Hospital

Day Kimball Healthcare

Day Kimball Healthcare in Putnam, CT publishes cash prices for 344 common procedures listed here, from its own machine-readable price file updated Aug 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Connecticut median for 313 of 330 procedures and above it for 9. By typical cash price it ranks #1 of 16 Connecticut hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

320 Pomfret Street Putnam, CT 06260 Collected Sep 22, 2026 Source price file Check a bill from this hospital (860) 928-6541

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 070003 · CMS hospital register

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Connecticut law (C.G.S. §19a-673): if you are uninsured, your income is at or below 250% of the federal poverty level and Medicaid has turned you down, a hospital and the clinicians billing through it may collect no more than the cost of your care (its charges times its cost-to-charge ratio), which is usually well below its list price. Ask the billing office to apply it. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&W/O CON	$821.00	$2,154.85	$1,109.75–$2,079.43	63% below	62%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&W/O CON	$821.00	$2,154.85	$1,109.75–$2,079.43	—	62%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN W/ DECUBITIS	$112.13	$294.30	$151.56–$284.00	71% below	62%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN LATERAL & AP	$112.13	$294.30	$19.16–$164.65	71% below	62%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN W/DECUBITIS	$112.13	$294.30	$151.56–$284.00	71% below	62%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN FLAT&UPRIGHT	$112.13	$294.30	$19.16–$164.65	71% below	62%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN FLAT & UPRIGHT	$112.13	$294.30	$151.56–$284.00	71% below	62%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN WITH LATERAL	$112.13	$294.30	$151.56–$284.00	71% below	62%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN W/DECUBITIS	$112.13	$294.30	$151.56–$284.00	—	62%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN LATERAL & AP	$112.13	$294.30	$151.56–$284.00	—	62%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN WITH LATERAL	$112.13	$294.30	$151.56–$284.00	—	62%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN FLAT & UPRIGHT	$112.13	$294.30	$151.56–$284.00	—	62%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN W/ DECUBITIS	$112.13	$294.30	$151.56–$284.00	—	62%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN FLAT&UPRIGHT	$112.13	$294.30	$151.56–$284.00	—	62%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT	$112.13	$294.30	$73.58–$284.00	65% below	62%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT	$112.13	$294.30	$73.58–$284.00	65% below	62%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 BILAT ABI UPR LOWR 1-2 LEVELS	$128.21	$336.50	$220.17–$324.72	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ABI INDEX	$128.19	$336.45	$173.27–$324.67	77% below	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 UNILAT ABI UPR LWR 1-2 LEVELS	$128.21	$336.50	$220.17–$324.72	77% below	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 BILAT ABI UPR LOWR 1-2 LEVELS	$128.21	$336.50	$220.17–$324.72	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 BILAT ABI UPR LWR 1-2 LVLS 2ND PRC	$128.21	$336.50	$84.13–$324.72	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ABI INDEX	$128.19	$336.45	$173.27–$324.67	—	62%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 UNILAT ABI UPR LWR 1-2 LEVELS	$128.21	$336.50	$220.17–$324.72	—	62%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EX WO CON-LT	$479.74	$1,259.15	$314.79–$1,215.08	65% below	62%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EX WO CON-RT	$479.74	$1,259.15	$314.79–$1,215.08	65% below	62%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EX WO CON-LT	$479.74	$1,259.15	$314.79–$1,215.08	—	62%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EX WO CON-RT	$479.74	$1,259.15	$314.79–$1,215.08	—	62%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW	$130.28	$341.95	$61.63–$270.14	80% below	62%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW	$130.28	$341.95	$176.10–$329.98	—	62%
Bone scan, whole body (nuclear medicine) CPT 78306 NUC BONE SCAN	$413.39	$1,085.00	$558.78–$1,047.03	74% below	62%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NUC BONE SCAN	$413.39	$1,085.00	$558.78–$1,047.03	—	62%
Breast ultrasound, complete, one breast both sides CPT 76641 BREAST ULTRAS BILAT	$227.08	$596.00	$306.94–$575.14	—	62%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST US UNILAT-LT	$113.52	$297.95	$74.49–$287.52	65% below	62%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST US COMPLETE UNILAT LT	$113.52	$297.95	$74.49–$287.52	65% below	62%
Breast ultrasound, complete, one breast one side CPT 76641 BREAST US UNILAT-RT	$113.52	$297.95	$74.49–$287.52	65% below	62%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 BREAST US COMPLETE BILAT	$227.08	$596.00	$149.00–$575.14	—	62%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 BREAST ULTRAS BILAT	$227.08	$596.00	$306.94–$575.14	—	62%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST US UNILAT-RT	$113.52	$297.95	$74.49–$287.52	—	62%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST US COMPLETE UNILAT LT	$113.52	$297.95	$74.49–$287.52	—	62%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 BREAST US UNILAT-LT	$113.52	$297.95	$74.49–$287.52	—	62%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST US LIMITED UNILAT LT	$97.67	$256.35	$64.09–$247.38	61% below	62%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST US LIMITED UNILAT RT	$97.67	$256.35	$64.09–$247.38	61% below	62%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 BREAST US LIMITED BILAT	$195.34	$512.70	$128.18–$494.76	—	62%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST US LIMITED UNILAT LT	$97.67	$256.35	$64.09–$247.38	—	62%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST US LIMITED UNILAT RT	$97.67	$256.35	$64.09–$247.38	—	62%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN & PELVIS W&W/O	$1,517.60	$3,983.20	$2,111.10–$3,843.79	51% below	62%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN & PELVIS W&W/O	$1,517.60	$3,983.20	$2,111.10–$3,843.79	—	62%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CTACHPE(CT ANGIO CHEST-PE)	$850.22	$2,231.55	$182.43–$471.00	51% below	62%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/ & W/O	$850.22	$2,231.55	$1,149.25–$2,153.45	51% below	62%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CTACHPE(CT ANGIO CHEST-PE)	$850.22	$2,231.55	$1,149.25–$2,153.45	—	62%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST W/ & W/O	$850.22	$2,231.55	$1,149.25–$2,153.45	—	62%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART CA TEST W CONTRAST	$250.09	$656.40	$347.89–$633.43	82% below	62%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART CA TEST W CONTRAST	$250.09	$656.40	$347.89–$633.43	—	62%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART W/ CA TEST W/O CONTRAST	$77.30	$202.90	$107.54–$195.80	55% below	62%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART W/ CA TEST W/O CONTRAST	$77.30	$202.90	$107.54–$195.80	—	62%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN & PELVIS W/O CONTRAST	$460.61	$1,208.95	$137.62–$347.99	64% below	62%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN & PELVIS W/O CONTRAST	$460.61	$1,208.95	$622.61–$1,166.64	—	62%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$878.57	$2,305.95	$242.96–$556.91	59% below	62%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/CONTRAST	$878.57	$2,305.95	$1,187.56–$2,225.24	—	62%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT- UROGRAM	$1,160.98	$3,047.20	$1,569.31–$2,940.55	59% below	62%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT AB AND PELVIS W , W/O CONTRAST	$1,160.98	$3,047.20	$289.64–$556.91	59% below	62%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT- UROGRAM	$1,160.98	$3,047.20	$1,569.31–$2,940.55	—	62%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT AB AND PELVIS W , W/O CONTRAST	$1,160.98	$3,047.20	$1,569.31–$2,940.55	—	62%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CONTRAS	$663.00	$1,740.15	$896.18–$1,679.24	51% below	62%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CONTRAS	$663.00	$1,740.15	$896.18–$1,679.24	—	62%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT	$547.99	$1,438.30	$740.72–$1,387.96	46% below	62%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONT	$547.99	$1,438.30	$740.72–$1,387.96	—	62%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL/MAND W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	57% below	62%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAS	$457.30	$1,200.25	$618.13–$1,158.24	57% below	62%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT TM JOINTS	$457.30	$1,200.25	$618.13–$1,158.24	57% below	62%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	57% below	62%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL/MAND W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	—	62%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL AREA W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	—	62%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT TM JOINTS	$457.30	$1,200.25	$618.13–$1,158.24	—	62%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAS	$457.30	$1,200.25	$618.13–$1,158.24	—	62%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	45% below	62%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	45% below	62%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	—	62%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD STROKE W/O CONTRAST	$457.30	$1,200.25	$618.13–$1,158.24	—	62%
CT scan of the head with contrast CPT 70460 CT HEAD W CONTRAST	$547.99	$1,438.30	$740.72–$1,387.96	54% below	62%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONTRAST	$547.99	$1,438.30	$740.72–$1,387.96	—	62%
CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONT	$684.50	$1,796.60	$925.25–$1,733.72	50% below	62%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONT	$684.50	$1,796.60	$925.25–$1,733.72	—	62%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$572.38	$1,502.30	$796.22–$1,449.72	45% below	62%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SI JTS W/O CONTRA	$572.38	$1,502.30	$796.22–$1,449.72	45% below	62%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O CONTRAST	$572.38	$1,502.30	$796.22–$1,449.72	—	62%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SI JTS W/O CONTRA	$572.38	$1,502.30	$796.22–$1,449.72	—	62%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE W/O	$572.38	$1,502.30	$796.22–$1,449.72	45% below	62%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE W/O	$572.38	$1,502.30	$796.22–$1,449.72	—	62%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$663.00	$1,740.15	$896.18–$1,679.24	62% below	62%
CT scan of the pelvis, with contrast dye CPT 72193 CT SAC/COCC W/CONTRA	$663.00	$1,740.15	$896.18–$1,679.24	62% below	62%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SAC/COCC W/CONTRA	$663.00	$1,740.15	$896.18–$1,679.24	—	62%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$663.00	$1,740.15	$896.18–$1,679.24	—	62%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX W C/F	$330.75	$868.10	$568.00–$837.72	—	62%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DUPLEX W C/F	$330.75	$868.10	$568.00–$837.72	—	62%
Chest X-ray, 2 views CPT 71046 CHEST PA & LAT (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	79% below	62%
Chest X-ray, 2 views CPT 71046 CHEST PA INS & EXP (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	79% below	62%
Chest X-ray, 2 views CPT 71046 CHEST P.A.T. (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	79% below	62%
Chest X-ray, 2 views CPT 71046 CHEST DECUB ONLY (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	79% below	62%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA & LAT (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	—	62%
Chest X-ray, 2 views inpatient CPT 71046 CHEST DECUB ONLY (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	—	62%
Chest X-ray, 2 views inpatient CPT 71046 CHEST P.A.T. (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	—	62%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA INS & EXP (2 VIEWS)	$72.18	$189.45	$97.57–$182.82	—	62%
Chest X-ray, single view CPT 71045 CHEST ER PORTABLE	$72.18	$189.45	$97.57–$182.82	75% below	62%
Chest X-ray, single view CPT 71045 CHEST AP OR LATERAL ONLY	$72.18	$189.45	$97.57–$182.82	75% below	62%
Chest X-ray, single view CPT 71045 CHEST HOUSE PORTABLE	$72.18	$189.45	$97.57–$182.82	75% below	62%
Chest X-ray, single view inpatient CPT 71045 CHEST ER PORTABLE	$72.18	$189.45	$97.57–$182.82	—	62%
Chest X-ray, single view inpatient CPT 71045 CHEST AP OR LATERAL ONLY	$72.18	$189.45	$97.57–$182.82	—	62%
Chest X-ray, single view inpatient CPT 71045 CHEST HOUSE PORTABLE	$72.18	$189.45	$97.57–$182.82	—	62%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE-RIGHT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE-LEFT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE-RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE-LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL ULTRASOUND	$191.09	$501.55	$258.30–$484.00	49% below	62%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 ABD AORTA ULTRASOUND	$191.09	$501.55	$258.30–$484.00	49% below	62%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 ABD AORTA ULTRASOUND	$191.09	$501.55	$258.30–$484.00	—	62%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL ULTRASOUND	$191.09	$501.55	$258.30–$484.00	—	62%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY (DEXA)	$232.94	$611.40	$314.87–$590.00	10% below	62%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY (DEXA)	$232.94	$611.40	$314.87–$590.00	—	62%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 SCOLI IMAGE 1 VIEW	$77.72	$204.00	$105.06–$196.86	60% below	62%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY FOREARM	$77.72	$204.00	$105.06–$196.86	60% below	62%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 SCOLI IMAGE 1 VIEW	$77.72	$204.00	$105.06–$196.86	—	62%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY FOREARM	$77.72	$204.00	$105.06–$196.86	—	62%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAS	$572.38	$1,502.30	$796.22–$1,449.72	59% below	62%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOLU W/O	$572.38	$1,502.30	$796.22–$1,449.72	59% below	62%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT FOLLOW UP LCSP LOW DOSE CHEST	$589.60	$1,547.50	$111.19–$398.86	58% below	62%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LOW DOSE CT OF THE CHEST	$589.60	$1,547.50	$111.19–$398.86	58% below	62%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HIGH RESOLU W/O	$572.38	$1,502.30	$796.22–$1,449.72	—	62%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O CONTRAS	$572.38	$1,502.30	$796.22–$1,449.72	—	62%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LOW DOSE CT OF THE CHEST	$589.60	$1,547.50	$820.18–$1,493.34	—	62%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT FOLLOW UP LCSP LOW DOSE CHEST	$589.60	$1,547.50	$820.18–$1,493.34	—	62%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONTRAST	$684.50	$1,796.60	$925.25–$1,733.72	52% below	62%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONTRAST	$684.50	$1,796.60	$925.25–$1,733.72	—	62%
Diagnostic mammogram, both breasts both sides CPT 77066 PDC MAMMO EXTRA VIEWS BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts both sides CPT 77066 DKH MAMMO EXTRA VIEW BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts both sides CPT 77066 PDC MAMMO DIAG BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts both sides CPT 77066 DKH MAMMO DIAG BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts both sides CPT 77066 DNLSN MAMMO EXTRA VIEWS BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts both sides CPT 77066 DNLSN MAMMO DIAG BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO NEEDLE LOC ADD'L BILAT	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts CPT 77066 DKH MAMMO DIAGNOSTIC W/IMPLANTS	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 PDC MAMMO EXTRA VIEWS BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 PDC MAMMO DIAG BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DNLSN MAMMO EXTRA VIEWS BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DNLSN MAMMO DIAG BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO NEEDLE LOC ADD'L BILAT	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DKH MAMMO EXTRA VIEW BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DKH MAMMO DIAG BILATERAL	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, both breasts inpatient CPT 77066 DKH MAMMO DIAGNOSTIC W/IMPLANTS	$317.41	$833.10	$429.05–$803.94	—	62%
Diagnostic mammogram, one breast one side CPT 77065 PDC MAMMO DIAGNOSTIC RIGHT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 PDC MAMMO EXTRA VIEWS RIGHT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 PDC MAMMO DIAGNOSTIC LEFT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DNLSN MAMMO EXTRA VIEWS RIGHT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DNLSN MAMMO EXTRA VIEWS LEFT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DNLSN MAMMO DIAGNOSTIC RIGHT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DNLSN MAMMO DIAGNOSTIC LEFT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DKH MAMMO DIAGNOSTIC RIGHT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DKH MAMMO EXTRA VIEWS RIGHT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 PDC MAMMO EXTRA VIEWS LEFT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DKH MAMMO DIAGNOSTIC LEFT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO NEEDLE LOC UNIL	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast one side CPT 77065 DKH MAMMO EXTRA VIEWS LEFT	$151.30	$397.10	$99.28–$383.20	63% below	62%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO NEEDLE LOC UNIL	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO EXTRA VIEWS RIGHT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO DIAGNOSTIC RIGHT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO DIAGNOSTIC LEFT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO EXTRA VIEWS LEFT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DKH MAMMO EXTRA VIEWS RIGHT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO DIAGNOSTIC LEFT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO DIAGNOSTIC RIGHT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 DNLSN MAMMO EXTRA VIEWS LEFT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO DIAGNOSTIC LEFT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO DIAGNOSTIC RIGHT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO EXTRA VIEWS LEFT	$151.30	$397.10	$99.28–$383.20	—	62%
Diagnostic mammogram, one breast inpatient one side CPT 77065 PDC MAMMO EXTRA VIEWS RIGHT	$151.30	$397.10	$99.28–$383.20	—	62%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ARTERIES LOW EXT - BILAT	$217.63	$571.20	$294.17–$551.21	—	62%
Duplex ultrasound of the leg arteries, both legs CPT 93925 ECHOCARDIOGRAM 2D+M W/CONTRAST	$217.63	$571.20	$294.17–$551.21	—	62%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ARTERIES LOW EXT - BILAT	$217.63	$571.20	$294.17–$551.21	—	62%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 ECHOCARDIOGRAM 2D+M W/CONTRAST	$217.63	$571.20	$294.17–$551.21	—	62%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS LEG BILAT	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS LEG BILAT PLAINFIELD	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS ARM BILAT PLAINFIELD	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS ARM BILAT	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs CPT 93970 PERIVASCU-MIXED EXTREMITY	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS ARM BILAT PLAINFIELD	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS LEG BILAT	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS LEG BILAT PLAINFIELD	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS ARM BILAT	$369.53	$969.90	$634.61–$935.95	—	62%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 PERIVASCU-MIXED EXTREMITY	$369.53	$969.90	$634.61–$935.95	—	62%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER WO CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	71% below	62%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER W/O CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	71% below	62%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER W/CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	71% below	62%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 DOPPLER ECHO ROUTINE W/CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	71% below	62%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER W/CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	—	62%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER W/O CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	—	62%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER WO CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	—	62%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 DOPPLER ECHO ROUTINE W/CONTRAST	$566.19	$1,486.05	$765.32–$1,434.04	—	62%
Elbow X-ray, 2 views one side CPT 73070 ELBOW (2 VIEWS) LT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Elbow X-ray, 2 views one side CPT 73070 ELBOW(2 VIEWS)RIGHT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Elbow X-ray, 2 views one side CPT 73070 ELBOW(2 VIEWS) RT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Elbow X-ray, 2 views one side CPT 73070 ELBOW(2 VIEWS)LT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Elbow X-ray, 2 views one side CPT 73070 ELBOW (2 VIEWS) RT	$70.08	$183.95	$45.99–$177.51	75% below	62%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW(2 VIEWS)LT	$70.08	$183.95	$45.99–$177.51	—	62%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW (2 VIEWS) LT	$70.08	$183.95	$45.99–$177.51	—	62%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW (2 VIEWS) RT	$70.08	$183.95	$45.99–$177.51	—	62%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW(2 VIEWS) RT	$70.08	$183.95	$45.99–$177.51	—	62%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW(2 VIEWS)RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW W/OBLIQ LEFT	$70.08	$183.95	$45.99–$177.51	78% below	62%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW W OBLIQUE LEFT	$70.08	$183.95	$94.73–$177.51	78% below	62%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW W/ OBLIQUE RIGHT	$70.08	$183.95	$45.99–$177.51	78% below	62%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW W/OBLIQ RIGHT	$70.08	$183.95	$45.99–$177.51	78% below	62%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW W/OBLIQ LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW W/OBLIQ RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW W OBLIQUE LEFT	$70.08	$183.95	$94.73–$177.51	—	62%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW W/ OBLIQUE RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMP BNS W/O CONT	$457.30	$1,200.25	$636.13–$1,158.24	63% below	62%
Eye socket (orbit) CT scan without contrast CPT 70480 CT PITUITARY W/O CON	$457.30	$1,200.25	$636.13–$1,158.24	63% below	62%
Eye socket (orbit) CT scan without contrast CPT 70480 CT I.A.M. W/O CONTRA	$457.30	$1,200.25	$636.13–$1,158.24	63% below	62%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONT	$457.30	$1,200.25	$636.13–$1,158.24	63% below	62%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT I.A.M. W/O CONTRA	$457.30	$1,200.25	$636.13–$1,158.24	—	62%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONT	$457.30	$1,200.25	$636.13–$1,158.24	—	62%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT PITUITARY W/O CON	$457.30	$1,200.25	$636.13–$1,158.24	—	62%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT TEMP BNS W/O CONT	$457.30	$1,200.25	$636.13–$1,158.24	—	62%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES	$115.52	$303.20	$156.15–$292.59	72% below	62%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES	$115.52	$303.20	$156.15–$292.59	—	62%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LEFT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RIGHT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM-LEFT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM-RIGHT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM-RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM-LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NUC HIDA SCAN	$650.10	$1,706.30	$264.37–$570.09	48% below	62%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NUC HIDA SCAN	$650.10	$1,706.30	$878.74–$1,646.58	—	62%
Hand X-ray, 2 views one side CPT 73120 HAND RT(2 VIEWS)	$112.13	$294.30	$73.58–$284.00	66% below	62%
Hand X-ray, 2 views one side CPT 73120 HAND LT (2 VIEWS)	$112.13	$294.30	$73.58–$284.00	66% below	62%
Hand X-ray, 2 views one side CPT 73120 HAND RT (2 VIEWS)	$112.13	$294.30	$73.58–$284.00	66% below	62%
Hand X-ray, 2 views one side CPT 73120 HAND LT(2 VIEWS)	$112.13	$294.30	$73.58–$284.00	66% below	62%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT (2 VIEWS)	$112.13	$294.30	$73.58–$284.00	—	62%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT(2 VIEWS)	$112.13	$294.30	$73.58–$284.00	—	62%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT(2 VIEWS)	$112.13	$294.30	$73.58–$284.00	—	62%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT (2 VIEWS)	$112.13	$294.30	$73.58–$284.00	—	62%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HEEL(OS CALC)-BILAT	$140.17	$367.90	$18.28–$122.33	—	62%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL(OS CALC) RIGHT	$70.08	$183.95	$45.99–$177.51	77% below	62%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL(OS CALC)-LEFT	$70.08	$183.95	$45.99–$177.51	77% below	62%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL(OS CALC) LEFT	$70.08	$183.95	$45.99–$177.51	77% below	62%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL (OS CALC) LEFT	$70.08	$183.95	$45.99–$177.51	77% below	62%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL(OS CALC)-RIGHT	$70.08	$183.95	$45.99–$177.51	77% below	62%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 HEEL(OS CALC)-BILAT	$140.17	$367.90	$91.98–$355.02	—	62%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL(OS CALC) RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL(OS CALC)-LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL(OS CALC)-RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL (OS CALC) LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL(OS CALC) LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY TYPE III UNATTEND	$837.42	$2,197.95	$1,164.91–$2,121.02	32% below	62%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP STUDY TYPE III UNATTEND	$837.42	$2,197.95	$1,164.91–$2,121.02	—	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 TITTRATION POLYSOMNOGRAM > AGE 6	$1,331.58	$3,494.95	$513.79–$1,391.37	75% below	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT POLYSOMNO	$1,331.58	$3,494.95	$1,852.32–$3,372.63	75% below	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 TITRATION POLYSOMNOGRAM<6HRS>AGE 6	$998.68	$2,621.20	$655.30–$2,529.46	—	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT POLYSOMNOGRAM < 6 HRS	$998.68	$2,621.20	$655.30–$2,529.46	—	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 TITTRATION POLYSOMNOGRAM > AGE 6	$1,331.58	$3,494.95	$1,852.32–$3,372.63	—	62%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT POLYSOMNO	$1,331.58	$3,494.95	$1,852.32–$3,372.63	—	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/OBLIQ LEFT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/OBLIQ-RIGHT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/OBLIQ RIGHT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/PATELLA RIGHT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/PATELLA-LEFT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE NO TRAUMA-LEFT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE NO TRAUMA LEFT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE NO TRAUMA RIGHT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/OBLIQ-LEFT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/PATELLA LEFT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W/PATELLA-RIGHT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE NO TRAUMA-RIGHT	$112.13	$294.30	$73.58–$284.00	71% below	62%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE NO TRAUMA BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE W/OBLIQUE BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE W/PATELLA BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE W/PATELLA-BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE NO TRAUMA-BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE W/OBLIQ BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE W/OBLIQUE-BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE NO TRAUMA-RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/OBLIQ LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/OBLIQ RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/OBLIQ-LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/PATELLA-RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/PATELLA-LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/OBLIQ-RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/PATELLA LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE NO TRAUMA-LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W/PATELLA RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE NO TRAUMA LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE NO TRAUMA RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LO EXT WO CON-RT	$479.74	$1,259.15	$314.79–$1,215.08	54% below	62%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LO EXT WO CON-LT	$479.74	$1,259.15	$314.79–$1,215.08	54% below	62%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LO EXT WO CON-LT	$479.74	$1,259.15	$314.79–$1,215.08	—	62%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LO EXT WO CON-RT	$479.74	$1,259.15	$314.79–$1,215.08	—	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD ONE ORGAN/QUADRANT	$196.31	$515.25	$265.35–$497.22	38% below	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABD RUQ LTD ULTRASOUND	$196.31	$515.25	$265.35–$497.22	38% below	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABD RUQ LTD ULTRASOUND	$196.31	$515.25	$265.35–$497.22	—	62%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LTD ONE ORGAN/QUADRANT	$196.31	$515.25	$265.35–$497.22	—	62%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ECHO EXT. NON VAS	$108.26	$284.15	$146.34–$274.20	39% below	62%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ECHO EXT. NON VAS	$108.26	$284.15	$146.34–$274.20	—	62%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CA SCREENING	$589.60	$1,547.50	$89.26–$164.65	13% below	62%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CA SCREENING	$589.60	$1,547.50	$796.96–$1,493.34	—	62%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 LOWER LEG BILAT	$140.17	$367.90	$189.47–$355.02	—	62%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB FIB RIGHT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB FIB LEFT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG RIGHT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 LOWER LEG LEFT	$70.08	$183.95	$45.99–$177.51	76% below	62%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 LOWER LEG BILAT	$140.17	$367.90	$91.98–$355.02	—	62%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 LOWER LEG-BILAT	$140.17	$367.90	$91.98–$355.02	—	62%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 LOWER LEG RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB FIB LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB FIB RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
MR angiography (MRA) of the head without contrast CPT 70544 MRA-HEAD W/O CONTR PLF	$1,085.09	$2,848.00	$1,509.44–$2,748.32	41% below	62%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WO CONTRAST	$1,085.09	$2,848.00	$1,509.44–$2,748.32	41% below	62%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTR	$1,085.09	$2,848.00	$1,509.44–$2,748.32	41% below	62%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTR	$1,085.09	$2,848.00	$1,509.44–$2,748.32	—	62%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD WO CONTRAST	$1,085.09	$2,848.00	$1,509.44–$2,748.32	—	62%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA-HEAD W/O CONTR PLF	$1,085.09	$2,848.00	$1,509.44–$2,748.32	—	62%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI-BREASTS W/WO CON PLF	$2,148.71	$5,639.65	$2,904.42–$5,442.26	—	62%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREASTS W/WO CON	$2,148.71	$5,639.65	$2,904.42–$5,442.26	—	62%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREASTS W/WO CON	$2,148.71	$5,639.65	$2,904.42–$5,442.26	—	62%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI-BREASTS W/WO CON PLF	$2,148.71	$5,639.65	$2,904.42–$5,442.26	—	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WO CONTR-LT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LT KNEE WO SHAPEMATCH TECH	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-HIP WO CONT LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP WO CONTR-RT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI RT KNEE WO SHAPEMATCH TECH	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-HIP WO CONT RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-KNEE WO CONT LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-ANKLE WO CON-LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-KNEE WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI-ANKLE WO CON-RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-KNEE WO CONT LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP WO CONTR-RT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LT KNEE WO SHAPEMATCH TECH	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI RT KNEE WO SHAPEMATCH TECH	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-HIP WO CONT LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-HIP WO CONT RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-KNEE WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-ANKLE WO CON-LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI-ANKLE WO CON-RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP WO CONTR-LT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/WO CO LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-KNEE W W/O CONT RT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-KNEE W W/O CONT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-HIP W&WO CON RT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE W/WO CO RT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/WO CO LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE W/WO CO RT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-HIP W&WO CON LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W&WO CON-LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-ANKLE W/WO CO-RT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP W&WO CON-RT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI-ANKLE W/WO CO-LT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	28% below	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI-KNEE W W/O CONT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W&WO CON-LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-ANKLE W/WO CO-RT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-ANKLE W/WO CO-LT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-KNEE W W/O CONT RT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-HIP W&WO CON RT PLF	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI-HIP W&WO CON LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W/WO CO RT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE W/WO CO LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W/WO CO RT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE W/WO CO LT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP W&WO CON-RT	$2,373.25	$6,229.00	$1,557.25–$6,010.99	—	62%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT	$1,073.56	$2,817.75	$1,493.41–$2,719.13	24% below	62%
MRI of the abdomen without contrast CPT 74181 MRI MRCP	$1,073.56	$2,817.75	$1,493.41–$2,719.13	24% below	62%
MRI of the abdomen without contrast CPT 74181 MRI-ABDOMEN W/O CONT PLF	$1,073.56	$2,817.75	$1,493.41–$2,719.13	24% below	62%
MRI of the abdomen without contrast inpatient CPT 74181 MRI-ABDOMEN W/O CONT PLF	$1,073.56	$2,817.75	$1,493.41–$2,719.13	—	62%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP	$1,073.56	$2,817.75	$1,493.41–$2,719.13	—	62%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CONT	$1,073.56	$2,817.75	$1,493.41–$2,719.13	—	62%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI-ABDOMEN W/WO CON PLF	$2,379.14	$6,244.45	$3,215.89–$6,025.89	16% below	62%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CON	$2,379.14	$6,244.45	$3,215.89–$6,025.89	16% below	62%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CON	$2,379.14	$6,244.45	$3,215.89–$6,025.89	—	62%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI-ABDOMEN W/WO CON PLF	$2,379.14	$6,244.45	$3,215.89–$6,025.89	—	62%
MRI of the brain, no contrast dye CPT 70551 *MRI HEAD STROKE NO CONTRAST	$1,033.58	$2,712.80	$1,397.09–$2,617.85	30% below	62%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD STROKE NO CONTRAST	$1,085.26	$2,848.45	$1,466.95–$2,748.75	27% below	62%
MRI of the brain, no contrast dye CPT 70551 MRI PIT/SELLA W/O CONTRAST PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	27% below	62%
MRI of the brain, no contrast dye CPT 70551 MRI-IAC'S WO CONTRAST PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	27% below	62%
MRI of the brain, no contrast dye CPT 70551 MRI-HEAD W/O CONTRAST PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	27% below	62%
MRI of the brain, no contrast dye CPT 70551 MRI PIT/SELLA W/O CONTRAST	$1,085.26	$2,848.45	$1,466.95–$2,748.75	27% below	62%
MRI of the brain, no contrast dye CPT 70551 MRI IACS-WO	$1,085.26	$2,848.45	$1,466.95–$2,748.75	27% below	62%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD W/O CONTRAS	$1,085.26	$2,848.45	$1,466.95–$2,748.75	27% below	62%
MRI of the brain, no contrast dye inpatient CPT 70551 *MRI HEAD STROKE NO CONTRAST	$1,033.58	$2,712.80	$1,397.09–$2,617.85	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI IACS-WO	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD STROKE NO CONTRAST	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD W/O CONTRAS	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI PIT/SELLA W/O CONTRAST	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI PIT/SELLA W/O CONTRAST PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-IAC'S WO CONTRAST PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-HEAD W/O CONTRAST PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W/WO CONTRA	$2,411.27	$6,328.80	$3,259.33–$6,107.29	4% below	62%
MRI of the brain, with and without contrast dye CPT 70553 MRI-HEAD W/WO CONTRAST PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	4% below	62%
MRI of the brain, with and without contrast dye CPT 70553 MRI PIT/SELLA W/WO CO	$2,411.27	$6,328.80	$3,259.33–$6,107.29	4% below	62%
MRI of the brain, with and without contrast dye CPT 70553 MRI-PIT/SELLA W/WO CONT PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	4% below	62%
MRI of the brain, with and without contrast dye CPT 70553 MRI IAC'S W/WO CONTRAST	$2,411.27	$6,328.80	$3,259.33–$6,107.29	4% below	62%
MRI of the brain, with and without contrast dye CPT 70553 MRI-IAC'S W/WO CONTRAST PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	4% below	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W/WO CONTRA	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-PIT/SELLA W/WO CONT PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-IAC'S W/WO CONTRAST PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-HEAD W/WO CONTRAST PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI PIT/SELLA W/WO CO	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI IAC'S W/WO CONTRAST	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the lower back, no contrast dye CPT 72148 MRI LS SPINE W/O CON	$1,204.19	$3,160.60	$1,627.71–$3,049.98	16% below	62%
MRI of the lower back, no contrast dye CPT 72148 MRI-LS SPINE W/O CON PLF	$1,204.19	$3,160.60	$1,627.71–$3,049.98	16% below	62%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-LS SPINE W/O CON PLF	$1,204.19	$3,160.60	$1,627.71–$3,049.98	—	62%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LS SPINE W/O CON	$1,204.19	$3,160.60	$1,627.71–$3,049.98	—	62%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LS SPINE W/WO CO PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	5% below	62%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LS SPINE W/WO CO	$2,411.27	$6,328.80	$3,259.33–$6,107.29	5% below	62%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-LS SPINE W/WO CO PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LS SPINE W/WO CO	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI D SPINE W/O CONT	$1,204.19	$3,160.60	$1,627.71–$3,049.98	16% below	62%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-D SPINE W/O CONT PLF	$1,204.19	$3,160.60	$1,627.71–$3,049.98	16% below	62%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI D SPINE W/O CONT	$1,204.19	$3,160.60	$1,627.71–$3,049.98	—	62%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-D SPINE W/O CONT PLF	$1,204.19	$3,160.60	$1,627.71–$3,049.98	—	62%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-C SPINE W/WO CON PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	5% below	62%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W/WO CON	$2,411.27	$6,328.80	$3,259.33–$6,107.29	5% below	62%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI-C SPINE W/WO CON PLF	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W/WO CON	$2,411.27	$6,328.80	$3,259.33–$6,107.29	—	62%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-C SPINE W/O CONT PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	24% below	62%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O CONT	$1,085.26	$2,848.45	$1,466.95–$2,748.75	24% below	62%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-C SPINE W/O CONT PLF	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE W/O CONT	$1,085.26	$2,848.45	$1,466.95–$2,748.75	—	62%
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W/WO CONTRAST	$2,379.14	$6,244.45	$3,215.89–$6,025.89	16% below	62%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONT	$2,379.14	$6,244.45	$3,215.89–$6,025.89	16% below	62%
MRI of the pelvis without and with contrast CPT 72197 MRI-PELVIS W W/O CONT PLF	$2,379.14	$6,244.45	$3,215.89–$6,025.89	16% below	62%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONT	$2,379.14	$6,244.45	$3,215.89–$6,025.89	—	62%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE W/WO CONTRAST	$2,379.14	$6,244.45	$3,215.89–$6,025.89	—	62%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI-PELVIS W W/O CONT PLF	$2,379.14	$6,244.45	$3,215.89–$6,025.89	—	62%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTR	$1,073.56	$2,817.75	$1,493.41–$2,719.13	26% below	62%
MRI of the pelvis, no contrast dye CPT 72195 MRI-PELVIS W/O CONT PLF	$1,073.56	$2,817.75	$1,493.41–$2,719.13	26% below	62%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI-PELVIS W/O CONT PLF	$1,073.56	$2,817.75	$1,493.41–$2,719.13	—	62%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTR	$1,073.56	$2,817.75	$1,493.41–$2,719.13	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHLDR WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-UPEXT JOINT W/O CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-UPEXT JOINT W/O CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-ELBOW WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-ELBOW W0 CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-WRIST WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPEXT JOINT W/O CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-WRIST WO CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHLDR WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-SHLDR WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI-SHLDR W/O CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPEXT JOINT W/O CONTRAST RT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	34% below	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-ELBOW W0 CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPEXT JOINT W/O CONTRAST RT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-WRIST WO CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPEXT JOINT W/O CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHLDR WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHLDR WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-WRIST WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST WO CON RT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-UPEXT JOINT W/O CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-SHLDR W/O CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-UPEXT JOINT W/O CON LT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-SHLDR WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI-ELBOW WO CON RT PLF	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW WO CON LT	$1,068.63	$2,804.80	$701.20–$2,706.63	—	62%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERV SPINE W FLEX EX	$115.52	$303.20	$156.15–$292.59	72% below	62%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERV SPINE - TRAUMA	$115.52	$303.20	$156.15–$292.59	72% below	62%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERV SPINE TRAUMA	$115.52	$303.20	$156.15–$292.59	72% below	62%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERV SPINE - TRAUMA	$115.52	$303.20	$156.15–$292.59	—	62%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERV SPINE TRAUMA	$115.52	$303.20	$156.15–$292.59	—	62%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERV SPINE W FLEX EX	$115.52	$303.20	$156.15–$292.59	—	62%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST	$547.99	$1,438.30	$740.72–$1,387.96	64% below	62%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W/CONTRAST	$547.99	$1,438.30	$740.72–$1,387.96	—	62%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST	$457.30	$1,200.25	$636.13–$1,158.24	60% below	62%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK W/O CONTRAST	$457.30	$1,200.25	$636.13–$1,158.24	—	62%
Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK	$72.12	$189.30	$97.49–$182.67	74% below	62%
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK	$72.12	$189.30	$97.49–$182.67	—	62%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUC CARD SPECT RST & EX	$1,346.26	$3,533.50	$1,819.75–$3,409.83	62% below	62%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUC THALLIUM SPECT RST & EX	$1,346.26	$3,533.50	$1,819.75–$3,409.83	62% below	62%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NUC THALLIUM SPECT RST & EX	$1,346.26	$3,533.50	$1,819.75–$3,409.83	—	62%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NUC CARD SPECT RST & EX	$1,346.26	$3,533.50	$1,819.75–$3,409.83	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL TO THIGH INITIAL	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL TO THIGH INI NOPR	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL TO THIGH SUB NOPR	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT ENDOCRINE SKULL THIGH-SUB	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT ENDOCRINE SKULL THIGH INIT	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL TO THIGH SUBSEQUENT	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT SKULL THIGH SUB PROSTATE	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT-SKULL-THIGH INITIAL PROSTATE	$5,294.17	$13,895.45	$3,473.86–$13,409.11	—	62%
Pelvic CT scan without contrast CPT 72192 CT SAC/COCC W/O CONT	$572.38	$1,502.30	$773.68–$1,449.72	45% below	62%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRA	$572.38	$1,502.30	$773.68–$1,449.72	45% below	62%
Pelvic CT scan without contrast inpatient CPT 72192 CT SAC/COCC W/O CONT	$572.38	$1,502.30	$773.68–$1,449.72	—	62%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRA	$572.38	$1,502.30	$773.68–$1,449.72	—	62%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS LIMITED OR APPENDIX	$108.26	$284.15	$146.34–$274.20	55% below	62%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS LIMITED OR APPENDIX	$108.26	$284.15	$146.34–$274.20	—	62%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC ULTRASOUND	$159.16	$417.75	$215.14–$403.13	54% below	62%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC ULTRASOUND	$159.16	$417.75	$215.14–$403.13	—	62%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB-2ND TRI 1 FETUS	$203.78	$534.85	$275.45–$516.13	51% below	62%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB-3RD TRI 1 FETUS	$203.78	$534.85	$275.45–$516.13	51% below	62%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB-2ND TRI 1 FETUS	$203.78	$534.85	$275.45–$516.13	—	62%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB-3RD TRI 1 FETUS	$203.78	$534.85	$275.45–$516.13	—	62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB-1ST TRI 1 FETUS	$159.16	$417.75	$215.14–$403.13	53% below	62%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB-1ST TRI 1 FETUS	$159.16	$417.75	$215.14–$403.13	—	62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB-LIMITED ULTRASOUND	$159.16	$417.75	$215.14–$403.13	33% below	62%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB-LIMITED ULTRASOUND	$159.16	$417.75	$215.14–$403.13	—	62%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS W/ PA & LAT CHEST UNI RT 2VWS	$104.32	$273.80	$68.45–$264.22	68% below	62%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS W/ PA CHEST UNILAT RT 2VWS	$104.32	$273.80	$68.45–$264.22	68% below	62%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS W/ PA CHEST UNILAT LT 2VWS	$104.32	$273.80	$68.45–$264.22	68% below	62%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS W/ PA & LAT CHEST UNI LT 2VWS	$104.32	$273.80	$68.45–$264.22	68% below	62%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS W/ PA CHEST UNILAT LT 2VWS	$104.32	$273.80	$68.45–$264.22	—	62%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS W/ PA & LAT CHEST UNI LT 2VWS	$104.32	$273.80	$68.45–$264.22	—	62%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS W/ PA & LAT CHEST UNI RT 2VWS	$104.32	$273.80	$68.45–$264.22	—	62%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS W/ PA CHEST UNILAT RT 2VWS	$104.32	$273.80	$68.45–$264.22	—	62%
Rib X-ray, one side, with a chest view, 3 or more views both sides CPT 71101 RIBS W/ CHEST UNILAT BILAT 3VWS	$231.04	$606.40	$312.30–$585.18	—	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ PA & LAT CHEST UNI LT 3+VWS	$115.52	$303.20	$156.15–$292.59	71% below	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/PA & LAT CHEST UNI RT 3+VIEW	$115.52	$303.20	$75.80–$292.59	71% below	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ CHEST UNILAT RT 3 VIEWS	$115.52	$303.20	$75.80–$292.59	71% below	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ CHEST UNILAT LT 3 VIEWS	$115.52	$303.20	$75.80–$292.59	71% below	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ PA CHEST UNILAT RT 3+VWS	$120.74	$316.90	$79.23–$305.81	69% below	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ PA & LAT CHEST UNI LT 3+VWS	$120.74	$316.90	$79.23–$305.81	69% below	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ PA & LAT CHEST UNI RT 3+VWS	$120.74	$316.90	$79.23–$305.81	69% below	62%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS W/ PA CHEST UNILAT LT 3+VWS	$120.74	$316.90	$79.23–$305.81	69% below	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient both sides CPT 71101 RIBS W/ CHEST UNILAT BILAT 3VWS	$231.04	$606.40	$312.30–$585.18	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ CHEST UNILAT LT 3 VIEWS	$115.52	$303.20	$75.80–$292.59	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/PA & LAT CHEST UNI RT 3+VIEW	$115.52	$303.20	$75.80–$292.59	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ CHEST UNILAT RT 3 VIEWS	$115.52	$303.20	$75.80–$292.59	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ PA & LAT CHEST UNI LT 3+VWS	$120.74	$316.90	$79.23–$305.81	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ PA CHEST UNILAT RT 3+VWS	$120.74	$316.90	$79.23–$305.81	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ PA CHEST UNILAT LT 3+VWS	$120.74	$316.90	$79.23–$305.81	—	62%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS W/ PA & LAT CHEST UNI RT 3+VWS	$120.74	$316.90	$79.23–$305.81	—	62%
Screening mammogram, both breasts both sides CPT 77067 PDC MAMMO SCREEN BILATERAL	$203.61	$534.40	$275.22–$515.70	—	62%
Screening mammogram, both breasts both sides CPT 77067 DNLSN MAMMO SCREEN BILATERAL	$203.61	$534.40	$275.22–$515.70	—	62%
Screening mammogram, both breasts both sides CPT 77067 DKH MAMMO SCREEN BILATERAL	$203.61	$534.40	$133.60–$515.70	—	62%
Screening mammogram, both breasts CPT 77067 DKH MAMMO SCREENING IMPLANTS	$203.61	$534.40	$275.22–$515.70	34% below	62%
Screening mammogram, both breasts CPT 77067 PDC MAMMO SCREENING IMPLANTS	$203.61	$534.40	$275.22–$515.70	34% below	62%
Screening mammogram, both breasts CPT 77067 DNLSN MAMMO SCREEN IMPLANTS	$203.61	$534.40	$275.22–$515.70	34% below	62%
Screening mammogram, both breasts inpatient both sides CPT 77067 DKH MAMMO SCREEN BILATERAL	$203.61	$534.40	$133.60–$515.70	—	62%
Screening mammogram, both breasts inpatient both sides CPT 77067 DNLSN MAMMO SCREEN BILATERAL	$203.61	$534.40	$275.22–$515.70	—	62%
Screening mammogram, both breasts inpatient both sides CPT 77067 PDC MAMMO SCREEN BILATERAL	$203.61	$534.40	$275.22–$515.70	—	62%
Screening mammogram, both breasts inpatient CPT 77067 DNLSN MAMMO SCREEN IMPLANTS	$203.61	$534.40	$275.22–$515.70	—	62%
Screening mammogram, both breasts inpatient CPT 77067 DKH MAMMO SCREENING IMPLANTS	$203.61	$534.40	$275.22–$515.70	—	62%
Screening mammogram, both breasts inpatient CPT 77067 PDC MAMMO SCREENING IMPLANTS	$203.61	$534.40	$275.22–$515.70	—	62%
Screening mammogram, both breasts inpatient one side CPT 77067 DNLSN MAMMO SCREEN RIGHT	$203.61	$534.40	$133.60–$515.70	—	62%
Screening mammogram, both breasts inpatient one side CPT 77067 DKH MAMMO SCREEN LEFT	$203.61	$534.40	$133.60–$515.70	—	62%
Screening mammogram, both breasts inpatient one side CPT 77067 DKH MAMMO SCREEN RIGHT	$203.61	$534.40	$133.60–$515.70	—	62%
Screening mammogram, both breasts inpatient one side CPT 77067 PDC MAMMO SCREEN LEFT	$203.61	$534.40	$133.60–$515.70	—	62%
Screening mammogram, both breasts inpatient one side CPT 77067 PDC MAMMO SCREEN RIGHT	$203.61	$534.40	$133.60–$515.70	—	62%
Screening mammogram, both breasts inpatient one side CPT 77067 DNLSN MAMMO SCREEN LEFT	$203.61	$534.40	$133.60–$515.70	—	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR TRAUMA-LEFT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR NO TRAUMA-RT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR TRAUMA RIGHT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR TRAUMA-RIGHT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR NO TRAUMA LT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR TRAUMA RT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR NO TRAUMA-LT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR TRAUMA LEFT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR TRAUMA LT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHLDR NO TRAUMA RT	$112.13	$294.30	$73.58–$284.00	62% below	62%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER NO TRAUMA-BILAT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER NO TRAUMA BILAT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER TRAUMA BILAT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 SHOULDER TRAUMA-BILAT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR TRAUMA LT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR NO TRAUMA-LT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR NO TRAUMA-RT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR TRAUMA-LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR TRAUMA-RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR NO TRAUMA LT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR TRAUMA RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR NO TRAUMA RT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR TRAUMA LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHLDR TRAUMA RT	$112.13	$294.30	$73.58–$284.00	—	62%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES	$115.52	$303.20	$156.15–$292.59	71% below	62%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES	$115.52	$303.20	$156.15–$292.59	—	62%
Skull X-ray, fewer than 4 views CPT 70250 SKULL AP & LAT	$115.52	$303.20	$156.15–$292.59	68% below	62%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL AP & LAT	$115.52	$303.20	$156.15–$292.59	—	62%
Sleep study in a lab (polysomnography) CPT 95810 FULL NIGHT POLYSOMNOGRAM > AGE 6	$1,331.58	$3,494.95	$488.77–$1,391.37	75% below	62%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM < 6 HRS > AGE 6	$998.68	$2,621.20	$655.30–$2,529.46	—	62%
Sleep study in a lab (polysomnography) inpatient CPT 95810 FULL NIGHT POLYSOMNOGRAM > AGE 6	$1,331.58	$3,494.95	$1,852.32–$3,372.63	—	62%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BA SWALLOW-MODIFIED	$218.54	$573.60	$295.40–$553.52	64% below	62%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BA SWALLOW-MODIFIED	$218.54	$573.60	$295.40–$553.52	—	62%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR-LEFT 2 VIEWS	$70.03	$183.80	$45.95–$177.37	77% below	62%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR-RIGHT 2 VIEWS	$70.03	$183.80	$45.95–$177.37	77% below	62%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR-BILAT 4 VIEWS	$140.17	$367.90	$91.98–$355.02	—	62%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR-LEFT 2 VIEWS	$70.03	$183.80	$45.95–$177.37	—	62%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR-RIGHT 2 VIEWS	$70.03	$183.80	$45.95–$177.37	—	62%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT DORSAL SPINE W/O	$572.38	$1,502.30	$796.22–$1,449.72	45% below	62%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT DORSAL SPINE W/O	$572.38	$1,502.30	$796.22–$1,449.72	—	62%
Toe X-ray, 2 or more views one side CPT 73660 TOE-LEFT	$70.08	$183.95	$45.99–$177.51	74% below	62%
Toe X-ray, 2 or more views one side CPT 73660 TOE-RIGHT	$70.08	$183.95	$45.99–$177.51	74% below	62%
Toe X-ray, 2 or more views one side CPT 73660 FOOT LEFT	$70.08	$183.95	$45.99–$177.51	74% below	62%
Toe X-ray, 2 or more views one side CPT 73660 TOE RIGHT	$70.08	$183.95	$45.99–$177.51	74% below	62%
Toe X-ray, 2 or more views one side CPT 73660 TOE LEFT	$70.08	$183.95	$45.99–$177.51	74% below	62%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FOOT LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE-LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOE-RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Transvaginal pelvic ultrasound CPT 76830 PELVIC NON OB TRANSVAGINAL	$159.16	$417.75	$215.14–$403.13	61% below	62%
Transvaginal pelvic ultrasound CPT 76830 PELVIC-NON OB TRANSV	$159.16	$417.75	$215.14–$403.13	61% below	62%
Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC-NON OB TRANSV	$159.16	$417.75	$215.14–$403.13	—	62%
Transvaginal pelvic ultrasound inpatient CPT 76830 PELVIC NON OB TRANSVAGINAL	$159.16	$417.75	$215.14–$403.13	—	62%
Transvaginal ultrasound during pregnancy CPT 76817 OB-TRANSVAGINAL	$159.16	$417.75	$215.14–$403.13	41% below	62%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB-TRANSVAGINAL	$159.16	$417.75	$215.14–$403.13	—	62%
Ultrasound of the abdomen, complete CPT 76700 ABDOMINAL ULTRASOUND	$191.09	$501.55	$258.30–$484.00	51% below	62%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMINAL ULTRASOUND	$191.09	$501.55	$258.30–$484.00	—	62%
Ultrasound of the scrotum and testicles CPT 76870 TESTICLE	$159.16	$417.75	$215.14–$403.13	56% below	62%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICLE	$159.16	$417.75	$215.14–$403.13	—	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HEAD OR NECK ULTRASOUND	$159.16	$417.75	$215.14–$403.13	61% below	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID ULTRASOUND	$159.16	$417.75	$215.14–$403.13	61% below	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID ULTRASOUND	$159.16	$417.75	$215.14–$403.13	—	62%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HEAD OR NECK ULTRASOUND	$159.16	$417.75	$215.14–$403.13	—	62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI TRACT SINGLE CONTRAST	$178.23	$467.80	$240.92–$451.43	75% below	62%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI TRACT SINGLE CONTRAST	$178.23	$467.80	$240.92–$451.43	—	62%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS-RIGHT	$70.03	$183.80	$45.95–$177.37	78% below	62%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT	$70.03	$183.80	$45.95–$177.37	78% below	62%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT	$70.03	$183.80	$45.95–$177.37	78% below	62%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS-LEFT	$70.03	$183.80	$45.95–$177.37	78% below	62%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS-LEFT	$70.03	$183.80	$45.95–$177.37	—	62%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS-RIGHT	$70.03	$183.80	$45.95–$177.37	—	62%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RIGHT	$70.03	$183.80	$45.95–$177.37	—	62%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LEFT	$70.03	$183.80	$45.95–$177.37	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 AV FISTULA OR PSEUDO ANEURYSM	$162.78	$427.25	$279.55–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LEG UNIL-LT	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS ARM UNIL RT PLAINSFIELD	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LEG UNIL LT PLAINFIELD	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS ARM UNIL LT PLAINFIELD	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LEG UNIL-RT	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS ARM UNIL-LT	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS ARM UNIL-RT	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS LEG UNIL RT PLAINFIELD	$162.78	$427.25	$106.81–$412.30	78% below	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 AV FISTULA OR PSEUDO ANEURYSM	$162.78	$427.25	$279.55–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS ARM UNIL-LT	$162.78	$427.25	$106.81–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS ARM UNIL LT PLAINFIELD	$162.78	$427.25	$106.81–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS ARM UNIL RT PLAINSFIELD	$162.78	$427.25	$106.81–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS LEG UNIL LT PLAINFIELD	$162.78	$427.25	$106.81–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS LEG UNIL RT PLAINFIELD	$162.78	$427.25	$106.81–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS LEG UNIL-LT	$162.78	$427.25	$106.81–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS LEG UNIL-RT	$162.78	$427.25	$106.81–$412.30	—	62%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS ARM UNIL-RT	$162.78	$427.25	$106.81–$412.30	—	62%
Wrist X-ray, 2 views one side CPT 73100 WRIST LT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	75% below	62%
Wrist X-ray, 2 views one side CPT 73100 WRIST RT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	75% below	62%
Wrist X-ray, 2 views one side CPT 73100 WRIST LT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	75% below	62%
Wrist X-ray, 2 views one side CPT 73100 WRIST RT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	75% below	62%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT	$70.08	$183.95	$45.99–$177.51	78% below	62%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT	$70.08	$183.95	$45.99–$177.51	78% below	62%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST-BILATERAL	$140.17	$367.90	$91.98–$355.02	—	62%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST BILATERAL	$140.17	$367.90	$91.98–$355.02	—	62%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP (PELVIS INCL)-RT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP (PELVIS INCL)-LT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS RT	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RECHECK-LEFT 2 VIEWS	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP(PELVIS INCL)RT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RECHECK-RIGHT 2 VIEWS	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2 VIEWS LT	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP-2 VIEWS LT	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP-2 VIEWS RT	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP(PELVIS INCL) LT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP(PELVIS INCL) RT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	81% below	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP(PELVIS INCL)RT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP(PELVIS INCL) LT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS RT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP (PELVIS INCL)-LT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2 VIEWS LT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP-2 VIEWS RT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RECHECK-RIGHT 2 VIEWS	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP (PELVIS INCL)-RT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP(PELVIS INCL) RT 3 VIEWS	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RECHECK-LEFT 2 VIEWS	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP-2 VIEWS LT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the abdomen, 1 view CPT 74018 CYSTO SCOUT FILM	$71.43	$187.47	$96.55–$180.91	75% below	62%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (KUB/FLAT)	$72.18	$189.45	$16.02–$122.33	75% below	62%
X-ray of the abdomen, 1 view CPT 74018 SITZ MARKER STUDY KUB/FLAT	$72.18	$189.45	$16.02–$122.33	75% below	62%
X-ray of the abdomen, 1 view CPT 74018 OR SCOUT FILM	$72.18	$189.45	$97.57–$182.82	75% below	62%
X-ray of the abdomen, 1 view CPT 74018 ABD/KUB PORTABLE	$72.19	$189.47	$97.58–$182.84	75% below	62%
X-ray of the abdomen, 1 view inpatient CPT 74018 CYSTO SCOUT FILM	$71.43	$187.47	$96.55–$180.91	—	62%
X-ray of the abdomen, 1 view inpatient CPT 74018 SITZ MARKER STUDY KUB/FLAT	$72.18	$189.45	$97.57–$182.82	—	62%
X-ray of the abdomen, 1 view inpatient CPT 74018 OR SCOUT FILM	$72.18	$189.45	$97.57–$182.82	—	62%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN (KUB/FLAT)	$72.18	$189.45	$97.57–$182.82	—	62%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD/KUB PORTABLE	$72.19	$189.47	$97.58–$182.84	—	62%
X-ray of the ankle, 2 views both sides CPT 73600 1-2 VIEW ANKLE BILAT	$224.28	$588.65	$303.15–$568.05	—	62%
X-ray of the ankle, 2 views one side CPT 73600 1-2 VIEW ANKLE - RIGHT	$112.13	$294.30	$73.58–$284.00	58% below	62%
X-ray of the ankle, 2 views one side CPT 73600 1 - 2 VIEW ANKLE - LEFT	$112.13	$294.30	$73.58–$284.00	58% below	62%
X-ray of the ankle, 2 views one side CPT 73600 1 - 2 VIEW ANKLE - RIGHT	$112.13	$294.30	$73.58–$284.00	58% below	62%
X-ray of the ankle, 2 views one side CPT 73600 1 2 VIEW ANKLE - LEFT	$112.13	$294.30	$73.58–$284.00	58% below	62%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 1-2 VIEW ANKLE BILAT	$224.28	$588.65	$303.15–$568.05	—	62%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 1 - 2 VIEW ANKLE - BILAT	$224.29	$588.70	$147.18–$568.10	—	62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 1 2 VIEW ANKLE - LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 1 - 2 VIEW ANKLE - LEFT	$112.13	$294.30	$73.58–$284.00	—	62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 1 - 2 VIEW ANKLE - RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
X-ray of the ankle, 2 views inpatient one side CPT 73600 1-2 VIEW ANKLE - RIGHT	$112.13	$294.30	$73.58–$284.00	—	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER, SINGLE LEFT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER,SINGLE-LEFT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 OR MORE-RT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 OR MORE LT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 OR MORE-LT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER SINGLE LEFT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER,SINGLE-RIGHT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER SINGLE RIGHT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER 2 OR MORE RT	$70.08	$183.95	$45.99–$177.51	74% below	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 OR MORE-LT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER,SINGLE-LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 OR MORE LT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 OR MORE RT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER 2 OR MORE-RT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER SINGLE LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER SINGLE RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER, SINGLE LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER,SINGLE-RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	73% below	62%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	73% below	62%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	73% below	62%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	73% below	62%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT (2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT(2 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT	$70.08	$183.95	$45.99–$177.51	77% below	62%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT	$70.08	$183.95	$45.99–$177.51	77% below	62%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT-BILATERAL	$140.17	$367.90	$91.98–$355.02	—	62%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT BILATERAL	$140.17	$367.90	$91.98–$355.02	—	62%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the hand, 3 or more views one side CPT 73130 NAVICULAR LT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	80% below	62%
X-ray of the hand, 3 or more views one side CPT 73130 HAND RIGHT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	80% below	62%
X-ray of the hand, 3 or more views one side CPT 73130 HAND LEFT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	80% below	62%
X-ray of the hand, 3 or more views one side CPT 73130 NAVICULAR RT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	80% below	62%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND BILAT (3 VIEWS)	$140.17	$367.90	$91.98–$355.02	—	62%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 NAVICULAR RT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 NAVICULAR LT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RIGHT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LEFT (3 VIEWS)	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the knee, 1 or 2 views both sides CPT 73560 1 - 2 VIEW KNEE - BILAT	$140.17	$367.90	$189.47–$355.02	—	62%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE NO TRAUMA RIGHT	$70.08	$183.95	$45.99–$177.51	77% below	62%
X-ray of the knee, 1 or 2 views one side CPT 73560 1 - 2 VIEW KNEE - RIGHT	$70.08	$183.95	$45.99–$177.51	77% below	62%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE NO TRAUMA LEFT	$70.08	$183.95	$45.99–$177.51	77% below	62%
X-ray of the knee, 1 or 2 views one side CPT 73560 1 - 2 VIEW KNEE - LEFT	$70.08	$183.95	$45.99–$177.51	77% below	62%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE NO TRAUMA BILAT	$140.17	$367.90	$91.98–$355.02	—	62%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 1 - 2 VIEW KNEE - BILAT	$140.17	$367.90	$91.98–$355.02	—	62%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 1 - 2 VIEW KNEE - LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE NO TRAUMA LEFT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 1 - 2 VIEW KNEE - RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE NO TRAUMA RIGHT	$70.08	$183.95	$45.99–$177.51	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE ROUTINE	$115.52	$303.20	$156.15–$292.59	70% below	62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE SHOOT THRU 2 VIEWS	$115.52	$303.20	$156.15–$292.59	70% below	62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE SHOOT THRU	$115.52	$303.20	$156.15–$292.59	70% below	62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE ROUTINE MIN 2 VIEWS	$115.52	$303.20	$156.15–$292.59	70% below	62%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LS SPINE-SHOOT-THRU 2 VIEWS	$115.52	$303.20	$156.15–$292.59	70% below	62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LS SPINE ROUTINE MIN 2 VIEWS	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LS SPINE-SHOOT-THRU 2 VIEWS	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LS SPINE SHOOT THRU 2 VIEWS	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LS SPINE SHOOT THRU	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LS SPINE ROUTINE	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the lower back, 4 or more views CPT 72110 LS SPINE W UPRIGHT MIN 4 VIEWS	$112.13	$294.30	$151.56–$284.00	77% below	62%
X-ray of the lower back, 4 or more views CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEW	$112.13	$294.30	$151.56–$284.00	77% below	62%
X-ray of the lower back, 4 or more views CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEWS	$112.13	$294.30	$29.91–$164.65	77% below	62%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEWS	$112.13	$294.30	$151.56–$284.00	—	62%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE W UPRIGHT MIN 4 VIEWS	$112.13	$294.30	$151.56–$284.00	—	62%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LS SPINE W OBLIQUES MIN 4 VIEW	$112.13	$294.30	$151.56–$284.00	—	62%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL SPINE 2 VIEWS	$115.52	$303.20	$156.15–$292.59	67% below	62%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIC SPINE 2 VIEWS	$115.52	$303.20	$156.15–$292.59	67% below	62%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACIS SPINE 2 VIEWS	$115.52	$303.20	$156.15–$292.59	67% below	62%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIS SPINE 2 VIEWS	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 THORACIC SPINE 2 VIEWS	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DORSAL SPINE 2 VIEWS	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES	$72.12	$189.30	$97.49–$182.67	75% below	62%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES	$72.12	$189.30	$97.49–$182.67	—	62%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SPINE TWO VIEW	$115.52	$303.20	$156.15–$292.59	65% below	62%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERV SPINE OBL ONLY	$115.52	$303.20	$156.15–$292.59	65% below	62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV SPINE TWO VIEW	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERV SPINE OBL ONLY	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 OR 2 VIEWS	$115.52	$303.20	$156.15–$292.59	63% below	62%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 OR 2 VIEWS	$115.52	$303.20	$156.15–$292.59	—	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACROCCYGEAL SPINE	$72.18	$189.45	$97.57–$182.82	78% below	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACROCOCCYGEAL SPINE	$72.18	$189.45	$97.57–$182.82	78% below	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACROCCYGEAL SPINE	$72.18	$189.45	$97.57–$182.82	—	62%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACROCOCCYGEAL SPINE	$72.18	$189.45	$97.57–$182.82	—	62%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
ACTH blood test CPT 82024 ACTH, PLASMA	$107.58	$282.35	$149.65–$272.47	49% below	62%
ACTH blood test inpatient CPT 82024 ACTH, PLASMA	$107.58	$282.35	$149.65–$272.47	—	62%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE (ALT)	$7.37	$19.35	$5.42–$17.16	74% below	62%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$10.04	$26.35	$5.42–$17.16	65% below	62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE (ALT)	$7.37	$19.35	$10.26–$18.67	—	62%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$10.04	$26.35	$13.97–$25.43	—	62%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE (AST)	$7.37	$19.35	$5.30–$16.76	74% below	62%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$22.84	$59.95	$5.30–$16.76	18% below	62%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE (AST)	$7.37	$19.35	$10.26–$18.67	—	62%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$22.84	$59.95	$31.77–$57.85	—	62%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, RFX CONFIRM	$42.39	$111.26	$46.58–$154.20	83% below	62%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL	$132.65	$348.15	$46.58–$154.20	47% below	62%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP PANEL ACUTE REFLEX TO CONFIRM	$310.79	$815.73	$432.34–$787.18	24% above	62%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL, RFX CONFIRM	$42.39	$111.26	$58.97–$107.37	—	62%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL	$132.65	$348.15	$184.52–$335.96	—	62%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEP PANEL ACUTE REFLEX TO CONFIRM	$310.79	$815.73	$432.34–$787.18	—	62%
Albumin blood test CPT 82040 ALBUMIN (BLOOD)	$8.86	$23.25	$12.32–$22.44	70% below	62%
Albumin blood test CPT 82040 ALBUMIN	$16.58	$43.53	$23.07–$42.01	44% below	62%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$19.03	$49.95	$26.47–$48.20	36% below	62%
Albumin blood test inpatient CPT 82040 ALBUMIN (BLOOD)	$8.86	$23.25	$12.32–$22.44	—	62%
Albumin blood test inpatient CPT 82040 ALBUMIN	$16.58	$43.53	$23.07–$42.01	—	62%
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$19.03	$49.95	$26.47–$48.20	—	62%
Aldosterone blood test CPT 82088 ALDOSTERONE, LC/MS/MS	$13.72	$36.00	$41.70–$131.92	93% below	62%
Aldosterone blood test CPT 82088 ALDOSTERONE	$112.38	$294.95	$156.32–$284.63	40% below	62%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, LC/MS/MS	$13.72	$36.00	$19.08–$34.74	—	62%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$112.38	$294.95	$156.32–$284.63	—	62%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$3.43	$9.00	$5.30–$16.76	87% below	62%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOS	$11.16	$29.30	$15.53–$28.27	59% below	62%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS TOTAL	$14.40	$37.80	$20.03–$36.48	46% below	62%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS, TOTAL	$21.64	$56.80	$30.10–$54.81	20% below	62%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE BONE SPECIFIC	$54.90	$144.10	$5.30–$16.76	104% above	62%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$3.43	$9.00	$4.77–$8.69	—	62%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOS	$11.16	$29.30	$15.53–$28.27	—	62%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS TOTAL	$14.40	$37.80	$20.03–$36.48	—	62%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS, TOTAL	$21.64	$56.80	$30.10–$54.81	—	62%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE BONE SPECIFIC	$54.90	$144.10	$76.37–$139.06	—	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST, HOLLISTER STIER, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET (I5) IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COW MILK, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 S. CHARTARUM IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG, WHOLE, IGE	$4.88	$12.82	$5.34–$16.90	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 D. PTERONYSSINUS, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE (I1) IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTER, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE PROTEINS, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 S. BOTRYOSUM, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE FACED HORNET (I2) IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 D. FARINAE, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS, IGE	$4.88	$12.82	$5.34–$16.90	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 P. NOTATUM, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED (SHORT), IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET (I3) IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP (I4) IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA/SWEET PEPPER, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST, GREER, IGE	$4.88	$12.82	$6.79–$12.37	75% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS (M5) IGE	$10.46	$27.45	$14.55–$26.49	46% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GUAVA, IGE	$12.67	$33.25	$5.34–$16.90	34% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE, IGE	$13.85	$36.35	$19.27–$35.08	28% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT, IGE	$13.85	$36.35	$5.34–$16.90	28% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MELON HONEYDEW, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BELL PEPPER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE CHEDDAR, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO NUT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 DOCKWEED YELLOW, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD TREE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI FRUIT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BING CHERRY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL(DOCK), IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR MOUNTAIN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK(COW), IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT TREE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH AMERICAN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG EPITHELIA, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT HAIR/DANDER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT/FILBERT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG HAIR/DANDER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM BOTRYOSU, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 D PTERONYSSINUS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 D FARINAE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE POPLAR, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH GERMAN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN NOTATUM, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARU, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST(HOLLISTER), IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO WHITE, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST(GREER), IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW WASP, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPARAGUS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GUINEA PIG EPITHELIUM, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE/CACAO, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BUMBLEBEE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT ELITHELIA, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN ENGLISH, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEGRASS KENTUCKY, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S QUARTER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MALT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGO, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ZUCHINI, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE-MOLD TYPE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 FLOUNDER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CRANBERRY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY WHOLE GRAIN, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LENTIL, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 KIDNEY BEAN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CARMINE/RED DYE-COCHINEAL, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BASIL, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WALL EYE PIKE IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME, IGE	$14.54	$38.15	$5.34–$16.90	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEA, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT FOOD, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YOGURT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ONIONS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BEECH AMERICAN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDIUM PULLUL, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALDER SMOOTH, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPURASCE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HORMLDENDRUM HORDEI, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENIUS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE AMERICAN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED ROUGH, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE/BOX ELDER, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ASH WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW BLACK, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED SHORT/COMMON, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT POLLEN, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WASP, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HORNET YELLOW, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM AMERICAN/WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR WHITE, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM HALO, IGE	$14.54	$38.15	$20.22–$36.81	25% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKATIEL, IGE	$15.11	$39.65	$5.34–$16.90	22% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK BEAN, IGE	$15.58	$40.90	$5.34–$16.90	19% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN, IGE	$18.78	$49.30	$5.34–$16.90	3% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BETA LACTOGLOBULIN, IGE	$18.78	$49.30	$5.34–$16.90	3% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BEET, IGE	$18.78	$49.30	$26.13–$47.57	3% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD, IGE	$18.78	$49.30	$26.13–$47.57	3% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 INSULIN,IGE	$18.78	$49.30	$26.13–$47.57	3% below	62%
Allergy blood test, specific IgE, per allergen CPT 86003 FESCUE MEADOW, IGE	$19.34	$50.75	$26.90–$48.97	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER POLLEN, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS, IGE	$19.34	$50.75	$26.90–$48.97	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HAMSTER EPITHELIUM, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT EPITHELIA, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE EPITHELIUM, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICK PEA, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CURRY POWDER, IGE	$19.34	$50.75	$5.34–$16.90	at median	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HORNET WHITE FACE, IGE	$21.81	$57.25	$30.34–$55.25	13% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CREAM CHEESE, IGE	$21.81	$57.25	$5.34–$16.90	13% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE	$21.81	$57.25	$30.34–$55.25	13% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 POPPYSEED, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SAFFLOWER, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HADDOCK, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GROUPER, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 QUINOA, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PROVOLONE, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TEA, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT MILK, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CORRIANDER/CILANTRO, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SUGAR CANE, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HOPS, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE COLBY, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SOLE, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE COTTAGE, IGE	$22.29	$58.50	$5.34–$16.90	15% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COCOA (F93) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI FRUIT (F84) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE (F210) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON (RF329) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT (F256) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW NUT (F202) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER (F280) IGE	$23.51	$61.70	$25.42–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER (F280) IGE	$23.51	$61.70	$5.34–$10.87	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY (T70) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI (F260) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON (F208) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP (F338) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH (F3) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY (F6) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED (F10) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PEA (F12) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT (F13) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT (F17) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND (F20) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB (F23) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP (F24) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE (F33) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA (F40) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON (F41) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE (F81) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY (F85) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE (F215) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY WHITE (T41) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPURASCENS (M14) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME (M9) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPORIUM HALODES (M8) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS (M11) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH (F95) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR (F94) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO (F96) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM (F207) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER (E4) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY (F242) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MELONS (F87) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEPPER (UNRIPE) (F263) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY (F236) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK OLIVE (RF342) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID (F258) IGE	$23.51	$61.70	$32.70–$59.54	22% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB, IGE	$26.37	$69.20	$36.68–$66.78	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TANGERINE, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SPRUCE, IGE	$26.38	$69.25	$36.70–$66.83	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK RED, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 FIR DOUGLAS, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALFALFA, IGE	$26.38	$69.25	$36.70–$66.83	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO, IGE	$26.38	$69.25	$36.70–$66.83	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 RED PEPPER(FOOD), IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK OLIVE, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 BAYLEAF(LAUREL), IGE	$26.38	$69.25	$36.70–$66.83	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CAYENNE PEPPER, IGE	$26.38	$69.25	$36.70–$66.83	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COW EPITHELIA/DANDER, IGE	$26.38	$69.25	$5.34–$16.90	36% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTON FIBERS, IGE	$29.01	$76.15	$40.36–$73.48	50% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW SQUASH, IGE	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MALASSEZIA MIX, IGE	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PARROT FEATHERS, IGE	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 STAPH ENTEROTOXIN, IGE	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 FLAX, IGE	$30.56	$80.20	$5.34–$16.90	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CEPHALOSPORIN, IGE	$30.56	$80.20	$5.34–$16.90	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 PARROT DROPPINGS, IGE	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 POMEGRANITE, IGE	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUASH, IGG	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGANESE SUPEROXIDE, IGE	$30.56	$80.20	$42.51–$77.39	58% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO PEPPER, IGE	$33.73	$88.53	$46.92–$85.43	74% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 COLA NUT, IGE	$37.57	$98.60	$5.34–$16.90	94% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW DYE, IGE	$37.57	$98.60	$52.26–$95.15	94% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOZZARELLA, IGE	$38.71	$101.60	$53.85–$98.04	100% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE AMERICAN, IGE	$38.71	$101.60	$5.34–$16.90	100% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE ROMANO, IGE	$38.71	$101.60	$5.34–$16.90	100% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY- SHELLFISH PANEL	$68.58	$180.00	$95.40–$173.70	255% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 TREE NUT ALLERGY PANEL W/REFLEXES	$81.57	$214.10	$113.47–$206.61	322% above	62%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY PANEL REGION 1, IGE	$139.49	$366.12	$194.04–$353.31	622% above	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW MILK, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET (I5) IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED (SHORT), IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. FARINAE, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. PTERONYSSINUS, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE FACED HORNET (I2) IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE PROTEINS, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP (I4) IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. NOTATUM, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG, WHOLE, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 S. CHARTARUM IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA/SWEET PEPPER, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE (I1) IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST, HOLLISTER STIER, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTER, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST, GREER, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 S. BOTRYOSUM, IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET (I3) IGE	$4.88	$12.82	$6.79–$12.37	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS (M5) IGE	$10.46	$27.45	$14.55–$26.49	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUAVA, IGE	$12.67	$33.25	$17.62–$32.09	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE, IGE	$13.85	$36.35	$19.27–$35.08	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT, IGE	$13.85	$36.35	$19.27–$35.08	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN NOTATUM, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS NIGER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BASIL, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZOPUS NIGRICANS IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTIL, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRANBERRY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLOUNDER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZUCHINI, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT ELITHELIA, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW WASP, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST(HOLLISTER), IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST(GREER), IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPARAGUS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUINEA PIG EPITHELIUM, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE/CACAO, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUMBLEBEE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHOLE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIDNEY BEAN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALL EYE PIKE IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOCKWEED YELLOW, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD TREE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD GRASS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET VERNAL, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL(DOCK), IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR MOUNTAIN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE MULBERRY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT TREE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH AMERICAN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG EPITHELIA, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT/FILBERT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE POPLAR, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW BLACK, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT POLLEN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM AMERICAN/WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEECH AMERICAN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALDER SMOOTH, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORMLDENDRUM HORDEI, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STEMPHYLIUM BOTRYOSU, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM PURPURASCE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PHOMA BETAE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDIUM PULLUL, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM MONILIFORME, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM HALO, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORNET YELLOW, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WASP, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED SHORT/COMMON, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASH WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE/BOX ELDER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED ROUGH, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE AMERICAN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENIUS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARU, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH GERMAN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D FARINAE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D PTERONYSSINUS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG HAIR/DANDER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT HAIR/DANDER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK(COW), IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BING CHERRY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI FRUIT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO NUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE CHEDDAR, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BELL PEPPER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELON HONEYDEW, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONIONS, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YOGURT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT FOOD, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEA, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARMINE/RED DYE-COCHINEAL, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY WHOLE GRAIN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE-MOLD TYPE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE WHITE, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLANTAIN ENGLISH, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEGRASS KENTUCKY, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB'S QUARTER, IGE	$14.54	$38.15	$20.22–$36.81	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKATIEL, IGE	$15.11	$39.65	$21.01–$38.26	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK BEAN, IGE	$15.58	$40.90	$21.68–$39.47	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BETA LACTOGLOBULIN, IGE	$18.78	$49.30	$26.13–$47.57	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN, IGE	$18.78	$49.30	$26.13–$47.57	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INSULIN,IGE	$18.78	$49.30	$26.13–$47.57	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDENROD, IGE	$18.78	$49.30	$26.13–$47.57	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEET, IGE	$18.78	$49.30	$26.13–$47.57	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAMSTER EPITHELIUM, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT EPITHELIA, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICK PEA, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE GRASS, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FESCUE MEADOW, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE EPITHELIUM, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER POLLEN, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CURRY POWDER, IGE	$19.34	$50.75	$26.90–$48.97	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CREAM CHEESE, IGE	$21.81	$57.25	$30.34–$55.25	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE	$21.81	$57.25	$30.34–$55.25	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORNET WHITE FACE, IGE	$21.81	$57.25	$30.34–$55.25	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORRIANDER/CILANTRO, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JALAPENO, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOPS, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT MILK, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUGAR CANE, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PROVOLONE, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TEA, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GROUPER, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HADDOCK, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE COTTAGE, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOLE, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE COLBY, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 QUINOA, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAFFLOWER, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPPYSEED, IGE	$22.29	$58.50	$31.01–$56.45	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY (F6) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY (F85) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE (F215) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCOA (F93) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE (F81) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON (F41) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI FRUIT (F84) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE (F210) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON (RF329) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT (F256) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY WHITE (T41) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA (F40) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM PURPURASCENS (M14) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM MONILIFORME (M9) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPORIUM HALODES (M8) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZOPUS NIGRICANS (M11) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH (F95) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR (F94) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE (F33) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO (F96) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM (F207) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP (F24) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB (F23) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW DANDER (E4) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND (F20) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY (F242) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELONS (F87) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT (F17) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER (F280) IGE	$23.51	$61.70	$25.42–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEPPER (UNRIPE) (F263) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER (F280) IGE	$23.51	$61.70	$25.42–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT (F13) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE MULBERRY (T70) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY (F236) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW NUT (F202) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI (F260) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK OLIVE (RF342) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON (F208) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA (F12) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP (F338) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID (F258) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH (F3) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED (F10) IGE	$23.51	$61.70	$32.70–$59.54	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB, IGE	$26.37	$69.20	$36.68–$66.78	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIR DOUGLAS, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAYENNE PEPPER, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAYLEAF(LAUREL), IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW EPITHELIA/DANDER, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALFALFA, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TANGERINE, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OREGANO, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPRUCE, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK RED, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK OLIVE, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED PEPPER(FOOD), IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS, IGE	$26.38	$69.25	$36.70–$66.83	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTON FIBERS, IGE	$29.01	$76.15	$40.36–$73.48	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUASH, IGG	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGANESE SUPEROXIDE, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLAX, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW SQUASH, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARROT FEATHERS, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARROT DROPPINGS, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEPHALOSPORIN, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALASSEZIA MIX, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STAPH ENTEROTOXIN, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POMEGRANITE, IGE	$30.56	$80.20	$42.51–$77.39	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JALAPENO PEPPER, IGE	$33.73	$88.53	$46.92–$85.43	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW DYE, IGE	$37.57	$98.60	$52.26–$95.15	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COLA NUT, IGE	$37.57	$98.60	$52.26–$95.15	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE AMERICAN, IGE	$38.71	$101.60	$53.85–$98.04	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE ROMANO, IGE	$38.71	$101.60	$53.85–$98.04	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE MOZZARELLA, IGE	$38.71	$101.60	$53.85–$98.04	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY- SHELLFISH PANEL	$68.58	$180.00	$95.40–$173.70	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TREE NUT ALLERGY PANEL W/REFLEXES	$81.57	$214.10	$113.47–$206.61	—	62%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY PANEL REGION 1, IGE	$139.49	$366.12	$194.04–$353.31	—	62%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, SERUM, SPINA BIFADA	$61.36	$161.05	$85.36–$155.41	17% below	62%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, SERUM, TUMOR MARKER	$92.94	$243.95	$129.29–$235.41	26% above	62%
Alpha-fetoprotein (AFP) blood test CPT 82105 MATERNAL SERUM AFP	$96.87	$254.25	$134.75–$245.35	31% above	62%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN, TUMOR MARKER	$112.52	$295.34	$156.53–$285.00	52% above	62%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, SERUM, SPINA BIFADA	$61.36	$161.05	$85.36–$155.41	—	62%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, SERUM, TUMOR MARKER	$92.94	$243.95	$129.29–$235.41	—	62%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 MATERNAL SERUM AFP	$96.87	$254.25	$134.75–$245.35	—	62%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN, TUMOR MARKER	$112.52	$295.34	$156.53–$285.00	—	62%
Ammonia blood test CPT 82140 AMMONIA (BLOOD)	$27.55	$72.30	$38.32–$69.77	64% below	62%
Ammonia blood test CPT 82140 AMMONIA URINE	$51.17	$134.30	$71.18–$129.60	32% below	62%
Ammonia blood test inpatient CPT 82140 AMMONIA (BLOOD)	$27.55	$72.30	$38.32–$69.77	—	62%
Ammonia blood test inpatient CPT 82140 AMMONIA URINE	$51.17	$134.30	$71.18–$129.60	—	62%
Amylase blood test CPT 82150 AMYLASE, PLEURAL FLUID	$7.26	$19.05	$6.63–$20.98	85% below	62%
Amylase blood test CPT 82150 AMYLASE, PERITONEAL FLUID	$7.26	$19.05	$6.63–$20.98	85% below	62%
Amylase blood test CPT 82150 AMYLASE	$14.50	$38.05	$20.17–$36.72	69% below	62%
Amylase blood test CPT 82150 AMYLASE RANDOM URINE	$15.72	$41.25	$21.86–$39.81	67% below	62%
Amylase blood test CPT 82150 AMYLASE 24HR URINE	$15.72	$41.25	$6.63–$20.98	67% below	62%
Amylase blood test CPT 82150 AMYLASE, FLUID	$17.53	$46.00	$24.38–$44.39	63% below	62%
Amylase blood test CPT 82150 PANCREATIC ISOENZYMES	$73.51	$192.93	$102.25–$186.18	56% above	62%
Amylase blood test CPT 82150 CALC. SALIVARY ISOENZYMES	$73.51	$192.93	$102.25–$186.18	56% above	62%
Amylase blood test inpatient CPT 82150 AMYLASE, PLEURAL FLUID	$7.26	$19.05	$10.10–$18.38	—	62%
Amylase blood test inpatient CPT 82150 AMYLASE, PERITONEAL FLUID	$7.26	$19.05	$10.10–$18.38	—	62%
Amylase blood test inpatient CPT 82150 AMYLASE	$14.50	$38.05	$20.17–$36.72	—	62%
Amylase blood test inpatient CPT 82150 AMYLASE 24HR URINE	$15.72	$41.25	$21.86–$39.81	—	62%
Amylase blood test inpatient CPT 82150 AMYLASE RANDOM URINE	$15.72	$41.25	$21.86–$39.81	—	62%
Amylase blood test inpatient CPT 82150 AMYLASE, FLUID	$17.53	$46.00	$24.38–$44.39	—	62%
Amylase blood test inpatient CPT 82150 CALC. SALIVARY ISOENZYMES	$73.51	$192.93	$102.25–$186.18	—	62%
Amylase blood test inpatient CPT 82150 PANCREATIC ISOENZYMES	$73.51	$192.93	$102.25–$186.18	—	62%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODIES IGG/IGA	$36.48	$95.75	$50.75–$92.40	at median	62%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$45.91	$120.50	$63.87–$116.28	26% above	62%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP CCP AG IGG	$103.29	$271.10	$13.25–$41.91	183% above	62%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODIES IGG/IGA	$36.48	$95.75	$50.75–$92.40	—	62%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$45.91	$120.50	$63.87–$116.28	—	62%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP CCP AG IGG	$103.29	$271.10	$143.68–$261.61	—	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN W/REFL TITER AND PATTERN	$5.79	$15.20	$8.06–$14.67	82% below	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES, IFA	$33.62	$88.25	$46.77–$85.16	3% above	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT	$33.62	$88.25	$46.77–$85.16	3% above	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA/FLUID	$42.84	$112.45	$59.60–$108.51	31% above	62%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA MULTIPLEX W REFLEX TO 11 ANTIBO	$73.16	$192.03	$101.78–$185.31	125% above	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN W/REFL TITER AND PATTERN	$5.79	$15.20	$8.06–$14.67	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES, IFA	$33.62	$88.25	$46.77–$85.16	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT	$33.62	$88.25	$46.77–$85.16	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA/FLUID	$42.84	$112.45	$59.60–$108.51	—	62%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA MULTIPLEX W REFLEX TO 11 ANTIBO	$73.16	$192.03	$101.78–$185.31	—	62%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT BNP	$95.59	$250.90	$34.73–$109.88	36% below	62%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT BNP	$95.59	$250.90	$132.98–$242.12	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE	$18.36	$48.20	$25.55–$46.51	64% below	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 B PERTUSSIS CULTURE	$21.01	$55.15	$29.23–$53.22	59% below	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE NON UR BLD STL	$27.26	$71.55	$37.92–$69.05	47% below	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL BRUSH, QUANT	$30.46	$79.95	$42.37–$77.15	41% below	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ANTHRAX CULTURE	$33.32	$87.45	$46.35–$84.39	35% below	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE	$18.36	$48.20	$25.55–$46.51	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 B PERTUSSIS CULTURE	$21.01	$55.15	$29.23–$53.22	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACTERIAL CULTURE NON UR BLD STL	$27.26	$71.55	$37.92–$69.05	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL BRUSH, QUANT	$30.46	$79.95	$42.37–$77.15	—	62%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ANTHRAX CULTURE	$33.32	$87.45	$46.35–$84.39	—	62%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOL.PNL NF	$26.54	$69.65	$36.91–$67.21	85% below	62%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOL FSTING	$26.54	$69.65	$36.91–$67.21	85% below	62%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOL.PNL NF	$26.54	$69.65	$36.91–$67.21	—	62%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOL FSTING	$26.54	$69.65	$36.91–$67.21	—	62%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL, NEONATAL	$10.73	$28.15	$14.92–$27.16	64% below	62%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$10.73	$28.15	$14.92–$27.16	64% below	62%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$17.56	$46.10	$24.43–$44.49	41% below	62%
Bilirubin blood test, total CPT 82247 BILIRUBIN, BODY FLUID	$94.98	$249.30	$132.13–$240.57	217% above	62%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$10.73	$28.15	$14.92–$27.16	—	62%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL, NEONATAL	$10.73	$28.15	$14.92–$27.16	—	62%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL	$17.56	$46.10	$24.43–$44.49	—	62%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, BODY FLUID	$94.98	$249.30	$132.13–$240.57	—	62%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL 4 GROSS/MICRO	$66.35	$174.15	$92.30–$168.05	70% below	62%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL 4 GROSS/MICRO	$66.35	$174.15	$92.30–$168.05	—	62%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$26.54	$69.65	$36.91–$67.21	61% below	62%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE #2	$26.54	$69.65	$17.41–$67.21	—	62%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE #3	$26.54	$69.65	$17.41–$67.21	—	62%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$26.54	$69.65	$36.91–$67.21	—	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE NIGHT	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI, EVENING	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI, PUTNAM	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI ROUTINE DAYS	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI, DKH	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI BY ED	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$8.50	$22.30	$2.85–$4.46	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ED	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI, BLOOD DRAW SERVICE ONLY	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI, DANIELSON	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENI, PLAINFIELD	$8.50	$22.30	$11.82–$21.52	43% below	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI, DANIELSON	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ED	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$8.50	$22.30	$14.59–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI, EVENING	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI ROUTINE DAYS	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI BY ED	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE NIGHT	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI, PLAINFIELD	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI, DKH	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI, PUTNAM	$8.50	$22.30	$11.82–$21.52	—	62%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENI, BLOOD DRAW SERVICE ONLY	$8.50	$22.30	$11.82–$21.52	—	62%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$8.44	$22.15	$4.02–$12.72	64% below	62%
Blood glucose (sugar) test CPT 82947 GLUCOSE RANDOM	$8.44	$22.15	$11.74–$21.37	64% below	62%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE RANDOM	$8.44	$22.15	$11.74–$21.37	—	62%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$8.44	$22.15	$11.74–$21.37	—	62%
Blood lead test CPT 83655 LEAD (VENOUS)	$12.06	$31.65	$16.77–$30.54	73% below	62%
Blood lead test CPT 83655 LEAD, CAPILLARY	$12.40	$32.55	$12.39–$39.20	72% below	62%
Blood lead test CPT 83655 LIPASE	$37.24	$97.75	$51.81–$94.33	17% below	62%
Blood lead test CPT 83655 LEAD, PEDI, VENOUS	$50.54	$132.65	$12.39–$39.20	13% above	62%
Blood lead test CPT 83655 LEAD, BLOOD, ADULT	$50.54	$132.65	$12.39–$39.20	13% above	62%
Blood lead test CPT 83655 LEAD, 24 HR URINE	$50.54	$132.65	$70.30–$128.01	13% above	62%
Blood lead test CPT 83655 LEAD, BLOOD, PEDI CAP	$50.54	$132.65	$12.39–$39.20	13% above	62%
Blood lead test inpatient CPT 83655 LEAD (VENOUS)	$12.06	$31.65	$16.77–$30.54	—	62%
Blood lead test inpatient CPT 83655 LEAD, CAPILLARY	$12.40	$32.55	$17.25–$31.41	—	62%
Blood lead test inpatient CPT 83655 LIPASE	$37.24	$97.75	$51.81–$94.33	—	62%
Blood lead test inpatient CPT 83655 LEAD, BLOOD, PEDI CAP	$50.54	$132.65	$70.30–$128.01	—	62%
Blood lead test inpatient CPT 83655 LEAD, 24 HR URINE	$50.54	$132.65	$70.30–$128.01	—	62%
Blood lead test inpatient CPT 83655 LEAD, PEDI, VENOUS	$50.54	$132.65	$70.30–$128.01	—	62%
Blood lead test inpatient CPT 83655 LEAD, BLOOD, ADULT	$50.54	$132.65	$70.30–$128.01	—	62%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG MONOCLONAL SERU	$34.39	$90.25	$7.70–$24.36	38% below	62%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG MONOCLONAL SERU	$34.39	$90.25	$47.83–$87.09	—	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB CORD BLOOD TYPING	$65.97	$173.15	$91.77–$167.09	175% above	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB ABO TYPE	$65.97	$173.15	$91.77–$167.09	175% above	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB TYPE CHECK	$65.97	$173.15	$91.77–$167.09	175% above	62%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BB BLOOD TYPING ABO	$65.97	$173.15	$91.77–$167.09	175% above	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB ABO TYPE	$65.97	$173.15	$91.77–$167.09	—	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB BLOOD TYPING ABO	$65.97	$173.15	$91.77–$167.09	—	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB TYPE CHECK	$65.97	$173.15	$91.77–$167.09	—	62%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BB CORD BLOOD TYPING	$65.97	$173.15	$91.77–$167.09	—	62%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$9.09	$23.85	$4.04–$12.79	62% below	62%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$9.09	$23.85	$12.64–$23.02	—	62%
C-peptide blood test CPT 84681 C-PEPTIDE	$32.27	$84.70	$44.89–$81.74	67% below	62%
C-peptide blood test CPT 84681 C-PEPTIDE SERUM	$38.63	$101.40	$53.74–$97.85	60% below	62%
C-peptide blood test CPT 84681 C PEPTIDE, 24 HR URINE	$59.11	$155.15	$21.29–$67.38	39% below	62%
C-peptide blood test CPT 84681 URINE PEPTIDE	$78.47	$205.95	$109.15–$198.74	20% below	62%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$32.27	$84.70	$44.89–$81.74	—	62%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE SERUM	$38.63	$101.40	$53.74–$97.85	—	62%
C-peptide blood test inpatient CPT 84681 C PEPTIDE, 24 HR URINE	$59.11	$155.15	$82.23–$149.72	—	62%
C-peptide blood test inpatient CPT 84681 URINE PEPTIDE	$78.47	$205.95	$109.15–$198.74	—	62%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$18.06	$47.40	$25.12–$45.74	58% below	62%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$18.06	$47.40	$25.12–$45.74	—	62%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN B	$101.29	$265.85	$140.90–$256.55	31% below	62%
C. difficile toxin gene test (stool PCR) CPT 87493 INSULIN, FREE, AND TOTAL, SERUM	$101.29	$265.85	$140.90–$256.55	31% below	62%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN GENE NAA	$101.29	$265.85	$140.90–$256.55	31% below	62%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 NAP1	$101.29	$265.85	$66.46–$256.55	—	62%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN B	$101.29	$265.85	$140.90–$256.55	—	62%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN GENE NAA	$101.29	$265.85	$140.90–$256.55	—	62%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 INSULIN, FREE, AND TOTAL, SERUM	$101.29	$265.85	$140.90–$256.55	—	62%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$49.99	$131.20	$69.54–$126.61	50% below	62%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9	$57.93	$152.05	$80.59–$146.73	42% below	62%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$49.99	$131.20	$69.54–$126.61	—	62%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9	$57.93	$152.05	$80.59–$146.73	—	62%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$57.93	$152.05	$80.59–$146.73	55% below	62%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$57.93	$152.05	$80.59–$146.73	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 MUMPS VIRUS AB (IGG), IMMUNE STATUS	$56.86	$149.25	$51.31–$76.30	54% below	62%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2,NAA,DKH	$121.02	$317.65	$51.31–$76.30	2% below	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 MUMPS VIRUS AB (IGG), IMMUNE STATUS	$56.86	$149.25	$76.86–$144.03	—	62%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2,NAA,DKH	$121.02	$317.65	$163.59–$306.53	—	62%
Calcium blood test, total CPT 82310 CALCIUM	$9.64	$25.30	$13.41–$24.41	65% below	62%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$9.64	$25.30	$13.41–$24.41	—	62%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$35.85	$94.10	$49.87–$90.81	62% below	62%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$35.85	$94.10	$49.87–$90.81	—	62%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER V AB, IGG	$35.89	$94.20	$13.19–$41.70	45% below	62%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS ANTIBODY IGG	$50.01	$131.25	$13.19–$41.70	23% below	62%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IMM	$51.99	$136.45	$72.32–$131.67	20% below	62%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER AB, IGM	$63.91	$167.75	$13.19–$41.70	2% below	62%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS AB, IGM	$67.68	$177.63	$94.14–$171.41	4% above	62%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS ANTI IGG	$112.53	$295.35	$13.19–$41.70	73% above	62%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER V AB, IGG	$35.89	$94.20	$49.93–$90.90	—	62%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS ANTIBODY IGG	$50.01	$131.25	$69.56–$126.66	—	62%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IMM	$51.99	$136.45	$72.32–$131.67	—	62%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER AB, IGM	$63.91	$167.75	$88.91–$161.88	—	62%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS AB, IGM	$67.68	$177.63	$94.14–$171.41	—	62%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS ANTI IGG	$112.53	$295.35	$156.54–$285.01	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNATMA RECTAL	$14.35	$37.66	$35.90–$72.93	87% below	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS RNA, TMA,	$14.35	$37.66	$35.90–$72.93	87% below	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH RNA UROGENITAL	$54.01	$141.75	$75.13–$136.79	50% below	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA	$94.68	$248.50	$131.71–$239.80	12% below	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PROBE	$97.73	$256.50	$135.95–$247.52	9% below	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNA, TMA,	$14.35	$37.66	$19.96–$36.34	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS RNATMA RECTAL	$14.35	$37.66	$19.96–$36.34	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH RNA UROGENITAL	$54.01	$141.75	$75.13–$136.79	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA	$94.68	$248.50	$131.71–$239.80	—	62%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH DNA AMP PROBE	$97.73	$256.50	$135.95–$247.52	—	62%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID W/TRIG/HDL-C	$8.14	$21.37	$11.33–$20.62	91% below	62%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE	$37.30	$97.90	$51.89–$94.47	58% below	62%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HDL PANEL	$38.04	$99.85	$52.92–$96.36	57% below	62%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID W/TRIG/HDL-C	$8.14	$21.37	$11.33–$20.62	—	62%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE	$37.30	$97.90	$51.89–$94.47	—	62%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HDL PANEL	$38.04	$99.85	$52.92–$96.36	—	62%
Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIFF	$21.66	$56.85	$30.13–$54.86	47% below	62%
Complete blood count (CBC) with differential CPT 85025 CBC-ONCOLOGY	$21.66	$56.85	$30.13–$54.86	47% below	62%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC-ONCOLOGY	$21.66	$56.85	$30.13–$54.86	—	62%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIFF	$21.66	$56.85	$30.13–$54.86	—	62%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$18.04	$47.35	$25.10–$45.69	50% below	62%
Complete blood count (CBC), no differential CPT 85027 CBC/MANUAL DIFF	$32.10	$84.25	$44.65–$81.30	12% below	62%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$18.04	$47.35	$25.10–$45.69	—	62%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC/MANUAL DIFF	$32.10	$84.25	$44.65–$81.30	—	62%
Comprehensive metabolic panel (blood test) CPT 80053 COMP.METABOL.PNL NF	$29.53	$77.50	$41.08–$74.79	91% below	62%
Comprehensive metabolic panel (blood test) CPT 80053 COMP.METABOL.PNL FST	$29.53	$77.50	$41.08–$74.79	91% below	62%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP.METABOL.PNL NF	$29.53	$77.50	$41.08–$74.79	—	62%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP.METABOL.PNL FST	$29.53	$77.50	$41.08–$74.79	—	62%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION TEST DST	$17.57	$46.12	$24.44–$44.51	78% below	62%
Cortisol blood test, total CPT 82533 CORTISOL,SUPPRESSION	$30.84	$80.95	$42.90–$78.12	61% below	62%
Cortisol blood test, total CPT 82533 CORTISOL,POST SUPPRE	$33.64	$88.30	$16.68–$52.77	57% below	62%
Cortisol blood test, total CPT 82533 CORTISOL 1HR	$33.64	$88.30	$16.68–$52.77	57% below	62%
Cortisol blood test, total CPT 82533 CORTISOL BASELINE,DX	$33.64	$88.30	$16.68–$52.77	57% below	62%
Cortisol blood test, total CPT 82533 CORTISOL BASELINE	$45.38	$119.10	$63.12–$114.93	42% below	62%
Cortisol blood test, total CPT 82533 CORTISOL AM	$45.38	$119.10	$63.12–$114.93	42% below	62%
Cortisol blood test, total CPT 82533 CORTISOL 1/2HR	$45.38	$119.10	$16.68–$52.77	42% below	62%
Cortisol blood test, total CPT 82533 CORTISOL PM	$45.38	$119.10	$63.12–$114.93	42% below	62%
Cortisol blood test, total CPT 82533 CORTISOL, TOTAL	$61.99	$162.70	$86.23–$157.01	21% below	62%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL	$65.38	$171.60	$16.68–$52.77	16% below	62%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL, SERUM	$77.19	$202.61	$107.38–$195.52	1% below	62%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION TEST DST	$17.57	$46.12	$24.44–$44.51	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL,SUPPRESSION	$30.84	$80.95	$42.90–$78.12	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL,POST SUPPRE	$33.64	$88.30	$46.80–$85.21	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 1HR	$33.64	$88.30	$46.80–$85.21	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL BASELINE,DX	$33.64	$88.30	$46.80–$85.21	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL AM	$45.38	$119.10	$63.12–$114.93	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PM	$45.38	$119.10	$63.12–$114.93	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL BASELINE	$45.38	$119.10	$63.12–$114.93	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 1/2HR	$45.38	$119.10	$63.12–$114.93	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, TOTAL	$61.99	$162.70	$86.23–$157.01	—	62%
Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL	$65.38	$171.60	$90.95–$165.59	—	62%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL, SERUM	$77.19	$202.61	$107.38–$195.52	—	62%
Creatine kinase (CK) blood test, total CPT 82550 CK, TOTAL	$6.86	$18.00	$9.54–$17.37	84% below	62%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$17.51	$45.95	$24.35–$44.34	59% below	62%
Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL	$18.14	$47.60	$25.23–$45.93	57% below	62%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK, TOTAL	$6.86	$18.00	$9.54–$17.37	—	62%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$17.51	$45.95	$24.35–$44.34	—	62%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL	$18.14	$47.60	$25.23–$45.93	—	62%
Creatinine blood test CPT 82565 CREATININE	$10.86	$28.50	$5.24–$16.59	65% below	62%
Creatinine blood test inpatient CPT 82565 CREATININE	$10.86	$28.50	$15.11–$27.50	—	62%
Creatinine blood test inpatient CPT 82565 POC CREATININE	$11.07	$29.05	$7.26–$28.03	—	62%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS ANTIBODY (IGG)	$9.26	$24.30	$14.73–$46.59	86% below	62%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS ANTIBODIES IGG	$9.26	$24.30	$12.88–$23.45	86% below	62%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS(CMV)AB, IGG	$26.73	$70.15	$37.18–$67.69	60% below	62%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS ANTIBODY IGG	$47.34	$124.25	$65.85–$119.90	29% below	62%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG AVIDITY	$73.59	$193.16	$14.73–$46.59	10% above	62%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB,IGG AVIDITY	$161.26	$423.25	$224.32–$408.44	140% above	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS ANTIBODY (IGG)	$9.26	$24.30	$12.88–$23.45	—	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS ANTIBODIES IGG	$9.26	$24.30	$12.88–$23.45	—	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS(CMV)AB, IGG	$26.73	$70.15	$37.18–$67.69	—	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS ANTIBODY IGG	$47.34	$124.25	$65.85–$119.90	—	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG AVIDITY	$73.59	$193.16	$102.37–$186.40	—	62%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB,IGG AVIDITY	$161.26	$423.25	$224.32–$408.44	—	62%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$50.12	$131.55	$69.72–$126.95	9% below	62%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$50.12	$131.55	$69.72–$126.95	—	62%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE	$61.89	$162.45	$86.10–$156.76	25% below	62%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$172.15	$451.85	$22.75–$71.98	109% above	62%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE	$61.89	$162.45	$86.10–$156.76	—	62%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$172.15	$451.85	$239.48–$436.04	—	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINES URINE SCREEN	$18.95	$49.75	$35.56–$135.75	73% below	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN	$44.23	$116.10	$35.56–$135.75	37% below	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 5, MECONIUM	$72.01	$189.00	$100.17–$182.39	2% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE,NALOXONE W/CONFIRM,UR	$108.53	$284.85	$35.56–$135.75	54% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL, W/ CONFIRM, URINE	$108.53	$284.85	$35.56–$135.75	54% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONIT FENTANYL W/CONF UR	$112.88	$296.28	$35.56–$135.75	60% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MONITORING PROFILE,RFX CF UR	$115.50	$303.16	$35.56–$135.75	64% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL METAB, W/CONF, URINE	$119.31	$313.15	$35.56–$135.75	69% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL, URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTASY, URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 10 DRUG-BUNDLE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL, URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PRESUMT URINE DRUG SCREEN	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINES SCREEN	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCREEN URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, SERUM	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN, URINE	$148.00	$388.45	$35.56–$135.75	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ULTRAM, URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE SCREEN, URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC SCREEN URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE PANEL	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 9 DRUG BUNDLE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE METABOLITE, URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM 5 PANEL	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN SCREEN URINE	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRAMADOL, URINE SCREEN	$148.00	$388.45	$205.88–$374.85	110% above	62%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL 9 MECONIUM	$154.31	$405.00	$214.65–$390.83	119% above	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINES URINE SCREEN	$18.95	$49.75	$26.37–$48.01	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN	$44.23	$116.10	$61.53–$112.04	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL 5, MECONIUM	$72.01	$189.00	$100.17–$182.39	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE,NALOXONE W/CONFIRM,UR	$108.53	$284.85	$150.97–$274.88	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL, W/ CONFIRM, URINE	$108.53	$284.85	$150.97–$274.88	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONIT FENTANYL W/CONF UR	$112.88	$296.28	$157.03–$285.91	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MONITORING PROFILE,RFX CF UR	$115.50	$303.16	$160.67–$292.55	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL METAB, W/CONF, URINE	$119.31	$313.15	$165.97–$302.19	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BUPRENORPHINE SCREEN, URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 10 DRUG-BUNDLE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM 5 PANEL	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL, URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN SCREEN URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ULTRAM, URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRAMADOL, URINE SCREEN	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, SERUM	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PRESUMT URINE DRUG SCREEN	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC SCREEN URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINES SCREEN	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 9 DRUG BUNDLE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE METABOLITE, URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ECSTASY, URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEROIN, URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE PANEL	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL, URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE SCREEN URINE	$148.00	$388.45	$205.88–$374.85	—	62%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL 9 MECONIUM	$154.31	$405.00	$214.65–$390.83	—	62%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LYTES	$18.42	$48.35	$25.63–$46.66	82% below	62%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LYTES	$18.42	$48.35	$25.63–$46.66	—	62%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR ANTIBODY	$22.46	$58.95	$31.24–$56.89	76% below	62%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR CAPSID VCA	$50.52	$132.60	$70.28–$127.96	47% below	62%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA AB	$50.54	$132.64	$70.30–$128.00	47% below	62%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR ANTIBODY	$22.46	$58.95	$31.24–$56.89	—	62%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR CAPSID VCA	$50.52	$132.60	$70.28–$127.96	—	62%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VCA AB	$50.54	$132.64	$70.30–$128.00	—	62%
Estradiol blood test CPT 82670 ESTRADIOL	$77.78	$204.15	$108.20–$197.00	53% below	62%
Estradiol blood test CPT 82670 ESTRADIOL ULTRASENSITIVE, LC/MS	$126.02	$330.75	$175.30–$319.17	24% below	62%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$77.78	$204.15	$108.20–$197.00	—	62%
Estradiol blood test inpatient CPT 82670 ESTRADIOL ULTRASENSITIVE, LC/MS	$126.02	$330.75	$175.30–$319.17	—	62%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM	$40.25	$105.65	$55.99–$101.95	57% below	62%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM	$40.25	$105.65	$55.99–$101.95	—	62%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, STOOL	$184.98	$485.50	$257.32–$468.51	13% above	62%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, STOOL	$184.98	$485.50	$257.32–$468.51	—	62%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$37.57	$98.60	$52.26–$95.15	52% below	62%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$37.57	$98.60	$52.26–$95.15	—	62%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$17.70	$46.45	$24.62–$44.82	68% below	62%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$17.70	$46.45	$24.62–$44.82	—	62%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$27.81	$73.00	$38.69–$70.45	63% below	62%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$27.81	$73.00	$38.69–$70.45	—	62%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE, FREE, SERUM	$47.15	$123.75	$65.59–$119.42	22% below	62%
Free T3 thyroid hormone test CPT 84481 T3, FREE	$81.10	$212.85	$112.81–$205.40	34% above	62%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE, FREE, SERUM	$47.15	$123.75	$65.59–$119.42	—	62%
Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE	$81.10	$212.85	$112.81–$205.40	—	62%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE, DIRECT DIALYSIS	$16.10	$42.27	$9.23–$29.19	74% below	62%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 BY DIALYSIS/MASS SPEC	$25.11	$65.90	$34.93–$63.59	59% below	62%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$25.30	$66.40	$35.19–$64.08	59% below	62%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE, DIRECT DIALYSIS	$16.10	$42.27	$22.40–$40.79	—	62%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 BY DIALYSIS/MASS SPEC	$25.11	$65.90	$34.93–$63.59	—	62%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4	$25.30	$66.40	$35.19–$64.08	—	62%
Free testosterone test CPT 84402 TESTOSTERONE, FREE, CALCULATION	$11.14	$29.25	$15.50–$28.23	89% below	62%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$70.92	$186.15	$26.06–$82.46	27% below	62%
Free testosterone test CPT 84402 TESTOSTERONE FREE CALCULATION	$187.89	$493.15	$26.06–$82.46	93% above	62%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE, CALCULATION	$11.14	$29.25	$15.50–$28.23	—	62%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$70.92	$186.15	$98.66–$179.63	—	62%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE CALCULATION	$187.89	$493.15	$261.37–$475.89	—	62%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$15.72	$41.25	$21.86–$39.81	62% below	62%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$15.72	$41.25	$21.86–$39.81	—	62%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL CMP/CBC/TSH	$106.91	$280.60	$144.51–$270.78	79% below	62%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL CMP/CBC/TSH	$106.91	$280.60	$144.51–$270.78	—	62%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR,NF	$10.53	$27.65	$14.65–$26.68	59% below	62%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HHP	$18.67	$49.00	$4.86–$15.36	27% below	62%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR	$18.67	$49.00	$4.86–$15.36	27% below	62%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR,NF	$10.53	$27.65	$14.65–$26.68	—	62%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HHP	$18.67	$49.00	$25.97–$47.29	—	62%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR	$18.67	$49.00	$25.97–$47.29	—	62%
Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOL 1HR	$29.98	$78.70	$41.71–$75.95	34% below	62%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 2 HR	$29.98	$78.70	$10.01–$41.68	34% below	62%
Glucose tolerance test, 3 samples CPT 82951 1 HOUR GTT	$29.98	$78.70	$10.01–$41.68	34% below	62%
Glucose tolerance test, 3 samples inpatient CPT 82951 1 HOUR GTT	$29.98	$78.70	$41.71–$75.95	—	62%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 2 HR	$29.98	$78.70	$41.71–$75.95	—	62%
Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOL 1HR	$29.98	$78.70	$41.71–$75.95	—	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE RNA UROGENITAL	$54.01	$141.75	$75.13–$136.79	50% below	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA	$94.68	$248.50	$131.71–$239.80	12% below	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PROBE	$97.73	$256.50	$135.95–$247.52	9% below	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE RNA UROGENITAL	$54.01	$141.75	$75.13–$136.79	—	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA	$94.68	$248.50	$131.71–$239.80	—	62%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PROBE	$97.73	$256.50	$135.95–$247.52	—	62%
H. pylori antibody blood test CPT 86677 H PYLORI IGG, ABS	$26.94	$70.70	$37.47–$68.23	40% below	62%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI, IGA	$60.62	$159.10	$84.32–$153.53	34% above	62%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI, IGM AB	$60.62	$159.10	$84.32–$153.53	34% above	62%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGG, ABS	$26.94	$70.70	$37.47–$68.23	—	62%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI, IGA	$60.62	$159.10	$84.32–$153.53	—	62%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI, IGM AB	$60.62	$159.10	$84.32–$153.53	—	62%
H. pylori stool antigen test CPT 87338 H PYLORI AG, STOOL, IN HOUSE	$23.63	$62.03	$32.88–$59.86	70% below	62%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL AG, EIA	$90.66	$237.95	$126.11–$229.62	14% above	62%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG, EIA, STOOL	$166.42	$436.80	$14.72–$29.90	110% above	62%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI AG, STOOL, IN HOUSE	$23.63	$62.03	$32.88–$59.86	—	62%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL AG, EIA	$90.66	$237.95	$126.11–$229.62	—	62%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG, EIA, STOOL	$166.42	$436.80	$231.50–$421.51	—	62%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA,QUANTITATIVE PCR	$82.01	$215.25	$114.08–$207.72	76% below	62%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNA, QUANT REAL TIME PCR	$184.52	$484.30	$256.68–$467.35	47% below	62%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, REAL TIME PCR(NON GRAPH)	$350.58	$920.15	$87.07–$176.81	1% above	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA,QUANTITATIVE PCR	$82.01	$215.25	$114.08–$207.72	—	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNA, QUANT REAL TIME PCR	$184.52	$484.30	$256.68–$467.35	—	62%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, REAL TIME PCR(NON GRAPH)	$350.58	$920.15	$487.68–$887.94	—	62%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 & 2 WITH REFLEX	$58.46	$153.45	$81.33–$148.08	38% above	62%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 ABS/WB	$82.47	$216.45	$114.72–$208.87	94% above	62%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 & 2 WITH REFLEX	$58.46	$153.45	$81.33–$148.08	—	62%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 ABS/WB	$82.47	$216.45	$114.72–$208.87	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AG W/HIV 1 & 2 AB	$105.31	$276.40	$146.49–$266.73	10% above	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV SCREEN 4TH GENERATION W/RFLX	$107.10	$281.10	$148.98–$271.26	12% above	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AG W/HIV 1 & 2 AB	$105.31	$276.40	$146.49–$266.73	—	62%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV SCREEN 4TH GENERATION W/RFLX	$107.10	$281.10	$148.98–$271.26	—	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7	$24.00	$63.00	$33.39–$60.80	79% below	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA, HIGH RISK, CERVICAL	$54.01	$141.75	$75.13–$136.79	54% below	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REFLEX TO HPV GENOTYPES 16, 18	$61.99	$162.70	$86.23–$157.01	47% below	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 REFLEX HPV DNA	$82.32	$216.05	$114.51–$208.49	30% below	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV DNA HIGH RISK	$82.32	$216.05	$114.51–$208.49	30% below	62%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV MRNA E6/E7 W/REFLEX	$83.07	$218.03	$115.56–$210.40	29% below	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7	$24.00	$63.00	$33.39–$60.80	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA, HIGH RISK, CERVICAL	$54.01	$141.75	$75.13–$136.79	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REFLEX TO HPV GENOTYPES 16, 18	$61.99	$162.70	$86.23–$157.01	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REFLEX HPV DNA	$82.32	$216.05	$114.51–$208.49	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV DNA HIGH RISK	$82.32	$216.05	$114.51–$208.49	—	62%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV MRNA E6/E7 W/REFLEX	$83.07	$218.03	$115.56–$210.40	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$11.85	$31.10	$16.48–$30.01	78% below	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C WITH EAG	$26.46	$69.45	$36.81–$67.02	51% below	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN W/EAG	$26.77	$70.25	$9.93–$31.44	50% below	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$11.85	$31.10	$16.48–$30.01	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C WITH EAG	$26.46	$69.45	$36.81–$67.02	—	62%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN W/EAG	$26.77	$70.25	$37.23–$67.79	—	62%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$5.70	$14.95	$7.92–$14.43	66% below	62%
Hemoglobin blood test CPT 85018 H + H	$9.32	$24.45	$12.96–$23.59	45% below	62%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$5.70	$14.95	$7.92–$14.43	—	62%
Hemoglobin blood test inpatient CPT 85018 H + H	$9.32	$24.45	$12.96–$23.59	—	62%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$34.31	$90.05	$47.73–$86.90	40% below	62%
Hepatitis B core antibody test (total) CPT 86704 LIPOPROTEIN FRAC, NMR	$42.86	$112.50	$59.63–$108.56	25% below	62%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB, TOT	$50.39	$132.25	$70.09–$127.62	11% below	62%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL	$34.31	$90.05	$47.73–$86.90	—	62%
Hepatitis B core antibody test (total) inpatient CPT 86704 LIPOPROTEIN FRAC, NMR	$42.86	$112.50	$59.63–$108.56	—	62%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB, TOT	$50.39	$132.25	$70.09–$127.62	—	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB	$44.86	$117.75	$62.41–$113.63	37% below	62%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB	$44.86	$117.75	$62.41–$113.63	—	62%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG SCREEN	$28.73	$75.40	$39.96–$72.76	51% below	62%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG W/REFL CONFIRM	$63.13	$165.70	$87.82–$159.90	7% above	62%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG SCREEN	$28.73	$75.40	$39.96–$72.76	—	62%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG W/REFL CONFIRM	$63.13	$165.70	$87.82–$159.90	—	62%
Hepatitis C antibody blood test (screening) CPT 86803 HCV ANTIBODY	$26.50	$69.55	$36.86–$67.12	63% below	62%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C W/REFLEX QUANT PCR	$39.76	$104.35	$13.48–$46.19	45% below	62%
Hepatitis C antibody blood test (screening) CPT 86803 HCV AB W/RFLX TO VERIFICATION	$39.76	$104.35	$55.31–$100.70	45% below	62%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$68.44	$179.64	$13.48–$46.19	5% below	62%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB W/REFL HCV RNA QNT	$111.48	$292.59	$155.07–$282.35	55% above	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV ANTIBODY	$26.50	$69.55	$36.86–$67.12	—	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV AB W/RFLX TO VERIFICATION	$39.76	$104.35	$55.31–$100.70	—	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C W/REFLEX QUANT PCR	$39.76	$104.35	$55.31–$100.70	—	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$68.44	$179.64	$95.21–$173.35	—	62%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB W/REFL HCV RNA QNT	$111.48	$292.59	$155.07–$282.35	—	62%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA QUANT REAL PCR	$26.83	$70.43	$43.83–$89.01	85% below	62%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA, QUANTITATIVE REAL TIME PCR	$26.83	$70.43	$43.83–$89.01	85% below	62%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C, QUANTITATIVE, PCR (HCV)	$230.09	$603.90	$320.07–$582.76	26% above	62%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA, QUANT W/REFL GENOTYPE	$250.64	$657.85	$348.66–$634.83	37% above	62%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT PCR QUANT(NON GRAPH)	$119.31	$313.15	$165.97–$302.19	35% below	62%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA, QUANTITATIVE REAL TIME PCR	$26.83	$70.43	$37.33–$67.96	—	62%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA QUANT REAL PCR	$26.83	$70.43	$37.33–$67.96	—	62%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C, QUANTITATIVE, PCR (HCV)	$230.09	$603.90	$320.07–$582.76	—	62%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA, QUANT W/REFL GENOTYPE	$250.64	$657.85	$348.66–$634.83	—	62%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT PCR QUANT(NON GRAPH)	$119.31	$313.15	$165.97–$302.19	—	62%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG	$9.09	$23.87	$12.65–$23.03	82% below	62%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1 AB, IGG CSF	$44.15	$115.87	$61.41–$111.81	15% below	62%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1, IGG	$51.93	$136.30	$13.50–$42.69	at median	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGG	$9.09	$23.87	$12.65–$23.03	—	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1 AB, IGG CSF	$44.15	$115.87	$61.41–$111.81	—	62%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1, IGG	$51.93	$136.30	$72.24–$131.53	—	62%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG	$9.09	$23.87	$12.65–$23.03	86% below	62%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 AB, IGG, CSF	$44.15	$115.87	$61.41–$111.81	32% below	62%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2, IGG	$53.38	$140.10	$19.80–$62.66	18% below	62%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG INHIBITION, IA	$226.41	$594.24	$19.80–$62.66	248% above	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG	$9.09	$23.87	$12.65–$23.03	—	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 AB, IGG, CSF	$44.15	$115.87	$61.41–$111.81	—	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2, IGG	$53.38	$140.10	$74.25–$135.20	—	62%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG INHIBITION, IA	$226.41	$594.24	$314.95–$573.44	—	62%
High-sensitivity CRP (hs-CRP) test CPT 86141 HS-CRP CARDIO IQ	$26.03	$68.33	$36.21–$65.94	45% below	62%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP,HIGH SENSITIVITY	$28.02	$73.55	$38.98–$70.98	41% below	62%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HS-CRP CARDIO IQ	$26.03	$68.33	$36.21–$65.94	—	62%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP,HIGH SENSITIVITY	$28.02	$73.55	$38.98–$70.98	—	62%
Homocysteine blood test CPT 83090 HOMOCYST(E)INE, PLASMA	$70.45	$184.90	$98.00–$178.43	at median	62%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$179.15	$470.20	$17.26–$54.61	154% above	62%
Homocysteine blood test inpatient CPT 83090 HOMOCYST(E)INE, PLASMA	$70.45	$184.90	$98.00–$178.43	—	62%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$179.15	$470.20	$249.21–$453.74	—	62%
Insulin blood test CPT 83525 INSULIN	$47.76	$125.35	$11.69–$37.00	32% below	62%
Insulin blood test inpatient CPT 83525 INSULIN	$47.76	$125.35	$66.44–$120.96	—	62%
Iron blood test (serum iron) CPT 83540 IRON	$12.25	$32.15	$17.04–$31.02	65% below	62%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$12.25	$32.15	$17.04–$31.02	—	62%
Iron-binding capacity (TIBC) test CPT 83550 UIBC	$19.24	$50.50	$26.77–$48.73	58% below	62%
Iron-binding capacity (TIBC) test inpatient CPT 83550 UIBC	$19.24	$50.50	$26.77–$48.73	—	62%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$34.92	$91.65	$48.57–$88.44	81% below	62%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$34.92	$91.65	$48.57–$88.44	—	62%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE	$40.25	$105.65	$55.99–$101.95	59% below	62%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE	$40.25	$105.65	$55.99–$101.95	—	62%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$29.57	$77.60	$41.13–$74.88	59% below	62%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$29.57	$77.60	$41.13–$74.88	—	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, PERITONEAL FLUID	$5.56	$14.60	$6.17–$19.54	87% below	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, CSF	$6.40	$16.80	$6.17–$19.54	85% below	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE	$6.86	$18.00	$6.17–$19.54	84% below	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, PLEURAL FLUID	$12.00	$31.50	$6.17–$19.54	72% below	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$13.54	$35.55	$18.84–$34.31	69% below	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD, BODY FLUID	$25.20	$66.15	$6.17–$19.54	42% below	62%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE ASSAY	$35.64	$93.55	$49.58–$90.28	18% below	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, PERITONEAL FLUID	$5.56	$14.60	$7.74–$14.09	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, CSF	$6.40	$16.80	$8.90–$16.21	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE	$6.86	$18.00	$9.54–$17.37	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, PLEURAL FLUID	$12.00	$31.50	$16.70–$30.40	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$13.54	$35.55	$18.84–$34.31	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, BODY FLUID	$25.20	$66.15	$35.06–$63.83	—	62%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE ASSAY	$35.64	$93.55	$49.58–$90.28	—	62%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$15.35	$40.30	$21.36–$38.89	65% below	62%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$15.35	$40.30	$21.36–$38.89	—	62%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PNL	$28.33	$74.35	$39.41–$71.75	83% below	62%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PNL	$28.33	$74.35	$39.41–$71.75	—	62%
Lyme disease antibody test CPT 86618 C6 PEPTIDE B BURGDORFERI	$31.64	$83.05	$44.02–$80.14	54% below	62%
Lyme disease antibody test CPT 86618 LYME DISEASE, C6 AB'S	$53.99	$141.70	$75.10–$136.74	22% below	62%
Lyme disease antibody test CPT 86618 LYME AB W/REFL BLOT (IGG, IGM)	$64.90	$170.35	$90.29–$164.39	6% below	62%
Lyme disease antibody test CPT 86618 LYME AB W/REFL BLOT IGG,IGM	$146.02	$383.25	$17.43–$55.13	110% above	62%
Lyme disease antibody test inpatient CPT 86618 C6 PEPTIDE B BURGDORFERI	$31.64	$83.05	$44.02–$80.14	—	62%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE, C6 AB'S	$53.99	$141.70	$75.10–$136.74	—	62%
Lyme disease antibody test inpatient CPT 86618 LYME AB W/REFL BLOT (IGG, IGM)	$64.90	$170.35	$90.29–$164.39	—	62%
Lyme disease antibody test inpatient CPT 86618 LYME AB W/REFL BLOT IGG,IGM	$146.02	$383.25	$203.12–$369.84	—	62%
Magnesium blood test CPT 83735 MAGNESIUM	$13.58	$35.65	$18.89–$34.40	61% below	62%
Magnesium blood test CPT 83735 MAGNESIUM, RBC	$18.65	$48.95	$25.94–$47.24	47% below	62%
Magnesium blood test CPT 83735 MAGNESIUM, URINE	$18.65	$48.95	$25.94–$47.24	47% below	62%
Magnesium blood test CPT 83735 MAGNESIUM,UR.RANDOM	$23.53	$61.75	$32.73–$59.59	33% below	62%
Magnesium blood test CPT 83735 MAGNESIUM, 24 HR URINE	$23.53	$61.75	$5.90–$21.69	33% below	62%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$13.58	$35.65	$18.89–$34.40	—	62%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE	$18.65	$48.95	$25.94–$47.24	—	62%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC	$18.65	$48.95	$25.94–$47.24	—	62%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24 HR URINE	$23.53	$61.75	$32.73–$59.59	—	62%
Magnesium blood test inpatient CPT 83735 MAGNESIUM,UR.RANDOM	$23.53	$61.75	$32.73–$59.59	—	62%
Measles (rubeola) antibody test CPT 86765 MEASLES AB (IGG), IMMUNE STATUS	$8.67	$22.75	$12.06–$21.95	80% below	62%
Measles (rubeola) antibody test CPT 86765 MEASLES(RUBEOLA) IGM	$34.86	$91.50	$48.50–$88.30	20% below	62%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES, IGG	$35.89	$94.20	$49.93–$90.90	17% below	62%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES, IGM	$35.89	$94.20	$13.19–$41.70	17% below	62%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES AB (IGG), IMMUNE STATUS	$8.67	$22.75	$12.06–$21.95	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES(RUBEOLA) IGM	$34.86	$91.50	$48.50–$88.30	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES, IGG	$35.89	$94.20	$49.93–$90.90	—	62%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES, IGM	$35.89	$94.20	$49.93–$90.90	—	62%
Mono test (heterophile antibody, Monospot) CPT 86308 MONONUCLEOSIS TEST, QUAL	$9.81	$25.75	$5.30–$16.76	75% below	62%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$24.35	$63.90	$5.30–$16.76	38% below	62%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONONUCLEOSIS TEST, QUAL	$9.81	$25.75	$13.65–$24.85	—	62%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$24.35	$63.90	$33.87–$61.66	—	62%
Mumps immunity blood test CPT 86735 MUMPS AB, IGG	$6.17	$16.20	$8.59–$15.63	90% below	62%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB (IGG), IMMUNE STATUS	$25.28	$66.35	$35.17–$64.03	58% below	62%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODIES, IGG	$36.31	$95.30	$50.51–$91.96	40% below	62%
Mumps immunity blood test CPT 86735 MUMPS AB, IGM	$38.53	$101.13	$53.60–$97.59	36% below	62%
Mumps immunity blood test CPT 86735 MUMPS, IGM	$67.21	$176.40	$93.49–$170.23	12% above	62%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB, IGG	$6.17	$16.20	$8.59–$15.63	—	62%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB (IGG), IMMUNE STATUS	$25.28	$66.35	$35.17–$64.03	—	62%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODIES, IGG	$36.31	$95.30	$50.51–$91.96	—	62%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB, IGM	$38.53	$101.13	$53.60–$97.59	—	62%
Mumps immunity blood test inpatient CPT 86735 MUMPS, IGM	$67.21	$176.40	$93.49–$170.23	—	62%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$83.93	$220.30	$116.76–$212.59	—	62%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$83.93	$220.30	$116.76–$212.59	—	62%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$14.33	$37.60	$19.93–$36.28	80% below	62%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$51.24	$134.50	$71.29–$129.79	29% below	62%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$14.33	$37.60	$19.93–$36.28	—	62%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$51.24	$134.50	$71.29–$129.79	—	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, POST PROSTATECTOMY	$21.93	$57.55	$18.82–$59.54	74% below	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL, REFLEX PSA FREE	$21.93	$57.55	$18.82–$59.54	74% below	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC	$38.27	$100.45	$53.24–$96.93	54% below	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, ULTRASENSITIVE, W/O SERIAL	$51.24	$134.50	$71.29–$129.79	39% below	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA ULTRASENSITIVE	$51.24	$134.50	$18.82–$59.54	39% below	62%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$51.24	$134.50	$71.29–$129.79	39% below	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, POST PROSTATECTOMY	$21.93	$57.55	$30.50–$55.54	—	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL, REFLEX PSA FREE	$21.93	$57.55	$30.50–$55.54	—	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC	$38.27	$100.45	$53.24–$96.93	—	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA ULTRASENSITIVE	$51.24	$134.50	$71.29–$129.79	—	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL	$51.24	$134.50	$71.29–$129.79	—	62%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, ULTRASENSITIVE, W/O SERIAL	$51.24	$134.50	$71.29–$129.79	—	62%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO THINPREP SCREEN	$47.93	$125.80	$66.67–$121.40	52% below	62%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO THINPREP DIAG	$47.93	$125.80	$66.67–$121.40	52% below	62%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO THINPREP DIAG	$47.93	$125.80	$66.67–$121.40	—	62%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO THINPREP SCREEN	$47.93	$125.80	$66.67–$121.40	—	62%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT WITHOUT CALCIUM	$58.50	$153.55	$42.23–$133.62	68% below	62%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT	$114.97	$301.75	$159.93–$291.19	36% below	62%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT WITH IONIZED CALCIUM	$145.73	$382.50	$202.73–$369.11	19% below	62%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT WITHOUT CALCIUM	$58.50	$153.55	$81.38–$148.18	—	62%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT	$114.97	$301.75	$159.93–$291.19	—	62%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT WITH IONIZED CALCIUM	$145.73	$382.50	$202.73–$369.11	—	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA W/REFLEX TO HEXAGONAL PHASE	$5.20	$13.65	$7.23–$13.17	87% below	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA W/RFLX TO HEXAGONAL PHASE	$11.70	$30.71	$6.14–$19.45	72% below	62%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$12.53	$32.90	$17.44–$31.75	70% below	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA W/REFLEX TO HEXAGONAL PHASE	$5.20	$13.65	$7.23–$13.17	—	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA W/RFLX TO HEXAGONAL PHASE	$11.70	$30.71	$16.28–$29.64	—	62%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$12.53	$32.90	$17.44–$31.75	—	62%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS	$9.32	$24.45	$12.96–$23.59	64% below	62%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS	$9.32	$24.45	$12.96–$23.59	—	62%
Potassium blood test CPT 84132 POTASSIUM,PLASMA	$8.69	$22.80	$12.08–$22.00	67% below	62%
Potassium blood test CPT 84132 POTASSIUM (K),SERUM	$12.76	$33.50	$17.76–$32.33	51% below	62%
Potassium blood test inpatient CPT 84132 POTASSIUM,PLASMA	$8.69	$22.80	$12.08–$22.00	—	62%
Potassium blood test inpatient CPT 84132 POTASSIUM (K),SERUM	$12.76	$33.50	$17.76–$32.33	—	62%
Progesterone blood test CPT 84144 PROGESTERONE	$58.14	$152.60	$80.88–$147.26	47% below	62%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$58.14	$152.60	$80.88–$147.26	—	62%
Prolactin blood test CPT 84146 PROLACTIN	$41.76	$109.60	$58.09–$105.76	59% below	62%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$41.76	$109.60	$58.09–$105.76	—	62%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$8.93	$23.45	$12.43–$22.63	66% below	62%
Prothrombin time (PT/INR) clotting test CPT 85610 PT-LABCORP	$16.73	$43.90	$23.27–$42.36	37% below	62%
Prothrombin time (PT/INR) clotting test CPT 85610 PT-QUEST	$27.12	$71.17	$37.72–$68.68	3% above	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$8.93	$23.45	$12.43–$22.63	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME, ANTI COAG-DANIEL	$8.95	$23.50	$5.88–$22.68	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-LABCORP	$16.73	$43.90	$23.27–$42.36	—	62%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT-QUEST	$27.12	$71.17	$37.72–$68.68	—	62%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN	$42.35	$111.15	$58.91–$107.26	at median	62%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A+B ANTIGEN IMMUNOASSAY	$59.21	$155.40	$82.36–$149.96	40% above	62%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A +B ANTIGEN IMMUNOASSAY	$133.22	$349.65	$12.27–$24.92	215% above	62%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ANTIGEN	$42.35	$111.15	$58.91–$107.26	—	62%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A+B ANTIGEN IMMUNOASSAY	$59.21	$155.40	$82.36–$149.96	—	62%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A +B ANTIGEN IMMUNOASSAY	$133.22	$349.65	$185.31–$337.41	—	62%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID GROUP A STREP	$46.63	$122.40	$12.27–$24.92	at median	62%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID GROUP A STREP	$46.63	$122.40	$64.87–$118.12	—	62%
Renin blood test CPT 84244 PLASMA RENIN ACTIVITY, LC/MS/MS	$24.26	$63.68	$17.99–$71.20	74% below	62%
Renin blood test CPT 84244 RENIN ACTIVITY, PLASMA	$61.26	$160.80	$85.22–$155.17	35% below	62%
Renin blood test inpatient CPT 84244 PLASMA RENIN ACTIVITY, LC/MS/MS	$24.26	$63.68	$33.75–$61.45	—	62%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY, PLASMA	$61.26	$160.80	$85.22–$155.17	—	62%
Rh blood typing CPT 86901 BB RH	$65.97	$173.15	$91.77–$167.09	175% above	62%
Rh blood typing CPT 86901 BB RH CHECK	$65.97	$173.15	$91.77–$167.09	175% above	62%
Rh blood typing inpatient CPT 86901 BB RH CHECK	$65.97	$173.15	$91.77–$167.09	—	62%
Rh blood typing inpatient CPT 86901 BB RH	$65.97	$173.15	$91.77–$167.09	—	62%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR	$18.91	$49.63	$26.30–$47.89	60% below	62%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR,QUANT	$19.91	$52.25	$5.81–$18.36	58% below	62%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QU	$55.04	$144.45	$76.56–$139.39	17% above	62%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR	$18.91	$49.63	$26.30–$47.89	—	62%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR,QUANT	$19.91	$52.25	$27.69–$50.42	—	62%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QU	$55.04	$144.45	$76.56–$139.39	—	62%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGG, IMMUNE	$6.39	$16.76	$8.88–$16.17	90% below	62%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB IGM	$34.37	$90.20	$47.81–$87.04	44% below	62%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODIES, IGG	$40.08	$105.20	$14.73–$46.59	34% below	62%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$50.03	$131.30	$14.73–$46.59	18% below	62%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY, IGG, IMMUNE	$6.39	$16.76	$8.88–$16.17	—	62%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB IGM	$34.37	$90.20	$47.81–$87.04	—	62%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODIES, IGG	$40.08	$105.20	$55.76–$101.52	—	62%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN	$50.03	$131.30	$69.59–$126.70	—	62%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN FERTILITY	$54.79	$143.80	$12.33–$39.01	—	62%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN FERTILITY	$54.79	$143.80	$76.21–$138.77	—	62%
Sodium blood test CPT 84295 SODIUM (NA),SERUM	$13.41	$35.20	$4.92–$15.58	54% below	62%
Sodium blood test inpatient CPT 84295 SODIUM (NA),SERUM	$13.41	$35.20	$18.66–$33.97	—	62%
Stool ova and parasites exam CPT 87177 PARASITE/ISOLATE ID	$22.36	$58.70	$31.11–$56.65	48% below	62%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE SMEARS	$24.80	$65.10	$34.50–$62.82	43% below	62%
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$52.27	$137.20	$72.72–$132.40	21% above	62%
Stool ova and parasites exam inpatient CPT 87177 PARASITE/ISOLATE ID	$22.36	$58.70	$31.11–$56.65	—	62%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE SMEARS	$24.80	$65.10	$34.50–$62.82	—	62%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES	$52.27	$137.20	$72.72–$132.40	—	62%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$10.78	$28.30	$3.33–$10.53	40% below	62%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$10.78	$28.30	$15.00–$27.31	—	62%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY, BLOOD OCCULT, FECAL	$26.84	$70.45	$37.34–$67.98	45% below	62%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY, BLOOD OCCULT, FECAL	$26.84	$70.45	$37.34–$67.98	—	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS ANTIBODY CASCADING REFLEX	$23.20	$60.90	$32.28–$58.77	62% below	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB	$31.66	$83.10	$44.04–$80.19	48% below	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILLIS MIA	$37.87	$99.40	$52.68–$95.92	38% below	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB (FTA-AB)	$38.21	$100.30	$53.16–$96.79	37% below	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL IGM	$87.92	$230.75	$122.30–$222.67	44% above	62%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL IGG	$87.92	$230.75	$122.30–$222.67	44% above	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS ANTIBODY CASCADING REFLEX	$23.20	$60.90	$32.28–$58.77	—	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB	$31.66	$83.10	$44.04–$80.19	—	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILLIS MIA	$37.87	$99.40	$52.68–$95.92	—	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T PALLIDUM AB (FTA-AB)	$38.21	$100.30	$53.16–$96.79	—	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMAL IGM	$87.92	$230.75	$122.30–$222.67	—	62%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMAL IGG	$87.92	$230.75	$122.30–$222.67	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR,(T PALLADIUM CASCADE) QUAL	$8.02	$21.05	$11.16–$20.31	70% below	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF	$11.89	$31.20	$4.37–$13.83	56% below	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SCREEN W/REFL TITER	$17.87	$46.91	$24.86–$45.27	33% below	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$18.67	$49.00	$4.37–$13.83	30% below	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 NON TREPONEMAL SCREEN	$44.39	$116.50	$61.75–$112.42	66% above	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR,(T PALLADIUM CASCADE) QUAL	$8.02	$21.05	$11.16–$20.31	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF	$11.89	$31.20	$16.54–$30.11	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SCREEN W/REFL TITER	$17.87	$46.91	$24.86–$45.27	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$18.67	$49.00	$25.97–$47.29	—	62%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 NON TREPONEMAL SCREEN	$44.39	$116.50	$61.75–$112.42	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS	$32.00	$84.00	$44.52–$81.06	84% below	62%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD	$174.48	$457.95	$242.71–$441.92	14% below	62%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS	$32.00	$84.00	$44.52–$81.06	—	62%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD	$174.48	$457.95	$242.71–$441.92	—	62%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$71.89	$188.70	$20.84–$83.57	41% below	62%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, FREE AND BIOAVAILABLE	$101.16	$265.51	$140.72–$256.22	17% below	62%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE	$103.94	$272.80	$144.58–$263.25	14% below	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$71.89	$188.70	$100.01–$182.10	—	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, FREE AND BIOAVAILABLE	$101.16	$265.51	$140.72–$256.22	—	62%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE	$103.94	$272.80	$144.58–$263.25	—	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICROSOMAL (LKM-1)AB,	$9.77	$25.65	$13.59–$24.75	90% below	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE(TBO)AB	$34.96	$91.75	$14.89–$40.66	63% below	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$34.96	$91.75	$14.89–$40.66	63% below	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$34.96	$91.75	$48.63–$88.54	63% below	62%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ANTIBODIES	$42.02	$110.30	$14.89–$40.66	56% below	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICROSOMAL (LKM-1)AB,	$9.77	$25.65	$13.59–$24.75	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE(TBO)AB	$34.96	$91.75	$48.63–$88.54	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$34.96	$91.75	$48.63–$88.54	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$34.96	$91.75	$48.63–$88.54	—	62%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ANTIBODIES	$42.02	$110.30	$58.46–$106.44	—	62%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$36.52	$95.85	$50.80–$92.50	59% below	62%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (3RD GENERATION)	$40.58	$106.50	$56.45–$102.77	55% below	62%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$36.52	$95.85	$50.80–$92.50	—	62%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (3RD GENERATION)	$40.58	$106.50	$56.45–$102.77	—	62%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E, TOTAL	$68.79	$180.55	$16.85–$53.29	2% below	62%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$68.87	$180.75	$16.85–$53.29	2% below	62%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E, TOTAL	$68.79	$180.55	$95.69–$174.23	—	62%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E	$68.87	$180.75	$95.80–$174.42	—	62%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$9.20	$24.15	$12.80–$23.30	65% below	62%
Total cholesterol blood test CPT 82465 CHOLESTEROL, TOTAL	$20.23	$53.10	$28.14–$51.24	22% below	62%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$9.20	$24.15	$12.80–$23.30	—	62%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL, TOTAL	$20.23	$53.10	$28.14–$51.24	—	62%
Total thyroxine (T4) blood test CPT 84436 T4 (THYROXINE)	$16.40	$43.05	$22.82–$41.54	52% below	62%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 (THYROXINE)	$16.40	$43.05	$22.82–$41.54	—	62%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE(T3)	$39.49	$103.65	$54.93–$100.02	48% below	62%
Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL	$45.91	$120.50	$63.87–$116.28	40% below	62%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE(T3)	$39.49	$103.65	$54.93–$100.02	—	62%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL	$45.91	$120.50	$63.87–$116.28	—	62%
Transferrin blood test CPT 84466 TRANSFERRIN	$35.59	$93.40	$49.50–$90.13	38% below	62%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$35.59	$93.40	$49.50–$90.13	—	62%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS BY NAA	$83.52	$219.20	$116.18–$211.53	37% above	62%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG RNA, QL	$99.57	$261.35	$35.90–$71.18	63% above	62%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS BY NAA	$83.52	$219.20	$116.18–$211.53	—	62%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG RNA, QL	$99.57	$261.35	$138.52–$252.20	—	62%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$10.88	$28.55	$5.88–$18.60	64% below	62%
Triglycerides blood test CPT 84478 VLDL TRIGLYCERIDES(VAP)	$81.29	$213.35	$113.08–$205.88	167% above	62%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$10.88	$28.55	$15.13–$27.55	—	62%
Triglycerides blood test inpatient CPT 84478 VLDL TRIGLYCERIDES(VAP)	$81.29	$213.35	$113.08–$205.88	—	62%
Troponin test, quantitative CPT 84484 TROPONIN HIGH SENSITIVITY	$21.26	$55.80	$10.07–$31.86	76% below	62%
Troponin test, quantitative CPT 84484 TROPONIN-I	$81.44	$213.75	$113.29–$206.27	9% below	62%
Troponin test, quantitative inpatient CPT 84484 TROPONIN HIGH SENSITIVITY	$21.26	$55.80	$29.57–$53.85	—	62%
Troponin test, quantitative inpatient CPT 84484 TROPONIN-I	$81.44	$213.75	$113.29–$206.27	—	62%
Uric acid blood test CPT 84550 URIC ACID	$8.52	$22.35	$4.62–$14.63	69% below	62%
Uric acid blood test inpatient CPT 84550 URIC ACID	$8.52	$22.35	$11.85–$21.57	—	62%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS/CIC	$13.58	$35.65	$3.24–$10.27	at median	62%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS	$13.58	$35.65	$3.24–$10.27	at median	62%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS/CIC	$13.58	$35.65	$18.89–$34.40	—	62%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS	$13.58	$35.65	$18.89–$34.40	—	62%
Urinalysis with microscope exam, manual CPT 81000 PROTEIN,URINE	$11.83	$31.05	$3.24–$10.27	3% below	62%
Urinalysis with microscope exam, manual CPT 81000 URINE, DIP STICK	$12.04	$31.60	$3.24–$10.27	2% below	62%
Urinalysis with microscope exam, manual inpatient CPT 81000 PROTEIN,URINE	$11.83	$31.05	$16.46–$29.96	—	62%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE, DIP STICK	$12.04	$31.60	$16.75–$30.49	—	62%
Urinalysis without microscope exam, automated CPT 81003 OCCULT BLOOD URINE	$4.74	$12.45	$2.30–$7.27	74% below	62%
Urinalysis without microscope exam, automated CPT 81003 PH URINE	$6.04	$15.85	$2.30–$7.27	67% below	62%
Urinalysis without microscope exam, automated CPT 81003 KETONES - URINE	$6.04	$15.85	$2.30–$7.27	67% below	62%
Urinalysis without microscope exam, automated CPT 81003 SPEC.GRAVITY URINE	$6.04	$15.85	$2.30–$7.27	67% below	62%
Urinalysis without microscope exam, automated CPT 81003 GLUCOSE, URINE	$6.04	$15.85	$2.30–$7.27	67% below	62%
Urinalysis without microscope exam, automated CPT 81003 CHALLENGE URINE	$6.04	$15.85	$2.30–$7.27	67% below	62%
Urinalysis without microscope exam, automated CPT 81003 NITRATE URINE	$6.23	$16.35	$2.30–$7.27	66% below	62%
Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN, URINE	$6.23	$16.35	$2.30–$7.27	66% below	62%
Urinalysis without microscope exam, automated CPT 81003 PH, URINE	$8.02	$21.05	$11.16–$20.31	56% below	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 OCCULT BLOOD URINE	$4.74	$12.45	$6.60–$12.01	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 CHALLENGE URINE	$6.04	$15.85	$8.40–$15.30	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES - URINE	$6.04	$15.85	$8.40–$15.30	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE, URINE	$6.04	$15.85	$8.40–$15.30	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPEC.GRAVITY URINE	$6.04	$15.85	$8.40–$15.30	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE	$6.04	$15.85	$8.40–$15.30	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 NITRATE URINE	$6.23	$16.35	$8.67–$15.78	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN, URINE	$6.23	$16.35	$8.67–$15.78	—	62%
Urinalysis without microscope exam, automated inpatient CPT 81003 PH, URINE	$8.02	$21.05	$11.16–$20.31	—	62%
Urine culture for bacteria, with colony count CPT 87086 COLONY COUNT	$16.67	$43.75	$23.19–$42.22	65% below	62%
Urine culture for bacteria, with colony count inpatient CPT 87086 COLONY COUNT	$16.67	$43.75	$23.19–$42.22	—	62%
Urine microalbumin (albumin) test CPT 82043 MICROALB.24HR UR	$14.55	$38.20	$20.25–$36.86	72% below	62%
Urine microalbumin (albumin) test CPT 82043 MICROALB.RANDOM UR	$14.55	$38.20	$20.25–$36.86	72% below	62%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB.24HR UR	$14.55	$38.20	$20.25–$36.86	—	62%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALB.RANDOM UR	$14.55	$38.20	$20.25–$36.86	—	62%
Urine pregnancy test, read by color change CPT 81025 PREG MONOCLONAL URIN	$34.39	$90.25	$6.47–$20.46	18% below	62%
Urine pregnancy test, read by color change CPT 81025 PREG MONOCLONAL URINE	$34.39	$90.25	$47.83–$87.09	18% below	62%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG MONOCLONAL URIN	$34.39	$90.25	$47.83–$87.09	—	62%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG MONOCLONAL URINE	$34.39	$90.25	$47.83–$87.09	—	62%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$32.61	$85.60	$45.37–$82.60	63% below	62%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$32.61	$85.60	$45.37–$82.60	—	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D,25-OH,TOTAL,IA	$60.86	$159.75	$30.30–$95.84	45% below	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROXY	$82.45	$216.40	$114.69–$208.83	25% below	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D,25-OH,TOTAL,IA	$60.86	$159.75	$84.67–$154.16	—	62%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROXY	$82.45	$216.40	$114.69–$208.83	—	62%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITRIOL 1,25 DIHYDROXYVITAMIN D	$15.35	$40.28	$21.35–$38.87	89% below	62%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 CALCITROL(1,25 DI-OH VITD)	$107.18	$281.30	$149.09–$271.45	26% below	62%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITRIOL 1,25 DIHYDROXYVITAMIN D	$15.35	$40.28	$21.35–$38.87	—	62%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 CALCITROL(1,25 DI-OH VITD)	$107.18	$281.30	$149.09–$271.45	—	62%
Zinc blood test CPT 84630 MICRONUTRIENT ZINC	$6.86	$18.00	$9.54–$17.37	87% below	62%
Zinc blood test CPT 84630 ZINC	$14.78	$38.80	$20.56–$37.44	72% below	62%
Zinc blood test CPT 84630 ZINC, RBC	$30.78	$80.80	$42.82–$77.97	42% below	62%
Zinc blood test CPT 84630 ZINC, PLASMA, OR SERUM	$31.74	$83.30	$44.15–$80.38	41% below	62%
Zinc blood test inpatient CPT 84630 MICRONUTRIENT ZINC	$6.86	$18.00	$9.54–$17.37	—	62%
Zinc blood test inpatient CPT 84630 ZINC	$14.78	$38.80	$20.56–$37.44	—	62%
Zinc blood test inpatient CPT 84630 ZINC, RBC	$30.78	$80.80	$42.82–$77.97	—	62%
Zinc blood test inpatient CPT 84630 ZINC, PLASMA, OR SERUM	$31.74	$83.30	$44.15–$80.38	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, TOTAL, QN	$12.99	$34.10	$18.07–$32.91	83% below	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, BETA SUBUNIT, QNT, SERUM	$33.13	$86.95	$46.08–$83.91	56% below	62%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG BETA SUBUNIT	$33.74	$88.55	$46.93–$85.45	55% below	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, TOTAL, QN	$12.99	$34.10	$18.07–$32.91	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, BETA SUBUNIT, QNT, SERUM	$33.13	$86.95	$46.08–$83.91	—	62%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG BETA SUBUNIT	$33.74	$88.55	$46.93–$85.45	—	62%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 DIST FIB FX W/O M	$259.80	$681.90	$210.50–$311.71	at median	62%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 DIST FIB FX W/O M	$259.80	$681.90	$361.41–$658.03	—	62%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL FX W/O M	$259.80	$681.90	$361.41–$658.03	36% below	62%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 METATARSAL FX W/O M	$259.80	$681.90	$361.41–$658.03	—	62%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION PROC	$939.57	$2,466.05	$121.18–$849.58	33% below	62%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERN	$939.58	$2,466.10	$1,307.03–$2,379.79	33% below	62%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION PROC	$939.57	$2,466.05	$1,270.02–$2,379.74	—	62%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERN	$939.58	$2,466.10	$1,307.03–$2,379.79	—	62%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NB-CIRCUMCISION	$923.73	$2,424.50	$1,586.35–$2,339.64	at median	62%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NB-CIRCUMCISION	$923.73	$2,424.50	$1,586.35–$2,339.64	—	62%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DISTAL RADIUS FX W/O	$259.80	$681.90	$210.50–$311.71	67% below	62%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 DISTAL RADIUS FX W/O	$259.80	$681.90	$361.41–$658.03	—	62%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DEST BENIGN LESI-1ST	$229.50	$602.35	$47.69–$271.58	at median	62%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DEST BENIGN LESI-1ST	$229.50	$602.35	$394.12–$581.27	—	62%
Earwax removal with instruments, one ear CPT 69210 RML IMPLD CERUMEN	$63.67	$167.10	$88.56–$161.25	63% below	62%
Earwax removal with instruments, one ear inpatient CPT 69210 RML IMPLD CERUMEN	$63.67	$167.10	$88.56–$161.25	—	62%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SAMPLING (BIOPSY)	$211.76	$555.80	$294.57–$536.35	47% below	62%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL SAMPLING (BIOPSY)	$211.76	$555.80	$294.57–$536.35	—	62%
Hammertoe correction surgery CPT 28285 CORRECTION HAMMERTOE	$3,004.57	$7,886.00	$5,159.81–$7,609.99	33% above	62%
Hammertoe correction surgery inpatient CPT 28285 CORRECTION HAMMERTOE	$3,004.57	$7,886.00	$5,159.81–$7,609.99	—	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO-PROCEDURE	$318.15	$835.05	$546.37–$805.82	25% below	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTERO PLACE/INSERT	$318.15	$835.05	$546.37–$805.82	25% below	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO-PROCEDURE	$318.15	$835.05	$546.37–$805.82	—	62%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HYSTERO PLACE/INSERT	$318.15	$835.05	$546.37–$805.82	—	62%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE	$191.70	$503.15	$81.55–$271.58	54% below	62%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D, ABSCESS, SIMPLE	$191.70	$503.15	$81.55–$271.58	54% below	62%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D, ABSCESS, SIMPLE	$191.70	$503.15	$329.21–$485.54	—	62%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE	$191.70	$503.15	$266.67–$485.54	—	62%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIGAMENT	$322.25	$845.80	$553.41–$816.20	60% below	62%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON/LIGAMENT	$322.25	$845.80	$553.41–$816.20	—	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS LRG	$301.68	$791.80	$419.65–$764.09	54% below	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MED/SURG OBV ARTHROCENTESIS LARGE	$301.68	$791.80	$518.07–$764.09	54% below	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS LRG	$301.68	$791.80	$419.65–$764.09	—	62%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 MED/SURG OBV ARTHROCENTESIS LARGE	$301.68	$791.80	$518.07–$764.09	—	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION JOINT,INTERMEDIATE	$322.25	$845.80	$553.41–$816.20	49% below	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS-INTM	$322.25	$845.80	$50.49–$395.12	49% below	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS-INTM	$322.25	$845.80	$448.27–$816.20	—	62%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION JOINT,INTERMEDIATE	$322.25	$845.80	$553.41–$816.20	—	62%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS-SML	$256.64	$673.60	$357.01–$650.02	70% below	62%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SM JT NO GUIDE	$256.64	$673.60	$440.74–$650.02	70% below	62%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS SM JT NO GUIDE	$256.64	$673.60	$440.74–$650.02	—	62%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS-SML	$256.64	$673.60	$357.01–$650.02	—	62%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LYR BDY SCALP <2.6CM	$267.25	$701.45	$371.77–$676.90	63% below	62%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LYR BDY SCALP <2.6CM	$267.25	$701.45	$371.77–$676.90	—	62%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE BENIGN TRUNK/ARM/LEG <.5	$650.69	$1,707.85	$67.85–$941.11	56% below	62%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISE BENIGN TRUNK/ARM/LEG <.5	$650.69	$1,707.85	$1,117.45–$1,648.08	—	62%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE	$191.70	$503.15	$39.96–$271.58	53% below	62%
Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE SMPL	$191.70	$503.15	$39.96–$271.58	53% below	62%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE	$191.70	$503.15	$329.21–$485.54	—	62%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVUL NAIL PLATE SMPL	$191.70	$503.15	$266.67–$485.54	—	62%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/IMAGE GDE	$532.62	$1,397.95	$914.68–$1,349.02	77% below	62%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS/ABD/SUBSEQUENT	$594.61	$1,560.65	$827.14–$1,506.03	75% below	62%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/IMAGE GDE	$532.62	$1,397.95	$914.68–$1,349.02	—	62%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS/ABD/SUBSEQUENT	$594.61	$1,560.65	$827.14–$1,506.03	—	62%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL MATRIX INGE	$400.83	$1,052.05	$136.78–$522.72	51% below	62%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL, MATRIX, PART OR COMP	$400.83	$1,052.05	$688.36–$1,015.23	51% below	62%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION NAIL, MATRIX, PART OR COMP	$400.83	$1,052.05	$688.36–$1,015.23	—	62%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL MATRIX INGE	$400.83	$1,052.05	$557.59–$1,015.23	—	62%
Removal of a foreign object under the skin, simple CPT 10120 RMVL SUBC FB SIMPL	$350.98	$921.20	$88.16–$522.72	45% below	62%
Removal of a foreign object under the skin, simple CPT 10120 RMVL SUBC FB SMPL	$350.98	$921.20	$88.16–$522.72	45% below	62%
Removal of a foreign object under the skin, simple inpatient CPT 10120 RMVL SUBC FB SIMPL	$350.98	$921.20	$602.74–$888.96	—	62%
Removal of a foreign object under the skin, simple inpatient CPT 10120 RMVL SUBC FB SMPL	$350.98	$921.20	$488.24–$888.96	—	62%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM	$89.76	$235.60	$124.87–$227.35	68% below	62%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT STA	$89.76	$235.60	$58.90–$227.35	—	62%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM	$89.76	$235.60	$124.87–$227.35	—	62%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT PROC	$89.76	$235.60	$58.90–$227.35	—	62%
Short leg cast (below the knee) CPT 29405 CAST SHORT LEG	$271.31	$712.10	$377.41–$687.18	59% below	62%
Short leg cast (below the knee) inpatient CPT 29405 CAST SHORT LEG	$271.31	$712.10	$377.41–$687.18	—	62%
Short leg splint (calf to foot) CPT 29515 SPLINT SHORT LEG	$160.65	$421.65	$223.47–$406.89	63% below	62%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT SHORT LEG	$160.65	$421.65	$223.47–$406.89	—	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 EXCISION BENIGN LESION SINGLE<2.5CM	$191.70	$503.15	$38.88–$271.58	52% below	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SMPL BODY SC <2.6 CM	$191.70	$503.15	$266.67–$485.54	52% below	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 EXCISION BENIGN LESION SINGLE<2.5CM	$191.70	$503.15	$329.21–$485.54	—	62%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SMPL BODY SC <2.6 CM	$191.70	$503.15	$266.67–$485.54	—	62%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES TRUNK/ARM <.5CM	$650.71	$1,707.90	$102.69–$941.11	28% below	62%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 EXC MAL LES TRUNK/ARM <.5CM	$650.71	$1,707.90	$1,117.48–$1,648.12	—	62%
Skin tag removal, up to 15 tags CPT 11200 SKIN TAG REMOVAL = 15 LESIONS	$191.70	$503.15	$62.16–$271.58	33% below	62%
Skin tag removal, up to 15 tags inpatient CPT 11200 SKIN TAG REMOVAL = 15 LESIONS	$191.70	$503.15	$329.21–$485.54	—	62%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR TAP/DX	$764.23	$2,005.85	$1,063.10–$1,935.65	33% below	62%
Spinal tap (lumbar puncture), diagnostic CPT 62270 NB-SPINAL TAP DIAGNOSTIC	$764.25	$2,005.90	$1,312.46–$1,935.69	33% below	62%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$771.64	$2,025.30	$71.91–$960.33	33% below	62%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR TAP/DX	$764.23	$2,005.85	$1,063.10–$1,935.65	—	62%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 NB-SPINAL TAP DIAGNOSTIC	$764.25	$2,005.90	$1,312.46–$1,935.69	—	62%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE	$771.64	$2,025.30	$1,325.15–$1,954.41	—	62%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SMPL BODY SC 2.6-7.5	$191.70	$503.15	$51.64–$271.58	44% below	62%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR SUPERFICIAL 2.5-7.0CM	$191.70	$503.15	$51.64–$271.58	44% below	62%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SMPL BODY SC 2.6-7.5	$191.70	$503.15	$266.67–$485.54	—	62%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 SIMPLE REPAIR SUPERFICIAL 2.5-7.0CM	$191.70	$503.15	$329.21–$485.54	—	62%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SMPL FACE < 2.5	$122.09	$320.45	$169.84–$309.23	71% below	62%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 SMPL FACE < 2.5	$122.09	$320.45	$169.84–$309.23	—	62%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS PROC	$552.11	$1,449.10	$948.15–$1,398.38	56% below	62%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS PROC	$552.11	$1,449.10	$948.15–$1,398.38	—	62%
Trigger point injections, 1 or 2 muscles CPT 20552 INJEC SING/MULT TRIGGER PT 1/2 MUSC	$300.32	$788.25	$36.20–$395.12	53% below	62%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECTION (IM)	$300.32	$788.25	$515.75–$760.66	53% below	62%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECTION (IM)	$300.32	$788.25	$515.75–$760.66	—	62%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJEC SING/MULT TRIGGER PT 1/2 MUSC	$300.32	$788.25	$417.77–$760.66	—	62%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBR SKN & SUBC TISS	$353.23	$927.10	$491.36–$894.65	59% below	62%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE, SUB-Q TISSUE	$353.23	$927.10	$52.98–$522.72	59% below	62%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBR SKN & SUBC TISS	$353.23	$927.10	$491.36–$894.65	—	62%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE, SUB-Q TISSUE	$353.23	$927.10	$606.60–$894.65	—	62%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Blood transfusion (giving blood or blood components) CPT 36430 IV TEAM BLOOD ADMIN	$462.69	$1,214.40	$30.66–$600.27	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 MED/SURG OBV BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 ACU BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 MCH BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 ITEL TRANSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 GASTRO BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 MED/SURG TRNSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 ITEL OBV BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 ICU TRNSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 ICU OBV BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	61% below	62%
Blood transfusion (giving blood or blood components) CPT 36430 ONC BLOOD ADMIN	$462.71	$1,214.45	$30.66–$600.27	61% below	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICU TRNSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ICU OBV BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 MCH BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 MED/SURG TRNSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 IV TEAM BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 GASTRO BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 MED/SURG OBV BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ITEL OBV BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ITEL TRANSFSN BLOOD/COMPT	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ACU BLOOD ADMIN	$462.69	$1,214.40	$625.42–$1,171.90	—	62%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ONC BLOOD ADMIN	$462.71	$1,214.45	$625.44–$1,171.94	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN INITIAL TREATMENT	$216.29	$567.70	$16.64–$284.27	1% above	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INDUCED SPUTUM INIT TREATMENT	$216.29	$567.68	$16.64–$284.27	1% above	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL INITIAL TREATMENT	$216.29	$567.70	$16.64–$284.27	1% above	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI INITIAL TREATMENT	$216.29	$567.70	$16.64–$284.27	1% above	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INDUCED SPUTUM SUBSE TREATMENT	$216.29	$567.70	$141.93–$547.83	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI INITIAL TREATMENT	$216.29	$567.70	$300.88–$547.83	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL INITIAL TREATMENT	$216.29	$567.70	$300.88–$547.83	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL SUBSEQUENT TREATMENT	$216.29	$567.70	$141.93–$547.83	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INDUCED SPUTUM INIT TREATMENT	$216.29	$567.68	$300.87–$547.81	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN SUBSEQUENT TREATMENT	$216.29	$567.70	$141.93–$547.83	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN INITIAL TREATMENT	$216.29	$567.70	$300.88–$547.83	—	62%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI SUBSEQUENT TREATMENT	$216.29	$567.70	$141.93–$547.83	—	62%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSD 1ST HR	$364.03	$955.45	$134.01–$482.21	67% below	62%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSD 1ST HR	$364.03	$955.45	$492.06–$922.01	—	62%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST-HR	$1,193.18	$3,131.70	$1,659.80–$3,022.09	49% below	62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST-HR	$1,193.18	$3,131.70	$1,659.80–$3,022.09	—	62%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HR SEPARATE SVC	$1,193.20	$3,131.75	$782.94–$3,022.14	—	62%
EEG (brain wave test), awake and drowsy, routine CPT 95816 REGULAR-WAKE&DROWSY	$293.50	$770.35	$396.73–$743.39	77% below	62%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 REGULAR WAKE AND DROWSY < 20 MIN	$293.50	$770.35	$192.59–$743.39	—	62%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 REGULAR-WAKE&DROWSY	$293.50	$770.35	$396.73–$743.39	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG	$123.92	$325.25	$167.50–$313.87	39% below	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG P.A.T.	$133.24	$349.70	$180.10–$337.46	34% below	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ONCOLOGY	$133.24	$349.70	$180.10–$337.46	34% below	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG P.A.T. PLAINFIELD	$133.24	$349.70	$180.10–$337.46	34% below	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$137.24	$360.20	$185.50–$347.59	32% below	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG REPEAT SAME DAY	$123.92	$325.25	$81.31–$313.87	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG	$123.92	$325.25	$167.50–$313.87	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ONCOLOGY	$133.24	$349.70	$180.10–$337.46	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG P.A.T.	$133.24	$349.70	$180.10–$337.46	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG P.A.T. PLAINFIELD	$133.24	$349.70	$180.10–$337.46	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG REPEAT SAME DAY	$133.24	$349.70	$87.43–$337.46	—	62%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$137.24	$360.20	$185.50–$347.59	—	62%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 FACILITY FEE-MINIMAL	$161.43	$423.70	$105.93–$408.87	—	62%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 FACILITY FEE-BRIEF SEPARATE SERV	$196.54	$515.85	$128.96–$497.80	—	62%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 FACILITY FEE-BRIEF	$196.54	$515.85	$128.96–$497.80	—	62%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FACILITY FEE-LIMITED SEPARATE SVC	$430.49	$1,129.90	$282.48–$1,090.35	—	62%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FACILITY FEE-LIMITED	$430.49	$1,129.90	$282.48–$1,090.35	—	62%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FACILITY FEE-INTERME	$692.52	$1,817.65	$454.41–$1,754.03	—	62%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FACILITY FEE INTERMED SEPARATE SVC	$692.52	$1,817.65	$454.41–$1,754.03	—	62%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 FACILITY FEE EXTEND SEPARATE SVC	$907.75	$2,382.55	$595.64–$2,299.16	—	62%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 FACILITY FEE-EXTEND	$907.75	$2,382.55	$595.64–$2,299.16	—	62%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG IND STRESS TEST	$317.41	$833.10	$429.05–$803.94	71% below	62%
Exercise stress test, tracing only, the hospital charge CPT 93017 DOBUTAMINE STRESS	$317.41	$833.10	$429.05–$803.94	71% below	62%
Exercise stress test, tracing only, the hospital charge CPT 93017 PERSANTINE STRESS	$317.41	$833.10	$429.05–$803.94	71% below	62%
Exercise stress test, tracing only, the hospital charge CPT 93017 LEXISCAN STRESS	$317.41	$833.10	$429.05–$803.94	71% below	62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PERSANTINE STRESS	$317.41	$833.10	$429.05–$803.94	—	62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE OR DRUG IND STRESS TEST	$317.41	$833.10	$429.05–$803.94	—	62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 LEXISCAN STRESS	$317.41	$833.10	$429.05–$803.94	—	62%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 DOBUTAMINE STRESS	$317.41	$833.10	$429.05–$803.94	—	62%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY	$215.09	$564.55	$75.76–$202.35	34% below	62%
Family therapy with the patient, 50 minutes inpatient CPT 90847 TELEHLTH GT FAMILY THERAPY	$215.09	$564.55	$141.14–$544.79	—	62%
Family therapy with the patient, 50 minutes inpatient CPT 90847 TELEHLTH FAMILY THERAPY	$215.09	$564.55	$141.14–$544.79	—	62%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY	$215.09	$564.55	$369.39–$544.79	—	62%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT	$212.45	$557.60	$60.73–$202.35	18% below	62%
Family therapy without the patient, 50 minutes inpatient CPT 90846 TELEHLTH GT FMLY THERAPY WO PT	$212.45	$557.60	$139.40–$538.08	—	62%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/O PATIENT	$212.45	$557.60	$364.84–$538.08	—	62%
Family therapy without the patient, 50 minutes inpatient CPT 90846 TELEHLTH FAMILY PSYCHOTHERAPY WO PT	$212.45	$557.60	$139.40–$538.08	—	62%
Group psychotherapy session CPT 90853 GROUP THERAPY	$88.75	$232.95	$30.00–$123.00	43% below	62%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY	$88.75	$232.95	$152.42–$224.80	—	62%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 ECG MONIT/REPRT UPTO 48HRS	$67.88	$178.15	$91.75–$171.91	—	62%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 ECG MONIT/REPRT UPTO 48HRS	$67.88	$178.15	$91.75–$171.91	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV TX HYDRAT 31 60 MIN	$216.03	$567.00	$50.59–$309.38	56% below	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ITEL IV TX HYDRATION 31 TO 60 MIN	$216.03	$567.00	$50.59–$309.38	56% below	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MED/SURG IV TX HYDRATION 31 TO 60	$216.03	$567.00	$370.99–$547.16	56% below	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ICU IV TX HYDRATION 31 TO 60 MIN	$216.03	$567.00	$370.99–$547.16	56% below	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV TX HYDRAT 31-60 MIN	$216.03	$567.00	$370.99–$547.16	56% below	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 MCH IV TX HYDRATION 31 TO 60 MIN	$216.03	$567.00	$370.99–$547.16	56% below	62%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV TX HYDRA 31 TO 60 MIN	$216.03	$567.00	$50.59–$309.38	56% below	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MED/SURG IV TX HYDRATION 31 TO 60	$216.03	$567.00	$370.99–$547.16	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ITEL IV TX HYDRATION 31 TO 60 MIN	$216.03	$567.00	$370.99–$547.16	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ICU IV TX HYDRATION 31 TO 60 MIN	$216.03	$567.00	$370.99–$547.16	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 MCH IV TX HYDRATION 31 TO 60 MIN	$216.03	$567.00	$370.99–$547.16	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV TX HYDRA 31 TO 60 MIN	$216.03	$567.00	$370.99–$547.16	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV TX HYDRAT 31-60 MIN	$216.03	$567.00	$370.99–$547.16	—	62%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV TX HYDRAT 31 60 MIN	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour CPT 96365 ITEL IV THERAPY 1ST HR	$216.03	$567.00	$65.19–$309.38	68% below	62%
IV infusion of a medicine, first hour CPT 96365 ONC IV THER 1ST HR	$216.03	$567.00	$370.99–$547.16	68% below	62%
IV infusion of a medicine, first hour CPT 96365 MED/SURG IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	68% below	62%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY 1ST HR	$216.03	$567.00	$65.19–$309.38	68% below	62%
IV infusion of a medicine, first hour CPT 96365 ICU IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	68% below	62%
IV infusion of a medicine, first hour CPT 96365 IV THERAPY 1ST HOUR	$216.03	$567.00	$370.99–$547.16	68% below	62%
IV infusion of a medicine, first hour CPT 96365 MCH IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	68% below	62%
IV infusion of a medicine, first hour CPT 96365 VISIT 1 IV THER INIT	$216.03	$567.00	$370.99–$547.16	68% below	62%
IV infusion of a medicine, first hour inpatient CPT 96365 MCH IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 IV THERAPY 1ST HOUR	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 VISIT 3 IV THER INIT	$216.03	$567.00	$141.75–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 VISIT 2 IV THER INIT	$216.03	$567.00	$141.75–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 VISIT 1 IV THER INIT	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 ONC IV THER 1ST HR	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 MED/SURG IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 ITEL IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	—	62%
IV infusion of a medicine, first hour inpatient CPT 96365 ICU IV THERAPY 1ST HR	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL	$216.03	$567.00	$49.74–$309.38	63% below	62%
IV push of a medicine, first drug CPT 96374 IV START INJECTION	$216.03	$567.00	$370.99–$547.16	63% below	62%
IV push of a medicine, first drug CPT 96374 POSTOP IVP INITIAL	$216.03	$567.00	$370.99–$547.16	63% below	62%
IV push of a medicine, first drug CPT 96374 MCH IV PUSH INITIAL	$216.03	$567.00	$370.99–$547.16	63% below	62%
IV push of a medicine, first drug CPT 96374 ICU IV PUSH INITIAL	$216.03	$567.00	$370.99–$547.16	63% below	62%
IV push of a medicine, first drug CPT 96374 ITEL IV PUSH INITIAL	$216.03	$567.00	$49.74–$309.38	63% below	62%
IV push of a medicine, first drug CPT 96374 MED/SURG IV PUSH INITIAL	$216.03	$567.00	$49.74–$309.38	63% below	62%
IV push of a medicine, first drug CPT 96374 IV INJECT INITIAL	$216.03	$567.00	$370.99–$547.16	63% below	62%
IV push of a medicine, first drug inpatient CPT 96374 ITEL IV PUSH INITIAL	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug inpatient CPT 96374 POSTOP IVP INITIAL	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug inpatient CPT 96374 IV INJECT INITIAL	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug inpatient CPT 96374 MCH IV PUSH INITIAL	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug inpatient CPT 96374 MED/SURG IV PUSH INITIAL	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug inpatient CPT 96374 ICU IV PUSH INITIAL	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL	$216.03	$567.00	$370.99–$547.16	—	62%
IV push of a medicine, first drug inpatient CPT 96374 IV START INJECTION	$216.03	$567.00	$370.99–$547.16	—	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM SUB Q	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MED/SURG INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PSYCH OBSERV INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ PROPHYLACTIC DX	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 POSTOP INJECT SC, IM	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 MCH INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ONC INJECTED SC, IM	$71.09	$186.60	$22.54–$93.76	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ITEL INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ICU INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ANTIBIOTIC	$71.09	$186.60	$122.09–$180.07	65% below	62%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SC,IM	$71.09	$186.60	$22.54–$93.76	65% below	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PSYCH OBSERV INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MED/SURG INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ITEL INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC,IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ICU INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 POSTOP INJECT SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ONC INJECTED SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM ANTIBIOTIC	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM SUB Q	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ PROPHYLACTIC DX	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 MCH INJECTION SC, IM	$71.09	$186.60	$122.09–$180.07	—	62%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 OP INITIAL PSYCH EVAL NON APRN/MD	$220.79	$579.50	$379.17–$559.22	34% below	62%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 ED CRISIS EVAL ASSESSMENT	$220.79	$579.50	$107.85–$202.35	34% below	62%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 ED CRISIS EVAL ASSESSMENT	$220.79	$579.50	$379.17–$559.22	—	62%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 TELEHLTH INITIAL PSYCH EVAL APRN	$220.79	$579.50	$144.88–$559.22	—	62%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 OP INITIAL PSYCH EVAL NON APRN/MD	$220.79	$579.50	$379.17–$559.22	—	62%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 SENSORY 7 TO 8 STUDIES	$488.61	$1,282.45	$660.46–$1,237.56	60% below	62%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 SENSORY 7 TO 8 STUDIES	$488.61	$1,282.45	$660.46–$1,237.56	—	62%
Neuromuscular re-education, 15 minutes CPT 97112 DKH-OT NEUR-MUSC RE-ED EA 15 MIN	$38.29	$100.50	$65.76–$96.98	71% below	62%
Neuromuscular re-education, 15 minutes CPT 97112 DKH-NEURO-MUSC RE-EDUCAT PER 15MIN	$38.29	$100.50	$18.64–$175.00	71% below	62%
Neuromuscular re-education, 15 minutes CPT 97112 OTA NEURO MUSC RE-ED EA 15 MIN DKH	$38.29	$100.50	$65.76–$96.98	71% below	62%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEURO MUSC RE-ED EA 15 MIN DKH	$38.29	$100.50	$18.64–$175.00	71% below	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 DKH-NEURO-MUSC RE-EDUCAT PER 15MIN	$38.29	$100.50	$65.76–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEURO MUSC RE-ED EA 15 MIN PLF	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSC RE-ED PER 15 MIN PLF	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEURO MUSC RE-ED EA 15 MIN DLS	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSC RE-EDUCATION / 15 MIN	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELEHLTH OT NEURO-MUSC RE-ED 15MIN	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEURO MUSC RE-ED EA 15 MIN DKH	$38.29	$100.50	$65.76–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 DKH-OT NEUR-MUSC RE-ED EA 15 MIN	$38.29	$100.50	$65.76–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEURO MUSC RE-ED EA 15 MIN	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUR-MUSC RE-ED PER 15 MIN	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELEHLTH NEURO MUSC RE-ED 15MIN	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEURO MUSC RE-ED EA 15 MIN DKH	$38.29	$100.50	$65.76–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEURO MUSC RE-ED EA 15 MIN	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO-MUSC RE-EDUCAT PER 15 MIN	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEURO MUSC RE-ED EA 15 MIN PLF	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSC RE-EDUC PER 15 MIN PLF	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEURO MUSC RE-ED EA 15 MIN DLS	$38.29	$100.50	$25.13–$96.98	—	62%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEURO MUSC RE-ED PER 15 MIN DLS	$38.29	$100.50	$25.13–$96.98	—	62%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HEM ONC NEW PT FAC FEE CLINIC	$68.85	$180.70	$118.23–$174.38	43% below	62%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HEM ONC NEW PT FAC FEE CLINIC	$68.85	$180.70	$118.23–$174.38	—	62%
Occupational therapy evaluation, low complexity CPT 97165 DKH-OT EVAL LOW CPLX 30 MIN (PROC)	$97.71	$256.45	$167.80–$247.47	75% below	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 TELEHLTH OT EVAL LOW CPLX 30MIN	$97.71	$256.45	$64.11–$247.47	—	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 DKH-OT EVAL LOW CPLX 30 MIN (PROC)	$97.71	$256.45	$167.80–$247.47	—	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW CPLX 30 MIN (PROC) DLS	$97.71	$256.45	$64.11–$247.47	—	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW CPLX 30 MIN (PROC) PLF	$97.71	$256.45	$64.11–$247.47	—	62%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW CPLX 30 MIN (PROC) PUT	$97.71	$256.45	$64.11–$247.47	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 DKH-PT EVAL HIGH CPLX 45 MIN (PROC)	$101.29	$265.85	$45.79–$175.00	75% below	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH CPLX 45 MIN (PROC) PUT	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH CPLX 45 MIN (PROC) PLF	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TELEHLTH PT EVAL HIGH CPLX 45MIN	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 DKH-PT EVAL HIGH CPLX 45 MIN (PROC)	$101.29	$265.85	$173.95–$256.55	—	62%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH CPLX 45 MIN PROC DLS	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 DKH-PT EVAL LOW CPLX 20 MIN (PROC)	$101.29	$265.85	$45.79–$175.00	74% below	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TELEHLTH PT EVAL LOW CPLX 20MIN	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW CPLX 20 MIN (PROC) DLS	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW CPLX 20 MIN (PROC) PLF	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW CPLX 20 MIN (PROC) PUT	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 DKH-PT EVAL LOW CPLX 20 MIN (PROC)	$101.29	$265.85	$173.95–$256.55	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 DKH-PT EVAL MOD CPLX 30 MIN (PROC)	$101.29	$265.85	$45.79–$175.00	75% below	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 DKH-PT EVAL MOD CPLX 30 MIN (PROC)	$101.29	$265.85	$173.95–$256.55	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TELEHLTH PT EVAL MOD CPLX 30MIN	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD CPLX 30 MIN (PROC) PLF	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD CPLX 30 MIN (PROC) DLS	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD CPLX 30 MIN (PROC) PUT	$101.29	$265.85	$66.46–$256.55	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 DKH-MANUAL THERAPY PER 15 MIN	$34.27	$89.95	$16.78–$175.00	72% below	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY TECH EA 15 MIN	$34.27	$89.95	$58.85–$86.80	72% below	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THER TECH EA 15 MIN DKH	$34.27	$89.95	$16.78–$175.00	72% below	62%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 DKH-OT MANUAL THER TECH EA 15 MIN	$34.27	$89.95	$58.85–$86.80	72% below	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY TECH EA 15 MIN	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 DKH-MANUAL THERAPY PER 15 MIN	$34.27	$89.95	$58.85–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY TECH EA 15 MIN	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 DKH-OT MANUAL THER TECH EA 15 MIN	$34.27	$89.95	$58.85–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY PER 15 MIN DLS	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY /15 MIN PLF	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THER TECH EA 15 MIN DKH	$34.27	$89.95	$58.85–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THER TECH PER 15 MIN	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECHN PER 15 MIN DLS	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECHNIQUE PER 15 MIN	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY PER 15 MIN PLF	$34.27	$89.95	$22.49–$86.80	—	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA EXERCISE EA 15 MIN DKH	$36.77	$96.50	$63.14–$93.12	70% below	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 DKH-THERAPEUTIC EX PER 15 MIN	$36.77	$96.50	$17.91–$175.00	70% below	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THERAPEUTIC EX EA 15 MIN DKH	$36.77	$96.50	$17.91–$175.00	70% below	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 DKH-OT EXERCISE PER 15 MIN	$36.77	$96.50	$63.14–$93.12	70% below	62%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 DKH- CPM SET UP	$36.77	$96.50	$17.91–$175.00	70% below	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROC EA 15 MIN PLF	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 DKH-THERAPEUTIC EX PER 15 MIN	$36.77	$96.50	$63.14–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 DKH- CPM SET UP	$36.77	$96.50	$63.14–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN PLF	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN DKH	$36.77	$96.50	$63.14–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELEHLTH THER EX 15MIN	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT EXERCISE PER 15 MIN	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA EXERCISE EA 15 MIN	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE PER 15MIN PLF	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 DKH-OT EXERCISE PER 15 MIN	$36.77	$96.50	$63.14–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA EXERCISE EA 15 MIN DKH	$36.77	$96.50	$63.14–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELEHLTH OT EXERCISE 15MIN	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC PROCEDURE PER 15 MIN	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN DLS	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX PER 15 MIN DLS	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPEUTIC PROC EA 15 MIN DLS	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EX PER 15 MIN	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THERAPEUTIC EX EA 15 MIN	$36.77	$96.50	$24.13–$93.12	—	62%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CPM SET UP	$36.77	$96.50	$24.13–$93.12	—	62%
Psychiatric evaluation with medical services CPT 90792 ED PSYCH EVAL MD W/ MED SVCS	$220.79	$579.50	$107.85–$202.35	38% below	62%
Psychiatric evaluation with medical services CPT 90792 OUTPATIENT INITIAL PSYCH EVAL MD	$220.79	$579.50	$379.17–$559.22	38% below	62%
Psychiatric evaluation with medical services CPT 90792 PIP INITIAL PSYCH EVAL MD	$220.79	$579.50	$379.17–$559.22	38% below	62%
Psychiatric evaluation with medical services CPT 90792 INITIAL PSYCH EVAL MD	$220.79	$579.50	$379.17–$559.22	38% below	62%
Psychiatric evaluation with medical services inpatient CPT 90792 TELEHLTH INITIAL PSYCH EVAL MD	$220.79	$579.50	$144.88–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 TELEHLTH GT INITIAL PSYCH EVAL MD	$220.79	$579.50	$144.88–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 ED PSYCH EVAL MD W/ MED SVCS	$220.79	$579.50	$379.17–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 ED PSYCH EVAL APRN W MED SVCS	$220.79	$579.50	$144.88–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 INITIAL PSYCH EVAL MD	$220.79	$579.50	$379.17–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 PIP INITIAL PSYCH EVAL MD	$220.79	$579.50	$379.17–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 OUTPATIENT INITIAL PSYCH EVAL MD	$220.79	$579.50	$379.17–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 INITIAL PSYCH EVAL APRN	$220.79	$579.50	$144.88–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 PIP INITIAL PSYCH EVAL APRN	$220.79	$579.50	$144.88–$559.22	—	62%
Psychiatric evaluation with medical services inpatient CPT 90792 OUTPAT INITIAL PSYCH EVAL APRN	$220.79	$579.50	$144.88–$559.22	—	62%
Psychotherapy session, 30 minutes CPT 90832 INDIVIDUAL THERAPY 30 MIN	$135.73	$356.25	$233.09–$343.78	29% below	62%
Psychotherapy session, 30 minutes CPT 90832 ED PSYCHOTHERAPY 16-37 MINS	$135.73	$356.25	$47.10–$202.35	29% below	62%
Psychotherapy session, 30 minutes inpatient CPT 90832 INDIVIDUAL THERAPY 30 MIN	$135.73	$356.25	$233.09–$343.78	—	62%
Psychotherapy session, 30 minutes inpatient CPT 90832 TELEHLTH GT INDV THERAPY 30MIN	$135.73	$356.25	$89.06–$343.78	—	62%
Psychotherapy session, 30 minutes inpatient CPT 90832 TELEHLTH INDV THERAPY 30MIN	$135.73	$356.25	$89.06–$343.78	—	62%
Psychotherapy session, 30 minutes inpatient CPT 90832 ED PSYCHOTHERAPY 16-37 MINS	$135.73	$356.25	$233.09–$343.78	—	62%
Psychotherapy session, 45 minutes CPT 90834 INDIV THERAPY 45 MIN	$183.36	$481.25	$68.00–$274.00	30% below	62%
Psychotherapy session, 45 minutes CPT 90834 ED PSYCHOTHERAPY 38-52 MINS	$183.36	$481.25	$68.00–$274.00	30% below	62%
Psychotherapy session, 45 minutes inpatient CPT 90834 TELEHLTH GT INDIV THERAPY 45MIN	$183.36	$481.25	$120.31–$464.41	—	62%
Psychotherapy session, 45 minutes inpatient CPT 90834 TELEHLTH INDV THERAPY 45MIN	$183.36	$481.25	$120.31–$464.41	—	62%
Psychotherapy session, 45 minutes inpatient CPT 90834 INDIV THERAPY 45 MIN	$183.36	$481.25	$314.88–$464.41	—	62%
Psychotherapy session, 45 minutes inpatient CPT 90834 ED PSYCHOTHERAPY 38-52 MINS	$183.36	$481.25	$314.88–$464.41	—	62%
Psychotherapy session, 60 minutes CPT 90837 INDIVIDUAL PSYCHOTHERAPY 60 MIN	$219.21	$575.35	$376.45–$555.21	44% below	62%
Psychotherapy session, 60 minutes CPT 90837 ED PSYCHOTHERAPY >53MINS	$219.21	$575.35	$74.00–$264.00	44% below	62%
Psychotherapy session, 60 minutes inpatient CPT 90837 TELEHLTH PSYCHOTHERAPY 60MIN	$219.21	$575.35	$143.84–$555.21	—	62%
Psychotherapy session, 60 minutes inpatient CPT 90837 ED PSYCHOTHERAPY >53MINS	$219.21	$575.35	$376.45–$555.21	—	62%
Psychotherapy session, 60 minutes inpatient CPT 90837 TELEHLTH GT PSYCHOTHERAPY 60MIN	$219.21	$575.35	$143.84–$555.21	—	62%
Psychotherapy session, 60 minutes inpatient CPT 90837 INDIVIDUAL PSYCHOTHERAPY 60 MIN	$219.21	$575.35	$376.45–$555.21	—	62%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION ED	$38.52	$101.10	$9.28–$39.74	25% below	62%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION ED	$38.52	$101.10	$53.58–$97.56	—	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL V MD	$208.48	$547.20	$94.97	41% below	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL V APRN	$208.48	$547.20	$358.03–$528.05	41% below	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E & M LEVEL 5	$208.50	$547.25	$358.07–$528.10	41% below	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 E&M EST PATIENT(COMPLEX)	$208.54	$547.35	$94.97	41% below	62%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MCH LEVEL V VISIT	$208.54	$547.35	$358.13–$528.19	41% below	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL V MD	$208.48	$547.20	$358.03–$528.05	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHLTH GT LEVEL V MD	$208.48	$547.20	$136.80–$528.05	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHLTH LEVEL V APRN	$208.48	$547.20	$136.80–$528.05	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 TELEHLTH LEVEL V MD	$208.48	$547.20	$136.80–$528.05	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL V APRN	$208.48	$547.20	$358.03–$528.05	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E & M LEVEL 5	$208.50	$547.25	$358.07–$528.10	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MCH LEVEL V VISIT	$208.54	$547.35	$358.13–$528.19	—	62%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 E&M EST PATIENT(COMPLEX)	$208.54	$547.35	$358.13–$528.19	—	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E & M LEVEL 3	$109.06	$286.25	$187.29–$276.23	36% below	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL III APRN	$109.08	$286.30	$187.33–$276.28	36% below	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ACU-E&M LEVEL 3	$109.08	$286.30	$187.33–$276.28	36% below	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ONCOLOGY E&M LEVEL 3	$109.08	$286.30	$187.33–$276.28	36% below	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL III MD	$109.08	$286.30	$43.79	36% below	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 MCH LEVEL III VISIT	$124.13	$325.80	$213.17–$314.40	27% below	62%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M EST PATIENT(INTERMEDIATE)	$124.13	$325.80	$43.79	27% below	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E & M LEVEL 3	$109.06	$286.25	$187.29–$276.23	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL III APRN	$109.08	$286.30	$187.33–$276.28	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ONCOLOGY E&M LEVEL 3	$109.08	$286.30	$187.33–$276.28	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHLTH LEVEL III APRN	$109.08	$286.30	$71.58–$276.28	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHLTH GT LEVEL III MD	$109.08	$286.30	$71.58–$276.28	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ACU-E&M LEVEL 3	$109.08	$286.30	$187.33–$276.28	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TELEHLTH LEVEL III MD	$109.08	$286.30	$71.58–$276.28	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL III MD	$109.08	$286.30	$187.33–$276.28	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 MCH LEVEL III VISIT	$124.13	$325.80	$213.17–$314.40	—	62%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M EST PATIENT(INTERMEDIATE)	$124.13	$325.80	$213.17–$314.40	—	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E & M LEVEL 4	$153.12	$401.90	$67.42	43% below	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ACU-E&M LEVEL 4	$153.12	$401.90	$262.96–$387.83	43% below	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL IV MD	$153.14	$401.95	$67.42	43% below	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL IV APRN	$153.14	$401.95	$263.00–$387.88	43% below	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 MCH LEVEL IV VISIT	$153.90	$403.95	$264.30–$389.81	43% below	62%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M EST PATIENT(EXTENDED)	$153.90	$403.95	$67.42	43% below	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ACU-E&M LEVEL 4	$153.12	$401.90	$262.96–$387.83	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E & M LEVEL 4	$153.12	$401.90	$262.96–$387.83	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHLTH LEVEL IV MD	$153.14	$401.95	$100.49–$387.88	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL IV MD	$153.14	$401.95	$263.00–$387.88	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHLTH LEVEL IV APRN	$153.14	$401.95	$100.49–$387.88	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL IV APRN	$153.14	$401.95	$263.00–$387.88	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 TELEHLTH GT LEVEL IV MD	$153.14	$401.95	$100.49–$387.88	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 MCH LEVEL IV VISIT	$153.90	$403.95	$264.30–$389.81	—	62%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M EST PATIENT(EXTENDED)	$153.90	$403.95	$264.30–$389.81	—	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL II MD	$87.42	$229.45	$21.65	8% below	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E & M LEVEL 2	$87.42	$229.45	$21.65	8% below	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ACU-E&M LEVEL 2	$87.42	$229.45	$150.13–$221.42	8% below	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL II APRN	$87.42	$229.45	$21.65	8% below	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M EST PATIENT(LIMITED)	$101.80	$267.20	$21.65	7% above	62%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 MCH LEVEL II VISIT	$101.80	$267.20	$174.83–$257.85	7% above	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHLTH LEVEL II APRN	$87.42	$229.45	$57.36–$221.42	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ACU-E&M LEVEL 2	$87.42	$229.45	$150.13–$221.42	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL II MD	$87.42	$229.45	$150.13–$221.42	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL II APRN	$87.42	$229.45	$150.13–$221.42	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHLTH LEVEL II MD	$87.42	$229.45	$57.36–$221.42	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 TELEHLTH GT LEVEL II MD	$87.42	$229.45	$57.36–$221.42	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E & M LEVEL 2	$87.42	$229.45	$150.13–$221.42	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 MCH LEVEL II VISIT	$101.80	$267.20	$174.83–$257.85	—	62%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M EST PATIENT(LIMITED)	$101.80	$267.20	$174.83–$257.85	—	62%
Speech and language evaluation CPT 92523 DKH-SPEECH/SOUND/LANG COMPREHENSION	$233.40	$612.60	$400.82–$591.16	66% below	62%
Speech and language evaluation inpatient CPT 92523 DKH-EVAL RECEPTIVE/EXPRESSIVE LANG	$116.72	$306.35	$76.59–$295.63	—	62%
Speech and language evaluation inpatient CPT 92523 TELEHLTH EVAL RECEP/EXPRS LANG	$116.72	$306.35	$76.59–$295.63	—	62%
Speech and language evaluation inpatient CPT 92523 EVAL RECEPTIVE/EXPRESSIVE LANG DLSN	$116.72	$306.35	$76.59–$295.63	—	62%
Speech and language evaluation inpatient CPT 92523 EVAL RECEPTIVE/EXPRESSIVE LANG	$116.72	$306.35	$76.59–$295.63	—	62%
Speech and language evaluation inpatient CPT 92523 EVAL RECEPTIVE/EXPRESSIVE LANG PLFD	$166.73	$437.60	$109.40–$422.28	—	62%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN DLSN	$233.40	$612.60	$153.15–$591.16	—	62%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHENSION	$233.40	$612.60	$153.15–$591.16	—	62%
Speech and language evaluation inpatient CPT 92523 TELEHLTH SPEECH/SOUND/LANG COMP	$233.40	$612.60	$153.15–$591.16	—	62%
Speech and language evaluation inpatient CPT 92523 DKH-SPEECH/SOUND/LANG COMPREHENSION	$233.40	$612.60	$400.82–$591.16	—	62%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMP PLFD	$233.40	$612.60	$153.15–$591.16	—	62%
Speech therapy session, individual CPT 92507 DKH-SPEECH & LANGUAGE TX (PROC)	$164.95	$432.95	$283.28–$417.80	26% below	62%
Speech therapy session, individual inpatient CPT 92507 SPEECH & LANGUAGE TX (PROC)	$164.95	$432.95	$108.24–$417.80	—	62%
Speech therapy session, individual inpatient CPT 92507 TELEHLTH SPEECH & LANGUAGE TX	$164.95	$432.95	$108.24–$417.80	—	62%
Speech therapy session, individual inpatient CPT 92507 DKH-SPEECH & LANGUAGE TX (PROC)	$164.95	$432.95	$283.28–$417.80	—	62%
Speech therapy session, individual inpatient CPT 92507 SPEECH & LANGUAGE TX (PROC) PLF	$235.65	$618.50	$154.63–$596.85	—	62%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$108.11	$283.75	$150.39–$273.82	66% below	62%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$108.11	$283.75	$150.39–$273.82	—	62%
Spirometry before and after a bronchodilator CPT 94060 SPRIOMETRY W/BRONCHO	$155.22	$407.40	$43.91–$400.25	74% below	62%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPRIOMETRY W/BRONCHO	$155.22	$407.40	$215.92–$393.14	—	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 DKH-THERAPUTIC ACTIVITY PER 15 MIN	$45.83	$120.30	$19.54–$175.00	62% below	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPEUTIC ACTIVITY EA 15 MIN	$45.83	$120.30	$78.71–$116.09	62% below	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 DKH-OT THERAPEUTIC ACTIVITY/15 MIN	$45.83	$120.30	$78.71–$116.09	62% below	62%
Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTIC ACTIVITY EA 15 MIN	$45.83	$120.30	$19.54–$175.00	62% below	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 DKH-THERAPUTIC ACTIVITY PER 15 MIN	$45.83	$120.30	$78.71–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TELEHLTH THER ACTIVITY 15MIN	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPEUTIC ACTIVITY EA 15 MIN	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPEUTIC ACTIVITY/15 MIN	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY PER 15 MIN	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY/15 MIN DLS	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TELEHLTH OT THER ACTIVITY 15MIN	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 DKH-OT THERAPEUTIC ACTIVITY/15 MIN	$45.83	$120.30	$78.71–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY/15 MIN PLF	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY PER 15MIN DLS	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC ACTIVITY EA 15 MIN	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY PER 15MIN PLF	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTIC ACTIVITY EA 15MIN	$45.83	$120.30	$30.08–$116.09	—	62%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$91.44	$240.00	$157.03–$231.60	65% below	62%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$91.44	$240.00	$157.03–$231.60	—	62%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE VACCINE TRIVAL 2025-26	$19.60	$51.44	$21.19–$49.64	68% below	62%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TRIVALENT 2024-25	$19.60	$51.44	$21.19–$49.64	68% below	62%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TRIVALENT 2024-25	$19.60	$51.44	$17.69–$57.32	68% below	62%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE VACCINE TRIVAL 2025-26	$19.60	$51.44	$17.69–$57.32	68% below	62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE VACCINE TRIVAL 2025-26	$19.60	$51.44	$21.19–$49.64	—	62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE VACCINE TRIVAL 2025-26	$19.60	$51.44	$21.19–$49.64	—	62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TRIVALENT 2024-25	$19.60	$51.44	$21.19–$49.64	—	62%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TRIVALENT 2024-25	$19.60	$51.44	$21.19–$49.64	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG/ML VIAL	$46.99	$123.34	$80.70–$119.02	56% below	62%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B 20MCG/ML VIAL	$46.99	$123.34	$69.65–$188.79	56% below	62%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG/ML VIAL	$46.99	$123.34	$80.70–$119.02	—	62%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B 20MCG/ML VIAL	$46.99	$123.34	$80.70–$119.02	—	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20VAL CONJ DIP CRM 0.5ML	$238.13	$625.00	$156.25–$603.13	51% below	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20VAL CONJ DIP CRM 0.5ML	$238.13	$625.00	$156.25–$603.13	51% below	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20VAL CONJ DIP CRM 0.5ML	$238.13	$625.00	$156.25–$603.13	—	62%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20VAL CONJ DIP CRM 0.5ML	$238.13	$625.00	$156.25–$603.13	—	62%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE	$48.12	$126.30	$35.74–$92.68	64% below	62%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE	$48.12	$126.30	$52.04–$121.88	64% below	62%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE	$48.12	$126.30	$52.04–$121.88	—	62%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE	$48.12	$126.30	$52.04–$121.88	—	62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE INJ	$42.08	$110.45	$72.27–$106.58	49% below	62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE INJECTION	$42.08	$110.45	$10.00–$93.76	49% below	62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 SINGLE VACCINE ADMINISTRATION	$42.08	$110.45	$10.00–$93.76	49% below	62%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMON VACCINE ADMIN	$42.08	$110.45	$10.00–$93.76	49% below	62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 SINGLE VACCINE ADMINISTRATION	$42.08	$110.45	$72.27–$106.58	—	62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE INJECTION	$42.08	$110.45	$72.27–$106.58	—	62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE INJ	$42.08	$110.45	$72.27–$106.58	—	62%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMON VACCINE ADMIN	$42.08	$110.45	$72.27–$106.58	—	62%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 EACH ADDITIONAL VACCINE	$42.08	$110.45	$10.00	86% above	62%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 PNEUMON VACCINE ADMIN	$42.08	$110.45	$72.27–$106.58	86% above	62%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE INJ EA ADD'L	$42.08	$110.45	$72.27–$106.58	86% above	62%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 PNEUMON VACCINE ADMIN	$42.08	$110.45	$72.27–$106.58	—	62%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 EACH ADDITIONAL VACCINE	$42.08	$110.45	$72.27–$106.58	—	62%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE INJ EA ADD'L	$42.08	$110.45	$72.27–$106.58	—	62%

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://daykimball.pt.panaceainc.com/MRFDownload/daykimball/daykimball/