UPMC Pinnacle Hospitals
UPMC Pinnacle Hospitals in Harrisburg, PA publishes cash prices for 392 common procedures listed here, from its own machine-readable price file updated Mar 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Pennsylvania median for 313 of 391 procedures and above it for 48. By typical cash price it ranks #32 of 108 Pennsylvania hospitals and #4 of 5 hospitals in the Harrisburg, PA area, cheapest first. Select a procedure to compare it with other hospitals nearby.
111 South Front Street, Harrisburg, PA 17101 Collected Sep 27, 2026 Source price file Check a bill from this hospital (717) 782-3131
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 390067 · CMS hospital register NPI 1407813603
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
UPMC Pinnacle Hospitals 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST MD | $318.00 | $530.00 | $106.00–$1,964.81 | 83% below | 40% |
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST | $1,424.40 | $2,374.00 | $146.06–$2,017.90 | 25% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST MD | $318.00 | $530.00 | $344.50–$450.50 | — | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST | $1,424.40 | $2,374.00 | $1,543.10–$2,017.90 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN 2 VIEWS | $262.80 | $438.00 | $21.59–$462.39 | 20% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN 2 VIEWS | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC ANKLE COMP MIN 3V - RT | $188.40 | $314.00 | $24.54–$266.90 | 48% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC ANKLE COMP MIN 3V - LT | $188.40 | $314.00 | $24.54–$266.90 | 48% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC ANKLE COMP MIN 3V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC ANKLE COMP MIN 3V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NI PHYS STDY EXT ART SNGL LVL | $328.20 | $547.00 | $48.61–$472.21 | 27% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NI PHYS STDY EXT ART SNGL LVL | $328.20 | $547.00 | $355.55–$464.95 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT UPPER EXT W/O CNTRST - LT | $876.00 | $1,460.00 | $103.54–$1,241.00 | 26% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT UPPER EXT W/O CNTRST - RT | $876.00 | $1,460.00 | $103.54–$1,241.00 | 26% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT UPPER EXT W/O CNTRST - RT | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT UPPER EXT W/O CNTRST - LT | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGUS INCL SCOUT/DELAY WHEN PERF SNGL CONTRAST | $427.80 | $713.00 | $29.48–$606.05 | 7% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGUS INCL SCOUT/DELAY WHEN PERF SNGL CONTRAST | $427.80 | $713.00 | $463.45–$606.05 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE WHLE BOD MD | $288.60 | $481.00 | $80.56–$1,034.79 | 77% below | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC ABSCESS LOC WHOLE BODY | $1,228.80 | $2,048.00 | $80.56–$1,740.80 | at median | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE WHOLE BOD | $1,228.80 | $2,048.00 | $80.56–$1,740.80 | at median | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE WHLE BOD MD | $288.60 | $481.00 | $312.65–$408.85 | — | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC ABSCESS LOC WHOLE BODY | $1,228.80 | $2,048.00 | $1,331.20–$1,740.80 | — | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE WHOLE BOD | $1,228.80 | $2,048.00 | $1,331.20–$1,740.80 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMP - LT | $394.20 | $657.00 | $69.99–$558.45 | 28% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMP - RT | $394.20 | $657.00 | $69.99–$558.45 | 28% below | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMP - LT | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMP - RT | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST MD | $72.00 | $120.00 | $24.00–$262.81 | 84% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIM - RT | $280.20 | $467.00 | $53.63–$396.95 | 39% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIM - LT | $280.20 | $467.00 | $53.63–$396.95 | 39% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LEFT LIM | $372.60 | $621.00 | $53.63–$527.85 | 19% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST MD | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIM - LT | $280.20 | $467.00 | $303.55–$396.95 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIM - RT | $280.20 | $467.00 | $303.55–$396.95 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LEFT LIM | $372.60 | $621.00 | $403.65–$527.85 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN/PELVIS W/WO CTR | $2,985.60 | $4,976.00 | $280.00–$4,229.60 | at median | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN/PELVIS W/WO CTR | $2,985.60 | $4,976.00 | $3,234.40–$4,229.60 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CONTRAST | $1,294.80 | $2,158.00 | $173.36–$1,897.71 | 24% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CONTRAST | $1,294.80 | $2,158.00 | $1,402.70–$1,834.30 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/WO CONTRAST | $1,294.80 | $2,158.00 | $173.36–$1,897.71 | 22% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W/WO CONTRAST | $1,294.80 | $2,158.00 | $1,402.70–$1,834.30 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST MD | $215.40 | $359.00 | $71.80–$2,181.13 | 89% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST | $466.80 | $778.00 | $155.60–$2,181.13 | 76% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W/WO CNTRST | $1,424.40 | $2,374.00 | $173.36–$2,181.13 | 26% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST MD | $215.40 | $359.00 | $233.35–$305.15 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST | $466.80 | $778.00 | $505.70–$661.30 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W/WO CNTRST | $1,424.40 | $2,374.00 | $1,543.10–$2,017.90 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE MD | $248.40 | $414.00 | $82.80–$2,035.42 | 87% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT W/3D IMAGE | $489.00 | $815.00 | $163.00–$2,035.42 | 75% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CARDIAC W/3D IMAGING | $1,424.40 | $2,374.00 | $271.26–$2,035.42 | 28% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE MD | $248.40 | $414.00 | $269.10–$351.90 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT W/3D IMAGE | $489.00 | $815.00 | $529.75–$692.75 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CARDIAC W/3D IMAGING | $1,424.40 | $2,374.00 | $1,543.10–$2,017.90 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CALCIUM SCORE SELFPAY | $59.40 | $99.00 | $19.80–$341.44 | 66% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CALCIUM SCORE | $127.20 | $212.00 | $42.40–$341.44 | 28% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CALCIUM SCORE SELFPAY | $59.40 | $99.00 | $64.35–$84.15 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CALCIUM SCORE | $127.20 | $212.00 | $137.80–$180.20 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN/PELVS W/O CNTRST MD | $322.80 | $538.00 | $107.60–$2,682.79 | 84% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN / PELVIS W/O CNTRST | $1,821.60 | $3,036.00 | $132.40–$2,682.79 | 12% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN/PELVS W/O CNTRST MD | $322.80 | $538.00 | $349.70–$457.30 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN / PELVIS W/O CNTRST | $1,821.60 | $3,036.00 | $1,973.40–$2,580.60 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN / PELVIS W/CNTRST | $2,985.60 | $4,976.00 | $252.48–$4,229.60 | at median | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN / PELVIS W/CNTRST | $2,985.60 | $4,976.00 | $3,234.40–$4,229.60 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN / PELVIS W/WO CON | $2,985.60 | $4,976.00 | $280.00–$4,601.97 | at median | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN / PELVIS W/WO CON | $2,985.60 | $4,976.00 | $3,234.40–$4,229.60 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST MD | $250.20 | $417.00 | $83.40–$1,623.69 | 85% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,424.40 | $2,374.00 | $117.90–$2,017.90 | 14% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST MD | $250.20 | $417.00 | $271.05–$354.45 | — | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,424.40 | $2,374.00 | $1,543.10–$2,017.90 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST MD | $272.40 | $454.00 | $90.80–$1,381.63 | 76% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $876.00 | $1,460.00 | $101.53–$1,381.63 | 22% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST MD | $272.40 | $454.00 | $295.10–$385.90 | — | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXOFACIAL W/O CONTRAST | $796.80 | $1,328.00 | $101.53–$1,194.31 | 29% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXOFACIAL W/O CONTRAST | $796.80 | $1,328.00 | $863.20–$1,128.80 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN W/O CONTRAST | $796.80 | $1,328.00 | $101.53–$1,132.12 | 26% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN W/O CONTRAST | $796.80 | $1,328.00 | $863.20–$1,128.80 | — | 40% |
| CT scan of the head with contrast CPT 70460 HC CT BRAIN W/CONTRAST | $1,294.80 | $2,158.00 | $104.80–$1,834.30 | 4% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN W/CONTRAST | $1,294.80 | $2,158.00 | $1,402.70–$1,834.30 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 HC CT BRAIN W/WO CONTRAST | $1,294.80 | $2,158.00 | $131.00–$1,834.30 | 23% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN W/WO CONTRAST | $1,294.80 | $2,158.00 | $1,402.70–$1,834.30 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR W/O CNTRST | $876.00 | $1,460.00 | $103.55–$1,420.12 | 24% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR W/O CNTRST | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL W/O CONTRAST | $796.80 | $1,328.00 | $103.55–$1,420.12 | 32% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL W/O CONTRAST | $796.80 | $1,328.00 | $863.20–$1,128.80 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST MD | $224.40 | $374.00 | $74.80–$1,592.56 | 87% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $1,424.40 | $2,374.00 | $113.31–$2,017.90 | 16% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST MD | $224.40 | $374.00 | $243.10–$317.90 | — | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $1,424.40 | $2,374.00 | $1,543.10–$2,017.90 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC US DUPLEX CAROTID ART COMP | $488.40 | $814.00 | $156.34–$1,003.92 | 40% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC US DUPLEX CAROTID ART COMP | $488.40 | $814.00 | $529.10–$691.90 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 HC CT CHEST W/WO CONTRAST | $1,424.40 | $2,374.00 | $135.59–$2,023.08 | 11% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT CHEST W/WO CONTRAST | $1,424.40 | $2,374.00 | $1,543.10–$2,017.90 | — | 40% |
| Chest X-ray, 2 views CPT 71046 HC XRAY CHEST 2 VIEWS | $153.00 | $255.00 | $19.45–$216.75 | 53% below | 40% |
| Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS | $188.40 | $314.00 | $19.45–$266.90 | 42% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC XRAY CHEST 2 VIEWS | $153.00 | $255.00 | $165.75–$216.75 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Chest X-ray, single view CPT 71045 HC X-RAY EXAM; CHEST 1 VIEW | $153.00 | $255.00 | $10.62–$216.75 | 19% below | 40% |
| Chest X-ray, single view CPT 71045 HC CHEST 1 VIEW | $188.40 | $314.00 | $10.62–$266.90 | at median | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM; CHEST 1 VIEW | $153.00 | $255.00 | $165.75–$216.75 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC CHEST 1 VIEW | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE - LT | $188.40 | $314.00 | $15.06–$266.90 | 34% below | 40% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE - RT | $188.40 | $314.00 | $15.06–$266.90 | 34% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US ABDOMN/BACK WALL MD | $170.40 | $284.00 | $56.80–$573.46 | 77% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMP | $394.20 | $657.00 | $64.19–$573.46 | 46% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US ABDOMN/BACK WALL MD | $170.40 | $284.00 | $184.60–$241.40 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMP | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA AXIAL | $262.80 | $438.00 | $68.04–$530.63 | 3% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA AXIAL | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA APPENDICULAR | $188.40 | $314.00 | $23.16–$266.90 | 4% above | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA APPENDICULAR | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB DETAILED SINGLE FETUS | $819.60 | $1,366.00 | $119.76–$1,479.53 | 35% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB DETAILED SINGLE FETUS | $819.60 | $1,366.00 | $887.90–$1,161.10 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST MD | $148.80 | $248.00 | $49.60–$1,420.12 | 86% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT CHEST W/O CONTRAST | $876.00 | $1,460.00 | $103.55–$1,420.12 | 20% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST MD | $148.80 | $248.00 | $161.20–$210.80 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT CHEST W/O CONTRAST | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/CONTRAST MD | $280.20 | $467.00 | $93.40–$1,658.59 | 80% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT CHEST W/CONTRAST | $1,424.40 | $2,374.00 | $114.62–$2,017.90 | at median | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/CONTRAST MD | $280.20 | $467.00 | $303.55–$396.95 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT CHEST W/CONTRAST | $1,424.40 | $2,374.00 | $1,543.10–$2,017.90 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC BILAT DIGITAL MAMMOGRAPHY | $310.20 | $517.00 | $103.40–$675.02 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC BI DIAG MAMMO BILAT W/CAD | $310.20 | $517.00 | $103.40–$675.02 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC BI DIAG MAMMO BILAT W/CAD | $310.20 | $517.00 | $336.05–$439.45 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC BILAT DIGITAL MAMMOGRAPHY | $310.20 | $517.00 | $336.05–$439.45 | — | 40% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG MD | $85.20 | $142.00 | $28.40–$455.87 | 73% below | 40% |
| Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG UNIL | $349.80 | $583.00 | $93.02–$495.55 | 10% above | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIGITAL MAMMO - LT | $243.60 | $406.00 | $81.20–$455.87 | 23% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DIGITAL MAMMO - RT | $243.60 | $406.00 | $81.20–$455.87 | 23% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC UNI DIAG MAMMO RIGHT W/CAD | $243.60 | $406.00 | $81.20–$455.87 | 23% below | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 HC UNI DIAG MAMMO LEFT W/CAD | $243.60 | $406.00 | $81.20–$455.87 | 23% below | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG MD | $85.20 | $142.00 | $92.30–$120.70 | — | 40% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPH DIG UNIL | $349.80 | $583.00 | $378.95–$495.55 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC UNI DIAG MAMMO RIGHT W/CAD | $243.60 | $406.00 | $263.90–$345.10 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIGITAL MAMMO - RT | $243.60 | $406.00 | $263.90–$345.10 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC UNI DIAG MAMMO LEFT W/CAD | $243.60 | $406.00 | $263.90–$345.10 | — | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIGITAL MAMMO - LT | $243.60 | $406.00 | $263.90–$345.10 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC US DUPLEX LOW EXT ART COMP MD | $85.20 | $142.00 | $28.40–$889.90 | 90% below | 40% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 HC US DUPLEX LOW EXT ART COMP | $129.00 | $215.00 | $43.00–$889.90 | 84% below | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC US DUPLEX LOW EXT ART COMP MD | $85.20 | $142.00 | $92.30–$120.70 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HC US DUPLEX LOW EXT ART COMP | $129.00 | $215.00 | $139.75–$182.75 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC US DUPLEX UP EXT VENOUS COMP | $819.60 | $1,366.00 | $149.60–$1,161.10 | 6% below | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 HC US DUPLEX LOW EXT VENOUS COMP | $819.60 | $1,366.00 | $149.60–$1,161.10 | 6% below | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC US DUPLEX LOW EXT VENOUS COMP | $819.60 | $1,366.00 | $887.90–$1,161.10 | — | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC US DUPLEX UP EXT VENOUS COMP | $819.60 | $1,366.00 | $887.90–$1,161.10 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ADULT ECHO COMPLETE MD | $210.60 | $351.00 | $70.20–$2,996.70 | 89% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC PED ECHO COMPLETE | $1,737.60 | $2,896.00 | $128.56–$2,996.70 | 7% below | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ADULT ECHO COMPLETE | $2,311.20 | $3,852.00 | $128.56–$3,274.20 | 23% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ADULT ECHO COMPLETE MD | $210.60 | $351.00 | $228.15–$298.35 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC PED ECHO COMPLETE | $1,737.60 | $2,896.00 | $1,882.40–$2,461.60 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ADULT ECHO COMPLETE | $2,311.20 | $3,852.00 | $2,503.80–$3,274.20 | — | 40% |
| Elbow X-ray, 2 views one side CPT 73070 HC ELBOW 2 VIEWS - RT | $188.40 | $314.00 | $15.06–$266.90 | 38% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 HC ELBOW 2 VIEWS - LT | $188.40 | $314.00 | $15.06–$266.90 | 38% below | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC ELBOW 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC ELBOW 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC ELBOW COMP MIN 3V - RT | $188.40 | $314.00 | $15.06–$266.90 | 45% below | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC ELBOW COMP MIN 3V - LT | $188.40 | $314.00 | $15.06–$266.90 | 45% below | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC ELBOW COMP MIN 3V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC ELBOW COMP MIN 3V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORB/SELLA/EAR W/O CONTRAST | $796.80 | $1,328.00 | $103.55–$1,234.36 | 27% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORB/SELLA/EAR W/O CONTRAST | $796.80 | $1,328.00 | $863.20–$1,128.80 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMP MIN 3V | $262.80 | $438.00 | $29.48–$372.30 | 36% below | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMP MIN 3V | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC FOREARM 2 VIEWS - RT | $188.40 | $314.00 | $15.06–$266.90 | 33% below | 40% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC FOREARM 2 VIEWS - LT | $188.40 | $314.00 | $15.06–$266.90 | 33% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC FOREARM 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC FOREARM 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPAT DUC SYS MD | $163.80 | $273.00 | $54.60–$1,376.91 | 87% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPAT DUC SYS | $1,228.80 | $2,048.00 | $280.96–$1,740.80 | at median | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY/GB NO PHARM | $1,228.80 | $2,048.00 | $280.96–$1,740.80 | at median | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPAT DUC SYS MD | $163.80 | $273.00 | $177.45–$232.05 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY/GB NO PHARM | $1,228.80 | $2,048.00 | $1,331.20–$1,740.80 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPAT DUC SYS | $1,228.80 | $2,048.00 | $1,331.20–$1,740.80 | — | 40% |
| Hand X-ray, 2 views one side CPT 73120 HC HAND 2 VIEWS - RT | $262.80 | $438.00 | $13.10–$372.30 | 6% below | 40% |
| Hand X-ray, 2 views one side CPT 73120 HC HAND 2 VIEWS - LT | $262.80 | $438.00 | $13.10–$372.30 | 6% below | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND 2 VIEWS - LT | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC HAND 2 VIEWS - RT | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC CALCANEUS MIN 2V - LT | $188.40 | $314.00 | $15.06–$266.90 | 29% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC CALCANEUS MIN 2V - RT | $188.40 | $314.00 | $15.06–$266.90 | 29% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC CALCANEUS MIN 2V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC CALCANEUS MIN 2V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC KNEE 3 VIEWS - RT | $188.40 | $314.00 | $21.61–$266.90 | 53% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 HC KNEE 3 VIEWS - LT | $188.40 | $314.00 | $21.61–$266.90 | 53% below | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC KNEE 3 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC KNEE 3 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC KNEE COMP MIN 4 VIEWS - LT | $262.80 | $438.00 | $29.37–$372.30 | 40% below | 40% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC KNEE COMP MIN 4 VIEWS - RT | $262.80 | $438.00 | $29.37–$372.30 | 40% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC KNEE COMP MIN 4 VIEWS - LT | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC KNEE COMP MIN 4 VIEWS - RT | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT LOW EXT W/O CONT - RT | $876.00 | $1,460.00 | $103.54–$1,241.00 | 17% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT LOW EXT W/O CONT - LT | $876.00 | $1,460.00 | $103.54–$1,241.00 | 17% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT LOW EXT W/O CONT - LT | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT LOW EXT W/O CONT - RT | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED MD | $134.40 | $224.00 | $44.80–$428.81 | 78% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED | $394.20 | $657.00 | $49.12–$558.45 | 35% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED MD | $134.40 | $224.00 | $145.60–$190.40 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US JOINT OR OTHER NON VASC EXT LIMITED | $394.20 | $657.00 | $10.28–$558.45 | at median | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US JOINT OR OTHER NON VASC EXT LIMITED | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT CHEST LOW DOSE LUNG CA SCREEN | $190.20 | $317.00 | $63.40–$471.07 | 52% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT CHEST LOW DOSE LUNG CA SCREEN | $190.20 | $317.00 | $206.05–$269.45 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC TIBIA FIBULA 2 VIEWS - LT | $188.40 | $314.00 | $21.61–$266.90 | 44% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC TIBIA FIBULA 2 VIEWS - RT | $188.40 | $314.00 | $21.61–$266.90 | 44% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC TIBIA FIBULA 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC TIBIA FIBULA 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST MD | $285.00 | $475.00 | $95.00–$2,003.06 | 84% below | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST | $1,741.80 | $2,903.00 | $235.40–$2,467.55 | 3% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST MD | $285.00 | $475.00 | $308.75–$403.75 | — | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST | $1,741.80 | $2,903.00 | $1,886.95–$2,467.55 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI LOW EXT JT W/O CNTRST - RT | $1,656.00 | $2,760.00 | $352.39–$2,348.09 | 19% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI LOW EXT JT W/O CNTRST - LT | $1,656.00 | $2,760.00 | $352.39–$2,348.09 | 19% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI LOW EXT JT W/O CNTRST - RT | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI LOW EXT JT W/O CNTRST - LT | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI LOW EXT JT W/WO CNTRST - LT | $2,713.80 | $4,523.00 | $618.88–$4,391.77 | 23% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI LOW EXT JT W/WO CNTRST - RT | $2,713.80 | $4,523.00 | $618.88–$4,391.77 | 23% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI LOW EXT JT W/WO CNTRST - LT | $2,713.80 | $4,523.00 | $2,939.95–$3,844.55 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI LOW EXT JT W/WO CNTRST - RT | $2,713.80 | $4,523.00 | $2,939.95–$3,844.55 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST MD | $266.40 | $444.00 | $88.80–$2,528.79 | 87% below | 40% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $1,656.00 | $2,760.00 | $235.40–$2,528.79 | 16% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST MD | $266.40 | $444.00 | $288.60–$377.40 | — | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST MD | $520.20 | $867.00 | $173.40–$4,400.43 | 85% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $2,713.80 | $4,523.00 | $347.79–$4,400.43 | 23% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST MD | $520.20 | $867.00 | $563.55–$736.95 | — | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $2,713.80 | $4,523.00 | $2,939.95–$3,844.55 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $1,741.80 | $2,903.00 | $235.40–$2,494.05 | 4% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $1,741.80 | $2,903.00 | $1,886.95–$2,467.55 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/Wo Contrast | $2,854.80 | $4,758.00 | $347.79–$5,287.54 | 2% below | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/Wo Contrast | $2,854.80 | $4,758.00 | $3,092.70–$4,044.30 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar W/O Contrast | $1,656.00 | $2,760.00 | $235.40–$2,723.62 | 7% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar W/O Contrast | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar W/Wo Contrast | $2,713.80 | $4,523.00 | $347.79–$5,287.54 | 17% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumbar W/Wo Contrast | $2,713.80 | $4,523.00 | $2,939.95–$3,844.55 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Sp W/O Contrast | $1,656.00 | $2,760.00 | $235.40–$2,758.27 | 20% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Sp W/O Contrast | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cervical W/Wo Contrast | $2,854.80 | $4,758.00 | $347.79–$5,341.97 | 2% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cervical W/Wo Contrast | $2,854.80 | $4,758.00 | $3,092.70–$4,044.30 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical W/O Contrast | $1,741.80 | $2,903.00 | $235.40–$2,528.79 | 1% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Cervical W/O Contrast | $1,741.80 | $2,903.00 | $1,886.95–$2,467.55 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONTRAST | $2,713.80 | $4,523.00 | $347.79–$4,400.43 | 23% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CONTRAST | $2,713.80 | $4,523.00 | $2,939.95–$3,844.55 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRST MD | $552.60 | $921.00 | $184.20–$1,985.73 | 72% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST | $1,656.00 | $2,760.00 | $235.40–$2,346.00 | 15% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRST MD | $552.60 | $921.00 | $598.65–$782.85 | — | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI UP EXT JT W/O CNTRST - RT | $1,656.00 | $2,760.00 | $352.39–$2,348.09 | 22% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI UP EXT JT W/O CNTRST - LT | $1,656.00 | $2,760.00 | $352.39–$2,348.09 | 22% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI UP EXT JT W/O CNTRST - RT | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI UP EXT JT W/O CNTRST - LT | $1,656.00 | $2,760.00 | $1,794.00–$2,346.00 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC CERVICAL SPINE 4 OR 5 VWS | $262.80 | $438.00 | $34.72–$372.30 | 40% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC CERVICAL SPINE 4 OR 5 VWS | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT SFT TIS NECK W/CONTRAST | $1,294.80 | $2,158.00 | $108.08–$1,834.30 | 4% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SFT TIS NECK W/CONTRAST | $1,294.80 | $2,158.00 | $1,402.70–$1,834.30 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SFT TIS NECK W/O CONTRAST MD | $133.80 | $223.00 | $44.60–$1,234.36 | 88% below | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT SFT TIS NECK W/O CONTRAST | $796.80 | $1,328.00 | $103.49–$1,234.36 | 26% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SFT TIS NECK W/O CONTRAST MD | $133.80 | $223.00 | $144.95–$189.55 | — | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SFT TIS NECK W/O CONTRAST | $796.80 | $1,328.00 | $863.20–$1,128.80 | — | 40% |
| Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE | $188.40 | $314.00 | $13.10–$266.90 | 33% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD PRF SPCT MULTI INCL MD | $363.00 | $605.00 | $121.00–$2,469.32 | 91% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD PRF SPCT MULT INCL | $4,242.60 | $7,071.00 | $364.63–$6,010.35 | 8% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD PRF SPCT MULTI INCL MD | $363.00 | $605.00 | $393.25–$514.25 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD PRF SPCT MULT INCL | $4,242.60 | $7,071.00 | $4,596.15–$6,010.35 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST MD | $175.80 | $293.00 | $58.60–$1,399.77 | 84% below | 40% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST | $876.00 | $1,460.00 | $88.42–$1,399.77 | 20% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST MD | $175.80 | $293.00 | $190.45–$249.05 | — | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVS MD | $213.00 | $355.00 | $24.89–$302.95 | 52% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS LIMITED | $394.20 | $657.00 | $24.89–$558.45 | 12% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVS MD | $213.00 | $355.00 | $230.75–$301.75 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS LIMITED | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US EXAM OF PELVIS MD | $279.00 | $465.00 | $60.91–$478.58 | 52% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS COMPLETE | $394.20 | $657.00 | $60.91–$558.45 | 32% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US EXAM OF PELVIS MD | $279.00 | $465.00 | $302.25–$395.25 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS COMPLETE | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/=14 WKS SINGLE FETUS | $394.20 | $657.00 | $60.91–$666.87 | 36% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB >/=14 WKS SINGLE FETUS | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB <14 WKS SINGLE FETUS | $394.20 | $657.00 | $50.29–$623.23 | 30% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US OB <14 WKS SINGLE FETUS | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED ONE/MORE FETUSES | $394.20 | $657.00 | $51.09–$558.45 | 26% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED ONE/MORE FETUSES | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS - LT | $188.40 | $314.00 | $21.61–$266.90 | 44% below | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS - RT | $188.40 | $314.00 | $21.61–$266.90 | 44% below | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS UNILATERAL 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILAT W/ PA CHEST - RT | $262.80 | $438.00 | $21.61–$372.30 | 36% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS UNILAT W/ PA CHEST - LT | $262.80 | $438.00 | $21.61–$372.30 | 36% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILAT W/ PA CHEST - LT | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS UNILAT W/ PA CHEST - RT | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO BILAT W/CAD | $257.40 | $429.00 | $85.80–$551.43 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO RIGHT W/CAD | $257.40 | $429.00 | $85.80–$551.43 | — | 40% |
| Screening mammogram, both breasts both sides CPT 77067 HC BI SCRN MAMMO LEFT W/CAD | $257.40 | $429.00 | $85.80–$551.43 | — | 40% |
| Screening mammogram, both breasts CPT 77067 HC SCREENING DIG MAMMOGRAPHY MD | $116.40 | $194.00 | $38.80–$551.43 | 55% below | 40% |
| Screening mammogram, both breasts CPT 77067 HC SCREENING DIGITAL MAMMO W/IMPL | $257.40 | $429.00 | $85.80–$551.43 | at median | 40% |
| Screening mammogram, both breasts CPT 77067 HC SCREENING DIG MAMMOGRAPHY | $257.40 | $429.00 | $85.80–$551.43 | at median | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO BILAT W/CAD | $257.40 | $429.00 | $278.85–$364.65 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO RIGHT W/CAD | $257.40 | $429.00 | $278.85–$364.65 | — | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC BI SCRN MAMMO LEFT W/CAD | $257.40 | $429.00 | $278.85–$364.65 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIG MAMMOGRAPHY MD | $116.40 | $194.00 | $126.10–$164.90 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIG MAMMOGRAPHY | $257.40 | $429.00 | $278.85–$364.65 | — | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREENING DIGITAL MAMMO W/IMPL | $257.40 | $429.00 | $278.85–$364.65 | — | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER COMP MIN 2V - LT | $188.40 | $314.00 | $21.61–$266.90 | 44% below | 40% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC SHOULDER COMP MIN 2V - RT | $188.40 | $314.00 | $21.61–$266.90 | 44% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER COMP MIN 2V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC SHOULDER COMP MIN 2V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES COMP MIN 3V | $188.40 | $314.00 | $29.48–$266.90 | 56% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES COMP MIN 3V | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 HC SKULL < 4 VIEWS | $262.80 | $438.00 | $27.51–$372.30 | 26% below | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL < 4 VIEWS | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/ CONT ECG MONITR MD | $268.80 | $448.00 | $89.60–$3,054.40 | 85% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO W/ CONT ECG MONITR | $1,793.40 | $2,989.00 | $156.17–$3,054.40 | 2% below | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/ CONT ECG MONITR MD | $268.80 | $448.00 | $291.20–$380.80 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO W/ CONT ECG MONITR | $1,793.40 | $2,989.00 | $1,942.85–$2,540.65 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOW FUNC W/VIDEO INCL SCOUT/DELAY WHEN PERF | $427.80 | $713.00 | $36.68–$606.05 | 28% below | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOW FUNC W/VIDEO INCL SCOUT/DELAY WHEN PERF | $427.80 | $713.00 | $463.45–$606.05 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC FEMUR MIN 2VIEWS - RT | $188.40 | $314.00 | $22.34–$266.90 | 53% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC FEMUR MIN 2VIEWS - LT | $188.40 | $314.00 | $22.34–$266.90 | 53% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC FEMUR MIN 2VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC FEMUR MIN 2VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC W/O CNTRST | $876.00 | $1,460.00 | $103.55–$1,420.12 | 25% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC W/O CNTRST | $876.00 | $1,460.00 | $949.00–$1,241.00 | — | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 HC TOE(S) MIN 2V - RT | $188.40 | $314.00 | $11.79–$266.90 | 33% below | 40% |
| Toe X-ray, 2 or more views one side CPT 73660 HC TOE(S) MIN 2V - LT | $188.40 | $314.00 | $11.79–$266.90 | 33% below | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC TOE(S) MIN 2V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC TOE(S) MIN 2V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL MD | $73.80 | $123.00 | $24.60–$478.58 | 87% below | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $394.20 | $657.00 | $60.91–$558.45 | 30% below | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL MD | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL | $394.20 | $657.00 | $69.47–$608.03 | 29% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE MD | $183.60 | $306.00 | $61.20–$591.35 | 77% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $394.20 | $657.00 | $75.33–$591.35 | 50% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE MD | $183.60 | $306.00 | $198.90–$260.10 | — | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM MD | $103.20 | $172.00 | $34.40–$461.82 | 83% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM | $394.20 | $657.00 | $57.64–$558.45 | 36% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM MD | $103.20 | $172.00 | $111.80–$146.20 | — | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID / NECK MD | $107.40 | $179.00 | $35.80–$421.70 | 81% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID / NECK | $394.20 | $657.00 | $66.78–$558.45 | 31% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US THYROID / NECK MD | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US THYROID / NECK | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI INCL SCOUT/DELAY WHEN PERF SNGL CONTRAST | $427.80 | $713.00 | $51.09–$606.05 | 32% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI INCL SCOUT/DELAY WHEN PERF SNGL CONTRAST | $427.80 | $713.00 | $463.45–$606.05 | — | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC HUMERUS MIN 2V - RT | $188.40 | $314.00 | $15.06–$266.90 | 32% below | 40% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC HUMERUS MIN 2V - LT | $188.40 | $314.00 | $15.06–$266.90 | 32% below | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC HUMERUS MIN 2V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC HUMERUS MIN 2V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXT VEINS; UNIL/LIM MD | $198.60 | $331.00 | $66.20–$658.39 | 69% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US DUP UPP EXT VENOUS UNI/LMTD | $394.20 | $657.00 | $102.97–$658.39 | 38% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US DUP LOW EXT VENOUS UNI/LMTD | $394.20 | $657.00 | $102.97–$658.39 | 38% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX UP EXT VENOUS - RT | $394.20 | $657.00 | $102.97–$658.39 | 38% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX LOW EXT VENOUS - RT | $394.20 | $657.00 | $102.97–$658.39 | 38% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US DUPLEX LOW EXT VENOUS - LT | $394.20 | $657.00 | $102.97–$658.39 | 38% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXT VEINS; UNIL/LIM MD | $198.60 | $331.00 | $215.15–$281.35 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC US DUP LOW EXT VENOUS UNI/LMTD | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC US DUP UPP EXT VENOUS UNI/LMTD | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX UP EXT VENOUS - RT | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX LOW EXT VENOUS - RT | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US DUPLEX LOW EXT VENOUS - LT | $394.20 | $657.00 | $427.05–$558.45 | — | 40% |
| Wrist X-ray, 2 views one side CPT 73100 HC WRIST 2 VIEWS - LT | $188.40 | $314.00 | $15.06–$266.90 | 31% below | 40% |
| Wrist X-ray, 2 views one side CPT 73100 HC WRIST 2 VIEWS - RT | $188.40 | $314.00 | $15.06–$266.90 | 31% below | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC WRIST 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST COMP MIN 3V - RT | $188.40 | $314.00 | $15.06–$266.90 | 41% below | 40% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC WRIST COMP MIN 3V - LT | $188.40 | $314.00 | $15.06–$266.90 | 41% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST COMP MIN 3V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC WRIST COMP MIN 3V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP 2-3V W/WO PELVIS - LT | $188.40 | $314.00 | $29.29–$266.90 | 47% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP 2-3V W/WO PELVIS - RT | $188.40 | $314.00 | $29.29–$266.90 | 47% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP 2-3V W/WO PELVIS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP 2-3V W/WO PELVIS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC ABD SGL AP VN | $153.00 | $255.00 | $18.04–$236.99 | 45% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW | $188.40 | $314.00 | $18.04–$266.90 | 33% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABD SGL AP VN | $153.00 | $255.00 | $165.75–$216.75 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE 2 VIEWS - RT | $188.40 | $314.00 | $15.06–$266.90 | 44% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 HC ANKLE 2 VIEWS - LT | $188.40 | $314.00 | $15.06–$266.90 | 44% below | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC ANKLE 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER(S) - LT | $188.40 | $314.00 | $11.79–$266.90 | 22% below | 40% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC FINGER(S) - RT | $188.40 | $314.00 | $11.79–$266.90 | 22% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER(S) - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC FINGER(S) - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT 2 VIEWS - RT | $188.40 | $314.00 | $13.10–$266.90 | 42% below | 40% |
| X-ray of the foot, 2 views one side CPT 73620 HC FOOT 2 VIEWS - LT | $188.40 | $314.00 | $13.10–$266.90 | 42% below | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC FOOT 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT COMP MIN 3V - LT | $188.40 | $314.00 | $15.06–$266.90 | 48% below | 40% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC FOOT COMP MIN 3V - RT | $188.40 | $314.00 | $15.06–$266.90 | 48% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT COMP MIN 3V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC FOOT COMP MIN 3V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND MIN 3V - RT | $188.40 | $314.00 | $15.06–$266.90 | 37% below | 40% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC HAND MIN 3V - LT | $188.40 | $314.00 | $15.06–$266.90 | 37% below | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND MIN 3V - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC HAND MIN 3V - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC KNEE 1 OR 2 VIEWS - RT | $188.40 | $314.00 | $21.61–$266.90 | 33% below | 40% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC KNEE 1 OR 2 VIEWS - LT | $188.40 | $314.00 | $21.61–$266.90 | 33% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC KNEE 1 OR 2 VIEWS - LT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC KNEE 1 OR 2 VIEWS - RT | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC LUMBAR SPINE 2 0R 3 VIEWS | $262.80 | $438.00 | $29.48–$372.30 | 28% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY EXAM OF LOWER SPINE 2-3 VIEWS | $272.40 | $454.00 | $29.48–$385.90 | 25% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC LUMBAR SPINE 2 0R 3 VIEWS | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY EXAM OF LOWER SPINE 2-3 VIEWS | $272.40 | $454.00 | $295.10–$385.90 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS MD | $46.20 | $77.00 | $15.40–$256.78 | 90% below | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS | $262.80 | $438.00 | $29.48–$372.30 | 42% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS MD | $46.20 | $77.00 | $50.05–$65.45 | — | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBAR SPINE MIN 4 VIEWS | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC THORACIC SPINE 2 VIEWS | $262.80 | $438.00 | $26.45–$372.30 | 28% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC THORACIC SPINE 2 VIEWS | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES MIN 3 VIEWS | $188.40 | $314.00 | $15.06–$266.90 | 31% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES MIN 3 VIEWS | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC CERVICAL SPINE 3 VWS OR LESS | $188.40 | $314.00 | $21.61–$266.90 | 43% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC CERVICAL SPINE 3 VWS OR LESS | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 0R 2 VIEWS | $262.80 | $438.00 | $13.10–$372.30 | 10% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 0R 2 VIEWS | $262.80 | $438.00 | $284.70–$372.30 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM COCCYX MIN 2V | $188.40 | $314.00 | $21.61–$266.90 | 44% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM COCCYX MIN 2V | $188.40 | $314.00 | $204.10–$266.90 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH | $195.00 | $325.00 | $38.23–$298.42 | 12% below | 40% |
| ACTH blood test inpatient CPT 82024 HC ACTH | $195.00 | $325.00 | $211.25–$276.25 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT) | $27.00 | $45.00 | $5.25–$40.42 | 26% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT) | $27.00 | $45.00 | $29.25–$38.25 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT(AST) | $25.80 | $43.00 | $5.13–$39.98 | 29% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT(AST) | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $310.20 | $517.00 | $47.15–$505.38 | at median | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $310.20 | $517.00 | $336.05–$439.45 | — | 40% |
| Albumin blood test CPT 82040 HC CSF IGG INDEX & RATE - A | $25.20 | $42.00 | $3.65–$38.27 | 21% below | 40% |
| Albumin blood test CPT 82040 HC MULTIPLE SCLEROSIS PROFILE - A | $25.20 | $42.00 | $3.65–$38.27 | 21% below | 40% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM | $25.20 | $42.00 | $3.65–$38.27 | 21% below | 40% |
| Albumin blood test CPT 82040 HC TESTOS,FREE,BIOAVAIL,TOT LC/MS/MS-A | $25.20 | $42.00 | $3.65–$38.27 | 21% below | 40% |
| Albumin blood test CPT 82040 HC B. BURGDORFERI AB INDEX A | $25.20 | $42.00 | $3.65–$38.27 | 21% below | 40% |
| Albumin blood test inpatient CPT 82040 HC MULTIPLE SCLEROSIS PROFILE - A | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Albumin blood test inpatient CPT 82040 HC CSF IGG INDEX & RATE - A | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Albumin blood test inpatient CPT 82040 HC B. BURGDORFERI AB INDEX A | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Albumin blood test inpatient CPT 82040 HC TESTOS,FREE,BIOAVAIL,TOT LC/MS/MS-A | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE | $205.80 | $343.00 | $26.00–$314.92 | 1% below | 40% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE | $205.80 | $343.00 | $26.00–$314.92 | 1% below | 40% |
| Aldosterone blood test CPT 82088 HC ALDOSTERN/PLSM RENIN ACTVTY A | $205.80 | $343.00 | $26.00–$314.92 | 1% below | 40% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERN/PLSM RENIN ACTVTY A | $205.80 | $343.00 | $222.95–$291.55 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE | $205.80 | $343.00 | $222.95–$291.55 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE URINE | $205.80 | $343.00 | $222.95–$291.55 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE | $25.80 | $43.00 | $5.13–$39.98 | 29% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS, BONE SPECIFIC | $25.80 | $43.00 | $5.13–$39.98 | 29% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE FRACTN A | $25.80 | $43.00 | $5.13–$39.98 | 29% below | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE FRACTN A | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS, BONE SPECIFIC | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 V | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 U | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 T | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 S | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 R | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 Q | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 P | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 O | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 N | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 M | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 L | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 K | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 J | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 I | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 H | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 G | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 U | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 T | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 S | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 R | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 Q | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 P | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 O | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 N | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 M | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 L | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 K | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 J | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 I | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 H | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 G | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IZ | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IY | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IX | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IW | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IV | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IU | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION I U | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION I T | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION I S | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION I R | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION I Q | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE O | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE N | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE M | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC YEAST (F45) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TOMATO (F25) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TEA (RF222) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC STRAWBERRY (F44) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RYE (F5) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ORANGE (F33) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC OAT (F7) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC KIWI FRUIT (F84) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CORN (F8) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COCONUT (F36) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COCOA (F93) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CELERY (F85) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MELON (F87) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BARLEY (F6) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC APPLE (F49) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CLAM (F207) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BLUE MUSSEL (F37) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SHRIMP (F24) | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC LOBSTER (F80) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CRAB (F23) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SALMON (F41) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TUNA (F40) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CODFISH (F3) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TURKEY MEAT (F284) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PORK (F26) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICKEN MEAT (F83) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BEEF (F27) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WALNUT (F256) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PISTACHIO (F203) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PECAN NUT (F201) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HAZELNUT (F17) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CASHEW NUT (F202) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BRAZIL NUT (F18) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALMOND (F20) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WHEAT (F4) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SOYBEAN (F14) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COW'S MILK (F2) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EGG YOLK (F75) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EGG WHITE (F1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SWEET VERNAL GRASS (G1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PERENNIAL RYE GRASS (G5) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MEADOW FESCUE (G4) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC JOHNSON GRASS (G10) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CULTIVATED WHEAT (G15) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CULTIVATED RYE GRASS (G12) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BERMUDA GRASS (G2) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RED TOP GRASS (G9) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BAHIA GRASS (G17) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC JUNE GRASS (KENTUCKY BLUE) (G8) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TIMOTHY GRASS (G6) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ORCHARD GRASS (COCKSFOOT) (G3) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SHEEP SORREL (W18) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RUSSIAN THISTLE (W11) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ROUGH MARCH ELDER (W16) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WESTERN RAGWEED (W2) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC NETTLE (W20) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GOLDENROD (W12) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FIREBUSH (W17) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FALSE RAGWEED (W4) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ENGLISH PLANTAIN (W9) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC DANDELION (W8) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MUGWORT (W6) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COCKLEBUR (W13) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC LAMB'S QUARTERS (GOOSE FOOT) (W10) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ROUGH PIGWEED (W14) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GIANT RAGWEED (TALL) (W3) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COMMON RAGWEED (SHORT) (W1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CORN SMUT, TILLETIA TRITICI (M201) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TRICHOPHYTON RUBRUM (M205) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC STEMPHYLIUM BOTRYOSUM (M10) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MUCOR RACEMOSUS (M4) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CANDIDA ALBICANS (M5) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PENICILLIUM NOTATUM (M1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALTERNARIA ALTERNATA (M6) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CLADOSPORIUM HERBARUM (M2) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS FUMIGATUS (M3) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC DERMATOPHAGOIDES FARINAE (D2) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC DERMATOPHAGOIDES PTERONYSSINUS (D1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC LATEX (K82) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WHITE PINE (T16) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WHITE ASH (T15) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WALNUT TREE, CALIFORNIAN (T10) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SYCAMORE (T11) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC JAPANESE CEDAR (T17) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WILLOW (T12) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ITALIAN CYPRESS (T23) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HICKORY/PECAN TREE (T22) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HAZEL NUT TREE (T4) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COTTONWOOD (T14) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BEECH (T5) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MAPLE (BOX ELDER) (T1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ELM (T8) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC OAK (T7) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BIRCH (T3) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FIRE ANT (I70) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COCKROACH (I6) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RABBIT EPITHELIA (E82) | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HAMSTER EPITHELIA (E82) | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GUINEA PIG (E6) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC DUCK FEATHERS (E86) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COW DANDER (E4) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICKEN FEATHERS (E85) | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HORSE DANDER (E3) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC DOG DANDER (E5) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CAT DANDER (E1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY WALNUT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY PISTACHIO | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY PECAN NUT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY PEANUT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY MACADAMIA NUT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY HAZELNUT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY CASHEW NUT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY BRAZIL NUT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TREE NUT ALLERGY ALMOND | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY SHELLFISH PANEL OYSTER | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY SHELLFISH PANEL SHRIMP | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY SHELLFISH PANEL LOBSTER | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY SHELLFISH PANEL CRAB | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY SHELLFISH PANEL CLAM | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY SHELLFISH PANEL BLUE MUSSEL | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PEANUT (F13) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE L | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I V | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I U | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF Q | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE CAYENNE PEPPER | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PINEAPPLE (F210) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HICKORY SHAGBARK, IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GOOSE FEATHERS (E70) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FUSARIUM MONILIFORME (M9) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HELMINTHOSPORIUM HALODES (M8) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SUNFLOWER SEED IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HALIBUT IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE TILAPIA | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC STORAGE MITE (D71) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PAPRIKA/SWEET PEPPER (F218) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GARLIC (F47) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COFFEE (F221) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BLACK OLIVE (RF324) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC YELLOW DOCK WEED IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PAPAYA IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CORIANDER/CILANTRO IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MANDARIN (TANGERINE) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC LEMON (F208) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC LIME (RF306) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HICKORY WHITE (T41) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ASPERGILLUS NIGER (M207) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MUSHROOM (RF212) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WHITE BEAN (F15) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RED KIDNEY BEAN (RF287) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BEAN PINTO IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BEAN BLACK (PHASEOLUS SUPP) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GLUTEN (F79) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MOUNTAIN CEDAR (T6) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WHITE MULBERRY (T70) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC TROUT (F204) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE HADDOCK | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC AVOCADO (F96) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GRAPEFRUIT (F209) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SPINACH (F214) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHICK PEA (F309) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC OCTOPUS (F59) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SWEET GUM (RT211) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CASEIN IGE (F78) | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF P | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF O | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF N | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF M | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF L | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF K | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF J | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF I | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF H | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF G | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE K | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE J | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE I | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE H | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE G | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PROFILE A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IT | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IS | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IR | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IQ | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IP | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IO | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IN | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IM | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IL | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IK | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IJ | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG I II | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IH | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IG | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IF | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 ID | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IC | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IB | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IA | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WATERMELON (RF329) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GREEN PEPPER (UNRIPE) (F263) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PEA (F12) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CHERRY (F242) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I T | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I S | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I R | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I Q | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I P | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I O | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I N | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I M | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I L | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I K | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I J | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I I | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I H | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I G | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EASTERN AG REGNL MIXED PNL I A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IIE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IID | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IIC | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IIB | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IIA | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IP | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IO | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IN | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IM | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IL | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IK | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IJ | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION II | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IH | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IG | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IF | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION ID | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IC | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IB | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST FOR NE REGION IA | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MACKEREL (F206) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PHOMA BETAE (M13) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC DILL (F277) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MANGO FRUIT (F91) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GULF FLOUNDER (F147) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BLUEBERRY (F288) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BANANA (F92) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GRAPE (F259) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CARROT (F31) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GREEN BEAN (F315) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CINNAMON (F220) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC POTATO (F35) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC VANILLA (F234) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RASPBERRY (RF343) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BLACKBERRY (F211) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - PED FOOD SCREEN - F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - PED FOOD SCREEN - E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - PED FOOD SCREEN - D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - PED FOOD SCREEN - C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - PED FOOD SCREEN - B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - PED FOOD SCREEN - A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -J | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -I | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -H | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -G | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -H | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -G | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -F | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC CARELESS WEED (AMARANTHUS PALMERI) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FLAXSEED (F333) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MOUSE EPITHELIA (E71) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SWEET POTATO (F54) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RAT EPITHELIA (E73) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GOAT MILK (RF300) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC POPPY SEED (RF224) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RED CEDAR (T57) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY PANEL #13, STING INS GRP E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY PANEL #13, STING INS GRP D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY PANEL #13, STING INS GRP C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY PANEL #13, STING INS GRP B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY PANEL #13, STING INS GRP A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HOUSE DUST (HOLLISTER-STIER) (H2) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC EPICOCCUM PURPURASCENS (M14) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC HOUSE DUST (GREER) (H1) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE ANNATTO SEED | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MACADAMIA NUT (RF345) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC PINE NUT (RF253) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC COCHINEAL EX (DACTYLOPIUS) F340 IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC LAMB (F88) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SEAFOOD ALLERGY PANEL #3 E | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SEAFOOD ALLERGY PANEL #3 D | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SEAFOOD ALLERGY PANEL #3 C | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SEAFOOD ALLERGY PANEL #3 B | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SEAFOOD ALLERGY PANEL #3 A | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WHOLE EGG (F245) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC MAPLE RED IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC AMERICAN COCKROACH (I206) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RHIZOPUS NIGRICANS (M11) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC AUREOBASDIUM PULLULANS (M12) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC POPLAR WHITE IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC OYSTER (F290) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC WALNUT FOOD ENGLISH IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SESAME SEED (F10) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC BUCKWHEAT (F11) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC RICE (F9) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE (ALPHA GAL) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC SCALLOP (F338) IGE | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 Z | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 Y | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 X | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD ALLERGY PANEL #12 W | $30.00 | $50.00 | $5.17–$56.92 | 7% below | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IS | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC POPPY SEED (RF224) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GOAT MILK (RF300) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAT EPITHELIA (E73) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SWEET POTATO (F54) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MOUSE EPITHELIA (E71) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FLAXSEED (F333) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CARELESS WEED (AMARANTHUS PALMERI) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -G | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 1 -H | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -G | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -H | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -I | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - FOOD ALLERGY PANEL 2 -J | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - PED FOOD SCREEN - A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - PED FOOD SCREEN - B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - PED FOOD SCREEN - C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - PED FOOD SCREEN - D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - PED FOOD SCREEN - E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST - PED FOOD SCREEN - F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BLACKBERRY (F211) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RASPBERRY (RF343) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC VANILLA (F234) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC POTATO (F35) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CINNAMON (F220) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GREEN BEAN (F315) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CARROT (F31) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GRAPE (F259) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BANANA (F92) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BLUEBERRY (F288) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GULF FLOUNDER (F147) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MANGO FRUIT (F91) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DILL (F277) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PHOMA BETAE (M13) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MACKEREL (F206) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IA | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IB | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IC | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION ID | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IF | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IG | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IH | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION II | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IJ | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IK | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IL | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IM | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IN | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IO | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IP | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IIA | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IIB | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IIC | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IID | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION IIE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I G | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I H | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I I | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I J | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I K | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I L | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I M | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I N | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I O | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I P | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I Q | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I R | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I S | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I T | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHERRY (F242) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEA (F12) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GREEN PEPPER (UNRIPE) (F263) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WATERMELON (RF329) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IA | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IB | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IC | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 ID | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IF | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IG | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IH | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG I II | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IJ | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IK | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IL | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IM | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IN | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IO | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IP | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IQ | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IR | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE G | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE H | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE I | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE J | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE K | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF G | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF H | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF I | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF J | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF K | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF L | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF M | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF N | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF O | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF P | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CASEIN IGE (F78) | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SWEET GUM (RT211) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OCTOPUS (F59) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICK PEA (F309) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SPINACH (F214) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GRAPEFRUIT (F209) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AVOCADO (F96) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE HADDOCK | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TROUT (F204) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHITE MULBERRY (T70) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MOUNTAIN CEDAR (T6) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GLUTEN (F79) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEAN BLACK (PHASEOLUS SUPP) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEAN PINTO IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RED KIDNEY BEAN (RF287) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHITE BEAN (F15) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MUSHROOM (RF212) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS NIGER (M207) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HICKORY WHITE (T41) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RED CEDAR (T57) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LIME (RF306) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LEMON (F208) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MANDARIN (TANGERINE) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CORIANDER/CILANTRO IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PAPAYA IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC YELLOW DOCK WEED IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BLACK OLIVE (RF324) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COFFEE (F221) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GARLIC (F47) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PAPRIKA/SWEET PEPPER (F218) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC STORAGE MITE (D71) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE TILAPIA | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HALIBUT IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SUNFLOWER SEED IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HELMINTHOSPORIUM HALODES (M8) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FUSARIUM MONILIFORME (M9) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GOOSE FEATHERS (E70) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HICKORY SHAGBARK, IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PINEAPPLE (F210) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE CAYENNE PEPPER | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERG SP IGE; QUAN OR SEMIQUAN F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY STINGING INSECT PANEL #2 E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHILDHD ALLER(FOOD&ENV) PROF Q | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I U | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EASTERN AG REGNL MIXED PNL I V | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE L | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEANUT (F13) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY SHELLFISH PANEL BLUE MUSSEL | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY SHELLFISH PANEL CLAM | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY SHELLFISH PANEL CRAB | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY SHELLFISH PANEL LOBSTER | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY SHELLFISH PANEL SHRIMP | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY SHELLFISH PANEL OYSTER | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY ALMOND | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY BRAZIL NUT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY CASHEW NUT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY HAZELNUT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY MACADAMIA NUT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY PEANUT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY PECAN NUT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY PISTACHIO | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TREE NUT ALLERGY WALNUT | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CAT DANDER (E1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DOG DANDER (E5) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HORSE DANDER (E3) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICKEN FEATHERS (E85) | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COW DANDER (E4) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DUCK FEATHERS (E86) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GUINEA PIG (E6) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HAMSTER EPITHELIA (E82) | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RABBIT EPITHELIA (E82) | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COCKROACH (I6) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FIRE ANT (I70) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BIRCH (T3) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OAK (T7) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ELM (T8) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MAPLE (BOX ELDER) (T1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEECH (T5) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COTTONWOOD (T14) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HAZEL NUT TREE (T4) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HICKORY/PECAN TREE (T22) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ITALIAN CYPRESS (T23) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WILLOW (T12) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC JAPANESE CEDAR (T17) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SYCAMORE (T11) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WALNUT TREE, CALIFORNIAN (T10) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHITE ASH (T15) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHITE PINE (T16) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LATEX (K82) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DERMATOPHAGOIDES PTERONYSSINUS (D1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DERMATOPHAGOIDES FARINAE (D2) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASPERGILLUS FUMIGATUS (M3) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CLADOSPORIUM HERBARUM (M2) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALTERNARIA ALTERNATA (M6) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PENICILLIUM NOTATUM (M1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CANDIDA ALBICANS (M5) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MUCOR RACEMOSUS (M4) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC STEMPHYLIUM BOTRYOSUM (M10) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TRICHOPHYTON RUBRUM (M205) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CORN SMUT, TILLETIA TRITICI (M201) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COMMON RAGWEED (SHORT) (W1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GIANT RAGWEED (TALL) (W3) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ROUGH PIGWEED (W14) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAMB'S QUARTERS (GOOSE FOOT) (W10) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COCKLEBUR (W13) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MUGWORT (W6) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC DANDELION (W8) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ENGLISH PLANTAIN (W9) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FALSE RAGWEED (W4) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FIREBUSH (W17) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GOLDENROD (W12) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NETTLE (W20) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WESTERN RAGWEED (W2) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ROUGH MARCH ELDER (W16) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RUSSIAN THISTLE (W11) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SHEEP SORREL (W18) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ORCHARD GRASS (COCKSFOOT) (G3) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TIMOTHY GRASS (G6) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC JUNE GRASS (KENTUCKY BLUE) (G8) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BAHIA GRASS (G17) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RED TOP GRASS (G9) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BERMUDA GRASS (G2) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CULTIVATED RYE GRASS (G12) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CULTIVATED WHEAT (G15) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC JOHNSON GRASS (G10) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MEADOW FESCUE (G4) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PERENNIAL RYE GRASS (G5) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SWEET VERNAL GRASS (G1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EGG WHITE (F1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EGG YOLK (F75) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COW'S MILK (F2) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SOYBEAN (F14) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHEAT (F4) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALMOND (F20) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BRAZIL NUT (F18) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CASHEW NUT (F202) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HAZELNUT (F17) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PECAN NUT (F201) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PISTACHIO (F203) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WALNUT (F256) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BEEF (F27) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CHICKEN MEAT (F83) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PORK (F26) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TURKEY MEAT (F284) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CODFISH (F3) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TUNA (F40) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SALMON (F41) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CRAB (F23) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LOBSTER (F80) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SHRIMP (F24) | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BLUE MUSSEL (F37) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CLAM (F207) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC APPLE (F49) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BARLEY (F6) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MELON (F87) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CELERY (F85) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COCOA (F93) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COCONUT (F36) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC CORN (F8) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC KIWI FRUIT (F84) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OAT (F7) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ORANGE (F33) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RYE (F5) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC STRAWBERRY (F44) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TEA (RF222) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC TOMATO (F25) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC YEAST (F45) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE M | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE N | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PROFILE O | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION I Q | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION I R | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION I S | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION I T | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RAST FOR NE REGION I U | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IU | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IV | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IW | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IX | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IY | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RESPIR ALLERGY PROF, REG 1 IZ | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 G | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 H | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 I | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 J | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 K | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 L | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 M | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 N | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 O | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 P | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 Q | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 R | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 S | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 T | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC NORTHEAST REGIONAL MIXED PANEL #1 U | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 F | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 G | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 H | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 I | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 J | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 K | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 L | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 M | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 N | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 O | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 P | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 Q | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 R | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 S | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 T | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 U | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 V | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 W | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 X | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 Y | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD ALLERGY PANEL #12 Z | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SCALLOP (F338) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GALACTOSE-ALPHA-1,3-GALACTOSE (ALPHA GAL) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RICE (F9) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC BUCKWHEAT (F11) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SESAME SEED (F10) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WALNUT FOOD ENGLISH IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC OYSTER (F290) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC POPLAR WHITE IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AUREOBASDIUM PULLULANS (M12) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC RHIZOPUS NIGRICANS (M11) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC AMERICAN COCKROACH (I206) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MAPLE RED IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC WHOLE EGG (F245) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SEAFOOD ALLERGY PANEL #3 A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SEAFOOD ALLERGY PANEL #3 B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SEAFOOD ALLERGY PANEL #3 C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SEAFOOD ALLERGY PANEL #3 D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC SEAFOOD ALLERGY PANEL #3 E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC LAMB (F88) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC COCHINEAL EX (DACTYLOPIUS) F340 IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PINE NUT (RF253) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MACADAMIA NUT (RF345) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE ANNATTO SEED | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HOUSE DUST (GREER) (H1) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC EPICOCCUM PURPURASCENS (M14) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC HOUSE DUST (HOLLISTER-STIER) (H2) IGE | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY PANEL #13, STING INS GRP A | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY PANEL #13, STING INS GRP B | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY PANEL #13, STING INS GRP C | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY PANEL #13, STING INS GRP D | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY PANEL #13, STING INS GRP E | $30.00 | $50.00 | $32.50–$42.50 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN | $85.20 | $142.00 | $16.60–$129.59 | 23% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN-TRIPLE A | $85.20 | $142.00 | $16.60–$129.59 | 23% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN TUMOR MARKER | $85.20 | $142.00 | $16.60–$129.59 | 23% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP QUAD SCREEN PROFILE A | $85.20 | $142.00 | $16.60–$129.59 | 23% below | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN TUMOR MARKER | $85.20 | $142.00 | $92.30–$120.70 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN | $85.20 | $142.00 | $92.30–$120.70 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP QUAD SCREEN PROFILE A | $85.20 | $142.00 | $92.30–$120.70 | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN-TRIPLE A | $85.20 | $142.00 | $92.30–$120.70 | — | 40% |
| Ammonia blood test CPT 82140 HC STONE RISK DIAG PROFILE E | $74.40 | $124.00 | $5.00–$112.65 | 18% below | 40% |
| Ammonia blood test CPT 82140 HC AMMONIA | $74.40 | $124.00 | $5.00–$112.65 | 18% below | 40% |
| Ammonia blood test inpatient CPT 82140 HC STONE RISK DIAG PROFILE E | $74.40 | $124.00 | $80.60–$105.40 | — | 40% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA | $74.40 | $124.00 | $80.60–$105.40 | — | 40% |
| Amylase blood test CPT 82150 HC AMYLASE | $32.40 | $54.00 | $5.00–$50.16 | 26% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE FLUID | $32.40 | $54.00 | $5.00–$50.16 | 26% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE ISOENZYMES - B | $32.40 | $54.00 | $5.00–$50.16 | 26% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE ISOENZYMES - A | $32.40 | $54.00 | $5.00–$50.16 | 26% below | 40% |
| Amylase blood test CPT 82150 HC AMYLASE URINE | $32.40 | $54.00 | $5.00–$50.16 | 26% below | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE ISOENZYMES - B | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE FLUID | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE ISOENZYMES - A | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE URINE | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY | $33.60 | $56.00 | $11.20–$134.42 | 61% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI-CYCLIC CITRULLINE PEPTIDE | $72.60 | $121.00 | $12.82–$134.42 | 15% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANALYZER ANA, IFA W/RFL TTR/PAT, SYST AUTOIM PN 1 X | $72.60 | $121.00 | $12.82–$134.42 | 15% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC RHEUM ARTH DIAG PL ID RA 14-3-3 ETA - B | $72.60 | $121.00 | $12.82–$134.42 | 15% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANA SCR RFLX TO TITER/PTRN/RA PNL 2 B | $72.60 | $121.00 | $12.82–$134.42 | 15% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANA SC,REF T/P,REF MPLX 11 AB C | $72.60 | $121.00 | $12.82–$134.42 | 15% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY | $33.60 | $56.00 | $36.40–$47.60 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANA SCR RFLX TO TITER/PTRN/RA PNL 2 B | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANALYZER ANA, IFA W/RFL TTR/PAT, SYST AUTOIM PN 1 X | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANA SC,REF T/P,REF MPLX 11 AB C | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC RHEUM ARTH DIAG PL ID RA 14-3-3 ETA - B | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI-CYCLIC CITRULLINE PEPTIDE | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANALYZER ANA, IFA W/RFL TTR/PAT, SYST AUTOIM PN 1 A | $60.00 | $100.00 | $11.97–$93.33 | 19% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCR RFLX TO TITER/PTRN/RA PNL 2 A | $60.00 | $100.00 | $11.97–$93.33 | 19% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANACHOICE ( R ) PANEL 1 WITH REFLEXES | $67.80 | $113.00 | $11.97–$96.05 | 9% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCR REF TITER/PAT REF TO MULTIPLEX 11 AB CASCADE | $67.80 | $113.00 | $11.97–$96.05 | 9% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SC,REF T/P,REF MPLX 11 AB B | $67.80 | $113.00 | $11.97–$96.05 | 9% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA/QUALITATIVE | $67.80 | $113.00 | $11.97–$96.05 | 9% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC AUTOIMMUNE HEPATITIS DIAGNOSTIC PANEL A | $67.80 | $113.00 | $11.97–$96.05 | 9% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC TIER III REFLEX B | $67.80 | $113.00 | $11.97–$96.05 | 9% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR AB (ANA) A | $67.80 | $113.00 | $11.97–$96.05 | 9% below | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANALYZER ANA, IFA W/RFL TTR/PAT, SYST AUTOIM PN 1 A | $60.00 | $100.00 | $65.00–$85.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCR RFLX TO TITER/PTRN/RA PNL 2 A | $60.00 | $100.00 | $65.00–$85.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC AUTOIMMUNE HEPATITIS DIAGNOSTIC PANEL A | $67.80 | $113.00 | $73.45–$96.05 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR AB (ANA) A | $67.80 | $113.00 | $73.45–$96.05 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC TIER III REFLEX B | $67.80 | $113.00 | $73.45–$96.05 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANACHOICE ( R ) PANEL 1 WITH REFLEXES | $67.80 | $113.00 | $73.45–$96.05 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCR REF TITER/PAT REF TO MULTIPLEX 11 AB CASCADE | $67.80 | $113.00 | $73.45–$96.05 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SC,REF T/P,REF MPLX 11 AB B | $67.80 | $113.00 | $73.45–$96.05 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA/QUALITATIVE | $67.80 | $113.00 | $73.45–$96.05 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC PROBNP, N-TERMINAL | $199.20 | $332.00 | $37.94–$364.19 | at median | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC B NATURIETIC PEPTIDE | $199.20 | $332.00 | $37.94–$364.19 | at median | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC B NATURIETIC PEPTIDE | $199.20 | $332.00 | $215.80–$282.20 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC PROBNP, N-TERMINAL | $199.20 | $332.00 | $215.80–$282.20 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC NP/THROAT/WOUND CULTURE | $48.00 | $80.00 | $6.90–$68.00 | 8% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC LOWER RESPIRATORY CULTURE | $48.00 | $80.00 | $6.90–$68.00 | 8% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC GENITAL CULTURE | $48.00 | $80.00 | $6.90–$68.00 | 8% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CYSTIC RESP CULT | $48.00 | $80.00 | $6.90–$68.00 | 8% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC ROUTINE CULTURE | $48.00 | $80.00 | $6.90–$68.00 | 8% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC NP/THROAT/WOUND CULTURE | $48.00 | $80.00 | $52.00–$68.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC LOWER RESPIRATORY CULTURE | $48.00 | $80.00 | $52.00–$68.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC GENITAL CULTURE | $48.00 | $80.00 | $52.00–$68.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC ROUTINE CULTURE | $48.00 | $80.00 | $52.00–$68.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CYSTIC RESP CULT | $48.00 | $80.00 | $52.00–$68.00 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $55.20 | $92.00 | $8.38–$89.84 | 25% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $55.20 | $92.00 | $59.80–$78.20 | — | 40% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $25.20 | $42.00 | $4.97–$53.28 | 21% below | 40% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN QUAL URINE | $25.20 | $42.00 | $4.97–$53.28 | 21% below | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN QUAL URINE | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE EX GRP IV MD | $80.40 | $134.00 | $11.79–$247.98 | 55% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE EX GRP IV | $116.40 | $194.00 | $11.79–$247.98 | 34% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CELL BLOCK | $116.40 | $194.00 | $11.79–$247.98 | 34% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE EX GRP IV MD | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE EX GRP IV | $116.40 | $194.00 | $126.10–$164.90 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CELL BLOCK | $116.40 | $194.00 | $126.10–$164.90 | — | 40% |
| Blood culture for bacteria CPT 87040 HC BLOOD CULTURE BACTI | $57.00 | $95.00 | $10.22–$80.75 | 33% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE BACTI | $57.00 | $95.00 | $61.75–$80.75 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE T/F | $7.80 | $13.00 | $0.07–$12.01 | 48% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE A | $7.80 | $13.00 | $0.07–$12.01 | 48% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE T/F | $7.80 | $13.00 | $8.45–$11.05 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE A | $7.80 | $13.00 | $8.45–$11.05 | — | 40% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE | $21.00 | $35.00 | $3.89–$30.39 | 19% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE TOLERANCE FASTING | $21.00 | $35.00 | $3.89–$30.39 | 19% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE TOLERANCE ONE HOUR A | $21.00 | $35.00 | $3.89–$30.39 | 19% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC BLOOD GLUCOSE CORRELATION TEST | $21.00 | $35.00 | $3.89–$30.39 | 19% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE TOLERANCE-TRANSPLANT A | $21.00 | $35.00 | $3.89–$30.39 | 19% below | 40% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE TOLERANCE TEST, 2 SPECIMENS (75G) A | $21.00 | $35.00 | $3.89–$30.39 | 19% below | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE TOLERANCE TEST, 2 SPECIMENS (75G) A | $21.00 | $35.00 | $22.75–$29.75 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE TOLERANCE FASTING | $21.00 | $35.00 | $22.75–$29.75 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE TOLERANCE ONE HOUR A | $21.00 | $35.00 | $22.75–$29.75 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC BLOOD GLUCOSE CORRELATION TEST | $21.00 | $35.00 | $22.75–$29.75 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE | $21.00 | $35.00 | $22.75–$29.75 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE TOLERANCE-TRANSPLANT A | $21.00 | $35.00 | $22.75–$29.75 | — | 40% |
| Blood lead test CPT 83655 HC LEAD&ZINC PROTOPORPHYRIN EVL A | $62.40 | $104.00 | $10.00–$93.48 | 20% below | 40% |
| Blood lead test CPT 83655 HC LEAD BLOOD | $62.40 | $104.00 | $10.00–$93.48 | 20% below | 40% |
| Blood lead test CPT 83655 HC LEAD URINE | $62.40 | $104.00 | $10.00–$93.48 | 20% below | 40% |
| Blood lead test CPT 83655 HC HEAVY METALS COMP PANEL, RANDOM URINE D | $62.40 | $104.00 | $10.00–$93.48 | 20% below | 40% |
| Blood lead test inpatient CPT 83655 HC LEAD&ZINC PROTOPORPHYRIN EVL A | $62.40 | $104.00 | $67.60–$88.40 | — | 40% |
| Blood lead test inpatient CPT 83655 HC LEAD BLOOD | $62.40 | $104.00 | $67.60–$88.40 | — | 40% |
| Blood lead test inpatient CPT 83655 HC LEAD URINE | $62.40 | $104.00 | $67.60–$88.40 | — | 40% |
| Blood lead test inpatient CPT 83655 HC HEAVY METALS COMP PANEL, RANDOM URINE D | $62.40 | $104.00 | $67.60–$88.40 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE | $39.00 | $65.00 | $7.44–$58.04 | 22% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE | $39.00 | $65.00 | $42.25–$55.25 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $21.60 | $36.00 | $2.96–$30.60 | 84% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO BLOOD TYPING-A | $155.40 | $259.00 | $2.96–$220.15 | 17% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO | $21.60 | $36.00 | $23.40–$30.60 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO BLOOD TYPING-A | $155.40 | $259.00 | $168.35–$220.15 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN | $21.00 | $35.00 | $3.91–$30.47 | 22% below | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN | $21.00 | $35.00 | $22.75–$29.75 | — | 40% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $105.00 | $175.00 | $20.60–$160.73 | 3% below | 40% |
| C-peptide blood test CPT 84681 HC C PEPTIDE | $105.00 | $175.00 | $20.60–$160.73 | 3% below | 40% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $105.00 | $175.00 | $113.75–$148.75 | — | 40% |
| C-peptide blood test inpatient CPT 84681 HC C PEPTIDE | $105.00 | $175.00 | $113.75–$148.75 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN (CRP) | $29.40 | $49.00 | $3.00–$41.65 | 18% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN (CRP) | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C.DIFFICILE TOXIN ASSAY BY PCR | $207.60 | $346.00 | $36.90–$373.55 | at median | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF TOXIN B QUAL PCR | $207.60 | $346.00 | $36.90–$373.55 | at median | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C.DIFFICILE TOXIN ASSAY BY PCR | $207.60 | $346.00 | $224.90–$294.10 | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF TOXIN B QUAL PCR | $207.60 | $346.00 | $224.90–$294.10 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19 - 9 | $116.40 | $194.00 | $20.60–$220.85 | 12% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19 - 9 | $116.40 | $194.00 | $126.10–$164.90 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 II | $116.40 | $194.00 | $20.60–$220.85 | 11% below | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 II | $116.40 | $194.00 | $126.10–$164.90 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $75.00 | $125.00 | $25.00–$381.43 | 18% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB | $75.00 | $125.00 | $81.25–$106.25 | — | 40% |
| Calcium blood test, total CPT 82310 HC CALCIUM | $25.80 | $43.00 | $5.11–$39.76 | 23% below | 40% |
| Calcium blood test, total CPT 82310 HC PARATHYROID HORMONE INTACT A | $25.80 | $43.00 | $5.11–$39.76 | 23% below | 40% |
| Calcium blood test, total inpatient CPT 82310 HC PARATHYROID HORMONE INTACT A | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA | $96.60 | $161.00 | $17.00–$146.31 | 19% below | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA, CARCINOEMBRYONIC ANTIGEN, PANCREATIC CYST FLUID | $96.60 | $161.00 | $17.00–$146.31 | 19% below | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA, CARCINOEMBRYONIC ANTIGEN, PANCREATIC CYST FLUID | $96.60 | $161.00 | $104.65–$136.85 | — | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA | $96.60 | $161.00 | $104.65–$136.85 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB PANEL - A | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB PANEL - B | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG ABS | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ENCEPHALITIS AB PNL, CSF - G | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC ENCEPHALITIS AB PNL, CSF - H | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF LL | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB (TOT, IGM) ACIF/IFA, CSF A | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VZV AB (TOT, IGM) ACIF/IFA, CSF B | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER AB, ACIF, CSF | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC BETA-AMYLOID 42/40, CSF | $72.00 | $120.00 | $12.75–$102.00 | 15% below | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ENCEPHALITIS AB PNL, CSF - H | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF LL | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB (TOT, IGM) ACIF/IFA, CSF A | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC BETA-AMYLOID 42/40, CSF | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB, ACIF, CSF | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VZV AB (TOT, IGM) ACIF/IFA, CSF B | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB PANEL - A | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER AB PANEL - B | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG ABS | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ENCEPHALITIS AB PNL, CSF - G | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA | $90.60 | $151.00 | $23.19–$360.40 | 54% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC GC/CHLAM, RNA, THROAT, A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAM/NEIS GONORRHO RNA,TMA RECTAL-A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC GC/CHLAM, RNA, RECTAL, A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CT/GC CONJUNCTIVA A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CT/NG RNA, TMA W REFLEX TO TARGET A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS, TMA ALTERNATE TARGET | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CTNG RNA TMA REF ALTERNATE TARGET A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAM/NEIS GONORRHO RNA,TMA THROAT-A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYD TRACH/N GONN RNA,TMA A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA GENE AMPLIFICATION | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA, UROGENITAL | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC SS ADVNCD BCTRL VAG (BV), CT/NG, TMA A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC GC/CHLAM DNA MALE URET SWABS A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC SURESWAB ADV BACTERIAL VAGINOIS A | $195.60 | $326.00 | $23.19–$360.40 | at median | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA | $90.60 | $151.00 | $98.15–$128.35 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC SS ADVNCD BCTRL VAG (BV), CT/NG, TMA A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS RNA, TMA | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYD TRACH/N GONN RNA,TMA A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA, UROGENITAL | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC GC/CHLAM, RNA, RECTAL, A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC GC/CHLAM, RNA, THROAT, A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CT/NG RNA, TMA W REFLEX TO TARGET A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS, TMA ALTERNATE TARGET | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CTNG RNA TMA REF ALTERNATE TARGET A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAM/NEIS GONORRHO RNA,TMA THROAT-A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAM/NEIS GONORRHO RNA,TMA RECTAL-A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CT/GC CONJUNCTIVA A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC SURESWAB ADV BACTERIAL VAGINOIS A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC GC/CHLAM DNA MALE URET SWABS A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA GENE AMPLIFICATION | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $87.60 | $146.00 | $13.26–$124.10 | 2% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADV LIPID PN INFLAM, CARDIO IQ - A | $87.60 | $146.00 | $13.26–$124.10 | 2% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ A | $87.60 | $146.00 | $13.26–$124.10 | 2% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC CARDIO IQ ADVANCED LIPID PANEL-A | $87.60 | $146.00 | $13.26–$124.10 | 2% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPOPROT FRACT, NMR W/LPID PNL A | $87.60 | $146.00 | $13.26–$124.10 | 2% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $87.60 | $146.00 | $94.90–$124.10 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC ADV LIPID PN INFLAM, CARDIO IQ - A | $87.60 | $146.00 | $94.90–$124.10 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ A | $87.60 | $146.00 | $94.90–$124.10 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC CARDIO IQ ADVANCED LIPID PANEL-A | $87.60 | $146.00 | $94.90–$124.10 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPOPROT FRACT, NMR W/LPID PNL A | $87.60 | $146.00 | $94.90–$124.10 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC & AUTO DIFFERENTIAL | $40.20 | $67.00 | $6.00–$60.04 | 21% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC & AUTO DIFFERENTIAL | $40.20 | $67.00 | $43.55–$56.95 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC (HEMOGRAM) | $32.40 | $54.00 | $6.41–$50.01 | 25% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AND BUFFY COAT DIFF A | $32.40 | $54.00 | $6.41–$50.01 | 25% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC AND MANUAL DIFF A | $32.40 | $54.00 | $6.41–$50.01 | 25% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC COMPLETE AUTOMATED | $37.80 | $63.00 | $6.41–$53.55 | 13% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC (HEMOGRAM) | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AND BUFFY COAT DIFF A | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AND MANUAL DIFF A | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC COMPLETE AUTOMATED | $37.80 | $63.00 | $40.95–$53.55 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $68.40 | $114.00 | $10.45–$112.21 | 23% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $68.40 | $114.00 | $74.10–$96.90 | — | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL | $60.00 | $100.00 | $12.00–$126.03 | 42% below | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL, SERUM (INHOUSE) | $82.20 | $137.00 | $12.00–$126.03 | 20% below | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL, 60 MINUTE | $82.20 | $137.00 | $12.00–$126.03 | 20% below | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL, 30 MINUTE | $82.20 | $137.00 | $12.00–$126.03 | 20% below | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL,BASELINE | $82.20 | $137.00 | $12.00–$126.03 | 20% below | 40% |
| Cortisol blood test, total CPT 82533 HC END TOTAL CORTISOL INT RADIOL | $82.20 | $137.00 | $12.00–$126.03 | 20% below | 40% |
| Cortisol blood test, total CPT 82533 HC CORTISOL, SERUM | $82.20 | $137.00 | $12.00–$126.03 | 20% below | 40% |
| Cortisol blood test, total CPT 82533 HC STEROID PANEL COMPREHENSIVE G | $82.20 | $137.00 | $12.00–$126.03 | 20% below | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL | $60.00 | $100.00 | $65.00–$85.00 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, 30 MINUTE | $82.20 | $137.00 | $89.05–$116.45 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, SERUM (INHOUSE) | $82.20 | $137.00 | $89.05–$116.45 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC STEROID PANEL COMPREHENSIVE G | $82.20 | $137.00 | $89.05–$116.45 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, SERUM | $82.20 | $137.00 | $89.05–$116.45 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC END TOTAL CORTISOL INT RADIOL | $82.20 | $137.00 | $89.05–$116.45 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL,BASELINE | $82.20 | $137.00 | $89.05–$116.45 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, 60 MINUTE | $82.20 | $137.00 | $89.05–$116.45 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CK | $33.00 | $55.00 | $6.44–$50.68 | 27% below | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK | $33.00 | $55.00 | $35.75–$46.75 | — | 40% |
| Creatinine blood test CPT 82565 HC ISTAT CREATININE | $25.80 | $43.00 | $5.07–$39.53 | 24% below | 40% |
| Creatinine blood test CPT 82565 HC CREATININE, BLOOD | $25.80 | $43.00 | $5.07–$39.53 | 24% below | 40% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $25.80 | $43.00 | $5.07–$39.53 | 24% below | 40% |
| Creatinine blood test CPT 82565 HC CREATININE SERUM | $25.80 | $43.00 | $5.07–$39.53 | 24% below | 40% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE, BLOOD | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Creatinine blood test inpatient CPT 82565 HC ISTAT CREATININE | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE SERUM | $25.80 | $43.00 | $27.95–$36.55 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG AB EIA | $80.40 | $134.00 | $14.25–$113.90 | 7% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC TORCH PANEL (CONVALESCENT) *A | $80.40 | $134.00 | $14.25–$113.90 | 7% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS IGG AVIDITY | $81.00 | $135.00 | $14.25–$114.75 | 6% below | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG AB EIA | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC TORCH PANEL (CONVALESCENT) *A | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS IGG AVIDITY | $81.00 | $135.00 | $87.75–$114.75 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER DVT | $51.60 | $86.00 | $10.08–$81.37 | 25% below | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER DVT | $51.60 | $86.00 | $55.90–$73.10 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE | $113.40 | $189.00 | $21.00–$171.73 | 16% below | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE | $113.40 | $189.00 | $122.85–$160.65 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN MULTIPLE CLASS | $102.60 | $171.00 | $34.20–$416.02 | 44% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SULFONYLUREA SCREEN, URINE | $122.40 | $204.00 | $40.80–$416.02 | 33% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC NICOTINE & EXPANDED METABOLITS | $147.00 | $245.00 | $49.00–$416.02 | 19% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SCREEN 5, WITHOUT CONFIRMATION, SERUM | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC SERUM DRUG ABUSE SCREEN A | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN URINE-A | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG OF ABUSE CONFIRMATION | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COMP DRUG SCREEN A | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC ALPRAZOLAM (XANAX) | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AMPHETAMINE VERIFICATION | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BARBITURATES IDEN & QUANT | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BENZODIAZEPINE GCMS | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CLONAZEPAM (KLONOPIN) | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG ABUSE SC 5 WO CONF, SER | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TOX MONIT,FENT W/CONF, UR | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COCAINE & METABOLITES BY GCMS | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DIAZEPAM | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DIPHENHYDRAMINE | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC IMIPRAMINE (TOFRANIL) | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC LORAZEPAM (ATIVAN) | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC MEPROBAMATE | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PAIN MANAGEMENT PROFILE 1 W/ CONFIRMATION, URINE | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CORDSTAT 12 DRUG PANEL-A | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CORDSTAT 13 DRUG PANEL-A | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CORDSTAT 9 DRUG PANEL-A | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CORDSTAT ALCOHOL BIOMARKING TEST | $159.60 | $266.00 | $53.20–$416.02 | 12% below | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN | $212.40 | $354.00 | $61.52–$416.02 | 17% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN MULTIPLE CLASS | $102.60 | $171.00 | $111.15–$145.35 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SULFONYLUREA SCREEN, URINE | $122.40 | $204.00 | $132.60–$173.40 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC NICOTINE & EXPANDED METABOLITS | $147.00 | $245.00 | $159.25–$208.25 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COCAINE & METABOLITES BY GCMS | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CLONAZEPAM (KLONOPIN) | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BENZODIAZEPINE GCMS | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BARBITURATES IDEN & QUANT | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AMPHETAMINE VERIFICATION | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC ALPRAZOLAM (XANAX) | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COMP DRUG SCREEN A | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG OF ABUSE CONFIRMATION | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC LORAZEPAM (ATIVAN) | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN URINE-A | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC IMIPRAMINE (TOFRANIL) | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DIPHENHYDRAMINE | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DIAZEPAM | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SC 5 WO CONF, SER | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TOX MONIT,FENT W/CONF, UR | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PAIN MANAGEMENT PROFILE 1 W/ CONFIRMATION, URINE | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CORDSTAT 12 DRUG PANEL-A | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CORDSTAT 13 DRUG PANEL-A | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CORDSTAT 9 DRUG PANEL-A | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CORDSTAT ALCOHOL BIOMARKING TEST | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG ABUSE SCREEN 5, WITHOUT CONFIRMATION, SERUM | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC SERUM DRUG ABUSE SCREEN A | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC MEPROBAMATE | $159.60 | $266.00 | $172.90–$226.10 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN | $212.40 | $354.00 | $230.10–$300.90 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $45.60 | $76.00 | $6.94–$72.01 | 14% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $45.60 | $76.00 | $49.40–$64.60 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VCA IGM AB | $101.40 | $169.00 | $17.96–$143.65 | 12% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VCA IGG AB | $101.40 | $169.00 | $17.96–$143.65 | 12% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS AB EVAL - C | $101.40 | $169.00 | $17.96–$143.65 | 12% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS AB EVAL - D | $101.40 | $169.00 | $17.96–$143.65 | 12% below | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS AB EVAL - D | $101.40 | $169.00 | $109.85–$143.65 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VCA IGG AB | $101.40 | $169.00 | $109.85–$143.65 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VCA IGM AB | $101.40 | $169.00 | $109.85–$143.65 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS AB EVAL - C | $101.40 | $169.00 | $109.85–$143.65 | — | 40% |
| Estradiol blood test CPT 82670 HC ESTRADIOL, ULTRASENS LC/MS | $142.20 | $237.00 | $21.50–$215.94 | 15% below | 40% |
| Estradiol blood test CPT 82670 HC ESTRADIOL, SENSITIVE | $142.20 | $237.00 | $21.50–$215.94 | 15% below | 40% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, ULTRASENS LC/MS | $142.20 | $237.00 | $154.05–$201.45 | — | 40% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL, SENSITIVE | $142.20 | $237.00 | $154.05–$201.45 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH AND LH, PEDIATRICS A | $94.20 | $157.00 | $17.50–$143.56 | 21% below | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FSH | $94.20 | $157.00 | $17.50–$143.56 | 21% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH | $94.20 | $157.00 | $102.05–$133.45 | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH AND LH, PEDIATRICS A | $94.20 | $157.00 | $102.05–$133.45 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL | $99.00 | $165.00 | $19.43–$203.76 | 23% below | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL | $99.00 | $165.00 | $107.25–$140.25 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $68.40 | $114.00 | $12.00–$105.22 | 21% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC THAL & HGB COMP EVAL A | $68.40 | $114.00 | $12.00–$105.22 | 21% below | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC THAL & HGB COMP EVAL A | $68.40 | $114.00 | $74.10–$96.90 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $68.40 | $114.00 | $74.10–$96.90 | — | 40% |
| Fibrinogen blood test CPT 85384 HC TEG GLOBAL HEMOSTASIS W/ LYSIS C | $49.20 | $82.00 | $9.62–$69.70 | 26% below | 40% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN | $49.20 | $82.00 | $9.62–$69.70 | 26% below | 40% |
| Fibrinogen blood test CPT 85384 HC TEG GLOBAL HEMOSTASIS D | $49.20 | $82.00 | $9.62–$69.70 | 26% below | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC TEG GLOBAL HEMOSTASIS D | $49.20 | $82.00 | $53.30–$69.70 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC TEG GLOBAL HEMOSTASIS W/ LYSIS C | $49.20 | $82.00 | $53.30–$69.70 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN | $49.20 | $82.00 | $53.30–$69.70 | — | 40% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID | $75.00 | $125.00 | $12.00–$113.62 | 14% below | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID | $75.00 | $125.00 | $81.25–$106.25 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 HC T3; FREE | $46.20 | $77.00 | $15.40–$130.93 | 57% below | 40% |
| Free T3 thyroid hormone test CPT 84481 HC FREE T3 | $86.40 | $144.00 | $16.77–$130.93 | 19% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3; FREE | $46.20 | $77.00 | $50.05–$65.45 | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3 | $86.40 | $144.00 | $93.60–$122.40 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE (THYROXINE ) | $45.60 | $76.00 | $8.00–$69.70 | 24% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE DIALYSIS - B | $45.60 | $76.00 | $8.00–$69.70 | 24% below | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE (THYROXINE ) | $45.60 | $76.00 | $49.40–$64.60 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE DIALYSIS - B | $45.60 | $76.00 | $49.40–$64.60 | — | 40% |
| Free testosterone test CPT 84402 HC TESTOST FR/TOT-FEM/ADL MALE A | $128.40 | $214.00 | $25.22–$200.93 | 20% below | 40% |
| Free testosterone test CPT 84402 HC TESTOSTERONE, TOTAL AND FREE AND SEX HORMONE B | $128.40 | $214.00 | $25.22–$200.93 | 20% below | 40% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE - A | $128.40 | $214.00 | $25.22–$200.93 | 20% below | 40% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE - A | $128.40 | $214.00 | $139.10–$181.90 | — | 40% |
| Free testosterone test inpatient CPT 84402 HC TESTOST FR/TOT-FEM/ADL MALE A | $128.40 | $214.00 | $139.10–$181.90 | — | 40% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, TOTAL AND FREE AND SEX HORMONE B | $128.40 | $214.00 | $139.10–$181.90 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT | $36.60 | $61.00 | $7.13–$55.88 | 23% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT | $36.60 | $61.00 | $39.65–$51.85 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE, POST GLUCOSE DOSE | $20.40 | $34.00 | $4.70–$36.63 | 45% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TOLERANCE TEST, 2 SPECIMENS (75G) B | $24.00 | $40.00 | $4.70–$36.63 | 35% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TOLERANCE-TRANSPLANT B | $24.00 | $40.00 | $4.70–$36.63 | 35% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 2 HR PP | $24.00 | $40.00 | $4.70–$36.63 | 35% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 1 HR PP | $24.00 | $40.00 | $4.70–$36.63 | 35% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TOLERANCE ONE HOUR B | $24.00 | $40.00 | $4.70–$36.63 | 35% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE, POST GLUCOSE DOSE | $20.40 | $34.00 | $22.10–$28.90 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TOLERANCE TEST, 2 SPECIMENS (75G) B | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TOLERANCE-TRANSPLANT B | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TOLERANCE ONE HOUR B | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 2 HR PP | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 1 HR PP | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TWO HOUR | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE THREE HOUR A | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE FOUR HOUR A | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE FIVE HOUR A | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE 3 HOUR A | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE 2 HOUR A | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL 2HOUR GESTATIONAL | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE TEST, 5 SPECIMENS A | $65.40 | $109.00 | $12.50–$99.50 | 19% below | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUC TOLR THREE SPEC INCL GLUC | $94.20 | $157.00 | $12.50–$133.45 | 16% above | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE TEST, 5 SPECIMENS A | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE 2 HOUR A | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE FOUR HOUR A | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE FIVE HOUR A | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE 3 HOUR A | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL 2HOUR GESTATIONAL | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TWO HOUR | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE THREE HOUR A | $65.40 | $109.00 | $70.85–$92.65 | — | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUC TOLR THREE SPEC INCL GLUC | $94.20 | $157.00 | $102.05–$133.45 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA | $90.60 | $151.00 | $23.19–$360.40 | 51% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC/CHLAM, RNA, RECTAL, B | $114.00 | $190.00 | $23.19–$360.40 | 38% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC/CHLAM, RNA, THROAT, B | $114.00 | $190.00 | $23.19–$360.40 | 38% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC/CHLAM DNA MALE URET SWABS B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC GENE AMPLIFICATION | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC SS ADVNCD BCTRL VAG (BV), CT/NG, TMA B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC CT/NG RNA, TMA W REFLEX TO TARGET B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE RNA, TMA APTIMA | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC CTNG RNA TMA REF ALTERNATE TARGET B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC CHLAM/NEIS GONORRHO RNA,TMA THROAT-B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC CHLAM/NEIS GONORRHO RNA,TMA RECTAL-B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC CT/GC CONJUNCTIVA B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC SURESWAB ADV BACTERIAL VAGINOIS B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE RNA, TMA, UROGENITAL | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE, TMA(ALTERNATE TARGET) | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC CHLAMYD TRACH/N GONN RNA,TMA B | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE, UROGENITAL | $195.60 | $326.00 | $23.19–$360.40 | 6% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA | $90.60 | $151.00 | $98.15–$128.35 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC/CHLAM, RNA, RECTAL, B | $114.00 | $190.00 | $123.50–$161.50 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC/CHLAM, RNA, THROAT, B | $114.00 | $190.00 | $123.50–$161.50 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC GENE AMPLIFICATION | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE, UROGENITAL | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE RNA, TMA, UROGENITAL | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE, TMA(ALTERNATE TARGET) | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC CT/NG RNA, TMA W REFLEX TO TARGET B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE RNA, TMA APTIMA | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC CTNG RNA TMA REF ALTERNATE TARGET B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC CHLAM/NEIS GONORRHO RNA,TMA THROAT-B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC CHLAM/NEIS GONORRHO RNA,TMA RECTAL-B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC CT/GC CONJUNCTIVA B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC SURESWAB ADV BACTERIAL VAGINOIS B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC/CHLAM DNA MALE URET SWABS B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC SS ADVNCD BCTRL VAG (BV), CT/NG, TMA B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC CHLAMYD TRACH/N GONN RNA,TMA B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| H. pylori antibody blood test CPT 86677 HC H PYLORI IGG ABS | $61.20 | $102.00 | $16.68–$115.03 | 47% below | 40% |
| H. pylori antibody blood test CPT 86677 HC HEICOBACTOR PYOLORI AB, IGM | $61.20 | $102.00 | $16.68–$115.03 | 47% below | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC H PYLORI IGG ABS | $61.20 | $102.00 | $66.30–$86.70 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC HEICOBACTOR PYOLORI AB, IGM | $61.20 | $102.00 | $66.30–$86.70 | — | 40% |
| H. pylori stool antigen test CPT 87338 HC H.PYLORI ANTIGEN | $80.40 | $134.00 | $11.49–$113.90 | 17% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HC H.PYLORI ANTIGEN | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC RNA REV PROG | $474.60 | $791.00 | $84.25–$902.93 | 4% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HC HIV-1 RNA,QUANT RT PCR | $474.60 | $791.00 | $84.25–$902.93 | 4% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC RNA REV PROG | $474.60 | $791.00 | $514.15–$672.35 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HC HIV-1 RNA,QUANT RT PCR | $474.60 | $791.00 | $514.15–$672.35 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV I | $57.60 | $96.00 | $13.57–$153.60 | 44% below | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV I | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1/2 ANTIGEN/ANTIBODY,4TH GENERATION W/RFL | $135.00 | $225.00 | $23.84–$191.25 | 5% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV AG/AB SCREEN | $135.00 | $225.00 | $23.84–$191.25 | 5% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1/2 ANTIGEN/ANTIBODY,4TH GENERATION W/RFL | $135.00 | $225.00 | $146.25–$191.25 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV AG/AB SCREEN | $135.00 | $225.00 | $146.25–$191.25 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV, DNA, AMP PROB | $148.20 | $247.00 | $34.74–$317.97 | 29% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV CMP HYB CAPT CRV BR SMP B | $195.60 | $326.00 | $34.74–$317.97 | 6% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV THIN PREP | $195.60 | $326.00 | $34.74–$317.97 | 6% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV GENOTYPE REFLEX TEST A | $195.60 | $326.00 | $34.74–$317.97 | 6% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC PAP SMEAR - THIN PREP W HPV B | $195.60 | $326.00 | $34.74–$317.97 | 6% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV CMP HYB CAPT CRV BR SMP A | $195.60 | $326.00 | $34.74–$317.97 | 6% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV MRNA E6/E7 REFLEX TO HPV 16, 18/45 | $195.60 | $326.00 | $34.74–$317.97 | 6% below | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV, DNA, AMP PROB | $148.20 | $247.00 | $160.55–$209.95 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV GENOTYPE REFLEX TEST A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV THIN PREP | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC PAP SMEAR - THIN PREP W HPV B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV MRNA E6/E7 REFLEX TO HPV 16, 18/45 | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV CMP HYB CAPT CRV BR SMP B | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV CMP HYB CAPT CRV BR SMP A | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HA1C W/EAG-CONFIRMATORY TEST | $49.20 | $82.00 | $7.00–$82.33 | 4% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C | $49.20 | $82.00 | $7.00–$82.33 | 4% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C | $49.20 | $82.00 | $53.30–$69.70 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HA1C W/EAG-CONFIRMATORY TEST | $49.20 | $82.00 | $53.30–$69.70 | — | 40% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (ONLY) | $12.60 | $21.00 | $2.35–$19.04 | 26% below | 40% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN/OR | $12.60 | $21.00 | $2.35–$19.04 | 26% below | 40% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN & HEMATOCRIT-B | $12.60 | $21.00 | $2.35–$19.04 | 26% below | 40% |
| Hemoglobin blood test CPT 85018 HC THAL & HGB COMP EVAL D | $12.60 | $21.00 | $2.35–$19.04 | 26% below | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN/OR | $12.60 | $21.00 | $13.65–$17.85 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC THAL & HGB COMP EVAL D | $12.60 | $21.00 | $13.65–$17.85 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (ONLY) | $12.60 | $21.00 | $13.65–$17.85 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN & HEMATOCRIT-B | $12.60 | $21.00 | $13.65–$17.85 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB (TOTAL) W/REF | $66.60 | $111.00 | $11.93–$123.80 | 21% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS PRE VACCINE SCRN -A | $66.60 | $111.00 | $11.93–$123.80 | 21% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY/TOTA | $66.60 | $111.00 | $11.93–$123.80 | 21% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC HBV SCREEN PANEL W/REFLEX B | $66.60 | $111.00 | $11.93–$123.80 | 21% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY, TOTAL | $69.60 | $116.00 | $11.93–$123.80 | 17% below | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HBV SCREEN PANEL W/REFLEX B | $66.60 | $111.00 | $72.15–$94.35 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY/TOTA | $66.60 | $111.00 | $72.15–$94.35 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS PRE VACCINE SCRN -A | $66.60 | $111.00 | $72.15–$94.35 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB (TOTAL) W/REF | $66.60 | $111.00 | $72.15–$94.35 | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY, TOTAL | $69.60 | $116.00 | $75.40–$98.60 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC AB HBSAB | $44.40 | $74.00 | $10.63–$110.27 | 39% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC ANTI-HBS | $59.40 | $99.00 | $10.63–$110.27 | 19% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $59.40 | $99.00 | $10.63–$110.27 | 19% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS PRE VACCINE SCRN -B | $59.40 | $99.00 | $10.63–$110.27 | 19% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS POST VACCINE SCRN | $59.40 | $99.00 | $10.63–$110.27 | 19% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC AB HBSAB | $44.40 | $74.00 | $48.10–$62.90 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC ANTI-HBS | $59.40 | $99.00 | $64.35–$84.15 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $59.40 | $99.00 | $64.35–$84.15 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS PRE VACCINE SCRN -B | $59.40 | $99.00 | $64.35–$84.15 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS POST VACCINE SCRN | $59.40 | $99.00 | $64.35–$84.15 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG (QUALITATIVE) | $57.00 | $95.00 | $10.23–$106.04 | 18% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBV SCR W/REFLEX | $57.00 | $95.00 | $10.23–$106.04 | 18% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $57.00 | $95.00 | $10.23–$106.04 | 18% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBV SCREEN PANEL W/REFLEX A | $57.00 | $95.00 | $10.23–$106.04 | 18% below | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG (QUALITATIVE) | $57.00 | $95.00 | $61.75–$80.75 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $57.00 | $95.00 | $61.75–$80.75 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBV SCR W/REFLEX | $57.00 | $95.00 | $61.75–$80.75 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBV SCREEN PANEL W/REFLEX A | $57.00 | $95.00 | $61.75–$80.75 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC ANTI-HCV | $108.00 | $180.00 | $14.13–$153.00 | 9% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEP C AB W/REFLEX | $108.00 | $180.00 | $14.13–$153.00 | 9% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $108.00 | $180.00 | $14.13–$153.00 | 9% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEP C AB W/REFLEX | $108.00 | $180.00 | $117.00–$153.00 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC ANTI-HCV | $108.00 | $180.00 | $117.00–$153.00 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $108.00 | $180.00 | $117.00–$153.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV VIRAL LOAD W/REF TO HCV GENO | $238.80 | $398.00 | $39.65–$454.55 | 16% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA QUANT BY PCR | $238.80 | $398.00 | $39.65–$454.55 | 16% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA QUANT PCR | $238.80 | $398.00 | $39.65–$454.55 | 16% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA QUANT BY PCR | $238.80 | $398.00 | $258.70–$338.30 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA QUANT PCR | $238.80 | $398.00 | $258.70–$338.30 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV VIRAL LOAD W/REF TO HCV GENO | $238.80 | $398.00 | $258.70–$338.30 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF N | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF M | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC ENCEPHALITIS AB PNL, CSF - K | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMP VIR1/2 IGMAB,IFA A | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SMPLX VRS (HSV) ANTI PNL, ELISA/IFA, CSF A | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM TITER | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF B | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF A | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1,2 IGG AB - B | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1/2 AB (IGM) IFA W/REF TO TITER A | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES PROFILE 1 A | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES PROFILE 1 B | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC TORCH PANEL (ACUTE) *B | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF II | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF HH | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1/2 IGG W/REF TO HSV-2 INH A | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC TORCH PANEL (CONVALESCENT) *B | $73.80 | $123.00 | $13.06–$104.55 | 8% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 | $76.80 | $128.00 | $13.06–$108.80 | 4% below | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC TORCH PANEL (CONVALESCENT) *B | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1/2 IGG W/REF TO HSV-2 INH A | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1,2 IGG AB - B | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF A | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF B | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM TITER | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SMPLX VRS (HSV) ANTI PNL, ELISA/IFA, CSF A | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMP VIR1/2 IGMAB,IFA A | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF N | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF M | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1/2 AB (IGM) IFA W/REF TO TITER A | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ENCEPHALITIS AB PNL, CSF - K | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES PROFILE 1 B | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF II | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC TORCH PANEL (ACUTE) *B | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES PROFILE 1 A | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF HH | $73.80 | $123.00 | $79.95–$104.55 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 | $76.80 | $128.00 | $83.20–$108.80 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF D | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 1,2 IGG AB - A | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF C | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGM TITER | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SMPLX VRS (HSV) ANTI PNL, ELISA/IFA, CSF C | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SMPLX VRS (HSV) ANTI PNL, ELISA/IFA, CSF D | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV2 IGGTYPESPECAB-HERPESELECT | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMP VIR1/2 IGMAB,IFA B | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC ENCEPHALITIS AB PNL, CSF - L | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES PROFILE 1 D | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES PROFILE 1 C | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 1/2 AB (IGM) IFA W/REF TO TITER B | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 INHIBITION | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 1/2 IGG W/REF TO HSV-2 INH B | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC TORCH PANEL (CONVALESCENT) *C | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC TORCH PANEL (ACUTE) *C | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF KK | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF JJ | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF P | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF O | $107.40 | $179.00 | $19.16–$205.39 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $19.16–$205.39 | 2% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF C | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX VIRUS (HSV) AB, ELISA/IFA, CSF D | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGM TITER | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SMPLX VRS (HSV) ANTI PNL, ELISA/IFA, CSF C | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SMPLX VRS (HSV) ANTI PNL, ELISA/IFA, CSF D | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV2 IGGTYPESPECAB-HERPESELECT | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMP VIR1/2 IGMAB,IFA B | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ENCEPHALITIS AB PNL, CSF - L | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF O | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF P | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF JJ | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF KK | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC TORCH PANEL (ACUTE) *C | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC TORCH PANEL (CONVALESCENT) *C | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 1,2 IGG AB - A | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 1/2 IGG W/REF TO HSV-2 INH B | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 INHIBITION | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 1/2 AB (IGM) IFA W/REF TO TITER B | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES PROFILE 1 C | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES PROFILE 1 D | $107.40 | $179.00 | $116.35–$152.15 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 | $109.80 | $183.00 | $118.95–$155.55 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC ADV LIPID PN INFLAM, CARDIO IQ - E | $72.60 | $121.00 | $10.53–$137.40 | 8% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ E | $72.60 | $121.00 | $10.53–$137.40 | 8% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP-HS/CARDIO | $72.60 | $121.00 | $10.53–$137.40 | 8% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC ADVANCED LIPID PANEL W/ INFLAMMATION, CARDIO IQ E | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP-HS/CARDIO | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC ADV LIPID PN INFLAM, CARDIO IQ - E | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE | $91.20 | $152.00 | $17.74–$179.01 | 24% below | 40% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $91.20 | $152.00 | $98.80–$129.20 | — | 40% |
| Insulin blood test CPT 83525 HC INSULIN RESPONSE TO GLUCOSE, 2 SPECIMENS B | $57.60 | $96.00 | $11.00–$88.35 | 21% below | 40% |
| Insulin blood test CPT 83525 HC INSULIN | $57.60 | $96.00 | $11.00–$88.35 | 21% below | 40% |
| Insulin blood test CPT 83525 HC INSULIN RESPONSE TO GLUCOSE, 2 SPECIMENS A | $57.60 | $96.00 | $11.00–$88.35 | 21% below | 40% |
| Insulin blood test inpatient CPT 83525 HC INSULIN RESPONSE TO GLUCOSE, 2 SPECIMENS B | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| Insulin blood test inpatient CPT 83525 HC INSULIN | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| Insulin blood test inpatient CPT 83525 HC INSULIN RESPONSE TO GLUCOSE, 2 SPECIMENS A | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| Iron blood test (serum iron) CPT 83540 HC IRON AND IRON BINDING CAPAC-A | $32.40 | $54.00 | $6.41–$50.08 | 29% below | 40% |
| Iron blood test (serum iron) CPT 83540 HC IRON TOTAL | $32.40 | $54.00 | $6.41–$50.08 | 29% below | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON AND IRON BINDING CAPAC-A | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON TOTAL | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST | $37.80 | $63.00 | $5.00–$68.07 | 37% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON AND IRON BINDING CAPAC-B | $44.40 | $74.00 | $5.00–$68.07 | 26% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST | $37.80 | $63.00 | $40.95–$53.55 | — | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON AND IRON BINDING CAPAC-B | $44.40 | $74.00 | $48.10–$62.90 | — | 40% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $56.40 | $94.00 | $8.59–$92.14 | 18% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $56.40 | $94.00 | $61.10–$79.90 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE/LH | $94.20 | $157.00 | $17.00–$143.04 | 21% below | 40% |
| LH (luteinizing hormone) test CPT 83002 HC FSH AND LH, PEDIATRICS B | $94.20 | $157.00 | $17.00–$143.04 | 21% below | 40% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE | $94.20 | $157.00 | $17.00–$143.04 | 21% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE/LH | $94.20 | $157.00 | $102.05–$133.45 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC FSH AND LH, PEDIATRICS B | $94.20 | $157.00 | $102.05–$133.45 | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE | $94.20 | $157.00 | $102.05–$133.45 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $58.80 | $98.00 | $8.00–$116.00 | 23% below | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $58.80 | $98.00 | $63.70–$83.30 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE ENZYME | $23.40 | $39.00 | $5.98–$46.52 | 36% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD CSF | $30.60 | $51.00 | $5.98–$46.52 | 17% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD | $30.60 | $51.00 | $5.98–$46.52 | 17% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD FLUID | $30.60 | $51.00 | $5.98–$46.52 | 17% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD ISOENZYMES-B | $30.60 | $51.00 | $5.98–$46.52 | 17% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH-FLUID | $30.60 | $51.00 | $5.98–$46.52 | 17% below | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE ENZYME | $23.40 | $39.00 | $25.35–$33.15 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD ISOENZYMES-B | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD FLUID | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD CSF | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH-FLUID | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE | $34.20 | $57.00 | $5.00–$53.13 | 27% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE | $34.20 | $57.00 | $37.05–$48.45 | — | 40% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $54.00 | $90.00 | $8.09–$86.72 | 31% below | 40% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $54.00 | $90.00 | $58.50–$76.50 | — | 40% |
| Lyme disease antibody test CPT 86618 HC TICK-BORNE DISEASE, ANTIBODY PANEL W/ RFLX F | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI AB INDEX H | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI AB INDEX G | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI AB INDEX F | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test CPT 86618 HC B. BURGDORFERI AB INDEX E | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test CPT 86618 HC LYME DIS AB PANEL,CSF D | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test CPT 86618 HC LYME DIS AB PANEL,CSF C | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test CPT 86618 HC LYME IGG/IGM SCRN-PROGRESSIVE | $94.80 | $158.00 | $16.86–$134.30 | at median | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC TICK-BORNE DISEASE, ANTIBODY PANEL W/ RFLX F | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME IGG/IGM SCRN-PROGRESSIVE | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DIS AB PANEL,CSF C | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DIS AB PANEL,CSF D | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI AB INDEX E | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI AB INDEX F | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI AB INDEX G | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC B. BURGDORFERI AB INDEX H | $94.80 | $158.00 | $102.70–$134.30 | — | 40% |
| Magnesium blood test CPT 83735 HC STONE RISK DIAG PROFILE G | $33.60 | $56.00 | $6.63–$51.42 | 19% below | 40% |
| Magnesium blood test CPT 83735 HC MAGNESIUM | $33.60 | $56.00 | $6.63–$51.42 | 19% below | 40% |
| Magnesium blood test CPT 83735 HC MAGNESIUM URINE | $33.60 | $56.00 | $6.63–$51.42 | 19% below | 40% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, RBC | $33.60 | $56.00 | $6.63–$51.42 | 19% below | 40% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM | $33.60 | $56.00 | $36.40–$47.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM URINE | $33.60 | $56.00 | $36.40–$47.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC | $33.60 | $56.00 | $36.40–$47.60 | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC STONE RISK DIAG PROFILE G | $33.60 | $56.00 | $36.40–$47.60 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 HC ENCEPHALITIS AB PNL, CSF - D | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF DD | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF EE | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES IGM AB | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA QUANT | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA QUAL | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC ENCEPHALITIS AB PNL, CSF - C | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES ANTIBODIES (IGG, IGM), DIAGNOSTIC B | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC MEASLES ANTIBODIES (IGG, IGM), DIAGNOSTIC A | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG | $72.00 | $120.00 | $11.80–$102.00 | 11% below | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ENCEPHALITIS AB PNL, CSF - D | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF DD | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF EE | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES IGM AB | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA QUANT | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA QUAL | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES ANTIBODIES (IGG, IGM), DIAGNOSTIC B | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES ANTIBODIES (IGG, IGM), DIAGNOSTIC A | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC ENCEPHALITIS AB PNL, CSF - C | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST | $29.40 | $49.00 | $5.13–$41.65 | 21% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO TEST | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS VIRUS ABS - A | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS VIRUS ABS - B | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC ENCEPHALITIS AB PNL, CSF - E | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS VIRUS IGG ABS | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC ENCEPHALITIS AB PNL, CSF - F | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF FF | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF GG | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC MUMPS AB IGM | $72.60 | $121.00 | $10.43–$102.85 | 11% below | 40% |
| Mumps immunity blood test CPT 86735 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF B | $91.20 | $152.00 | $10.43–$129.20 | 12% above | 40% |
| Mumps immunity blood test CPT 86735 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF A | $91.20 | $152.00 | $10.43–$129.20 | 12% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS VIRUS IGG ABS | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF FF | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MENINGOENCEPHALITIS COMPREHEN PANEL, CSF GG | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS AB IGM | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS VIRUS ABS - A | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC ENCEPHALITIS AB PNL, CSF - F | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC ENCEPHALITIS AB PNL, CSF - E | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS VIRUS ABS - B | $72.60 | $121.00 | $78.65–$102.85 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF B | $91.20 | $152.00 | $98.80–$129.20 | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC MENINGOENCEPHALITIS (ENCEPHALITIS) PANEL, CSF A | $91.20 | $152.00 | $98.80–$129.20 | — | 40% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL WITHOUT HIV SCREEN | $310.80 | $518.00 | $12.00–$440.30 | at median | 40% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL WITHOUT HIV SCREEN | $310.80 | $518.00 | $336.70–$440.30 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PHI REFLEX, PSA FREE | $93.60 | $156.00 | $18.21–$195.21 | 18% below | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA % FREE & TOTAL - B | $93.60 | $156.00 | $18.21–$195.21 | 18% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA % FREE & TOTAL - B | $93.60 | $156.00 | $101.40–$132.60 | — | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PHI REFLEX, PSA FREE | $93.60 | $156.00 | $101.40–$132.60 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN | $109.80 | $183.00 | $18.21–$155.55 | at median | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA % FREE & TOTAL - A | $109.80 | $183.00 | $18.21–$155.55 | at median | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA, POST-PROSTATECTOMY (2 DEC) | $109.80 | $183.00 | $18.21–$155.55 | at median | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE HEALTH INDEX (PHI) W/REF, SERUM | $109.80 | $183.00 | $18.21–$155.55 | at median | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA % FREE & TOTAL - A | $109.80 | $183.00 | $118.95–$155.55 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA, POST-PROSTATECTOMY (2 DEC) | $109.80 | $183.00 | $118.95–$155.55 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE HEALTH INDEX (PHI) W/REF, SERUM | $109.80 | $183.00 | $118.95–$155.55 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN | $109.80 | $183.00 | $118.95–$155.55 | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC DIAGNOSTIC AUTO THIN PREP PAP | $64.20 | $107.00 | $21.40–$283.64 | 22% below | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC DIAGNOSTIC AUTO THIN PREP PAP | $64.20 | $107.00 | $69.55–$90.95 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC DIAGNOSTIC THIN PREP PAP | $48.60 | $81.00 | $16.00–$178.64 | 21% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC DIAGNOSTIC THIN PREP | $48.60 | $81.00 | $16.00–$178.64 | 21% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC LIQUID-BASED PAP (QUEST) | $48.60 | $81.00 | $16.00–$178.64 | 21% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC DIAGNOSTIC THIN PREP | $48.60 | $81.00 | $52.65–$68.85 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC DIAGNOSTIC THIN PREP PAP | $48.60 | $81.00 | $52.65–$68.85 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC LIQUID-BASED PAP (QUEST) | $48.60 | $81.00 | $52.65–$68.85 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARTHORMONE | $182.40 | $304.00 | $40.87–$318.93 | 17% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PTH, INTACT WITHOUT CALCIUM | $209.40 | $349.00 | $40.87–$318.93 | 4% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC INTACT PARATHYROID HORMONE | $209.40 | $349.00 | $40.87–$318.93 | 4% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE INTACT B | $209.40 | $349.00 | $40.87–$318.93 | 4% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARTHORMONE | $182.40 | $304.00 | $197.60–$258.40 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC INTACT PARATHYROID HORMONE | $209.40 | $349.00 | $226.85–$296.65 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH, INTACT WITHOUT CALCIUM | $209.40 | $349.00 | $226.85–$296.65 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE INTACT B | $209.40 | $349.00 | $226.85–$296.65 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG SCRN PROFILE D | $30.60 | $51.00 | $5.95–$46.37 | 26% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $30.60 | $51.00 | $5.95–$46.37 | 26% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT-LA WITH REF TO HEXAGONAL PHASE CONF | $30.60 | $51.00 | $5.95–$46.37 | 26% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT PLASMA OR WHOLE BLOOD B | $30.60 | $51.00 | $5.95–$46.37 | 26% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC VON WILLEBRAND'S PANEL - D | $30.60 | $51.00 | $5.95–$46.37 | 26% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC VON WILLEBRAND COMPREHENSIVE PANEL-D | $30.60 | $51.00 | $5.95–$46.37 | 26% below | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT PLASMA OR WHOLE BLOOD B | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC VON WILLEBRAND'S PANEL - D | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG SCRN PROFILE D | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC VON WILLEBRAND COMPREHENSIVE PANEL-D | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT-LA WITH REF TO HEXAGONAL PHASE CONF | $30.60 | $51.00 | $33.15–$43.35 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHOROUS | $24.00 | $40.00 | $4.69–$36.56 | 26% below | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHOROUS | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Potassium blood test CPT 84132 HC POTASSIUM | $24.00 | $40.00 | $4.71–$35.82 | 25% below | 40% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC QNATAL ADVANCED | $1,644.00 | $2,740.00 | $548.00–$3,710.22 | 30% below | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC QNATAL ADVANCED | $1,644.00 | $2,740.00 | $1,781.00–$2,329.00 | — | 40% |
| Progesterone blood test CPT 84144 HC STEROID PANEL COMPREHENSIVE K | $105.00 | $175.00 | $17.00–$161.18 | 23% below | 40% |
| Progesterone blood test CPT 84144 HC PROGESTERONE | $105.00 | $175.00 | $17.00–$161.18 | 23% below | 40% |
| Progesterone blood test inpatient CPT 84144 HC STEROID PANEL COMPREHENSIVE K | $105.00 | $175.00 | $113.75–$148.75 | — | 40% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE | $105.00 | $175.00 | $113.75–$148.75 | — | 40% |
| Prolactin blood test CPT 84146 HC PROLACTIN | $98.40 | $164.00 | $19.19–$149.66 | 21% below | 40% |
| Prolactin blood test CPT 84146 HC MACROPROLACTIN, TOTAL AND MONOMERIC B | $98.40 | $164.00 | $19.19–$149.66 | 21% below | 40% |
| Prolactin blood test CPT 84146 HC MACROPROLACTIN, TOTAL AND MONOMERIC A | $98.40 | $164.00 | $19.19–$149.66 | 21% below | 40% |
| Prolactin blood test CPT 84146 HC PROLACTIN,DILUTION STUDY B | $98.40 | $164.00 | $19.19–$149.66 | 21% below | 40% |
| Prolactin blood test CPT 84146 HC PROLACTIN,DILUTION STUDY A | $98.40 | $164.00 | $19.19–$149.66 | 21% below | 40% |
| Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN, TOTAL AND MONOMERIC A | $98.40 | $164.00 | $106.60–$139.40 | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN, TOTAL AND MONOMERIC B | $98.40 | $164.00 | $106.60–$139.40 | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN | $98.40 | $164.00 | $106.60–$139.40 | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN,DILUTION STUDY A | $98.40 | $164.00 | $106.60–$139.40 | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN,DILUTION STUDY B | $98.40 | $164.00 | $106.60–$139.40 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ISTAT PT INR (POC) | $22.20 | $37.00 | $4.00–$31.45 | 22% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $22.20 | $37.00 | $4.00–$31.45 | 22% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG SCRN PROFILE A | $22.20 | $37.00 | $4.00–$31.45 | 22% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC ISTAT PT INR POC | $22.20 | $37.00 | $4.00–$31.45 | 22% below | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ISTAT PT INR (POC) | $22.20 | $37.00 | $24.05–$31.45 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $22.20 | $37.00 | $24.05–$31.45 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG SCRN PROFILE A | $22.20 | $37.00 | $24.05–$31.45 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ISTAT PT INR POC | $22.20 | $37.00 | $24.05–$31.45 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG OF ABUSE SCREEN RAPID | $32.40 | $54.00 | $10.80–$101.81 | 42% below | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG OF ABUSE SCREEN RAPID | $32.40 | $54.00 | $35.10–$45.90 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID GROUP A STREP- IN LAB TEST | $93.00 | $155.00 | $6.30–$131.75 | 47% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP, BEDSIDE | $93.00 | $155.00 | $6.30–$131.75 | 47% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID GROUP A STREP- IN LAB TEST | $93.00 | $155.00 | $100.75–$131.75 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP, BEDSIDE | $93.00 | $155.00 | $100.75–$131.75 | — | 40% |
| Renin blood test CPT 84244 HC RENIN | $80.40 | $134.00 | $12.00–$169.94 | 44% below | 40% |
| Renin blood test CPT 84244 HC RENIN-DIRECT | $112.20 | $187.00 | $12.00–$169.94 | 22% below | 40% |
| Renin blood test CPT 84244 HC ALDOSTERN/PLSM RENIN ACTVTY B | $112.20 | $187.00 | $12.00–$169.94 | 22% below | 40% |
| Renin blood test inpatient CPT 84244 HC RENIN | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Renin blood test inpatient CPT 84244 HC RENIN-DIRECT | $112.20 | $187.00 | $121.55–$158.95 | — | 40% |
| Renin blood test inpatient CPT 84244 HC ALDOSTERN/PLSM RENIN ACTVTY B | $112.20 | $187.00 | $121.55–$158.95 | — | 40% |
| Rh blood typing CPT 86901 HC RH BLOOD TYPING-B | $48.00 | $80.00 | $2.96–$81.89 | 16% below | 40% |
| Rh blood typing CPT 86901 HC RH BLOOD TYPING | $48.00 | $80.00 | $2.96–$81.89 | 16% below | 40% |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH (D) | $57.60 | $96.00 | $2.96–$81.89 | 1% above | 40% |
| Rh blood typing inpatient CPT 86901 HC RH BLOOD TYPING | $48.00 | $80.00 | $52.00–$68.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 HC RH BLOOD TYPING-B | $48.00 | $80.00 | $52.00–$68.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH (D) | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC ANA SCR RFLX TO TITER/PTRN/RA PNL 2 C | $31.80 | $53.00 | $5.61–$45.05 | 19% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC ANA SC,REF T/P,REF MPLX 11 AB D | $31.80 | $53.00 | $5.61–$45.05 | 19% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QNT | $31.80 | $53.00 | $5.61–$45.05 | 19% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUM ARTH DIAG PL ID RA 14-3-3 ETA - A | $31.80 | $53.00 | $5.61–$45.05 | 19% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR | $31.80 | $53.00 | $5.61–$45.05 | 19% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC ANA SC,REF T/P,REF MPLX 11 AB D | $31.80 | $53.00 | $34.45–$45.05 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR | $31.80 | $53.00 | $34.45–$45.05 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUM ARTH DIAG PL ID RA 14-3-3 ETA - A | $31.80 | $53.00 | $34.45–$45.05 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC ANA SCR RFLX TO TITER/PTRN/RA PNL 2 C | $31.80 | $53.00 | $34.45–$45.05 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QNT | $31.80 | $53.00 | $34.45–$45.05 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG/SCREEN | $80.40 | $134.00 | $14.25–$113.90 | 5% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC TORCH PANEL (CONVALESCENT) *D | $80.40 | $134.00 | $14.25–$113.90 | 5% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC TORCH PANEL (ACUTE) *D | $80.40 | $134.00 | $14.25–$113.90 | 5% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA VIRUS IGM ABS | $80.40 | $134.00 | $14.25–$113.90 | 5% below | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC TORCH PANEL (CONVALESCENT) *D | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA VIRUS IGM ABS | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG/SCREEN | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC TORCH PANEL (ACUTE) *D | $80.40 | $134.00 | $87.10–$113.90 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE | $13.80 | $23.00 | $2.67–$66.43 | 36% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE | $13.80 | $23.00 | $14.95–$19.55 | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS COMPLETE | $88.80 | $148.00 | $9.84–$125.80 | at median | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS COMPLETE | $88.80 | $148.00 | $96.20–$125.80 | — | 40% |
| Sodium blood test CPT 84295 HC SODIUM SERUM/OR | $24.60 | $41.00 | $4.76–$37.01 | 24% below | 40% |
| Sodium blood test CPT 84295 HC SODIUM | $24.60 | $41.00 | $4.76–$37.01 | 24% below | 40% |
| Sodium blood test inpatient CPT 84295 HC SODIUM SERUM/OR | $24.60 | $41.00 | $26.65–$34.85 | — | 40% |
| Sodium blood test inpatient CPT 84295 HC SODIUM | $24.60 | $41.00 | $26.65–$34.85 | — | 40% |
| Stool ova and parasites exam CPT 87177 HC O&P WITH TRICHROME STAIN A | $49.20 | $82.00 | $7.50–$69.70 | 16% below | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC O&P WITH TRICHROME STAIN A | $49.20 | $82.00 | $53.30–$69.70 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC HEMATEST | $16.20 | $27.00 | $3.47–$22.95 | 21% below | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC HEMATEST | $16.20 | $27.00 | $17.55–$22.95 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA AB (FTA ABS REFLEX) | $74.40 | $124.00 | $13.11–$140.96 | at median | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB MHA | $74.40 | $124.00 | $13.11–$140.96 | at median | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM CNF FTS-ABS | $74.40 | $124.00 | $13.11–$140.96 | at median | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB MHA | $74.40 | $124.00 | $80.60–$105.40 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM CNF FTS-ABS | $74.40 | $124.00 | $80.60–$105.40 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA AB (FTA ABS REFLEX) | $74.40 | $124.00 | $80.60–$105.40 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUAL | $22.20 | $37.00 | $4.00–$32.99 | 21% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF/QUALITATIVE | $24.00 | $40.00 | $4.00–$34.00 | 15% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL,SERUM | $24.00 | $40.00 | $4.00–$34.00 | 15% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR/QUALITATIVE | $24.00 | $40.00 | $4.00–$34.00 | 15% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC TORCH GROUP IGM | $24.00 | $40.00 | $4.00–$34.00 | 15% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC HSV 1 IGM TITER | $24.00 | $40.00 | $4.00–$34.00 | 15% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUAL | $22.20 | $37.00 | $24.05–$31.45 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF/QUALITATIVE | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR/QUALITATIVE | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC TORCH GROUP IGM | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC HSV 1 IGM TITER | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL,SERUM | $24.00 | $40.00 | $26.00–$34.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST | $258.00 | $430.00 | $61.36–$643.44 | 17% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD | $345.00 | $575.00 | $61.36–$643.44 | 11% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST | $258.00 | $430.00 | $279.50–$365.50 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD | $345.00 | $575.00 | $373.75–$488.75 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE FREE - B | $130.80 | $218.00 | $25.55–$199.45 | 20% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL AND FREE AND SEX HORMONE A | $130.80 | $218.00 | $25.55–$199.45 | 20% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOS,FREE,BIOAVAIL,TOT LC/MS/MS-C | $130.80 | $218.00 | $25.55–$199.45 | 20% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOST TOT-FEM/ADOL MALE | $130.80 | $218.00 | $25.55–$199.45 | 20% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOST FR/TOT-FEM/ADL MALE B | $130.80 | $218.00 | $25.55–$199.45 | 20% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $130.80 | $218.00 | $25.55–$199.45 | 20% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC STEROID PANEL COMPREHENSIVE L | $130.80 | $218.00 | $25.55–$199.45 | 20% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC STEROID PANEL COMPREHENSIVE L | $130.80 | $218.00 | $141.70–$185.30 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL AND FREE AND SEX HORMONE A | $130.80 | $218.00 | $141.70–$185.30 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOS,FREE,BIOAVAIL,TOT LC/MS/MS-C | $130.80 | $218.00 | $141.70–$185.30 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOST TOT-FEM/ADOL MALE | $130.80 | $218.00 | $141.70–$185.30 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOST FR/TOT-FEM/ADL MALE B | $130.80 | $218.00 | $141.70–$185.30 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $130.80 | $218.00 | $141.70–$185.30 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE FREE - B | $130.80 | $218.00 | $141.70–$185.30 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANALYZER ANA, IFA W/RFL TTR/PAT, SYST AUTOIM PN 1 Y | $72.00 | $120.00 | $7.91–$102.00 | 4% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID MICROSOMAL ANTIBODY | $81.00 | $135.00 | $7.91–$114.75 | 8% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER/KIDNEY MICROSOMAL ATBY | $81.00 | $135.00 | $7.91–$114.75 | 8% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC AUTOIMMUNE HEPATITIS DIAGNOSTIC PANEL D | $81.00 | $135.00 | $7.91–$114.75 | 8% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANALYZER ANA, IFA W/RFL TTR/PAT, SYST AUTOIM PN 1 Y | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC AUTOIMMUNE HEPATITIS DIAGNOSTIC PANEL D | $81.00 | $135.00 | $87.75–$114.75 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER/KIDNEY MICROSOMAL ATBY | $81.00 | $135.00 | $87.75–$114.75 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID MICROSOMAL ANTIBODY | $81.00 | $135.00 | $87.75–$114.75 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH T/F | $85.80 | $143.00 | $16.63–$129.82 | 14% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH T/F | $85.80 | $143.00 | $92.95–$121.55 | — | 40% |
| Total IgE blood test CPT 82785 HC CHILDHD ALLER(FOOD&ENV) PROF A | $82.80 | $138.00 | $16.30–$127.22 | 20% below | 40% |
| Total IgE blood test CPT 82785 HC RESPIR ALLERGY PROF, REG 1 IAA | $82.80 | $138.00 | $16.30–$127.22 | 20% below | 40% |
| Total IgE blood test CPT 82785 HC IGE | $82.80 | $138.00 | $16.30–$127.22 | 20% below | 40% |
| Total IgE blood test inpatient CPT 82785 HC CHILDHD ALLER(FOOD&ENV) PROF A | $82.80 | $138.00 | $89.70–$117.30 | — | 40% |
| Total IgE blood test inpatient CPT 82785 HC IGE | $82.80 | $138.00 | $89.70–$117.30 | — | 40% |
| Total IgE blood test inpatient CPT 82785 HC RESPIR ALLERGY PROF, REG 1 IAA | $82.80 | $138.00 | $89.70–$117.30 | — | 40% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $22.20 | $37.00 | $4.31–$33.59 | 27% below | 40% |
| Total cholesterol blood test CPT 82465 HC LIPOPROTEIN ELECTRO W/PHENO -A | $22.20 | $37.00 | $4.31–$33.59 | 27% below | 40% |
| Total cholesterol blood test inpatient CPT 82465 HC LIPOPROTEIN ELECTRO W/PHENO -A | $22.20 | $37.00 | $24.05–$31.45 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $22.20 | $37.00 | $24.05–$31.45 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 (THYROID HORMONE) | $34.20 | $57.00 | $6.80–$53.13 | 24% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 FREE DIALYSIS - A | $34.20 | $57.00 | $6.80–$53.13 | 24% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 TOTAL (THYROXINE) | $34.20 | $57.00 | $6.80–$53.13 | 24% below | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 TOTAL (THYROXINE) | $34.20 | $57.00 | $37.05–$48.45 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 (THYROID HORMONE) | $34.20 | $57.00 | $37.05–$48.45 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 FREE DIALYSIS - A | $34.20 | $57.00 | $37.05–$48.45 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL | $72.00 | $120.00 | $8.00–$109.53 | 26% below | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 HC TOTAL T3 | $72.00 | $120.00 | $8.00–$109.53 | 26% below | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TOTAL T3 | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL | $72.00 | $120.00 | $78.00–$102.00 | — | 40% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN | $64.80 | $108.00 | $12.63–$101.58 | 25% below | 40% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN | $64.80 | $108.00 | $70.20–$91.80 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS RNA, TMA | $195.60 | $326.00 | $34.74–$336.34 | 6% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS, MALES | $195.60 | $326.00 | $34.74–$336.34 | 6% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC SURESWAB ADVANCED VAGINITIS, TMA D | $195.60 | $326.00 | $34.74–$336.34 | 6% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC SS ADVD CANDIDA VAG (CV)/TRICH VAG (TV) C | $195.60 | $326.00 | $34.74–$336.34 | 6% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONOS VAG RNA,QUAL,TMA,MALE | $195.60 | $326.00 | $34.74–$336.34 | 6% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONOS VAG RNA,QUAL,TMA,FEMALE | $195.60 | $326.00 | $34.74–$336.34 | 6% above | 40% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS NAAT | $195.60 | $326.00 | $34.74–$336.34 | 6% above | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS RNA, TMA | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONOS VAG RNA,QUAL,TMA,FEMALE | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONOS VAG RNA,QUAL,TMA,MALE | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC SS ADVD CANDIDA VAG (CV)/TRICH VAG (TV) C | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC SURESWAB ADVANCED VAGINITIS, TMA D | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS NAAT | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS, MALES | $195.60 | $326.00 | $211.90–$277.10 | — | 40% |
| Triglycerides blood test CPT 84478 HC LIPOPROTEIN ELECTRO W/PHENO -C | $29.40 | $49.00 | $5.68–$44.21 | 26% below | 40% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $29.40 | $49.00 | $5.68–$44.21 | 26% below | 40% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDE FLUID | $29.40 | $49.00 | $5.68–$44.21 | 26% below | 40% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, PLEURAL FLUID | $29.40 | $49.00 | $5.68–$44.21 | 26% below | 40% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, PERITONEAL FLUID | $29.40 | $49.00 | $5.68–$44.21 | 26% below | 40% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, PLEURAL FLUID | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDE FLUID | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, PERITONEAL FLUID | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC LIPOPROTEIN ELECTRO W/PHENO -C | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Troponin test, quantitative CPT 84484 HC TROPONIN I | $63.60 | $106.00 | $9.87–$92.44 | 23% below | 40% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I | $63.60 | $106.00 | $68.90–$90.10 | — | 40% |
| Uric acid blood test CPT 84550 HC URIC ACID | $23.40 | $39.00 | $4.47–$34.93 | 26% below | 40% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID | $23.40 | $39.00 | $25.35–$33.15 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO | $23.40 | $39.00 | $3.00–$33.59 | 29% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO | $23.40 | $39.00 | $25.35–$33.15 | — | 40% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS DIPSTICK | $18.00 | $30.00 | $3.98–$25.50 | 39% below | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS DIPSTICK | $18.00 | $30.00 | $19.50–$25.50 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO | $17.40 | $29.00 | $2.23–$24.65 | 3% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC SPEC GRAV URINE | $17.40 | $29.00 | $2.23–$24.65 | 3% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINE DIP W/RFX TO MICROSCOPIC IF IND | $17.40 | $29.00 | $2.23–$24.65 | 3% below | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE DIP W/RFX TO MICROSCOPIC IF IND | $17.40 | $29.00 | $18.85–$24.65 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC SPEC GRAV URINE | $17.40 | $29.00 | $18.85–$24.65 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O MICRO | $17.40 | $29.00 | $18.85–$24.65 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS | $7.20 | $12.00 | $2.40–$27.79 | 66% below | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC PH URINE | $25.20 | $42.00 | $3.45–$35.70 | 20% above | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC HEMOGLOBIN URINE | $25.20 | $42.00 | $3.45–$35.70 | 20% above | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS | $7.20 | $12.00 | $7.80–$10.20 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC HEMOGLOBIN URINE | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC PH URINE | $25.20 | $42.00 | $27.30–$35.70 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE | $45.00 | $75.00 | $7.99–$63.75 | 21% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE | $45.00 | $75.00 | $48.75–$63.75 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 HC MICALBUM CREAT RAT URN A | $29.40 | $49.00 | $5.72–$44.73 | 26% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN | $29.40 | $49.00 | $5.72–$44.73 | 26% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC MICALBUM CREAT RAT URN A | $29.40 | $49.00 | $31.85–$41.65 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY URINE | $21.60 | $36.00 | $4.00–$68.74 | 41% below | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNACY TEST | $63.00 | $105.00 | $4.00–$89.25 | 71% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST | $63.00 | $105.00 | $4.00–$89.25 | 71% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY URINE | $21.60 | $36.00 | $23.40–$30.60 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNACY TEST | $63.00 | $105.00 | $68.25–$89.25 | — | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST | $63.00 | $105.00 | $68.25–$89.25 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 | $76.80 | $128.00 | $13.00–$116.44 | 18% below | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 | $76.80 | $128.00 | $83.20–$108.80 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25-HYDROXY | $149.40 | $249.00 | $29.30–$228.72 | at median | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25-HYDROXY | $149.40 | $249.00 | $161.85–$211.65 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1,25-DIHYDROXY | $195.00 | $325.00 | $38.12–$297.38 | 19% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1,25-DIHYDROXY | $195.00 | $325.00 | $211.25–$276.25 | — | 40% |
| Zinc blood test CPT 84630 HC ZINC URINE B | $57.60 | $96.00 | $11.28–$88.06 | 20% below | 40% |
| Zinc blood test CPT 84630 HC ZINC URINE | $57.60 | $96.00 | $11.28–$88.06 | 20% below | 40% |
| Zinc blood test CPT 84630 HC ZINC SERUM | $57.60 | $96.00 | $11.28–$88.06 | 20% below | 40% |
| Zinc blood test CPT 84630 HC RBC ZINC | $57.60 | $96.00 | $11.28–$88.06 | 20% below | 40% |
| Zinc blood test inpatient CPT 84630 HC ZINC URINE B | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| Zinc blood test inpatient CPT 84630 HC ZINC URINE | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| Zinc blood test inpatient CPT 84630 HC RBC ZINC | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| Zinc blood test inpatient CPT 84630 HC ZINC SERUM | $57.60 | $96.00 | $62.40–$81.60 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG - QUAN | $46.80 | $78.00 | $14.90–$103.66 | 48% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BHCG QUANT | $76.20 | $127.00 | $14.90–$107.95 | 15% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC AFP QUAD SCREEN PROFILE C | $76.20 | $127.00 | $14.90–$107.95 | 15% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC BETA-HCG TUMOR MARKER | $76.20 | $127.00 | $14.90–$107.95 | 15% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC ALPHA FETOPROTEIN-TRIPLE B | $76.20 | $127.00 | $14.90–$107.95 | 15% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG - QUAN | $46.80 | $78.00 | $50.70–$66.30 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BETA-HCG TUMOR MARKER | $76.20 | $127.00 | $82.55–$107.95 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC BHCG QUANT | $76.20 | $127.00 | $82.55–$107.95 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC AFP QUAD SCREEN PROFILE C | $76.20 | $127.00 | $82.55–$107.95 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC ALPHA FETOPROTEIN-TRIPLE B | $76.20 | $127.00 | $82.55–$107.95 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Appendectomy, open surgery CPT 44950 HC APPENDECTOMY T/F | $375.60 | $626.00 | $125.20–$23,763.60 | 97% below | 40% |
| Appendectomy, open surgery inpatient CPT 44950 HC APPENDECTOMY T/F | $375.60 | $626.00 | $406.90–$532.10 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC STEREOTCTC BRST BX 1ST LES - RT | $2,087.40 | $3,479.00 | $200.21–$4,217.85 | 47% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC STEREOTCTC BRST BX 1ST LES - LT | $2,087.40 | $3,479.00 | $200.21–$4,217.85 | 47% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC STEREOTCTC BRST BX 1ST LES - RT | $2,087.40 | $3,479.00 | $2,261.35–$2,957.15 | — | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC STEREOTCTC BRST BX 1ST LES - LT | $2,087.40 | $3,479.00 | $2,261.35–$2,957.15 | — | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLRX DST/FIB FX(LAT MAL)W/O MN | $1,212.00 | $2,020.00 | $150.50–$2,249.82 | 83% above | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLRX DST/FIB FX(LAT MAL)W/O MN | $1,212.00 | $2,020.00 | $1,313.00–$1,717.00 | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLSD RX METATARSAL FX W/O MAN | $520.80 | $868.00 | $107.31–$2,120.00 | at median | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLSD RX METATARSAL FX W/O MAN | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 HC CATH PL COR ANG W/LHC INJLV | $4,655.40 | $7,759.00 | $1,016.56–$15,803.55 | 47% below | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC CATH PL COR ANG W/LHC INJLV | $4,655.40 | $7,759.00 | $5,043.35–$6,595.15 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECT, EXTRN | $2,001.00 | $3,335.00 | $117.45–$2,834.75 | 37% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECT, EXTRN | $2,001.00 | $3,335.00 | $2,167.75–$2,834.75 | — | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL | $30,975.00 | $51,625.00 | $1,016.56–$43,881.25 | at median | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 HC TX ATRIAL FIB PULM VEIN ISOL | $30,975.00 | $51,625.00 | $33,556.25–$43,881.25 | — | 40% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 HC C/SECTION | $10,034.40 | $16,724.00 | $2,339.66–$14,215.40 | 77% above | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC C/SECTION | $10,034.40 | $16,724.00 | $10,870.60–$14,215.40 | — | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLSD RX DIST RAD FX W/O MAN | $520.80 | $868.00 | $145.41–$2,120.00 | 21% below | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLSD RX DIST RAD FX W/O MAN | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/ LES REM MD | $990.00 | $1,650.00 | $330.00–$3,485.00 | 61% below | 40% |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W/ LES REM | $1,666.80 | $2,778.00 | $340.46–$3,485.00 | 34% below | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/ LES REM MD | $990.00 | $1,650.00 | $1,072.50–$1,402.50 | — | 40% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W/ LES REM | $1,666.80 | $2,778.00 | $1,805.70–$2,361.30 | — | 40% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DIAGNOSTIC MD | $443.40 | $739.00 | $147.80–$3,485.00 | 70% below | 40% |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY DIAGNOSTIC | $1,330.80 | $2,218.00 | $229.24–$3,485.00 | 11% below | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY DIAGNOSTIC MD | $443.40 | $739.00 | $480.35–$628.15 | — | 40% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY DIAGNOSTIC | $1,330.80 | $2,218.00 | $1,441.70–$1,885.30 | — | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPO W/BX & CURETT | $615.60 | $1,026.00 | $134.54–$3,485.00 | 26% above | 40% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPO W/BX & CURETT | $615.60 | $1,026.00 | $666.90–$872.10 | — | 40% |
| Coronary stent placement, one artery CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $15,411.00 | $25,685.00 | $899.72–$40,144.65 | 24% below | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 HC PRQ CARD STENT W/ANGIO 1 VSL | $15,411.00 | $25,685.00 | $16,695.25–$21,832.25 | — | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY | $1,815.60 | $3,026.00 | $95.25–$3,135.30 | 8% above | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY | $1,815.60 | $3,026.00 | $1,966.90–$2,572.10 | — | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DEST BEN/PREMAL LESION, FIRST | $520.80 | $868.00 | $25.40–$2,120.00 | 22% above | 40% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DEST BEN/PREMAL LESION, FIRST | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC RMVL IMPCTD CERUMEN USING IRRIG/LAVG, UNILAT | $214.80 | $358.00 | $16.80–$2,120.00 | 54% above | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC RMVL IMPCTD CERUMEN USING IRRIG/LAVG, UNILAT | $214.80 | $358.00 | $232.70–$304.30 | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN | $120.60 | $201.00 | $40.20–$2,120.00 | 10% below | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN | $120.60 | $201.00 | $130.65–$170.85 | — | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETR BX | $378.00 | $630.00 | $64.77–$2,120.00 | 4% below | 40% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETR BX | $378.00 | $630.00 | $409.50–$535.50 | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX INTERLUML CERV/THORAC W/IMG | $2,048.40 | $3,414.00 | $113.28–$3,135.30 | 15% below | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX INTERLUML CERV/THORAC W/IMG | $2,048.40 | $3,414.00 | $2,219.10–$2,901.90 | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FCET JT LMB SCR SNG W/IMAG | $1,318.80 | $2,198.00 | $251.05–$3,135.30 | 8% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ FCET JT LMB SCR SNG W/IMAG | $1,318.80 | $2,198.00 | $1,428.70–$1,868.30 | — | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC RPR AA HERNIA 1ST < 3 CM REDUCIBLE T/F | $7,767.60 | $12,946.00 | $360.03–$11,127.90 | 15% above | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC RPR AA HERNIA 1ST < 3 CM REDUCIBLE T/F | $7,767.60 | $12,946.00 | $8,414.90–$11,004.10 | — | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOID FLEX DIAG | $1,158.00 | $1,930.00 | $67.50–$2,656.50 | at median | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOID FLEX DIAG | $1,158.00 | $1,930.00 | $1,254.50–$1,640.50 | — | 40% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY MD | $2,270.40 | $3,784.00 | $756.80–$9,755.55 | 79% below | 40% |
| Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY | $8,289.60 | $13,816.00 | $1,016.56–$11,743.60 | 23% below | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY MD | $2,270.40 | $3,784.00 | $2,459.60–$3,216.40 | — | 40% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOP CHOLECYSTECTOMY | $8,289.60 | $13,816.00 | $8,980.40–$11,743.60 | — | 40% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMMORHOIDECTOMY SIM LIGATURE | $2,925.00 | $4,875.00 | $58.42–$4,143.75 | 63% above | 40% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMMORHOIDECTOMY SIM LIGATURE | $2,925.00 | $4,875.00 | $3,168.75–$4,143.75 | — | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH INTRO SALINE/CNTR HYSTERO | $548.40 | $914.00 | $70.20–$2,120.00 | 43% above | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH INTRO SALINE/CNTR HYSTERO | $548.40 | $914.00 | $594.10–$776.90 | — | 40% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD | $254.40 | $424.00 | $21.91–$2,120.00 | 18% below | 40% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD | $254.40 | $424.00 | $275.60–$360.40 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE | $510.60 | $851.00 | $29.84–$2,120.00 | at median | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE | $510.60 | $851.00 | $553.15–$723.35 | — | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SH/LIG/GANG CYST | $894.60 | $1,491.00 | $41.92–$2,120.00 | 57% above | 40% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SH/LIG/GANG CYST | $894.60 | $1,491.00 | $969.15–$1,267.35 | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASP/INJ MAJ JOINT HIP,SHLD,KN W/O US | $453.60 | $756.00 | $31.73–$2,120.00 | 3% below | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASP/INJ MAJ JOINT HIP,SHLD,KN W/O US | $453.60 | $756.00 | $491.40–$642.60 | — | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT DRUG IMPLANT | $254.40 | $424.00 | $84.80–$2,807.45 | at median | 40% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT DRUG IMPLANT | $254.40 | $424.00 | $275.60–$360.40 | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASP/INJ INTRMED JT-WRST, ANKL W/O US | $453.60 | $756.00 | $29.02–$2,120.00 | 28% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASP/INJ INTRMED JT-WRST, ANKL W/O US | $453.60 | $756.00 | $491.40–$642.60 | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASP/INJ SM JT - FINGER, TOE W/O US | $453.60 | $756.00 | $24.30–$2,120.00 | 10% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASP/INJ SM JT - FINGER, TOE W/O US | $453.60 | $756.00 | $491.40–$642.60 | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT REP S/A/T/E <2.5 CM | $520.80 | $868.00 | $31.11–$2,120.00 | 11% below | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT REP S/A/T/E <2.5 CM | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Left heart catheterization, diagnostic CPT 93452 HC COR ANGIO OR LHC | $5,240.40 | $8,734.00 | $1,016.56–$15,803.55 | 20% below | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC COR ANGIO OR LHC | $5,240.40 | $8,734.00 | $5,677.10–$7,423.90 | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX INTERLUML LMBR/SAC W/IMG INJ | $2,048.40 | $3,414.00 | $103.28–$3,135.30 | 2% below | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX INTERLUML LMBR/SAC W/IMG INJ | $2,048.40 | $3,414.00 | $2,219.10–$2,901.90 | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ EPIDURAL L/S SINGLE | $2,647.20 | $4,412.00 | $128.30–$3,750.20 | 38% above | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ EPIDURAL L/S SINGLE | $2,647.20 | $4,412.00 | $2,867.80–$3,750.20 | — | 40% |
| Miscarriage treatment with D&C, first trimester CPT 59820 HC TRT MISSED ABORT SURG 1ST TRI | $5,405.40 | $9,009.00 | $766.35–$7,657.65 | at median | 40% |
| Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC TRT MISSED ABORT SURG 1ST TRI | $5,405.40 | $9,009.00 | $5,855.85–$7,657.65 | — | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BN LS W/MRG TALO <0.5CM | $1,341.60 | $2,236.00 | $47.62–$2,656.50 | 1% above | 40% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BN LS W/MRG TALO <0.5CM | $1,341.60 | $2,236.00 | $1,453.40–$1,900.60 | — | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BN LS W/MRG EENL <0.5CM | $2,184.60 | $3,641.00 | $69.22–$3,485.00 | 24% above | 40% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BN LS W/MRG EENL <0.5CM | $2,184.60 | $3,641.00 | $2,366.65–$3,094.85 | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC AVUL NAIL PL PART/COMP SIN SIM | $520.80 | $868.00 | $32.70–$2,120.00 | 11% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVUL NAIL PL PART/COMP SIN SIM | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJ ANESTH GRTR OCCIPITAL NRV | $496.20 | $827.00 | $47.25–$2,656.50 | 12% below | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ ANESTH GRTR OCCIPITAL NRV | $496.20 | $827.00 | $537.55–$702.95 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING | $1,225.20 | $2,042.00 | $113.85–$3,485.00 | 27% below | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING | $1,225.20 | $2,042.00 | $1,327.30–$1,735.70 | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | $161.60–$2,656.50 | 42% below | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL&MATRX PT/CMP PERM REM | $484.80 | $808.00 | $525.20–$686.80 | — | 40% |
| Prostate biopsy CPT 55700 HC NEEDLE BX PROSTATE MD | $441.00 | $735.00 | $113.67–$4,217.85 | 88% below | 40% |
| Prostate biopsy CPT 55700 HC NEEDLE BX PROSTATE | $3,295.80 | $5,493.00 | $120.83–$4,669.05 | 14% below | 40% |
| Prostate biopsy inpatient CPT 55700 HC NEEDLE BX PROSTATE MD | $441.00 | $735.00 | $477.75–$624.75 | — | 40% |
| Prostate biopsy inpatient CPT 55700 HC NEEDLE BX PROSTATE | $3,295.80 | $5,493.00 | $3,570.45–$4,669.05 | — | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTRUC L/S FACET JNT W/IG | $2,908.20 | $4,847.00 | $647.01–$4,602.81 | 2% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTRUC L/S FACET JNT W/IG | $2,908.20 | $4,847.00 | $3,150.55–$4,119.95 | — | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC I&D FOREIGN BODY SIMPLE | $520.80 | $868.00 | $41.17–$2,120.00 | 4% below | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC I&D FOREIGN BODY SIMPLE | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 HC TOTAL THYROID LOBECTOMY T/F | $417.00 | $695.00 | $139.00–$11,127.90 | 96% below | 40% |
| Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 HC TOTAL THYROID LOBECTOMY T/F | $417.00 | $695.00 | $451.75–$590.75 | — | 40% |
| Short arm cast (elbow to hand) CPT 29075 HC APL PLSTR FIG 8 CAST SHRT ARM | $370.80 | $618.00 | $57.78–$1,471.05 | 11% below | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC APL PLSTR FIG 8 CAST SHRT ARM | $370.80 | $618.00 | $401.70–$525.30 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC APPL SPL SHT ARM STATIC | $406.20 | $677.00 | $33.02–$1,471.05 | 29% above | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC APPL SPL SHT ARM STATIC | $406.20 | $677.00 | $440.05–$575.45 | — | 40% |
| Short leg cast (below the knee) CPT 29405 HC APPL SHORT LEG CAST | $520.80 | $868.00 | $64.14–$1,471.05 | at median | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 HC APPL SHORT LEG CAST | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Short leg splint (calf to foot) CPT 29515 HC APPL SHORT LEG SPLINT | $520.80 | $868.00 | $44.45–$1,471.05 | 13% above | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC APPL SHORT LEG SPLINT | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/< | $520.80 | $868.00 | $33.08–$2,120.00 | 1% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RPR S/N/AX/GEN/TRNK 2.5CM/< | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $690.60 | $1,151.00 | $51.35–$2,120.00 | 5% above | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION | $690.60 | $1,151.00 | $748.15–$978.35 | — | 40% |
| Skin tag removal, up to 15 tags CPT 11200 HC REM SKIN TAGS <=15 LESIONS | $819.00 | $1,365.00 | $39.37–$2,120.00 | 36% above | 40% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM SKIN TAGS <=15 LESIONS | $819.00 | $1,365.00 | $887.25–$1,160.25 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR SPINAL PUNC DIAG | $2,020.80 | $3,368.00 | $56.70–$2,862.80 | 65% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DX LMBR SPI PNXR | $2,040.00 | $3,400.00 | $53.34–$2,890.00 | 67% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR SPINAL PUNC DIAG | $2,020.80 | $3,368.00 | $2,189.20–$2,862.80 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DX LMBR SPI PNXR | $2,040.00 | $3,400.00 | $2,210.00–$2,890.00 | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM REP S/N/T/E 2.6-7.5 CM | $520.80 | $868.00 | $45.09–$1,471.05 | 1% below | 40% |
| 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 SIM REP S/N/T/E 2.6-7.5 CM | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM REP F/E/E/N/L <2.5 CM | $520.80 | $868.00 | $40.01–$1,471.05 | 2% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM REP F/E/E/N/L <2.5 CM | $520.80 | $868.00 | $564.20–$737.80 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING GUID MD | $282.00 | $470.00 | $94.00–$2,656.50 | 81% below | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING GUID | $2,304.60 | $3,841.00 | $602.09–$3,264.85 | 56% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING GUID MD | $282.00 | $470.00 | $305.50–$399.50 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMAGING GUID | $2,304.60 | $3,841.00 | $2,496.65–$3,264.85 | — | 40% |
| Total thyroid removal (thyroidectomy) CPT 60240 HC THYROIDECTOMY TOTAL/COMPL T/F | $539.40 | $899.00 | $179.80–$11,127.90 | 95% below | 40% |
| Total thyroid removal (thyroidectomy) inpatient CPT 60240 HC THYROIDECTOMY TOTAL/COMPL T/F | $539.40 | $899.00 | $584.35–$764.15 | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ SNG/MLT TRIGGR PTS 1-2MUSC | $396.60 | $661.00 | $40.69–$2,120.00 | 27% below | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ SNG/MLT TRIGGR PTS 1-2MUSC | $396.60 | $661.00 | $429.65–$561.85 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC US BREAST BX 1ST LES - RT | $2,087.40 | $3,479.00 | $187.50–$4,217.85 | 42% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC US BREAST BX 1ST LES - LT | $2,087.40 | $3,479.00 | $187.50–$4,217.85 | 42% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC US BREAST BX 1ST LES - RT | $2,087.40 | $3,479.00 | $2,261.35–$2,957.15 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC US BREAST BX 1ST LES - LT | $2,087.40 | $3,479.00 | $2,261.35–$2,957.15 | — | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC UPPER GI ENDOSCOPY W/BIOPSY | $2,019.60 | $3,366.00 | $188.70–$3,485.00 | 7% below | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE | $2,083.20 | $3,472.00 | $200.58–$3,485.00 | 4% below | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC UPPER GI ENDOSCOPY W/BIOPSY | $2,019.60 | $3,366.00 | $2,187.90–$2,861.10 | — | 40% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE | $2,083.20 | $3,472.00 | $2,256.80–$2,951.20 | — | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY EGD/EGJ | $1,509.00 | $2,515.00 | $159.03–$2,249.82 | 20% below | 40% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY EGD/EGJ | $1,509.00 | $2,515.00 | $1,634.75–$2,137.75 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBR SUBQ TISSUE 1ST 20SQCM | $1,580.40 | $2,634.00 | $44.55–$3,485.00 | 47% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBR SUBQ TISSUE 1ST 20SQCM | $1,580.40 | $2,634.00 | $1,712.10–$2,238.90 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS | $1,476.00 | $2,460.00 | $35.36–$2,656.50 | 57% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS | $1,476.00 | $2,460.00 | $1,599.00–$2,091.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION RX | $418.20 | $697.00 | $36.40–$592.45 | 88% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL TR NON-PRESSURIZ/FLUTTER | $418.20 | $697.00 | $36.40–$592.45 | 88% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC METERED DOSE INHALER | $418.20 | $697.00 | $36.40–$592.45 | 88% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AEROSOL INHALATION | $418.20 | $697.00 | $36.40–$592.45 | 88% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION RX | $418.20 | $697.00 | $453.05–$592.45 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL TR NON-PRESSURIZ/FLUTTER | $418.20 | $697.00 | $453.05–$592.45 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC METERED DOSE INHALER | $418.20 | $697.00 | $453.05–$592.45 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AEROSOL INHALATION | $418.20 | $697.00 | $453.05–$592.45 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION TO 1 HR | $608.40 | $1,014.00 | $158.50–$861.90 | 16% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION TO 1 HR | $608.40 | $1,014.00 | $659.10–$861.90 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE FIRST HOUR MD | $919.80 | $1,533.00 | $192.57–$1,303.05 | 51% below | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE FIRST HOUR | $2,304.00 | $3,840.00 | $192.57–$6,776.70 | 23% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE FIRST HOUR MD | $919.80 | $1,533.00 | $996.45–$1,303.05 | — | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE FIRST HOUR | $2,304.00 | $3,840.00 | $2,496.00–$3,264.00 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE DROWSY | $615.00 | $1,025.00 | $17.68–$3,178.35 | 19% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE DROWSY | $615.00 | $1,025.00 | $666.25–$871.25 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG W INTERP & REPORT MD | $45.60 | $76.00 | $15.20–$140.98 | 30% below | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC PED EKG & INTERP REPORT | $247.80 | $413.00 | $24.41–$351.05 | 281% above | 40% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC EKG & INTERP REPORT | $247.80 | $413.00 | $24.41–$351.05 | 281% above | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG W INTERP & REPORT MD | $45.60 | $76.00 | $49.40–$64.60 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC EKG & INTERP REPORT | $247.80 | $413.00 | $268.45–$351.05 | — | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC PED EKG & INTERP REPORT | $247.80 | $413.00 | $268.45–$351.05 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG W/O INTERP & REPORT MD | $145.20 | $242.00 | $13.28–$205.70 | 17% below | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG | $247.80 | $413.00 | $13.28–$351.05 | 42% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC PED EKG | $247.80 | $413.00 | $13.28–$351.05 | 42% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG W/O INTERP & REPORT MD | $145.20 | $242.00 | $157.30–$205.70 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG | $247.80 | $413.00 | $268.45–$351.05 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC PED EKG | $247.80 | $413.00 | $268.45–$351.05 | — | 40% |
| Electroconvulsive therapy (ECT), one session CPT 90870 PSYCHIATRIC/PSYCHOLOGICAL TREATMENTS - ELECTROSHOCK TREATMENT | $736.20 | $1,227.00 | $57.15–$2,033.64 | 42% below | 40% |
| Electroconvulsive therapy (ECT), one session inpatient CPT 90870 PSYCHIATRIC/PSYCHOLOGICAL TREATMENTS - ELECTROSHOCK TREATMENT | $736.20 | $1,227.00 | $797.55–$1,217.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC VISIT LEVEL 1 N/E | $391.20 | $652.00 | $21.05–$842.00 | 29% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC VISIT LEVEL 1 | $391.20 | $652.00 | $21.05–$842.00 | 29% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC VISIT LEVEL 1 N/E | $391.20 | $652.00 | $423.80–$554.20 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC VISIT LEVEL 1 | $391.20 | $652.00 | $423.80–$554.20 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC VISIT LEVEL 2 | $570.60 | $951.00 | $34.91–$842.00 | 19% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC VISIT LEVEL 2 N/E | $570.60 | $951.00 | $34.91–$842.00 | 19% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC VISIT LEVEL 2 | $570.60 | $951.00 | $618.15–$808.35 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC VISIT LEVEL 2 N/E | $570.60 | $951.00 | $618.15–$808.35 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED VISIT IV-SAFE PROGRAM | $887.40 | $1,479.00 | $45.50–$1,415.00 | 19% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC VISIT LEVEL 3 | $887.40 | $1,479.00 | $45.50–$1,415.00 | 19% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC VISIT LEVEL 3 N/E | $887.40 | $1,479.00 | $45.50–$1,415.00 | 19% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC VISIT LEVEL 3 N/E | $887.40 | $1,479.00 | $961.35–$1,257.15 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED VISIT IV-SAFE PROGRAM | $887.40 | $1,479.00 | $961.35–$1,257.15 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC VISIT LEVEL 3 | $887.40 | $1,479.00 | $961.35–$1,257.15 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC VISIT LEVEL 4 | $1,320.00 | $2,200.00 | $65.00–$2,528.40 | 8% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC VISIT LEVEL 4 N/E | $1,320.00 | $2,200.00 | $65.00–$2,528.40 | 8% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC VISIT LEVEL 4 | $1,320.00 | $2,200.00 | $1,430.00–$1,870.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC VISIT LEVEL 4 N/E | $1,320.00 | $2,200.00 | $1,430.00–$1,870.00 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC VISIT LEVEL 5 N/E | $1,828.80 | $3,048.00 | $65.00–$3,754.80 | 14% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC VISIT LEVEL 5 | $1,828.80 | $3,048.00 | $65.00–$3,754.80 | 14% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC VISIT LEVEL 5 N/E | $1,828.80 | $3,048.00 | $1,981.20–$2,590.80 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC VISIT LEVEL 5 | $1,828.80 | $3,048.00 | $1,981.20–$2,590.80 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC TREADMILL STRESS TEST | $331.80 | $553.00 | $59.05–$2,996.70 | 65% below | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC PED TREADMILL STRESS TEST | $953.40 | $1,589.00 | $59.05–$2,996.70 | 1% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CVSLR STRESS TEST TRACING | $953.40 | $1,589.00 | $59.05–$2,996.70 | 1% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC NUCLEAR STRESS TEST | $953.40 | $1,589.00 | $59.05–$2,996.70 | 1% above | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC TREADMILL STRESS TEST | $331.80 | $553.00 | $359.45–$470.05 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC NUCLEAR STRESS TEST | $953.40 | $1,589.00 | $1,032.85–$1,350.65 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC PED TREADMILL STRESS TEST | $953.40 | $1,589.00 | $1,032.85–$1,350.65 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CVSLR STRESS TEST TRACING | $953.40 | $1,589.00 | $1,032.85–$1,350.65 | — | 40% |
| Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HC ECG MONIT 48 HRS | $1,236.00 | $2,060.00 | $118.94–$1,752.38 | 320% above | 40% |
| Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HC ECG MONIT 48 HRS | $1,236.00 | $2,060.00 | $1,339.00–$1,751.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT 31-60 MINS | $465.60 | $776.00 | $40.17–$659.60 | 7% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUS HYDRATION UP TO 1 HR | $522.00 | $870.00 | $40.17–$739.50 | 20% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION INIT 31-60 MINS | $465.60 | $776.00 | $504.40–$659.60 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUS HYDRATION UP TO 1 HR | $522.00 | $870.00 | $565.50–$739.50 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC T/P/D IV INFUS INIT TO 1HR | $388.20 | $647.00 | $49.91–$549.95 | 14% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC T/P/D IV INFUS INIT TO 1HR | $388.20 | $647.00 | $420.55–$549.95 | — | 40% |
| IV push of a medicine, first drug CPT 96374 HC TH/PR/DG INJ, IV PUSH | $388.20 | $647.00 | $39.40–$549.95 | 18% above | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 HC TH/PR/DG INJ, IV PUSH | $388.20 | $647.00 | $420.55–$549.95 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM | $124.20 | $207.00 | $16.13–$175.95 | 1% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ,SC/IM | $124.20 | $207.00 | $134.55–$175.95 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAG INTERVIEW EXAM MD | $358.20 | $597.00 | $34.39–$1,801.43 | 34% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAG INTERVIEW EXAM | $669.00 | $1,115.00 | $34.39–$1,801.43 | 151% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAG INTERVIEW EXAM MD | $358.20 | $597.00 | $388.05–$507.45 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAG INTERVIEW EXAM | $669.00 | $1,115.00 | $724.75–$947.75 | — | 40% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NRV CNDJ TST 7-8 STUDIES | $177.60 | $296.00 | $59.20–$393.18 | 88% below | 40% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NRV CNDJ TST 7-8 STUDIES | $177.60 | $296.00 | $192.40–$251.60 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC DETAILED VISIT NP P/F | $117.60 | $196.00 | $39.20–$513.69 | 51% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 HC VST DETAILED NEW PT MD | $441.00 | $735.00 | $68.90–$624.75 | 84% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC DETAILED VISIT NP P/F | $117.60 | $196.00 | $127.40–$166.60 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC VST DETAILED NEW PT MD | $441.00 | $735.00 | $477.75–$624.75 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC COMPR MOD VISIT NP P/F | $126.00 | $210.00 | $42.00–$658.70 | 58% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT OP NEW PT | $319.80 | $533.00 | $106.60–$658.70 | 7% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT NEW PT COMPR MOD | $373.20 | $622.00 | $114.77–$658.70 | 24% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT NEW PT COMPR MOD MD | $447.60 | $746.00 | $114.77–$658.70 | 49% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 HC VISIT OP NEW PT MD | $610.80 | $1,018.00 | $114.77–$865.30 | 104% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC COMPR MOD VISIT NP P/F | $126.00 | $210.00 | $136.50–$178.50 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT OP NEW PT | $319.80 | $533.00 | $346.45–$453.05 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT NEW PT COMPR MOD | $373.20 | $622.00 | $404.30–$528.70 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT NEW PT COMPR MOD MD | $447.60 | $746.00 | $484.90–$634.10 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT OP NEW PT MD | $610.80 | $1,018.00 | $661.70–$865.30 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 HC VST COMP HIGH NEW PT MD | $799.80 | $1,333.00 | $149.28–$1,133.05 | 53% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC VST COMP HIGH NEW PT MD | $799.80 | $1,333.00 | $866.45–$1,133.05 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC VST EXP PROB FOC NEW PT P/F | $59.40 | $99.00 | $19.80–$397.63 | 68% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC VISIT NEW PT EXP PR FOC LOW MD | $177.00 | $295.00 | $44.87–$397.63 | 3% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC VISIT NEW PT EXP PR FOC LOW | $214.80 | $358.00 | $44.87–$397.63 | 17% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC VST EXP PROB FOC NEW PT P/F | $59.40 | $99.00 | $64.35–$84.15 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC VISIT NEW PT EXP PR FOC LOW MD | $177.00 | $295.00 | $191.75–$250.75 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC VISIT NEW PT EXP PR FOC LOW | $214.80 | $358.00 | $232.70–$304.30 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELEHLTH MED NUTR THPY INIT 15 MIN | $50.40 | $84.00 | $16.80–$81.12 | at median | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THPY INIT 15 MIN | $50.40 | $84.00 | $16.80–$81.12 | at median | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THPY INIT 15 MIN | $50.40 | $84.00 | $54.60–$71.40 | — | 40% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TELEHLTH MED NUTR THPY INIT 15 MIN | $50.40 | $84.00 | $54.60–$71.40 | — | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PREV MED - NP 18-39 YR | $154.80 | $258.00 | $26.20–$285.74 | 6% above | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PREV MED - NP 18-39 YR | $154.80 | $258.00 | $167.70–$219.30 | — | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PREV MED - NP 40-64 YR | $154.80 | $258.00 | $26.20–$310.40 | at median | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PREV MED - NP 40-64 YR | $154.80 | $258.00 | $167.70–$219.30 | — | 40% |
| Preventive checkup, new patient aged 65 or older CPT 99387 HC PREV MED - NP 65 & OVER | $154.80 | $258.00 | $26.20–$240.09 | 25% below | 40% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PREV MED - NP 65 & OVER | $154.80 | $258.00 | $167.70–$219.30 | — | 40% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREV MED - EST 18-39 YR | $148.20 | $247.00 | $26.20–$209.95 | 14% above | 40% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREV MED - EST 18-39 YR | $148.20 | $247.00 | $160.55–$209.95 | — | 40% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREV MED - EST 40-64 YR | $148.20 | $247.00 | $26.20–$209.95 | 5% below | 40% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREV MED - EST 40-64 YR | $148.20 | $247.00 | $160.55–$209.95 | — | 40% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 HC RE-EVAL EST 65+ YR MD | $176.40 | $294.00 | $26.20–$745.92 | 1% below | 40% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC RE-EVAL EST 65+ YR MD | $176.40 | $294.00 | $191.10–$249.90 | — | 40% |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCH DIAGNOSTIC EVAL | $327.60 | $546.00 | $95.25–$1,917.65 | at median | 40% |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DIAGNOSTIC EVAL | $327.60 | $546.00 | $354.90–$464.10 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 HC INDIVID PSYCHO 60MIN MD | $302.40 | $504.00 | $66.04–$1,603.85 | at median | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC INDIVID PSYCHO 60MIN MD | $302.40 | $504.00 | $327.60–$428.40 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE/TOBACCO COUNSELING 3-10 | $52.20 | $87.00 | $17.40–$117.76 | 14% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHG SMOKING 3-10 MIN | $52.20 | $87.00 | $17.40–$117.76 | 14% above | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE/TOBACCO COUNSELING 3-10 | $52.20 | $87.00 | $56.55–$73.95 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHG SMOKING 3-10 MIN | $52.20 | $87.00 | $56.55–$73.95 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC VST COMP HIGH EST PT MD | $558.00 | $930.00 | $99.12–$790.50 | 105% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC VST COMP HIGH EST PT MD | $558.00 | $930.00 | $604.50–$790.50 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EHS F/U INTER P/F | $61.80 | $103.00 | $20.60–$288.22 | 67% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC VST EXP PROBFOC ESTPT MD | $240.60 | $401.00 | $44.45–$340.85 | 30% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC EHS F/U INTER P/F | $61.80 | $103.00 | $66.95–$87.55 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC VST EXP PROBFOC ESTPT MD | $240.60 | $401.00 | $260.65–$340.85 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EHS F/U EXT P/F | $93.00 | $155.00 | $31.00–$337.75 | 54% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC EHS F/U EXT P/F | $93.00 | $155.00 | $100.75–$131.75 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EHS F/U LIMITED P/F | $61.80 | $103.00 | $20.60–$215.42 | 62% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC VST PROB FOC EST PT MD | $174.00 | $290.00 | $33.02–$246.50 | 7% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC EHS F/U LIMITED P/F | $61.80 | $103.00 | $66.95–$87.55 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC VST PROB FOC EST PT MD | $174.00 | $290.00 | $188.50–$246.50 | — | 40% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 HC CONSULT OUTPT D/LC | $489.00 | $815.00 | $90.99–$692.75 | 164% above | 40% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HC CONSULT OUTPT D/LC | $489.00 | $815.00 | $529.75–$692.75 | — | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HC CONSULT OUTPT C/MC | $693.60 | $1,156.00 | $138.78–$982.60 | 167% above | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HC CONSULT OUTPT C/MC | $693.60 | $1,156.00 | $751.40–$982.60 | — | 40% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST MD | $198.00 | $330.00 | $11.79–$280.50 | 34% below | 40% |
| Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST | $198.00 | $330.00 | $11.79–$280.50 | 34% below | 40% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY STUDY | $346.20 | $577.00 | $11.79–$490.45 | 15% above | 40% |
| Spirometry (breathing test) CPT 94010 HC INCENTIVE SPIROMETRY RX | $346.20 | $577.00 | $11.79–$490.45 | 15% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST MD | $198.00 | $330.00 | $214.50–$280.50 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST | $198.00 | $330.00 | $214.50–$280.50 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC INCENTIVE SPIROMETRY RX | $346.20 | $577.00 | $375.05–$490.45 | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY STUDY | $346.20 | $577.00 | $375.05–$490.45 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY W/BRONCHODILATOR | $650.40 | $1,084.00 | $14.93–$921.40 | at median | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY W/BRONCHODILATOR | $650.40 | $1,084.00 | $704.60–$921.40 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $231.00 | $385.00 | $12.70–$329.84 | at median | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY | $231.00 | $385.00 | $250.25–$327.25 | — | 40% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC STRESS TEST | $414.00 | $690.00 | $113.98–$2,996.70 | at median | 40% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC STRESS TEST | $414.00 | $690.00 | $448.50–$586.50 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Pennsylvania | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $193.20 | $322.00 | $42.00–$511.26 | 3% below | 40% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC 2024-25 (12 YRS UP) (MODERNA)(PF) 50 MCG/0.5 ML IM SYRINGE | $193.20 | $322.00 | $109.80–$273.70 | — | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $32.40 | $54.00 | $10.50–$71.62 | 5% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP | $32.40 | $54.00 | $18.41–$45.90 | — | 40% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DP(A)T-POLIO-HIB CONJ-TET (PF) IM KIT WRAPPER | $61.20 | $102.00 | $10.50–$265.21 | 26% below | 40% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DP(A)T-POLIO-HIB CONJ-TET (PF) IM KIT WRAPPER | $61.20 | $102.00 | $34.78–$86.70 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $30.00 | $50.00 | $10.00–$120.74 | at median | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $93.60 | $156.00 | $13.62–$132.60 | 212% above | 40% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2024(18YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $30.00 | $50.00 | $17.05–$42.50 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VACCINE TV2025(9 YR UP)RCMB(PF)135 MCG(45 MCGX3)/0.5 ML IM SYRINGE | $93.60 | $156.00 | $53.20–$132.60 | — | 40% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $46.80 | $78.00 | $10.50–$184.00 | 48% below | 40% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 50 UNIT/ML INTRAMUSCULAR SYRINGE | $46.80 | $78.00 | $26.60–$66.30 | — | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE/VIAL WRAPPER | $43.80 | $73.00 | $10.50–$178.36 | 41% below | 40% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SYRINGE/VIAL WRAPPER | $43.80 | $73.00 | $24.89–$62.05 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE (VFC) | $31.20 | $52.00 | $10.40–$173.35 | 62% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $39.60 | $66.00 | $10.50–$173.35 | 52% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $39.60 | $66.00 | $10.50–$173.35 | 52% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $40.80 | $68.00 | $10.50–$173.35 | 51% below | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE (VFC) | $31.20 | $52.00 | $17.73–$44.20 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE | $39.60 | $66.00 | $22.51–$56.10 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP | $39.60 | $66.00 | $22.51–$56.10 | — | 40% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE | $40.80 | $68.00 | $23.19–$57.80 | — | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $33.00 | $55.00 | $10.50–$71.12 | 30% below | 40% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE | $33.00 | $55.00 | $18.75–$46.75 | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $7.20 | $12.00 | $2.40–$97.55 | 77% below | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $7.20 | $12.00 | $4.09–$10.20 | — | 40% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $54.00 | $90.00 | $10.50–$128.38 | 17% below | 40% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $54.00 | $90.00 | $30.69–$76.50 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $93.60 | $156.00 | $10.50–$289.32 | at median | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $93.60 | $156.00 | $53.20–$132.60 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $192.00 | $320.00 | $10.50–$310.00 | at median | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $192.00 | $320.00 | $109.12–$272.00 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $322.80 | $538.00 | $10.50–$457.30 | at median | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $322.80 | $538.00 | $183.46–$457.30 | — | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $162.00 | $270.00 | $12.70–$446.08 | 15% below | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL 21-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $162.00 | $270.00 | $92.07–$229.50 | — | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $177.00 | $295.00 | $10.50–$1,205.19 | 65% below | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESP SYNCYTIAL VIRUS VAC, PREF A AND B (PF) 120 MCG/0.5 ML IM SOLUTION | $177.00 | $295.00 | $100.59–$250.75 | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $247.80 | $413.00 | $10.50–$445.92 | 59% below | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $259.80 | $433.00 | $10.50–$445.92 | 57% below | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $247.80 | $413.00 | $140.83–$351.05 | — | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $259.80 | $433.00 | $147.65–$368.05 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $33.00 | $55.00 | $10.50–$64.56 | 41% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $42.60 | $71.00 | $10.50–$64.56 | 24% below | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2 LF UNIT-2 LF UNIT/0.5 ML IM SUSPENSION | $33.00 | $55.00 | $18.75–$46.75 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE | $42.60 | $71.00 | $24.21–$60.35 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $54.00 | $90.00 | $10.50–$123.06 | 4% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUSSIS(ACEL),TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE | $54.00 | $90.00 | $30.69–$76.50 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADM-ONE VACCINE MD | $21.60 | $36.00 | $1.18–$75.61 | 66% below | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADM-ONE VACCINE | $115.20 | $192.00 | $1.18–$163.20 | 81% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADM-ONE VACCINE MD | $21.60 | $36.00 | $23.40–$30.60 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADM-ONE VACCINE | $115.20 | $192.00 | $124.80–$163.20 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN - EA ADD'L VACCINE | $21.60 | $36.00 | $0.56–$30.60 | 20% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUN ADMIN - EA ADD'L VACCINE MD | $21.60 | $36.00 | $0.56–$30.60 | 20% below | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADMIN - EA ADD'L VACCINE MD | $21.60 | $36.00 | $23.40–$30.60 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUN ADMIN - EA ADD'L VACCINE | $21.60 | $36.00 | $23.40–$30.60 | — | 40% |
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.