Hospital Pittsburgh, PA

UPMC Magee-Womens Hospital

UPMC Magee-Womens Hospital in Pittsburgh, PA publishes cash prices for 416 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Pennsylvania median for 276 of 411 procedures and below it for 120. By typical cash price it ranks #68 of 108 Pennsylvania hospitals and #18 of 26 hospitals in the Pittsburgh, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

300 Halket Street, Pittsburgh, PA 15213 Collected Sep 27, 2026 Source price file Check a bill from this hospital (412) 641-4010

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 390114 · CMS hospital register NPI 1952311508

Financial assistance

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

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

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

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

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 4 actions for a hospital named UPMC Magee-Womens Hospital in Pittsburgh, PA:

Dec 27, 2022 Warning notice
Apr 18, 2023 Corrective action plan requested
May 3, 2023 Case closed
Jul 22, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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 Pennsylvania	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W WO CON	$3,515.40	$5,859.00	$158.84–$5,390.28	86% above	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W WO CON	$3,515.40	$5,859.00	$2,109.24–$5,390.28	—	40%
Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN 2 VIEWS	$469.80	$783.00	$13.17–$720.36	44% above	40%
Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE COMP MIN 3 VIEWS	$469.80	$783.00	$27.53–$720.36	29% above	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE COMP MIN 3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC UP/LOW EXT ART EVAL SNG LEV BI	$239.40	$399.00	$53.67–$467.41	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC LTD BILAT DOPPLER OF EXTREMITIES	$239.40	$399.00	$53.67–$467.41	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC LTD BILAT DOPPLER OF EXTREMITIES	$239.40	$399.00	$143.64–$367.08	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC UP/LOW EXT ART EVAL SNG LEV BI	$239.40	$399.00	$143.64–$367.08	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREM WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	71% above	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREM WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGUS	$903.60	$1,506.00	$41.25–$1,385.52	96% above	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGUS	$903.60	$1,506.00	$542.16–$1,385.52	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JNT IMAG WHOLE BODY	$1,845.60	$3,076.00	$111.63–$2,829.92	50% above	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JNT IMAG WHOLE BODY	$1,845.60	$3,076.00	$1,107.36–$2,829.92	—	40%
Breast ultrasound, complete, one breast CPT 76641 HC US BRST CMP UN TECH ONLY RESEARCH	$511.80	$853.00	$45.58–$784.76	6% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$511.80	$853.00	$45.58–$784.76	6% below	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BRST CMP UN TECH ONLY RESEARCH	$511.80	$853.00	$307.08–$784.76	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$511.80	$853.00	$307.08–$784.76	—	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$284.40	$474.00	$34.92–$436.08	38% below	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$284.40	$474.00	$170.64–$436.08	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD&PLV W/WO CON W/POSTPRC	$6,108.60	$10,181.00	$318.66–$9,366.52	105% above	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD&PLV W/WO CON W/POSTPRC	$6,108.60	$10,181.00	$3,665.16–$9,366.52	—	40%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CON W/PST PROC	$3,562.20	$5,937.00	$158.84–$5,462.04	109% above	40%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CON W/PST PROC	$3,562.20	$5,937.00	$2,137.32–$5,462.04	—	40%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/WO CON W/PST PROC	$3,562.20	$5,937.00	$158.84–$5,462.04	113% above	40%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W/WO CON W/PST PROC	$3,562.20	$5,937.00	$2,137.32–$5,462.04	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/WO CON W/PST PROC	$3,562.20	$5,937.00	$158.84–$5,462.04	86% above	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/WO CON W/PST PROC	$3,562.20	$5,937.00	$2,137.32–$5,462.04	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE	$2,753.40	$4,589.00	$318.66–$4,221.88	39% above	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE	$2,753.40	$4,589.00	$1,652.04–$4,221.88	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HRT W/O DYE W/CA TEST	$120.00	$200.00	$62.52–$455.63	32% below	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HRT W/O DYE W/CA TEST	$120.00	$200.00	$72.00–$184.00	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PLVS WO CONTRAST	$4,264.20	$7,107.00	$185.12–$6,538.44	105% above	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PLVS WO CONTRAST	$4,264.20	$7,107.00	$2,558.52–$6,538.44	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD & PLVS W CONTRAST	$6,108.60	$10,181.00	$289.48–$9,366.52	105% above	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD & PLVS W CONTRAST	$6,108.60	$10,181.00	$3,665.16–$9,366.52	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PLVS W WO CONTRAST	$6,108.60	$10,181.00	$318.66–$9,366.52	105% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PLVS W WO CONTRAST	$6,108.60	$10,181.00	$3,665.16–$9,366.52	—	40%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CON	$3,160.80	$5,268.00	$158.84–$4,846.56	91% above	40%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CON	$3,160.80	$5,268.00	$1,896.48–$4,846.56	—	40%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	79% above	40%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	79% above	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST	$2,020.20	$3,367.00	$94.88–$3,097.64	87% above	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$3,160.80	$5,268.00	$147.40–$4,846.56	134% above	40%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$3,160.80	$5,268.00	$1,896.48–$4,846.56	—	40%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W WO CONTRAST	$3,515.40	$5,859.00	$158.84–$5,390.28	110% above	40%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W WO CONTRAST	$3,515.40	$5,859.00	$2,109.24–$5,390.28	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	76% above	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	71% above	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CON	$3,160.80	$5,268.00	$154.10–$4,846.56	86% above	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CON	$3,160.80	$5,268.00	$1,896.48–$4,846.56	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUP CAROTID BILAT COMP	$507.60	$846.00	$162.09–$993.72	—	40%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUPLEX EXTRACRANIAL ART BIL	$507.60	$846.00	$162.09–$993.72	37% below	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUP CAROTID BILAT COMP	$507.60	$846.00	$304.56–$778.32	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DUPLEX EXTRACRANIAL ART BIL	$507.60	$846.00	$304.56–$778.32	—	40%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/WO CON	$3,515.40	$5,859.00	$158.84–$5,390.28	118% above	40%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W/WO CON	$3,515.40	$5,859.00	$2,109.24–$5,390.28	—	40%
Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS	$469.80	$783.00	$11.90–$720.36	46% above	40%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW	$469.80	$783.00	$6.49–$720.36	149% above	40%
Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW	$469.80	$783.00	$281.88–$720.36	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE	$469.80	$783.00	$31.82–$720.36	64% above	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE	$469.80	$783.00	$281.88–$720.36	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$469.80	$783.00	$89.65–$765.24	35% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$469.80	$783.00	$281.88–$720.36	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA AXIAL SKL 1 OR MORE SITES	$279.00	$465.00	$66.12–$708.09	3% above	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA AXIAL SKL 1 OR MORE SITES	$279.00	$465.00	$167.40–$427.80	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA APPEND SKEL PERIPHERAL	$121.20	$202.00	$30.23–$285.40	33% below	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA APPEND SKEL PERIPHERAL	$121.20	$202.00	$72.72–$185.84	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US PREGNANT UTERUS FET ANAT EX	$1,048.20	$1,747.00	$197.85–$1,974.33	17% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US PREGNANT UTERUS FET ANAT EX	$1,048.20	$1,747.00	$628.92–$1,607.24	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	84% above	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CON	$3,160.80	$5,268.00	$158.84–$4,846.56	122% above	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CON	$3,160.80	$5,268.00	$1,896.48–$4,846.56	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO DIGITAL DX BILAT WWO CAD	$572.40	$954.00	$74.31–$877.68	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO DIGITAL DX BILAT WWO CAD	$572.40	$954.00	$343.44–$877.68	—	40%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIGITAL DX UNI WWO CAD	$522.60	$871.00	$58.27–$801.32	65% above	40%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIGITAL DX UNI WWO CAD	$522.60	$871.00	$313.56–$801.32	—	40%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HC DUPLEX LOWER EXT ARTERY BIL	$450.00	$750.00	$143.68–$880.87	45% below	40%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC DUPLEX LOWER EXT ARTERY BIL	$450.00	$750.00	$270.00–$690.00	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXT VEINS W COMP/MAN BILAT	$1,019.40	$1,699.00	$159.46–$1,563.08	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXT VEINS W/COMP/MAN BI	$1,019.40	$1,699.00	$159.46–$1,563.08	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXT VEINS W COMP/MAN BILAT	$1,019.40	$1,699.00	$611.64–$1,563.08	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXT VEINS W/COMP/MAN BI	$1,019.40	$1,699.00	$611.64–$1,563.08	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W / DOPPLER COMP (BUNDLED)	$1,866.00	$3,110.00	$155.12–$2,861.20	1% below	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC PORT TTE W DOPPLER COMP (BUNDLED)	$1,866.00	$3,110.00	$155.12–$2,861.20	1% below	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W / DOPPLER COMP (BUNDLED)	$1,866.00	$3,110.00	$1,119.60–$2,861.20	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC PORT TTE W DOPPLER COMP (BUNDLED)	$1,866.00	$3,110.00	$1,119.60–$2,861.20	—	40%
Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VIEWS	$469.80	$783.00	$26.82–$720.36	54% above	40%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW MIN 3 VIEWS	$469.80	$783.00	$29.31–$720.36	36% above	40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW MIN 3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA P FOS EAR WO	$2,020.20	$3,367.00	$94.88–$3,097.64	86% above	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT SELLA P FOS EAR WO	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3 VWS	$469.80	$783.00	$37.69–$720.36	14% above	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3 VWS	$469.80	$783.00	$281.88–$720.36	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEWS	$469.80	$783.00	$32.37–$720.36	68% above	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBIL SYS IMG INC GB	$1,359.00	$2,265.00	$204.85–$2,083.80	11% above	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBIL SYS IMG INC GB	$1,359.00	$2,265.00	$815.40–$2,083.80	—	40%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEWS	$469.80	$783.00	$31.22–$720.36	68% above	40%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEOUS MIN 2 VIEWS	$469.80	$783.00	$30.04–$720.36	77% above	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEOUS MIN 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED BY TECH	$1,653.60	$2,756.00	$139.61–$2,535.52	172% above	40%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED BY TECH	$1,653.60	$2,756.00	$992.16–$2,535.52	—	40%
Knee X-ray, 3 views CPT 73562 HC KNEE 3 VIEWS	$469.80	$783.00	$35.41–$720.36	18% above	40%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE 3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE COMP 4 OR MORE VIEWS	$469.80	$783.00	$39.37–$720.36	8% above	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE COMP 4 OR MORE VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREM WO CONT	$2,020.20	$3,367.00	$94.88–$3,097.64	91% above	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREM WO CONT	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABD LIMITED	$1,327.20	$2,212.00	$68.75–$2,035.04	119% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC PORT US ABD LIMITED	$1,407.00	$2,345.00	$68.75–$2,157.40	132% above	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABD LIMITED	$1,327.20	$2,212.00	$796.32–$2,035.04	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC PORT US ABD LIMITED	$1,407.00	$2,345.00	$844.20–$2,157.40	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC PORT XTR NON VASC LTD	$436.20	$727.00	$18.41–$668.84	11% above	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC PORT LMTD JT/FCL EVL NVASC XTR	$436.20	$727.00	$18.41–$668.84	11% above	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVL NVASC XTR	$436.20	$727.00	$18.41–$668.84	11% above	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVL NVASC XTR	$436.20	$727.00	$261.72–$668.84	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC PORT XTR NON VASC LTD	$436.20	$727.00	$261.72–$668.84	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC PORT LMTD JT/FCL EVL NVASC XTR	$436.20	$727.00	$261.72–$668.84	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LOW DOSE CT LUNG CANCER SCRN	$645.00	$1,075.00	$69.13–$989.00	63% above	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LOW DOSE CT LUNG CANCER SCRN	$645.00	$1,075.00	$387.00–$989.00	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA FIBULA 2 VIEWS	$469.80	$783.00	$27.78–$720.36	41% above	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA FIBULA 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA BRAIN WO CON	$4,272.00	$7,120.00	$215.68–$6,550.40	138% above	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA BRAIN WO CON	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MR BREAST W/WO CONT BILATERAL	$6,741.00	$11,235.00	$169.13–$10,336.20	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MR BREAST W/WO CONT BILATERAL	$6,741.00	$11,235.00	$4,044.60–$10,336.20	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOW EXTREM ANY JNT WO	$4,272.00	$7,120.00	$215.68–$6,550.40	110% above	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOW EXTREM ANY JNT WO	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOW EXTREM ANY JNT W/WO	$6,741.00	$11,235.00	$318.66–$10,336.20	91% above	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOW EXTREM ANY JNT W/WO	$6,741.00	$11,235.00	$4,044.60–$10,336.20	—	40%
MRI of the abdomen without contrast CPT 74181 HC MRCP W/WO CONTRAST	$4,272.00	$7,120.00	$215.68–$6,550.40	116% above	40%
MRI of the abdomen without contrast CPT 74181 HC MR ABDOMEN WO	$4,272.00	$7,120.00	$215.68–$6,550.40	116% above	40%
MRI of the abdomen without contrast inpatient CPT 74181 HC MR ABDOMEN WO	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRCP W/WO CONTRAST	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MR ABDOMEN W/WO	$6,741.00	$11,235.00	$318.66–$10,336.20	91% above	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MR ABDOMEN W/WO	$6,741.00	$11,235.00	$4,044.60–$10,336.20	—	40%
MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CON	$4,272.00	$7,120.00	$215.68–$6,550.40	134% above	40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CON	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CON	$6,741.00	$11,235.00	$318.66–$10,336.20	132% above	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CON	$6,741.00	$11,235.00	$4,044.60–$10,336.20	—	40%
MRI of the lower back, no contrast dye CPT 72148 HC MR SP CANAL LUMBAR WO	$4,272.00	$7,120.00	$215.68–$6,550.40	139% above	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SP CANAL LUMBAR WO	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MR SP CANAL LUMBAR W WO	$6,741.00	$11,235.00	$318.66–$10,336.20	106% above	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MR SP CANAL LUMBAR W WO	$6,741.00	$11,235.00	$4,044.60–$10,336.20	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MR SP CANAL THORACIC WO	$4,272.00	$7,120.00	$215.68–$6,550.40	106% above	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MR SP CANAL THORACIC WO	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MR SP CANAL CERVICAL W WO	$6,741.00	$11,235.00	$318.66–$10,336.20	131% above	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MR SP CANAL CERVICAL W WO	$6,741.00	$11,235.00	$4,044.60–$10,336.20	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MR SP CANAL CERVICAL WO	$4,272.00	$7,120.00	$215.68–$6,550.40	143% above	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MR SP CANAL CERVICAL WO	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of the pelvis without and with contrast CPT 72197 HC MR PELVIS W WO	$6,741.00	$11,235.00	$318.66–$10,336.20	91% above	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MR PELVIS W WO	$6,741.00	$11,235.00	$4,044.60–$10,336.20	—	40%
MRI of the pelvis, no contrast dye CPT 72195 HC MR PELVIS WO	$4,272.00	$7,120.00	$215.68–$6,550.40	118% above	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MR PELVIS WO	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR UP EXTREM ANY JOINT WO	$4,272.00	$7,120.00	$215.68–$6,550.40	101% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR UP EXTREM ANY JOINT WO	$4,272.00	$7,120.00	$2,563.20–$6,550.40	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL 4 OR 5 VIEWS	$794.40	$1,324.00	$44.68–$1,218.08	80% above	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL 4 OR 5 VIEWS	$794.40	$1,324.00	$476.64–$1,218.08	—	40%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CON	$3,160.80	$5,268.00	$151.25–$4,846.56	134% above	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CON	$3,160.80	$5,268.00	$1,896.48–$4,846.56	—	40%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	87% above	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$469.80	$783.00	$19.25–$720.36	68% above	40%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$469.80	$783.00	$281.88–$720.36	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HT MSCL IMG SPECT MLT	$4,212.60	$7,021.00	$374.88–$6,459.32	7% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$4,212.60	$7,021.00	$374.88–$6,459.32	7% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC EXER SEST/REST SEST SPECT	$4,212.60	$7,021.00	$374.88–$6,459.32	7% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC EXER SEST/REST SEST SPECT	$4,212.60	$7,021.00	$2,527.56–$6,459.32	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HT MSCL IMG SPECT MLT	$4,212.60	$7,021.00	$2,527.56–$6,459.32	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$4,212.60	$7,021.00	$2,527.56–$6,459.32	—	40%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC CPTRZ OPH DX IMG PST SGM RETNA	$200.40	$334.00	$27.58–$307.28	31% above	40%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC CPTRZ OPH DX IMG PST SGM RETNA	$200.40	$334.00	$120.24–$307.28	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC TUMOR IMAGE PET/CT SKULL-THIGH	$9,591.60	$15,986.00	$815.05–$19,651.71	32% above	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC TUMOR IMAGE PET/CT SKULL-THIGH	$9,591.60	$15,986.00	$5,754.96–$14,707.12	—	40%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	85% above	40%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LTD/FOLLOW UP	$379.20	$632.00	$35.20–$581.44	15% below	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LTD/FOLLOW UP	$379.20	$632.00	$227.52–$581.44	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS COMP (NONOBSTETRIC)	$550.80	$918.00	$84.15–$844.56	5% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS COMP (NONOBSTETRIC)	$550.80	$918.00	$330.48–$844.56	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANT UTERUS>14WKS	$564.00	$940.00	$85.25–$889.89	8% below	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANT UTERUS>14WKS	$564.00	$940.00	$338.40–$864.80	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG UTERUS 1ST TRI <14WKS	$409.20	$682.00	$92.50–$831.65	27% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG UTERUS 1ST TRI <14WKS	$409.20	$682.00	$245.52–$627.44	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS LTD	$409.20	$682.00	$70.40–$627.44	23% below	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS LTD	$409.20	$682.00	$245.52–$627.44	—	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILAT MIN 2 VWS	$469.80	$783.00	$29.15–$720.36	40% above	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILAT MIN 2 VWS	$469.80	$783.00	$281.88–$720.36	—	40%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC RIBS UNI W/PA CXR MIN 3VIEWS	$469.80	$783.00	$29.15–$720.36	14% above	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC RIBS UNI W/PA CXR MIN 3VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMO DIGI SCR BILAT WWO CAD	$262.80	$438.00	$61.53–$551.43	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMO DIGI SCR BILAT WWO CAD	$262.80	$438.00	$157.68–$402.96	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER MIN 2 VIEWS	$469.80	$783.00	$29.98–$720.36	39% above	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER MIN 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUS COMP MIN 3 VWS	$469.80	$783.00	$37.27–$720.36	11% above	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUS COMP MIN 3 VWS	$469.80	$783.00	$281.88–$720.36	—	40%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL <4 VIEWS	$469.80	$783.00	$34.97–$720.36	32% above	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL <4 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Sleep study in a lab (polysomnography) CPT 95810 HC PSG 9+PARAM ATTENDED	$8,373.60	$13,956.00	$381.22–$12,839.52	142% above	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC PSG 9+PARAM ATTENDED	$8,373.60	$13,956.00	$5,024.16–$12,839.52	—	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE COMP (MD SUPERVISD)	$1,866.00	$3,110.00	$204.09–$3,023.39	2% above	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS TTE COMP (MD SUPERVISD)	$1,866.00	$3,110.00	$1,119.60–$2,861.20	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNC ESOPH	$903.60	$1,506.00	$50.60–$1,385.52	53% above	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FUNC ESOPH	$903.60	$1,506.00	$542.16–$1,385.52	—	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/>	$469.80	$783.00	$15.03–$720.36	18% above	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/>	$469.80	$783.00	$281.88–$720.36	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO CON	$2,020.20	$3,367.00	$94.88–$3,097.64	72% above	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE WO CON	$2,020.20	$3,367.00	$1,212.12–$3,097.64	—	40%
Toe X-ray, 2 or more views CPT 73660 HC TOES MIN 2 VIEWS	$469.80	$783.00	$21.11–$720.36	68% above	40%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOES MIN 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$455.40	$759.00	$84.15–$698.28	19% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL	$455.40	$759.00	$273.24–$698.28	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANT UTERUS TRANSVAG	$455.40	$759.00	$94.88–$811.37	18% below	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANT UTERUS TRANSVAG	$455.40	$759.00	$273.24–$698.28	—	40%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE	$1,896.60	$3,161.00	$94.88–$2,908.12	142% above	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE	$1,896.60	$3,161.00	$1,137.96–$2,908.12	—	40%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM TESTES	$942.60	$1,571.00	$81.40–$1,445.32	53% above	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM TESTES	$942.60	$1,571.00	$565.56–$1,445.32	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID/NECK/SOFT TISSUE	$670.20	$1,117.00	$83.98–$1,027.64	17% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US THYROID/NECK/SOFT TISSUE	$670.20	$1,117.00	$402.12–$1,027.64	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UGI W/WO DELAYED IMAGES WO KUB	$903.60	$1,506.00	$71.50–$1,385.52	44% above	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UGI W/WO DELAYED IMAGES WO KUB	$903.60	$1,506.00	$542.16–$1,385.52	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS MIN 2 VIEWS	$469.80	$783.00	$29.37–$720.36	70% above	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS MIN 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXT VEINS W COMP/MAN LTD	$670.20	$1,117.00	$94.88–$1,027.64	5% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUP EX VEINS W/COM-MAN UNI/LTD	$670.20	$1,117.00	$94.88–$1,027.64	5% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC PORT DUP EX VEINS UNI/LTD	$670.20	$1,117.00	$94.88–$1,027.64	5% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC PORT DUP EX VEINS UNI/LTD	$670.20	$1,117.00	$402.12–$1,027.64	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUP EX VEINS W/COM-MAN UNI/LTD	$670.20	$1,117.00	$402.12–$1,027.64	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXT VEINS W COMP/MAN LTD	$670.20	$1,117.00	$402.12–$1,027.64	—	40%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEWS	$469.80	$783.00	$31.15–$720.36	71% above	40%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST MIN 3 VIEWS	$469.80	$783.00	$32.42–$720.36	46% above	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST MIN 3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS	$469.80	$783.00	$19.72–$720.36	33% above	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW	$469.80	$783.00	$11.03–$720.36	68% above	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE 2 VIEWS	$469.80	$783.00	$20.70–$720.36	39% above	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER(S) MIN 2 VIEWS	$469.80	$783.00	$26.59–$720.36	94% above	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER(S) MIN 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEWS	$469.80	$783.00	$30.14–$720.36	45% above	40%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT MIN 3 VIEWS	$469.80	$783.00	$32.77–$720.36	29% above	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT MIN 3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the hand, 3 or more views CPT 73130 HC HAND MIN 3 VIEWS	$469.80	$783.00	$28.07–$720.36	58% above	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND MIN 3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1 OR 2 VIEWS	$469.80	$783.00	$31.64–$720.36	67% above	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1 OR 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBOSACRAL 2-3 VIEWS	$469.80	$783.00	$35.78–$720.36	29% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBOSACRAL 2-3 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSAC MIN 4 VWS	$794.40	$1,324.00	$40.28–$1,218.08	75% above	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSAC MIN 4 VWS	$794.40	$1,324.00	$476.64–$1,218.08	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE THORACIC 2 VIEWS	$469.80	$783.00	$34.03–$720.36	29% above	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE THORACIC 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMP MIN 3 VWS	$469.80	$783.00	$20.90–$720.36	73% above	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMP MIN 3 VWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 3 VIEWS OR LESS	$469.80	$783.00	$29.15–$720.36	41% above	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 3 VIEWS OR LESS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$469.80	$783.00	$19.25–$720.36	60% above	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$469.80	$783.00	$281.88–$720.36	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM & COCCYX MIN 2 VWS	$469.80	$783.00	$26.99–$720.36	40% above	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM & COCCYX MIN 2 VWS	$469.80	$783.00	$281.88–$720.36	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC (ACTH)	$779.40	$1,299.00	$36.14–$1,195.08	251% above	40%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC (ACTH)	$779.40	$1,299.00	$467.64–$1,195.08	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT/ALT	$85.20	$142.00	$4.96–$130.64	134% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGOT/AST P5140	$85.20	$142.00	$4.96–$130.64	134% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT/SGPT	$85.20	$142.00	$4.96–$130.64	134% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGOT/AST P5140	$85.20	$142.00	$51.12–$130.64	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT/SGPT	$85.20	$142.00	$51.12–$130.64	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT/ALT	$85.20	$142.00	$51.12–$130.64	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT/AST P5140	$80.40	$134.00	$4.85–$123.28	122% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT/AST	$80.40	$134.00	$4.85–$123.28	122% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST/SGOT	$80.40	$134.00	$4.85–$123.28	122% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT/AST	$80.40	$134.00	$48.24–$123.28	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT/AST P5140	$80.40	$134.00	$48.24–$123.28	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST/SGOT	$80.40	$134.00	$48.24–$123.28	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL	$459.60	$766.00	$44.58–$704.72	48% above	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL	$459.60	$766.00	$275.76–$704.72	—	40%
Albumin blood test CPT 82040 HC WHOLE BLOOD LIVER PANEL	$32.40	$54.00	$4.01–$49.68	1% above	40%
Albumin blood test CPT 82040 HC ALBUMIN SERUM/PLASMA/BLOOD	$34.20	$57.00	$4.01–$52.44	7% above	40%
Albumin blood test inpatient CPT 82040 HC WHOLE BLOOD LIVER PANEL	$32.40	$54.00	$19.44–$49.68	—	40%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM/PLASMA/BLOOD	$34.20	$57.00	$20.52–$52.44	—	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE	$271.20	$452.00	$28.60–$415.84	30% above	40%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE	$271.20	$452.00	$162.72–$415.84	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$88.20	$147.00	$4.85–$135.24	142% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC PHOSPHATASE ALKALINE	$88.20	$147.00	$4.85–$135.24	142% above	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$88.20	$147.00	$52.92–$135.24	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC PHOSPHATASE ALKALINE	$88.20	$147.00	$52.92–$135.24	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC OXEYE DAISY IGE	$29.40	$49.00	$4.89–$64.57	9% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MELONS IGE SERUM	$29.40	$49.00	$4.89–$64.57	9% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST ALLERGEN IGE QN SQ EA	$45.00	$75.00	$4.89–$69.00	39% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY MOLD PANEL COMPLETE	$45.00	$75.00	$4.89–$69.00	39% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY PANEL REGION 7 TREES	$45.00	$75.00	$4.89–$69.00	39% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MELALEUCA IGE	$45.00	$75.00	$4.89–$69.00	39% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEPPERTREE (TR217) IGE	$45.00	$75.00	$4.89–$69.00	39% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN	$45.00	$75.00	$4.89–$69.00	39% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD AND TREE NUT ALLERGY PN	$45.00	$75.00	$4.89–$69.00	39% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AL SPEC IGE CRUDE XTR EA P7115	$48.00	$80.00	$4.89–$73.60	48% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PAPAIN (K201) IGE	$198.60	$331.00	$4.89–$304.52	514% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MELONS IGE SERUM	$29.40	$49.00	$17.64–$45.08	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OXEYE DAISY IGE	$29.40	$49.00	$17.64–$45.08	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD AND TREE NUT ALLERGY PN	$45.00	$75.00	$27.00–$69.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST ALLERGEN IGE QN SQ EA	$45.00	$75.00	$27.00–$69.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY MOLD PANEL COMPLETE	$45.00	$75.00	$27.00–$69.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MELALEUCA IGE	$45.00	$75.00	$27.00–$69.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN	$45.00	$75.00	$27.00–$69.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY PANEL REGION 7 TREES	$45.00	$75.00	$27.00–$69.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEPPERTREE (TR217) IGE	$45.00	$75.00	$27.00–$69.00	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AL SPEC IGE CRUDE XTR EA P7115	$48.00	$80.00	$28.80–$73.60	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PAPAIN (K201) IGE	$198.60	$331.00	$119.16–$304.52	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER SERUM	$102.00	$170.00	$15.70–$156.40	7% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP SERUM (STAND ALONE)	$108.00	$180.00	$15.70–$165.60	2% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN SERUM	$108.00	$180.00	$15.70–$165.60	2% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM	$108.00	$180.00	$15.70–$165.60	2% below	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP ANALYSIS-SERUM P0010	$108.00	$180.00	$15.70–$165.60	2% below	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER SERUM	$102.00	$170.00	$61.20–$156.40	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM	$108.00	$180.00	$64.80–$165.60	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP SERUM (STAND ALONE)	$108.00	$180.00	$64.80–$165.60	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP ANALYSIS-SERUM P0010	$108.00	$180.00	$64.80–$165.60	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN SERUM	$108.00	$180.00	$64.80–$165.60	—	40%
Ammonia blood test CPT 82140 HC AMMONIA	$88.20	$147.00	$5.50–$135.24	3% below	40%
Ammonia blood test inpatient CPT 82140 HC AMMONIA	$88.20	$147.00	$52.92–$135.24	—	40%
Amylase blood test CPT 82150 HC AMYLASE	$45.00	$75.00	$5.50–$69.00	3% above	40%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$45.00	$75.00	$27.00–$69.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY P6842	$80.40	$134.00	$12.12–$152.49	6% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY P4660	$85.20	$142.00	$12.12–$152.49	at median	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLI PEPT (CCP) ANTIBODY	$85.20	$142.00	$12.12–$152.49	at median	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY P6842	$80.40	$134.00	$48.24–$123.28	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY P4660	$85.20	$142.00	$51.12–$130.64	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLI PEPT (CCP) ANTIBODY	$85.20	$142.00	$51.12–$130.64	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES P6842	$78.60	$131.00	$11.32–$120.52	6% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES P0846	$78.60	$131.00	$11.32–$120.52	6% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES P5091	$83.40	$139.00	$11.32–$127.88	12% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) SCREEN	$83.40	$139.00	$11.32–$127.88	12% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA P4660	$83.40	$139.00	$11.32–$127.88	12% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES P6842	$78.60	$131.00	$47.16–$120.52	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES P0846	$78.60	$131.00	$47.16–$120.52	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA P4660	$83.40	$139.00	$50.04–$127.88	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA) SCREEN	$83.40	$139.00	$50.04–$127.88	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES P5091	$83.40	$139.00	$50.04–$127.88	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$280.20	$467.00	$36.74–$429.64	41% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$280.20	$467.00	$168.12–$429.64	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CATHETER TIP CULTURE	$300.00	$500.00	$7.59–$460.00	475% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE	$300.00	$500.00	$7.59–$460.00	475% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIAL OTHER SOURCE	$300.00	$500.00	$180.00–$460.00	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CATHETER TIP CULTURE	$300.00	$500.00	$180.00–$460.00	—	40%
Basic metabolic panel (blood test) CPT 80048 HC WHOLE BLOOD BASIC METABOLIC PN	$491.40	$819.00	$7.92–$753.48	533% above	40%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$520.80	$868.00	$7.92–$798.56	571% above	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC WHOLE BLOOD BASIC METABOLIC PN	$491.40	$819.00	$294.84–$753.48	—	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$520.80	$868.00	$312.48–$798.56	—	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TTL	$141.00	$235.00	$4.70–$216.20	341% above	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$141.00	$235.00	$4.70–$216.20	341% above	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL P6317	$141.00	$235.00	$4.70–$216.20	341% above	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN NEO FRACTIONS	$141.00	$235.00	$4.70–$216.20	341% above	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$141.00	$235.00	$84.60–$216.20	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN NEO FRACTIONS	$141.00	$235.00	$84.60–$216.20	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL P6317	$141.00	$235.00	$84.60–$216.20	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TTL	$141.00	$235.00	$84.60–$216.20	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 GROSS & MICRO EXAM	$308.40	$514.00	$29.15–$472.88	74% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE EXAM	$308.40	$514.00	$29.15–$472.88	74% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 BONE MARROW CORES(S) ONLY	$308.40	$514.00	$29.15–$472.88	74% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL 4 SURGICAL PATHOLOGY	$308.40	$514.00	$29.15–$472.88	74% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC GROSS & MICRO LEVEL IV	$615.00	$1,025.00	$29.15–$943.00	247% above	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 SURGICAL PATHOLOGY	$308.40	$514.00	$185.04–$472.88	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 BONE MARROW CORES(S) ONLY	$308.40	$514.00	$185.04–$472.88	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL 4 GROSS & MICRO EXAM	$308.40	$514.00	$185.04–$472.88	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE EXAM	$308.40	$514.00	$185.04–$472.88	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC GROSS & MICRO LEVEL IV	$615.00	$1,025.00	$369.00–$943.00	—	40%
Blood culture for bacteria CPT 87040 HC CULT BACTERIAL AEROBIC BLOOD	$308.40	$514.00	$9.66–$472.88	264% above	40%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$308.40	$514.00	$9.66–$472.88	264% above	40%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$308.40	$514.00	$185.04–$472.88	—	40%
Blood culture for bacteria inpatient CPT 87040 HC CULT BACTERIAL AEROBIC BLOOD	$308.40	$514.00	$185.04–$472.88	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE ROUTINE	$12.00	$20.00	$0.02–$18.40	20% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE ROUTINE SPEC COLL	$12.00	$20.00	$0.02–$18.40	20% below	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE ROUTINE PCI STAFF	$12.00	$20.00	$0.02–$18.40	20% below	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE ROUTINE PCI STAFF	$12.00	$20.00	$7.20–$18.40	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE ROUTINE	$12.00	$20.00	$7.20–$18.40	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE ROUTINE SPEC COLL	$12.00	$20.00	$7.20–$18.40	—	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE SERUM QUANT	$66.00	$110.00	$3.68–$101.20	156% above	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE - BLOOD P0800	$66.00	$110.00	$3.68–$101.20	156% above	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE WHOLE BLOOD	$66.00	$110.00	$3.68–$101.20	156% above	40%
Blood glucose (sugar) test CPT 82947 HC POCT GLUCOSE - FREESTYLE	$70.20	$117.00	$3.68–$107.64	172% above	40%
Blood glucose (sugar) test CPT 82947 HC RANDOM GLUCOSE	$70.20	$117.00	$3.68–$107.64	172% above	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE	$70.20	$117.00	$3.68–$107.64	172% above	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD	$70.20	$117.00	$3.68–$107.64	172% above	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE WHOLE BLOOD	$66.00	$110.00	$39.60–$101.20	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE SERUM QUANT	$66.00	$110.00	$39.60–$101.20	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE - BLOOD P0800	$66.00	$110.00	$39.60–$101.20	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE	$70.20	$117.00	$42.12–$107.64	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD	$70.20	$117.00	$42.12–$107.64	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC POCT GLUCOSE - FREESTYLE	$70.20	$117.00	$42.12–$107.64	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC RANDOM GLUCOSE	$70.20	$117.00	$42.12–$107.64	—	40%
Blood lead test CPT 83655 HC LEAD	$112.80	$188.00	$11.00–$172.96	45% above	40%
Blood lead test CPT 83655 HC LEAD P6980	$112.80	$188.00	$11.00–$172.96	45% above	40%
Blood lead test inpatient CPT 83655 HC LEAD P6980	$112.80	$188.00	$67.68–$172.96	—	40%
Blood lead test inpatient CPT 83655 HC LEAD	$112.80	$188.00	$67.68–$172.96	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC POC URINE HCG QUAL CLINITEK	$159.60	$266.00	$7.04–$244.72	219% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC POCT URINE HCG - CLINITEK	$159.60	$266.00	$7.04–$244.72	219% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC HCG GONADOTROPIN ASSAY	$159.60	$266.00	$7.04–$244.72	219% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG AUTOMATED	$159.60	$266.00	$7.04–$244.72	219% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QL SERUM	$159.60	$266.00	$7.04–$244.72	219% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC BHCG SERUM QUALITATIVE	$159.60	$266.00	$7.04–$244.72	219% above	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC HCG GONADOTROPIN ASSAY	$159.60	$266.00	$95.76–$244.72	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC BHCG SERUM QUALITATIVE	$159.60	$266.00	$95.76–$244.72	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC POC URINE HCG QUAL CLINITEK	$159.60	$266.00	$95.76–$244.72	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QL SERUM	$159.60	$266.00	$95.76–$244.72	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC POCT URINE HCG - CLINITEK	$159.60	$266.00	$95.76–$244.72	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG AUTOMATED	$159.60	$266.00	$95.76–$244.72	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO COMPONENT TYPE	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO DISCREPANCY	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO REVERSE GROUPING	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC NEONATAL ABO FORWARD GROUP(55)	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO FORWARD GROUPING P0013	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO FORWARD GROUPING	$43.80	$73.00	$2.80–$67.16	67% below	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$43.80	$73.00	$26.28–$67.16	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO FORWARD GROUPING	$43.80	$73.00	$26.28–$67.16	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO COMPONENT TYPE	$43.80	$73.00	$26.28–$67.16	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO REVERSE GROUPING	$43.80	$73.00	$26.28–$67.16	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO	$43.80	$73.00	$26.28–$67.16	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC NEONATAL ABO FORWARD GROUP(55)	$43.80	$73.00	$26.28–$67.16	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO DISCREPANCY	$43.80	$73.00	$26.28–$67.16	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO FORWARD GROUPING P0013	$43.80	$73.00	$26.28–$67.16	—	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUANTITATIVE	$63.00	$105.00	$3.70–$96.60	133% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN RATIO WITH EGFR	$63.00	$105.00	$3.70–$96.60	133% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$63.00	$105.00	$3.70–$96.60	133% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$63.00	$105.00	$37.80–$96.60	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUANTITATIVE	$63.00	$105.00	$37.80–$96.60	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN RATIO WITH EGFR	$63.00	$105.00	$37.80–$96.60	—	40%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$125.40	$209.00	$19.48–$192.28	15% above	40%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$125.40	$209.00	$75.24–$192.28	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$36.00	$60.00	$3.30–$55.20	1% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$36.00	$60.00	$21.60–$55.20	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC NUCLEIC ACID AMP PROBE CLOSTRIDIUM	$310.20	$517.00	$34.88–$475.64	49% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC NUCLEIC ACID AMP PROBE CLOSTRIDIUM	$310.20	$517.00	$186.12–$475.64	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9	$203.40	$339.00	$19.48–$311.88	53% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-1/CA 19-9 TUMOR MARKER	$203.40	$339.00	$19.48–$311.88	53% above	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA-19-9 PANCREATIC CYST	$203.40	$339.00	$19.48–$311.88	53% above	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA-19-9 PANCREATIC CYST	$203.40	$339.00	$122.04–$311.88	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-1/CA 19-9 TUMOR MARKER	$203.40	$339.00	$122.04–$311.88	—	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9	$203.40	$339.00	$122.04–$311.88	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA125	$192.00	$320.00	$19.48–$294.40	47% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 TUMOR MARKER	$203.40	$339.00	$19.48–$311.88	55% above	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125	$203.40	$339.00	$19.48–$311.88	55% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA125	$192.00	$320.00	$115.20–$294.40	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125	$203.40	$339.00	$122.04–$311.88	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 TUMOR MARKER	$203.40	$339.00	$122.04–$311.88	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 BY PCR PERKINS/ELMER	$75.00	$125.00	$39.04–$432.69	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IN AG DET NU AC(RNAORDNA)P5068	$75.00	$125.00	$39.04–$432.69	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IN AG DET NU AC(RNAORDNA)P5063	$75.00	$125.00	$39.04–$432.69	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IN AG DET NU AC(RNAORDNA)P5060	$75.00	$125.00	$39.04–$432.69	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC INF AG DET AMP PRB TEC COVID19	$75.00	$125.00	$39.04–$432.69	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COV 2	$75.00	$125.00	$39.04–$432.69	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 HC SARS COVID19/2 RNA QL RT-PCR	$75.00	$125.00	$39.04–$432.69	18% below	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IN AG DET NU AC(RNAORDNA)P5068	$75.00	$125.00	$45.00–$115.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS COV 2	$75.00	$125.00	$45.00–$115.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IN AG DET NU AC(RNAORDNA)P5060	$75.00	$125.00	$45.00–$115.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC INF AG DET AMP PRB TEC COVID19	$75.00	$125.00	$45.00–$115.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 BY PCR PERKINS/ELMER	$75.00	$125.00	$45.00–$115.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IN AG DET NU AC(RNAORDNA)P5063	$75.00	$125.00	$45.00–$115.00	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 HC SARS COVID19/2 RNA QL RT-PCR	$75.00	$125.00	$45.00–$115.00	—	40%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL	$86.40	$144.00	$4.83–$132.48	157% above	40%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL P6970	$86.40	$144.00	$4.83–$132.48	157% above	40%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL	$86.40	$144.00	$51.84–$132.48	—	40%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL P6970	$86.40	$144.00	$51.84–$132.48	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC AG	$133.20	$222.00	$17.74–$204.24	12% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA)	$133.20	$222.00	$17.74–$204.24	12% above	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA)	$133.20	$222.00	$79.92–$204.24	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC AG	$133.20	$222.00	$79.92–$204.24	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOST AB IMM SCR ACIF	$72.60	$121.00	$12.05–$112.96	14% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY	$76.80	$128.00	$12.05–$117.76	9% below	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOST AB IMM SCR ACIF	$72.60	$121.00	$43.56–$111.32	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY	$76.80	$128.00	$46.08–$117.76	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PRB P5112	$71.40	$119.00	$25.51–$408.84	64% below	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS P2460	$283.20	$472.00	$25.51–$434.24	44% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH MISC SITES NAA	$283.20	$472.00	$25.51–$434.24	44% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLMYD TRACH DNA AMP PRB P3931	$283.20	$472.00	$25.51–$434.24	44% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS P4051	$283.20	$472.00	$25.51–$434.24	44% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC NUCLEIC ACID AMP CHLAMYDIA TRACH	$283.20	$472.00	$25.51–$434.24	44% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS P6035	$283.20	$472.00	$25.51–$434.24	44% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PRB P5112	$71.40	$119.00	$42.84–$109.48	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLMYD TRACH DNA AMP PRB P3931	$283.20	$472.00	$169.92–$434.24	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS P6035	$283.20	$472.00	$169.92–$434.24	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS P4051	$283.20	$472.00	$169.92–$434.24	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS P2460	$283.20	$472.00	$169.92–$434.24	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH MISC SITES NAA	$283.20	$472.00	$169.92–$434.24	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC NUCLEIC ACID AMP CHLAMYDIA TRACH	$283.20	$472.00	$169.92–$434.24	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL P5181	$203.40	$339.00	$12.53–$311.88	128% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$409.20	$682.00	$12.53–$627.44	358% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL P5181	$203.40	$339.00	$122.04–$311.88	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$409.20	$682.00	$245.52–$627.44	—	40%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT CBC AUTO W/AUTO DIFF	$52.20	$87.00	$6.60–$80.04	2% above	40%
Complete blood count (CBC) with differential CPT 85025 HC CBC & PLT & AUTO COMP DIFF	$52.20	$87.00	$6.60–$80.04	2% above	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC & PLT & AUTO COMP DIFF	$52.20	$87.00	$31.32–$80.04	—	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT CBC AUTO W/AUTO DIFF	$52.20	$87.00	$31.32–$80.04	—	40%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT CBC AUTO W/O DIFF	$45.00	$75.00	$6.06–$69.00	4% above	40%
Complete blood count (CBC), no differential CPT 85027 HC HB CBC & PLT ONLY	$45.00	$75.00	$6.06–$69.00	4% above	40%
Complete blood count (CBC), no differential CPT 85027 HC CBC & PLT ONLY	$45.00	$75.00	$6.06–$69.00	4% above	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT CBC AUTO W/O DIFF	$45.00	$75.00	$27.00–$69.00	—	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HB CBC & PLT ONLY	$45.00	$75.00	$27.00–$69.00	—	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC & PLT ONLY	$45.00	$75.00	$27.00–$69.00	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$1,039.80	$1,733.00	$9.88–$1,594.36	1075% above	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOL PN P5147	$1,039.80	$1,733.00	$9.88–$1,594.36	1075% above	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$1,039.80	$1,733.00	$623.88–$1,594.36	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOL PN P5147	$1,039.80	$1,733.00	$623.88–$1,594.36	—	40%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL	$109.20	$182.00	$13.20–$167.44	6% above	40%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL	$109.20	$182.00	$65.52–$167.44	—	40%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) TOTAL	$86.40	$144.00	$6.09–$132.48	92% above	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CPK) TOTAL	$86.40	$144.00	$51.84–$132.48	—	40%
Creatinine blood test CPT 82565 HC CREATININE BLOOD	$55.80	$93.00	$4.79–$85.56	65% above	40%
Creatinine blood test CPT 82565 HC ISTAT CREAT-WHOLE BLOOD WAIVED	$58.80	$98.00	$4.79–$90.16	74% above	40%
Creatinine blood test CPT 82565 HC CREATININE SERUM	$63.00	$105.00	$4.79–$96.60	86% above	40%
Creatinine blood test CPT 82565 HC ISTAT CREATININE	$63.00	$105.00	$4.79–$96.60	86% above	40%
Creatinine blood test CPT 82565 HC CREATININE RATIO WITH EGFR	$63.00	$105.00	$4.79–$96.60	86% above	40%
Creatinine blood test CPT 82565 HC CREATININE POCT TEST	$63.00	$105.00	$4.79–$96.60	86% above	40%
Creatinine blood test CPT 82565 Â HC ISTAT CREATININEÂ	$63.00	$105.00	$4.79–$96.60	86% above	40%
Creatinine blood test CPT 82565 HC CREATININE	$63.00	$105.00	$4.79–$96.60	86% above	40%
Creatinine blood test CPT 82565 HC CREATININE POCT CC	$82.20	$137.00	$4.79–$126.04	143% above	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD	$55.80	$93.00	$33.48–$85.56	—	40%
Creatinine blood test inpatient CPT 82565 HC ISTAT CREAT-WHOLE BLOOD WAIVED	$58.80	$98.00	$35.28–$90.16	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE SERUM	$63.00	$105.00	$37.80–$96.60	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE RATIO WITH EGFR	$63.00	$105.00	$37.80–$96.60	—	40%
Creatinine blood test inpatient CPT 82565 Â HC ISTAT CREATININEÂ	$63.00	$105.00	$37.80–$96.60	—	40%
Creatinine blood test inpatient CPT 82565 HC ISTAT CREATININE	$63.00	$105.00	$37.80–$96.60	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE POCT TEST	$63.00	$105.00	$37.80–$96.60	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$63.00	$105.00	$37.80–$96.60	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE POCT CC	$82.20	$137.00	$49.32–$126.04	—	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV SCREENING PTS	$181.80	$303.00	$13.47–$278.76	110% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) ANTIBODY	$192.60	$321.00	$13.47–$295.32	123% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB N/RBC QUAL 1ST ANT	$192.60	$321.00	$13.47–$295.32	123% above	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV SCREENING PTS	$181.80	$303.00	$109.08–$278.76	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB N/RBC QUAL 1ST ANT	$192.60	$321.00	$115.56–$295.32	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) ANTIBODY	$192.60	$321.00	$115.56–$295.32	—	40%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION D-DIMER QN	$67.20	$112.00	$9.53–$103.04	2% below	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADATION D-DIMER QN	$67.20	$112.00	$40.32–$103.04	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-S	$154.80	$258.00	$20.81–$237.36	15% above	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-S	$154.80	$258.00	$92.88–$237.36	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DIURETICS SCREEN URINE	$181.80	$303.00	$52.24–$416.02	at median	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - PANEL 5	$389.40	$649.00	$52.24–$597.08	114% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG MONITORING PNL 5 SCR URN	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DTM FENTANYL WITH CONF URINE	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN P8040	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - AMPHETAMINES	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCR PRESCRIPTION/OTC	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OXYCODONE QUAL URN RES ONLY	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COMP URINE DRUG SCREEN	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - LSD	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - BENZODIAZEPINES	$412.80	$688.00	$52.24–$632.96	127% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - PROPOXYPHENE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - 10 DRUG	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - 6-MONOACETYLMORPHINE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - METHADONE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - 7 DRUG	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - OXYCODONE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TOX MONITORING 9 SCR UR	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - NICOTINE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BUPRENORPHINE RESEARCH ONLY	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC 10 DRUG URINE THC 50	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG MONITORING W/CONF URINE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - CANNABINOID	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - BUPPRENORPHINE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - ACETAMINOPHEN P4180	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - ALCOHOL	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - AMPHETAMINE	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANL - TRICYCLICS	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRG TOX MON ETHYL AL W/CONF UR	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUGS OF ABUSE SCREEN	$437.40	$729.00	$52.24–$670.68	140% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DIURETICS SCREEN URINE	$181.80	$303.00	$109.08–$278.76	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - PANEL 5	$389.40	$649.00	$233.64–$597.08	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCR PRESCRIPTION/OTC	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COMP URINE DRUG SCREEN	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG MONITORING PNL 5 SCR URN	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - AMPHETAMINES	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DTM FENTANYL WITH CONF URINE	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN P8040	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - BENZODIAZEPINES	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OXYCODONE QUAL URN RES ONLY	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - LSD	$412.80	$688.00	$247.68–$632.96	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - CANNABINOID	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRG TOX MON ETHYL AL W/CONF UR	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - 10 DRUG	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - 6-MONOACETYLMORPHINE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - NICOTINE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - 7 DRUG	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE DRUGS OF ABUSE SCREEN	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - METHADONE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - OXYCODONE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC 10 DRUG URINE THC 50	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TOX MONITORING 9 SCR UR	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BUPRENORPHINE RESEARCH ONLY	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG MONITORING W/CONF URINE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - TRICYCLICS	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - AMPHETAMINE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - BUPPRENORPHINE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - PROPOXYPHENE	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - ALCOHOL	$437.40	$729.00	$262.44–$670.68	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANL - ACETAMINOPHEN P4180	$437.40	$729.00	$262.44–$670.68	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$235.80	$393.00	$6.56–$361.56	347% above	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$235.80	$393.00	$141.48–$361.56	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VCA ANTIBODY IGG	$138.60	$231.00	$16.98–$212.52	21% above	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VCA ANTIBODY IGG	$138.60	$231.00	$83.16–$212.52	—	40%
Estradiol blood test CPT 82670 HC ESTRADIOL	$186.00	$310.00	$23.65–$285.20	12% above	40%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$186.00	$310.00	$111.60–$285.20	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH)	$104.40	$174.00	$17.39–$162.86	13% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH)	$104.40	$174.00	$62.64–$160.08	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL	$169.20	$282.00	$18.37–$259.44	31% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL	$169.20	$282.00	$101.52–$259.44	—	40%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$89.40	$149.00	$12.76–$137.08	3% above	40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$89.40	$149.00	$53.64–$137.08	—	40%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACL	$53.40	$89.00	$9.10–$81.88	19% below	40%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY	$55.80	$93.00	$9.10–$85.56	16% below	40%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACL	$53.40	$89.00	$32.04–$81.88	—	40%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY	$55.80	$93.00	$33.48–$85.56	—	40%
Folate (folic acid) blood test CPT 82746 HC FOLATE SERUM	$99.00	$165.00	$13.20–$151.80	14% above	40%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM	$99.00	$165.00	$13.20–$151.80	14% above	40%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM	$99.00	$165.00	$59.40–$151.80	—	40%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE SERUM	$99.00	$165.00	$59.40–$151.80	—	40%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE (T-3) FREE	$115.20	$192.00	$15.85–$176.64	8% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE (T-3) FREE	$115.20	$192.00	$69.12–$176.64	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE (T-4) FREE	$66.00	$110.00	$8.44–$101.20	10% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC DIRECT FREE T4 (THYROXINE)	$66.00	$110.00	$8.44–$101.20	10% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC DIRECT FREE T4 (THYROXINE)	$66.00	$110.00	$39.60–$101.20	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE (T-4) FREE	$66.00	$110.00	$39.60–$101.20	—	40%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$183.60	$306.00	$23.84–$281.52	15% above	40%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$183.60	$306.00	$110.16–$281.52	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT	$49.20	$82.00	$6.74–$75.44	3% above	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT/GGTP	$49.20	$82.00	$6.74–$75.44	3% above	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT	$49.20	$82.00	$29.52–$75.44	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT/GGTP	$49.20	$82.00	$29.52–$75.44	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST DOSE	$70.20	$117.00	$4.45–$107.64	89% above	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST DOSE	$70.20	$117.00	$42.12–$107.64	—	40%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 1ST 3 SPECIMEN	$114.60	$191.00	$12.05–$175.72	41% above	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 1ST 3 SPECIMEN	$114.60	$191.00	$68.76–$175.72	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORR DNA AMP PROB P5112	$71.40	$119.00	$25.51–$408.84	61% below	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRH DNA AMP PRB P3931	$283.20	$472.00	$25.51–$434.24	54% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE P4051	$283.20	$472.00	$25.51–$434.24	54% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISERIA GONORRHOEAE P6035	$283.20	$472.00	$25.51–$434.24	54% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE P2460	$283.20	$472.00	$25.51–$434.24	54% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NUCLEIC ACID AMP N GONORRHOEAE	$283.20	$472.00	$25.51–$434.24	54% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORR DNA AMP PROB P5112	$71.40	$119.00	$42.84–$109.48	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRH DNA AMP PRB P3931	$283.20	$472.00	$169.92–$434.24	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE P4051	$283.20	$472.00	$169.92–$434.24	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NUCLEIC ACID AMP N GONORRHOEAE	$283.20	$472.00	$169.92–$434.24	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISERIA GONORRHOEAE P6035	$283.20	$472.00	$169.92–$434.24	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE P2460	$283.20	$472.00	$169.92–$434.24	—	40%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI ANTIBODY	$250.80	$418.00	$15.77–$384.56	117% above	40%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI ANTIBODY	$250.80	$418.00	$150.48–$384.56	—	40%
H. pylori stool antigen test CPT 87338 HC ANTIGEN QUALITATIVE STOOL	$93.60	$156.00	$13.46–$143.52	3% below	40%
H. pylori stool antigen test inpatient CPT 87338 HC ANTIGEN QUALITATIVE STOOL	$93.60	$156.00	$56.16–$143.52	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC NUCLEIC ACID REV TRANS QN HIV-1	$818.40	$1,364.00	$79.65–$1,254.88	65% above	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-QUANT	$818.40	$1,364.00	$79.65–$1,254.88	65% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC NUCLEIC ACID REV TRANS QN HIV-1	$818.40	$1,364.00	$491.04–$1,254.88	—	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-QUANT	$818.40	$1,364.00	$491.04–$1,254.88	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1/HIV2 1 RSLT ANTBDY	$96.60	$161.00	$12.83–$174.24	6% below	40%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 ANTIBODY SINGLE RESULT	$138.60	$231.00	$12.83–$212.52	34% above	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1/HIV2 1 RSLT ANTBDY	$96.60	$161.00	$57.96–$148.12	—	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 ANTIBODY SINGLE RESULT	$138.60	$231.00	$83.16–$212.52	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC EIA HIV-1 & HIV-2 AB SNGL RST QL/SQ	$138.60	$231.00	$22.54–$212.52	2% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC ANTI HIV HTLV-III A BODY DETIM	$138.60	$231.00	$22.54–$212.52	2% below	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC EIA HIV-1 & HIV-2 AB SNGL RST QL/SQ	$138.60	$231.00	$83.16–$212.52	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC ANTI HIV HTLV-III A BODY DETIM	$138.60	$231.00	$83.16–$212.52	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES	$214.80	$358.00	$32.59–$329.36	3% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC INFECT AGNT DET HPV HIGH-RISK TYPES	$214.80	$358.00	$32.59–$329.36	3% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES	$214.80	$358.00	$128.88–$329.36	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC INFECT AGNT DET HPV HIGH-RISK TYPES	$214.80	$358.00	$128.88–$329.36	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (A1C)	$75.00	$125.00	$7.70–$115.00	47% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC CARDIO IQ HA1C	$75.00	$125.00	$7.70–$115.00	47% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLTD HEMOGLOBN ESTOTERIC	$75.00	$125.00	$7.70–$115.00	47% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C	$75.00	$125.00	$7.70–$115.00	47% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLTD HEMOGLOBN ESTOTERIC	$75.00	$125.00	$45.00–$115.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (A1C)	$75.00	$125.00	$45.00–$115.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC CARDIO IQ HA1C	$75.00	$125.00	$45.00–$115.00	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C	$75.00	$125.00	$45.00–$115.00	—	40%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$27.60	$46.00	$2.22–$42.32	61% above	40%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN (HGB)	$29.40	$49.00	$2.22–$45.08	72% above	40%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN	$29.40	$49.00	$2.22–$45.08	72% above	40%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$27.60	$46.00	$16.56–$42.32	—	40%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN (HGB)	$29.40	$49.00	$17.64–$45.08	—	40%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN	$29.40	$49.00	$17.64–$45.08	—	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB P6911	$109.20	$182.00	$11.28–$167.44	30% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY IGM IGG	$109.20	$182.00	$11.28–$167.44	30% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC ANTI HBC	$109.20	$182.00	$11.28–$167.44	30% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY	$109.20	$182.00	$11.28–$167.44	30% above	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC ANTI HBC	$109.20	$182.00	$65.52–$167.44	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY IGM IGG	$109.20	$182.00	$65.52–$167.44	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB P6911	$109.20	$182.00	$65.52–$167.44	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY	$109.20	$182.00	$65.52–$167.44	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB	$102.60	$171.00	$10.05–$157.32	40% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$102.60	$171.00	$10.05–$157.32	40% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$102.60	$171.00	$61.56–$157.32	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB	$102.60	$171.00	$61.56–$157.32	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG	$93.60	$156.00	$9.67–$143.52	34% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC EIA HEPATITIS B SURF AG QL/SQ	$93.60	$156.00	$9.67–$143.52	34% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBS AG HEPATITIS B SURF ANTIGN	$93.60	$156.00	$9.67–$143.52	34% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC EIA HEPATITIS B SURF AG QL/SQ	$93.60	$156.00	$56.16–$143.52	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG	$93.60	$156.00	$56.16–$143.52	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBS AG HEPATITIS B SURF ANTIGN	$93.60	$156.00	$56.16–$143.52	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY P6911	$150.00	$250.00	$13.36–$230.00	51% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPC AB RF HCV RNA PCR RF LIPA	$371.40	$619.00	$13.36–$569.48	273% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC ANTI HCV	$371.40	$619.00	$13.36–$569.48	273% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$371.40	$619.00	$13.36–$569.48	273% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY P6911	$150.00	$250.00	$90.00–$230.00	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC ANTI HCV	$371.40	$619.00	$222.84–$569.48	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPC AB RF HCV RNA PCR RF LIPA	$371.40	$619.00	$222.84–$569.48	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$371.40	$619.00	$222.84–$569.48	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC NUCLEIC ACID REV TRANS QN HEPATITIS	$394.80	$658.00	$40.09–$605.36	39% above	40%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HC HEP C VIR RNA QN RT-PCR W/RFX	$394.80	$658.00	$40.09–$605.36	39% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC NUCLEIC ACID REV TRANS QN HEPATITIS	$394.80	$658.00	$236.88–$605.36	—	40%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HC HEP C VIR RNA QN RT-PCR W/RFX	$394.80	$658.00	$236.88–$605.36	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM TITER	$292.80	$488.00	$12.34–$448.96	266% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE I P3862	$292.80	$488.00	$12.34–$448.96	266% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE I ANTIBODY	$292.80	$488.00	$12.34–$448.96	266% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE I P3862	$292.80	$488.00	$175.68–$448.96	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM TITER	$292.80	$488.00	$175.68–$448.96	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE I ANTIBODY	$292.80	$488.00	$175.68–$448.96	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 P3862	$292.80	$488.00	$18.11–$448.96	173% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM TITER	$292.80	$488.00	$18.11–$448.96	173% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE II ANTIBODY	$292.80	$488.00	$18.11–$448.96	173% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE II ANTIBODY	$292.80	$488.00	$175.68–$448.96	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM TITER	$292.80	$488.00	$175.68–$448.96	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 P3862	$292.80	$488.00	$175.68–$448.96	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY	$78.60	$131.00	$11.58–$155.86	at median	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY	$78.60	$131.00	$47.16–$120.52	—	40%
Homocysteine blood test CPT 83090 HC HOMOCYSTINE	$139.20	$232.00	$16.77–$213.44	16% above	40%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE	$139.20	$232.00	$83.52–$213.44	—	40%
Insulin blood test CPT 83525 HC INSULIN TOTAL	$80.40	$134.00	$10.70–$123.28	11% above	40%
Insulin blood test CPT 83525 HC CARDIO IQ INSULIN	$80.40	$134.00	$10.70–$123.28	11% above	40%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL	$80.40	$134.00	$48.24–$123.28	—	40%
Insulin blood test inpatient CPT 83525 HC CARDIO IQ INSULIN	$80.40	$134.00	$48.24–$123.28	—	40%
Iron blood test (serum iron) CPT 83540 HC IRON P6970	$27.00	$45.00	$6.06–$56.82	41% below	40%
Iron blood test (serum iron) CPT 83540 HC FE	$42.60	$71.00	$6.06–$65.32	7% below	40%
Iron blood test (serum iron) CPT 83540 HC IRON	$42.60	$71.00	$6.06–$65.32	7% below	40%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON P6970	$27.00	$45.00	$16.20–$41.40	—	40%
Iron blood test (serum iron) inpatient CPT 83540 HC FE	$42.60	$71.00	$25.56–$65.32	—	40%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$42.60	$71.00	$25.56–$65.32	—	40%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$60.00	$100.00	$5.50–$92.00	at median	40%
Iron-binding capacity (TIBC) test CPT 83550 HC TIBC	$60.00	$100.00	$5.50–$92.00	at median	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$60.00	$100.00	$36.00–$92.00	—	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TIBC	$60.00	$100.00	$36.00–$92.00	—	40%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$658.20	$1,097.00	$8.12–$1,009.24	862% above	40%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$658.20	$1,097.00	$394.92–$1,009.24	—	40%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH)	$104.40	$174.00	$17.33–$162.27	13% below	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH)	$104.40	$174.00	$62.64–$160.08	—	40%
Lactate (lactic acid) blood test CPT 83605 HC LACTIA/LACTIV	$98.40	$164.00	$8.80–$150.88	28% above	40%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE/LACTIC ACID	$104.40	$174.00	$8.80–$160.08	36% above	40%
Lactate (lactic acid) blood test CPT 83605 HC ISTAT LACTATE	$104.40	$174.00	$8.80–$160.08	36% above	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIA/LACTIV	$98.40	$164.00	$59.04–$150.88	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE/LACTIC ACID	$104.40	$174.00	$62.64–$160.08	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ISTAT LACTATE	$104.40	$174.00	$62.64–$160.08	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE	$41.40	$69.00	$5.65–$63.48	13% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH)	$41.40	$69.00	$5.65–$63.48	13% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE	$41.40	$69.00	$24.84–$63.48	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH)	$41.40	$69.00	$24.84–$63.48	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$46.80	$78.00	$5.50–$71.76	at median	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$46.80	$78.00	$28.08–$71.76	—	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$718.20	$1,197.00	$7.65–$1,101.24	820% above	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL P5144	$718.20	$1,197.00	$7.65–$1,101.24	820% above	40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL P5144	$718.20	$1,197.00	$430.92–$1,101.24	—	40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$718.20	$1,197.00	$430.92–$1,101.24	—	40%
Lyme disease antibody test CPT 86618 HC BORRELIA BURGDORFERI P0913	$103.20	$172.00	$15.94–$158.24	9% above	40%
Lyme disease antibody test CPT 86618 HC BORRELIA BURGDORFERI P8139	$109.20	$182.00	$15.94–$167.44	15% above	40%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY	$109.20	$182.00	$15.94–$167.44	15% above	40%
Lyme disease antibody test CPT 86618 HC LYME DIS AB W/RFLX TO IMMUNOA	$115.80	$193.00	$15.94–$177.56	22% above	40%
Lyme disease antibody test inpatient CPT 86618 HC BORRELIA BURGDORFERI P0913	$103.20	$172.00	$61.92–$158.24	—	40%
Lyme disease antibody test inpatient CPT 86618 HC BORRELIA BURGDORFERI P8139	$109.20	$182.00	$65.52–$167.44	—	40%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY	$109.20	$182.00	$65.52–$167.44	—	40%
Lyme disease antibody test inpatient CPT 86618 HC LYME DIS AB W/RFLX TO IMMUNOA	$115.80	$193.00	$69.48–$177.56	—	40%
Magnesium blood test CPT 83735 HC MAGNESIUM	$91.80	$153.00	$6.27–$140.76	121% above	40%
Magnesium blood test CPT 83735 HC MAGNESIUM P6970	$91.80	$153.00	$6.27–$140.76	121% above	40%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM P6970	$91.80	$153.00	$55.08–$140.76	—	40%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$91.80	$153.00	$55.08–$140.76	—	40%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY	$59.40	$99.00	$12.05–$91.08	26% below	40%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGG	$59.40	$99.00	$12.05–$91.08	26% below	40%
Measles (rubeola) antibody test CPT 86765 HC MEASLES AB IGG IGM DIAGNOSTIC	$59.40	$99.00	$12.05–$91.08	26% below	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY	$59.40	$99.00	$35.64–$91.08	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGG	$59.40	$99.00	$35.64–$91.08	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES AB IGG IGM DIAGNOSTIC	$59.40	$99.00	$35.64–$91.08	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONOTEST SCREEN	$192.60	$321.00	$4.85–$295.32	418% above	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONOTEST SCREEN	$192.60	$321.00	$115.56–$295.32	—	40%
Mumps immunity blood test CPT 86735 HC MUMPS P3862	$86.40	$144.00	$12.21–$132.48	6% above	40%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY	$86.40	$144.00	$12.21–$132.48	6% above	40%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY	$86.40	$144.00	$51.84–$132.48	—	40%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS P3862	$86.40	$144.00	$51.84–$132.48	—	40%
Obstetric blood test panel CPT 80055 HC OBSTETRICS PANEL	$857.40	$1,429.00	$13.20–$1,314.68	176% above	40%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRICS PANEL	$857.40	$1,429.00	$514.44–$1,314.68	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATIC SPECIFIC ANTIGEN FREE	$168.60	$281.00	$17.21–$258.52	48% above	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE REFLEX	$168.60	$281.00	$17.21–$258.52	48% above	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE REFLEX	$168.60	$281.00	$101.16–$258.52	—	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATIC SPECIFIC ANTIGEN FREE	$168.60	$281.00	$101.16–$258.52	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN TOTAL	$129.60	$216.00	$17.21–$198.72	18% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC DIAGNOSTIC PSA	$129.60	$216.00	$17.21–$198.72	18% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC DIAGNOSTIC PSA	$129.60	$216.00	$77.76–$198.72	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN TOTAL	$129.60	$216.00	$77.76–$198.72	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR DX THIN W/RESCREEN	$90.60	$151.00	$24.90–$321.76	11% above	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR DX THIN W/RESCREEN	$90.60	$151.00	$54.36–$138.92	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC THIN PREP-DIAGNOSTIC	$61.20	$102.00	$17.60–$202.65	at median	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC THIN PREP-DIAGNOSTIC	$61.20	$102.00	$36.72–$93.84	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PTH)	$285.60	$476.00	$38.63–$437.92	31% above	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PTH)	$285.60	$476.00	$171.36–$437.92	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC ACTIVATED PTT	$115.20	$192.00	$5.62–$176.64	179% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (PTT)	$115.20	$192.00	$5.62–$176.64	179% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT ACTIVATED	$115.20	$192.00	$5.62–$176.64	179% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ACTIVATED PTT	$115.20	$192.00	$69.12–$176.64	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT ACTIVATED	$115.20	$192.00	$69.12–$176.64	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (PTT)	$115.20	$192.00	$69.12–$176.64	—	40%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$63.00	$105.00	$4.44–$96.60	94% above	40%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS SERUM	$63.00	$105.00	$4.44–$96.60	94% above	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS SERUM	$63.00	$105.00	$37.80–$96.60	—	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$63.00	$105.00	$37.80–$96.60	—	40%
Potassium blood test CPT 84132 HC POTASSIUM - SERUM P0800	$49.20	$82.00	$4.45–$75.44	54% above	40%
Potassium blood test CPT 84132 HC POTASSIUM/RADIOMETER	$49.20	$82.00	$4.45–$75.44	54% above	40%
Potassium blood test CPT 84132 HC POTASSIUM SERUM	$52.20	$87.00	$4.45–$80.04	64% above	40%
Potassium blood test CPT 84132 HC POTASSIUM SERUM/ PLASMA/ BLOOD	$52.20	$87.00	$4.45–$80.04	64% above	40%
Potassium blood test CPT 84132 HC BLOOD GAS POTASSIUM	$52.20	$87.00	$4.45–$80.04	64% above	40%
Potassium blood test CPT 84132 HC POTASSIUM POCT CC	$75.00	$125.00	$4.45–$115.00	135% above	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM/RADIOMETER	$49.20	$82.00	$29.52–$75.44	—	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM - SERUM P0800	$49.20	$82.00	$29.52–$75.44	—	40%
Potassium blood test inpatient CPT 84132 HC BLOOD GAS POTASSIUM	$52.20	$87.00	$31.32–$80.04	—	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM	$52.20	$87.00	$31.32–$80.04	—	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM/ PLASMA/ BLOOD	$52.20	$87.00	$31.32–$80.04	—	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM POCT CC	$75.00	$125.00	$45.00–$115.00	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC MATERNIT51 PLUS	$3,621.60	$6,036.00	$542.48–$5,553.12	55% above	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC MATERNIT51 PLUS	$3,621.60	$6,036.00	$2,172.96–$5,553.12	—	40%
Progesterone blood test CPT 84144 HC PROGESTERONE	$223.80	$373.00	$18.70–$343.16	63% above	40%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$223.80	$373.00	$134.28–$343.16	—	40%
Prolactin blood test CPT 84146 HC PROLACTIN	$204.00	$340.00	$18.14–$312.80	64% above	40%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$204.00	$340.00	$122.40–$312.80	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTIME POCT CC	$63.60	$106.00	$3.78–$97.52	123% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME (PT)	$76.20	$127.00	$3.78–$116.84	167% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME	$76.20	$127.00	$3.78–$116.84	167% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$76.20	$127.00	$3.78–$116.84	167% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTIME POCT CC	$63.60	$106.00	$38.16–$97.52	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME	$76.20	$127.00	$45.72–$116.84	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME (PT)	$76.20	$127.00	$45.72–$116.84	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$76.20	$127.00	$45.72–$116.84	—	40%
Renin blood test CPT 84244 HC RENIN	$325.20	$542.00	$13.20–$498.64	125% above	40%
Renin blood test inpatient CPT 84244 HC RENIN	$325.20	$542.00	$195.12–$498.64	—	40%
Rh blood typing CPT 86901 HC BLOOD TYPING RH D	$68.40	$114.00	$2.80–$104.88	20% above	40%
Rh blood typing CPT 86901 HC RH TYPING P0013	$72.60	$121.00	$2.80–$111.32	27% above	40%
Rh blood typing CPT 86901 HC RH (DU) TYPING SEROLOGIC	$72.60	$121.00	$2.80–$111.32	27% above	40%
Rh blood typing CPT 86901 HC RH TYPING	$72.60	$121.00	$2.80–$111.32	27% above	40%
Rh blood typing CPT 86901 HC RH COMPONENT TYPE	$72.60	$121.00	$2.80–$111.32	27% above	40%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH D	$68.40	$114.00	$41.04–$104.88	—	40%
Rh blood typing inpatient CPT 86901 HC RH COMPONENT TYPE	$72.60	$121.00	$43.56–$111.32	—	40%
Rh blood typing inpatient CPT 86901 HC RH TYPING P0013	$72.60	$121.00	$43.56–$111.32	—	40%
Rh blood typing inpatient CPT 86901 HC RH TYPING	$72.60	$121.00	$43.56–$111.32	—	40%
Rh blood typing inpatient CPT 86901 HC RH (DU) TYPING SEROLOGIC	$72.60	$121.00	$43.56–$111.32	—	40%
Rheumatoid factor (RF) test CPT 86431 HC QUANTITATIVE P6842	$36.00	$60.00	$5.31–$55.20	8% below	40%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QN	$38.40	$64.00	$5.31–$58.88	2% below	40%
Rheumatoid factor (RF) test CPT 86431 HC QUANTITATIVE P5091	$38.40	$64.00	$5.31–$58.88	2% below	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC QUANTITATIVE P6842	$36.00	$60.00	$21.60–$55.20	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QN	$38.40	$64.00	$23.04–$58.88	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC QUANTITATIVE P5091	$38.40	$64.00	$23.04–$58.88	—	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY IGG	$93.60	$156.00	$13.47–$143.52	11% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY IGG	$93.60	$156.00	$56.16–$143.52	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE RBC AUTO	$52.80	$88.00	$2.53–$80.96	144% above	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE RBC AUTO	$52.80	$88.00	$31.68–$80.96	—	40%
Sodium blood test CPT 84295 HC SODIUM	$43.80	$73.00	$4.50–$67.16	35% above	40%
Sodium blood test CPT 84295 HC SODIUM PNL	$46.80	$78.00	$4.50–$71.76	44% above	40%
Sodium blood test CPT 84295 HC SODIUM SERUM/PLASMA/WHOLE BLOOD	$46.80	$78.00	$4.50–$71.76	44% above	40%
Sodium blood test CPT 84295 HC BLOOD GAS SODIUM	$46.80	$78.00	$4.50–$71.76	44% above	40%
Sodium blood test inpatient CPT 84295 HC SODIUM	$43.80	$73.00	$26.28–$67.16	—	40%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM/PLASMA/WHOLE BLOOD	$46.80	$78.00	$28.08–$71.76	—	40%
Sodium blood test inpatient CPT 84295 HC SODIUM PNL	$46.80	$78.00	$28.08–$71.76	—	40%
Sodium blood test inpatient CPT 84295 HC BLOOD GAS SODIUM	$46.80	$78.00	$28.08–$71.76	—	40%
Stool ova and parasites exam CPT 87177 HC SMEAR OVA & PARASITE CONCENT/IDENT	$57.00	$95.00	$8.25–$87.40	3% below	40%
Stool ova and parasites exam inpatient CPT 87177 HC SMEAR OVA & PARASITE CONCENT/IDENT	$57.00	$95.00	$34.20–$87.40	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOCCULT	$20.40	$34.00	$1.32–$31.28	at median	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES CANCER SCREEN	$20.40	$34.00	$1.32–$31.28	at median	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES	$20.40	$34.00	$1.32–$31.28	at median	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT FECES W SINGLE DETERMINATION	$20.40	$34.00	$1.32–$31.28	at median	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOCCULT TEST	$25.80	$43.00	$1.32–$39.56	26% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOCCULT TEST DIAGNOSTIC	$25.80	$43.00	$1.32–$39.56	26% above	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMOCCULT TEST SCREENING	$25.80	$43.00	$1.32–$39.56	26% above	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES	$20.40	$34.00	$12.24–$31.28	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES CANCER SCREEN	$20.40	$34.00	$12.24–$31.28	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC HEMOCCULT	$20.40	$34.00	$12.24–$31.28	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT FECES W SINGLE DETERMINATION	$20.40	$34.00	$12.24–$31.28	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC HEMOCCULT TEST	$25.80	$43.00	$15.48–$39.56	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC HEMOCCULT TEST SCREENING	$25.80	$43.00	$15.48–$39.56	—	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC HEMOCCULT TEST DIAGNOSTIC	$25.80	$43.00	$15.48–$39.56	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL ASSAY QUAL 1-3 SIMULTANEOUS	$28.80	$48.00	$3.08–$44.16	20% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES IMMUNOASSAY QL	$30.60	$51.00	$3.08–$46.92	15% below	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLD OCC FEC ASSAY 1-3 SIM QUAL	$30.60	$51.00	$3.08–$46.92	15% below	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL ASSAY QUAL 1-3 SIMULTANEOUS	$28.80	$48.00	$17.28–$44.16	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLD OCC FEC ASSAY 1-3 SIM QUAL	$30.60	$51.00	$18.36–$46.92	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECES IMMUNOASSAY QL	$30.60	$51.00	$18.36–$46.92	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY	$80.40	$134.00	$12.39–$159.91	8% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY	$80.40	$134.00	$48.24–$123.28	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR SCREEN	$55.80	$93.00	$4.00–$85.56	99% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS NON-TREPONEMAL ANTIBODY QUAL	$55.80	$93.00	$4.00–$85.56	99% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS VDRL/RPR QL	$55.80	$93.00	$4.00–$85.56	99% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC STS	$55.80	$93.00	$4.00–$85.56	99% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR SCREEN	$55.80	$93.00	$33.48–$85.56	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS VDRL/RPR QL	$55.80	$93.00	$33.48–$85.56	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS NON-TREPONEMAL ANTIBODY QUAL	$55.80	$93.00	$33.48–$85.56	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC STS	$55.80	$93.00	$33.48–$85.56	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMM AG MEAS GAM INTERF	$640.20	$1,067.00	$58.01–$981.64	107% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TUBERCULOSIS TEST P6941	$660.60	$1,101.00	$58.01–$1,012.92	113% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMM AG MEAS GAM INTERF	$640.20	$1,067.00	$384.12–$981.64	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TUBERCULOSIS TEST P6941	$660.60	$1,101.00	$396.36–$1,012.92	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$179.40	$299.00	$24.16–$275.08	10% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LC-MS/MS	$179.40	$299.00	$24.16–$275.08	10% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE P9240	$179.40	$299.00	$24.16–$275.08	10% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$179.40	$299.00	$107.64–$275.08	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE P9240	$179.40	$299.00	$107.64–$275.08	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LC-MS/MS	$179.40	$299.00	$107.64–$275.08	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES P5091	$39.00	$65.00	$8.70–$80.92	48% below	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES P5091	$39.00	$65.00	$23.40–$59.80	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH)	$118.20	$197.00	$15.72–$181.24	18% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE	$118.20	$197.00	$15.72–$181.24	18% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH)	$118.20	$197.00	$70.92–$181.24	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE	$118.20	$197.00	$70.92–$181.24	—	40%
Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE	$112.80	$188.00	$15.40–$172.96	9% above	40%
Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE	$112.80	$188.00	$67.68–$172.96	—	40%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL TOTAL	$31.20	$52.00	$4.07–$47.84	3% above	40%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL TOTAL	$31.20	$52.00	$18.72–$47.84	—	40%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE (T-4) TOTAL	$46.80	$78.00	$6.43–$71.76	4% above	40%
Total thyroxine (T4) blood test CPT 84436 HC T4 THYROXINE	$46.80	$78.00	$6.43–$71.76	4% above	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 THYROXINE	$46.80	$78.00	$28.08–$71.76	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE (T-4) TOTAL	$46.80	$78.00	$28.08–$71.76	—	40%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE (T-3) TOTAL	$96.60	$161.00	$8.80–$148.12	at median	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE (T-3) TOTAL	$96.60	$161.00	$57.96–$148.12	—	40%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$91.80	$153.00	$11.94–$140.76	7% above	40%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$91.80	$153.00	$55.08–$140.76	—	40%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS P4051	$102.60	$171.00	$32.84–$336.34	44% below	40%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMPLIF P5112	$298.20	$497.00	$32.84–$457.24	62% above	40%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINAL AMP P3931	$298.20	$497.00	$32.84–$457.24	62% above	40%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS P6785	$298.20	$497.00	$32.84–$457.24	62% above	40%
Trichomonas test (NAAT) CPT 87661 HC NUCLEIC ACID TRICHOMON AMPLIFIED	$298.20	$497.00	$32.84–$457.24	62% above	40%
Trichomonas test (NAAT) CPT 87661 HC SURESWAB TRICH VAGINAL RNA QL	$298.20	$497.00	$32.84–$457.24	62% above	40%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAG AMPLIF P3030	$436.80	$728.00	$32.84–$669.76	137% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS P4051	$102.60	$171.00	$61.56–$157.32	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS P6785	$298.20	$497.00	$178.92–$457.24	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMPLIF P5112	$298.20	$497.00	$178.92–$457.24	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINAL AMP P3931	$298.20	$497.00	$178.92–$457.24	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC NUCLEIC ACID TRICHOMON AMPLIFIED	$298.20	$497.00	$178.92–$457.24	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC SURESWAB TRICH VAGINAL RNA QL	$298.20	$497.00	$178.92–$457.24	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAG AMPLIF P3030	$436.80	$728.00	$262.08–$669.76	—	40%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$144.60	$241.00	$5.37–$221.72	265% above	40%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$144.60	$241.00	$86.76–$221.72	—	40%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT	$83.40	$139.00	$10.86–$127.88	1% above	40%
Troponin test, quantitative CPT 84484 HC TROPONIN QN	$83.40	$139.00	$10.86–$127.88	1% above	40%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANT	$83.40	$139.00	$50.04–$127.88	—	40%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QN	$83.40	$139.00	$50.04–$127.88	—	40%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD	$33.00	$55.00	$4.23–$50.60	4% above	40%
Uric acid blood test CPT 84550 HC URIC ACID	$33.00	$55.00	$4.23–$50.60	4% above	40%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD	$33.00	$55.00	$19.80–$50.60	—	40%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$33.00	$55.00	$19.80–$50.60	—	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINE ROUTINE MICRO	$76.20	$127.00	$2.97–$116.84	131% above	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/MICRO	$81.00	$135.00	$2.97–$124.20	146% above	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE ROUTINE MICRO	$76.20	$127.00	$45.72–$116.84	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/MICRO	$81.00	$135.00	$48.60–$124.20	—	40%
Urinalysis with microscope exam, manual CPT 81000 HC URINE DIPSTICK W MICRO	$18.60	$31.00	$2.36–$28.52	37% below	40%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS DIPSTICK W MICRO	$18.60	$31.00	$2.36–$28.52	37% below	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINE DIPSTICK W MICRO	$18.60	$31.00	$11.16–$28.52	—	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS DIPSTICK W MICRO	$18.60	$31.00	$11.16–$28.52	—	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$46.20	$77.00	$2.11–$70.84	159% above	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO	$49.20	$82.00	$2.11–$75.44	176% above	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTOMATED	$49.20	$82.00	$2.11–$75.44	176% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$46.20	$77.00	$27.72–$70.84	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O MICRO	$49.20	$82.00	$29.52–$75.44	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTOMATED	$49.20	$82.00	$29.52–$75.44	—	40%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O MICRO	$27.60	$46.00	$3.26–$42.32	31% above	40%
Urinalysis without microscope exam, manual CPT 81002 HC URINANALYSIS DIPSTICK WO MICRO	$29.40	$49.00	$3.26–$45.08	40% above	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O MICRO	$27.60	$46.00	$16.56–$42.32	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINANALYSIS DIPSTICK WO MICRO	$29.40	$49.00	$17.64–$45.08	—	40%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE SPECIAL	$102.00	$170.00	$7.55–$156.40	80% above	40%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE W/COLONY COUNT	$108.00	$180.00	$7.55–$165.60	90% above	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE SPECIAL	$102.00	$170.00	$61.20–$156.40	—	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE W/COLONY COUNT	$108.00	$180.00	$64.80–$165.60	—	40%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QN URINE	$38.40	$64.00	$5.41–$58.88	3% below	40%
Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN URINE	$38.40	$64.00	$5.41–$58.88	3% below	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QN URINE	$38.40	$64.00	$23.04–$58.88	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN URINE	$38.40	$64.00	$23.04–$58.88	—	40%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$55.80	$93.00	$4.40–$85.56	51% above	40%
Urine pregnancy test, read by color change CPT 81025 HC URINE BHCG QUALITATIVE	$59.40	$99.00	$4.40–$91.08	61% above	40%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY VISUAL	$59.40	$99.00	$4.40–$91.08	61% above	40%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST VISUAL COLOR COMPARE	$59.40	$99.00	$4.40–$91.08	61% above	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$55.80	$93.00	$33.48–$85.56	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST VISUAL COLOR COMPARE	$59.40	$99.00	$35.64–$91.08	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE BHCG QUALITATIVE	$59.40	$99.00	$35.64–$91.08	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY VISUAL	$59.40	$99.00	$35.64–$91.08	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 (CYANCOBALAMIN)	$102.00	$170.00	$14.11–$156.40	9% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 TEST	$102.00	$170.00	$14.11–$156.40	9% above	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 TEST	$102.00	$170.00	$61.20–$156.40	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 (CYANCOBALAMIN)	$102.00	$170.00	$61.20–$156.40	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY INC FRACTION	$205.80	$343.00	$27.70–$315.56	38% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY INC FRACTION	$205.80	$343.00	$123.48–$315.56	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INC FRACTION	$253.80	$423.00	$36.03–$389.16	6% above	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1 25 DIHYDROXY INC FRACTION	$253.80	$423.00	$152.28–$389.16	—	40%
Zinc blood test CPT 84630 HC ZINC P6970	$70.20	$117.00	$10.66–$107.64	3% below	40%
Zinc blood test CPT 84630 HC ZINC	$70.20	$117.00	$10.66–$107.64	3% below	40%
Zinc blood test inpatient CPT 84630 HC ZINC P6970	$70.20	$117.00	$42.12–$107.64	—	40%
Zinc blood test inpatient CPT 84630 HC ZINC	$70.20	$117.00	$42.12–$107.64	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG TOTAL WITH HAMA TREATMENT	$83.40	$139.00	$14.09–$127.88	7% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADATROPIC CHORIONIC QUANT	$83.40	$139.00	$14.09–$127.88	7% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADATROP CHRNC QNT FTS	$88.20	$147.00	$14.09–$135.24	2% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORNC(QNT) P0010	$93.60	$156.00	$14.09–$143.52	4% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QN	$93.60	$156.00	$14.09–$143.52	4% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADATROP CHRNC QNT FTS P0020	$93.60	$156.00	$14.09–$143.52	4% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC INTERFERANCE EV HETEROPH HCG	$93.60	$156.00	$14.09–$143.52	4% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADATROPIC CHORIONIC QUANT	$83.40	$139.00	$50.04–$127.88	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG TOTAL WITH HAMA TREATMENT	$83.40	$139.00	$50.04–$127.88	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADATROP CHRNC QNT FTS	$88.20	$147.00	$52.92–$135.24	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC INTERFERANCE EV HETEROPH HCG	$93.60	$156.00	$56.16–$143.52	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QN	$93.60	$156.00	$56.16–$143.52	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADATROP CHRNC QNT FTS P0020	$93.60	$156.00	$56.16–$143.52	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORNC(QNT) P0010	$93.60	$156.00	$56.16–$143.52	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$667.20	$1,112.00	$112.74–$1,023.04	35% above	40%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$667.20	$1,112.00	$400.32–$1,023.04	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$8,845.20	$14,742.00	$163.13–$13,562.64	126% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STRTCTC	$8,845.20	$14,742.00	$5,307.12–$13,562.64	—	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC METATARSAL FX WO REDUCT	$748.20	$1,247.00	$92.95–$1,147.24	44% above	40%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC METATARSAL FX WO REDUCT	$748.20	$1,247.00	$448.92–$1,147.24	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDOVERSION ELECTIVE EXTERNAL	$1,878.00	$3,130.00	$95.70–$2,879.60	28% above	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDOVERSION ELECTIVE EXTERNAL	$1,878.00	$3,130.00	$1,126.80–$2,879.60	—	40%
Carpal tunnel release, open surgery CPT 64721 HC CARPAL TUNNEL RELEASE	$3,572.40	$5,954.00	$330.00–$5,477.68	15% below	40%
Carpal tunnel release, open surgery inpatient CPT 64721 HC CARPAL TUNNEL RELEASE	$3,572.40	$5,954.00	$2,143.44–$5,477.68	—	40%
Cervical biopsy CPT 57500 HC CERV BX POLYP	$4,251.60	$7,086.00	$72.73–$7,913.03	67% above	40%
Cervical biopsy CPT 57500 HC CERVICAL BIOPSY OR POLYPECTOMY	$4,251.60	$7,086.00	$72.73–$7,913.03	67% above	40%
Cervical biopsy CPT 57500 HC BX CERVIX W/WO FULGURATION	$4,251.60	$7,086.00	$72.73–$7,913.03	67% above	40%
Cervical biopsy inpatient CPT 57500 HC CERV BX POLYP	$4,251.60	$7,086.00	$2,550.96–$6,519.12	—	40%
Cervical biopsy inpatient CPT 57500 HC BX CERVIX W/WO FULGURATION	$4,251.60	$7,086.00	$2,550.96–$6,519.12	—	40%
Cervical biopsy inpatient CPT 57500 HC CERVICAL BIOPSY OR POLYPECTOMY	$4,251.60	$7,086.00	$2,550.96–$6,519.12	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION	$2,380.80	$3,968.00	$26.56–$3,650.56	95% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION	$2,380.80	$3,968.00	$1,428.48–$3,650.56	—	40%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/SNARE TECHNIQUE	$5,583.00	$9,305.00	$294.89–$8,560.60	120% above	40%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/SNARE TECHNIQUE	$5,583.00	$9,305.00	$3,349.80–$8,560.60	—	40%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BX SINGLE/MULT	$4,815.00	$8,025.00	$247.96–$7,383.00	117% above	40%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BX SINGLE/MULT	$4,815.00	$8,025.00	$2,889.00–$7,383.00	—	40%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DIAG W/WO BRUSHING	$1,500.00	$2,500.00	$198.55–$4,281.72	at median	40%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY DIAG W/WO BRUSHING	$1,500.00	$2,500.00	$900.00–$2,300.00	—	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLP CERV UP ADJ VAG W LEEP	$5,859.00	$9,765.00	$164.78–$9,571.54	4% above	40%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLP CERV UP ADJ VAG W LEEP	$5,859.00	$9,765.00	$3,515.40–$8,983.80	—	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLP CERV UP ADJ VAG W BX ECC	$576.00	$960.00	$116.53–$883.20	18% above	40%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLP CERV UP ADJ VAG W BX ECC	$576.00	$960.00	$345.60–$883.20	—	40%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOSCOPY W STENT INSERTION	$3,570.00	$5,950.00	$158.09–$5,474.00	25% below	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOSCOPY W STENT INSERTION	$3,570.00	$5,950.00	$2,142.00–$5,474.00	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$3,145.80	$5,243.00	$82.50–$4,823.56	86% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$3,145.80	$5,243.00	$1,887.48–$4,823.56	—	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D&C DIAG &/OR THERAPEUTIC	$992.40	$1,654.00	$297.72–$4,281.72	83% below	40%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D&C DIAG &/OR THERAPEUTIC	$992.40	$1,654.00	$595.44–$1,521.68	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DEST PRE-MALIGNANT LES 1ST	$615.00	$1,025.00	$22.00–$943.00	44% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DEST PRE-MALIGNANT LES 1ST	$615.00	$1,025.00	$369.00–$943.00	—	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC CREATE EARDRUM OPENING	$2,274.00	$3,790.00	$83.05–$3,486.80	107% above	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC CREATE EARDRUM OPENING	$2,274.00	$3,790.00	$1,364.40–$3,486.80	—	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC RMV IMPACT CERUMEN IRR/LAV	$166.20	$277.00	$8.46–$254.84	19% above	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REM IMPACTED CERUMEN VIA IRRIG UNI	$166.20	$277.00	$8.46–$254.84	19% above	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REM IMPACTED CERUMEN VIA IRRIG UNI	$166.20	$277.00	$99.72–$254.84	—	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC RMV IMPACT CERUMEN IRR/LAV	$166.20	$277.00	$99.72–$254.84	—	40%
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED CERUMEN	$166.20	$277.00	$18.77–$254.84	24% above	40%
Earwax removal with instruments, one ear CPT 69210 HC REM IMPACTED CERUMEN VIA INSTRUMENT UNI	$166.20	$277.00	$18.77–$254.84	24% above	40%
Earwax removal with instruments, one ear CPT 69210 HC RMV IMPACT CERUMEN INSTR	$166.20	$277.00	$18.77–$254.84	24% above	40%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REM IMPACTED CERUMEN VIA INSTRUMENT UNI	$166.20	$277.00	$99.72–$254.84	—	40%
Earwax removal with instruments, one ear inpatient CPT 69210 HC RMV IMPACT CERUMEN INSTR	$166.20	$277.00	$99.72–$254.84	—	40%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED CERUMEN	$166.20	$277.00	$99.72–$254.84	—	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY ENDOMETRIAL	$1,057.80	$1,763.00	$56.10–$1,962.99	167% above	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY ENDOMETRIAL	$1,057.80	$1,763.00	$634.68–$1,621.96	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NEURAXIAL C/T INJ-W/ IMG GUIDE	$2,903.40	$4,839.00	$98.12–$4,451.88	21% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NEURAXIAL C/T INJ-W/ IMG GUIDE	$2,903.40	$4,839.00	$1,742.04–$4,451.88	—	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC RPR AA HERNIA 1ST 3-10CM REDUC	$6,856.20	$11,427.00	$225.87–$10,512.84	37% below	40%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HC RPR AA HERNIA 1ST 3-10CM REDUC	$6,856.20	$11,427.00	$4,113.72–$10,512.84	—	40%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC RPR AA HERNIA 1ST > 10CM REDUC	$6,856.20	$11,427.00	$303.73–$10,512.84	35% below	40%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 HC RPR AA HERNIA 1ST > 10CM REDUC	$6,856.20	$11,427.00	$4,113.72–$10,512.84	—	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC RPR AA HERNIA 1ST < 3 CM REDUC	$6,856.20	$11,427.00	$134.68–$10,512.84	2% above	40%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC RPR AA HERNIA 1ST < 3 CM REDUC	$6,856.20	$11,427.00	$4,113.72–$10,512.84	—	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC FLEX SIG DIAG W/WO BRUSHING	$634.20	$1,057.00	$58.47–$1,962.99	45% below	40%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC FLEX SIG DIAG W/WO BRUSHING	$634.20	$1,057.00	$380.52–$972.44	—	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION OF HEMORRHOID(S)	$2,874.00	$4,790.00	$50.60–$4,406.80	60% above	40%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION OF HEMORRHOID(S)	$2,874.00	$4,790.00	$1,724.40–$4,406.80	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJ HYSTEROSALPINGOGRAM	$411.60	$686.00	$49.53–$763.38	8% above	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJ HYSTEROSALPINGOGRAM	$411.60	$686.00	$246.96–$631.12	—	40%
Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY ENDOMETRIAL ABLTN	$3,295.20	$5,492.00	$347.49–$5,176.94	64% below	40%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY ENDOMETRIAL ABLTN	$3,295.20	$5,492.00	$1,977.12–$5,052.64	—	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY W/BIOPSY W/WO D&C	$5,180.40	$8,634.00	$577.87–$7,943.28	2% below	40%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY W/BIOPSY W/WO D&C	$5,180.40	$8,634.00	$3,108.24–$7,943.28	—	40%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE	$336.00	$560.00	$18.98–$545.27	9% above	40%
IUD insertion (the device itself billed separately) CPT 58300 HC IUD INSERTION	$336.00	$560.00	$18.98–$545.27	9% above	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE	$336.00	$560.00	$201.60–$515.20	—	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD INSERTION	$336.00	$560.00	$201.60–$515.20	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ID SIMPLE ABSCESS	$880.80	$1,468.00	$25.85–$1,350.56	73% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ID SIMPLE ABSCESS	$880.80	$1,468.00	$528.48–$1,350.56	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ(S) TENDON SHEATH/LIGAMENT	$967.20	$1,612.00	$35.20–$1,483.04	70% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ(S) TENDON SHEATH/LIGAMENT	$967.20	$1,612.00	$580.32–$1,483.04	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS LG JOINT	$403.20	$672.00	$18.77–$618.24	14% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO ASP/INJ MAJOR JOINT	$403.20	$672.00	$18.77–$618.24	14% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO ASP INJ MJR J/BU WO US	$403.20	$672.00	$18.77–$618.24	14% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO ASP/INJ LG JT WO/US	$403.20	$672.00	$18.77–$618.24	14% below	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO ASP/INJ LG JT WO/US	$403.20	$672.00	$241.92–$618.24	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO ASP/INJ MAJOR JOINT	$403.20	$672.00	$241.92–$618.24	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS LG JOINT	$403.20	$672.00	$241.92–$618.24	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO ASP INJ MJR J/BU WO US	$403.20	$672.00	$241.92–$618.24	—	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT DRUG IMPLANT DEVICE	$1,399.20	$2,332.00	$83.30–$2,807.45	450% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT DRUG IMPLANT DEVICE	$1,399.20	$2,332.00	$839.52–$2,145.44	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHRO ASP/INJ INT JT WO/US	$403.20	$672.00	$18.77–$618.24	14% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS MED JOINT	$403.20	$672.00	$18.77–$618.24	14% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHRO ASP INJ INT J/BU WO US	$403.20	$672.00	$18.77–$618.24	14% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS MED JOINT	$403.20	$672.00	$241.92–$618.24	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHRO ASP INJ INT J/BU WO US	$403.20	$672.00	$241.92–$618.24	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHRO ASP/INJ INT JT WO/US	$403.20	$672.00	$241.92–$618.24	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHRO ASP INJ SM JO/BU WO US	$357.60	$596.00	$19.80–$548.32	13% below	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHRO ASP/INJ SMALL JOINT	$357.60	$596.00	$19.80–$548.32	13% below	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHRO ASP/INJ SMALL JOINT	$357.60	$596.00	$214.56–$548.32	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHRO ASP INJ SM JO/BU WO US	$357.60	$596.00	$214.56–$548.32	—	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC LAPAROSCOPY SURG REM ADNEX STR	$5,145.00	$8,575.00	$1,244.42–$7,889.00	48% below	40%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC LAPAROSCOPY SURG REM ADNEX STR	$5,145.00	$8,575.00	$3,087.00–$7,889.00	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT LAC RPR 0-2.5CM SCLP TRNK	$499.20	$832.00	$26.95–$765.44	15% below	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT LAC RPR 0-2.5CM SCLP TRNK	$499.20	$832.00	$299.52–$765.44	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NEURAXIAL L/S INJ-W/ IMG GUIDE	$3,446.40	$5,744.00	$89.45–$5,284.48	65% above	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTRLMNR LUM/SAC W/IMG GDE	$3,446.40	$5,744.00	$89.45–$5,284.48	65% above	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NEURAXIAL L/S INJ-W/ IMG GUIDE	$3,446.40	$5,744.00	$2,067.84–$5,284.48	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTRLMNR LUM/SAC W/IMG GDE	$3,446.40	$5,744.00	$2,067.84–$5,284.48	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NEURAXIAL L/S INJ	$2,641.20	$4,402.00	$78.27–$4,049.84	38% above	40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX INTERLAMINAR LMBR/SAC	$2,641.20	$4,402.00	$78.27–$4,049.84	38% above	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX INTERLAMINAR LMBR/SAC	$2,641.20	$4,402.00	$1,584.72–$4,049.84	—	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NEURAXIAL L/S INJ	$2,641.20	$4,402.00	$1,584.72–$4,049.84	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ ANES LUM/SA TRANSF SNG LEV	$3,192.60	$5,321.00	$104.54–$4,895.32	67% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC EPIDURAL LUMBAR/SACRAL SINGLE	$3,192.60	$5,321.00	$104.54–$4,895.32	67% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC ESI TRNSFML LUM/SAC 1ST LV UNI	$3,192.60	$5,321.00	$104.54–$4,895.32	67% above	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ ANES LUM/SA TRANSF SNG LEV	$3,192.60	$5,321.00	$1,915.56–$4,895.32	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC EPIDURAL LUMBAR/SACRAL SINGLE	$3,192.60	$5,321.00	$1,915.56–$4,895.32	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC ESI TRNSFML LUM/SAC 1ST LV UNI	$3,192.60	$5,321.00	$1,915.56–$4,895.32	—	40%
Miscarriage treatment with D&C, first trimester CPT 59820 HC D & C FIRST TRIM	$1,804.80	$3,008.00	$541.44–$13,847.80	67% below	40%
Miscarriage treatment with D&C, first trimester CPT 59820 HC D & C MISSED AB	$1,804.80	$3,008.00	$541.44–$13,847.80	67% below	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC D & C MISSED AB	$1,804.80	$3,008.00	$1,082.88–$2,767.36	—	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC D & C FIRST TRIM	$1,804.80	$3,008.00	$1,082.88–$2,767.36	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM<	$1,930.20	$3,217.00	$41.25–$2,959.64	45% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM<	$1,930.20	$3,217.00	$1,158.12–$2,959.64	—	40%
Nail removal (partial or complete), one nail CPT 11730 HC NAIL AVULSION COMP/PART SNGL	$749.40	$1,249.00	$28.32–$1,149.08	59% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC NAIL AVULSION COMP/PART SNGL	$749.40	$1,249.00	$449.64–$1,149.08	—	40%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ GREATER OCCIPITAL NRV	$1,855.20	$3,092.00	$38.50–$2,844.64	229% above	40%
Occipital nerve block (injection for headaches) CPT 64405 HC OCCIPITAL NERVE BLOCK	$1,855.20	$3,092.00	$38.50–$2,844.64	229% above	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC OCCIPITAL NERVE BLOCK	$1,855.20	$3,092.00	$1,113.12–$2,844.64	—	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ GREATER OCCIPITAL NRV	$1,855.20	$3,092.00	$1,113.12–$2,844.64	—	40%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACNT DX/THR W IMG GUID	$2,786.40	$4,644.00	$92.76–$4,913.15	65% above	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACNT DX/THR W IMG GUID	$2,786.40	$4,644.00	$1,671.84–$4,272.48	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL COMP/PART	$1,914.60	$3,191.00	$337.77–$2,935.72	130% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL COMP/PART	$1,914.60	$3,191.00	$1,148.76–$2,935.72	—	40%
Removal of a breast lump, open surgery CPT 19120 HC EXC CYST BGN TUM OPEN	$4,093.20	$6,822.00	$190.30–$6,276.24	55% below	40%
Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC CYST BGN TUM OPEN	$4,093.20	$6,822.00	$2,455.92–$6,276.24	—	40%
Removal of a foreign object under the skin, simple CPT 10120 HC SUBCUT FB REMOVAL SIMPLE	$499.20	$832.00	$33.55–$765.44	8% below	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC SUBCUT FB REMOVAL SIMPLE	$499.20	$832.00	$299.52–$765.44	—	40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLONOSCOPY SCREEN AVG RISK	$1,440.00	$2,400.00	$432.00–$3,640.69	5% below	40%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLONOSCOPY SCREEN AVG RISK	$1,440.00	$2,400.00	$864.00–$2,208.00	—	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC HC COLONOSCOPY SCREEN HIGH RISK	$1,500.00	$2,500.00	$450.00–$4,606.16	13% below	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC HC COLONOSCOPY SCREEN HIGH RISK	$1,500.00	$2,500.00	$900.00–$2,300.00	—	40%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT	$315.00	$525.00	$28.60–$545.27	at median	40%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT	$315.00	$525.00	$189.00–$483.00	—	40%
Short leg cast (below the knee) CPT 29405 HC APPL SHORT LEG CAST	$543.00	$905.00	$55.55–$832.60	4% above	40%
Short leg cast (below the knee) inpatient CPT 29405 HC APPL SHORT LEG CAST	$543.00	$905.00	$325.80–$832.60	—	40%
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT	$749.40	$1,249.00	$38.50–$1,149.08	62% above	40%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT	$749.40	$1,249.00	$449.64–$1,149.08	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SMPL LAC RPR 0-2.5CM SCALP	$411.60	$686.00	$26.95–$763.38	20% below	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SMPL LAC RPR 0-2.5CM SCALP	$411.60	$686.00	$246.96–$631.12	—	40%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$823.80	$1,373.00	$44.47–$1,263.16	25% above	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$823.80	$1,373.00	$494.28–$1,263.16	—	40%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15	$666.00	$1,110.00	$34.10–$1,199.61	10% above	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS UP TO 15	$666.00	$1,110.00	$399.60–$1,021.20	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNC LUMBAR DX	$1,956.00	$3,260.00	$46.20–$3,197.71	60% above	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNC LUMBAR DX	$1,956.00	$3,260.00	$1,173.60–$2,999.20	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SMPL LAC RPR 2.6-7.5CM SCALP	$411.60	$686.00	$39.05–$763.38	22% below	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SMPL LAC RPR 2.6-7.5CM SCALP	$411.60	$686.00	$246.96–$631.12	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SMPL LAC RPR 0-2.5CM FACE	$411.60	$686.00	$34.65–$763.38	19% below	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SMPL LAC RPR 0-2.5CM FACE	$411.60	$686.00	$246.96–$631.12	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$823.80	$1,373.00	$35.45–$1,263.16	46% above	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$823.80	$1,373.00	$494.28–$1,263.16	—	40%
Thoracentesis with imaging guidance CPT 32555 HC PORT THORACENTESIS W/GDE	$2,329.80	$3,883.00	$407.56–$3,572.36	58% above	40%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W GUIDANCE	$2,329.80	$3,883.00	$407.56–$3,572.36	58% above	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC PORT THORACENTESIS W/GDE	$2,329.80	$3,883.00	$1,397.88–$3,572.36	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W GUIDANCE	$2,329.80	$3,883.00	$1,397.88–$3,572.36	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SNG/MULT TRG PTS 1-2 MUSCLES	$552.60	$921.00	$34.17–$847.32	2% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SNG/MUL TRG PTS 1-2 MUS GR	$552.60	$921.00	$34.17–$847.32	2% above	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SNG/MULT TRG PTS 1-2 MUSCLES	$552.60	$921.00	$331.56–$847.32	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SNG/MUL TRG PTS 1-2 MUS GR	$552.60	$921.00	$331.56–$847.32	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$3,551.40	$5,919.00	$152.78–$5,445.48	1% below	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$3,551.40	$5,919.00	$2,130.84–$5,445.48	—	40%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD W/BALLOON DILATION	$4,427.40	$7,379.00	$666.36–$6,788.68	30% above	40%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD W/BALLOON DILATION	$4,427.40	$7,379.00	$2,656.44–$6,788.68	—	40%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W/BIOPSY SINGLE/MULT	$3,973.20	$6,622.00	$163.44–$6,092.24	83% above	40%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W/BIOPSY SINGLE/MULT	$3,973.20	$6,622.00	$2,383.92–$6,092.24	—	40%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/SUBMUCOSAL INJ ANY SUB	$2,002.80	$3,338.00	$166.71–$4,606.16	23% below	40%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/SUBMUCOSAL INJ ANY SUB	$2,002.80	$3,338.00	$1,201.68–$3,070.96	—	40%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOVAL BY SNARE	$4,464.60	$7,441.00	$208.28–$6,845.72	41% above	40%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOVAL BY SNARE	$4,464.60	$7,441.00	$2,678.76–$6,845.72	—	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD W/DILATION OVER WIRE	$3,228.00	$5,380.00	$686.69–$4,949.60	30% above	40%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD W/DILATION OVER WIRE	$3,228.00	$5,380.00	$1,936.80–$4,949.60	—	40%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD W/WO BRUSHINGS	$3,288.00	$5,480.00	$137.74–$5,041.60	73% above	40%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD W/WO BRUSHINGS	$3,288.00	$5,480.00	$1,972.80–$5,041.60	—	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD W/TRANSMURAL DRAIN CYST	$6,339.60	$10,566.00	$792.58–$9,720.72	25% below	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD W/TRANSMURAL DRAIN CYST	$6,339.60	$10,566.00	$3,803.76–$9,720.72	—	40%
Vein ablation, radiofrequency, first vein CPT 36475 HC ABLAT EXTR RADIOFREQ 1ST VEIN	$20,744.40	$34,574.00	$2,808.41–$31,808.08	122% above	40%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF 1ST VEIN	$20,744.40	$34,574.00	$2,808.41–$31,808.08	122% above	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF 1ST VEIN	$20,744.40	$34,574.00	$12,446.64–$31,808.08	—	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ABLAT EXTR RADIOFREQ 1ST VEIN	$20,744.40	$34,574.00	$12,446.64–$31,808.08	—	40%
Wart removal, up to 14 warts CPT 17110 HC DEST BENIGN LES CHEM TCA LE 14	$403.20	$672.00	$53.90–$763.38	28% below	40%
Wart removal, up to 14 warts CPT 17110 HC DESTR BENIGN LESIONS 1-14	$403.20	$672.00	$53.90–$763.38	28% below	40%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTR BENIGN LESIONS 1-14	$403.20	$672.00	$241.92–$618.24	—	40%
Wart removal, up to 14 warts inpatient CPT 17110 HC DEST BENIGN LES CHEM TCA LE 14	$403.20	$672.00	$241.92–$618.24	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRID SKIN AND SQ TISSUE	$2,169.60	$3,616.00	$36.30–$4,281.72	101% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRID SKIN AND SQ TISSUE	$2,169.60	$3,616.00	$1,301.76–$3,326.72	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/COMPONENTS	$605.40	$1,009.00	$30.62–$928.28	36% below	40%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$605.40	$1,009.00	$30.62–$928.28	36% below	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/COMPONENTS	$605.40	$1,009.00	$363.24–$928.28	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$605.40	$1,009.00	$363.24–$928.28	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC DRUG AEROSOL INITIAL	$108.00	$180.00	$24.90–$213.30	52% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT INITIAL	$108.00	$180.00	$24.90–$213.30	52% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC DRUG AEROSOL ADMIN INITIAL	$108.00	$180.00	$24.90–$213.30	52% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC DRUG AEROSOL SUBSEQUENT	$108.00	$180.00	$24.90–$213.30	52% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC DRUG AEROSOL/MDI - INIT ADMIN	$108.00	$180.00	$24.90–$213.30	52% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC MDI INITIAL	$108.00	$180.00	$24.90–$213.30	52% below	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC DRUG AEROSOL ADMIN INITIAL	$108.00	$180.00	$64.80–$165.60	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC MDI INITIAL	$108.00	$180.00	$64.80–$165.60	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC DRUG AEROSOL INITIAL	$108.00	$180.00	$64.80–$165.60	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC DRUG AEROSOL/MDI - INIT ADMIN	$108.00	$180.00	$64.80–$165.60	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC DRUG AEROSOL SUBSEQUENT	$108.00	$180.00	$64.80–$165.60	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT INITIAL	$108.00	$180.00	$64.80–$165.60	—	40%
Chemotherapy IV infusion, first hour CPT 96413 HC IV INF CHEMO 1ST HR-INVEST	$963.60	$1,606.00	$137.28–$2,008.34	33% above	40%
Chemotherapy IV infusion, first hour CPT 96413 HC IV INF CHEMO 1ST HR	$963.60	$1,606.00	$137.28–$2,008.34	33% above	40%
Chemotherapy IV infusion, first hour CPT 96413 HC IV INF CHEMO 1ST HR-PROV RX	$963.60	$1,606.00	$137.28–$2,008.34	33% above	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV INF CHEMO 1ST HR-INVEST	$963.60	$1,606.00	$578.16–$1,477.52	—	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV INF CHEMO 1ST HR	$963.60	$1,606.00	$578.16–$1,477.52	—	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV INF CHEMO 1ST HR-PROV RX	$963.60	$1,606.00	$578.16–$1,477.52	—	40%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE - FIRST 30-74MIN	$1,153.20	$1,922.00	$166.79–$1,768.24	39% below	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE - FIRST 30-74MIN	$1,153.20	$1,922.00	$691.92–$1,768.24	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE & DROWSY NEONATE REC	$992.40	$1,654.00	$24.75–$1,521.68	30% above	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE & DROWSY	$992.40	$1,654.00	$24.75–$1,521.68	30% above	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE & DROWSY	$992.40	$1,654.00	$595.44–$1,521.68	—	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE & DROWSY NEONATE REC	$992.40	$1,654.00	$595.44–$1,521.68	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG TRACING WO INTERP & RPT	$76.80	$128.00	$11.51–$117.76	56% below	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG TRACING WO INTERP & RPT	$76.80	$128.00	$46.08–$117.76	—	40%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ECT SINGLE SEIZURE	$632.40	$1,054.00	$49.50–$2,012.99	50% below	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ECT SINGLE SEIZURE	$632.40	$1,054.00	$379.44–$969.68	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ACUITY LEVEL 1 NON EMERGENT	$223.80	$373.00	$51.60–$378.38	26% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ACUITY LEVEL 1	$223.80	$373.00	$51.60–$378.38	26% below	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ACUITY LEVEL 1	$223.80	$373.00	$134.28–$343.16	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ACUITY LEVEL 1 NON EMERGENT	$223.80	$373.00	$134.28–$343.16	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ACUITY LEVEL 2	$354.00	$590.00	$36.28–$572.90	26% below	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ACUITY LEVEL 2 NON EMERGENT	$354.00	$590.00	$36.28–$572.90	26% below	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ACUITY LEVEL 2	$354.00	$590.00	$212.40–$542.80	—	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ACUITY LEVEL 2 NON EMERGENT	$354.00	$590.00	$212.40–$542.80	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ACUITY LEVEL 3	$510.00	$850.00	$62.31–$782.00	31% below	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ACUITY LEVEL 3	$510.00	$850.00	$306.00–$782.00	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ACUITY LEVEL 4	$1,223.40	$2,039.00	$104.86–$1,875.88	at median	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ACUITY LEVEL 4	$1,223.40	$2,039.00	$734.04–$1,875.88	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ACUITY LEVEL 5	$1,615.20	$2,692.00	$152.61–$2,476.64	1% above	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ACUITY LEVEL 5	$1,615.20	$2,692.00	$969.12–$2,476.64	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST W WO PHARMACEUTICA	$302.40	$504.00	$49.35–$463.68	68% below	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST W/ OR W/O PHARMACEUTICALS	$302.40	$504.00	$49.35–$463.68	68% below	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST W/ OR W/O PHARMACEUTICALS	$302.40	$504.00	$181.44–$463.68	—	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST W WO PHARMACEUTICA	$302.40	$504.00	$181.44–$463.68	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION 1ST HR	$505.80	$843.00	$34.79–$775.56	16% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION 1ST HR	$505.80	$843.00	$303.48–$775.56	—	40%
IV infusion of a medicine, first hour CPT 96365 HC IV INF NONCHEMO 1ST HR	$505.80	$843.00	$43.23–$900.89	12% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF NONCHEMO 1ST HR	$505.80	$843.00	$303.48–$775.56	—	40%
IV push of a medicine, first drug CPT 96374 HC IV PUSH NONCHEMO 1ST DRUG	$306.60	$511.00	$34.12–$672.91	7% below	40%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH NONCHEMO 1ST DRUG	$306.60	$511.00	$183.96–$470.12	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM/SQ	$125.40	$209.00	$13.97–$222.34	2% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION IM/SQ	$125.40	$209.00	$75.24–$192.28	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVAL	$159.60	$266.00	$47.88–$1,783.14	40% below	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVAL	$159.60	$266.00	$95.76–$244.72	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE COND MTR/SEN 7-8 STUDIES	$1,363.20	$2,272.00	$63.48–$2,090.24	7% below	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE COND MTR/SEN 7-8 STUDIES	$1,363.20	$2,272.00	$817.92–$2,090.24	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC CQ NEUROMUSC REEDUCATE P/15M	$96.60	$161.00	$18.43–$148.12	25% below	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC CO NEUROMUSCU REEDUCATE P/15M	$96.60	$161.00	$18.43–$148.12	25% below	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC CO NEUROMUSCU REEDUCATE P/15M	$96.60	$161.00	$57.96–$148.12	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC CQ NEUROMUSC REEDUCATE P/15M	$96.60	$161.00	$57.96–$148.12	—	40%
New patient office visit, about 30 minutes CPT 99203 HC CLINIC VISIT NEW 99203	$324.60	$541.00	$36.08–$497.72	36% above	40%
New patient office visit, about 30 minutes inpatient CPT 99203 HC CLINIC VISIT NEW 99203	$324.60	$541.00	$194.76–$497.72	—	40%
New patient office visit, about 45 minutes CPT 99204 HC CLINIC VISIT NEW 99204	$378.60	$631.00	$36.08–$580.52	26% above	40%
New patient office visit, about 45 minutes inpatient CPT 99204 HC CLINIC VISIT NEW 99204	$378.60	$631.00	$227.16–$580.52	—	40%
New patient office visit, about 60 minutes CPT 99205 HC POST PARTUM VISIT HIGH RISK	$456.60	$761.00	$36.08–$700.12	12% below	40%
New patient office visit, about 60 minutes CPT 99205 HC CLINIC VISIT NEW 99205	$456.60	$761.00	$36.08–$700.12	12% below	40%
New patient office visit, about 60 minutes inpatient CPT 99205 HC CLINIC VISIT NEW 99205	$456.60	$761.00	$273.96–$700.12	—	40%
New patient office visit, about 60 minutes inpatient CPT 99205 HC POST PARTUM VISIT HIGH RISK	$456.60	$761.00	$273.96–$700.12	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC CLINIC VISIT NEW 99202	$253.80	$423.00	$36.08–$389.16	39% above	40%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC CLINIC VISIT NEW 99202	$253.80	$423.00	$152.28–$389.16	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC NUTRITION THER INIT IND P/15M	$27.00	$45.00	$8.10–$80.30	46% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC TM NUTR ASSES BRIEF P/15M	$27.00	$45.00	$8.10–$80.30	46% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT ASSESSMENT/INTERVENTION P/ 15 MIN	$27.00	$45.00	$8.10–$80.30	46% below	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT ASSESSMENT/INTERVENTION P/ 15 MIN	$27.00	$45.00	$16.20–$41.40	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC NUTRITION THER INIT IND P/15M	$27.00	$45.00	$16.20–$41.40	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC TM NUTR ASSES BRIEF P/15M	$27.00	$45.00	$16.20–$41.40	—	40%
Occupational therapy evaluation, low complexity CPT 97165 HC CO OT EVAL LOW COMPLEX	$373.20	$622.00	$50.52–$572.24	11% above	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC CO OT EVAL LOW COMPLEX	$373.20	$622.00	$223.92–$572.24	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC CQ PT EVAL HIGH COMPLEX	$405.00	$675.00	$52.05–$621.00	19% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC CQ PT EVAL HIGH COMPLEX	$405.00	$675.00	$243.00–$621.00	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC CQ PT EVAL LOW COMPLEX	$405.00	$675.00	$52.05–$621.00	37% above	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC CQ PT EVAL LOW COMPLEX	$405.00	$675.00	$243.00–$621.00	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC CQ PT EVAL MOD COMPLEX	$429.60	$716.00	$52.05–$658.72	27% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC CQ PT EVAL MOD COMPLEX	$429.60	$716.00	$257.76–$658.72	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC CQ MANUAL THERAPY PER 15 MIN	$91.20	$152.00	$20.69–$139.84	31% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC CO MANUAL THERAPY PER 15 MIN	$91.20	$152.00	$20.69–$139.84	31% below	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC CO MANUAL THERAPY PER 15 MIN	$91.20	$152.00	$54.72–$139.84	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC CQ MANUAL THERAPY PER 15 MIN	$91.20	$152.00	$54.72–$139.84	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CO THERAPEUTIC EXERCISE P/15M	$96.60	$161.00	$9.22–$148.12	27% below	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC CQ THERAPEUTIC EXERCISE P/15M	$96.60	$161.00	$9.22–$148.12	27% below	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CO THERAPEUTIC EXERCISE P/15M	$96.60	$161.00	$57.96–$148.12	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC CQ THERAPEUTIC EXERCISE P/15M	$96.60	$161.00	$57.96–$148.12	—	40%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST MD/PHD 1ST HR	$424.80	$708.00	$72.49–$651.36	26% below	40%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TEST MD/PHD 1ST HR	$424.80	$708.00	$254.88–$651.36	—	40%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 30 MINUTES	$89.40	$149.00	$28.60–$736.26	64% below	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 30 MINUTES	$89.40	$149.00	$53.64–$137.08	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO COUNSEL 3-10 MIN	$30.00	$50.00	$9.00–$151.81	34% below	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO COUNSELING 3-10	$31.80	$53.00	$9.54–$151.81	30% below	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBACCO COUNSEL 3-10 MIN	$30.00	$50.00	$18.00–$46.00	—	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBACCO COUNSELING 3-10	$31.80	$53.00	$19.08–$48.76	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC CLINIC VISIT EST 99215	$227.40	$379.00	$36.08–$348.68	16% below	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC CLINIC VISIT EST 99215	$227.40	$379.00	$136.44–$348.68	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT EST 99213	$183.60	$306.00	$36.08–$281.52	1% below	40%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT EST 99213	$183.60	$306.00	$110.16–$281.52	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT EST 99214	$194.40	$324.00	$36.08–$298.08	4% below	40%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT EST 99214	$194.40	$324.00	$116.64–$298.08	—	40%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC CLINIC VISIT EST 99212	$137.40	$229.00	$28.60–$210.68	15% below	40%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC CLINIC VISIT EST 99212	$137.40	$229.00	$82.44–$210.68	—	40%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY PRE BRONCH REMOTE	$99.60	$166.00	$16.50–$170.84	67% below	40%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY VC EXP FLOW MVV	$125.40	$209.00	$16.50–$192.28	58% below	40%
Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST	$125.40	$209.00	$16.50–$192.28	58% below	40%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY INCENTIVE P/DY	$125.40	$209.00	$16.50–$192.28	58% below	40%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY PRE BRONCH REMOTE	$99.60	$166.00	$59.76–$152.72	—	40%
Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST	$125.40	$209.00	$75.24–$192.28	—	40%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY INCENTIVE P/DY	$125.40	$209.00	$75.24–$192.28	—	40%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY VC EXP FLOW MVV	$125.40	$209.00	$75.24–$192.28	—	40%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE & POST BRONCH	$154.80	$258.00	$20.90–$326.57	76% below	40%
Spirometry before and after a bronchodilator CPT 94060 HC EVL WHEEZING PRE&PST BRNCHDLTR	$154.80	$258.00	$20.90–$326.57	76% below	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVL WHEEZING PRE&PST BRNCHDLTR	$154.80	$258.00	$92.88–$237.36	—	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE & POST BRONCH	$154.80	$258.00	$92.88–$237.36	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC CO THERAPEUT ACT P/15M (FUNCT)	$139.20	$232.00	$14.30–$213.44	9% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC CQ THERAPEUT ACT P/15M (FUNCT)	$139.20	$232.00	$14.30–$213.44	9% above	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC CQ THERAPEUT ACT P/15M (FUNCT)	$139.20	$232.00	$83.52–$213.44	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC CO THERAPEUT ACT P/15M (FUNCT)	$139.20	$232.00	$83.52–$213.44	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$272.40	$454.00	$11.00–$417.68	18% above	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$272.40	$454.00	$11.00–$417.68	18% above	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$272.40	$454.00	$163.44–$417.68	—	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$272.40	$454.00	$163.44–$417.68	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Pennsylvania	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC COVID-19(MODERNA-12+YR) 23-24	$193.20	$322.00	$44.00–$2,118.10	3% below	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC COVID-19 SPIKEVAX MODERNA 12+Y	$193.20	$322.00	$44.00–$2,118.10	3% below	40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y	$340.20	$567.00	$44.00–$2,118.10	71% above	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC COVID-19 SPIKEVAX MODERNA 12+Y	$193.20	$322.00	$78.70–$296.24	—	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC COVID-19(MODERNA-12+YR) 23-24	$193.20	$322.00	$78.70–$296.24	—	40%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 SPIKEVAX MODERNA 12+Y	$340.20	$567.00	$138.57–$521.64	—	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARIVAX .5ML INJ	$69.00	$115.00	$11.00–$179.37	66% below	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC VARICELLA VIRUS VAC 19400 PFU	$82.20	$137.00	$11.00–$179.37	60% below	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARIVAX .5ML INJ	$69.00	$115.00	$28.11–$105.80	—	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 HC VARICELLA VIRUS VAC 19400 PFU	$82.20	$137.00	$33.48–$126.04	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC DIPTH/PERTUS/TET0.5ML-6W-7Y	$34.20	$57.00	$11.00–$141.30	at median	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC DIPTH/PERTUS/TET0.5ML-6W-7Y	$34.20	$57.00	$13.93–$52.44	—	40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 HC PEDIARIX VACCINE 0.5ML SDV	$63.00	$105.00	$11.00–$1,005.39	24% below	40%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 HC PEDIARIX VACCINE 0.5ML SDV	$63.00	$105.00	$25.66–$96.60	—	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE	$30.00	$50.00	$11.00–$189.26	at median	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC FLUBLOK 0.5ML PFS LTX/EGG FREE	$30.00	$50.00	$11.00–$189.26	at median	40%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HC RIV3 VACC NO PRSV IM (FLUBLOK)	$30.00	$50.00	$11.00–$189.26	at median	40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC FLUBLOK 0.5ML PFS LTX/EGG FREE	$30.00	$50.00	$12.22–$46.00	—	40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HC RIV3 VACC NO PRSV IM (FLUBLOK)	$30.00	$50.00	$12.22–$46.00	—	40%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLUBLOK 0.5ML PFS LTX/EGG FREE	$30.00	$50.00	$12.22–$46.00	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC FLUZONE PF SDV .5ML LATEX FREE	$13.20	$22.00	$5.05–$202.85	80% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC FLUZONE PF SDV .5ML LATEX FREE	$13.20	$22.00	$5.38–$20.24	—	40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC HPV VIRUS VACCINE 9 VAL IM	$186.00	$310.00	$11.00–$870.24	27% below	40%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HC HPV VIRUS VACCINE 9 VAL IM	$186.00	$310.00	$75.76–$285.20	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC VACCINE HEP A & B ADULT IM	$117.60	$196.00	$11.00–$1,210.42	31% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC IMMUN ADM EA ADDL VACC SGL/COM	$117.60	$196.00	$11.00–$1,210.42	31% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC TWINRIX VACCINE SYR 20MCG/720U	$117.60	$196.00	$11.00–$1,210.42	31% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX VACCINE SYR 20MCG/720U	$117.60	$196.00	$11.00–$1,210.42	31% above	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX VACCINE SYR 20MCG/720U	$117.60	$196.00	$47.90–$180.32	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC IMMUN ADM EA ADDL VACC SGL/COM	$117.60	$196.00	$70.56–$180.32	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC TWINRIX VACCINE SYR 20MCG/720U	$117.60	$196.00	$47.90–$180.32	—	40%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC VACCINE HEP A & B ADULT IM	$117.60	$196.00	$47.90–$180.32	—	40%
Hepatitis A vaccine, adult dose CPT 90632 HEPAT A VACC 1440U/ML VIAL	$81.00	$135.00	$11.00–$762.28	9% below	40%
Hepatitis A vaccine, adult dose CPT 90632 HC HEPAT A VACC 1440U/ML VIAL	$81.00	$135.00	$11.00–$762.28	9% below	40%
Hepatitis A vaccine, adult dose CPT 90632 HC HEPATITIS A VACCINE ADULT IM	$91.20	$152.00	$11.00–$762.28	2% above	40%
Hepatitis A vaccine, adult dose CPT 90632 HC HAVRIX 1440UNITS/ML INJ	$102.60	$171.00	$11.00–$762.28	15% above	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPAT A VACC 1440U/ML VIAL	$81.00	$135.00	$32.99–$124.20	—	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPAT A VACC 1440U/ML VIAL	$81.00	$135.00	$32.99–$124.20	—	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPATITIS A VACCINE ADULT IM	$91.20	$152.00	$37.15–$139.84	—	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HAVRIX 1440UNITS/ML INJ	$102.60	$171.00	$41.79–$157.32	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC VAC HEP B 20MCG/ 1ML ADULT INJ	$64.80	$108.00	$11.00–$718.17	21% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ	$64.80	$108.00	$11.00–$718.17	21% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPATITIS B VACCINE ADULT	$64.80	$108.00	$11.00–$718.17	21% below	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC VAC HEP B 20MCG/ 1ML ADULT INJ	$64.80	$108.00	$26.40–$99.36	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 VAC HEP B 20MCG/ 1ML ADULT INJ	$64.80	$108.00	$26.40–$99.36	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPATITIS B VACCINE ADULT	$64.80	$108.00	$26.40–$99.36	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPATITIS B VAC 20MCG/0.5 ML	$126.60	$211.00	$11.00–$552.25	27% below	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML	$126.60	$211.00	$11.00–$552.25	27% below	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPLISAV-B 20MCG/0.5ML ADT	$126.60	$211.00	$11.00–$552.25	27% below	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEP B VACCINE 2 DOSE ADULT	$126.60	$211.00	$11.00–$552.25	27% below	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPATITIS BVAC 20MCG/0.5ML ADT	$880.80	$1,468.00	$11.00–$1,350.56	406% above	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5 ML	$126.60	$211.00	$51.57–$194.12	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPLISAV-B 20MCG/0.5ML ADT	$126.60	$211.00	$51.57–$194.12	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPATITIS B VAC 20MCG/0.5 ML	$126.60	$211.00	$51.57–$194.12	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEP B VACCINE 2 DOSE ADULT	$126.60	$211.00	$51.57–$194.12	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPATITIS BVAC 20MCG/0.5ML ADT	$880.80	$1,468.00	$358.78–$1,350.56	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC ENGERIX-B 10MCG/.5ML PED INJ	$47.40	$79.00	$11.00–$294.65	at median	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPATITIS B 10MCG/0.5ML INJ	$47.40	$79.00	$11.00–$294.65	at median	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPATITIS B VAC5MCG/.5ML PED	$49.80	$83.00	$11.00–$294.65	5% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPATITIS B 10MCG/0.5ML INJ	$47.40	$79.00	$19.31–$72.68	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC ENGERIX-B 10MCG/.5ML PED INJ	$47.40	$79.00	$19.31–$72.68	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPATITIS B VAC5MCG/.5ML PED	$49.80	$83.00	$20.29–$76.36	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC H. INFLUENZA B PRP-T VACCINE	$31.20	$52.00	$11.00–$237.98	at median	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC H. INFLUENZA B PRP-T VACCINE	$31.20	$52.00	$12.71–$47.84	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC FLUZONE HIGH DOSE >65 YRS	$30.00	$50.00	$11.00–$749.20	66% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC FLUZONE HIGH DOSE >65 YRS	$30.00	$50.00	$12.22–$46.00	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC VACCINE MEAS/MUMPS/RUBELLA INJ	$48.60	$81.00	$11.00–$177.33	26% below	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ	$48.60	$81.00	$11.00–$177.33	26% below	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 HC VACCINE MEAS/MUMPS/RUBELLA INJ	$48.60	$81.00	$19.80–$74.52	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 VACCINE MEAS/MUMPS/RUBELLA INJ	$48.60	$81.00	$19.80–$74.52	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCCAL CONJUGTE .5ML VIAL	$81.60	$136.00	$11.00–$1,198.62	13% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENVEO INJECTION (VACCINE)	$81.60	$136.00	$11.00–$1,198.62	13% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO INJECTION (VACCINE)	$81.60	$136.00	$11.00–$1,198.62	13% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y)	$91.80	$153.00	$11.00–$1,198.62	2% below	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC MENINGOCOC VAC A C Y W 135.5ML	$97.20	$162.00	$11.00–$1,198.62	4% above	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCCAL CONJUGTE .5ML VIAL	$81.60	$136.00	$33.24–$125.12	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENVEO INJECTION (VACCINE)	$81.60	$136.00	$33.24–$125.12	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO INJECTION (VACCINE)	$81.60	$136.00	$33.24–$125.12	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO MENINGOC 0.5ML (10-55Y)	$91.80	$153.00	$37.39–$140.76	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 HC MENINGOCOC VAC A C Y W 135.5ML	$97.20	$162.00	$39.59–$149.04	—	40%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC MENINGOCOCC ACYW 0.5ML 2YR UP	$97.80	$163.00	$11.00–$545.58	80% below	40%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC MENINGOCOCC ACYW 0.5ML 2YR UP	$97.80	$163.00	$39.84–$149.96	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML	$82.20	$137.00	$11.00–$882.68	57% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENINGOCOCCAL RECOMB VACC	$82.20	$137.00	$11.00–$882.68	57% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC MENINGOCOCCAL GRP B VACC 0.5ML	$82.20	$137.00	$11.00–$882.68	57% below	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GRP B VACC 0.5ML	$82.20	$137.00	$33.48–$126.04	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC MENINGOCOCCAL GRP B VACC 0.5ML	$82.20	$137.00	$33.48–$126.04	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 HC MENINGOCOCCAL RECOMB VACC	$82.20	$137.00	$33.48–$126.04	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PNEUMOC 13-VAL VAC 0.5ML	$144.00	$240.00	$11.00–$1,587.77	at median	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PNEUMOC 13-VAL CONJUGATE VAC	$152.40	$254.00	$11.00–$1,587.77	6% above	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PNEUMOC 13-VAL VAC 0.5ML	$144.00	$240.00	$58.66–$220.80	—	40%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PNEUMOC 13-VAL CONJUGATE VAC	$152.40	$254.00	$62.08–$233.68	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ	$144.00	$240.00	$11.00–$776.38	55% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PNEUMOCOCAL CONJUGATED VAC 0.5ML	$144.00	$240.00	$11.00–$776.38	55% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PNEUMOCOCCAL 20 VACC 0.5ML INJ	$161.40	$269.00	$11.00–$776.38	50% below	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PNEUMOCOCAL CONJUGATED VAC 0.5ML	$144.00	$240.00	$58.66–$220.80	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20 VACC 0.5ML INJ	$144.00	$240.00	$58.66–$220.80	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PNEUMOCOCCAL 20 VACC 0.5ML INJ	$161.40	$269.00	$65.74–$247.48	—	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR	$189.60	$316.00	$11.00–$795.87	at median	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 HC CAPVAXIVE VACCINE 0.5 ML SYR	$189.60	$316.00	$11.00–$795.87	at median	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 CAPVAXIVE VACCINE 0.5 ML SYR	$189.60	$316.00	$77.23–$290.72	—	40%
Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 HC CAPVAXIVE VACCINE 0.5 ML SYR	$189.60	$316.00	$77.23–$290.72	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC VACCINE PNEUMOCC 0.5ML LED INJ	$75.00	$125.00	$11.00–$164.17	42% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PNEUMOCOCCAL VAC POLYVAL INJ	$75.00	$125.00	$11.00–$164.17	42% below	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC VACCINE PNEUMOCC 0.5ML LED INJ	$75.00	$125.00	$30.55–$115.00	—	40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PNEUMOCOCCAL VAC POLYVAL INJ	$75.00	$125.00	$30.55–$115.00	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 HC IPOL POLIOVIRUS VAC .5ML INJ	$40.20	$67.00	$9.53–$65.14	33% below	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC IPOL POLIOVIRUS VAC .5ML INJ	$40.20	$67.00	$16.37–$61.64	—	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC NIRSEVIMAB-ALIP RSV 50MG/0.5ML	$897.00	$1,495.00	$11.00–$8,378.03	at median	40%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC NIRSEVIMAB-ALIP RSV 50MG/0.5ML	$897.00	$1,495.00	$365.38–$1,375.40	—	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC RSV VAC PREF A-PREF B(ABRYSVO)	$504.00	$840.00	$11.00–$4,992.96	at median	40%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC RSV VAC PREF A-PREF B(ABRYSVO)	$504.00	$840.00	$205.30–$772.80	—	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC AREXVY RSV VACC ADJT 0.5ML IN	$440.40	$734.00	$11.00–$4,739.09	at median	40%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC AREXVY RSV VACC ADJT 0.5ML IN	$440.40	$734.00	$179.39–$675.28	—	40%
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VIAL/KIT	$600.00	$1,000.00	$11.00–$1,763.05	at median	40%
Rabies vaccine, one dose CPT 90675 HC VACCINE RABIES 1ML INJ	$600.00	$1,000.00	$11.00–$1,763.05	at median	40%
Rabies vaccine, one dose CPT 90675 HC RABAVERT RABIES VACCNE 1ML KIT	$600.00	$1,000.00	$11.00–$1,763.05	at median	40%
Rabies vaccine, one dose CPT 90675 HC RABIES VAC HUM 1ML	$600.00	$1,000.00	$11.00–$1,763.05	at median	40%
Rabies vaccine, one dose CPT 90675 HC RABAVERT RABIES VIAL/KIT	$600.00	$1,000.00	$11.00–$1,763.05	at median	40%
Rabies vaccine, one dose CPT 90675 RABIES VAC HUM 1ML	$600.00	$1,000.00	$11.00–$1,763.05	at median	40%
Rabies vaccine, one dose inpatient CPT 90675 HC RABAVERT RABIES VIAL/KIT	$600.00	$1,000.00	$244.40–$920.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 HC RABIES VAC HUM 1ML	$600.00	$1,000.00	$244.40–$920.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 HC RABAVERT RABIES VACCNE 1ML KIT	$600.00	$1,000.00	$244.40–$920.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 HC VACCINE RABIES 1ML INJ	$600.00	$1,000.00	$244.40–$920.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VIAL/KIT	$600.00	$1,000.00	$244.40–$920.00	—	40%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC HUM 1ML	$600.00	$1,000.00	$244.40–$920.00	—	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC ROTAVIRUS VACCINE PENTA 2ML	$57.60	$96.00	$11.00–$609.05	31% below	40%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC ROTAVIRUS VACCINE PENTA 2ML	$57.60	$96.00	$23.46–$88.32	—	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC SHINGRIX VACCINE INJ	$150.00	$250.00	$11.00–$698.17	43% below	40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE INJ	$150.00	$250.00	$11.00–$698.17	43% below	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE INJ	$150.00	$250.00	$61.10–$230.00	—	40%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC SHINGRIX VACCINE INJ	$150.00	$250.00	$61.10–$230.00	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS/DIPTHERIA INJ	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE NO PRSRV >/= 7 IM	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETAN/DIPHTH TOX.5CC ADULT INJ	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS/DIPHTHERIA TOXOIDS 5ML	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS/DIPHTHERIA/TOXOID .5ML	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS DIPTHERIA TOX .5CC INJ	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS-DIPHTH TOXOID ADULT	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TETANUS/DIPTHERIA INJ	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE > 7 YR STAT	$55.80	$93.00	$11.00–$267.47	at median	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS DIPTHERIA TOX .5CC INJ	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS/DIPTHERIA INJ	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACCINE NO PRSRV >/= 7 IM	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETAN/DIPHTH TOX.5CC ADULT INJ	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS/DIPHTHERIA TOXOIDS 5ML	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS/DIPHTHERIA/TOXOID .5ML	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS-DIPHTH TOXOID ADULT	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TETANUS/DIPTHERIA INJ	$55.80	$93.00	$22.73–$85.56	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACCINE > 7 YR STAT	$55.80	$93.00	$22.73–$85.56	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX VACCINE	$31.80	$53.00	$11.00–$509.81	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC ADACEL VACCINE .5ML VIAL	$31.80	$53.00	$11.00–$509.81	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TETANUS DIP PERT (TDAP) 7+ INJ	$31.80	$53.00	$11.00–$509.81	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE 7 YRS/> IM	$31.80	$53.00	$11.00–$509.81	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC BOOSTRIX VACCINE	$31.80	$53.00	$11.00–$509.81	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC DIPH/PERTUS AC/TET .5ML 10-18	$31.80	$53.00	$11.00–$509.81	43% below	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TETANUS DIP PERT (TDAP) 7+ INJ	$31.80	$53.00	$12.95–$48.76	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX VACCINE	$31.80	$53.00	$12.95–$48.76	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC ADACEL VACCINE .5ML VIAL	$31.80	$53.00	$12.95–$48.76	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE 7 YRS/> IM	$31.80	$53.00	$12.95–$48.76	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC DIPH/PERTUS AC/TET .5ML 10-18	$31.80	$53.00	$12.95–$48.76	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC BOOSTRIX VACCINE	$31.80	$53.00	$12.95–$48.76	—	40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC TYPHOID VACCINE 0.5ML INACTIVE	$46.80	$78.00	$11.00–$488.91	44% below	40%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 HC TYPHOID VACCINE 0.5ML INACTIVE	$46.80	$78.00	$19.06–$71.76	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMM ADM ONE VAC SGL/COMB	$12.00	$20.00	$1.18–$74.64	81% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMM ADM ONE VAC SGL/COMB	$12.00	$20.00	$7.20–$18.40	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADM EA ADDL VACC SGL/COM	$12.00	$20.00	$0.56–$25.64	55% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADM EA ADDL VACC SGL/COM	$12.00	$20.00	$7.20–$18.40	—	40%

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://dam.upmc.com/-/media/upmc/locations/hospitals/documents/cdm-json-files/250965420_upmc-magee_standardcharges.csv?la=en&rev=d319a88933fa4b37b9e19ebdb941b294&hash=5FE36D04E05C526071A825842B2B3DFE