Hospital

Platte County Hospital

Platte County Hospital in Wheatland, WY publishes cash prices for 306 common procedures listed here, from its own machine-readable price file updated Sep 21, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wyoming median for 197 of 300 procedures and above it for 96. By typical cash price it ranks #3 of 18 Wyoming hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

201 14th Street, Wheatland, WY 82201 Collected Oct 1, 2026 Source price file Check a bill from this hospital (307) 322-3636

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 531305 · CMS hospital register NPI 1265469506

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Platte County Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

Scans and imaging

ProcedureCash priceList priceInsurers payvs WyomingOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CNT $1,755.97 $2,556.00 $1,226.88–$2,504.88 16% below 31%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&WO CNT $1,755.97 $2,556.00 $2,044.80–$2,504.88 — 31%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VW $416.35 $550.00 $264.00–$539.00 10% above 24%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VW $416.35 $550.00 $440.00–$539.00 — 24%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE CMP 3+ VW LT $481.45 $636.00 $305.28–$623.28 50% above 24%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE CMP 3+ VW RT $481.45 $636.00 $305.28–$623.28 50% above 24%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE CMP 3+ VW RT $481.45 $636.00 $508.80–$623.28 — 24%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE CMP 3+ VW LT $481.45 $636.00 $508.80–$623.28 — 24%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 ART PHYS 1-2 LEVEL LTD BI $573.48 $791.00 $379.68–$775.18 — 27%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 ART PHYS 1-2 LEVEL LTD BI $573.48 $791.00 $632.80–$775.18 — 27%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CNT LT $1,166.53 $1,698.00 $815.04–$1,664.04 at median 31%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CNT RT $1,166.53 $1,698.00 $815.04–$1,664.04 at median 31%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CNT RT $1,166.53 $1,698.00 $1,358.40–$1,664.04 — 31%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CNT LT $1,166.53 $1,698.00 $1,358.40–$1,664.04 — 31%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS STUDY CNT SINGLE $446.63 $590.00 $283.20–$578.20 2% below 24%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS STUDY CNT SINGLE $446.63 $590.00 $472.00–$578.20 — 24%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE&/JOINT BODY WHOLE $2,358.07 $3,257.00 $1,563.36–$3,191.86 42% above 28%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE&/JOINT BODY WHOLE $2,358.07 $3,257.00 $2,605.60–$3,191.86 — 28%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMP RT $824.07 $956.00 $458.88–$936.88 61% above 14%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMP LT $824.07 $956.00 $458.88–$936.88 61% above 14%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMP LT $824.07 $956.00 $764.80–$936.88 — 14%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMP RT $824.07 $956.00 $764.80–$936.88 — 14%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD RT $655.12 $760.00 $364.80–$744.80 38% above 14%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD LT $655.12 $760.00 $364.80–$744.80 38% above 14%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD LT $655.12 $760.00 $608.00–$744.80 — 14%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD RT $655.12 $760.00 $608.00–$744.80 — 14%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN&PELVIS W CNT&PP $2,298.70 $3,346.00 $1,606.08–$3,279.08 38% below 31%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN&PELVIS W CNT&PP $2,298.70 $3,346.00 $2,676.80–$3,279.08 — 31%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W CNT&PP $1,523.49 $2,362.00 $1,133.76–$2,314.76 11% below 36%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W CNT&PP $1,523.49 $2,362.00 $1,889.60–$2,314.76 — 36%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W CNT&PP $1,365.46 $2,117.00 $1,016.16–$2,074.66 26% below 36%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W CNT&PP $1,365.46 $2,117.00 $1,693.60–$2,074.66 — 36%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W CNT&PP $1,643.99 $2,393.00 $1,148.64–$2,345.14 19% below 31%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W CNT&PP $1,643.99 $2,393.00 $1,914.40–$2,345.14 — 31%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN&PELVIS WO CNT $1,459.19 $2,124.00 $1,019.52–$2,081.52 48% below 31%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN&PELVIS WO CNT $1,459.19 $2,124.00 $1,699.20–$2,081.52 — 31%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W CNT $1,823.98 $2,655.00 $1,274.40–$2,601.90 44% below 31%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W CNT $1,823.98 $2,655.00 $2,124.00–$2,601.90 — 31%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN&PELVIS W&WO CNT $2,188.78 $3,186.00 $1,529.28–$3,122.28 30% below 31%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN&PELVIS W&WO CNT $2,188.78 $3,186.00 $2,548.80–$3,122.28 — 31%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CNT $1,463.31 $2,130.00 $1,022.40–$2,087.40 19% below 31%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CNT $1,463.31 $2,130.00 $1,704.00–$2,087.40 — 31%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CNT $1,170.65 $1,704.00 $817.92–$1,669.92 25% below 31%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CNT $1,170.65 $1,704.00 $1,363.20–$1,669.92 — 31%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXFACIAL WO CNT $1,637.01 $2,538.00 $1,218.24–$2,487.24 7% above 36%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXFACIAL WO CNT $1,637.01 $2,538.00 $2,030.40–$2,487.24 — 36%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CNT $966.86 $1,499.00 $719.52–$1,469.02 25% below 35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CNT $966.86 $1,499.00 $1,199.20–$1,469.02 — 35%
CT scan of the head with contrast CPT 70460 CT HEAD W CNT $1,208.73 $1,874.00 $899.52–$1,836.52 12% below 36%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CNT $1,208.73 $1,874.00 $1,499.20–$1,836.52 — 36%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&WO CNT $1,450.60 $2,249.00 $1,079.52–$2,204.02 23% below 36%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&WO CNT $1,450.60 $2,249.00 $1,799.20–$2,204.02 — 36%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CNT $2,232.75 $3,250.00 $1,560.00–$3,185.00 25% above 31%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CNT $2,232.75 $3,250.00 $2,600.00–$3,185.00 — 31%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CNT $2,262.29 $3,293.00 $1,580.64–$3,227.14 17% above 31%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CNT $2,262.29 $3,293.00 $2,634.40–$3,227.14 — 31%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CNT $1,922.23 $2,798.00 $1,343.04–$2,742.04 5% above 31%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CNT $1,922.23 $2,798.00 $2,238.40–$2,742.04 — 31%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US DUPLEX EXTRACRANIAL CMP BI $1,431.15 $1,974.00 $947.52–$1,934.52 — 28%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US DUPLEX EXTRACRANIAL CMP BI $1,431.15 $1,974.00 $1,579.20–$1,934.52 — 28%
Chest CT scan without and with contrast CPT 71270 CT CHEST DX W&WO CNT $1,565.67 $2,279.00 $1,093.92–$2,233.42 23% below 31%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST DX W&WO CNT $1,565.67 $2,279.00 $1,823.20–$2,233.42 — 31%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VW $393.12 $546.00 $262.08–$535.08 26% above 28%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VW $393.12 $546.00 $436.80–$535.08 — 28%
Chest X-ray, single view CPT 71045 XR CHEST 1 VW $158.40 $220.00 $105.60–$215.60 19% below 28%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VW $158.40 $220.00 $176.00–$215.60 — 28%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMP LT $361.85 $478.00 $229.44–$468.44 11% above 24%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMP RT $361.85 $478.00 $229.44–$468.44 11% above 24%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE CMP RT $361.85 $478.00 $382.40–$468.44 — 24%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE CMP LT $361.85 $478.00 $382.40–$468.44 — 24%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL CMP $575.82 $668.00 $320.64–$654.64 5% below 14%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL CMP $575.82 $668.00 $534.40–$654.64 — 14%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA STUDY DENSITY 1+SKEL AX $464.04 $613.00 $294.24–$600.74 8% above 24%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA STUDY DENSITY 1+SKEL AX $464.04 $613.00 $490.40–$600.74 — 24%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA STUDY DENSITY 1+SKEL APPEND $483.72 $639.00 $306.72–$626.22 27% above 24%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA STUDY DENSITY 1+SKEL APPEND $483.72 $639.00 $511.20–$626.22 — 24%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST DX WO CNT $1,043.55 $1,519.00 $729.12–$1,488.62 21% below 31%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST DX WO CNT $1,043.55 $1,519.00 $1,215.20–$1,488.62 — 31%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST DX W CNT $1,304.61 $1,899.00 $911.52–$1,861.02 21% below 31%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST DX W CNT $1,304.61 $1,899.00 $1,519.20–$1,861.02 — 31%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX W/WO CAD BI $476.75 $543.00 $260.64–$532.14 — 12%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX W/WO CAD BI $476.75 $543.00 $434.40–$532.14 — 12%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX W/WO CAD LT $316.08 $360.00 $172.80–$352.80 16% above 12%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX W/WO CAD RT $316.08 $360.00 $172.80–$352.80 16% above 12%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX W/WO CAD LT $316.08 $360.00 $288.00–$352.80 — 12%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX W/WO CAD RT $316.08 $360.00 $288.00–$352.80 — 12%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUPLEX ART EXT LWR BI $701.80 $968.00 $464.64–$948.64 — 28%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUPLEX ART EXT LWR BI $701.80 $968.00 $774.40–$948.64 — 28%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX VEIN EXT CMP BI $809.10 $1,116.00 $535.68–$1,093.68 — 28%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX VEIN EXT CMP BI $809.10 $1,116.00 $892.80–$1,093.68 — 28%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D DOPP&CLR FLW CMP WO CNT $2,637.50 $3,856.00 $1,850.88–$3,778.88 53% above 32%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D DOPP&CLR FLW CMP WO CNT $2,637.50 $3,856.00 $3,084.80–$3,778.88 — 32%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VW LT $378.50 $500.00 $240.00–$490.00 22% above 24%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VW RT $378.50 $500.00 $240.00–$490.00 22% above 24%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VW RT $378.50 $500.00 $400.00–$490.00 — 24%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VW LT $378.50 $500.00 $400.00–$490.00 — 24%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMP 3+ VW RT $492.05 $650.00 $312.00–$637.00 44% above 24%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMP 3+ VW LT $492.05 $650.00 $312.00–$637.00 44% above 24%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW CMP 3+ VW LT $492.05 $650.00 $520.00–$637.00 — 24%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW CMP 3+ VW RT $492.05 $650.00 $520.00–$637.00 — 24%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/PF/SEL/IAC WO CNT $1,848.57 $2,866.00 $1,375.68–$2,808.68 23% above 36%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/PF/SEL/IAC WO CNT $1,848.57 $2,866.00 $2,292.80–$2,808.68 — 36%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR BONES FACIAL CMP 3+ VW $468.58 $619.00 $297.12–$606.62 11% above 24%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR BONES FACIAL CMP 3+ VW $468.58 $619.00 $495.20–$606.62 — 24%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VW LT $329.30 $435.00 $208.80–$426.30 9% above 24%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VW RT $329.30 $435.00 $208.80–$426.30 9% above 24%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VW LT $329.30 $435.00 $348.00–$426.30 — 24%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VW RT $329.30 $435.00 $348.00–$426.30 — 24%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY W/WO GB $1,133.78 $1,566.00 $751.68–$1,534.68 at median 28%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY W/WO GB $1,133.78 $1,566.00 $1,252.80–$1,534.68 — 28%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VW RT $234.67 $310.00 $148.80–$303.80 at median 24%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VW LT $234.67 $310.00 $148.80–$303.80 at median 24%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VW RT $234.67 $310.00 $248.00–$303.80 — 24%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VW LT $234.67 $310.00 $248.00–$303.80 — 24%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+ VW LT $169.57 $224.00 $107.52–$219.52 16% below 24%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+ VW RT $169.57 $224.00 $107.52–$219.52 16% below 24%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2+ VW RT $169.57 $224.00 $179.20–$219.52 — 24%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2+ VW LT $169.57 $224.00 $179.20–$219.52 — 24%
Home sleep apnea test, unattended, recording breathing and oxygen one side CPT 95806 SLP UNATND HOM RT/SAT/FLW&EFF $717.49 $785.00 $376.80–$769.30 39% above 9%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient one side CPT 95806 SLP UNATND HOM RT/SAT/FLW&EFF $717.49 $785.00 $628.00–$769.30 — 9%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG W 4+ PARAM 6+YRS W CPAP $5,904.97 $6,917.00 $3,320.16–$6,778.66 46% above 15%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG W 4+ PARAM 6+YRS W CPAP $5,904.97 $6,917.00 $5,533.60–$6,778.66 — 15%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VW RT $392.88 $519.00 $249.12–$508.62 10% above 24%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VW LT $392.88 $519.00 $249.12–$508.62 10% above 24%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VW RT $392.88 $519.00 $415.20–$508.62 — 24%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VW LT $392.88 $519.00 $415.20–$508.62 — 24%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMP 4+ VW RT $484.48 $640.00 $307.20–$627.20 32% above 24%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMP 4+ VW LT $484.48 $640.00 $307.20–$627.20 32% above 24%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE CMP 4+ VW LT $484.48 $640.00 $512.00–$627.20 — 24%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE CMP 4+ VW RT $484.48 $640.00 $512.00–$627.20 — 24%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CNT LT $845.01 $1,230.00 $590.40–$1,205.40 38% below 31%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CNT RT $845.01 $1,230.00 $590.40–$1,205.40 38% below 31%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CNT RT $845.01 $1,230.00 $984.00–$1,205.40 — 31%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CNT LT $845.01 $1,230.00 $984.00–$1,205.40 — 31%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD $926.65 $1,075.00 $516.00–$1,053.50 51% above 14%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD $926.65 $1,075.00 $860.00–$1,053.50 — 14%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JT/EVAL FOCAL EXT NONVASC LTD $682.70 $792.00 $380.16–$776.16 84% above 14%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US JT/EVAL FOCAL EXT NONVASC LTD $682.70 $792.00 $633.60–$776.16 — 14%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE SCRN CA LUNG WO CNT $471.97 $687.00 $329.76–$673.26 15% above 31%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE SCRN CA LUNG WO CNT $471.97 $687.00 $549.60–$673.26 — 31%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA&FIBULA 2 VW RT $201.36 $266.00 $127.68–$260.68 20% below 24%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA&FIBULA 2 VW LT $201.36 $266.00 $127.68–$260.68 20% below 24%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA&FIBULA 2 VW LT $201.36 $266.00 $212.80–$260.68 — 24%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA&FIBULA 2 VW RT $201.36 $266.00 $212.80–$260.68 — 24%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CNT $1,360.40 $2,119.00 $1,017.12–$2,076.62 28% below 36%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CNT $1,360.40 $2,119.00 $1,695.20–$2,076.62 — 36%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOWER JT WO CNT RT $1,756.39 $2,308.00 $1,107.84–$2,261.84 8% below 24%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOWER JT WO CNT LT $1,756.39 $2,308.00 $1,107.84–$2,261.84 8% below 24%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LOWER JT WO CNT LT $1,756.39 $2,308.00 $1,846.40–$2,261.84 — 24%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LOWER JT WO CNT RT $1,756.39 $2,308.00 $1,846.40–$2,261.84 — 24%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOWER JT W&WO CNT LT $2,634.58 $3,462.00 $1,661.76–$3,392.76 6% below 24%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOWER JT W&WO CNT RT $2,634.58 $3,462.00 $1,661.76–$3,392.76 6% below 24%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LOWER JT W&WO CNT LT $2,634.58 $3,462.00 $2,769.60–$3,392.76 — 24%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LOWER JT W&WO CNT RT $2,634.58 $3,462.00 $2,769.60–$3,392.76 — 24%
MRI of the abdomen without contrast CPT 74181 MRCP WO CNT $2,696.98 $3,544.00 $1,701.12–$3,473.12 3% above 24%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CNT $2,696.98 $3,544.00 $1,701.12–$3,473.12 3% above 24%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP WO CNT $2,696.98 $3,544.00 $2,835.20–$3,473.12 — 24%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CNT $2,696.98 $3,544.00 $2,835.20–$3,473.12 — 24%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CNT $4,045.48 $5,316.00 $2,551.68–$5,209.68 12% above 24%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP W&WO CNT $4,045.48 $5,316.00 $2,551.68–$5,209.68 12% above 24%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W&WO CNT $4,045.48 $5,316.00 $4,252.80–$5,209.68 — 24%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRCP W&WO CNT $4,045.48 $5,316.00 $4,252.80–$5,209.68 — 24%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNT $1,430.27 $1,877.00 $900.96–$1,839.46 30% below 24%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNT $1,430.27 $1,877.00 $1,501.60–$1,839.46 — 24%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CNT $2,145.79 $2,816.00 $1,351.68–$2,759.68 28% below 24%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CNT $2,145.79 $2,816.00 $2,252.80–$2,759.68 — 24%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNT $1,469.09 $2,170.00 $1,041.60–$2,126.60 35% below 32%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNT $1,469.09 $2,170.00 $1,736.00–$2,126.60 — 32%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W&WO CNT $2,203.64 $3,255.00 $1,562.40–$3,189.90 14% below 32%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W&WO CNT $2,203.64 $3,255.00 $2,604.00–$3,189.90 — 32%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CNT $1,469.09 $2,170.00 $1,041.60–$2,126.60 25% below 32%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CNT $1,469.09 $2,170.00 $1,736.00–$2,126.60 — 32%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W&WO CNT $1,762.91 $2,604.00 $1,249.92–$2,551.92 31% below 32%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W&WO CNT $1,762.91 $2,604.00 $2,083.20–$2,551.92 — 32%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CNT $1,175.27 $1,736.00 $833.28–$1,701.28 45% below 32%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CNT $1,175.27 $1,736.00 $1,388.80–$1,701.28 — 32%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CNT $2,949.64 $3,876.00 $1,860.48–$3,798.48 11% below 24%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&WO CNT $2,949.64 $3,876.00 $3,100.80–$3,798.48 — 24%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CNT $1,966.42 $2,584.00 $1,240.32–$2,532.32 12% below 24%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CNT $1,966.42 $2,584.00 $2,067.20–$2,532.32 — 24%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPER JT WO CNT RT $1,445.14 $1,899.00 $911.52–$1,861.02 17% below 24%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPER JT WO CNT LT $1,445.14 $1,899.00 $911.52–$1,861.02 17% below 24%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPER JT WO CNT LT $1,445.14 $1,899.00 $1,519.20–$1,861.02 — 24%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPER JT WO CNT RT $1,445.14 $1,899.00 $1,519.20–$1,861.02 — 24%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4-5 VW $661.62 $874.00 $419.52–$856.52 25% above 24%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4-5 VW $661.62 $874.00 $699.20–$856.52 — 24%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK ST W CNT $1,083.60 $1,680.00 $806.40–$1,646.40 42% below 36%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK ST W CNT $1,083.60 $1,680.00 $1,344.00–$1,646.40 — 36%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK ST WO CNT $866.88 $1,344.00 $645.12–$1,317.12 44% below 36%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK ST WO CNT $866.88 $1,344.00 $1,075.20–$1,317.12 — 36%
Neck soft tissue X-ray CPT 70360 XR TISSUE SOFT NECK $317.94 $420.00 $201.60–$411.60 22% above 24%
Neck soft tissue X-ray inpatient CPT 70360 XR TISSUE SOFT NECK $317.94 $420.00 $336.00–$411.60 — 24%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM PERF MYOC SPEC WM/EF MULT $5,209.18 $7,195.00 $3,453.60–$7,051.10 67% above 28%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM PERF MYOC SPEC WM/EF MULT $5,209.18 $7,195.00 $5,756.00–$7,051.10 — 28%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CNT $1,537.51 $2,238.00 $1,074.24–$2,193.24 at median 31%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CNT $1,537.51 $2,238.00 $1,790.40–$2,193.24 — 31%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD $760.28 $882.00 $423.36–$864.36 122% above 14%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD $760.28 $882.00 $705.60–$864.36 — 14%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB CMP $1,186.11 $1,376.00 $660.48–$1,348.48 56% above 14%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB CMP $1,186.11 $1,376.00 $1,100.80–$1,348.48 — 14%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US UTERUS PREG 14+WK GEST SGL $985.27 $1,143.00 $548.64–$1,120.14 42% above 14%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US UTERUS PREG 14+WK GEST SGL $985.27 $1,143.00 $914.40–$1,120.14 — 14%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US UTERUS PREG 0-13WK GEST SGL $775.80 $900.00 $432.00–$882.00 40% above 14%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US UTERUS PREG 0-13WK GEST SGL $775.80 $900.00 $720.00–$882.00 — 14%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US UTERUS PREG LTD 1+ FETUS $442.21 $513.00 $246.24–$502.74 12% above 14%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US UTERUS PREG LTD 1+ FETUS $442.21 $513.00 $410.40–$502.74 — 14%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VW LT $401.97 $531.00 $254.88–$520.38 40% above 24%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VW RT $401.97 $531.00 $254.88–$520.38 40% above 24%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VW RT $401.97 $531.00 $424.80–$520.38 — 24%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VW LT $401.97 $531.00 $424.80–$520.38 — 24%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS W CXR 3+ VW $454.20 $600.00 $288.00–$588.00 26% above 24%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS W CXR 3+ VW $454.20 $600.00 $480.00–$588.00 — 24%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI $340.37 $426.00 $204.48–$417.48 — 20%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI $340.37 $426.00 $340.80–$417.48 — 20%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMP 2+ VW LT $454.20 $600.00 $288.00–$588.00 45% above 24%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMP 2+ VW RT $454.20 $600.00 $288.00–$588.00 45% above 24%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER CMP 2+ VW RT $454.20 $600.00 $480.00–$588.00 — 24%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER CMP 2+ VW LT $454.20 $600.00 $480.00–$588.00 — 24%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL CMP 3+ VW $329.30 $435.00 $208.80–$426.30 7% below 24%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES PARANASAL CMP 3+ VW $329.30 $435.00 $348.00–$426.30 — 24%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 0-3 VW $238.46 $315.00 $151.20–$308.70 16% below 24%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL 0-3 VW $238.46 $315.00 $252.00–$308.70 — 24%
Sleep study in a lab (polysomnography) CPT 95810 PSG W 4+ PARAM 6+YRS $5,122.14 $6,000.00 $2,880.00–$5,880.00 40% above 15%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG W 4+ PARAM 6+YRS $5,122.14 $6,000.00 $4,800.00–$5,880.00 — 15%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO 2D REST&STRESS/EKG MNTR WO CNT $1,434.35 $2,097.00 $1,006.56–$2,055.06 at median 32%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO 2D REST&STRESS/EKG MNTR WO CNT $1,434.35 $2,097.00 $1,677.60–$2,055.06 — 32%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FNCT SWALLOW W CINE/VIDEO STUDY CNT $629.07 $831.00 $398.88–$814.38 26% above 24%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FNCT SWALLOW W CINE/VIDEO STUDY CNT $629.07 $831.00 $664.80–$814.38 — 24%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2+ VW LT $208.93 $276.00 $132.48–$270.48 1% below 24%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2+ VW RT $208.93 $276.00 $132.48–$270.48 1% below 24%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2+ VW RT $208.93 $276.00 $220.80–$270.48 — 24%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2+ VW LT $208.93 $276.00 $220.80–$270.48 — 24%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO CNT $1,623.38 $2,363.00 $1,134.24–$2,315.74 9% below 31%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO CNT $1,623.38 $2,363.00 $1,890.40–$2,315.74 — 31%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE/S 2+ VW LT $262.68 $347.00 $166.56–$340.06 15% above 24%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE/S 2+ VW RT $262.68 $347.00 $166.56–$340.06 15% above 24%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE/S 2+ VW LT $262.68 $347.00 $277.60–$340.06 — 24%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE/S 2+ VW RT $262.68 $347.00 $277.60–$340.06 — 24%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $950.79 $1,103.00 $529.44–$1,080.94 68% above 14%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $950.79 $1,103.00 $882.40–$1,080.94 — 14%
Transvaginal ultrasound during pregnancy CPT 76817 US UTERUS PREG TRANSVAGINAL $802.52 $931.00 $446.88–$912.38 64% above 14%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US UTERUS PREG TRANSVAGINAL $802.52 $931.00 $744.80–$912.38 — 14%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMP $1,229.21 $1,426.00 $684.48–$1,397.48 21% above 14%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMP $1,229.21 $1,426.00 $1,140.80–$1,397.48 — 14%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM&CONTENTS $1,003.37 $1,164.00 $558.72–$1,140.72 63% above 14%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM&CONTENTS $1,003.37 $1,164.00 $931.20–$1,140.72 — 14%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US TISSUE SOFT HEAD&NECK $895.62 $1,039.00 $498.72–$1,018.22 42% above 14%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US TISSUE SOFT HEAD&NECK $895.62 $1,039.00 $831.20–$1,018.22 — 14%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI STUDY CNT SINGLE $681.30 $900.00 $432.00–$882.00 4% above 24%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI STUDY CNT SINGLE $681.30 $900.00 $720.00–$882.00 — 24%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VW LT $398.18 $526.00 $252.48–$515.48 55% above 24%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VW RT $398.18 $526.00 $252.48–$515.48 55% above 24%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VW RT $398.18 $526.00 $420.80–$515.48 — 24%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VW LT $398.18 $526.00 $420.80–$515.48 — 24%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VEIN EXT LTD/UNI $1,190.45 $1,642.00 $788.16–$1,609.16 62% above 28%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VEIN EXT LTD/UNI $1,190.45 $1,642.00 $1,313.60–$1,609.16 — 28%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VW RT $317.18 $419.00 $201.12–$410.62 12% above 24%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VW LT $317.18 $419.00 $201.12–$410.62 12% above 24%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VW RT $317.18 $419.00 $335.20–$410.62 — 24%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VW LT $317.18 $419.00 $335.20–$410.62 — 24%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMP 3+ VW LT $451.93 $597.00 $286.56–$585.06 66% above 24%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMP 3+ VW RT $451.93 $597.00 $286.56–$585.06 66% above 24%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST CMP 3+ VW LT $451.93 $597.00 $477.60–$585.06 — 24%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST CMP 3+ VW RT $451.93 $597.00 $477.60–$585.06 — 24%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PELVIS 2-3 VW RT $401.97 $531.00 $254.88–$520.38 48% above 24%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PELVIS 2-3 VW LT $401.97 $531.00 $254.88–$520.38 48% above 24%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PELVIS 2-3 VW RT $401.97 $531.00 $424.80–$520.38 — 24%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PELVIS 2-3 VW LT $401.97 $531.00 $424.80–$520.38 — 24%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VW $170.32 $225.00 $108.00–$220.50 31% below 24%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VW $170.32 $225.00 $180.00–$220.50 — 24%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VW LT $200.60 $265.00 $127.20–$259.70 11% below 24%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VW RT $200.60 $265.00 $127.20–$259.70 11% below 24%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VW RT $200.60 $265.00 $212.00–$259.70 — 24%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VW LT $200.60 $265.00 $212.00–$259.70 — 24%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/S 2+ VW LT $155.18 $205.00 $98.40–$200.90 14% below 24%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/S 2+ VW RT $155.18 $205.00 $98.40–$200.90 14% below 24%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/S 2+ VW LT $155.18 $205.00 $164.00–$200.90 — 24%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/S 2+ VW RT $155.18 $205.00 $164.00–$200.90 — 24%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VW RT $317.18 $419.00 $201.12–$410.62 13% above 24%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VW LT $317.18 $419.00 $201.12–$410.62 13% above 24%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VW LT $317.18 $419.00 $335.20–$410.62 — 24%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VW RT $317.18 $419.00 $335.20–$410.62 — 24%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMP 3+ VW RT $448.90 $593.00 $284.64–$581.14 35% above 24%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMP 3+ VW LT $448.90 $593.00 $284.64–$581.14 35% above 24%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT CMP 3+ VW LT $448.90 $593.00 $474.40–$581.14 — 24%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT CMP 3+ VW RT $448.90 $593.00 $474.40–$581.14 — 24%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VW LT $364.12 $481.00 $230.88–$471.38 27% above 24%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VW RT $364.12 $481.00 $230.88–$471.38 27% above 24%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VW LT $364.12 $481.00 $384.80–$471.38 — 24%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VW RT $364.12 $481.00 $384.80–$471.38 — 24%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VW LT $322.48 $426.00 $204.48–$417.48 8% above 24%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VW RT $322.48 $426.00 $204.48–$417.48 8% above 24%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VW LT $322.48 $426.00 $340.80–$417.48 — 24%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VW RT $322.48 $426.00 $340.80–$417.48 — 24%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LS 2-3 VW $283.88 $375.00 $180.00–$367.50 13% below 24%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LS 2-3 VW $283.88 $375.00 $300.00–$367.50 — 24%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS 4+ VW $749.43 $990.00 $475.20–$970.20 39% above 24%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS 4+ VW $749.43 $990.00 $792.00–$970.20 — 24%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VW $399.70 $528.00 $253.44–$517.44 12% above 24%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VW $399.70 $528.00 $422.40–$517.44 — 24%
X-ray of the nasal bones, 3 or more views CPT 70160 XR BONES NASAL CMP 3+ VW $177.90 $235.00 $112.80–$230.30 34% below 24%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR BONES NASAL CMP 3+ VW $177.90 $235.00 $188.00–$230.30 — 24%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3 VW $293.72 $388.00 $186.24–$380.24 1% below 24%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3 VW $293.72 $388.00 $310.40–$380.24 — 24%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VW $186.98 $247.00 $118.56–$242.06 28% below 24%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VW $186.98 $247.00 $197.60–$242.06 — 24%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM&COCCYX 2+ VW $208.93 $276.00 $132.48–$270.48 19% below 24%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM&COCCYX 2+ VW $208.93 $276.00 $220.80–$270.48 — 24%

Lab tests

ProcedureCash priceList priceInsurers payvs WyomingOff list
ACTH blood test CPT 82024 LAB HORMONE ADRENOCORTICOTROPIC $77.14 $116.00 $55.68–$113.68 40% below 34%
ACTH blood test inpatient CPT 82024 LAB HORMONE ADRENOCORTICOTROPIC $77.14 $116.00 $92.80–$113.68 — 34%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB TRANSFERASE AMINO ALANINE $10.64 $16.00 $7.68–$15.68 58% below 34%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB TRANSFERASE AMINO ALANINE NS $39.24 $59.00 $28.32–$57.82 56% above 33%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB TRANSFERASE AMINO ALANINE $10.64 $16.00 $12.80–$15.68 — 34%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB TRANSFERASE AMINO ALANINE NS $39.24 $59.00 $47.20–$57.82 — 33%
AST (aspartate aminotransferase) enzyme test CPT 84450 LAB TRANSFERASE AMINO ASPARTATE $10.64 $16.00 $7.68–$15.68 57% below 34%
AST (aspartate aminotransferase) enzyme test CPT 84450 LAB TRANSFERASE AMINO ASPARTATE NS $50.54 $76.00 $36.48–$74.48 106% above 34%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB TRANSFERASE AMINO ASPARTATE $10.64 $16.00 $12.80–$15.68 — 34%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB TRANSFERASE AMINO ASPARTATE NS $50.54 $76.00 $60.80–$74.48 — 34%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LAB PANEL HEPATITIS ACUTE $95.10 $143.00 $68.64–$140.14 67% below 33%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 LAB PANEL HEPATITIS ACUTE $95.10 $143.00 $114.40–$140.14 — 33%
Albumin blood test CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL $9.98 $15.00 $7.20–$14.70 62% below 33%
Albumin blood test CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL NS $41.90 $63.00 $30.24–$61.74 60% above 33%
Albumin blood test inpatient CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL $9.98 $15.00 $12.00–$14.70 — 33%
Albumin blood test inpatient CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL NS $41.90 $63.00 $50.40–$61.74 — 33%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE URINE $81.80 $123.00 $59.04–$120.54 44% below 33%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE NS $81.80 $123.00 $59.04–$120.54 44% below 33%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE $179.55 $270.00 $129.60–$264.60 23% above 34%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE URINE $81.80 $123.00 $98.40–$120.54 — 33%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE NS $81.80 $123.00 $98.40–$120.54 — 33%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE $179.55 $270.00 $216.00–$264.60 — 34%
Alkaline phosphatase (ALP) blood test CPT 84075 LAB ALKALINE PHOSPHATASE $10.64 $16.00 $7.68–$15.68 54% below 34%
Alkaline phosphatase (ALP) blood test CPT 84075 LAB ALKALINE PHOSPHATASE NS $37.90 $57.00 $27.36–$55.86 62% above 34%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB ALKALINE PHOSPHATASE $10.64 $16.00 $12.80–$15.68 — 34%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB ALKALINE PHOSPHATASE NS $37.90 $57.00 $45.60–$55.86 — 34%
Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA NS $41.58 $55.00 $26.40–$53.90 16% above 24%
Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA $42.34 $56.00 $26.88–$54.88 18% above 24%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA NS $41.58 $55.00 $44.00–$53.90 — 24%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA $42.34 $56.00 $44.80–$54.88 — 24%
Alpha-fetoprotein (AFP) blood test CPT 82105 LAB AFP SERUM $33.92 $51.00 $24.48–$49.98 64% below 33%
Alpha-fetoprotein (AFP) blood test CPT 82105 LAB AFP SERUM MATERNAL $33.92 $51.00 $24.48–$49.98 64% below 33%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB AFP SERUM $33.92 $51.00 $40.80–$49.98 — 33%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB AFP SERUM MATERNAL $33.92 $51.00 $40.80–$49.98 — 33%
Ammonia blood test CPT 82140 LAB AMMONIA $29.26 $44.00 $21.12–$43.12 58% below 34%
Ammonia blood test CPT 82140 LAB AMMONIA STONE RISK $76.48 $115.00 $55.20–$112.70 10% above 33%
Ammonia blood test inpatient CPT 82140 LAB AMMONIA $29.26 $44.00 $35.20–$43.12 — 34%
Ammonia blood test inpatient CPT 82140 LAB AMMONIA STONE RISK $76.48 $115.00 $92.00–$112.70 — 33%
Amylase blood test CPT 82150 LAB AMYLASE $13.30 $20.00 $9.60–$19.60 76% below 34%
Amylase blood test CPT 82150 LAB AMYLASE FLUID BODY $34.58 $52.00 $24.96–$50.96 37% below 34%
Amylase blood test CPT 82150 LAB AMYLASE URINE $35.25 $53.00 $25.44–$51.94 36% below 33%
Amylase blood test CPT 82150 LAB AMYLASE FLUID CYST PANCREATIC $226.76 $341.00 $163.68–$334.18 314% above 34%
Amylase blood test inpatient CPT 82150 LAB AMYLASE $13.30 $20.00 $16.00–$19.60 — 34%
Amylase blood test inpatient CPT 82150 LAB AMYLASE FLUID BODY $34.58 $52.00 $41.60–$50.96 — 34%
Amylase blood test inpatient CPT 82150 LAB AMYLASE URINE $35.25 $53.00 $42.40–$51.94 — 33%
Amylase blood test inpatient CPT 82150 LAB AMYLASE FLUID CYST PANCREATIC $226.76 $341.00 $272.80–$334.18 — 34%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB AB PEPTIDE CYCLIC CITRUL $45.36 $60.00 $28.80–$58.80 33% below 24%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB AB PEPTIDE CYCLIC CITRUL $45.36 $60.00 $48.00–$58.80 — 24%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB SCR ANA $40.07 $53.00 $25.44–$51.94 44% below 24%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB SCR ANA $40.07 $53.00 $42.40–$51.94 — 24%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB PEPTIDE NATRIURETIC PB $78.47 $118.00 $56.64–$115.64 46% below 34%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB PEPTIDE NATRIURETIC PB $78.47 $118.00 $94.40–$115.64 — 34%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC GENITAL $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC EAR $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC CSF $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC CATHETER TIP $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC RESP LOWER $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT FLUID BODY STERILE $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC RESP UPPER $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC WOUND $18.25 $26.00 $12.48–$25.48 76% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC EYE $42.82 $61.00 $29.28–$59.78 45% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC OTHER $52.65 $75.00 $36.00–$73.50 32% below 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC TISSUE $78.62 $112.00 $53.76–$109.76 1% above 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC RESP LOWER $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC CSF $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC CATHETER TIP $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC GENITAL $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC EAR $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC RESP UPPER $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC WOUND $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT FLUID BODY STERILE $18.25 $26.00 $20.80–$25.48 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC EYE $42.82 $61.00 $48.80–$59.78 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC OTHER $52.65 $75.00 $60.00–$73.50 — 30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC TISSUE $78.62 $112.00 $89.60–$109.76 — 30%
Basic metabolic panel (blood test) CPT 80048 LAB PANEL METAB BASIC W CA TOTAL $17.29 $26.00 $12.48–$25.48 79% below 34%
Basic metabolic panel (blood test) inpatient CPT 80048 LAB PANEL METAB BASIC W CA TOTAL $17.29 $26.00 $20.80–$25.48 — 34%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL $10.64 $16.00 $7.68–$15.68 60% below 34%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL NS $38.57 $58.00 $27.84–$56.84 46% above 34%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL $10.64 $16.00 $12.80–$15.68 — 34%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL NS $38.57 $58.00 $46.40–$56.84 — 34%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB PATH GROSS&MICRO LVL 4 NS $87.89 $110.00 $52.80–$107.80 10% below 20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB PATH GROSS&MICRO LVL 4 NS $87.89 $110.00 $88.00–$107.80 — 20%
Blood culture for bacteria CPT 87040 LAB CULT BACT AEROBIC BLOOD $21.76 $31.00 $14.88–$30.38 80% below 30%
Blood culture for bacteria inpatient CPT 87040 LAB CULT BACT AEROBIC BLOOD $21.76 $31.00 $24.80–$30.38 — 30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT SPEC BLD VENIPNCTR OFFSITE $16.98 $26.00 $12.48–$25.48 24% below 35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECT SPEC BLD VENIPNCTR OFFSITE $16.98 $26.00 $20.80–$25.48 — 35%
Blood lead test CPT 83655 LAB LEAD BLOOD NS $24.60 $37.00 $17.76–$36.26 56% below 34%
Blood lead test CPT 83655 LAB LEAD BLOOD $39.24 $59.00 $28.32–$57.82 30% below 33%
Blood lead test CPT 83655 LAB LEAD NON BLOOD $52.54 $79.00 $37.92–$77.42 6% below 33%
Blood lead test inpatient CPT 83655 LAB LEAD BLOOD NS $24.60 $37.00 $29.60–$36.26 — 34%
Blood lead test inpatient CPT 83655 LAB LEAD BLOOD $39.24 $59.00 $47.20–$57.82 — 33%
Blood lead test inpatient CPT 83655 LAB LEAD NON BLOOD $52.54 $79.00 $63.20–$77.42 — 33%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LAB HCG QL $15.30 $23.00 $11.04–$22.54 71% below 33%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LAB HCG QL $15.30 $23.00 $18.40–$22.54 — 33%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPE ABO $183.49 $281.00 $134.88–$275.38 127% above 35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPE ABO $183.49 $281.00 $224.80–$275.38 — 35%
Blood urea nitrogen (BUN) test CPT 84520 LAB NITROGEN UREA QN $7.98 $12.00 $5.76–$11.76 66% below 34%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB NITROGEN UREA QN $7.98 $12.00 $9.60–$11.76 — 34%
C-peptide blood test CPT 84681 LAB C-PEPTIDE $41.90 $63.00 $30.24–$61.74 63% below 33%
C-peptide blood test inpatient CPT 84681 LAB C-PEPTIDE $41.90 $63.00 $50.40–$61.74 — 33%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB PROT C-REACTIVE $12.10 $16.00 $7.68–$15.68 83% below 24%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB PROT C-REACTIVE $12.10 $16.00 $12.80–$15.68 — 24%
C. difficile toxin gene test (stool PCR) CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP $78.62 $112.00 $53.76–$109.76 49% below 30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP $78.62 $112.00 $89.60–$109.76 — 30%
CA 19-9 blood test (tumor marker) CPT 86301 LAB IMM AG TUMOR CA 19-9 $47.63 $63.00 $30.24–$61.74 52% below 24%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 LAB IMM AG TUMOR CA 19-9 $47.63 $63.00 $50.40–$61.74 — 24%
CA-125 blood test (ovarian cancer marker) CPT 86304 LAB IMM AG TUMOR CA 125 $47.63 $63.00 $30.24–$61.74 59% below 24%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 LAB IMM AG TUMOR CA 125 $47.63 $63.00 $50.40–$61.74 — 24%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB DET IA COV19 PRB AMP NS $108.11 $154.00 $73.92–$150.92 at median 30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB DET IA COV19 PRB AMP $108.11 $154.00 $73.92–$150.92 at median 30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB DET IA COV19 PRB AMP NS $108.11 $154.00 $123.20–$150.92 — 30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB DET IA COV19 PRB AMP $108.11 $154.00 $123.20–$150.92 — 30%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL $10.64 $16.00 $7.68–$15.68 59% below 34%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL URINE $37.24 $56.00 $26.88–$54.88 44% above 34%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL NS $43.22 $65.00 $31.20–$63.70 67% above 34%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL $10.64 $16.00 $12.80–$15.68 — 34%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL URINE $37.24 $56.00 $44.80–$54.88 — 34%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL NS $43.22 $65.00 $52.00–$63.70 — 34%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC $37.90 $57.00 $27.36–$55.86 58% below 34%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC ARUP NS $45.22 $68.00 $32.64–$66.64 50% below 34%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC MAYO NS $218.79 $329.00 $157.92–$322.42 143% above 33%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC $37.90 $57.00 $45.60–$55.86 — 34%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC ARUP NS $45.22 $68.00 $54.40–$66.64 — 34%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC MAYO NS $218.79 $329.00 $263.20–$322.42 — 33%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGM NS $29.48 $39.00 $18.72–$38.22 45% below 24%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGG $29.48 $39.00 $18.72–$38.22 45% below 24%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGM $29.48 $39.00 $18.72–$38.22 45% below 24%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGG NS $40.07 $53.00 $25.44–$51.94 25% below 24%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGG $29.48 $39.00 $31.20–$38.22 — 24%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGM NS $29.48 $39.00 $31.20–$38.22 — 24%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGM $29.48 $39.00 $31.20–$38.22 — 24%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGG NS $40.07 $53.00 $42.40–$51.94 — 24%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP $74.41 $106.00 $50.88–$103.88 23% below 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP NS $80.73 $115.00 $55.20–$112.70 16% below 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP $74.41 $106.00 $84.80–$103.88 — 30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP NS $80.73 $115.00 $92.00–$112.70 — 30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID $35.91 $54.00 $25.92–$52.92 50% below 34%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID NS $45.89 $69.00 $33.12–$67.62 37% below 33%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID $35.91 $54.00 $43.20–$52.92 — 34%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID NS $45.89 $69.00 $55.20–$67.62 — 33%
Complete blood count (CBC) with differential CPT 85025 LAB CBC AUTO W AUTO DIFF $16.49 $24.00 $11.52–$23.52 70% below 31%
Complete blood count (CBC) with differential CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN $16.49 $24.00 $11.52–$23.52 70% below 31%
Complete blood count (CBC) with differential inpatient CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN $16.49 $24.00 $19.20–$23.52 — 31%
Complete blood count (CBC) with differential inpatient CPT 85025 LAB CBC AUTO W AUTO DIFF $16.49 $24.00 $19.20–$23.52 — 31%
Complete blood count (CBC), no differential CPT 85027 LAB CBC AUTO WO DIFF $13.74 $20.00 $9.60–$19.60 73% below 31%
Complete blood count (CBC), no differential inpatient CPT 85027 LAB CBC AUTO WO DIFF $13.74 $20.00 $16.00–$19.60 — 31%
Comprehensive metabolic panel (blood test) CPT 80053 LAB PANEL METAB COMP $21.28 $32.00 $15.36–$31.36 81% below 34%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB PANEL METAB COMP $21.28 $32.00 $25.60–$31.36 — 34%
Cortisol blood test, total CPT 82533 LAB CORTISOL TOTAL $38.57 $58.00 $27.84–$56.84 63% below 34%
Cortisol blood test, total CPT 82533 LAB CORTISOL TOTAL NS $214.80 $323.00 $155.04–$316.54 105% above 33%
Cortisol blood test, total inpatient CPT 82533 LAB CORTISOL TOTAL $38.57 $58.00 $46.40–$56.84 — 34%
Cortisol blood test, total inpatient CPT 82533 LAB CORTISOL TOTAL NS $214.80 $323.00 $258.40–$316.54 — 33%
Creatine kinase (CK) blood test, total CPT 82550 LAB CREATINE KINASE TOTAL $13.30 $20.00 $9.60–$19.60 69% below 34%
Creatine kinase (CK) blood test, total CPT 82550 LAB CREATINE KINASE TOTAL NS $36.58 $55.00 $26.40–$53.90 16% below 33%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CREATINE KINASE TOTAL $13.30 $20.00 $16.00–$19.60 — 34%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CREATINE KINASE TOTAL NS $36.58 $55.00 $44.00–$53.90 — 33%
Creatinine blood test CPT 82565 LAB CREATININE BLOOD $10.64 $16.00 $7.68–$15.68 56% below 34%
Creatinine blood test inpatient CPT 82565 LAB CREATININE BLOOD $10.64 $16.00 $12.80–$15.68 — 34%
Cytomegalovirus (CMV) antibody test CPT 86644 LAB AB CYTOMEGALOVIRUS $45.36 $60.00 $28.80–$58.80 36% below 24%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB AB CYTOMEGALOVIRUS $45.36 $60.00 $48.00–$58.80 — 24%
D-dimer blood test (blood clot marker) CPT 85379 LAB FDP D-DIMER QN $21.30 $31.00 $14.88–$30.38 81% below 31%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB FDP D-DIMER QN $21.30 $31.00 $24.80–$30.38 — 31%
DHEA sulfate (DHEA-S) blood test CPT 82627 LAB DEHYDROEPIANDROSTERONE-SULFATE $44.56 $67.00 $32.16–$65.66 67% below 33%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB DEHYDROEPIANDROSTERONE-SULFATE $44.56 $67.00 $53.60–$65.66 — 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE DAY $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ SERUM DAY $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE DAY NS $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAY $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAYNS $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ MECON DAY NS $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE ETOH DAY $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ SERUM DAY NS $124.36 $187.00 $89.76–$183.26 3% below 33%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE PMGT DAY $298.59 $449.00 $215.52–$440.02 133% above 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE DAY NS $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE ETOH DAY $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE DAY $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ SERUM DAY NS $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ SERUM DAY $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ MECON DAY NS $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAYNS $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAY $124.36 $187.00 $149.60–$183.26 — 33%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE PMGT DAY $298.59 $449.00 $359.20–$440.02 — 33%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LAB PANEL ELECTROLYTE $14.63 $22.00 $10.56–$21.56 75% below 34%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LAB PANEL ELECTROLYTE $14.63 $22.00 $17.60–$21.56 — 34%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGG $41.58 $55.00 $26.40–$53.90 59% below 24%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGM NS $41.58 $55.00 $26.40–$53.90 59% below 24%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGM $46.87 $62.00 $29.76–$60.76 54% below 24%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGM NS $41.58 $55.00 $44.00–$53.90 — 24%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGG $41.58 $55.00 $44.00–$53.90 — 24%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGM $46.87 $62.00 $49.60–$60.76 — 24%
Estradiol blood test CPT 82670 LAB ESTRADIOL TOTAL $55.86 $84.00 $40.32–$82.32 55% below 34%
Estradiol blood test CPT 82670 LAB ESTRADIOL TOTAL NS $55.86 $84.00 $40.32–$82.32 55% below 34%
Estradiol blood test inpatient CPT 82670 LAB ESTRADIOL TOTAL $55.86 $84.00 $67.20–$82.32 — 34%
Estradiol blood test inpatient CPT 82670 LAB ESTRADIOL TOTAL NS $55.86 $84.00 $67.20–$82.32 — 34%
FSH (follicle-stimulating hormone) test CPT 83001 LAB GONADOTROPIN FSH SERUM $37.24 $56.00 $26.88–$54.88 68% below 34%
FSH (follicle-stimulating hormone) test CPT 83001 LAB GONADOTROPIN FSH SERUM NS $38.57 $58.00 $27.84–$56.84 66% below 34%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB GONADOTROPIN FSH SERUM $37.24 $56.00 $44.80–$54.88 — 34%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB GONADOTROPIN FSH SERUM NS $38.57 $58.00 $46.40–$56.84 — 34%
Fecal calprotectin (stool inflammation test) CPT 83993 LAB CALPROTECTIN FECAL $166.25 $250.00 $120.00–$245.00 22% below 34%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB CALPROTECTIN FECAL $166.25 $250.00 $200.00–$245.00 — 34%
Ferritin blood test (iron stores) CPT 82728 LAB FERRITIN $39.90 $60.00 $28.80–$58.80 56% below 34%
Ferritin blood test (iron stores) inpatient CPT 82728 LAB FERRITIN $39.90 $60.00 $48.00–$58.80 — 34%
Fibrinogen blood test CPT 85384 LAB FIBRINOGEN ACTIVITY NS $20.61 $30.00 $14.40–$29.40 71% below 31%
Fibrinogen blood test CPT 85384 LAB FIBRINOGEN ACTIVITY $20.61 $30.00 $14.40–$29.40 71% below 31%
Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN ACTIVITY NS $20.61 $30.00 $24.00–$29.40 — 31%
Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN ACTIVITY $20.61 $30.00 $24.00–$29.40 — 31%
Folate (folic acid) blood test CPT 82746 LAB ACID FOLIC SERUM $29.92 $45.00 $21.60–$44.10 68% below 34%
Folate (folic acid) blood test inpatient CPT 82746 LAB ACID FOLIC SERUM $29.92 $45.00 $36.00–$44.10 — 34%
Free T3 thyroid hormone test CPT 84481 LAB TRIIODOTHYRONINE T3 FREE $35.91 $54.00 $25.92–$52.92 66% below 34%
Free T3 thyroid hormone test CPT 84481 LAB TRIIODOTHYRONINE T3 FREE TR DIA $47.22 $71.00 $34.08–$69.58 56% below 33%
Free T3 thyroid hormone test inpatient CPT 84481 LAB TRIIODOTHYRONINE T3 FREE $35.91 $54.00 $43.20–$52.92 — 34%
Free T3 thyroid hormone test inpatient CPT 84481 LAB TRIIODOTHYRONINE T3 FREE TR DIA $47.22 $71.00 $56.80–$69.58 — 33%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB THYROXINE T4 FREE $18.62 $28.00 $13.44–$27.44 76% below 34%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB THYROXINE T4 FREE NS $43.89 $66.00 $31.68–$64.68 43% below 34%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB THYROXINE T4 FREE $18.62 $28.00 $22.40–$27.44 — 34%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB THYROXINE T4 FREE NS $43.89 $66.00 $52.80–$64.68 — 34%
Free testosterone test CPT 84402 LAB TESTOSTERONE FREE $51.21 $77.00 $36.96–$75.46 56% below 33%
Free testosterone test inpatient CPT 84402 LAB TESTOSTERONE FREE $51.21 $77.00 $61.60–$75.46 — 33%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL $14.63 $22.00 $10.56–$21.56 54% below 34%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL NS $41.23 $62.00 $29.76–$60.76 29% above 34%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL $14.63 $22.00 $17.60–$21.56 — 34%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL NS $41.23 $62.00 $49.60–$60.76 — 34%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LAB GLUCOSE POST DOSE $9.98 $15.00 $7.20–$14.70 77% below 33%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LAB GLUCOSE POST DOSE $9.98 $15.00 $12.00–$14.70 — 33%
Glucose tolerance test, 3 samples CPT 82951 LAB GLUCOSE TOLERANCE SPEC 1ST 3 $25.94 $39.00 $18.72–$38.22 72% below 33%
Glucose tolerance test, 3 samples inpatient CPT 82951 LAB GLUCOSE TOLERANCE SPEC 1ST 3 $25.94 $39.00 $31.20–$38.22 — 33%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB DET IA GC PRB AMP $74.41 $106.00 $50.88–$103.88 22% below 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB DET IA GC PRB AMP NS $74.41 $106.00 $50.88–$103.88 22% below 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB DET IA GC PRB AMP NS $74.41 $106.00 $84.80–$103.88 — 30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB DET IA GC PRB AMP $74.41 $106.00 $84.80–$103.88 — 30%
H. pylori antibody blood test CPT 86677 LAB AB HELICOBACTER PYLORI $58.97 $78.00 $37.44–$76.44 43% below 24%
H. pylori antibody blood test inpatient CPT 86677 LAB AB HELICOBACTER PYLORI $58.97 $78.00 $62.40–$76.44 — 24%
H. pylori stool antigen test CPT 87338 LAB DET AG IA IMM H PYLORI STOOL NS $30.89 $44.00 $21.12–$43.12 67% below 30%
H. pylori stool antigen test CPT 87338 LAB DET AG IA IMM H PYLORI STOOL $52.65 $75.00 $36.00–$73.50 44% below 30%
H. pylori stool antigen test inpatient CPT 87338 LAB DET AG IA IMM H PYLORI STOOL NS $30.89 $44.00 $35.20–$43.12 — 30%
H. pylori stool antigen test inpatient CPT 87338 LAB DET AG IA IMM H PYLORI STOOL $52.65 $75.00 $60.00–$73.50 — 30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB DET IA HIV-1 QN NS $179.71 $256.00 $122.88–$250.88 26% below 30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB DET IA HIV-1 QN $179.71 $256.00 $122.88–$250.88 26% below 30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB DET IA HIV-1 QN NS $179.71 $256.00 $204.80–$250.88 — 30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB DET IA HIV-1 QN $179.71 $256.00 $204.80–$250.88 — 30%
HIV-1 and HIV-2 antibody test CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL $31.75 $42.00 $20.16–$41.16 56% below 24%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL $31.75 $42.00 $33.60–$41.16 — 24%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 LAB DET AG IA IMM HIV1 W HIV 1&2 $61.07 $87.00 $41.76–$85.26 16% below 30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 LAB DET AG IA IMM HIV1 W HIV 1&2 $61.07 $87.00 $69.60–$85.26 — 30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 LAB DET IA HPV TYPE RISK HIGH POOL $74.41 $106.00 $50.88–$103.88 1% below 30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 LAB DET IA HPV TYPE RISK HIGH POOL $74.41 $106.00 $84.80–$103.88 — 30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB HEMOGLOBIN A1C $19.95 $30.00 $14.40–$29.40 59% below 34%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB HEMOGLOBIN A1C $19.95 $30.00 $24.00–$29.40 — 34%
Hemoglobin blood test CPT 85018 LAB COUNT BLD HEMOGLOBIN $5.50 $8.00 $3.84–$7.84 82% below 31%
Hemoglobin blood test CPT 85018 LAB COUNT BLD HEMOGLOBIN NS $41.22 $60.00 $28.80–$58.80 36% above 31%
Hemoglobin blood test inpatient CPT 85018 LAB COUNT BLD HEMOGLOBIN $5.50 $8.00 $6.40–$7.84 — 31%
Hemoglobin blood test inpatient CPT 85018 LAB COUNT BLD HEMOGLOBIN NS $41.22 $60.00 $48.00–$58.80 — 31%
Hepatitis B core antibody test (total) CPT 86704 LAB AB HEPATITIS B CORE TOTAL $41.58 $55.00 $26.40–$53.90 27% below 24%
Hepatitis B core antibody test (total) inpatient CPT 86704 LAB AB HEPATITIS B CORE TOTAL $41.58 $55.00 $44.00–$53.90 — 24%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LAB AB HEPATITIS B SURFACE $41.58 $55.00 $26.40–$53.90 35% below 24%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LAB AB HEPATITIS B SURFACE $41.58 $55.00 $44.00–$53.90 — 24%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN $21.76 $31.00 $14.88–$30.38 65% below 30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN NS $162.16 $231.00 $110.88–$226.38 160% above 30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN $21.76 $31.00 $24.80–$30.38 — 30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN NS $162.16 $231.00 $184.80–$226.38 — 30%
Hepatitis C antibody blood test (screening) CPT 86803 LAB AB HEPATITIS C $32.51 $43.00 $20.64–$42.14 51% below 24%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB AB HEPATITIS C $32.51 $43.00 $34.40–$42.14 — 24%
Hepatitis C viral load (HCV RNA) test CPT 87522 LAB DET IA HEP C QN $90.56 $129.00 $61.92–$126.42 59% below 30%
Hepatitis C viral load (HCV RNA) test CPT 87522 LAB DET IA HEP C QN NS $103.19 $147.00 $70.56–$144.06 54% below 30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB DET IA HEP C QN $90.56 $129.00 $103.20–$126.42 — 30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB DET IA HEP C QN NS $103.19 $147.00 $117.60–$144.06 — 30%
Herpes blood test, HSV-1 antibody CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 $30.24 $40.00 $19.20–$39.20 49% below 24%
Herpes blood test, HSV-1 antibody CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 NS $40.07 $53.00 $25.44–$51.94 33% below 24%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 $30.24 $40.00 $32.00–$39.20 — 24%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 NS $40.07 $53.00 $42.40–$51.94 — 24%
Herpes blood test, HSV-2 antibody CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 $44.60 $59.00 $28.32–$57.82 43% below 24%
Herpes blood test, HSV-2 antibody CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 NS $44.60 $59.00 $28.32–$57.82 43% below 24%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 NS $44.60 $59.00 $47.20–$57.82 — 24%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 $44.60 $59.00 $47.20–$57.82 — 24%
High-sensitivity CRP (hs-CRP) test CPT 86141 LAB PROT C-REACTIVE SENS HIGH $43.09 $57.00 $27.36–$55.86 35% below 24%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB PROT C-REACTIVE SENS HIGH $43.09 $57.00 $45.60–$55.86 — 24%
Homocysteine blood test CPT 83090 LAB HOMOCYSTEINE SERUM $38.57 $58.00 $27.84–$56.84 53% below 34%
Homocysteine blood test inpatient CPT 83090 LAB HOMOCYSTEINE SERUM $38.57 $58.00 $46.40–$56.84 — 34%
Insulin blood test CPT 83525 LAB INSULIN TOTAL $37.90 $57.00 $27.36–$55.86 24% below 34%
Insulin blood test inpatient CPT 83525 LAB INSULIN TOTAL $37.90 $57.00 $45.60–$55.86 — 34%
Iron blood test (serum iron) CPT 83540 LAB IRON $13.30 $20.00 $9.60–$19.60 63% below 34%
Iron blood test (serum iron) CPT 83540 LAB IRON TISSUE LIVER $138.32 $208.00 $99.84–$203.84 280% above 34%
Iron blood test (serum iron) inpatient CPT 83540 LAB IRON $13.30 $20.00 $16.00–$19.60 — 34%
Iron blood test (serum iron) inpatient CPT 83540 LAB IRON TISSUE LIVER $138.32 $208.00 $166.40–$203.84 — 34%
Iron-binding capacity (TIBC) test CPT 83550 LAB CAPACITY IRON BINDING $17.96 $27.00 $12.96–$26.46 55% below 33%
Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB CAPACITY IRON BINDING $17.96 $27.00 $21.60–$26.46 — 33%
Kidney function blood test panel CPT 80069 LAB PANEL FUNCTION RENAL $17.96 $27.00 $12.96–$26.46 80% below 33%
Kidney function blood test panel inpatient CPT 80069 LAB PANEL FUNCTION RENAL $17.96 $27.00 $21.60–$26.46 — 33%
LH (luteinizing hormone) test CPT 83002 LAB GONADOTROPIN LH NS $37.90 $57.00 $27.36–$55.86 66% below 34%
LH (luteinizing hormone) test CPT 83002 LAB GONADOTROPIN LH $38.57 $58.00 $27.84–$56.84 65% below 34%
LH (luteinizing hormone) test inpatient CPT 83002 LAB GONADOTROPIN LH NS $37.90 $57.00 $45.60–$55.86 — 34%
LH (luteinizing hormone) test inpatient CPT 83002 LAB GONADOTROPIN LH $38.57 $58.00 $46.40–$56.84 — 34%
Lactate (lactic acid) blood test CPT 83605 LAB LACTATE/LACTIC ACID $23.28 $35.00 $16.80–$34.30 67% below 33%
Lactate (lactic acid) blood test CPT 83605 LAB LACTATE/LACTIC ACID CSF $58.52 $88.00 $42.24–$86.24 18% below 34%
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTATE/LACTIC ACID $23.28 $35.00 $28.00–$34.30 — 33%
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTATE/LACTIC ACID CSF $58.52 $88.00 $70.40–$86.24 — 34%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH $12.64 $19.00 $9.12–$18.62 64% below 33%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH NS $36.58 $55.00 $26.40–$53.90 4% above 33%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH CSF $37.24 $56.00 $26.88–$54.88 5% above 34%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH FLUID BODY $37.90 $57.00 $27.36–$55.86 7% above 34%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH $12.64 $19.00 $15.20–$18.62 — 33%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH NS $36.58 $55.00 $44.00–$53.90 — 33%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH CSF $37.24 $56.00 $44.80–$54.88 — 34%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH FLUID BODY $37.90 $57.00 $45.60–$55.86 — 34%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE $13.96 $21.00 $10.08–$20.58 81% below 34%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE FLUID BODY $34.58 $52.00 $24.96–$50.96 52% below 34%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE FLUID BODY NS $38.57 $58.00 $27.84–$56.84 47% below 34%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE $13.96 $21.00 $16.80–$20.58 — 34%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE FLUID BODY $34.58 $52.00 $41.60–$50.96 — 34%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE FLUID BODY NS $38.57 $58.00 $46.40–$56.84 — 34%
Liver function blood test panel CPT 80076 LAB PANEL FUNCTION HEPATIC $16.62 $25.00 $12.00–$24.50 79% below 34%
Liver function blood test panel inpatient CPT 80076 LAB PANEL FUNCTION HEPATIC $16.62 $25.00 $20.00–$24.50 — 34%
Lyme disease antibody test CPT 86618 LAB AB LYME DISEASE IGG IGM $49.90 $66.00 $31.68–$64.68 47% below 24%
Lyme disease antibody test inpatient CPT 86618 LAB AB LYME DISEASE IGG IGM $49.90 $66.00 $52.80–$64.68 — 24%
Magnesium blood test CPT 83735 LAB MAGNESIUM STOOL $13.96 $21.00 $10.08–$20.58 68% below 34%
Magnesium blood test CPT 83735 LAB MAGNESIUM $13.96 $21.00 $10.08–$20.58 68% below 34%
Magnesium blood test CPT 83735 LAB MAGNESIUM URINE $34.58 $52.00 $24.96–$50.96 21% below 34%
Magnesium blood test CPT 83735 LAB MAGNESIUM NS $58.52 $88.00 $42.24–$86.24 34% above 34%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM $13.96 $21.00 $16.80–$20.58 — 34%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM STOOL $13.96 $21.00 $16.80–$20.58 — 34%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM URINE $34.58 $52.00 $41.60–$50.96 — 34%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM NS $58.52 $88.00 $70.40–$86.24 — 34%
Measles (rubeola) antibody test CPT 86765 LAB AB RUBEOLA IGM $42.34 $56.00 $26.88–$54.88 25% below 24%
Measles (rubeola) antibody test CPT 86765 LAB AB RUBEOLA IGG $45.36 $60.00 $28.80–$58.80 19% below 24%
Measles (rubeola) antibody test inpatient CPT 86765 LAB AB RUBEOLA IGM $42.34 $56.00 $44.80–$54.88 — 24%
Measles (rubeola) antibody test inpatient CPT 86765 LAB AB RUBEOLA IGG $45.36 $60.00 $48.00–$58.80 — 24%
Mono test (heterophile antibody, Monospot) CPT 86308 LAB SCR AB HETEROPHILE $12.10 $16.00 $7.68–$15.68 79% below 24%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LAB SCR AB HETEROPHILE $12.10 $16.00 $12.80–$15.68 — 24%
Mumps immunity blood test CPT 86735 LAB AB MUMPS IGG $42.34 $56.00 $26.88–$54.88 33% below 24%
Mumps immunity blood test CPT 86735 LAB AB MUMPS $46.12 $61.00 $29.28–$59.78 27% below 24%
Mumps immunity blood test CPT 86735 LAB AB MUMPS IGM $46.87 $62.00 $29.76–$60.76 26% below 24%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS IGG $42.34 $56.00 $44.80–$54.88 — 24%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS $46.12 $61.00 $48.80–$59.78 — 24%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS IGM $46.87 $62.00 $49.60–$60.76 — 24%
PSA (prostate-specific antigen) blood test, free CPT 84154 LAB PSA FREE $37.24 $56.00 $26.88–$54.88 58% below 34%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB PSA FREE $37.24 $56.00 $44.80–$54.88 — 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB SCR PSA $37.24 $56.00 $26.88–$54.88 54% below 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL $37.24 $56.00 $26.88–$54.88 54% below 34%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL NS $46.55 $70.00 $33.60–$68.60 43% below 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB SCR PSA $37.24 $56.00 $44.80–$54.88 — 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL $37.24 $56.00 $44.80–$54.88 — 34%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL NS $46.55 $70.00 $56.00–$68.60 — 34%
Pap test (liquid-based, automated screening with review) CPT 88175 LAB CYTOPATH CERV/VAG AUTO&MANUAL $118.58 $162.00 $77.76–$158.76 18% above 27%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 LAB CYTOPATH CERV/VAG AUTO&MANUAL $118.58 $162.00 $129.60–$158.76 — 27%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE C-TERMINAL $82.46 $124.00 $59.52–$121.52 55% below 34%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE $82.46 $124.00 $59.52–$121.52 55% below 34%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 3 $82.46 $124.00 $59.52–$121.52 55% below 34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 3 $82.46 $124.00 $99.20–$121.52 — 34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE $82.46 $124.00 $99.20–$121.52 — 34%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE C-TERMINAL $82.46 $124.00 $99.20–$121.52 — 34%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL $13.05 $19.00 $9.12–$18.62 74% below 31%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL NS $37.10 $54.00 $25.92–$52.92 25% below 31%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL $13.05 $19.00 $15.20–$18.62 — 31%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL NS $37.10 $54.00 $43.20–$52.92 — 31%
Phosphorus (phosphate) blood test CPT 84100 LAB PHOSPHORUS INORGANIC NS $9.98 $15.00 $7.20–$14.70 76% below 33%
Phosphorus (phosphate) blood test CPT 84100 LAB PHOSPHORUS INORGANIC $9.98 $15.00 $7.20–$14.70 76% below 33%
Phosphorus (phosphate) blood test inpatient CPT 84100 LAB PHOSPHORUS INORGANIC NS $9.98 $15.00 $12.00–$14.70 — 33%
Phosphorus (phosphate) blood test inpatient CPT 84100 LAB PHOSPHORUS INORGANIC $9.98 $15.00 $12.00–$14.70 — 33%
Potassium blood test CPT 84132 LAB POTASS SRM/PLASMA/BLD WHL $9.98 $15.00 $7.20–$14.70 59% below 33%
Potassium blood test CPT 84132 LAB POTASS PLASMA $39.24 $59.00 $28.32–$57.82 60% above 33%
Potassium blood test CPT 84132 LAB POTASS BLD WHL RBC $54.53 $82.00 $39.36–$80.36 123% above 34%
Potassium blood test inpatient CPT 84132 LAB POTASS SRM/PLASMA/BLD WHL $9.98 $15.00 $12.00–$14.70 — 33%
Potassium blood test inpatient CPT 84132 LAB POTASS PLASMA $39.24 $59.00 $47.20–$57.82 — 33%
Potassium blood test inpatient CPT 84132 LAB POTASS BLD WHL RBC $54.53 $82.00 $65.60–$80.36 — 34%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 LAB FETAL CHROMOSOMAL ANEUPLOIDY $1,373.63 $2,278.00 $1,093.44–$2,232.44 6% above 40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 LAB FETAL CHROMOSOMAL ANEUPLOIDY $1,373.63 $2,278.00 $1,822.40–$2,232.44 — 40%
Progesterone blood test CPT 84144 LAB PROGESTERONE $41.90 $63.00 $30.24–$61.74 60% below 33%
Progesterone blood test inpatient CPT 84144 LAB PROGESTERONE $41.90 $63.00 $50.40–$61.74 — 33%
Prolactin blood test CPT 84146 LAB PROLACTIN $39.24 $59.00 $28.32–$57.82 61% below 33%
Prolactin blood test inpatient CPT 84146 LAB PROLACTIN $39.24 $59.00 $47.20–$57.82 — 33%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME $35.04 $51.00 $24.48–$49.98 at median 31%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME NS $43.28 $63.00 $30.24–$61.74 23% above 31%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME $35.04 $51.00 $40.80–$49.98 — 31%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME NS $43.28 $63.00 $50.40–$61.74 — 31%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LAB DRG SCR DIRECT OPT OBS ONLY DAY $25.27 $38.00 $18.24–$37.24 25% below 34%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LAB DRG SCR DIRECT OPT OBS ONLY DAY $25.27 $38.00 $30.40–$37.24 — 34%
Rapid flu test (influenza antigen) CPT 87804 LAB DET AG IA INFLUENZA IMM OPT $35.10 $50.00 $24.00–$49.00 46% below 30%
Rapid flu test (influenza antigen) inpatient CPT 87804 LAB DET AG IA INFLUENZA IMM OPT $35.10 $50.00 $40.00–$49.00 — 30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 LAB DET AG IA STREP GROUP A IMM OPT $35.10 $50.00 $24.00–$49.00 34% below 30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LAB DET AG IA STREP GROUP A IMM OPT $35.10 $50.00 $40.00–$49.00 — 30%
Renin blood test CPT 84244 LAB RENIN NS $43.89 $66.00 $31.68–$64.68 64% below 34%
Renin blood test CPT 84244 LAB RENIN $93.10 $140.00 $67.20–$137.20 24% below 34%
Renin blood test inpatient CPT 84244 LAB RENIN NS $43.89 $66.00 $52.80–$64.68 — 34%
Renin blood test inpatient CPT 84244 LAB RENIN $93.10 $140.00 $112.00–$137.20 — 34%
Rh blood typing CPT 86901 LAB BLOOD TYPE RHD $51.59 $79.00 $37.92–$77.42 3% below 35%
Rh blood typing inpatient CPT 86901 LAB BLOOD TYPE RHD $51.59 $79.00 $63.20–$77.42 — 35%
Rheumatoid factor (RF) test CPT 86431 LAB FACTOR RHEUMATOID QN $13.61 $18.00 $8.64–$17.64 70% below 24%
Rheumatoid factor (RF) test CPT 86431 LAB FACTOR RHEUMATOID QN NS $41.58 $55.00 $26.40–$53.90 9% below 24%
Rheumatoid factor (RF) test inpatient CPT 86431 LAB FACTOR RHEUMATOID QN $13.61 $18.00 $14.40–$17.64 — 24%
Rheumatoid factor (RF) test inpatient CPT 86431 LAB FACTOR RHEUMATOID QN NS $41.58 $55.00 $44.00–$53.90 — 24%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA IGG $42.34 $56.00 $26.88–$54.88 35% below 24%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA IGM NS $42.34 $56.00 $26.88–$54.88 35% below 24%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA IGM NS $42.34 $56.00 $44.80–$54.88 — 24%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA IGG $42.34 $56.00 $44.80–$54.88 — 24%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LAB RATE SEDIMENTATION RBC AUTO $6.18 $9.00 $4.32–$8.82 81% below 31%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LAB RATE SEDIMENTATION RBC AUTO $6.18 $9.00 $7.20–$8.82 — 31%
Sodium blood test CPT 84295 LAB SODIUM SRM/PLASMA/BLD WHL $9.98 $15.00 $7.20–$14.70 49% below 33%
Sodium blood test inpatient CPT 84295 LAB SODIUM SRM/PLASMA/BLD WHL $9.98 $15.00 $12.00–$14.70 — 33%
Stool ova and parasites exam CPT 87177 LAB SMEARS DIRECT OVA&PARASITES $18.95 $27.00 $12.96–$26.46 64% below 30%
Stool ova and parasites exam inpatient CPT 87177 LAB SMEARS DIRECT OVA&PARASITES $18.95 $27.00 $21.60–$26.46 — 30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LAB BLOOD OCCULT FECES SINGLE QL $9.31 $14.00 $6.72–$13.72 56% below 34%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LAB BLOOD OCCULT FECES SINGLE QL $9.31 $14.00 $11.20–$13.72 — 34%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM NS $41.23 $62.00 $29.76–$60.76 24% below 34%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM QL $41.23 $62.00 $29.76–$60.76 24% below 34%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM QL $41.23 $62.00 $49.60–$60.76 — 34%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM NS $41.23 $62.00 $49.60–$60.76 — 34%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB SCR AB SYPHILIS NS $30.24 $40.00 $19.20–$39.20 54% below 24%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB SCR AB SYPHILIS $40.07 $53.00 $25.44–$51.94 39% below 24%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB AB TREPONEMA PALLIDUM CONF $55.94 $74.00 $35.52–$72.52 15% below 24%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB SCR AB SYPHILIS NS $30.24 $40.00 $32.00–$39.20 — 24%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB SCR AB SYPHILIS $40.07 $53.00 $42.40–$51.94 — 24%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB AB TREPONEMA PALLIDUM CONF $55.94 $74.00 $59.20–$72.52 — 24%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL $39.31 $52.00 $24.96–$50.96 8% below 24%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL CSF $46.87 $62.00 $29.76–$60.76 10% above 24%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL DNR TESTNG $101.30 $134.00 $64.32–$131.32 137% above 24%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL $39.31 $52.00 $41.60–$50.96 — 24%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL CSF $46.87 $62.00 $49.60–$60.76 — 24%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL DNR TESTNG $101.30 $134.00 $107.20–$131.32 — 24%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LAB TB MEAS IMMUNITY GAMMA INTERFRN $140.62 $186.00 $89.28–$182.28 2% below 24%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 LAB TB MEAS IMMUNITY GAMMA INTERFRN $140.62 $186.00 $148.80–$182.28 — 24%
Testosterone blood test, total (not free testosterone) CPT 84403 LAB TESTOSTERONE TOTAL $51.87 $78.00 $37.44–$76.44 46% below 34%
Testosterone blood test, total (not free testosterone) CPT 84403 LAB TESTOSTERONE TOTAL NS $51.87 $78.00 $37.44–$76.44 46% below 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB TESTOSTERONE TOTAL $51.87 $78.00 $62.40–$76.44 — 34%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB TESTOSTERONE TOTAL NS $51.87 $78.00 $62.40–$76.44 — 34%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL EA $33.26 $44.00 $21.12–$43.12 56% below 24%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL LIVER-KIDNEY EA $47.63 $63.00 $30.24–$61.74 37% below 24%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL EA $33.26 $44.00 $35.20–$43.12 — 24%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL LIVER-KIDNEY EA $47.63 $63.00 $50.40–$61.74 — 24%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE NS $33.92 $51.00 $24.48–$49.98 56% below 33%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE $35.91 $54.00 $25.92–$52.92 54% below 34%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE NS $33.92 $51.00 $40.80–$49.98 — 33%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE $35.91 $54.00 $43.20–$52.92 — 34%
Total IgE blood test CPT 82785 LAB IG IGE $38.57 $58.00 $27.84–$56.84 51% below 34%
Total IgE blood test inpatient CPT 82785 LAB IG IGE $38.57 $58.00 $46.40–$56.84 — 34%
Total cholesterol blood test CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL $36.58 $55.00 $26.40–$53.90 5% above 33%
Total cholesterol blood test inpatient CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL $36.58 $55.00 $44.00–$53.90 — 33%
Total thyroxine (T4) blood test CPT 84436 LAB THYROXINE T4 TOTAL $37.24 $56.00 $26.88–$54.88 18% below 34%
Total thyroxine (T4) blood test inpatient CPT 84436 LAB THYROXINE T4 TOTAL $37.24 $56.00 $44.80–$54.88 — 34%
Total triiodothyronine (T3) blood test CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL NS $28.60 $43.00 $20.64–$42.14 66% below 33%
Total triiodothyronine (T3) blood test CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL $28.60 $43.00 $20.64–$42.14 66% below 33%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL NS $28.60 $43.00 $34.40–$42.14 — 33%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL $28.60 $43.00 $34.40–$42.14 — 33%
Transferrin blood test CPT 84466 LAB TRANSFERRIN $25.94 $39.00 $18.72–$38.22 60% below 33%
Transferrin blood test inpatient CPT 84466 LAB TRANSFERRIN $25.94 $39.00 $31.20–$38.22 — 33%
Trichomonas test (NAAT) CPT 87661 LAB DET IA TRICHOMONAS VAG PRB AMP $74.41 $106.00 $50.88–$103.88 46% below 30%
Trichomonas test (NAAT) CPT 87661 LAB DET IA TRICHOMON VAG PRB AMP NS $77.92 $111.00 $53.28–$108.78 44% below 30%
Trichomonas test (NAAT) inpatient CPT 87661 LAB DET IA TRICHOMONAS VAG PRB AMP $74.41 $106.00 $84.80–$103.88 — 30%
Trichomonas test (NAAT) inpatient CPT 87661 LAB DET IA TRICHOMON VAG PRB AMP NS $77.92 $111.00 $88.80–$108.78 — 30%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES $11.97 $18.00 $8.64–$17.64 56% below 34%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES NS $37.90 $57.00 $27.36–$55.86 40% above 34%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES $11.97 $18.00 $14.40–$17.64 — 34%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES NS $37.90 $57.00 $45.60–$55.86 — 34%
Troponin test, quantitative CPT 84484 LAB TROPONIN QN $25.27 $38.00 $18.24–$37.24 75% below 34%
Troponin test, quantitative inpatient CPT 84484 LAB TROPONIN QN $25.27 $38.00 $30.40–$37.24 — 34%
Uric acid blood test CPT 84550 LAB ACID URIC BLOOD $9.31 $14.00 $6.72–$13.72 76% below 34%
Uric acid blood test inpatient CPT 84550 LAB ACID URIC BLOOD $9.31 $14.00 $11.20–$13.72 — 34%
Urinalysis with microscope exam, automated CPT 81001 LAB UA AUTO W MICRO $6.64 $10.00 $4.80–$9.80 84% below 34%
Urinalysis with microscope exam, automated inpatient CPT 81001 LAB UA AUTO W MICRO $6.64 $10.00 $8.00–$9.80 — 34%
Urinalysis without microscope exam, automated CPT 81003 LAB UA AUTO WO MICRO $4.65 $7.00 $3.36–$6.86 78% below 34%
Urinalysis without microscope exam, automated CPT 81003 POC UA AUTO WO MICRO $4.65 $7.00 $3.36–$6.86 78% below 34%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC UA AUTO WO MICRO $4.65 $7.00 $5.60–$6.86 — 34%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA AUTO WO MICRO $4.65 $7.00 $5.60–$6.86 — 34%
Urinalysis without microscope exam, manual CPT 81002 LAB UA REDUCING SUBSTANCE $7.30 $11.00 $5.28–$10.78 67% below 34%
Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA REDUCING SUBSTANCE $7.30 $11.00 $8.80–$10.78 — 34%
Urine culture for bacteria, with colony count CPT 87086 LAB CULT BACT COLONY COUNT URINE $17.55 $25.00 $12.00–$24.50 77% below 30%
Urine culture for bacteria, with colony count inpatient CPT 87086 LAB CULT BACT COLONY COUNT URINE $17.55 $25.00 $20.00–$24.50 — 30%
Urine microalbumin (albumin) test CPT 82043 LAB MICROALBUMIN URINE QN $37.24 $56.00 $26.88–$54.88 37% below 34%
Urine microalbumin (albumin) test CPT 82043 LAB MICROALBUMIN URINE QN NS $45.22 $68.00 $32.64–$66.64 23% below 34%
Urine microalbumin (albumin) test inpatient CPT 82043 LAB MICROALBUMIN URINE QN $37.24 $56.00 $44.80–$54.88 — 34%
Urine microalbumin (albumin) test inpatient CPT 82043 LAB MICROALBUMIN URINE QN NS $45.22 $68.00 $54.40–$66.64 — 34%
Urine pregnancy test, read by color change CPT 81025 LAB PREGNANCY URINE $38.51 $58.00 $27.84–$56.84 14% below 34%
Urine pregnancy test, read by color change inpatient CPT 81025 LAB PREGNANCY URINE $38.51 $58.00 $46.40–$56.84 — 34%
Vitamin B12 (cobalamin) blood test CPT 82607 LAB CYANOCOBALAMIN $35.91 $54.00 $25.92–$52.92 59% below 34%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB CYANOCOBALAMIN $35.91 $54.00 $43.20–$52.92 — 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC NS $59.18 $89.00 $42.72–$87.22 50% below 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC $59.18 $89.00 $42.72–$87.22 50% below 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC $59.18 $89.00 $71.20–$87.22 — 34%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC NS $59.18 $89.00 $71.20–$87.22 — 34%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 LAB VITAMIN D 1 25 DIHYDROXY FRAC $77.14 $116.00 $55.68–$113.68 33% below 34%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LAB VITAMIN D 1 25 DIHYDROXY FRAC $77.14 $116.00 $92.80–$113.68 — 34%
Zinc blood test CPT 84630 LAB ZINC NS $23.28 $35.00 $16.80–$34.30 66% below 33%
Zinc blood test CPT 84630 LAB ZINC $40.57 $61.00 $29.28–$59.78 41% below 33%
Zinc blood test inpatient CPT 84630 LAB ZINC NS $23.28 $35.00 $28.00–$34.30 — 33%
Zinc blood test inpatient CPT 84630 LAB ZINC $40.57 $61.00 $48.80–$59.78 — 33%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QN $30.59 $46.00 $22.08–$45.08 63% below 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG TUMOR MARKER QN $37.90 $57.00 $27.36–$55.86 54% below 34%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QN NS $44.56 $67.00 $32.16–$65.66 46% below 33%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QN $30.59 $46.00 $36.80–$45.08 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG TUMOR MARKER QN $37.90 $57.00 $45.60–$55.86 — 34%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QN NS $44.56 $67.00 $53.60–$65.66 — 33%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs WyomingOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED CARDIOVERSION ELECTIVE EXTERNAL $1,003.75 $1,606.00 $770.88–$1,573.88 11% below 38%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION ELECTIVE EXTERNAL $1,003.75 $1,606.00 $1,284.80–$1,573.88 — 38%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W BLOCK REGIONAL $620.63 $727.00 $348.96–$712.46 19% above 15%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W BLOCK REGIONAL $620.63 $727.00 $581.60–$712.46 — 15%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ/S EPID/SUB C/T W IMG $2,301.30 $3,316.00 $1,591.68–$3,249.68 63% above 31%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ/S EPID/SUB C/T W IMG $2,301.30 $3,316.00 $2,652.80–$3,249.68 — 31%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL LT $2,173.61 $3,132.00 $1,503.36–$3,069.36 24% above 31%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL RT $2,173.61 $3,132.00 $1,503.36–$3,069.36 24% above 31%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL LT $2,173.61 $3,132.00 $2,505.60–$3,069.36 — 31%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL RT $2,173.61 $3,132.00 $2,505.60–$3,069.36 — 31%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ SIS/HYSTEROSALPINGOGRAPHY $273.44 $394.00 $189.12–$386.12 34% below 31%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ SIS/HYSTEROSALPINGOGRAPHY $273.44 $394.00 $315.20–$386.12 — 31%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP LT $321.60 $491.00 $235.68–$481.18 62% above 35%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP RT $321.60 $491.00 $235.68–$481.18 62% above 35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP LT $321.60 $491.00 $392.80–$481.18 — 35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP RT $321.60 $491.00 $392.80–$481.18 — 35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD RT $566.30 $816.00 $391.68–$799.68 39% above 31%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD LT $566.30 $816.00 $391.68–$799.68 39% above 31%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD RT $566.30 $816.00 $652.80–$799.68 — 31%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD LT $566.30 $816.00 $652.80–$799.68 — 31%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD RT $489.27 $705.00 $338.40–$690.90 67% above 31%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD LT $489.27 $705.00 $338.40–$690.90 67% above 31%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD LT $489.27 $705.00 $564.00–$690.90 — 31%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD RT $489.27 $705.00 $564.00–$690.90 — 31%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD LT $475.39 $685.00 $328.80–$671.30 96% above 31%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD RT $475.39 $685.00 $328.80–$671.30 96% above 31%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD LT $475.39 $685.00 $548.00–$671.30 — 31%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD RT $475.39 $685.00 $548.00–$671.30 — 31%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ/S EPID/SUB L/S W IMG $1,592.04 $2,294.00 $1,101.12–$2,248.12 25% above 31%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ/S EPID/SUB L/S W IMG $1,592.04 $2,294.00 $1,835.20–$2,248.12 — 31%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ/S EPID/SUB L/S WO IMG $914.38 $1,396.00 $670.08–$1,368.08 at median 35%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ/S EPID/SUB L/S WO IMG $914.38 $1,396.00 $1,116.80–$1,368.08 — 35%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV LT $2,384.58 $3,436.00 $1,649.28–$3,367.28 104% above 31%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV RT $2,384.58 $3,436.00 $1,649.28–$3,367.28 104% above 31%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV LT $2,384.58 $3,436.00 $2,748.80–$3,367.28 — 31%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV RT $2,384.58 $3,436.00 $2,748.80–$3,367.28 — 31%
Occipital nerve block (injection for headaches) one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT RT $334.71 $511.00 $245.28–$500.78 32% below 34%
Occipital nerve block (injection for headaches) one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT LT $334.71 $511.00 $245.28–$500.78 32% below 34%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT RT $334.71 $511.00 $408.80–$500.78 — 34%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT LT $334.71 $511.00 $408.80–$500.78 — 34%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOMINAL W IMG $964.66 $1,390.00 $667.20–$1,362.20 3% below 31%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABDOMINAL W IMG $964.66 $1,390.00 $1,112.00–$1,362.20 — 31%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DST NRV LUMB/SAC FL/CT GD SGL RT $2,153.64 $3,288.00 $1,578.24–$3,222.24 10% above 35%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 DST NRV LUMB/SAC FL/CT GD SGL LT $2,153.64 $3,288.00 $1,578.24–$3,222.24 10% above 35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DST NRV LUMB/SAC FL/CT GD SGL RT $2,153.64 $3,288.00 $2,630.40–$3,222.24 — 35%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 DST NRV LUMB/SAC FL/CT GD SGL LT $2,153.64 $3,288.00 $2,630.40–$3,222.24 — 35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCT LUMBAR DIAGNOSTIC $773.81 $1,115.00 $535.20–$1,092.70 7% above 31%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCT LUMBAR DIAGNOSTIC $773.81 $1,115.00 $892.00–$1,092.70 — 31%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASP W IMG RT $1,088.89 $1,569.00 $753.12–$1,537.62 at median 31%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASP W IMG LT $1,088.89 $1,569.00 $753.12–$1,537.62 at median 31%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASP W IMG RT $1,088.89 $1,569.00 $1,255.20–$1,537.62 — 31%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASP W IMG LT $1,088.89 $1,569.00 $1,255.20–$1,537.62 — 31%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST LT $2,440.10 $3,516.00 $1,687.68–$3,445.68 3% above 31%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST RT $2,440.10 $3,516.00 $1,687.68–$3,445.68 3% above 31%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST LT $2,440.10 $3,516.00 $2,812.80–$3,445.68 — 31%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST RT $2,440.10 $3,516.00 $2,812.80–$3,445.68 — 31%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs WyomingOff list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 1 UNIT $954.10 $1,529.00 $733.92–$1,498.42 34% above 38%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 1 UNIT $954.10 $1,529.00 $733.92–$1,498.42 34% above 38%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 2 UNITS $1,193.09 $1,912.00 $917.76–$1,873.76 67% above 38%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 2 UNITS $1,193.09 $1,912.00 $917.76–$1,873.76 67% above 38%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 3+ UNITS $1,431.46 $2,294.00 $1,101.12–$2,248.12 101% above 38%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 3+ UNITS $1,431.46 $2,294.00 $1,101.12–$2,248.12 101% above 38%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 1 UNIT $954.10 $1,529.00 $1,223.20–$1,498.42 — 38%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 1 UNIT $954.10 $1,529.00 $1,223.20–$1,498.42 — 38%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 2 UNITS $1,193.09 $1,912.00 $1,529.60–$1,873.76 — 38%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 2 UNITS $1,193.09 $1,912.00 $1,529.60–$1,873.76 — 38%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 3+ UNITS $1,431.46 $2,294.00 $1,835.20–$2,248.12 — 38%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 3+ UNITS $1,431.46 $2,294.00 $1,835.20–$2,248.12 — 38%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF IV 1ST HR $424.60 $550.00 $264.00–$539.00 16% below 23%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF IV 1ST HR $424.60 $550.00 $440.00–$539.00 — 23%
Critical care, first 30 to 74 minutes CPT 99291 ED VISIT CRITICAL CARE 1ST 30-74MIN $1,320.00 $2,112.00 $1,013.76–$2,069.76 43% below 38%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED VISIT CRITICAL CARE 1ST 30-74MIN $1,320.00 $2,112.00 $1,689.60–$2,069.76 — 38%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED EKG TRACING ROUTINE 12+ LEADS $306.85 $446.00 $214.08–$437.08 63% above 31%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ROUTINE 12+ LEADS $306.85 $446.00 $214.08–$437.08 63% above 31%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED EKG TRACING ROUTINE 12+ LEADS $306.85 $446.00 $356.80–$437.08 — 31%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ROUTINE 12+ LEADS $306.85 $446.00 $356.80–$437.08 — 31%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 $260.82 $200.00 $96.00–$196.00 at median -30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1 $260.82 $200.00 $160.00–$196.00 — -30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 $332.68 $368.00 $176.64–$360.64 8% below 10%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2 $332.68 $368.00 $294.40–$360.64 — 10%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 $839.01 $646.00 $310.08–$633.08 18% above -30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3 $839.01 $646.00 $516.80–$633.08 — -30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 $2,393.16 $1,106.00 $530.88–$1,083.88 101% above -116%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4 $2,393.16 $1,106.00 $884.80–$1,083.88 — -116%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 $4,108.02 $1,606.00 $770.88–$1,573.88 147% above -156%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5 $4,108.02 $1,606.00 $1,284.80–$1,573.88 — -156%
Exercise stress test, tracing only, the hospital charge CPT 93017 TEST CV STRESS TREAD/BIKE&/RX TRACE $1,408.72 $1,973.00 $947.04–$1,933.54 66% above 29%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TEST CV STRESS TREAD/BIKE&/RX TRACE $1,408.72 $1,973.00 $1,578.40–$1,933.54 — 29%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED INF IV HYDRATION 31-60MIN $265.00 $424.00 $203.52–$415.52 8% below 38%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRATION 31-60MIN $383.72 $424.00 $203.52–$415.52 34% above 10%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED INF IV HYDRATION 31-60MIN $265.00 $424.00 $339.20–$415.52 — 38%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRATION 31-60MIN $383.72 $424.00 $339.20–$415.52 — 10%
IV infusion of a medicine, first hour CPT 96365 ED INF IV THRPY 1ST HR $380.00 $608.00 $291.84–$595.84 at median 38%
IV infusion of a medicine, first hour CPT 96365 INF IV THRPY 1ST HR $550.24 $608.00 $291.84–$595.84 45% above 10%
IV infusion of a medicine, first hour inpatient CPT 96365 ED INF IV THRPY 1ST HR $380.00 $608.00 $486.40–$595.84 — 38%
IV infusion of a medicine, first hour inpatient CPT 96365 INF IV THRPY 1ST HR $550.24 $608.00 $486.40–$595.84 — 10%
IV push of a medicine, first drug CPT 96374 ED INJ IVP DRUG INITIAL $231.25 $370.00 $177.60–$362.60 8% above 38%
IV push of a medicine, first drug CPT 96374 INJ IVP DRUG INITIAL $249.01 $370.00 $177.60–$362.60 17% above 33%
IV push of a medicine, first drug CPT 96374 INJ IVP DRUG INITIAL INCMP TEST $249.01 $370.00 $177.60–$362.60 17% above 33%
IV push of a medicine, first drug inpatient CPT 96374 ED INJ IVP DRUG INITIAL $231.25 $370.00 $296.00–$362.60 — 38%
IV push of a medicine, first drug inpatient CPT 96374 INJ IVP DRUG INITIAL INCMP TEST $249.01 $370.00 $296.00–$362.60 — 33%
IV push of a medicine, first drug inpatient CPT 96374 INJ IVP DRUG INITIAL $249.01 $370.00 $296.00–$362.60 — 33%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED INJ SUBQ/IM $92.50 $148.00 $71.04–$145.04 2% below 38%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM $99.60 $148.00 $71.04–$145.04 6% above 33%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED INJ SUBQ/IM $92.50 $148.00 $118.40–$145.04 — 38%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM $99.60 $148.00 $118.40–$145.04 — 33%
New patient office visit, about 30 minutes CPT 99203 VISIT NEW LEVEL 3 $215.82 $330.00 $158.40–$323.40 45% above 35%
New patient office visit, about 30 minutes CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 $937.70 $835.00 $400.80–$818.30 528% above -12%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW LEVEL 3 $215.82 $330.00 $264.00–$323.40 — 35%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT OB TRIAGE NEW LEVEL 3 $937.70 $835.00 $668.00–$818.30 — -12%
New patient office visit, about 45 minutes CPT 99204 VISIT NEW LEVEL 4 $297.57 $455.00 $218.40–$445.90 21% above 35%
New patient office visit, about 45 minutes CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 $1,126.37 $1,003.00 $481.44–$982.94 359% above -12%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW LEVEL 4 $297.57 $455.00 $364.00–$445.90 — 35%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT OB TRIAGE NEW LEVEL 4 $1,126.37 $1,003.00 $802.40–$982.94 — -12%
New patient office visit, about 60 minutes CPT 99205 VISIT NEW LEVEL 5 $340.08 $520.00 $249.60–$509.60 10% above 35%
New patient office visit, about 60 minutes CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 $1,509.31 $1,344.00 $645.12–$1,317.12 389% above -12%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW LEVEL 5 $340.08 $520.00 $416.00–$509.60 — 35%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT OB TRIAGE NEW LEVEL 5 $1,509.31 $1,344.00 $1,075.20–$1,317.12 — -12%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW LEVEL 1 $88.29 $135.00 $64.80–$132.30 at median 35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW LEVEL 2 $176.58 $270.00 $129.60–$264.60 100% above 35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT OB TRIAGE NEW LEVEL 1 $318.93 $284.00 $136.32–$278.32 261% above -12%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT OB TRIAGE NEW LEVEL 2 $625.51 $557.00 $267.36–$545.86 608% above -12%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW LEVEL 1 $88.29 $135.00 $108.00–$132.30 — 35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW LEVEL 2 $176.58 $270.00 $216.00–$264.60 — 35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT OB TRIAGE NEW LEVEL 1 $318.93 $284.00 $227.20–$278.32 — -12%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT OB TRIAGE NEW LEVEL 2 $625.51 $557.00 $445.60–$545.86 — -12%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL ASSESS INDIVIDUAL 15MIN $57.62 $67.00 $32.16–$65.66 14% below 14%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL ASSESS INDIVIDUAL 15MIN $57.62 $67.00 $53.60–$65.66 — 14%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT ESTABLISHED LEVEL 5 $297.57 $455.00 $218.40–$445.90 18% above 35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT OB TRIAGE ESTABLISHED LEVEL 5 $1,356.58 $1,208.00 $579.84–$1,183.84 438% above -12%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT ESTABLISHED LEVEL 5 $297.57 $455.00 $364.00–$445.90 — 35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT OB TRIAGE ESTABLISHED LEVEL 5 $1,356.58 $1,208.00 $966.40–$1,183.84 — -12%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT ESTABLISHED LEVEL 3 $192.93 $295.00 $141.60–$289.10 16% above 35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT OB TRIAGE ESTABLISHED LEVEL 3 $625.51 $557.00 $267.36–$545.86 276% above -12%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT ESTABLISHED LEVEL 3 $192.93 $295.00 $236.00–$289.10 — 35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT OB TRIAGE ESTABLISHED LEVEL 3 $625.51 $557.00 $445.60–$545.86 — -12%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT ESTABLISHED LEVEL 4 $258.33 $395.00 $189.60–$387.10 26% above 35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT OB TRIAGE ESTABLISHED LEVEL 4 $961.29 $856.00 $410.88–$838.88 369% above -12%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT ESTABLISHED LEVEL 4 $258.33 $395.00 $316.00–$387.10 — 35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT OB TRIAGE ESTABLISHED LEVEL 4 $961.29 $856.00 $684.80–$838.88 — -12%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT ESTABLISHED LEVEL 2 $150.42 $230.00 $110.40–$225.40 12% above 35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT OB TRIAGE ESTABLISHED LEVEL 2 $318.93 $284.00 $136.32–$278.32 138% above -12%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT ESTABLISHED LEVEL 2 $150.42 $230.00 $184.00–$225.40 — 35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT OB TRIAGE ESTABLISHED LEVEL 2 $318.93 $284.00 $227.20–$278.32 — -12%
Spirometry (breathing test) CPT 94010 SPIROMETRY W VITAL CAP W/WO VENT $344.90 $521.00 $250.08–$510.58 54% above 34%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W VITAL CAP W/WO VENT $344.90 $521.00 $416.80–$510.58 — 34%
Spirometry before and after a bronchodilator CPT 94060 BRONCHDLTN PRE&POST SPIROMETRY W VC $524.97 $793.00 $380.64–$777.14 20% above 34%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHDLTN PRE&POST SPIROMETRY W VC $524.97 $793.00 $634.40–$777.14 — 34%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC $233.53 $347.00 $166.56–$340.06 19% above 33%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC $233.53 $347.00 $277.60–$340.06 — 33%

Vaccines

ProcedureCash priceList priceInsurers payvs WyomingOff list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION 1ST VACCINE $52.42 $126.00 $60.48–$123.48 7% below 58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMMUNIZATION 1ST VACCINE $52.42 $126.00 $60.48–$123.48 7% below 58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION 1ST VACCINE $52.42 $126.00 $100.80–$123.48 — 58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IMMUNIZATION 1ST VACCINE $52.42 $126.00 $100.80–$123.48 — 58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED IMMUNIZATION ADDL VACCINE $17.47 $42.00 $20.16–$41.16 24% below 58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADDL VACCINE $17.47 $42.00 $20.16–$41.16 24% below 58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED IMMUNIZATION ADDL VACCINE $17.47 $42.00 $33.60–$41.16 — 58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADDL VACCINE $17.47 $42.00 $33.60–$41.16 — 58%
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://images.pricetransparency.healthcare/public-mrfs/banner/830249710_platte-county-hospital_standardcharges.csv