.00 | $168.00 | $20.08–$133.14 | 26% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $84.00 | $168.00 | $20.08–$133.14 | 26% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $93.00 | $186.00 | $21.36–$139.50 | 32% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $93.00 | $186.00 | $21.36–$139.50 | 32% above | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $108.50 | $217.00 | $70.52–$311.30 | 32% above | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $108.50 | $217.00 | $70.52–$311.30 | 32% above | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $116.50 | $233.00 | $85.19–$311.30 | 29% above | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $116.50 | $233.00 | $85.19–$311.30 | 29% above | 50% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $129.50 | $259.00 | $91.36–$95.71 | 18% above | 50% |
| Preventive checkup, new patient aged 65 or older CPT 99387 INIT PM E/M NEW PAT 65+ YRS | $129.50 | $259.00 | $91.36–$95.71 | 18% above | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $132.00 | $264.00 | $64.34–$311.30 | 101% above | 50% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39 | $132.00 | $264.00 | $64.34–$311.30 | 101% above | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $121.50 | $243.00 | $70.00–$311.30 | 63% above | 50% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT EST AGE 40-64 | $121.50 | $243.00 | $70.00–$311.30 | 63% above | 50% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $140.00 | $280.00 | $73.34–$76.84 | 108% above | 50% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PER PM REEVAL EST PAT 65+ YR | $140.00 | $280.00 | $73.34–$76.84 | 108% above | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $10.50 | $21.00 | $9.01–$182.00 | 71% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN | $10.50 | $21.00 | $9.01–$182.00 | 71% below | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $126.50 | $253.00 | $40.00–$291.62 | 62% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $126.50 | $253.00 | $40.00–$291.62 | 62% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $126.50 | $253.00 | $54.42–$429.85 | 30% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $126.50 | $253.00 | $54.42–$429.85 | 30% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $126.50 | $253.00 | $26.51–$158.69 | 96% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $126.50 | $253.00 | $26.51–$158.69 | 96% above | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $134.50 | $269.00 | $66.14–$69.29 | 20% above | 50% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $134.50 | $269.00 | $66.14–$69.29 | 20% above | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $215.00 | $430.00 | $99.86–$104.61 | 117% above | 50% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $215.00 | $430.00 | $99.86–$104.61 | 117% above | 50% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $622.50 | $1,245.00 | $168.05–$1,088.01 | 124% above | 50% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $622.50 | $1,245.00 | $168.05–$1,088.01 | 124% above | 50% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $231.50 | $463.00 | $21.70–$366.69 | 50% above | 50% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $231.50 | $463.00 | $21.70–$366.69 | 50% above | 50% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $346.50 | $693.00 | $5.92–$1,049.03 | 67% above | 50% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $346.50 | $693.00 | $5.92–$1,049.03 | 67% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION | $611.00 | $1,222.00 | $7.47–$1,812.84 | 57% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION | $611.00 | $1,222.00 | $7.47–$1,812.84 | 57% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $657.00 | $1,314.00 | $7.47–$1,812.84 | 69% above | 50% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $657.00 | $1,314.00 | $7.47–$1,812.84 | 69% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $107.00 | $214.00 | $25.22–$165.86 | 41% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $107.00 | $214.00 | $25.22–$165.86 | 41% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $258.50 | $517.00 | $10.00–$646.35 | 72% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $258.50 | $517.00 | $10.00–$646.35 | 72% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $278.00 | $556.00 | $10.00–$646.35 | 85% above | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $278.00 | $556.00 | $10.00–$646.35 | 85% above | 50% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $76.50 | $153.00 | $51.73–$113.09 | 91% below | 50% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIOVASCULAR STRESS TEST | $76.50 | $153.00 | $51.73–$113.09 | 91% below | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $73.00 | $146.00 | $10.00–$12.60 | at median | 50% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 IIV ADJUVANT VACCINE IM | $73.00 | $146.00 | $10.00–$12.60 | at median | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $124.00 | $248.00 | $40.00–$50.40 | 20% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $124.00 | $248.00 | $40.00–$50.40 | 20% below | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $100.50 | $201.00 | $40.00–$50.40 | 33% below | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $100.50 | $201.00 | $40.00–$50.40 | 33% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $183.00 | $366.00 | $10.00–$12.60 | 8% below | 50% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ | $183.00 | $366.00 | $10.00–$12.60 | 8% below | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM | $46.00 | $92.00 | $10.00–$12.60 | 30% below | 50% |
| DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM | $46.00 | $92.00 | $10.00–$12.60 | 30% below | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM | $27.50 | $55.00 | $10.00–$12.60 | 13% below | 50% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM | $27.50 | $55.00 | $10.00–$12.60 | 13% below | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM | $63.00 | $126.00 | $10.00–$12.60 | 31% below | 50% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM | $63.00 | $126.00 | $10.00–$12.60 | 31% below | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM | $106.00 | $212.00 | $10.00–$12.60 | at median | 50% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM | $106.00 | $212.00 | $10.00–$12.60 | at median | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $13.00 | $26.00 | $10.00–$12.60 | 33% below | 50% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $13.00 | $26.00 | $10.00–$12.60 | 33% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $290.50 | $581.00 | $10.00–$12.60 | 8% below | 50% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM | $290.50 | $581.00 | $10.00–$12.60 | 8% below | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $95.50 | $191.00 | $10.00–$12.60 | 33% below | 50% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEP A/HEP B VACC ADULT IM | $95.50 | $191.00 | $10.00–$12.60 | 33% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $65.00 | $130.00 | $10.00–$12.60 | 33% below | 50% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPA VACCINE ADULT IM | $65.00 | $130.00 | $10.00–$12.60 | 33% below | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM | $32.50 | $65.00 | $10.00–$12.60 | 10% below | 50% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM | $32.50 | $65.00 | $10.00–$12.60 | 10% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $46.50 | $93.00 | $10.00–$12.60 | 30% below | 50% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $46.50 | $93.00 | $10.00–$12.60 | 30% below | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM | $127.00 | $254.00 | $10.00–$12.60 | at median | 50% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPB VACC 2/4 DOSE ADULT IM | $127.00 | $254.00 | $10.00–$12.60 | at median | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $21.50 | $43.00 | $10.00–$12.60 | 33% below | 50% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC 3 DOSE PED/ADOL IM | $21.50 | $43.00 | $10.00–$12.60 | 33% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM | $28.00 | $56.00 | $10.00–$12.60 | at median | 50% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HIB PRP-OMP VACC 3 DOSE IM | $28.00 | $56.00 | $10.00–$12.60 | at median | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM | $12.50 | $25.00 | $10.00–$12.60 | 26% below | 50% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM | $12.50 | $25.00 | $10.00–$12.60 | 26% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $79.50 | $159.00 | $10.00–$12.60 | 1% below | 50% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $79.50 | $159.00 | $10.00–$12.60 | 1% below | 50% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 INACTIVATED JE VACC IM | $354.50 | $709.00 | $10.00–$12.60 | at median | 50% |
| Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 INACTIVATED JE VACC IM | $354.50 | $709.00 | $10.00–$12.60 | at median | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $86.00 | $172.00 | $10.00–$12.60 | 27% below | 50% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $86.00 | $172.00 | $10.00–$12.60 | 27% below | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC | $269.50 | $539.00 | $10.00–$12.60 | 11% below | 50% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC | $269.50 | $539.00 | $10.00–$12.60 | 11% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $113.50 | $227.00 | $10.00–$12.60 | 27% below | 50% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENACWYD/MENACWYCRM VACC IM | $113.50 | $227.00 | $10.00–$12.60 | 27% below | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM | $147.00 | $294.00 | $10.00–$12.60 | 15% below | 50% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM | $147.00 | $294.00 | $10.00–$12.60 | 15% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $153.00 | $306.00 | $10.00–$12.60 | 33% below | 50% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENB-4C VACCINE IM | $153.00 | $306.00 | $10.00–$12.60 | 33% below | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM | $170.00 | $340.00 | $10.00–$12.60 | at median | 50% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENB-FHBP VACC 2/3 DOSE IM | $170.00 | $340.00 | $10.00–$12.60 | at median | 50% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 LAIV3 VACCINE INTRANASAL | $24.50 | $49.00 | $10.00–$12.60 | at median | 50% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 LAIV3 VACCINE INTRANASAL | $24.50 | $49.00 | $10.00–$12.60 | at median | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM | $130.50 | $261.00 | $10.00–$12.60 | 37% below | 50% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM | $130.50 | $261.00 | $10.00–$12.60 | 37% below | 50% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM | $181.50 | $363.00 | $10.00–$12.60 | at median | 50% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PCV15 VACCINE IM | $181.50 | $363.00 | $10.00–$12.60 | at median | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $242.50 | $485.00 | $10.00–$12.60 | 33% below | 50% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $242.50 | $485.00 | $10.00–$12.60 | 33% below | 50% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 VACCINE IM | $222.50 | $445.00 | $10.00–$12.60 | 6% below | 50% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PCV21 VACCINE IM | $222.50 | $445.00 | $10.00–$12.60 | 6% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $105.50 | $211.00 | $10.00–$12.60 | 4% below | 50% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM | $105.50 | $211.00 | $10.00–$12.60 | 4% below | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM | $41.00 | $82.00 | $10.00–$12.60 | at median | 50% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM | $41.00 | $82.00 | $10.00–$12.60 | at median | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1 ML IM | $1,183.50 | $2,367.00 | $10.00–$12.60 | 50% above | 50% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 RSV MONOC ANTB SEASN 1 ML IM | $1,183.50 | $2,367.00 | $10.00–$12.60 | 50% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $1,183.50 | $2,367.00 | $10.00–$12.60 | 50% above | 50% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 RSV MONOC ANTB SEASN .5ML IM | $1,183.50 | $2,367.00 | $10.00–$12.60 | 50% above | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $271.00 | $542.00 | $10.00–$12.60 | at median | 50% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC PREF BIVALENT IM | $271.00 | $542.00 | $10.00–$12.60 | at median | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IM | $228.00 | $456.00 | $10.00–$12.60 | at median | 50% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSV VACC PREF RECOMB ADJT IM | $228.00 | $456.00 | $10.00–$12.60 | at median | 50% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $326.32 | $652.64 | $10.00–$1,689.58 | 33% below | 50% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $326.32 | $652.64 | $10.00–$1,689.58 | 33% below | 50% |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies | $334.89 | $669.78 | $10.00–$1,689.58 | 32% below | 50% |
| Rabies vaccine, one dose CPT 90675 Imovax Rabies | $334.89 | $669.78 | $10.00–$1,689.58 | 32% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $379.50 | $759.00 | $10.00–$1,689.58 | 22% below | 50% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $379.50 | $759.00 | $10.00–$1,689.58 | 22% below | 50% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL | $103.00 | $206.00 | $10.00–$12.60 | 31% below | 50% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL | $103.00 | $206.00 | $10.00–$12.60 | 31% below | 50% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $84.50 | $169.00 | $10.00–$12.60 | 14% below | 50% |
| Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL | $84.50 | $169.00 | $10.00–$12.60 | 14% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $174.50 | $349.00 | $10.00–$12.60 | 18% below | 50% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM | $174.50 | $349.00 | $10.00–$12.60 | 18% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $39.00 | $78.00 | $10.00–$12.60 | 24% below | 50% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACC NO PRESV 7 YRS+ IM | $39.00 | $78.00 | $10.00–$12.60 | 24% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS | $34.23 | $68.45 | $10.00–$12.60 | 33% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix PFS | $34.23 | $68.45 | $10.00–$12.60 | 33% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $39.00 | $78.00 | $10.00–$12.60 | 24% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $39.00 | $78.00 | $10.00–$12.60 | 24% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $45.50 | $91.00 | $10.00–$12.60 | 11% below | 50% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $45.50 | $91.00 | $10.00–$12.60 | 11% below | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM | $141.50 | $283.00 | $10.00–$12.60 | at median | 50% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VACCINE IM | $141.50 | $283.00 | $10.00–$12.60 | at median | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $164.00 | $328.00 | $12.60–$349.79 | 277% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $164.00 | $328.00 | $12.60–$349.79 | 277% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $176.50 | $353.00 | $12.60–$349.79 | 306% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $176.50 | $353.00 | $12.60–$349.79 | 306% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $79.50 | $159.00 | $12.60–$13.20 | 224% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $79.50 | $159.00 | $12.60–$13.20 | 224% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $85.50 | $171.00 | $12.60–$13.20 | 249% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $85.50 | $171.00 | $12.60–$13.20 | 249% above | 50% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SUBQ | $205.50 | $411.00 | $10.00–$12.60 | at median | 50% |
| Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SUBQ | $205.50 | $411.00 | $10.00–$12.60 | at median | 50% |
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://wvumedicine.org/wp-content/uploads/2026/11/550387249_Weirton-Medical-Center-Inc_standardcharges.csv