Hospital Mount Vernon, IL

Deaconess Illinois Crossroads

Deaconess Illinois Crossroads in Mount Vernon, IL publishes cash prices for 325 common procedures listed here, from its own machine-readable price file updated Feb 3, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 241 of 319 procedures and above it for 76. By typical cash price it ranks #27 of 117 Illinois hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

8 Doctors Park Rd., Mount Vernon, IL 62864 Collected Sep 23, 2026 Source price file Check a bill from this hospital (618) 244-5500

Acute care hospital For-profit hospital Emergency department CCN 140294 · CMS hospital register NPI 1124745807

State law

This state limits hospital bills for lower-income patients

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$1,418.53	$6,447.83	$185.57–$5,674.09	50% below	78%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$1,418.53	$6,447.83	$1,418.52–$5,674.09	—	78%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$191.39	$869.94	$110.85–$765.55	42% below	78%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$191.39	$869.94	$191.39–$765.55	—	78%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$193.97	$881.68	$91.79–$775.88	43% below	78%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$193.97	$881.68	$193.97–$775.88	—	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$256.06	$1,163.90	$134.37–$1,024.23	—	78%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$256.06	$1,163.90	$256.06–$1,024.23	—	78%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$1,158.90	$5,267.69	$110.85–$4,635.57	37% below	78%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$1,158.90	$5,267.69	$1,158.89–$4,635.57	—	78%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$454.90	$2,067.69	$185.57–$1,819.57	25% below	78%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$454.90	$2,067.69	$454.89–$1,819.57	—	78%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE WHOLE BODY	$888.79	$4,039.91	$418.88–$3,555.12	44% below	78%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE WHOLE BODY	$888.79	$4,039.91	$888.78–$3,555.12	—	78%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$311.12	$1,414.18	$110.85–$1,244.48	40% below	78%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$311.12	$1,414.18	$311.12–$1,244.48	—	78%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$311.12	$1,414.18	$91.79–$1,244.48	29% below	78%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$311.12	$1,414.18	$311.12–$1,244.48	—	78%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST	$2,655.14	$12,068.80	$372.28–$10,620.54	28% below	78%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST	$2,655.14	$12,068.80	$2,655.14–$10,620.54	—	78%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W&W/O CONTRAST	$1,327.57	$6,034.40	$185.57–$5,310.27	47% below	78%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W&W/O CONTRAST	$1,327.57	$6,034.40	$1,327.57–$5,310.27	—	78%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W&W/O CONTRAST	$1,327.57	$6,034.40	$185.57–$5,310.27	48% below	78%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W&W/O CONTRAST	$1,327.57	$6,034.40	$1,327.57–$5,310.27	—	78%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$1,327.57	$6,034.40	$185.57–$5,310.27	54% below	78%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$1,327.57	$6,034.40	$1,327.57–$5,310.27	—	78%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CORONARY ARTERIES W CALCIUM SCORING	$1,002.05	$4,554.73	$372.28–$4,008.16	43% below	78%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CORONARY ARTERIES W CALCIUM SCORING	$1,002.05	$4,554.73	$1,002.04–$4,008.16	—	78%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CARDIAC SCORING	$39.60	$180.00	$39.60–$602.00	82% below	78%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT AORTIC ROOT CALCIUM SCORE	$39.60	$180.00	$39.60–$602.00	82% below	78%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CALCIUM SCORING	$39.60	$180.00	$39.60–$602.00	82% below	78%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC VASCULAR SCREENING CARDIAC SCORING	$39.60	$180.00	$39.60–$602.00	82% below	78%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CALCIUM SCORING	$39.60	$180.00	$39.60–$158.40	—	78%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT AORTIC ROOT CALCIUM SCORE	$39.60	$180.00	$39.60–$158.40	—	78%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC VASCULAR SCREENING CARDIAC SCORING	$39.60	$180.00	$39.60–$158.40	—	78%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CARDIAC SCORING	$39.60	$180.00	$39.60–$158.40	—	78%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$2,110.46	$9,592.98	$251.97–$8,441.82	39% below	78%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$2,110.46	$9,592.98	$2,110.46–$8,441.82	—	78%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$2,270.10	$10,318.63	$372.28–$9,080.39	49% below	78%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$2,270.10	$10,318.63	$2,270.10–$9,080.39	—	78%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$2,730.76	$12,412.53	$372.28–$10,923.03	44% below	78%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$2,730.76	$12,412.53	$2,730.76–$10,923.03	—	78%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,134.95	$5,158.84	$185.57–$4,539.78	50% below	78%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,134.95	$5,158.84	$1,134.94–$4,539.78	—	78%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,060.38	$4,819.89	$110.85–$4,241.50	43% below	78%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,060.38	$4,819.89	$1,060.38–$4,241.50	—	78%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,255.31	$5,705.94	$110.85–$5,021.23	26% below	78%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,255.31	$5,705.94	$1,255.31–$5,021.23	—	78%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,169.19	$5,314.47	$110.85–$4,676.73	36% below	78%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,169.19	$5,314.47	$1,169.18–$4,676.73	—	78%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,290.81	$5,867.31	$185.57–$5,163.23	33% below	78%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,290.81	$5,867.31	$1,290.81–$5,163.23	—	78%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$1,451.72	$6,598.70	$185.57–$5,806.86	40% below	78%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$1,451.72	$6,598.70	$1,451.71–$5,806.86	—	78%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,180.11	$5,364.13	$110.85–$4,720.43	46% below	78%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,180.11	$5,364.13	$1,180.11–$4,720.43	—	78%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$1,180.11	$5,364.13	$110.85–$4,720.43	48% below	78%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$1,180.11	$5,364.13	$1,180.11–$4,720.43	—	78%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST	$1,080.96	$4,913.45	$185.57–$4,323.84	50% below	78%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST	$1,080.96	$4,913.45	$1,080.96–$4,323.84	—	78%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$457.70	$2,080.42	$251.97–$1,830.77	—	78%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$457.70	$2,080.42	$457.69–$1,830.77	—	78%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST	$1,300.68	$5,912.18	$185.57–$5,202.72	54% below	78%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST	$1,300.68	$5,912.18	$1,300.68–$5,202.72	—	78%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$222.43	$1,011.04	$91.79–$889.72	26% below	78%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$222.43	$1,011.04	$222.43–$889.72	—	78%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$179.49	$815.83	$91.79–$717.93	31% below	78%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$179.49	$815.83	$179.48–$717.93	—	78%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$251.14	$1,141.53	$91.79–$1,004.55	11% below	78%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$251.14	$1,141.53	$251.14–$1,004.55	—	78%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITIONEAL COMPLETE	$284.98	$1,295.36	$110.85–$1,139.92	65% below	78%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITIONEAL COMPLETE	$284.98	$1,295.36	$284.98–$1,139.92	—	78%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$157.78	$717.17	$110.85–$631.11	66% below	78%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$157.78	$717.17	$157.78–$631.11	—	78%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR	$68.86	$312.97	$68.85–$275.41	71% below	78%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR	$68.86	$312.97	$68.85–$275.41	—	78%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$1,060.38	$4,819.89	$110.85–$4,241.50	41% below	78%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT LOW DOSE LUNG DIAGNOSTIC - FOLLOW UP	$1,060.38	$4,819.89	$110.85–$4,241.50	41% below	78%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$1,060.38	$4,819.89	$1,060.38–$4,241.50	—	78%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT LOW DOSE LUNG DIAGNOSTIC - FOLLOW UP	$1,060.38	$4,819.89	$1,060.38–$4,241.50	—	78%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DIAG W/CONTRAST	$1,116.25	$5,073.86	$185.57–$4,465.00	53% below	78%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DIAG W/CONTRAST	$1,116.25	$5,073.86	$1,116.25–$4,465.00	—	78%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$117.87	$535.75	$117.87–$471.46	—	78%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$117.87	$535.75	$117.87–$471.46	—	78%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$102.23	$464.67	$102.23–$408.91	67% below	78%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$102.23	$464.67	$102.23–$408.91	—	78%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$323.96	$1,472.53	$251.97–$1,295.83	—	78%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$323.96	$1,472.53	$323.96–$1,295.83	—	78%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$319.99	$1,454.49	$251.97–$1,279.95	—	78%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$319.99	$1,454.49	$319.99–$1,279.95	—	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE	$1,135.02	$5,159.16	$571.56–$4,540.06	46% below	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE PEDIATRIC	$1,135.02	$5,159.16	$571.56–$4,540.06	46% below	78%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE	$1,135.02	$5,159.16	$571.56–$4,540.06	46% below	78%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE PEDIATRIC	$1,135.02	$5,159.16	$1,135.02–$4,540.06	—	78%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE	$1,135.02	$5,159.16	$1,135.02–$4,540.06	—	78%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE	$1,135.02	$5,159.16	$1,135.02–$4,540.06	—	78%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$159.76	$726.15	$91.79–$639.01	44% below	78%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$159.76	$726.15	$159.75–$639.01	—	78%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE 3+ VIEWS	$193.75	$880.65	$91.79–$774.97	43% below	78%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE 3+ VIEWS	$193.75	$880.65	$193.74–$774.97	—	78%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST	$1,347.11	$6,123.20	$110.85–$5,388.42	19% below	78%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST	$1,347.11	$6,123.20	$1,347.10–$5,388.42	—	78%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES COMPLETE 3+ VIEWS	$179.49	$815.83	$110.85–$717.93	56% below	78%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES COMPLETE 3+ VIEWS	$179.49	$815.83	$179.48–$717.93	—	78%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$166.42	$756.42	$91.79–$665.65	48% below	78%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$166.42	$756.42	$166.41–$665.65	—	78%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$960.20	$4,364.54	$418.88–$3,840.80	34% below	78%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$960.20	$4,364.54	$960.20–$3,840.80	—	78%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$150.47	$683.92	$110.85–$601.85	47% below	78%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$150.47	$683.92	$150.46–$601.85	—	78%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS 2+ VIEWS	$174.59	$793.55	$91.79–$698.32	32% below	78%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS 2+ VIEWS	$174.59	$793.55	$174.58–$698.32	—	78%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,251.17	$5,687.11	$1,060.55–$5,004.66	73% below	78%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,251.17	$5,687.11	$1,060.55–$5,004.66	73% below	78%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,251.17	$5,687.11	$1,251.16–$5,004.66	—	78%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,251.17	$5,687.11	$1,251.16–$5,004.66	—	78%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$209.84	$953.78	$91.79–$839.33	40% below	78%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$209.84	$953.78	$209.83–$839.33	—	78%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE COMPLETE 4+ VIEWS	$222.43	$1,011.04	$110.85–$889.72	50% below	78%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE COMPLETE 4+ VIEWS	$222.43	$1,011.04	$222.43–$889.72	—	78%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$1,053.02	$4,786.41	$110.85–$4,212.04	41% below	78%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$1,053.02	$4,786.41	$1,053.01–$4,212.04	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED ED	$327.23	$1,487.38	$110.85–$1,308.89	53% below	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$327.23	$1,487.38	$110.85–$1,308.89	53% below	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED ED	$327.23	$1,487.38	$327.22–$1,308.89	—	78%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$327.23	$1,487.38	$327.22–$1,308.89	—	78%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC	$164.78	$749.00	$110.85–$659.12	47% below	78%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC	$164.78	$749.00	$164.78–$659.12	—	78%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LOW DOSE LUNG CT SCREENING	$550.84	$2,503.80	$110.85–$2,203.34	3% below	78%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LOW DOSE LUNG CT SCREENING	$550.84	$2,503.80	$550.84–$2,203.34	—	78%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS	$180.61	$820.91	$91.79–$722.40	44% below	78%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS	$180.61	$820.91	$180.60–$722.40	—	78%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$1,201.33	$5,460.56	$251.97–$4,805.29	54% below	78%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$1,201.33	$5,460.56	$1,201.32–$4,805.29	—	78%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$1,313.71	$5,971.38	$251.97–$5,254.81	53% below	78%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$1,313.71	$5,971.38	$1,313.70–$5,254.81	—	78%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$1,733.19	$7,878.13	$372.28–$6,932.75	50% below	78%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$1,733.19	$7,878.13	$1,733.19–$6,932.75	—	78%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,313.71	$5,971.38	$251.97–$5,254.81	52% below	78%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,313.71	$5,971.38	$1,313.70–$5,254.81	—	78%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$1,750.21	$7,955.47	$372.28–$7,000.81	53% below	78%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$1,750.21	$7,955.47	$1,750.20–$7,000.81	—	78%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,896.62	$8,620.98	$251.97–$7,586.46	32% below	78%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,896.62	$8,620.98	$1,896.62–$7,586.46	—	78%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$2,335.43	$10,615.58	$372.28–$9,341.71	42% below	78%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$2,335.43	$10,615.58	$2,335.43–$9,341.71	—	78%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,306.78	$5,939.88	$251.97–$5,227.09	55% below	78%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,306.78	$5,939.88	$1,306.77–$5,227.09	—	78%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$1,750.21	$7,955.47	$372.28–$7,000.81	57% below	78%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$1,750.21	$7,955.47	$1,750.20–$7,000.81	—	78%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$1,306.78	$5,939.88	$251.97–$5,227.09	54% below	78%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$1,306.78	$5,939.88	$1,306.77–$5,227.09	—	78%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$1,750.21	$7,955.47	$372.28–$7,000.81	55% below	78%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$1,750.21	$7,955.47	$1,750.20–$7,000.81	—	78%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$1,313.71	$5,971.38	$251.97–$5,254.81	55% below	78%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$1,313.71	$5,971.38	$1,313.70–$5,254.81	—	78%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$1,532.17	$6,964.39	$372.28–$6,128.66	57% below	78%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$1,532.17	$6,964.39	$1,532.17–$6,128.66	—	78%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,032.23	$4,691.94	$251.97–$4,128.91	61% below	78%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,032.23	$4,691.94	$1,032.23–$4,128.91	—	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$1,268.54	$5,766.09	$251.97–$5,074.16	55% below	78%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$1,268.54	$5,766.09	$1,268.54–$5,074.16	—	78%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR CERVICAL SPINE 4 OR 5 VIEWS	$299.45	$1,361.13	$110.85–$1,197.79	45% below	78%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR CERVICAL SPINE 4 OR 5 VIEWS	$299.45	$1,361.13	$299.45–$1,197.79	—	78%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK W/CONTRAST	$1,272.12	$5,782.33	$185.57–$5,088.45	39% below	78%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK W/CONTRAST	$1,272.12	$5,782.33	$1,272.11–$5,088.45	—	78%
Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK W/O CONTRAST	$1,158.90	$5,267.69	$110.85–$4,635.57	34% below	78%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK W/O CONTRAST	$1,158.90	$5,267.69	$1,158.89–$4,635.57	—	78%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$177.39	$806.28	$91.79–$709.53	33% below	78%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$177.39	$806.28	$177.38–$709.53	—	78%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$1,957.75	$8,898.83	$1,360.86–$7,830.97	51% below	78%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$1,957.75	$8,898.83	$1,957.74–$7,830.97	—	78%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W/CT TUMOR IMAGING SKULL TO MID-THIGH	$1,772.44	$8,056.54	$1,520.46–$7,089.76	70% below	78%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W/CT TUMOR IMAGING SKULL TO MID-THIGH	$1,772.44	$8,056.54	$1,772.44–$7,089.76	—	78%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST	$1,000.09	$4,545.85	$110.85–$4,000.35	47% below	78%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST	$1,000.09	$4,545.85	$1,000.09–$4,000.35	—	78%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON OB LIMITED	$284.98	$1,295.36	$110.85–$1,139.92	47% below	78%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON OB LIMITED	$284.98	$1,295.36	$284.98–$1,139.92	—	78%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB	$514.65	$2,339.28	$110.85–$2,058.57	35% below	78%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB	$514.65	$2,339.28	$514.64–$2,058.57	—	78%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$500.88	$2,276.69	$110.85–$2,003.49	32% below	78%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$500.88	$2,276.69	$500.87–$2,003.49	—	78%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$500.88	$2,276.69	$110.85–$2,003.49	25% below	78%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$500.88	$2,276.69	$500.87–$2,003.49	—	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$306.69	$1,394.02	$110.85–$1,226.74	42% below	78%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$306.69	$1,394.02	$306.68–$1,226.74	—	78%
Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS	$186.96	$849.78	$91.79–$747.81	46% below	78%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS	$186.96	$849.78	$186.95–$747.81	—	78%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS	$191.39	$869.94	$110.85–$765.55	58% below	78%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS	$191.39	$869.94	$191.39–$765.55	—	78%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$77.96	$354.34	$77.95–$332.02	—	78%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$77.96	$354.34	$77.95–$311.82	—	78%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$188.08	$854.90	$91.79–$752.31	48% below	78%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$188.08	$854.90	$188.08–$752.31	—	78%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES COMPLETE 3+ VIEWS	$232.47	$1,056.66	$91.79–$929.86	37% below	78%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES COMPLETE 3+ VIEWS	$232.47	$1,056.66	$232.47–$929.86	—	78%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL < 4 VIEWS	$222.90	$1,013.16	$110.85–$891.58	29% below	78%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL < 4 VIEWS	$222.90	$1,013.16	$222.90–$891.58	—	78%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,251.17	$5,687.11	$1,060.55–$5,004.66	68% below	78%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,251.17	$5,687.11	$1,251.16–$5,004.66	—	78%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$347.77	$1,580.74	$185.57–$1,391.05	43% below	78%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$347.77	$1,580.74	$347.76–$1,391.05	—	78%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$144.95	$658.82	$91.79–$579.76	49% below	78%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$144.95	$658.82	$144.94–$579.76	—	78%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$1,050.93	$4,776.91	$110.85–$4,203.68	51% below	78%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$1,050.93	$4,776.91	$1,050.92–$4,203.68	—	78%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) 2+ VIEWS	$156.38	$710.80	$91.79–$625.50	34% below	78%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) 2+ VIEWS	$156.38	$710.80	$156.38–$625.50	—	78%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$285.22	$1,296.42	$110.85–$1,140.85	56% below	78%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL	$285.22	$1,296.42	$285.21–$1,140.85	—	78%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL	$322.09	$1,464.04	$110.85–$1,288.36	39% below	78%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL	$322.09	$1,464.04	$322.09–$1,288.36	—	78%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$632.98	$2,877.16	$110.85–$2,531.90	37% below	78%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$632.98	$2,877.16	$632.98–$2,531.90	—	78%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$348.23	$1,582.86	$110.85–$1,392.92	53% below	78%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$348.23	$1,582.86	$348.23–$1,392.92	—	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$675.46	$3,070.24	$110.85–$2,701.81	at median	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK ED	$675.46	$3,070.24	$110.85–$2,701.81	at median	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK ED	$675.46	$3,070.24	$675.45–$2,701.81	—	78%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$675.46	$3,070.24	$675.45–$2,701.81	—	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST	$132.34	$601.53	$132.34–$529.35	81% below	78%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST	$132.34	$601.53	$132.34–$529.35	—	78%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2+ VIEWS	$291.28	$1,324.00	$91.79–$1,165.12	1% below	78%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2+ VIEWS	$291.28	$1,324.00	$291.28–$1,165.12	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$191.86	$872.06	$110.85–$767.41	71% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED ED	$191.86	$872.06	$110.85–$767.41	71% below	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED ED	$191.86	$872.06	$191.85–$767.41	—	78%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$191.86	$872.06	$191.85–$767.41	—	78%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$118.29	$537.66	$91.79–$473.14	56% below	78%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$118.29	$537.66	$118.29–$473.14	—	78%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$133.70	$607.70	$91.79–$534.78	59% below	78%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$133.70	$607.70	$133.69–$534.78	—	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$266.31	$1,210.49	$91.79–$1,065.23	12% below	78%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$266.31	$1,210.49	$266.31–$1,065.23	—	78%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$180.42	$820.08	$91.79–$721.67	32% below	78%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$180.42	$820.08	$180.42–$721.67	—	78%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$170.18	$773.53	$91.79–$680.71	39% below	78%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$170.18	$773.53	$170.18–$680.71	—	78%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2+ VIEWS	$166.42	$756.42	$91.79–$665.65	38% below	78%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2+ VIEWS	$166.42	$756.42	$166.41–$665.65	—	78%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$131.89	$599.46	$91.79–$527.52	52% below	78%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$131.89	$599.46	$131.88–$527.52	—	78%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$135.96	$618.00	$91.79–$543.84	61% below	78%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$135.96	$618.00	$135.96–$543.84	—	78%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$175.17	$796.19	$91.79–$700.65	49% below	78%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$175.17	$796.19	$175.16–$700.65	—	78%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$196.01	$890.95	$91.79–$784.04	32% below	78%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$196.01	$890.95	$196.01–$784.04	—	78%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$297.12	$1,350.53	$110.85–$1,188.47	33% below	78%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$297.12	$1,350.53	$297.12–$1,188.47	—	78%
X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$392.35	$1,783.37	$110.85–$1,569.37	29% below	78%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$392.35	$1,783.37	$392.34–$1,569.37	—	78%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$288.02	$1,309.15	$110.85–$1,152.05	21% below	78%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$288.02	$1,309.15	$288.01–$1,152.05	—	78%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$252.07	$1,145.77	$91.79–$1,008.28	16% below	78%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$252.07	$1,145.77	$252.07–$1,008.28	—	78%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$274.95	$1,249.74	$91.79–$1,099.77	23% below	78%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$274.95	$1,249.74	$274.94–$1,099.77	—	78%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$197.93	$899.64	$110.85–$791.68	43% below	78%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$197.93	$899.64	$197.92–$791.68	—	78%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$159.41	$724.59	$91.79–$637.64	54% below	78%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$159.41	$724.59	$159.41–$637.64	—	78%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH REF	$172.25	$782.94	$38.62–$688.99	14% below	78%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH REF	$172.25	$782.94	$172.25–$688.99	—	78%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT B	$77.73	$353.28	$5.30–$310.89	41% above	78%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT B	$77.73	$353.28	$77.72–$310.89	—	78%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT B	$72.36	$328.88	$5.18–$289.41	32% above	78%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT B	$72.36	$328.88	$72.35–$289.41	—	78%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$282.18	$1,282.63	$47.63–$1,128.71	8% above	78%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL REF	$282.18	$1,282.63	$47.63–$1,128.71	8% above	78%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$282.18	$1,282.63	$282.18–$1,128.71	—	78%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL REF	$282.18	$1,282.63	$282.18–$1,128.71	—	78%
Albumin blood test CPT 82040 HC ALBUMIN B	$67.46	$306.60	$4.95–$269.81	57% above	78%
Albumin blood test inpatient CPT 82040 HC ALBUMIN B	$67.46	$306.60	$67.45–$269.81	—	78%
Aldosterone blood test CPT 82088 HC ALDOSTERONE BLOOD\URINE REF	$172.25	$782.94	$40.75–$688.99	4% above	78%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLOOD\URINE REF	$172.25	$782.94	$172.25–$688.99	—	78%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$70.49	$320.39	$5.18–$281.94	28% above	78%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE REF	$205.08	$932.15	$5.18–$820.29	273% above	78%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$70.49	$320.39	$70.49–$281.94	—	78%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE REF	$205.08	$932.15	$205.07–$820.29	—	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F002-IGE MILK COW REF	$19.72	$89.61	$5.22–$78.86	28% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F092 IGE BANANA	$19.72	$89.61	$5.22–$78.86	28% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST SOYBEAN F14 IGE QUANT SEMIQNT REF	$19.72	$89.61	$5.22–$78.86	28% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W014-IGE PIGWEED ROUGH REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F020-IGE ALMOND REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F202-IGE CASHEW NUT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F004-IGE WHEAT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SEASAME SEED REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W011-IGE THISTLE RUSSIAN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST CHESTNUTF299 IGE QT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T007-IGE OAK WHITE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEANUT ALLERGEN	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST COCONUT F36 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T011- IGE MAPLE LEAF SYCAMORE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F201-IGE PECAN NUT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST WHEAT F4 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD LAMB REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T014- IGE COTTONWOOD REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC E001 AGN-IGE CAT HAIR/DANDERSTAN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC E005 -IGE DOG HAIR/DANDER REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F007-IGE OAT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W016-IGE ROUGH MARSHELDER REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST SHRIMP F24IGE QUANT SQT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F044-IGE STRAWBERRY REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT HONEY BEE VENOM IGE	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PORK F26 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG K076-IGE ISOCYANATES MDI REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PISTACHIO IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T015-IGE ASH WHITE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEANUT IGE RFLX REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC G002-IGE BERMUDA GRASS REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D001-IGE D PTERONYSSINUS REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F001 AGN-IGE EGG WHITE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T008-IGE ELM AMERICAN WHITE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T022- IGE PECAN HICORY REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F014 AGN-IGE SOYBEAN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD TURKEY REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF288-IGE BLUEBERRY REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC M002-IGE CLADOSPORIUM HERBARU REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN-IGE BARLEY WHOLE GRAIN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST BAKERS YEAST F45 IGE QNT SQT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN I205-IGE BUMBLEBEE	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF207-IGE CLAM REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG K077-IGE ISOCYANATES HDI REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF008-IGE CORN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F008-IGE CORN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT YELLOW FACED HORNET IGE	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC M006 AGN- IGE ALTERNARIA ALTERNATA REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST ONION F48 IGE QUANT SEMIQT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F018-IGE BRAZIL NUT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD MACADAMIA REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PINEAPPLE F210 IGE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC E072 ALLERGEN-IGE MOUSE UR REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CABBAGE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST TOMATO IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN IGE M001 PENICILLIUM CHRYSOGEN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST BEEF F27 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F002 AGN-IGE MILK COW REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT PAPER WASP IGE	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN E006-IGG GUINEA PIG EPITHELIA REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT WHITE FACED HORNET IGE	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICK PEA F30	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F009-IGE RICE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST BROCCOLI IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F005-IGE RYE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF053-IGE SCALLOP REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F256 -IGE WALNUT FOOD REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST AVACADO F96 IGE QUA REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG E082-IGE RABBIT EPITHELIA REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG E083 IGE SWINE EPITHELIA REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG K075-IGE ISOCYANATES TDI REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGENM047-IGE ASPERGIL REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC I006-IGE COCKROACH GERMAN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F017-IGE HAZELNUT/FILBERT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T070-IGE WHITE MULBERRY REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D002-IGE D FARINAE MITE REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC M006-IGE ALTERNARIA TENUIS REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNT010-IGE WALNUT POLLEN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T001-IGE MAPLE/BOX ELDER REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT YELLOW JACKET VENOM IGE	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ZONE 10	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F004 AGN-IGE WHEAT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F013-IGE PEANUT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD RASPBERRY REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T006-IGE CEDAR MOUNTAIN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST WALNUT IGE QUANT SEMIQUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F054-IGE SWEET POTATO REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F003 AGN-IGE CODFISH REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST COMMON SHORT RAGWEED IGE QNT SQ REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN DOG AND CAT W RFLX REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC G006-IGE TIMOTHY GRASS REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD BEEF IGE	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST BEEF F27 IGE QUANT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F013 AGN-IGE PEANUT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC M003-IGE ASPERGILLUS FUMIGATU REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC E001-IGE CAT HAIR/DANDER STAN REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F024 AGN-IGE SHRIMP REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN F253-IGE PINE NUT REF	$20.31	$92.30	$5.22–$81.22	26% below	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST SOYBEAN F14 IGE QUANT SEMIQNT REF	$19.72	$89.61	$19.71–$78.86	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F092 IGE BANANA	$19.72	$89.61	$19.71–$78.86	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F002-IGE MILK COW REF	$19.72	$89.61	$19.71–$78.86	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST WHEAT F4 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC M006 AGN- IGE ALTERNARIA ALTERNATA REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W016-IGE ROUGH MARSHELDER REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F013 AGN-IGE PEANUT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CABBAGE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC E005 -IGE DOG HAIR/DANDER REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD MACADAMIA REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST PINEAPPLE F210 IGE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST ONION F48 IGE QUANT SEMIQT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST TOMATO IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F054-IGE SWEET POTATO REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN IGE M001 PENICILLIUM CHRYSOGEN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F008-IGE CORN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF008-IGE CORN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEANUT ALLERGEN	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD RASPBERRY REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F003 AGN-IGE CODFISH REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG K076-IGE ISOCYANATES MDI REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC M002-IGE CLADOSPORIUM HERBARU REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC G002-IGE BERMUDA GRASS REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T007-IGE OAK WHITE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T008-IGE ELM AMERICAN WHITE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F020-IGE ALMOND REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F002 AGN-IGE MILK COW REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ZONE 10	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC E001 AGN-IGE CAT HAIR/DANDERSTAN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT PAPER WASP IGE	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNT010-IGE WALNUT POLLEN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT YELLOW FACED HORNET IGE	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGENM047-IGE ASPERGIL REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST SHRIMP F24IGE QUANT SQT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN I205-IGE BUMBLEBEE	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC E072 ALLERGEN-IGE MOUSE UR REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F018-IGE BRAZIL NUT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG E082-IGE RABBIT EPITHELIA REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST BEEF F27 IGE QUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG K075-IGE ISOCYANATES TDI REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F044-IGE STRAWBERRY REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST PISTACHIO IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC I006-IGE COCKROACH GERMAN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F007-IGE OAT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T015-IGE ASH WHITE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T001-IGE MAPLE/BOX ELDER REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST BROCCOLI IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN F253-IGE PINE NUT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W011-IGE THISTLE RUSSIAN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F202-IGE CASHEW NUT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F004 AGN-IGE WHEAT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST WALNUT IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN DOG AND CAT W RFLX REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T011- IGE MAPLE LEAF SYCAMORE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEANUT IGE RFLX REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SEASAME SEED REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F013-IGE PEANUT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST COCONUT F36 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W014-IGE PIGWEED ROUGH REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST CHESTNUTF299 IGE QT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T014- IGE COTTONWOOD REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN-IGE BARLEY WHOLE GRAIN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F009-IGE RICE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD TURKEY REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT HONEY BEE VENOM IGE	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F024 AGN-IGE SHRIMP REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F001 AGN-IGE EGG WHITE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD LAMB REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST BAKERS YEAST F45 IGE QNT SQT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT WHITE FACED HORNET IGE	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICK PEA F30	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF053-IGE SCALLOP REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F201-IGE PECAN NUT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC M006-IGE ALTERNARIA TENUIS REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T006-IGE CEDAR MOUNTAIN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F014 AGN-IGE SOYBEAN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT YELLOW JACKET VENOM IGE	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD BEEF IGE	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST PORK F26 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN E006-IGG GUINEA PIG EPITHELIA REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST BEEF F27 IGE QUANT SEMIQUANT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF288-IGE BLUEBERRY REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T022- IGE PECAN HICORY REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC E001-IGE CAT HAIR/DANDER STAN REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG K077-IGE ISOCYANATES HDI REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T070-IGE WHITE MULBERRY REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG E083 IGE SWINE EPITHELIA REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F004-IGE WHEAT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F017-IGE HAZELNUT/FILBERT REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC M003-IGE ASPERGILLUS FUMIGATU REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F256 -IGE WALNUT FOOD REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF207-IGE CLAM REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC G006-IGE TIMOTHY GRASS REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST COMMON SHORT RAGWEED IGE QNT SQ REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D001-IGE D PTERONYSSINUS REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F005-IGE RYE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D002-IGE D FARINAE MITE REF	$20.31	$92.30	$20.31–$81.22	—	78%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST AVACADO F96 IGE QUA REF	$20.31	$92.30	$20.31–$81.22	—	78%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER	$96.40	$438.15	$16.77–$385.57	17% below	78%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN AFP SERUM TUMOR MARKER	$96.40	$438.15	$16.77–$385.57	17% below	78%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN AFP SERUM TUMOR MARKER	$96.40	$438.15	$96.39–$385.57	—	78%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER	$96.40	$438.15	$96.39–$385.57	—	78%
Ammonia blood test CPT 82140 HC AMMONIA B	$150.55	$684.28	$14.57–$602.17	38% above	78%
Ammonia blood test inpatient CPT 82140 HC AMMONIA B	$150.55	$684.28	$150.54–$602.17	—	78%
Amylase blood test CPT 82150 HC AMYLASE B	$67.46	$306.60	$6.48–$269.81	16% below	78%
Amylase blood test CPT 82150 HC AMYLASE REF	$67.46	$306.60	$6.48–$269.81	16% below	78%
Amylase blood test inpatient CPT 82150 HC AMYLASE REF	$67.46	$306.60	$67.45–$269.81	—	78%
Amylase blood test inpatient CPT 82150 HC AMYLASE B	$67.46	$306.60	$67.45–$269.81	—	78%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI CCP AB IGG/IGA REF	$17.74	$80.63	$12.95–$70.95	79% below	78%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI CCP AB IGG/IGA REF	$17.74	$80.63	$17.74–$70.95	—	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA IFA REFLEX 5 BIOMARKERS REF	$43.42	$197.33	$12.09–$173.65	53% below	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA AB W RFX IF POS REF	$43.42	$197.33	$12.09–$173.65	53% below	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA IFA REFLEX 9 BIOMARKERS REF	$43.42	$197.33	$12.09–$173.65	53% below	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA AB IFA REF	$43.42	$197.33	$12.09–$173.65	53% below	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA BY IFA REFLEX TO 11 BIOMARKER PROFILE	$43.42	$197.33	$12.09–$173.65	53% below	78%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB QUAL MULTIPLEX IMMUNOASSAY REF	$43.42	$197.33	$12.09–$173.65	53% below	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB QUAL MULTIPLEX IMMUNOASSAY REF	$43.42	$197.33	$43.41–$173.65	—	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA BY IFA REFLEX TO 11 BIOMARKER PROFILE	$43.42	$197.33	$43.41–$173.65	—	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA AB IFA REF	$43.42	$197.33	$43.41–$173.65	—	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA IFA REFLEX 9 BIOMARKERS REF	$43.42	$197.33	$43.41–$173.65	—	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA IFA REFLEX 5 BIOMARKERS REF	$43.42	$197.33	$43.41–$173.65	—	78%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA AB W RFX IF POS REF	$43.42	$197.33	$43.41–$173.65	—	78%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BN PEPTIDE BNP	$86.83	$394.65	$39.26–$347.29	54% below	78%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BN PEPTIDE BNP	$86.83	$394.65	$86.82–$347.29	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TISSUE	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GENITAL TRACT	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BODY FLUID	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE STERILITY	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY TRACT	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EAR	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPUTUM	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE IV CATH TIP	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EYE	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF	$144.71	$657.76	$8.62–$578.83	63% above	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GENITAL TRACT	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY TRACT	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE IV CATH TIP	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BODY FLUID	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SPUTUM	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EAR	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TISSUE	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EYE	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$144.71	$657.76	$144.71–$578.83	—	78%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE STERILITY	$144.71	$657.76	$144.71–$578.83	—	78%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROF CHEM8	$72.36	$328.88	$8.46–$289.41	43% below	78%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROF CHEM8	$72.36	$328.88	$72.35–$289.41	—	78%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN BODY FLUID REF	$86.57	$393.46	$5.02–$346.24	44% above	78%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$89.16	$405.26	$5.02–$356.63	48% above	78%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN BODY FLUID REF	$86.57	$393.46	$86.56–$346.24	—	78%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$89.16	$405.26	$89.16–$356.63	—	78%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL IV	$28.48	$129.43	$28.47–$158.74	88% below	78%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL IV	$28.48	$129.43	$28.47–$113.90	—	78%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$116.70	$530.45	$10.32–$466.80	19% below	78%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$116.70	$530.45	$116.70–$466.80	—	78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$19.84	$90.18	$9.09–$79.36	16% below	78%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$19.84	$90.18	$9.09–$79.36	16% below	78%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$19.84	$90.18	$19.84–$79.36	—	78%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$19.84	$90.18	$19.84–$79.36	—	78%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BY DEVICE	$48.79	$221.73	$3.93–$195.12	23% above	78%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE B	$48.79	$221.73	$3.93–$195.12	23% above	78%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE ISTAT	$48.79	$221.73	$3.93–$195.12	23% above	78%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BY DEVICE	$48.79	$221.73	$48.78–$195.12	—	78%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE ISTAT	$48.79	$221.73	$48.78–$195.12	—	78%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE B	$48.79	$221.73	$48.78–$195.12	—	78%
Blood lead test CPT 83655 HC LEAD REF	$58.47	$265.74	$12.11–$233.85	8% above	78%
Blood lead test CPT 83655 HC LEAD WHOLE BLOOD	$60.22	$273.71	$12.11–$240.86	12% above	78%
Blood lead test inpatient CPT 83655 HC LEAD REF	$58.47	$265.74	$58.46–$233.85	—	78%
Blood lead test inpatient CPT 83655 HC LEAD WHOLE BLOOD	$60.22	$273.71	$60.22–$240.86	—	78%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG SERUM PREGNANCY	$70.49	$320.39	$7.52–$281.94	21% below	78%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG SERUM PREGNANCY	$70.49	$320.39	$70.49–$281.94	—	78%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPING	$40.15	$182.47	$40.14–$382.95	52% below	78%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPING	$40.15	$182.47	$40.14–$160.57	—	78%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN B	$47.85	$217.48	$3.95–$191.38	1% below	78%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN B	$47.85	$217.48	$47.85–$191.38	—	78%
C-peptide blood test CPT 84681 HC C-PEPTIDE REF	$121.14	$550.61	$20.81–$484.54	17% above	78%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE REF	$121.14	$550.61	$121.13–$484.54	—	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN	$70.49	$320.39	$5.18–$281.94	2% above	78%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN	$70.49	$320.39	$70.49–$281.94	—	78%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM BY PCR	$50.65	$230.22	$37.27–$202.59	73% below	78%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM PCR REF	$50.65	$230.22	$37.27–$202.59	73% below	78%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM PCR REF	$50.65	$230.22	$50.65–$202.59	—	78%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM BY PCR	$50.65	$230.22	$50.65–$202.59	—	78%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 REF	$97.80	$444.52	$20.81–$391.18	13% below	78%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 REF	$97.80	$444.52	$97.79–$391.18	—	78%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 QUANT REF	$70.49	$320.39	$20.81–$281.94	56% below	78%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 QUANT REF	$70.49	$320.39	$70.49–$281.94	—	78%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19 NAA REF	$70.02	$318.27	$51.31–$280.08	39% below	78%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$70.02	$318.27	$51.31–$280.08	39% below	78%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$70.02	$318.27	$70.02–$280.08	—	78%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID19 NAA REF	$70.02	$318.27	$70.02–$280.08	—	78%
Calcium blood test, total CPT 82310 HC CALCIUM URINE RANDOM	$34.78	$158.07	$5.16–$139.10	20% below	78%
Calcium blood test, total CPT 82310 HC CALCIUM B	$62.32	$283.26	$5.16–$249.27	43% above	78%
Calcium blood test, total CPT 82310 HC CALCIUM B REF	$62.32	$283.26	$5.16–$249.27	43% above	78%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM URINE RANDOM	$34.78	$158.07	$34.78–$139.10	—	78%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM B REF	$62.32	$283.26	$62.32–$249.27	—	78%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM B	$62.32	$283.26	$62.32–$249.27	—	78%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN	$184.62	$839.17	$18.96–$738.47	29% above	78%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN	$184.62	$839.17	$184.62–$738.47	—	78%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB IGG\IGM REF	$70.49	$320.39	$12.88–$281.94	3% below	78%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB IGG\IGM REF	$70.49	$320.39	$70.49–$281.94	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH AMPLIFIED DETECTION REF	$109.47	$497.56	$35.09–$437.85	11% below	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA	$109.47	$497.56	$35.09–$437.85	11% below	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA	$109.47	$497.56	$109.46–$437.85	—	78%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH AMPLIFIED DETECTION REF	$109.47	$497.56	$109.46–$437.85	—	78%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE CORONARY RISK	$10.62	$48.27	$10.62–$42.48	91% below	78%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL REF	$109.47	$497.56	$13.39–$437.85	12% below	78%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE CORONARY RISK	$10.62	$48.27	$10.62–$42.48	—	78%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL REF	$109.47	$497.56	$109.46–$437.85	—	78%
Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF	$6.17	$28.01	$6.16–$24.65	92% below	78%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF	$6.17	$28.01	$6.16–$24.65	—	78%
Complete blood count (CBC), no differential CPT 85027 HC CBC W MANUAL DIFF	$42.02	$190.96	$6.47–$168.04	35% below	78%
Complete blood count (CBC), no differential CPT 85027 HC WHOLE BLOOD SCREEN	$59.61	$270.94	$6.47–$238.43	8% below	78%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W MANUAL DIFF	$42.02	$190.96	$42.01–$168.04	—	78%
Complete blood count (CBC), no differential inpatient CPT 85027 HC WHOLE BLOOD SCREEN	$59.61	$270.94	$59.61–$238.43	—	78%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$121.61	$552.73	$10.56–$486.40	21% below	78%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL CMP REF	$121.61	$552.73	$10.56–$486.40	21% below	78%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL CMP REF	$121.61	$552.73	$121.60–$486.40	—	78%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$121.61	$552.73	$121.60–$486.40	—	78%
Cortisol blood test, total CPT 82533 HC ATCH STIMULATION REF	$163.84	$744.69	$16.30–$655.33	46% above	78%
Cortisol blood test, total CPT 82533 HC CORTISOL BLOOD REF	$168.75	$767.03	$16.30–$674.99	50% above	78%
Cortisol blood test, total inpatient CPT 82533 HC ATCH STIMULATION REF	$163.84	$744.69	$163.83–$655.33	—	78%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL BLOOD REF	$168.75	$767.03	$168.75–$674.99	—	78%
Creatine kinase (CK) blood test, total CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE	$77.73	$353.28	$6.51–$310.89	16% above	78%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE	$77.73	$353.28	$77.72–$310.89	—	78%
Creatinine blood test CPT 82565 HC CREATININE ISTAT	$59.75	$271.59	$5.12–$239.00	26% above	78%
Creatinine blood test CPT 82565 HC CREATININE B	$59.75	$271.59	$5.12–$239.00	26% above	78%
Creatinine blood test inpatient CPT 82565 HC CREATININE B	$59.75	$271.59	$59.75–$239.00	—	78%
Creatinine blood test inpatient CPT 82565 HC CREATININE ISTAT	$59.75	$271.59	$59.75–$239.00	—	78%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV AB REF	$200.73	$912.37	$14.39–$802.89	129% above	78%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV AB REF	$200.73	$912.37	$200.72–$802.89	—	78%
D-dimer blood test (blood clot marker) CPT 85379 HC DIMER QUANTITATIVE	$270.98	$1,231.70	$10.18–$1,083.90	128% above	78%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DIMER QUANTITATIVE	$270.98	$1,231.70	$270.97–$1,083.90	—	78%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE REF	$127.44	$579.25	$22.23–$509.74	16% above	78%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE REF	$127.44	$579.25	$127.44–$509.74	—	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN HAIR	$108.54	$493.32	$62.14–$434.12	9% above	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN DOT AND NON DOT	$108.54	$493.32	$62.14–$434.12	9% above	78%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 6 PANEL REF	$108.54	$493.32	$62.14–$434.12	9% above	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN HAIR	$108.54	$493.32	$108.53–$434.12	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 6 PANEL REF	$108.54	$493.32	$108.53–$434.12	—	78%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN DOT AND NON DOT	$108.54	$493.32	$108.53–$434.12	—	78%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTES NA K CL C02	$121.61	$552.73	$7.01–$486.40	34% above	78%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTES NA K CL C02	$121.61	$552.73	$121.60–$486.40	—	78%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV VIRAL CAPSID REF	$28.01	$127.31	$18.14–$112.03	74% below	78%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV VIRAL CAPSID REF	$28.01	$127.31	$28.01–$112.03	—	78%
Estradiol blood test CPT 82670 HC ESTRADIOL REF	$55.09	$250.37	$27.94–$220.33	50% below	78%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL REF	$55.09	$250.37	$55.08–$220.33	—	78%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH FOLLICLE STIM HORMONE	$155.21	$705.50	$18.58–$620.84	29% above	78%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH FOLLICLE STIM HORMONE	$155.21	$705.50	$155.21–$620.84	—	78%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL REF	$55.55	$252.49	$19.63–$222.19	68% below	78%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL REF	$55.55	$252.49	$55.55–$222.19	—	78%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$121.61	$552.73	$13.63–$486.40	7% below	78%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN REF	$121.61	$552.73	$13.63–$486.40	7% below	78%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN REF	$121.61	$552.73	$121.60–$486.40	—	78%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$121.61	$552.73	$121.60–$486.40	—	78%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN B	$84.03	$381.92	$9.72–$336.09	at median	78%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN B	$84.03	$381.92	$84.02–$336.09	—	78%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM REF	$77.73	$353.28	$14.70–$310.89	32% below	78%
Folate (folic acid) blood test CPT 82746 HC FOLATE	$77.73	$353.28	$14.70–$310.89	32% below	78%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM REF	$77.73	$353.28	$77.72–$310.89	—	78%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE	$77.73	$353.28	$77.72–$310.89	—	78%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE REF	$130.24	$591.98	$16.94–$520.94	7% above	78%
Free T3 thyroid hormone test CPT 84481 HC FREE T3	$130.24	$591.98	$16.94–$520.94	7% above	78%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3	$130.24	$591.98	$130.24–$520.94	—	78%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE REF	$130.24	$591.98	$130.24–$520.94	—	78%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4	$115.77	$526.21	$9.02–$463.06	at median	78%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 THYROXINE FREE REF	$115.77	$526.21	$9.02–$463.06	at median	78%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4	$115.77	$526.21	$115.77–$463.06	—	78%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 THYROXINE FREE REF	$115.77	$526.21	$115.77–$463.06	—	78%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE REF	$140.74	$639.72	$25.47–$562.95	13% above	78%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE REF	$140.74	$639.72	$140.74–$562.95	—	78%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE	$79.59	$361.77	$7.20–$318.36	36% above	78%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE	$79.59	$361.77	$79.59–$318.36	—	78%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 2 HOUR PC 75G GLUC	$48.79	$221.73	$4.75–$195.12	15% below	78%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1 HOUR PC 50G GLUCOLA	$72.36	$328.88	$4.75–$289.41	26% above	78%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 2 HOUR PC 75G GLUC	$48.79	$221.73	$48.78–$195.12	—	78%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 1 HOUR PC 50G GLUCOLA	$72.36	$328.88	$72.35–$289.41	—	78%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE 0	$86.83	$394.65	$12.87–$347.29	33% below	78%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE 0	$86.83	$394.65	$86.82–$347.29	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE BY TMA	$123.94	$563.34	$35.09–$495.74	4% above	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHEA DNA PROBE REF	$123.94	$563.34	$35.09–$495.74	4% above	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHEA DNA PROBE REF	$123.94	$563.34	$123.93–$495.74	—	78%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE BY TMA	$123.94	$563.34	$123.93–$495.74	—	78%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG REF	$43.42	$197.33	$14.38–$173.65	63% below	78%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG REF	$43.42	$197.33	$43.41–$173.65	—	78%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 RNA BY PCR QUANT REF	$263.04	$1,195.63	$85.10–$1,052.15	23% below	78%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 RNA BY PCR QUANT REF	$263.04	$1,195.63	$263.04–$1,052.15	—	78%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$166.18	$755.36	$24.08–$664.72	45% above	78%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$166.18	$755.36	$166.18–$664.72	—	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN	$79.59	$361.77	$9.71–$318.36	10% below	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN HGB A1C GLYCOSOLATED REF	$79.59	$361.77	$9.71–$318.36	10% below	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HGB A1C	$79.59	$361.77	$9.71–$318.36	10% below	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HGB A1C	$79.59	$361.77	$79.59–$318.36	—	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN HGB A1C GLYCOSOLATED REF	$79.59	$361.77	$79.59–$318.36	—	78%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN	$79.59	$361.77	$79.59–$318.36	—	78%
Hemoglobin blood test CPT 85018 HC HGB	$55.09	$250.37	$2.37–$220.33	75% above	78%
Hemoglobin blood test inpatient CPT 85018 HC HGB	$55.09	$250.37	$55.08–$220.33	—	78%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL REF	$125.34	$569.70	$12.05–$501.34	57% above	78%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL REF	$125.34	$569.70	$125.33–$501.34	—	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB REF	$202.36	$919.79	$10.74–$809.42	116% above	78%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB REF	$202.36	$919.79	$202.35–$809.42	—	78%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS HBSAG REF	$79.59	$361.77	$10.33–$318.36	10% below	78%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS HBSAG REF	$79.59	$361.77	$79.59–$318.36	—	78%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV AB RFX TO QNT PCR REF	$82.86	$376.62	$14.27–$331.43	26% below	78%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS PANEL RFLX HCVPCR REF	$282.18	$1,282.63	$14.27–$1,128.71	152% above	78%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV AB RFX TO QNT PCR REF	$82.86	$376.62	$82.86–$331.43	—	78%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS PANEL RFLX HCVPCR REF	$282.18	$1,282.63	$282.18–$1,128.71	—	78%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA PCR QNT RFX GENO REF	$282.18	$1,282.63	$42.84–$1,128.71	6% above	78%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANT REF	$282.18	$1,282.63	$42.84–$1,128.71	6% above	78%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HC HCV RT PCR QUANT REF	$282.18	$1,282.63	$42.84–$1,128.71	6% above	78%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANT REF	$282.18	$1,282.63	$282.18–$1,128.71	—	78%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA PCR QNT RFX GENO REF	$282.18	$1,282.63	$282.18–$1,128.71	—	78%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HC HCV RT PCR QUANT REF	$282.18	$1,282.63	$282.18–$1,128.71	—	78%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 REF	$46.68	$212.18	$13.19–$186.72	31% below	78%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 REF	$46.68	$212.18	$46.68–$186.72	—	78%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 REF	$46.68	$212.18	$19.35–$186.72	50% below	78%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 REF	$46.68	$212.18	$46.68–$186.72	—	78%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVE	$78.19	$355.40	$12.95–$312.75	15% below	78%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVE	$78.19	$355.40	$78.19–$312.75	—	78%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE REF	$119.50	$543.18	$17.92–$478.00	at median	78%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE REF	$119.50	$543.18	$119.50–$478.00	—	78%
Insulin blood test CPT 83525 HC INSULIN TOTAL REF	$93.13	$423.30	$11.43–$372.50	26% above	78%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL REF	$93.13	$423.30	$93.13–$372.50	—	78%
Iron blood test (serum iron) CPT 83540 HC IRON B	$67.46	$306.60	$6.47–$269.81	13% below	78%
Iron blood test (serum iron) CPT 83540 HC IRON AND TIBC REF	$67.46	$306.60	$6.47–$269.81	13% below	78%
Iron blood test (serum iron) CPT 83540 HC IRON TOTAL FE REF	$67.46	$306.60	$6.47–$269.81	13% below	78%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON TOTAL FE REF	$67.46	$306.60	$67.45–$269.81	—	78%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON AND TIBC REF	$67.46	$306.60	$67.45–$269.81	—	78%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON B	$67.46	$306.60	$67.45–$269.81	—	78%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY TIBC REF	$66.85	$303.85	$8.74–$267.39	15% below	78%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON AND IRON BIND CAP	$68.86	$312.97	$8.74–$275.41	13% below	78%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY TIBC REF	$66.85	$303.85	$66.85–$267.39	—	78%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON AND IRON BIND CAP	$68.86	$312.97	$68.85–$275.41	—	78%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE	$129.77	$589.86	$8.68–$519.08	12% below	78%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE	$129.77	$589.86	$129.77–$519.08	—	78%
LH (luteinizing hormone) test CPT 83002 HC LH LUTEINIZING HORMONE	$218.93	$995.12	$18.52–$875.71	91% above	78%
LH (luteinizing hormone) test CPT 83002 HC LUTEIENIZING HORMONE S REF	$218.93	$995.12	$18.52–$875.71	91% above	78%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH LUTEINIZING HORMONE	$218.93	$995.12	$218.93–$875.71	—	78%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEIENIZING HORMONE S REF	$218.93	$995.12	$218.93–$875.71	—	78%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$80.53	$366.01	$11.57–$322.09	10% below	78%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$80.53	$366.01	$80.52–$322.09	—	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH B	$17.74	$80.63	$6.04–$70.95	66% below	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH B REF	$48.79	$221.73	$6.04–$195.12	8% below	78%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH) BODY FLUID	$48.79	$221.73	$6.04–$195.12	8% below	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH B	$17.74	$80.63	$17.74–$70.95	—	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH B REF	$48.79	$221.73	$48.78–$195.12	—	78%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH) BODY FLUID	$48.79	$221.73	$48.78–$195.12	—	78%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE B	$59.29	$269.47	$6.89–$237.13	34% below	78%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE B	$59.29	$269.47	$59.28–$237.13	—	78%
Liver function blood test panel CPT 80076 HC LIVER HEPATIC PROFILE	$155.21	$705.50	$8.17–$620.84	11% above	78%
Liver function blood test panel inpatient CPT 80076 HC LIVER HEPATIC PROFILE	$155.21	$705.50	$155.21–$620.84	—	78%
Lyme disease antibody test CPT 86618 HC LYME DISEASE TOTAL AB W RFLX IMMUNIASSAY REF	$189.06	$859.33	$17.03–$756.21	154% above	78%
Lyme disease antibody test CPT 86618 HC LYME AB IGG/IGM REF	$189.06	$859.33	$17.03–$756.21	154% above	78%
Lyme disease antibody test CPT 86618 HC LYME DISEASE SEROLOGY W RFLX REF	$189.06	$859.33	$17.03–$756.21	154% above	78%
Lyme disease antibody test inpatient CPT 86618 HC LYME AB IGG/IGM REF	$189.06	$859.33	$189.05–$756.21	—	78%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE SEROLOGY W RFLX REF	$189.06	$859.33	$189.05–$756.21	—	78%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE TOTAL AB W RFLX IMMUNIASSAY REF	$189.06	$859.33	$189.05–$756.21	—	78%
Magnesium blood test CPT 83735 HC MAGNESIUM REF	$96.86	$440.27	$6.70–$387.44	41% above	78%
Magnesium blood test CPT 83735 HC MAGNESIUM B	$96.86	$440.27	$6.70–$387.44	41% above	78%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM REF	$96.86	$440.27	$96.86–$387.44	—	78%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM B	$96.86	$440.27	$96.86–$387.44	—	78%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGG\IGM REF	$30.81	$140.04	$12.88–$123.24	59% below	78%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB IGG\IGM REF	$30.81	$140.04	$30.81–$123.24	—	78%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO	$77.73	$353.28	$5.18–$310.89	1% above	78%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO	$77.73	$353.28	$77.72–$310.89	—	78%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGG\IGM REF	$139.81	$635.48	$13.05–$559.22	86% above	78%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGG\IGM REF	$139.81	$635.48	$139.81–$559.22	—	78%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE REF	$165.48	$752.18	$18.39–$661.92	69% above	78%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE REF	$165.48	$752.18	$165.48–$661.92	—	78%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC	$133.98	$608.96	$18.39–$535.88	17% above	78%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL REF	$133.98	$608.96	$18.39–$535.88	17% above	78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL REF	$133.98	$608.96	$133.97–$535.88	—	78%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC	$133.98	$608.96	$133.97–$535.88	—	78%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP IMAGE GUIDED REF	$45.05	$204.75	$26.61–$180.18	66% below	78%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP IMAGE GUIDED REF	$45.05	$204.75	$45.05–$180.18	—	78%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH WITH CALCIUM	$62.32	$283.26	$41.28–$249.27	72% below	78%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE	$116.70	$530.45	$41.28–$466.80	48% below	78%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT REF	$120.20	$546.36	$41.28–$480.80	47% below	78%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH WITH CALCIUM	$62.32	$283.26	$62.32–$249.27	—	78%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE	$116.70	$530.45	$116.70–$466.80	—	78%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT REF	$120.20	$546.36	$120.20–$480.80	—	78%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT B	$47.85	$217.48	$6.01–$191.38	27% below	78%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PARTIAL THROMB TIME APTT REF	$47.85	$217.48	$6.01–$191.38	27% below	78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PARTIAL THROMB TIME APTT REF	$47.85	$217.48	$47.85–$191.38	—	78%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT B	$47.85	$217.48	$47.85–$191.38	—	78%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS B	$67.46	$306.60	$4.74–$269.81	16% above	78%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS B	$67.46	$306.60	$67.45–$269.81	—	78%
Potassium blood test CPT 84132 HC POTASSIUM B	$56.02	$254.62	$4.76–$224.07	29% above	78%
Potassium blood test CPT 84132 HC POTASSIUM ISTAT	$56.02	$254.62	$4.76–$224.07	29% above	78%
Potassium blood test inpatient CPT 84132 HC POTASSIUM B	$56.02	$254.62	$56.02–$224.07	—	78%
Potassium blood test inpatient CPT 84132 HC POTASSIUM ISTAT	$56.02	$254.62	$56.02–$224.07	—	78%
Progesterone blood test CPT 84144 HC PROGESTERONE REF	$164.55	$747.93	$20.86–$658.18	18% above	78%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE REF	$164.55	$747.93	$164.54–$658.18	—	78%
Prolactin blood test CPT 84146 HC PROLACTIN B	$164.55	$747.93	$19.38–$658.18	27% above	78%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN B	$164.55	$747.93	$164.54–$658.18	—	78%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME REF	$47.85	$217.48	$4.29–$191.38	10% above	78%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$47.85	$217.48	$4.29–$191.38	10% above	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME REF	$47.85	$217.48	$47.85–$191.38	—	78%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$47.85	$217.48	$47.85–$191.38	—	78%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A AND B ANTIGEN	$59.75	$271.59	$16.55–$239.00	16% below	78%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A AND B ANTIGEN	$59.75	$271.59	$59.75–$239.00	—	78%
Renin blood test CPT 84244 HC RENIN REF	$105.73	$480.59	$21.99–$422.92	8% below	78%
Renin blood test inpatient CPT 84244 HC RENIN REF	$105.73	$480.59	$105.73–$422.92	—	78%
Rh blood typing CPT 86901 HC RH TYPING	$40.15	$182.47	$40.14–$160.57	40% below	78%
Rh blood typing inpatient CPT 86901 HC RH TYPING	$40.15	$182.47	$40.14–$160.57	—	78%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT REF	$97.80	$444.52	$5.67–$391.18	56% above	78%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR	$97.80	$444.52	$5.67–$391.18	56% above	78%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR	$97.80	$444.52	$97.79–$391.18	—	78%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT REF	$97.80	$444.52	$97.79–$391.18	—	78%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$84.03	$381.92	$14.39–$336.09	15% above	78%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG\IGM REF	$84.03	$381.92	$14.39–$336.09	15% above	78%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$84.03	$381.92	$14.39–$336.09	15% above	78%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$84.03	$381.92	$84.02–$336.09	—	78%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$84.03	$381.92	$84.02–$336.09	—	78%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB IGG\IGM REF	$84.03	$381.92	$84.02–$336.09	—	78%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE WESTERGREN	$48.79	$221.73	$2.70–$195.12	1% above	78%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE WESTERGREN	$48.79	$221.73	$48.78–$195.12	—	78%
Sodium blood test CPT 84295 HC SODIUM ISTAT	$66.52	$302.36	$4.81–$266.08	36% above	78%
Sodium blood test CPT 84295 HC SODIUM B	$66.52	$302.36	$4.81–$266.08	36% above	78%
Sodium blood test inpatient CPT 84295 HC SODIUM B	$66.52	$302.36	$66.52–$266.08	—	78%
Sodium blood test inpatient CPT 84295 HC SODIUM ISTAT	$66.52	$302.36	$66.52–$266.08	—	78%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE FECES	$59.75	$271.59	$8.90–$239.00	20% below	78%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS REF	$59.75	$271.59	$8.90–$239.00	20% below	78%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS REF	$59.75	$271.59	$59.75–$239.00	—	78%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE FECES	$59.75	$271.59	$59.75–$239.00	—	78%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$34.78	$158.07	$4.38–$139.10	21% above	78%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLD 3	$34.78	$158.07	$4.38–$139.10	21% above	78%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLD 3	$34.78	$158.07	$34.78–$139.10	—	78%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$34.78	$158.07	$34.78–$139.10	—	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMAL ABS TPPA	$67.53	$306.94	$13.24–$270.11	2% above	78%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FLUORESCENT TREPONEMAL AB REF	$69.56	$316.15	$13.24–$278.21	5% above	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMAL ABS TPPA	$67.53	$306.94	$67.53–$270.11	—	78%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FLUORESCENT TREPONEMAL AB REF	$69.56	$316.15	$69.55–$278.21	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS VDRL CSF REF	$60.22	$273.71	$4.27–$240.86	18% above	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUANT REF	$60.22	$273.71	$4.27–$240.86	18% above	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR REF	$98.35	$447.02	$4.27–$393.38	92% above	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUANT REF	$60.22	$273.71	$60.22–$240.86	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS VDRL CSF REF	$60.22	$273.71	$60.22–$240.86	—	78%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR REF	$98.35	$447.02	$98.34–$393.38	—	78%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QFT TB PLUS 4 TUBE REF	$43.65	$198.39	$43.65–$176.64	80% below	78%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD REF	$43.65	$198.39	$43.65–$176.64	80% below	78%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QFT TB PLUS 4 TUBE REF	$43.65	$198.39	$43.65–$174.58	—	78%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD REF	$43.65	$198.39	$43.65–$174.58	—	78%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL REF	$105.73	$480.59	$25.81–$422.92	17% below	78%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE FREE AND TOTAL	$105.73	$480.59	$25.81–$422.92	17% below	78%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE FREE AND TOTAL	$105.73	$480.59	$105.73–$422.92	—	78%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL REF	$105.73	$480.59	$105.73–$422.92	—	78%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE REF	$139.81	$635.48	$14.55–$559.22	76% above	78%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB LIVER KIDNEY REF	$139.81	$635.48	$14.55–$559.22	76% above	78%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB LIVER KIDNEY REF	$139.81	$635.48	$139.81–$559.22	—	78%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE REF	$139.81	$635.48	$139.81–$559.22	—	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH THIRD GENERATION	$13.33	$60.56	$13.32–$53.29	88% below	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH ULTRASENSITIVE 3RD GEN REF	$121.61	$552.73	$16.80–$486.40	9% above	78%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH AND FT4 REF	$121.61	$552.73	$16.80–$486.40	9% above	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH THIRD GENERATION	$13.33	$60.56	$13.32–$53.29	—	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH AND FT4 REF	$121.61	$552.73	$121.60–$486.40	—	78%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH ULTRASENSITIVE 3RD GEN REF	$121.61	$552.73	$121.60–$486.40	—	78%
Total IgE blood test CPT 82785 HC IGE IMMUNOGLOBULIN E REF	$81.93	$372.38	$16.46–$327.69	6% below	78%
Total IgE blood test inpatient CPT 82785 HC IGE IMMUNOGLOBULIN E REF	$81.93	$372.38	$81.92–$327.69	—	78%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL B	$59.75	$271.59	$4.35–$239.00	40% above	78%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL B	$59.75	$271.59	$59.75–$239.00	—	78%
Total thyroxine (T4) blood test CPT 84436 HC T4 B	$91.26	$414.81	$6.87–$365.03	10% above	78%
Total thyroxine (T4) blood test CPT 84436 HC T4 THYROXINE TOTAL REF	$205.08	$932.15	$6.87–$820.29	148% above	78%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 B	$91.26	$414.81	$91.26–$365.03	—	78%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 THYROXINE TOTAL REF	$205.08	$932.15	$205.07–$820.29	—	78%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 THYROID HORMONE REF	$31.28	$142.14	$14.18–$125.08	67% below	78%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 THYROID HORMONE REF	$31.28	$142.14	$31.27–$125.08	—	78%
Transferrin blood test CPT 84466 HC TRANSFERRIN REF	$70.49	$320.39	$12.76–$281.94	26% below	78%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$70.49	$320.39	$12.76–$281.94	26% below	78%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$70.49	$320.39	$70.49–$281.94	—	78%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN REF	$70.49	$320.39	$70.49–$281.94	—	78%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS NAA REF	$62.32	$283.26	$35.09–$249.27	50% below	78%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS (TMA)	$62.32	$283.26	$35.09–$249.27	50% below	78%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS NAA REF	$62.32	$283.26	$62.32–$249.27	—	78%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS (TMA)	$62.32	$283.26	$62.32–$249.27	—	78%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES REF	$70.49	$320.39	$5.74–$281.94	48% above	78%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$70.49	$320.39	$5.74–$281.94	48% above	78%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$70.49	$320.39	$70.49–$281.94	—	78%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES REF	$70.49	$320.39	$70.49–$281.94	—	78%
Troponin test, quantitative CPT 84484 HC TROPONIN	$136.05	$618.39	$12.47–$544.18	9% below	78%
Troponin test, quantitative CPT 84484 HC TROPONIN-T	$136.07	$618.50	$12.47–$544.28	9% below	78%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN	$136.05	$618.39	$136.05–$544.18	—	78%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN-T	$136.07	$618.50	$136.07–$544.28	—	78%
Uric acid blood test CPT 84550 HC URIC ACID	$79.59	$361.77	$4.52–$318.36	13% above	78%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$79.59	$361.77	$79.59–$318.36	—	78%
Urinalysis with microscope exam, automated CPT 81001 HC UA AUTO WITH MICRO 81001	$40.15	$182.47	$3.17–$160.57	37% below	78%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO CULTURE	$40.15	$182.47	$3.17–$160.57	37% below	78%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W MICRO	$40.15	$182.47	$3.17–$160.57	37% below	78%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA AUTO WITH MICRO 81001	$40.15	$182.47	$40.14–$160.57	—	78%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO CULTURE	$40.15	$182.47	$40.14–$160.57	—	78%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W MICRO	$40.15	$182.47	$40.14–$160.57	—	78%
Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE URINE	$20.31	$92.30	$2.25–$81.22	20% below	78%
Urinalysis without microscope exam, automated CPT 81003 HC BILIRUBIN URINE	$20.31	$92.30	$2.25–$81.22	20% below	78%
Urinalysis without microscope exam, automated CPT 81003 HC UA AUTO W/O MICRO	$20.31	$92.30	$2.25–$81.22	20% below	78%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE	$20.31	$92.30	$2.25–$81.22	20% below	78%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE	$34.78	$158.07	$2.25–$139.10	37% above	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC UA AUTO W/O MICRO	$20.31	$92.30	$20.31–$81.22	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE URINE	$20.31	$92.30	$20.31–$81.22	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE	$20.31	$92.30	$20.31–$81.22	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC BILIRUBIN URINE	$20.31	$92.30	$20.31–$81.22	—	78%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE	$34.78	$158.07	$34.78–$139.10	—	78%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$113.90	$517.72	$8.07–$455.59	24% above	78%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE	$113.90	$517.72	$113.90–$455.59	—	78%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN REF	$43.42	$197.33	$5.78–$173.65	35% below	78%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE	$43.42	$197.33	$5.78–$173.65	35% below	78%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE	$43.42	$197.33	$5.78–$173.65	35% below	78%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE	$43.42	$197.33	$43.41–$173.65	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN REF	$43.42	$197.33	$43.41–$173.65	—	78%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE	$43.42	$197.33	$43.41–$173.65	—	78%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST	$65.82	$299.17	$8.61–$263.27	11% below	78%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE	$65.82	$299.17	$8.61–$263.27	11% below	78%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST	$65.82	$299.17	$65.82–$263.27	—	78%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE	$65.82	$299.17	$65.82–$263.27	—	78%
Vitamin B12 (cobalamin) blood test CPT 82607 HC B12	$114.37	$519.84	$15.08–$457.46	12% below	78%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 CYANOCOBALAMIN REF	$114.37	$519.84	$15.08–$457.46	12% below	78%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B12	$114.37	$519.84	$114.36–$457.46	—	78%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 CYANOCOBALAMIN REF	$114.37	$519.84	$114.36–$457.46	—	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY REF	$148.45	$674.73	$29.60–$593.76	19% below	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$148.45	$674.73	$29.60–$593.76	19% below	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY REF	$148.45	$674.73	$148.44–$593.76	—	78%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$148.45	$674.73	$148.44–$593.76	—	78%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC CALCITRIOL VITAMIN D 1 25 DEHYR REF	$112.27	$510.29	$38.50–$449.06	43% below	78%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC CALCITRIOL VITAMIN D 1 25 DEHYR REF	$112.27	$510.29	$112.26–$449.06	—	78%
Zinc blood test CPT 84630 HC ZINC WHOLE BLOOD REF	$48.79	$221.73	$11.39–$195.12	31% below	78%
Zinc blood test inpatient CPT 84630 HC ZINC WHOLE BLOOD REF	$48.79	$221.73	$48.78–$195.12	—	78%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$184.16	$837.05	$15.05–$736.60	71% above	78%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$184.16	$837.05	$184.15–$736.60	—	78%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$301.23	$1,369.20	$301.22–$1,944.10	75% below	78%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$301.23	$1,369.20	$301.22–$1,204.90	—	78%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$123.31	$560.47	$61.92–$493.21	7% above	78%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$123.31	$560.47	$123.30–$493.21	—	78%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$123.31	$560.47	$61.92–$493.21	1% below	78%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$123.31	$560.47	$123.30–$493.21	—	78%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC EPIDURAL NECK CHEST W/IMAGING	$679.80	$3,090.00	$679.80–$2,719.20	62% below	78%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC EPIDURAL NECK CHEST W/IMAGING	$679.80	$3,090.00	$679.80–$2,719.20	—	78%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PV FACET JNT L/S 1 LEV	$418.31	$1,901.38	$418.30–$2,644.96	73% below	78%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PV FACET JNT L/S 1 LEV	$418.31	$1,901.38	$418.30–$1,673.21	—	78%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE	$262.58	$1,193.51	$207.13–$1,050.29	33% below	78%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION TENDON SHEATH	$163.46	$743.00	$163.46–$876.98	62% below	78%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION TENDON SHEATH	$163.46	$743.00	$163.46–$653.84	—	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$830.99	$3,777.20	$307.71–$3,323.94	68% above	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$830.99	$3,777.20	$307.71–$3,323.94	68% above	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$830.99	$3,777.20	$830.98–$3,323.94	—	78%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$830.99	$3,777.20	$830.98–$3,323.94	—	78%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$537.12	$2,441.45	$307.71–$2,148.48	29% above	78%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPI JOINT - INTERMEDIATE	$537.12	$2,441.45	$307.71–$2,148.48	29% above	78%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$537.12	$2,441.45	$537.12–$2,148.48	—	78%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPI JOINT - INTERMEDIATE	$537.12	$2,441.45	$537.12–$2,148.48	—	78%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA SMALL	$262.58	$1,193.51	$262.57–$1,050.29	16% below	78%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA SMALL	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$537.12	$2,441.45	$416.48–$2,148.48	11% below	78%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$537.12	$2,441.45	$537.12–$2,148.48	—	78%
Lower-back epidural injection, with imaging guidance CPT 62323 HC EPIDURAL LUMBAR SACRAL W IMAGING	$537.52	$2,443.25	$537.52–$2,150.06	63% below	78%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$537.52	$2,443.25	$537.52–$2,150.06	63% below	78%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$537.52	$2,443.25	$537.52–$2,150.06	—	78%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC EPIDURAL LUMBAR SACRAL W IMAGING	$537.52	$2,443.25	$537.52–$2,150.06	—	78%
Lower-back epidural injection, without imaging guidance CPT 62322 HC EPIDURAL LUMBAR SACRAL WO IMAGING	$664.17	$3,018.93	$664.16–$2,656.66	54% below	78%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC EPIDURAL LUMBAR SACRAL WO IMAGING	$664.17	$3,018.93	$664.16–$2,656.66	—	78%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT FORAMEN EPIDURAL L/S SINGLE	$770.44	$3,502.00	$770.44–$3,081.76	46% below	78%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT FORAMEN EPIDURAL L/S SINGLE	$770.44	$3,502.00	$770.44–$3,081.76	—	78%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$262.58	$1,193.51	$207.13–$1,050.29	9% below	78%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING ED	$216.78	$985.36	$216.78–$2,785.39	85% below	78%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING	$830.99	$3,777.20	$830.98–$3,323.94	42% below	78%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING ED	$216.78	$985.36	$216.78–$867.12	—	78%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING	$830.99	$3,777.20	$830.98–$3,323.94	—	78%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL & MATRIX	$262.58	$1,193.51	$262.57–$1,186.96	58% below	78%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL & MATRIX	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$262.58	$1,193.51	$262.57–$1,186.96	46% below	78%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SPLINT SHORT ARM	$537.12	$2,441.45	$134.37–$2,148.48	116% above	78%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SPLINT SHORT ARM	$537.12	$2,441.45	$537.12–$2,148.48	—	78%
Short leg splint (calf to foot) CPT 29515 HC APPLY SPLINT SHORT LEG	$537.12	$2,441.45	$164.48–$2,148.48	99% above	78%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SPLINT SHORT LEG	$537.12	$2,441.45	$537.12–$2,148.48	—	78%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$262.58	$1,193.51	$207.13–$1,050.29	29% below	78%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$830.99	$3,777.20	$721.90–$3,323.94	14% below	78%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$830.99	$3,777.20	$830.98–$3,323.94	—	78%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$262.58	$1,193.51	$207.13–$1,050.29	37% below	78%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$262.58	$1,193.51	$207.13–$1,050.29	35% below	78%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$262.58	$1,193.51	$262.57–$1,050.29	—	78%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS WITH IMAGE GUIDE	$289.89	$1,317.64	$289.88–$1,836.79	77% below	78%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W IMAGE GUIDANCE	$289.89	$1,317.64	$289.88–$1,836.79	77% below	78%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS WITH IMAGE GUIDE	$289.89	$1,317.64	$289.88–$1,159.52	—	78%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W IMAGE GUIDANCE	$289.89	$1,317.64	$289.88–$1,159.52	—	78%
Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER PT 1-2 MUSCLE	$254.93	$1,158.75	$254.93–$1,019.70	51% below	78%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER PT 1-2 MUSCLE	$254.93	$1,158.75	$254.93–$1,019.70	—	78%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,348.11	$6,127.76	$1,348.11–$5,392.43	44% below	78%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,348.11	$6,127.76	$1,348.11–$5,392.43	—	78%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$573.08	$2,604.87	$455.73–$2,292.29	34% below	78%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$573.08	$2,604.87	$573.07–$2,292.29	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$88.70	$403.14	$88.69–$604.25	54% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT INTRAPULM PERCUSS	$88.70	$403.14	$88.69–$604.25	54% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$88.70	$403.14	$88.69–$604.25	54% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT EZ PAP	$88.70	$403.14	$88.69–$604.25	54% below	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$88.70	$403.14	$88.69–$354.76	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT INTRAPULM PERCUSS	$88.70	$403.14	$88.69–$354.76	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$88.70	$403.14	$88.69–$354.76	—	78%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT EZ PAP	$88.70	$403.14	$88.69–$354.76	—	78%
Chemotherapy IV infusion, first hour CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$149.85	$681.10	$149.84–$985.42	77% below	78%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$149.85	$681.10	$149.84–$599.37	—	78%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$761.05	$3,459.28	$761.04–$3,044.17	63% below	78%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$761.05	$3,459.28	$761.04–$3,044.17	—	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$173.89	$790.37	$61.92–$695.53	25% below	78%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$173.89	$790.37	$173.88–$695.53	—	78%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 VISIT 99281	$91.38	$415.35	$91.38–$365.51	59% below	78%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 VISIT 99281	$91.38	$415.35	$91.38–$365.51	—	78%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 VISIT 99282	$133.81	$608.22	$133.81–$535.23	67% below	78%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 VISIT 99282	$133.81	$608.22	$133.81–$535.23	—	78%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 VISIT 99283	$276.23	$1,255.58	$276.23–$1,104.91	61% below	78%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 VISIT 99283	$276.23	$1,255.58	$276.23–$1,104.91	—	78%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 VISIT 99284	$365.92	$1,663.27	$365.92–$1,463.68	68% below	78%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 VISIT 99284	$365.92	$1,663.27	$365.92–$1,463.68	—	78%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 VISIT 99285	$568.84	$2,585.63	$568.84–$2,275.35	64% below	78%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 VISIT 99285	$568.84	$2,585.63	$568.84–$2,275.35	—	78%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$931.26	$4,232.99	$324.61–$3,725.03	4% below	78%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$931.26	$4,232.99	$931.26–$3,725.03	—	78%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$173.35	$787.95	$173.35–$693.40	49% below	78%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$173.35	$787.95	$173.35–$693.40	—	78%
IV infusion of a medicine, first hour CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$172.90	$785.89	$172.90–$691.58	57% below	78%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$172.90	$785.89	$172.90–$691.58	—	78%
IV push of a medicine, first drug CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL	$91.17	$414.39	$91.17–$625.94	58% below	78%
IV push of a medicine, first drug inpatient CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL	$91.17	$414.39	$91.17–$364.66	—	78%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$29.92	$135.96	$29.91–$211.44	73% below	78%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$29.92	$135.96	$29.91–$119.64	—	78%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NCS 7 OR 8 STUDIES	$164.78	$749.00	$164.78–$925.14	77% below	78%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NCS 7 OR 8 STUDIES	$164.78	$749.00	$164.78–$659.12	—	78%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$22.18	$100.79	$22.17–$97.21	58% below	78%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$22.18	$100.79	$22.17–$88.70	—	78%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION 3-10 MIN	$36.42	$165.54	$31.05–$145.68	7% below	78%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION 3-10 MIN	$36.42	$165.54	$36.42–$145.68	—	78%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY OUTPATIENT CLINIC	$164.78	$749.00	$163.10–$659.12	45% below	78%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$164.78	$749.00	$163.10–$659.12	45% below	78%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR BEDSIDE	$164.78	$749.00	$163.10–$659.12	45% below	78%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY OUTPATIENT CLINIC	$164.78	$749.00	$164.78–$659.12	—	78%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR BEDSIDE	$164.78	$749.00	$164.78–$659.12	—	78%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$164.78	$749.00	$164.78–$659.12	—	78%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$358.04	$1,627.42	$324.61–$1,432.13	34% below	78%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR BEDSIDE	$358.04	$1,627.42	$324.61–$1,432.13	34% below	78%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR BEDSIDE	$358.04	$1,627.42	$358.03–$1,432.13	—	78%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$358.04	$1,627.42	$358.03–$1,432.13	—	78%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$47.62	$216.42	$47.61–$382.95	78% below	78%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$47.62	$216.42	$47.61–$190.45	—	78%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$24.20	$110.00	$24.20–$279.76	80% below	78%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$24.20	$110.00	$24.20–$279.76	80% below	78%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$24.20	$110.00	$24.20–$96.80	—	78%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$24.20	$110.00	$24.20–$96.80	—	78%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$304.15	$1,382.50	$145.16–$1,216.60	10% above	78%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$304.15	$1,382.50	$304.15–$1,216.60	—	78%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$46.31	$210.50	$22.10–$185.24	27% below	78%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP	$49.34	$224.25	$23.55–$197.34	22% below	78%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$46.31	$210.50	$46.31–$185.24	—	78%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP	$49.34	$224.25	$49.34–$197.34	—	78%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC FLU VACCINE NO PRES	$9.46	$43.00	$9.46–$66.18	73% below	78%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$31.08	$141.25	$23.22–$124.30	12% below	78%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC FLU VACCINE NO PRES	$9.46	$43.00	$9.46–$37.84	—	78%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$31.08	$141.25	$31.08–$124.30	—	78%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$521.13	$2,368.75	$248.72–$2,084.50	6% above	78%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$521.13	$2,368.75	$521.13–$2,084.50	—	78%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$136.29	$619.50	$65.05–$545.16	13% above	78%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$136.29	$619.50	$136.29–$545.16	—	78%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP (WRAPPER)	$63.20	$287.25	$30.16–$252.78	24% below	78%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP (WRAPPER)	$63.20	$287.25	$63.20–$252.78	—	78%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$114.24	$519.25	$70.38–$456.94	6% above	78%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$114.24	$519.25	$114.24–$456.94	—	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$46.15	$209.75	$31.67–$184.58	47% below	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP (WRAPPER)	$46.20	$210.00	$31.67–$184.80	47% below	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$46.15	$209.75	$46.15–$184.58	—	78%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP (WRAPPER)	$46.20	$210.00	$46.20–$184.80	—	78%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$154.66	$703.00	$73.82–$618.64	20% below	78%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$154.66	$703.00	$154.66–$618.64	—	78%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	$263.95	$1,199.75	$125.97–$1,055.78	7% above	78%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR	$263.95	$1,199.75	$263.95–$1,055.78	—	78%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD	$14.96	$68.00	$14.96–$84.68	45% below	78%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD	$14.96	$68.00	$14.96–$59.84	—	78%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$358.49	$1,629.50	$257.99–$1,433.96	1% below	78%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$369.71	$1,680.50	$369.71–$1,478.84	—	78%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$448.42	$2,038.25	$312.90–$1,793.66	1% above	78%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$380.44	$1,729.25	$380.44–$1,521.74	—	78%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$185.46	$843.00	$133.47–$741.84	1% below	78%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$185.46	$843.00	$185.46–$741.84	—	78%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR	$485.27	$2,205.75	$231.60–$1,941.06	5% above	78%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR	$485.27	$2,205.75	$485.27–$1,941.06	—	78%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$688.44	$3,129.25	$313.68–$2,753.74	9% below	78%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$743.27	$3,378.50	$313.68–$2,973.08	2% below	78%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$688.44	$3,129.25	$688.44–$2,753.74	—	78%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$743.27	$3,378.50	$743.27–$2,973.08	—	78%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSR	$232.71	$1,057.75	$111.06–$930.82	4% above	78%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSR	$232.71	$1,057.75	$232.71–$930.82	—	78%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$341.39	$1,551.75	$162.93–$1,365.54	59% above	78%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR	$341.39	$1,551.75	$341.39–$1,365.54	—	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP	$44.33	$201.50	$21.16–$177.32	42% below	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$72.38	$329.00	$34.55–$289.52	6% below	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP	$44.33	$201.50	$44.33–$177.32	—	78%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$72.38	$329.00	$72.38–$289.52	—	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$76.67	$348.50	$36.59–$306.68	29% below	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP	$76.67	$348.50	$36.59–$306.68	29% below	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$76.67	$348.50	$76.67–$306.68	—	78%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP	$76.67	$348.50	$76.67–$306.68	—	78%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN SINGLE	$65.49	$297.67	$65.49–$261.95	14% above	78%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN SINGLE	$65.49	$297.67	$65.49–$261.95	—	78%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EA ADDL	$65.36	$297.05	$13.56–$261.40	70% above	78%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EA ADDL	$65.36	$297.05	$65.35–$261.40	—	78%

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://sthpiprd.blob.core.windows.net/machine-readable-files/10476/920573933_deaconess-illinois-crossroads-inc_standardcharges.csv