Hospital Canton-Massillon, OH

Aultman Hospital

Aultman Hospital in Canton, OH publishes cash prices for 358 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 291 of 355 procedures and above it for 63. By typical cash price it ranks #27 of 139 Ohio hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

2600 Sixth Street Sw, Canton, OH 44710,2021 Wales Ave NW, Massillon, OH 44646 Collected Oct 16, 2026 Source price file Check a bill from this hospital (330) 363-9911

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 360084 · CMS hospital register NPI 1356366991

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Aultman Hospital in Canton, OH:

Mar 25, 2025 Warning notice
Jun 25, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W/O & W/Dye	$1,014.75	$2,255.00	—	24% below	55%
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W/O & W/Dye	$1,014.75	$2,255.00	—	—	55%
Abdominal X-ray, 2 views CPT 74019 Rehab Xr Abdomen 2 Views	$322.65	$717.00	—	5% below	55%
Abdominal X-ray, 2 views CPT 74019 Xray Abdomen 2 Views	$322.65	$717.00	—	5% below	55%
Abdominal X-ray, 2 views inpatient CPT 74019 Rehab Xr Abdomen 2 Views	$322.65	$717.00	—	—	55%
Abdominal X-ray, 2 views inpatient CPT 74019 Xray Abdomen 2 Views	$322.65	$717.00	—	—	55%
Ankle X-ray, complete, 3 or more views CPT 73610 Xray Ankle Min 3 Views	$319.50	$710.00	—	at median	55%
Ankle X-ray, complete, 3 or more views CPT 73610 Rehab Xray Ankle Min 3 Views	$319.50	$710.00	—	at median	55%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Rehab Xray Ankle Min 3 Views	$319.50	$710.00	—	—	55%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Xray Ankle Min 3 Views	$319.50	$710.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arty Doppler One Leg Rest/Pvr	$435.15	$967.00	—	10% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arty Doppler One Arm/Pvr	$435.15	$967.00	—	10% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Us Arty Both Arm& Leg	$435.15	$967.00	—	10% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Arterial Study Palmer Arch	$435.15	$967.00	—	10% below	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Arty Doppler One Arm/Pvr	$435.15	$967.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Arty Doppler One Leg Rest/Pvr	$435.15	$967.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Arterial Study Palmer Arch	$435.15	$967.00	—	—	55%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Us Arty Both Arm& Leg	$435.15	$967.00	—	—	55%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Upper Extrem W/O Dye	$478.35	$1,063.00	—	49% below	55%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Uppder Extrem W/O Dye	$478.35	$1,063.00	—	49% below	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Upper Extrem W/O Dye	$478.35	$1,063.00	—	—	55%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Uppder Extrem W/O Dye	$478.35	$1,063.00	—	—	55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr Esophagus	$417.60	$928.00	—	6% below	55%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Rehab Xr Exophagus	$417.60	$928.00	—	6% below	55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Xr Esophagus	$417.60	$928.00	—	—	55%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Rehab Xr Exophagus	$417.60	$928.00	—	—	55%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone Imagining Whole Body	$1,309.95	$2,911.00	—	15% below	55%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone Imagining Whole Body	$1,309.95	$2,911.00	—	—	55%
Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete	$256.95	$571.00	—	46% below	55%
Breast ultrasound, complete, one breast inpatient CPT 76641 Us Breast Complete	$256.95	$571.00	—	—	55%
Breast ultrasound, limited (one breast or one area) CPT 76642 Us Breast Limited	$256.95	$571.00	—	37% below	55%
Breast ultrasound, limited (one breast or one area) CPT 76642 Er-Us Breast Limited Bedside	$256.95	$571.00	—	37% below	55%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Er-Us Breast Limited Bedside	$256.95	$571.00	—	—	55%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Us Breast Limited	$256.95	$571.00	—	—	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd&Pelv W/O & W/ Dye	$1,675.80	$3,724.00	—	22% below	55%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abd & Pelvis W & W/O Dye	$1,675.80	$3,724.00	—	22% below	55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abd & Pelvis W & W/O Dye	$1,675.80	$3,724.00	—	—	55%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abd&Pelv W/O & W/ Dye	$1,675.80	$3,724.00	—	—	55%
CT angiography (CTA) of the head CPT 70496 Cta Head W/O & W/Dye	$842.40	$1,872.00	—	37% below	55%
CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/O & W/Dye	$842.40	$1,872.00	—	—	55%
CT angiography (CTA) of the neck CPT 70498 Cta Neck W/O & W/Dye	$842.40	$1,872.00	—	35% below	55%
CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck W/O & W/Dye	$842.40	$1,872.00	—	—	55%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/O & W/Dye	$971.10	$2,158.00	—	31% below	55%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/O & W/Dye	$971.10	$2,158.00	—	—	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Coron Angio W & W/O Contrst	$971.10	$2,158.00	—	39% below	55%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Coron Angio W & W/O Contrst	$971.10	$2,158.00	—	—	55%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Calcium Scoring	$42.30	$94.00	—	85% below	55%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Calcium Scoring	$42.30	$94.00	—	—	55%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/Pelvis W/O Dye	$717.30	$1,594.00	—	55% below	55%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen/Pelvis W/O Dye	$717.30	$1,594.00	—	—	55%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen/Pelvis W/Dye	$1,433.70	$3,186.00	—	28% below	55%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen/Pelvis W/Dye	$1,433.70	$3,186.00	—	—	55%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd/Pelvis 1+ Sec/Region	$1,675.80	$3,724.00	—	28% below	55%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd/Pelvis 1+ Sec/Region	$1,675.80	$3,724.00	—	—	55%
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/Dye	$796.05	$1,769.00	—	32% below	55%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/Dye	$796.05	$1,769.00	—	—	55%
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Dye	$391.05	$869.00	—	63% below	55%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Dye	$391.05	$869.00	—	—	55%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Dye	$512.10	$1,138.00	—	42% below	55%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Dye	$512.10	$1,138.00	—	—	55%
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O Dye	$512.10	$1,138.00	—	39% below	55%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O Dye	$512.10	$1,138.00	—	—	55%
CT scan of the head with contrast CPT 70460 Ct Head/Brain W Dye	$724.95	$1,611.00	—	28% below	55%
CT scan of the head with contrast inpatient CPT 70460 Ct Head/Brain W Dye	$724.95	$1,611.00	—	—	55%
CT scan of the head without and with contrast CPT 70470 Ct Head/Brain W/O & W Dye	$842.40	$1,872.00	—	29% below	55%
CT scan of the head without and with contrast inpatient CPT 70470 Ct Head/Brain W/O & W Dye	$842.40	$1,872.00	—	—	55%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar W/O Dye	$565.65	$1,257.00	—	49% below	55%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar W/O Dye	$565.65	$1,257.00	—	—	55%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical W/O Dye	$583.65	$1,297.00	—	46% below	55%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cervical W/O Dye	$583.65	$1,297.00	—	—	55%
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis With Dye	$756.90	$1,682.00	—	38% below	55%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis With Dye	$756.90	$1,682.00	—	—	55%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial Bilat Study	$637.20	$1,416.00	—	—	55%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracarnial Bilat Study	$637.20	$1,416.00	—	—	55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracarnial Bilat Study	$637.20	$1,416.00	—	—	55%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Extracranial Bilat Study	$637.20	$1,416.00	—	—	55%
Chest CT scan without and with contrast CPT 71270 Ct Chest C- C+	$738.45	$1,641.00	—	51% below	55%
Chest CT scan without and with contrast CPT 71270 Ct Chest W/O & W/Dye	$738.45	$1,641.00	—	51% below	55%
Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest W/O & W/Dye	$738.45	$1,641.00	—	—	55%
Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest C- C+	$738.45	$1,641.00	—	—	55%
Chest X-ray, 2 views CPT 71046 Xray Chest 2 Views	$218.70	$486.00	—	17% below	55%
Chest X-ray, 2 views CPT 71046 Rehab Xray Chest 2 Views	$218.70	$486.00	—	17% below	55%
Chest X-ray, 2 views inpatient CPT 71046 Xray Chest 2 Views	$218.70	$486.00	—	—	55%
Chest X-ray, 2 views inpatient CPT 71046 Rehab Xray Chest 2 Views	$218.70	$486.00	—	—	55%
Chest X-ray, single view CPT 71045 Rehab Xray Chest 1 View	$128.70	$286.00	—	42% below	55%
Chest X-ray, single view CPT 71045 Xray Chest 1 View	$128.70	$286.00	—	42% below	55%
Chest X-ray, single view inpatient CPT 71045 Rehab Xray Chest 1 View	$128.70	$286.00	—	—	55%
Chest X-ray, single view inpatient CPT 71045 Xray Chest 1 View	$128.70	$286.00	—	—	55%
Collarbone (clavicle) X-ray, complete CPT 73000 Xray Clavicle Complete	$290.70	$646.00	—	7% above	55%
Collarbone (clavicle) X-ray, complete CPT 73000 Rehab Xray Clavicle Complete	$290.70	$646.00	—	7% above	55%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Rehab Xray Clavicle Complete	$290.70	$646.00	—	—	55%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xray Clavicle Complete	$290.70	$646.00	—	—	55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retropertioneal Complete	$376.65	$837.00	—	47% below	55%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Retroperitoneal Complete	$376.65	$837.00	—	47% below	55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retroperitoneal Complete	$376.65	$837.00	—	—	55%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Retropertioneal Complete	$376.65	$837.00	—	—	55%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa Bone Density Skeleton	$255.60	$568.00	—	44% below	55%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dxa Bone Density Skeleton	$255.60	$568.00	—	—	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dxa Bone Density Peripheral	$153.00	$340.00	—	40% below	55%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dxa Bone Density Peripheral	$153.00	$340.00	—	—	55%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob Us Detailed Sngl Fetus	$702.45	$1,561.00	—	17% below	55%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ob Us Detailed Sngl Fetus	$702.45	$1,561.00	—	—	55%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax W/O Dye	$565.65	$1,257.00	—	40% below	55%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax W/O Dye	$565.65	$1,257.00	—	—	55%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax W/Dye	$756.90	$1,682.00	—	38% below	55%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax W/Dye	$756.90	$1,682.00	—	—	55%
Diagnostic mammogram, both breasts both sides CPT 77066 Mammo Diag W/Cad Bilat	$563.40	$1,252.00	—	—	55%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammo Diag W/Cad Bilat	$563.40	$1,252.00	—	—	55%
Diagnostic mammogram, one breast one side CPT 77065 Mammo Diag W/Cad Unilat	$468.90	$1,042.00	—	30% above	55%
Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammo Diag W/Cad Unilat	$468.90	$1,042.00	—	—	55%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Lower Extremity Study Bilat	$522.90	$1,162.00	—	—	55%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Vasc Lab-Dup/Sc Art Byps Graft	$522.90	$1,162.00	—	42% below	55%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Lower Extremity Study Bilat	$522.90	$1,162.00	—	—	55%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Vasc Lab-Dup/Sc Art Byps Graft	$522.90	$1,162.00	—	—	55%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dplex Scan Vein Bilateral	$770.85	$1,713.00	—	—	55%
Duplex ultrasound of the leg veins, both legs CPT 93970 Duplex Scan Venous Insuff Le B	$770.85	$1,713.00	—	14% below	55%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dplex Scan Vein Bilateral	$770.85	$1,713.00	—	—	55%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Duplex Scan Venous Insuff Le B	$770.85	$1,713.00	—	—	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram Complete	$793.35	$1,763.00	—	53% below	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler Complete	$1,395.90	$3,102.00	—	17% below	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Wo Fol Wcon Doppler	$1,611.90	$3,582.00	—	5% below	55%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/ Wo Fol Wcon Doppler	$1,611.90	$3,582.00	—	5% below	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram Complete	$793.35	$1,763.00	—	—	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler Complete	$1,395.90	$3,102.00	—	—	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/ Wo Fol Wcon Doppler	$1,611.90	$3,582.00	—	—	55%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Wo Fol Wcon Doppler	$1,611.90	$3,582.00	—	—	55%
Elbow X-ray, 2 views CPT 73070 Xray Of Elbow 2 Views	$225.90	$502.00	—	13% below	55%
Elbow X-ray, 2 views inpatient CPT 73070 Xray Of Elbow 2 Views	$225.90	$502.00	—	—	55%
Elbow X-ray, complete, 3 or more views CPT 73080 Rehab Xr Elbow Min 3 Views	$249.75	$555.00	—	21% below	55%
Elbow X-ray, complete, 3 or more views CPT 73080 Xray Elbow Min 2 Views	$249.75	$555.00	—	21% below	55%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Rehab Xr Elbow Min 3 Views	$249.75	$555.00	—	—	55%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Xray Elbow Min 2 Views	$249.75	$555.00	—	—	55%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit/Ear/Fossa W/O Dye	$493.20	$1,096.00	—	43% below	55%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orbit/Ear/Fossa W/O Dye	$493.20	$1,096.00	—	—	55%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xray Facilal Bone Complete	$356.40	$792.00	—	5% below	55%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xray Facial Bone Complete	$356.40	$792.00	—	5% below	55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xray Facilal Bone Complete	$356.40	$792.00	—	—	55%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xray Facial Bone Complete	$356.40	$792.00	—	—	55%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xray Forearm 2 Views	$276.30	$614.00	—	1% above	55%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Rehab Xray Forearm 2 Views	$276.30	$614.00	—	1% above	55%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Rehab Xray Forearm 2 Views	$276.30	$614.00	—	—	55%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Xray Forearm 2 Views	$276.30	$614.00	—	—	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging	$1,336.95	$2,971.00	—	16% below	55%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging	$1,336.95	$2,971.00	—	—	55%
Hand X-ray, 2 views CPT 73120 Xray Of Hand 2 Views	$188.10	$418.00	—	29% below	55%
Hand X-ray, 2 views inpatient CPT 73120 Xray Of Hand 2 Views	$188.10	$418.00	—	—	55%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xray Heel Min 2 Views	$279.90	$622.00	—	3% above	55%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Rehab Xr Heel Min 2 View	$279.90	$622.00	—	3% above	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xray Heel Min 2 Views	$279.90	$622.00	—	—	55%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Rehab Xr Heel Min 2 View	$279.90	$622.00	—	—	55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography 4+ W/Cpap	$3,579.75	$7,955.00	—	13% below	55%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography 4+ W/Cpap	$3,579.75	$7,955.00	—	—	55%
Knee X-ray, 3 views CPT 73562 Xray Knee 3 Views	$356.40	$792.00	—	1% above	55%
Knee X-ray, 3 views inpatient CPT 73562 Xray Knee 3 Views	$356.40	$792.00	—	—	55%
Knee X-ray, complete, 4 or more views CPT 73564 Rehab Xray Knee 4 More Views	$378.00	$840.00	—	4% below	55%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Rehab Xray Knee 4 More Views	$378.00	$840.00	—	—	55%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extrem W/O Dye	$478.35	$1,063.00	—	49% below	55%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extrm W/O Dye	$478.35	$1,063.00	—	49% below	55%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extrem W/O Dye	$478.35	$1,063.00	—	—	55%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extrm W/O Dye	$478.35	$1,063.00	—	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Er-Echo Abdomen Limited	$431.10	$958.00	—	22% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo Abdomen Limited	$431.10	$958.00	—	22% below	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Er-Echo Abdomen Limited	$431.10	$958.00	—	—	55%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Echo Abdomen Limited	$431.10	$958.00	—	—	55%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Limited Joint Nonvasc	$238.50	$530.00	—	50% below	55%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Er-Us Limited Joint Nonvasc Lt	$238.50	$530.00	—	50% below	55%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Er-Us Limited Joint Nonvasc Rt	$238.50	$530.00	—	50% below	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Limited Joint Nonvasc	$238.50	$530.00	—	—	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Er-Us Limited Joint Nonvasc Lt	$238.50	$530.00	—	—	55%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Er-Us Limited Joint Nonvasc Rt	$238.50	$530.00	—	—	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C-	$126.90	$282.00	—	57% below	55%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Thorax Lung Cancer Scr C-	$126.90	$282.00	—	—	55%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xray Lower Leg 2 Views	$270.00	$600.00	—	1% below	55%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tibia/Fibula Rt 2 Views	$270.00	$600.00	—	1% below	55%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tibia/Fibula Lt 2 Views	$270.00	$600.00	—	1% below	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Xray Lower Leg 2 Views	$270.00	$600.00	—	—	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr Tibia/Fibula Lt 2 Views	$270.00	$600.00	—	—	55%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr Tibia/Fibula Rt 2 Views	$270.00	$600.00	—	—	55%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Dye	$860.85	$1,913.00	—	41% below	55%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Dye	$860.85	$1,913.00	—	—	55%
MRI of both breasts, without and then with contrast dye CPT 77049 Mri Breast Bil Wo&W Dye W Cad	$1,672.65	$3,717.00	—	57% below	55%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 Mri Breast Bil Wo&W Dye W Cad	$1,672.65	$3,717.00	—	—	55%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Joint Low Extrem W/O Dye	$736.65	$1,637.00	—	58% below	55%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Joint Low Extrem W/O Dye	$736.65	$1,637.00	—	—	55%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Joint Low Extr W/O &W/Dye	$1,352.25	$3,005.00	—	43% below	55%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Joint Low Extr W/O &W/Dye	$1,352.25	$3,005.00	—	—	55%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Dye	$774.00	$1,720.00	—	58% below	55%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen C-	$774.00	$1,720.00	—	58% below	55%
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Dye	$774.00	$1,720.00	—	—	55%
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen C-	$774.00	$1,720.00	—	—	55%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/O & W/Dye	$1,338.30	$2,974.00	—	42% below	55%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W/O & W/Dye	$1,338.30	$2,974.00	—	—	55%
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Dye	$677.25	$1,505.00	—	58% below	55%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Dye	$677.25	$1,505.00	—	—	55%
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/O & W/Dye	$1,230.75	$2,735.00	—	44% below	55%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/O & W/Dye	$1,230.75	$2,735.00	—	—	55%
MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Dye	$869.40	$1,932.00	—	48% below	55%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Dye	$869.40	$1,932.00	—	—	55%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W/O & W/Dye	$1,325.25	$2,945.00	—	43% below	55%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar Spine W/O & W/Dye	$1,325.25	$2,945.00	—	—	55%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/O Dye	$869.40	$1,932.00	—	48% below	55%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Thoracic Spine W/O Dye	$869.40	$1,932.00	—	—	55%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical Spine W/O &W/Dye	$1,051.65	$2,337.00	—	53% below	55%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cervical Spine W/O &W/Dye	$1,051.65	$2,337.00	—	—	55%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine W/O Dye	$690.75	$1,535.00	—	58% below	55%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Cervical Spine W/O Dye	$690.75	$1,535.00	—	—	55%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/O & W/Dye	$1,338.30	$2,974.00	—	32% below	55%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W/O & W/Dye	$1,338.30	$2,974.00	—	—	55%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Dye	$774.00	$1,720.00	—	49% below	55%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Dye	$774.00	$1,720.00	—	—	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Joint Upper Extrem W/O Dye	$736.65	$1,637.00	—	51% below	55%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Joint Upper Extrem W/O Dye	$736.65	$1,637.00	—	—	55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xray Cerv Spine 4-5 Views	$434.70	$966.00	—	3% below	55%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Rehab Xray Cerv Spine 4-5 View	$434.70	$966.00	—	3% below	55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Rehab Xray Cerv Spine 4-5 View	$434.70	$966.00	—	—	55%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xray Cerv Spine 4-5 Views	$434.70	$966.00	—	—	55%
Neck soft tissue CT scan with contrast CPT 70491 Ct Neck With Dye	$724.95	$1,611.00	—	39% below	55%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Neck With Dye	$724.95	$1,611.00	—	—	55%
Neck soft tissue CT scan without contrast CPT 70490 Ct Neck W/O Dye	$512.10	$1,138.00	—	44% below	55%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Neck W/O Dye	$512.10	$1,138.00	—	—	55%
Neck soft tissue X-ray CPT 70360 Xray Soft Tissue Neck	$332.10	$738.00	—	28% above	55%
Neck soft tissue X-ray inpatient CPT 70360 Xray Soft Tissue Neck	$332.10	$738.00	—	—	55%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Spect Multiple	$2,759.85	$6,133.00	—	31% below	55%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Spect Multiple	$2,759.85	$6,133.00	—	—	55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Sull Thigh Subsequent	$3,705.75	$8,235.00	—	24% below	55%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Skull Thigh Initial Tx	$3,705.75	$8,235.00	—	24% below	55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Sull Thigh Subsequent	$3,705.75	$8,235.00	—	—	55%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Skull Thigh Initial Tx	$3,705.75	$8,235.00	—	—	55%
Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O Dye	$565.65	$1,257.00	—	44% below	55%
Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O Dye	$565.65	$1,257.00	—	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Non Ob Limited	$283.95	$631.00	—	35% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Er-Us Pelvic Non Ob Limited	$283.95	$631.00	—	35% below	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Er-Us Pelvic Non Ob Limited	$283.95	$631.00	—	—	55%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Pelvic Non Ob Limited	$283.95	$631.00	—	—	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Non Ob Complete	$447.75	$995.00	—	11% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvis Non Ob Complete	$447.75	$995.00	—	11% below	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvis Non Ob Complete	$447.75	$995.00	—	—	55%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvic Non Ob Complete	$447.75	$995.00	—	—	55%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ob Us >= 14 Wks Sngl Fetus	$472.95	$1,051.00	—	21% below	55%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ob Us >= 14 Wks Sngl Fetus	$472.95	$1,051.00	—	—	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks Single Fetus	$309.15	$687.00	—	44% below	55%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Us < 14 Wks Single Fetus	$309.15	$687.00	—	—	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Us Limited Fetus(S)	$279.90	$622.00	—	41% below	55%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Us Limited Fetus(S)	$279.90	$622.00	—	—	55%
Rib X-ray, one side, 2 views CPT 71100 Rehab Xray Ribs 2 Views	$276.30	$614.00	—	9% below	55%
Rib X-ray, one side, 2 views CPT 71100 Xray Ribs 2 Views	$276.30	$614.00	—	9% below	55%
Rib X-ray, one side, 2 views inpatient CPT 71100 Xray Ribs 2 Views	$276.30	$614.00	—	—	55%
Rib X-ray, one side, 2 views inpatient CPT 71100 Rehab Xray Ribs 2 Views	$276.30	$614.00	—	—	55%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xray Ribs Unilat W/Pa Chest 3+	$397.35	$883.00	—	4% above	55%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xray Of Unilat Ribs/Chest	$397.35	$883.00	—	4% above	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Xray Ribs Unilat W/Pa Chest 3+	$397.35	$883.00	—	—	55%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Xray Of Unilat Ribs/Chest	$397.35	$883.00	—	—	55%
Screening mammogram, both breasts both sides CPT 77067 Mammo Screen W/Cad Bilat	$414.00	$920.00	—	—	55%
Screening mammogram, both breasts inpatient both sides CPT 77067 Mammo Screen W/Cad Bilat	$414.00	$920.00	—	—	55%
Shoulder X-ray, complete, 2 or more views CPT 73030 Rehab Xr Shoulder Complete	$261.90	$582.00	—	22% below	55%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xray Shoulder Complete	$261.90	$582.00	—	22% below	55%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Rehab Xr Shoulder Complete	$261.90	$582.00	—	—	55%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xray Shoulder Complete	$261.90	$582.00	—	—	55%
Sinus X-ray, complete, 3 or more views CPT 70220 Xray Sinuses Complete	$309.60	$688.00	—	14% below	55%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xray Sinuses Complete	$309.60	$688.00	—	—	55%
Skull X-ray, fewer than 4 views CPT 70250 Xray Skull <4 Views	$276.30	$614.00	—	4% below	55%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Xray Skull <4 Views	$276.30	$614.00	—	—	55%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+Parameters	$3,422.70	$7,606.00	—	5% below	55%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+Parameters	$3,422.70	$7,606.00	—	—	55%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete	$1,094.85	$2,433.00	—	47% below	55%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete	$1,094.85	$2,433.00	—	—	55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Rehab Video Swallowing	$665.55	$1,479.00	—	32% above	55%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Video Swallowing Function	$665.55	$1,479.00	—	32% above	55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Rehab Video Swallowing	$665.55	$1,479.00	—	—	55%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Video Swallowing Function	$665.55	$1,479.00	—	—	55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Xray Femur Min 2 Views	$302.85	$673.00	—	12% above	55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Rehab Xr Femur Min 2 Views	$302.85	$673.00	—	12% above	55%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Rehab Xray Femur Min 2 Views	$302.85	$673.00	—	12% above	55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Xray Femur Min 2 Views	$302.85	$673.00	—	—	55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Rehab Xray Femur Min 2 Views	$302.85	$673.00	—	—	55%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Rehab Xr Femur Min 2 Views	$302.85	$673.00	—	—	55%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic W/O Dye	$565.65	$1,257.00	—	38% below	55%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic W/O Dye	$565.65	$1,257.00	—	—	55%
Toe X-ray, 2 or more views CPT 73660 Xray Toe(S) Min 2 View	$265.50	$590.00	—	6% above	55%
Toe X-ray, 2 or more views CPT 73660 Xray Toes(S) Min 2 View	$265.50	$590.00	—	6% above	55%
Toe X-ray, 2 or more views CPT 73660 Rehab Xr Toe(S) Min 2 View	$265.50	$590.00	—	6% above	55%
Toe X-ray, 2 or more views inpatient CPT 73660 Rehab Xr Toe(S) Min 2 View	$265.50	$590.00	—	—	55%
Toe X-ray, 2 or more views inpatient CPT 73660 Xray Toes(S) Min 2 View	$265.50	$590.00	—	—	55%
Toe X-ray, 2 or more views inpatient CPT 73660 Xray Toe(S) Min 2 View	$265.50	$590.00	—	—	55%
Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal Non Ob	$447.75	$995.00	—	21% below	55%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal Non Ob	$447.75	$995.00	—	—	55%
Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal	$306.45	$681.00	—	39% below	55%
Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvagnial	$306.45	$681.00	—	39% below	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Ob Transvagnial	$306.45	$681.00	—	—	55%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Ob Transvaginal	$306.45	$681.00	—	—	55%
Ultrasound of the abdomen, complete CPT 76700 Us Abdomen Complete	$455.85	$1,013.00	—	27% below	55%
Ultrasound of the abdomen, complete CPT 76700 Us Abdominal Complete	$455.85	$1,013.00	—	27% below	55%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdomen Complete	$455.85	$1,013.00	—	—	55%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdominal Complete	$455.85	$1,013.00	—	—	55%
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum	$412.65	$917.00	—	23% below	55%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum	$412.65	$917.00	—	—	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Of Head And Neck	$388.35	$863.00	—	32% below	55%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Of Head And Neck	$388.35	$863.00	—	—	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xray Upper Gi W/O Kub	$565.65	$1,257.00	—	5% below	55%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xray Upper Gi W/O Kub	$565.65	$1,257.00	—	—	55%
Upper arm X-ray (humerus), 2 views CPT 73060 Xray Of Humerus	$344.25	$765.00	—	25% above	55%
Upper arm X-ray (humerus), 2 views CPT 73060 Rehab Xray Of Humerus	$344.25	$765.00	—	25% above	55%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Rehab Xray Of Humerus	$344.25	$765.00	—	—	55%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Xray Of Humerus	$344.25	$765.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Dplx Scan Vein Limited	$360.00	$800.00	—	51% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ue Venous Duplex Left	$360.00	$800.00	—	51% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dplx Scan Vein Limited Unilat	$360.00	$800.00	—	51% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Right	$360.00	$800.00	—	51% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Ue Venous Duplex Right	$360.00	$800.00	—	51% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Le Venous Duplex Left	$360.00	$800.00	—	51% below	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Dplx Scan Vein Limited	$360.00	$800.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Le Venous Duplex Left	$360.00	$800.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Ue Venous Duplex Left	$360.00	$800.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dplx Scan Vein Limited Unilat	$360.00	$800.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Ue Venous Duplex Right	$360.00	$800.00	—	—	55%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Le Venous Duplex Right	$360.00	$800.00	—	—	55%
Wrist X-ray, 2 views CPT 73100 Xray Wrist 2 Views	$265.05	$589.00	—	2% above	55%
Wrist X-ray, 2 views inpatient CPT 73100 Xray Wrist 2 Views	$265.05	$589.00	—	—	55%
Wrist X-ray, complete, 3 or more views CPT 73110 Rehab Xray Of Wrist	$351.45	$781.00	—	5% above	55%
Wrist X-ray, complete, 3 or more views CPT 73110 Xray Of Wrist	$351.45	$781.00	—	5% above	55%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Xray Of Wrist	$351.45	$781.00	—	—	55%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Rehab Xray Of Wrist	$351.45	$781.00	—	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xray Hip 2-3 View Unilateral	$309.60	$688.00	—	1% above	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Rehab Xr Hip 2-3 View Unilat	$309.60	$688.00	—	1% above	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Rehab Xr Hip 2-3 View Unilat	$309.60	$688.00	—	—	55%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xray Hip 2-3 View Unilateral	$309.60	$688.00	—	—	55%
X-ray of the abdomen, 1 view CPT 74018 Rehab Xr Abdomen 1 View	$285.75	$635.00	—	11% above	55%
X-ray of the abdomen, 1 view CPT 74018 Xray Abdomen 1 View	$285.75	$635.00	—	11% above	55%
X-ray of the abdomen, 1 view inpatient CPT 74018 Rehab Xr Abdomen 1 View	$285.75	$635.00	—	—	55%
X-ray of the abdomen, 1 view inpatient CPT 74018 Xray Abdomen 1 View	$285.75	$635.00	—	—	55%
X-ray of the ankle, 2 views CPT 73600 Xray Anlke 2 Views	$188.10	$418.00	—	24% below	55%
X-ray of the ankle, 2 views CPT 73600 Xray Ankle 2 Views	$188.10	$418.00	—	24% below	55%
X-ray of the ankle, 2 views inpatient CPT 73600 Xray Ankle 2 Views	$188.10	$418.00	—	—	55%
X-ray of the ankle, 2 views inpatient CPT 73600 Xray Anlke 2 Views	$188.10	$418.00	—	—	55%
X-ray of the finger(s), 2 or more views CPT 73140 Xray Of Finger (S)	$265.50	$590.00	—	3% above	55%
X-ray of the finger(s), 2 or more views CPT 73140 Xray Of Finger(S)	$265.50	$590.00	—	3% above	55%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Xray Of Finger (S)	$265.50	$590.00	—	—	55%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Xray Of Finger(S)	$265.50	$590.00	—	—	55%
X-ray of the foot, 2 views CPT 73620 Xray Foot 2 Views	$188.10	$418.00	—	19% below	55%
X-ray of the foot, 2 views inpatient CPT 73620 Xray Foot 2 Views	$188.10	$418.00	—	—	55%
X-ray of the foot, complete, 3 or more views CPT 73630 Xray Foot Min 3 Views	$276.30	$614.00	—	10% below	55%
X-ray of the foot, complete, 3 or more views CPT 73630 Rehab Xray Foot Min 3 Views	$276.30	$614.00	—	10% below	55%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Rehab Xray Foot Min 3 Views	$276.30	$614.00	—	—	55%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Xray Foot Min 3 Views	$276.30	$614.00	—	—	55%
X-ray of the hand, 3 or more views CPT 73130 Xray Hand Min 3 Views	$319.50	$710.00	—	2% below	55%
X-ray of the hand, 3 or more views CPT 73130 Rehab Xray Hand Min 3 Views	$319.50	$710.00	—	2% below	55%
X-ray of the hand, 3 or more views inpatient CPT 73130 Rehab Xray Hand Min 3 Views	$319.50	$710.00	—	—	55%
X-ray of the hand, 3 or more views inpatient CPT 73130 Xray Hand Min 3 Views	$319.50	$710.00	—	—	55%
X-ray of the knee, 1 or 2 views CPT 73560 Xray Knee 1-2 Views	$278.55	$619.00	—	2% above	55%
X-ray of the knee, 1 or 2 views CPT 73560 Rehab Xray Knee 1-2 Views	$278.55	$619.00	—	2% above	55%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Xray Knee 1-2 Views	$278.55	$619.00	—	—	55%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Rehab Xray Knee 1-2 Views	$278.55	$619.00	—	—	55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr Lumbosacral 2 Or 3 Views	$290.70	$646.00	—	10% below	55%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Rehab Xr Lumbosac 2-3 Views	$290.70	$646.00	—	10% below	55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Rehab Xr Lumbosac 2-3 Views	$290.70	$646.00	—	—	55%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xr Lumbosacral 2 Or 3 Views	$290.70	$646.00	—	—	55%
X-ray of the lower back, 4 or more views CPT 72110 Xr Spine Lumbar Min 4 Views	$417.15	$927.00	—	11% below	55%
X-ray of the lower back, 4 or more views CPT 72110 Rehab Xr Spine Lumbar Min 4	$417.15	$927.00	—	11% below	55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr Spine Lumbar Min 4 Views	$417.15	$927.00	—	—	55%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Rehab Xr Spine Lumbar Min 4	$417.15	$927.00	—	—	55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xray Spine Thoracic 2 Views	$278.55	$619.00	—	8% below	55%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Rehab Xray Spine Thor 2 Views	$278.55	$619.00	—	8% below	55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Rehab Xray Spine Thor 2 Views	$278.55	$619.00	—	—	55%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xray Spine Thoracic 2 Views	$278.55	$619.00	—	—	55%
X-ray of the nasal bones, 3 or more views CPT 70160 Xray Nasal Bones Complete	$356.40	$792.00	—	22% above	55%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xray Nasal Bones Complete	$356.40	$792.00	—	—	55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr Cerv Spine 2/3 Views	$278.55	$619.00	—	17% below	55%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Rehab Xr Cerv Spine 2/3 Views	$278.55	$619.00	—	17% below	55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xr Cerv Spine 2/3 Views	$278.55	$619.00	—	—	55%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Rehab Xr Cerv Spine 2/3 Views	$278.55	$619.00	—	—	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xray Pelivs 1 Or 2 Views	$240.75	$535.00	—	4% below	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 Rehab Xr Pelivs 1 Or 2 Views	$240.75	$535.00	—	4% below	55%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xray Pelvis 1 Or 2 Views	$240.75	$535.00	—	4% below	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xray Pelvis 1 Or 2 Views	$240.75	$535.00	—	—	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Rehab Xr Pelivs 1 Or 2 Views	$240.75	$535.00	—	—	55%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xray Pelivs 1 Or 2 Views	$240.75	$535.00	—	—	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/Coccyx Min 2 Views	$337.95	$751.00	—	14% above	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Rehab Xr Sacrum/Coccyx Min 2	$337.95	$751.00	—	14% above	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Rehab Xr Sacrum/Coccyx Min 2	$337.95	$751.00	—	—	55%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum/Coccyx Min 2 Views	$337.95	$751.00	—	—	55%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
ACTH blood test CPT 82024 Lab-Acth Serum	$66.60	$148.00	—	50% below	55%
ACTH blood test inpatient CPT 82024 Lab-Acth Serum	$66.60	$148.00	—	—	55%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Lab-Alt (Sgpt)	$26.55	$59.00	—	5% below	55%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Lab-Alt (Sgpt)	$26.55	$59.00	—	—	55%
AST (aspartate aminotransferase) enzyme test CPT 84450 Lab-Ast (Sgot)	$21.60	$48.00	—	14% below	55%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Lab-Ast (Sgot)	$21.60	$48.00	—	—	55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Lab-Panel Hepatitis Acute	$108.00	$240.00	—	50% below	55%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Noncdm Charge Record	$108.00	$240.00	—	50% below	55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Noncdm Charge Record	$108.00	$240.00	—	—	55%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Lab-Panel Hepatitis Acute	$108.00	$240.00	—	—	55%
Albumin blood test CPT 82040 Lab-Albumin	$17.10	$38.00	—	23% below	55%
Albumin blood test inpatient CPT 82040 Lab-Albumin	$17.10	$38.00	—	—	55%
Aldosterone blood test CPT 82088 Lab-Aldosterone Serum	$94.95	$211.00	—	32% below	55%
Aldosterone blood test inpatient CPT 82088 Lab-Aldosterone Serum	$94.95	$211.00	—	—	55%
Alkaline phosphatase (ALP) blood test CPT 84075 Lab-Phosphatase Alkaline	$18.90	$42.00	—	21% below	55%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Lab-Phosphatase Alkaline	$18.90	$42.00	—	—	55%
Alpha-fetoprotein (AFP) blood test CPT 82105 Lab-A-Fetoprotein Serum	$43.65	$97.00	—	28% below	55%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Lab-A-Fetoprotein Serum	$43.65	$97.00	—	—	55%
Ammonia blood test CPT 82140 Lab-Ammonia Blood	$56.25	$125.00	—	3% above	55%
Ammonia blood test inpatient CPT 82140 Lab-Ammonia Blood	$56.25	$125.00	—	—	55%
Amylase blood test CPT 82150 Lab-Amylase Serum	$39.60	$88.00	—	17% below	55%
Amylase blood test CPT 82150 Lab-Amylase Urine	$39.60	$88.00	—	17% below	55%
Amylase blood test inpatient CPT 82150 Lab-Amylase Serum	$39.60	$88.00	—	—	55%
Amylase blood test inpatient CPT 82150 Lab-Amylase Urine	$39.60	$88.00	—	—	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Lab Ccp Ab	$8.10	$18.00	—	86% below	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Noncdm Charge Record	$31.50	$70.00	—	46% below	55%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Lab-Ccp Ab	$31.50	$70.00	—	46% below	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Lab Ccp Ab	$8.10	$18.00	—	—	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Lab-Ccp Ab	$31.50	$70.00	—	—	55%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Noncdm Charge Record	$31.50	$70.00	—	—	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Lab-Ana Screen*	$9.90	$22.00	—	82% below	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Noncdm Charge Record	$81.45	$181.00	—	47% above	55%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Lab-Ana Screen	$81.45	$181.00	—	47% above	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lab-Ana Screen*	$9.90	$22.00	—	—	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Noncdm Charge Record	$81.45	$181.00	—	—	55%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Lab-Ana Screen	$81.45	$181.00	—	—	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Lab-N Terminal Pro Bnp	$82.80	$184.00	—	45% below	55%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Lab-Natriuretic Peptide Bnp	$82.80	$184.00	—	45% below	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Lab-Natriuretic Peptide Bnp	$82.80	$184.00	—	—	55%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Lab-N Terminal Pro Bnp	$82.80	$184.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Culture Dialysis Water	$18.90	$42.00	—	71% below	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Culture Aerobic	$78.30	$174.00	—	19% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Culture Bronch Quant	$78.30	$174.00	—	19% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Culture Dialysis Fluid	$78.30	$174.00	—	19% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Reference Culture Ident	$78.30	$174.00	—	19% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Culture Respiratory	$78.30	$174.00	—	19% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Culture Spinal Fld	$78.30	$174.00	—	19% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lab-Genital Gc/Ureaplasma	$78.30	$174.00	—	19% above	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Culture Dialysis Water	$18.90	$42.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Culture Bronch Quant	$78.30	$174.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Genital Gc/Ureaplasma	$78.30	$174.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Culture Aerobic	$78.30	$174.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Culture Spinal Fld	$78.30	$174.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Culture Respiratory	$78.30	$174.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Reference Culture Ident	$78.30	$174.00	—	—	55%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lab-Culture Dialysis Fluid	$78.30	$174.00	—	—	55%
Basic metabolic panel (blood test) CPT 80048 Lab-Panel Basic Metabolic	$46.80	$104.00	—	29% below	55%
Basic metabolic panel (blood test) inpatient CPT 80048 Lab-Panel Basic Metabolic	$46.80	$104.00	—	—	55%
Bilirubin blood test, total CPT 82247 Lab-Bilirubin Total	$23.85	$53.00	—	1% below	55%
Bilirubin blood test, total inpatient CPT 82247 Lab-Bilirubin Total	$23.85	$53.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Noncdm Charge Record	$115.20	$256.00	—	43% below	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lab-Bone M Aspir Processing	$142.65	$317.00	—	30% below	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lab-Bone M Biopsy Processing	$142.65	$317.00	—	30% below	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lab-Cell Block Screen	$142.65	$317.00	—	30% below	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lab-Sur Path Level 4	$142.65	$317.00	—	30% below	55%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lab-Sat Bx Prostate	$1,405.80	$3,124.00	—	591% above	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Noncdm Charge Record	$115.20	$256.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lab-Sur Path Level 4	$142.65	$317.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lab-Bone M Aspir Processing	$142.65	$317.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lab-Bone M Biopsy Processing	$142.65	$317.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lab-Cell Block Screen	$142.65	$317.00	—	—	55%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lab-Sat Bx Prostate	$1,405.80	$3,124.00	—	—	55%
Blood culture for bacteria CPT 87040 Lab-Culture Blood	$89.10	$198.00	—	5% below	55%
Blood culture for bacteria inpatient CPT 87040 Lab-Culture Blood	$89.10	$198.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Er-Venipuncture	$13.05	$29.00	—	18% below	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Rehab Venipuncture	$13.05	$29.00	—	18% below	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Lab-Venipuncture	$13.05	$29.00	—	18% below	55%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$13.05	$29.00	—	18% below	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Lab-Venipuncture	$13.05	$29.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Er-Venipuncture	$13.05	$29.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Rehab Venipuncture	$13.05	$29.00	—	—	55%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$13.05	$29.00	—	—	55%
Blood glucose (sugar) test CPT 82947 Lab-Glucose Serum	$18.90	$42.00	—	20% below	55%
Blood glucose (sugar) test CPT 82947 Lab-Glucose	$18.90	$42.00	—	20% below	55%
Blood glucose (sugar) test inpatient CPT 82947 Lab-Glucose	$18.90	$42.00	—	—	55%
Blood glucose (sugar) test inpatient CPT 82947 Lab-Glucose Serum	$18.90	$42.00	—	—	55%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Lab-Pregnancy Serum Qualitativ	$51.30	$114.00	—	6% below	55%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Lab-Pregnancy Serum Qualitativ	$51.30	$114.00	—	—	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Lab-Abo Group	$31.50	$70.00	—	47% below	55%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Lab-Abo Group Au	$31.50	$70.00	—	47% below	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Lab-Abo Group	$31.50	$70.00	—	—	55%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Lab-Abo Group Au	$31.50	$70.00	—	—	55%
Blood urea nitrogen (BUN) test CPT 84520 Lab-Blood Urea Nitrogen	$18.90	$42.00	—	19% below	55%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Lab-Blood Urea Nitrogen	$18.90	$42.00	—	—	55%
C-peptide blood test CPT 84681 Lab-C-Peptide	$48.60	$108.00	—	39% below	55%
C-peptide blood test inpatient CPT 84681 Lab-C-Peptide	$48.60	$108.00	—	—	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Lab-C-Reactive Protein	$52.65	$117.00	—	5% above	55%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Lab-C-Reactive Protein	$52.65	$117.00	—	—	55%
C. difficile toxin gene test (stool PCR) CPT 87493 Lab-C Diff Cepheid	$39.15	$87.00	—	70% below	55%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Lab-C Diff Cepheid	$39.15	$87.00	—	—	55%
CA 19-9 blood test (tumor marker) CPT 86301 Lab-Ca 19-9 Tumor Ag	$26.55	$59.00	—	64% below	55%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Lab-Ca 19-9 Tumor Ag	$26.55	$59.00	—	—	55%
CA-125 blood test (ovarian cancer marker) CPT 86304 Lab-Ca 125	$90.90	$202.00	—	3% below	55%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Lab-Ca 125	$90.90	$202.00	—	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Er-Lab Covid-19 Poc	$36.45	$81.00	—	74% below	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Lab-Sars Cov-2 Covid 19	$67.05	$149.00	—	52% below	55%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Lab-Sars Cov-2 Covid-19	$67.05	$149.00	—	52% below	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Er-Lab Covid-19 Poc	$36.45	$81.00	—	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Lab-Sars Cov-2 Covid-19	$67.05	$149.00	—	—	55%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Lab-Sars Cov-2 Covid 19	$67.05	$149.00	—	—	55%
Calcium blood test, total CPT 82310 Lab-Calcium Serum	$26.55	$59.00	—	16% below	55%
Calcium blood test, total inpatient CPT 82310 Lab-Calcium Serum	$26.55	$59.00	—	—	55%
Carcinoembryonic antigen (CEA) test CPT 82378 Lab-Cea Assay	$75.15	$167.00	—	14% below	55%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Lab-Cea Assay	$75.15	$167.00	—	—	55%
Chickenpox (varicella) immunity blood test CPT 86787 Lab-Varicella Im Status	$34.20	$76.00	—	41% below	55%
Chickenpox (varicella) immunity blood test CPT 86787 Noncdm Charge Record	$34.20	$76.00	—	41% below	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Lab-Varicella Im Status	$34.20	$76.00	—	—	55%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Noncdm Charge Record	$34.20	$76.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Lab C. Trachomatis Pcr	$10.35	$23.00	—	89% below	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Lab-Chlmyd Trach Dna Amp Probe	$23.85	$53.00	—	74% below	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Noncdm Charge Record	$94.05	$209.00	—	2% above	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Lab-C Trachomatis Pcr	$94.05	$209.00	—	2% above	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Lab C. Trachomatis Pcr	$10.35	$23.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Lab-Chlmyd Trach Dna Amp Probe	$23.85	$53.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Lab-C Trachomatis Pcr	$94.05	$209.00	—	—	55%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Noncdm Charge Record	$94.05	$209.00	—	—	55%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lab-Panel Lipid	$49.95	$111.00	—	6% below	55%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lab-Panel Lipid	$49.95	$111.00	—	—	55%
Complete blood count (CBC) with differential CPT 85025 Lab-Cbc W/Differential	$43.65	$97.00	—	20% above	55%
Complete blood count (CBC) with differential inpatient CPT 85025 Lab-Cbc W/Differential	$43.65	$97.00	—	—	55%
Complete blood count (CBC), no differential CPT 85027 Lab-Hemogram/Platelets	$33.30	$74.00	—	2% below	55%
Complete blood count (CBC), no differential inpatient CPT 85027 Lab-Hemogram/Platelets	$33.30	$74.00	—	—	55%
Comprehensive metabolic panel (blood test) CPT 80053 Lab-Panel Comp Metabolic	$72.00	$160.00	—	13% above	55%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Lab-Panel Comp Metabolic	$72.00	$160.00	—	—	55%
Cortisol blood test, total CPT 82533 Lab-Cortisol Plasma	$57.15	$127.00	—	21% below	55%
Cortisol blood test, total inpatient CPT 82533 Lab-Cortisol Plasma	$57.15	$127.00	—	—	55%
Creatine kinase (CK) blood test, total CPT 82550 Lab-Ck Total	$21.15	$47.00	—	40% below	55%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Lab-Ck Total	$21.15	$47.00	—	—	55%
Creatinine blood test CPT 82565 Creatinine Poc Service	$25.20	$56.00	—	2% above	55%
Creatinine blood test CPT 82565 Lab-Creatinine Serum	$25.20	$56.00	—	2% above	55%
Creatinine blood test inpatient CPT 82565 Lab-Creatinine Serum	$25.20	$56.00	—	—	55%
Creatinine blood test inpatient CPT 82565 Creatinine Poc Service	$25.20	$56.00	—	—	55%
Cytomegalovirus (CMV) antibody test CPT 86644 Lab-Cmv Ab Titer+Igm* (+86645)	$10.80	$24.00	—	84% below	55%
Cytomegalovirus (CMV) antibody test CPT 86644 Lab-Cmv Ab Titer	$84.60	$188.00	—	23% above	55%
Cytomegalovirus (CMV) antibody test CPT 86644 Noncdm Charge Record	$84.60	$188.00	—	23% above	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Lab-Cmv Ab Titer+Igm* (+86645)	$10.80	$24.00	—	—	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Lab-Cmv Ab Titer	$84.60	$188.00	—	—	55%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Noncdm Charge Record	$84.60	$188.00	—	—	55%
D-dimer blood test (blood clot marker) CPT 85379 Lab-D-Dimer	$12.60	$28.00	—	82% below	55%
D-dimer blood test (blood clot marker) CPT 85379 Lab-D-Dimer High Sens Er Only	$28.80	$64.00	—	59% below	55%
D-dimer blood test (blood clot marker) CPT 85379 Lab-D Dimer High Sensitivity	$46.80	$104.00	—	33% below	55%
D-dimer blood test (blood clot marker) CPT 85379 Lab-D Dimer	$46.80	$104.00	—	33% below	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Lab-D-Dimer	$12.60	$28.00	—	—	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Lab-D-Dimer High Sens Er Only	$28.80	$64.00	—	—	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Lab-D Dimer	$46.80	$104.00	—	—	55%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Lab-D Dimer High Sensitivity	$46.80	$104.00	—	—	55%
DHEA sulfate (DHEA-S) blood test CPT 82627 Lab-Dhea Sulfate	$51.30	$114.00	—	48% below	55%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Lab-Dhea Sulfate	$51.30	$114.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lab-Urine Drug Screen	$63.00	$140.00	—	34% below	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lab-Oxycodone Urine	$67.50	$150.00	—	29% below	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lab-Fentanyl Urine	$67.50	$150.00	—	29% below	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lab-Drug Screen Per Dos	$132.75	$295.00	—	39% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Anlyzr	$132.75	$295.00	—	39% above	55%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lab-Cocaine Urine Screen	$132.75	$295.00	—	39% above	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lab-Urine Drug Screen	$63.00	$140.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lab-Oxycodone Urine	$67.50	$150.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lab-Fentanyl Urine	$67.50	$150.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lab-Drug Screen Per Dos	$132.75	$295.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lab-Cocaine Urine Screen	$132.75	$295.00	—	—	55%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Chem Anlyzr	$132.75	$295.00	—	—	55%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Lab-Panel Electrolytes	$35.55	$79.00	—	25% below	55%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Lab-Panel Electrolytes	$35.55	$79.00	—	—	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 Lab-Ebv Ab Titer+Igm* (+86665)	$8.55	$19.00	—	87% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 Lab-Ebv Ab Titer Au	$58.95	$131.00	—	9% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 Lab-Ebv Ab Titer* Au	$58.95	$131.00	—	9% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 Noncdm Charge Record	$58.95	$131.00	—	9% below	55%
Epstein-Barr virus (EBV) antibody test CPT 86665 Lab-Ebv Ab Titer Igm	$58.95	$131.00	—	9% below	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Lab-Ebv Ab Titer+Igm* (+86665)	$8.55	$19.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Lab-Ebv Ab Titer Igm	$58.95	$131.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Lab-Ebv Ab Titer* Au	$58.95	$131.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Noncdm Charge Record	$58.95	$131.00	—	—	55%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Lab-Ebv Ab Titer Au	$58.95	$131.00	—	—	55%
Estradiol blood test CPT 82670 Lab-Estradiol E2 Serum	$81.00	$180.00	—	28% below	55%
Estradiol blood test inpatient CPT 82670 Lab-Estradiol E2 Serum	$81.00	$180.00	—	—	55%
FSH (follicle-stimulating hormone) test CPT 83001 Lab-Fsh Follicle Stim	$93.15	$207.00	—	9% above	55%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Lab-Fsh Follicle Stim	$93.15	$207.00	—	—	55%
Fecal calprotectin (stool inflammation test) CPT 83993 Lab-Fecal Calprotectin	$15.75	$35.00	—	89% below	55%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Lab-Fecal Calprotectin	$15.75	$35.00	—	—	55%
Ferritin blood test (iron stores) CPT 82728 Lab-Ferritin Serum	$59.85	$133.00	—	21% below	55%
Ferritin blood test (iron stores) inpatient CPT 82728 Lab-Ferritin Serum	$59.85	$133.00	—	—	55%
Fibrinogen blood test CPT 85384 Lab-K-Pltm (Fibrinogen)	$40.50	$90.00	—	10% below	55%
Fibrinogen blood test CPT 85384 Lab-Fibrinogen	$40.50	$90.00	—	10% below	55%
Fibrinogen blood test CPT 85384 Lab-K-Ckh (Fibrinogen)	$40.50	$90.00	—	10% below	55%
Fibrinogen blood test CPT 85384 Lab-K-Rth (Fibrinogen)	$40.50	$90.00	—	10% below	55%
Fibrinogen blood test CPT 85384 Lab-K-Ckt (Fibrinogen)	$40.50	$90.00	—	10% below	55%
Fibrinogen blood test CPT 85384 Lab-Ma-Pltmh (Plt Agg)	$64.35	$143.00	—	43% above	55%
Fibrinogen blood test CPT 85384 Lab-K-Pltmh (Fibrinogen)	$64.35	$143.00	—	43% above	55%
Fibrinogen blood test one side CPT 85384 Lab-K-Rt (Fibrinogen)	$40.50	$90.00	—	10% below	55%
Fibrinogen blood test inpatient CPT 85384 Lab-K-Ckh (Fibrinogen)	$40.50	$90.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 Lab-K-Rth (Fibrinogen)	$40.50	$90.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 Lab-K-Ckt (Fibrinogen)	$40.50	$90.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 Lab-K-Pltm (Fibrinogen)	$40.50	$90.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 Lab-Fibrinogen	$40.50	$90.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 Lab-K-Pltmh (Fibrinogen)	$64.35	$143.00	—	—	55%
Fibrinogen blood test inpatient CPT 85384 Lab-Ma-Pltmh (Plt Agg)	$64.35	$143.00	—	—	55%
Fibrinogen blood test inpatient one side CPT 85384 Lab-K-Rt (Fibrinogen)	$40.50	$90.00	—	—	55%
Folate (folic acid) blood test CPT 82746 Lab-Folate	$56.25	$125.00	—	17% below	55%
Folate (folic acid) blood test inpatient CPT 82746 Lab-Folate	$56.25	$125.00	—	—	55%
Free T3 thyroid hormone test CPT 84481 Lab-T-3 Free	$36.90	$82.00	—	51% below	55%
Free T3 thyroid hormone test inpatient CPT 84481 Lab-T-3 Free	$36.90	$82.00	—	—	55%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Lab-T-4 Free	$59.40	$132.00	—	40% above	55%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Lab-T-4 Free	$59.40	$132.00	—	—	55%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Lab-Gamma Gt (Ggt)	$31.05	$69.00	—	27% below	55%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Lab-Gamma Gt (Ggt)	$31.05	$69.00	—	—	55%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Lab-General Health Panel	$168.30	$374.00	—	24% below	55%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 Lab-General Health Panel	$168.30	$374.00	—	—	55%
Glucose tolerance test, 3 samples CPT 82951 Lab-Gtt (3 Specimens)	$63.00	$140.00	—	6% below	55%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lab-Gtt (3 Specimens)	$63.00	$140.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Lab N. Gonorrhoeae Pcr *	$10.35	$23.00	—	89% below	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Lab-Neisseria Gonorrhoeae Pcr	$23.85	$53.00	—	74% below	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Noncdm Charge Record	$94.05	$209.00	—	1% above	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Lab-N Gonorrhoeae Pcr	$94.05	$209.00	—	1% above	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Lab N. Gonorrhoeae Pcr *	$10.35	$23.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Lab-Neisseria Gonorrhoeae Pcr	$23.85	$53.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Lab-N Gonorrhoeae Pcr	$94.05	$209.00	—	—	55%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Noncdm Charge Record	$94.05	$209.00	—	—	55%
H. pylori antibody blood test CPT 86677 Lab-Helicobacter Pylori Ab*	$7.20	$16.00	—	90% below	55%
H. pylori antibody blood test CPT 86677 Noncdm Charge Record	$45.00	$100.00	—	40% below	55%
H. pylori antibody blood test CPT 86677 Lab-Helicobacter Pylori Ab	$45.00	$100.00	—	40% below	55%
H. pylori antibody blood test inpatient CPT 86677 Lab-Helicobacter Pylori Ab*	$7.20	$16.00	—	—	55%
H. pylori antibody blood test inpatient CPT 86677 Lab-Helicobacter Pylori Ab	$45.00	$100.00	—	—	55%
H. pylori antibody blood test inpatient CPT 86677 Noncdm Charge Record	$45.00	$100.00	—	—	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Lab-Hiv 1/2	$37.80	$84.00	—	49% below	55%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Lab-Hiv 1/2	$37.80	$84.00	—	—	55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Noncdm Charge Record	$85.05	$189.00	—	28% below	55%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Lab-Hpv Screen	$85.05	$189.00	—	28% below	55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Lab-Hpv Screen	$85.05	$189.00	—	—	55%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Noncdm Charge Record	$85.05	$189.00	—	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hgb A1C Poc	$39.15	$87.00	—	14% below	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Lab-Glycosylated Hemoglob	$50.85	$113.00	—	12% above	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hgb A1C Poc	$39.15	$87.00	—	—	55%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Lab-Glycosylated Hemoglob	$50.85	$113.00	—	—	55%
Hemoglobin blood test CPT 85018 Hemoglobin Bedside	$12.60	$28.00	—	22% below	55%
Hemoglobin blood test CPT 85018 Lab-Hemoglobin	$12.60	$28.00	—	22% below	55%
Hemoglobin blood test inpatient CPT 85018 Lab-Hemoglobin	$12.60	$28.00	—	—	55%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Bedside	$12.60	$28.00	—	—	55%
Hepatitis B core antibody test (total) CPT 86704 Lab-Hepatitis B Core Ab-Total	$8.10	$18.00	—	85% below	55%
Hepatitis B core antibody test (total) inpatient CPT 86704 Lab-Hepatitis B Core Ab-Total	$8.10	$18.00	—	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Noncdm Charge Record	$53.55	$119.00	—	11% above	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Lab-Hep B Surface Ab	$53.55	$119.00	—	11% above	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Noncdm Charge Record	$53.55	$119.00	—	—	55%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Lab-Hep B Surface Ab	$53.55	$119.00	—	—	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Noncdm Charge Record	$46.35	$103.00	—	2% below	55%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Lab-Hep B Surface Ag	$46.35	$103.00	—	2% below	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Noncdm Charge Record	$46.35	$103.00	—	—	55%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Lab-Hep B Surface Ag	$46.35	$103.00	—	—	55%
Hepatitis C antibody blood test (screening) CPT 86803 Noncdm Charge Record	$55.35	$123.00	—	14% below	55%
Hepatitis C antibody blood test (screening) CPT 86803 Lab-Hep C Ab	$55.35	$123.00	—	14% below	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Lab-Hep C Ab	$55.35	$123.00	—	—	55%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Noncdm Charge Record	$55.35	$123.00	—	—	55%
High-sensitivity CRP (hs-CRP) test CPT 86141 Lab-C-React Protein High Sens	$41.85	$93.00	—	38% below	55%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Lab-C-React Protein High Sens	$41.85	$93.00	—	—	55%
Homocysteine blood test CPT 83090 Lab-Homocystine	$54.45	$121.00	—	32% below	55%
Homocysteine blood test inpatient CPT 83090 Lab-Homocystine	$54.45	$121.00	—	—	55%
Insulin blood test CPT 83525 Lab-Insulin Assay	$44.55	$99.00	—	13% below	55%
Insulin blood test inpatient CPT 83525 Lab-Insulin Assay	$44.55	$99.00	—	—	55%
Iron blood test (serum iron) CPT 83540 Lab-Iron Total	$31.05	$69.00	—	18% below	55%
Iron blood test (serum iron) inpatient CPT 83540 Lab-Iron Total	$31.05	$69.00	—	—	55%
Iron-binding capacity (TIBC) test CPT 83550 Lab-Iron Binding Capacity	$28.35	$63.00	—	27% below	55%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Lab-Iron Binding Capacity	$28.35	$63.00	—	—	55%
Kidney function blood test panel CPT 80069 Lab-Renal Function Panel	$50.85	$113.00	—	29% below	55%
Kidney function blood test panel inpatient CPT 80069 Lab-Renal Function Panel	$50.85	$113.00	—	—	55%
LH (luteinizing hormone) test CPT 83002 Lab-Lh Luteinizing Hormone	$80.10	$178.00	—	16% below	55%
LH (luteinizing hormone) test inpatient CPT 83002 Lab-Lh Luteinizing Hormone	$80.10	$178.00	—	—	55%
Lactate (lactic acid) blood test CPT 83605 Lab-Lactic Acid	$51.30	$114.00	—	1% below	55%
Lactate (lactic acid) blood test inpatient CPT 83605 Lab-Lactic Acid	$51.30	$114.00	—	—	55%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lab-Ld Total	$26.55	$59.00	—	3% below	55%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lab-Ld Total	$26.55	$59.00	—	—	55%
Lipase blood test (pancreas enzyme) CPT 83690 Lab-Lipase Serum	$34.20	$76.00	—	41% below	55%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lab-Lipase Serum	$34.20	$76.00	—	—	55%
Liver function blood test panel CPT 80076 Lab-Panel Hepatic Function	$35.55	$79.00	—	41% below	55%
Liver function blood test panel inpatient CPT 80076 Lab-Panel Hepatic Function	$35.55	$79.00	—	—	55%
Magnesium blood test CPT 83735 Lab-Magnesium Serum	$32.85	$73.00	—	3% below	55%
Magnesium blood test inpatient CPT 83735 Lab-Magnesium Serum	$32.85	$73.00	—	—	55%
Measles (rubeola) antibody test CPT 86765 Lab-Rubeola Ab*	$6.75	$15.00	—	88% below	55%
Measles (rubeola) antibody test CPT 86765 Lab-Rubeola Ab	$47.70	$106.00	—	16% below	55%
Measles (rubeola) antibody test CPT 86765 Noncdm Charge Record	$47.70	$106.00	—	16% below	55%
Measles (rubeola) antibody test inpatient CPT 86765 Lab-Rubeola Ab*	$6.75	$15.00	—	—	55%
Measles (rubeola) antibody test inpatient CPT 86765 Noncdm Charge Record	$47.70	$106.00	—	—	55%
Measles (rubeola) antibody test inpatient CPT 86765 Lab-Rubeola Ab	$47.70	$106.00	—	—	55%
Mono test (heterophile antibody, Monospot) CPT 86308 Lab-Monolatex	$60.30	$134.00	—	13% above	55%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Lab-Monolatex	$60.30	$134.00	—	—	55%
Mumps immunity blood test CPT 86735 Lab-Mumps Ab*	$4.95	$11.00	—	92% below	55%
Mumps immunity blood test CPT 86735 Noncdm Charge Record	$29.25	$65.00	—	50% below	55%
Mumps immunity blood test CPT 86735 Lab-Mumps Ab	$29.25	$65.00	—	50% below	55%
Mumps immunity blood test inpatient CPT 86735 Lab-Mumps Ab*	$4.95	$11.00	—	—	55%
Mumps immunity blood test inpatient CPT 86735 Noncdm Charge Record	$29.25	$65.00	—	—	55%
Mumps immunity blood test inpatient CPT 86735 Lab-Mumps Ab	$29.25	$65.00	—	—	55%
PSA (prostate-specific antigen) blood test, total CPT 84153 Lab-Prostatic Antigen	$57.60	$128.00	—	27% below	55%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Lab-Prostatic Antigen	$57.60	$128.00	—	—	55%
Pap test (liquid-based, automated screening with review) CPT 88175 Noncdm Charge Record	$79.65	$177.00	—	18% below	55%
Pap test (liquid-based, automated screening with review) CPT 88175 Lab-Gyn Cytopathology Auto	$98.55	$219.00	—	1% above	55%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Noncdm Charge Record	$79.65	$177.00	—	—	55%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Lab-Gyn Cytopathology Auto	$98.55	$219.00	—	—	55%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Noncdm Charge Record	$69.30	$154.00	—	24% below	55%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Lab-Pap Smear Liq-Based Method	$85.95	$191.00	—	6% below	55%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Noncdm Charge Record	$69.30	$154.00	—	—	55%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Lab-Pap Smear Liq-Based Method	$85.95	$191.00	—	—	55%
Parathyroid hormone (PTH) blood test CPT 83970 Lab-Pth Bio-Intact	$87.30	$194.00	—	38% below	55%
Parathyroid hormone (PTH) blood test CPT 83970 Lab-Pth Intraoperative	$111.15	$247.00	—	22% below	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Lab-Pth Bio-Intact	$87.30	$194.00	—	—	55%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Lab-Pth Intraoperative	$111.15	$247.00	—	—	55%
Partial thromboplastin time (PTT) clotting test CPT 85730 Lab-Aptt (P.Thrombin Time)	$28.80	$64.00	—	23% below	55%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lab-Aptt (P.Thrombin Time)	$28.80	$64.00	—	—	55%
Phosphorus (phosphate) blood test CPT 84100 Lab-Phosphorus Serum	$23.40	$52.00	—	35% below	55%
Phosphorus (phosphate) blood test inpatient CPT 84100 Lab-Phosphorus Serum	$23.40	$52.00	—	—	55%
Potassium blood test CPT 84132 Lab-Potassium Serum	$21.60	$48.00	—	7% below	55%
Potassium blood test CPT 84132 Potassium Bedside	$22.95	$51.00	—	2% below	55%
Potassium blood test inpatient CPT 84132 Lab-Potassium Serum	$21.60	$48.00	—	—	55%
Potassium blood test inpatient CPT 84132 Potassium Bedside	$22.95	$51.00	—	—	55%
Progesterone blood test CPT 84144 Lab-Progesterone Serum	$72.00	$160.00	—	11% below	55%
Progesterone blood test inpatient CPT 84144 Lab-Progesterone Serum	$72.00	$160.00	—	—	55%
Prolactin blood test CPT 84146 Lab-Prolactin Serum	$106.20	$236.00	—	22% above	55%
Prolactin blood test inpatient CPT 84146 Lab-Prolactin Serum	$106.20	$236.00	—	—	55%
Prothrombin time (PT/INR) clotting test CPT 85610 Rehab Prothrom Time	$21.15	$47.00	—	12% below	55%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$21.15	$47.00	—	12% below	55%
Prothrombin time (PT/INR) clotting test CPT 85610 Lab-Prothrombin Time	$21.15	$47.00	—	12% below	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$21.15	$47.00	—	—	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Lab-Prothrombin Time	$21.15	$47.00	—	—	55%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Rehab Prothrom Time	$21.15	$47.00	—	—	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Lab-Beta Strep Ag Scrn	$34.20	$76.00	—	40% below	55%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Lab-Strep A Screen	$34.20	$76.00	—	40% below	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Lab-Strep A Screen	$34.20	$76.00	—	—	55%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Lab-Beta Strep Ag Scrn	$34.20	$76.00	—	—	55%
Rh blood typing CPT 86901 Lab-Rh Type	$31.95	$71.00	—	14% below	55%
Rh blood typing inpatient CPT 86901 Lab-Rh Type	$31.95	$71.00	—	—	55%
Rheumatoid factor (RF) test CPT 86431 Lab-Rf Igm Ab	$5.40	$12.00	—	84% below	55%
Rheumatoid factor (RF) test CPT 86431 Noncdm Charge Record	$35.55	$79.00	—	7% above	55%
Rheumatoid factor (RF) test CPT 86431 Lab-Rheumatoid Fac/Screen	$35.55	$79.00	—	7% above	55%
Rheumatoid factor (RF) test inpatient CPT 86431 Lab-Rf Igm Ab	$5.40	$12.00	—	—	55%
Rheumatoid factor (RF) test inpatient CPT 86431 Lab-Rheumatoid Fac/Screen	$35.55	$79.00	—	—	55%
Rheumatoid factor (RF) test inpatient CPT 86431 Noncdm Charge Record	$35.55	$79.00	—	—	55%
Rubella antibody test (immunity check) CPT 86762 Lab-Rubella Immune Status	$49.95	$111.00	—	2% above	55%
Rubella antibody test (immunity check) CPT 86762 Noncdm Charge Record	$49.95	$111.00	—	2% above	55%
Rubella antibody test (immunity check) inpatient CPT 86762 Noncdm Charge Record	$49.95	$111.00	—	—	55%
Rubella antibody test (immunity check) inpatient CPT 86762 Lab-Rubella Immune Status	$49.95	$111.00	—	—	55%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Lab-Sedimentation Rate	$22.50	$50.00	—	41% below	55%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Lab-Sedimentation Rate	$22.50	$50.00	—	—	55%
Sodium blood test CPT 84295 Lab-Sodium Serum	$21.60	$48.00	—	21% below	55%
Sodium blood test CPT 84295 Sodium Bedside	$22.95	$51.00	—	16% below	55%
Sodium blood test inpatient CPT 84295 Lab-Sodium Serum	$21.60	$48.00	—	—	55%
Sodium blood test inpatient CPT 84295 Sodium Bedside	$22.95	$51.00	—	—	55%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Lab-Occult Blood Fecal	$18.00	$40.00	—	38% below	55%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Lab-Occult Blood Fecal	$18.00	$40.00	—	—	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Lab-Fecal Immunocult Tst (Fit)	$15.75	$35.00	—	71% below	55%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Lab-Immuno Fecal Blood	$36.90	$82.00	—	31% below	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Lab-Fecal Immunocult Tst (Fit)	$15.75	$35.00	—	—	55%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Lab-Immuno Fecal Blood	$36.90	$82.00	—	—	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 Lab-Fta-Abs*	$6.75	$15.00	—	88% below	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 Lab-Antibdy Treponema Pallidum	$9.00	$20.00	—	84% below	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 Noncdm Charge Record	$69.30	$154.00	—	20% above	55%
Syphilis antibody test (Treponema pallidum) CPT 86780 Lab-Fta-Abs	$69.30	$154.00	—	20% above	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Lab-Fta-Abs*	$6.75	$15.00	—	—	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Lab-Antibdy Treponema Pallidum	$9.00	$20.00	—	—	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Lab-Fta-Abs	$69.30	$154.00	—	—	55%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Noncdm Charge Record	$69.30	$154.00	—	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Lab-Vdrl/Rpr Screen*	$5.40	$12.00	—	77% below	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Lab-Vdrl/Rpr Screen	$32.40	$72.00	—	36% above	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Noncdm Charge Record	$32.40	$72.00	—	36% above	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Lab-Vdrl/Rpr Screen*	$5.40	$12.00	—	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Noncdm Charge Record	$32.40	$72.00	—	—	55%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Lab-Vdrl/Rpr Screen	$32.40	$72.00	—	—	55%
Testosterone blood test, total (not free testosterone) CPT 84403 Lab-Testosterone Total	$65.70	$146.00	—	29% below	55%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Lab-Testosterone Total	$65.70	$146.00	—	—	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 Lab-Microsomal Antibody	$38.25	$85.00	—	41% below	55%
Thyroid peroxidase (TPO) antibody test CPT 86376 Lab Anti-Thyrroid Peroxiase	$44.55	$99.00	—	31% below	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Lab-Microsomal Antibody	$38.25	$85.00	—	—	55%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Lab Anti-Thyrroid Peroxiase	$44.55	$99.00	—	—	55%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Lab-Tsh Thyroid Stim	$65.25	$145.00	—	13% below	55%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Lab-Tsh Thyroid Stim	$65.25	$145.00	—	—	55%
Total IgE blood test CPT 82785 Lab-Ige	$39.60	$88.00	—	36% below	55%
Total IgE blood test inpatient CPT 82785 Lab-Ige	$39.60	$88.00	—	—	55%
Total cholesterol blood test CPT 82465 Lab-Cholesterol Total	$18.90	$42.00	—	48% below	55%
Total cholesterol blood test inpatient CPT 82465 Lab-Cholesterol Total	$18.90	$42.00	—	—	55%
Total thyroxine (T4) blood test CPT 84436 Lab-T-4 Thyroxine	$51.75	$115.00	—	24% above	55%
Total thyroxine (T4) blood test inpatient CPT 84436 Lab-T-4 Thyroxine	$51.75	$115.00	—	—	55%
Total triiodothyronine (T3) blood test CPT 84480 Lab-T3 Thyroid Total	$58.05	$129.00	—	3% below	55%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Lab-T3 Thyroid Total	$58.05	$129.00	—	—	55%
Transferrin blood test CPT 84466 Lab-Transferrin	$43.65	$97.00	—	41% below	55%
Transferrin blood test inpatient CPT 84466 Lab-Transferrin	$43.65	$97.00	—	—	55%
Trichomonas test (NAAT) CPT 87661 Lab-Candida Vag/Trich Vag Pcr	$23.85	$53.00	—	72% below	55%
Trichomonas test (NAAT) CPT 87661 Lab-Trich Vaginalis Only Pcr	$23.85	$53.00	—	72% below	55%
Trichomonas test (NAAT) inpatient CPT 87661 Lab-Candida Vag/Trich Vag Pcr	$23.85	$53.00	—	—	55%
Trichomonas test (NAAT) inpatient CPT 87661 Lab-Trich Vaginalis Only Pcr	$23.85	$53.00	—	—	55%
Triglycerides blood test CPT 84478 Lab-Triglycerides Serum	$26.55	$59.00	—	23% below	55%
Triglycerides blood test inpatient CPT 84478 Lab-Triglycerides Serum	$26.55	$59.00	—	—	55%
Troponin test, quantitative CPT 84484 Lab-High Sensitive Troponin I	$58.95	$131.00	—	30% below	55%
Troponin test, quantitative CPT 84484 Lab-Troponin I	$58.95	$131.00	—	30% below	55%
Troponin test, quantitative inpatient CPT 84484 Lab-High Sensitive Troponin I	$58.95	$131.00	—	—	55%
Troponin test, quantitative inpatient CPT 84484 Lab-Troponin I	$58.95	$131.00	—	—	55%
Uric acid blood test CPT 84550 Lab-Uric Acid Serum	$22.50	$50.00	—	36% below	55%
Uric acid blood test inpatient CPT 84550 Lab-Uric Acid Serum	$22.50	$50.00	—	—	55%
Urinalysis with microscope exam, automated CPT 81001 Lab-Auto Ua With Microscopic	$27.90	$62.00	—	3% above	55%
Urinalysis with microscope exam, automated inpatient CPT 81001 Lab-Auto Ua With Microscopic	$27.90	$62.00	—	—	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Urinalysis	$18.00	$40.00	—	23% below	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Auto Urinalysis	$18.00	$40.00	—	23% below	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Blood Urine	$24.75	$55.00	—	6% above	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Spec Gravity Urine	$27.90	$62.00	—	19% above	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Bilirubin Urine	$27.90	$62.00	—	19% above	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Ketones Urine	$27.90	$62.00	—	19% above	55%
Urinalysis without microscope exam, automated CPT 81003 Lab-Ph Urine	$27.90	$62.00	—	19% above	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Urinalysis	$18.00	$40.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Auto Urinalysis	$18.00	$40.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Blood Urine	$24.75	$55.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Ketones Urine	$27.90	$62.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Bilirubin Urine	$27.90	$62.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Ph Urine	$27.90	$62.00	—	—	55%
Urinalysis without microscope exam, automated inpatient CPT 81003 Lab-Spec Gravity Urine	$27.90	$62.00	—	—	55%
Urinalysis without microscope exam, manual CPT 81002 Obed-Ua Non Auto W/O Micro	$8.10	$18.00	—	50% below	55%
Urinalysis without microscope exam, manual CPT 81002 Er-Ua Non Auto W/O Micro	$8.10	$18.00	—	50% below	55%
Urinalysis without microscope exam, manual CPT 81002 Lab-Ua Dip Non Auto W/O Microi	$8.10	$18.00	—	50% below	55%
Urinalysis without microscope exam, manual inpatient CPT 81002 Er-Ua Non Auto W/O Micro	$8.10	$18.00	—	—	55%
Urinalysis without microscope exam, manual inpatient CPT 81002 Obed-Ua Non Auto W/O Micro	$8.10	$18.00	—	—	55%
Urinalysis without microscope exam, manual inpatient CPT 81002 Lab-Ua Dip Non Auto W/O Microi	$8.10	$18.00	—	—	55%
Urine culture for bacteria, with colony count CPT 87086 Lab-Culture Urine	$62.55	$139.00	—	10% above	55%
Urine culture for bacteria, with colony count inpatient CPT 87086 Lab-Culture Urine	$62.55	$139.00	—	—	55%
Urine microalbumin (albumin) test CPT 82043 Lab-Microalbumin Random	$27.90	$62.00	—	45% below	55%
Urine microalbumin (albumin) test CPT 82043 Lab-Microalbumin Urine	$27.90	$62.00	—	45% below	55%
Urine microalbumin (albumin) test inpatient CPT 82043 Lab-Microalbumin Urine	$27.90	$62.00	—	—	55%
Urine microalbumin (albumin) test inpatient CPT 82043 Lab-Microalbumin Random	$27.90	$62.00	—	—	55%
Urine pregnancy test, read by color change CPT 81025 Obed-Urine Pregnancy Test	$54.90	$122.00	—	13% above	55%
Urine pregnancy test, read by color change CPT 81025 Lab-Hcg Urine Screen	$54.90	$122.00	—	13% above	55%
Urine pregnancy test, read by color change CPT 81025 Er-Urine Pregnancy Test	$54.90	$122.00	—	13% above	55%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test	$54.90	$122.00	—	13% above	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Er-Urine Pregnancy Test	$54.90	$122.00	—	—	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Lab-Hcg Urine Screen	$54.90	$122.00	—	—	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Obed-Urine Pregnancy Test	$54.90	$122.00	—	—	55%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test	$54.90	$122.00	—	—	55%
Vitamin B12 (cobalamin) blood test CPT 82607 Lab-Vitamin B12	$57.60	$128.00	—	23% below	55%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Lab-Vitamin B12	$57.60	$128.00	—	—	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Lab-Vitamin D Hydroxy	$65.25	$145.00	—	31% below	55%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Lab-Vitamin D Hydroxy	$65.25	$145.00	—	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Lab-Hcg Quantitative	$52.20	$116.00	—	23% below	55%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Lab-Hcg Tumor Marker	$72.90	$162.00	—	8% above	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Lab-Hcg Quantitative	$52.20	$116.00	—	—	55%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Lab-Hcg Tumor Marker	$72.90	$162.00	—	—	55%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Brst Stero W/Dev 1St Les	$2,138.85	$4,753.00	—	47% below	55%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Brst Stero W/Dev 1St Les	$2,138.85	$4,753.00	—	—	55%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Er-Tx Fx Ankle W/O Manip	$349.20	$776.00	—	8% below	55%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Er-Tx Fx Ankle W/O Manip	$349.20	$776.00	—	—	55%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Er-Fx Metatarsal W/O Manip	$332.55	$739.00	—	9% below	55%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Er-Fx Metatarsal W/O Manip	$332.55	$739.00	—	—	55%
Cardiac catheterization with coronary angiogram CPT 93458 Lft Hrt Artery/Vent Angio	$6,187.05	$13,749.00	—	49% below	55%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lft Hrt Artery/Vent Angio	$6,187.05	$13,749.00	—	—	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Er-Cardioversion Electr Ext	$1,123.20	$2,496.00	—	45% below	55%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Electric Ext	$1,123.20	$2,496.00	—	45% below	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Electric Ext	$1,123.20	$2,496.00	—	—	55%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Er-Cardioversion Electr Ext	$1,123.20	$2,496.00	—	—	55%
Catheter ablation for atrial fibrillation CPT 93656 Intra Card Abl Atrial Fib 74	$33,299.55	$73,999.00	—	2% below	55%
Catheter ablation for atrial fibrillation CPT 93656 Intra Card Abl Atrial Fib 73	$33,299.55	$73,999.00	—	2% below	55%
Catheter ablation for atrial fibrillation CPT 93656 Intra Card Abl Atrial Fib	$33,299.55	$73,999.00	—	2% below	55%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Intra Card Abl Atrial Fib	$33,299.55	$73,999.00	—	—	55%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Intra Card Abl Atrial Fib 73	$33,299.55	$73,999.00	—	—	55%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Intra Card Abl Atrial Fib 74	$33,299.55	$73,999.00	—	—	55%
Cervical biopsy CPT 57500 Er-Biopsy Of Cervix	$899.55	$1,999.00	—	48% below	55%
Cervical biopsy CPT 57500 Biopsy Of Cervix	$899.55	$1,999.00	—	48% below	55%
Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix	$899.55	$1,999.00	—	—	55%
Cervical biopsy inpatient CPT 57500 Er-Biopsy Of Cervix	$899.55	$1,999.00	—	—	55%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Ceasarean Section	$4,826.70	$10,726.00	—	1% above	55%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Del Rm C/S With Tubal Ligation	$4,826.70	$10,726.00	—	1% above	55%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Ceasarean Section	$4,826.70	$10,726.00	—	—	55%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Del Rm C/S With Tubal Ligation	$4,826.70	$10,726.00	—	—	55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision	$769.05	$1,709.00	—	57% below	55%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision	$769.05	$1,709.00	—	—	55%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Er-Clsd Fx Rad/Ulna W/O Manip	$373.95	$831.00	—	9% below	55%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Er-Clsd Fx Rad/Ulna W/O Manip	$373.95	$831.00	—	—	55%
Coronary stent placement, one artery CPT 92928 Stent Bare Metal/Ptca Lc	$9,693.90	$21,542.00	—	25% below	55%
Coronary stent placement, one artery CPT 92928 Stent Bare Metal/ Ptca Ld	$9,693.90	$21,542.00	—	25% below	55%
Coronary stent placement, one artery CPT 92928 Stent Bare Metal/Ptca Rc	$9,693.90	$21,542.00	—	25% below	55%
Coronary stent placement, one artery CPT 92928 Stent Bare Metal/Ptca Ld	$9,693.90	$21,542.00	—	25% below	55%
Coronary stent placement, one artery CPT 92928 Stent Bare Metal/Ptca Ri	$9,693.90	$21,542.00	—	25% below	55%
Coronary stent placement, one artery CPT 92928 Stent Bare Metal/Ptca Lm	$9,693.90	$21,542.00	—	25% below	55%
Coronary stent placement, one artery CPT 92928 Stent Bare Metal/ Ptca Rc	$9,693.90	$21,542.00	—	25% below	55%
Coronary stent placement, one artery inpatient CPT 92928 Stent Bare Metal/Ptca Lm	$9,693.90	$21,542.00	—	—	55%
Coronary stent placement, one artery inpatient CPT 92928 Stent Bare Metal/Ptca Rc	$9,693.90	$21,542.00	—	—	55%
Coronary stent placement, one artery inpatient CPT 92928 Stent Bare Metal/ Ptca Ld	$9,693.90	$21,542.00	—	—	55%
Coronary stent placement, one artery inpatient CPT 92928 Stent Bare Metal/Ptca Ld	$9,693.90	$21,542.00	—	—	55%
Coronary stent placement, one artery inpatient CPT 92928 Stent Bare Metal/ Ptca Rc	$9,693.90	$21,542.00	—	—	55%
Coronary stent placement, one artery inpatient CPT 92928 Stent Bare Metal/Ptca Lc	$9,693.90	$21,542.00	—	—	55%
Coronary stent placement, one artery inpatient CPT 92928 Stent Bare Metal/Ptca Ri	$9,693.90	$21,542.00	—	—	55%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$1,089.90	$2,422.00	—	45% below	55%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Er-Cystourethoscopy	$1,089.90	$2,422.00	—	45% below	55%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Er-Cystourethoscopy	$1,089.90	$2,422.00	—	—	55%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$1,089.90	$2,422.00	—	—	55%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C Postpartum Or Non-Obstet	$2,893.95	$6,431.00	—	58% below	55%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Er-D&C Therapeutic Non Ob	$2,893.95	$6,431.00	—	58% below	55%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation And Curettage	$2,893.95	$6,431.00	—	58% below	55%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C Postpartum Or Non-Obstet	$2,893.95	$6,431.00	—	—	55%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Er-D&C Therapeutic Non Ob	$2,893.95	$6,431.00	—	—	55%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation And Curettage	$2,893.95	$6,431.00	—	—	55%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion	$216.00	$480.00	—	7% above	55%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion	$216.00	$480.00	—	—	55%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local Or Top Anes	$553.95	$1,231.00	—	58% below	55%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympanostomy Local Or Top Anes	$553.95	$1,231.00	—	—	55%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impacted Ear Wax Unilat	$88.20	$196.00	—	43% below	55%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Er-Rmv Impacted Ear Wax Unilat	$88.20	$196.00	—	43% below	55%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Remove Impacted Ear Wax Unilat	$88.20	$196.00	—	—	55%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Er-Rmv Impacted Ear Wax Unilat	$88.20	$196.00	—	—	55%
Earwax removal with instruments, one ear CPT 69210 Removal Impact Cerumen	$128.25	$285.00	—	17% below	55%
Earwax removal with instruments, one ear CPT 69210 Er-Rmv Impct Cerumen W/Ins Uni	$128.25	$285.00	—	17% below	55%
Earwax removal with instruments, one ear inpatient CPT 69210 Er-Rmv Impct Cerumen W/Ins Uni	$128.25	$285.00	—	—	55%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal Impact Cerumen	$128.25	$285.00	—	—	55%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Biopsy	$246.15	$547.00	—	36% below	55%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Er-Endometrial Biopsy	$246.15	$547.00	—	36% below	55%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Er-Endometrial Biopsy	$246.15	$547.00	—	—	55%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Biopsy	$246.15	$547.00	—	—	55%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Interlam Crv/Thor W/Guide	$1,799.10	$3,998.00	—	19% below	55%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Interlam Crv/Thor W/Guide	$1,799.10	$3,998.00	—	—	55%
Facet joint injection, lower back, one level, with imaging guidance both sides CPT 64493 Inj Fac L/S 1 Lvl W/Guid-Bilat	$1,304.10	$2,898.00	—	—	55%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj Fac Lumb/Sacr Snglv W/Guid	$1,304.10	$2,898.00	—	40% below	55%
Facet joint injection, lower back, one level, with imaging guidance inpatient both sides CPT 64493 Inj Fac L/S 1 Lvl W/Guid-Bilat	$1,304.10	$2,898.00	—	—	55%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj Fac Lumb/Sacr Snglv W/Guid	$1,304.10	$2,898.00	—	—	55%
Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation Of Hemorrhoid(S)	$706.05	$1,569.00	—	63% below	55%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Ligation Of Hemorrhoid(S)	$706.05	$1,569.00	—	—	55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Catheter For Hysterography	$94.50	$210.00	—	75% below	55%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Catheter For Hysterography	$94.50	$210.00	—	—	55%
IUD insertion (the device itself billed separately) CPT 58300 Insert Intrauterine Device Iud	$1,521.45	$3,381.00	—	202% above	55%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insert Intrauterine Device Iud	$1,521.45	$3,381.00	—	—	55%
Incision and drainage of a simple or single skin abscess CPT 10060 Rehab Drainage Of Skin Absses	$383.85	$853.00	—	1% below	55%
Incision and drainage of a simple or single skin abscess CPT 10060 Er-Drain Skin Abscess Simp	$383.85	$853.00	—	1% below	55%
Incision and drainage of a simple or single skin abscess CPT 10060 Er-I&D Abscess Simple/Single	$383.85	$853.00	—	1% below	55%
Incision and drainage of a simple or single skin abscess CPT 10060 Drain Skin Abcess Simple	$383.85	$853.00	—	1% below	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Er-I&D Abscess Simple/Single	$383.85	$853.00	—	—	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Er-Drain Skin Abscess Simp	$383.85	$853.00	—	—	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drain Skin Abcess Simple	$383.85	$853.00	—	—	55%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Rehab Drainage Of Skin Absses	$383.85	$853.00	—	—	55%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Er-Inj Tendon Sheath Ligament	$279.45	$621.00	—	18% below	55%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath Ligament	$279.45	$621.00	—	18% below	55%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath Ligament	$279.45	$621.00	—	—	55%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Er-Inj Tendon Sheath Ligament	$279.45	$621.00	—	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Er-Arthro Lg W/O Guide W/O Rec	$463.05	$1,029.00	—	33% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Rehab Arthrocent Mjr Jnt/Bursa	$463.05	$1,029.00	—	33% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro Lg W/O Guide W/O Record	$463.05	$1,029.00	—	33% below	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Rehab Arthrocent Mjr Jnt/Bursa	$463.05	$1,029.00	—	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthro Lg W/O Guide W/O Record	$463.05	$1,029.00	—	—	55%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Er-Arthro Lg W/O Guide W/O Rec	$463.05	$1,029.00	—	—	55%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant Device	$130.50	$290.00	—	65% below	55%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant Device	$130.50	$290.00	—	—	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Er-Arthro Md W/O Guide W/O Rec	$372.60	$828.00	—	40% below	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthro Md W/O Guide W/O Record	$372.60	$828.00	—	40% below	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthro Md W/O Guide W/O Record	$372.60	$828.00	—	—	55%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Er-Arthro Md W/O Guide W/O Rec	$372.60	$828.00	—	—	55%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Er-Arthro Sm W/O Guide W/O Rec	$130.50	$290.00	—	74% below	55%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthro Sm W/O Guide W/O Record	$130.50	$290.00	—	74% below	55%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Er-Arthro Sm W/O Guide W/O Rec	$130.50	$290.00	—	—	55%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthro Sm W/O Guide W/O Record	$130.50	$290.00	—	—	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Er-Repr Layr Body Extrm <2.5	$453.15	$1,007.00	—	15% below	55%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Er-Repr Layr Body Extrm <2.5	$453.15	$1,007.00	—	—	55%
Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclgrphy	$5,981.85	$13,293.00	—	36% below	55%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclgrphy	$5,981.85	$13,293.00	—	—	55%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Intrlmnr Lmbr/Sac W/Img Gd	$1,768.95	$3,931.00	—	13% below	55%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Interlam Lmbr/Sac W/ Guid	$1,768.95	$3,931.00	—	13% below	55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Interlam Lmbr/Sac W/ Guid	$1,768.95	$3,931.00	—	—	55%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Intrlmnr Lmbr/Sac W/Img Gd	$1,768.95	$3,931.00	—	—	55%
Lower-back epidural injection, without imaging guidance CPT 62322 Er-Inj Epi Lumb/Sacral W/O Gde	$1,389.60	$3,088.00	—	14% below	55%
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Epi-Lumb/Sacral W/O Guide	$1,389.60	$3,088.00	—	14% below	55%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Er-Inj Epi Lumb/Sacral W/O Gde	$1,389.60	$3,088.00	—	—	55%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Epi-Lumb/Sacral W/O Guide	$1,389.60	$3,088.00	—	—	55%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Tranform Lub/Sac W Gde	$1,162.80	$2,584.00	—	44% below	55%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Tranform Lub/Sac W Gde	$1,162.80	$2,584.00	—	—	55%
Miscarriage treatment with D&C, first trimester CPT 59820 Er-Care Of Miscarriage	$3,794.85	$8,433.00	—	46% below	55%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion 1St Trimest	$3,794.85	$8,433.00	—	46% below	55%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Tx Missed Abortion 1St Trimest	$3,794.85	$8,433.00	—	—	55%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Er-Care Of Miscarriage	$3,794.85	$8,433.00	—	—	55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm<L	$762.30	$1,694.00	—	43% below	55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Er-Exc Tr-Ext B9+Marg 0.5 Cm<	$762.30	$1,694.00	—	43% below	55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc Tr-Ext B9+Marg 0.5 Cm<L	$762.30	$1,694.00	—	—	55%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Er-Exc Tr-Ext B9+Marg 0.5 Cm<	$762.30	$1,694.00	—	—	55%
Nail removal (partial or complete), one nail CPT 11730 Er-Removal Of Nail Plate	$165.15	$367.00	—	48% below	55%
Nail removal (partial or complete), one nail CPT 11730 Removal Of Nail Plate	$165.15	$367.00	—	48% below	55%
Nail removal (partial or complete), one nail inpatient CPT 11730 Removal Of Nail Plate	$165.15	$367.00	—	—	55%
Nail removal (partial or complete), one nail inpatient CPT 11730 Er-Removal Of Nail Plate	$165.15	$367.00	—	—	55%
Occipital nerve block (injection for headaches) CPT 64405 Nerve Block Inj Occipital	$629.55	$1,399.00	—	20% below	55%
Occipital nerve block (injection for headaches) CPT 64405 Inj Occipital Nerve	$629.55	$1,399.00	—	20% below	55%
Occipital nerve block (injection for headaches) CPT 64405 Er Inj Anes/Steroid Occip Ner	$629.55	$1,399.00	—	20% below	55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Er Inj Anes/Steroid Occip Ner	$629.55	$1,399.00	—	—	55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Occipital Nerve	$629.55	$1,399.00	—	—	55%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Nerve Block Inj Occipital	$629.55	$1,399.00	—	—	55%
Pacemaker implant (dual chamber) CPT 33208 Insert Heart Pacer Atrial/Vent	$7,066.80	$15,704.00	—	55% below	55%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insert Heart Pacer Atrial/Vent	$7,066.80	$15,704.00	—	—	55%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$1,453.95	$3,231.00	—	16% below	55%
Paracentesis with imaging guidance CPT 49083 Er-Abd Paracentesis W/ Imaging	$1,453.95	$3,231.00	—	16% below	55%
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging	$1,453.95	$3,231.00	—	—	55%
Paracentesis with imaging guidance inpatient CPT 49083 Er-Abd Paracentesis W/ Imaging	$1,453.95	$3,231.00	—	—	55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Er-Removal Of Nail Bed	$870.30	$1,934.00	—	12% above	55%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed	$870.30	$1,934.00	—	12% above	55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Er-Removal Of Nail Bed	$870.30	$1,934.00	—	—	55%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed	$870.30	$1,934.00	—	—	55%
Prostate biopsy CPT 55700 Biopsy Of Prostate	$2,177.10	$4,838.00	—	8% above	55%
Prostate biopsy inpatient CPT 55700 Biopsy Of Prostate	$2,177.10	$4,838.00	—	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 Rfa L/S Facet Jnt W/Guid-Bilat	$4,898.70	$10,886.00	—	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Inj Lumb/Sac W/Guide	$3,266.10	$7,258.00	—	2% below	55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient both sides CPT 64635 Rfa L/S Facet Jnt W/Guid-Bilat	$4,898.70	$10,886.00	—	—	55%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Inj Lumb/Sac W/Guide	$3,266.10	$7,258.00	—	—	55%
Removal of a foreign object under the skin, simple CPT 10120 Er-Remove Foreign Body Simple	$373.50	$830.00	—	44% below	55%
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Simple	$373.50	$830.00	—	44% below	55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Er-Remove Foreign Body Simple	$373.50	$830.00	—	—	55%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body Simple	$373.50	$830.00	—	—	55%
Short arm cast (elbow to hand) CPT 29075 Er-Apply Short Arm Cast	$336.60	$748.00	—	12% above	55%
Short arm cast (elbow to hand) inpatient CPT 29075 Er-Apply Short Arm Cast	$336.60	$748.00	—	—	55%
Short arm splint (forearm and hand) CPT 29125 Er-Apply Forearm Splint	$292.50	$650.00	—	1% above	55%
Short arm splint (forearm and hand) CPT 29125 Er Apply Forearm Splint	$292.50	$650.00	—	1% above	55%
Short arm splint (forearm and hand) inpatient CPT 29125 Er Apply Forearm Splint	$292.50	$650.00	—	—	55%
Short arm splint (forearm and hand) inpatient CPT 29125 Er-Apply Forearm Splint	$292.50	$650.00	—	—	55%
Short leg cast (below the knee) CPT 29405 Apply Short Leg Cast	$318.15	$707.00	—	16% below	55%
Short leg cast (below the knee) CPT 29405 Er-Apply Short Leg Cast	$318.15	$707.00	—	16% below	55%
Short leg cast (below the knee) inpatient CPT 29405 Apply Short Leg Cast	$318.15	$707.00	—	—	55%
Short leg cast (below the knee) inpatient CPT 29405 Er-Apply Short Leg Cast	$318.15	$707.00	—	—	55%
Short leg splint (calf to foot) CPT 29515 Er-Apply Lower Leg Splint	$303.75	$675.00	—	3% above	55%
Short leg splint (calf to foot) CPT 29515 Er Apply Lower Leg Splint	$303.75	$675.00	—	3% above	55%
Short leg splint (calf to foot) CPT 29515 Apply Short Leg Splint	$303.75	$675.00	—	3% above	55%
Short leg splint (calf to foot) inpatient CPT 29515 Er Apply Lower Leg Splint	$303.75	$675.00	—	—	55%
Short leg splint (calf to foot) inpatient CPT 29515 Er-Apply Lower Leg Splint	$303.75	$675.00	—	—	55%
Short leg splint (calf to foot) inpatient CPT 29515 Apply Short Leg Splint	$303.75	$675.00	—	—	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Er-Repr Smp Body Hd Ft <2.5	$416.25	$925.00	—	26% above	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Small Body <2.5	$416.25	$925.00	—	26% above	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Small Body <2.5	$416.25	$925.00	—	—	55%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Er-Repr Smp Body Hd Ft <2.5	$416.25	$925.00	—	—	55%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion	$236.70	$526.00	—	47% below	55%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion	$236.70	$526.00	—	—	55%
Skin tag removal, up to 15 tags CPT 11200 Removal Multi Skin Tags	$216.00	$480.00	—	26% below	55%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Multi Skin Tags	$216.00	$480.00	—	—	55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Diagnostic	$944.10	$2,098.00	—	12% below	55%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Er-Lumbar Puncture Diagnostic	$944.10	$2,098.00	—	12% below	55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Diagnostic	$944.10	$2,098.00	—	—	55%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Er-Lumbar Puncture Diagnostic	$944.10	$2,098.00	—	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Simple Body Hd Ft <7.5	$429.75	$955.00	—	22% above	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Ed-Repr Smp Body Hd Ft <7.5	$429.75	$955.00	—	22% above	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Er-Repr Smp Body Hd Ft <7.5	$429.75	$955.00	—	22% above	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Er-Repr Smp Body Hd Ft <7.5	$429.75	$955.00	—	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Ed-Repr Smp Body Hd Ft <7.5	$429.75	$955.00	—	—	55%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Simple Body Hd Ft <7.5	$429.75	$955.00	—	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repr Smp Face < 2.5	$429.75	$955.00	—	35% above	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repr Smp Face <2.5	$429.75	$955.00	—	35% above	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repr Smp Face Lip <2.5	$429.75	$955.00	—	35% above	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Er-Repr Smp Face Lip <2.5	$429.75	$955.00	—	35% above	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Er-Repr Smp Face Lip <2.5	$429.75	$955.00	—	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repr Smp Face Lip <2.5	$429.75	$955.00	—	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repr Smp Face < 2.5	$429.75	$955.00	—	—	55%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Repr Smp Face <2.5	$429.75	$955.00	—	—	55%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangenital Bx Skin Les Single	$236.70	$526.00	—	22% below	55%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangenital Bx Skin Les Single	$236.70	$526.00	—	—	55%
Thoracentesis with imaging guidance CPT 32555 Er-Thoracent W/Guide No Tube	$1,134.90	$2,522.00	—	35% below	55%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis W/Guide No Tube	$1,134.90	$2,522.00	—	35% below	55%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis W/Guide No Tube	$1,134.90	$2,522.00	—	—	55%
Thoracentesis with imaging guidance inpatient CPT 32555 Er-Thoracent W/Guide No Tube	$1,134.90	$2,522.00	—	—	55%
Trigger point injections, 1 or 2 muscles CPT 20552 Er-Inj Trigger Point 1/2 Muscl	$451.80	$1,004.00	—	35% below	55%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1/2 Muscl	$451.80	$1,004.00	—	35% below	55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1/2 Muscl	$451.80	$1,004.00	—	—	55%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Er-Inj Trigger Point 1/2 Muscl	$451.80	$1,004.00	—	—	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Brst Us W/Dev 1St Les	$1,476.90	$3,282.00	—	55% below	55%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Brst Us W/Dev 1St Les	$1,476.90	$3,282.00	—	—	55%
Upper endoscopy (EGD) with biopsy CPT 43239 Er-Egd W Biopsy Sing/Multi	$1,012.05	$2,249.00	—	64% below	55%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Er-Egd W Biopsy Sing/Multi	$1,012.05	$2,249.00	—	—	55%
Upper endoscopy (EGD), diagnostic CPT 43235 Er-Upper Gi Endoscopy Dx	$676.35	$1,503.00	—	74% below	55%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Er-Upper Gi Endoscopy Dx	$676.35	$1,503.00	—	—	55%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Duct(S)	$2,709.00	$6,020.00	—	21% below	55%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal Of Sperm Duct(S)	$2,709.00	$6,020.00	—	—	55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Lvl 3 1St 20 Sq Cm	$845.55	$1,879.00	—	8% above	55%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Er-Debride Lvl 3 1St 20 Sq Cm	$845.55	$1,879.00	—	8% above	55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Lvl 3 1St 20 Sq Cm	$845.55	$1,879.00	—	—	55%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Er-Debride Lvl 3 1St 20 Sq Cm	$845.55	$1,879.00	—	—	55%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Rehab Blood Transfusion	$911.70	$2,026.00	—	18% below	55%
Blood transfusion (giving blood or blood components) CPT 36430 Er Blood Transfusion	$911.70	$2,026.00	—	18% below	55%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion	$911.70	$2,026.00	—	18% below	55%
Blood transfusion (giving blood or blood components) CPT 36430 Er-Blood Transfusion	$911.70	$2,026.00	—	18% below	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Er-Blood Transfusion	$911.70	$2,026.00	—	—	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Rehab Blood Transfusion	$911.70	$2,026.00	—	—	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion	$911.70	$2,026.00	—	—	55%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Er Blood Transfusion	$911.70	$2,026.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Rehab Airway Inhalation Treat	$149.40	$332.00	—	15% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treat	$149.40	$332.00	—	15% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$149.40	$332.00	—	15% below	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Rehab Airway Inhalation Treat	$149.40	$332.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treat	$149.40	$332.00	—	—	55%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$149.40	$332.00	—	—	55%
Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Inf Smp 1 Hr	$782.10	$1,738.00	—	2% above	55%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Inf Smp 1 Hr	$782.10	$1,738.00	—	—	55%
Critical care, first 30 to 74 minutes CPT 99291 Er-Critical Care E&M 30-74 Min	$2,249.10	$4,998.00	—	23% below	55%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Er-Critical Care E&M 30-74 Min	$2,249.10	$4,998.00	—	—	55%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Neuro-Eeg Routine Awake/Drowse	$519.75	$1,155.00	—	46% below	55%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Neuro-Eeg Routine Awake/Drowse	$519.75	$1,155.00	—	—	55%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Rehab Ekg With Tracing & Repor	$185.40	$412.00	—	26% below	55%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Rehab Ekg With Tracing & Repor	$185.40	$412.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Er-Electrocardiogam Tracing	$144.00	$320.00	—	22% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogam Tracing	$144.00	$320.00	—	22% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Rehab Electrocardiogam Trac	$144.00	$320.00	—	22% below	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Rehab Electrocardiogam Trac	$144.00	$320.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Er-Electrocardiogam Tracing	$144.00	$320.00	—	—	55%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Electrocardiogam Tracing	$144.00	$320.00	—	—	55%
Electroconvulsive therapy (ECT), one session CPT 90870 Ect Single Seizure	$1,275.75	$2,835.00	—	6% below	55%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Ect Single Seizure	$1,275.75	$2,835.00	—	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er-Emergency Dept Level 1	$470.25	$1,045.00	—	51% above	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Obed-Emergency Dept Level 1	$470.25	$1,045.00	—	51% above	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Dept Level 1 Op Swab	$470.25	$1,045.00	—	51% above	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Dept Level 1 Op Swab	$470.25	$1,045.00	—	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er-Emergency Dept Level 1	$470.25	$1,045.00	—	—	55%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Obed-Emergency Dept Level 1	$470.25	$1,045.00	—	—	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er-Emergency Dept Level 2	$609.75	$1,355.00	—	20% above	55%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Obed-Emergency Dept Level 2	$609.75	$1,355.00	—	20% above	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Obed-Emergency Dept Level 2	$609.75	$1,355.00	—	—	55%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Er-Emergency Dept Level 2	$609.75	$1,355.00	—	—	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Obed-Emergency Dept Level 3	$836.10	$1,858.00	—	1% below	55%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er-Emergency Dept Level 3	$836.10	$1,858.00	—	1% below	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er-Emergency Dept Level 3	$836.10	$1,858.00	—	—	55%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Obed-Emergency Dept Level 3	$836.10	$1,858.00	—	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er-Emergency Dept Level 4	$1,167.75	$2,595.00	—	12% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Obed-Emergency Dept Level 4	$1,167.75	$2,595.00	—	12% below	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Obed-Emergency Dept Level 4	$1,167.75	$2,595.00	—	—	55%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Er-Emergency Dept Level 4	$1,167.75	$2,595.00	—	—	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er-Emergency Dept Level 5	$1,499.40	$3,332.00	—	14% below	55%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Obed-Emergency Dept Level 5	$1,499.40	$3,332.00	—	14% below	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Er-Emergency Dept Level 5	$1,499.40	$3,332.00	—	—	55%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Obed-Emergency Dept Level 5	$1,499.40	$3,332.00	—	—	55%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test	$588.60	$1,308.00	—	34% below	55%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test	$588.60	$1,308.00	—	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Er Iv Hydrat Inf Initial	$314.55	$699.00	—	25% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Er-Iv Inf Hydrat Init 31Min-1H	$314.55	$699.00	—	25% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydrat Init 31Min To 1H	$314.55	$699.00	—	25% below	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Er Iv Hydrat Inf Initial	$314.55	$699.00	—	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf Hydrat Init 31Min To 1H	$314.55	$699.00	—	—	55%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Er-Iv Inf Hydrat Init 31Min-1H	$314.55	$699.00	—	—	55%
IV infusion of a medicine, first hour CPT 96365 Er Iv Inf Tx/Pro/Dx Initial	$488.25	$1,085.00	—	13% above	55%
IV infusion of a medicine, first hour CPT 96365 Iv Inf Tx/Pro/Dx Init Upto 1Hr	$488.25	$1,085.00	—	13% above	55%
IV infusion of a medicine, first hour CPT 96365 Er-Iv Inf Tx/Pro/Dx Initial	$488.25	$1,085.00	—	13% above	55%
IV infusion of a medicine, first hour CPT 96365 Rehab Iv Inf Tx/Pro/Dx Init	$488.25	$1,085.00	—	13% above	55%
IV infusion of a medicine, first hour inpatient CPT 96365 Rehab Iv Inf Tx/Pro/Dx Init	$488.25	$1,085.00	—	—	55%
IV infusion of a medicine, first hour inpatient CPT 96365 Er Iv Inf Tx/Pro/Dx Initial	$488.25	$1,085.00	—	—	55%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Tx/Pro/Dx Init Upto 1Hr	$488.25	$1,085.00	—	—	55%
IV infusion of a medicine, first hour inpatient CPT 96365 Er-Iv Inf Tx/Pro/Dx Initial	$488.25	$1,085.00	—	—	55%
IV push of a medicine, first drug CPT 96374 Iv/Proph/Dx Inj/Ivp Inital	$241.20	$536.00	—	6% below	55%
IV push of a medicine, first drug CPT 96374 Tx/Proph/Dx Inj/Ivp Initial	$241.20	$536.00	—	6% below	55%
IV push of a medicine, first drug CPT 96374 Iv/Proph/Dx Inj/Ivp Initial	$241.20	$536.00	—	6% below	55%
IV push of a medicine, first drug CPT 96374 Er-Tx/Proph/Dx Inj/Ivp Init	$241.20	$536.00	—	6% below	55%
IV push of a medicine, first drug CPT 96374 Er Tx/Proph/Dx Inj/Ivp Init	$241.20	$536.00	—	6% below	55%
IV push of a medicine, first drug inpatient CPT 96374 Tx/Proph/Dx Inj/Ivp Initial	$241.20	$536.00	—	—	55%
IV push of a medicine, first drug inpatient CPT 96374 Er Tx/Proph/Dx Inj/Ivp Init	$241.20	$536.00	—	—	55%
IV push of a medicine, first drug inpatient CPT 96374 Er-Tx/Proph/Dx Inj/Ivp Init	$241.20	$536.00	—	—	55%
IV push of a medicine, first drug inpatient CPT 96374 Iv/Proph/Dx Inj/Ivp Inital	$241.20	$536.00	—	—	55%
IV push of a medicine, first drug inpatient CPT 96374 Iv/Proph/Dx Inj/Ivp Initial	$241.20	$536.00	—	—	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Er-Tx/Proph/Dx Inj Subq/Im	$151.65	$337.00	—	7% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tx/Proph/Dx/Inj Subq/Im	$151.65	$337.00	—	7% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Er Tx/Proph/Dx Inj Subq/Im	$151.65	$337.00	—	7% above	55%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Tx/Proph/Dx Inj Subq/Im	$151.65	$337.00	—	7% above	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Tx/Proph/Dx Inj Subq/Im	$151.65	$337.00	—	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Er Tx/Proph/Dx Inj Subq/Im	$151.65	$337.00	—	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Tx/Proph/Dx/Inj Subq/Im	$151.65	$337.00	—	—	55%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Er-Tx/Proph/Dx Inj Subq/Im	$151.65	$337.00	—	—	55%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Evaluation	$224.55	$499.00	—	28% below	55%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Evaluation	$224.55	$499.00	—	—	55%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Ncs 7-8 Studies	$944.55	$2,099.00	—	32% below	55%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Ncs 7-8 Studies	$944.55	$2,099.00	—	—	55%
Neuromuscular re-education, 15 minutes CPT 97112 Neuro Muscular Re-Education	$50.85	$113.00	—	54% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Pt-Neuro Muscular Re-Education	$50.85	$113.00	—	54% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Ot-Neuro Muscular Re-Education	$50.85	$113.00	—	54% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Ot-Neuromuscular Re-Educat	$50.85	$113.00	—	54% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Pt-Neuromuscular Reeducat Mas	$50.85	$113.00	—	54% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Pt-Neuromuscular Re-Education	$50.85	$113.00	—	54% below	55%
Neuromuscular re-education, 15 minutes CPT 97112 Pt-Tilt Table	$50.85	$113.00	—	54% below	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt-Neuromuscular Reeducat Mas	$50.85	$113.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuro Muscular Re-Education	$50.85	$113.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt-Tilt Table	$50.85	$113.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt-Neuromuscular Re-Education	$50.85	$113.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot-Neuromuscular Re-Educat	$50.85	$113.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ot-Neuro Muscular Re-Education	$50.85	$113.00	—	—	55%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Pt-Neuro Muscular Re-Education	$50.85	$113.00	—	—	55%
New patient office visit, about 30 minutes CPT 99203 Off/Oupt Visit New Pt Lev 3	$182.70	$406.00	—	66% above	55%
New patient office visit, about 30 minutes CPT 99203 Off/Outpt Consult New Lev 3	$182.70	$406.00	—	66% above	55%
New patient office visit, about 30 minutes CPT 99203 Off/Outp Visit New Pt Lev 3	$182.70	$406.00	—	66% above	55%
New patient office visit, about 30 minutes CPT 99203 Off/Oupt Visit New Pt Lev 3	$182.70	$406.00	—	66% above	55%
New patient office visit, about 30 minutes CPT 99203 Off/Oupt Visit New Pt Level 3	$182.70	$406.00	—	66% above	55%
New patient office visit, about 30 minutes inpatient CPT 99203 Off/Oupt Visit New Pt Lev 3	$182.70	$406.00	—	—	55%
New patient office visit, about 30 minutes inpatient CPT 99203 Off/Outpt Consult New Lev 3	$182.70	$406.00	—	—	55%
New patient office visit, about 30 minutes inpatient CPT 99203 Off/Oupt Visit New Pt Level 3	$182.70	$406.00	—	—	55%
New patient office visit, about 30 minutes inpatient CPT 99203 Off/Oupt Visit New Pt Lev 3	$182.70	$406.00	—	—	55%
New patient office visit, about 30 minutes inpatient CPT 99203 Off/Outp Visit New Pt Lev 3	$182.70	$406.00	—	—	55%
New patient office visit, about 45 minutes CPT 99204 Off/Oupt Visit New Pt Lev 4	$295.65	$657.00	—	144% above	55%
New patient office visit, about 45 minutes CPT 99204 Off/Outpt Consult New Lev 4	$295.65	$657.00	—	144% above	55%
New patient office visit, about 45 minutes CPT 99204 Off/Oupt Visit New Pt Lev 4	$295.65	$657.00	—	144% above	55%
New patient office visit, about 45 minutes inpatient CPT 99204 Off/Oupt Visit New Pt Lev 4	$295.65	$657.00	—	—	55%
New patient office visit, about 45 minutes inpatient CPT 99204 Off/Outpt Consult New Lev 4	$295.65	$657.00	—	—	55%
New patient office visit, about 45 minutes inpatient CPT 99204 Off/Oupt Visit New Pt Lev 4	$295.65	$657.00	—	—	55%
New patient office visit, about 60 minutes CPT 99205 Off/Oupt Visit New Pt Lev 5	$330.30	$734.00	—	91% above	55%
New patient office visit, about 60 minutes CPT 99205 Off/Outpt Consult New Lev 5	$330.30	$734.00	—	91% above	55%
New patient office visit, about 60 minutes inpatient CPT 99205 Off/Oupt Visit New Pt Lev 5	$330.30	$734.00	—	—	55%
New patient office visit, about 60 minutes inpatient CPT 99205 Off/Outpt Consult New Lev 5	$330.30	$734.00	—	—	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Off/Outpt Consult New Lev 2	$154.35	$343.00	—	52% above	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Off/Outp Visit New Pt Lev 2	$154.35	$343.00	—	52% above	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Off/Oupt Visit New Pt Level 2	$154.35	$343.00	—	52% above	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Off/Oupt Visit New Pt Lev 2	$154.35	$343.00	—	52% above	55%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Off/Oupt Visit New Pt Lev 2	$154.35	$343.00	—	52% above	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Off/Oupt Visit New Pt Lev 2	$154.35	$343.00	—	—	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Off/Oupt Visit New Pt Lev 2	$154.35	$343.00	—	—	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Off/Outp Visit New Pt Lev 2	$154.35	$343.00	—	—	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Off/Outpt Consult New Lev 2	$154.35	$343.00	—	—	55%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Off/Oupt Visit New Pt Level 2	$154.35	$343.00	—	—	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrit Ind 15 Min Telehealth	$69.30	$154.00	—	7% above	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Indiv Nutrit Counsel Ea 15 Min	$69.30	$154.00	—	7% above	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Indiv Nutrit Counsel Ea 15 Min	$69.30	$154.00	—	—	55%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrit Ind 15 Min Telehealth	$69.30	$154.00	—	—	55%
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex	$147.60	$328.00	—	43% below	55%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex	$147.60	$328.00	—	—	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex	$168.30	$374.00	—	44% below	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt-Eval High Complex	$168.30	$374.00	—	44% below	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt-Eval High Complex	$168.30	$374.00	—	—	55%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex	$168.30	$374.00	—	—	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex	$137.70	$306.00	—	47% below	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt-Eval Low Complex	$137.70	$306.00	—	47% below	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex	$137.70	$306.00	—	—	55%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt-Eval Low Complex	$137.70	$306.00	—	—	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex	$153.00	$340.00	—	45% below	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt-Eval Mod Complex	$153.00	$340.00	—	45% below	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt-Eval Mod Complex	$153.00	$340.00	—	—	55%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex	$153.00	$340.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Per 15 Min	$70.65	$157.00	—	36% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Pt-Manual Therapy Per 15 Min	$70.65	$157.00	—	36% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot-Manual Therapy Per 15 Min	$70.65	$157.00	—	36% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Ot-Manual Therapy	$70.65	$157.00	—	36% below	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot-Manual Therapy Per 15 Min	$70.65	$157.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Pt-Manual Therapy Per 15 Min	$70.65	$157.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Ot-Manual Therapy	$70.65	$157.00	—	—	55%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Per 15 Min	$70.65	$157.00	—	—	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pt-Theraputic Exercis Ea 15Min	$65.25	$145.00	—	45% below	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot-Exercise Otlo	$65.25	$145.00	—	45% below	55%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Ot-Theraputic Exercis Ea 15Min	$65.25	$145.00	—	45% below	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pt-Theraputic Exercis Ea 15Min	$65.25	$145.00	—	—	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot-Exercise Otlo	$65.25	$145.00	—	—	55%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Ot-Theraputic Exercis Ea 15Min	$65.25	$145.00	—	—	55%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psych Eval Svc Phys/Qhp 1St Hr	$150.75	$335.00	—	64% below	55%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psych Eval Svc Phys/Qhp 1St Hr	$150.75	$335.00	—	—	55%
Psychotherapy session, 30 minutes CPT 90832 Psychother 30 Min Individual	$238.05	$529.00	—	26% above	55%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychother 30 Min Individual	$238.05	$529.00	—	—	55%
Psychotherapy session, 45 minutes CPT 90834 Psychother 45 Min Individual	$243.00	$540.00	—	9% below	55%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychother 45 Min Individual	$243.00	$540.00	—	—	55%
Psychotherapy session, 60 minutes CPT 90837 Psychother 60 Min Individual	$247.05	$549.00	—	21% below	55%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychother 60 Min Individual	$247.05	$549.00	—	—	55%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smok/Tobac Cessation 3-10 Min	$22.05	$49.00	—	50% below	55%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smok/Tobac Cessation 3-10 Min	$22.05	$49.00	—	—	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Off/Outpt Visit Estab Pt Lev 5	$224.55	$499.00	—	33% above	55%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Off/Oupt Visit Estab Pt Lev 5	$224.55	$499.00	—	33% above	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Off/Outpt Visit Estab Pt Lev 5	$224.55	$499.00	—	—	55%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Off/Oupt Visit Estab Pt Lev 5	$224.55	$499.00	—	—	55%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Off/Oupt Visit Estab Pt Lev 3	$163.80	$364.00	—	41% above	55%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Off/Oupt Visit Estab Pt Lev 3	$163.80	$364.00	—	—	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Off/Oupt Visit Estab Pt Lev 4	$202.95	$451.00	—	48% above	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Off/Outpt Consult Estab Lev 4	$202.95	$451.00	—	48% above	55%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Off/Oupt Vis Estab Pt Lev 4	$202.95	$451.00	—	48% above	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Off/Oupt Visit Estab Pt Lev 4	$202.95	$451.00	—	—	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Off/Oupt Vis Estab Pt Lev 4	$202.95	$451.00	—	—	55%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Off/Outpt Consult Estab Lev 4	$202.95	$451.00	—	—	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Off/Oupt Post Tx Estb Pt Lv 2	$149.40	$332.00	—	48% above	55%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Off/Oupt Visit Estab Pt Lev 2	$149.40	$332.00	—	48% above	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Off/Oupt Post Tx Estb Pt Lv 2	$149.40	$332.00	—	—	55%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Off/Oupt Visit Estab Pt Lev 2	$149.40	$332.00	—	—	55%
Speech and language evaluation CPT 92523 Rehab Speech Sound Lang Comp	$114.30	$254.00	—	66% below	55%
Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen	$114.30	$254.00	—	66% below	55%
Speech and language evaluation inpatient CPT 92523 Rehab Speech Sound Lang Comp	$114.30	$254.00	—	—	55%
Speech and language evaluation inpatient CPT 92523 Speech Sound Lang Comprehen	$114.30	$254.00	—	—	55%
Speech therapy session, individual CPT 92507 Rehab Speech Ther Individ	$66.60	$148.00	—	70% below	55%
Speech therapy session, individual CPT 92507 Speech Therapy Individ	$66.60	$148.00	—	70% below	55%
Speech therapy session, individual inpatient CPT 92507 Speech Therapy Individ	$66.60	$148.00	—	—	55%
Speech therapy session, individual inpatient CPT 92507 Rehab Speech Ther Individ	$66.60	$148.00	—	—	55%
Spirometry (breathing test) CPT 94010 Pul Func-Spirometry Screening	$219.15	$487.00	—	29% below	55%
Spirometry (breathing test) inpatient CPT 94010 Pul Func-Spirometry Screening	$219.15	$487.00	—	—	55%
Spirometry before and after a bronchodilator CPT 94060 Evaluation Of Wheezing	$267.30	$594.00	—	53% below	55%
Spirometry before and after a bronchodilator inpatient CPT 94060 Evaluation Of Wheezing	$267.30	$594.00	—	—	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pt-Therapeutic Activ Ea 15 Min	$50.85	$113.00	—	58% below	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot-Therapeutic Activ Ea 15 Min	$50.85	$113.00	—	58% below	55%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ot - Therapeutic Activity	$50.85	$113.00	—	58% below	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot - Therapeutic Activity	$50.85	$113.00	—	—	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pt-Therapeutic Activ Ea 15 Min	$50.85	$113.00	—	—	55%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ot-Therapeutic Activ Ea 15 Min	$50.85	$113.00	—	—	55%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$225.45	$501.00	—	5% below	55%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$225.45	$501.00	—	—	55%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rehab Admin Pneumonia Vaccine	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumonia Vaccine	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rehab Admin Influenza Vaccine	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Er Immunization Administration	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Hep B Vaccine	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Administration	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Er-Immunization Administration	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Influenza Vaccine	$89.10	$198.00	—	119% above	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Rehab Admin Influenza Vaccine	$89.10	$198.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Rehab Admin Pneumonia Vaccine	$89.10	$198.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Er Immunization Administration	$89.10	$198.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumonia Vaccine	$89.10	$198.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Influenza Vaccine	$89.10	$198.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Hep B Vaccine	$89.10	$198.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Administration	$89.10	$198.00	—	—	55%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Er-Immunization Administration	$89.10	$198.00	—	—	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Ea Addtl	$62.10	$138.00	—	78% above	55%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Er-Immunization Admin Ea Addtl	$62.10	$138.00	—	78% above	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Er-Immunization Admin Ea Addtl	$62.10	$138.00	—	—	55%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Ea Addtl	$62.10	$138.00	—	—	55%

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://aultman.org/pricing-transparency/2026/1356366991_aultman-hospital_standardcharges.json