Sentara RMH Medical Center
Sentara RMH Medical Center in Harrisonburg, VA publishes cash prices for 389 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Virginia median for 328 of 385 procedures and above it for 47. By typical cash price it ranks #11 of 66 Virginia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
2010 Health Campus Drive, Harrisonburg, VA 22801 Collected Oct 17, 2026 Source price file Check a bill from this hospital (540) 689-1000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 490004 · CMS hospital register NPI 1780694372
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Sentara RMH Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Sentara RMH Medical Center in Harrisonburg, VA:
- Aug 25, 2021 Warning notice
- Mar 31, 2022 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Chgr-Ct Abdomen W/Wo Contrast | $1,474.00 | $2,948.00 | — | 22% below | 50% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Chgr-Ct Abdomen W/Wo Contrast | $1,474.00 | $2,948.00 | — | — | 50% |
| Abdominal X-ray, 2 views CPT 74019 X-Ray Exam Abdomen 2 Views | $330.00 | $660.00 | — | 1% above | 50% |
| Abdominal X-ray, 2 views CPT 74019 Chg-X-Ray Exam Abdomen 2 Views | $330.00 | $660.00 | — | 1% above | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Chg-X-Ray Exam Abdomen 2 Views | $330.00 | $660.00 | — | — | 50% |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-Ray Exam Abdomen 2 Views | $330.00 | $660.00 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Chg - Ankle Min 3 Vw | $213.00 | $426.00 | — | 37% below | 50% |
| Ankle X-ray, complete, 3 or more views CPT 73610 Chgr-Ankle Comp | $213.00 | $426.00 | — | 37% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Chgr-Ankle Comp | $213.00 | $426.00 | — | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Chg - Ankle Min 3 Vw | $213.00 | $426.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Chgr-Pv Ankle Arm Index | $225.00 | $450.00 | — | 42% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Chg - Digital Waveforms And Pressure | $225.00 | $450.00 | — | 42% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Chgr-Pv Allen Test | $225.00 | $450.00 | — | 42% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Chgr-Pv Digital Pressures | $225.00 | $450.00 | — | 42% below | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Chgr-Pv Allen Test | $225.00 | $450.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Chgr-Pv Ankle Arm Index | $225.00 | $450.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Chg - Digital Waveforms And Pressure | $225.00 | $450.00 | — | — | 50% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Chgr-Pv Digital Pressures | $225.00 | $450.00 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 Chgr-Ct Ue Bilat W/O Contrast | $974.00 | $1,948.00 | — | — | 50% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 Chgr-Ct Ue Bilat W/O Contrast | $974.00 | $1,948.00 | — | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Urography Retrograde With/Wo Kub | $467.00 | $934.00 | — | 4% below | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Chgr-Barium Swallow | $479.00 | $958.00 | — | 1% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Urography Retrograde With/Wo Kub | $467.00 | $934.00 | — | — | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Chgr-Barium Swallow | $479.00 | $958.00 | — | — | 50% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Chgr-Bone Scan Whole Body | $909.50 | $1,819.00 | — | 35% below | 50% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Chgr-Bone Scan Whole Body | $909.50 | $1,819.00 | — | — | 50% |
| Breast ultrasound, complete, one breast CPT 76641 Chgr Ultrasound Breast Complete | $387.00 | $774.00 | — | 31% below | 50% |
| Breast ultrasound, complete, one breast CPT 76641 Chg - Ultrasound Breast Complete | $387.00 | $774.00 | — | 31% below | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Chg - Ultrasound Breast Complete | $387.00 | $774.00 | — | — | 50% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Chgr Ultrasound Breast Complete | $387.00 | $774.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 76642 Ultrasound Breast Limited | $351.50 | $703.00 | — | 29% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Chg - Ultrasound Breast Limited | $351.50 | $703.00 | — | 29% below | 50% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Chgr Ultrasound Breast Limited | $351.50 | $703.00 | — | 29% below | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Chgr Ultrasound Breast Limited | $351.50 | $703.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Chg - Ultrasound Breast Limited | $351.50 | $703.00 | — | — | 50% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 Ultrasound Breast Limited | $351.50 | $703.00 | — | — | 50% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Chgr-Ct Cta Abd&Plv,W/Wo Inc Post Proc | $2,598.00 | $5,196.00 | — | 13% below | 50% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Chgr-Ct Cta Abd&Plv,W/Wo Inc Post Proc | $2,598.00 | $5,196.00 | — | — | 50% |
| CT angiography (CTA) of the head CPT 70496 Chgr-Cta Head W/Wo Inc Post Proc | $1,137.00 | $2,274.00 | — | 37% below | 50% |
| CT angiography (CTA) of the head CPT 70496 Chgr-Stroke Cta Head W/Wo Inc Post | $1,137.00 | $2,274.00 | — | 37% below | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 Chgr-Cta Head W/Wo Inc Post Proc | $1,137.00 | $2,274.00 | — | — | 50% |
| CT angiography (CTA) of the head inpatient CPT 70496 Chgr-Stroke Cta Head W/Wo Inc Post | $1,137.00 | $2,274.00 | — | — | 50% |
| CT angiography (CTA) of the neck CPT 70498 Chgr-Ct Cta Neck W / Wo Inc Post Proc | $1,101.50 | $2,203.00 | — | 43% below | 50% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Chgr-Ct Cta Neck W / Wo Inc Post Proc | $1,101.50 | $2,203.00 | — | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Chgr-Ct Cta Chest | $1,252.50 | $2,505.00 | — | 30% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Chgr-Ct Cta Chest | $1,252.50 | $2,505.00 | — | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Chgr-Public Services Cardiac Cta Screening | $225.00 | $450.00 | — | 75% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Chgr-Ct Cta Heart Angiography | $412.50 | $825.00 | — | 55% below | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Chgr-Public Services Cardiac Cta Screening | $225.00 | $450.00 | — | — | 50% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Chgr-Ct Cta Heart Angiography | $412.50 | $825.00 | — | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Chgr Ct Self-Pay Cor Art Calc Score | $75.00 | $150.00 | — | 62% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Chg - Ct Heart Calcium Scoring | $75.00 | $150.00 | — | 62% below | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Chg - Ct Heart Calcium Scoring | $75.00 | $150.00 | — | — | 50% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Chgr Ct Self-Pay Cor Art Calc Score | $75.00 | $150.00 | — | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Chgr-Ct Abd/Pelvis W/O Contrast | $1,625.50 | $3,251.00 | — | 26% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Chgr-Ct Abd/Pelvis W/O Contrast | $1,625.50 | $3,251.00 | — | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Chgr-Ct Abd/Pelvis W/ Contrast | $2,319.00 | $4,638.00 | — | 25% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Chgr-Ct Abd/Pelvis W/ Contrast | $2,319.00 | $4,638.00 | — | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Chgr-Ct Abd/Pelvis W/Wo | $3,108.00 | $6,216.00 | — | 10% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Chgr-Ct Abd/Pelvis W/Wo | $3,108.00 | $6,216.00 | — | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 Chgr-Ct Abdomen W / Contrast | $1,189.00 | $2,378.00 | — | 28% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Chgr-Ct Abdomen W / Contrast | $1,189.00 | $2,378.00 | — | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 Chgr-Ct Abdomen W / O Contrast | $821.00 | $1,642.00 | — | 42% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Chgr-Ct Abdomen W / O Contrast | $821.00 | $1,642.00 | — | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Chgr-Ct Facial W/O Contrast | $885.00 | $1,770.00 | — | 32% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Chgr-Ct Facial W/O Contrast | $885.00 | $1,770.00 | — | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 Chgr-Ct Head Region W/O Contrast | $845.50 | $1,691.00 | — | 36% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Chgr-Ct Head Region W/O Contrast | $845.50 | $1,691.00 | — | — | 50% |
| CT scan of the head with contrast CPT 70460 Chgr-Ct Head / St Neck W / Contrast | $1,124.50 | $2,249.00 | — | 26% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 Chgr-Ct Head / St Neck W / Contrast | $1,124.50 | $2,249.00 | — | — | 50% |
| CT scan of the head without and with contrast CPT 70470 Chgr-Ct Head W/Wo Contrast | $1,383.50 | $2,767.00 | — | 21% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 Chgr-Ct Head W/Wo Contrast | $1,383.50 | $2,767.00 | — | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Chgr-Ct Lumbar Spine W / O Contrast | $1,046.50 | $2,093.00 | — | 34% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Chgr-Ct Lumbar Spine W / O Contrast | $1,046.50 | $2,093.00 | — | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Chgr-Ct Cervical Spine W / O Contrast | $1,046.50 | $2,093.00 | — | 35% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Chgr-Ct Cervical Spine W / O Contrast | $1,046.50 | $2,093.00 | — | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 Chgr-Ct Pelvis W / Contrast | $1,131.00 | $2,262.00 | — | 33% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Chgr-Ct Pelvis W / Contrast | $1,131.00 | $2,262.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Chgr-Duplex Scan Extracranial Art Compl Bi Study | $645.00 | $1,290.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Chg - Carotid Duplex Bilat | $645.00 | $1,290.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Chgr-Pv Carotid Artery | $645.00 | $1,290.00 | — | 70% below | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Chg - Carotid Duplex Bilat | $645.00 | $1,290.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Chgr-Duplex Scan Extracranial Art Compl Bi Study | $645.00 | $1,290.00 | — | — | 50% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Chgr-Pv Carotid Artery | $645.00 | $1,290.00 | — | — | 50% |
| Chest CT scan without and with contrast CPT 71270 Chgr-Ct Chest W/Wo Contrast | $1,485.00 | $2,970.00 | — | 24% below | 50% |
| Chest CT scan without and with contrast inpatient CPT 71270 Chgr-Ct Chest W/Wo Contrast | $1,485.00 | $2,970.00 | — | — | 50% |
| Chest X-ray, 2 views CPT 71046 Chg-X-Ray Exam Chest 2 Vw-Hlth Dpt | $154.00 | $308.00 | — | 45% below | 50% |
| Chest X-ray, 2 views CPT 71046 Chg-X-Ray Exam Chest 2 Views | $154.00 | $308.00 | — | 45% below | 50% |
| Chest X-ray, 2 views CPT 71046 X-Ray Exam Chest 2 Views | $154.00 | $308.00 | — | 45% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 X-Ray Exam Chest 2 Views | $154.00 | $308.00 | — | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 Chg-X-Ray Exam Chest 2 Views | $154.00 | $308.00 | — | — | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 Chg-X-Ray Exam Chest 2 Vw-Hlth Dpt | $154.00 | $308.00 | — | — | 50% |
| Chest X-ray, single view CPT 71045 Chg-X-Ray Exam Chest 1 Vw-Hlth Dpt | $126.50 | $253.00 | — | 46% below | 50% |
| Chest X-ray, single view CPT 71045 Chg-X-Ray Exam Chest 1 View | $126.50 | $253.00 | — | 46% below | 50% |
| Chest X-ray, single view CPT 71045 X-Ray Exam Chest 1 View | $126.50 | $253.00 | — | 46% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 Chg-X-Ray Exam Chest 1 Vw-Hlth Dpt | $126.50 | $253.00 | — | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 X-Ray Exam Chest 1 View | $126.50 | $253.00 | — | — | 50% |
| Chest X-ray, single view inpatient CPT 71045 Chg-X-Ray Exam Chest 1 View | $126.50 | $253.00 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Chg - Clavicle | $203.00 | $406.00 | — | 32% below | 50% |
| Collarbone (clavicle) X-ray, complete CPT 73000 Chgr-Clavicle | $203.00 | $406.00 | — | 32% below | 50% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Chgr-Clavicle | $203.00 | $406.00 | — | — | 50% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Chg - Clavicle | $203.00 | $406.00 | — | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Chgr-Us Retroperitoneal | $500.00 | $1,000.00 | — | 22% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Chg - Ultrasound Retroperitoneal | $500.00 | $1,000.00 | — | 22% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Chgr-Us Retroperitoneal | $500.00 | $1,000.00 | — | — | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Chg - Ultrasound Retroperitoneal | $500.00 | $1,000.00 | — | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Chgr-Bone Density Study Central | $392.00 | $784.00 | — | 33% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Chg - Bone Density Study-Central | $392.00 | $784.00 | — | 33% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Chg - Bone Density Study-Central | $392.00 | $784.00 | — | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Chgr-Bone Density Study Central | $392.00 | $784.00 | — | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Chgr-Bone Density Study-Peripheral | $247.50 | $495.00 | — | at median | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Chg - Bone Density Study-Peripheral | $247.50 | $495.00 | — | at median | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Chgr-Bone Density Study-Peripheral | $247.50 | $495.00 | — | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Chg - Bone Density Study-Peripheral | $247.50 | $495.00 | — | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Chgr-Us Ob High Level Scan | $551.00 | $1,102.00 | — | 17% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Preg Uterus W/Detail Fetal Anat 1St Gestation | $551.00 | $1,102.00 | — | 17% below | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Chgr-Us Ob High Level Scan | $551.00 | $1,102.00 | — | — | 50% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Us Preg Uterus W/Detail Fetal Anat 1St Gestation | $551.00 | $1,102.00 | — | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Chgr-Ct Chest Wo Contrast | $982.50 | $1,965.00 | — | 28% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Chgr-Ct Chest Wo Contrast | $982.50 | $1,965.00 | — | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Chgr-Ct Chest W/ Contrast | $1,240.50 | $2,481.00 | — | 28% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Chgr-Ct Chest W/ Contrast | $1,240.50 | $2,481.00 | — | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Chgr-Mammo Screen Conv Diag Bilat | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Chgr-Mammo-Post Clip Placement-Bilat | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Chgr-Contrast Enhanced Mammogram Bilat | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Chgr-Mammo-Diagnostic-Bilat Birads 0 | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts CPT 77066 Chgr-Digital Diagnostic Mammogram | $340.50 | $681.00 | — | 30% below | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Chgr-Contrast Enhanced Mammogram Bilat | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Chgr-Mammo Screen Conv Diag Bilat | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Chgr-Mammo-Diagnostic-Bilat Birads 0 | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Chgr-Mammo-Post Clip Placement-Bilat | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Chgr-Digital Diagnostic Mammogram | $340.50 | $681.00 | — | — | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Chgr-Mammo Screen Conv Diag Unilat | $278.00 | $556.00 | — | 18% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Chgr-Mammo-Post Clip Placement-Unilat | $278.00 | $556.00 | — | 18% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Chgr-Mammo-Diagnostic-Unilat Birads 0 | $278.00 | $556.00 | — | 18% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Chgr-Contrast Enhanced Mammogram Unilat | $278.00 | $556.00 | — | 18% below | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 Chgr-Digital Diagnostic Mammo Unilat | $278.00 | $556.00 | — | 18% below | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Chgr-Mammo-Diagnostic-Unilat Birads 0 | $278.00 | $556.00 | — | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Chgr-Mammo Screen Conv Diag Unilat | $278.00 | $556.00 | — | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Chgr-Digital Diagnostic Mammo Unilat | $278.00 | $556.00 | — | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Chgr-Contrast Enhanced Mammogram Unilat | $278.00 | $556.00 | — | — | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Chgr-Mammo-Post Clip Placement-Unilat | $278.00 | $556.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Chg - Arterial Duplex Low Ext Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Chgr-Pv Arterial Duplex Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Chgr-Pv Groin Duplex Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Chgr-Pv Graft Duplex Le Bilateral | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Chgr-Pv Trauma Scan Le Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Chgr-Us Art Duplex Le Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Chgr-Pv Trauma Scan Le Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Chg - Arterial Duplex Low Ext Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Chgr-Pv Arterial Duplex Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Chgr-Pv Groin Duplex Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Chgr-Pv Graft Duplex Le Bilateral | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Chgr-Us Art Duplex Le Bilat | $1,007.00 | $2,014.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chgr-Pv Vein Map Ue Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chg - Venous Duplex Low Ext Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chgr-Pv Trauma Duplex Le Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chgr-Pv Vein Map Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chgr-Us Vein Duplex Le Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chgr-Pv Venous Duplex Ue Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Chgr-Us Vein Duplex Ue Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Chgr-Pv Venous Duplex Le | $834.00 | $1,668.00 | — | 36% below | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Chgr-Pv Trauma Duplex Le Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Chgr-Us Vein Duplex Ue Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Chgr-Pv Venous Duplex Ue Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Chgr-Pv Vein Map Ue Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Chg - Venous Duplex Low Ext Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Chgr-Us Vein Duplex Le Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Chgr-Pv Vein Map Bilat | $834.00 | $1,668.00 | — | — | 50% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Chgr-Pv Venous Duplex Le | $834.00 | $1,668.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler Complete | $1,335.50 | $2,671.00 | — | 23% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Chg - Echo,Transthracic,Realtm W/Img | $1,335.50 | $2,671.00 | — | 23% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Complete W/O Contrast | $1,335.50 | $2,671.00 | — | 23% below | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler Complete | $1,335.50 | $2,671.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram Complete W/O Contrast | $1,335.50 | $2,671.00 | — | — | 50% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Chg - Echo,Transthracic,Realtm W/Img | $1,335.50 | $2,671.00 | — | — | 50% |
| Elbow X-ray, 2 views CPT 73070 Chg - Elbow Two Views | $162.00 | $324.00 | — | 40% below | 50% |
| Elbow X-ray, 2 views CPT 73070 Chgr-Elbow Ltd | $162.00 | $324.00 | — | 40% below | 50% |
| Elbow X-ray, 2 views inpatient CPT 73070 Chg - Elbow Two Views | $162.00 | $324.00 | — | — | 50% |
| Elbow X-ray, 2 views inpatient CPT 73070 Chgr-Elbow Ltd | $162.00 | $324.00 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Chg - Elbow Min 3 Vw | $207.50 | $415.00 | — | 51% below | 50% |
| Elbow X-ray, complete, 3 or more views CPT 73080 Chgr-Elbow Comp | $207.50 | $415.00 | — | 51% below | 50% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Chgr-Elbow Comp | $207.50 | $415.00 | — | — | 50% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Chg - Elbow Min 3 Vw | $207.50 | $415.00 | — | — | 50% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Chgr-Ct Head Region W/O Contrast | $923.00 | $1,846.00 | — | 32% below | 50% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Chgr-Ct Head Region W/O Contrast | $923.00 | $1,846.00 | — | — | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Chg - Facial Bones Complete | $410.50 | $821.00 | — | 21% below | 50% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Chgr-Facial Bones Complete | $410.50 | $821.00 | — | 21% below | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Chgr-Facial Bones Complete | $410.50 | $821.00 | — | — | 50% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Chg - Facial Bones Complete | $410.50 | $821.00 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Chgr-Forearm | $186.50 | $373.00 | — | 43% below | 50% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 Chg - Forearm Two Views | $186.50 | $373.00 | — | 43% below | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Chg - Forearm Two Views | $186.50 | $373.00 | — | — | 50% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Chgr-Forearm | $186.50 | $373.00 | — | — | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Chgr-Hepatobiliary Scan | $1,374.00 | $2,748.00 | — | 21% above | 50% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Chgr-Hepatobiliary Scan | $1,374.00 | $2,748.00 | — | — | 50% |
| Hand X-ray, 2 views CPT 73120 Chg - Hand Two Views | $161.00 | $322.00 | — | 36% below | 50% |
| Hand X-ray, 2 views CPT 73120 Chgr-Hand Ltd | $161.00 | $322.00 | — | 36% below | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 Chg - Hand Two Views | $161.00 | $322.00 | — | — | 50% |
| Hand X-ray, 2 views inpatient CPT 73120 Chgr-Hand Ltd | $161.00 | $322.00 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Chg - Calcaneous Min 2 Vw | $194.00 | $388.00 | — | 31% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Chgr-Heel | $194.00 | $388.00 | — | 31% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Chgr-Heel | $194.00 | $388.00 | — | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Chg - Calcaneous Min 2 Vw | $194.00 | $388.00 | — | — | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Study Unatt&Resp Efft | $674.00 | $1,348.00 | — | 47% above | 50% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Study Unatt&Resp Efft | $674.00 | $1,348.00 | — | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Cpap Titration-Red Svc | $2,668.50 | $5,337.00 | — | 19% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Study Cpap/Bipap | $2,668.50 | $5,337.00 | — | 19% above | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Study Cpap/Bipap | $2,668.50 | $5,337.00 | — | — | 50% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Cpap Titration-Red Svc | $2,668.50 | $5,337.00 | — | — | 50% |
| Knee X-ray, 3 views CPT 73562 Chg - Knee Ap/Lat/Obl Min 3 Vw | $238.50 | $477.00 | — | 29% below | 50% |
| Knee X-ray, 3 views CPT 73562 Chgr-Knee 3 Views | $238.50 | $477.00 | — | 29% below | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 Chgr-Knee 3 Views | $238.50 | $477.00 | — | — | 50% |
| Knee X-ray, 3 views inpatient CPT 73562 Chg - Knee Ap/Lat/Obl Min 3 Vw | $238.50 | $477.00 | — | — | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 Chg - Knee Ap/Lat/Obl W/Add Vw | $275.00 | $550.00 | — | 37% below | 50% |
| Knee X-ray, complete, 4 or more views CPT 73564 Chgr-Knee 4 Views | $275.00 | $550.00 | — | 37% below | 50% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Chg - Knee Ap/Lat/Obl W/Add Vw | $275.00 | $550.00 | — | — | 50% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 Chgr-Knee 4 Views | $275.00 | $550.00 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 Chgr-Ct Le Bilat W/O Contrast | $974.00 | $1,948.00 | — | — | 50% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 Chgr-Ct Le Bilat W/O Contrast | $974.00 | $1,948.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Chgr Us Biliary | $500.00 | $1,000.00 | — | 24% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Chg - Ultrasound Abdomen Limited | $500.00 | $1,000.00 | — | 24% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal | $500.00 | $1,000.00 | — | 24% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Chgr-Us Abdomen Limited | $500.00 | $1,000.00 | — | 24% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Chg - Echo Exam Of Abdomen | $500.00 | $1,000.00 | — | 24% below | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Chgr-Us Abdomen Limited | $500.00 | $1,000.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Chg - Ultrasound Abdomen Limited | $500.00 | $1,000.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Chg - Echo Exam Of Abdomen | $500.00 | $1,000.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Chgr Us Biliary | $500.00 | $1,000.00 | — | — | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abdominal | $500.00 | $1,000.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Msk | $90.50 | $181.00 | — | 70% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Chg - Ultrasound Extr Non-Vasc,Ltd | $90.50 | $181.00 | — | 70% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Axilla | $90.50 | $181.00 | — | 70% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Lower Extremity | $90.50 | $181.00 | — | 70% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Chgr-Us Extremity Ltd Anatomic Sp Unilat | $90.50 | $181.00 | — | 70% below | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Lower Extremity | $90.50 | $181.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Chg - Ultrasound Extr Non-Vasc,Ltd | $90.50 | $181.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Axilla | $90.50 | $181.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Msk | $90.50 | $181.00 | — | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Chgr-Us Extremity Ltd Anatomic Sp Unilat | $90.50 | $181.00 | — | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Self-Pay Lung Ca Screen | $175.50 | $351.00 | — | 38% below | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C- | $478.50 | $957.00 | — | 70% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Self-Pay Lung Ca Screen | $175.50 | $351.00 | — | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Thorax Lung Cancer Scr C- | $478.50 | $957.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Chgr-Tibia Fibula | $208.00 | $416.00 | — | 33% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Chg - Tibia And Fibula Two Views | $208.00 | $416.00 | — | 33% below | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Chg - Tibia And Fibula Two Views | $208.00 | $416.00 | — | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Chgr-Tibia Fibula | $208.00 | $416.00 | — | — | 50% |
| MR angiography (MRA) of the head without contrast CPT 70544 Chgr-Mra Head W / O Contrast | $1,675.00 | $3,350.00 | — | 27% below | 50% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Chgr-Mra Head W / O Contrast | $1,675.00 | $3,350.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Chgr-Mr Lower Ext W/O Contrast | $1,757.00 | $3,514.00 | — | 9% below | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Chgr-Mr Lower Ext W/O Contrast | $1,757.00 | $3,514.00 | — | — | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Chgr-Mri Low Joint W/Wo Contrast | $3,790.50 | $7,581.00 | — | 10% above | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Chgr-Mri Low Joint W/Wo Contrast | $3,790.50 | $7,581.00 | — | — | 50% |
| MRI of the abdomen without contrast CPT 74181 Chgr-Mr Abdomen W/O Contrast | $1,906.50 | $3,813.00 | — | 17% above | 50% |
| MRI of the abdomen without contrast CPT 74181 Chgr Mrcp | $1,906.50 | $3,813.00 | — | 17% above | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 Chgr-Mr Abdomen W/O Contrast | $1,906.50 | $3,813.00 | — | — | 50% |
| MRI of the abdomen without contrast inpatient CPT 74181 Chgr Mrcp | $1,906.50 | $3,813.00 | — | — | 50% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Chgr-Mri Abdomen W / Wo Contrast | $3,194.50 | $6,389.00 | — | 12% above | 50% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Chgr-Mri Abdomen W / Wo Contrast | $3,194.50 | $6,389.00 | — | — | 50% |
| MRI of the brain, no contrast dye CPT 70551 Chgr-Mr Face, Orbit, Head, Neck W/O Contrast | $1,629.50 | $3,259.00 | — | 16% below | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Chgr-Mr Face, Orbit, Head, Neck W/O Contrast | $1,629.50 | $3,259.00 | — | — | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 Chgr-Mr Head W/Wo Contrast | $2,977.50 | $5,955.00 | — | 10% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 Chgr - Mri Screen, Iac W&W/O Contrast | $2,977.50 | $5,955.00 | — | 10% above | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Chgr - Mri Screen, Iac W&W/O Contrast | $2,977.50 | $5,955.00 | — | — | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Chgr-Mr Head W/Wo Contrast | $2,977.50 | $5,955.00 | — | — | 50% |
| MRI of the lower back, no contrast dye CPT 72148 Chgr-Mr Lumbar Spine W / O Contrast | $1,735.50 | $3,471.00 | — | 13% below | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Chgr-Mr Lumbar Spine W / O Contrast | $1,735.50 | $3,471.00 | — | — | 50% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Chgr-Mr Lumbar Spine W / Wo Contrast | $3,187.00 | $6,374.00 | — | 4% below | 50% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Chgr-Mr Lumbar Spine W / Wo Contrast | $3,187.00 | $6,374.00 | — | — | 50% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Chgr-Mr Thoracic Spine W / O Contrast | $1,855.00 | $3,710.00 | — | 7% below | 50% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Chgr-Mr Thoracic Spine W / O Contrast | $1,855.00 | $3,710.00 | — | — | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Chgr-Mr Cervical Spine W / Wo Contrast | $3,208.50 | $6,417.00 | — | 2% below | 50% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Chgr-Mr Cervical Spine W / Wo Contrast | $3,208.50 | $6,417.00 | — | — | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Chgr-Mr Cervical Spine W / O Contrast | $1,629.00 | $3,258.00 | — | 19% below | 50% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Chgr-Mr Cervical Spine W / O Contrast | $1,629.00 | $3,258.00 | — | — | 50% |
| MRI of the pelvis without and with contrast CPT 72197 Chgr-Mri Pelvis W/Wo Contrast | $3,012.00 | $6,024.00 | — | 5% below | 50% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Chgr-Mri Pelvis W/Wo Contrast | $3,012.00 | $6,024.00 | — | — | 50% |
| MRI of the pelvis, no contrast dye CPT 72195 Chgr-Mri Pelvis W/O Contrast | $1,691.00 | $3,382.00 | — | 9% below | 50% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Chgr-Mri Pelvis W/O Contrast | $1,691.00 | $3,382.00 | — | — | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Chgr-Mr Ue Unilat W/Joint W/O Contrast | $1,757.00 | $3,514.00 | — | 9% below | 50% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Chgr-Mr Ue Unilat W/Joint W/O Contrast | $1,757.00 | $3,514.00 | — | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-Spine Min 4 Vw | $348.50 | $697.00 | — | 28% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Chgr-Cspine Complete | $348.50 | $697.00 | — | 28% below | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Chgr-Cspine Complete | $348.50 | $697.00 | — | — | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-Spine Min 4 Vw | $348.50 | $697.00 | — | — | 50% |
| Neck soft tissue CT scan with contrast CPT 70491 Chgr-Ct St Neck W/Contrast | $946.00 | $1,892.00 | — | 44% below | 50% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Chgr-Ct St Neck W/Contrast | $946.00 | $1,892.00 | — | — | 50% |
| Neck soft tissue CT scan without contrast CPT 70490 Chgr-Ct St Neck W/O Contrast | $932.00 | $1,864.00 | — | 9% above | 50% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Chgr-Ct St Neck W/O Contrast | $932.00 | $1,864.00 | — | — | 50% |
| Neck soft tissue X-ray CPT 70360 Chgr-St Neck | $184.50 | $369.00 | — | 46% below | 50% |
| Neck soft tissue X-ray CPT 70360 Chg - Neck Soft Tissue | $184.50 | $369.00 | — | 46% below | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 Chg - Neck Soft Tissue | $184.50 | $369.00 | — | — | 50% |
| Neck soft tissue X-ray inpatient CPT 70360 Chgr-St Neck | $184.50 | $369.00 | — | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Chg - Myocrdial Perfusion Imaging,T | $1,908.00 | $3,816.00 | — | 40% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Chgr-Myo Rest / Stress Multiple Spect | $1,908.00 | $3,816.00 | — | 40% below | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Chgr-Myo Rest / Stress Multiple Spect | $1,908.00 | $3,816.00 | — | — | 50% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Chg - Myocrdial Perfusion Imaging,T | $1,908.00 | $3,816.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Chg Pet/Ct-Skull Base To Mid Thigh | $4,409.00 | $8,818.00 | — | at median | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Chg Pet/Ct-Skull Base/Midthigh Abor | $4,409.00 | $8,818.00 | — | at median | 50% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Chgr-Pet / Ct Skull To Thigh | $4,409.00 | $8,818.00 | — | at median | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Chg Pet/Ct-Skull Base To Mid Thigh | $4,409.00 | $8,818.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Chg Pet/Ct-Skull Base/Midthigh Abor | $4,409.00 | $8,818.00 | — | — | 50% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Chgr-Pet / Ct Skull To Thigh | $4,409.00 | $8,818.00 | — | — | 50% |
| Pelvic CT scan without contrast CPT 72192 Chgr-Ct Pelvis W / O Contrast | $807.00 | $1,614.00 | — | 45% below | 50% |
| Pelvic CT scan without contrast inpatient CPT 72192 Chgr-Ct Pelvis W / O Contrast | $807.00 | $1,614.00 | — | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Chgr-Us Pelvis Nonob Limited | $322.50 | $645.00 | — | 25% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Wall | $322.50 | $645.00 | — | 25% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Chg - Ultrasound Pelvis Non-Ob Ltd | $322.50 | $645.00 | — | 25% below | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Chg - Ultrasound Pelvis Non-Ob Ltd | $322.50 | $645.00 | — | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Chgr-Us Pelvis Nonob Limited | $322.50 | $645.00 | — | — | 50% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Pelvic Wall | $322.50 | $645.00 | — | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Chg - Ultrasound Pelvis Non-Ob | $491.50 | $983.00 | — | 33% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Chgr-Us Pelvic Non-Ob | $491.50 | $983.00 | — | 33% below | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Chgr-Us Pelvic Non-Ob | $491.50 | $983.00 | — | — | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Chg - Ultrasound Pelvis Non-Ob | $491.50 | $983.00 | — | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Preg Uterus After 1St Trimest 1/1St Gestation | $428.00 | $856.00 | — | 29% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Chgr-Us Ob Complete >=14 Wks | $428.00 | $856.00 | — | 29% below | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Preg Uterus After 1St Trimest 1/1St Gestation | $428.00 | $856.00 | — | — | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Chgr-Us Ob Complete >=14 Wks | $428.00 | $856.00 | — | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Pregnant Uterus 14 Wk Transabdl 1/1St Gestation | $352.50 | $705.00 | — | 27% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Chgr-Ob Us < 14 Wks Single Fetus | $377.00 | $754.00 | — | 21% below | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us Pregnant Uterus 14 Wk Transabdl 1/1St Gestation | $352.50 | $705.00 | — | — | 50% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Chgr-Ob Us < 14 Wks Single Fetus | $377.00 | $754.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnant Uterus Limited 1/> Fetuses | $400.00 | $800.00 | — | 16% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Chgr-Us Ob Limited | $428.00 | $856.00 | — | 10% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Pregnant Transabdominal | $428.00 | $856.00 | — | 10% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Chg Ultrasound L&D | $428.00 | $856.00 | — | 10% below | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Pregnant Uterus Limited 1/> Fetuses | $400.00 | $800.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Chgr-Us Ob Limited | $428.00 | $856.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Chg Ultrasound L&D | $428.00 | $856.00 | — | — | 50% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Pregnant Transabdominal | $428.00 | $856.00 | — | — | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 Chg - Rib Unilat 2 Vw | $261.50 | $523.00 | — | 21% below | 50% |
| Rib X-ray, one side, 2 views one side CPT 71100 Chgr-Ribs Unilateral | $261.50 | $523.00 | — | 21% below | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Chgr-Ribs Unilateral | $261.50 | $523.00 | — | — | 50% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Chg - Rib Unilat 2 Vw | $261.50 | $523.00 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Chgr-Ribs Unilat W/ Pa Cxr | $306.00 | $612.00 | — | 26% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Chg - Rib Unilat 2 Vw W/Pa Chest | $306.00 | $612.00 | — | 26% below | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Chg - Rib Unilat 2 Vw W/Pa Chest | $306.00 | $612.00 | — | — | 50% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Chgr-Ribs Unilat W/ Pa Cxr | $306.00 | $612.00 | — | — | 50% |
| Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad | $307.50 | $615.00 | — | — | 50% |
| Screening mammogram, both breasts CPT 77067 Chgr-Mammography Digital Implants | $307.50 | $615.00 | — | 26% below | 50% |
| Screening mammogram, both breasts CPT 77067 Chgr-Digital Screening Mammogram | $307.50 | $615.00 | — | 26% below | 50% |
| Screening mammogram, both breasts CPT 77067 Chgr-Mammodigital Screening Employee Campaig | $307.50 | $615.00 | — | 26% below | 50% |
| Screening mammogram, both breasts one side CPT 77067 Chgr-Mammo Digital Screening Unilat | $307.50 | $615.00 | — | 26% below | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad | $307.50 | $615.00 | — | — | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 Chgr-Digital Screening Mammogram | $307.50 | $615.00 | — | — | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 Chgr-Mammodigital Screening Employee Campaig | $307.50 | $615.00 | — | — | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 Chgr-Mammography Digital Implants | $307.50 | $615.00 | — | — | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 Chgr-Mammo Digital Screening Unilat | $307.50 | $615.00 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Chgr-Shoulder Comp | $237.00 | $474.00 | — | 26% below | 50% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Chg - Shoulder Two Views | $237.00 | $474.00 | — | 26% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Chg - Shoulder Two Views | $237.00 | $474.00 | — | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Chgr-Shoulder Comp | $237.00 | $474.00 | — | — | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses Complete | $382.50 | $765.00 | — | 22% below | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Chgr-Sinuses Complete | $382.50 | $765.00 | — | 22% below | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Chgr-Sinuses Complete | $382.50 | $765.00 | — | — | 50% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses Complete | $382.50 | $765.00 | — | — | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 Chgr-Skull Ltd | $258.00 | $516.00 | — | 25% below | 50% |
| Skull X-ray, fewer than 4 views CPT 70250 Chg - Skull Less Than 4 Vw | $258.00 | $516.00 | — | 25% below | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Chgr-Skull Ltd | $258.00 | $516.00 | — | — | 50% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Chg - Skull Less Than 4 Vw | $258.00 | $516.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Apnea&Eeg | $2,370.50 | $4,741.00 | — | 8% above | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Apnea/Narco | $2,370.50 | $4,741.00 | — | 8% above | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep Study-Reduce Svc | $2,370.50 | $4,741.00 | — | 8% above | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Apnea/Narco | $2,370.50 | $4,741.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Apnea&Eeg | $2,370.50 | $4,741.00 | — | — | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study-Reduce Svc | $2,370.50 | $4,741.00 | — | — | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Stress W/Ocontr Complete | $994.00 | $1,988.00 | — | 42% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Chg - Echo,Trnsthorac,Real-Time W/Im | $994.00 | $1,988.00 | — | 42% below | 50% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Stress W/Ocontr Complete | $994.00 | $1,988.00 | — | — | 50% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Chg - Echo,Trnsthorac,Real-Time W/Im | $994.00 | $1,988.00 | — | — | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Chgr-Barium Swallow Video | $600.50 | $1,201.00 | — | 24% above | 50% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Chgr-Barium Swallow Video | $600.50 | $1,201.00 | — | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 Chgr-X-Ray Exam Of Femur 2/> | $306.00 | $612.00 | — | at median | 50% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Chgr-X-Ray Exam Of Femur 2/> | $306.00 | $612.00 | — | — | 50% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Chgr-Ct Thoracic Spine W / O Contrast | $1,010.50 | $2,021.00 | — | 37% below | 50% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Chgr-Ct Thoracic Spine W / O Contrast | $1,010.50 | $2,021.00 | — | — | 50% |
| Toe X-ray, 2 or more views CPT 73660 Chgr-Toes | $102.00 | $204.00 | — | 59% below | 50% |
| Toe X-ray, 2 or more views CPT 73660 Chg - Toes Min 2 Vw | $102.00 | $204.00 | — | 59% below | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Chgr-Toes | $102.00 | $204.00 | — | — | 50% |
| Toe X-ray, 2 or more views inpatient CPT 73660 Chg - Toes Min 2 Vw | $102.00 | $204.00 | — | — | 50% |
| Transvaginal pelvic ultrasound CPT 76830 Chg - Ultrasound Transvaginal | $423.50 | $847.00 | — | 27% below | 50% |
| Transvaginal pelvic ultrasound CPT 76830 Chgr-Us Transvaginal | $423.50 | $847.00 | — | 27% below | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Chgr-Us Transvaginal | $423.50 | $847.00 | — | — | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Chg - Ultrasound Transvaginal | $423.50 | $847.00 | — | — | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 Chgr-Us Ob Tv | $428.00 | $856.00 | — | 11% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Preg Uterus Real Time W/Image Dcmtn Transvag | $428.00 | $856.00 | — | 11% below | 50% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Pregnant Transvaginal | $428.00 | $856.00 | — | 11% below | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Preg Uterus Real Time W/Image Dcmtn Transvag | $428.00 | $856.00 | — | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Pregnant Transvaginal | $428.00 | $856.00 | — | — | 50% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Chgr-Us Ob Tv | $428.00 | $856.00 | — | — | 50% |
| Ultrasound of the abdomen, complete CPT 76700 Chg - Ultrasound Abdomen | $500.00 | $1,000.00 | — | 42% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 Chgr-Us Abdomen Complete | $500.00 | $1,000.00 | — | 42% below | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Chg - Ultrasound Abdomen | $500.00 | $1,000.00 | — | — | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Chgr-Us Abdomen Complete | $500.00 | $1,000.00 | — | — | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 Chg - Ultrasound Testicular | $495.00 | $990.00 | — | 31% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 Chgr-Us Testicular Inc. Doppler | $495.00 | $990.00 | — | 31% below | 50% |
| Ultrasound of the scrotum and testicles CPT 76870 76870 Ultrasound Testicular | $495.00 | $990.00 | — | 31% below | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Chg - Ultrasound Testicular | $495.00 | $990.00 | — | — | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 Ultrasound Testicular | $495.00 | $990.00 | — | — | 50% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Chgr-Us Testicular Inc. Doppler | $495.00 | $990.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Chg - Us Exam Of Head And Neck | $454.00 | $908.00 | — | 26% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Chg - Ultrasound Thyroid/Soft Tissu | $454.00 | $908.00 | — | 26% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Thyroid/Soft Tissu | $454.00 | $908.00 | — | 26% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Neck | $454.00 | $908.00 | — | 26% below | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound Thyroid/Soft Tissu | $454.00 | $908.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Chg - Us Exam Of Head And Neck | $454.00 | $908.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Neck | $454.00 | $908.00 | — | — | 50% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Chg - Ultrasound Thyroid/Soft Tissu | $454.00 | $908.00 | — | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst | $458.50 | $917.00 | — | 45% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-Ray Xm Upr Gi Trc 1Cntrst | $458.50 | $917.00 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Chg - Humerus Min 2 Vw | $198.00 | $396.00 | — | 41% below | 50% |
| Upper arm X-ray (humerus), 2 views CPT 73060 Chgr-Humerus | $198.00 | $396.00 | — | 41% below | 50% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Chgr-Humerus | $198.00 | $396.00 | — | — | 50% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Chg - Humerus Min 2 Vw | $198.00 | $396.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Chg - Venous Duplex Low Ext Uni/Ltd | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Us Focused Dvt Study | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Chgr-Pv Venous Exam Le | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Chgr-Pv Vein Map Ue Unilat | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Chgr-Pv Venous Exam Ue Unilat | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Chgr-Pv Vein Map Unilat | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Chgr-Pv Trauma Vein Duplex Ue Unilat | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Chgr-Us Vein Duplex Ue Unilat | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Chgr-Pv Trauma Vein Duplex Le Unilat | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Chgr-Us Vein Duplex Le Unilat | $662.50 | $1,325.00 | — | 10% below | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Us Focused Dvt Study | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Chg - Venous Duplex Low Ext Uni/Ltd | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Chgr-Pv Venous Exam Le | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Chgr-Pv Trauma Vein Duplex Ue Unilat | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Chgr-Pv Vein Map Unilat | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Chgr-Pv Venous Exam Ue Unilat | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Chgr-Pv Vein Map Ue Unilat | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Chgr-Us Vein Duplex Le Unilat | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Chgr-Us Vein Duplex Ue Unilat | $662.50 | $1,325.00 | — | — | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Chgr-Pv Trauma Vein Duplex Le Unilat | $662.50 | $1,325.00 | — | — | 50% |
| Wrist X-ray, 2 views CPT 73100 Chgr-Wrist Ltd | $171.00 | $342.00 | — | 33% below | 50% |
| Wrist X-ray, 2 views CPT 73100 Chg - Wrist Two Views | $171.00 | $342.00 | — | 33% below | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 Chgr-Wrist Ltd | $171.00 | $342.00 | — | — | 50% |
| Wrist X-ray, 2 views inpatient CPT 73100 Chg - Wrist Two Views | $171.00 | $342.00 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Chgr-Wrist Comp | $201.00 | $402.00 | — | 34% below | 50% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Chg - Wrist Min 3 Vw | $201.00 | $402.00 | — | 34% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Chg - Wrist Min 3 Vw | $201.00 | $402.00 | — | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Chgr-Wrist Comp | $201.00 | $402.00 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Chgr-X-Ray Exam Hip Uni 2-3 Views | $196.00 | $392.00 | — | 22% below | 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 | $196.00 | $392.00 | — | 22% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 Chgr-X-Ray Exam Hip Uni 2-3 Views | $196.00 | $392.00 | — | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-Ray Exam Hip Uni 2-3 Views | $196.00 | $392.00 | — | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 X-Ray Exam Abdomen 1 View | $190.50 | $381.00 | — | 31% below | 50% |
| X-ray of the abdomen, 1 view CPT 74018 Chg-X-Ray Exam Abdomen 1 View | $190.50 | $381.00 | — | 31% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Chg-X-Ray Exam Abdomen 1 View | $190.50 | $381.00 | — | — | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray Exam Abdomen 1 View | $190.50 | $381.00 | — | — | 50% |
| X-ray of the ankle, 2 views CPT 73600 Chg - Ankle Two Views | $171.00 | $342.00 | — | 36% below | 50% |
| X-ray of the ankle, 2 views CPT 73600 Chgr-Ankle Ltd | $171.00 | $342.00 | — | 36% below | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Chg - Ankle Two Views | $171.00 | $342.00 | — | — | 50% |
| X-ray of the ankle, 2 views inpatient CPT 73600 Chgr-Ankle Ltd | $171.00 | $342.00 | — | — | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 Chg - Fingers Min 2 Vw | $98.50 | $197.00 | — | 59% below | 50% |
| X-ray of the finger(s), 2 or more views CPT 73140 Chgr-Fingers | $98.50 | $197.00 | — | 59% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Chgr-Fingers | $98.50 | $197.00 | — | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 Chg - Fingers Min 2 Vw | $98.50 | $197.00 | — | — | 50% |
| X-ray of the foot, 2 views CPT 73620 Chgr-Foot Ltd | $175.50 | $351.00 | — | 41% below | 50% |
| X-ray of the foot, 2 views CPT 73620 Chg - Foot Two Views | $175.50 | $351.00 | — | 41% below | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 Chg - Foot Two Views | $175.50 | $351.00 | — | — | 50% |
| X-ray of the foot, 2 views inpatient CPT 73620 Chgr-Foot Ltd | $175.50 | $351.00 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Chgr-Foot Comp | $221.00 | $442.00 | — | 30% below | 50% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Chg - Foot Min 3 Vw | $221.00 | $442.00 | — | 30% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Chgr-Foot Comp | $221.00 | $442.00 | — | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Chg - Foot Min 3 Vw | $221.00 | $442.00 | — | — | 50% |
| X-ray of the hand, 3 or more views CPT 73130 Chg - Hand Min 3 Vw | $203.00 | $406.00 | — | 32% below | 50% |
| X-ray of the hand, 3 or more views CPT 73130 Chgr-Hand Comp | $203.00 | $406.00 | — | 32% below | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Chg - Hand Min 3 Vw | $203.00 | $406.00 | — | — | 50% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 Chgr-Hand Comp | $203.00 | $406.00 | — | — | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 Chg - Knee Ap & Lat | $191.50 | $383.00 | — | 27% below | 50% |
| X-ray of the knee, 1 or 2 views CPT 73560 Chgr-Knee Ltd | $191.50 | $383.00 | — | 27% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Chg - Knee Ap & Lat | $191.50 | $383.00 | — | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 Chgr-Knee Ltd | $191.50 | $383.00 | — | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Chg - Spine Lumbar Two Or Three View | $241.00 | $482.00 | — | 34% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Chgr-Lspine 2 Views | $241.00 | $482.00 | — | 34% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Chg - Spine Lumbar Two Or Three View | $241.00 | $482.00 | — | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Chgr-Lspine 2 Views | $241.00 | $482.00 | — | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 Chg - Spine Lumbar Minimum Four View | $335.00 | $670.00 | — | 37% below | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 Chgr-Lspine Comp | $335.00 | $670.00 | — | 37% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Chg - Spine Lumbar Minimum Four View | $335.00 | $670.00 | — | — | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Chgr-Lspine Comp | $335.00 | $670.00 | — | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Chgr-Tspine 2 Views | $178.00 | $356.00 | — | 46% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Chg - Spine Thoracic Two Views | $178.00 | $356.00 | — | 46% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Chg - Spine Thoracic Two Views | $178.00 | $356.00 | — | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Chgr-Tspine 2 Views | $178.00 | $356.00 | — | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Chg - Nasal Bones | $243.00 | $486.00 | — | 15% below | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Chgr-Nasal Bones | $243.00 | $486.00 | — | 15% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Chg - Nasal Bones | $243.00 | $486.00 | — | — | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Chgr-Nasal Bones | $243.00 | $486.00 | — | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Chg - C-Spine Two Or Three Views | $221.00 | $442.00 | — | 41% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Chgr-Cspine Ltd | $221.00 | $442.00 | — | 41% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Chg - C-Spine Two Or Three Views | $221.00 | $442.00 | — | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Chgr-Cspine Ltd | $221.00 | $442.00 | — | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Chg - Pelvis One Or Two Views | $193.00 | $386.00 | — | 41% below | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Chgr-Pelvis | $193.00 | $386.00 | — | 41% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Chgr-Pelvis | $193.00 | $386.00 | — | — | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Chg - Pelvis One Or Two Views | $193.00 | $386.00 | — | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Chg - Sacrum & Coccyx | $264.00 | $528.00 | — | 37% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Chgr-Sacrum/Coccyx | $264.00 | $528.00 | — | 37% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Chgr-Sacrum/Coccyx | $264.00 | $528.00 | — | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Chg - Sacrum & Coccyx | $264.00 | $528.00 | — | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Chgl Acth | $172.50 | $345.00 | — | 26% below | 50% |
| ACTH blood test inpatient CPT 82024 Chgl Acth | $172.50 | $345.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chgl Alt | $5.00 | $10.00 | — | 90% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chgl Alt (Sgpt) | $24.50 | $49.00 | — | 51% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chgl Sgpt(Alt)(Nash) | $24.50 | $49.00 | — | 51% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chgl Alt | $5.00 | $10.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chgl Sgpt(Alt)(Nash) | $24.50 | $49.00 | — | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chgl Alt (Sgpt) | $24.50 | $49.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Chgl Ast | $4.50 | $9.00 | — | 91% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Chgl Ast (Sgot) | $24.50 | $49.00 | — | 51% below | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Chgl Sgot(Ast)(Nash) | $24.50 | $49.00 | — | 51% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chgl Ast | $4.50 | $9.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chgl Ast (Sgot) | $24.50 | $49.00 | — | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chgl Sgot(Ast)(Nash) | $24.50 | $49.00 | — | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Chgl Hepatitis Panel Acute Viral | $235.00 | $470.00 | — | 19% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Chgl Hepatitis Panel Acute Viral | $235.00 | $470.00 | — | — | 50% |
| Albumin blood test CPT 82040 Chgl (Qu) Igg Synthesis Rate/Index, Csf, S/O | $3.50 | $7.00 | — | 91% below | 50% |
| Albumin blood test CPT 82040 Chgl Albumin | $4.50 | $9.00 | — | 89% below | 50% |
| Albumin blood test CPT 82040 Chga-Albumin | $23.00 | $46.00 | — | 41% below | 50% |
| Albumin blood test CPT 82040 Chgl Albumin Serum(Ms Profile) | $23.00 | $46.00 | — | 41% below | 50% |
| Albumin blood test inpatient CPT 82040 Chgl (Qu) Igg Synthesis Rate/Index, Csf, S/O | $3.50 | $7.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 Chgl Albumin | $4.50 | $9.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 Chga-Albumin | $23.00 | $46.00 | — | — | 50% |
| Albumin blood test inpatient CPT 82040 Chgl Albumin Serum(Ms Profile) | $23.00 | $46.00 | — | — | 50% |
| Aldosterone blood test CPT 82088 Chgl (Qu) Aldosterone/Cortisol Ratio, 3 Sites, S/O | $12.00 | $24.00 | — | 93% below | 50% |
| Aldosterone blood test CPT 82088 Chgl (Qu) Aldosterone/Cortisol Ratio, 2 Sites, S/O | $13.00 | $26.00 | — | 93% below | 50% |
| Aldosterone blood test CPT 82088 Chgl (Qu) Aldosterone/Plasma Renin Activity Ratio, Lc/Ms/Ms, S/O | $15.50 | $31.00 | — | 91% below | 50% |
| Aldosterone blood test CPT 82088 Chgl (Qu) Aldosterone, Lc/Ms/Ms, S/O | $17.00 | $34.00 | — | 90% below | 50% |
| Aldosterone blood test CPT 82088 Chgl (Qu) 82088 Aldosterone, 24-Hour Urine With Creatinine, S/O | $19.00 | $38.00 | — | 89% below | 50% |
| Aldosterone blood test CPT 82088 Chgl (Qu) 82088 Aldosterone/Cortisol Ratio, Adrenal Vein Sampling 1 Site, S/O | $39.50 | $79.00 | — | 78% below | 50% |
| Aldosterone blood test CPT 82088 Chgl Aldosterone Serum | $171.00 | $342.00 | — | 3% below | 50% |
| Aldosterone blood test CPT 82088 Chgl Aldosterone Urine | $185.00 | $370.00 | — | 5% above | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl (Qu) Aldosterone/Cortisol Ratio, 3 Sites, S/O | $12.00 | $24.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl (Qu) Aldosterone/Cortisol Ratio, 2 Sites, S/O | $13.00 | $26.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl (Qu) Aldosterone/Plasma Renin Activity Ratio, Lc/Ms/Ms, S/O | $15.50 | $31.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl (Qu) Aldosterone, Lc/Ms/Ms, S/O | $17.00 | $34.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl (Qu) 82088 Aldosterone, 24-Hour Urine With Creatinine, S/O | $19.00 | $38.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl (Qu) 82088 Aldosterone/Cortisol Ratio, Adrenal Vein Sampling 1 Site, S/O | $39.50 | $79.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl Aldosterone Serum | $171.00 | $342.00 | — | — | 50% |
| Aldosterone blood test inpatient CPT 82088 Chgl Aldosterone Urine | $185.00 | $370.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Chgl Alkaline Phosphatase | $4.50 | $9.00 | — | 88% below | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Chgl (Qu) Alkaline Phosphatase, Bone Specific, S/O | $19.00 | $38.00 | — | 48% below | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Chgl Alkaline Phosphatase | $4.50 | $9.00 | — | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Chgl (Qu) Alkaline Phosphatase, Bone Specific, S/O | $19.00 | $38.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Alpha 2-Antiplasmin, S/O | $1.00 | $2.00 | — | 96% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl Lc - Alpha-Gal Panel Beef Ige | $5.50 | $11.00 | — | 78% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl Lc - Alpha-Gal Panel Lamb Ige | $5.50 | $11.00 | — | 78% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl Lc - Alpha-Gal Panel Pork Ige | $5.50 | $11.00 | — | 78% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Anchovy (F313) Ige, S/O | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Hop (Fruit Cone) (Humulus Lupus) (F324) Ige**, S/O | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Yellow Dock Weed (Rw23) Ige, S/O | $10.00 | $20.00 | — | 59% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Oregano (Rf283) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Pepper (Unripe) (Rf263) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Sweet Potato (F54) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Green Bean (F315) Ige**, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Nutmeg (Rf282) Ige**, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Aureobasidium Pullulans (M12) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Gulf Flounder (F147) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) 86003 American Cockroach (I206) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Catfish Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Cotton Seed (K83) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Basil (Rf269) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Blueberry (Rf288) Ige**, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Raspberry (Rf 343) Ige **, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Cinnamon (Rf220) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Clove (Rf268) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Ginger (F270) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Rat Urine Protein (E74) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Pine Nut (Rf253) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Coffee (Rf221) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Dill (Rf277) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) 86003 Raspberry (Fr343) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Mushroom (Rf212) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Tea (Rf222) Ige**, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) 86003 Macadamia Nut (Rf345) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Sweet Gum (Rt211) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Vanilla (Rf234) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Virginia Live Oak (Rt218) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Watermelon (Rf329) Ige**, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Thyme (Rf273) Ige, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Swordfish (Rf312) Ige**, S/O | $10.50 | $21.00 | — | 57% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Hackberry, Ige*, S/O | $23.50 | $47.00 | — | 5% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Red Snapper, Ige*, S/O | $23.50 | $47.00 | — | 5% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl Allergen Specific Ige(I) | $24.00 | $48.00 | — | 3% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl Allergen Spec - Ige | $24.00 | $48.00 | — | 3% below | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Whitefish, Ige*, S/O | $27.50 | $55.00 | — | 11% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Careless Weed (Amaranthus Palmeri) Ige, S/O | $27.50 | $55.00 | — | 11% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chgl (Qu) Galactose-Alpha-1,3-Galactose (Alpha-Gal) Ige, S/O | $38.00 | $76.00 | — | 54% above | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Alpha 2-Antiplasmin, S/O | $1.00 | $2.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl Lc - Alpha-Gal Panel Lamb Ige | $5.50 | $11.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl Lc - Alpha-Gal Panel Beef Ige | $5.50 | $11.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl Lc - Alpha-Gal Panel Pork Ige | $5.50 | $11.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Anchovy (F313) Ige, S/O | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Yellow Dock Weed (Rw23) Ige, S/O | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Hop (Fruit Cone) (Humulus Lupus) (F324) Ige**, S/O | $10.00 | $20.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Thyme (Rf273) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Cotton Seed (K83) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Catfish Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) 86003 American Cockroach (I206) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Gulf Flounder (F147) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Aureobasidium Pullulans (M12) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Nutmeg (Rf282) Ige**, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Green Bean (F315) Ige**, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Sweet Potato (F54) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Pepper (Unripe) (Rf263) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Sweet Gum (Rt211) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Vanilla (Rf234) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Oregano (Rf283) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Virginia Live Oak (Rt218) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Pine Nut (Rf253) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Rat Urine Protein (E74) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Ginger (F270) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Clove (Rf268) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Cinnamon (Rf220) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Coffee (Rf221) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Swordfish (Rf312) Ige**, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Raspberry (Rf 343) Ige **, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Blueberry (Rf288) Ige**, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Basil (Rf269) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Dill (Rf277) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) 86003 Raspberry (Fr343) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Mushroom (Rf212) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Tea (Rf222) Ige**, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Watermelon (Rf329) Ige**, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) 86003 Macadamia Nut (Rf345) Ige, S/O | $10.50 | $21.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Red Snapper, Ige*, S/O | $23.50 | $47.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Hackberry, Ige*, S/O | $23.50 | $47.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl Allergen Spec - Ige | $24.00 | $48.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl Allergen Specific Ige(I) | $24.00 | $48.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Whitefish, Ige*, S/O | $27.50 | $55.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Careless Weed (Amaranthus Palmeri) Ige, S/O | $27.50 | $55.00 | — | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chgl (Qu) Galactose-Alpha-1,3-Galactose (Alpha-Gal) Ige, S/O | $38.00 | $76.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Chgl (Qu) Maternal Serum Afp, S/O | $11.50 | $23.00 | — | 90% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Chgl Alpha Fetoprotein | $76.00 | $152.00 | — | 32% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Chgl Alpha Feto Screen(P) | $77.00 | $154.00 | — | 31% below | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Chgl Afp Triple Screen | $77.00 | $154.00 | — | 31% below | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chgl (Qu) Maternal Serum Afp, S/O | $11.50 | $23.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chgl Alpha Fetoprotein | $76.00 | $152.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chgl Alpha Feto Screen(P) | $77.00 | $154.00 | — | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Chgl Afp Triple Screen | $77.00 | $154.00 | — | — | 50% |
| Ammonia blood test CPT 82140 Chgl Ammonia Stat | $63.50 | $127.00 | — | 31% below | 50% |
| Ammonia blood test CPT 82140 Chgl Ammonia Arterial | $63.50 | $127.00 | — | 31% below | 50% |
| Ammonia blood test CPT 82140 Chgl Ammonia,Urine (Ks Panel) | $63.50 | $127.00 | — | 31% below | 50% |
| Ammonia blood test inpatient CPT 82140 Chgl Ammonia Stat | $63.50 | $127.00 | — | — | 50% |
| Ammonia blood test inpatient CPT 82140 Chgl Ammonia,Urine (Ks Panel) | $63.50 | $127.00 | — | — | 50% |
| Ammonia blood test inpatient CPT 82140 Chgl Ammonia Arterial | $63.50 | $127.00 | — | — | 50% |
| Amylase blood test CPT 82150 Chgl Amylase | $6.00 | $12.00 | — | 89% below | 50% |
| Amylase blood test CPT 82150 Chgl (Qu) Amylase Isoenzymes, S/O | $7.50 | $15.00 | — | 87% below | 50% |
| Amylase blood test CPT 82150 Chgl Amylase Isoenzymes | $31.50 | $63.00 | — | 44% below | 50% |
| Amylase blood test CPT 82150 Chgl Amylase Urine | $31.50 | $63.00 | — | 44% below | 50% |
| Amylase blood test CPT 82150 Chgl Amylase Serum | $31.50 | $63.00 | — | 44% below | 50% |
| Amylase blood test CPT 82150 Chgl Amylase Fluid | $31.50 | $63.00 | — | 44% below | 50% |
| Amylase blood test inpatient CPT 82150 Chgl Amylase | $6.00 | $12.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 Chgl (Qu) Amylase Isoenzymes, S/O | $7.50 | $15.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 Chgl Amylase Serum | $31.50 | $63.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 Chgl Amylase Fluid | $31.50 | $63.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 Chgl Amylase Urine | $31.50 | $63.00 | — | — | 50% |
| Amylase blood test inpatient CPT 82150 Chgl Amylase Isoenzymes | $31.50 | $63.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O | $24.00 | $48.00 | — | 67% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Chgl Lc-Rheumassure-Ccp Antibodies | $46.50 | $93.00 | — | 36% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Chgl Citrulline Ab | $56.00 | $112.00 | — | 23% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O | $24.00 | $48.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Chgl Lc-Rheumassure-Ccp Antibodies | $46.50 | $93.00 | — | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Chgl Citrulline Ab | $56.00 | $112.00 | — | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Chgl Ana | $52.50 | $105.00 | — | 62% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Chgl Ana | $52.50 | $105.00 | — | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Chgl Nt-Pro-B-Type Natriuretic Pept | $155.50 | $311.00 | — | 20% below | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Chgl Nt-Pro-B-Type Natriuretic Pept | $155.50 | $311.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Abscess Culture | $43.50 | $87.00 | — | 37% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Foreign Body Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Wound Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Genital Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Environmental Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Respiratory Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Sterile Site Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Tissue Culture Routine | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Umb/Placenta Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Body Fluid Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Eye Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Csf Cult | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Legionella Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Ear Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Bronchial Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Cystic Fibrosis Resp Cult | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Chgl Prosthetic Culture | $45.50 | $91.00 | — | 34% below | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Abscess Culture | $43.50 | $87.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Umb/Placenta Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Tissue Culture Routine | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Sterile Site Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Respiratory Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Legionella Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Environmental Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Prosthetic Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Wound Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Bronchial Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Foreign Body Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Genital Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Body Fluid Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Eye Culture | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Csf Cult | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Cystic Fibrosis Resp Cult | $45.50 | $91.00 | — | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Chgl Ear Culture | $45.50 | $91.00 | — | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 Chgl Basic Metabolic Panel | $43.00 | $86.00 | — | 43% below | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Chgl Basic Metabolic Panel | $43.00 | $86.00 | — | — | 50% |
| Bilirubin blood test, total CPT 82247 Chgl Total Bilirubin | $4.50 | $9.00 | — | 90% below | 50% |
| Bilirubin blood test, total CPT 82247 Chgl Bilirubin Fluid | $24.00 | $48.00 | — | 46% below | 50% |
| Bilirubin blood test, total CPT 82247 Chgl Bilirubin Total | $24.00 | $48.00 | — | 46% below | 50% |
| Bilirubin blood test, total CPT 82247 Chgl Bilirubin Total (Nash) | $24.00 | $48.00 | — | 46% below | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Chgl Total Bilirubin | $4.50 | $9.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Chgl Bilirubin Total (Nash) | $24.00 | $48.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Chgl Bilirubin Total | $24.00 | $48.00 | — | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 Chgl Bilirubin Fluid | $24.00 | $48.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Chgl Bone Marrow Bx Interpret | $168.50 | $337.00 | — | 23% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Chgl Cytology Cell Block | $168.50 | $337.00 | — | 23% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Chgl B Cpt88305B, Bill Only | $168.50 | $337.00 | — | 23% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Chgl Surg Path Level Iv | $168.50 | $337.00 | — | 23% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Chgl Bone Marrow Asp Clot | $168.50 | $337.00 | — | 23% below | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Chgl Bone Marrow Bx Interpret | $168.50 | $337.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Chgl Cytology Cell Block | $168.50 | $337.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Chgl Bone Marrow Asp Clot | $168.50 | $337.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Chgl Surg Path Level Iv | $168.50 | $337.00 | — | — | 50% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Chgl B Cpt88305B, Bill Only | $168.50 | $337.00 | — | — | 50% |
| Blood culture for bacteria CPT 87040 Chgl Blood Culture,Ped | $52.00 | $104.00 | — | 50% below | 50% |
| Blood culture for bacteria CPT 87040 Chgl Blood Culture,Routine | $52.00 | $104.00 | — | 50% below | 50% |
| Blood culture for bacteria CPT 87040 Chgl Transfusion Reaction Cult | $52.00 | $104.00 | — | 50% below | 50% |
| Blood culture for bacteria CPT 87040 Chgl Blood Culture,Brucella | $52.00 | $104.00 | — | 50% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 Chgl Transfusion Reaction Cult | $52.00 | $104.00 | — | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 Chgl Blood Culture,Brucella | $52.00 | $104.00 | — | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 Chgl Blood Culture,Routine | $52.00 | $104.00 | — | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 Chgl Blood Culture,Ped | $52.00 | $104.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Routine Venipunct/Stick | $17.50 | $35.00 | — | at median | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Chgl Draw Fee Nursing Home | $17.50 | $35.00 | — | at median | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Draw Fee - Venipuncture Central Testing | $17.50 | $35.00 | — | at median | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Chgl Draw Fee-Lab Req Entry | $17.50 | $35.00 | — | at median | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Draw Fee | $17.50 | $35.00 | — | at median | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Draw Fee Venipuncture | $17.50 | $35.00 | — | at median | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 Routine Venipunct/Stick | $17.50 | $35.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Draw Fee | $17.50 | $35.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Draw Fee Venipuncture | $17.50 | $35.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Draw Fee - Venipuncture Central Testing | $17.50 | $35.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Chgl Draw Fee-Lab Req Entry | $17.50 | $35.00 | — | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Chgl Draw Fee Nursing Home | $17.50 | $35.00 | — | — | 50% |
| Blood glucose (sugar) test CPT 82947 Glucose,Quant | $20.00 | $40.00 | — | 56% below | 50% |
| Blood glucose (sugar) test CPT 82947 Chgl Glucose Postprandial | $20.00 | $40.00 | — | 56% below | 50% |
| Blood glucose (sugar) test CPT 82947 Glucose,Quan.Blood | $20.00 | $40.00 | — | 56% below | 50% |
| Blood glucose (sugar) test CPT 82947 Chgl Glucose,Serum (Nash) | $20.00 | $40.00 | — | 56% below | 50% |
| Blood glucose (sugar) test CPT 82947 Chgl Glucose I-Stat | $20.00 | $40.00 | — | 56% below | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Chgl Glucose I-Stat | $20.00 | $40.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose,Quant | $20.00 | $40.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose,Quan.Blood | $20.00 | $40.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Chgl Glucose Postprandial | $20.00 | $40.00 | — | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 Chgl Glucose,Serum (Nash) | $20.00 | $40.00 | — | — | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Heavy Metals Group # 3, S/O | $4.50 | $9.00 | — | 93% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Heavy Metals Panel (Venous), S/O | $5.50 | $11.00 | — | 91% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Heavy Metals Panel, Random Urine, S/O | $6.00 | $12.00 | — | 90% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Lead (Venous), Osha And Zinc Protoporphyrin Eval, S/O | $6.50 | $13.00 | — | 90% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Lead And Zinc Protoporphyrin Evaluation, S/O | $8.00 | $16.00 | — | 87% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Lead, Urine, S/O | $10.00 | $20.00 | — | 84% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Lead (Venous), S/O | $11.00 | $22.00 | — | 83% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Lead, Capillary, S/O | $11.50 | $23.00 | — | 82% below | 50% |
| Blood lead test CPT 83655 Chgl (Qu) Lead, 24-Hour Urine, S/O | $14.00 | $28.00 | — | 78% below | 50% |
| Blood lead test CPT 83655 Chgl Lc-Lead,Blood, Filter Paper | $34.50 | $69.00 | — | 45% below | 50% |
| Blood lead test CPT 83655 Chgl Lead Blood Adult | $55.50 | $111.00 | — | 12% below | 50% |
| Blood lead test CPT 83655 Chgl Lead Blood | $55.50 | $111.00 | — | 12% below | 50% |
| Blood lead test CPT 83655 Chgl Embryotoxicity Assay | $55.50 | $111.00 | — | 12% below | 50% |
| Blood lead test CPT 83655 Chgl Lead Blood (P) | $55.50 | $111.00 | — | 12% below | 50% |
| Blood lead test CPT 83655 Chgl Lead Urine | $74.00 | $148.00 | — | 18% above | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Heavy Metals Group # 3, S/O | $4.50 | $9.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Heavy Metals Panel (Venous), S/O | $5.50 | $11.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Heavy Metals Panel, Random Urine, S/O | $6.00 | $12.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Lead (Venous), Osha And Zinc Protoporphyrin Eval, S/O | $6.50 | $13.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Lead And Zinc Protoporphyrin Evaluation, S/O | $8.00 | $16.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Lead, Urine, S/O | $10.00 | $20.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Lead (Venous), S/O | $11.00 | $22.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Lead, Capillary, S/O | $11.50 | $23.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl (Qu) Lead, 24-Hour Urine, S/O | $14.00 | $28.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl Lc-Lead,Blood, Filter Paper | $34.50 | $69.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl Lead Blood Adult | $55.50 | $111.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl Embryotoxicity Assay | $55.50 | $111.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl Lead Blood | $55.50 | $111.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl Lead Blood (P) | $55.50 | $111.00 | — | — | 50% |
| Blood lead test inpatient CPT 83655 Chgl Lead Urine | $74.00 | $148.00 | — | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chgl Pregnancy, Serum | $35.00 | $70.00 | — | 67% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Urine Preg Poc Clinitek | $35.00 | $70.00 | — | 67% below | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Chgl Pregnancy, Serum | $35.00 | $70.00 | — | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Urine Preg Poc Clinitek | $35.00 | $70.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Reference Lab Abo | $14.50 | $29.00 | — | 84% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo | $65.00 | $130.00 | — | 28% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 A1 Antigen Type Donor | $65.00 | $130.00 | — | 28% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Neo | $65.00 | $130.00 | — | 28% below | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Reference Lab Abo | $14.50 | $29.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Neo | $65.00 | $130.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 A1 Antigen Type Donor | $65.00 | $130.00 | — | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo | $65.00 | $130.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun | $19.50 | $39.00 | — | 63% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 Chgl Bun | $20.00 | $40.00 | — | 62% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 Chgl Bun (Urea Nitrogen) - Post Dia | $20.00 | $40.00 | — | 62% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 Chgl Bun (Urea Nitrogen) I-Stat | $20.00 | $40.00 | — | 62% below | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun | $19.50 | $39.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Chgl Bun | $20.00 | $40.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Chgl Bun (Urea Nitrogen) I-Stat | $20.00 | $40.00 | — | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Chgl Bun (Urea Nitrogen) - Post Dia | $20.00 | $40.00 | — | — | 50% |
| C-peptide blood test CPT 84681 Chgl (Qu) C-Peptide, S/O | $13.00 | $26.00 | — | 88% below | 50% |
| C-peptide blood test CPT 84681 Chgl C Peptide Reactivity | $90.50 | $181.00 | — | 17% below | 50% |
| C-peptide blood test inpatient CPT 84681 Chgl (Qu) C-Peptide, S/O | $13.00 | $26.00 | — | — | 50% |
| C-peptide blood test inpatient CPT 84681 Chgl C Peptide Reactivity | $90.50 | $181.00 | — | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Chgl Crp | $23.50 | $47.00 | — | 73% below | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Chgl Crp | $23.50 | $47.00 | — | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | — | 72% below | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Chgl 87493 C.Diff Toxin Gene, Pcr | $35.00 | $70.00 | — | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 Chgl Ca 19-9 Tumor Ag | $88.00 | $176.00 | — | 14% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Chgl Ca 19-9 Tumor Ag | $88.00 | $176.00 | — | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Chgl Ca-125 Tumor Ag | $88.00 | $176.00 | — | 28% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Chgl Ca-125 Tumor Ag | $88.00 | $176.00 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Chgl Covid-19 | $25.66 | $51.31 | — | 67% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Chgl (Qu) 87635 Sars-Cov-2 Rna (Covid-19), Qualitative Naat, S/O | $54.00 | $108.00 | — | 30% below | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Chgl Covid-19 | $25.66 | $51.31 | — | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Chgl (Qu) 87635 Sars-Cov-2 Rna (Covid-19), Qualitative Naat, S/O | $54.00 | $108.00 | — | — | 50% |
| Calcium blood test, total CPT 82310 Calcium,Total | $23.50 | $47.00 | — | 42% below | 50% |
| Calcium blood test, total CPT 82310 Chgl Calcium | $24.00 | $48.00 | — | 41% below | 50% |
| Calcium blood test, total inpatient CPT 82310 Calcium,Total | $23.50 | $47.00 | — | — | 50% |
| Calcium blood test, total inpatient CPT 82310 Chgl Calcium | $24.00 | $48.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Chgl (Qu) Cea, Carcinoembryonic Antigen, Pancreatic Cyst Fluid, S/O | $70.00 | $140.00 | — | 39% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Chgl Cea | $85.50 | $171.00 | — | 26% below | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Chgl Cea Fluid | $86.50 | $173.00 | — | 25% below | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chgl (Qu) Cea, Carcinoembryonic Antigen, Pancreatic Cyst Fluid, S/O | $70.00 | $140.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chgl Cea | $85.50 | $171.00 | — | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chgl Cea Fluid | $86.50 | $173.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Chgl (Qu) Varicella-Zoster Virus Antibody (Igm), S/O | $11.50 | $23.00 | — | 89% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Chgl Varicella Zoster Antibod Igm | $55.00 | $110.00 | — | 48% below | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 Chgl Varicella Igm Antibody | $58.00 | $116.00 | — | 45% below | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Chgl (Qu) Varicella-Zoster Virus Antibody (Igm), S/O | $11.50 | $23.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Chgl Varicella Zoster Antibod Igm | $55.00 | $110.00 | — | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Chgl Varicella Igm Antibody | $58.00 | $116.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O | $10.00 | $20.00 | — | 92% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl (Qu) Chlamydia-Gc, Rna, Tma, Throat, S/O | $11.50 | $23.00 | — | 91% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl (Qu) 87491 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $19.00 | $38.00 | — | 86% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl (Qu) 87491 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $19.00 | $38.00 | — | 86% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl (Qu) 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital, S/O | $19.00 | $38.00 | — | 86% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl (Qu) 87491 Chlamydia Trachomatis Rna, Tma, Urogenital, S/O | $19.00 | $38.00 | — | 86% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O | $36.00 | $72.00 | — | 73% below | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl Chamydia Rectal Swab,Naa | $167.00 | $334.00 | — | 26% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl Chlamydia,Ampl Probe Ua | $167.00 | $334.00 | — | 26% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl Chlamydia,Ampl Probe Other Flu | $167.00 | $334.00 | — | 26% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl Chlamydia Trac Naa | $167.00 | $334.00 | — | 26% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl Chlamydia Conjunctiva Swab,Naa | $167.00 | $334.00 | — | 26% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chgl Chamydia Pharnygeal Swab,Naa | $167.00 | $334.00 | — | 26% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O | $10.00 | $20.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl (Qu) Chlamydia-Gc, Rna, Tma, Throat, S/O | $11.50 | $23.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl (Qu) 87491 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $19.00 | $38.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl (Qu) 87491 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital, S/O | $19.00 | $38.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl (Qu) 87491 Chlamydia Trachomatis Rna, Tma, Urogenital, S/O | $19.00 | $38.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl (Qu) 87491 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $19.00 | $38.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O | $36.00 | $72.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl Chamydia Pharnygeal Swab,Naa | $167.00 | $334.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl Chlamydia Trac Naa | $167.00 | $334.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl Chlamydia Conjunctiva Swab,Naa | $167.00 | $334.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl Chlamydia,Ampl Probe Ua | $167.00 | $334.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl Chamydia Rectal Swab,Naa | $167.00 | $334.00 | — | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chgl Chlamydia,Ampl Probe Other Flu | $167.00 | $334.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Chgl Lipid Panel Complete | $73.50 | $147.00 | — | 14% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Chgl Lipid Cascade | $73.50 | $147.00 | — | 14% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Chgl Lipid Panel Hdl Ratio | $73.50 | $147.00 | — | 14% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Chgl Lipid Panel Complete | $73.50 | $147.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Chgl Lipid Cascade | $73.50 | $147.00 | — | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Chgl Lipid Panel Hdl Ratio | $73.50 | $147.00 | — | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O | $8.50 | $17.00 | — | 70% below | 50% |
| Complete blood count (CBC) with differential CPT 85025 Chgl Cbc With Diff | $46.50 | $93.00 | — | 61% above | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O | $8.50 | $17.00 | — | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Chgl Cbc With Diff | $46.50 | $93.00 | — | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 Chgl Cbc Without Diff | $39.00 | $78.00 | — | 53% below | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Chgl Cbc Without Diff | $39.00 | $78.00 | — | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 Chgl Comprehensive Metabolic Panel | $63.50 | $127.00 | — | 63% below | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Chgl Comprehensive Metabolic Panel | $63.50 | $127.00 | — | — | 50% |
| Cortisol blood test, total CPT 82533 Chgl (Qu) 82533 Aldosterone/Cortisol Ratio, Adrenal Vein Sampling 1 Site, S/O | $16.00 | $32.00 | — | 82% below | 50% |
| Cortisol blood test, total CPT 82533 Chgl Cortisol Total | $71.50 | $143.00 | — | 18% below | 50% |
| Cortisol blood test, total CPT 82533 Chgl Cortisol,Total-Add'l Test | $74.50 | $149.00 | — | 14% below | 50% |
| Cortisol blood test, total CPT 82533 Chgl Cortisol,Salivary | $74.50 | $149.00 | — | 14% below | 50% |
| Cortisol blood test, total CPT 82533 Chgl Cortisol, Total Serum | $74.50 | $149.00 | — | 14% below | 50% |
| Cortisol blood test, total CPT 82533 Chgl Cortisol Urine Free | $74.50 | $149.00 | — | 14% below | 50% |
| Cortisol blood test, total inpatient CPT 82533 Chgl (Qu) 82533 Aldosterone/Cortisol Ratio, Adrenal Vein Sampling 1 Site, S/O | $16.00 | $32.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 Chgl Cortisol Total | $71.50 | $143.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 Chgl Cortisol, Total Serum | $74.50 | $149.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 Chgl Cortisol,Total-Add'l Test | $74.50 | $149.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 Chgl Cortisol,Salivary | $74.50 | $149.00 | — | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 Chgl Cortisol Urine Free | $74.50 | $149.00 | — | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 Chgl Cpk | $31.50 | $63.00 | — | 50% below | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 Chgl Creatine Kinase: Total (Lc) | $31.50 | $63.00 | — | 50% below | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Chgl Cpk | $31.50 | $63.00 | — | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Chgl Creatine Kinase: Total (Lc) | $31.50 | $63.00 | — | — | 50% |
| Creatinine blood test CPT 82565 Chgl Creatinine - I-Stat | $24.00 | $48.00 | — | 62% below | 50% |
| Creatinine blood test CPT 82565 Chgl Creatinine Serum | $24.00 | $48.00 | — | 62% below | 50% |
| Creatinine blood test inpatient CPT 82565 Chgl Creatinine Serum | $24.00 | $48.00 | — | — | 50% |
| Creatinine blood test inpatient CPT 82565 Chgl Creatinine - I-Stat | $24.00 | $48.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Chgl (Qu) Torch Panel, Convalenscent, S/O | $7.00 | $14.00 | — | 90% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Chgl Cytomegalovirus, Igg, Qn | $62.50 | $125.00 | — | 8% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Chgl Cmv Igg Avidity | $65.00 | $130.00 | — | 5% below | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Chgl Cmv Igg Avidity Add't | $65.00 | $130.00 | — | 5% below | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Chgl (Qu) Torch Panel, Convalenscent, S/O | $7.00 | $14.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Chgl Cytomegalovirus, Igg, Qn | $62.50 | $125.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Chgl Cmv Igg Avidity Add't | $65.00 | $130.00 | — | — | 50% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Chgl Cmv Igg Avidity | $65.00 | $130.00 | — | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 Chgl D-Dimer Quantitation | $51.00 | $102.00 | — | 67% below | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 Chgl D-Dimer Quantitation | $51.00 | $102.00 | — | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Chgl (Qu) Dhea Sulfate, S/O | $9.50 | $19.00 | — | 92% below | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Chgl Dhea Sulf Serum | $99.50 | $199.00 | — | 17% below | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Chgl (Qu) Dhea Sulfate, S/O | $9.50 | $19.00 | — | — | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Chgl Dhea Sulf Serum | $99.50 | $199.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Pain Management, S/O | $14.00 | $28.00 | — | 91% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Pdm Test 01, S/O | $19.00 | $38.00 | — | 88% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Drug Monitor, Synthetic Cannabinoids, W/Conf, U, S/O | $21.00 | $42.00 | — | 86% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Tramadol Screen With Reflex To Confirmation, Urine, S/O | $31.50 | $63.00 | — | 79% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Mdma/Mda Screen With Confirmation, Urine, S/O | $32.50 | $65.00 | — | 79% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Drug Panel 5, Meconium, S/O | $35.50 | $71.00 | — | 77% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Lc - Thc Wb, Reflexed | $37.50 | $75.00 | — | 76% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Drug Abuse Panel 8, With Confirmation, Serum Or Plasma, S/O | $45.50 | $91.00 | — | 70% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Gamma-Hydroxybutyric Acid Screen, Urine, S/O | $63.50 | $127.00 | — | 59% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) 80307 Gamma-Hydroxybutyric Acid Screen, Serum/Plasma, S/O | $64.50 | $129.00 | — | 58% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Drug Screen Panel 9, Meconium, S/O | $67.50 | $135.00 | — | 56% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen U-5 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Womro | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen 10 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen Urine 9 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chg - Compliance Drug Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Abuse 8 Serum | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Buprenorphine, Urine | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Gamma Hydroxybutyric Acid Bl | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Meconium Drug Panel 5 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Panel Blood 8 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Panel Blood 6 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen 7 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Therapuetic Drug Screen(P) | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen Urine - 3 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Oxycodone Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Nicotine Screen Urine | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen Complete,Reflex-9 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Amphetamine Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Opiate Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Propoxyphene Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Methadone Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Benzo Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Barbiturate Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen Urine, Complete-11 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Basic Drug Screen-2 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen 11 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Class B Drug Elisa/Non-Tlc | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Pain Management Drug 13 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Cannabinoids Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Cocaine Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Phenothiazine Screen | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Drug Screen Urine Stat-6 | $81.00 | $162.00 | — | 47% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Lc - Meconium Drug 10 Panel | $84.50 | $169.00 | — | 45% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl (Qu) Comprehensive Drug Screen, Umbilical Cord Tissue, S/O | $99.00 | $198.00 | — | 35% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Lc - Thc Wb | $109.00 | $218.00 | — | 29% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Lc Drug Profile 14 Ua Monitor | $116.00 | $232.00 | — | 24% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Lc Toxassure 13 | $142.00 | $284.00 | — | 7% below | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Lc-Drug Profile 12 Urine | $155.00 | $310.00 | — | 1% above | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Chgl Lc-Ar-Drug Panel Umb Cord Qual | $163.50 | $327.00 | — | 7% above | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Pain Management, S/O | $14.00 | $28.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Pdm Test 01, S/O | $19.00 | $38.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Drug Monitor, Synthetic Cannabinoids, W/Conf, U, S/O | $21.00 | $42.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Tramadol Screen With Reflex To Confirmation, Urine, S/O | $31.50 | $63.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Mdma/Mda Screen With Confirmation, Urine, S/O | $32.50 | $65.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Drug Panel 5, Meconium, S/O | $35.50 | $71.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Lc - Thc Wb, Reflexed | $37.50 | $75.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Drug Abuse Panel 8, With Confirmation, Serum Or Plasma, S/O | $45.50 | $91.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Gamma-Hydroxybutyric Acid Screen, Urine, S/O | $63.50 | $127.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) 80307 Gamma-Hydroxybutyric Acid Screen, Serum/Plasma, S/O | $64.50 | $129.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Drug Screen Panel 9, Meconium, S/O | $67.50 | $135.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Therapuetic Drug Screen(P) | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen 7 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Panel Blood 6 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Panel Blood 8 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Meconium Drug Panel 5 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Gamma Hydroxybutyric Acid Bl | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Buprenorphine, Urine | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Abuse 8 Serum | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chg - Compliance Drug Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen Urine 9 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Cocaine Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Pain Management Drug 13 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Class B Drug Elisa/Non-Tlc | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen 11 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Basic Drug Screen-2 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen Urine, Complete-11 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Barbiturate Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Benzo Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Methadone Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen Urine Stat-6 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Propoxyphene Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Opiate Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Amphetamine Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen U-5 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen Complete,Reflex-9 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Nicotine Screen Urine | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Oxycodone Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen Urine - 3 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Drug Screen 10 | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Womro | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Phenothiazine Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Cannabinoids Screen | $81.00 | $162.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Lc - Meconium Drug 10 Panel | $84.50 | $169.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl (Qu) Comprehensive Drug Screen, Umbilical Cord Tissue, S/O | $99.00 | $198.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Lc - Thc Wb | $109.00 | $218.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Lc Drug Profile 14 Ua Monitor | $116.00 | $232.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Lc Toxassure 13 | $142.00 | $284.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Lc-Drug Profile 12 Urine | $155.00 | $310.00 | — | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chgl Lc-Ar-Drug Panel Umb Cord Qual | $163.50 | $327.00 | — | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Chgl Electrolytes Panel | $38.00 | $76.00 | — | 60% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Chgl Lyte Poc | $38.00 | $76.00 | — | 60% below | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Chgl Electrolytes Panel | $38.00 | $76.00 | — | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Chgl Lyte Poc | $38.00 | $76.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Chgl (Qu) Epstein-Barr Virus Antibody Panel, S/O | $6.50 | $13.00 | — | 93% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Chgl (Qu) 86665 Epstein-Barr Virus Viral Capsid Antigen (Vca) Antibody (Igm), S/O | $11.50 | $23.00 | — | 88% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Chgl (Qu) Epstein-Barr Virusviralcapsid Antigen (Vca)Ab(Igm), S/O | $11.50 | $23.00 | — | 88% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Chgl (Qu) Epstein-Barr Virusviralcapsidantigen (Vca)Ab(Igg), S/O | $14.50 | $29.00 | — | 84% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Chgl Eb-Vca Ab Igg | $77.50 | $155.00 | — | 16% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Chgl Epstein Barr Virus | $80.50 | $161.00 | — | 13% below | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Chgl Eb-Vca,Iga | $80.50 | $161.00 | — | 13% below | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Chgl (Qu) Epstein-Barr Virus Antibody Panel, S/O | $6.50 | $13.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Chgl (Qu) 86665 Epstein-Barr Virus Viral Capsid Antigen (Vca) Antibody (Igm), S/O | $11.50 | $23.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Chgl (Qu) Epstein-Barr Virusviralcapsid Antigen (Vca)Ab(Igm), S/O | $11.50 | $23.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Chgl (Qu) Epstein-Barr Virusviralcapsidantigen (Vca)Ab(Igg), S/O | $14.50 | $29.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Chgl Eb-Vca Ab Igg | $77.50 | $155.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Chgl Epstein Barr Virus | $80.50 | $161.00 | — | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Chgl Eb-Vca,Iga | $80.50 | $161.00 | — | — | 50% |
| Estradiol blood test CPT 82670 Chgl (Qu) Estradiol, Ultrasensitive, Lc/Ms, S/O | $15.50 | $31.00 | — | 87% below | 50% |
| Estradiol blood test CPT 82670 Chgl Lc-Estradiol, Free-Serum | $17.00 | $34.00 | — | 86% below | 50% |
| Estradiol blood test CPT 82670 Chgl (Qu) Estradiol, Free, S/O | $41.00 | $82.00 | — | 66% below | 50% |
| Estradiol blood test CPT 82670 Chgl Estradiol | $177.50 | $355.00 | — | 45% above | 50% |
| Estradiol blood test inpatient CPT 82670 Chgl (Qu) Estradiol, Ultrasensitive, Lc/Ms, S/O | $15.50 | $31.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 Chgl Lc-Estradiol, Free-Serum | $17.00 | $34.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 Chgl (Qu) Estradiol, Free, S/O | $41.00 | $82.00 | — | — | 50% |
| Estradiol blood test inpatient CPT 82670 Chgl Estradiol | $177.50 | $355.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Chgl Fsh Urine | $82.00 | $164.00 | — | 23% below | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 Chgl Fsh | $82.00 | $164.00 | — | 23% below | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Chgl Fsh Urine | $82.00 | $164.00 | — | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Chgl Fsh | $82.00 | $164.00 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Chgl (Qu) Calprotectin, Stool, S/O | $22.50 | $45.00 | — | 81% below | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Chgl Calprotectin | $82.00 | $164.00 | — | 32% below | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Chgl (Qu) Calprotectin, Stool, S/O | $22.50 | $45.00 | — | — | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Chgl Calprotectin | $82.00 | $164.00 | — | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 Chga-Ferritin | $61.00 | $122.00 | — | 53% below | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Chga-Ferritin | $61.00 | $122.00 | — | — | 50% |
| Fibrinogen blood test CPT 85384 Chgl Fibrinogen | $43.00 | $86.00 | — | 49% below | 50% |
| Fibrinogen blood test inpatient CPT 85384 Chgl Fibrinogen | $43.00 | $86.00 | — | — | 50% |
| Folate (folic acid) blood test CPT 82746 Chgl Folic Acid Serum | $82.00 | $164.00 | — | 24% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 Chgl Folic Acid Serum | $82.00 | $164.00 | — | — | 50% |
| Free T3 thyroid hormone test CPT 84481 Chgl T3 Free | $74.50 | $149.00 | — | 28% below | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 Chgl T3 Free | $74.50 | $149.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Chga-Free T4 | $40.50 | $81.00 | — | 48% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Chgl T4 Free (Cascade) | $42.00 | $84.00 | — | 46% below | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Chgl T4 Free (Replacement) | $42.00 | $84.00 | — | 46% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chga-Free T4 | $40.50 | $81.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chgl T4 Free (Cascade) | $42.00 | $84.00 | — | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chgl T4 Free (Replacement) | $42.00 | $84.00 | — | — | 50% |
| Free testosterone test CPT 84402 Chgl Testosterone Free | $111.00 | $222.00 | — | 39% below | 50% |
| Free testosterone test CPT 84402 Chgl Testosterone,Free(P) | $116.00 | $232.00 | — | 36% below | 50% |
| Free testosterone test inpatient CPT 84402 Chgl Testosterone Free | $111.00 | $222.00 | — | — | 50% |
| Free testosterone test inpatient CPT 84402 Chgl Testosterone,Free(P) | $116.00 | $232.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chgl Ggt | $6.50 | $13.00 | — | 85% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chgl Ggt Serum | $34.00 | $68.00 | — | 20% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chgl Ggt (Nash) | $34.50 | $69.00 | — | 19% below | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chgl Ggt | $6.50 | $13.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chgl Ggt Serum | $34.00 | $68.00 | — | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chgl Ggt (Nash) | $34.50 | $69.00 | — | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Chgl Glucose,Post Glucose Dose(W/Gl | $22.50 | $45.00 | — | 45% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Chgl Glucola 1 Hour | $22.50 | $45.00 | — | 45% below | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Chgl Glucose,Post Glucose Dose(W/Gl | $22.50 | $45.00 | — | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Chgl Glucola 1 Hour | $22.50 | $45.00 | — | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Chgl Lactose Tolerance | $47.00 | $94.00 | — | 43% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test(Gtt) | $49.00 | $98.00 | — | 40% below | 50% |
| Glucose tolerance test, 3 samples CPT 82951 Chgl Gtt,3 Spec And Glucola | $49.00 | $98.00 | — | 40% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Chgl Lactose Tolerance | $47.00 | $94.00 | — | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test(Gtt) | $49.00 | $98.00 | — | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Chgl Gtt,3 Spec And Glucola | $49.00 | $98.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O | $10.00 | $20.00 | — | 91% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl (Qu) Chlamydia-Gc, Rna, Tma, Throat, S/O | $11.50 | $23.00 | — | 89% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl (Qu) 87591 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $19.00 | $38.00 | — | 83% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl (Qu) 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital, S/O | $19.00 | $38.00 | — | 83% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl (Qu) 87591 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $19.00 | $38.00 | — | 83% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O | $36.00 | $72.00 | — | 67% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl Gc,Ampl Probe Ua | $167.00 | $334.00 | — | 53% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl Gc Pharyngeal Swab,Naa | $167.00 | $334.00 | — | 53% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl Gc,Ampl Probe Other Fluid | $167.00 | $334.00 | — | 53% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl Gc Rectal Swab,Naa | $167.00 | $334.00 | — | 53% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Chgl Gc Naa | $167.00 | $334.00 | — | 53% above | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl (Qu) Chlamydia/Gc, Rna, Tma, Rectal, S/O | $10.00 | $20.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl (Qu) Chlamydia-Gc, Rna, Tma, Throat, S/O | $11.50 | $23.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl (Qu) 87591 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $19.00 | $38.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl (Qu) 87591 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $19.00 | $38.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl (Qu) 87591 Chlamydia/Neisseria Gonorrhoeae Rna, Tma, Urogenital, S/O | $19.00 | $38.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O | $36.00 | $72.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl Gc Pharyngeal Swab,Naa | $167.00 | $334.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl Gc Naa | $167.00 | $334.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl Gc,Ampl Probe Other Fluid | $167.00 | $334.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl Gc Rectal Swab,Naa | $167.00 | $334.00 | — | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Chgl Gc,Ampl Probe Ua | $167.00 | $334.00 | — | — | 50% |
| H. pylori antibody blood test CPT 86677 Chgl Helicobacter Pylori Antibody | $62.50 | $125.00 | — | 15% below | 50% |
| H. pylori antibody blood test CPT 86677 Chgl H. Pylori Iga Antibody | $65.00 | $130.00 | — | 12% below | 50% |
| H. pylori antibody blood test CPT 86677 Chgl H Pylori Igm | $65.00 | $130.00 | — | 12% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 Chgl Helicobacter Pylori Antibody | $62.50 | $125.00 | — | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 Chgl H. Pylori Iga Antibody | $65.00 | $130.00 | — | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 Chgl H Pylori Igm | $65.00 | $130.00 | — | — | 50% |
| H. pylori stool antigen test CPT 87338 Chgl (Qu) Helicobacter Pylori Antigen, Eia , Stool, S/O | $18.50 | $37.00 | — | 83% below | 50% |
| H. pylori stool antigen test CPT 87338 Chgl H. Pylori Antigen | $186.50 | $373.00 | — | 73% above | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Chgl (Qu) Helicobacter Pylori Antigen, Eia , Stool, S/O | $18.50 | $37.00 | — | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 Chgl H. Pylori Antigen | $186.50 | $373.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Chgl (Qu) Hiv 1 Rna, Qn Pcr W/Reflex To Genotype, S/O | $32.50 | $65.00 | — | 89% below | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Chgl Hiv Rna Group | $349.50 | $699.00 | — | 17% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Chgl (Qu) Hiv 1 Rna, Qn Pcr W/Reflex To Genotype, S/O | $32.50 | $65.00 | — | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Chgl Hiv Rna Group | $349.50 | $699.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Chgl (Qu) 87624 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O | $20.50 | $41.00 | — | 82% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Chgl (Qu) 87624 Hpv Dna, High Risk, S/O | $22.50 | $45.00 | — | 80% below | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Chgl Hpv High Risk | $49.50 | $99.00 | — | 57% below | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Chgl (Qu) 87624 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O | $20.50 | $41.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Chgl (Qu) 87624 Hpv Dna, High Risk, S/O | $22.50 | $45.00 | — | — | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Chgl Hpv High Risk | $49.50 | $99.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chga-Hemoglobin A1C | $48.50 | $97.00 | — | 56% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin,Glycated | $48.50 | $97.00 | — | 56% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chgl Hemoglobin A1C (Poc) | $48.50 | $97.00 | — | 56% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Chgl Hemoglobin A1C (Poc) | $48.50 | $97.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin,Glycated | $48.50 | $97.00 | — | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Chga-Hemoglobin A1C | $48.50 | $97.00 | — | — | 50% |
| Hemoglobin blood test CPT 85018 Hemoglobin Atp | $12.50 | $25.00 | — | 31% below | 50% |
| Hemoglobin blood test CPT 85018 Hgb | $12.50 | $25.00 | — | 31% below | 50% |
| Hemoglobin blood test CPT 85018 Chgl Hgb | $12.50 | $25.00 | — | 31% below | 50% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin Atp | $12.50 | $25.00 | — | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 Hgb | $12.50 | $25.00 | — | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 Chgl Hgb | $12.50 | $25.00 | — | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab | $52.50 | $105.00 | — | 21% below | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab | $52.50 | $105.00 | — | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Chgl Hepatitis B Surface Ab | $34.50 | $69.00 | — | 59% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Chgl Hepatitis B Surface Ab | $34.50 | $69.00 | — | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Chga-Hep B Surface Antigen | $52.00 | $104.00 | — | 17% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Chga-Hep B Surface Antigen | $52.00 | $104.00 | — | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 Chgl Hepatitis C Ab | $62.00 | $124.00 | — | 21% below | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Chgl Hepatitis C Ab | $62.00 | $124.00 | — | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Chgl Hep C Virus,Quant | $167.00 | $334.00 | — | 34% below | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Chgl Hep C Virus,Quant | $167.00 | $334.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Chgl (Qu) Torch Panel, Convalenscent, S/O | $6.50 | $13.00 | — | 92% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Chgl (Qu) Herpes Simplex Virus 1/2 (Igg), W/Refl Hsv-2 Inhib, S/O | $6.50 | $13.00 | — | 92% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Chgl Herpes Simplex Igm1 | $56.50 | $113.00 | — | 32% below | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 Chgl Herpes Simplex Igg 1 | $59.00 | $118.00 | — | 29% below | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Chgl (Qu) Herpes Simplex Virus 1/2 (Igg), W/Refl Hsv-2 Inhib, S/O | $6.50 | $13.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Chgl (Qu) Torch Panel, Convalenscent, S/O | $6.50 | $13.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Chgl Herpes Simplex Igm1 | $56.50 | $113.00 | — | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Chgl Herpes Simplex Igg 1 | $59.00 | $118.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Chgl (Qu) Hsv 1/2 Igg,Type Specific, S/O | $6.50 | $13.00 | — | 93% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Chgl (Qu) Herpes Simplex Virus 2 (Igg),W/Refl Hsv-2 Inhib, S/O | $9.00 | $18.00 | — | 90% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Chgl (Qu) Torch Panel, Convalenscent, S/O | $9.00 | $18.00 | — | 90% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Chgl (Qu) Herpes Simplex Virus 1/2 (Igg), W/Refl Hsv-2 Inhib, S/O | $10.00 | $20.00 | — | 89% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Chgl Herpes Simplex Igm2 | $82.00 | $164.00 | — | 10% below | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 Chgl Herpes Simplex Igg 2 | $86.00 | $172.00 | — | 6% below | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Chgl (Qu) Hsv 1/2 Igg,Type Specific, S/O | $6.50 | $13.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Chgl (Qu) Herpes Simplex Virus 2 (Igg),W/Refl Hsv-2 Inhib, S/O | $9.00 | $18.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Chgl (Qu) Torch Panel, Convalenscent, S/O | $9.00 | $18.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Chgl (Qu) Herpes Simplex Virus 1/2 (Igg), W/Refl Hsv-2 Inhib, S/O | $10.00 | $20.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Chgl Herpes Simplex Igm2 | $82.00 | $164.00 | — | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Chgl Herpes Simplex Igg 2 | $86.00 | $172.00 | — | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Chgl Crp High Sensitivity | $54.00 | $108.00 | — | at median | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Chgl Crp High Sensitivity | $54.00 | $108.00 | — | — | 50% |
| Homocysteine blood test CPT 83090 Chgl (Qu) Homocysteine, S/O | $13.50 | $27.00 | — | 88% below | 50% |
| Homocysteine blood test CPT 83090 Chgl Homocystein, Serum | $74.00 | $148.00 | — | 33% below | 50% |
| Homocysteine blood test inpatient CPT 83090 Chgl (Qu) Homocysteine, S/O | $13.50 | $27.00 | — | — | 50% |
| Homocysteine blood test inpatient CPT 83090 Chgl Homocystein, Serum | $74.00 | $148.00 | — | — | 50% |
| Insulin blood test CPT 83525 Chgl (Qu) Insulin, S/O | $10.00 | $20.00 | — | 86% below | 50% |
| Insulin blood test CPT 83525 Chgl Insulin, Total | $63.50 | $127.00 | — | 9% below | 50% |
| Insulin blood test inpatient CPT 83525 Chgl (Qu) Insulin, S/O | $10.00 | $20.00 | — | — | 50% |
| Insulin blood test inpatient CPT 83525 Chgl Insulin, Total | $63.50 | $127.00 | — | — | 50% |
| Iron blood test (serum iron) CPT 83540 Chgl Biopsy-Quan-Iron-Mayo | $30.50 | $61.00 | — | 61% below | 50% |
| Iron blood test (serum iron) CPT 83540 Chga-Iron | $31.50 | $63.00 | — | 60% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 Chgl Biopsy-Quan-Iron-Mayo | $30.50 | $61.00 | — | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 Chga-Iron | $31.50 | $63.00 | — | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 Chgl Iron Binding Capacity (P) | $39.00 | $78.00 | — | 42% below | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Chgl Iron Binding Capacity (P) | $39.00 | $78.00 | — | — | 50% |
| Kidney function blood test panel CPT 80069 Chgl Renal Function Panel | $52.00 | $104.00 | — | 52% below | 50% |
| Kidney function blood test panel inpatient CPT 80069 Chgl Renal Function Panel | $52.00 | $104.00 | — | — | 50% |
| LH (luteinizing hormone) test CPT 83002 Chgl Lh | $81.50 | $163.00 | — | 39% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 Chgl Lh | $81.50 | $163.00 | — | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 Chgl Lactate Arterial I-Stat | $48.00 | $96.00 | — | 46% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 Chgl Lactate I-Stat | $48.00 | $96.00 | — | 46% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 Chgl Lactic Acid Bld Stat | $48.00 | $96.00 | — | 46% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 Chgl Lactic Acid Csf Stat | $48.00 | $96.00 | — | 46% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 Chgl D-Lactate | $48.00 | $96.00 | — | 46% below | 50% |
| Lactate (lactic acid) blood test CPT 83605 Chgl (Qu) D-Lactate, Plasma, S/O | $183.00 | $366.00 | — | 104% above | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Chgl Lactic Acid Bld Stat | $48.00 | $96.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Chgl Lactate I-Stat | $48.00 | $96.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Chgl Lactic Acid Csf Stat | $48.00 | $96.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Chgl D-Lactate | $48.00 | $96.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Chgl Lactate Arterial I-Stat | $48.00 | $96.00 | — | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Chgl (Qu) D-Lactate, Plasma, S/O | $183.00 | $366.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Chgl Ldh | $28.50 | $57.00 | — | 47% below | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Chgl Ldh Fluid | $28.50 | $57.00 | — | 47% below | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chgl Ldh | $28.50 | $57.00 | — | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chgl Ldh Fluid | $28.50 | $57.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 Chgl Lipase | $33.00 | $66.00 | — | 69% below | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 Chgl Lipase Fluid | $33.00 | $66.00 | — | 69% below | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Chgl Lipase Fluid | $33.00 | $66.00 | — | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Chgl Lipase | $33.00 | $66.00 | — | — | 50% |
| Liver function blood test panel CPT 80076 Chgl Hepatic Function Panel | $49.00 | $98.00 | — | 41% below | 50% |
| Liver function blood test panel inpatient CPT 80076 Chgl Hepatic Function Panel | $49.00 | $98.00 | — | — | 50% |
| Lyme disease antibody test CPT 86618 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | — | 89% below | 50% |
| Lyme disease antibody test CPT 86618 Chgl Lyme Igm Antibody | $72.50 | $145.00 | — | 17% below | 50% |
| Lyme disease antibody test CPT 86618 Chgl Lyme Igm/Igg Antibodies | $76.00 | $152.00 | — | 13% below | 50% |
| Lyme disease antibody test CPT 86618 Chgl Borrelia Burgdoferi Igm Antibodies Csf? | $149.50 | $299.00 | — | 71% above | 50% |
| Lyme disease antibody test CPT 86618 Chgl Borrelia Burgdoferi Igg Antibodies Csf | $149.50 | $299.00 | — | 71% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 Chgl (Qu) 86618 Lyme Antibodies With Reflex, S/O | $10.00 | $20.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Chgl Lyme Igm Antibody | $72.50 | $145.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Chgl Lyme Igm/Igg Antibodies | $76.00 | $152.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Chgl Borrelia Burgdoferi Igm Antibodies Csf? | $149.50 | $299.00 | — | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 Chgl Borrelia Burgdoferi Igg Antibodies Csf | $149.50 | $299.00 | — | — | 50% |
| Magnesium blood test CPT 83735 Chgl (Qu) 83735 Stonerisk? Diagnostic Profile, S/O | $4.00 | $8.00 | — | 93% below | 50% |
| Magnesium blood test CPT 83735 Chgl (Qu) Magnesium, Rbc, S/O | $6.50 | $13.00 | — | 88% below | 50% |
| Magnesium blood test CPT 83735 Chgl (Qu) Magnesium, 24 Hour Urine, (W/O Creatinine), Aa, S/O | $9.50 | $19.00 | — | 83% below | 50% |
| Magnesium blood test CPT 83735 Chgl Magnesium Urine | $32.00 | $64.00 | — | 42% below | 50% |
| Magnesium blood test CPT 83735 Chgl Magnesium Serum | $32.00 | $64.00 | — | 42% below | 50% |
| Magnesium blood test CPT 83735 Chgl Magnesium,Urine (Ks Panel) | $32.00 | $64.00 | — | 42% below | 50% |
| Magnesium blood test CPT 83735 Chgl Magnesium,Rbc | $32.00 | $64.00 | — | 42% below | 50% |
| Magnesium blood test inpatient CPT 83735 Chgl (Qu) 83735 Stonerisk? Diagnostic Profile, S/O | $4.00 | $8.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Chgl (Qu) Magnesium, Rbc, S/O | $6.50 | $13.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Chgl (Qu) Magnesium, 24 Hour Urine, (W/O Creatinine), Aa, S/O | $9.50 | $19.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Chgl Magnesium Urine | $32.00 | $64.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Chgl Magnesium Serum | $32.00 | $64.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Chgl Magnesium,Urine (Ks Panel) | $32.00 | $64.00 | — | — | 50% |
| Magnesium blood test inpatient CPT 83735 Chgl Magnesium,Rbc | $32.00 | $64.00 | — | — | 50% |
| Measles (rubeola) antibody test CPT 86765 Chgl (Qu) Measles Antibody (Igm), S/O | $17.50 | $35.00 | — | 77% below | 50% |
| Measles (rubeola) antibody test CPT 86765 Chgl Rubeola Abs, Eia, Qn | $55.00 | $110.00 | — | 27% below | 50% |
| Measles (rubeola) antibody test CPT 86765 Chgl Rubeola Igm | $58.00 | $116.00 | — | 23% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Chgl (Qu) Measles Antibody (Igm), S/O | $17.50 | $35.00 | — | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Chgl Rubeola Abs, Eia, Qn | $55.00 | $110.00 | — | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 Chgl Rubeola Igm | $58.00 | $116.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Screen Routine | $23.50 | $47.00 | — | 74% below | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Chgl Heterophile Ab | $24.00 | $48.00 | — | 73% below | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Screen Routine | $23.50 | $47.00 | — | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Chgl Heterophile Ab | $24.00 | $48.00 | — | — | 50% |
| Mumps immunity blood test CPT 86735 Chgl (Qu) Mumps Virus Antibody (Igm), S/O | $17.00 | $34.00 | — | 76% below | 50% |
| Mumps immunity blood test CPT 86735 Chgl Mumps Virus Igg | $56.00 | $112.00 | — | 20% below | 50% |
| Mumps immunity blood test CPT 86735 Chgl Mumps Antibody Igm | $58.50 | $117.00 | — | 16% below | 50% |
| Mumps immunity blood test inpatient CPT 86735 Chgl (Qu) Mumps Virus Antibody (Igm), S/O | $17.00 | $34.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Chgl Mumps Virus Igg | $56.00 | $112.00 | — | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 Chgl Mumps Antibody Igm | $58.50 | $117.00 | — | — | 50% |
| Obstetric blood test panel CPT 80055 Chgl Prenatal Panel | $144.50 | $289.00 | — | 23% below | 50% |
| Obstetric blood test panel inpatient CPT 80055 Chgl Prenatal Panel | $144.50 | $289.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Chgl Psa Total - %Free Psa | $81.50 | $163.00 | — | 25% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Chgl Psa Total - %Free Psa | $81.50 | $163.00 | — | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Chgl Prostatic Spec Ag | $84.00 | $168.00 | — | 15% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Chgl Prostatic Spec Ag | $84.00 | $168.00 | — | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | — | 84% below | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Chgl (Qu) 88175 Thinprep Imaging Pap And C. Trachomatis, N. Gonorrhoeae, S/O | $15.50 | $31.00 | — | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Chgl (Qu) 88142 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O | $12.50 | $25.00 | — | 82% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Chgl (Qu) 88142 Thinprep Pap, S/O | $17.50 | $35.00 | — | 74% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Chgl Pap Thin Layer Diagnostic | $26.00 | $52.00 | — | 62% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Chgl (Qu) 88142 Thinprep Pap And Hpv Dna With Reflex To Hpv Genotypes 16,18, S/O | $12.50 | $25.00 | — | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Chgl (Qu) 88142 Thinprep Pap, S/O | $17.50 | $35.00 | — | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Chgl Pap Thin Layer Diagnostic | $26.00 | $52.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 Chgl (Qu) Pth, Intact, Fine Needle Aspirate, S/O | $55.00 | $110.00 | — | 76% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 Chgl Pth Intraoperative Baseline | $178.00 | $356.00 | — | 23% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 Chgl Fna Parathyroid (Pth) | $186.50 | $373.00 | — | 19% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 Chgl Parathormone Intact | $186.50 | $373.00 | — | 19% below | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 Chgl Pth Intraoperative Additional | $186.50 | $373.00 | — | 19% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chgl (Qu) Pth, Intact, Fine Needle Aspirate, S/O | $55.00 | $110.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chgl Pth Intraoperative Baseline | $178.00 | $356.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chgl Parathormone Intact | $186.50 | $373.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chgl Fna Parathyroid (Pth) | $186.50 | $373.00 | — | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chgl Pth Intraoperative Additional | $186.50 | $373.00 | — | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Chgl Ptt | $36.00 | $72.00 | — | 39% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Chgl Ptt | $36.00 | $72.00 | — | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 Chgl Phosphorous | $22.50 | $45.00 | — | 53% below | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Chgl Phosphorous | $22.50 | $45.00 | — | — | 50% |
| Potassium blood test CPT 84132 Potassium | $22.00 | $44.00 | — | 44% below | 50% |
| Potassium blood test CPT 84132 Chgl Potassium I-Stat | $22.00 | $44.00 | — | 44% below | 50% |
| Potassium blood test CPT 84132 Chgl Potassium | $22.00 | $44.00 | — | 44% below | 50% |
| Potassium blood test CPT 84132 Chgl Potassium Fluid | $22.00 | $44.00 | — | 44% below | 50% |
| Potassium blood test CPT 84132 Chgl Potassium,Rbc | $22.00 | $44.00 | — | 44% below | 50% |
| Potassium blood test CPT 84132 Chgl (Qu) Potassium, Rbc, S/O | $39.00 | $78.00 | — | at median | 50% |
| Potassium blood test inpatient CPT 84132 Chgl Potassium I-Stat | $22.00 | $44.00 | — | — | 50% |
| Potassium blood test inpatient CPT 84132 Chgl Potassium | $22.00 | $44.00 | — | — | 50% |
| Potassium blood test inpatient CPT 84132 Potassium | $22.00 | $44.00 | — | — | 50% |
| Potassium blood test inpatient CPT 84132 Chgl Potassium,Rbc | $22.00 | $44.00 | — | — | 50% |
| Potassium blood test inpatient CPT 84132 Chgl Potassium Fluid | $22.00 | $44.00 | — | — | 50% |
| Potassium blood test inpatient CPT 84132 Chgl (Qu) Potassium, Rbc, S/O | $39.00 | $78.00 | — | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O | $405.00 | $810.00 | — | 61% below | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Chgl (Lc) 81420 Maternit21 Plus, S/O | $405.00 | $810.00 | — | 61% below | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Chgl Lc-Maternit Genome | $2,108.00 | $4,216.00 | — | 104% above | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Chgl (Lc) 81420 Maternit21 Plus Core (Chr21,18,13) No Gender, S/O | $405.00 | $810.00 | — | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Chgl (Lc) 81420 Maternit21 Plus, S/O | $405.00 | $810.00 | — | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Chgl Lc-Maternit Genome | $2,108.00 | $4,216.00 | — | — | 50% |
| Progesterone blood test CPT 84144 Chgl Progesterone | $76.00 | $152.00 | — | 58% below | 50% |
| Progesterone blood test inpatient CPT 84144 Chgl Progesterone | $76.00 | $152.00 | — | — | 50% |
| Prolactin blood test CPT 84146 Chgl (Qu) Prolactin, Total And Monomeric, S/O | $15.00 | $30.00 | — | 87% below | 50% |
| Prolactin blood test CPT 84146 Chgl Prolactin | $84.50 | $169.00 | — | 28% below | 50% |
| Prolactin blood test inpatient CPT 84146 Chgl (Qu) Prolactin, Total And Monomeric, S/O | $15.00 | $30.00 | — | — | 50% |
| Prolactin blood test inpatient CPT 84146 Chgl Prolactin | $84.50 | $169.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Chgl (Qu) Arsenic, Serum/Plasma, S/O | $5.50 | $11.00 | — | 79% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time | $25.50 | $51.00 | — | 2% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Chgl Pt/Inr | $25.50 | $51.00 | — | 2% below | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Chgl Pt-Inr Poc | $25.50 | $51.00 | — | 2% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Chgl (Qu) Arsenic, Serum/Plasma, S/O | $5.50 | $11.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time | $25.50 | $51.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Chgl Pt/Inr | $25.50 | $51.00 | — | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Chgl Pt-Inr Poc | $25.50 | $51.00 | — | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Prsmv Dir Opt Obs | $67.50 | $135.00 | — | 58% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Chgl Urine Toxicology Screen 12 | $67.50 | $135.00 | — | 58% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Dir Opt Obs | $67.50 | $135.00 | — | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Chgl Urine Toxicology Screen 12 | $67.50 | $135.00 | — | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Assay W/Optic | $60.50 | $121.00 | — | 28% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Chgl Influenzae Rapid Screen B | $60.50 | $121.00 | — | 28% below | 50% |
| Rapid flu test (influenza antigen) CPT 87804 Chgl Influenzae Rapid Screen A | $62.00 | $124.00 | — | 26% below | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Assay W/Optic | $60.50 | $121.00 | — | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Chgl Influenzae Rapid Screen B | $60.50 | $121.00 | — | — | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Chgl Influenzae Rapid Screen A | $62.00 | $124.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W/Optic | $58.50 | $117.00 | — | 35% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Chgl Strep Screen Stat | $58.50 | $117.00 | — | 35% below | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Chgl Strep Screen Stat | $58.50 | $117.00 | — | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay W/Optic | $58.50 | $117.00 | — | — | 50% |
| Renin blood test CPT 84244 Chgl (Qu) Aldosterone/Plasma Renin Activity Ratio, Lc/Ms/Ms, S/O | $8.50 | $17.00 | — | 94% below | 50% |
| Renin blood test CPT 84244 Chgl (Qu) Plasma Renin Activity, Lc/Ms/Ms, S/O | $14.00 | $28.00 | — | 89% below | 50% |
| Renin blood test CPT 84244 Chgl Renin Peripheral | $96.50 | $193.00 | — | 27% below | 50% |
| Renin blood test CPT 84244 Chgl Renin Rr | $101.00 | $202.00 | — | 24% below | 50% |
| Renin blood test CPT 84244 Chgl Renin Ivc | $101.00 | $202.00 | — | 24% below | 50% |
| Renin blood test CPT 84244 Chgl Renin Lr | $101.00 | $202.00 | — | 24% below | 50% |
| Renin blood test inpatient CPT 84244 Chgl (Qu) Aldosterone/Plasma Renin Activity Ratio, Lc/Ms/Ms, S/O | $8.50 | $17.00 | — | — | 50% |
| Renin blood test inpatient CPT 84244 Chgl (Qu) Plasma Renin Activity, Lc/Ms/Ms, S/O | $14.00 | $28.00 | — | — | 50% |
| Renin blood test inpatient CPT 84244 Chgl Renin Peripheral | $96.50 | $193.00 | — | — | 50% |
| Renin blood test inpatient CPT 84244 Chgl Renin Ivc | $101.00 | $202.00 | — | — | 50% |
| Renin blood test inpatient CPT 84244 Chgl Renin Rr | $101.00 | $202.00 | — | — | 50% |
| Renin blood test inpatient CPT 84244 Chgl Renin Lr | $101.00 | $202.00 | — | — | 50% |
| Rh blood typing CPT 86901 Reference Lab Rh | $61.50 | $123.00 | — | at median | 50% |
| Rh blood typing CPT 86901 Rh Neo | $76.00 | $152.00 | — | 23% above | 50% |
| Rh blood typing CPT 86901 Rh | $76.00 | $152.00 | — | 23% above | 50% |
| Rh blood typing inpatient CPT 86901 Reference Lab Rh | $61.50 | $123.00 | — | — | 50% |
| Rh blood typing inpatient CPT 86901 Rh | $76.00 | $152.00 | — | — | 50% |
| Rh blood typing inpatient CPT 86901 Rh Neo | $76.00 | $152.00 | — | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 Chgl (Qu) Cryoglobulin Reflex, S/O | $7.00 | $14.00 | — | 81% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O | $10.50 | $21.00 | — | 71% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Chgl Lc-Rheumassure-Ra Factor | $20.50 | $41.00 | — | 43% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Chgl Ra, Quant. | $25.50 | $51.00 | — | 29% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Chgl Rf Quant | $26.00 | $52.00 | — | 28% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 Chgl (Qu) 86431 ?Rheumatoid Factor, La Titer, S/O | $26.50 | $53.00 | — | 26% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Chgl (Qu) Cryoglobulin Reflex, S/O | $7.00 | $14.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Chgl (Qu) Rheumatoid Arthritis Diagnostic Identra(R) Pnl 2, S/O | $10.50 | $21.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Chgl Lc-Rheumassure-Ra Factor | $20.50 | $41.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Chgl Ra, Quant. | $25.50 | $51.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Chgl Rf Quant | $26.00 | $52.00 | — | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Chgl (Qu) 86431 ?Rheumatoid Factor, La Titer, S/O | $26.50 | $53.00 | — | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 Chgl (Qu) Torch Panel, Convalenscent, S/O | $7.00 | $14.00 | — | 93% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 Chgl Rubella Antibodies, Igm | $15.50 | $31.00 | — | 84% below | 50% |
| Rubella antibody test (immunity check) CPT 86762 Chgl Rubella | $65.00 | $130.00 | — | 33% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Chgl (Qu) Torch Panel, Convalenscent, S/O | $7.00 | $14.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Chgl Rubella Antibodies, Igm | $15.50 | $31.00 | — | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Chgl Rubella | $65.00 | $130.00 | — | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Chgl Sed Rate, Automated | $14.00 | $28.00 | — | 76% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Chgl Sed Rate, Automated | $14.00 | $28.00 | — | — | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Chgl Semen Analysis | $69.50 | $139.00 | — | 54% below | 50% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Chgl Semen Analysis | $69.50 | $139.00 | — | — | 50% |
| Sodium blood test CPT 84295 Sodium,Serum | $22.50 | $45.00 | — | 55% below | 50% |
| Sodium blood test CPT 84295 Chgl Sodium I-Stat | $23.00 | $46.00 | — | 54% below | 50% |
| Sodium blood test CPT 84295 Chgl Sodium | $23.00 | $46.00 | — | 54% below | 50% |
| Sodium blood test inpatient CPT 84295 Sodium,Serum | $22.50 | $45.00 | — | — | 50% |
| Sodium blood test inpatient CPT 84295 Chgl Sodium I-Stat | $23.00 | $46.00 | — | — | 50% |
| Sodium blood test inpatient CPT 84295 Chgl Sodium | $23.00 | $46.00 | — | — | 50% |
| Stool ova and parasites exam CPT 87177 Chgl (Qu) Ova& Parasites, Stool Concentrate &Permanent Smear, S/O | $11.00 | $22.00 | — | 80% below | 50% |
| Stool ova and parasites exam CPT 87177 Chgl O&P-Conc | $44.50 | $89.00 | — | 18% below | 50% |
| Stool ova and parasites exam inpatient CPT 87177 Chgl (Qu) Ova& Parasites, Stool Concentrate &Permanent Smear, S/O | $11.00 | $22.00 | — | — | 50% |
| Stool ova and parasites exam inpatient CPT 87177 Chgl O&P-Conc | $44.50 | $89.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Chgl Stool Occult Blood X 3 | $21.00 | $42.00 | — | 9% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Chgl Occult Blood Stool - Screen | $21.00 | $42.00 | — | 9% below | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool-Blood Hemocult | $21.00 | $42.00 | — | 9% below | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool-Blood Hemocult | $21.00 | $42.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Chgl Occult Blood Stool - Screen | $21.00 | $42.00 | — | — | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Chgl Stool Occult Blood X 3 | $21.00 | $42.00 | — | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay Test For Blood Fecal | $22.00 | $44.00 | — | 71% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Assay Test For Blood Fecal | $22.00 | $44.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Chgl (Qu) Syphilis Antibody Cascading Reflex, S/O | $11.50 | $23.00 | — | 84% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Chgl Lc-T Pallidum Screening Cascade | $12.00 | $24.00 | — | 83% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Chgl (Qu) Treponema Pallidum Ab Csf, S/O | $13.00 | $26.00 | — | 82% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Chgl Tp-Pa | $56.00 | $112.00 | — | 21% below | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Chgl Syphilus Igg | $56.00 | $112.00 | — | 21% below | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Chgl (Qu) Syphilis Antibody Cascading Reflex, S/O | $11.50 | $23.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Chgl Lc-T Pallidum Screening Cascade | $12.00 | $24.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Chgl (Qu) Treponema Pallidum Ab Csf, S/O | $13.00 | $26.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Chgl Syphilus Igg | $56.00 | $112.00 | — | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Chgl Tp-Pa | $56.00 | $112.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | — | 76% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Chgl (Lc) Vdrl Csf, S/O | $10.00 | $20.00 | — | 60% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Chgl Rpr Stat | $19.50 | $39.00 | — | 23% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Chgl Rpr With Reflex | $19.50 | $39.00 | — | 23% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Chgl Vdrl Csf | $19.50 | $39.00 | — | 23% below | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Chgl Lc - Rpr, Reflex | $6.00 | $12.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Chgl (Lc) Vdrl Csf, S/O | $10.00 | $20.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Chgl Rpr Stat | $19.50 | $39.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Chgl Rpr With Reflex | $19.50 | $39.00 | — | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Chgl Vdrl Csf | $19.50 | $39.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Chgl Quantiferon-Tb Gold Plus | $43.00 | $86.00 | — | 80% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Chgl Tb Gold Gamma Interferon | $261.50 | $523.00 | — | 19% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Chgl Quantiferon-Tb Gold Plus | $43.00 | $86.00 | — | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Chgl Tb Gold Gamma Interferon | $261.50 | $523.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Chgl (Qu) Testosterone, Free, Bioavailable And Total, Ms, S/O | $10.50 | $21.00 | — | 93% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Chgl Testosterone ,Total | $113.50 | $227.00 | — | 24% below | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Chgl Testosterone,Total(P) | $118.00 | $236.00 | — | 21% below | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Chgl (Qu) Testosterone, Free, Bioavailable And Total, Ms, S/O | $10.50 | $21.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Chgl Testosterone ,Total | $113.50 | $227.00 | — | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Chgl Testosterone,Total(P) | $118.00 | $236.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Chgl (Qu) Thyroid Peroxidase And Thyroglobulin Antibodies, S/O | $6.00 | $12.00 | — | 92% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Chgl (Qu) Thyroid Peroxidase Antibody, S/O | $10.00 | $20.00 | — | 87% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Chgl (Qu) Chronic Urticaria Panel, S/O | $16.00 | $32.00 | — | 78% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Chgl (Qu) Liver Kidney Microsome (Lkm-1) Antibody (Igg), S/O | $19.50 | $39.00 | — | 74% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Chgl Lc-Viracor Thyroid Peroxidase | $26.00 | $52.00 | — | 65% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Chgl Liver-Kidney Microsomal Ab | $65.00 | $130.00 | — | 12% below | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Chgl Antithyroid Peroxidase Ab | $65.00 | $130.00 | — | 12% below | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Chgl (Qu) Thyroid Peroxidase And Thyroglobulin Antibodies, S/O | $6.00 | $12.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Chgl (Qu) Thyroid Peroxidase Antibody, S/O | $10.00 | $20.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Chgl (Qu) Chronic Urticaria Panel, S/O | $16.00 | $32.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Chgl (Qu) Liver Kidney Microsome (Lkm-1) Antibody (Igg), S/O | $19.50 | $39.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Chgl Lc-Viracor Thyroid Peroxidase | $26.00 | $52.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Chgl Liver-Kidney Microsomal Ab | $65.00 | $130.00 | — | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Chgl Antithyroid Peroxidase Ab | $65.00 | $130.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chgl (Qu) Chronic Urticaria Panel, S/O | $18.50 | $37.00 | — | 81% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chgl Lc-Viracor Tsh | $30.50 | $61.00 | — | 69% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chgl Thyroid Cascade | $77.00 | $154.00 | — | 21% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chgl Thyroid Replacement | $77.00 | $154.00 | — | 21% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chga-Tsh | $77.00 | $154.00 | — | 21% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chgl (Qu) Chronic Urticaria Panel, S/O | $18.50 | $37.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chgl Lc-Viracor Tsh | $30.50 | $61.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chgl Thyroid Replacement | $77.00 | $154.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chgl Thyroid Cascade | $77.00 | $154.00 | — | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chga-Tsh | $77.00 | $154.00 | — | — | 50% |
| Total IgE blood test CPT 82785 Chgl Lc - Alpha-Gal Panel Immunoglobulin E, Total | $16.50 | $33.00 | — | 81% below | 50% |
| Total IgE blood test CPT 82785 Chgl Ige Total,Allergy | $72.00 | $144.00 | — | 19% below | 50% |
| Total IgE blood test inpatient CPT 82785 Chgl Lc - Alpha-Gal Panel Immunoglobulin E, Total | $16.50 | $33.00 | — | — | 50% |
| Total IgE blood test inpatient CPT 82785 Chgl Ige Total,Allergy | $72.00 | $144.00 | — | — | 50% |
| Total cholesterol blood test CPT 82465 Chgl Cholesterol | $21.00 | $42.00 | — | 61% below | 50% |
| Total cholesterol blood test CPT 82465 Chgl Cholesterol,Total (Nash) | $21.00 | $42.00 | — | 61% below | 50% |
| Total cholesterol blood test CPT 82465 Chgl Cholesterol Fluid | $21.00 | $42.00 | — | 61% below | 50% |
| Total cholesterol blood test inpatient CPT 82465 Chgl Cholesterol,Total (Nash) | $21.00 | $42.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 Chgl Cholesterol | $21.00 | $42.00 | — | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 Chgl Cholesterol Fluid | $21.00 | $42.00 | — | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 Chgl (Qu) Thyroid Panel, S/O | $6.00 | $12.00 | — | 88% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 Chgl Thyroxine | $32.00 | $64.00 | — | 33% below | 50% |
| Total thyroxine (T4) blood test CPT 84436 Chgl T4 (P) | $33.00 | $66.00 | — | 31% below | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Chgl (Qu) Thyroid Panel, S/O | $6.00 | $12.00 | — | — | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Chgl Thyroxine | $32.00 | $64.00 | — | — | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Chgl T4 (P) | $33.00 | $66.00 | — | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 Chgl T3 Total | $63.50 | $127.00 | — | 37% below | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Chgl T3 Total | $63.50 | $127.00 | — | — | 50% |
| Transferrin blood test CPT 84466 Chgl (Qu) Carbohydrate-Deficient Transferrin (Alcohol Use), S/O | $9.50 | $19.00 | — | 88% below | 50% |
| Transferrin blood test CPT 84466 Chgl Transferrin | $56.50 | $113.00 | — | 26% below | 50% |
| Transferrin blood test inpatient CPT 84466 Chgl (Qu) Carbohydrate-Deficient Transferrin (Alcohol Use), S/O | $9.50 | $19.00 | — | — | 50% |
| Transferrin blood test inpatient CPT 84466 Chgl Transferrin | $56.50 | $113.00 | — | — | 50% |
| Trichomonas test (NAAT) CPT 87661 Chgl (Qu) 87661 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $18.00 | $36.00 | — | 84% below | 50% |
| Trichomonas test (NAAT) CPT 87661 Chgl (Qu) 87661 Trichomonas Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $27.50 | $55.00 | — | 75% below | 50% |
| Trichomonas test (NAAT) CPT 87661 Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O | $34.50 | $69.00 | — | 69% below | 50% |
| Trichomonas test (NAAT) CPT 87661 Chgl Trichomonas Ampl Probe | $131.50 | $263.00 | — | 19% above | 50% |
| Trichomonas test (NAAT) CPT 87661 Chgl Trich Vaginalis Naa | $131.50 | $263.00 | — | 19% above | 50% |
| Trichomonas test (NAAT) CPT 87661 Chgl Trich Ampl Probe Ua | $135.50 | $271.00 | — | 23% above | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Chgl (Qu) 87661 Chlamydia/N. Gonorrhoeae And T. Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $18.00 | $36.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Chgl (Qu) 87661 Trichomonas Vaginalis Rna, Qualitative, Tma, Pap Vial, S/O | $27.50 | $55.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Chgl (Qu) Sureswab(R) Advanced Vaginitis Plus, Tma, S/O | $34.50 | $69.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Chgl Trichomonas Ampl Probe | $131.50 | $263.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Chgl Trich Vaginalis Naa | $131.50 | $263.00 | — | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 Chgl Trich Ampl Probe Ua | $135.50 | $271.00 | — | — | 50% |
| Triglycerides blood test CPT 84478 Chgl Triglyceride Fluid | $28.00 | $56.00 | — | 48% below | 50% |
| Triglycerides blood test CPT 84478 Chgl Triglycerides (Nash) | $28.00 | $56.00 | — | 48% below | 50% |
| Triglycerides blood test CPT 84478 Chgl Triglyceride Serum | $28.00 | $56.00 | — | 48% below | 50% |
| Triglycerides blood test inpatient CPT 84478 Chgl Triglycerides (Nash) | $28.00 | $56.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 Chgl Triglyceride Fluid | $28.00 | $56.00 | — | — | 50% |
| Triglycerides blood test inpatient CPT 84478 Chgl Triglyceride Serum | $28.00 | $56.00 | — | — | 50% |
| Troponin test, quantitative CPT 84484 Chgl Troponin T Quant | $46.00 | $92.00 | — | 55% below | 50% |
| Troponin test, quantitative inpatient CPT 84484 Chgl Troponin T Quant | $46.00 | $92.00 | — | — | 50% |
| Uric acid blood test CPT 84550 Chgl Uric Acid Serum | $22.00 | $44.00 | — | 69% below | 50% |
| Uric acid blood test inpatient CPT 84550 Chgl Uric Acid Serum | $22.00 | $44.00 | — | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Auto W/Scope | $40.00 | $80.00 | — | 10% below | 50% |
| Urinalysis with microscope exam, automated CPT 81001 Chgl Urinalysis W/Micro | $40.00 | $80.00 | — | 10% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Auto W/Scope | $40.00 | $80.00 | — | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Chgl Urinalysis W/Micro | $40.00 | $80.00 | — | — | 50% |
| Urinalysis with microscope exam, manual CPT 81000 N-Autom Urine Dip W Micro | $11.00 | $22.00 | — | 8% above | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 N-Autom Urine Dip W Micro | $11.00 | $22.00 | — | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Chgl Urinalysis | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Chgl Bile Urine | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Chgl Urine Specific Gravity | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Chgl Ph Urine | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Chgl Ketones Urine Stat | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Chgl Protein Urine Screen | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Urine | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Auto W/O Scope | $25.50 | $51.00 | — | 23% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Urine | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Chgl Urine Specific Gravity | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Chgl Bile Urine | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Chgl Ph Urine | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Chgl Urinalysis | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Chgl Ketones Urine Stat | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Auto W/O Scope | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Chgl Protein Urine Screen | $25.50 | $51.00 | — | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $24.50 | $49.00 | — | 20% above | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $24.50 | $49.00 | — | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 Chgl Cx Urine | $41.00 | $82.00 | — | 47% below | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Chgl Cx Urine | $41.00 | $82.00 | — | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 Chgl Microalbumin Qnt Random U | $28.00 | $56.00 | — | 53% below | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Chgl Microalbumin Qnt Random U | $28.00 | $56.00 | — | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $63.50 | $127.00 | — | 31% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 Urine Preg Poc | $63.50 | $127.00 | — | 31% below | 50% |
| Urine pregnancy test, read by color change CPT 81025 Chg Pregnancy Test Urine Inpt | $63.50 | $127.00 | — | 31% below | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test | $63.50 | $127.00 | — | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Chg Pregnancy Test Urine Inpt | $63.50 | $127.00 | — | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Urine Preg Poc | $63.50 | $127.00 | — | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Chgl (Qu) Vitamin B12, S/O | $9.00 | $18.00 | — | 89% below | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Chgl Vitamin B12 | $82.00 | $164.00 | — | 2% below | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Chgl (Qu) Vitamin B12, S/O | $9.00 | $18.00 | — | — | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Chgl Vitamin B12 | $82.00 | $164.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Chgl (Qu) Questassured? 25-Hydroxyvitamin D (D2, D3), S/O | $15.00 | $30.00 | — | 89% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Chgl Vit D2 D3 Fractionated | $134.50 | $269.00 | — | 5% below | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Chgl Vitamin D 25 Oh | $160.50 | $321.00 | — | 14% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Chgl (Qu) Questassured? 25-Hydroxyvitamin D (D2, D3), S/O | $15.00 | $30.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Chgl Vit D2 D3 Fractionated | $134.50 | $269.00 | — | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Chgl Vitamin D 25 Oh | $160.50 | $321.00 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Chgl (Qu) Vitamin D, 1, 25-Dihydroxy, Lc/Ms/Ms, S/O | $14.00 | $28.00 | — | 94% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Chgl Vitamin D 1,25 Dioh | $208.50 | $417.00 | — | 4% below | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Chgl (Qu) Vitamin D, 1, 25-Dihydroxy, Lc/Ms/Ms, S/O | $14.00 | $28.00 | — | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Chgl Vitamin D 1,25 Dioh | $208.50 | $417.00 | — | — | 50% |
| Zinc blood test CPT 84630 Chgl (Qu) Zinc, S/O | $11.00 | $22.00 | — | 83% below | 50% |
| Zinc blood test CPT 84630 Chgl (Qu) Zinc, Random Urine, S/O | $13.00 | $26.00 | — | 80% below | 50% |
| Zinc blood test CPT 84630 Chgl (Qu) Zinc, Rbc, S/O | $18.50 | $37.00 | — | 71% below | 50% |
| Zinc blood test CPT 84630 Chgl Zinc Blood | $51.00 | $102.00 | — | 20% below | 50% |
| Zinc blood test CPT 84630 Chgl Zinc,Rbc | $52.50 | $105.00 | — | 18% below | 50% |
| Zinc blood test CPT 84630 Chgl Zinc Urine | $52.50 | $105.00 | — | 18% below | 50% |
| Zinc blood test inpatient CPT 84630 Chgl (Qu) Zinc, S/O | $11.00 | $22.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 Chgl (Qu) Zinc, Random Urine, S/O | $13.00 | $26.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 Chgl (Qu) Zinc, Rbc, S/O | $18.50 | $37.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 Chgl Zinc Blood | $51.00 | $102.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 Chgl Zinc Urine | $52.50 | $105.00 | — | — | 50% |
| Zinc blood test inpatient CPT 84630 Chgl Zinc,Rbc | $52.50 | $105.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chgl Bhcg-First Trimester | $68.50 | $137.00 | — | 49% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chgl Bhcg Triple Screen | $68.50 | $137.00 | — | 49% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chgl Beta Hcg Serum | $68.50 | $137.00 | — | 49% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chgl Bhcg Seq Screen(P) | $68.50 | $137.00 | — | 49% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chgl Beta Hcg I-Stat | $205.50 | $411.00 | — | 52% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chgl Beta Hcg Serum | $68.50 | $137.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chgl Bhcg Triple Screen | $68.50 | $137.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chgl Bhcg-First Trimester | $68.50 | $137.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chgl Bhcg Seq Screen(P) | $68.50 | $137.00 | — | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chgl Beta Hcg I-Stat | $205.50 | $411.00 | — | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 Chgr Chemodenerv Face Musc Bilat | $562.00 | $1,124.00 | — | — | 50% |
| Botox injections for chronic migraine CPT 64615 Chg - Fc-Chemodenervatn Of Muscle(S | $562.00 | $1,124.00 | — | 15% above | 50% |
| Botox injections for chronic migraine inpatient both sides CPT 64615 Chgr Chemodenerv Face Musc Bilat | $562.00 | $1,124.00 | — | — | 50% |
| Botox injections for chronic migraine inpatient CPT 64615 Chg - Fc-Chemodenervatn Of Muscle(S | $562.00 | $1,124.00 | — | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Chgr Bx Breast 1St Lesion Strtctc | $1,737.50 | $3,475.00 | — | 36% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Fc-Biops,Brest W/Plcmnt Of Lcl | $1,737.50 | $3,475.00 | — | 36% below | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Fc-Biops,Brest W/Plcmnt Of Lcl | $1,737.50 | $3,475.00 | — | — | 50% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Chgr Bx Breast 1St Lesion Strtctc | $1,737.50 | $3,475.00 | — | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Chg - 27786 Cl Rx Dstl Fib Fx-No Man | $336.50 | $673.00 | — | 39% above | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Cl Rx Dstl Fib Fx-No Man | $336.50 | $673.00 | — | 39% above | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 27786 Cl Rx Dstl Fib Fx-No Man | $336.50 | $673.00 | — | — | 50% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Chg - 27786 Cl Rx Dstl Fib Fx-No Man | $336.50 | $673.00 | — | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Chg - 28470 Cl Rx Metarsal Fx-No Mnp | $271.50 | $543.00 | — | 7% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Cl Rx Metarsal Fx-No Mnp | $271.50 | $543.00 | — | 7% below | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Chg - 28470 Cl Rx Metarsal Fx-No Mnp | $271.50 | $543.00 | — | — | 50% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 28470 Cl Rx Metarsal Fx-No Mnp | $271.50 | $543.00 | — | — | 50% |
| Cardiac catheterization with coronary angiogram CPT 93458 Chgr-Cd Lhrt Artery / Ventricle Angio | $7,921.50 | $15,843.00 | — | 18% below | 50% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Chgr-Cd Lhrt Artery / Ventricle Angio | $7,921.50 | $15,843.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Proc-Cardioverison | $916.00 | $1,832.00 | — | 24% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 External Defibrillator | $916.00 | $1,832.00 | — | 24% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Externl | $916.00 | $1,832.00 | — | 24% below | 50% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Extern Elect Cardioversn | $916.00 | $1,832.00 | — | 24% below | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Externl | $916.00 | $1,832.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 92960 Extern Elect Cardioversn | $916.00 | $1,832.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Proc-Cardioverison | $916.00 | $1,832.00 | — | — | 50% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External Defibrillator | $916.00 | $1,832.00 | — | — | 50% |
| Catheter ablation for atrial fibrillation CPT 93656 Ep&Ablatn Afib Pulm Vein Isol | $11,948.00 | $23,896.00 | — | 44% below | 50% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Ep&Ablatn Afib Pulm Vein Isol | $11,948.00 | $23,896.00 | — | — | 50% |
| Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision Of Lesion Spx | $1,556.50 | $3,113.00 | — | 7% below | 50% |
| Cervical biopsy inpatient CPT 57500 Biopsy Cervix Single/Mult/Excision Of Lesion Spx | $1,556.50 | $3,113.00 | — | — | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision > 28 Days | $1,495.50 | $2,991.00 | — | 7% below | 50% |
| Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision > 28 Days | $1,495.50 | $2,991.00 | — | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block | $1,412.00 | $2,824.00 | — | 7% below | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Chg - Circumcision | $1,623.50 | $3,247.00 | — | 7% above | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W/Block | $1,412.00 | $2,824.00 | — | — | 50% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Chg - Circumcision | $1,623.50 | $3,247.00 | — | — | 50% |
| Circumcision, surgical, older than a newborn CPT 54160 Circumcision Age=<28 Days | $1,270.50 | $2,541.00 | — | 16% below | 50% |
| Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Age=<28 Days | $1,270.50 | $2,541.00 | — | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Chg - 25600 Cl Rx Epih Spen No Mnip | $440.50 | $881.00 | — | 30% above | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Cl Rx Epiph Spen No Mnip | $440.50 | $881.00 | — | 30% above | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 25600 Cl Rx Epiph Spen No Mnip | $440.50 | $881.00 | — | — | 50% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Chg - 25600 Cl Rx Epih Spen No Mnip | $440.50 | $881.00 | — | — | 50% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic Colonoscopy | $1,164.50 | $2,329.00 | — | 18% below | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic Colonoscopy | $1,164.50 | $2,329.00 | — | — | 50% |
| Coronary stent placement, one artery CPT 92928 Prq Card Stent W/Angio 1 Vsl | $6,871.50 | $13,743.00 | — | 34% below | 50% |
| Coronary stent placement, one artery inpatient CPT 92928 Prq Card Stent W/Angio 1 Vsl | $6,871.50 | $13,743.00 | — | — | 50% |
| Cystoscopy with ureteral stent placement CPT 52332 Cystourethroscopy Insrtd Stent | $3,709.50 | $7,419.00 | — | 13% below | 50% |
| Cystoscopy with ureteral stent placement inpatient CPT 52332 Cystourethroscopy Insrtd Stent | $3,709.50 | $7,419.00 | — | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy | $1,262.00 | $2,524.00 | — | 45% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Cystoscopy | $1,262.00 | $2,524.00 | — | 45% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy (Sep Proc) | $1,262.00 | $2,524.00 | — | 45% above | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy | $1,262.00 | $2,524.00 | — | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 Cystoscopy | $1,262.00 | $2,524.00 | — | — | 50% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy (Sep Proc) | $1,262.00 | $2,524.00 | — | — | 50% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 Nonobstetrical D&C | $2,186.00 | $4,372.00 | — | 7% below | 50% |
| D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 58120 Nonobstetrical D&C | $2,186.00 | $4,372.00 | — | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion | $106.50 | $213.00 | — | 11% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Chg - Destruct Premalg Lesion | $106.50 | $213.00 | — | 11% below | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion | $106.50 | $213.00 | — | — | 50% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Chg - Destruct Premalg Lesion | $106.50 | $213.00 | — | — | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia | $711.50 | $1,423.00 | — | 13% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 Create Eardrum Opening | $765.00 | $1,530.00 | — | 6% below | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympanostomy Local/Topical Anesthesia | $711.50 | $1,423.00 | — | — | 50% |
| Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 69433 Create Eardrum Opening | $765.00 | $1,530.00 | — | — | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Chg - Remove Impacted Ear Wax Uni | $29.50 | $59.00 | — | 70% below | 50% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Rem Impacted Ear Wax Uni | $30.00 | $60.00 | — | 69% below | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Chg - Remove Impacted Ear Wax Uni | $29.50 | $59.00 | — | — | 50% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 69209 Rem Impacted Ear Wax Uni | $30.00 | $60.00 | — | — | 50% |
| Earwax removal with instruments, one ear CPT 69210 Impacted Cerumen Removal | $209.00 | $418.00 | — | 21% above | 50% |
| Earwax removal with instruments, one ear CPT 69210 69210 Impact Cerumen Rem Unila | $209.00 | $418.00 | — | 21% above | 50% |
| Earwax removal with instruments, one ear one side CPT 69210 Chg - Unilateral Spec-Ear Irrigation | $209.00 | $418.00 | — | 21% above | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Impacted Cerumen Removal | $209.00 | $418.00 | — | — | 50% |
| Earwax removal with instruments, one ear inpatient CPT 69210 69210 Impact Cerumen Rem Unila | $209.00 | $418.00 | — | — | 50% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 Chg - Unilateral Spec-Ear Irrigation | $209.00 | $418.00 | — | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx | $239.00 | $478.00 | — | 22% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial Biopsy | $274.50 | $549.00 | — | 10% below | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx | $239.00 | $478.00 | — | — | 50% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 Endometrial Biopsy | $274.50 | $549.00 | — | — | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc, Img | $1,144.50 | $2,289.00 | — | 15% below | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc, Img | $1,144.50 | $2,289.00 | — | — | 50% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 Chg - Retinal Injection | $807.00 | $1,614.00 | — | 25% above | 50% |
| Eye injection into the vitreous (intravitreal injection) CPT 67028 67028 Injection Eye Drug | $807.00 | $1,614.00 | — | 25% above | 50% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Chg - Retinal Injection | $807.00 | $1,614.00 | — | — | 50% |
| Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 67028 Injection Eye Drug | $807.00 | $1,614.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Chgr Proc-Inj Facet L/S W/O Sed | $1,160.00 | $2,320.00 | — | 17% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Proc-Inj Facet L/S W/O Sed | $1,160.00 | $2,320.00 | — | 17% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Facet L/S Sgl-W/Wo Fluoro | $1,160.00 | $2,320.00 | — | 17% below | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Facet L/S Sgl-W/Wo Fluoro | $1,160.00 | $2,320.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Proc-Inj Facet L/S W/O Sed | $1,160.00 | $2,320.00 | — | — | 50% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Chgr Proc-Inj Facet L/S W/O Sed | $1,160.00 | $2,320.00 | — | — | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Chg - Sigmoidoscopy | $839.00 | $1,678.00 | — | 26% below | 50% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Chg - Sigmoidoscopy | $839.00 | $1,678.00 | — | — | 50% |
| Hammertoe correction surgery CPT 28285 Revision Of Hammertoe | $1,523.50 | $3,047.00 | — | 72% below | 50% |
| Hammertoe correction surgery inpatient CPT 28285 Revision Of Hammertoe | $1,523.50 | $3,047.00 | — | — | 50% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Chg - Ligation Of Hemorrhoid(S) | $489.50 | $979.00 | — | 66% below | 50% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Chg - Ligation Of Hemorrhoid(S) | $489.50 | $979.00 | — | — | 50% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 46255 Remove Int/Ext Hem 1 Grp | $2,067.00 | $4,134.00 | — | 39% below | 50% |
| Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 46255 Remove Int/Ext Hem 1 Grp | $2,067.00 | $4,134.00 | — | — | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Chgr-Cath & Saline/Contrast Sonohyster/Hysterosalpi | $524.00 | $1,048.00 | — | at median | 50% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Chgr-Cath & Saline/Contrast Sonohyster/Hysterosalpi | $524.00 | $1,048.00 | — | — | 50% |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud | $167.00 | $334.00 | — | 28% below | 50% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion Intrauterine Device Iud | $167.00 | $334.00 | — | — | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Incision & Drainage Abscess Simple/Single | $398.00 | $796.00 | — | 3% above | 50% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single | $398.00 | $796.00 | — | 3% above | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Abscess Simple/Single | $398.00 | $796.00 | — | — | 50% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 Incision & Drainage Abscess Simple/Single | $398.00 | $796.00 | — | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Oth-Inj Sgl Tendon Sheath/Lig | $399.50 | $799.00 | — | 9% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis | $399.50 | $799.00 | — | 9% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Inject Tend Sheath Lig T | $399.50 | $799.00 | — | 9% above | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis | $399.50 | $799.00 | — | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Oth-Inj Sgl Tendon Sheath/Lig | $399.50 | $799.00 | — | — | 50% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 Inject Tend Sheath Lig T | $399.50 | $799.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Chgr Arthrocentesis-Maj Jnt W/O Us | $268.00 | $536.00 | — | 31% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Oth-Inj Major Jnt/Bur W/O Us | $268.00 | $536.00 | — | 31% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrcents-Mj Jnt W/O Us | $268.00 | $536.00 | — | 31% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Chg - Arthrocentesis-Maj Jnt W/O Us | $268.00 | $536.00 | — | 31% below | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Chg - Arthrocentesis-Maj Jnt W/O Us | $268.00 | $536.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Chgr Arthrocentesis-Maj Jnt W/O Us | $268.00 | $536.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 Arthrcents-Mj Jnt W/O Us | $268.00 | $536.00 | — | — | 50% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Oth-Inj Major Jnt/Bur W/O Us | $268.00 | $536.00 | — | — | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant | $859.00 | $1,718.00 | — | 52% above | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant | $988.00 | $1,976.00 | — | 75% above | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant | $988.00 | $1,976.00 | — | 75% above | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Delivery Implant | $859.00 | $1,718.00 | — | — | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981 Insert Drug Implant | $988.00 | $1,976.00 | — | — | 50% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant | $988.00 | $1,976.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentisis-Int Jnt W/O Us | $254.50 | $509.00 | — | 40% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Oth-Inj Intrmed Jnt/Bur W/O Us | $254.50 | $509.00 | — | 40% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis-Int Jnt W/O Us | $254.50 | $509.00 | — | 40% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrcent-Int Jnt W/O Us | $254.50 | $509.00 | — | 40% below | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentisis-Int Jnt W/O Us | $254.50 | $509.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 Arthrcent-Int Jnt W/O Us | $254.50 | $509.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Oth-Inj Intrmed Jnt/Bur W/O Us | $254.50 | $509.00 | — | — | 50% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis-Int Jnt W/O Us | $254.50 | $509.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis-Sml Jnt W/O Us | $232.00 | $464.00 | — | 37% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrcents-Sm Jnt W/O Us | $232.00 | $464.00 | — | 37% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Chg - Arthrocentesis-Sml Jnt W/O Us | $232.00 | $464.00 | — | 37% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Oth-Inj Small Jnt/Bur W/O Us | $232.00 | $464.00 | — | 37% below | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis-Sml Jnt W/O Us | $232.00 | $464.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Oth-Inj Small Jnt/Bur W/O Us | $232.00 | $464.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 Arthrcents-Sm Jnt W/O Us | $232.00 | $464.00 | — | — | 50% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Chg - Arthrocentesis-Sml Jnt W/O Us | $232.00 | $464.00 | — | — | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Discission Cataract Yag Laser | $897.00 | $1,794.00 | — | 17% below | 50% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Discission Cataract Yag Laser | $897.00 | $1,794.00 | — | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/A/T/E 2.5 Cm/< | $584.00 | $1,168.00 | — | 13% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Repair Intermediate S/A/T/E 2.5 Cm/< | $584.00 | $1,168.00 | — | 13% above | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate S/A/T/E 2.5 Cm/< | $584.00 | $1,168.00 | — | — | 50% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 Repair Intermediate S/A/T/E 2.5 Cm/< | $584.00 | $1,168.00 | — | — | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 Chgr-Cd Left Hrt Cath W / Ventrclgrphy | $6,582.50 | $13,165.00 | — | at median | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 Chgr-Cd Left Hrt Cath W / Ventrclgrphy | $6,582.50 | $13,165.00 | — | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac, Img | $1,157.50 | $2,315.00 | — | 31% below | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac, Img | $1,157.50 | $2,315.00 | — | — | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Njx Interlaminar Lmbr/Sac | $1,144.50 | $2,289.00 | — | 24% below | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Njx Interlaminar Lmbr/Sac | $1,144.50 | $2,289.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Proc-Esi L/S W/Osed Tranforamn | $779.00 | $1,558.00 | — | 48% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Esi L/S,Transforamn-W/Wo Fluor | $779.00 | $1,558.00 | — | 48% below | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Proc-Esi L/S W/Osed Tranforamn | $779.00 | $1,558.00 | — | — | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Esi L/S,Transforamn-W/Wo Fluor | $779.00 | $1,558.00 | — | — | 50% |
| Miscarriage treatment with D&C, first trimester CPT 59820 Treatment Of Missed Abortion | $2,111.00 | $4,222.00 | — | 10% below | 50% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Treatment Of Missed Abortion | $2,111.00 | $4,222.00 | — | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Sp-Exc-Benign Les 0.5Cm Or< | $728.50 | $1,457.00 | — | 30% 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 </=0.5Cm | $728.50 | $1,457.00 | — | 30% above | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg </=0.5Cm | $728.50 | $1,457.00 | — | — | 50% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Sp-Exc-Benign Les 0.5Cm Or< | $728.50 | $1,457.00 | — | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Chg - Exc Face-Mm B9+Marg 0.5<Cm | $1,149.50 | $2,299.00 | — | 4% 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 </=0.5Cm | $1,149.50 | $2,299.00 | — | 4% below | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Chg - Exc Face-Mm B9+Marg 0.5<Cm | $1,149.50 | $2,299.00 | — | — | 50% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-Mm B9+Marg </=0.5Cm | $1,149.50 | $2,299.00 | — | — | 50% |
| Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plate Simp-1 | $213.00 | $426.00 | — | at median | 50% |
| Nail removal (partial or complete), one nail CPT 11730 Chg - 11730 Avul Nail Plate Simp-1 | $213.00 | $426.00 | — | at median | 50% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avul Nail Plate Simp-1 | $213.00 | $426.00 | — | at median | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Chg - 11730 Avul Nail Plate Simp-1 | $213.00 | $426.00 | — | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avul Nail Plate Simp-1 | $213.00 | $426.00 | — | — | 50% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 11730 Avul Nail Plate Simp-1 | $213.00 | $426.00 | — | — | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 Oth-Inj Greater Occipital Nrv | $544.00 | $1,088.00 | — | 1% below | 50% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Inject Anesth Agent Occi | $544.00 | $1,088.00 | — | 1% below | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 Oth-Inj Greater Occipital Nrv | $544.00 | $1,088.00 | — | — | 50% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 Inject Anesth Agent Occi | $544.00 | $1,088.00 | — | — | 50% |
| Pacemaker implant (dual chamber) CPT 33208 Chgr-Cd Insert Pacer & 2 Leads | $12,824.00 | $25,648.00 | — | 10% above | 50% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 Chgr-Cd Insert Pacer & 2 Leads | $12,824.00 | $25,648.00 | — | — | 50% |
| Paracentesis with imaging guidance CPT 49083 Paracentesis,Abd,W Imaging | $991.00 | $1,982.00 | — | 15% below | 50% |
| Paracentesis with imaging guidance CPT 49083 49083 Abd Paracentesis W/Imag | $991.00 | $1,982.00 | — | 15% below | 50% |
| Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging | $991.00 | $1,982.00 | — | 15% below | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging | $991.00 | $1,982.00 | — | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis,Abd,W Imaging | $991.00 | $1,982.00 | — | — | 50% |
| Paracentesis with imaging guidance inpatient CPT 49083 49083 Abd Paracentesis W/Imag | $991.00 | $1,982.00 | — | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Chg - 11750 Exc Nail&Matrx-Perm Rml | $639.50 | $1,279.00 | — | 6% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Exc Nail&Matrx-Perm Rml | $639.50 | $1,279.00 | — | 6% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Nail&Matrx-Perm Rml | $639.50 | $1,279.00 | — | 6% above | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Chg - 11750 Exc Nail&Matrx-Perm Rml | $639.50 | $1,279.00 | — | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 11750 Exc Nail&Matrx-Perm Rml | $639.50 | $1,279.00 | — | — | 50% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Exc Nail&Matrx-Perm Rml | $639.50 | $1,279.00 | — | — | 50% |
| Prostate biopsy CPT 55700 Prostate/Us Or Mri/Bx | $1,301.50 | $2,603.00 | — | 49% below | 50% |
| Prostate biopsy CPT 55700 Bx Prostate Needle Or Punch | $1,301.50 | $2,603.00 | — | 49% below | 50% |
| Prostate biopsy inpatient CPT 55700 Bx Prostate Needle Or Punch | $1,301.50 | $2,603.00 | — | — | 50% |
| Prostate biopsy inpatient CPT 55700 Prostate/Us Or Mri/Bx | $1,301.50 | $2,603.00 | — | — | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Neu Face L/S Sgl Jnt-W/Wo Fluo | $2,844.00 | $5,688.00 | — | 4% above | 50% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Neu Face L/S Sgl Jnt-W/Wo Fluo | $2,844.00 | $5,688.00 | — | — | 50% |
| Removal of a breast lump, open surgery CPT 19120 Chg - Removal Of Breast Lesion | $1,637.00 | $3,274.00 | — | 72% below | 50% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Chg - Removal Of Breast Lesion | $1,637.00 | $3,274.00 | — | — | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 Spec-Fb Removal Subcuta Tissue | $398.00 | $796.00 | — | 29% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 I&Fb Removal Subq-Simple | $398.00 | $796.00 | — | 29% below | 50% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 I&Fb Removal Subq-Simple | $398.00 | $796.00 | — | 29% below | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Spec-Fb Removal Subcuta Tissue | $398.00 | $796.00 | — | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 I&Fb Removal Subq-Simple | $398.00 | $796.00 | — | — | 50% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 10120 I&Fb Removal Subq-Simple | $398.00 | $796.00 | — | — | 50% |
| Short arm cast (elbow to hand) CPT 29075 29075 Apply Short Arm Cast | $351.50 | $703.00 | — | 29% above | 50% |
| Short arm cast (elbow to hand) CPT 29075 Chg - 29075 Apply Short Arm Cast | $351.50 | $703.00 | — | 29% above | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 29075 Apply Short Arm Cast | $351.50 | $703.00 | — | — | 50% |
| Short arm cast (elbow to hand) inpatient CPT 29075 Chg - 29075 Apply Short Arm Cast | $351.50 | $703.00 | — | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 Chg - App Short Arm Splint,Sta | $297.00 | $594.00 | — | 22% above | 50% |
| Short arm splint (forearm and hand) CPT 29125 29125 Apply Short Arm Splint | $297.00 | $594.00 | — | 22% above | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 29125 Apply Short Arm Splint | $297.00 | $594.00 | — | — | 50% |
| Short arm splint (forearm and hand) inpatient CPT 29125 Chg - App Short Arm Splint,Sta | $297.00 | $594.00 | — | — | 50% |
| Short leg cast (below the knee) CPT 29405 Cast-Appl Short Leg:Bel Kne-To | $395.00 | $790.00 | — | 24% above | 50% |
| Short leg cast (below the knee) CPT 29405 29405 Short Leg Cast | $395.00 | $790.00 | — | 24% above | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 29405 Short Leg Cast | $395.00 | $790.00 | — | — | 50% |
| Short leg cast (below the knee) inpatient CPT 29405 Cast-Appl Short Leg:Bel Kne-To | $395.00 | $790.00 | — | — | 50% |
| Short leg splint (calf to foot) CPT 29515 Application Short Leg Splint Calf Foot | $175.00 | $350.00 | — | 25% below | 50% |
| Short leg splint (calf to foot) CPT 29515 29515 App Short Leg Splint | $219.00 | $438.00 | — | 6% below | 50% |
| Short leg splint (calf to foot) CPT 29515 Chg - 29515 App Short Leg Splint | $219.00 | $438.00 | — | 6% below | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 Application Short Leg Splint Calf Foot | $175.00 | $350.00 | — | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 29515 App Short Leg Splint | $219.00 | $438.00 | — | — | 50% |
| Short leg splint (calf to foot) inpatient CPT 29515 Chg - 29515 App Short Leg Splint | $219.00 | $438.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/< | $386.50 | $773.00 | — | 6% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Chg - 12001 Simple Rep Trunk=<2.5Cm | $415.50 | $831.00 | — | 14% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Simple Rep Trunk=<2.5Cm | $415.50 | $831.00 | — | 14% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Rep Trunk=<2.5Cm | $415.50 | $831.00 | — | 14% above | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5Cm/< | $386.50 | $773.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Chg - 12001 Simple Rep Trunk=<2.5Cm | $415.50 | $831.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Rep Trunk=<2.5Cm | $415.50 | $831.00 | — | — | 50% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 Simple Rep Trunk=<2.5Cm | $415.50 | $831.00 | — | — | 50% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $367.50 | $735.00 | — | 18% above | 50% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Bx Skin Single Les | $367.50 | $735.00 | — | 18% above | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion | $367.50 | $735.00 | — | — | 50% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 11104 Punch Bx Skin Single Les | $367.50 | $735.00 | — | — | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Exc Tr-Ext Mlg+Marg 0.5<Cm | $1,057.50 | $2,115.00 | — | 7% below | 50% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Exc Tr-Ext Mlg+Marg 0.5<Cm | $1,057.50 | $2,115.00 | — | — | 50% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Remov Mult Skin Tag 1-15 | $304.50 | $609.00 | — | 22% above | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Mult Skin Tag 1-15 | $304.50 | $609.00 | — | 22% above | 50% |
| Skin tag removal, up to 15 tags CPT 11200 Chg - Removal Of Skin Tags Up To 15 | $304.50 | $609.00 | — | 22% above | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 11200 Remov Mult Skin Tag 1-15 | $304.50 | $609.00 | — | — | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Mult Skin Tag 1-15 | $304.50 | $609.00 | — | — | 50% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Chg - Removal Of Skin Tags Up To 15 | $304.50 | $609.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Lumbar Spinal Puncture | $705.00 | $1,410.00 | — | 18% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Lumbar Sp Puncture-Dx | $758.00 | $1,516.00 | — | 12% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Chgr-Diagnostic Lumbar Spinal Puncture | $758.00 | $1,516.00 | — | 12% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture-Neonate | $758.00 | $1,516.00 | — | 12% below | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture | $758.00 | $1,516.00 | — | 12% below | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic Lumbar Spinal Puncture | $705.00 | $1,410.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture | $758.00 | $1,516.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Chgr-Diagnostic Lumbar Spinal Puncture | $758.00 | $1,516.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture-Neonate | $758.00 | $1,516.00 | — | — | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 Lumbar Sp Puncture-Dx | $758.00 | $1,516.00 | — | — | 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 Rep Trunk 2.5-7.5Cm | $478.00 | $956.00 | — | 13% 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 Chg - 12002 Simp Rep Trunk 2.5-7.5Cm | $478.00 | $956.00 | — | 13% 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 12002 Simp Rep Trunk 2.6-7.5Cm | $478.00 | $956.00 | — | 13% above | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Chg - 12002 Simp Rep Trunk 2.5-7.5Cm | $478.00 | $956.00 | — | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 Simp Rep Trunk 2.6-7.5Cm | $478.00 | $956.00 | — | — | 50% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple Rep Trunk 2.5-7.5Cm | $478.00 | $956.00 | — | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Rep Face=<2.5Cm | $345.50 | $691.00 | — | 8% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Simple Rep Face=<2.5Cm | $345.50 | $691.00 | — | 8% below | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5Cm/< | $382.50 | $765.00 | — | 1% above | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 Simple Rep Face=<2.5Cm | $345.50 | $691.00 | — | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Rep Face=<2.5Cm | $345.50 | $691.00 | — | — | 50% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair F/E/E/N/L/M 2.5Cm/< | $382.50 | $765.00 | — | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangntl Bx Skin Single Les | $333.50 | $667.00 | — | 33% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 Tangntl Bx Skin Single Les | $333.50 | $667.00 | — | 33% above | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangntl Bx Skin Single Les | $333.50 | $667.00 | — | — | 50% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 Tangntl Bx Skin Single Les | $333.50 | $667.00 | — | — | 50% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/ Img Guide | $2,209.00 | $4,418.00 | — | 67% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging | $2,209.00 | $4,418.00 | — | 67% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/Img Guid | $2,209.00 | $4,418.00 | — | 67% above | 50% |
| Thoracentesis with imaging guidance CPT 32555 32555 Thoracentsis W Img Guid | $2,209.00 | $4,418.00 | — | 67% above | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/ Img Guide | $2,209.00 | $4,418.00 | — | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 32555 Thoracentsis W Img Guid | $2,209.00 | $4,418.00 | — | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/Img Guid | $2,209.00 | $4,418.00 | — | — | 50% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging | $2,209.00 | $4,418.00 | — | — | 50% |
| Trigger finger release surgery CPT 26055 Chg - Incise Finger Tendon Sheath | $1,010.50 | $2,021.00 | — | 68% below | 50% |
| Trigger finger release surgery inpatient CPT 26055 Chg - Incise Finger Tendon Sheath | $1,010.50 | $2,021.00 | — | — | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Proc-Inj Trig Pt 1-2 Muscles | $234.00 | $468.00 | — | 36% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 20552 Trigger Point Injection | $234.00 | $468.00 | — | 36% below | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Proc-Inj Trig Pt 1-2 Muscles | $234.00 | $468.00 | — | — | 50% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 Trigger Point Injection | $234.00 | $468.00 | — | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Chgr Bx Breast 1St Lesion Us Imag | $1,510.50 | $3,021.00 | — | 25% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Chg - Fc-Biops,Brest W/Plcmnt Of Loc | $1,510.50 | $3,021.00 | — | 25% below | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Chg - Fc-Biops,Brest W/Plcmnt Of Loc | $1,510.50 | $3,021.00 | — | — | 50% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Chgr Bx Breast 1St Lesion Us Imag | $1,510.50 | $3,021.00 | — | — | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 Esoph Egd Dilatn <30 Mm | $942.50 | $1,885.00 | — | 60% below | 50% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 43249 Esoph Egd Dilatn <30 Mm | $942.50 | $1,885.00 | — | — | 50% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Unilat Or Bilateral | $944.50 | $1,889.00 | — | — | 50% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Unilat Or Bilateral | $944.50 | $1,889.00 | — | — | 50% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1St Vein | $3,431.00 | $6,862.00 | — | 15% below | 50% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endovenous Rf 1St Vein | $3,431.00 | $6,862.00 | — | — | 50% |
| Wart removal, up to 14 warts CPT 17110 Chg - Destruct B9 Lesion 1-14 | $119.00 | $238.00 | — | 13% below | 50% |
| Wart removal, up to 14 warts inpatient CPT 17110 Chg - Destruct B9 Lesion 1-14 | $119.00 | $238.00 | — | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debrd Skin&Subq 20Sqcm/< | $649.00 | $1,298.00 | — | 9% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue 20 Sq Cm/< | $649.00 | $1,298.00 | — | 9% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debrd Skin&Subq 20Sqcm/< | $649.00 | $1,298.00 | — | 9% above | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 Debrd Skin&Subq 20Sqcm/< | $649.00 | $1,298.00 | — | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tissue 20 Sq Cm/< | $649.00 | $1,298.00 | — | — | 50% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debrd Skin&Subq 20Sqcm/< | $649.00 | $1,298.00 | — | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration | $1,084.50 | $2,169.00 | — | 27% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 36430 Bld Cmpnts Indirct Trnsf | $1,084.50 | $2,169.00 | — | 27% above | 50% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion | $1,084.50 | $2,169.00 | — | 27% above | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration | $1,084.50 | $2,169.00 | — | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 Bld Cmpnts Indirct Trnsf | $1,084.50 | $2,169.00 | — | — | 50% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion | $1,084.50 | $2,169.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhal Trmt Sputum Ind | $105.00 | $210.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mid Inline T.X. | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Metered Dose Inhaler Tx Initial | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Intrapulmonary Secretion Clearance | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Hand-Held/Aerosl Nebuliz | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/Nonpressurized Inhalation Treatment | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Spontaneous Heliox 1St Day | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Induction | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Inline Tx Subseq | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Subsequent | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Hh Tx Initial | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Hh Tx Subsequent | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Spontaneous Subseq Days | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Treatment Vent Initi | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Vent Heox-Subsequent Day | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Metered Dose Inhaler Treatment | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Vent Initial Heox 1St Day | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Initial | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol/Day | $106.50 | $213.00 | — | 33% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhal Trmt Sputum Ind | $105.00 | $210.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Hh Tx Subsequent | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Spontaneous Subseq Days | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pressurized/Nonpressurized Inhalation Treatment | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 Hand-Held/Aerosl Nebuliz | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Intrapulmonary Secretion Clearance | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Metered Dose Inhaler Tx Initial | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Vent Heox-Subsequent Day | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Vent Initial Heox 1St Day | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Initial | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Subsequent | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Hh Tx Initial | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Treatment Vent Initi | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Inline Tx Subseq | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Induction | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mid Inline T.X. | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol/Day | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Metered Dose Inhaler Treatment | $106.50 | $213.00 | — | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Spontaneous Heliox 1St Day | $106.50 | $213.00 | — | — | 50% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Initial 1 Hr. | $762.50 | $1,525.00 | — | at median | 50% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Initial 1 Hr. | $762.50 | $1,525.00 | — | — | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Audiology-Basic | $268.00 | $536.00 | — | 2% below | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Audiology-Basic | $268.00 | $536.00 | — | — | 50% |
| Critical care, first 30 to 74 minutes CPT 99291 Ed Critical Care 30-74 Minutes | $1,125.50 | $2,251.00 | — | 56% below | 50% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Ed Critical Care 30-74 Minutes | $1,125.50 | $2,251.00 | — | — | 50% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake | $581.50 | $1,163.00 | — | 3% above | 50% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake | $581.50 | $1,163.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram Tracing | $124.00 | $248.00 | — | 41% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 Ecg 12-Lead - Ed Tracing | $124.00 | $248.00 | — | 41% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Chg Ecg 12-Lead Tracing Only | $124.00 | $248.00 | — | 41% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg/Bbtg/R | $124.00 | $248.00 | — | 41% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Chg-Ecg-12 Lead Er Dept Trac | $124.00 | $248.00 | — | 41% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Chg-Ecg-12 Lead Er Dept Trac | $124.00 | $248.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Chg Ecg 12-Lead Tracing Only | $124.00 | $248.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 Ecg 12-Lead - Ed Tracing | $124.00 | $248.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogram Tracing | $124.00 | $248.00 | — | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg/Bbtg/R | $124.00 | $248.00 | — | — | 50% |
| Electroconvulsive therapy (ECT), one session CPT 90870 Ect Treatment | $822.00 | $1,644.00 | — | 3% above | 50% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Ect Treatment | $822.00 | $1,644.00 | — | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Level I - Er Dept Visit | $132.00 | $264.00 | — | 30% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Chg Level I - L&D Er Dept Visit | $132.00 | $264.00 | — | 30% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Level I - Er Dept Visit | $132.00 | $264.00 | — | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Chg Level I - L&D Er Dept Visit | $132.00 | $264.00 | — | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Level Ii - Er Dept Visit | $264.50 | $529.00 | — | 20% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Level Ii - Er Dept Visit | $264.50 | $529.00 | — | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Level Iii - Er Dept Visit | $440.00 | $880.00 | — | 12% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Chg Level Iii - L&D Er Ept Visit | $440.00 | $880.00 | — | 12% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Level Iii - Er Dept Visit | $440.00 | $880.00 | — | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Chg Level Iii - L&D Er Ept Visit | $440.00 | $880.00 | — | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Ed Level Iv - Er Dept Visit | $631.00 | $1,262.00 | — | 31% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Ed Level Iv - Er Dept Visit | $631.00 | $1,262.00 | — | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Ed Level V - Er Dept Visit | $982.00 | $1,964.00 | — | 31% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Chg Level V - L&D Er Dept Visit | $982.00 | $1,964.00 | — | 31% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Ed Level V - Er Dept Visit | $982.00 | $1,964.00 | — | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Chg Level V - L&D Er Dept Visit | $982.00 | $1,964.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cvslr Stress Test Cv Public Services(Srmh Only) | $112.50 | $225.00 | — | 85% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test | $481.00 | $962.00 | — | 36% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Pharmacologic Stress Test | $481.00 | $962.00 | — | 36% below | 50% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Cardiovascula | $481.00 | $962.00 | — | 36% below | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cvslr Stress Test Cv Public Services(Srmh Only) | $112.50 | $225.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Cardiovascula | $481.00 | $962.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Pharmacologic Stress Test | $481.00 | $962.00 | — | — | 50% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test | $481.00 | $962.00 | — | — | 50% |
| Group psychotherapy session CPT 90853 Group Psych Not Multi-Family | $78.00 | $156.00 | — | 45% below | 50% |
| Group psychotherapy session inpatient CPT 90853 Group Psych Not Multi-Family | $78.00 | $156.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf,Hydra;Int To 1 Hr | $402.50 | $805.00 | — | 20% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion 31 Minutes To 1 Hour | $402.50 | $805.00 | — | 20% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Initial Hr | $402.50 | $805.00 | — | 20% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 Hydration Infusion | $402.50 | $805.00 | — | 20% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Iv Initial Hr | $402.50 | $805.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion 31 Minutes To 1 Hour | $402.50 | $805.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 Hydration Infusion | $402.50 | $805.00 | — | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf,Hydra;Int To 1 Hr | $402.50 | $805.00 | — | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 Ther/Proph Iv Inf Init=<1Hr | $348.50 | $697.00 | — | 5% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 96365 Drug Infusion 1St Hr | $348.50 | $697.00 | — | 5% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 Non-Chem Iv Inf Hr | $348.50 | $697.00 | — | 5% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Proph Iv Inf Init=<1Hr | $348.50 | $697.00 | — | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365 Drug Infusion 1St Hr | $348.50 | $697.00 | — | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-Chem Iv Inf Hr | $348.50 | $697.00 | — | — | 50% |
| IV push of a medicine, first drug CPT 96374 96374 Intravenous Injection | $228.50 | $457.00 | — | 16% below | 50% |
| IV push of a medicine, first drug CPT 96374 Non-Chem Ivp Initial | $228.50 | $457.00 | — | 16% below | 50% |
| IV push of a medicine, first drug CPT 96374 Thera/Prophy/Diag Inj;Iv Push | $228.50 | $457.00 | — | 16% below | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 Thera/Prophy/Diag Inj;Iv Push | $228.50 | $457.00 | — | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chem Ivp Initial | $228.50 | $457.00 | — | — | 50% |
| IV push of a medicine, first drug inpatient CPT 96374 96374 Intravenous Injection | $228.50 | $457.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Injection (Sc) (Im) | $75.00 | $150.00 | — | 31% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chemo Injection Sq/Im | $75.00 | $150.00 | — | 31% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chem Sq/Im | $75.00 | $150.00 | — | 31% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection/Subc/Im | $75.00 | $150.00 | — | 31% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection, Subq/Im | $75.00 | $150.00 | — | 31% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im | $75.00 | $150.00 | — | 31% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Fee | $75.00 | $150.00 | — | 31% below | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im | $75.00 | $150.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Fee | $75.00 | $150.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 Injection (Sc) (Im) | $75.00 | $150.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection, Subq/Im | $75.00 | $150.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection/Subc/Im | $75.00 | $150.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chem Sq/Im | $75.00 | $150.00 | — | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chemo Injection Sq/Im | $75.00 | $150.00 | — | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Initial Psych Assessment | $299.00 | $598.00 | — | 4% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Initial Psych Assessment | $299.00 | $598.00 | — | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Chg - Fc-Nerve Conduct Studies;7-8 | $331.00 | $662.00 | — | 30% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction,7-8 Studies | $331.00 | $662.00 | — | 30% below | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction,7-8 Studies | $331.00 | $662.00 | — | — | 50% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Chg - Fc-Nerve Conduct Studies;7-8 | $331.00 | $662.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Reed | $58.00 | $116.00 | — | 47% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 Athletic Training Neuromuscular Reed | $58.00 | $116.00 | — | 47% below | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Reed | $58.00 | $116.00 | — | — | 50% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Athletic Training Neuromuscular Reed | $58.00 | $116.00 | — | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Initial 15 Min | $29.50 | $59.00 | — | 13% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Init Nutrn Ther; Each 15M | $29.50 | $59.00 | — | 13% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt Init Nutrn Ther; Each 15M | $29.50 | $59.00 | — | — | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt Initial 15 Min | $29.50 | $59.00 | — | — | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min | $164.00 | $328.00 | — | 23% below | 50% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30 Min | $164.00 | $328.00 | — | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Mins | $228.50 | $457.00 | — | 8% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex 45 Mins | $228.50 | $457.00 | — | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Mins | $164.00 | $328.00 | — | 24% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex 20 Mins | $164.00 | $328.00 | — | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Mins | $207.50 | $415.00 | — | 10% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30 Mins | $207.50 | $415.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Ther Tech Ot | $61.00 | $122.00 | — | 31% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Athletic Training Manual Therapy Tqs | $61.00 | $122.00 | — | 31% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Technique | $61.00 | $122.00 | — | 31% below | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Technique | $61.00 | $122.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Athletic Training Manual Therapy Tqs | $61.00 | $122.00 | — | — | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Ther Tech Ot | $61.00 | $122.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Exercise Therapeutic -15 Min | $65.50 | $131.00 | — | 29% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Chg-Exercise - Isokinetic | $65.50 | $131.00 | — | 29% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Exercise - Therapeutic-Ot 15Mn | $65.50 | $131.00 | — | 29% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Athletic Training Therapeutic Exercises | $65.50 | $131.00 | — | 29% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Exercise - Therapeutic-Ot 15Mn | $65.50 | $131.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Athletic Training Therapeutic Exercises | $65.50 | $131.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Exercise Therapeutic -15 Min | $65.50 | $131.00 | — | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Chg-Exercise - Isokinetic | $65.50 | $131.00 | — | — | 50% |
| Psychiatric evaluation with medical services CPT 90792 Chg Psych Emer Resp With Med Svc Cpt 90792 | $319.50 | $639.00 | — | at median | 50% |
| Psychiatric evaluation with medical services inpatient CPT 90792 Chg Psych Emer Resp With Med Svc Cpt 90792 | $319.50 | $639.00 | — | — | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Tst Eval Phys/Qhp 1St | $231.00 | $462.00 | — | 24% below | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psycl Tst Eval Phys/Qhp 1St | $231.00 | $462.00 | — | — | 50% |
| Psychotherapy session, 30 minutes CPT 90832 Indiv Therapy (30 Min) | $114.50 | $229.00 | — | 24% below | 50% |
| Psychotherapy session, 30 minutes CPT 90832 Chg - Psytx Pt&/Family 30 Minutes | $114.50 | $229.00 | — | 24% below | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Indiv Therapy (30 Min) | $114.50 | $229.00 | — | — | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Chg - Psytx Pt&/Family 30 Minutes | $114.50 | $229.00 | — | — | 50% |
| Psychotherapy session, 45 minutes CPT 90834 Indiv Therapy (45 Min) | $247.00 | $494.00 | — | 19% above | 50% |
| Psychotherapy session, 45 minutes CPT 90834 Chg - Psychotherapy,45Min W/Pt,Fmly | $247.00 | $494.00 | — | 19% above | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Chg - Psychotherapy,45Min W/Pt,Fmly | $247.00 | $494.00 | — | — | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Indiv Therapy (45 Min) | $247.00 | $494.00 | — | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 Chg - Psytx Pt&/Family 60 Minutes | $308.50 | $617.00 | — | 23% above | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Chg - Psytx Pt&/Family 60 Minutes | $308.50 | $617.00 | — | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation Vst 3-10 Min | $44.50 | $89.00 | — | 7% below | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation Vst 3-10 Min | $44.50 | $89.00 | — | — | 50% |
| Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen | $601.50 | $1,203.00 | — | 83% above | 50% |
| Speech and language evaluation inpatient CPT 92523 Speech Sound Lang Comprehen | $601.50 | $1,203.00 | — | — | 50% |
| Speech therapy session, individual CPT 92507 Chg-Speech Treatment | $144.50 | $289.00 | — | 18% below | 50% |
| Speech therapy session, individual inpatient CPT 92507 Chg-Speech Treatment | $144.50 | $289.00 | — | — | 50% |
| Spirometry (breathing test) CPT 94010 Chg - Spirometry Basic | $73.00 | $146.00 | — | 72% below | 50% |
| Spirometry (breathing test) CPT 94010 Mip/Mep Determination | $73.00 | $146.00 | — | 72% below | 50% |
| Spirometry (breathing test) CPT 94010 Spirometry Bedside | $73.00 | $146.00 | — | 72% below | 50% |
| Spirometry (breathing test) CPT 94010 Pfs Complete W/O Bronc | $73.00 | $146.00 | — | 72% below | 50% |
| Spirometry (breathing test) CPT 94010 Spirometry W/O Broncho | $73.00 | $146.00 | — | 72% below | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry W/O Broncho | $73.00 | $146.00 | — | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Pfs Complete W/O Bronc | $73.00 | $146.00 | — | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry Bedside | $73.00 | $146.00 | — | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Chg - Spirometry Basic | $73.00 | $146.00 | — | — | 50% |
| Spirometry (breathing test) inpatient CPT 94010 Mip/Mep Determination | $73.00 | $146.00 | — | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 Spirometry W/Bronchodil | $321.50 | $643.00 | — | 22% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 Chg - Spirometry W/Bronchodilators | $321.50 | $643.00 | — | 22% below | 50% |
| Spirometry before and after a bronchodilator CPT 94060 Pfs Complete W/Bronchodilator | $321.50 | $643.00 | — | 22% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry W/Bronchodil | $321.50 | $643.00 | — | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pfs Complete W/Bronchodilator | $321.50 | $643.00 | — | — | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Chg - Spirometry W/Bronchodilators | $321.50 | $643.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Functional Activity - 15 Min | $50.50 | $101.00 | — | 51% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Athletic Training Function Activity | $50.50 | $101.00 | — | 51% below | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Function Activity | $50.50 | $101.00 | — | 51% below | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Functional Activity - 15 Min | $50.50 | $101.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Athletic Training Function Activity | $50.50 | $101.00 | — | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Function Activity | $50.50 | $101.00 | — | — | 50% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $184.00 | $368.00 | — | 26% below | 50% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $184.00 | $368.00 | — | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml For Im Use (Moderna) | $72.96 | $145.92 | — | 5% below | 50% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml For Im Use (Moderna) | $72.96 | $145.92 | — | — | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer) | $65.55 | $131.10 | — | 5% below | 50% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vacc 30Mcg/0.3Ml Tris-Sucrose Im Use (Pfizer) | $65.55 | $131.10 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin,1 Vac | $20.50 | $41.00 | — | 64% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine/Immun Inj-Other | $20.50 | $41.00 | — | 64% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin | $20.50 | $41.00 | — | 64% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Immunization Admin,1Vac | $20.50 | $41.00 | — | 64% below | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine/Immun Inj-Other | $20.50 | $41.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Admin,1 Vac | $20.50 | $41.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Immunization Admin,1Vac | $20.50 | $41.00 | — | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin | $20.50 | $41.00 | — | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Vaccine Inj Ea Addtl | $20.50 | $41.00 | — | 50% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Inj Ea Addtl-Other | $20.50 | $41.00 | — | 50% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Inj Ea Addtl-Other | $20.50 | $41.00 | — | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Vaccine Inj Ea Addtl | $20.50 | $41.00 | — | — | 50% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Virginia | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 D7140 Extraction Tooth | $1,157.00 | $2,314.00 | — | 15% above | 50% |
| Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 D7140 Extraction Tooth | $1,157.00 | $2,314.00 | — | — | 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://www.sentara.com/Documents/s/sentararmhmedicalcenterstandardchargesxlsx-1395259