Hospital Flagstaff, AZ

Page Hospital

Page Hospital in Page, AZ publishes cash prices for 295 common procedures listed here, from its own machine-readable price file updated Sep 22, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Arizona median for 161 of 287 procedures and below it for 118. By typical cash price it ranks #28 of 53 Arizona hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

501 North Navajo Drive, Page, AZ 86040 Collected Oct 2, 2026 Source price file Check a bill from this hospital (928) 645-2424

Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 031304 · CMS hospital register NPI 1578515789

Financial assistance

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CNT	$1,965.70	$3,395.00	$129.45–$3,225.25	27% above	42%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&WO CNT	$1,965.70	$3,395.00	$1,527.75–$3,225.25	—	42%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VW	$217.03	$337.00	$79.00–$320.15	1% above	36%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VW	$217.03	$337.00	$151.65–$320.15	—	36%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE CMP 3+ VW RT	$242.14	$376.00	$58.65–$357.20	56% above	36%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE CMP 3+ VW LT	$242.14	$376.00	$58.65–$357.20	56% above	36%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE CMP 3+ VW RT	$242.14	$376.00	$169.20–$357.20	—	36%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE CMP 3+ VW LT	$242.14	$376.00	$169.20–$357.20	—	36%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 ART PHYS 1-2 LEVEL LTD BI	$328.09	$545.00	$81.16–$517.75	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 ART PHYS 1-2 LEVEL LTD BI	$328.09	$545.00	$245.25–$517.75	—	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CNT LT	$1,020.20	$1,762.00	$79.00–$1,673.90	11% above	42%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CNT RT	$1,020.20	$1,762.00	$79.00–$1,673.90	11% above	42%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CNT LT	$1,020.20	$1,762.00	$792.90–$1,673.90	—	42%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CNT RT	$1,020.20	$1,762.00	$792.90–$1,673.90	—	42%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS STUDY CNT SINGLE	$513.91	$798.00	$129.45–$758.10	42% above	36%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS STUDY CNT SINGLE	$513.91	$798.00	$359.10–$758.10	—	36%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMP LT	$497.13	$681.00	$79.00–$646.95	99% above	27%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMP RT	$497.13	$681.00	$79.00–$646.95	99% above	27%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMP LT	$497.13	$681.00	$306.45–$646.95	—	27%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMP RT	$497.13	$681.00	$306.45–$646.95	—	27%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD RT	$459.90	$630.00	$58.65–$598.50	124% above	27%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD LT	$459.90	$630.00	$58.65–$598.50	124% above	27%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD RT	$459.90	$630.00	$283.50–$598.50	—	27%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD LT	$459.90	$630.00	$283.50–$598.50	—	27%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN&PELVIS W CNT&PP	$3,597.91	$6,214.00	$241.82–$5,903.30	116% above	42%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN&PELVIS W CNT&PP	$3,597.91	$6,214.00	$2,796.30–$5,903.30	—	42%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W CNT&PP	$1,842.68	$3,006.00	$129.45–$2,855.70	56% above	39%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W CNT&PP	$1,842.68	$3,006.00	$1,352.70–$2,855.70	—	39%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W CNT&PP	$1,709.04	$2,788.00	$129.45–$2,648.60	45% above	39%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W CNT&PP	$1,709.04	$2,788.00	$1,254.60–$2,648.60	—	39%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W CNT&PP	$1,911.28	$3,301.00	$129.45–$3,135.95	46% above	42%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W CNT&PP	$1,911.28	$3,301.00	$1,485.45–$3,135.95	—	42%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT EVAL QN CALCIUM HRT WO CNT	$239.01	$354.00	$58.65–$358.00	27% below	32%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT EVAL QN CALCIUM HRT WO CNT	$239.01	$354.00	$159.30–$336.30	—	32%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN&PELVIS WO CNT	$2,284.15	$3,945.00	$166.84–$3,747.75	74% above	42%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN&PELVIS WO CNT	$2,284.15	$3,945.00	$1,775.25–$3,747.75	—	42%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W CNT	$2,855.63	$4,932.00	$241.82–$4,685.40	41% above	42%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W CNT	$2,855.63	$4,932.00	$2,219.40–$4,685.40	—	42%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN&PELVIS W&WO CNT	$3,426.52	$5,918.00	$241.82–$5,622.10	46% above	42%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN&PELVIS W&WO CNT	$3,426.52	$5,918.00	$2,663.10–$5,622.10	—	42%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CNT	$1,637.99	$2,829.00	$129.45–$2,687.55	30% above	42%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CNT	$1,637.99	$2,829.00	$1,273.05–$2,687.55	—	42%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CNT	$1,310.28	$2,263.00	$79.00–$2,149.85	49% above	42%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CNT	$1,310.28	$2,263.00	$1,018.35–$2,149.85	—	42%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXFACIAL WO CNT	$1,134.66	$1,851.00	$79.00–$1,758.45	42% above	39%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXFACIAL WO CNT	$1,134.66	$1,851.00	$832.95–$1,758.45	—	39%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CNT	$1,169.60	$1,908.00	$79.00–$1,812.60	27% above	39%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CNT	$1,169.60	$1,908.00	$858.60–$1,812.60	—	39%
CT scan of the head with contrast CPT 70460 CT HEAD W CNT	$1,462.00	$2,385.00	$129.45–$2,265.75	24% above	39%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CNT	$1,462.00	$2,385.00	$1,073.25–$2,265.75	—	39%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&WO CNT	$1,754.41	$2,862.00	$129.45–$2,718.90	24% above	39%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&WO CNT	$1,754.41	$2,862.00	$1,287.90–$2,718.90	—	39%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CNT	$1,450.97	$2,506.00	$79.00–$2,380.70	28% above	42%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CNT	$1,450.97	$2,506.00	$1,127.70–$2,380.70	—	42%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CNT	$1,391.92	$2,404.00	$79.00–$2,283.80	23% above	42%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CNT	$1,391.92	$2,404.00	$1,081.80–$2,283.80	—	42%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CNT	$1,748.58	$3,020.00	$129.45–$2,869.00	57% above	42%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CNT	$1,748.58	$3,020.00	$1,359.00–$2,869.00	—	42%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US DUPLEX EXTRACRANIAL CMP BI	$999.92	$1,661.00	$166.84–$1,577.95	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US DUPLEX EXTRACRANIAL CMP BI	$999.92	$1,661.00	$747.45–$1,577.95	—	40%
Chest CT scan without and with contrast CPT 71270 CT CHEST DX W&WO CNT	$1,819.80	$3,143.00	$129.45–$2,985.85	33% above	42%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST DX W&WO CNT	$1,819.80	$3,143.00	$1,414.35–$2,985.85	—	42%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VW	$295.69	$492.00	$58.65–$467.40	69% above	40%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VW	$295.69	$492.00	$221.40–$467.40	—	40%
Chest X-ray, single view CPT 71045 XR CHEST 1 VW	$260.23	$433.00	$58.65–$411.35	131% above	40%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VW	$260.23	$433.00	$194.85–$411.35	—	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMP RT	$286.58	$445.00	$58.65–$422.75	49% above	36%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMP LT	$286.58	$445.00	$58.65–$422.75	49% above	36%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE CMP RT	$286.58	$445.00	$200.25–$422.75	—	36%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE CMP LT	$286.58	$445.00	$200.25–$422.75	—	36%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL CMP	$638.75	$875.00	$79.00–$831.25	52% above	27%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL CMP	$638.75	$875.00	$393.75–$831.25	—	27%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA STUDY DENSITY 1+SKEL AX	$388.98	$604.00	$79.00–$573.80	27% above	36%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA STUDY DENSITY 1+SKEL AX	$388.98	$604.00	$271.80–$573.80	—	36%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US UTERUS PREG DETAIL GEST SGL	$407.34	$558.00	$166.84–$530.10	5% above	27%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US UTERUS PREG DETAIL GEST SGL	$407.34	$558.00	$251.10–$530.10	—	27%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST DX WO CNT	$1,213.00	$2,095.00	$79.00–$1,990.25	37% above	42%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST DX WO CNT	$1,213.00	$2,095.00	$942.75–$1,990.25	—	42%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST DX W CNT	$1,516.40	$2,619.00	$129.45–$2,488.05	22% above	42%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST DX W CNT	$1,516.40	$2,619.00	$1,178.55–$2,488.05	—	42%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX W/WO CAD BI	$214.63	$271.00	$68.83–$257.45	—	21%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX W/WO CAD BI	$214.63	$271.00	$121.95–$257.45	—	21%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX W/WO CAD LT	$167.11	$211.00	$53.59–$200.45	33% below	21%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX W/WO CAD RT	$167.11	$211.00	$53.59–$200.45	33% below	21%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX W/WO CAD LT	$167.11	$211.00	$94.95–$200.45	—	21%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX W/WO CAD RT	$167.11	$211.00	$94.95–$200.45	—	21%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUPLEX ART EXT LWR BI	$970.42	$1,612.00	$166.84–$1,531.40	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUPLEX ART EXT LWR BI	$970.42	$1,612.00	$725.40–$1,531.40	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX VEIN EXT CMP BI	$1,016.18	$1,688.00	$166.84–$1,603.60	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX VEIN EXT CMP BI	$1,016.18	$1,688.00	$759.60–$1,603.60	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D DOPP&CLR FLW CMP WO CNT	$1,187.22	$2,143.00	$350.10–$2,035.85	18% above	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D DOPP&CLR FLW CMP WO CNT	$1,187.22	$2,143.00	$964.35–$2,035.85	—	45%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VW LT	$198.35	$308.00	$58.65–$292.60	5% above	36%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VW RT	$198.35	$308.00	$58.65–$292.60	5% above	36%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VW RT	$198.35	$308.00	$138.60–$292.60	—	36%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VW LT	$198.35	$308.00	$138.60–$292.60	—	36%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMP 3+ VW RT	$234.42	$364.00	$58.65–$345.80	67% above	36%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMP 3+ VW LT	$234.42	$364.00	$58.65–$345.80	67% above	36%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW CMP 3+ VW LT	$234.42	$364.00	$163.80–$345.80	—	36%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW CMP 3+ VW RT	$234.42	$364.00	$163.80–$345.80	—	36%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/PF/SEL/IAC WO CNT	$1,143.86	$1,866.00	$79.00–$1,772.70	25% above	39%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/PF/SEL/IAC WO CNT	$1,143.86	$1,866.00	$839.70–$1,772.70	—	39%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR BONES FACIAL CMP 3+ VW	$372.23	$578.00	$79.00–$549.10	47% above	36%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR BONES FACIAL CMP 3+ VW	$372.23	$578.00	$260.10–$549.10	—	36%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VW LT	$195.78	$304.00	$58.65–$288.80	12% above	36%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VW RT	$195.78	$304.00	$58.65–$288.80	12% above	36%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VW LT	$195.78	$304.00	$136.80–$288.80	—	36%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VW RT	$195.78	$304.00	$136.80–$288.80	—	36%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VW RT	$293.02	$455.00	$79.00–$432.25	160% above	36%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VW LT	$293.02	$455.00	$79.00–$432.25	160% above	36%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VW LT	$293.02	$455.00	$204.75–$432.25	—	36%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VW RT	$293.02	$455.00	$204.75–$432.25	—	36%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+ VW RT	$222.18	$345.00	$58.65–$327.75	84% above	36%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+ VW LT	$222.18	$345.00	$58.65–$327.75	84% above	36%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2+ VW LT	$222.18	$345.00	$155.25–$327.75	—	36%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2+ VW RT	$222.18	$345.00	$155.25–$327.75	—	36%
Home sleep apnea test, unattended, recording breathing and oxygen one side CPT 95806 SLP UNATND HOM RT/SAT/FLW&EFF	$627.22	$785.00	$101.17–$745.75	at median	20%
Home sleep apnea test, unattended, recording breathing and oxygen one side CPT 95806 SLP UNATND HOSP RT/SAT/FLW&EFF	$784.62	$982.00	$101.17–$932.90	26% above	20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient one side CPT 95806 SLP UNATND HOM RT/SAT/FLW&EFF	$627.22	$785.00	$353.25–$745.75	—	20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient one side CPT 95806 SLP UNATND HOSP RT/SAT/FLW&EFF	$784.62	$982.00	$441.90–$932.90	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG W 4+ PARAM 6+YRS W CPAP	$4,807.31	$6,917.00	$666.87–$6,571.15	53% above	31%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 PSG W 4+ PARAM 6+YRS W CPAP PED	$6,009.66	$8,647.00	$666.87–$8,214.65	92% above	31%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG W 4+ PARAM 6+YRS W CPAP	$4,807.31	$6,917.00	$3,112.65–$6,571.15	—	31%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 PSG W 4+ PARAM 6+YRS W CPAP PED	$6,009.66	$8,647.00	$3,891.15–$8,214.65	—	31%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VW RT	$373.52	$580.00	$58.65–$551.00	82% above	36%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VW LT	$373.52	$580.00	$58.65–$551.00	82% above	36%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VW RT	$373.52	$580.00	$261.00–$551.00	—	36%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VW LT	$373.52	$580.00	$261.00–$551.00	—	36%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMP 4+ VW LT	$397.99	$618.00	$79.00–$587.10	45% above	36%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMP 4+ VW RT	$397.99	$618.00	$79.00–$587.10	45% above	36%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE CMP 4+ VW LT	$397.99	$618.00	$278.10–$587.10	—	36%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE CMP 4+ VW RT	$397.99	$618.00	$278.10–$587.10	—	36%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CNT RT	$1,090.26	$1,883.00	$79.00–$1,788.85	1% above	42%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CNT LT	$1,090.26	$1,883.00	$79.00–$1,788.85	1% above	42%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CNT LT	$1,090.26	$1,883.00	$847.35–$1,788.85	—	42%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CNT RT	$1,090.26	$1,883.00	$847.35–$1,788.85	—	42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$647.51	$887.00	$79.00–$842.65	66% above	27%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD	$647.51	$887.00	$399.15–$842.65	—	27%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JT/EVAL FOCAL EXT NONVASC LTD	$507.35	$695.00	$79.00–$660.25	162% above	27%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US JT/EVAL FOCAL EXT NONVASC LTD	$507.35	$695.00	$312.75–$660.25	—	27%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE SCRN CA LUNG WO CNT	$367.66	$635.00	$79.00–$603.25	164% above	42%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE SCRN CA LUNG WO CNT	$367.66	$635.00	$285.75–$603.25	—	42%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA&FIBULA 2 VW RT	$230.55	$358.00	$58.65–$340.10	82% above	36%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA&FIBULA 2 VW LT	$230.55	$358.00	$58.65–$340.10	82% above	36%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA&FIBULA 2 VW LT	$230.55	$358.00	$161.10–$340.10	—	36%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA&FIBULA 2 VW RT	$230.55	$358.00	$161.10–$340.10	—	36%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CNT	$1,106.82	$2,795.00	$166.84–$2,655.25	4% below	60%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CNT	$1,106.82	$2,795.00	$1,257.75–$2,655.25	—	60%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W&WO CNT BI	$1,073.69	$1,743.00	$442.72–$1,655.85	—	38%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST W&WO CNT BI	$1,073.69	$1,743.00	$784.35–$1,655.85	—	38%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOWER JT WO CNT RT	$1,900.98	$3,086.00	$166.84–$2,931.70	27% above	38%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOWER JT WO CNT LT	$1,900.98	$3,086.00	$166.84–$2,931.70	27% above	38%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LOWER JT WO CNT LT	$1,900.98	$3,086.00	$1,388.70–$2,931.70	—	38%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LOWER JT WO CNT RT	$1,900.98	$3,086.00	$1,388.70–$2,931.70	—	38%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOWER JT W&WO CNT LT	$2,851.46	$4,629.00	$266.89–$4,397.55	36% above	38%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOWER JT W&WO CNT RT	$2,851.46	$4,629.00	$266.89–$4,397.55	36% above	38%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LOWER JT W&WO CNT LT	$2,851.46	$4,629.00	$2,083.05–$4,397.55	—	38%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LOWER JT W&WO CNT RT	$2,851.46	$4,629.00	$2,083.05–$4,397.55	—	38%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CNT	$2,010.62	$3,264.00	$166.84–$3,100.80	77% above	38%
MRI of the abdomen without contrast CPT 74181 MRCP WO CNT	$2,010.62	$3,264.00	$166.84–$3,100.80	77% above	38%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP WO CNT	$2,010.62	$3,264.00	$1,468.80–$3,100.80	—	38%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CNT	$2,010.62	$3,264.00	$1,468.80–$3,100.80	—	38%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CNT	$3,015.94	$4,896.00	$266.89–$4,651.20	37% above	38%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP W&WO CNT	$3,015.94	$4,896.00	$266.89–$4,651.20	37% above	38%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRCP W&WO CNT	$3,015.94	$4,896.00	$2,203.20–$4,651.20	—	38%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W&WO CNT	$3,015.94	$4,896.00	$2,203.20–$4,651.20	—	38%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNT	$2,191.58	$3,552.00	$166.84–$3,374.40	67% above	38%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNT	$2,191.58	$3,552.00	$1,598.40–$3,374.40	—	38%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CNT	$3,287.38	$5,328.00	$266.89–$5,061.60	74% above	38%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CNT	$3,287.38	$5,328.00	$2,397.60–$5,061.60	—	38%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNT	$2,269.25	$3,625.00	$166.84–$3,443.75	29% above	37%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNT	$2,269.25	$3,625.00	$1,631.25–$3,443.75	—	37%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W&WO CNT	$3,404.19	$5,438.00	$266.89–$5,166.10	38% above	37%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W&WO CNT	$3,404.19	$5,438.00	$2,447.10–$5,166.10	—	37%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CNT	$1,901.79	$3,038.00	$166.84–$2,886.10	5% above	37%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CNT	$1,901.79	$3,038.00	$1,367.10–$2,886.10	—	37%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W&WO CNT	$3,081.17	$4,922.00	$266.89–$4,675.90	39% above	37%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W&WO CNT	$3,081.17	$4,922.00	$2,214.90–$4,675.90	—	37%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CNT	$2,053.91	$3,281.00	$166.84–$3,116.95	43% above	37%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CNT	$2,053.91	$3,281.00	$1,476.45–$3,116.95	—	37%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CNT	$2,579.19	$4,187.00	$266.89–$3,977.65	31% above	38%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&WO CNT	$2,579.19	$4,187.00	$1,884.15–$3,977.65	—	38%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CNT	$1,719.26	$2,791.00	$166.84–$2,651.45	36% above	38%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CNT	$1,719.26	$2,791.00	$1,255.95–$2,651.45	—	38%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPER JT WO CNT RT	$1,717.41	$2,788.00	$166.84–$2,648.60	18% above	38%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPER JT WO CNT LT	$1,717.41	$2,788.00	$166.84–$2,648.60	18% above	38%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPER JT WO CNT LT	$1,717.41	$2,788.00	$1,254.60–$2,648.60	—	38%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPER JT WO CNT RT	$1,717.41	$2,788.00	$1,254.60–$2,648.60	—	38%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4-5 VW	$481.07	$747.00	$79.00–$709.65	72% above	36%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4-5 VW	$481.07	$747.00	$336.15–$709.65	—	36%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK ST W CNT	$1,356.57	$2,213.00	$129.45–$2,102.35	13% above	39%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK ST W CNT	$1,356.57	$2,213.00	$995.85–$2,102.35	—	39%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK ST WO CNT	$1,085.01	$1,770.00	$79.00–$1,681.50	20% above	39%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK ST WO CNT	$1,085.01	$1,770.00	$796.50–$1,681.50	—	39%
Neck soft tissue X-ray CPT 70360 XR TISSUE SOFT NECK	$293.66	$456.00	$58.65–$433.20	65% above	36%
Neck soft tissue X-ray inpatient CPT 70360 XR TISSUE SOFT NECK	$293.66	$456.00	$205.20–$433.20	—	36%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CNT	$1,398.86	$2,416.00	$79.00–$2,295.20	32% above	42%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CNT	$1,398.86	$2,416.00	$1,087.20–$2,295.20	—	42%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD	$573.78	$786.00	$79.00–$746.70	79% above	27%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD	$573.78	$786.00	$353.70–$746.70	—	27%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB CMP	$678.90	$930.00	$79.00–$883.50	65% above	27%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB CMP	$678.90	$930.00	$418.50–$883.50	—	27%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US UTERUS PREG 14+WK GEST SGL	$751.17	$1,029.00	$79.00–$977.55	79% above	27%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US UTERUS PREG 14+WK GEST SGL	$751.17	$1,029.00	$463.05–$977.55	—	27%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US UTERUS PREG 0-13WK GEST SGL	$657.73	$901.00	$79.00–$855.95	95% above	27%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US UTERUS PREG 0-13WK GEST SGL	$657.73	$901.00	$405.45–$855.95	—	27%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US UTERUS PREG LTD 1+ FETUS	$514.65	$705.00	$79.00–$669.75	62% above	27%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US UTERUS PREG LTD 1+ FETUS	$514.65	$705.00	$317.25–$669.75	—	27%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VW LT	$289.80	$450.00	$58.65–$427.50	104% above	36%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VW RT	$289.80	$450.00	$58.65–$427.50	104% above	36%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VW LT	$289.80	$450.00	$202.50–$427.50	—	36%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VW RT	$289.80	$450.00	$202.50–$427.50	—	36%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS W CXR 3+ VW	$413.45	$642.00	$79.00–$609.90	37% above	36%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS W CXR 3+ VW	$413.45	$642.00	$288.90–$609.90	—	36%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI	$209.33	$336.00	$85.34–$319.20	—	38%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI	$209.33	$336.00	$151.20–$319.20	—	38%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMP 2+ VW RT	$321.36	$499.00	$58.65–$474.05	103% above	36%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMP 2+ VW LT	$321.36	$499.00	$58.65–$474.05	103% above	36%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER CMP 2+ VW RT	$321.36	$499.00	$224.55–$474.05	—	36%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER CMP 2+ VW LT	$321.36	$499.00	$224.55–$474.05	—	36%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL CMP 3+ VW	$211.88	$329.00	$58.65–$312.55	25% above	36%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES PARANASAL CMP 3+ VW	$211.88	$329.00	$148.05–$312.55	—	36%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 0-3 VW	$126.87	$197.00	$79.00–$187.15	43% below	36%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL 0-3 VW	$126.87	$197.00	$88.65–$187.15	—	36%
Sleep study in a lab (polysomnography) CPT 95810 PSG W 4+ PARAM 6+YRS	$4,170.00	$6,000.00	$666.87–$5,700.00	51% above	31%
Sleep study in a lab (polysomnography) CPT 95810 PSG W 4+ PARAM 6+YRS PEDS	$5,212.50	$7,500.00	$666.87–$7,125.00	89% above	31%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG W 4+ PARAM 6+YRS	$4,170.00	$6,000.00	$2,700.00–$5,700.00	—	31%
Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG W 4+ PARAM 6+YRS PEDS	$5,212.50	$7,500.00	$3,375.00–$7,125.00	—	31%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2+ VW LT	$311.05	$483.00	$58.65–$458.85	72% above	36%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2+ VW RT	$311.05	$483.00	$58.65–$458.85	72% above	36%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2+ VW RT	$311.05	$483.00	$217.35–$458.85	—	36%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2+ VW LT	$311.05	$483.00	$217.35–$458.85	—	36%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO CNT	$1,342.70	$2,319.00	$79.00–$2,203.05	19% above	42%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO CNT	$1,342.70	$2,319.00	$1,043.55–$2,203.05	—	42%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE/S 2+ VW LT	$242.79	$377.00	$58.65–$358.15	128% above	36%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE/S 2+ VW RT	$242.79	$377.00	$58.65–$358.15	128% above	36%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE/S 2+ VW RT	$242.79	$377.00	$169.65–$358.15	—	36%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE/S 2+ VW LT	$242.79	$377.00	$169.65–$358.15	—	36%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$603.71	$827.00	$79.00–$785.65	60% above	27%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$603.71	$827.00	$372.15–$785.65	—	27%
Transvaginal ultrasound during pregnancy CPT 76817 US UTERUS PREG TRANSVAGINAL	$590.57	$809.00	$79.00–$768.55	69% above	27%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US UTERUS PREG TRANSVAGINAL	$590.57	$809.00	$364.05–$768.55	—	27%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMP	$730.73	$1,001.00	$79.00–$950.95	45% above	27%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMP	$730.73	$1,001.00	$450.45–$950.95	—	27%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM&CONTENTS	$617.58	$846.00	$79.00–$803.70	61% above	27%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM&CONTENTS	$617.58	$846.00	$380.70–$803.70	—	27%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US TISSUE SOFT HEAD&NECK	$675.98	$926.00	$79.00–$879.70	104% above	27%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US TISSUE SOFT HEAD&NECK	$675.98	$926.00	$416.70–$879.70	—	27%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI STUDY CNT SINGLE	$671.69	$1,043.00	$129.45–$990.85	70% above	36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI STUDY CNT SINGLE	$671.69	$1,043.00	$469.35–$990.85	—	36%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VW LT	$293.02	$455.00	$58.65–$432.25	32% above	36%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VW RT	$293.02	$455.00	$58.65–$432.25	32% above	36%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VW RT	$293.02	$455.00	$204.75–$432.25	—	36%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VW LT	$293.02	$455.00	$204.75–$432.25	—	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VEIN EXT LTD/UNI	$709.76	$1,179.00	$79.00–$1,120.05	71% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VEIN EXT LTD/UNI	$709.76	$1,179.00	$530.55–$1,120.05	—	40%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VW RT	$188.05	$292.00	$58.65–$277.40	22% above	36%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VW LT	$188.05	$292.00	$58.65–$277.40	22% above	36%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VW LT	$188.05	$292.00	$131.40–$277.40	—	36%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VW RT	$188.05	$292.00	$131.40–$277.40	—	36%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMP 3+ VW LT	$329.08	$511.00	$58.65–$485.45	50% above	36%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMP 3+ VW RT	$329.08	$511.00	$58.65–$485.45	50% above	36%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST CMP 3+ VW RT	$329.08	$511.00	$229.95–$485.45	—	36%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST CMP 3+ VW LT	$329.08	$511.00	$229.95–$485.45	—	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PELVIS 2-3 VW RT	$364.50	$566.00	$58.65–$537.70	49% above	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PELVIS 2-3 VW LT	$364.50	$566.00	$58.65–$537.70	49% above	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PELVIS 2-3 VW LT	$364.50	$566.00	$254.70–$537.70	—	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PELVIS 2-3 VW RT	$364.50	$566.00	$254.70–$537.70	—	36%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VW	$179.68	$279.00	$58.65–$265.05	7% below	36%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VW	$179.68	$279.00	$125.55–$265.05	—	36%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VW RT	$209.94	$326.00	$58.65–$309.70	45% above	36%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VW LT	$209.94	$326.00	$58.65–$309.70	45% above	36%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VW RT	$209.94	$326.00	$146.70–$309.70	—	36%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VW LT	$209.94	$326.00	$146.70–$309.70	—	36%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/S 2+ VW LT	$159.07	$247.00	$58.65–$234.65	46% above	36%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/S 2+ VW RT	$159.07	$247.00	$58.65–$234.65	46% above	36%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/S 2+ VW LT	$159.07	$247.00	$111.15–$234.65	—	36%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/S 2+ VW RT	$159.07	$247.00	$111.15–$234.65	—	36%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VW RT	$95.31	$148.00	$58.65–$140.60	4% above	36%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VW LT	$95.31	$148.00	$58.65–$140.60	4% above	36%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VW RT	$95.31	$148.00	$66.60–$140.60	—	36%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VW LT	$95.31	$148.00	$66.60–$140.60	—	36%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMP 3+ VW RT	$309.76	$481.00	$58.65–$456.95	165% above	36%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMP 3+ VW LT	$309.76	$481.00	$58.65–$456.95	165% above	36%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT CMP 3+ VW LT	$309.76	$481.00	$216.45–$456.95	—	36%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT CMP 3+ VW RT	$309.76	$481.00	$216.45–$456.95	—	36%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VW RT	$323.93	$503.00	$58.65–$477.85	59% above	36%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VW LT	$323.93	$503.00	$58.65–$477.85	59% above	36%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VW LT	$323.93	$503.00	$226.35–$477.85	—	36%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VW RT	$323.93	$503.00	$226.35–$477.85	—	36%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VW RT	$282.07	$438.00	$58.65–$416.10	82% above	36%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VW LT	$282.07	$438.00	$58.65–$416.10	82% above	36%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VW LT	$282.07	$438.00	$197.10–$416.10	—	36%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VW RT	$282.07	$438.00	$197.10–$416.10	—	36%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LS 2-3 VW	$394.77	$613.00	$79.00–$582.35	105% above	36%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LS 2-3 VW	$394.77	$613.00	$275.85–$582.35	—	36%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS 4+ VW	$519.06	$806.00	$79.00–$765.70	53% above	36%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS 4+ VW	$519.06	$806.00	$362.70–$765.70	—	36%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VW	$331.66	$515.00	$79.00–$489.25	35% above	36%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VW	$331.66	$515.00	$231.75–$489.25	—	36%
X-ray of the nasal bones, 3 or more views CPT 70160 XR BONES NASAL CMP 3+ VW	$247.30	$384.00	$58.65–$364.80	122% above	36%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR BONES NASAL CMP 3+ VW	$247.30	$384.00	$172.80–$364.80	—	36%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3 VW	$331.66	$515.00	$58.65–$489.25	52% above	36%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3 VW	$331.66	$515.00	$231.75–$489.25	—	36%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VW	$323.93	$503.00	$79.00–$477.85	71% above	36%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VW	$323.93	$503.00	$226.35–$477.85	—	36%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM&COCCYX 2+ VW	$281.43	$437.00	$58.65–$415.15	119% above	36%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM&COCCYX 2+ VW	$281.43	$437.00	$196.65–$415.15	—	36%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
ACTH blood test CPT 82024 LAB HORMONE ADRENOCORTICOTROPIC	$65.08	$116.00	$38.62–$110.20	23% below	44%
ACTH blood test inpatient CPT 82024 LAB HORMONE ADRENOCORTICOTROPIC	$65.08	$116.00	$52.20–$110.20	—	44%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB TRANSFERASE AMINO ALANINE	$21.32	$38.00	$5.30–$36.10	10% below	44%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB TRANSFERASE AMINO ALANINE NS	$33.10	$59.00	$5.30–$56.05	40% above	44%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB TRANSFERASE AMINO ALANINE	$21.32	$38.00	$17.10–$36.10	—	44%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB TRANSFERASE AMINO ALANINE NS	$33.10	$59.00	$26.55–$56.05	—	44%
AST (aspartate aminotransferase) enzyme test CPT 84450 LAB TRANSFERASE AMINO ASPARTATE	$21.32	$38.00	$5.18–$36.10	20% below	44%
AST (aspartate aminotransferase) enzyme test CPT 84450 LAB TRANSFERASE AMINO ASPARTATE NS	$42.64	$76.00	$5.18–$72.20	59% above	44%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB TRANSFERASE AMINO ASPARTATE	$21.32	$38.00	$17.10–$36.10	—	44%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB TRANSFERASE AMINO ASPARTATE NS	$42.64	$76.00	$34.20–$72.20	—	44%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LAB PANEL HEPATITIS ACUTE	$126.79	$226.00	$47.63–$214.70	33% above	44%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 LAB PANEL HEPATITIS ACUTE	$126.79	$226.00	$101.70–$214.70	—	44%
Albumin blood test CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL	$16.83	$30.00	$4.95–$28.50	15% above	44%
Albumin blood test CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL NS	$35.34	$63.00	$4.95–$59.85	141% above	44%
Albumin blood test inpatient CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL	$16.83	$30.00	$13.50–$28.50	—	44%
Albumin blood test inpatient CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL NS	$35.34	$63.00	$28.35–$59.85	—	44%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE NS	$69.00	$123.00	$40.75–$116.85	19% below	44%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE URINE	$69.00	$123.00	$40.75–$116.85	19% below	44%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE	$151.47	$270.00	$40.75–$256.50	79% above	44%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE URINE	$69.00	$123.00	$55.35–$116.85	—	44%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE NS	$69.00	$123.00	$55.35–$116.85	—	44%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE	$151.47	$270.00	$121.50–$256.50	—	44%
Alkaline phosphatase (ALP) blood test CPT 84075 LAB ALKALINE PHOSPHATASE	$20.76	$37.00	$5.18–$35.15	25% above	44%
Alkaline phosphatase (ALP) blood test CPT 84075 LAB ALKALINE PHOSPHATASE NS	$31.98	$57.00	$5.18–$54.15	92% above	44%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB ALKALINE PHOSPHATASE	$20.76	$37.00	$16.65–$35.15	—	44%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB ALKALINE PHOSPHATASE NS	$31.98	$57.00	$25.65–$54.15	—	44%
Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA NS	$29.15	$55.00	$5.22–$52.25	147% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA	$29.68	$56.00	$5.22–$53.20	151% above	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA NS	$29.15	$55.00	$24.75–$52.25	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA	$29.68	$56.00	$25.20–$53.20	—	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 LAB AFP SERUM	$28.61	$51.00	$16.77–$48.45	28% below	44%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB AFP SERUM	$28.61	$51.00	$22.95–$48.45	—	44%
Ammonia blood test CPT 82140 LAB AMMONIA	$24.68	$44.00	$14.57–$41.80	62% below	44%
Ammonia blood test CPT 82140 LAB AMMONIA STONE RISK	$64.52	$115.00	$14.57–$109.25	1% below	44%
Ammonia blood test inpatient CPT 82140 LAB AMMONIA	$24.68	$44.00	$19.80–$41.80	—	44%
Ammonia blood test inpatient CPT 82140 LAB AMMONIA STONE RISK	$64.52	$115.00	$51.75–$109.25	—	44%
Amylase blood test CPT 82150 LAB AMYLASE	$11.22	$20.00	$6.48–$19.00	14% below	44%
Amylase blood test CPT 82150 LAB AMYLASE FLUID BODY	$29.17	$52.00	$6.48–$49.40	124% above	44%
Amylase blood test CPT 82150 LAB AMYLASE URINE	$29.73	$53.00	$6.48–$50.35	128% above	44%
Amylase blood test CPT 82150 LAB AMYLASE TOTAL	$30.29	$54.00	$6.48–$51.30	132% above	44%
Amylase blood test CPT 82150 LAB AMYLASE FLUID CYST PANCREATIC	$191.30	$341.00	$6.48–$323.95	1368% above	44%
Amylase blood test inpatient CPT 82150 LAB AMYLASE	$11.22	$20.00	$9.00–$19.00	—	44%
Amylase blood test inpatient CPT 82150 LAB AMYLASE FLUID BODY	$29.17	$52.00	$23.40–$49.40	—	44%
Amylase blood test inpatient CPT 82150 LAB AMYLASE URINE	$29.73	$53.00	$23.85–$50.35	—	44%
Amylase blood test inpatient CPT 82150 LAB AMYLASE TOTAL	$30.29	$54.00	$24.30–$51.30	—	44%
Amylase blood test inpatient CPT 82150 LAB AMYLASE FLUID CYST PANCREATIC	$191.30	$341.00	$153.45–$323.95	—	44%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB AB PEPTIDE CYCLIC CITRUL	$31.27	$59.00	$12.95–$56.05	7% above	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB AB PEPTIDE CYCLIC CITRUL	$31.27	$59.00	$26.55–$56.05	—	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB SCR ANA	$28.09	$53.00	$12.09–$50.35	3% above	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB SCR ANA	$28.09	$53.00	$23.85–$50.35	—	47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB PEPTIDE NATRIURETIC PB	$66.20	$118.00	$39.26–$112.10	14% below	44%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB PEPTIDE NATRIURETIC PB NS	$67.88	$121.00	$39.26–$114.95	12% below	44%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB PEPTIDE NATRIURETIC PB	$66.20	$118.00	$53.10–$112.10	—	44%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB PEPTIDE NATRIURETIC PB NS	$67.88	$121.00	$54.45–$114.95	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT FLUID BODY STERILE	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC EAR	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC EYE	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC GENITAL	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC CSF	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC TISSUE	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC WOUND	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC RESP UPPER	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC BARTONELLA	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC RESP LOWER	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC CATHETER TIP	$14.56	$26.00	$8.62–$24.70	76% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC OTHER	$42.00	$75.00	$8.62–$71.25	31% below	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC BARTONELLA	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT FLUID BODY STERILE	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC WOUND	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC TISSUE	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC RESP UPPER	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC RESP LOWER	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC GENITAL	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC EYE	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC EAR	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC CSF	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC CATHETER TIP	$14.56	$26.00	$11.70–$24.70	—	44%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC OTHER	$42.00	$75.00	$33.75–$71.25	—	44%
Basic metabolic panel (blood test) CPT 80048 LAB PANEL METAB BASIC W CA TOTAL	$56.10	$100.00	$8.46–$95.00	22% below	44%
Basic metabolic panel (blood test) inpatient CPT 80048 LAB PANEL METAB BASIC W CA TOTAL	$56.10	$100.00	$45.00–$95.00	—	44%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL	$20.20	$36.00	$5.02–$34.20	at median	44%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY	$31.98	$57.00	$5.02–$54.15	58% above	44%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL NS	$32.54	$58.00	$5.02–$55.10	61% above	44%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY NS	$76.30	$136.00	$5.02–$129.20	278% above	44%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL	$20.20	$36.00	$16.20–$34.20	—	44%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY	$31.98	$57.00	$25.65–$54.15	—	44%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL NS	$32.54	$58.00	$26.10–$55.10	—	44%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY NS	$76.30	$136.00	$61.20–$129.20	—	44%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB PATH GROSS&MICRO LVL 4	$65.45	$110.00	$36.08–$104.50	24% below	41%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB PATH GROSS&MICRO LVL 4 NS	$65.45	$110.00	$36.08–$104.50	24% below	41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB PATH GROSS&MICRO LVL 4 NS	$65.45	$110.00	$49.50–$104.50	—	41%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB PATH GROSS&MICRO LVL 4	$65.45	$110.00	$49.50–$104.50	—	41%
Blood culture for bacteria CPT 87040 LAB CULT BACT AEROBIC BLOOD	$17.36	$31.00	$10.32–$29.45	86% below	44%
Blood culture for bacteria inpatient CPT 87040 LAB CULT BACT AEROBIC BLOOD	$17.36	$31.00	$13.95–$29.45	—	44%
Blood lead test CPT 83655 LAB LEAD BLOOD NS	$20.76	$37.00	$12.11–$35.15	20% below	44%
Blood lead test CPT 83655 LAB LEAD BLOOD	$33.10	$59.00	$12.11–$56.05	28% above	44%
Blood lead test CPT 83655 LAB LEAD NON BLOOD	$44.32	$79.00	$12.11–$75.05	71% above	44%
Blood lead test inpatient CPT 83655 LAB LEAD BLOOD NS	$20.76	$37.00	$16.65–$35.15	—	44%
Blood lead test inpatient CPT 83655 LAB LEAD BLOOD	$33.10	$59.00	$26.55–$56.05	—	44%
Blood lead test inpatient CPT 83655 LAB LEAD NON BLOOD	$44.32	$79.00	$35.55–$75.05	—	44%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LAB HCG QL	$12.90	$23.00	$7.52–$21.85	81% below	44%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LAB HCG QL	$12.90	$23.00	$10.35–$21.85	—	44%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPE ABO	$171.13	$281.00	$2.99–$266.95	110% above	39%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPE ABO NS	$171.13	$281.00	$2.99–$266.95	110% above	39%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPE ABO DISCREPANCY	$171.13	$281.00	$2.99–$266.95	110% above	39%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPE ABO DISCREPANCY	$171.13	$281.00	$126.45–$266.95	—	39%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPE ABO	$171.13	$281.00	$126.45–$266.95	—	39%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPE ABO NS	$171.13	$281.00	$126.45–$266.95	—	39%
Blood urea nitrogen (BUN) test CPT 84520 LAB NITROGEN UREA QN	$18.51	$33.00	$3.95–$31.35	14% above	44%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB NITROGEN UREA QN	$18.51	$33.00	$14.85–$31.35	—	44%
C-peptide blood test CPT 84681 LAB C-PEPTIDE	$35.34	$63.00	$20.81–$59.85	38% below	44%
C-peptide blood test inpatient CPT 84681 LAB C-PEPTIDE	$35.34	$63.00	$28.35–$59.85	—	44%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB PROT C-REACTIVE NS	$8.48	$16.00	$5.18–$15.20	82% below	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 LAB PROT C-REACTIVE	$8.48	$16.00	$5.18–$15.20	82% below	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB PROT C-REACTIVE NS	$8.48	$16.00	$7.20–$15.20	—	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 LAB PROT C-REACTIVE	$8.48	$16.00	$7.20–$15.20	—	47%
C. difficile toxin gene test (stool PCR) CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP	$62.72	$112.00	$37.27–$106.40	15% below	44%
C. difficile toxin gene test (stool PCR) CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP NS	$62.72	$112.00	$37.27–$106.40	15% below	44%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP	$62.72	$112.00	$50.40–$106.40	—	44%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP NS	$62.72	$112.00	$50.40–$106.40	—	44%
CA 19-9 blood test (tumor marker) CPT 86301 LAB IMM AG TUMOR CA 19-9	$33.39	$63.00	$20.81–$59.85	18% above	47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 LAB IMM AG TUMOR CA 19-9	$33.39	$63.00	$28.35–$59.85	—	47%
CA-125 blood test (ovarian cancer marker) CPT 86304 LAB IMM AG TUMOR CA 125	$33.39	$63.00	$20.81–$59.85	51% below	47%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 LAB IMM AG TUMOR CA 125	$33.39	$63.00	$28.35–$59.85	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB DET IA COV19 PRB AMP NS	$86.24	$154.00	$51.31–$146.30	33% above	44%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB DET IA COV19 PRB AMP	$86.24	$154.00	$51.31–$146.30	33% above	44%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB DET IA COV19 PRB AMP NS	$86.24	$154.00	$69.30–$146.30	—	44%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB DET IA COV19 PRB AMP	$86.24	$154.00	$69.30–$146.30	—	44%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL	$19.64	$35.00	$5.16–$33.25	31% above	44%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL URINE	$31.42	$56.00	$5.16–$53.20	109% above	44%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL NS	$36.47	$65.00	$5.16–$61.75	142% above	44%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL	$19.64	$35.00	$15.75–$33.25	—	44%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL URINE	$31.42	$56.00	$25.20–$53.20	—	44%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL NS	$36.47	$65.00	$29.25–$61.75	—	44%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC	$31.98	$57.00	$18.96–$54.15	44% below	44%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC ARUP NS	$38.15	$68.00	$18.96–$64.60	34% below	44%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC MAYO NS	$184.57	$329.00	$18.96–$312.55	221% above	44%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC	$31.98	$57.00	$25.65–$54.15	—	44%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC ARUP NS	$38.15	$68.00	$30.60–$64.60	—	44%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC MAYO NS	$184.57	$329.00	$148.05–$312.55	—	44%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGG	$20.67	$39.00	$12.88–$37.05	at median	47%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGM NS	$20.67	$39.00	$12.88–$37.05	at median	47%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGG NS	$28.09	$53.00	$12.88–$50.35	36% above	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGM NS	$20.67	$39.00	$17.55–$37.05	—	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGG	$20.67	$39.00	$17.55–$37.05	—	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGG NS	$28.09	$53.00	$23.85–$50.35	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP	$59.36	$106.00	$35.09–$100.70	4% below	44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP NS	$64.40	$115.00	$35.09–$109.25	4% above	44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP	$59.36	$106.00	$47.70–$100.70	—	44%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP NS	$64.40	$115.00	$51.75–$109.25	—	44%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID NS	$38.71	$69.00	$13.39–$65.55	2% below	44%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID	$51.61	$92.00	$13.39–$87.40	31% above	44%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID NS	$38.71	$69.00	$31.05–$65.55	—	44%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID	$51.61	$92.00	$41.40–$87.40	—	44%
Complete blood count (CBC) with differential CPT 85025 LAB CBC AUTO W AUTO DIFF	$13.15	$24.00	$7.77–$22.80	78% below	45%
Complete blood count (CBC) with differential CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN	$13.15	$24.00	$7.77–$22.80	78% below	45%
Complete blood count (CBC) with differential inpatient CPT 85025 LAB HEMO PLT AUTO W AUTO SCAN	$13.15	$24.00	$10.80–$22.80	—	45%
Complete blood count (CBC) with differential inpatient CPT 85025 LAB CBC AUTO W AUTO DIFF	$13.15	$24.00	$10.80–$22.80	—	45%
Complete blood count (CBC), no differential CPT 85027 LAB CBC AUTO WO DIFF	$10.96	$20.00	$6.47–$19.00	77% below	45%
Complete blood count (CBC), no differential inpatient CPT 85027 LAB CBC AUTO WO DIFF	$10.96	$20.00	$9.00–$19.00	—	45%
Comprehensive metabolic panel (blood test) CPT 80053 LAB PANEL METAB COMP	$69.56	$124.00	$10.56–$117.80	47% below	44%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB PANEL METAB COMP	$69.56	$124.00	$55.80–$117.80	—	44%
Cortisol blood test, total CPT 82533 LAB CORTISOL TOTAL	$32.54	$58.00	$16.30–$55.10	21% below	44%
Cortisol blood test, total CPT 82533 LAB CORTISOL TOTAL NS	$181.20	$323.00	$16.30–$306.85	342% above	44%
Cortisol blood test, total inpatient CPT 82533 LAB CORTISOL TOTAL	$32.54	$58.00	$26.10–$55.10	—	44%
Cortisol blood test, total inpatient CPT 82533 LAB CORTISOL TOTAL NS	$181.20	$323.00	$145.35–$306.85	—	44%
Creatine kinase (CK) blood test, total CPT 82550 LAB CREATINE KINASE TOTAL	$11.22	$20.00	$6.51–$19.00	20% below	44%
Creatine kinase (CK) blood test, total CPT 82550 LAB CREATINE KINASE TOTAL NS	$30.86	$55.00	$6.51–$52.25	120% above	44%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CREATINE KINASE TOTAL	$11.22	$20.00	$9.00–$19.00	—	44%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CREATINE KINASE TOTAL NS	$30.86	$55.00	$24.75–$52.25	—	44%
Creatinine blood test CPT 82565 LAB CREATININE BLOOD	$19.07	$34.00	$5.12–$32.30	27% above	44%
Creatinine blood test inpatient CPT 82565 LAB CREATININE BLOOD	$19.07	$34.00	$15.30–$32.30	—	44%
Cytomegalovirus (CMV) antibody test CPT 86644 LAB AB CYTOMEGALOVIRUS NS	$29.68	$56.00	$14.39–$53.20	4% below	47%
Cytomegalovirus (CMV) antibody test CPT 86644 LAB AB CYTOMEGALOVIRUS	$31.80	$60.00	$14.39–$57.00	3% above	47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB AB CYTOMEGALOVIRUS NS	$29.68	$56.00	$25.20–$53.20	—	47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB AB CYTOMEGALOVIRUS	$31.80	$60.00	$27.00–$57.00	—	47%
D-dimer blood test (blood clot marker) CPT 85379 LAB FDP D-DIMER QN	$16.99	$31.00	$10.18–$29.45	83% below	45%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB FDP D-DIMER QN	$16.99	$31.00	$13.95–$29.45	—	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 LAB DEHYDROEPIANDROSTERONE-SULFATE	$37.59	$67.00	$22.23–$63.65	29% below	44%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB DEHYDROEPIANDROSTERONE-SULFATE	$37.59	$67.00	$30.15–$63.65	—	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ MECON DAY	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE DAY	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE DAY NS	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE ETOH DAY	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ SERUM DAY NS	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ SERUM DAY	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ MECON DAY NS	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAY	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAYNS	$104.91	$187.00	$62.14–$177.65	24% above	44%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE PMGT DAY	$251.89	$449.00	$62.14–$426.55	199% above	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE ETOH DAY	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE DAY	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ SERUM DAY	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAYNS	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ MECON DAY	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAY	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ SERUM DAY NS	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE DAY NS	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ MECON DAY NS	$104.91	$187.00	$84.15–$177.65	—	44%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE PMGT DAY	$251.89	$449.00	$202.05–$426.55	—	44%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LAB PANEL ELECTROLYTE	$39.83	$71.00	$7.01–$67.45	30% below	44%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LAB PANEL ELECTROLYTE	$39.83	$71.00	$31.95–$67.45	—	44%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGG	$29.15	$55.00	$18.14–$52.25	35% above	47%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGM NS	$29.15	$55.00	$18.14–$52.25	35% above	47%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGM	$32.86	$62.00	$18.14–$58.90	52% above	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGG	$29.15	$55.00	$24.75–$52.25	—	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGM NS	$29.15	$55.00	$24.75–$52.25	—	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGM	$32.86	$62.00	$27.90–$58.90	—	47%
Estradiol blood test CPT 82670 LAB ESTRADIOL TOTAL NS	$47.12	$84.00	$27.94–$79.80	26% below	44%
Estradiol blood test CPT 82670 LAB ESTRADIOL TOTAL	$47.12	$84.00	$27.94–$79.80	26% below	44%
Estradiol blood test inpatient CPT 82670 LAB ESTRADIOL TOTAL	$47.12	$84.00	$37.80–$79.80	—	44%
Estradiol blood test inpatient CPT 82670 LAB ESTRADIOL TOTAL NS	$47.12	$84.00	$37.80–$79.80	—	44%
FSH (follicle-stimulating hormone) test CPT 83001 LAB GONADOTROPIN FSH SERUM	$31.42	$56.00	$18.58–$53.20	46% below	44%
FSH (follicle-stimulating hormone) test CPT 83001 LAB GONADOTROPIN FSH SERUM NS	$32.54	$58.00	$18.58–$55.10	44% below	44%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB GONADOTROPIN FSH SERUM	$31.42	$56.00	$25.20–$53.20	—	44%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB GONADOTROPIN FSH SERUM NS	$32.54	$58.00	$26.10–$55.10	—	44%
Fecal calprotectin (stool inflammation test) CPT 83993 LAB CALPROTECTIN FECAL	$140.25	$250.00	$19.63–$237.50	182% above	44%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB CALPROTECTIN FECAL	$140.25	$250.00	$112.50–$237.50	—	44%
Ferritin blood test (iron stores) CPT 82728 LAB FERRITIN	$33.66	$60.00	$13.63–$57.00	57% below	44%
Ferritin blood test (iron stores) inpatient CPT 82728 LAB FERRITIN	$33.66	$60.00	$27.00–$57.00	—	44%
Fibrinogen blood test CPT 85384 LAB FIBRINOGEN ACTIVITY NS	$16.44	$30.00	$9.72–$28.50	66% below	45%
Fibrinogen blood test CPT 85384 LAB FIBRINOGEN ACTIVITY	$16.44	$30.00	$9.72–$28.50	66% below	45%
Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN ACTIVITY NS	$16.44	$30.00	$13.50–$28.50	—	45%
Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN ACTIVITY	$16.44	$30.00	$13.50–$28.50	—	45%
Folate (folic acid) blood test CPT 82746 LAB ACID FOLIC SERUM	$25.24	$45.00	$14.70–$42.75	70% below	44%
Folate (folic acid) blood test inpatient CPT 82746 LAB ACID FOLIC SERUM	$25.24	$45.00	$20.25–$42.75	—	44%
Free T3 thyroid hormone test CPT 84481 LAB TRIIODOTHYRONINE T3 FREE	$30.29	$54.00	$16.94–$51.30	25% below	44%
Free T3 thyroid hormone test CPT 84481 LAB TRIIODOTHYRONINE T3 FREE TR DIA	$39.83	$71.00	$16.94–$67.45	1% below	44%
Free T3 thyroid hormone test inpatient CPT 84481 LAB TRIIODOTHYRONINE T3 FREE	$30.29	$54.00	$24.30–$51.30	—	44%
Free T3 thyroid hormone test inpatient CPT 84481 LAB TRIIODOTHYRONINE T3 FREE TR DIA	$39.83	$71.00	$31.95–$67.45	—	44%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB THYROXINE T4 FREE	$15.71	$28.00	$9.02–$26.60	71% below	44%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB THYROXINE T4 FREE NS	$37.03	$66.00	$9.02–$62.70	31% below	44%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB THYROXINE T4 FREE	$15.71	$28.00	$12.60–$26.60	—	44%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB THYROXINE T4 FREE NS	$37.03	$66.00	$29.70–$62.70	—	44%
Free testosterone test CPT 84402 LAB TESTOSTERONE FREE	$43.20	$77.00	$25.47–$73.15	3% below	44%
Free testosterone test inpatient CPT 84402 LAB TESTOSTERONE FREE	$43.20	$77.00	$34.65–$73.15	—	44%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL	$12.34	$22.00	$7.20–$20.90	57% below	44%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL NS	$34.78	$62.00	$7.20–$58.90	21% above	44%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL	$12.34	$22.00	$9.90–$20.90	—	44%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL NS	$34.78	$62.00	$27.90–$58.90	—	44%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 LAB GLUCOSE POST DOSE	$8.42	$15.00	$4.75–$14.25	91% below	44%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 LAB GLUCOSE POST DOSE	$8.42	$15.00	$6.75–$14.25	—	44%
Glucose tolerance test, 3 samples CPT 82951 LAB GLUCOSE TOLERANCE SPEC 1ST 3	$21.88	$39.00	$12.87–$37.05	78% below	44%
Glucose tolerance test, 3 samples inpatient CPT 82951 LAB GLUCOSE TOLERANCE SPEC 1ST 3	$21.88	$39.00	$17.55–$37.05	—	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB DET IA GC PRB AMP	$59.36	$106.00	$35.09–$100.70	2% below	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB DET IA GC PRB AMP NS	$59.36	$106.00	$35.09–$100.70	2% below	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB DET IA GC PRB AMP NS	$59.36	$106.00	$47.70–$100.70	—	44%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB DET IA GC PRB AMP	$59.36	$106.00	$47.70–$100.70	—	44%
H. pylori antibody blood test CPT 86677 LAB AB HELICOBACTER PYLORI	$41.34	$78.00	$16.85–$74.10	5% above	47%
H. pylori antibody blood test inpatient CPT 86677 LAB AB HELICOBACTER PYLORI	$41.34	$78.00	$35.10–$74.10	—	47%
H. pylori stool antigen test CPT 87338 LAB DET AG IA IMM H PYLORI STOOL NS	$24.64	$44.00	$14.38–$41.80	43% below	44%
H. pylori stool antigen test CPT 87338 LAB DET AG IA IMM H PYLORI STOOL	$41.44	$74.00	$14.38–$70.30	4% below	44%
H. pylori stool antigen test inpatient CPT 87338 LAB DET AG IA IMM H PYLORI STOOL NS	$24.64	$44.00	$19.80–$41.80	—	44%
H. pylori stool antigen test inpatient CPT 87338 LAB DET AG IA IMM H PYLORI STOOL	$41.44	$74.00	$33.30–$70.30	—	44%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB DET IA HIV-1 QN NS	$143.36	$256.00	$85.10–$243.20	18% above	44%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB DET IA HIV-1 QN	$143.36	$256.00	$85.10–$243.20	18% above	44%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB DET IA HIV-1 QN NS	$143.36	$256.00	$115.20–$243.20	—	44%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB DET IA HIV-1 QN	$143.36	$256.00	$115.20–$243.20	—	44%
HIV-1 and HIV-2 antibody test CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL	$22.26	$42.00	$13.71–$39.90	42% below	47%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL	$22.26	$42.00	$18.90–$39.90	—	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 LAB DET AG IA IMM HIV1 W HIV 1&2	$48.72	$87.00	$24.08–$82.65	19% above	44%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 LAB DET AG IA IMM HIV1 W HIV 1&2	$48.72	$87.00	$39.15–$82.65	—	44%
HPV test for high-risk types, one combined (pooled) result CPT 87624 LAB DET IA HPV TYPE RISK HIGH POOL	$59.36	$106.00	$35.09–$100.70	8% above	44%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 LAB DET IA HPV TYPE RISK HIGH POOL	$59.36	$106.00	$47.70–$100.70	—	44%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB HEMOGLOBIN A1C	$16.83	$30.00	$9.71–$28.50	65% below	44%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB HEMOGLOBIN A1C	$16.83	$30.00	$13.50–$28.50	—	44%
Hemoglobin blood test CPT 85018 LAB COUNT BLD HEMOGLOBIN NS	$4.38	$8.00	$2.37–$7.60	83% below	45%
Hemoglobin blood test CPT 85018 LAB COUNT BLD HEMOGLOBIN	$4.38	$8.00	$2.37–$7.60	83% below	45%
Hemoglobin blood test inpatient CPT 85018 LAB COUNT BLD HEMOGLOBIN	$4.38	$8.00	$3.60–$7.60	—	45%
Hemoglobin blood test inpatient CPT 85018 LAB COUNT BLD HEMOGLOBIN NS	$4.38	$8.00	$3.60–$7.60	—	45%
Hepatitis B core antibody test (total) CPT 86704 LAB AB HEPATITIS B CORE TOTAL	$29.15	$55.00	$12.05–$52.25	7% above	47%
Hepatitis B core antibody test (total) inpatient CPT 86704 LAB AB HEPATITIS B CORE TOTAL	$29.15	$55.00	$24.75–$52.25	—	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LAB AB HEPATITIS B SURFACE	$29.15	$55.00	$10.74–$52.25	at median	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LAB AB HEPATITIS B SURFACE	$29.15	$55.00	$24.75–$52.25	—	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN	$19.04	$34.00	$10.33–$32.30	14% below	44%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN NS	$129.36	$231.00	$10.33–$219.45	486% above	44%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN	$19.04	$34.00	$15.30–$32.30	—	44%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN NS	$129.36	$231.00	$103.95–$219.45	—	44%
Hepatitis C antibody blood test (screening) CPT 86803 LAB AB HEPATITIS C	$38.16	$72.00	$14.27–$68.40	at median	47%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB AB HEPATITIS C	$38.16	$72.00	$32.40–$68.40	—	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 LAB DET IA HEP C QN	$72.24	$129.00	$42.84–$122.55	19% below	44%
Hepatitis C viral load (HCV RNA) test CPT 87522 LAB DET IA HEP C QN NS	$82.32	$147.00	$42.84–$139.65	7% below	44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB DET IA HEP C QN	$72.24	$129.00	$58.05–$122.55	—	44%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB DET IA HEP C QN NS	$82.32	$147.00	$66.15–$139.65	—	44%
Herpes blood test, HSV-1 antibody CPT 86695 LAB AB HERPES SIMPLEX TYPE 1	$21.20	$40.00	$13.19–$38.00	31% below	47%
Herpes blood test, HSV-1 antibody CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 NS	$28.09	$53.00	$13.19–$50.35	9% below	47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB AB HERPES SIMPLEX TYPE 1	$21.20	$40.00	$18.00–$38.00	—	47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 NS	$28.09	$53.00	$23.85–$50.35	—	47%
Herpes blood test, HSV-2 antibody CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 NS	$31.27	$59.00	$19.35–$56.05	6% below	47%
Herpes blood test, HSV-2 antibody CPT 86696 LAB AB HERPES SIMPLEX TYPE 2	$31.27	$59.00	$19.35–$56.05	6% below	47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB AB HERPES SIMPLEX TYPE 2	$31.27	$59.00	$26.55–$56.05	—	47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 NS	$31.27	$59.00	$26.55–$56.05	—	47%
High-sensitivity CRP (hs-CRP) test CPT 86141 LAB PROT C-REACTIVE SENS HIGH	$30.21	$57.00	$12.95–$54.15	45% below	47%
High-sensitivity CRP (hs-CRP) test CPT 86141 LAB PROT C-REACTIVE SENS HIGH NS	$69.43	$131.00	$12.95–$124.45	25% above	47%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB PROT C-REACTIVE SENS HIGH	$30.21	$57.00	$25.65–$54.15	—	47%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB PROT C-REACTIVE SENS HIGH NS	$69.43	$131.00	$58.95–$124.45	—	47%
Homocysteine blood test CPT 83090 LAB HOMOCYSTEINE SERUM	$32.54	$58.00	$17.92–$55.10	76% below	44%
Homocysteine blood test inpatient CPT 83090 LAB HOMOCYSTEINE SERUM	$32.54	$58.00	$26.10–$55.10	—	44%
Insulin blood test CPT 83525 LAB INSULIN TOTAL	$31.98	$57.00	$11.43–$54.15	17% above	44%
Insulin blood test inpatient CPT 83525 LAB INSULIN TOTAL	$31.98	$57.00	$25.65–$54.15	—	44%
Iron blood test (serum iron) CPT 83540 LAB IRON	$11.22	$20.00	$6.47–$19.00	70% below	44%
Iron blood test (serum iron) CPT 83540 LAB IRON TISSUE LIVER	$116.69	$208.00	$6.47–$197.60	209% above	44%
Iron blood test (serum iron) inpatient CPT 83540 LAB IRON	$11.22	$20.00	$9.00–$19.00	—	44%
Iron blood test (serum iron) inpatient CPT 83540 LAB IRON TISSUE LIVER	$116.69	$208.00	$93.60–$197.60	—	44%
Iron-binding capacity (TIBC) test CPT 83550 LAB CAPACITY IRON BINDING	$15.15	$27.00	$8.74–$25.65	81% below	44%
Iron-binding capacity (TIBC) test inpatient CPT 83550 LAB CAPACITY IRON BINDING	$15.15	$27.00	$12.15–$25.65	—	44%
Kidney function blood test panel CPT 80069 LAB PANEL FUNCTION RENAL	$79.10	$141.00	$8.68–$133.95	9% below	44%
Kidney function blood test panel inpatient CPT 80069 LAB PANEL FUNCTION RENAL	$79.10	$141.00	$63.45–$133.95	—	44%
LH (luteinizing hormone) test CPT 83002 LAB GONADOTROPIN LH NS	$31.98	$57.00	$18.52–$54.15	47% below	44%
LH (luteinizing hormone) test CPT 83002 LAB GONADOTROPIN LH	$32.54	$58.00	$18.52–$55.10	46% below	44%
LH (luteinizing hormone) test inpatient CPT 83002 LAB GONADOTROPIN LH NS	$31.98	$57.00	$25.65–$54.15	—	44%
LH (luteinizing hormone) test inpatient CPT 83002 LAB GONADOTROPIN LH	$32.54	$58.00	$26.10–$55.10	—	44%
Lactate (lactic acid) blood test CPT 83605 LAB LACTATE/LACTIC ACID	$19.64	$35.00	$11.57–$33.25	31% below	44%
Lactate (lactic acid) blood test CPT 83605 LAB LACTATE/LACTIC ACID NS	$19.64	$35.00	$11.57–$33.25	31% below	44%
Lactate (lactic acid) blood test CPT 83605 LAB LACTATE/LACTIC ACID CSF	$49.37	$88.00	$11.57–$83.60	74% above	44%
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTATE/LACTIC ACID	$19.64	$35.00	$15.75–$33.25	—	44%
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTATE/LACTIC ACID NS	$19.64	$35.00	$15.75–$33.25	—	44%
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTATE/LACTIC ACID CSF	$49.37	$88.00	$39.60–$83.60	—	44%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH	$10.66	$19.00	$6.04–$18.05	67% below	44%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH FLUID BODY	$10.66	$19.00	$6.04–$18.05	67% below	44%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH NS	$30.86	$55.00	$6.04–$52.25	5% below	44%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH CSF	$31.42	$56.00	$6.04–$53.20	3% below	44%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH FLUID BODY	$10.66	$19.00	$8.55–$18.05	—	44%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH	$10.66	$19.00	$8.55–$18.05	—	44%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH NS	$30.86	$55.00	$24.75–$52.25	—	44%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH CSF	$31.42	$56.00	$25.20–$53.20	—	44%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE	$11.78	$21.00	$6.89–$19.95	57% below	44%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE FLUID BODY	$29.17	$52.00	$6.89–$49.40	8% above	44%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE FLUID BODY NS	$32.54	$58.00	$6.89–$55.10	20% above	44%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE	$11.78	$21.00	$9.45–$19.95	—	44%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE FLUID BODY	$29.17	$52.00	$23.40–$49.40	—	44%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE FLUID BODY NS	$32.54	$58.00	$26.10–$55.10	—	44%
Liver function blood test panel CPT 80076 LAB PANEL FUNCTION HEPATIC	$54.98	$98.00	$8.17–$93.10	32% below	44%
Liver function blood test panel inpatient CPT 80076 LAB PANEL FUNCTION HEPATIC	$54.98	$98.00	$44.10–$93.10	—	44%
Lyme disease antibody test CPT 86618 LAB AB LYME DISEASE IGG IGM	$34.98	$66.00	$17.03–$62.70	at median	47%
Lyme disease antibody test inpatient CPT 86618 LAB AB LYME DISEASE IGG IGM	$34.98	$66.00	$29.70–$62.70	—	47%
Magnesium blood test CPT 83735 LAB MAGNESIUM	$11.78	$21.00	$6.70–$19.95	15% below	44%
Magnesium blood test CPT 83735 LAB MAGNESIUM STOOL	$11.78	$21.00	$6.70–$19.95	15% below	44%
Magnesium blood test CPT 83735 LAB MAGNESIUM URINE	$29.17	$52.00	$6.70–$49.40	111% above	44%
Magnesium blood test CPT 83735 LAB MAGNESIUM NS	$49.37	$88.00	$6.70–$83.60	257% above	44%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM	$11.78	$21.00	$9.45–$19.95	—	44%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM STOOL	$11.78	$21.00	$9.45–$19.95	—	44%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM URINE	$29.17	$52.00	$23.40–$49.40	—	44%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM NS	$49.37	$88.00	$39.60–$83.60	—	44%
Measles (rubeola) antibody test CPT 86765 LAB AB RUBEOLA IGM	$29.68	$56.00	$12.88–$53.20	78% above	47%
Measles (rubeola) antibody test CPT 86765 LAB AB RUBEOLA IGG	$31.80	$60.00	$12.88–$57.00	91% above	47%
Measles (rubeola) antibody test inpatient CPT 86765 LAB AB RUBEOLA IGM	$29.68	$56.00	$25.20–$53.20	—	47%
Measles (rubeola) antibody test inpatient CPT 86765 LAB AB RUBEOLA IGG	$31.80	$60.00	$27.00–$57.00	—	47%
Mono test (heterophile antibody, Monospot) CPT 86308 LAB SCR AB HETEROPHILE	$8.48	$16.00	$5.18–$15.20	89% below	47%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 LAB SCR AB HETEROPHILE	$8.48	$16.00	$7.20–$15.20	—	47%
Mumps immunity blood test CPT 86735 LAB AB MUMPS IGG	$29.68	$56.00	$13.05–$53.20	at median	47%
Mumps immunity blood test CPT 86735 LAB AB MUMPS	$32.33	$61.00	$13.05–$57.95	9% above	47%
Mumps immunity blood test CPT 86735 LAB AB MUMPS IGM	$32.86	$62.00	$13.05–$58.90	11% above	47%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS IGG	$29.68	$56.00	$25.20–$53.20	—	47%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS	$32.33	$61.00	$27.45–$57.95	—	47%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS IGM	$32.86	$62.00	$27.90–$58.90	—	47%
PSA (prostate-specific antigen) blood test, free CPT 84154 LAB PSA FREE	$31.42	$56.00	$18.39–$53.20	43% below	44%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB PSA FREE	$31.42	$56.00	$25.20–$53.20	—	44%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB SCR PSA	$31.42	$56.00	$18.39–$53.20	47% below	44%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL	$31.42	$56.00	$18.39–$53.20	47% below	44%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB SCR PSA	$31.42	$56.00	$25.20–$53.20	—	44%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL	$31.42	$56.00	$25.20–$53.20	—	44%
Pap test (liquid-based, automated screening with review) CPT 88175 LAB CYTOPATH CERV/VAG AUTO&MANUAL	$54.01	$80.00	$26.61–$76.00	35% above	32%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 LAB CYTOPATH CERV/VAG AUTO&MANUAL	$54.01	$80.00	$36.00–$76.00	—	32%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LAB SCR MANUAL CYTOPATH CERV/VAG	$41.18	$61.00	$20.26–$57.95	53% above	32%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LAB SCR MANUAL CYTOPATH CERV/VAG	$41.18	$61.00	$27.45–$57.95	—	32%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 1	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 2	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 3	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP EA ADDL	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP POST 10 MN	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP POST 5 MN	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE C-TERMINAL	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE	$69.56	$124.00	$41.28–$117.80	11% below	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 1	$69.56	$124.00	$55.80–$117.80	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 2	$69.56	$124.00	$55.80–$117.80	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 3	$69.56	$124.00	$55.80–$117.80	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP EA ADDL	$69.56	$124.00	$55.80–$117.80	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP POST 10 MN	$69.56	$124.00	$55.80–$117.80	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP POST 5 MN	$69.56	$124.00	$55.80–$117.80	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE	$69.56	$124.00	$55.80–$117.80	—	44%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE C-TERMINAL	$69.56	$124.00	$55.80–$117.80	—	44%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL	$10.41	$19.00	$6.01–$18.05	45% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL NS	$37.81	$69.00	$6.01–$65.55	100% above	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL	$10.41	$19.00	$8.55–$18.05	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL NS	$37.81	$69.00	$31.05–$65.55	—	45%
Phosphorus (phosphate) blood test CPT 84100 LAB PHOSPHORUS INORGANIC	$20.20	$36.00	$4.74–$34.20	10% below	44%
Phosphorus (phosphate) blood test inpatient CPT 84100 LAB PHOSPHORUS INORGANIC	$20.20	$36.00	$16.20–$34.20	—	44%
Potassium blood test CPT 84132 LAB POTASS SRM/PLASMA/BLD WHL	$16.83	$30.00	$4.76–$28.50	34% below	44%
Potassium blood test CPT 84132 LAB POTASS PLASMA	$33.10	$59.00	$4.76–$56.05	30% above	44%
Potassium blood test CPT 84132 LAB POTASS BLD WHL RBC	$46.00	$82.00	$4.76–$77.90	80% above	44%
Potassium blood test inpatient CPT 84132 LAB POTASS SRM/PLASMA/BLD WHL	$16.83	$30.00	$13.50–$28.50	—	44%
Potassium blood test inpatient CPT 84132 LAB POTASS PLASMA	$33.10	$59.00	$26.55–$56.05	—	44%
Potassium blood test inpatient CPT 84132 LAB POTASS BLD WHL RBC	$46.00	$82.00	$36.90–$77.90	—	44%
Progesterone blood test CPT 84144 LAB PROGESTERONE	$35.34	$63.00	$20.86–$59.85	58% below	44%
Progesterone blood test inpatient CPT 84144 LAB PROGESTERONE	$35.34	$63.00	$28.35–$59.85	—	44%
Prolactin blood test CPT 84146 LAB PROLACTIN	$33.10	$59.00	$19.38–$56.05	36% below	44%
Prolactin blood test inpatient CPT 84146 LAB PROLACTIN	$33.10	$59.00	$26.55–$56.05	—	44%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME	$27.95	$51.00	$4.29–$48.45	48% above	45%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME NS	$34.52	$63.00	$4.29–$59.85	83% above	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME	$27.95	$51.00	$22.95–$48.45	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME NS	$34.52	$63.00	$28.35–$59.85	—	45%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LAB DRG SCR DIRECT OPT OBS ONLY DAY	$35.90	$64.00	$12.60–$60.80	113% above	44%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LAB DRG SCR DIRECT OPT OBS ONLY DAY	$35.90	$64.00	$28.80–$60.80	—	44%
Rapid flu test (influenza antigen) CPT 87804 LAB DET AG IA INFLUENZA IMM OPT	$28.00	$50.00	$16.55–$47.50	18% above	44%
Rapid flu test (influenza antigen) inpatient CPT 87804 LAB DET AG IA INFLUENZA IMM OPT	$28.00	$50.00	$22.50–$47.50	—	44%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 LAB DET AG IA STREP GROUP A IMM OPT	$28.00	$50.00	$16.53–$47.50	8% below	44%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LAB DET AG IA STREP GROUP A IMM OPT	$28.00	$50.00	$22.50–$47.50	—	44%
Renin blood test CPT 84244 LAB RENIN NS	$37.03	$66.00	$21.99–$62.70	38% below	44%
Renin blood test CPT 84244 LAB RENIN	$78.54	$140.00	$21.99–$133.00	31% above	44%
Renin blood test inpatient CPT 84244 LAB RENIN NS	$37.03	$66.00	$29.70–$62.70	—	44%
Renin blood test inpatient CPT 84244 LAB RENIN	$78.54	$140.00	$63.00–$133.00	—	44%
Rh blood typing CPT 86901 LAB BLOOD TYPE RHD NS	$48.11	$79.00	$2.99–$75.05	7% above	39%
Rh blood typing CPT 86901 LAB BLOOD TYPE RHD	$48.11	$79.00	$2.99–$75.05	7% above	39%
Rh blood typing inpatient CPT 86901 LAB BLOOD TYPE RHD NS	$48.11	$79.00	$35.55–$75.05	—	39%
Rh blood typing inpatient CPT 86901 LAB BLOOD TYPE RHD	$48.11	$79.00	$35.55–$75.05	—	39%
Rheumatoid factor (RF) test CPT 86431 LAB FACTOR RHEUMATOID QN	$9.54	$18.00	$5.67–$17.10	39% below	47%
Rheumatoid factor (RF) test CPT 86431 LAB FACTOR RHEUMATOID QN NS	$29.15	$55.00	$5.67–$52.25	85% above	47%
Rheumatoid factor (RF) test inpatient CPT 86431 LAB FACTOR RHEUMATOID QN	$9.54	$18.00	$8.10–$17.10	—	47%
Rheumatoid factor (RF) test inpatient CPT 86431 LAB FACTOR RHEUMATOID QN NS	$29.15	$55.00	$24.75–$52.25	—	47%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA TITER	$23.32	$44.00	$14.39–$41.80	14% below	47%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA IGG	$29.68	$56.00	$14.39–$53.20	9% above	47%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA IGM NS	$29.68	$56.00	$14.39–$53.20	9% above	47%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA TITER	$23.32	$44.00	$19.80–$41.80	—	47%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA IGG	$29.68	$56.00	$25.20–$53.20	—	47%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA IGM NS	$29.68	$56.00	$25.20–$53.20	—	47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 LAB RATE SEDIMENTATION RBC AUTO	$4.93	$9.00	$2.70–$8.55	92% below	45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 LAB RATE SEDIMENTATION RBC AUTO	$4.93	$9.00	$4.05–$8.55	—	45%
Sodium blood test CPT 84295 LAB SODIUM SRM/PLASMA/BLD WHL	$13.46	$24.00	$4.81–$22.80	31% below	44%
Sodium blood test inpatient CPT 84295 LAB SODIUM SRM/PLASMA/BLD WHL	$13.46	$24.00	$10.80–$22.80	—	44%
Stool ova and parasites exam CPT 87177 LAB SMEARS DIRECT OVA&PARASITES	$15.12	$27.00	$8.90–$25.65	46% below	44%
Stool ova and parasites exam inpatient CPT 87177 LAB SMEARS DIRECT OVA&PARASITES	$15.12	$27.00	$12.15–$25.65	—	44%
Stool test for hidden blood (guaiac FOBT) CPT 82270 LAB BLOOD OCCULT FECES SINGLE QL	$7.85	$14.00	$4.38–$13.30	71% below	44%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 LAB BLOOD OCCULT FECES SINGLE QL	$7.85	$14.00	$6.30–$13.30	—	44%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM NS	$34.78	$62.00	$15.92–$58.90	90% above	44%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM NS	$34.78	$62.00	$27.90–$58.90	—	44%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB SCR AB SYPHILIS NS	$21.20	$40.00	$13.24–$38.00	18% below	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB AB FTA CONFIRM	$21.20	$40.00	$13.24–$38.00	18% below	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB SCR AB SYPHILIS	$28.09	$53.00	$13.24–$50.35	8% above	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB AB TREPONEMA PALLIDUM CONF	$39.22	$74.00	$13.24–$70.30	51% above	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB SCR AB SYPHILIS NS	$21.20	$40.00	$18.00–$38.00	—	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB AB FTA CONFIRM	$21.20	$40.00	$18.00–$38.00	—	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB SCR AB SYPHILIS	$28.09	$53.00	$23.85–$50.35	—	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB AB TREPONEMA PALLIDUM CONF	$39.22	$74.00	$33.30–$70.30	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL	$27.56	$52.00	$4.27–$49.40	112% above	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL CSF	$32.86	$62.00	$4.27–$58.90	153% above	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL	$27.56	$52.00	$23.40–$49.40	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL CSF	$32.86	$62.00	$27.90–$58.90	—	47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LAB TB MEAS IMMUNITY GAMMA INTERFRN	$98.58	$186.00	$61.98–$176.70	36% above	47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 LAB TB MEAS IMMUNITY GAMMA INTERFRN	$98.58	$186.00	$83.70–$176.70	—	47%
Testosterone blood test, total (not free testosterone) CPT 84403 LAB TESTOSTERONE TOTAL	$43.76	$78.00	$25.81–$74.10	27% above	44%
Testosterone blood test, total (not free testosterone) CPT 84403 LAB TESTOSTERONE TOTAL NS	$43.76	$78.00	$25.81–$74.10	27% above	44%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB TESTOSTERONE TOTAL NS	$43.76	$78.00	$35.10–$74.10	—	44%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB TESTOSTERONE TOTAL	$43.76	$78.00	$35.10–$74.10	—	44%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL EA	$23.32	$44.00	$14.55–$41.80	3% above	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL LC-1 EA	$23.32	$44.00	$14.55–$41.80	3% above	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL LIVER-KIDNEY EA	$33.39	$63.00	$14.55–$59.85	47% above	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL LC-1 EA	$23.32	$44.00	$19.80–$41.80	—	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL EA	$23.32	$44.00	$19.80–$41.80	—	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL LIVER-KIDNEY EA	$33.39	$63.00	$28.35–$59.85	—	47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE NS	$28.61	$51.00	$16.80–$48.45	54% below	44%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE	$30.29	$54.00	$16.80–$51.30	51% below	44%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE NS	$28.61	$51.00	$22.95–$48.45	—	44%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE	$30.29	$54.00	$24.30–$51.30	—	44%
Total IgE blood test CPT 82785 LAB IG IGE	$32.54	$58.00	$16.46–$55.10	19% above	44%
Total IgE blood test CPT 82785 LAB IG IGE NS	$32.54	$58.00	$16.46–$55.10	19% above	44%
Total IgE blood test inpatient CPT 82785 LAB IG IGE NS	$32.54	$58.00	$26.10–$55.10	—	44%
Total IgE blood test inpatient CPT 82785 LAB IG IGE	$32.54	$58.00	$26.10–$55.10	—	44%
Total cholesterol blood test CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL	$30.86	$55.00	$4.35–$52.25	47% above	44%
Total cholesterol blood test CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL NS	$31.42	$56.00	$4.35–$53.20	50% above	44%
Total cholesterol blood test inpatient CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL	$30.86	$55.00	$24.75–$52.25	—	44%
Total cholesterol blood test inpatient CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL NS	$31.42	$56.00	$25.20–$53.20	—	44%
Total thyroxine (T4) blood test CPT 84436 LAB THYROXINE T4 TOTAL	$31.42	$56.00	$6.87–$53.20	at median	44%
Total thyroxine (T4) blood test inpatient CPT 84436 LAB THYROXINE T4 TOTAL	$31.42	$56.00	$25.20–$53.20	—	44%
Total triiodothyronine (T3) blood test CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL	$24.12	$43.00	$14.18–$40.85	76% below	44%
Total triiodothyronine (T3) blood test CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL NS	$24.12	$43.00	$14.18–$40.85	76% below	44%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL	$24.12	$43.00	$19.35–$40.85	—	44%
Total triiodothyronine (T3) blood test inpatient CPT 84480 LAB TRIIODOTHYRONINE T3 TOTAL NS	$24.12	$43.00	$19.35–$40.85	—	44%
Transferrin blood test CPT 84466 LAB TRANSFERRIN NS	$21.88	$39.00	$12.76–$37.05	64% below	44%
Transferrin blood test CPT 84466 LAB TRANSFERRIN	$21.88	$39.00	$12.76–$37.05	64% below	44%
Transferrin blood test inpatient CPT 84466 LAB TRANSFERRIN	$21.88	$39.00	$17.55–$37.05	—	44%
Transferrin blood test inpatient CPT 84466 LAB TRANSFERRIN NS	$21.88	$39.00	$17.55–$37.05	—	44%
Trichomonas test (NAAT) CPT 87661 LAB DET IA TRICHOMONAS VAG PRB AMP	$59.36	$106.00	$35.09–$100.70	18% above	44%
Trichomonas test (NAAT) CPT 87661 LAB DET IA TRICHOMON VAG PRB AMP NS	$62.16	$111.00	$35.09–$105.45	24% above	44%
Trichomonas test (NAAT) inpatient CPT 87661 LAB DET IA TRICHOMONAS VAG PRB AMP	$59.36	$106.00	$47.70–$100.70	—	44%
Trichomonas test (NAAT) inpatient CPT 87661 LAB DET IA TRICHOMON VAG PRB AMP NS	$62.16	$111.00	$49.95–$105.45	—	44%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES FLUID BODY	$20.20	$36.00	$5.74–$34.20	15% above	44%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES	$23.00	$41.00	$5.74–$38.95	31% above	44%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES NS	$31.98	$57.00	$5.74–$54.15	82% above	44%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES FLUID BODY	$20.20	$36.00	$16.20–$34.20	—	44%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES	$23.00	$41.00	$18.45–$38.95	—	44%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES NS	$31.98	$57.00	$25.65–$54.15	—	44%
Troponin test, quantitative CPT 84484 LAB TROPONIN QN	$21.32	$38.00	$12.47–$36.10	56% below	44%
Troponin test, quantitative inpatient CPT 84484 LAB TROPONIN QN	$21.32	$38.00	$17.10–$36.10	—	44%
Uric acid blood test CPT 84550 LAB ACID URIC BLOOD	$7.85	$14.00	$4.52–$13.30	89% below	44%
Uric acid blood test inpatient CPT 84550 LAB ACID URIC BLOOD	$7.85	$14.00	$6.30–$13.30	—	44%
Urinalysis with microscope exam, automated CPT 81001 LAB UA AUTO W MICRO	$5.74	$10.00	$3.17–$9.50	85% below	43%
Urinalysis with microscope exam, automated inpatient CPT 81001 LAB UA AUTO W MICRO	$5.74	$10.00	$4.50–$9.50	—	43%
Urinalysis without microscope exam, automated CPT 81003 LAB UA KETONES AUTO WO MICRO	$4.02	$7.00	$2.25–$6.65	79% below	43%
Urinalysis without microscope exam, automated CPT 81003 LAB UA AUTO WO MICRO	$4.02	$7.00	$2.25–$6.65	79% below	43%
Urinalysis without microscope exam, automated CPT 81003 LAB UA PH AUTO WO MICRO	$4.02	$7.00	$2.25–$6.65	79% below	43%
Urinalysis without microscope exam, automated CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO	$30.42	$53.00	$2.25–$50.35	57% above	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA KETONES AUTO WO MICRO	$4.02	$7.00	$3.15–$6.65	—	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA AUTO WO MICRO	$4.02	$7.00	$3.15–$6.65	—	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA PH AUTO WO MICRO	$4.02	$7.00	$3.15–$6.65	—	43%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO	$30.42	$53.00	$23.85–$50.35	—	43%
Urinalysis without microscope exam, manual CPT 81002 LAB UA REDUCING SUBSTANCE	$6.31	$11.00	$3.48–$10.45	12% below	43%
Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA REDUCING SUBSTANCE	$6.31	$11.00	$4.95–$10.45	—	43%
Urine culture for bacteria, with colony count CPT 87086 LAB CULT BACT COLONY COUNT URINE	$14.00	$25.00	$8.07–$23.75	74% below	44%
Urine culture for bacteria, with colony count inpatient CPT 87086 LAB CULT BACT COLONY COUNT URINE	$14.00	$25.00	$11.25–$23.75	—	44%
Urine microalbumin (albumin) test CPT 82043 LAB MICROALBUMIN URINE QN	$31.42	$56.00	$5.78–$53.20	24% above	44%
Urine microalbumin (albumin) test inpatient CPT 82043 LAB MICROALBUMIN URINE QN	$31.42	$56.00	$25.20–$53.20	—	44%
Urine pregnancy test, read by color change CPT 81025 LAB PREGNANCY URINE	$33.29	$58.00	$8.61–$55.10	36% below	43%
Urine pregnancy test, read by color change inpatient CPT 81025 LAB PREGNANCY URINE	$33.29	$58.00	$26.10–$55.10	—	43%
Vitamin B12 (cobalamin) blood test CPT 82607 LAB CYANOCOBALAMIN	$30.29	$54.00	$15.08–$51.30	53% below	44%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB CYANOCOBALAMIN	$30.29	$54.00	$24.30–$51.30	—	44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC	$49.93	$89.00	$29.60–$84.55	26% below	44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC NS	$49.93	$89.00	$29.60–$84.55	26% below	44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC NS	$49.93	$89.00	$40.05–$84.55	—	44%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC	$49.93	$89.00	$40.05–$84.55	—	44%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 LAB VITAMIN D 1 25 DIHYDROXY FRAC	$65.08	$116.00	$38.50–$110.20	22% below	44%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LAB VITAMIN D 1 25 DIHYDROXY FRAC	$65.08	$116.00	$52.20–$110.20	—	44%
Zinc blood test CPT 84630 LAB ZINC	$19.64	$35.00	$11.39–$33.25	19% below	44%
Zinc blood test CPT 84630 LAB ZINC NS	$75.74	$135.00	$11.39–$128.25	212% above	44%
Zinc blood test inpatient CPT 84630 LAB ZINC	$19.64	$35.00	$15.75–$33.25	—	44%
Zinc blood test inpatient CPT 84630 LAB ZINC NS	$75.74	$135.00	$60.75–$128.25	—	44%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QN	$25.81	$46.00	$15.05–$43.70	4% below	44%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG TUMOR MARKER QN	$31.98	$57.00	$15.05–$54.15	20% above	44%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QN NS	$37.59	$67.00	$15.05–$63.65	41% above	44%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QN	$25.81	$46.00	$20.70–$43.70	—	44%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG TUMOR MARKER QN	$31.98	$57.00	$25.65–$54.15	—	44%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QN NS	$37.59	$67.00	$30.15–$63.65	—	44%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL	$579.58	$1,178.00	$407.38–$1,119.10	38% below	51%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED CARDIOVERSION ELECTIVE EXTERNAL	$676.17	$1,178.00	$407.38–$1,910.00	27% below	43%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL	$579.58	$1,178.00	$530.10–$1,119.10	—	51%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION ELECTIVE EXTERNAL	$676.17	$1,178.00	$530.10–$1,119.10	—	43%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W BLOCK REGIONAL	$256.56	$380.00	$54.76–$1,404.00	1% above	32%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W BLOCK REGIONAL	$256.56	$380.00	$171.00–$361.00	—	32%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY CERVIX W LETZ	$633.20	$1,287.00	$579.15–$1,901.83	87% below	51%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY CERVIX W LETZ	$633.20	$1,287.00	$579.15–$1,222.65	—	51%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$474.29	$964.00	$416.71–$5,849.00	62% below	51%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY	$474.29	$964.00	$433.80–$915.80	—	51%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ SIS/HYSTEROSALPINGOGRAPHY	$382.79	$758.00	$192.53–$1,404.00	63% above	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ SIS/HYSTEROSALPINGOGRAPHY	$382.79	$758.00	$341.10–$720.10	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD LT	$393.90	$780.00	$189.35–$1,404.00	31% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD RT	$393.90	$780.00	$189.35–$1,404.00	31% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD RT	$393.90	$780.00	$351.00–$741.00	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD LT	$393.90	$780.00	$351.00–$741.00	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD LT	$126.76	$251.00	$112.95–$1,404.00	71% below	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD RT	$126.76	$251.00	$112.95–$1,404.00	71% below	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD RT	$126.76	$251.00	$112.95–$238.45	—	49%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD LT	$126.76	$251.00	$112.95–$238.45	—	49%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD RT	$122.21	$242.00	$108.90–$1,404.00	66% below	50%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD LT	$122.21	$242.00	$108.90–$1,404.00	66% below	50%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD LT	$122.21	$242.00	$108.90–$229.90	—	50%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD RT	$122.21	$242.00	$108.90–$229.90	—	50%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOMINAL W IMG	$420.16	$832.00	$374.40–$3,158.00	72% below	50%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABDOMINAL W IMG	$420.16	$832.00	$374.40–$790.40	—	50%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASP W IMG RT	$459.04	$909.00	$392.67–$1,404.00	61% below	50%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASP W IMG LT	$459.04	$909.00	$392.67–$1,404.00	61% below	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASP W IMG LT	$459.04	$909.00	$409.05–$863.55	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASP W IMG RT	$459.04	$909.00	$409.05–$863.55	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST RT	$2,232.60	$4,421.00	$1,020.08–$4,199.95	at median	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST LT	$2,232.60	$4,421.00	$1,020.08–$4,199.95	at median	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST LT	$2,232.60	$4,421.00	$1,989.45–$4,199.95	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST RT	$2,232.60	$4,421.00	$1,989.45–$4,199.95	—	50%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BI	$358.18	$728.00	$327.60–$1,299.92	—	51%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 VASECTOMY UNI/BI	$358.18	$728.00	$327.60–$691.60	—	51%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 1 UNIT	$428.58	$842.00	$287.87–$799.90	21% below	49%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 1 UNIT	$428.58	$842.00	$287.87–$799.90	21% below	49%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 2 UNITS	$535.98	$1,053.00	$287.87–$1,000.35	1% below	49%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 2 UNITS	$535.98	$1,053.00	$287.87–$1,000.35	1% below	49%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 3+ UNITS	$642.87	$1,263.00	$287.87–$1,199.85	19% above	49%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 3+ UNITS	$642.87	$1,263.00	$287.87–$1,199.85	19% above	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 1 UNIT	$428.58	$842.00	$378.90–$799.90	—	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 1 UNIT	$428.58	$842.00	$378.90–$799.90	—	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 2 UNITS	$535.98	$1,053.00	$473.85–$1,000.35	—	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 2 UNITS	$535.98	$1,053.00	$473.85–$1,000.35	—	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 3+ UNITS	$642.87	$1,263.00	$568.35–$1,199.85	—	49%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 3+ UNITS	$642.87	$1,263.00	$568.35–$1,199.85	—	49%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF IV 1ST HR	$440.88	$653.00	$225.29–$620.35	at median	32%
Chemotherapy IV infusion, first hour CPT 96413 ED CHEMO INF IV 1ST HR	$440.88	$653.00	$225.29–$620.35	at median	32%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF IV 1ST HR	$440.88	$653.00	$293.85–$620.35	—	32%
Chemotherapy IV infusion, first hour inpatient CPT 96413 ED CHEMO INF IV 1ST HR	$440.88	$653.00	$293.85–$620.35	—	32%
Critical care, first 30 to 74 minutes CPT 99291 ED VISIT CRITICAL CARE 1ST 30-74MIN	$1,247.88	$2,174.00	$502.19–$2,065.30	55% below	43%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED VISIT CRITICAL CARE 1ST 30-74MIN	$1,247.88	$2,174.00	$978.30–$2,065.30	—	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ROUTINE 12+ LEADS	$277.67	$488.00	$25.99–$463.60	114% above	43%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ROUTINE 12+ LEADS	$277.67	$488.00	$219.60–$463.60	—	43%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1	$249.00	$216.00	$97.20–$1,910.00	at median	-15%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1	$249.00	$216.00	$97.20–$205.20	—	-15%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2	$317.60	$399.00	$177.74–$1,910.00	16% below	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2	$317.60	$399.00	$179.55–$379.05	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3	$921.59	$693.00	$276.48–$1,910.00	33% above	-33%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3	$921.59	$693.00	$311.85–$658.35	—	-33%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4	$2,573.71	$1,140.00	$442.36–$1,910.00	126% above	-126%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4	$2,573.71	$1,140.00	$513.00–$1,083.00	—	-126%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5	$3,139.06	$1,654.00	$664.80–$1,910.00	89% above	-90%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5	$3,139.06	$1,654.00	$744.30–$1,571.30	—	-90%
Exercise stress test, tracing only, the hospital charge CPT 93017 TEST CV STRESS TREAD/BIKE&/RX TRACE	$843.95	$1,250.00	$191.73–$1,187.50	31% above	32%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TEST CV STRESS TREAD/BIKE&/RX TRACE	$843.95	$1,250.00	$562.50–$1,187.50	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED INF IV HYDRATION 31-60MIN	$374.82	$653.00	$77.79–$1,910.00	100% above	43%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRATION 31-60MIN	$446.65	$653.00	$77.79–$620.35	139% above	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED INF IV HYDRATION 31-60MIN	$374.82	$653.00	$293.85–$620.35	—	43%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRATION 31-60MIN	$446.65	$653.00	$293.85–$620.35	—	32%
IV infusion of a medicine, first hour CPT 96365 ED INF IV THRPY 1ST HR	$452.31	$788.00	$147.54–$1,910.00	75% above	43%
IV infusion of a medicine, first hour CPT 96365 INF IV THRPY 1ST HR	$538.99	$788.00	$147.54–$748.60	108% above	32%
IV infusion of a medicine, first hour inpatient CPT 96365 ED INF IV THRPY 1ST HR	$452.31	$788.00	$354.60–$748.60	—	43%
IV infusion of a medicine, first hour inpatient CPT 96365 INF IV THRPY 1ST HR	$538.99	$788.00	$354.60–$748.60	—	32%
IV push of a medicine, first drug CPT 96374 INJ IVP DRUG INITIAL	$169.00	$463.00	$77.79–$439.85	3% above	63%
IV push of a medicine, first drug CPT 96374 ED INJ IVP DRUG INITIAL	$265.76	$463.00	$77.79–$1,910.00	63% above	43%
IV push of a medicine, first drug inpatient CPT 96374 INJ IVP DRUG INITIAL	$169.00	$463.00	$208.35–$439.85	—	63%
IV push of a medicine, first drug inpatient CPT 96374 ED INJ IVP DRUG INITIAL	$265.76	$463.00	$208.35–$439.85	—	43%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM	$63.88	$175.00	$44.93–$166.25	8% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED INJ SUBQ/IM	$100.45	$175.00	$44.93–$1,910.00	45% above	43%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM	$63.88	$175.00	$78.75–$166.25	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED INJ SUBQ/IM	$100.45	$175.00	$78.75–$166.25	—	43%
New patient office visit, about 30 minutes CPT 99203 VISIT NEW LEVEL 3	$184.68	$270.00	$54.54–$256.50	1% above	32%
New patient office visit, about 30 minutes CPT 99203 VISIT OB TRIAGE NEW LEVEL 3	$1,944.80	$2,210.00	$54.54–$2,099.50	968% above	12%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT NEW LEVEL 3	$184.68	$270.00	$121.50–$256.50	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT OB TRIAGE NEW LEVEL 3	$1,944.80	$2,210.00	$994.50–$2,099.50	—	12%
New patient office visit, about 45 minutes CPT 99204 VISIT NEW LEVEL 4	$253.08	$370.00	$54.54–$351.50	28% above	32%
New patient office visit, about 45 minutes CPT 99204 VISIT OB TRIAGE NEW LEVEL 4	$2,340.80	$2,660.00	$54.54–$2,527.00	1082% above	12%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT NEW LEVEL 4	$253.08	$370.00	$166.50–$351.50	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT OB TRIAGE NEW LEVEL 4	$2,340.80	$2,660.00	$1,197.00–$2,527.00	—	12%
New patient office visit, about 60 minutes CPT 99205 VISIT NEW LEVEL 5	$321.48	$470.00	$54.54–$446.50	42% above	32%
New patient office visit, about 60 minutes CPT 99205 VISIT OB TRIAGE NEW LEVEL 5	$3,132.80	$3,560.00	$54.54–$3,382.00	1284% above	12%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT NEW LEVEL 5	$321.48	$470.00	$211.50–$446.50	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT OB TRIAGE NEW LEVEL 5	$3,132.80	$3,560.00	$1,602.00–$3,382.00	—	12%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW LEVEL 1	$102.60	$150.00	$54.54–$142.50	31% below	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT NEW LEVEL 2	$136.80	$200.00	$54.54–$190.00	7% below	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT OB TRIAGE NEW LEVEL 1	$677.60	$770.00	$54.54–$731.50	359% above	12%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT OB TRIAGE NEW LEVEL 2	$1,298.00	$1,475.00	$54.54–$1,401.25	778% above	12%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW LEVEL 1	$102.60	$150.00	$67.50–$142.50	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT NEW LEVEL 2	$136.80	$200.00	$90.00–$190.00	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT OB TRIAGE NEW LEVEL 1	$677.60	$770.00	$346.50–$731.50	—	12%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT OB TRIAGE NEW LEVEL 2	$1,298.00	$1,475.00	$663.75–$1,401.25	—	12%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT ESTABLISHED LEVEL 5	$232.56	$340.00	$54.54–$323.00	6% above	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT OB TRIAGE ESTABLISHED LEVEL 5	$2,820.40	$3,205.00	$54.54–$3,044.75	1182% above	12%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT ESTABLISHED LEVEL 5	$232.56	$340.00	$153.00–$323.00	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT OB TRIAGE ESTABLISHED LEVEL 5	$2,820.40	$3,205.00	$1,442.25–$3,044.75	—	12%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT ESTABLISHED LEVEL 3	$164.16	$240.00	$54.54–$228.00	17% above	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT OB TRIAGE ESTABLISHED LEVEL 3	$1,298.00	$1,475.00	$54.54–$1,401.25	826% above	12%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT ESTABLISHED LEVEL 3	$164.16	$240.00	$108.00–$228.00	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT OB TRIAGE ESTABLISHED LEVEL 3	$1,298.00	$1,475.00	$663.75–$1,401.25	—	12%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT ESTABLISHED LEVEL 4	$198.36	$290.00	$54.54–$275.50	17% below	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT OB TRIAGE ESTABLISHED LEVEL 4	$2,002.00	$2,275.00	$54.54–$2,161.25	734% above	12%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT ESTABLISHED LEVEL 4	$198.36	$290.00	$130.50–$275.50	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT OB TRIAGE ESTABLISHED LEVEL 4	$2,002.00	$2,275.00	$1,023.75–$2,161.25	—	12%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT ESTABLISHED LEVEL 2	$129.96	$190.00	$54.54–$180.50	8% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT OB TRIAGE ESTABLISHED LEVEL 2	$646.80	$735.00	$54.54–$698.25	360% above	12%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT ESTABLISHED LEVEL 2	$129.96	$190.00	$85.50–$180.50	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT OB TRIAGE ESTABLISHED LEVEL 2	$646.80	$735.00	$330.75–$698.25	—	12%
Spirometry (breathing test) CPT 94010 SPIROMETRY W VITAL CAP W/WO VENT	$234.72	$404.00	$101.17–$383.80	21% above	42%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W VITAL CAP W/WO VENT	$234.72	$404.00	$181.80–$383.80	—	42%
Spirometry before and after a bronchodilator CPT 94060 BRONCHDLTN PRE&POST SPIROMETRY W VC	$336.98	$580.00	$191.73–$551.00	10% above	42%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHDLTN PRE&POST SPIROMETRY W VC	$336.98	$580.00	$261.00–$551.00	—	42%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$70.08	$192.00	$81.16–$182.40	74% below	64%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$70.08	$192.00	$86.40–$182.40	—	64%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION 1ST VACCINE	$51.84	$81.00	$36.45–$76.95	6% below	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMMUNIZATION 1ST VACCINE	$51.84	$81.00	$36.45–$76.95	6% below	36%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION 1ST VACCINE	$51.84	$81.00	$36.45–$76.95	—	36%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IMMUNIZATION 1ST VACCINE	$51.84	$81.00	$36.45–$76.95	—	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED IMMUNIZATION ADDL VACCINE	$26.24	$41.00	$18.45–$38.95	26% below	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION VACCINE ADDL	$26.24	$41.00	$18.45–$38.95	26% below	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADDL VACCINE	$26.24	$41.00	$18.45–$38.95	26% below	36%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADDL VACCINE	$26.24	$41.00	$18.45–$38.95	—	36%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION VACCINE ADDL	$26.24	$41.00	$18.45–$38.95	—	36%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED IMMUNIZATION ADDL VACCINE	$26.24	$41.00	$18.45–$38.95	—	36%

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

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

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

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

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

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

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

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

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

Source file: https://images.pricetransparency.healthcare/public-mrfs/banner/860394148_page-hospital_standardcharges.csv