Hospital

Deaconess Illinois Union County Hospital

Deaconess Illinois Union County Hospital in Anna, IL publishes cash prices for 313 common procedures listed here, from its own machine-readable price file updated Feb 3, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 183 of 307 procedures and above it for 121. By typical cash price it ranks #53 of 117 Illinois hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

517 N. Main St., Anna, IL 62906 Collected Sep 23, 2026 Source price file Check a bill from this hospital (618) 833-4511

Critical access hospital (rural, 25 beds or fewer) For-profit hospital Emergency department CCN 141342 · CMS hospital register NPI 1710604483

State law

This state limits hospital bills for lower-income patients

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$2,275.29	$6,149.41	$536.00–$5,227.00	19% below	63%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$2,275.29	$6,149.41	$1,229.88–$5,165.50	—	63%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$353.40	$955.12	$229.23–$811.85	6% above	63%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$353.40	$955.12	$191.02–$802.30	—	63%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$216.11	$584.06	$140.17–$496.45	36% below	63%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$216.11	$584.06	$116.81–$490.61	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$675.51	$1,825.68	$438.16–$1,551.83	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$675.51	$1,825.68	$365.14–$1,533.57	—	63%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$2,068.81	$5,591.36	$536.00–$4,752.66	13% above	63%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$2,068.81	$5,591.36	$1,118.27–$4,696.74	—	63%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$481.05	$1,300.12	$312.03–$1,105.10	21% below	63%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$481.05	$1,300.12	$260.02–$1,092.10	—	63%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE WHOLE BODY	$1,563.85	$4,226.61	$1,014.39–$3,592.62	1% below	63%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE WHOLE BODY	$1,563.85	$4,226.61	$845.32–$3,550.35	—	63%
Breast ultrasound, complete, one breast both sides CPT 76641 HC US BREAST COMPLETE BILATERAL	$334.61	$904.34	$217.04–$768.69	—	63%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$334.61	$904.34	$217.04–$768.69	35% below	63%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC US BREAST COMPLETE BILATERAL	$334.61	$904.34	$180.87–$759.65	—	63%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$334.61	$904.34	$180.87–$759.65	—	63%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US BREAST LIMITED BILATERAL	$334.61	$904.34	$217.04–$768.69	—	63%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$334.61	$904.34	$217.04–$768.69	24% below	63%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US BREAST LIMITED BILATERAL	$334.61	$904.34	$180.87–$759.65	—	63%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$334.61	$904.34	$180.87–$759.65	—	63%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST	$4,353.69	$11,766.72	$536.00–$10,001.71	18% above	63%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST	$4,353.69	$11,766.72	$2,353.34–$9,884.04	—	63%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W&W/O CONTRAST	$2,176.85	$5,883.36	$536.00–$5,000.86	14% below	63%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W&W/O CONTRAST	$2,176.85	$5,883.36	$1,176.67–$4,942.02	—	63%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W&W/O CONTRAST	$2,176.85	$5,883.36	$536.00–$5,000.86	15% below	63%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W&W/O CONTRAST	$2,176.85	$5,883.36	$1,176.67–$4,942.02	—	63%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$2,176.85	$5,883.36	$536.00–$5,000.86	25% below	63%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$2,176.85	$5,883.36	$1,176.67–$4,942.02	—	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CARDIAC SCORING	$66.60	$180.00	$43.20–$602.00	70% below	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT AORTIC ROOT CALCIUM SCORE	$66.60	$180.00	$43.20–$602.00	70% below	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CALCIUM SCORING	$66.60	$180.00	$43.20–$602.00	70% below	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC VASCULAR SCREENING CARDIAC SCORING	$66.60	$180.00	$43.20–$602.00	70% below	63%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CARDIAC SCORING	$66.60	$180.00	$36.00–$151.20	—	63%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT AORTIC ROOT CALCIUM SCORE	$66.60	$180.00	$36.00–$151.20	—	63%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CALCIUM SCORING	$66.60	$180.00	$36.00–$151.20	—	63%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC VASCULAR SCREENING CARDIAC SCORING	$66.60	$180.00	$36.00–$151.20	—	63%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$3,136.62	$8,477.33	$536.00–$7,205.73	10% below	63%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$3,136.62	$8,477.33	$1,695.47–$7,120.96	—	63%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$3,378.11	$9,130.02	$536.00–$7,760.52	24% below	63%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$3,378.11	$9,130.02	$1,826.00–$7,669.22	—	63%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$4,292.87	$11,602.33	$536.00–$9,861.98	13% below	63%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$4,292.87	$11,602.33	$2,320.47–$9,745.96	—	63%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,436.56	$3,882.59	$536.00–$3,300.20	37% below	63%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,436.56	$3,882.59	$776.52–$3,261.38	—	63%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,436.56	$3,882.59	$536.00–$3,300.20	22% below	63%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,436.56	$3,882.59	$776.52–$3,261.38	—	63%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,180.66	$3,190.96	$536.00–$2,712.32	30% below	63%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,180.66	$3,190.96	$638.19–$2,680.41	—	63%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,434.96	$3,878.26	$536.00–$3,296.52	21% below	63%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$1,434.96	$3,878.26	$775.65–$3,257.74	—	63%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,434.96	$3,878.26	$536.00–$3,296.52	25% below	63%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,434.96	$3,878.26	$775.65–$3,257.74	—	63%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$2,275.29	$6,149.41	$536.00–$5,227.00	6% below	63%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$2,275.29	$6,149.41	$1,229.88–$5,165.50	—	63%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$2,375.52	$6,420.32	$536.00–$5,457.27	9% above	63%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$2,375.52	$6,420.32	$1,284.06–$5,393.07	—	63%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$2,182.25	$5,897.96	$536.00–$5,013.27	4% below	63%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$2,182.25	$5,897.96	$1,179.59–$4,954.29	—	63%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST	$2,144.44	$5,795.76	$536.00–$4,926.40	1% below	63%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST	$2,144.44	$5,795.76	$1,159.15–$4,868.44	—	63%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$1,225.62	$3,312.48	$795.00–$2,815.61	—	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$1,225.62	$3,312.48	$662.50–$2,782.48	—	63%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST	$3,127.61	$8,453.00	$536.00–$7,185.05	11% above	63%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST	$3,127.61	$8,453.00	$1,690.60–$7,100.52	—	63%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$240.42	$649.78	$155.95–$552.31	20% below	63%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$240.42	$649.78	$129.96–$545.82	—	63%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$184.46	$498.52	$119.64–$423.74	29% below	63%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$184.46	$498.52	$99.70–$418.76	—	63%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$212.54	$574.43	$137.86–$488.27	24% below	63%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$212.54	$574.43	$114.89–$482.52	—	63%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITIONEAL COMPLETE	$791.93	$2,140.34	$513.68–$1,819.29	2% below	63%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITIONEAL COMPLETE	$791.93	$2,140.34	$428.07–$1,797.89	—	63%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$374.15	$1,011.20	$242.69–$859.52	20% below	63%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$374.15	$1,011.20	$202.24–$849.41	—	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$2,141.64	$5,788.19	$536.00–$4,919.96	18% above	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$2,141.64	$5,788.19	$1,157.64–$4,862.08	—	63%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DIAG W/CONTRAST	$2,275.29	$6,149.41	$536.00–$5,227.00	5% below	63%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DIAG W/CONTRAST	$2,275.29	$6,149.41	$1,229.88–$5,165.50	—	63%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$280.11	$757.05	$181.69–$643.49	—	63%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$280.11	$757.05	$151.41–$635.92	—	63%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$166.55	$450.11	$108.03–$382.59	46% below	63%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$166.55	$450.11	$90.02–$378.09	—	63%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$1,417.32	$3,830.57	$919.34–$3,255.98	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$1,417.32	$3,830.57	$766.11–$3,217.68	—	63%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$1,099.67	$2,972.07	$713.30–$2,526.26	—	63%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$1,099.67	$2,972.07	$594.41–$2,496.54	—	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE PEDIATRIC	$1,443.56	$3,901.50	$936.36–$3,316.28	31% below	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE	$1,443.56	$3,901.50	$936.36–$3,316.28	31% below	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE	$1,443.56	$3,901.50	$936.36–$3,316.28	31% below	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE	$1,443.56	$3,901.50	$780.30–$3,277.26	—	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE	$1,443.56	$3,901.50	$780.30–$3,277.26	—	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE PEDIATRIC	$1,443.56	$3,901.50	$780.30–$3,277.26	—	63%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$207.30	$560.27	$134.46–$476.23	27% below	63%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$207.30	$560.27	$112.05–$470.63	—	63%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE 3+ VIEWS	$223.66	$604.46	$145.07–$513.79	34% below	63%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE 3+ VIEWS	$223.66	$604.46	$120.89–$507.75	—	63%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST	$1,180.66	$3,190.96	$536.00–$2,712.32	29% below	63%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST	$1,180.66	$3,190.96	$638.19–$2,680.41	—	63%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES COMPLETE 3+ VIEWS	$339.78	$918.30	$220.39–$780.56	17% below	63%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES COMPLETE 3+ VIEWS	$339.78	$918.30	$183.66–$771.37	—	63%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$219.25	$592.56	$142.21–$503.68	31% below	63%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$219.25	$592.56	$118.51–$497.75	—	63%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$1,511.45	$4,084.98	$980.40–$3,472.23	4% above	63%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$1,511.45	$4,084.98	$817.00–$3,431.38	—	63%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$207.30	$560.27	$134.46–$476.23	27% below	63%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$207.30	$560.27	$112.05–$470.63	—	63%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS 2+ VIEWS	$200.81	$542.71	$130.25–$461.30	22% below	63%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS 2+ VIEWS	$200.81	$542.71	$108.54–$455.88	—	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,741.63	$4,707.10	$1,129.70–$4,001.04	62% below	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,741.63	$4,707.10	$1,129.70–$4,001.04	62% below	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,741.63	$4,707.10	$941.42–$3,953.96	—	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,741.63	$4,707.10	$941.42–$3,953.96	—	63%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$256.14	$692.26	$166.14–$588.42	27% below	63%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$256.14	$692.26	$138.45–$581.50	—	63%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE COMPLETE 4+ VIEWS	$383.37	$1,036.13	$248.67–$880.71	13% below	63%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE COMPLETE 4+ VIEWS	$383.37	$1,036.13	$207.23–$870.35	—	63%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$2,068.81	$5,591.36	$536.00–$4,752.66	15% above	63%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$2,068.81	$5,591.36	$1,118.27–$4,696.74	—	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED ED	$691.89	$1,869.97	$448.79–$1,589.47	at median	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$691.89	$1,869.97	$448.79–$1,589.47	at median	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$691.89	$1,869.97	$373.99–$1,570.77	—	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED ED	$691.89	$1,869.97	$373.99–$1,570.77	—	63%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC	$167.69	$453.20	$108.77–$385.22	46% below	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC	$167.69	$453.20	$90.64–$380.69	—	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LOW DOSE LUNG CT SCREENING	$866.13	$2,340.87	$536.00–$1,989.74	53% above	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LOW DOSE LUNG CT SCREENING	$866.13	$2,340.87	$468.17–$1,966.33	—	63%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS	$249.64	$674.70	$161.93–$573.50	23% below	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS	$249.64	$674.70	$134.94–$566.75	—	63%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$2,740.27	$7,406.11	$984.00–$6,295.19	4% above	63%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$2,740.27	$7,406.11	$1,481.22–$6,221.13	—	63%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$2,740.27	$7,406.11	$984.00–$6,295.19	3% below	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$2,740.27	$7,406.11	$1,481.22–$6,221.13	—	63%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$3,587.40	$9,695.65	$984.00–$8,241.30	4% above	63%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$3,587.40	$9,695.65	$1,939.13–$8,144.35	—	63%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$2,740.27	$7,406.11	$984.00–$6,295.19	at median	63%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$2,740.27	$7,406.11	$1,481.22–$6,221.13	—	63%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$3,587.40	$9,695.65	$984.00–$8,241.30	4% below	63%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$3,587.40	$9,695.65	$1,939.13–$8,144.35	—	63%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$2,710.85	$7,326.62	$984.00–$6,227.63	3% below	63%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$2,710.85	$7,326.62	$1,465.32–$6,154.36	—	63%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$3,587.40	$9,695.65	$984.00–$8,241.30	11% below	63%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$3,587.40	$9,695.65	$1,939.13–$8,144.35	—	63%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$2,740.27	$7,406.11	$984.00–$6,295.19	5% below	63%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$2,740.27	$7,406.11	$1,481.22–$6,221.13	—	63%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$3,587.40	$9,695.65	$984.00–$8,241.30	11% below	63%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$3,587.40	$9,695.65	$1,939.13–$8,144.35	—	63%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$2,740.27	$7,406.11	$984.00–$6,295.19	4% below	63%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$2,740.27	$7,406.11	$1,481.22–$6,221.13	—	63%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$3,587.40	$9,695.65	$984.00–$8,241.30	8% below	63%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$3,587.40	$9,695.65	$1,939.13–$8,144.35	—	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$2,740.27	$7,406.11	$984.00–$6,295.19	6% below	63%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$2,740.27	$7,406.11	$1,481.22–$6,221.13	—	63%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$3,587.40	$9,695.65	$984.00–$8,241.30	at median	63%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$3,587.40	$9,695.65	$1,939.13–$8,144.35	—	63%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$2,740.27	$7,406.11	$984.00–$6,295.19	5% above	63%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$2,740.27	$7,406.11	$1,481.22–$6,221.13	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$2,710.85	$7,326.62	$984.00–$6,227.63	4% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$2,710.85	$7,326.62	$1,465.32–$6,154.36	—	63%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR CERVICAL SPINE 4 OR 5 VIEWS	$385.26	$1,041.23	$249.90–$885.05	29% below	63%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR CERVICAL SPINE 4 OR 5 VIEWS	$385.26	$1,041.23	$208.25–$874.63	—	63%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK W/CONTRAST	$2,137.83	$5,777.91	$536.00–$4,911.22	2% above	63%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK W/CONTRAST	$2,137.83	$5,777.91	$1,155.58–$4,853.44	—	63%
Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK W/O CONTRAST	$1,434.96	$3,878.26	$536.00–$3,296.52	18% below	63%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK W/O CONTRAST	$1,434.96	$3,878.26	$775.65–$3,257.74	—	63%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$211.71	$572.17	$137.32–$486.34	19% below	63%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$211.71	$572.17	$114.43–$480.62	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$2,940.76	$7,948.00	$1,907.52–$6,755.80	27% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$2,940.76	$7,948.00	$1,589.60–$6,676.32	—	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET W/CT TUMOR IMAGING SKULL TO MID-THIGH	$2,894.10	$7,821.88	$1,877.25–$6,648.60	51% below	63%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET W/CT TUMOR IMAGING SKULL TO MID-THIGH	$2,894.10	$7,821.88	$1,564.38–$6,570.38	—	63%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST	$1,888.74	$5,104.68	$536.00–$4,338.98	at median	63%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST	$1,888.74	$5,104.68	$1,020.94–$4,287.93	—	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON OB LIMITED	$691.89	$1,869.97	$448.79–$1,589.47	28% above	63%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON OB LIMITED	$691.89	$1,869.97	$373.99–$1,570.77	—	63%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB	$791.93	$2,140.34	$513.68–$1,819.29	at median	63%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB	$791.93	$2,140.34	$428.07–$1,797.89	—	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$789.84	$2,134.68	$512.32–$1,814.48	7% above	63%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$789.84	$2,134.68	$426.94–$1,793.13	—	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$690.37	$1,865.85	$447.80–$1,585.97	3% above	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$690.37	$1,865.85	$373.17–$1,567.31	—	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$555.46	$1,501.23	$360.30–$1,276.05	6% above	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$555.46	$1,501.23	$300.25–$1,261.03	—	63%
Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS	$241.26	$652.04	$156.49–$554.23	30% below	63%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS	$241.26	$652.04	$130.41–$547.71	—	63%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS	$257.25	$695.25	$166.86–$590.96	44% below	63%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS	$257.25	$695.25	$139.05–$584.01	—	63%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$132.44	$357.93	$85.90–$304.24	—	63%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$132.44	$357.93	$71.59–$300.66	—	63%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$249.64	$674.70	$161.93–$573.50	30% below	63%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$249.64	$674.70	$134.94–$566.75	—	63%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES COMPLETE 3+ VIEWS	$317.35	$857.68	$205.84–$729.03	14% below	63%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES COMPLETE 3+ VIEWS	$317.35	$857.68	$171.54–$720.45	—	63%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL < 4 VIEWS	$323.64	$874.68	$209.92–$743.48	3% above	63%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL < 4 VIEWS	$323.64	$874.68	$174.94–$734.73	—	63%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,741.63	$4,707.10	$1,129.70–$4,001.04	55% below	63%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,741.63	$4,707.10	$941.42–$3,953.96	—	63%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$528.21	$1,427.58	$342.62–$1,213.44	13% below	63%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$528.21	$1,427.58	$285.52–$1,199.17	—	63%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$320.91	$867.31	$208.15–$737.21	14% above	63%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$320.91	$867.31	$173.46–$728.54	—	63%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$2,167.24	$5,857.40	$536.00–$4,978.79	1% above	63%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$2,167.24	$5,857.40	$1,171.48–$4,920.22	—	63%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) 2+ VIEWS	$162.03	$437.90	$105.10–$372.22	31% below	63%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) 2+ VIEWS	$162.03	$437.90	$87.58–$367.84	—	63%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$435.41	$1,176.78	$282.43–$1,000.26	33% below	63%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL	$435.41	$1,176.78	$235.36–$988.50	—	63%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL	$462.28	$1,249.39	$299.85–$1,061.98	13% below	63%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL	$462.28	$1,249.39	$249.88–$1,049.49	—	63%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$791.93	$2,140.34	$513.68–$1,819.29	22% below	63%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$791.93	$2,140.34	$428.07–$1,797.89	—	63%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$758.78	$2,050.73	$492.18–$1,743.12	3% above	63%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$758.78	$2,050.73	$410.15–$1,722.61	—	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK ED	$758.78	$2,050.73	$492.18–$1,743.12	12% above	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$758.78	$2,050.73	$492.18–$1,743.12	12% above	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$758.78	$2,050.73	$410.15–$1,722.61	—	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK ED	$758.78	$2,050.73	$410.15–$1,722.61	—	63%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2+ VIEWS	$233.72	$631.65	$151.60–$536.90	21% below	63%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2+ VIEWS	$233.72	$631.65	$126.33–$530.59	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$742.39	$2,006.44	$481.55–$1,705.47	11% above	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED ED	$742.39	$2,006.44	$481.55–$1,705.47	11% above	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED ED	$742.39	$2,006.44	$401.29–$1,685.41	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$742.39	$2,006.44	$401.29–$1,685.41	—	63%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$194.10	$524.58	$125.90–$445.89	27% below	63%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$194.10	$524.58	$104.92–$440.65	—	63%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$224.91	$607.85	$145.88–$516.67	31% below	63%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$224.91	$607.85	$121.57–$510.59	—	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$273.33	$738.72	$177.29–$627.91	10% below	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$273.33	$738.72	$147.74–$620.52	—	63%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$248.81	$672.44	$161.39–$571.57	7% below	63%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$248.81	$672.44	$134.49–$564.85	—	63%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$186.13	$503.05	$120.73–$427.59	33% below	63%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$186.13	$503.05	$100.61–$422.56	—	63%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2+ VIEWS	$172.09	$465.10	$111.62–$395.34	36% below	63%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2+ VIEWS	$172.09	$465.10	$93.02–$390.68	—	63%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$207.30	$560.27	$134.46–$476.23	25% below	63%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$207.30	$560.27	$112.05–$470.63	—	63%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$229.31	$619.75	$148.74–$526.79	34% below	63%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$229.31	$619.75	$123.95–$520.59	—	63%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$230.15	$622.02	$149.28–$528.72	33% below	63%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$230.15	$622.02	$124.40–$522.50	—	63%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$217.37	$587.46	$140.99–$499.34	25% below	63%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$217.37	$587.46	$117.49–$493.47	—	63%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$354.86	$959.08	$230.18–$815.22	20% below	63%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$354.86	$959.08	$191.82–$805.63	—	63%
X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$417.75	$1,129.03	$270.97–$959.68	25% below	63%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$417.75	$1,129.03	$225.81–$948.39	—	63%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$260.54	$704.16	$169.00–$598.54	29% below	63%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$260.54	$704.16	$140.83–$591.49	—	63%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$239.37	$646.94	$155.27–$549.90	20% below	63%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$239.37	$646.94	$129.39–$543.43	—	63%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$265.37	$717.19	$172.13–$609.61	26% below	63%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$265.37	$717.19	$143.44–$602.44	—	63%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$249.64	$674.70	$161.93–$573.50	28% below	63%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$249.64	$674.70	$134.94–$566.75	—	63%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$260.54	$704.16	$169.00–$598.54	24% below	63%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$260.54	$704.16	$140.83–$591.49	—	63%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH REF	$295.36	$798.25	$38.62–$678.51	48% above	63%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH REF	$295.36	$798.25	$159.65–$670.53	—	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT B	$73.18	$197.76	$5.30–$168.10	33% above	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT B	$73.18	$197.76	$39.55–$166.12	—	63%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT B	$73.18	$197.76	$5.18–$168.10	33% above	63%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT B	$73.18	$197.76	$39.55–$166.12	—	63%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL REF	$128.82	$348.14	$47.63–$295.92	51% below	63%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL REF	$128.82	$348.14	$69.63–$292.44	—	63%
Albumin blood test CPT 82040 HC ALBUMIN B	$63.27	$170.98	$4.95–$145.33	47% above	63%
Albumin blood test inpatient CPT 82040 HC ALBUMIN B	$63.27	$170.98	$34.20–$143.62	—	63%
Aldosterone blood test CPT 82088 HC ALDOSTERONE BLOOD\URINE REF	$263.73	$712.76	$40.75–$605.85	60% above	63%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLOOD\URINE REF	$263.73	$712.76	$142.55–$598.72	—	63%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$117.38	$317.24	$5.18–$269.65	113% above	63%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE REF	$117.38	$317.24	$5.18–$269.65	113% above	63%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE REF	$117.38	$317.24	$63.45–$266.48	—	63%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$117.38	$317.24	$63.45–$266.48	—	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF290-IGE OYSTER REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PORK F26 IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN F253-IGE PINE NUT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST SOYBEAN F14 IGE QUANT SEMIQNT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T015-IGE ASH WHITE REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST COCONUT F36 IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN IGE M001 PENICILLIUM CHRYSOGEN REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF080-IGE LOBSTER REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG E082-IGE RABBIT EPITHELIA REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FX02-IGE FISH/SHELL MIX REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN E006-IGG GUINEA PIG EPITHELIA REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT PAPER WASP IGE	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC I006-IGE COCKROACH GERMAN REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F202-IGE CASHEW NUT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST CHESTNUTF299 IGE QT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST TOMATO IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST BEEF F27 IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T011- IGE MAPLE LEAF SYCAMORE REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD BEEF IGE	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T008-IGE ELM AMERICAN WHITE REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC G006-IGE TIMOTHY GRASS REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC M002-IGE CLADOSPORIUM HERBARU REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PEA IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST WALNUT IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT YELLOW FACED HORNET IGE	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W011-IGE THISTLE RUSSIAN REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC M006-IGE ALTERNARIA TENUIS REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN I205-IGE BUMBLEBEE	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC G002-IGE BERMUDA GRASS REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W014-IGE PIGWEED ROUGH REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG K075-IGE ISOCYANATES TDI REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F092 IGE BANANA	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC W016-IGE ROUGH MARSHELDER REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT HONEY BEE VENOM IGE	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEANUT ALLERGEN	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGENM047-IGE ASPERGIL REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNT010-IGE WALNUT POLLEN REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD LAMB REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D001-IGE D PTERONYSSINUS REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T022- IGE PECAN HICORY REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT WHITE FACED HORNET IGE	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG K077-IGE ISOCYANATES HDI REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC E072 ALLERGEN-IGE MOUSE UR REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD MACADAMIA REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T014- IGE COTTONWOOD REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST COMMON SHORT RAGWEED IGE QNT SQ REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F054-IGE SWEET POTATO REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT YELLOW JACKET VENOM IGE	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST CARROT IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF023-IGE CRAB REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F017-IGE HAZELNUT/FILBERT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F020-IGE ALMOND REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG E083 IGE SWINE EPITHELIA REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F003 AGN-IGE CODFISH REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T006-IGE CEDAR MOUNTAIN REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC F013-IGE PEANUT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICK PEA F30	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F018-IGE BRAZIL NUT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC E005 -IGE DOG HAIR/DANDER REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST PISTACHIO IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF053-IGE SCALLOP REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F256 -IGE WALNUT FOOD REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T070-IGE WHITE MULBERRY REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T001-IGE MAPLE/BOX ELDER REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEANUT IGE RFLX REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC M003-IGE ASPERGILLUS FUMIGATU REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC E001-IGE CAT HAIR/DANDER STAN REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGNF207-IGE CLAM REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST CORN IGE QUANT SEMIQUANT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC D002-IGE D FARINAE MITE REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PHOSPHATIDYLSERIN IGA \IGG\IGM REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ANG K076-IGE ISOCYANATES MDI REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC AGN F201-IGE PECAN NUT REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HC T007-IGE OAK WHITE REF	$44.97	$121.54	$5.22–$103.31	64% above	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT YELLOW JACKET VENOM IGE	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T006-IGE CEDAR MOUNTAIN REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEANUT IGE RFLX REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W011-IGE THISTLE RUSSIAN REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD BEEF IGE	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF053-IGE SCALLOP REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT YELLOW FACED HORNET IGE	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC E005 -IGE DOG HAIR/DANDER REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG K077-IGE ISOCYANATES HDI REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC M006-IGE ALTERNARIA TENUIS REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F018-IGE BRAZIL NUT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST CARROT IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF207-IGE CLAM REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T015-IGE ASH WHITE REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN E006-IGG GUINEA PIG EPITHELIA REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC E072 ALLERGEN-IGE MOUSE UR REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST CHESTNUTF299 IGE QT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F201-IGE PECAN NUT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F003 AGN-IGE CODFISH REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T001-IGE MAPLE/BOX ELDER REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC E001-IGE CAT HAIR/DANDER STAN REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST PORK F26 IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG E083 IGE SWINE EPITHELIA REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT PAPER WASP IGE	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T007-IGE OAK WHITE REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF080-IGE LOBSTER REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F202-IGE CASHEW NUT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN IGE M001 PENICILLIUM CHRYSOGEN REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST PEA IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC G006-IGE TIMOTHY GRASS REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST BEEF F27 IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC M002-IGE CLADOSPORIUM HERBARU REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F013-IGE PEANUT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST TOMATO IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT WHITE FACED HORNET IGE	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG E082-IGE RABBIT EPITHELIA REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF023-IGE CRAB REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W014-IGE PIGWEED ROUGH REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST PISTACHIO IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F017-IGE HAZELNUT/FILBERT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC M003-IGE ASPERGILLUS FUMIGATU REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNF290-IGE OYSTER REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST CORN IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICK PEA F30	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T022- IGE PECAN HICORY REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGNT010-IGE WALNUT POLLEN REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST COMMON SHORT RAGWEED IGE QNT SQ REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEANUT ALLERGEN	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F020-IGE ALMOND REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC W016-IGE ROUGH MARSHELDER REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC G002-IGE BERMUDA GRASS REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T070-IGE WHITE MULBERRY REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGENM047-IGE ASPERGIL REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC F092 IGE BANANA	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG K075-IGE ISOCYANATES TDI REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC I006-IGE COCKROACH GERMAN REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T014- IGE COTTONWOOD REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T011- IGE MAPLE LEAF SYCAMORE REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D002-IGE D FARINAE MITE REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST SOYBEAN F14 IGE QUANT SEMIQNT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT HONEY BEE VENOM IGE	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD MACADAMIA REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F054-IGE SWEET POTATO REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FX02-IGE FISH/SHELL MIX REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PHOSPHATIDYLSERIN IGA \IGG\IGM REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN F253-IGE PINE NUT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST COCONUT F36 IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC D001-IGE D PTERONYSSINUS REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN F256 -IGE WALNUT FOOD REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST WALNUT IGE QUANT SEMIQUANT REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AGN I205-IGE BUMBLEBEE	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ANG K076-IGE ISOCYANATES MDI REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC T008-IGE ELM AMERICAN WHITE REF	$44.97	$121.54	$24.31–$102.09	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD LAMB REF	$44.97	$121.54	$24.31–$102.09	—	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP MATERNAL	$123.86	$334.75	$16.77–$284.54	7% above	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN AFP SERUM TUMOR MARKER	$123.86	$334.75	$16.77–$284.54	7% above	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN AFP SERUM TUMOR MARKER	$123.86	$334.75	$66.95–$281.19	—	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP MATERNAL	$123.86	$334.75	$66.95–$281.19	—	63%
Ammonia blood test CPT 82140 HC AMMONIA B	$131.48	$355.35	$14.57–$302.05	21% above	63%
Ammonia blood test inpatient CPT 82140 HC AMMONIA B	$131.48	$355.35	$71.07–$298.49	—	63%
Amylase blood test CPT 82150 HC AMYLASE B	$76.99	$208.06	$6.48–$176.85	4% below	63%
Amylase blood test inpatient CPT 82150 HC AMYLASE B	$76.99	$208.06	$41.61–$174.77	—	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA AB IFA REF	$70.89	$191.58	$12.09–$162.84	23% below	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA IFA REFLEX 9 BIOMARKERS REF	$96.04	$259.56	$12.09–$220.63	4% above	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA BY IFA REFLEX TO 11 BIOMARKER PROFILE	$96.04	$259.56	$12.09–$220.63	4% above	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR AB ANA IGG	$96.04	$259.56	$12.09–$220.63	4% above	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA REF	$96.04	$259.56	$12.09–$220.63	4% above	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB QUAL MULTIPLEX IMMUNOASSAY REF	$187.45	$506.60	$12.09–$430.61	103% above	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA AB IFA REF	$70.89	$191.58	$38.32–$160.93	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA REF	$96.04	$259.56	$51.91–$218.03	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA IFA REFLEX 9 BIOMARKERS REF	$96.04	$259.56	$51.91–$218.03	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR AB ANA IGG	$96.04	$259.56	$51.91–$218.03	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA BY IFA REFLEX TO 11 BIOMARKER PROFILE	$96.04	$259.56	$51.91–$218.03	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB QUAL MULTIPLEX IMMUNOASSAY REF	$187.45	$506.60	$101.32–$425.54	—	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BN PEPTIDE BNP	$176.45	$476.89	$39.26–$405.36	7% below	63%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BN PEPTIDE BNP	$176.45	$476.89	$95.38–$400.59	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE SPUTUM	$72.03	$194.67	$8.62–$165.47	19% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE GENITAL TRACT	$72.03	$194.67	$8.62–$165.47	19% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY TRACT	$72.03	$194.67	$8.62–$165.47	19% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE TISSUE	$72.03	$194.67	$8.62–$165.47	19% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$72.03	$194.67	$8.62–$165.47	19% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BODY FLUID	$72.03	$194.67	$8.62–$165.47	19% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF	$72.03	$194.67	$8.62–$165.47	19% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE TISSUE	$72.03	$194.67	$38.93–$163.52	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$72.03	$194.67	$38.93–$163.52	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY TRACT	$72.03	$194.67	$38.93–$163.52	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE SPUTUM	$72.03	$194.67	$38.93–$163.52	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF	$72.03	$194.67	$38.93–$163.52	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE GENITAL TRACT	$72.03	$194.67	$38.93–$163.52	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BODY FLUID	$72.03	$194.67	$38.93–$163.52	—	63%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROF CHEM8	$110.14	$297.67	$8.46–$253.02	13% below	63%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROF CHEM8	$110.14	$297.67	$59.53–$250.04	—	63%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN BODY FLUID REF	$63.27	$170.98	$5.02–$145.33	5% above	63%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$63.27	$170.98	$5.02–$145.33	5% above	63%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$63.27	$170.98	$34.20–$143.62	—	63%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN BODY FLUID REF	$63.27	$170.98	$34.20–$143.62	—	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL IV	$107.86	$291.49	$69.96–$247.77	56% below	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL IV	$107.86	$291.49	$58.30–$244.85	—	63%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$102.14	$276.04	$10.32–$234.63	29% below	63%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$102.14	$276.04	$55.21–$231.87	—	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$20.58	$55.62	$8.83–$47.28	12% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$20.58	$55.62	$8.83–$47.28	12% below	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$20.58	$55.62	$11.12–$46.72	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$20.58	$55.62	$11.12–$46.72	—	63%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE B	$53.74	$145.23	$3.93–$123.45	35% above	63%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE ISTAT	$53.74	$145.23	$3.93–$123.45	35% above	63%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BY DEVICE	$53.74	$145.23	$3.93–$123.45	35% above	63%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE B	$53.74	$145.23	$29.05–$121.99	—	63%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BY DEVICE	$53.74	$145.23	$29.05–$121.99	—	63%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE ISTAT	$53.74	$145.23	$29.05–$121.99	—	63%
Blood lead test CPT 83655 HC LEAD REF	$99.85	$269.86	$12.11–$229.38	85% above	63%
Blood lead test CPT 83655 HC LEAD CAP PED REF	$99.85	$269.86	$12.11–$229.38	85% above	63%
Blood lead test CPT 83655 HC LEAD WHOLE BLOOD	$99.85	$269.86	$12.11–$229.38	85% above	63%
Blood lead test inpatient CPT 83655 HC LEAD REF	$99.85	$269.86	$53.97–$226.68	—	63%
Blood lead test inpatient CPT 83655 HC LEAD CAP PED REF	$99.85	$269.86	$53.97–$226.68	—	63%
Blood lead test inpatient CPT 83655 HC LEAD WHOLE BLOOD	$99.85	$269.86	$53.97–$226.68	—	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPING	$41.16	$111.24	$2.99–$94.55	51% below	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPING	$41.16	$111.24	$22.25–$93.44	—	63%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN B	$63.27	$170.98	$3.95–$145.33	31% above	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN B	$63.27	$170.98	$34.20–$143.62	—	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN	$83.85	$226.60	$5.18–$192.61	22% above	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN	$83.85	$226.60	$45.32–$190.34	—	63%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM PCR REF	$85.37	$230.72	$37.27–$196.11	54% below	63%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM BY PCR	$85.37	$230.72	$37.27–$196.11	54% below	63%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM BY PCR	$85.37	$230.72	$46.14–$193.80	—	63%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM PCR REF	$85.37	$230.72	$46.14–$193.80	—	63%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 REF	$155.49	$420.24	$20.81–$357.20	38% above	63%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 REF	$155.49	$420.24	$84.05–$353.00	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19 NAA REF	$95.28	$257.50	$51.31–$218.88	18% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$95.28	$257.50	$51.31–$218.88	18% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID19 NAA REF	$95.28	$257.50	$51.50–$216.30	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$95.28	$257.50	$51.50–$216.30	—	63%
Calcium blood test, total CPT 82310 HC CALCIUM B	$63.27	$170.98	$5.16–$145.33	45% above	63%
Calcium blood test, total CPT 82310 HC CALCIUM B REF	$63.27	$170.98	$5.16–$145.33	45% above	63%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM B	$63.27	$170.98	$34.20–$143.62	—	63%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM B REF	$63.27	$170.98	$34.20–$143.62	—	63%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN	$144.44	$390.37	$18.96–$331.81	1% above	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN	$144.44	$390.37	$78.07–$327.91	—	63%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB IGG\IGM REF	$133.77	$361.53	$12.88–$307.30	85% above	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB IGG\IGM REF	$133.77	$361.53	$72.31–$303.69	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH AMPLIFIED DETECTION REF	$69.75	$188.49	$35.09–$160.22	43% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA	$69.75	$188.49	$35.09–$160.22	43% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH AMPLIFIED DETECTION REF	$69.75	$188.49	$37.70–$158.33	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA	$69.75	$188.49	$37.70–$158.33	—	63%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE CORONARY RISK	$110.91	$299.73	$13.39–$254.77	11% below	63%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE CORONARY RISK	$110.91	$299.73	$59.95–$251.77	—	63%
Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF	$85.75	$231.75	$7.77–$196.99	7% above	63%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF	$85.75	$231.75	$46.35–$194.67	—	63%
Complete blood count (CBC), no differential CPT 85027 HC CBC W MANUAL DIFF	$98.33	$265.74	$6.47–$225.88	51% above	63%
Complete blood count (CBC), no differential CPT 85027 HC WHOLE BLOOD SCREEN	$98.33	$265.74	$6.47–$225.88	51% above	63%
Complete blood count (CBC), no differential inpatient CPT 85027 HC WHOLE BLOOD SCREEN	$98.33	$265.74	$53.15–$223.22	—	63%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W MANUAL DIFF	$98.33	$265.74	$53.15–$223.22	—	63%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$116.24	$314.15	$10.56–$267.03	24% below	63%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$116.24	$314.15	$62.83–$263.89	—	63%
Cortisol blood test, total CPT 82533 HC CORTISOL BLOOD REF	$120.43	$325.48	$16.30–$276.66	7% above	63%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL BLOOD REF	$120.43	$325.48	$65.10–$273.40	—	63%
Creatine kinase (CK) blood test, total CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE	$84.61	$228.66	$6.51–$194.36	26% above	63%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE	$84.61	$228.66	$45.73–$192.07	—	63%
Creatinine blood test CPT 82565 HC CREATININE B	$63.27	$170.98	$5.12–$145.33	33% above	63%
Creatinine blood test CPT 82565 HC CREATININE ISTAT	$63.27	$170.98	$5.12–$145.33	33% above	63%
Creatinine blood test inpatient CPT 82565 HC CREATININE B	$63.27	$170.98	$34.20–$143.62	—	63%
Creatinine blood test inpatient CPT 82565 HC CREATININE ISTAT	$63.27	$170.98	$34.20–$143.62	—	63%
D-dimer blood test (blood clot marker) CPT 85379 HC DIMER QUANTITATIVE	$103.28	$279.13	$10.18–$237.26	13% below	63%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DIMER QUANTITATIVE	$103.28	$279.13	$55.83–$234.47	—	63%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE REF	$171.88	$464.53	$22.23–$394.85	56% above	63%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE REF	$171.88	$464.53	$92.91–$390.21	—	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 6 PANEL REF	$85.75	$231.75	$55.62–$196.99	14% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN HAIR	$85.75	$231.75	$55.62–$196.99	14% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN DOT AND NON DOT	$85.75	$231.75	$55.62–$196.99	14% below	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN HAIR	$85.75	$231.75	$46.35–$194.67	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN DOT AND NON DOT	$85.75	$231.75	$46.35–$194.67	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 6 PANEL REF	$85.75	$231.75	$46.35–$194.67	—	63%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTES NA K CL C02	$97.57	$263.68	$7.01–$224.13	7% above	63%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTES NA K CL C02	$97.57	$263.68	$52.74–$221.49	—	63%
Estradiol blood test CPT 82670 HC ESTRADIOL REF	$173.79	$469.68	$27.94–$399.23	58% above	63%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL REF	$173.79	$469.68	$93.94–$394.53	—	63%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH FOLLICLE STIM HORMONE	$141.01	$381.10	$18.58–$323.94	17% above	63%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH FOLLICLE STIM HORMONE	$141.01	$381.10	$76.22–$320.12	—	63%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL REF	$33.54	$90.64	$19.63–$77.04	81% below	63%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL REF	$33.54	$90.64	$18.13–$76.14	—	63%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$123.86	$334.75	$13.63–$284.54	6% below	63%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN REF	$123.86	$334.75	$13.63–$284.54	6% below	63%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$123.86	$334.75	$66.95–$281.19	—	63%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN REF	$123.86	$334.75	$66.95–$281.19	—	63%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN B	$56.79	$153.47	$9.72–$130.45	32% below	63%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN B	$56.79	$153.47	$30.69–$128.91	—	63%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM REF	$120.43	$325.48	$14.70–$276.66	6% above	63%
Folate (folic acid) blood test CPT 82746 HC FOLATE	$120.43	$325.48	$14.70–$276.66	6% above	63%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM REF	$120.43	$325.48	$65.10–$273.40	—	63%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE	$120.43	$325.48	$65.10–$273.40	—	63%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE REF	$176.45	$476.89	$16.94–$405.36	45% above	63%
Free T3 thyroid hormone test CPT 84481 HC FREE T3	$176.45	$476.89	$16.94–$405.36	45% above	63%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE REF	$176.45	$476.89	$95.38–$400.59	—	63%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3	$176.45	$476.89	$95.38–$400.59	—	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 THYROXINE FREE REF	$96.04	$259.56	$9.02–$220.63	17% below	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4	$96.04	$259.56	$9.02–$220.63	17% below	63%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4	$96.04	$259.56	$51.91–$218.03	—	63%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 THYROXINE FREE REF	$96.04	$259.56	$51.91–$218.03	—	63%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE REF	$121.58	$328.57	$25.47–$279.28	3% below	63%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE REF	$121.58	$328.57	$65.71–$276.00	—	63%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE	$75.46	$203.94	$7.20–$173.35	29% above	63%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE	$75.46	$203.94	$40.79–$171.31	—	63%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 2 HOUR PC 75G GLUC	$53.74	$145.23	$4.75–$123.45	7% below	63%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 2 HOUR PC 75G GLUC	$53.74	$145.23	$29.05–$121.99	—	63%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE 0	$125.01	$337.84	$12.87–$287.16	4% below	63%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE 0	$125.01	$337.84	$67.57–$283.79	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE BY TMA	$69.75	$188.49	$35.09–$160.22	42% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHEA DNA PROBE REF	$69.75	$188.49	$35.09–$160.22	42% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHEA DNA PROBE REF	$69.75	$188.49	$37.70–$158.33	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE BY TMA	$69.75	$188.49	$37.70–$158.33	—	63%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG REF	$99.09	$267.80	$14.38–$227.63	15% below	63%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG REF	$99.09	$267.80	$53.56–$224.95	—	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 RNA BY PCR QUANT REF	$243.53	$658.17	$85.10–$559.44	28% below	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 RNA BY PCR QUANT REF	$243.53	$658.17	$131.63–$552.86	—	63%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1/2 RAPID SCREEN	$212.65	$574.72	$13.71–$488.51	80% above	63%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1/2 RAPID SCREEN	$212.65	$574.72	$114.94–$482.76	—	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$44.55	$120.40	$24.08–$102.34	61% below	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$44.55	$120.40	$24.08–$101.14	—	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN	$97.57	$263.68	$9.71–$224.13	10% above	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN HGB A1C GLYCOSOLATED REF	$97.57	$263.68	$9.71–$224.13	10% above	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN	$97.57	$263.68	$52.74–$221.49	—	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN HGB A1C GLYCOSOLATED REF	$97.57	$263.68	$52.74–$221.49	—	63%
Hemoglobin blood test CPT 85018 HC HGB	$41.16	$111.24	$2.37–$94.55	31% above	63%
Hemoglobin blood test inpatient CPT 85018 HC HGB	$41.16	$111.24	$22.25–$93.44	—	63%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL REF	$110.14	$297.67	$12.05–$253.02	38% above	63%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL REF	$110.14	$297.67	$59.53–$250.04	—	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE AB REF	$279.14	$754.42	$10.74–$641.26	198% above	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE AB REF	$279.14	$754.42	$150.88–$633.71	—	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS HBSAG REF	$110.14	$297.67	$10.33–$253.02	24% above	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$110.14	$297.67	$10.33–$253.02	24% above	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS HBSAG REF	$110.14	$297.67	$59.53–$250.04	—	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$110.14	$297.67	$59.53–$250.04	—	63%
Hepatitis C antibody blood test (screening) CPT 86803 HC HCV AB RFX TO QNT PCR REF	$110.14	$297.67	$14.27–$253.02	2% below	63%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$110.14	$297.67	$14.27–$253.02	2% below	63%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS PANEL RFLX HCVPCR REF	$128.82	$348.14	$14.27–$295.92	15% above	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$110.14	$297.67	$59.53–$250.04	—	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV AB RFX TO QNT PCR REF	$110.14	$297.67	$59.53–$250.04	—	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS PANEL RFLX HCVPCR REF	$128.82	$348.14	$69.63–$292.44	—	63%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 REF	$101.38	$273.98	$13.19–$232.88	50% above	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 REF	$101.38	$273.98	$54.80–$230.14	—	63%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 REF	$101.38	$273.98	$19.35–$232.88	10% above	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 REF	$101.38	$273.98	$54.80–$230.14	—	63%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVE	$99.09	$267.80	$12.95–$227.63	7% above	63%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVE	$99.09	$267.80	$53.56–$224.95	—	63%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE REF	$188.27	$508.82	$17.92–$432.50	57% above	63%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE REF	$188.27	$508.82	$101.76–$427.41	—	63%
Insulin blood test CPT 83525 HC INSULIN TOTAL REF	$75.08	$202.91	$11.43–$172.47	2% above	63%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL REF	$75.08	$202.91	$40.58–$170.44	—	63%
Iron blood test (serum iron) CPT 83540 HC IRON B	$80.04	$216.30	$6.47–$183.86	4% above	63%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON B	$80.04	$216.30	$43.26–$181.69	—	63%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON AND IRON BIND CAP	$96.04	$259.56	$8.74–$220.63	22% above	63%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON AND IRON BIND CAP	$96.04	$259.56	$51.91–$218.03	—	63%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE	$110.91	$299.73	$8.68–$254.77	25% below	63%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE	$110.91	$299.73	$59.95–$251.77	—	63%
LH (luteinizing hormone) test CPT 83002 HC LH LUTEINIZING HORMONE	$142.16	$384.19	$18.52–$326.56	24% above	63%
LH (luteinizing hormone) test CPT 83002 HC LUTEIENIZING HORMONE S REF	$142.16	$384.19	$18.52–$326.56	24% above	63%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEIENIZING HORMONE S REF	$142.16	$384.19	$76.84–$322.72	—	63%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH LUTEINIZING HORMONE	$142.16	$384.19	$76.84–$322.72	—	63%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$121.58	$328.57	$11.57–$279.28	35% above	63%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$121.58	$328.57	$65.71–$276.00	—	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH B	$49.93	$134.93	$6.04–$114.69	5% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH B REF	$73.18	$197.76	$6.04–$168.10	39% above	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH) BODY FLUID	$73.18	$197.76	$6.04–$168.10	39% above	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH B	$49.93	$134.93	$26.99–$113.34	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH B REF	$73.18	$197.76	$39.55–$166.12	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH) BODY FLUID	$73.18	$197.76	$39.55–$166.12	—	63%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE B	$90.33	$244.11	$6.89–$207.49	at median	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE B	$90.33	$244.11	$48.82–$205.05	—	63%
Liver function blood test panel CPT 80076 HC LIVER HEPATIC PROFILE	$110.14	$297.67	$8.17–$253.02	21% below	63%
Liver function blood test panel inpatient CPT 80076 HC LIVER HEPATIC PROFILE	$110.14	$297.67	$59.53–$250.04	—	63%
Lyme disease antibody test CPT 86618 HC LYME AB IGG/IGM REF	$74.32	$200.85	$17.03–$170.72	at median	63%
Lyme disease antibody test CPT 86618 HC LYME DISEASE SEROLOGY W RFLX REF	$74.32	$200.85	$17.03–$170.72	at median	63%
Lyme disease antibody test CPT 86618 HC LYME DISEASE TOTAL AB W RFLX IMMUNIASSAY REF	$74.32	$200.85	$17.03–$170.72	at median	63%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE SEROLOGY W RFLX REF	$74.32	$200.85	$40.17–$168.71	—	63%
Lyme disease antibody test inpatient CPT 86618 HC LYME AB IGG/IGM REF	$74.32	$200.85	$40.17–$168.71	—	63%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE TOTAL AB W RFLX IMMUNIASSAY REF	$74.32	$200.85	$40.17–$168.71	—	63%
Magnesium blood test CPT 83735 HC MAGNESIUM B	$84.61	$228.66	$6.70–$194.36	23% above	63%
Magnesium blood test CPT 83735 HC MAGNESIUM REF	$84.61	$228.66	$6.70–$194.36	23% above	63%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM B	$84.61	$228.66	$45.73–$192.07	—	63%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM REF	$84.61	$228.66	$45.73–$192.07	—	63%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB IGG\IGM REF	$93.76	$253.38	$12.88–$215.37	25% above	63%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB IGG\IGM REF	$93.76	$253.38	$50.68–$212.84	—	63%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO	$70.89	$191.58	$5.18–$162.84	8% below	63%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO	$70.89	$191.58	$38.32–$160.93	—	63%
Mumps immunity blood test CPT 86735 HC MUMPS AB IGG\IGM REF	$101.38	$273.98	$13.05–$232.88	35% above	63%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGG\IGM REF	$101.38	$273.98	$54.80–$230.14	—	63%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE REF	$176.45	$476.89	$18.39–$405.36	80% above	63%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE REF	$176.45	$476.89	$95.38–$400.59	—	63%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL REF	$122.72	$331.66	$18.39–$281.91	7% above	63%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC	$122.72	$331.66	$18.39–$281.91	7% above	63%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC	$122.72	$331.66	$66.33–$278.59	—	63%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC AG PSA TOTAL REF	$122.72	$331.66	$66.33–$278.59	—	63%
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP IMAGE GUIDED REF	$41.93	$113.30	$26.61–$96.31	68% below	63%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP IMAGE GUIDED REF	$41.93	$113.30	$22.66–$95.17	—	63%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE	$249.63	$674.65	$41.28–$573.45	11% above	63%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT REF	$249.63	$674.65	$41.28–$573.45	11% above	63%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT REF	$249.63	$674.65	$134.93–$566.71	—	63%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE	$249.63	$674.65	$134.93–$566.71	—	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT B	$42.69	$115.36	$6.01–$98.06	35% below	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT B	$42.69	$115.36	$23.07–$96.90	—	63%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS B	$62.12	$167.89	$4.74–$142.71	6% above	63%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS B	$62.12	$167.89	$33.58–$141.03	—	63%
Potassium blood test CPT 84132 HC POTASSIUM ISTAT	$58.31	$157.59	$4.76–$133.95	34% above	63%
Potassium blood test CPT 84132 HC POTASSIUM B	$58.31	$157.59	$4.76–$133.95	34% above	63%
Potassium blood test inpatient CPT 84132 HC POTASSIUM B	$58.31	$157.59	$31.52–$132.38	—	63%
Potassium blood test inpatient CPT 84132 HC POTASSIUM ISTAT	$58.31	$157.59	$31.52–$132.38	—	63%
Progesterone blood test CPT 84144 HC PROGESTERONE REF	$130.34	$352.26	$20.86–$299.42	7% below	63%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE REF	$130.34	$352.26	$70.45–$295.90	—	63%
Prolactin blood test CPT 84146 HC PROLACTIN B	$135.30	$365.65	$19.38–$310.80	4% above	63%
Prolactin blood test CPT 84146 HC PROLACTIN REF	$135.30	$365.65	$19.38–$310.80	4% above	63%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN B	$135.30	$365.65	$73.13–$307.15	—	63%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN REF	$135.30	$365.65	$73.13–$307.15	—	63%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$25.54	$69.01	$4.29–$58.66	41% below	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$25.54	$69.01	$13.80–$57.97	—	63%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A AND B ANTIGEN	$27.83	$75.19	$16.55–$63.91	61% below	63%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A AND B ANTIGEN	$27.83	$75.19	$15.04–$63.16	—	63%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT RAPID BETASTREP A ANTGN	$59.84	$161.71	$16.53–$137.45	2% below	63%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT RAPID BETASTREP A ANTGN	$59.84	$161.71	$32.34–$135.84	—	63%
Renin blood test CPT 84244 HC RENIN REF	$136.82	$369.77	$21.99–$314.30	19% above	63%
Renin blood test inpatient CPT 84244 HC RENIN REF	$136.82	$369.77	$73.95–$310.61	—	63%
Rh blood typing CPT 86901 HC RH TYPING	$41.16	$111.24	$2.99–$94.55	39% below	63%
Rh blood typing inpatient CPT 86901 HC RH TYPING	$41.16	$111.24	$22.25–$93.44	—	63%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT REF	$70.89	$191.58	$5.67–$162.84	13% above	63%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR	$70.89	$191.58	$5.67–$162.84	13% above	63%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT REF	$70.89	$191.58	$38.32–$160.93	—	63%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR	$70.89	$191.58	$38.32–$160.93	—	63%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$101.38	$273.98	$14.39–$232.88	38% above	63%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG	$101.38	$273.98	$14.39–$232.88	38% above	63%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG\IGM REF	$101.38	$273.98	$14.39–$232.88	38% above	63%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG	$101.38	$273.98	$54.80–$230.14	—	63%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$101.38	$273.98	$54.80–$230.14	—	63%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB IGG\IGM REF	$101.38	$273.98	$54.80–$230.14	—	63%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE WESTERGREN	$48.40	$130.81	$2.70–$111.19	at median	63%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE WESTERGREN	$48.40	$130.81	$26.16–$109.88	—	63%
Sodium blood test CPT 84295 HC SODIUM B	$62.12	$167.89	$4.81–$142.71	27% above	63%
Sodium blood test CPT 84295 HC SODIUM ISTAT	$62.12	$167.89	$4.81–$142.71	27% above	63%
Sodium blood test inpatient CPT 84295 HC SODIUM B	$62.12	$167.89	$33.58–$141.03	—	63%
Sodium blood test inpatient CPT 84295 HC SODIUM ISTAT	$62.12	$167.89	$33.58–$141.03	—	63%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS REF	$110.14	$297.67	$8.90–$253.02	47% above	63%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE FECES	$110.14	$297.67	$8.90–$253.02	47% above	63%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE FECES	$110.14	$297.67	$59.53–$250.04	—	63%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS REF	$110.14	$297.67	$59.53–$250.04	—	63%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$36.59	$98.88	$4.38–$84.05	27% above	63%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLD 3	$36.59	$98.88	$4.38–$84.05	27% above	63%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$36.59	$98.88	$19.78–$83.06	—	63%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLD 3	$36.59	$98.88	$19.78–$83.06	—	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FLUORESCENT TREPONEMAL AB REF	$22.87	$61.80	$13.24–$52.53	65% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMAL ABS TPPA	$22.87	$61.80	$13.24–$52.53	65% below	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FLUORESCENT TREPONEMAL AB REF	$22.87	$61.80	$12.36–$51.91	—	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMAL ABS TPPA	$22.87	$61.80	$12.36–$51.91	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR REF	$60.22	$162.74	$4.27–$138.33	18% above	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUANT REF	$60.22	$162.74	$4.27–$138.33	18% above	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS VDRL CSF REF	$60.22	$162.75	$4.27–$138.34	18% above	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS VDRL CSF REF	$60.22	$162.75	$32.55–$136.71	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR REF	$60.22	$162.74	$32.55–$136.70	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUANT REF	$60.22	$162.74	$32.55–$136.70	—	63%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD REF	$166.55	$450.11	$61.98–$382.59	25% below	63%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD REF	$166.55	$450.11	$90.02–$378.09	—	63%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL REF	$121.58	$328.57	$25.81–$279.28	4% below	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL REF	$121.58	$328.57	$65.71–$276.00	—	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE REF	$144.44	$390.37	$14.55–$331.81	81% above	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE REF	$144.44	$390.37	$78.07–$327.91	—	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH RFX ABNORMAL FREE T4 REF	$125.39	$338.87	$16.80–$288.04	13% above	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH THIRD GENERATION	$125.39	$338.87	$16.80–$288.04	13% above	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH AND FT4 REF	$125.39	$338.87	$16.80–$288.04	13% above	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH AND FT4 REF	$125.39	$338.87	$67.77–$284.65	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH RFX ABNORMAL FREE T4 REF	$125.39	$338.87	$67.77–$284.65	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH THIRD GENERATION	$125.39	$338.87	$67.77–$284.65	—	63%
Total IgE blood test CPT 82785 HC IGE IMMUNOGLOBULIN E REF	$55.26	$149.35	$16.46–$126.95	37% below	63%
Total IgE blood test inpatient CPT 82785 HC IGE IMMUNOGLOBULIN E REF	$55.26	$149.35	$29.87–$125.45	—	63%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL B	$63.27	$170.98	$4.35–$145.33	48% above	63%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL B	$63.27	$170.98	$34.20–$143.62	—	63%
Total thyroxine (T4) blood test CPT 84436 HC T4 B	$76.99	$208.06	$6.87–$176.85	7% below	63%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 B	$76.99	$208.06	$41.61–$174.77	—	63%
Transferrin blood test CPT 84466 HC TRANSFERRIN REF	$93.76	$253.38	$12.76–$215.37	1% below	63%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$93.76	$253.38	$12.76–$215.37	1% below	63%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN REF	$93.76	$253.38	$50.68–$212.84	—	63%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$93.76	$253.38	$50.68–$212.84	—	63%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS (TMA)	$51.83	$140.08	$33.62–$119.07	58% below	63%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS NAA REF	$51.83	$140.08	$33.62–$119.07	58% below	63%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS NAA REF	$51.83	$140.08	$28.02–$117.67	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS (TMA)	$51.83	$140.08	$28.02–$117.67	—	63%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$93.76	$253.38	$5.74–$215.37	97% above	63%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$93.76	$253.38	$50.68–$212.84	—	63%
Troponin test, quantitative CPT 84484 HC TROPONIN	$90.33	$244.11	$12.47–$207.49	40% below	63%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN	$90.33	$244.11	$48.82–$205.05	—	63%
Uric acid blood test CPT 84550 HC URIC ACID	$62.89	$169.95	$4.52–$144.46	11% below	63%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$62.89	$169.95	$33.99–$142.76	—	63%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W MICRO	$62.89	$169.95	$3.17–$144.46	2% below	63%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO CULTURE	$62.89	$169.95	$3.17–$144.46	2% below	63%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W MICRO	$62.89	$169.95	$33.99–$142.76	—	63%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO CULTURE	$62.89	$169.95	$33.99–$142.76	—	63%
Urinalysis without microscope exam, automated CPT 81003 HC BILIRUBIN URINE	$29.35	$79.31	$2.25–$67.41	16% above	63%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE	$29.35	$79.31	$2.25–$67.41	16% above	63%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE	$29.35	$79.31	$2.25–$67.41	16% above	63%
Urinalysis without microscope exam, automated CPT 81003 HC GLUCOSE URINE	$29.35	$79.31	$2.25–$67.41	16% above	63%
Urinalysis without microscope exam, automated CPT 81003 HC UA AUTO W/O MICRO	$29.35	$79.31	$2.25–$67.41	16% above	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC UA AUTO W/O MICRO	$29.35	$79.31	$15.86–$66.62	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC GLUCOSE URINE	$29.35	$79.31	$15.86–$66.62	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE	$29.35	$79.31	$15.86–$66.62	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE	$29.35	$79.31	$15.86–$66.62	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC BILIRUBIN URINE	$29.35	$79.31	$15.86–$66.62	—	63%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$68.60	$185.40	$8.07–$157.59	25% below	63%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE	$68.60	$185.40	$37.08–$155.74	—	63%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN REF	$17.92	$48.41	$5.78–$41.15	73% below	63%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE	$17.92	$48.41	$5.78–$41.15	73% below	63%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE	$17.92	$48.41	$5.78–$41.15	73% below	63%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE	$17.92	$48.41	$9.68–$40.66	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE	$17.92	$48.41	$9.68–$40.66	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN REF	$17.92	$48.41	$9.68–$40.66	—	63%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE	$63.27	$170.98	$8.61–$145.33	15% below	63%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE	$63.27	$170.98	$34.20–$143.62	—	63%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 CYANOCOBALAMIN REF	$114.72	$310.03	$15.08–$263.53	11% below	63%
Vitamin B12 (cobalamin) blood test CPT 82607 HC B12	$114.72	$310.03	$15.08–$263.53	11% below	63%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B12	$114.72	$310.03	$62.01–$260.43	—	63%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 CYANOCOBALAMIN REF	$114.72	$310.03	$62.01–$260.43	—	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY REF	$166.93	$451.14	$29.60–$383.47	8% below	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$296.12	$800.31	$29.60–$680.26	63% above	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY REF	$166.93	$451.14	$90.23–$378.96	—	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$296.12	$800.31	$160.06–$672.26	—	63%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC CALCITRIOL VITAMIN D 1 25 DEHYR REF	$166.93	$451.14	$38.50–$383.47	15% below	63%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC CALCITRIOL VITAMIN D 1 25 DEHYR REF	$166.93	$451.14	$90.23–$378.96	—	63%
Zinc blood test CPT 84630 HC ZINC WHOLE BLOOD REF	$85.37	$230.72	$11.39–$196.11	20% above	63%
Zinc blood test inpatient CPT 84630 HC ZINC WHOLE BLOOD REF	$85.37	$230.72	$46.14–$193.80	—	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$123.86	$334.75	$15.05–$284.54	15% above	63%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$123.86	$334.75	$66.95–$281.19	—	63%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$1,033.09	$2,792.12	$670.11–$2,373.30	13% below	63%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$1,033.09	$2,792.12	$558.42–$2,345.38	—	63%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$204.98	$553.98	$132.96–$470.88	78% above	63%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$204.98	$553.98	$110.80–$465.34	—	63%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$204.98	$553.98	$132.96–$470.88	64% above	63%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$204.98	$553.98	$110.80–$465.34	—	63%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE	$428.74	$1,158.75	$278.10–$984.94	9% above	63%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE	$428.74	$1,158.75	$231.75–$973.35	—	63%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$719.87	$1,945.59	$466.94–$1,653.75	67% above	63%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$719.87	$1,945.59	$389.12–$1,634.30	—	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$1,440.15	$3,892.29	$934.15–$3,308.45	192% above	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$1,440.15	$3,892.29	$934.15–$3,308.45	192% above	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$1,440.15	$3,892.29	$778.46–$3,269.52	—	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$1,440.15	$3,892.29	$778.46–$3,269.52	—	63%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPI JOINT - INTERMEDIATE	$719.87	$1,945.59	$466.94–$1,653.75	73% above	63%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$719.87	$1,945.59	$466.94–$1,653.75	73% above	63%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$719.87	$1,945.59	$389.12–$1,634.30	—	63%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPI JOINT - INTERMEDIATE	$719.87	$1,945.59	$389.12–$1,634.30	—	63%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA SMALL	$428.74	$1,158.75	$278.10–$984.94	37% above	63%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA SMALL	$428.74	$1,158.75	$231.75–$973.35	—	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$719.87	$1,945.59	$466.94–$1,653.75	20% above	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$719.87	$1,945.59	$389.12–$1,634.30	—	63%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$428.74	$1,158.75	$278.10–$984.94	49% above	63%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$428.74	$1,158.75	$231.75–$973.35	—	63%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL & MATRIX	$428.74	$1,158.75	$278.10–$984.94	32% below	63%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL & MATRIX	$428.74	$1,158.75	$231.75–$973.35	—	63%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$428.74	$1,158.75	$278.10–$984.94	11% below	63%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$428.74	$1,158.75	$231.75–$973.35	—	63%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SPLINT SHORT ARM	$719.87	$1,945.59	$466.94–$1,653.75	189% above	63%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SPLINT SHORT ARM	$719.87	$1,945.59	$389.12–$1,634.30	—	63%
Short leg splint (calf to foot) CPT 29515 HC APPLY SPLINT SHORT LEG	$719.87	$1,945.59	$466.94–$1,653.75	166% above	63%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SPLINT SHORT LEG	$719.87	$1,945.59	$389.12–$1,634.30	—	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$428.74	$1,158.75	$278.10–$984.94	16% above	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$428.74	$1,158.75	$231.75–$973.35	—	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$428.74	$1,158.75	$278.10–$984.94	3% above	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$428.74	$1,158.75	$231.75–$973.35	—	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$428.74	$1,158.75	$278.10–$984.94	6% above	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$428.74	$1,158.75	$231.75–$973.35	—	63%
Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER PT 1-2 MUSCLE	$428.74	$1,158.75	$278.10–$984.94	18% below	63%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER PT 1-2 MUSCLE	$428.74	$1,158.75	$231.75–$973.35	—	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$2,199.76	$5,945.28	$1,426.87–$5,053.49	9% below	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$2,199.76	$5,945.28	$1,189.06–$4,994.04	—	63%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$935.73	$2,529.00	$606.96–$2,149.65	8% above	63%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$935.73	$2,529.00	$505.80–$2,124.36	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$58.46	$158.00	$37.92–$134.30	70% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$58.46	$158.00	$37.92–$134.30	70% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT INTRAPULM PERCUSS	$58.46	$158.00	$37.92–$134.30	70% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT EZ PAP	$58.46	$158.00	$37.92–$134.30	70% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT EZ PAP	$58.46	$158.00	$31.60–$132.72	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$58.46	$158.00	$31.60–$132.72	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT INTRAPULM PERCUSS	$58.46	$158.00	$31.60–$132.72	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$58.46	$158.00	$31.60–$132.72	—	63%
Chemotherapy IV infusion, first hour CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$198.94	$537.66	$129.04–$457.01	69% below	63%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$198.94	$537.66	$107.53–$451.63	—	63%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$1,201.43	$3,247.10	$779.30–$2,760.04	42% below	63%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$1,201.43	$3,247.10	$649.42–$2,727.56	—	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$196.47	$531.00	$127.44–$451.35	15% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$196.47	$531.00	$106.20–$446.04	—	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 VISIT 99281	$186.04	$502.80	$120.67–$427.38	17% below	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 VISIT 99281	$186.04	$502.80	$100.56–$422.35	—	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 VISIT 99282	$253.54	$685.24	$164.46–$582.45	37% below	63%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 VISIT 99282	$253.54	$685.24	$137.05–$575.60	—	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 VISIT 99283	$301.70	$815.39	$195.69–$693.08	57% below	63%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 VISIT 99283	$301.70	$815.39	$163.08–$684.93	—	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 VISIT 99284	$432.17	$1,168.02	$280.32–$992.82	62% below	63%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 VISIT 99284	$432.17	$1,168.02	$233.60–$981.14	—	63%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 VISIT 99285	$577.87	$1,561.81	$374.83–$1,327.54	64% below	63%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 VISIT 99285	$577.87	$1,561.81	$312.36–$1,311.92	—	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$1,163.50	$3,144.59	$754.70–$2,672.90	20% above	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$1,163.50	$3,144.59	$628.92–$2,641.46	—	63%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PT	$149.40	$403.76	$96.90–$343.20	17% below	63%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PT	$149.40	$403.76	$80.75–$339.16	—	63%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY WO PT	$149.40	$403.76	$96.90–$343.20	21% below	63%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY WO PT	$149.40	$403.76	$80.75–$339.16	—	63%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY SESSION - MH	$342.99	$927.00	$222.48–$787.95	168% above	63%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY SESSION - MH	$342.99	$927.00	$185.40–$778.68	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$293.41	$793.00	$190.32–$674.05	13% below	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$293.41	$793.00	$158.60–$666.12	—	63%
IV infusion of a medicine, first hour CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$280.83	$759.00	$182.16–$645.15	31% below	63%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$280.83	$759.00	$151.80–$637.56	—	63%
IV push of a medicine, first drug CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL	$170.20	$460.00	$110.40–$391.00	21% below	63%
IV push of a medicine, first drug inpatient CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL	$170.20	$460.00	$92.00–$386.40	—	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$67.71	$183.00	$43.92–$155.55	38% below	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$67.71	$183.00	$36.60–$153.72	—	63%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NCS 7 OR 8 STUDIES	$416.17	$1,124.76	$269.94–$956.05	43% below	63%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NCS 7 OR 8 STUDIES	$416.17	$1,124.76	$224.95–$944.80	—	63%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE ED 15 MIN	$83.47	$225.57	$54.14–$191.73	30% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE ED 15 MIN	$87.20	$235.66	$56.56–$200.31	27% below	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE ED 15 MIN	$83.47	$225.57	$45.11–$189.48	—	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE ED 15 MIN	$87.20	$235.66	$47.13–$197.95	—	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$8.58	$23.18	$5.56–$19.70	84% below	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$8.58	$23.18	$4.64–$19.47	—	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 60 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 90 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 30 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 120 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 15 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 45 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 75 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 105 MIN LOW COMPLEX	$193.22	$522.21	$125.33–$443.88	24% below	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 45 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 15 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 105 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 75 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 120 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 90 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 60 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 30 MIN LOW COMPLEX	$193.22	$522.21	$104.44–$438.66	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 60 MIN HIGH COMPLEX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 120 MIN HIGH COMPLX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 45 MIN HIGH COMPLEX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 105 MIN HIGH COMPLX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 15 MIN II HIGH COMPLEX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 75 MIN HIGH COMPLEX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 30 MIN HIGH COMPLEX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 90 MIN HIGH COMPLEX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 15 MIN HIGH COMPLEX	$212.54	$574.43	$137.86–$488.27	38% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 15 MIN II HIGH COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 15 MIN HIGH COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 30 MIN HIGH COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 45 MIN HIGH COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 90 MIN HIGH COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 120 MIN HIGH COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 105 MIN HIGH COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 60 MIN HIGH COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 75 MIN HIGH COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 105 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 90 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 30 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 75 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 15 MIN II LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 45 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 15 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 60 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 120 MIN LOW COMPLX	$212.54	$574.43	$137.86–$488.27	6% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 60 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 15 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 15 MIN II LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 120 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 30 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 90 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 45 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 75 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 105 MIN LOW COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 90 MIN MOD COMPLEX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 15 MIN MOD COMPLEX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 15 MIN II MOD COMPLEX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 75 MIN MOD COMPLEX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 45 MIN MOD COMPLEX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 60 MIN MOD COMPLEX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 120 MIN MOD COMPLX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 30 MIN MOD COMPLEX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 105 MIN MOD COMPLX	$212.54	$574.43	$137.86–$488.27	30% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 90 MIN MOD COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 30 MIN MOD COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 60 MIN MOD COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 105 MIN MOD COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 15 MIN MOD COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 45 MIN MOD COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 15 MIN II MOD COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 75 MIN MOD COMPLEX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 120 MIN MOD COMPLX	$212.54	$574.43	$114.89–$482.52	—	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUIAL THERAPY 15 MIN	$83.47	$225.57	$54.14–$191.73	37% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY 15 MIN	$87.20	$235.66	$56.56–$200.31	35% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUIAL THERAPY 15 MIN	$83.47	$225.57	$45.11–$189.48	—	63%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY 15 MIN	$87.20	$235.66	$47.13–$197.95	—	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN	$65.17	$176.13	$42.27–$149.71	42% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN	$71.27	$192.61	$46.23–$163.72	36% below	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN	$65.17	$176.13	$35.23–$147.95	—	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN	$71.27	$192.61	$38.52–$161.79	—	63%
Psychotherapy session, 30 minutes CPT 90832 HC IOP-MH PSYCH W/PATIENT 30 MINUTES	$129.58	$350.20	$84.05–$297.67	31% below	63%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCH W/PATIENT 30 MINUTES	$129.58	$350.20	$84.05–$297.67	31% below	63%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCH W/PATIENT 30 MINUTES	$129.58	$350.20	$70.04–$294.17	—	63%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC IOP-MH PSYCH W/PATIENT 30 MINUTES	$129.58	$350.20	$70.04–$294.17	—	63%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCH W/PATIENT 45 MINUTES	$139.49	$376.98	$90.48–$320.43	27% below	63%
Psychotherapy session, 45 minutes CPT 90834 HC IOP-MH PSYCH W/PATIENT 45 MINUTES	$218.16	$589.62	$141.51–$501.18	14% above	63%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCH W/PATIENT 45 MINUTES	$139.49	$376.98	$75.40–$316.66	—	63%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC IOP-MH PSYCH W/PATIENT 45 MINUTES	$218.16	$589.62	$117.92–$495.28	—	63%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCH W/PATIENT 60 MINUTES	$149.40	$403.76	$96.90–$343.20	46% below	63%
Psychotherapy session, 60 minutes CPT 90837 HC IOP-MH PSYCH W/PATIENT 60 MINUTES	$149.40	$403.76	$96.90–$343.20	46% below	63%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCH W/PATIENT 60 MINUTES	$149.40	$403.76	$80.75–$339.16	—	63%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC IOP-MH PSYCH W/PATIENT 60 MINUTES	$149.40	$403.76	$80.75–$339.16	—	63%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 60 MIN	$224.85	$607.70	$145.85–$516.55	35% below	63%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 45 MIN	$224.85	$607.70	$145.85–$516.55	35% below	63%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 15 MIN	$224.85	$607.70	$145.85–$516.55	35% below	63%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 30 MIN	$224.85	$607.70	$145.85–$516.55	35% below	63%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 75 MIN	$224.85	$607.70	$145.85–$516.55	35% below	63%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 30 MIN	$224.85	$607.70	$121.54–$510.47	—	63%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 60 MIN	$224.85	$607.70	$121.54–$510.47	—	63%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 45 MIN	$224.85	$607.70	$121.54–$510.47	—	63%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 15 MIN	$224.85	$607.70	$121.54–$510.47	—	63%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 75 MIN	$224.85	$607.70	$121.54–$510.47	—	63%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 45 MIN	$129.49	$349.95	$83.99–$297.46	30% below	63%
Speech therapy session, individual CPT 92507 HC ST SPEECH TREATMENT	$129.49	$349.95	$83.99–$297.46	30% below	63%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 60 MIN	$129.49	$349.95	$83.99–$297.46	30% below	63%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 15 MIN	$129.49	$349.95	$83.99–$297.46	30% below	63%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 30 MIN	$129.49	$349.95	$83.99–$297.46	30% below	63%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH TREATMENT	$129.49	$349.95	$69.99–$293.96	—	63%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 30 MIN	$129.49	$349.95	$69.99–$293.96	—	63%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 45 MIN	$129.49	$349.95	$69.99–$293.96	—	63%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 15 MIN	$129.49	$349.95	$69.99–$293.96	—	63%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 60 MIN	$129.49	$349.95	$69.99–$293.96	—	63%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR BEDSIDE	$197.80	$534.57	$128.30–$454.38	33% below	63%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY OUTPATIENT CLINIC	$197.80	$534.57	$128.30–$454.38	33% below	63%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$197.80	$534.57	$128.30–$454.38	33% below	63%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY OUTPATIENT CLINIC	$197.80	$534.57	$106.91–$449.04	—	63%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$197.80	$534.57	$106.91–$449.04	—	63%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR BEDSIDE	$197.80	$534.57	$106.91–$449.04	—	63%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR BEDSIDE	$333.09	$900.22	$216.05–$765.19	39% below	63%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$333.09	$900.22	$216.05–$765.19	39% below	63%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR BEDSIDE	$333.09	$900.22	$180.04–$756.18	—	63%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$333.09	$900.22	$180.04–$756.18	—	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN	$83.47	$225.57	$54.14–$191.73	33% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN	$89.30	$241.33	$57.92–$205.13	28% below	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN	$83.47	$225.57	$45.11–$189.48	—	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN	$89.30	$241.33	$48.27–$202.72	—	63%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$52.98	$143.17	$34.36–$121.69	75% below	63%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$52.98	$143.17	$28.63–$120.26	—	63%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$40.70	$110.00	$26.40–$93.50	66% below	63%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$40.70	$110.00	$26.40–$93.50	66% below	63%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$40.70	$110.00	$22.00–$92.40	—	63%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$40.70	$110.00	$22.00–$92.40	—	63%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$123.31	$333.25	$79.98–$283.26	95% above	63%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP	$131.45	$355.25	$85.26–$301.96	108% above	63%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$123.31	$333.25	$66.65–$279.93	—	63%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP	$131.45	$355.25	$71.05–$298.41	—	63%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC FLU VACCINE NO PRES	$15.91	$43.00	$10.32–$36.55	55% below	63%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$31.82	$86.00	$20.64–$73.10	10% below	63%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC FLU VACCINE NO PRES	$15.91	$43.00	$8.60–$36.12	—	63%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$15.91	$43.00	$8.60–$36.12	—	63%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$304.24	$822.25	$197.34–$698.91	182% above	63%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY	$304.24	$822.25	$164.45–$690.69	—	63%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$411.81	$1,113.00	$267.12–$946.05	112% above	63%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$411.81	$1,113.00	$222.60–$934.92	—	63%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD	$25.16	$68.00	$16.32–$57.80	8% below	63%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD	$25.16	$68.00	$13.60–$57.12	—	63%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,194.09	$3,227.25	$774.54–$2,743.16	169% above	63%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$1,194.09	$3,227.25	$645.45–$2,710.89	—	63%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$493.86	$1,334.75	$320.34–$1,134.54	163% above	63%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$493.86	$1,334.75	$266.95–$1,121.19	—	63%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,833.26	$4,954.75	$1,189.14–$4,211.54	143% above	63%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$1,979.13	$5,349.00	$1,283.76–$4,546.65	162% above	63%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,833.26	$4,954.75	$990.95–$4,161.99	—	63%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$1,979.13	$5,349.00	$1,069.80–$4,493.16	—	63%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$192.68	$520.75	$124.98–$442.64	150% above	63%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$192.68	$520.75	$104.15–$437.43	—	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$204.06	$551.50	$132.36–$468.78	90% above	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$204.06	$551.50	$110.30–$463.26	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN SINGLE	$95.09	$257.00	$61.68–$218.45	66% above	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN SINGLE	$95.09	$257.00	$51.40–$215.88	—	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EA ADDL	$79.27	$214.24	$51.42–$182.10	106% above	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EA ADDL	$79.27	$214.24	$42.85–$179.96	—	63%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/10478/920574426_deaconess-illinois-union-county-hospital-inc_standardcharges.csv