Uchicago Medicine AdventHealth La Grange
Uchicago Medicine AdventHealth La Grange in La Grange, IL publishes cash prices for 377 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 355 of 371 procedures and above it for 14. By typical cash price it ranks #10 of 114 Illinois hospitals and #10 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
5101 S Willow Springs Rd, La Grange, IL 60525 Collected Sep 23, 2026 Source price file Check a bill from this hospital (708) 352-1200
Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 140065 · CMS hospital register NPI 1407889652
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Uchicago Medicine AdventHealth La Grange is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN W/WO CONT | $750.00 | $3,000.00 | — | 73% below | 75% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT SCAN OF ABDOMEN W/WO CONT | $750.00 | $3,000.00 | — | — | 75% |
| Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $100.00 | $400.00 | — | 70% below | 75% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS | $100.00 | $400.00 | — | — | 75% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VW | $137.50 | $550.00 | — | 59% below | 75% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3+ VW | $137.50 | $550.00 | — | — | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $187.50 | $750.00 | — | 55% below | 75% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL | $187.50 | $750.00 | — | — | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST | $625.00 | $2,500.00 | — | 66% below | 75% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $175.00 | $700.00 | — | 71% below | 75% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | $175.00 | $700.00 | — | — | 75% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY | $687.50 | $2,750.00 | — | 56% below | 75% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY | $687.50 | $2,750.00 | — | — | 75% |
| Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $175.00 | $700.00 | — | 66% below | 75% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE | $175.00 | $700.00 | — | — | 75% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $150.00 | $600.00 | — | 66% below | 75% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED | $150.00 | $600.00 | — | — | 75% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $1,375.00 | $5,500.00 | — | 63% below | 75% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES | $1,375.00 | $5,500.00 | — | — | 75% |
| CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS | $875.00 | $3,500.00 | — | 66% below | 75% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS | $875.00 | $3,500.00 | — | — | 75% |
| CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS | $875.00 | $3,500.00 | — | 66% below | 75% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS | $875.00 | $3,500.00 | — | — | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC | $1,100.00 | $4,400.00 | — | 62% below | 75% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC | $1,100.00 | $4,400.00 | — | — | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $1,150.00 | $4,600.00 | — | 35% below | 75% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | $1,150.00 | $4,600.00 | — | — | 75% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $18.75 | $75.00 | — | 92% below | 75% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM | $18.75 | $75.00 | — | — | 75% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST | $1,300.00 | $5,200.00 | — | 64% below | 75% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST | $1,300.00 | $5,200.00 | — | — | 75% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $1,525.00 | $6,100.00 | — | 66% below | 75% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST | $1,525.00 | $6,100.00 | — | — | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT SCAN,ABDOMEN AND PELVIS,COMBO | $1,575.00 | $6,300.00 | — | 68% below | 75% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT SCAN,ABDOMEN AND PELVIS,COMBO | $1,575.00 | $6,300.00 | — | — | 75% |
| CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $700.00 | $2,800.00 | — | 69% below | 75% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST | $700.00 | $2,800.00 | — | — | 75% |
| CT scan of the abdomen without contrast CPT 74150 HC CT SCAN,ABDOMEN,W/O CONTRAST | $625.00 | $2,500.00 | — | 67% below | 75% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT SCAN,ABDOMEN,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST | $625.00 | $2,500.00 | — | 63% below | 75% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $625.00 | $2,500.00 | — | 66% below | 75% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL | $625.00 | $2,500.00 | — | — | 75% |
| CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST | $700.00 | $2,800.00 | — | 64% below | 75% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST | $700.00 | $2,800.00 | — | — | 75% |
| CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO | $750.00 | $3,000.00 | — | 69% below | 75% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO | $750.00 | $3,000.00 | — | — | 75% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST | $625.00 | $2,500.00 | — | 72% below | 75% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST | $625.00 | $2,500.00 | — | 73% below | 75% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $700.00 | $2,800.00 | — | 68% below | 75% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST | $700.00 | $2,800.00 | — | — | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT | $500.00 | $2,000.00 | — | — | 75% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT | $500.00 | $2,000.00 | — | — | 75% |
| Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO | $750.00 | $3,000.00 | — | 74% below | 75% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CAT SCAN OF CHEST COMBO | $750.00 | $3,000.00 | — | — | 75% |
| Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS | $137.50 | $550.00 | — | 55% below | 75% |
| Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS | $137.50 | $550.00 | — | — | 75% |
| Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW | $125.00 | $500.00 | — | 51% below | 75% |
| Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW | $125.00 | $500.00 | — | — | 75% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY CLAVICLE | $125.00 | $500.00 | — | 52% below | 75% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-RAY CLAVICLE | $125.00 | $500.00 | — | — | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE | $350.00 | $1,400.00 | — | 57% below | 75% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE | $350.00 | $1,400.00 | — | — | 75% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON | $175.00 | $700.00 | — | 63% below | 75% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON | $175.00 | $700.00 | — | — | 75% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN | $87.50 | $350.00 | — | 63% below | 75% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN | $87.50 | $350.00 | — | — | 75% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM | $375.00 | $1,500.00 | — | 62% below | 75% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM | $375.00 | $1,500.00 | — | — | 75% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST | $625.00 | $2,500.00 | — | 66% below | 75% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST | $700.00 | $2,800.00 | — | 71% below | 75% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST | $700.00 | $2,800.00 | — | — | 75% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $125.00 | $500.00 | — | — | 75% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | $125.00 | $500.00 | — | — | 75% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $68.75 | $275.00 | — | 78% below | 75% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | $68.75 | $275.00 | — | — | 75% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT | $500.00 | $2,000.00 | — | — | 75% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT | $500.00 | $2,000.00 | — | — | 75% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT | $500.00 | $2,000.00 | — | — | 75% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT | $500.00 | $2,000.00 | — | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TRANSTHORACIC ECHO (TTE) COMPLETE | $800.00 | $3,200.00 | — | 62% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $800.00 | $3,200.00 | — | 62% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER W OR WO FOL W CONTRAST | $800.00 | $3,200.00 | — | 62% below | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER W OR WO FOL W CONTRAST | $800.00 | $3,200.00 | — | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TRANSTHORACIC ECHO (TTE) COMPLETE | $800.00 | $3,200.00 | — | — | 75% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE | $800.00 | $3,200.00 | — | — | 75% |
| Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VW | $125.00 | $500.00 | — | 55% below | 75% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY ELBOW 2 VW | $125.00 | $500.00 | — | — | 75% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW 3+ VW | $137.50 | $550.00 | — | 60% below | 75% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY ELBOW 3+ VW | $137.50 | $550.00 | — | — | 75% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O | $625.00 | $2,500.00 | — | 63% below | 75% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O | $625.00 | $2,500.00 | — | — | 75% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW | $127.50 | $510.00 | — | 69% below | 75% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY FACIAL BONES 3+ VW | $127.50 | $510.00 | — | — | 75% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VW | $125.00 | $500.00 | — | 61% below | 75% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY FOREARM 2 VW | $125.00 | $500.00 | — | — | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $433.75 | $1,735.00 | — | 71% below | 75% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | $433.75 | $1,735.00 | — | — | 75% |
| Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VW | $112.50 | $450.00 | — | 60% below | 75% |
| Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY HAND 2 VW | $112.50 | $450.00 | — | — | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY HEEL | $125.00 | $500.00 | — | 48% below | 75% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-RAY HEEL | $125.00 | $500.00 | — | — | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF | $450.00 | $1,800.00 | — | 33% below | 75% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF | $450.00 | $1,800.00 | — | — | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $1,700.00 | $6,800.00 | — | 64% below | 75% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | $1,700.00 | $6,800.00 | — | — | 75% |
| Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW | $137.50 | $550.00 | — | 61% below | 75% |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW | $137.50 | $550.00 | — | — | 75% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE 4+ VIEW | $162.50 | $650.00 | — | 63% below | 75% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY KNEE 4+ VIEW | $162.50 | $650.00 | — | — | 75% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST | $625.00 | $2,500.00 | — | 66% below | 75% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED | $375.00 | $1,500.00 | — | 46% below | 75% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED | $375.00 | $1,500.00 | — | — | 75% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $127.50 | $510.00 | — | 59% below | 75% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG | $127.50 | $510.00 | — | — | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CA SCREEN | $127.50 | $510.00 | — | 77% below | 75% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CA SCREEN | $127.50 | $510.00 | — | — | 75% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY TIB + FIB, 2VW | $125.00 | $500.00 | — | 61% below | 75% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-RAY TIB + FIB, 2VW | $125.00 | $500.00 | — | — | 75% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST | $950.00 | $3,800.00 | — | 64% below | 75% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST | $950.00 | $3,800.00 | — | — | 75% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W/WO CONTRAST W/ CAD BILATERAL | $1,125.00 | $4,500.00 | — | — | 75% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W/WO CONTRAST W/ CAD BILATERAL | $1,125.00 | $4,500.00 | — | — | 75% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST | $950.00 | $3,800.00 | — | 66% below | 75% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST | $950.00 | $3,800.00 | — | — | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXTREMITY W AND WO IV CONTRAST | $1,050.00 | $4,200.00 | — | 70% below | 75% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXTREMITY W AND WO IV CONTRAST | $1,050.00 | $4,200.00 | — | — | 75% |
| MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN (MRI) | $950.00 | $3,800.00 | — | 66% below | 75% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN (MRI) | $950.00 | $3,800.00 | — | — | 75% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO | $1,350.00 | $5,400.00 | — | 64% below | 75% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO | $1,350.00 | $5,400.00 | — | — | 75% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN | $950.00 | $3,800.00 | — | 66% below | 75% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN | $950.00 | $3,800.00 | — | — | 75% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO | $1,350.00 | $5,400.00 | — | 67% below | 75% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO | $1,350.00 | $5,400.00 | — | — | 75% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE | $1,125.00 | $4,500.00 | — | 61% below | 75% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE | $1,125.00 | $4,500.00 | — | — | 75% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO | $1,350.00 | $5,400.00 | — | 67% below | 75% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO | $1,350.00 | $5,400.00 | — | — | 75% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE | $950.00 | $3,800.00 | — | 67% below | 75% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE | $950.00 | $3,800.00 | — | — | 75% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO | $1,350.00 | $5,400.00 | — | 66% below | 75% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO | $1,350.00 | $5,400.00 | — | — | 75% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE | $950.00 | $3,800.00 | — | 68% below | 75% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE | $950.00 | $3,800.00 | — | — | 75% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO | $1,350.00 | $5,400.00 | — | 62% below | 75% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO | $1,350.00 | $5,400.00 | — | — | 75% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST | $950.00 | $3,800.00 | — | 64% below | 75% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST | $950.00 | $3,800.00 | — | — | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, JOINT UPPER EXTREM | $950.00 | $3,800.00 | — | 66% below | 75% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, JOINT UPPER EXTREM | $950.00 | $3,800.00 | — | — | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $175.00 | $700.00 | — | 68% below | 75% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS | $175.00 | $700.00 | — | — | 75% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST | $700.00 | $2,800.00 | — | 67% below | 75% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST | $700.00 | $2,800.00 | — | — | 75% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST | $625.00 | $2,500.00 | — | 64% below | 75% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE | $125.00 | $500.00 | — | 52% below | 75% |
| Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE | $125.00 | $500.00 | — | — | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES | $1,625.00 | $6,500.00 | — | 59% below | 75% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES | $1,625.00 | $6,500.00 | — | — | 75% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $1,621.25 | $6,485.00 | — | 73% below | 75% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | $1,621.25 | $6,485.00 | — | — | 75% |
| Pelvic CT scan without contrast CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST | $625.00 | $2,500.00 | — | 67% below | 75% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED | $127.50 | $510.00 | — | 76% below | 75% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED | $127.50 | $510.00 | — | — | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) | $387.50 | $1,550.00 | — | 51% below | 75% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC) | $387.50 | $1,550.00 | — | — | 75% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $325.00 | $1,300.00 | — | 56% below | 75% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS | $325.00 | $1,300.00 | — | — | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $200.00 | $800.00 | — | 70% below | 75% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS | $200.00 | $800.00 | — | — | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $275.00 | $1,100.00 | — | 48% below | 75% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES | $275.00 | $1,100.00 | — | — | 75% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT | $125.00 | $500.00 | — | 64% below | 75% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT | $125.00 | $500.00 | — | — | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS, CHEST 3+ VW | $175.00 | $700.00 | — | 64% below | 75% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-RAY RIBS, CHEST 3+ VW | $175.00 | $700.00 | — | — | 75% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $97.50 | $390.00 | — | — | 75% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | $97.50 | $390.00 | — | — | 75% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW | $137.50 | $550.00 | — | 62% below | 75% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW | $137.50 | $550.00 | — | — | 75% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW | $125.00 | $500.00 | — | 67% below | 75% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3+ VW | $125.00 | $500.00 | — | — | 75% |
| Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW | $127.50 | $510.00 | — | 59% below | 75% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VW | $127.50 | $510.00 | — | — | 75% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $1,700.00 | $6,800.00 | — | 56% below | 75% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | $1,700.00 | $6,800.00 | — | — | 75% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $550.00 | $2,200.00 | — | 67% below | 75% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | $550.00 | $2,200.00 | — | — | 75% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $175.00 | $700.00 | — | 71% below | 75% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | $175.00 | $700.00 | — | — | 75% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $125.00 | $500.00 | — | 56% below | 75% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | $125.00 | $500.00 | — | — | 75% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST | $625.00 | $2,500.00 | — | 71% below | 75% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST | $625.00 | $2,500.00 | — | — | 75% |
| Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S) | $125.00 | $500.00 | — | 45% below | 75% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY TOE(S) | $125.00 | $500.00 | — | — | 75% |
| Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $250.00 | $1,000.00 | — | 61% below | 75% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL | $250.00 | $1,000.00 | — | — | 75% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL | $250.00 | $1,000.00 | — | 53% below | 75% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL | $250.00 | $1,000.00 | — | — | 75% |
| Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $475.00 | $1,900.00 | — | 54% below | 75% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE | $475.00 | $1,900.00 | — | — | 75% |
| Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM & CONTENTS | $337.50 | $1,350.00 | — | 55% below | 75% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM & CONTENTS | $337.50 | $1,350.00 | — | — | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $331.25 | $1,325.00 | — | 51% below | 75% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME | $331.25 | $1,325.00 | — | — | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $175.00 | $700.00 | — | 75% below | 75% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | $175.00 | $700.00 | — | — | 75% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS | $125.00 | $500.00 | — | 58% below | 75% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY HUMERUS | $125.00 | $500.00 | — | — | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - LOWER EXTREM SUPERFICIAL VEIN MAP | $375.00 | $1,500.00 | — | 47% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM | $375.00 | $1,500.00 | — | 47% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG | $375.00 | $1,500.00 | — | 47% below | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG | $375.00 | $1,500.00 | — | — | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM | $375.00 | $1,500.00 | — | — | 75% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - LOWER EXTREM SUPERFICIAL VEIN MAP | $375.00 | $1,500.00 | — | — | 75% |
| Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VW | $125.00 | $500.00 | — | 53% below | 75% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY WRIST 2 VW | $125.00 | $500.00 | — | — | 75% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW | $137.50 | $550.00 | — | 58% below | 75% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VW | $137.50 | $550.00 | — | — | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $125.00 | $500.00 | — | 59% below | 75% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | $125.00 | $500.00 | — | — | 75% |
| X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $112.50 | $450.00 | — | 58% below | 75% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW | $112.50 | $450.00 | — | — | 75% |
| X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW | $125.00 | $500.00 | — | 55% below | 75% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW | $125.00 | $500.00 | — | — | 75% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S) | $125.00 | $500.00 | — | 52% below | 75% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S) | $125.00 | $500.00 | — | — | 75% |
| X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW | $125.00 | $500.00 | — | 55% below | 75% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW | $125.00 | $500.00 | — | — | 75% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW | $137.50 | $550.00 | — | 60% below | 75% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VW | $137.50 | $550.00 | — | — | 75% |
| X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW | $137.50 | $550.00 | — | 60% below | 75% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW | $137.50 | $550.00 | — | — | 75% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW | $125.00 | $500.00 | — | 57% below | 75% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW | $125.00 | $500.00 | — | — | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW | $127.50 | $510.00 | — | 71% below | 75% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW | $127.50 | $510.00 | — | — | 75% |
| X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $150.00 | $600.00 | — | 74% below | 75% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW | $150.00 | $600.00 | — | — | 75% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW | $127.50 | $510.00 | — | 65% below | 75% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW | $127.50 | $510.00 | — | — | 75% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES | $125.00 | $500.00 | — | 58% below | 75% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES | $125.00 | $500.00 | — | — | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $187.50 | $750.00 | — | 48% below | 75% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS | $187.50 | $750.00 | — | — | 75% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW | $112.50 | $450.00 | — | 67% below | 75% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW | $112.50 | $450.00 | — | — | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW | $125.00 | $500.00 | — | 64% below | 75% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW | $125.00 | $500.00 | — | — | 75% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH LEVEL - ARUP | $33.75 | $135.00 | — | 83% below | 75% |
| ACTH blood test CPT 82024 HC ASSAY OF ACTH - ACTH | $33.75 | $135.00 | — | 83% below | 75% |
| ACTH blood test inpatient CPT 82024 HC ACTH LEVEL - ARUP | $33.75 | $135.00 | — | — | 75% |
| ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH - ACTH | $33.75 | $135.00 | — | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT | $4.75 | $19.00 | — | 91% below | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINOTRANSFERASE (ALT) - LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $4.75 | $19.00 | — | 91% below | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (SPGT) SERUM/PLASMA | $4.75 | $19.00 | — | 91% below | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $4.75 | $19.00 | — | 91% below | 75% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC LIVER FIBROSIS PANEL - ALT | $4.75 | $19.00 | — | 91% below | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC LIVER FIBROSIS PANEL - ALT | $4.75 | $19.00 | — | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $4.75 | $19.00 | — | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT | $4.75 | $19.00 | — | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (SPGT) SERUM/PLASMA | $4.75 | $19.00 | — | — | 75% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALANINE AMINOTRANSFERASE (ALT) - LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $4.75 | $19.00 | — | — | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (SGOT) SERUM/PLASMA | $4.50 | $18.00 | — | 92% below | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC ASPARTATE AMINOTRANSFERASE (AST)- LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $4.50 | $18.00 | — | 92% below | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - AST | $4.50 | $18.00 | — | 92% below | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC LIVER FIBROSIS PANEL - AST | $4.50 | $18.00 | — | 92% below | 75% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $4.50 | $18.00 | — | 92% below | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC LIVER FIBROSIS PANEL - AST | $4.50 | $18.00 | — | — | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC ASPARTATE AMINOTRANSFERASE (AST)- LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $4.50 | $18.00 | — | — | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $4.50 | $18.00 | — | — | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (SGOT) SERUM/PLASMA | $4.50 | $18.00 | — | — | 75% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - AST | $4.50 | $18.00 | — | — | 75% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $41.75 | $167.00 | — | 84% below | 75% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE | $41.75 | $167.00 | — | — | 75% |
| Albumin blood test CPT 82040 HC ALBUMIN LEVEL | $4.25 | $17.00 | — | 90% below | 75% |
| Albumin blood test CPT 82040 HC ALBUMIN LEVEL SERUM - OLIGOCLONAL BAND PROFILE - ARUP | $20.00 | $80.00 | — | 53% below | 75% |
| Albumin blood test CPT 82040 HC ALBUMIN LEVEL ARUP OLIGOCLONAL BAND | $20.00 | $80.00 | — | 53% below | 75% |
| Albumin blood test CPT 82040 HC ALBUMIN LEVEL SERUM - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP | $20.00 | $80.00 | — | 53% below | 75% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL | $4.25 | $17.00 | — | — | 75% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL ARUP OLIGOCLONAL BAND | $20.00 | $80.00 | — | — | 75% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL SERUM - OLIGOCLONAL BAND PROFILE - ARUP | $20.00 | $80.00 | — | — | 75% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL SERUM - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP | $20.00 | $80.00 | — | — | 75% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE 24 HOUR URINE - ARUP | $35.75 | $143.00 | — | 78% below | 75% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $35.75 | $143.00 | — | 78% below | 75% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE LEVEL - ARUP | $35.75 | $143.00 | — | 78% below | 75% |
| Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE | $35.75 | $143.00 | — | 78% below | 75% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE 24 HOUR URINE - ARUP | $35.75 | $143.00 | — | — | 75% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $35.75 | $143.00 | — | — | 75% |
| Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE | $35.75 | $143.00 | — | — | 75% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE LEVEL - ARUP | $35.75 | $143.00 | — | — | 75% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE LEVEL | $4.50 | $18.00 | — | 92% below | 75% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE - ARUP | $4.50 | $18.00 | — | 92% below | 75% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE LEVEL | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE, CHEDDAR IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: TILAPIA | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST YELLOW JACKET IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WALNUT TREE IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST RICE IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CHICKPEA IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HICKORY, WHITE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEAR IGE- ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN REDTOP, BENTGRASS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GRAPEFRUIT IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN V IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PINE NUT, PIGNOLES IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PISTACHIO IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEPHALOSPORIUM ACRE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SCALLOP IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, RED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CAT HAIR DANDER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KOCHIA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CASHEW IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK, GOAT'S IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASEIN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CUCUMBER IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PINEAPPLE IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HICKORY TREE WHITE (SHAGBARK) IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GARLIC IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BRAZIL NUT IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EACH | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HORNET, WHITE FACE IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HONEYBEE IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST JUNE GRASS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CANDIDA ALBICANS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER SEED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROMELAIN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PECAN NUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROME, SMOOTH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PECAN NUT IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EUROPEAN PAPER WASP IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WALNUT JUGLANS REGIA IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GLUTEN IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CRAB IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SOYBEAN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COW EPITHELIA/DANDER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WALNUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, BLACK IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 1 OVOMUCOID, EGG IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MELALEUCA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 2 OVALBUMIN, EGG IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CHICKPEA | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LAMB'S QUARTER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PINE, WHITE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MALT IGE - TEST | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TEA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COTTONWOOD TREE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WHEAT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COTTON LINTERS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RHIZOPUS NIGRICANS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN POLLEN, CULTIVATED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT TREE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CORN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COFFEE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, FALSE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CODFISH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COCONUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SESAME SEED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CELERY IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GOOSE FEATHERS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CLAMS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CLADOSPORIUM HERBARUM IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MULLBERRY, RED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PRIVET, COMMON IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GOLDENROD IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CHICKEN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACKEREL IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHERRY, BING IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK,WHITE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAK TREE RED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MESQUITE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTS PANEL | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COW MILK IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MUCOR RACEMOSUS IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE,RED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LENTIL IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST JOHNSON GRASS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PHOMA BETAE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTMEG IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EGG WHITE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GARLIC IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LENTIL IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST FESCUE, MEADOW IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SHEEP SORREL (DOCK) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FENNEL, DOG IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TOMATO IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DOG DANDER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOPS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PORK IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CHOCOLATE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CEDAR, MOUNTAIN IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHITE BEAN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE MOLD IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST NETTLE WEED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BAHIA GRASS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ORANGE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EPICOCCUM PURPURASCEN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUINEA PIG EPITHELIUM IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ELM TREE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EGG WHOLE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GRASS RYE, PERENNIAL IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EGG YOLK IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, CHILI IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - AUREOBASIDIUM PULLULANS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST RAGWEED SHORT/COMMON IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ALTERNARIA ALTERNATA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEA (PISUM SATIVUM) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: HOLLISTER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: ITALIAN/MED/FUNERAL CYPRESS | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LEMON IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: DANDELION IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CYPRESS,BALD (WHITE) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HOUSE DUST STIER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CURVULARIA LUNATA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CUCUMBER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CRAB IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PENICILLIN G IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN THISTLE, RUSSIAN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RJUG R 1 WALNUT | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KIWI FRUIT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST NAVY BEAN IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GLUTEN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN VANILLA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BOTRYTIS CINEREA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - LATEX, IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLACKBERRY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WILLOW, BLACK IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BIRCH TREE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BERMUDA GRASS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PINE TREE AUSTRALIAN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BEEF IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT SMUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BEECH AMERICAN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BEAN, GREEN IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TIMOTHY GRASS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CASHEW IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TURKEY IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DRUG: AMOXICILLOYL IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COFFEE IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LOBSTER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WHITE BEAN IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - STACHYBOTRYS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MACADAMIA NUT IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: MOUSE EPITHELIUM | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEACH IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEANUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN VENOM: EUROPEAN PAPER WASP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, ORIENTAL | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GINGER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GERMAN COCKROACH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WATERMELON IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE, AMERICAN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAYBERRY/SWEET GALE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUMMER SQUASH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BANANA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUGAR, CANE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN STEMPHYLIUM BOTRYOSUM IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SEASONAL INHALANTS PANEL | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEPPER, BLACK IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CAT HAIR DANDER IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SEAFOOD PANEL | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DOG DANDER IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PIGWEED ROUGH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CABBAGE IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALE, WEED IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST AVOCADO IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: PARAKEET FEATHERS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SAGEBRUSH, COMMON IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPARAGUS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SPINACH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APRICOT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN: MOSQUITO IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST APPLE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LIME IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ALMONDS IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ALMONDS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST STRAWBERRY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RASPBERRY IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SHRIMP IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEACH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TUNA IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MOUSE EPITHELIUM IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PALM, QUEEN IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORSE DANDER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SALMON IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST RAGWEED, GIANT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST POTATO, WHITE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO, SWEET IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PERCH IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BETA LACTOGLOBULIN | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SOYBEAN IGE - ARUP | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PENICILLIUM NOTATUM IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PECAN TREE IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MAPLE TREE BOX ELDER IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORCHARD GRASS IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE | $4.50 | $18.00 | — | 84% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ELM TREE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MUGWORT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST THISTLE, RUSSIAN IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PECAN TREE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COCKROACH, AMERICAN IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HORNET, YELLOW IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MOUSE EPIPHELIUM IGE | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MARSHELDER, ROUGH IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MAPLE TREE BOX ELDER IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ALTERNARIA ALTERNATA IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CATFISH IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TILAPIA IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ORANGE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAK TREE RED IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TIMOTHY GRASS IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SYCAMORE, AMERICAN IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAK, WHITE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CEDAR, MOUNTAIN IGE | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HAZELNUT TREE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ASH, WHITE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OYSTER IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BERMUDA GRASS IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BANANA IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SCALLOP IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TROUT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LAMB'S QUARTER IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EGG YOLK IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PIGWEED ROUGH IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BIRCH TREE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TREE MULBERRY (MORUS ALBA) IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TUNA IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GREEN PEA IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EPICOCCUM PURPURASCEN IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WHEAT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PENICILLIUM NOTATUM IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SHRIMP IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LOBSTER IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SESAME SEED IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEANUT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CLAMS IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HORMODENDRUM (CLADOSPORIUM) IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CHICKEN IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CANTALOUPE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LAMB IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COCONUT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SALMON IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST RAGWEED SHORT/COMMON IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CARROT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BUCKWHEAT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WESTERN RAGWEED IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CHOCOLATE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SHEEP SORREL (DOCK) IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CODFISH IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MUSHROOM IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ONION IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EGG WHITE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COTTONWOOD TREE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAT IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MULBERRY, RED IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PORK IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST STRAWBERRY IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HOUSE DUST GREER IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST APPLE IGE - ARUP | $20.75 | $83.00 | — | 25% below | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ALMONDS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PINE, WHITE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SPINACH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST RAGWEED SHORT/COMMON IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: MOUSE EPITHELIUM | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SOYBEAN IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHITE BEAN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SOYBEAN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RAGWEED, FALSE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MILK, GOAT'S IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PALM, QUEEN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MESQUITE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOPS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RABBIT EPITHELIUM IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MELALEUCA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WHEAT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PRIVET, COMMON IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HONEYBEE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KIWI FRUIT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WATERMELON IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WATERMELON IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SHRIMP IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN POTATO, SWEET IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MAPLE TREE BOX ELDER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MUCOR RACEMOSUS IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SHEEP SORREL (DOCK) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PORK IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ORANGE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MANGO IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HOUSE DUST: HOLLISTER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PENICILLIN G IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WALNUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ONION IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MALT IGE - TEST | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT TREE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SESAME SEED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACKEREL IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HICKORY, WHITE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SCALLOP IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PINEAPPLE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN VANILLA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PINE TREE AUSTRALIAN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LOBSTER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TURKEY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PIGWEED ROUGH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LIME IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TUNA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SALMON IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TROUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LENTIL IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PHOMA BETAE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTMEG IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LENTIL IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUM, SWEET IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TOMATO IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST NETTLE WEED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GUINEA PIG EPITHELIUM IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GRASS RYE, PERENNIAL IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, CHILI IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSTARD IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LEMON IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HOUSE DUST STIER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN THISTLE, RUSSIAN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, BLACK IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LAMB'S QUARTER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TEA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RHIZOPUS NIGRICANS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSHROOM IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GOOSE FEATHERS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MULLBERRY, RED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: GOLDENROD IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST YELLOW JACKET IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN REDTOP, BENTGRASS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PENICILLIN V IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUGWORT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KOCHIA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EACH | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST JUNE GRASS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUNFLOWER SEED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PECAN NUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PECAN NUT IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GLUTEN IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GLUTEN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - LATEX, IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WILLOW, BLACK IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WHEAT SMUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TIMOTHY GRASS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DRUG: AMOXICILLOYL IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - STACHYBOTRYS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEANUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GINGER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE, AMERICAN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUMMER SQUASH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SUGAR, CANE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN STEMPHYLIUM BOTRYOSUM IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SEASONAL INHALANTS PANEL | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SEAFOOD PANEL | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SCALE, WEED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SAGEBRUSH, COMMON IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN: MOSQUITO IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST STRAWBERRY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RASPBERRY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEACH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MOUSE EPITHELIUM IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORSE DANDER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST RAGWEED, GIANT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST POTATO, WHITE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PERCH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BETA LACTOGLOBULIN | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PENICILLIUM NOTATUM IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PECAN TREE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ORCHARD GRASS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OAK,WHITE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAK TREE RED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTS PANEL | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COW MILK IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MAPLE,RED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST JOHNSON GRASS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GREEN PEA | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EGG WHITE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GARLIC IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FIRE ANT (INVICTA) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST FESCUE, MEADOW IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FENNEL, DOG IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DOG DANDER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CHOCOLATE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CEDAR, MOUNTAIN IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE MOLD IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BAHIA GRASS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EPICOCCUM PURPURASCEN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ELM TREE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EGG WHOLE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EGG YOLK IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN DOCKWEED, YELLOW IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - AUREOBASIDIUM PULLULANS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ALTERNARIA ALTERNATA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEA (PISUM SATIVUM) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: ITALIAN/MED/FUNERAL CYPRESS | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WEED: DANDELION IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CYPRESS,BALD (WHITE) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CURVULARIA LUNATA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CUCUMBER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CRAB IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CRANBERRY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CRAB IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COW EPITHELIA/DANDER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 1 OVOMUCOID, EGG IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: NGAL D 2 OVALBUMIN, EGG IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CHICKPEA | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PEAR | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: GRAPEFRUIT | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COTTONWOOD TREE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COTTON LINTERS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CORN POLLEN, CULTIVATED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CORN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COFFEE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CODFISH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COCONUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKROACH, AMERICAN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN COCKLEBUR IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CELERY IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CLAMS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CLADOSPORIUM HERBARUM IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CINNAMON IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHICKEN FEATHERS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CHICKEN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHERRY, BING IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE, CHEDDAR IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: TILAPIA | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WALNUT TREE IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST RICE IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CHICKPEA IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEAR IGE- ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GRAPEFRUIT IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PINE NUT, PIGNOLES IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PISTACHIO IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEPHALOSPORIUM ACRE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CELERY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CEDAR, RED IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CAT HAIR DANDER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CASHEW IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CASEIN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CUCUMBER IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PINEAPPLE IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HICKORY TREE WHITE (SHAGBARK) IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GARLIC IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BRAZIL NUT IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HORNET, WHITE FACE IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HONEYBEE IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CANTALOUPE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CANDIDA ALBICANS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BUCKWHEAT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROMELAIN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROME, SMOOTH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BROCCOLI IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EUROPEAN PAPER WASP IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WALNUT JUGLANS REGIA IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RJUG R 1 WALNUT | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST NAVY BEAN IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BOTRYTIS CINEREA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLUEBERRY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BLACKBERRY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BIRCH TREE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BERMUDA GRASS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BEEF IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BEECH AMERICAN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BEAN, GREEN IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CASHEW IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TURKEY IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COFFEE IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WHITE BEAN IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MACADAMIA NUT IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEACH IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN VENOM: EUROPEAN PAPER WASP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN INSECT: COCKROACH, ORIENTAL | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GERMAN COCKROACH IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, LIMA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BEAN, GREEN IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BAYBERRY/SWEET GALE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BANANA IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN AVOCADO IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEPPER, BLACK IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CAT HAIR DANDER IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DOG DANDER IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CABBAGE IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST AVOCADO IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ANIMAL: PARAKEET FEATHERS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPARAGUS IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN APRICOT IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST APPLE IGE | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ALMONDS IGE - ARUP | $4.50 | $18.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MUSHROOM IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST APPLE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CANTALOUPE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BANANA IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ONION IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BUCKWHEAT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CARROT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COCONUT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LAMB IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEANUT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BIRCH TREE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BERMUDA GRASS IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OYSTER IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ASH, WHITE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HAZELNUT TREE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CEDAR, MOUNTAIN IGE | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAK, WHITE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SYCAMORE, AMERICAN IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ELM TREE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MUGWORT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST THISTLE, RUSSIAN IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COCKROACH, AMERICAN IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HORNET, YELLOW IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MOUSE EPIPHELIUM IGE | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MARSHELDER, ROUGH IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MAPLE TREE BOX ELDER IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ALTERNARIA ALTERNATA IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CATFISH IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TILAPIA IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TREE MULBERRY (MORUS ALBA) IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GREEN PEA IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EPICOCCUM PURPURASCEN IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MITES BLOMIA TROPICALIS IGE | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SHRIMP IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CLAMS IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST RAGWEED SHORT/COMMON IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WESTERN RAGWEED IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CODFISH IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COTTONWOOD TREE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MULBERRY, RED IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EGG YOLK IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CHOCOLATE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EGG WHITE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HORMODENDRUM (CLADOSPORIUM) IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PENICILLIUM NOTATUM IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAK TREE RED IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ORANGE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST STRAWBERRY IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WHEAT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PECAN TREE IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LAMB'S QUARTER IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TIMOTHY GRASS IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HOUSE DUST GREER IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TROUT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SALMON IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TUNA IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAT IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PIGWEED ROUGH IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LOBSTER IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SCALLOP IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SESAME SEED IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PORK IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SHEEP SORREL (DOCK) IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CHICKEN IGE - ARUP | $20.75 | $83.00 | — | — | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER | $14.75 | $59.00 | — | 86% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN MATERNAL SERUM - ARUP | $14.75 | $59.00 | — | 86% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC INTEGRATED SCREEN 2ND TRIMESTER - AFP | $14.75 | $59.00 | — | 86% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC MATERNAL QUAD SCREEN - AFP | $14.75 | $59.00 | — | 86% below | 75% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP | $14.75 | $59.00 | — | 86% below | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER | $14.75 | $59.00 | — | — | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC MATERNAL QUAD SCREEN - AFP | $14.75 | $59.00 | — | — | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC INTEGRATED SCREEN 2ND TRIMESTER - AFP | $14.75 | $59.00 | — | — | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN MATERNAL SERUM - ARUP | $14.75 | $59.00 | — | — | 75% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP | $14.75 | $59.00 | — | — | 75% |
| Ammonia blood test CPT 82140 HC AMMONIA LEVEL | $12.75 | $51.00 | — | 89% below | 75% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA LEVEL | $12.75 | $51.00 | — | — | 75% |
| Amylase blood test CPT 82150 HC AMYLASE LEVEL | $12.25 | $49.00 | — | 85% below | 75% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $12.25 | $49.00 | — | 85% below | 75% |
| Amylase blood test CPT 82150 HC SALIVARY AMYLASE ISOENZYME - AMYLASE ISOENZYMES - ARUP | $12.25 | $49.00 | — | 85% below | 75% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE,RANDOM | $12.25 | $49.00 | — | 85% below | 75% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE,TIMED URINE | $12.25 | $49.00 | — | 85% below | 75% |
| Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - POCT AMYLASE | $12.25 | $49.00 | — | 85% below | 75% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID | $12.25 | $49.00 | — | — | 75% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE,RANDOM | $12.25 | $49.00 | — | — | 75% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE,TIMED URINE | $12.25 | $49.00 | — | — | 75% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE LEVEL | $12.25 | $49.00 | — | — | 75% |
| Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - POCT AMYLASE | $12.25 | $49.00 | — | — | 75% |
| Amylase blood test inpatient CPT 82150 HC SALIVARY AMYLASE ISOENZYME - AMYLASE ISOENZYMES - ARUP | $12.25 | $49.00 | — | — | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP | $11.25 | $45.00 | — | 87% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $11.25 | $45.00 | — | 87% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE IGG/A - RHEUMATOID ARTHRITIS PANEL - ARUP | $35.00 | $140.00 | — | 58% below | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY | $11.25 | $45.00 | — | — | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP | $11.25 | $45.00 | — | — | 75% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE IGG/A - RHEUMATOID ARTHRITIS PANEL - ARUP | $35.00 | $140.00 | — | — | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP | $10.50 | $42.00 | — | 89% below | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA REFLEXIVE PROFILE - ARUP | $10.50 | $42.00 | — | 89% below | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA (ANTINUCLEAR ANTIBODIES) | $10.50 | $42.00 | — | 89% below | 75% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP | $10.50 | $42.00 | — | 89% below | 75% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP | $10.50 | $42.00 | — | — | 75% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA REFLEXIVE PROFILE - ARUP | $10.50 | $42.00 | — | — | 75% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP | $10.50 | $42.00 | — | — | 75% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA (ANTINUCLEAR ANTIBODIES) | $10.50 | $42.00 | — | — | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC N-TERMINAL PRO-BNP | $34.25 | $137.00 | — | 82% below | 75% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B-TYPE NATRIUETIC PEPTIDE (BNP) | $34.25 | $137.00 | — | 82% below | 75% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B-TYPE NATRIUETIC PEPTIDE (BNP) | $34.25 | $137.00 | — | — | 75% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC N-TERMINAL PRO-BNP | $34.25 | $137.00 | — | — | 75% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL | $4.50 | $18.00 | — | 93% below | 75% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $4.50 | $18.00 | — | 93% below | 75% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $4.50 | $18.00 | — | 93% below | 75% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL BODY FLUID - ARUP | $25.00 | $100.00 | — | 59% below | 75% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL | $4.50 | $18.00 | — | — | 75% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $4.50 | $18.00 | — | — | 75% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID | $4.50 | $18.00 | — | — | 75% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL BODY FLUID - ARUP | $25.00 | $100.00 | — | — | 75% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV | $30.25 | $121.00 | — | 88% below | 75% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV | $30.25 | $121.00 | — | — | 75% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $29.50 | $118.00 | — | 80% below | 75% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $29.50 | $118.00 | — | — | 75% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $7.25 | $29.00 | — | 69% below | 75% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE | $7.25 | $29.00 | — | — | 75% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL - LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $3.50 | $14.00 | — | 91% below | 75% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL FASTING | $3.50 | $14.00 | — | 91% below | 75% |
| Blood glucose (sugar) test CPT 82947 HC FIBROSURE ASH - GLUCOSE | $3.50 | $14.00 | — | 91% below | 75% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL | $3.50 | $14.00 | — | 91% below | 75% |
| Blood glucose (sugar) test CPT 82947 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - GLUCOSE | $3.50 | $14.00 | — | 91% below | 75% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE | $3.50 | $14.00 | — | 91% below | 75% |
| Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER | $3.50 | $14.00 | — | 91% below | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL - LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $3.50 | $14.00 | — | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC FIBROSURE ASH - GLUCOSE | $3.50 | $14.00 | — | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE | $3.50 | $14.00 | — | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - GLUCOSE | $3.50 | $14.00 | — | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL | $3.50 | $14.00 | — | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL FASTING | $3.50 | $14.00 | — | — | 75% |
| Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER | $3.50 | $14.00 | — | — | 75% |
| Blood lead test CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP | $10.50 | $42.00 | — | 81% below | 75% |
| Blood lead test CPT 83655 HC LEAD URINE HEAVY METALS PANEL 3- ARUP | $10.50 | $42.00 | — | 81% below | 75% |
| Blood lead test CPT 83655 HC LEAD CAPILLARY - ARUP | $10.50 | $42.00 | — | 81% below | 75% |
| Blood lead test CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 4 - ARUP | $10.50 | $42.00 | — | 81% below | 75% |
| Blood lead test CPT 83655 HC LEAD VENOUS - ARUP | $10.50 | $42.00 | — | 81% below | 75% |
| Blood lead test CPT 83655 HC LEAD URINE - HEAVY METALS PANEL 3 - ARUP | $10.50 | $42.00 | — | 81% below | 75% |
| Blood lead test inpatient CPT 83655 HC LEAD URINE HEAVY METALS PANEL 3- ARUP | $10.50 | $42.00 | — | — | 75% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 4 - ARUP | $10.50 | $42.00 | — | — | 75% |
| Blood lead test inpatient CPT 83655 HC LEAD CAPILLARY - ARUP | $10.50 | $42.00 | — | — | 75% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP | $10.50 | $42.00 | — | — | 75% |
| Blood lead test inpatient CPT 83655 HC LEAD VENOUS - ARUP | $10.50 | $42.00 | — | — | 75% |
| Blood lead test inpatient CPT 83655 HC LEAD URINE - HEAVY METALS PANEL 3 - ARUP | $10.50 | $42.00 | — | — | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BLOOD UREA NITROGEN - BUN | $3.50 | $14.00 | — | 93% below | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $3.50 | $14.00 | — | 93% below | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN BODY FLUID | $3.50 | $14.00 | — | 93% below | 75% |
| Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN) | $3.50 | $14.00 | — | 93% below | 75% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN BODY FLUID | $3.50 | $14.00 | — | — | 75% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $3.50 | $14.00 | — | — | 75% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN) | $3.50 | $14.00 | — | — | 75% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BLOOD UREA NITROGEN - BUN | $3.50 | $14.00 | — | — | 75% |
| C-peptide blood test CPT 84681 HC C PEPTIDE LEVEL - ARUP | $18.25 | $73.00 | — | 82% below | 75% |
| C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $18.25 | $73.00 | — | 82% below | 75% |
| C-peptide blood test CPT 84681 HC C PEPTIDE LEVEL - QWDL | $32.50 | $130.00 | — | 69% below | 75% |
| C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE | $18.25 | $73.00 | — | — | 75% |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE LEVEL - ARUP | $18.25 | $73.00 | — | — | 75% |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE LEVEL - QWDL | $32.50 | $130.00 | — | — | 75% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR | $32.50 | $130.00 | — | 82% below | 75% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR | $32.50 | $130.00 | — | — | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN 19-9 | $18.25 | $73.00 | — | 84% below | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN 19-9 FLUID | $18.25 | $73.00 | — | 84% below | 75% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGIEN 19-9 BODY FLUID - ARUP | $51.25 | $205.00 | — | 54% below | 75% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN 19-9 FLUID | $18.25 | $73.00 | — | — | 75% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN 19-9 | $18.25 | $73.00 | — | — | 75% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGIEN 19-9 BODY FLUID - ARUP | $51.25 | $205.00 | — | — | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $18.25 | $73.00 | — | 89% below | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 - ARUP | $18.25 | $73.00 | — | 89% below | 75% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 - RISK OF OVARIAN MALIGNANCY ALGORITHM - ARUP | $57.50 | $230.00 | — | 64% below | 75% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $18.25 | $73.00 | — | — | 75% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 - ARUP | $18.25 | $73.00 | — | — | 75% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 - RISK OF OVARIAN MALIGNANCY ALGORITHM - ARUP | $57.50 | $230.00 | — | — | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 SARS-COV-2 AMPLIFIED PROBE | $31.25 | $125.00 | — | 73% below | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 SARS-COV-2 RAPID MOLECULAR | $43.75 | $175.00 | — | 62% below | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 SARS-COV-2 AMPLIFIED PROBE | $31.25 | $125.00 | — | — | 75% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 SARS-COV-2 RAPID MOLECULAR | $43.75 | $175.00 | — | — | 75% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL - PTH INTACT AND CALCIUM | $4.50 | $18.00 | — | 90% below | 75% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM, TOTAL - BLOOD | $4.50 | $18.00 | — | 90% below | 75% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM, TOTAL - ADDITIONAL CHARGE | $4.50 | $18.00 | — | 90% below | 75% |
| Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM, TOTAL - POCT CALCIUM, TOTAL | $4.50 | $18.00 | — | 90% below | 75% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL LEVEL | $4.50 | $18.00 | — | 90% below | 75% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL LEVEL | $4.50 | $18.00 | — | — | 75% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL - PTH INTACT AND CALCIUM | $4.50 | $18.00 | — | — | 75% |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM, TOTAL - BLOOD | $4.50 | $18.00 | — | — | 75% |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM, TOTAL - ADDITIONAL CHARGE | $4.50 | $18.00 | — | — | 75% |
| Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM, TOTAL - POCT CALCIUM, TOTAL | $4.50 | $18.00 | — | — | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN FLUID | $16.50 | $66.00 | — | 88% below | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) (ARUP) | $16.50 | $66.00 | — | 88% below | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) | $16.50 | $66.00 | — | 88% below | 75% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) FLUID - ARUP | $62.50 | $250.00 | — | 56% below | 75% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) (ARUP) | $16.50 | $66.00 | — | — | 75% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) | $16.50 | $66.00 | — | — | 75% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN FLUID | $16.50 | $66.00 | — | — | 75% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) FLUID - ARUP | $62.50 | $250.00 | — | — | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG - ARUP | $11.25 | $45.00 | — | 84% below | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG | $11.25 | $45.00 | — | 84% below | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM | $11.25 | $45.00 | — | 84% below | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG - VZ IGG AND IGM - ARUP | $11.25 | $45.00 | — | 84% below | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM - VARICELLA ZOSTER IGG AND IGM - ARUP | $11.25 | $45.00 | — | 84% below | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM - ARUP | $11.25 | $45.00 | — | 84% below | 75% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY, IGG - ARUP | $35.00 | $140.00 | — | 52% below | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM - VARICELLA ZOSTER IGG AND IGM - ARUP | $11.25 | $45.00 | — | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG | $11.25 | $45.00 | — | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM - ARUP | $11.25 | $45.00 | — | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG - ARUP | $11.25 | $45.00 | — | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG - VZ IGG AND IGM - ARUP | $11.25 | $45.00 | — | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM | $11.25 | $45.00 | — | — | 75% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY, IGG - ARUP | $35.00 | $140.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP | $30.75 | $123.00 | — | 75% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED | $30.75 | $123.00 | — | 75% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA BY TMA 10120 | $30.75 | $123.00 | — | 75% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR TMA | $30.75 | $123.00 | — | 75% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP | $37.50 | $150.00 | — | 70% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP | $37.50 | $150.00 | — | 70% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS CONFIRMATION TMA - ARUP | $37.50 | $150.00 | — | 70% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS-C TRACHOMATIS & N GONNORRHOEAE BY TMA W/ RFLX-ARUP | $37.50 | $150.00 | — | 70% below | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA BY TMA 10120 | $30.75 | $123.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED | $30.75 | $123.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP | $30.75 | $123.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR TMA | $30.75 | $123.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS-C TRACHOMATIS & N GONNORRHOEAE BY TMA W/ RFLX-ARUP | $37.50 | $150.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS CONFIRMATION TMA - ARUP | $37.50 | $150.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP | $37.50 | $150.00 | — | — | 75% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP | $37.50 | $150.00 | — | — | 75% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE- LIPOPROTEIN ELECTROPHORESIS - ARUP | $66.50 | $266.00 | — | 47% below | 75% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE- LIPOPROTEIN ELECTROPHORESIS - ARUP | $66.50 | $266.00 | — | — | 75% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF | $6.75 | $27.00 | — | 92% below | 75% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF | $6.75 | $27.00 | — | — | 75% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC | $5.75 | $23.00 | — | 91% below | 75% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC | $5.75 | $23.00 | — | — | 75% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - CORTISOL PM | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL AM - QWDL | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC CORTISOL SALIVA | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL - ARUP | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC CORTISOL SALIVARY - ARUP | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION BASELINE | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 90 MINUTES | $14.25 | $57.00 | — | 87% below | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - CORTISOL PM | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL - ARUP | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION BASELINE | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVARY - ARUP | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVA | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL AM - QWDL | $14.25 | $57.00 | — | — | 75% |
| Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 90 MINUTES | $14.25 | $57.00 | — | — | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK (CPK) TOTAL | $5.75 | $23.00 | — | 91% below | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK (CPK) TOTAL - ARUP | $5.75 | $23.00 | — | 91% below | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK) TOTAL | $5.75 | $23.00 | — | 91% below | 75% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) TOTAL - CK ISOENZYMES - ARUP | $5.75 | $23.00 | — | 91% below | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK (CPK) TOTAL - ARUP | $5.75 | $23.00 | — | — | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CPK) TOTAL - CK ISOENZYMES - ARUP | $5.75 | $23.00 | — | — | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK) TOTAL | $5.75 | $23.00 | — | — | 75% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK (CPK) TOTAL | $5.75 | $23.00 | — | — | 75% |
| Creatinine blood test CPT 82565 HC CREATININE LEVEL | $4.50 | $18.00 | — | 91% below | 75% |
| Creatinine blood test CPT 82565 HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP | $22.50 | $90.00 | — | 53% below | 75% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE LEVEL | $4.50 | $18.00 | — | — | 75% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP | $22.50 | $90.00 | — | — | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV TESTING-COMPONENT | $12.50 | $50.00 | — | 86% below | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - CMV ANTIBODIES IGG IGM - ARUP | $12.50 | $50.00 | — | 86% below | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - ARUP | $12.50 | $50.00 | — | 86% below | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG | $12.50 | $50.00 | — | 86% below | 75% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - TORCH ANTIBODIES IGG - ARUP | $35.00 | $140.00 | — | 60% below | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV TESTING-COMPONENT | $12.50 | $50.00 | — | — | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - ARUP | $12.50 | $50.00 | — | — | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - CMV ANTIBODIES IGG IGM - ARUP | $12.50 | $50.00 | — | — | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG | $12.50 | $50.00 | — | — | 75% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - TORCH ANTIBODIES IGG - ARUP | $35.00 | $140.00 | — | — | 75% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE | $9.00 | $36.00 | — | 92% below | 75% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE | $9.00 | $36.00 | — | — | 75% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP | $19.50 | $78.00 | — | 82% below | 75% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $19.50 | $78.00 | — | 82% below | 75% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP | $19.50 | $78.00 | — | — | 75% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE | $19.50 | $78.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 7 AND CONFIRM | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TOXICOLOGY SCREEN URINE, 10 DRUG CLASSES | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL SERUM AND CONFIRM | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ETHYL GLUCURONIDE SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL TRANSPLANT | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - HEROIN LEVEL | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - TOXICOLOGY SCREEN BREAST MILK | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - LYSERGIC ACID DIETHYLAMIDE URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - ANABOLIC STEROIDS SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - GAMMA HYDROXYBUTYRATE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - BARBITURATES SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - METHADONE SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN QUANT - FLUNITRAZEPAM LEVEL | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV - TOXICOLOGY SCREEN MATERNAL/NEONATE URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYXR - FENTANYL QUALITATIVE URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUG SCREEN WITH CONFIRMATION | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7 WITH REFLEX CONFIRMATION URINE - ARUP | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DOA ALCOHOL URINE SCREEN WITH REFLEX TO CONFIRM - ARUP | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COTININE LEVEL URINE - ARUP | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - SALICYLATE LEVEL SERUM | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CANNABINOID SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BENZODIAZEPINE LEVEL URINE QUAL | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - COCAINE URINE QUAL | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OPIATE QUAL URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OXYCODONE SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PHENCYCLIDINE (PCP) SCREEN UR | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - POCT TRICYCLIC ANTIDEPRESSANTS | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC METHADONE SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AMPHETAMINE LEVEL QUAL URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL, EMERGENCY | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TRAMADOL LEVEL SCREEN URINE - ARUP | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - LSD SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ACETAMINOPHEN/TYLENOL LEVEL | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL LEVEL | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL CHAIN OF CUSTODY | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BREAST MILK | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - NICOTINE SCREEN URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 TARGETS WITH CONFIRMATION/QUANTITATION URINE - ARUP | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL UMBILICAL | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL URINE | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM AND CONFIRM | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 9 AND CONFIRM | $43.75 | $175.00 | — | 56% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC GAMMA HYDROXYBUTYRIC (GHB) ACID SCREEN SERUM /PLASMA - ARUP | $53.75 | $215.00 | — | 46% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PANEL 9 WITH REFLEX CONFIRMATION SERUM OR PLASMA - ARUP | $53.75 | $215.00 | — | 46% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC TOXICOLOGY SCREEN URINE, 9 DRUG CLASSES | $53.75 | $215.00 | — | 46% below | 75% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COTININE URINE SCREEN - ARUP | $53.75 | $215.00 | — | 46% below | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 7 AND CONFIRM | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COTININE LEVEL URINE - ARUP | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CANNABINOID SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BENZODIAZEPINE LEVEL URINE QUAL | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - COCAINE URINE QUAL | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OPIATE QUAL URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OXYCODONE SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - PHENCYCLIDINE (PCP) SCREEN UR | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - POCT TRICYCLIC ANTIDEPRESSANTS | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC METHADONE SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AMPHETAMINE LEVEL QUAL URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL, EMERGENCY | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TRAMADOL LEVEL SCREEN URINE - ARUP | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - LSD SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ACETAMINOPHEN/TYLENOL LEVEL | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL LEVEL | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL CHAIN OF CUSTODY | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - BREAST MILK | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - NICOTINE SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 TARGETS WITH CONFIRMATION/QUANTITATION URINE - ARUP | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL UMBILICAL | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE MECONIUM AND CONFIRM | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE 9 AND CONFIRM | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TOXICOLOGY SCREEN URINE, 10 DRUG CLASSES | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL SERUM AND CONFIRM | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ETHYL GLUCURONIDE SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - SALICYLATE LEVEL SERUM | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL TRANSPLANT | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - HEROIN LEVEL | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - TOXICOLOGY SCREEN BREAST MILK | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - LYSERGIC ACID DIETHYLAMIDE URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - ANABOLIC STEROIDS SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - GAMMA HYDROXYBUTYRATE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - BARBITURATES SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - METHADONE SCREEN URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN QUANT - FLUNITRAZEPAM LEVEL | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV - TOXICOLOGY SCREEN MATERNAL/NEONATE URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYXR - FENTANYL QUALITATIVE URINE | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE DRUG SCREEN WITH CONFIRMATION | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 7 WITH REFLEX CONFIRMATION URINE - ARUP | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DOA ALCOHOL URINE SCREEN WITH REFLEX TO CONFIRM - ARUP | $43.75 | $175.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC GAMMA HYDROXYBUTYRIC (GHB) ACID SCREEN SERUM /PLASMA - ARUP | $53.75 | $215.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PANEL 9 WITH REFLEX CONFIRMATION SERUM OR PLASMA - ARUP | $53.75 | $215.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC TOXICOLOGY SCREEN URINE, 9 DRUG CLASSES | $53.75 | $215.00 | — | — | 75% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COTININE URINE SCREEN - ARUP | $53.75 | $215.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - EBV ANTIBODY PANEL | $15.75 | $63.00 | — | 85% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGG | $15.75 | $63.00 | — | 85% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP | $15.75 | $63.00 | — | 85% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP | $15.75 | $63.00 | — | 85% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP | $15.75 | $63.00 | — | 85% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGM | $15.75 | $63.00 | — | 85% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - ARUP | $15.75 | $63.00 | — | 85% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC VCA IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP | $25.00 | $100.00 | — | 77% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC VCA IGM - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP | $25.00 | $100.00 | — | 77% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGM - ARUP | $25.00 | $100.00 | — | 77% below | 75% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGG - ARUP | $25.00 | $100.00 | — | 77% below | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP | $15.75 | $63.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGM | $15.75 | $63.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - ARUP | $15.75 | $63.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG - EBV ANTIBODY PANEL | $15.75 | $63.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP | $15.75 | $63.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP | $15.75 | $63.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGG | $15.75 | $63.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGM - ARUP | $25.00 | $100.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC VCA IGM - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP | $25.00 | $100.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGG - ARUP | $25.00 | $100.00 | — | — | 75% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC VCA IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP | $25.00 | $100.00 | — | — | 75% |
| Estradiol blood test CPT 82670 HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP | $24.50 | $98.00 | — | 77% below | 75% |
| Estradiol blood test CPT 82670 HC ESTRADIOL LEVEL PEDIATRICS | $24.50 | $98.00 | — | 77% below | 75% |
| Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $24.50 | $98.00 | — | 77% below | 75% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP | $24.50 | $98.00 | — | — | 75% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL LEVEL PEDIATRICS | $24.50 | $98.00 | — | — | 75% |
| Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL | $24.50 | $98.00 | — | — | 75% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH | $16.25 | $65.00 | — | 86% below | 75% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP | $16.25 | $65.00 | — | 86% below | 75% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH | $16.25 | $65.00 | — | — | 75% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP | $16.25 | $65.00 | — | — | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN | $62.50 | $250.00 | — | 64% below | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL - ARUP | $62.50 | $250.00 | — | 64% below | 75% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL - ARUP | $62.50 | $250.00 | — | 64% below | 75% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN | $62.50 | $250.00 | — | — | 75% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL - ARUP | $62.50 | $250.00 | — | — | 75% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL - ARUP | $62.50 | $250.00 | — | — | 75% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN LEVEL - ARUP | $12.00 | $48.00 | — | 91% below | 75% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN - LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $12.00 | $48.00 | — | 91% below | 75% |
| Ferritin blood test (iron stores) CPT 82728 HC NON-ALCOHOLIC FATTY LIVER DISEASE PANEL - FERRITIN | $12.00 | $48.00 | — | 91% below | 75% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN LEVEL | $12.00 | $48.00 | — | 91% below | 75% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC NON-ALCOHOLIC FATTY LIVER DISEASE PANEL - FERRITIN | $12.00 | $48.00 | — | — | 75% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN - LIVER FIBROSIS FIBROMETER NAFLD - ARUP | $12.00 | $48.00 | — | — | 75% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN LEVEL - ARUP | $12.00 | $48.00 | — | — | 75% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN LEVEL | $12.00 | $48.00 | — | — | 75% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN QUANTITATIVE | $8.50 | $34.00 | — | 90% below | 75% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN QUANTITATIVE | $8.50 | $34.00 | — | — | 75% |
| Folate (folic acid) blood test CPT 82746 HC FOLATE LEVEL SERUM | $12.75 | $51.00 | — | 89% below | 75% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE LEVEL SERUM | $12.75 | $51.00 | — | — | 75% |
| Free T3 thyroid hormone test CPT 84481 HC T3 FREE | $14.75 | $59.00 | — | 88% below | 75% |
| Free T3 thyroid hormone test CPT 84481 HC T3, FREE - ARUP | $14.75 | $59.00 | — | 88% below | 75% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE | $14.75 | $59.00 | — | — | 75% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3, FREE - ARUP | $14.75 | $59.00 | — | — | 75% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE - THYROXINE FREE | $8.00 | $32.00 | — | 93% below | 75% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE BY DIALYSIS - ARUP | $8.00 | $32.00 | — | 93% below | 75% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE - THYROXINE FREE | $8.00 | $32.00 | — | — | 75% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE BY DIALYSIS - ARUP | $8.00 | $32.00 | — | — | 75% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE WOMEN AND CHILDREN | $22.25 | $89.00 | — | 82% below | 75% |
| Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $22.25 | $89.00 | — | 82% below | 75% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE WOMEN AND CHILDREN | $22.25 | $89.00 | — | — | 75% |
| Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE | $22.25 | $89.00 | — | — | 75% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT - ARUP | $6.25 | $25.00 | — | 89% below | 75% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC LIVER FIBROSIS PANEL - GGT | $6.25 | $25.00 | — | 89% below | 75% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT LEVEL | $6.25 | $25.00 | — | 89% below | 75% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $6.25 | $25.00 | — | 89% below | 75% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT LEVEL | $6.25 | $25.00 | — | — | 75% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT - ARUP | $6.25 | $25.00 | — | — | 75% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP | $6.25 | $25.00 | — | — | 75% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC LIVER FIBROSIS PANEL - GGT | $6.25 | $25.00 | — | — | 75% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE | $36.50 | $146.00 | — | 88% below | 75% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE | $36.50 | $146.00 | — | — | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR GTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 3 HOUR LTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 5 HOUR GTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 2 HOUR GTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS6 HOUR GTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 2 HOUR LTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR OB GTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 4 HOUR GTT | $11.25 | $45.00 | — | 92% below | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 2 HOUR LTT | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS, 3 HOUR LTT | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR OB GTT | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 4 HOUR GTT | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE TEST (LTT) FIRST 3 SPECIMENS | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS6 HOUR GTT | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 5 HOUR GTT | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 2 HOUR GTT | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS | $11.25 | $45.00 | — | — | 75% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 3 HOUR GTT | $11.25 | $45.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC DNA TMA | $30.75 | $123.00 | — | 75% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR REFER | $30.75 | $123.00 | — | 75% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP | $30.75 | $123.00 | — | 75% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE RNA BY TMA 10120 | $30.75 | $123.00 | — | 75% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEA DNA PROBE | $30.75 | $123.00 | — | 75% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE CONFIRMATION TMA - ARUP | $37.50 | $150.00 | — | 69% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE BY TMA-SEXUALLY TRANSMITTED DISEASE PANEL 1-ARUP | $37.50 | $150.00 | — | 69% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE BY TMA - ARUP | $37.50 | $150.00 | — | 69% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE-CHLAMYDIA T & N GONNORRHOEAE BY TMA W/ RFLX-QWDL | $37.50 | $150.00 | — | 69% below | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE RNA BY TMA 10120 | $30.75 | $123.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR REFER | $30.75 | $123.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC DNA TMA | $30.75 | $123.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEA DNA PROBE | $30.75 | $123.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP | $30.75 | $123.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE BY TMA-SEXUALLY TRANSMITTED DISEASE PANEL 1-ARUP | $37.50 | $150.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE-CHLAMYDIA T & N GONNORRHOEAE BY TMA W/ RFLX-QWDL | $37.50 | $150.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE CONFIRMATION TMA - ARUP | $37.50 | $150.00 | — | — | 75% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE BY TMA - ARUP | $37.50 | $150.00 | — | — | 75% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP | $25.00 | $100.00 | — | 78% below | 75% |
| H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL | $25.00 | $100.00 | — | 78% below | 75% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP | $25.00 | $100.00 | — | — | 75% |
| H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL | $25.00 | $100.00 | — | — | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 RNA QUANT PCR - QDID | $37.50 | $150.00 | — | 89% below | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 BY QUANTITATIVE NAAT, PLASMA (ARUP) | $37.50 | $150.00 | — | 89% below | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR | $37.50 | $150.00 | — | 89% below | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 BY QUANTITATIVE NAAT, PLASMA (ARUP) | $37.50 | $150.00 | — | — | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 RNA QUANT PCR - QDID | $37.50 | $150.00 | — | — | 75% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR | $37.50 | $150.00 | — | — | 75% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV 1+2 (DONOR) | $12.00 | $48.00 | — | 90% below | 75% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN | $12.00 | $48.00 | — | 90% below | 75% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2, SINGLE ASSAY - RAPID HIV 1 AND 2 SCREEN | $12.00 | $48.00 | — | — | 75% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV 1+2 (DONOR) | $12.00 | $48.00 | — | — | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP | $20.00 | $80.00 | — | 83% below | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1 & 2 ANTIBODY/ANTIGEN WITH REFLEX DIFF -ARUP | $20.00 | $80.00 | — | 83% below | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN | $31.25 | $125.00 | — | 73% below | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP | $20.00 | $80.00 | — | — | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1 & 2 ANTIBODY/ANTIGEN WITH REFLEX DIFF -ARUP | $20.00 | $80.00 | — | — | 75% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN | $31.25 | $125.00 | — | — | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE THIN PREP- ARUP | $30.75 | $123.00 | — | 79% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP | $30.75 | $123.00 | — | 79% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, DIRECT | $30.75 | $123.00 | — | 79% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR | $30.75 | $123.00 | — | 79% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP | $30.75 | $123.00 | — | 79% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE SUREPATH - ARUP | $68.75 | $275.00 | — | 53% below | 75% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HUMAN PAPOLLOMAVIRUS (HPV) NUCLEIC ACID AMPLIFICATION HIGH RISK - ARUP | $68.75 | $275.00 | — | 53% below | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV HIGH RISK PCR | $30.75 | $123.00 | — | — | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE THIN PREP- ARUP | $30.75 | $123.00 | — | — | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, DIRECT | $30.75 | $123.00 | — | — | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP | $30.75 | $123.00 | — | — | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, AMP | $30.75 | $123.00 | — | — | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HUMAN PAPILLOMAVIRUS (HPV) PCR HIGH RISK+16/18 GENOTYPE SUREPATH - ARUP | $68.75 | $275.00 | — | — | 75% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HUMAN PAPOLLOMAVIRUS (HPV) NUCLEIC ACID AMPLIFICATION HIGH RISK - ARUP | $68.75 | $275.00 | — | — | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $8.50 | $34.00 | — | 90% below | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - GLYCATED HEMOGLOBIN REFERRED | $8.50 | $34.00 | — | 90% below | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - GLYCATED HEMOGLOBIN REFERRED | $8.50 | $34.00 | — | — | 75% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C | $8.50 | $34.00 | — | — | 75% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $10.50 | $42.00 | — | 87% below | 75% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB DONOR | $10.50 | $42.00 | — | 87% below | 75% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL - ARUP | $10.50 | $42.00 | — | 87% below | 75% |
| Hepatitis B core antibody test (total) CPT 86704 HC HBCORE AB ONEBLOOD CHARGE | $10.50 | $42.00 | — | 87% below | 75% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL - ARUP | $10.50 | $42.00 | — | — | 75% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL | $10.50 | $42.00 | — | — | 75% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB DONOR | $10.50 | $42.00 | — | — | 75% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBCORE AB ONEBLOOD CHARGE | $10.50 | $42.00 | — | — | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY - ARUP | $9.50 | $38.00 | — | 90% below | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $9.50 | $38.00 | — | 90% below | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY QUAL - QWDL | $17.50 | $70.00 | — | 81% below | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $9.50 | $38.00 | — | — | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY - ARUP | $9.50 | $38.00 | — | — | 75% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY QUAL - QWDL | $17.50 | $70.00 | — | — | 75% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN (HBSAG) DONOR | $9.00 | $36.00 | — | 90% below | 75% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION - ARUP | $9.00 | $36.00 | — | 90% below | 75% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $9.00 | $36.00 | — | 90% below | 75% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN (HBSAG) DONOR | $9.00 | $36.00 | — | — | 75% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B VIRUS SURFACE ANTIGEN WITH REFLEX TO CONFIRMATION - ARUP | $9.00 | $36.00 | — | — | 75% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $9.00 | $36.00 | — | — | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE | $12.50 | $50.00 | — | 89% below | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP | $12.50 | $50.00 | — | 89% below | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C AB DONOR | $12.50 | $50.00 | — | 89% below | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C VIRUS AB BY CIA - ARUP | $35.00 | $140.00 | — | 69% below | 75% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY BY CIA WITH REFLEX - ARUP | $50.00 | $200.00 | — | 55% below | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS C AB DONOR | $12.50 | $50.00 | — | — | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP | $12.50 | $50.00 | — | — | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE | $12.50 | $50.00 | — | — | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C VIRUS AB BY CIA - ARUP | $35.00 | $140.00 | — | — | 75% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY BY CIA WITH REFLEX - ARUP | $50.00 | $200.00 | — | — | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C BY QUANT NAAT WITH REFLEX GENOTYPE - ARUP | $37.50 | $150.00 | — | 86% below | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $37.50 | $150.00 | — | 86% below | 75% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANT NAAT - ARUP | $37.50 | $150.00 | — | 86% below | 75% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR | $37.50 | $150.00 | — | — | 75% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANT NAAT - ARUP | $37.50 | $150.00 | — | — | 75% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C BY QUANT NAAT WITH REFLEX GENOTYPE - ARUP | $37.50 | $150.00 | — | — | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX VIRUS 1 IGM AB TITER | $11.50 | $46.00 | — | 83% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY | $11.50 | $46.00 | — | 83% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 IGG - HSV 1 GLYCOPROTEIN G IGG - ARUP | $11.50 | $46.00 | — | 83% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX 1 GLYCOPROTEIN G AB IGG | $11.50 | $46.00 | — | 83% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP | $11.50 | $46.00 | — | 83% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 IGG | $11.50 | $46.00 | — | 83% below | 75% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC TYPE 1 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP | $35.00 | $140.00 | — | 48% below | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP | $11.50 | $46.00 | — | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX 1 GLYCOPROTEIN G AB IGG | $11.50 | $46.00 | — | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 IGG - HSV 1 GLYCOPROTEIN G IGG - ARUP | $11.50 | $46.00 | — | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 - HSV 1 IGM ANTIBODY | $11.50 | $46.00 | — | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX VIRUS 1 IGM AB TITER | $11.50 | $46.00 | — | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST, TYPE 1 IGG | $11.50 | $46.00 | — | — | 75% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC TYPE 1 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP | $35.00 | $140.00 | — | — | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY | $17.00 | $68.00 | — | 81% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP | $17.00 | $68.00 | — | 81% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 GLYCOPROTEIN G IGG - ARUP | $17.00 | $68.00 | — | 81% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP | $17.00 | $68.00 | — | 81% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX VIRUS 2 IGM AB TITER | $17.00 | $68.00 | — | 81% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP | $25.00 | $100.00 | — | 72% below | 75% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G AB IGG - ARUP | $25.00 | $100.00 | — | 72% below | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 GLYCOPROTEIN G IGG - ARUP | $17.00 | $68.00 | — | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TEST, TYPE 2 - HSV 2 IGM ANTIBODY | $17.00 | $68.00 | — | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP | $17.00 | $68.00 | — | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX VIRUS 2 IGM AB TITER | $17.00 | $68.00 | — | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP | $17.00 | $68.00 | — | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP | $25.00 | $100.00 | — | — | 75% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G AB IGG - ARUP | $25.00 | $100.00 | — | — | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY (CARDIO) - ARUP | $11.25 | $45.00 | — | 88% below | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC | $11.25 | $45.00 | — | 88% below | 75% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - ARUP | $35.00 | $140.00 | — | 62% below | 75% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC | $11.25 | $45.00 | — | — | 75% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY (CARDIO) - ARUP | $11.25 | $45.00 | — | — | 75% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - ARUP | $35.00 | $140.00 | — | — | 75% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL URINE | $15.75 | $63.00 | — | 87% below | 75% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE LEVEL - ARUP | $15.75 | $63.00 | — | 87% below | 75% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE LEVEL | $15.75 | $63.00 | — | 87% below | 75% |
| Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL | $15.75 | $63.00 | — | 87% below | 75% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE LEVEL - ARUP | $15.75 | $63.00 | — | — | 75% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE LEVEL | $15.75 | $63.00 | — | — | 75% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL | $15.75 | $63.00 | — | — | 75% |
| Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL URINE | $15.75 | $63.00 | — | — | 75% |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL - INSULIN LEVEL FREE AND TOTAL - ARUP | $10.00 | $40.00 | — | 86% below | 75% |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL (FASTING) - ARUP | $10.00 | $40.00 | — | 86% below | 75% |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL | $10.00 | $40.00 | — | 86% below | 75% |
| Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL RANDOM - ARUP | $10.00 | $40.00 | — | 86% below | 75% |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL - INSULIN LEVEL FREE AND TOTAL - ARUP | $10.00 | $40.00 | — | — | 75% |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL | $10.00 | $40.00 | — | — | 75% |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL RANDOM - ARUP | $10.00 | $40.00 | — | — | 75% |
| Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL (FASTING) - ARUP | $10.00 | $40.00 | — | — | 75% |
| Iron blood test (serum iron) CPT 83540 HC IRON LEVEL | $5.75 | $23.00 | — | 93% below | 75% |
| Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON,LIVER TISSUE | $5.75 | $23.00 | — | 93% below | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON,LIVER TISSUE | $5.75 | $23.00 | — | — | 75% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON LEVEL | $5.75 | $23.00 | — | — | 75% |
| Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAPACITY | $7.75 | $31.00 | — | 90% below | 75% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TOTAL IRON BINDING CAPACITY | $7.75 | $31.00 | — | — | 75% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL | $16.25 | $65.00 | — | 86% below | 75% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL - ARUP | $16.25 | $65.00 | — | 86% below | 75% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL PEDIATRIC - ARUP | $50.00 | $200.00 | — | 56% below | 75% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL | $16.25 | $65.00 | — | — | 75% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL - ARUP | $16.25 | $65.00 | — | — | 75% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL PEDIATRIC - ARUP | $50.00 | $200.00 | — | — | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - POCT LACTIC ACID (LACTATE) | $10.25 | $41.00 | — | 89% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL | $10.25 | $41.00 | — | 89% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF | $10.25 | $41.00 | — | 89% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC POC LACTATE LEVEL ARTERIAL | $35.00 | $140.00 | — | 61% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL - ARTERIAL BLOOD GAS | $35.00 | $140.00 | — | 61% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL REFLEX | $56.25 | $225.00 | — | 37% below | 75% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL REFLEX X2 - RESP THERAPY | $56.25 | $225.00 | — | 37% below | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF | $10.25 | $41.00 | — | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - POCT LACTIC ACID (LACTATE) | $10.25 | $41.00 | — | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL | $10.25 | $41.00 | — | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL - ARTERIAL BLOOD GAS | $35.00 | $140.00 | — | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC POC LACTATE LEVEL ARTERIAL | $35.00 | $140.00 | — | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL REFLEX | $56.25 | $225.00 | — | — | 75% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL REFLEX X2 - RESP THERAPY | $56.25 | $225.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $5.25 | $21.00 | — | 90% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL | $5.25 | $21.00 | — | 90% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH) FLUID | $5.25 | $21.00 | — | 90% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $5.25 | $21.00 | — | 90% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE, CSF | $5.25 | $21.00 | — | 90% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD (LDH) TOTAL | $5.25 | $21.00 | — | 90% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD (LDH) TOTAL BODY FLUID - ARUP | $31.25 | $125.00 | — | 42% below | 75% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD (LDH) TOTAL - ARUP | $31.25 | $125.00 | — | 42% below | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL | $5.25 | $21.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $5.25 | $21.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH) FLUID | $5.25 | $21.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZYME - LACTATE DEHYDROGENASE, CSF | $5.25 | $21.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD (LDH) TOTAL | $5.25 | $21.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP | $5.25 | $21.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD (LDH) TOTAL BODY FLUID - ARUP | $31.25 | $125.00 | — | — | 75% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD (LDH) TOTAL - ARUP | $31.25 | $125.00 | — | — | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID | $16.25 | $65.00 | — | 82% below | 75% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE LEVEL | $16.25 | $65.00 | — | 82% below | 75% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE LEVEL | $16.25 | $65.00 | — | — | 75% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID | $16.25 | $65.00 | — | — | 75% |
| Lyme disease antibody test CPT 86618 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP | $12.50 | $50.00 | — | 83% below | 75% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $12.50 | $50.00 | — | 83% below | 75% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY - LYME DISEASE (BORRELIA BURGDORFERI), QUANT | $12.50 | $50.00 | — | — | 75% |
| Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP | $12.50 | $50.00 | — | — | 75% |
| Magnesium blood test CPT 83735 HC CVICU IONIZED MAGNESIUM POC | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC MAGNESIUM RBC - ARUP | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC MAGNESIUM URINE CALCULI RISK ASSESSMENT - ARUP | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC MAGNESIUM SUPERSATURATION PROFILE, URINE - ARUP | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM IONIZED | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC MAGNESIUM URINE RANDOM | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC MAGNESIUM LEVEL | $5.75 | $23.00 | — | 92% below | 75% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, URINE - ARUP | $31.25 | $125.00 | — | 54% below | 75% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM URINE RANDOM | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM LEVEL | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM URINE CALCULI RISK ASSESSMENT - ARUP | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM IONIZED | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM SUPERSATURATION PROFILE, URINE - ARUP | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC CVICU IONIZED MAGNESIUM POC | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM RBC - ARUP | $5.75 | $23.00 | — | — | 75% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE - ARUP | $31.25 | $125.00 | — | — | 75% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGM - ARUP | $18.75 | $75.00 | — | 75% below | 75% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY IGG | $18.75 | $75.00 | — | 75% below | 75% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY, IGM | $18.75 | $75.00 | — | 75% below | 75% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGG - ARUP | $18.75 | $75.00 | — | 75% below | 75% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY, IGG - ARUP | $35.00 | $140.00 | — | 53% below | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGG - ARUP | $18.75 | $75.00 | — | — | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGM - ARUP | $18.75 | $75.00 | — | — | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA - RUBEOLA ANTIBODY, IGM | $18.75 | $75.00 | — | — | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY IGG | $18.75 | $75.00 | — | — | 75% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY, IGG - ARUP | $35.00 | $140.00 | — | — | 75% |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $11.50 | $46.00 | — | 85% below | 75% |
| Mumps immunity blood test CPT 86735 HC MUMPS IGG - ARUP | $11.50 | $46.00 | — | 85% below | 75% |
| Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $11.50 | $46.00 | — | 85% below | 75% |
| Mumps immunity blood test CPT 86735 HC MUMPS IGM - ARUP | $11.50 | $46.00 | — | 85% below | 75% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY | $11.50 | $46.00 | — | — | 75% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY | $11.50 | $46.00 | — | — | 75% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGM - ARUP | $11.50 | $46.00 | — | — | 75% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG - ARUP | $11.50 | $46.00 | — | — | 75% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL - BUNDLED CHARGE | $41.75 | $167.00 | — | 80% below | 75% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL - BUNDLED CHARGE | $41.75 | $167.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE - ARUP | $16.00 | $64.00 | — | 84% below | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $16.00 | $64.00 | — | 84% below | 75% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN, FREE - PSA TOTAL AND FREE | $43.75 | $175.00 | — | 55% below | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE - ARUP | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN, FREE - PSA TOTAL AND FREE | $43.75 | $175.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA ULTRASENSITIVE - ARUP | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA ULTRA SENSITIVE | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL SCREENING - ARUP | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL - ARUP | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREEN | $16.00 | $64.00 | — | 86% below | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREEN | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA ULTRASENSITIVE - ARUP | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL SCREENING - ARUP | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL - ARUP | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA ULTRA SENSITIVE | $16.00 | $64.00 | — | — | 75% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA, ULTRASENSITIVE | $16.00 | $64.00 | — | — | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH C/V AUTO FLUID - PAPSM THIN LAYER,INTER DIAG NO ALT CODE | $23.25 | $93.00 | — | 82% below | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR DIAGNOSTIC IMAGED NO ALT CODE | $23.25 | $93.00 | — | 82% below | 75% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR SCREENING IMAGED ALT CODE G0145 | $23.25 | $93.00 | — | 82% below | 75% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR SCREENING IMAGED ALT CODE G0145 | $23.25 | $93.00 | — | — | 75% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH C/V AUTO FLUID - PAPSM THIN LAYER,INTER DIAG NO ALT CODE | $23.25 | $93.00 | — | — | 75% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR DIAGNOSTIC IMAGED NO ALT CODE | $23.25 | $93.00 | — | — | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR SCREENING MANUAL ALT CODE G0123 | $17.75 | $71.00 | — | 84% below | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE | $17.75 | $71.00 | — | 84% below | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR SCREENING MANUAL ALT CODE G0123 | $17.75 | $71.00 | — | — | 75% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE | $17.75 | $71.00 | — | — | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTRAOPERATIVE | $36.00 | $144.00 | — | 84% below | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT - PTH INTACT AND CALCIUM | $36.00 | $144.00 | — | 84% below | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT | $36.00 | $144.00 | — | 84% below | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT FNA - ARUP | $41.25 | $165.00 | — | 82% below | 75% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT - ARUP | $41.25 | $165.00 | — | 82% below | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT - PTH INTACT AND CALCIUM | $36.00 | $144.00 | — | — | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT | $36.00 | $144.00 | — | — | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTRAOPERATIVE | $36.00 | $144.00 | — | — | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT - ARUP | $41.25 | $165.00 | — | — | 75% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT FNA - ARUP | $41.25 | $165.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) - PT AND PTT PANEL | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - LUPUS ANTICOAGULANT SCREEN | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT, INHIBITOR SCREEN, 1-HOUR (RFLX) (ARUP) | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - INHIBITOR ASSAY PTT WITH REFLEX (ARUP) | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT LUPUS SENSITIVE | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $5.25 | $21.00 | — | 92% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT - PHOSLIPID ARUP | $31.25 | $125.00 | — | 52% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT-D HEPARIN REFLEX BILL (ARUP) | $31.25 | $125.00 | — | 52% below | 75% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT-D 1:1 MIX BILL (ARUP) | $31.25 | $125.00 | — | 52% below | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - INHIBITOR ASSAY PTT WITH REFLEX (ARUP) | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT LUPUS SENSITIVE | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - PTT CRRT SYSTEM | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT, INHIBITOR SCREEN, 1-HOUR (RFLX) (ARUP) | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - LUPUS ANTICOAGULANT SCREEN | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) - PT AND PTT PANEL | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP | $5.25 | $21.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT - PHOSLIPID ARUP | $31.25 | $125.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT-D 1:1 MIX BILL (ARUP) | $31.25 | $125.00 | — | — | 75% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT-D HEPARIN REFLEX BILL (ARUP) | $31.25 | $125.00 | — | — | 75% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $4.25 | $17.00 | — | 93% below | 75% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $4.25 | $17.00 | — | — | 75% |
| Potassium blood test CPT 84132 HC POTASSIUM LEVEL | $4.25 | $17.00 | — | 90% below | 75% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM LEVEL | $4.25 | $17.00 | — | — | 75% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME ANEUPLOIDY | $400.00 | $1,600.00 | — | 55% below | 75% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME ANEUPLOIDY | $400.00 | $1,600.00 | — | — | 75% |
| Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $18.25 | $73.00 | — | 87% below | 75% |
| Progesterone blood test CPT 84144 HC PROGESTERONE LEVEL - ARUP | $18.25 | $73.00 | — | 87% below | 75% |
| Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE | $18.25 | $73.00 | — | — | 75% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE LEVEL - ARUP | $18.25 | $73.00 | — | — | 75% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $17.00 | $68.00 | — | 87% below | 75% |
| Prolactin blood test CPT 84146 HC MACROPROLACTIN - ARUP | $17.00 | $68.00 | — | 87% below | 75% |
| Prolactin blood test CPT 84146 HC PROLACTIN - ARUP | $17.00 | $68.00 | — | 87% below | 75% |
| Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN - ARUP | $17.00 | $68.00 | — | — | 75% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN - ARUP | $17.00 | $68.00 | — | — | 75% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $17.00 | $68.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME -ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PT AND PTT PANEL | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - SURGICAL LAB | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTIME DILUTION PROTOCOL | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR COUMADIN CLINIC | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR | $3.75 | $15.00 | — | 91% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR - ARUP PHOSLIPID | $20.00 | $80.00 | — | 52% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INHIBITOR ASSAY PT WITH REFLEX TO PT 1:1 MIX - ARUP | $20.00 | $80.00 | — | 52% below | 75% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR - ARUP INHIB SCRN | $20.00 | $80.00 | — | 52% below | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME -ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PT AND PTT PANEL | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR COUMADIN CLINIC | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTIME DILUTION PROTOCOL | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - SURGICAL LAB | $3.75 | $15.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INHIBITOR ASSAY PT WITH REFLEX TO PT 1:1 MIX - ARUP | $20.00 | $80.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR - ARUP INHIB SCRN | $20.00 | $80.00 | — | — | 75% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR - ARUP PHOSLIPID | $20.00 | $80.00 | — | — | 75% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS - TOXICOLOGY SCREEN URINE | $35.00 | $140.00 | — | 57% below | 75% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS - TOXICOLOGY SCREEN URINE | $35.00 | $140.00 | — | — | 75% |
| Rapid flu test (influenza antigen) CPT 87804 HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU | $31.25 | $125.00 | — | 56% below | 75% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC DETECT AGENT,IMMUN,DIR OBS,INFLUENZA - RAPID FLU | $31.25 | $125.00 | — | — | 75% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION | $14.50 | $58.00 | — | 76% below | 75% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION | $14.50 | $58.00 | — | — | 75% |
| Renin blood test CPT 84244 HC RENIN ACTIVITY - ARUP | $19.25 | $77.00 | — | 83% below | 75% |
| Renin blood test CPT 84244 HC RENIN DIRECT LEVEL - ARUP | $19.25 | $77.00 | — | 83% below | 75% |
| Renin blood test CPT 84244 HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $19.25 | $77.00 | — | 83% below | 75% |
| Renin blood test CPT 84244 HC RENIN LEVEL | $19.25 | $77.00 | — | 83% below | 75% |
| Renin blood test inpatient CPT 84244 HC RENIN DIRECT LEVEL - ARUP | $19.25 | $77.00 | — | — | 75% |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY - ARUP | $19.25 | $77.00 | — | — | 75% |
| Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP | $19.25 | $77.00 | — | — | 75% |
| Renin blood test inpatient CPT 84244 HC RENIN LEVEL | $19.25 | $77.00 | — | — | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $5.00 | $20.00 | — | 92% below | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP | $5.00 | $20.00 | — | 92% below | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - ARUP | $5.00 | $20.00 | — | 92% below | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - LUPUS COMPREHENSIVE REFLEX PANEL - ARUP | $5.00 | $20.00 | — | 92% below | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR, BODY FLUID | $5.00 | $20.00 | — | 92% below | 75% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - RHEUMATOID ARTHRITIS PANEL - ARUP | $22.50 | $90.00 | — | 64% below | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR, BODY FLUID | $5.00 | $20.00 | — | — | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - LUPUS COMPREHENSIVE REFLEX PANEL - ARUP | $5.00 | $20.00 | — | — | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - ARUP | $5.00 | $20.00 | — | — | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP | $5.00 | $20.00 | — | — | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR | $5.00 | $20.00 | — | — | 75% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - RHEUMATOID ARTHRITIS PANEL - ARUP | $22.50 | $90.00 | — | — | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM | $12.50 | $50.00 | — | 83% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG QUANTITATIVE | $12.50 | $50.00 | — | 83% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG - ARUP | $12.50 | $50.00 | — | 83% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG - TORCH ANTIBODIES IGG - ARUP | $35.00 | $140.00 | — | 53% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG - ARUP | $35.00 | $140.00 | — | 53% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM - TORCH ANTIBODIES IGM - ARUP | $35.00 | $140.00 | — | 53% below | 75% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM - ARUP | $35.00 | $140.00 | — | 53% below | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM | $12.50 | $50.00 | — | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG - ARUP | $12.50 | $50.00 | — | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG QUANTITATIVE | $12.50 | $50.00 | — | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM - ARUP | $35.00 | $140.00 | — | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM - TORCH ANTIBODIES IGM - ARUP | $35.00 | $140.00 | — | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG - TORCH ANTIBODIES IGG - ARUP | $35.00 | $140.00 | — | — | 75% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB IGG - ARUP | $35.00 | $140.00 | — | — | 75% |
| Sodium blood test CPT 84295 HC SODIUM LEVEL | $4.25 | $17.00 | — | 91% below | 75% |
| Sodium blood test inpatient CPT 84295 HC SODIUM LEVEL | $4.25 | $17.00 | — | — | 75% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION DIRECT | $15.25 | $61.00 | — | 79% below | 75% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE EXAMINATION - OVA AND PARISITE FECAL - ARUP | $15.25 | $61.00 | — | 79% below | 75% |
| Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $15.25 | $61.00 | — | 79% below | 75% |
| Stool ova and parasites exam CPT 87177 HC OVA & PARASITE DIR SMEARS, CONC, ID - O&P EXAM BODY FLUID/URINE - ARUP | $33.75 | $135.00 | — | 54% below | 75% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE EXAMINATION - OVA AND PARISITE FECAL - ARUP | $15.25 | $61.00 | — | — | 75% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION DIRECT | $15.25 | $61.00 | — | — | 75% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION | $15.25 | $61.00 | — | — | 75% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITE DIR SMEARS, CONC, ID - O&P EXAM BODY FLUID/URINE - ARUP | $33.75 | $135.00 | — | — | 75% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD | $10.75 | $43.00 | — | 63% below | 75% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD | $10.75 | $43.00 | — | — | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD - 1 TO 3 SIMULTANEOUS TESTS POC | $14.00 | $56.00 | — | 81% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES SCREENING SPECIMEN #1 | $14.00 | $56.00 | — | 81% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD BY IMMUNOASSAY, FECES - ARUP | $14.00 | $56.00 | — | 81% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1 | $14.00 | $56.00 | — | 81% below | 75% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECES SCREENING SPECIMEN #1 | $14.00 | $56.00 | — | — | 75% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD - 1 TO 3 SIMULTANEOUS TESTS POC | $14.00 | $56.00 | — | — | 75% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD BY IMMUNOASSAY, FECES - ARUP | $14.00 | $56.00 | — | — | 75% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1 | $14.00 | $56.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM IGG BY IFA (FTA-ABS) - ARUP | $24.25 | $97.00 | — | 64% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM | $24.25 | $97.00 | — | 64% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM CONFIRMATION | $24.25 | $97.00 | — | 64% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM IGG BY ELISA - ARUP | $24.25 | $97.00 | — | 64% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP | $24.25 | $97.00 | — | 64% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM DONOR | $24.25 | $97.00 | — | 64% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - DONOR TOTAL SYPHILIS | $24.25 | $97.00 | — | 64% below | 75% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM (SYPHILIS) ANTIBODY - ARUP | $35.00 | $140.00 | — | 47% below | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM | $24.25 | $97.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM CONFIRMATION | $24.25 | $97.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - DONOR TOTAL SYPHILIS | $24.25 | $97.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - T. PALLIDUM DONOR | $24.25 | $97.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP | $24.25 | $97.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM IGG BY ELISA - ARUP | $24.25 | $97.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM IGG BY IFA (FTA-ABS) - ARUP | $24.25 | $97.00 | — | — | 75% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM (SYPHILIS) ANTIBODY - ARUP | $35.00 | $140.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP | $11.75 | $47.00 | — | 77% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL WITH REFLEX TO TITER, CSF - ARUP | $11.75 | $47.00 | — | 77% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUAL | $11.75 | $47.00 | — | 77% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN (RPR) WITH REFLEX - ARUP | $11.75 | $47.00 | — | 77% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL WITH REFLEX TO TITER, SERUM - ARUP | $11.75 | $47.00 | — | 77% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF | $11.75 | $47.00 | — | 77% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $11.75 | $47.00 | — | 77% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF - ARUP | $20.00 | $80.00 | — | 61% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUAL W REFLEX TITER - ARUP | $20.00 | $80.00 | — | 61% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL | $20.00 | $80.00 | — | 61% below | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN (RPR) WITH REFLEX - ARUP | $11.75 | $47.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL WITH REFLEX TO TITER, CSF - ARUP | $11.75 | $47.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL WITH REFLEX TO TITER, SERUM - ARUP | $11.75 | $47.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL | $11.75 | $47.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP | $11.75 | $47.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUAL | $11.75 | $47.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF | $11.75 | $47.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUAL W REFLEX TITER - ARUP | $20.00 | $80.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF - ARUP | $20.00 | $80.00 | — | — | 75% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL | $20.00 | $80.00 | — | — | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB PLUS - ARUP | $37.50 | $150.00 | — | 83% below | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON | $37.50 | $150.00 | — | 83% below | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB PLUS 4 TUBE - ARUP | $37.50 | $150.00 | — | 83% below | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON | $37.50 | $150.00 | — | — | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB PLUS - ARUP | $37.50 | $150.00 | — | — | 75% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB PLUS 4 TUBE - ARUP | $37.50 | $150.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $22.50 | $90.00 | — | 82% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL - BIOAVAIL & SEX HORMONE BIND GLOB MALE - ARUP | $22.50 | $90.00 | — | 82% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP | $22.50 | $90.00 | — | 82% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP | $22.50 | $90.00 | — | 82% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL ADULT MALE - ARUP | $22.50 | $90.00 | — | 82% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP | $22.50 | $90.00 | — | 82% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE FEMALE OR CHILD | $22.50 | $90.00 | — | 82% below | 75% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE BIOAVAILABLE FEMALE/CHILD - ARUP | $43.75 | $175.00 | — | 65% below | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE | $22.50 | $90.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP | $22.50 | $90.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL - BIOAVAIL & SEX HORMONE BIND GLOB MALE - ARUP | $22.50 | $90.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL ADULT MALE - ARUP | $22.50 | $90.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP | $22.50 | $90.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP | $22.50 | $90.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE FEMALE OR CHILD | $22.50 | $90.00 | — | — | 75% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE BIOAVAILABLE FEMALE/CHILD - ARUP | $43.75 | $175.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE ANTIBODY | $12.75 | $51.00 | — | 84% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE ANTIBODY - ARUP | $12.75 | $51.00 | — | 84% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOME IGG - ARUP | $12.75 | $51.00 | — | 84% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOMAL ANTIBODY | $12.75 | $51.00 | — | 84% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $12.75 | $51.00 | — | 84% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB | $12.75 | $51.00 | — | 84% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE (TPO) ANTIBODY - THYROID ANTIBODIES - ARUP | $12.75 | $51.00 | — | 84% below | 75% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP | $35.00 | $140.00 | — | 56% below | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY | $12.75 | $51.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE (TPO) ANTIBODY - THYROID ANTIBODIES - ARUP | $12.75 | $51.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOME IGG - ARUP | $12.75 | $51.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOMAL ANTIBODY | $12.75 | $51.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE ANTIBODY - ARUP | $12.75 | $51.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - ANTI-MICROSOMAL AB | $12.75 | $51.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE ANTIBODY | $12.75 | $51.00 | — | — | 75% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP | $35.00 | $140.00 | — | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL - TSH CASCADE | $14.75 | $59.00 | — | 88% below | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL | $14.75 | $59.00 | — | 88% below | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $14.75 | $59.00 | — | 88% below | 75% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL - TSH REFLEX FREE T4 | $14.75 | $59.00 | — | 88% below | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL - TSH CASCADE | $14.75 | $59.00 | — | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL - TSH REFLEX FREE T4 | $14.75 | $59.00 | — | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $14.75 | $59.00 | — | — | 75% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL | $14.75 | $59.00 | — | — | 75% |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E (IGE) - ARUP | $14.50 | $58.00 | — | 83% below | 75% |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E - IGE | $14.50 | $58.00 | — | 83% below | 75% |
| Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E - IGE | $14.50 | $58.00 | — | — | 75% |
| Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E (IGE) - ARUP | $14.50 | $58.00 | — | — | 75% |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $3.75 | $15.00 | — | 91% below | 75% |
| Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID | $3.75 | $15.00 | — | 91% below | 75% |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID | $3.75 | $15.00 | — | — | 75% |
| Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL | $3.75 | $15.00 | — | — | 75% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4 TOTAL - ARUP | $6.00 | $24.00 | — | 93% below | 75% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4 TOTAL | $6.00 | $24.00 | — | 93% below | 75% |
| Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) RIA | $6.00 | $24.00 | — | 93% below | 75% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 THYROID PANEL WITH FTI - ARUP | $31.25 | $125.00 | — | 62% below | 75% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROID T4 - ARUP | $31.25 | $125.00 | — | 62% below | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE - T4 (THYROID HORMONE) RIA | $6.00 | $24.00 | — | — | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4 TOTAL - ARUP | $6.00 | $24.00 | — | — | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4 TOTAL | $6.00 | $24.00 | — | — | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 THYROID PANEL WITH FTI - ARUP | $31.25 | $125.00 | — | — | 75% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROID T4 - ARUP | $31.25 | $125.00 | — | — | 75% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) | $12.50 | $50.00 | — | 87% below | 75% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE) | $12.50 | $50.00 | — | — | 75% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN LEVEL | $11.25 | $45.00 | — | 88% below | 75% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN LEVEL | $11.25 | $45.00 | — | — | 75% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA - ARUP | $30.75 | $123.00 | — | 75% below | 75% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS - VAGINAL PATHOGEN DNA PANEL - ARUP | $30.75 | $123.00 | — | 75% below | 75% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP | $36.25 | $145.00 | — | 71% below | 75% |
| Trichomonas test (NAAT) CPT 87661 HC MICROBIOLOGY - AMP PROBE TRICHOMONAS | $36.25 | $145.00 | — | 71% below | 75% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA | $36.25 | $145.00 | — | 71% below | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS - VAGINAL PATHOGEN DNA PANEL - ARUP | $30.75 | $123.00 | — | — | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA - ARUP | $30.75 | $123.00 | — | — | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA | $36.25 | $145.00 | — | — | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC MICROBIOLOGY - AMP PROBE TRICHOMONAS | $36.25 | $145.00 | — | — | 75% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS - SEXUALLY TRANSMITTED DISEASE PANEL 1 - ARUP | $36.25 | $145.00 | — | — | 75% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $10.75 | $43.00 | — | 77% below | 75% |
| Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID | $10.75 | $43.00 | — | 77% below | 75% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, BODY FLUID - ARUP | $22.50 | $90.00 | — | 53% below | 75% |
| Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID | $10.75 | $43.00 | — | — | 75% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $10.75 | $43.00 | — | — | 75% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, BODY FLUID - ARUP | $22.50 | $90.00 | — | — | 75% |
| Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN I | $11.00 | $44.00 | — | 93% below | 75% |
| Troponin test, quantitative CPT 84484 HC TROPONIN T HIGH SENSITIVITY | $11.00 | $44.00 | — | 93% below | 75% |
| Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN I | $11.00 | $44.00 | — | — | 75% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T HIGH SENSITIVITY | $11.00 | $44.00 | — | — | 75% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS W MICROSCOPIC NON-AUTO | $33.25 | $133.00 | — | 48% above | 75% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS W MICROSCOPIC NON-AUTO | $33.25 | $133.00 | — | — | 75% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, NON-AUTO W/O MICROSCPY | $30.00 | $120.00 | — | 33% above | 75% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS, NON-AUTO W/O MICROSCPY | $30.00 | $120.00 | — | — | 75% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE QUANTITATIVE | $7.00 | $28.00 | — | 92% below | 75% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE QUANTITATIVE | $7.00 | $28.00 | — | — | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE | $5.00 | $20.00 | — | 92% below | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOME URINE MG/DL | $5.00 | $20.00 | — | 92% below | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP | $5.00 | $20.00 | — | 92% below | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN / CREATININE URINE RATIO | $5.00 | $20.00 | — | 92% below | 75% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN 24HR URINE | $5.00 | $20.00 | — | 92% below | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN / CREATININE URINE RATIO | $5.00 | $20.00 | — | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE | $5.00 | $20.00 | — | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN LEVEL - ALBUMIN / CREATININE RATIO URINE - ARUP | $5.00 | $20.00 | — | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOME URINE MG/DL | $5.00 | $20.00 | — | — | 75% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN 24HR URINE | $5.00 | $20.00 | — | — | 75% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE | $7.50 | $30.00 | — | 90% below | 75% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE - POC | $7.50 | $30.00 | — | 90% below | 75% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE - POC | $7.50 | $30.00 | — | — | 75% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE | $7.50 | $30.00 | — | — | 75% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 LEVEL | $13.25 | $53.00 | — | 90% below | 75% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 LEVEL | $13.25 | $53.00 | — | — | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP | $26.00 | $104.00 | — | 86% below | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY | $26.00 | $104.00 | — | 86% below | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY | $26.00 | $104.00 | — | — | 75% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP | $26.00 | $104.00 | — | — | 75% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1,25 DIHYDROXY - ARUP | $33.75 | $135.00 | — | 83% below | 75% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 | $33.75 | $135.00 | — | 83% below | 75% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1,25 DIHYDROXY - ARUP | $33.75 | $135.00 | — | — | 75% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1 | $33.75 | $135.00 | — | — | 75% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC RBC | $23.50 | $94.00 | — | 67% below | 75% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC, WHOLE BLOOD | $23.50 | $94.00 | — | 67% below | 75% |
| Zinc blood test CPT 84630 HC ZINC WHOLE BLOOD - ARUP | $23.50 | $94.00 | — | 67% below | 75% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC | $23.50 | $94.00 | — | 67% below | 75% |
| Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC URINE | $23.50 | $94.00 | — | 67% below | 75% |
| Zinc blood test CPT 84630 HC ZINC LEVEL RBC - ARUP | $35.00 | $140.00 | — | 51% below | 75% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC, WHOLE BLOOD | $23.50 | $94.00 | — | — | 75% |
| Zinc blood test inpatient CPT 84630 HC ZINC WHOLE BLOOD - ARUP | $23.50 | $94.00 | — | — | 75% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC URINE | $23.50 | $94.00 | — | — | 75% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC RBC | $23.50 | $94.00 | — | — | 75% |
| Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC | $23.50 | $94.00 | — | — | 75% |
| Zinc blood test inpatient CPT 84630 HC ZINC LEVEL RBC - ARUP | $35.00 | $140.00 | — | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA HCG TUMOR MARKER CSF | $13.25 | $53.00 | — | 88% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG TUMOR MARKER | $13.25 | $53.00 | — | 88% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $13.25 | $53.00 | — | 88% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC MATERNAL QUAD SCREEN - HCG QUANTITATIVE | $13.25 | $53.00 | — | 88% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC ASSAY CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD POC | $13.25 | $53.00 | — | 88% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE TUMOR MARKER BLOOD - ARUP | $13.25 | $53.00 | — | 88% below | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC ASSAY CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD POC | $13.25 | $53.00 | — | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC MATERNAL QUAD SCREEN - HCG QUANTITATIVE | $13.25 | $53.00 | — | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD | $13.25 | $53.00 | — | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG TUMOR MARKER | $13.25 | $53.00 | — | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE TUMOR MARKER BLOOD - ARUP | $13.25 | $53.00 | — | — | 75% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA HCG TUMOR MARKER CSF | $13.25 | $53.00 | — | — | 75% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $200.00 | $800.00 | — | 47% below | 75% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $200.00 | $800.00 | — | — | 75% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $498.75 | $1,995.00 | — | 84% below | 75% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE | $498.75 | $1,995.00 | — | — | 75% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED RX DIST FIBULA FX | $131.25 | $525.00 | — | 69% below | 75% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED RX DIST FIBULA FX | $131.25 | $525.00 | — | — | 75% |
| Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $3,650.00 | $14,600.00 | — | 64% below | 75% |
| Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY | $3,650.00 | $14,600.00 | — | — | 75% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $425.00 | $1,700.00 | — | 65% below | 75% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN | $425.00 | $1,700.00 | — | — | 75% |
| Catheter ablation for atrial fibrillation CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $9,150.00 | $36,600.00 | — | 68% below | 75% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN | $9,150.00 | $36,600.00 | — | — | 75% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $131.25 | $525.00 | — | 75% below | 75% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX | $131.25 | $525.00 | — | — | 75% |
| Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $3,750.00 | $15,000.00 | — | 73% below | 75% |
| Coronary stent placement, one artery inpatient CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | $3,750.00 | $15,000.00 | — | — | 75% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $30.00 | $120.00 | — | 74% below | 75% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $30.00 | $120.00 | — | — | 75% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $30.00 | $120.00 | — | 76% below | 75% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | $30.00 | $120.00 | — | — | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $615.00 | $2,460.00 | — | 66% below | 75% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | $615.00 | $2,460.00 | — | — | 75% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL | $446.25 | $1,785.00 | — | 71% below | 75% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL | $446.25 | $1,785.00 | — | — | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM | $300.00 | $1,200.00 | — | 22% below | 75% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM | $300.00 | $1,200.00 | — | — | 75% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $105.00 | $420.00 | — | 74% below | 75% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE | $105.00 | $420.00 | — | — | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT | $175.00 | $700.00 | — | 59% below | 75% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT | $175.00 | $700.00 | — | — | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $250.00 | $1,000.00 | — | 50% below | 75% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | $250.00 | $1,000.00 | — | — | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $212.50 | $850.00 | — | 49% below | 75% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | $212.50 | $850.00 | — | — | 75% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $212.50 | $850.00 | — | 32% below | 75% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $212.50 | $850.00 | — | — | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $112.50 | $450.00 | — | 81% below | 75% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM | $112.50 | $450.00 | — | — | 75% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $2,375.00 | $9,500.00 | — | 67% below | 75% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP | $2,375.00 | $9,500.00 | — | — | 75% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $615.00 | $2,460.00 | — | 58% below | 75% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | $615.00 | $2,460.00 | — | — | 75% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $446.25 | $1,785.00 | — | 69% below | 75% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | $446.25 | $1,785.00 | — | — | 75% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $446.25 | $1,785.00 | — | 69% below | 75% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL | $446.25 | $1,785.00 | — | — | 75% |
| Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE | $105.00 | $420.00 | — | 64% below | 75% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE | $105.00 | $420.00 | — | — | 75% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $200.00 | $800.00 | — | 61% below | 75% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE | $200.00 | $800.00 | — | — | 75% |
| Pacemaker implant (dual chamber) CPT 33208 HC INSER HART PACER XVENOUS ATR/VENTR | $5,750.00 | $23,000.00 | — | 50% below | 75% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSER HART PACER XVENOUS ATR/VENTR | $5,750.00 | $23,000.00 | — | — | 75% |
| Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $575.00 | $2,300.00 | — | 60% below | 75% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE | $575.00 | $2,300.00 | — | — | 75% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED | $112.50 | $450.00 | — | 82% below | 75% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED | $112.50 | $450.00 | — | — | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,125.00 | $4,500.00 | — | 60% below | 75% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | $1,125.00 | $4,500.00 | — | — | 75% |
| Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $112.50 | $450.00 | — | 77% below | 75% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE | $112.50 | $450.00 | — | — | 75% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC FRAGMENT KIDNEY STONE/ ESWL | $2,000.00 | $8,000.00 | — | 72% below | 75% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC FRAGMENT KIDNEY STONE/ ESWL | $2,000.00 | $8,000.00 | — | — | 75% |
| Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST | $143.75 | $575.00 | — | 55% below | 75% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST | $143.75 | $575.00 | — | — | 75% |
| Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $43.75 | $175.00 | — | 83% below | 75% |
| Short arm splint (forearm and hand) CPT 29125 HC OT APPLY FOREARM SPLINT,STATIC | $43.75 | $175.00 | — | 83% below | 75% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC | $43.75 | $175.00 | — | — | 75% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPLY FOREARM SPLINT,STATIC | $43.75 | $175.00 | — | — | 75% |
| Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST | $143.75 | $575.00 | — | 60% below | 75% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST | $143.75 | $575.00 | — | — | 75% |
| Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT | $87.50 | $350.00 | — | 67% below | 75% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT | $87.50 | $350.00 | — | — | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM | $112.50 | $450.00 | — | 69% below | 75% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM | $112.50 | $450.00 | — | — | 75% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $175.00 | $700.00 | — | 53% below | 75% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION | $175.00 | $700.00 | — | — | 75% |
| Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $105.00 | $420.00 | — | 58% below | 75% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15 | $105.00 | $420.00 | — | — | 75% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $435.00 | $1,740.00 | — | 54% below | 75% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $435.00 | $1,740.00 | — | — | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM | $137.50 | $550.00 | — | 67% below | 75% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM | $137.50 | $550.00 | — | — | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM | $112.50 | $450.00 | — | 72% below | 75% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM | $112.50 | $450.00 | — | — | 75% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $105.00 | $420.00 | — | 65% below | 75% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION | $105.00 | $420.00 | — | — | 75% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $375.00 | $1,500.00 | — | 70% below | 75% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | $375.00 | $1,500.00 | — | — | 75% |
| Trigger finger release surgery CPT 26055 HC INCISE FINGER TENDON SHEATH | $1,075.00 | $4,300.00 | — | 37% below | 75% |
| Trigger finger release surgery inpatient CPT 26055 HC INCISE FINGER TENDON SHEATH | $1,075.00 | $4,300.00 | — | — | 75% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $175.00 | $700.00 | — | 66% below | 75% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2 | $175.00 | $700.00 | — | — | 75% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $498.75 | $1,995.00 | — | 80% below | 75% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE | $498.75 | $1,995.00 | — | — | 75% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $1,875.00 | $7,500.00 | — | 64% below | 75% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF, 1ST VEIN | $1,875.00 | $7,500.00 | — | — | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $360.00 | $1,440.00 | — | 48% below | 75% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM | $360.00 | $1,440.00 | — | — | 75% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE | $425.00 | $1,700.00 | — | 52% below | 75% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE | $425.00 | $1,700.00 | — | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INDUCED SPUTUM | $50.00 | $200.00 | — | 74% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI | $50.00 | $200.00 | — | 74% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER | $50.00 | $200.00 | — | 74% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT | $50.00 | $200.00 | — | 74% below | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT | $50.00 | $200.00 | — | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INDUCED SPUTUM | $50.00 | $200.00 | — | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI | $50.00 | $200.00 | — | — | 75% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER | $50.00 | $200.00 | — | — | 75% |
| Chemotherapy IV infusion, first hour CPT 96413 HC IV INF, CHEMO, SGL/INITIAL DRUG, TO 1 HR | $243.75 | $975.00 | — | 62% below | 75% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV INF, CHEMO, SGL/INITIAL DRUG, TO 1 HR | $243.75 | $975.00 | — | — | 75% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $1,137.50 | $4,550.00 | — | 45% below | 75% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES | $1,137.50 | $4,550.00 | — | — | 75% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD | $237.50 | $950.00 | — | 73% below | 75% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD | $237.50 | $950.00 | — | — | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD | $112.50 | $450.00 | — | 52% below | 75% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD | $112.50 | $450.00 | — | — | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1 | $130.00 | $520.00 | — | 42% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor one side CPT 99281 HC EMERGENCY DEPT VISIT LEFT BEFORE SEEING PROVIDER | $75.00 | $300.00 | — | 67% below | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1 | $130.00 | $520.00 | — | — | 75% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient one side CPT 99281 HC EMERGENCY DEPT VISIT LEFT BEFORE SEEING PROVIDER | $75.00 | $300.00 | — | — | 75% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2 | $222.50 | $890.00 | — | 44% below | 75% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2 | $222.50 | $890.00 | — | — | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 | $387.50 | $1,550.00 | — | 45% below | 75% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3 | $387.50 | $1,550.00 | — | — | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4 | $715.00 | $2,860.00 | — | 38% below | 75% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4 | $715.00 | $2,860.00 | — | — | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5 | $997.50 | $3,990.00 | — | 38% below | 75% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5 | $997.50 | $3,990.00 | — | — | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST EXERCISE/PHARM - TRACING ONLY | $537.50 | $2,150.00 | — | 44% below | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE | $537.50 | $2,150.00 | — | 44% below | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - ECHOCARDIOGRAM EXERCISE STRESS TEST | $537.50 | $2,150.00 | — | 44% below | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, PHARM | $537.50 | $2,150.00 | — | 44% below | 75% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE | $537.50 | $2,150.00 | — | 44% below | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE | $537.50 | $2,150.00 | — | — | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE | $537.50 | $2,150.00 | — | — | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, PHARM | $537.50 | $2,150.00 | — | — | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - ECHOCARDIOGRAM EXERCISE STRESS TEST | $537.50 | $2,150.00 | — | — | 75% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST EXERCISE/PHARM - TRACING ONLY | $537.50 | $2,150.00 | — | — | 75% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/ PT 50 MIN | $79.75 | $319.00 | — | 55% below | 75% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/ PT 50 MIN | $79.75 | $319.00 | — | — | 75% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY, VIRTUAL/IN-PERSON | $70.00 | $280.00 | — | 46% below | 75% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY, IOP/PHP | $80.00 | $320.00 | — | 38% below | 75% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY, VIRTUAL/IN-PERSON | $70.00 | $280.00 | — | — | 75% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY, IOP/PHP | $80.00 | $320.00 | — | — | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION, 30-60 MIN | $175.00 | $700.00 | — | 48% below | 75% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION, 30-60 MIN | $175.00 | $700.00 | — | — | 75% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR | $190.00 | $760.00 | — | 53% below | 75% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR | $190.00 | $760.00 | — | — | 75% |
| IV push of a medicine, first drug CPT 96374 HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG | $101.25 | $405.00 | — | 53% below | 75% |
| IV push of a medicine, first drug inpatient CPT 96374 HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG | $101.25 | $405.00 | — | — | 75% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM | $68.75 | $275.00 | — | 37% below | 75% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM | $68.75 | $275.00 | — | — | 75% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $750.00 | $3,000.00 | — | 3% above | 75% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB | $750.00 | $3,000.00 | — | — | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $32.50 | $130.00 | — | 73% below | 75% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $32.50 | $130.00 | — | 73% below | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $32.50 | $130.00 | — | — | 75% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN | $32.50 | $130.00 | — | — | 75% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM | $87.50 | $350.00 | — | 60% below | 75% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM | $87.50 | $350.00 | — | — | 75% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM | $100.00 | $400.00 | — | 66% below | 75% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM | $100.00 | $400.00 | — | — | 75% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM | $166.25 | $665.00 | — | 57% below | 75% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM | $166.25 | $665.00 | — | — | 75% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE OUTPATIENT NEW PT SF MDM | $73.75 | $295.00 | — | 58% below | 75% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE OUTPATIENT NEW PT SF MDM | $73.75 | $295.00 | — | — | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $18.75 | $75.00 | — | 65% below | 75% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN | $18.75 | $75.00 | — | — | 75% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $75.00 | $300.00 | — | 71% below | 75% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | $75.00 | $300.00 | — | — | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $106.25 | $425.00 | — | 69% below | 75% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | $106.25 | $425.00 | — | — | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $93.75 | $375.00 | — | 58% below | 75% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | $93.75 | $375.00 | — | — | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $100.00 | $400.00 | — | 67% below | 75% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | $100.00 | $400.00 | — | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $32.50 | $130.00 | — | 76% below | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $32.50 | $130.00 | — | 76% below | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $32.50 | $130.00 | — | — | 75% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN | $32.50 | $130.00 | — | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES | $32.50 | $130.00 | — | 71% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES | $32.50 | $130.00 | — | 71% below | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES | $32.50 | $130.00 | — | — | 75% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES | $32.50 | $130.00 | — | — | 75% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $18.75 | $75.00 | — | 54% below | 75% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $18.75 | $75.00 | — | — | 75% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM | $166.25 | $665.00 | — | 40% below | 75% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM | $166.25 | $665.00 | — | — | 75% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OUTPATIENT VISIT EST PT LOW LVL MDM | $87.50 | $350.00 | — | 43% below | 75% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OUTPATIENT VISIT EST PT LOW LVL MDM | $87.50 | $350.00 | — | — | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OUTPATIENT VISIT EST PT MOD LVL MDM | $112.50 | $450.00 | — | 39% below | 75% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OUTPATIENT VISIT EST PT MOD LVL MDM | $112.50 | $450.00 | — | — | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OUTPATIENT VISIT EST PT SF MDM | $80.00 | $320.00 | — | 36% below | 75% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OUTPATIENT VISIT EST PT SF MDM | $80.00 | $320.00 | — | — | 75% |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $95.00 | $380.00 | — | 73% below | 75% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | $95.00 | $380.00 | — | — | 75% |
| Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY, INDIVIDUAL | $85.00 | $340.00 | — | 50% below | 75% |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY, INDIVIDUAL | $85.00 | $340.00 | — | — | 75% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $72.50 | $290.00 | — | 76% below | 75% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST | $72.50 | $290.00 | — | — | 75% |
| Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM | $200.00 | $800.00 | — | 63% below | 75% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM | $200.00 | $800.00 | — | — | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $32.50 | $130.00 | — | 74% below | 75% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $32.50 | $130.00 | — | 74% below | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $32.50 | $130.00 | — | — | 75% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | $32.50 | $130.00 | — | — | 75% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE) | $58.75 | $235.00 | — | 73% below | 75% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE) | $58.75 | $235.00 | — | — | 75% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $89.97 | $359.90 | — | 26% below | 75% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $89.97 | $359.90 | — | — | 75% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSP | $250.95 | $1,003.80 | — | 3% above | 75% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY | $305.74 | $1,222.96 | — | 25% above | 75% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSP | $250.95 | $1,003.80 | — | — | 75% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY | $305.74 | $1,222.96 | — | — | 75% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $135.38 | $541.53 | — | 51% below | 75% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR | $135.38 | $541.53 | — | — | 75% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $99.34 | $397.37 | — | 57% above | 75% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP | $125.11 | $500.43 | — | 98% above | 75% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP | $99.34 | $397.37 | — | — | 75% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP | $125.11 | $500.43 | — | — | 75% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $95.52 | $382.10 | — | 40% below | 75% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY | $95.52 | $382.10 | — | — | 75% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR | $176.39 | $705.55 | — | 1% below | 75% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR | $176.39 | $705.55 | — | — | 75% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY | $102.83 | $411.31 | — | at median | 75% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 INFLUENZA VAC RECOMB HA (PF) 0.5 ML IM SOSY | $102.83 | $411.31 | — | — | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY (AFLURIA) | $67.85 | $271.39 | — | 90% above | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $72.95 | $291.81 | — | 104% above | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY (AFLURIA) | $67.85 | $271.39 | — | — | 75% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY | $72.95 | $291.81 | — | — | 75% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $211.64 | $846.57 | — | 4% above | 75% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY | $211.64 | $846.57 | — | — | 75% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $134.63 | $538.53 | — | 12% above | 75% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $143.75 | $575.00 | — | 19% above | 75% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 50 UNIT/ML IM SUSP | $134.63 | $538.53 | — | — | 75% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP | $143.75 | $575.00 | — | — | 75% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP | $108.58 | $434.31 | — | 31% above | 75% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP | $121.44 | $485.75 | — | 46% above | 75% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 25 UNIT/0.5ML IM SUSP | $108.58 | $434.31 | — | — | 75% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP | $121.44 | $485.75 | — | — | 75% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP (WRAPPED) | $89.52 | $358.06 | — | 17% below | 75% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP (WRAPPED) | $102.37 | $409.49 | — | 5% below | 75% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 10 MCG/ML IJ SUSP (WRAPPED) | $89.52 | $358.06 | — | — | 75% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP (WRAPPED) | $102.37 | $409.49 | — | — | 75% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY | $185.29 | $741.14 | — | 17% below | 75% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY | $185.29 | $741.14 | — | — | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSP (WRAPPED) | $86.87 | $347.50 | — | at median | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP | $91.61 | $366.43 | — | 5% above | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSP (WRAPPED) | $86.87 | $347.50 | — | — | 75% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP | $91.61 | $366.43 | — | — | 75% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP | $123.84 | $495.36 | — | 100% above | 75% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP | $123.84 | $495.36 | — | — | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR | $28.85 | $115.41 | — | 46% below | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR | $29.51 | $118.05 | — | 44% below | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR | $28.85 | $115.41 | — | — | 75% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR | $29.51 | $118.05 | — | — | 75% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $168.88 | $675.54 | — | 119% above | 75% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC HIGH-DOSE QUAD 0.7 ML IM SUSY | $168.88 | $675.54 | — | — | 75% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR | $175.38 | $701.54 | — | 10% below | 75% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $191.25 | $765.00 | — | 1% below | 75% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR | $175.38 | $701.54 | — | — | 75% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $191.25 | $765.00 | — | — | 75% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR | $194.78 | $779.11 | — | 53% below | 75% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR | $194.78 | $779.11 | — | — | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $79.77 | $319.08 | — | 68% below | 75% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN | $200.72 | $802.87 | — | 19% below | 75% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $79.77 | $319.08 | — | — | 75% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN | $200.72 | $802.87 | — | — | 75% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $236.36 | $945.45 | — | 7% below | 75% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $236.36 | $945.45 | — | — | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $237.39 | $949.58 | — | 34% below | 75% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $237.39 | $949.58 | — | — | 75% |
| Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL B VAC (RECOMB) IM SUSY | $226.48 | $905.92 | — | 28% below | 75% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL B VAC (RECOMB) IM SUSY | $226.48 | $905.92 | — | — | 75% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $296.35 | $1,185.38 | — | 18% below | 75% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $296.35 | $1,185.38 | — | — | 75% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOCCAL 15-VAL CONJ VACC 0.5 ML IM SUSY | $291.48 | $1,165.92 | — | 16% below | 75% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOCCAL 15-VAL CONJ VACC 0.5 ML IM SUSY | $291.48 | $1,165.92 | — | — | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $325.17 | $1,300.69 | — | 27% below | 75% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $325.17 | $1,300.69 | — | — | 75% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ (WRAPPED) | $181.93 | $727.74 | — | 3% below | 75% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ INJ (WRAPPED) | $181.93 | $727.74 | — | — | 75% |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ | $171.17 | $684.67 | — | 21% above | 75% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ INJ | $171.17 | $684.67 | — | — | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $252.11 | $1,008.42 | — | 67% below | 75% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $306.56 | $1,226.23 | — | 59% below | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR | $252.11 | $1,008.42 | — | — | 75% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $306.56 | $1,226.23 | — | — | 75% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $134.19 | $536.77 | — | 46% below | 75% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR | $134.19 | $536.77 | — | — | 75% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP | $101.84 | $407.36 | — | 32% above | 75% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $160.25 | $641.01 | — | 108% above | 75% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 2-2 LF/0.5ML IM SUSP | $101.84 | $407.36 | — | — | 75% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LFU IM INJ | $160.25 | $641.01 | — | — | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP (BOOSTRIX) VACCINE (AGE 7 OR GREATER) (WRAPPER) | $160.74 | $642.94 | — | 53% above | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $203.64 | $814.55 | — | 94% above | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP (BOOSTRIX) VACCINE (AGE 7 OR GREATER) (WRAPPER) | $160.74 | $642.94 | — | — | 75% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP | $203.64 | $814.55 | — | — | 75% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY | $188.36 | $753.43 | — | 10% below | 75% |
| Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOSY | $188.36 | $753.43 | — | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $28.75 | $115.00 | — | 50% below | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN, INFLUENZA | $28.75 | $115.00 | — | 50% below | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN, INFLUENZA | $28.75 | $115.00 | — | — | 75% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID | $28.75 | $115.00 | — | — | 75% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $11.25 | $45.00 | — | 71% below | 75% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL | $11.25 | $45.00 | — | — | 75% |
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://HospitalPriceDisclosure.com/download.aspx?pi=7YELd3vgV41QySG8iXnSqA*-*