Hospital Duluth, MN-WI

Essentia Health Virginia

Essentia Health Virginia in Virginia, MN publishes cash prices for 362 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 236 of 353 procedures and above it for 108. By typical cash price it ranks #37 of 85 Minnesota hospitals and #3 of 12 hospitals in the Duluth, MN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

Essentia Health Virginia, 901 9th St N Virginia, MN 55792 Collected Sep 23, 2026 Source price file Check a bill from this hospital (218) 741-3340

Acute care hospital Government-owned hospital No emergency department CMS star rating 4 of 5 CCN 240084 · CMS hospital register NPI 1083617120

Financial assistance

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

Essentia Health Virginia 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.

State law

This state limits hospital bills for lower-income patients

Minnesota law (Minn. Stat. §144.589): a hospital may not charge an uninsured patient whose household income is under $125,000 more than the lowest amount it would be paid for the same service by a private insurer, counting the insured patient's share. If the cash price below is higher, ask the billing office to apply this limit. Each hospital's page here shows the range of insurer rates in its own file (the "Insurers pay" column), a starting point when you ask. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & W/DYE	$1,563.72	$2,490.00	$572.70–$2,250.96	10% below	37%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/O & W/DYE	$1,563.72	$2,490.00	$1,067.96–$2,243.49	—	37%
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$244.92	$390.00	$89.70–$352.56	11% below	37%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$244.92	$390.00	$167.27–$351.39	—	37%
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY ANKLE MINIMUM 3 VWS	$205.98	$328.00	$75.44–$296.51	11% below	37%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY ANKLE MINIMUM 3 VWS	$205.98	$328.00	$140.68–$295.53	—	37%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STUDY - VASCULAR DIAGNOSTICS	$329.70	$525.00	$120.75–$474.60	5% below	37%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STUDY	$384.34	$612.00	$140.76–$553.25	11% above	37%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREMITY STUDY - VASCULAR DIAGNOSTICS	$329.70	$525.00	$225.17–$473.02	—	37%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREMITY STUDY	$384.34	$612.00	$262.49–$551.41	—	37%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,097.12	$1,747.00	$401.81–$1,579.29	13% below	37%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,097.12	$1,747.00	$749.29–$1,574.05	—	37%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CONTRAST XRAY ESOPHAGUS; INCL SCOUT & DELAY (TC)	$391.24	$623.00	$143.29–$563.19	26% above	37%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN, WHOLE BODY	$1,056.30	$1,682.00	$386.86–$1,520.53	14% below	37%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN, WHOLE BODY	$1,056.30	$1,682.00	$721.41–$1,515.48	—	37%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$251.83	$401.00	$92.23–$362.50	37% below	37%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$298.93	$476.00	$109.48–$430.30	5% below	37%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$2,411.52	$3,840.00	$883.20–$3,471.36	5% below	37%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$2,411.52	$3,840.00	$1,646.98–$3,459.84	—	37%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY, HEAD	$1,674.25	$2,666.00	$613.18–$2,410.06	7% below	37%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY, HEAD	$1,674.25	$2,666.00	$1,143.45–$2,402.07	—	37%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY, NECK	$1,672.36	$2,663.00	$612.49–$2,407.35	5% below	37%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY, NECK	$1,672.36	$2,663.00	$1,142.16–$2,399.36	—	37%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY, CHEST	$1,718.21	$2,736.00	$629.28–$2,473.34	6% below	37%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY, CHEST	$1,718.21	$2,736.00	$1,173.47–$2,465.14	—	37%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,867.04	$2,973.00	$683.79–$2,687.59	10% below	37%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,867.04	$2,973.00	$1,275.12–$2,678.67	—	37%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST	$2,388.91	$3,804.00	$874.92–$3,438.82	5% below	37%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST	$2,388.91	$3,804.00	$1,631.54–$3,427.40	—	37%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,535.24	$4,037.00	$928.51–$3,649.45	6% below	37%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,535.24	$4,037.00	$1,731.47–$3,637.34	—	37%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE	$1,284.89	$2,046.00	$470.58–$1,849.58	7% below	37%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE	$1,040.60	$1,657.00	$381.11–$1,497.93	11% below	37%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O DYE	$1,040.60	$1,657.00	$710.69–$1,492.96	—	37%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIALW/O DYE	$1,196.97	$1,906.00	$438.38–$1,723.02	5% below	37%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIALW/O DYE	$1,196.97	$1,906.00	$817.48–$1,717.31	—	37%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$1,137.31	$1,811.00	$416.53–$1,637.14	10% below	37%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$1,137.31	$1,811.00	$776.74–$1,631.71	—	37%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$1,154.26	$1,838.00	$422.74–$1,661.55	11% below	37%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$1,154.26	$1,838.00	$788.32–$1,656.04	—	37%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,389.14	$2,212.00	$508.76–$1,999.65	13% below	37%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,389.14	$2,212.00	$948.73–$1,993.01	—	37%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,268.56	$2,020.00	$464.60–$1,826.08	7% below	37%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$1,268.56	$2,020.00	$866.38–$1,820.02	—	37%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$1,441.26	$2,295.00	$527.85–$2,074.68	at median	37%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$1,441.26	$2,295.00	$984.33–$2,067.80	—	37%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,234.65	$1,966.00	$452.18–$1,777.26	13% below	37%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$1,234.65	$1,966.00	$843.22–$1,771.37	—	37%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CV CAROTID IMAGING-BILAT	$732.25	$1,166.00	$268.18–$1,054.06	—	37%
Chest CT scan without and with contrast inpatient CPT 71270 DIAGNOSTIC CT THORAX W&WO CONTRAST (TC)	$1,421.79	$2,264.00	$971.03–$2,039.86	—	37%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$205.36	$327.00	$75.21–$295.61	9% below	37%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$205.36	$327.00	$140.25–$294.63	—	37%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$192.17	$306.00	$70.38–$276.62	5% below	37%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$192.17	$306.00	$131.24–$275.71	—	37%
Collarbone (clavicle) X-ray, complete CPT 73000 XRAY CLAVICLE COMPLETE	$185.89	$296.00	$68.08–$267.58	7% below	37%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XRAY CLAVICLE COMPLETE	$185.89	$296.00	$126.95–$266.70	—	37%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL TC	$457.81	$729.00	$167.67–$659.02	11% below	37%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL TC	$457.81	$729.00	$312.67–$656.83	—	37%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA, BONE DENSITY STUDY, HIPS/PELV/SPINE	$594.09	$946.00	$217.58–$855.18	60% above	37%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 DIAGNOSTIC CT THORAX W/O CONTRAST (TC)	$1,184.41	$1,886.00	$433.78–$1,704.94	7% below	37%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 DIAGNOSTIC CT THORAX W/O CONTRAST (TC)	$1,184.41	$1,886.00	$808.91–$1,699.29	—	37%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 DIAGNOSTIC CT THORAX W/ CONTRAST (TC)	$1,342.04	$2,137.00	$491.51–$1,931.85	8% below	37%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 DIAGNOSTIC CT THORAX W/ CONTRAST (TC)	$1,342.04	$2,137.00	$916.56–$1,925.44	—	37%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMM, DIAG, BILAT, TC W/CAD PERF	$340.38	$542.00	$124.66–$489.97	—	37%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMM, DIAG, UNILAT, TC W/CAD PERF	$355.45	$566.00	$130.18–$511.66	14% above	37%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEN DUPLEX BILATERAL	$821.42	$1,308.00	$300.84–$1,182.43	—	37%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VEN DUPLEX BILATERAL	$821.42	$1,308.00	$561.00–$1,178.51	—	37%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER, COMPLETE	$1,437.49	$2,289.00	$526.47–$2,069.26	1% below	37%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER, COMPLETE	$1,437.49	$2,289.00	$981.75–$2,062.39	—	37%
Elbow X-ray, 2 views CPT 73070 XRAY ELBOW 2 VWS	$178.35	$284.00	$65.32–$256.74	13% below	37%
Elbow X-ray, 2 views inpatient CPT 73070 XRAY ELBOW 2 VWS	$178.35	$284.00	$121.81–$255.88	—	37%
Elbow X-ray, complete, 3 or more views CPT 73080 XRAY ELBOW 3+VWS TC	$215.40	$343.00	$78.89–$310.07	7% below	37%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XRAY ELBOW 3+VWS TC	$215.40	$343.00	$147.11–$309.04	—	37%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSA W/O DYE	$1,102.14	$1,755.00	$403.65–$1,586.52	8% below	37%
Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES MINIMUM 3 VWS	$243.04	$387.00	$89.01–$349.85	5% below	37%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XRAY FOREARM 2 VWS	$188.40	$300.00	$69.00–$271.20	7% below	37%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XRAY FOREARM 2 VWS	$188.40	$300.00	$128.67–$270.30	—	37%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,161.80	$1,850.00	$425.50–$1,672.40	5% below	37%
Hand X-ray, 2 views CPT 73120 XRAY HAND 2VWS TC	$185.26	$295.00	$67.85–$266.68	3% below	37%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XRAY CALCANEUS MINIMUM 2 VWS	$170.19	$271.00	$62.33–$244.98	5% below	37%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XRAY CALCANEUS MINIMUM 2 VWS	$170.19	$271.00	$116.23–$244.17	—	37%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED	$522.50	$832.00	$191.36–$752.13	5% below	37%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY, UNATTENDED	$522.50	$832.00	$356.84–$749.63	—	37%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$3,303.28	$5,260.00	$1,209.80–$4,755.04	5% below	37%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY W/CPAP	$3,303.28	$5,260.00	$2,256.01–$4,739.26	—	37%
Knee X-ray, 3 views CPT 73562 XRAY KNEE 3 VWS	$212.89	$339.00	$77.97–$306.46	10% below	37%
Knee X-ray, 3 views inpatient CPT 73562 XRAY KNEE 3 VWS	$212.89	$339.00	$145.40–$305.44	—	37%
Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE 4 OR MORE VWS	$253.08	$403.00	$92.69–$364.31	10% below	37%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,258.51	$2,004.00	$460.92–$1,811.62	4% below	37%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,258.51	$2,004.00	$859.52–$1,805.60	—	37%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED TC	$456.56	$727.00	$167.21–$657.21	3% above	37%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED TC	$456.56	$727.00	$311.81–$655.03	—	37%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT NON-VASC LIMITED, REALTIME W/ IMG TC	$124.34	$198.00	$45.54–$178.99	64% below	37%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXT NON-VASC LIMITED, REALTIME W/ IMG TC	$124.34	$198.00	$84.92–$178.40	—	37%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG CA SCREEN WO CONTRAST	$798.19	$1,271.00	$292.33–$1,148.98	at median	37%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIBIA & FIBULA 2 VWS	$200.33	$319.00	$73.37–$288.38	6% below	37%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XRAY TIBIA & FIBULA 2 VWS	$200.33	$319.00	$136.82–$287.42	—	37%
MR angiography (MRA) of the head without contrast CPT 70544 MRA, HEAD W/OUT CONTRAST	$1,861.39	$2,964.00	$681.72–$2,679.46	13% below	37%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JNT WO/CONT TC	$1,825.60	$2,907.00	$668.61–$2,627.93	7% below	37%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT JNT WO/CONT TC	$1,825.60	$2,907.00	$1,246.81–$2,619.21	—	37%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI,LWREXT,JNT W/O+W/CONT	$2,182.30	$3,475.00	$799.25–$3,141.40	15% below	37%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI,LWREXT,JNT W/O+W/CONT	$2,182.30	$3,475.00	$1,490.43–$3,130.98	—	37%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O TC	$1,852.60	$2,950.00	$678.50–$2,666.80	13% below	37%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O TC	$1,852.60	$2,950.00	$1,265.26–$2,657.95	—	37%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI, ABDOMEN W/O+ W/CONTR	$2,505.72	$3,990.00	$917.70–$3,606.96	15% below	37%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST TC	$1,844.44	$2,937.00	$675.51–$2,655.05	11% below	37%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST TC	$1,844.44	$2,937.00	$1,259.68–$2,646.24	—	37%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST	$2,465.53	$3,926.00	$902.98–$3,549.10	15% below	37%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & WO CONTRAST	$2,465.53	$3,926.00	$1,683.86–$3,537.33	—	37%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST	$1,778.50	$2,832.00	$651.36–$2,560.13	13% below	37%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST	$1,778.50	$2,832.00	$1,214.64–$2,551.63	—	37%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W&WO CONTRAST	$2,479.34	$3,948.00	$908.04–$3,568.99	7% below	37%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W&WO CONTRAST	$2,479.34	$3,948.00	$1,693.30–$3,557.15	—	37%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST	$1,808.01	$2,879.00	$662.17–$2,602.62	12% below	37%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE WO CONTRAST	$1,808.01	$2,879.00	$1,234.80–$2,593.98	—	37%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W&WO CONTRAST	$2,367.56	$3,770.00	$867.10–$3,408.08	6% below	37%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WO CONTRAST	$1,846.32	$2,940.00	$676.20–$2,657.76	8% below	37%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C-SPINE WO CONTRAST	$1,846.32	$2,940.00	$1,260.97–$2,648.94	—	37%
MRI of the pelvis without and with contrast CPT 72197 MRI, PELVIS, W/O THEN W/	$2,402.73	$3,826.00	$879.98–$3,458.70	10% below	37%
MRI of the pelvis, no contrast dye CPT 72195 MRI,PELVIS W/OUT CONTRAST	$1,820.57	$2,899.00	$666.77–$2,620.70	14% below	37%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXTREMITY JOINT W/O TC	$1,825.60	$2,907.00	$668.61–$2,627.93	14% below	37%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY CERVICAL SPINE 4 OR 5 VWS	$295.79	$471.00	$108.33–$425.78	5% below	37%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,250.98	$1,992.00	$458.16–$1,800.77	8% below	37%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,250.98	$1,992.00	$854.37–$1,794.79	—	37%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$1,027.41	$1,636.00	$376.28–$1,478.94	10% below	37%
Neck soft tissue X-ray CPT 70360 XRAY NECK, SOFT TISSUE	$175.84	$280.00	$64.40–$253.12	at median	37%
Neck soft tissue X-ray inpatient CPT 70360 XRAY NECK, SOFT TISSUE	$175.84	$280.00	$120.09–$252.28	—	37%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$2,449.20	$3,900.00	$897.00–$3,525.60	10% below	37%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$1,185.04	$1,887.00	$434.01–$1,705.85	10% below	37%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O DYE	$1,185.04	$1,887.00	$809.33–$1,700.19	—	37%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US FOLLICLES-LIMITED TC	$321.54	$512.00	$117.76–$462.85	5% below	37%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC TC COMPLETE	$478.54	$762.00	$175.26–$688.85	2% below	37%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC TC COMPLETE	$478.54	$762.00	$326.82–$686.56	—	37%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US,PREG. UTERUS,FETAL/MAT.EVAL.,>1ST TRIM.(>/= 14 WKS 0 DYS),TRANSABD;SINGLE/FIRST GEST., TECH	$481.05	$766.00	$176.18–$692.46	4% below	37%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS, SINGLE FETUS - RADIOLOGY, TECH	$444.00	$707.00	$162.61–$639.13	3% above	37%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS, SINGLE FETUS - RADIOLOGY, TECH	$444.00	$707.00	$303.23–$637.01	—	37%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY TC LIMITED	$341.63	$544.00	$125.12–$491.78	2% above	37%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US, LIMITED, FETUS(S)	$390.62	$622.00	$143.06–$562.29	16% above	37%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US, LIMITED, FETUS(S)	$390.62	$622.00	$266.78–$560.42	—	37%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VWS	$190.28	$303.00	$69.69–$273.91	7% below	37%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT 2 VWS WITH PA CHEST	$276.95	$441.00	$101.43–$398.66	5% below	37%
Screening mammogram, both breasts CPT 77067 DIGITAL MAMMOGRAM, SCREEN BIL, TC W/CAD PERF	$471.00	$750.00	$172.50–$678.00	43% above	37%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY SHOULDER MINIMUM 2 VWS	$210.38	$335.00	$77.05–$302.84	11% below	37%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY SHOULDER MINIMUM 2 VWS	$210.38	$335.00	$143.68–$301.83	—	37%
Sinus X-ray, complete, 3 or more views CPT 70220 XRAY SINUSES MINIMUM 3 VWS	$195.94	$312.00	$71.76–$282.05	16% below	37%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XRAY SINUSES MINIMUM 3 VWS	$195.94	$312.00	$133.82–$281.11	—	37%
Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL LESS THAN 4 VWS	$212.26	$338.00	$77.74–$305.55	6% below	37%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE	$3,023.82	$4,815.00	$1,107.45–$4,352.76	1% below	37%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CONTRAST XRAY SWALLOWING FUNCT INT, CINE/VID; INCLSCOUT & DELAY (TC)	$393.76	$627.00	$144.21–$566.81	8% above	37%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM FEMUR MIN 2 VWS	$216.03	$344.00	$79.12–$310.98	5% below	37%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM FEMUR MIN 2 VWS	$216.03	$344.00	$147.54–$309.94	—	37%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$1,218.95	$1,941.00	$446.43–$1,754.66	9% below	37%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT CHEST SPINE W/O DYE	$1,218.95	$1,941.00	$832.49–$1,748.84	—	37%
Toe X-ray, 2 or more views CPT 73660 XRAY TOE(S) TC	$171.44	$273.00	$62.79–$246.79	8% below	37%
Toe X-ray, 2 or more views inpatient CPT 73660 XRAY TOE(S) TC	$171.44	$273.00	$117.09–$245.97	—	37%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL TC	$380.57	$606.00	$139.38–$547.82	5% below	37%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL TC	$380.57	$606.00	$259.91–$546.01	—	37%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US, OBSTETRIC	$347.91	$554.00	$127.42–$500.82	2% below	37%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US, OBSTETRIC	$347.91	$554.00	$237.61–$499.15	—	37%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN TC	$534.43	$851.00	$195.73–$769.30	11% below	37%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS TC	$419.50	$668.00	$153.64–$603.87	7% below	37%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK TC	$396.90	$632.00	$145.36–$571.33	9% below	37%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK TC	$396.90	$632.00	$271.06–$569.43	—	37%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY EXAM, UPPER GI TRACT, INCL SCOUT & DELAY; SINGLE CONTRAST (TC)	$416.99	$664.00	$152.72–$600.26	6% above	37%
Upper arm X-ray (humerus), 2 views CPT 73060 XRAY HUMERUS MINIMUM 2 VWS	$202.84	$323.00	$74.29–$291.99	5% below	37%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XRAY HUMERUS MINIMUM 2 VWS	$202.84	$323.00	$138.53–$291.02	—	37%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEN DUPLEX LIMITED	$513.70	$818.00	$188.14–$739.47	5% below	37%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX SCAN UNI	$526.26	$838.00	$192.74–$757.55	3% below	37%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX SCAN UNI	$526.26	$838.00	$359.42–$755.04	—	37%
Wrist X-ray, 2 views CPT 73100 XRAY WRIST 2 VWS	$187.77	$299.00	$68.77–$270.30	5% below	37%
Wrist X-ray, 2 views inpatient CPT 73100 XRAY WRIST 2 VWS	$187.77	$299.00	$128.24–$269.40	—	37%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY WRIST MINIMUM 3 VWS	$206.61	$329.00	$75.67–$297.42	11% below	37%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY WRIST MINIMUM 3 VWS	$206.61	$329.00	$141.11–$296.43	—	37%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP,UNILAT W/PELVIS 2-3 VWS	$234.87	$374.00	$86.02–$338.10	15% below	37%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM HIP,UNILAT W/PELVIS 2-3 VWS	$234.87	$374.00	$160.41–$336.97	—	37%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$189.66	$302.00	$69.46–$273.01	10% below	37%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$189.66	$302.00	$129.53–$272.10	—	37%
X-ray of the ankle, 2 views CPT 73600 XRAY ANKLE 2 VWS	$195.31	$311.00	$71.53–$281.14	5% below	37%
X-ray of the finger(s), 2 or more views CPT 73140 XRAY FINGER(S) TC	$199.70	$318.00	$73.14–$287.47	3% above	37%
X-ray of the foot, 2 views CPT 73620 XRAY FOOT 2 VWS	$182.12	$290.00	$66.70–$262.16	5% below	37%
X-ray of the foot, 2 views inpatient CPT 73620 XRAY FOOT 2 VWS	$182.12	$290.00	$124.38–$261.29	—	37%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY FOOT MINIMUM 3 VWS	$203.47	$324.00	$74.52–$292.90	8% below	37%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY FOOT MINIMUM 3 VWS	$203.47	$324.00	$138.96–$291.92	—	37%
X-ray of the hand, 3 or more views CPT 73130 XRAY HAND 3VWS TC	$210.38	$335.00	$77.05–$302.84	4% below	37%
X-ray of the hand, 3 or more views inpatient CPT 73130 XRAY HAND 3VWS TC	$210.38	$335.00	$143.68–$301.83	—	37%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY KNEE 1 OR 2 VWS	$205.98	$328.00	$75.44–$296.51	5% below	37%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY KNEE 1 OR 2 VWS	$205.98	$328.00	$140.68–$295.53	—	37%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LUMBOSACRAL 2 OR 3 VWS	$236.76	$377.00	$86.71–$340.81	8% below	37%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XRAY LUMBOSACRAL 2 OR 3 VWS	$236.76	$377.00	$161.70–$339.68	—	37%
X-ray of the lower back, 4 or more views CPT 72110 XRAY LUMBOSACRAL MINIMUM 4 VWS	$311.49	$496.00	$114.08–$448.38	6% below	37%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE 2 VWS	$221.68	$353.00	$81.19–$319.11	5% below	37%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XRAY THORACIC SPINE 2 VWS	$221.68	$353.00	$151.40–$318.05	—	37%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES MINIMUM 3 VWS	$195.94	$312.00	$71.76–$282.05	10% below	37%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY CERVICAL SPINE 2 OR 3 VWS	$228.59	$364.00	$83.72–$329.06	7% below	37%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VWS	$199.70	$318.00	$73.14–$287.47	10% below	37%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1 OR 2 VWS	$199.70	$318.00	$136.39–$286.52	—	37%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM/ COCCYX MINIMUM 2 VWS	$207.24	$330.00	$75.90–$298.32	6% below	37%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XRAY SACRUM/ COCCYX MINIMUM 2 VWS	$207.24	$330.00	$141.54–$297.33	—	37%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT)	$48.98	$78.00	$17.94–$70.51	at median	37%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT)	$48.98	$78.00	$33.45–$70.28	—	37%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)	$49.61	$79.00	$18.17–$71.42	at median	37%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)	$49.61	$79.00	$33.88–$71.18	—	37%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$240.52	$383.00	$88.09–$346.23	3% above	37%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$240.52	$383.00	$164.27–$345.08	—	37%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$57.78	$92.00	$21.16–$83.17	49% above	37%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ASSAY ALKALINE PHOSPHATASE	$57.78	$92.00	$39.46–$82.89	—	37%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$16.96	$27.00	$6.21–$24.41	65% below	37%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM	$16.96	$27.00	$11.58–$24.33	—	37%
Ammonia blood test CPT 82140 AMMONIA	$105.50	$168.00	$38.64–$151.87	17% above	37%
Ammonia blood test inpatient CPT 82140 AMMONIA	$105.50	$168.00	$72.06–$151.37	—	37%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$62.80	$100.00	$23.00–$90.40	5% below	37%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$62.80	$100.00	$42.89–$90.10	—	37%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$173.96	$277.00	$63.71–$250.41	9% above	37%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$173.96	$277.00	$118.81–$249.58	—	37%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULTURE BACTERIA	$86.04	$137.00	$31.51–$123.85	23% above	37%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULTURE BACTERIA	$86.04	$137.00	$58.76–$123.44	—	37%
Basic metabolic panel (blood test) CPT 80048 OCC MED BASIC METABOLIC PROFILE	$10.05	$16.00	$3.68–$14.46	90% below	37%
Basic metabolic panel (blood test) CPT 80048 LAB BASIC METABOLIC PANEL	$153.86	$245.00	$56.35–$221.48	53% above	37%
Basic metabolic panel (blood test) inpatient CPT 80048 OCC MED BASIC METABOLIC PROFILE	$10.05	$16.00	$6.86–$14.42	—	37%
Basic metabolic panel (blood test) inpatient CPT 80048 LAB BASIC METABOLIC PANEL	$153.86	$245.00	$105.08–$220.74	—	37%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$48.36	$77.00	$17.71–$69.61	1% below	37%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$48.36	$77.00	$33.03–$69.38	—	37%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION , TECH	$229.22	$365.00	$83.95–$329.96	66% above	37%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION , TECH	$229.22	$365.00	$156.55–$328.86	—	37%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$131.88	$210.00	$48.30–$189.84	11% above	37%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$131.88	$210.00	$90.07–$189.21	—	37%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$18.21	$29.00	$6.67–$26.22	15% below	37%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE, LAB	$20.10	$32.00	$7.36–$28.93	7% below	37%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COMMUNITY PARAMEDIC VENIPUNCTURE	$20.10	$32.00	$7.36–$28.93	7% below	37%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$18.21	$29.00	$12.44–$26.13	—	37%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COMMUNITY PARAMEDIC VENIPUNCTURE	$20.10	$32.00	$13.72–$28.83	—	37%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE, LAB	$20.10	$32.00	$13.72–$28.83	—	37%
Blood glucose (sugar) test CPT 82947 ASSAY, GLUCOSE, BLOOD QUANT	$46.47	$74.00	$17.02–$66.90	1% above	37%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY, GLUCOSE, BLOOD QUANT	$46.47	$74.00	$31.74–$66.67	—	37%
Blood lead test CPT 83655 LEAD	$57.15	$91.00	$20.93–$82.26	24% above	37%
Blood lead test inpatient CPT 83655 LEAD	$57.15	$91.00	$39.03–$81.99	—	37%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$65.94	$105.00	$24.15–$94.92	8% below	37%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$65.94	$105.00	$45.03–$94.60	—	37%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$75.99	$121.00	$27.83–$109.38	42% above	37%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$75.99	$121.00	$51.90–$109.02	—	37%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$48.98	$78.00	$17.94–$70.51	6% above	37%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN	$48.98	$78.00	$33.45–$70.28	—	37%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 OCC MED CRP	$8.16	$13.00	$2.99–$11.75	87% below	37%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$74.10	$118.00	$27.14–$106.67	20% above	37%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 OCC MED CRP	$8.16	$13.00	$5.58–$11.71	—	37%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$74.10	$118.00	$50.61–$106.32	—	37%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$139.42	$222.00	$51.06–$200.69	2% above	37%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$139.42	$222.00	$95.22–$200.02	—	37%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$113.67	$181.00	$41.63–$163.62	12% above	37%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$113.67	$181.00	$77.63–$163.08	—	37%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR ANTIGEN, CA-125	$119.95	$191.00	$43.93–$172.66	18% above	37%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR ANTIGEN, CA-125	$119.95	$191.00	$81.92–$172.09	—	37%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$113.67	$181.00	$41.63–$163.62	5% below	37%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$113.67	$181.00	$77.63–$163.08	—	37%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$45.84	$73.00	$16.79–$65.99	4% below	37%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$45.84	$73.00	$31.31–$65.77	—	37%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$109.90	$175.00	$40.25–$158.20	10% above	37%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$109.90	$175.00	$75.06–$157.68	—	37%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$68.45	$109.00	$25.07–$98.54	26% above	37%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA, AMP PROBE	$111.16	$177.00	$40.71–$160.01	17% above	37%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA, AMP PROBE	$111.16	$177.00	$75.92–$159.48	—	37%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$92.32	$147.00	$33.81–$132.89	2% below	37%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$92.32	$147.00	$63.05–$132.45	—	37%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$106.76	$170.00	$39.10–$153.68	25% above	37%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$106.76	$170.00	$72.91–$153.17	—	37%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$98.60	$157.00	$36.11–$141.93	37% above	37%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$98.60	$157.00	$67.34–$141.46	—	37%
Comprehensive metabolic panel (blood test) CPT 80053 OCC MED COMPREHENSIVE METABOLIC PANEL	$30.77	$49.00	$11.27–$44.30	71% below	37%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$185.26	$295.00	$67.85–$266.68	72% above	37%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 OCC MED COMPREHENSIVE METABOLIC PANEL	$30.77	$49.00	$21.02–$44.15	—	37%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$185.26	$295.00	$126.53–$265.80	—	37%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$97.34	$155.00	$35.65–$140.12	53% above	37%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL	$97.34	$155.00	$66.48–$139.66	—	37%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$56.52	$90.00	$20.70–$81.36	5% below	37%
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK)	$56.52	$90.00	$38.60–$81.09	—	37%
Creatinine blood test CPT 82565 CREATININE; BLOOD	$59.03	$94.00	$21.62–$84.98	15% above	37%
Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD	$59.03	$94.00	$40.32–$84.69	—	37%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$104.88	$167.00	$38.41–$150.97	1% above	37%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$104.88	$167.00	$71.63–$150.47	—	37%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE	$59.66	$95.00	$21.85–$85.88	17% below	37%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL	$96.08	$153.00	$35.19–$138.31	34% above	37%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN	$108.02	$172.00	$39.56–$155.49	51% above	37%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OB URINE DRUG SCREEN	$157.63	$251.00	$57.73–$226.90	120% above	37%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN	$157.63	$251.00	$57.73–$226.90	120% above	37%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE	$59.66	$95.00	$40.75–$85.60	—	37%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL	$96.08	$153.00	$65.62–$137.85	—	37%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN	$108.02	$172.00	$73.77–$154.97	—	37%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OB URINE DRUG SCREEN	$157.63	$251.00	$107.65–$226.15	—	37%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN	$157.63	$251.00	$107.65–$226.15	—	37%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$82.27	$131.00	$30.13–$118.42	6% above	37%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$82.27	$131.00	$56.19–$118.03	—	37%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEEN-BARR ANTIBODY VIRAL CAPSID(VAC)	$18.21	$29.00	$6.67–$26.22	65% below	37%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$89.18	$142.00	$32.66–$128.37	7% above	37%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$15.07	$24.00	$5.52–$21.70	83% below	37%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$15.07	$24.00	$10.29–$21.62	—	37%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$138.16	$220.00	$50.60–$198.88	45% above	37%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$138.16	$220.00	$94.36–$198.22	—	37%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$77.87	$124.00	$28.52–$112.10	62% above	37%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$77.87	$124.00	$53.18–$111.72	—	37%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE), SERUM	$121.83	$194.00	$44.62–$175.38	43% above	37%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (FOLATE), SERUM	$121.83	$194.00	$83.21–$174.79	—	37%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3, FREE (FREE T3)	$103.62	$165.00	$37.95–$149.16	2% below	37%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3, FREE (FREE T3)	$103.62	$165.00	$70.77–$148.66	—	37%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXIN, FREE (FREE T4)	$68.45	$109.00	$25.07–$98.54	1% below	37%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXIN, FREE (FREE T4)	$68.45	$109.00	$46.75–$98.21	—	37%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$43.96	$70.00	$16.10–$63.28	5% below	37%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT	$43.96	$70.00	$30.02–$63.07	—	37%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$231.10	$368.00	$84.64–$332.67	8% below	37%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$231.10	$368.00	$157.84–$331.57	—	37%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$39.56	$63.00	$14.49–$56.95	8% below	37%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$96.71	$154.00	$35.42–$139.22	5% below	37%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$96.71	$154.00	$66.05–$138.75	—	37%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA, AMP PROBE	$109.90	$175.00	$40.25–$158.20	27% above	37%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA, AMP PROBE	$109.90	$175.00	$75.06–$157.68	—	37%
H. pylori stool antigen test CPT 87338 LAB H PYLORI STOOL AG	$114.30	$182.00	$41.86–$164.53	5% above	37%
H. pylori stool antigen test inpatient CPT 87338 LAB H PYLORI STOOL AG	$114.30	$182.00	$78.06–$163.98	—	37%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$64.06	$102.00	$23.46–$92.21	44% below	37%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 DNA QUANT	$64.06	$102.00	$43.75–$91.90	—	37%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 ANTIGENS W/HIV 1/2 ANTIB	$35.80	$57.00	$13.11–$51.53	53% below	37%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 ANTIGENS W/HIV 1/2 ANTIB	$35.80	$57.00	$24.45–$51.36	—	37%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$123.72	$197.00	$45.31–$178.09	2% below	37%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$123.72	$197.00	$84.49–$177.50	—	37%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$62.80	$100.00	$23.00–$90.40	1% below	37%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$62.80	$100.00	$42.89–$90.10	—	37%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$39.56	$63.00	$14.49–$56.95	16% above	37%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$39.56	$63.00	$27.02–$56.76	—	37%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY, TOTAL	$89.80	$143.00	$32.89–$129.27	27% above	37%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY, TOTAL	$89.80	$143.00	$61.33–$128.84	—	37%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$79.76	$127.00	$29.21–$114.81	11% above	37%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$79.76	$127.00	$54.47–$114.43	—	37%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$79.13	$126.00	$28.98–$113.90	33% above	37%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$79.13	$126.00	$54.04–$113.53	—	37%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$96.08	$153.00	$35.19–$138.31	at median	37%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$96.08	$153.00	$65.62–$137.85	—	37%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$35.80	$57.00	$13.11–$51.53	72% below	37%
Herpes blood test, HSV-1 antibody CPT 86695 LAB HSV IGM TITER PT 1	$13.19	$21.00	$4.83–$18.98	72% below	37%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$19.47	$31.00	$7.13–$28.02	66% below	37%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENS CRP	$66.57	$106.00	$24.38–$95.82	10% below	37%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENS CRP	$66.57	$106.00	$45.46–$95.51	—	37%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$85.41	$136.00	$31.28–$122.94	9% below	37%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$85.41	$136.00	$58.33–$122.54	—	37%
Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL	$52.12	$83.00	$19.09–$75.03	7% below	37%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$69.08	$110.00	$25.30–$99.44	33% above	37%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$69.08	$110.00	$47.18–$99.11	—	37%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$187.14	$298.00	$68.54–$269.39	77% above	37%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$187.14	$298.00	$127.81–$268.50	—	37%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN (LH)	$91.06	$145.00	$33.35–$131.08	9% above	37%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$84.78	$135.00	$31.05–$122.04	2% above	37%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID	$84.78	$135.00	$57.90–$121.64	—	37%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$55.89	$89.00	$20.47–$80.46	16% above	37%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME	$55.89	$89.00	$38.17–$80.19	—	37%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$69.71	$111.00	$25.53–$100.34	4% above	37%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$69.71	$111.00	$47.61–$100.01	—	37%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$109.27	$174.00	$40.02–$157.30	7% above	37%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$109.27	$174.00	$74.63–$156.77	—	37%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$54.64	$87.00	$20.01–$78.65	21% below	37%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$54.64	$87.00	$37.31–$78.39	—	37%
Magnesium blood test CPT 83735 MAGNESIUM	$75.36	$120.00	$27.60–$108.48	79% above	37%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$75.36	$120.00	$51.47–$108.12	—	37%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$12.56	$20.00	$4.60–$18.08	69% below	37%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$51.50	$82.00	$18.86–$74.13	5% below	37%
Mumps immunity blood test CPT 86735 MUMPS	$12.56	$20.00	$4.60–$18.08	75% below	37%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$101.74	$162.00	$37.26–$146.45	14% above	37%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA SCREENING	$111.16	$177.00	$40.71–$160.01	24% above	37%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$101.74	$162.00	$69.48–$145.96	—	37%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA SCREENING	$111.16	$177.00	$75.92–$159.48	—	37%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP DIAGNOSTIC THIN LAYER PREP	$73.48	$117.00	$26.91–$105.77	5% below	37%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SCREEN THIN LAYER PREP	$73.48	$117.00	$26.91–$105.77	5% below	37%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PTH IMMUNOCH PART 1	$283.23	$451.00	$103.73–$407.70	136% above	37%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PTH IMMUNOCH PART 1	$283.23	$451.00	$193.43–$406.35	—	37%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$64.68	$103.00	$23.69–$93.11	at median	37%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$64.68	$103.00	$44.18–$92.80	—	37%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$27.63	$44.00	$10.12–$39.78	28% below	37%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$46.47	$74.00	$17.02–$66.90	20% above	37%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS	$46.47	$74.00	$31.74–$66.67	—	37%
Potassium blood test CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD	$52.12	$83.00	$19.09–$75.03	18% above	37%
Potassium blood test inpatient CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD	$52.12	$83.00	$35.60–$74.78	—	37%
Progesterone blood test CPT 84144 PROGESTERONE	$94.83	$151.00	$34.73–$136.50	11% above	37%
Prolactin blood test CPT 84146 PROLACTIN	$96.08	$153.00	$35.19–$138.31	5% above	37%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$96.08	$153.00	$65.62–$137.85	—	37%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT/INR)	$40.82	$65.00	$14.95–$58.76	23% above	37%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT/INR)	$40.82	$65.00	$27.88–$58.57	—	37%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$33.28	$53.00	$12.19–$47.91	45% below	37%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$33.28	$53.00	$22.73–$47.75	—	37%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$50.87	$81.00	$18.63–$73.22	6% below	37%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$50.87	$81.00	$34.74–$72.98	—	37%
Rh blood typing CPT 86901 BLOOD TYPING RH (D)	$45.22	$72.00	$16.56–$65.09	5% above	37%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH (D)	$45.22	$72.00	$30.88–$64.87	—	37%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$50.87	$81.00	$18.63–$73.22	4% above	37%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$50.87	$81.00	$34.74–$72.98	—	37%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$55.26	$88.00	$20.24–$79.55	15% above	37%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$55.26	$88.00	$37.74–$79.29	—	37%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE, AUTO	$37.05	$59.00	$13.57–$53.34	4% below	37%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE, AUTO	$37.05	$59.00	$25.31–$53.16	—	37%
Sodium blood test CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD	$47.73	$76.00	$17.48–$68.70	5% above	37%
Sodium blood test inpatient CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD	$47.73	$76.00	$32.60–$68.48	—	37%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 DX OCCULT BLOOD IMMUNOASSAY	$70.96	$113.00	$25.99–$102.15	23% above	37%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 DX OCCULT BLOOD IMMUNOASSAY	$70.96	$113.00	$48.47–$101.81	—	37%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$60.92	$97.00	$22.31–$87.69	12% above	37%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$60.92	$97.00	$41.60–$87.40	—	37%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$40.82	$65.00	$14.95–$58.76	24% above	37%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$40.82	$65.00	$27.88–$58.57	—	37%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$104.25	$166.00	$38.18–$150.06	63% above	37%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$104.25	$166.00	$71.20–$149.57	—	37%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$58.40	$93.00	$21.39–$84.07	7% above	37%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$74.73	$119.00	$51.04–$107.22	—	37%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$93.57	$149.00	$34.27–$134.70	1% below	37%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$93.57	$149.00	$63.91–$134.25	—	37%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$33.91	$54.00	$12.42–$48.82	3% below	37%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$33.91	$54.00	$23.16–$48.65	—	37%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$94.83	$151.00	$34.73–$136.50	27% above	37%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$94.83	$151.00	$64.76–$136.05	—	37%
Trichomonas test (NAAT) CPT 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$28.89	$46.00	$10.58–$41.58	42% below	37%
Trichomonas test (NAAT) inpatient CPT 87661 IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$28.89	$46.00	$19.73–$41.45	—	37%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$50.87	$81.00	$18.63–$73.22	19% above	37%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$50.87	$81.00	$34.74–$72.98	—	37%
Troponin test, quantitative CPT 84484 TROPONIN, QUANTITATIVE	$121.20	$193.00	$44.39–$174.47	19% above	37%
Troponin test, quantitative inpatient CPT 84484 TROPONIN, QUANTITATIVE	$121.20	$193.00	$82.78–$173.89	—	37%
Uric acid blood test CPT 84550 URIC ACID; BLOOD	$43.33	$69.00	$15.87–$62.38	6% below	37%
Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD	$43.33	$69.00	$29.59–$62.17	—	37%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, AUTO, W/SCOPE	$49.61	$79.00	$18.17–$71.42	4% below	37%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, AUTO, W/SCOPE	$49.61	$79.00	$33.88–$71.18	—	37%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, AUTO W/O SCOPE	$32.03	$51.00	$11.73–$46.10	23% above	37%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, AUTO W/O SCOPE	$32.03	$51.00	$21.87–$45.95	—	37%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$70.34	$112.00	$25.76–$101.25	18% above	37%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$70.34	$112.00	$48.04–$100.91	—	37%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE	$66.57	$106.00	$24.38–$95.82	14% above	37%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANTITATIVE	$66.57	$106.00	$45.46–$95.51	—	37%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$131.88	$210.00	$48.30–$189.84	49% above	37%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$131.88	$210.00	$90.07–$189.21	—	37%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROXY	$163.28	$260.00	$59.80–$235.04	53% above	37%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROXY	$163.28	$260.00	$111.51–$234.26	—	37%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$37.05	$59.00	$13.57–$53.34	52% below	37%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROXY	$37.05	$59.00	$25.31–$53.16	—	37%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPINC, CHORIONIC (HCG), QUANT	$92.32	$147.00	$33.81–$132.89	at median	37%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPINC, CHORIONIC (HCG), QUANT	$92.32	$147.00	$63.05–$132.45	—	37%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$563.32	$897.00	$206.31–$810.89	7% below	37%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV MUSC MIGRAINE	$563.32	$897.00	$384.72–$808.20	—	37%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$1,614.59	$2,571.00	$591.33–$2,324.18	6% below	37%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED RX DIST FIBULA FX	$262.50	$418.00	$96.14–$377.87	41% below	37%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CLOSED RX DIST FIBULA FX	$262.50	$418.00	$179.28–$376.62	—	37%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED RX METATARSAL FX	$182.75	$291.00	$66.93–$263.06	51% below	37%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED RX METATARSAL FX	$182.75	$291.00	$124.81–$262.19	—	37%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE;EXTERN	$1,141.08	$1,817.00	$417.91–$1,642.57	9% above	37%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION,CLAMP,NEWBORN	$213.52	$340.00	$78.20–$307.36	12% below	37%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION,CLAMP,NEWBORN	$213.52	$340.00	$145.83–$306.34	—	37%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION, OTHER THAN CLAMP < 28 DAYS AGE	$1,281.12	$2,040.00	$469.20–$1,844.16	60% above	37%
Circumcision, surgical, older than a newborn inpatient CPT 54160 CIRCUMCISION, OTHER THAN CLAMP < 28 DAYS AGE	$1,281.12	$2,040.00	$874.96–$1,838.04	—	37%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED RX DIST RAD/ULNA FX	$310.23	$494.00	$113.62–$446.58	37% below	37%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY,REMV LESN,SNARE	$2,098.78	$3,342.00	$768.66–$3,021.17	28% above	37%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY,REMV LESN,SNARE	$2,098.78	$3,342.00	$1,433.38–$3,011.14	—	37%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY,BIOPSY	$1,924.19	$3,064.00	$704.72–$2,769.86	20% above	37%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY,BIOPSY	$1,924.19	$3,064.00	$1,314.15–$2,760.66	—	37%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY,FLEX,DIAGNOSTIC	$1,775.36	$2,827.00	$650.21–$2,555.61	32% above	37%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY,FLEX,DIAGNOSTIC	$1,775.36	$2,827.00	$1,212.50–$2,547.13	—	37%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY,BX CERVIX/ENDOCERV CURR	$657.52	$1,047.00	$240.81–$946.49	5% below	37%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$620.46	$988.00	$227.24–$893.15	25% below	37%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUC BENIGN/PREMAL,1ST LESION	$172.07	$274.00	$63.02–$247.70	5% below	37%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUC BENIGN/PREMAL,1ST LESION	$172.07	$274.00	$117.52–$246.87	—	37%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING,LOCAL ANESTH	$351.68	$560.00	$128.80–$506.24	27% below	37%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 CREATE EARDRUM OPENING,LOCAL ANESTH	$351.68	$560.00	$240.18–$504.56	—	37%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$68.45	$109.00	$25.07–$98.54	12% below	37%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$67.82	$108.00	$24.84–$97.63	45% below	37%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX	$67.82	$108.00	$46.32–$97.31	—	37%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$388.73	$619.00	$142.37–$559.58	57% above	37%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ CERV/THORAC WITH IMAGE GUIDANCE	$1,292.42	$2,058.00	$473.34–$1,860.43	7% above	37%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ CERV/THORAC WITH IMAGE GUIDANCE	$1,292.42	$2,058.00	$882.68–$1,854.26	—	37%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECT INTRAVITREAL PHARMCOLOGIC	$307.09	$489.00	$112.47–$442.06	38% below	37%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S1 LEV(T)	$1,387.25	$2,209.00	$508.07–$1,996.94	at median	37%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR ANT ABD HERNIAS/INITIAL/MPLT OF MESH/PROSTH, LESS THAN 3 CM, REDUC	$2,726.78	$4,342.00	$998.66–$3,925.17	5% above	37%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 REPAIR ANT ABD HERNIAS/INITIAL/MPLT OF MESH/PROSTH, LESS THAN 3 CM, REDUC	$2,726.78	$4,342.00	$1,862.28–$3,912.14	—	37%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,SCREEN PREV	$1,077.02	$1,715.00	$394.45–$1,550.36	14% above	37%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,DIAGNOSTIC	$1,204.50	$1,918.00	$441.14–$1,733.87	28% above	37%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY,SCREEN PREV	$1,077.02	$1,715.00	$735.56–$1,545.22	—	37%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY,DIAGNOSTIC	$1,204.50	$1,918.00	$822.63–$1,728.12	—	37%
Gallbladder removal, laparoscopic CPT 47562 LAP,CHOLECYSTECTOMY	$4,296.78	$6,842.00	$1,573.66–$6,185.17	at median	37%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAP,CHOLECYSTECTOMY	$4,296.78	$6,842.00	$2,934.53–$6,164.64	—	37%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAP,CHOLECYSTECTOMY/GRAPH	$4,232.72	$6,740.00	$1,550.20–$6,092.96	2% below	37%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 LAP,CHOLECYSTECTOMY/GRAPH	$4,232.72	$6,740.00	$2,890.79–$6,072.74	—	37%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$471.63	$751.00	$172.73–$678.90	42% below	37%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S)	$471.63	$751.00	$322.10–$676.65	—	37%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY,INT/EXT,SIMPLE	$2,044.14	$3,255.00	$748.65–$2,942.52	32% below	37%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY,INT/EXT,SIMPLE	$2,044.14	$3,255.00	$1,396.07–$2,932.76	—	37%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH/INJ HYSTEROSALPINGOGRM(T)	$302.70	$482.00	$110.86–$435.73	3% below	37%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 CATH/INJ HYSTEROSALPINGOGRM(T)	$302.70	$482.00	$206.73–$434.28	—	37%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN SKIN ABSCESS SIMPLE(T)	$244.92	$390.00	$89.70–$352.56	14% below	37%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIGAMENT/CYST	$303.95	$484.00	$111.32–$437.54	18% below	37%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ LARGE JOINT/BURSA(T)	$276.95	$441.00	$101.43–$398.66	23% below	37%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ LARGE JOINT/BURSA(T)	$276.95	$441.00	$189.14–$397.34	—	37%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE	$455.30	$725.00	$166.75–$655.40	66% above	37%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERT DRUG IMPLANT DEVICE	$455.30	$725.00	$310.95–$653.22	—	37%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/IN MEDIUM JOINT/BURSA(T)	$259.36	$413.00	$94.99–$373.35	15% below	37%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT/BURSA(T)	$293.90	$468.00	$107.64–$423.07	9% below	37%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5CM	$413.22	$658.00	$151.34–$594.83	9% below	37%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5CM	$413.22	$658.00	$282.22–$592.86	—	37%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL WITH IMAGE GUIDANCE	$1,187.55	$1,891.00	$434.93–$1,709.46	at median	37%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ LUMBAR/SACRAL W/O IMAGE GUIDANCE	$1,087.07	$1,731.00	$398.13–$1,564.82	2% below	37%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR/SACRAL W/O IMAGE GUIDANCE	$1,087.07	$1,731.00	$742.43–$1,559.63	—	37%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ,FORAMEN,L/S,1 LEVEL(T)	$1,212.67	$1,931.00	$444.13–$1,745.62	6% below	37%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC SKIN BENIG <5MM FACE,FACIAL	$499.26	$795.00	$182.85–$718.68	16% below	37%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC SKIN BENIG <5MM FACE,FACIAL	$499.26	$795.00	$340.98–$716.30	—	37%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$217.29	$346.00	$79.58–$312.78	19% below	37%
Nail removal (partial or complete), one nail inpatient CPT 11730 REMOVAL OF NAIL PLATE	$217.29	$346.00	$148.40–$311.75	—	37%
Occipital nerve block (injection for headaches) CPT 64405 INJ NERV BLCK,GREAT OCCIPTL(T)	$557.04	$887.00	$204.01–$801.85	9% below	37%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING(T)	$997.26	$1,588.00	$365.24–$1,435.55	12% above	37%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING(T)	$997.26	$1,588.00	$681.09–$1,430.79	—	37%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$411.34	$655.00	$150.65–$592.12	19% below	37%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$411.34	$655.00	$280.93–$590.16	—	37%
Prostate biopsy CPT 55700 BX OF PROSTATE,NEEDLE/PUNCH(T)	$865.38	$1,378.00	$316.94–$1,245.71	50% below	37%
Prostate biopsy inpatient CPT 55700 BX OF PROSTATE,NEEDLE/PUNCH(T)	$865.38	$1,378.00	$591.02–$1,241.58	—	37%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,458.62	$3,915.00	$900.45–$3,539.16	15% above	37%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMPLE	$521.24	$830.00	$190.90–$750.32	29% above	37%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY,SCREEN PREV	$1,782.89	$2,839.00	$652.97–$2,566.46	14% above	37%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY,SCREEN PREV	$1,782.89	$2,839.00	$1,217.65–$2,557.94	—	37%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY,FLEX,SCREEN	$1,801.10	$2,868.00	$659.64–$2,592.67	18% above	37%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST	$185.89	$296.00	$68.08–$267.58	29% below	37%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST	$185.89	$296.00	$126.95–$266.70	—	37%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT,STATIC	$192.80	$307.00	$70.61–$277.53	3% below	37%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY FOREARM SPLINT,STATIC	$192.80	$307.00	$131.67–$276.61	—	37%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$286.37	$456.00	$104.88–$412.22	4% below	37%
Short leg cast (below the knee) inpatient CPT 29405 APPLY SHORT LEG CAST	$286.37	$456.00	$195.58–$410.86	—	37%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT	$207.24	$330.00	$75.90–$298.32	7% below	37%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPR SUPERF WND BODY <2.5CM	$264.39	$421.00	$96.83–$380.58	5% below	37%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION	$216.03	$344.00	$79.12–$310.98	27% below	37%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION	$216.03	$344.00	$147.54–$309.94	—	37%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$122.46	$195.00	$44.85–$176.28	43% below	37%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN TAGS	$122.46	$195.00	$83.64–$175.70	—	37%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE,LUMBAR,DX(T)	$725.97	$1,156.00	$265.88–$1,045.02	1% below	37%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE,LUMBAR,DX(T)	$725.97	$1,156.00	$495.81–$1,041.56	—	37%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPR SUP NPTERF WND BODY 2.6-7.5	$307.09	$489.00	$112.47–$442.06	5% below	37%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPR SUP NPTERF WND BODY 2.6-7.5	$307.09	$489.00	$209.73–$440.59	—	37%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPERF WND FACE <2.5CM	$285.74	$455.00	$104.65–$411.32	1% below	37%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPERF WND FACE <2.5CM	$285.74	$455.00	$195.15–$409.96	—	37%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,098.37	$1,749.00	$402.27–$1,581.10	19% above	37%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,098.37	$1,749.00	$750.15–$1,575.85	—	37%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT, 1 OR 2(T)	$303.32	$483.00	$111.09–$436.63	5% below	37%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,756.52	$2,797.00	$643.31–$2,528.49	at median	37%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UP GI ENDOSCOPY,BALL DIL,30MM	$2,327.37	$3,706.00	$852.38–$3,350.22	24% above	37%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 UP GI ENDOSCOPY,BALL DIL,30MM	$2,327.37	$3,706.00	$1,589.50–$3,339.11	—	37%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY,BIOPSY	$1,829.99	$2,914.00	$670.22–$2,634.26	30% above	37%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY,BIOPSY	$1,829.99	$2,914.00	$1,249.81–$2,625.51	—	37%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,520.39	$2,421.00	$556.83–$2,188.58	1% below	37%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UP GI ENDOSCOPY,REMV TUMOR,SNARE	$2,221.24	$3,537.00	$813.51–$3,197.45	24% above	37%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 UP GI ENDOSCOPY,REMV TUMOR,SNARE	$2,221.24	$3,537.00	$1,517.02–$3,186.84	—	37%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UP GI ENDOSCOPY,DILATN W GUIDE	$1,683.67	$2,681.00	$616.63–$2,423.62	4% above	37%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS	$1,688.69	$2,689.00	$618.47–$2,430.86	39% above	37%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS	$1,688.69	$2,689.00	$1,153.31–$2,422.79	—	37%
Vein ablation, radiofrequency, first vein CPT 36475 ENDOVENOUS ABLATION INCOMPETENT VEIN, RADIOFREQ. EXTREMITY,1ST VEIN TREATED	$3,752.93	$5,976.00	$1,374.48–$5,402.30	1% below	37%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$400.04	$637.00	$146.51–$575.85	11% below	37%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE	$400.04	$637.00	$273.21–$573.94	—	37%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$713.41	$1,136.00	$261.28–$1,026.94	1% above	37%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$713.41	$1,136.00	$487.23–$1,023.54	—	37%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER TX	$43.33	$69.00	$15.87–$62.38	63% below	37%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$131.25	$209.00	$48.07–$188.94	12% above	37%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER TX	$43.33	$69.00	$29.59–$62.17	—	37%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$131.25	$209.00	$89.64–$188.31	—	37%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY, IV INFUSION, 1 HOUR	$487.33	$776.00	$178.48–$701.50	5% below	37%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY, IV INFUSION, 1 HOUR	$487.33	$776.00	$332.83–$699.18	—	37%
Critical care, first 30 to 74 minutes CPT 99291 FACILITY CRITICAL CARE, E/M 30-74 MINUTES	$1,570.00	$2,500.00	$575.00–$2,260.00	2% below	37%
Critical care, first 30 to 74 minutes inpatient CPT 99291 FACILITY CRITICAL CARE, E/M 30-74 MINUTES	$1,570.00	$2,500.00	$1,072.25–$2,252.50	—	37%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG,AWAKE/DROWSY, W/STIM	$408.20	$650.00	$149.50–$587.60	22% below	37%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY TC	$638.68	$1,017.00	$233.91–$919.37	22% above	37%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG,AWAKE/DROWSY, W/STIM	$408.20	$650.00	$278.79–$585.65	—	37%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY TC	$638.68	$1,017.00	$436.19–$916.32	—	37%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD, TRACING	$166.42	$265.00	$60.95–$239.56	3% below	37%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD, TRACING ONLY	$172.70	$275.00	$63.25–$248.60	at median	37%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD, TRACING	$166.42	$265.00	$113.66–$238.76	—	37%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD, TRACING ONLY	$172.70	$275.00	$117.95–$247.78	—	37%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 FACILITY EMERGENCY LEVEL 1 VISIT	$177.10	$282.00	$64.86–$254.93	13% below	37%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 FACILITY EMERGENCY LEVEL II VISIT	$285.74	$455.00	$104.65–$411.32	5% below	37%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 FACILITY EMERGENCY LEVEL III VISIT	$472.88	$753.00	$173.19–$680.71	2% below	37%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FACILITY EMERGENCY LEVEL III VISIT	$472.88	$753.00	$322.96–$678.45	—	37%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 FACILITY EMERGENCY LEVEL IV VISIT	$773.07	$1,231.00	$283.13–$1,112.82	1% below	37%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FACILITY EMERGENCY LEVEL IV VISIT	$773.07	$1,231.00	$527.98–$1,109.13	—	37%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 FACILITY EMERGENCY LEVEL V VISIT	$1,110.30	$1,768.00	$406.64–$1,598.27	4% below	37%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 FACILITY EMERGENCY LEVEL V VISIT	$1,110.30	$1,768.00	$758.30–$1,592.97	—	37%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TST,TRACING ONLY	$778.72	$1,240.00	$285.20–$1,120.96	8% above	37%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FIRST HOUR IV HYDRATION <1 HOUR	$274.44	$437.00	$100.51–$395.05	1% above	37%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FIRST HOUR IV HYDRATION <1 HOUR	$274.44	$437.00	$187.43–$393.74	—	37%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY, 1 HOUR	$310.86	$495.00	$113.85–$447.48	5% below	37%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY, 1 HOUR	$310.86	$495.00	$212.31–$446.00	—	37%
IV push of a medicine, first drug CPT 96374 IV PUSH, SINGLE/1ST DRUG	$175.21	$279.00	$64.17–$252.22	5% below	37%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, SINGLE/1ST DRUG	$175.21	$279.00	$119.66–$251.38	—	37%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SUBQ/IM	$73.48	$117.00	$26.91–$105.77	5% below	37%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, SUBQ/IM	$73.48	$117.00	$50.18–$105.42	—	37%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION	$61.54	$98.00	$22.54–$88.59	24% below	37%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT,NEW,LEVL III	$110.53	$176.00	$40.48–$159.10	5% below	37%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPT VISIT,NEW,LEVL III	$110.53	$176.00	$75.49–$158.58	—	37%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT,NEW,LEVL IV	$163.28	$260.00	$59.80–$235.04	5% below	37%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT VISIT,NEW,LEVL IV	$163.28	$260.00	$111.51–$234.26	—	37%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT,NEW,LEVL V	$217.29	$346.00	$79.58–$312.78	9% below	37%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPT VISIT,NEW,LEVL V	$217.29	$346.00	$148.40–$311.75	—	37%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT,NEW,LEVL II	$67.82	$108.00	$24.84–$97.63	11% below	37%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT ASSESS & INTERV EA 15 MIN	$23.86	$38.00	$8.74–$34.35	61% below	37%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION THRPY, 15 MIN	$26.38	$42.00	$9.66–$37.97	57% below	37%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT ASSESS & INTERV EA 15 MIN	$23.86	$38.00	$16.30–$34.24	—	37%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION THRPY, 15 MIN	$26.38	$42.00	$18.01–$37.84	—	37%
Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMPLEX	$143.81	$229.00	$52.67–$207.02	15% below	37%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMPLEX	$143.81	$229.00	$98.22–$206.33	—	37%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$170.19	$271.00	$62.33–$244.98	15% below	37%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVALUATION LOW COMPLEX	$143.18	$228.00	$52.44–$206.11	15% below	37%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVALUATION LOW COMPLEX	$143.18	$228.00	$97.79–$205.43	—	37%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVALUATION MOD COMPLEX	$156.37	$249.00	$57.27–$225.10	18% below	37%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVALUATION MOD COMPLEX	$156.37	$249.00	$106.80–$224.35	—	37%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH,1+REGIONS,EA 15 MIN	$62.80	$100.00	$23.00–$90.40	26% below	37%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$86.04	$137.00	$31.51–$123.85	6% below	37%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES	$86.04	$137.00	$58.76–$123.44	—	37%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCH TESTING EVALUATION SERVICES; PHYSICIAN/QHP, FIRST HOUR	$274.44	$437.00	$100.51–$395.05	56% above	37%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCH TESTING EVALUATION SERVICES; PHYSICIAN/QHP, FIRST HOUR	$274.44	$437.00	$187.43–$393.74	—	37%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMKING CESS 4-10 MIN	$26.38	$42.00	$9.66–$37.97	23% below	37%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMKING CESS 4-10 MIN	$26.38	$42.00	$18.01–$37.84	—	37%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT,EST,LEVL V	$145.07	$231.00	$53.13–$208.82	17% below	37%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPT VISIT,EST,LEVL V	$145.07	$231.00	$99.08–$208.13	—	37%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT,EST,LEVL III	$72.22	$115.00	$26.45–$103.96	46% below	37%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE CONSULTATION,LEVEL III	$112.41	$179.00	$41.17–$161.82	16% below	37%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPT VISIT,EST,LEVL III	$72.22	$115.00	$49.32–$103.62	—	37%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT,EST,LEVL IV	$106.13	$169.00	$38.87–$152.78	5% below	37%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPT VISIT,EST,LEVL IV	$106.13	$169.00	$72.48–$152.27	—	37%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT,EST,LEVL II	$43.96	$70.00	$16.10–$63.28	52% below	37%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPT VISIT,EST,LEVL II	$43.96	$70.00	$30.02–$63.07	—	37%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE/OUTP CONSULT,LEVEL IV, MODERATE MDM >= 40 MINUTES	$160.77	$256.00	$58.88–$231.42	19% below	37%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$254.34	$405.00	$93.15–$366.12	21% below	37%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$254.34	$405.00	$173.70–$364.90	—	37%
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY	$178.35	$284.00	$65.32–$256.74	16% below	37%
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY	$178.35	$284.00	$121.81–$255.88	—	37%
Spirometry (breathing test) CPT 94010 SPIROMETRY INCL GRAPH REC TC	$158.26	$252.00	$57.96–$227.81	3% below	37%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO RESPONSE PRE & POST TC	$293.28	$467.00	$107.41–$422.17	8% below	37%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$62.80	$100.00	$23.00–$90.40	19% below	37%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$62.80	$100.00	$42.89–$90.10	—	37%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$128.48	$204.58	$47.05–$184.94	89% above	37%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE	$130.00	$207.00	$47.61–$187.13	91% above	37%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$128.48	$204.58	$87.74–$184.33	—	37%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE	$130.00	$207.00	$88.78–$186.51	—	37%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$164.79	$262.40	$60.35–$237.21	5% below	37%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACCINE (PFIZER 12YR+) 30 MCG/0.3ML SUSPENSION PREFILLED SYRINGE	$164.79	$262.40	$60.35–$237.21	5% below	37%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VACCINE (PFIZER 12YR+) 30 MCG/0.3ML SUSPENSION PREFILLED SYRINGE	$164.79	$262.40	$112.54–$236.42	—	37%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$164.79	$262.40	$112.54–$236.42	—	37%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-ACELLULAR PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 SUSPENSION	$44.90	$71.50	$16.44–$64.64	15% below	37%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV SUSPENSION PREFILLED SYRINGE	$146.64	$233.50	$100.15–$210.38	—	37%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE SUSPENSION PREFILLED SYRINGE	$463.78	$738.50	$169.86–$667.60	22% above	37%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPA/HEPB VACCINE ADULT IM	$123.72	$197.00	$45.31–$178.09	15% below	37%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE,ADULT,IM	$106.72	$169.94	$39.09–$153.63	5% below	37%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B RECOMB VACCINE 10 MCG/0.5ML SUSPENSION PREFILLED SYRINGE	$44.27	$70.50	$16.22–$63.73	15% below	37%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B RECOMB VACCINE 10 MCG/0.5ML SUSPENSION PREFILLED SYRINGE	$44.27	$70.50	$30.24–$63.52	—	37%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML SUSPENSION	$47.07	$74.96	$32.15–$67.54	—	37%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE HIGH DOSE 65+	$89.80	$143.00	$32.89–$129.27	38% above	37%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE HIGH DOSE 65+	$89.80	$143.00	$61.33–$128.84	—	37%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VACCINE RECON SOLN	$145.04	$230.96	$99.06–$208.09	—	37%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG (POWDER) RECON SOLN	$190.28	$303.00	$69.69–$273.91	2% below	37%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG (POWDER) RECON SOLN	$190.28	$303.00	$129.96–$273.00	—	37%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE, VFC	$303.71	$483.61	$111.23–$437.18	1% above	37%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE	$303.71	$483.61	$111.23–$437.18	1% above	37%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE	$303.71	$483.61	$207.42–$435.73	—	37%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE, VFC	$303.71	$483.61	$207.42–$435.73	—	37%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE	$382.77	$609.50	$140.18–$550.99	5% below	37%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE	$382.77	$609.50	$140.18–$550.99	5% below	37%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE	$382.77	$609.50	$261.41–$549.16	—	37%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE	$382.77	$609.50	$261.41–$549.16	—	37%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML SOLUTION PREFILLED SYRINGE	$838.38	$1,335.00	$572.58–$1,202.84	—	37%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML RECON SOLN	$433.63	$690.50	$296.16–$622.14	—	37%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, RABAVERT, IM	$628.48	$1,000.76	$230.17–$904.69	23% above	37%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC RECON SUSP	$630.20	$1,003.50	$230.80–$907.16	23% above	37%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, RABAVERT, IM	$628.48	$1,000.76	$429.23–$901.68	—	37%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC RECON SUSP	$628.48	$1,000.76	$429.23–$901.68	—	37%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS 5-2 LFU INJECTABLE	$61.39	$97.75	$22.48–$88.37	2% below	37%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS 5-2 LFU INJECTABLE	$60.92	$97.00	$41.60–$87.40	—	37%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION	$69.08	$110.00	$25.30–$99.44	12% below	37%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION PREFILLED SYRINGE	$73.47	$116.99	$26.91–$105.76	6% below	37%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, BOOSTRIX	$73.47	$116.99	$26.91–$105.76	6% below	37%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, BOOSTRIX	$73.47	$116.99	$50.18–$105.41	—	37%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION PREFILLED SYRINGE	$73.47	$116.99	$50.18–$105.41	—	37%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TO*	$43.96	$70.00	$16.10–$63.28	6% above	37%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN - INFLUENZA	$43.96	$70.00	$16.10–$63.28	6% above	37%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B,ADULT 19+	$48.98	$78.00	$17.94–$70.51	19% above	37%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID)	$48.98	$78.00	$17.94–$70.51	19% above	37%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN - INFLUENZA	$43.96	$70.00	$30.02–$63.07	—	37%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TO*	$43.96	$70.00	$30.02–$63.07	—	37%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B,ADULT 19+	$48.98	$78.00	$33.45–$70.28	—	37%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION; EACH ADD'L VACCINE (SINGLE OR COMBO VACCINE/T*	$30.14	$48.00	$11.04–$43.39	19% above	37%

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://www.essentiahealth.org/standard-charges/2026/460909870_Essentia-Virginia_standardcharges.csv