Hospital Douglas, GA

Coffee Regional Medical Center

Coffee Regional Medical Center in Douglas, GA publishes cash prices for 294 common procedures listed here, from its own machine-readable price file updated Jun 5, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Georgia median for 221 of 291 procedures and below it for 68. By typical cash price it ranks #73 of 96 Georgia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1101 Ocilla Road, Douglas, GA 31533 Collected Sep 21, 2026 Source price file Check a bill from this hospital (912) 384-1900

Acute care hospital Government-owned hospital Emergency department CMS star rating 3 of 5 CCN 110089 · CMS hospital register NPI 1760419527

Financial assistance

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD W WO	$2,868.92	$4,219.00	$798.19–$4,008.05	52% above	32%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD W WO	$2,868.92	$4,219.00	$1,864.80–$4,008.05	—	32%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RIGHT	$247.52	$364.00	$68.86–$345.80	9% below	32%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LEFT	$247.52	$364.00	$68.86–$345.80	9% below	32%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RIGHT	$247.52	$364.00	$160.89–$345.80	—	32%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LEFT	$247.52	$364.00	$160.89–$345.80	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-ABI	$484.84	$713.00	$134.89–$677.35	49% above	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US ARTERIAL PRESSURES UPPER (W LOWER)	$499.80	$735.00	$139.05–$698.25	53% above	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/LWR XTREMITY ART 2 LEVELS	$499.80	$735.00	$139.05–$698.25	53% above	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US-ABI W STRESS	$701.08	$1,031.00	$195.05–$979.45	115% above	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-ABI	$484.84	$713.00	$315.15–$677.35	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/LWR XTREMITY ART 2 LEVELS	$499.80	$735.00	$324.87–$698.25	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US ARTERIAL PRESSURES UPPER (W LOWER)	$499.80	$735.00	$324.87–$698.25	—	32%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US-ABI W STRESS	$701.08	$1,031.00	$455.70–$979.45	—	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT SHOULDER WO	$1,045.84	$1,538.00	$290.97–$1,461.10	2% below	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT SHOULDER WO	$1,045.84	$1,538.00	$290.97–$1,461.10	2% below	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT WRIST WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT HAND WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT HAND WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT RAD ULNA WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT ELBOW WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT HUMERUS WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT WRIST WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT HUMERUS WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT ELBOW WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT RAD ULNA WO	$1,141.72	$1,679.00	$317.65–$1,595.05	7% above	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY RIGHT SHOULDER WO	$1,045.84	$1,538.00	$679.80–$1,461.10	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY LEFT SHOULDER WO	$1,045.84	$1,538.00	$679.80–$1,461.10	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY RIGHT HUMERUS WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY LEFT HAND WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY LEFT WRIST WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY LEFT RAD ULNA WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY LEFT ELBOW WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY LEFT HUMERUS WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY RIGHT HAND WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY RIGHT WRIST WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY RIGHT RAD ULNA WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY RIGHT ELBOW WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Barium swallow (esophagus X-ray with contrast) CPT 74220 BARIUM SWALLOW	$567.80	$835.00	$157.97–$793.25	65% above	32%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 BARIUM SWALLOW	$567.80	$835.00	$369.07–$793.25	—	32%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY	$1,520.48	$2,236.00	$423.03–$2,124.20	19% above	32%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY	$1,520.48	$2,236.00	$988.31–$2,124.20	—	32%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT	$482.12	$709.00	$134.14–$673.55	15% above	32%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT	$482.12	$709.00	$134.14–$673.55	15% above	32%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LEFT	$482.12	$709.00	$313.38–$673.55	—	32%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RIGHT	$482.12	$709.00	$313.38–$673.55	—	32%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED RIGHT	$417.52	$614.00	$116.16–$583.30	20% above	32%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LIMITED LEFT	$417.52	$614.00	$116.16–$583.30	20% above	32%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED LEFT	$417.52	$614.00	$271.39–$583.30	—	32%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LIMITED RIGHT	$417.52	$614.00	$271.39–$583.30	—	32%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS W WO	$3,477.52	$5,114.00	$967.51–$4,858.30	53% above	32%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS W WO	$3,477.52	$5,114.00	$2,260.39–$4,858.30	—	32%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W WO	$3,663.84	$5,388.00	$1,019.35–$5,118.60	132% above	32%
CT angiography (CTA) of the head CPT 70496 CTV HEAD W WO	$3,663.84	$5,388.00	$1,019.35–$5,118.60	132% above	32%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W WO	$3,663.84	$5,388.00	$2,381.50–$5,118.60	—	32%
CT angiography (CTA) of the head inpatient CPT 70496 CTV HEAD W WO	$3,663.84	$5,388.00	$2,381.50–$5,118.60	—	32%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W WO	$1,842.80	$2,710.00	$512.70–$2,574.50	9% above	32%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W WO	$1,842.80	$2,710.00	$1,197.82–$2,574.50	—	32%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST PE	$3,253.12	$4,784.00	$905.08–$4,544.80	120% above	32%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W WO	$3,253.12	$4,784.00	$905.08–$4,544.80	120% above	32%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST PE	$3,253.12	$4,784.00	$2,114.53–$4,544.80	—	32%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W WO	$3,253.12	$4,784.00	$2,114.53–$4,544.80	—	32%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT HEART ANGIO W 3D IMAGE W	$1,504.16	$2,212.00	$418.49–$2,101.40	93% above	32%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT HEART ANGIO W 3D IMAGE W	$1,504.16	$2,212.00	$977.70–$2,101.40	—	32%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART CALCIUM SCORING	$187.00	$275.00	$52.03–$261.25	87% above	32%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART CALCIUM SCORING	$187.00	$275.00	$121.55–$261.25	—	32%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO	$2,949.84	$4,338.00	$820.70–$4,121.10	41% above	32%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS WO	$2,949.84	$4,338.00	$1,917.40–$4,121.10	—	32%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY W	$1,908.08	$2,806.00	$530.86–$2,665.70	21% below	32%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W	$4,279.24	$6,293.00	$1,190.57–$5,978.35	77% above	32%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY W	$1,908.08	$2,806.00	$1,240.25–$2,665.70	—	32%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W	$4,279.24	$6,293.00	$2,781.51–$5,978.35	—	32%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W WO	$4,543.08	$6,681.00	$1,263.97–$6,346.95	55% above	32%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PELVIS W WO	$4,543.08	$6,681.00	$2,953.00–$6,346.95	—	32%
CT scan of the abdomen with contrast CPT 74160 CT ABD W	$2,721.36	$4,002.00	$757.13–$3,801.90	62% above	32%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W	$2,721.36	$4,002.00	$1,768.88–$3,801.90	—	32%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO	$1,969.28	$2,896.00	$547.89–$2,751.20	57% above	32%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO	$1,969.28	$2,896.00	$1,280.03–$2,751.20	—	32%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS FULL WO	$1,272.96	$1,872.00	$354.16–$1,778.40	23% above	32%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO	$1,275.68	$1,876.00	$354.92–$1,782.20	24% above	32%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS FULL WO	$1,272.96	$1,872.00	$827.42–$1,778.40	—	32%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO	$1,275.68	$1,876.00	$829.19–$1,782.20	—	32%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO	$1,384.48	$2,036.00	$385.19–$1,934.20	18% above	32%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO	$1,384.48	$2,036.00	$899.91–$1,934.20	—	32%
CT scan of the head without and with contrast CPT 70470 CT HEAD W WO	$2,006.00	$2,950.00	$558.11–$2,802.50	9% above	32%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W WO	$2,006.00	$2,950.00	$1,303.90–$2,802.50	—	32%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO	$1,630.64	$2,398.00	$453.68–$2,278.10	27% above	32%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO	$1,630.64	$2,398.00	$1,059.92–$2,278.10	—	32%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO	$1,934.60	$2,845.00	$538.24–$2,702.75	61% above	32%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO	$1,934.60	$2,845.00	$1,257.49–$2,702.75	—	32%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W	$1,908.76	$2,807.00	$531.05–$2,666.65	19% above	32%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W	$1,908.76	$2,807.00	$1,240.69–$2,666.65	—	32%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DOPPLER BILATERAL	$871.76	$1,282.00	$242.54–$1,217.90	—	32%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DOPPLER BILATERAL	$871.76	$1,282.00	$566.64–$1,217.90	—	32%
Chest CT scan without and with contrast CPT 71270 CT CHEST W WO	$1,916.24	$2,818.00	$533.13–$2,677.10	13% above	32%
Chest CT scan without and with contrast CPT 71270 CT CHEST HIGH RES W WO	$2,440.52	$3,589.00	$679.00–$3,409.55	44% above	32%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST W WO	$1,916.24	$2,818.00	$1,245.56–$2,677.10	—	32%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST HIGH RES W WO	$2,440.52	$3,589.00	$1,586.34–$3,409.55	—	32%
Chest X-ray, 2 views CPT 71046 CHEST PA AND LATERAL	$235.28	$346.00	$65.46–$328.70	4% above	32%
Chest X-ray, 2 views CPT 71046 CHEST PA AND LATERAL AND OBLIQUE	$257.04	$378.00	$71.51–$359.10	14% above	32%
Chest X-ray, 2 views CPT 71046 CHEST LORDOTIC	$257.04	$378.00	$71.51–$359.10	14% above	32%
Chest X-ray, 2 views CPT 71046 SNIFF TEST - 2 VIEWS	$403.92	$594.00	$112.38–$564.30	79% above	32%
Chest X-ray, 2 views one side CPT 71046 CHEST DECUB UNILATERAL	$147.56	$217.00	$41.05–$206.15	34% below	32%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA AND LATERAL	$235.28	$346.00	$152.93–$328.70	—	32%
Chest X-ray, 2 views inpatient CPT 71046 CHEST LORDOTIC	$257.04	$378.00	$167.08–$359.10	—	32%
Chest X-ray, 2 views inpatient CPT 71046 CHEST PA AND LATERAL AND OBLIQUE	$257.04	$378.00	$167.08–$359.10	—	32%
Chest X-ray, 2 views inpatient CPT 71046 SNIFF TEST - 2 VIEWS	$403.92	$594.00	$262.55–$564.30	—	32%
Chest X-ray, 2 views inpatient one side CPT 71046 CHEST DECUB UNILATERAL	$147.56	$217.00	$95.91–$206.15	—	32%
Chest X-ray, single view CPT 71045 CHEST PORTABLE	$215.56	$317.00	$59.97–$301.15	28% above	32%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW	$226.44	$333.00	$63.00–$316.35	34% above	32%
Chest X-ray, single view inpatient CPT 71045 CHEST PORTABLE	$215.56	$317.00	$140.11–$301.15	—	32%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW	$226.44	$333.00	$147.19–$316.35	—	32%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RIGHT	$347.48	$511.00	$96.68–$485.45	44% above	32%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LEFT	$347.48	$511.00	$96.68–$485.45	44% above	32%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RIGHT	$347.48	$511.00	$225.86–$485.45	—	32%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LEFT	$347.48	$511.00	$225.86–$485.45	—	32%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL KIDNEY BLADDER	$276.08	$406.00	$76.81–$385.70	45% below	32%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL KIDNEY BLADDER	$276.08	$406.00	$179.45–$385.70	—	32%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DEXA W/FRAX	$418.88	$616.00	$116.54–$585.20	9% above	32%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY DEXA W/FRAX	$418.88	$616.00	$272.27–$585.20	—	32%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY DEXA FOREARM	$303.96	$447.00	$84.57–$424.65	64% above	32%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY DEXA FOREARM	$303.96	$447.00	$197.57–$424.65	—	32%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB LEVEL 2	$921.40	$1,355.00	$256.35–$1,287.25	186% above	32%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB LEVEL 2	$921.40	$1,355.00	$598.91–$1,287.25	—	32%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RES WO	$1,329.40	$1,955.00	$369.86–$1,857.25	32% above	32%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST LDCT F/U DIAGNOSTIC WO	$1,396.04	$2,053.00	$388.41–$1,950.35	39% above	32%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO	$1,396.04	$2,053.00	$388.41–$1,950.35	39% above	32%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST HIGH RES WO	$1,329.40	$1,955.00	$864.11–$1,857.25	—	32%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO	$1,396.04	$2,053.00	$907.43–$1,950.35	—	32%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST LDCT F/U DIAGNOSTIC WO	$1,396.04	$2,053.00	$907.43–$1,950.35	—	32%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST HIGH RES W	$1,623.84	$2,388.00	$451.78–$2,268.60	5% above	32%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W	$1,813.56	$2,667.00	$504.57–$2,533.65	17% above	32%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST HIGH RES W	$1,623.84	$2,388.00	$1,055.50–$2,268.60	—	32%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W	$1,813.56	$2,667.00	$1,178.81–$2,533.65	—	32%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAGNOSTIC ADTL VIEWS BIL	$352.24	$518.00	$97.24–$492.10	9% above	32%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAGNOSTIC BIL	$449.48	$661.00	$97.24–$627.95	39% above	32%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAGNOSTIC ADTL VIEWS BIL	$352.24	$518.00	$228.96–$492.10	—	32%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAGNOSTIC BIL	$449.48	$661.00	$292.16–$627.95	—	32%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC ADTL VIEWS LEFT	$305.32	$449.00	$75.74–$426.55	25% above	32%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC ADTL VIEWS RIGHT	$305.32	$449.00	$75.74–$426.55	25% above	32%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC DIGITAL LEFT	$384.20	$565.00	$75.74–$536.75	57% above	32%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC DIGITAL RIGHT	$384.20	$565.00	$75.74–$536.75	57% above	32%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC ADTL VIEWS RIGHT	$305.32	$449.00	$198.46–$426.55	—	32%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC ADTL VIEWS LEFT	$305.32	$449.00	$198.46–$426.55	—	32%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC DIGITAL LEFT	$384.20	$565.00	$249.73–$536.75	—	32%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DIAGNOSTIC DIGITAL RIGHT	$384.20	$565.00	$249.73–$536.75	—	32%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US GROIN DOPPLER BILATERAL	$1,030.88	$1,516.00	$286.81–$1,440.20	—	32%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US ARTERIAL DOPPLER DUPLEX LE BILAT	$1,082.56	$1,592.00	$301.19–$1,512.40	—	32%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US GROIN DOPPLER BILATERAL	$1,030.88	$1,516.00	$670.07–$1,440.20	—	32%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US ARTERIAL DOPPLER DUPLEX LE BILAT	$1,082.56	$1,592.00	$703.66–$1,512.40	—	32%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DOPPLER EXT LOWER BIL	$1,205.64	$1,773.00	$335.43–$1,684.35	26% above	32%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DOPPLER EXT UPPER BIL	$1,205.64	$1,773.00	$335.43–$1,684.35	26% above	32%
Duplex ultrasound of the leg veins, both legs CPT 93970 US EXT MAPPING LOWER BIL	$1,315.80	$1,935.00	$366.08–$1,838.25	37% above	32%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DUPLEX LEV REFLUX BIL	$1,315.80	$1,935.00	$366.08–$1,838.25	37% above	32%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DOPPLER EXT LOWER BIL	$1,205.64	$1,773.00	$783.67–$1,684.35	—	32%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DOPPLER EXT UPPER BIL	$1,205.64	$1,773.00	$783.67–$1,684.35	—	32%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DUPLEX LEV REFLUX BIL	$1,315.80	$1,935.00	$855.27–$1,838.25	—	32%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US EXT MAPPING LOWER BIL	$1,315.80	$1,935.00	$855.27–$1,838.25	—	32%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM	$1,744.88	$2,566.00	$485.46–$2,437.70	12% above	32%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 US ECHOCARDIOGRAM W BUBBLE STUDY	$2,301.80	$3,385.00	$640.41–$3,215.75	48% above	32%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM	$1,744.88	$2,566.00	$1,134.17–$2,437.70	—	32%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 US ECHOCARDIOGRAM W BUBBLE STUDY	$2,301.80	$3,385.00	$1,496.17–$3,215.75	—	32%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEW RIGHT	$272.68	$401.00	$75.86–$380.95	41% above	32%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2 VIEW LEFT	$272.68	$401.00	$75.86–$380.95	41% above	32%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEW RIGHT	$272.68	$401.00	$177.24–$380.95	—	32%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2 VIEW LEFT	$272.68	$401.00	$177.24–$380.95	—	32%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LEFT	$344.08	$506.00	$95.73–$480.70	32% above	32%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RIGHT	$344.08	$506.00	$95.73–$480.70	32% above	32%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW LEFT	$344.08	$506.00	$223.65–$480.70	—	32%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW RIGHT	$344.08	$506.00	$223.65–$480.70	—	32%
Eye socket (orbit) CT scan without contrast CPT 70480 CT POST FOSSA WO	$922.76	$1,357.00	$256.73–$1,289.15	14% below	32%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA TURCICA WO	$922.76	$1,357.00	$256.73–$1,289.15	14% below	32%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC TEMP BONE WO	$1,175.04	$1,728.00	$326.92–$1,641.60	9% above	32%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WO	$2,155.60	$3,170.00	$599.73–$3,011.50	100% above	32%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA TURCICA WO	$922.76	$1,357.00	$599.79–$1,289.15	—	32%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT POST FOSSA WO	$922.76	$1,357.00	$599.79–$1,289.15	—	32%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC TEMP BONE WO	$1,175.04	$1,728.00	$763.78–$1,641.60	—	32%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT WO	$2,155.60	$3,170.00	$1,401.14–$3,011.50	—	32%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES ZYGOMATIC	$257.72	$379.00	$71.70–$360.05	16% below	32%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES ZYGOMATIC	$257.72	$379.00	$167.52–$360.05	—	32%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 RADIUS ULNA RIGHT	$214.20	$315.00	$59.59–$299.25	2% below	32%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 RADIUS ULNA LEFT	$214.20	$315.00	$59.59–$299.25	2% below	32%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 RADIUS ULNA LEFT	$214.20	$315.00	$139.23–$299.25	—	32%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 RADIUS ULNA RIGHT	$214.20	$315.00	$139.23–$299.25	—	32%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SYSTEM IMAGING	$1,659.88	$2,441.00	$461.81–$2,318.95	30% above	32%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SYSTEM IMAGING	$1,659.88	$2,441.00	$1,078.92–$2,318.95	—	32%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS LEFT	$314.84	$463.00	$87.59–$439.85	47% above	32%
Hand X-ray, 2 views one side CPT 73120 HAND 2 VIEWS RIGHT	$314.84	$463.00	$87.59–$439.85	47% above	32%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS RIGHT	$314.84	$463.00	$204.65–$439.85	—	32%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2 VIEWS LEFT	$314.84	$463.00	$204.65–$439.85	—	32%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS HEEL RIGHT	$314.84	$463.00	$87.59–$439.85	54% above	32%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS HEEL LEFT	$314.84	$463.00	$87.59–$439.85	54% above	32%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS HEEL LEFT	$314.84	$463.00	$204.65–$439.85	—	32%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS HEEL RIGHT	$314.84	$463.00	$204.65–$439.85	—	32%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LEFT	$342.72	$504.00	$95.35–$478.80	26% above	32%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RIGHT	$342.72	$504.00	$95.35–$478.80	26% above	32%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RIGHT	$342.72	$504.00	$222.77–$478.80	—	32%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LEFT	$342.72	$504.00	$222.77–$478.80	—	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT KNEE WO	$995.52	$1,464.00	$276.97–$1,390.80	3% below	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT HIP WO	$995.52	$1,464.00	$276.97–$1,390.80	3% below	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT KNEE WO	$995.52	$1,464.00	$276.97–$1,390.80	3% below	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT HIP WO	$995.52	$1,464.00	$276.97–$1,390.80	3% below	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT TIB FIB WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT ANKLE WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT ANKLE WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT TIB FIB WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT FEMUR WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT FOOT WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT FEMUR WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT FOOT WO	$1,141.72	$1,679.00	$317.65–$1,595.05	11% above	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY RIGHT HIP WO	$995.52	$1,464.00	$647.09–$1,390.80	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LEFT KNEE WO	$995.52	$1,464.00	$647.09–$1,390.80	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LEFT HIP WO	$995.52	$1,464.00	$647.09–$1,390.80	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY RIGHT KNEE WO	$995.52	$1,464.00	$647.09–$1,390.80	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LEFT ANKLE WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LEFT FOOT WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY RIGHT FOOT WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LEFT FEMUR WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LEFT TIB FIB WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY RIGHT FEMUR WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY RIGHT TIB FIB WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY RIGHT ANKLE WO	$1,141.72	$1,679.00	$742.12–$1,595.05	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GASTROINTESTINAL	$688.84	$1,013.00	$191.65–$962.35	41% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US QUADRANT	$688.84	$1,013.00	$191.65–$962.35	41% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LOWER BACK	$723.52	$1,064.00	$201.30–$1,010.80	48% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US APPENDIX ING AREA	$723.52	$1,064.00	$201.30–$1,010.80	48% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PANCREAS COMMON BILE DUCT	$790.16	$1,162.00	$219.84–$1,103.90	62% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIVER	$790.16	$1,162.00	$219.84–$1,103.90	62% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SOFT TISSUE ABD	$790.16	$1,162.00	$219.84–$1,103.90	62% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER COMMON BILE DUCT	$790.16	$1,162.00	$219.84–$1,103.90	62% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US SPLEEN	$790.16	$1,162.00	$219.84–$1,103.90	62% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US RUQ	$790.16	$1,162.00	$219.84–$1,103.90	62% above	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US QUADRANT	$688.84	$1,013.00	$447.75–$962.35	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GASTROINTESTINAL	$688.84	$1,013.00	$447.75–$962.35	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US APPENDIX ING AREA	$723.52	$1,064.00	$470.29–$1,010.80	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LOWER BACK	$723.52	$1,064.00	$470.29–$1,010.80	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SOFT TISSUE ABD	$790.16	$1,162.00	$513.60–$1,103.90	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US RUQ	$790.16	$1,162.00	$513.60–$1,103.90	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US LIVER	$790.16	$1,162.00	$513.60–$1,103.90	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PANCREAS COMMON BILE DUCT	$790.16	$1,162.00	$513.60–$1,103.90	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER COMMON BILE DUCT	$790.16	$1,162.00	$513.60–$1,103.90	—	32%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US SPLEEN	$790.16	$1,162.00	$513.60–$1,103.90	—	32%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US AXILLA	$585.48	$861.00	$162.89–$817.95	36% above	32%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JOINT SPACE	$603.16	$887.00	$167.81–$842.65	40% above	32%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY UPPER RIGHT	$614.72	$904.00	$171.03–$858.80	43% above	32%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY UPPER LEFT	$614.72	$904.00	$171.03–$858.80	43% above	32%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY LOWER RIGHT	$671.84	$988.00	$186.92–$938.60	56% above	32%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY LOWER LEFT	$671.84	$988.00	$186.92–$938.60	56% above	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US AXILLA	$585.48	$861.00	$380.56–$817.95	—	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US JOINT SPACE	$603.16	$887.00	$392.05–$842.65	—	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY UPPER RIGHT	$614.72	$904.00	$399.57–$858.80	—	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY UPPER LEFT	$614.72	$904.00	$399.57–$858.80	—	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY LOWER RIGHT	$671.84	$988.00	$436.70–$938.60	—	32%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY LOWER LEFT	$671.84	$988.00	$436.70–$938.60	—	32%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE FOLLOW-UP WO	$673.20	$990.00	$187.30–$940.50	168% above	32%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT CHEST LOW DOSE WO	$673.20	$990.00	$187.30–$940.50	168% above	32%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE FOLLOW-UP WO	$673.20	$990.00	$437.58–$940.50	—	32%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT CHEST LOW DOSE WO	$673.20	$990.00	$437.58–$940.50	—	32%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA RIGHT	$359.72	$529.00	$100.08–$502.55	51% above	32%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIBIA FIBULA LEFT	$359.72	$529.00	$100.08–$502.55	51% above	32%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIBULA RIGHT	$359.72	$529.00	$233.82–$502.55	—	32%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIBIA FIBULA LEFT	$359.72	$529.00	$233.82–$502.55	—	32%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO	$2,305.20	$3,390.00	$641.35–$3,220.50	50% above	32%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO	$2,305.20	$3,390.00	$1,498.38–$3,220.50	—	32%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILATERAL W WO	$1,957.72	$2,879.00	$544.68–$2,735.05	—	32%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILATERAL W WO	$1,957.72	$2,879.00	$1,272.52–$2,735.05	—	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT SIGNATURE BIOMET KNEE RT WO	$2,653.36	$3,902.00	$738.22–$3,706.90	75% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT SIGNATURE BIOMET KNEE LT WO	$2,653.36	$3,902.00	$738.22–$3,706.90	75% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT HIP RIGHT WO	$2,706.40	$3,980.00	$752.97–$3,781.00	79% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT HIP LEFT WO	$2,706.40	$3,980.00	$752.97–$3,781.00	79% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT KNEE LEFT WO	$2,953.92	$4,344.00	$821.84–$4,126.80	95% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT KNEE RIGHT WO	$2,953.92	$4,344.00	$821.84–$4,126.80	95% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT ANKLE LEFT WO	$2,953.92	$4,344.00	$821.84–$4,126.80	95% above	32%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT ANKLE RIGHT WO	$2,953.92	$4,344.00	$821.84–$4,126.80	95% above	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT SIGNATURE BIOMET KNEE RT WO	$2,653.36	$3,902.00	$1,724.68–$3,706.90	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT SIGNATURE BIOMET KNEE LT WO	$2,653.36	$3,902.00	$1,724.68–$3,706.90	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT HIP RIGHT WO	$2,706.40	$3,980.00	$1,759.16–$3,781.00	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT HIP LEFT WO	$2,706.40	$3,980.00	$1,759.16–$3,781.00	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT ANKLE LEFT WO	$2,953.92	$4,344.00	$1,920.05–$4,126.80	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT KNEE RIGHT WO	$2,953.92	$4,344.00	$1,920.05–$4,126.80	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT ANKLE RIGHT WO	$2,953.92	$4,344.00	$1,920.05–$4,126.80	—	32%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT KNEE LEFT WO	$2,953.92	$4,344.00	$1,920.05–$4,126.80	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT HIP RIGHT W WO	$4,111.96	$6,047.00	$1,144.03–$5,744.65	64% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT ANKLE LEFT W WO	$4,111.96	$6,047.00	$1,144.03–$5,744.65	64% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT KNEE LEFT W WO	$4,111.96	$6,047.00	$1,144.03–$5,744.65	64% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT HIP LEFT W WO	$4,111.96	$6,047.00	$1,144.03–$5,744.65	64% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT ANKLE RIGHT W WO	$4,111.96	$6,047.00	$1,144.03–$5,744.65	64% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT KNEE RIGHT W WO	$4,111.96	$6,047.00	$1,144.03–$5,744.65	64% above	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT HIP LEFT W WO	$4,111.96	$6,047.00	$2,672.77–$5,744.65	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT KNEE LEFT W WO	$4,111.96	$6,047.00	$2,672.77–$5,744.65	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT KNEE RIGHT W WO	$4,111.96	$6,047.00	$2,672.77–$5,744.65	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT ANKLE LEFT W WO	$4,111.96	$6,047.00	$2,672.77–$5,744.65	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT ANKLE RIGHT W WO	$4,111.96	$6,047.00	$2,672.77–$5,744.65	—	32%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT HIP RIGHT W WO	$4,111.96	$6,047.00	$2,672.77–$5,744.65	—	32%
MRI of the abdomen without contrast CPT 74181 MRI ABD WO	$2,791.40	$4,105.00	$776.62–$3,899.75	52% above	32%
MRI of the abdomen without contrast CPT 74181 MRI ABD MRCP WO	$2,791.40	$4,105.00	$776.62–$3,899.75	52% above	32%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD MRCP WO	$2,791.40	$4,105.00	$1,814.41–$3,899.75	—	32%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD WO	$2,791.40	$4,105.00	$1,814.41–$3,899.75	—	32%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W WO	$3,429.92	$5,044.00	$954.27–$4,791.80	62% above	32%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W WO	$3,429.92	$5,044.00	$2,229.45–$4,791.80	—	32%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO	$2,427.60	$3,570.00	$675.41–$3,391.50	62% above	32%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN INCL IAC/PITUITARY WO	$2,427.60	$3,570.00	$675.41–$3,391.50	62% above	32%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN INCL IAC/PITUITARY WO	$2,427.60	$3,570.00	$1,577.94–$3,391.50	—	32%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO	$2,427.60	$3,570.00	$1,577.94–$3,391.50	—	32%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN INCLD PITUITARY W WO	$3,656.36	$5,377.00	$1,017.27–$5,108.15	53% above	32%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W WO	$3,656.36	$5,377.00	$1,017.27–$5,108.15	53% above	32%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN INCLD IAC W WO	$3,656.36	$5,377.00	$1,017.27–$5,108.15	53% above	32%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN INCLD PITUITARY W WO	$3,656.36	$5,377.00	$2,376.63–$5,108.15	—	32%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W WO	$3,656.36	$5,377.00	$2,376.63–$5,108.15	—	32%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN INCLD IAC W WO	$3,656.36	$5,377.00	$2,376.63–$5,108.15	—	32%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR WO	$2,861.44	$4,208.00	$796.11–$3,997.60	67% above	32%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR WO	$2,861.44	$4,208.00	$1,859.94–$3,997.60	—	32%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W WO	$3,451.00	$5,075.00	$960.13–$4,821.25	46% above	32%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W WO	$3,451.00	$5,075.00	$2,243.15–$4,821.25	—	32%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI DORSAL WO	$2,658.80	$3,910.00	$739.73–$3,714.50	51% above	32%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI DORSAL WO	$2,658.80	$3,910.00	$1,728.22–$3,714.50	—	32%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W WO	$3,201.44	$4,708.00	$890.70–$4,472.60	34% above	32%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W WO	$3,201.44	$4,708.00	$2,080.94–$4,472.60	—	32%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL WO	$2,909.72	$4,279.00	$809.54–$4,065.05	65% above	32%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL WO	$2,909.72	$4,279.00	$1,891.32–$4,065.05	—	32%
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W WO	$3,830.44	$5,633.00	$1,065.70–$5,351.35	81% above	32%
MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM W WO	$4,262.92	$6,269.00	$1,186.03–$5,955.55	101% above	32%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W WO	$4,262.92	$6,269.00	$1,186.03–$5,955.55	101% above	32%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE W WO	$3,830.44	$5,633.00	$2,489.79–$5,351.35	—	32%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W WO	$4,262.92	$6,269.00	$2,770.90–$5,955.55	—	32%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM W WO	$4,262.92	$6,269.00	$2,770.90–$5,955.55	—	32%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO	$2,207.96	$3,247.00	$614.30–$3,084.65	29% above	32%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM WO	$2,274.60	$3,345.00	$632.84–$3,177.75	33% above	32%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE WO	$2,274.60	$3,345.00	$632.84–$3,177.75	33% above	32%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO	$2,207.96	$3,247.00	$1,435.17–$3,084.65	—	32%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE WO	$2,274.60	$3,345.00	$1,478.49–$3,177.75	—	32%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM WO	$2,274.60	$3,345.00	$1,478.49–$3,177.75	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT SHOULDER LEFT WO	$2,592.16	$3,812.00	$721.19–$3,621.40	67% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT ELBOW LEFT WO	$2,592.16	$3,812.00	$721.19–$3,621.40	67% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT WRIST LEFT WO	$2,592.16	$3,812.00	$721.19–$3,621.40	67% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT WRIST RIGHT WO	$2,592.16	$3,812.00	$721.19–$3,621.40	67% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT SHOULDER RIGHT WO	$2,592.16	$3,812.00	$721.19–$3,621.40	67% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT ELBOW RIGHT WO	$2,592.16	$3,812.00	$721.19–$3,621.40	67% above	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT SHOULDER RIGHT WO	$2,592.16	$3,812.00	$1,684.90–$3,621.40	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT WRIST RIGHT WO	$2,592.16	$3,812.00	$1,684.90–$3,621.40	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT ELBOW RIGHT WO	$2,592.16	$3,812.00	$1,684.90–$3,621.40	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT SHOULDER LEFT WO	$2,592.16	$3,812.00	$1,684.90–$3,621.40	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT WRIST LEFT WO	$2,592.16	$3,812.00	$1,684.90–$3,621.40	—	32%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT ELBOW LEFT WO	$2,592.16	$3,812.00	$1,684.90–$3,621.40	—	32%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 5 VIEWS	$416.84	$613.00	$115.97–$582.35	1% below	32%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 5 VIEWS	$416.84	$613.00	$270.95–$582.35	—	32%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK W	$2,026.40	$2,980.00	$563.78–$2,831.00	32% above	32%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK W	$2,026.40	$2,980.00	$1,317.16–$2,831.00	—	32%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK WO	$1,485.12	$2,184.00	$413.19–$2,074.80	50% above	32%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK WO	$1,485.12	$2,184.00	$965.33–$2,074.80	—	32%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$136.00	$200.00	$37.84–$190.00	33% below	32%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$136.00	$200.00	$88.40–$190.00	—	32%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM GATED STRESS	$3,276.92	$4,819.00	$911.70–$4,578.05	14% above	32%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM GATED STRESS	$3,276.92	$4,819.00	$2,130.00–$4,578.05	—	32%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET SKULL BASE TO MID THIGH	$4,337.72	$6,379.00	$1,206.84–$6,060.05	23% above	32%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET SKULL BASE TO MID THIGH	$4,337.72	$6,379.00	$2,819.52–$6,060.05	—	32%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO	$1,279.76	$1,882.00	$356.05–$1,787.90	at median	32%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO	$1,279.76	$1,882.00	$831.84–$1,787.90	—	32%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BUTTOCKS	$454.92	$669.00	$126.57–$635.55	37% above	32%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US BLADDER	$454.92	$669.00	$126.57–$635.55	37% above	32%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PENIS	$519.52	$764.00	$144.54–$725.80	56% above	32%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BUTTOCKS	$454.92	$669.00	$295.70–$635.55	—	32%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US BLADDER	$454.92	$669.00	$295.70–$635.55	—	32%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PENIS	$519.52	$764.00	$337.69–$725.80	—	32%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS	$964.92	$1,419.00	$268.46–$1,348.05	100% above	32%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS	$964.92	$1,419.00	$627.20–$1,348.05	—	32%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB GREATER THAN 14 WEEKS	$615.40	$905.00	$171.22–$859.75	13% above	32%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB GREATER THAN 14 WEEKS	$615.40	$905.00	$400.01–$859.75	—	32%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB LESS THAN 14 WKS	$770.44	$1,133.00	$214.35–$1,076.35	60% above	32%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB LESS THAN 14 WKS	$770.44	$1,133.00	$500.79–$1,076.35	—	32%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US LIMITED OB 1 OR MORE FETUSES	$502.52	$739.00	$139.81–$702.05	75% above	32%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US LIMITED OB 1 OR MORE FETUSES	$502.52	$739.00	$326.64–$702.05	—	32%
Screening mammogram, both breasts CPT 77067 MAMMO EMPLOYEE	$337.96	$497.00	$79.81–$472.15	50% above	32%
Screening mammogram, both breasts CPT 77067 MAMMO SCREENING DIGITAL BIL	$388.28	$571.00	$79.81–$542.45	73% above	32%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO EMPLOYEE	$337.96	$497.00	$219.67–$472.15	—	32%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREENING DIGITAL BIL	$388.28	$571.00	$252.38–$542.45	—	32%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RIGHT	$283.56	$417.00	$78.89–$396.15	30% above	32%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LEFT	$283.56	$417.00	$78.89–$396.15	30% above	32%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LEFT	$283.56	$417.00	$184.31–$396.15	—	32%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RIGHT	$283.56	$417.00	$184.31–$396.15	—	32%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES	$459.00	$675.00	$127.70–$641.25	37% above	32%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES	$459.00	$675.00	$298.35–$641.25	—	32%
Skull X-ray, fewer than 4 views CPT 70250 SKULL AP LAT	$295.80	$435.00	$82.30–$413.25	39% above	32%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL AP LAT	$295.80	$435.00	$192.27–$413.25	—	32%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US ECHO STRESS DOBUTAMINE	$1,328.04	$1,953.00	$369.49–$1,855.35	9% above	32%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 US STRESS ECHO TREADMILL	$2,021.64	$2,973.00	$562.46–$2,824.35	66% above	32%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US ECHO STRESS DOBUTAMINE	$1,328.04	$1,953.00	$863.23–$1,855.35	—	32%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 US STRESS ECHO TREADMILL	$2,021.64	$2,973.00	$1,314.07–$2,824.35	—	32%
Swallow study (modified barium swallow, video X-ray) CPT 74230 BARIUM SWALLOW MODIFIED	$586.16	$862.00	$163.08–$818.90	80% above	32%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 BARIUM SWALLOW MODIFIED	$586.16	$862.00	$381.00–$818.90	—	32%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RIGHT	$190.40	$280.00	$52.97–$266.00	16% below	32%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LEFT	$190.40	$280.00	$52.97–$266.00	16% below	32%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LEFT	$190.40	$280.00	$123.76–$266.00	—	32%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RIGHT	$190.40	$280.00	$123.76–$266.00	—	32%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO	$1,702.04	$2,503.00	$473.54–$2,377.85	32% above	32%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO	$1,702.04	$2,503.00	$1,106.33–$2,377.85	—	32%
Toe X-ray, 2 or more views one side CPT 73660 RIGHT FOOT 2ND TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 LEFT FOOT GREAT TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 RIGHT FOOT 5TH TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 RIGHT FOOT 4TH TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 RIGHT FOOT 3RD TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 LEFT FOOT 4TH TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 LEFT FOOT 2ND TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 RIGHT FOOT GREAT TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 LEFT FOOT 5TH TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views one side CPT 73660 LEFT FOOT 3RD TOE	$233.92	$344.00	$65.08–$326.80	29% above	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 RIGHT FOOT 2ND TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 RIGHT FOOT 3RD TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 RIGHT FOOT 4TH TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 RIGHT FOOT 5TH TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LEFT FOOT 2ND TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LEFT FOOT GREAT TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LEFT FOOT 5TH TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 RIGHT FOOT GREAT TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LEFT FOOT 4TH TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Toe X-ray, 2 or more views inpatient one side CPT 73660 LEFT FOOT 3RD TOE	$233.92	$344.00	$152.05–$326.80	—	32%
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL LIMITED	$357.00	$525.00	$99.32–$498.75	27% below	32%
Transvaginal pelvic ultrasound CPT 76830 US ENDOVAGINAL	$796.28	$1,171.00	$221.54–$1,112.45	63% above	32%
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL LIMITED	$357.00	$525.00	$232.05–$498.75	—	32%
Transvaginal pelvic ultrasound inpatient CPT 76830 US ENDOVAGINAL	$796.28	$1,171.00	$517.58–$1,112.45	—	32%
Transvaginal ultrasound during pregnancy CPT 76817 US OB ENDOVAGINAL	$459.00	$675.00	$127.70–$641.25	19% above	32%
Transvaginal ultrasound during pregnancy CPT 76817 US OB ENDOVAGINAL CL	$464.44	$683.00	$129.22–$648.85	20% above	32%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB ENDOVAGINAL	$459.00	$675.00	$298.35–$641.25	—	32%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB ENDOVAGINAL CL	$464.44	$683.00	$301.89–$648.85	—	32%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE	$1,119.28	$1,646.00	$311.41–$1,563.70	53% above	32%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE	$1,119.28	$1,646.00	$727.53–$1,563.70	—	32%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR	$739.84	$1,088.00	$205.84–$1,033.60	23% above	32%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICULAR	$739.84	$1,088.00	$480.90–$1,033.60	—	32%
Ultrasound of the soft tissues of the head and neck, such as the thyroid both sides CPT 76536 US THYROID BILATERAL	$809.88	$1,191.00	$225.32–$1,131.45	—	32%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD AND NECK	$809.88	$1,191.00	$225.32–$1,131.45	33% above	32%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient both sides CPT 76536 US THYROID BILATERAL	$809.88	$1,191.00	$526.42–$1,131.45	—	32%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD AND NECK	$809.88	$1,191.00	$526.42–$1,131.45	—	32%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LEFT	$193.80	$285.00	$53.92–$270.75	18% below	32%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RIGHT	$193.80	$285.00	$53.92–$270.75	18% below	32%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RIGHT	$193.80	$285.00	$125.97–$270.75	—	32%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LEFT	$193.80	$285.00	$125.97–$270.75	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 US VENOUS PATENCY (BILAT)	$636.48	$936.00	$177.08–$889.20	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US EXT MAPPING LOWER LIMITED	$571.88	$841.00	$159.11–$798.95	4% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US-ABLATION FOLLOW-UP	$582.76	$857.00	$162.14–$814.15	2% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS PATENCY LEFT	$314.84	$463.00	$87.59–$439.85	47% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VENOUS PATENCY RIGHT	$314.84	$463.00	$87.59–$439.85	47% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT MAPPING LOWER RT	$571.88	$841.00	$159.11–$798.95	4% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US EXT MAPPING LOWER LT	$571.88	$841.00	$159.11–$798.95	4% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX LEV REFLUX LT	$582.76	$857.00	$162.14–$814.15	2% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUPLEX LEV REFLUX RT	$582.76	$857.00	$162.14–$814.15	2% below	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DOPPLER EXT UPPER RIGHT	$647.36	$952.00	$180.11–$904.40	9% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DOPPLER EXT LOWER LEFT	$647.36	$952.00	$180.11–$904.40	9% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DOPPLER EXT LOWER RIGHT	$647.36	$952.00	$180.11–$904.40	9% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DOPPLER EXT UPPER LEFT	$647.36	$952.00	$180.11–$904.40	9% above	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 US VENOUS PATENCY (BILAT)	$636.48	$936.00	$413.71–$889.20	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US EXT MAPPING LOWER LIMITED	$571.88	$841.00	$371.72–$798.95	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US-ABLATION FOLLOW-UP	$582.76	$857.00	$378.79–$814.15	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS PATENCY RIGHT	$314.84	$463.00	$204.65–$439.85	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VENOUS PATENCY LEFT	$314.84	$463.00	$204.65–$439.85	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT MAPPING LOWER RT	$571.88	$841.00	$371.72–$798.95	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US EXT MAPPING LOWER LT	$571.88	$841.00	$371.72–$798.95	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX LEV REFLUX LT	$582.76	$857.00	$378.79–$814.15	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUPLEX LEV REFLUX RT	$582.76	$857.00	$378.79–$814.15	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DOPPLER EXT UPPER LEFT	$647.36	$952.00	$420.78–$904.40	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DOPPLER EXT LOWER RIGHT	$647.36	$952.00	$420.78–$904.40	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DOPPLER EXT LOWER LEFT	$647.36	$952.00	$420.78–$904.40	—	32%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DOPPLER EXT UPPER RIGHT	$647.36	$952.00	$420.78–$904.40	—	32%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEW LEFT	$267.92	$394.00	$74.54–$374.30	41% above	32%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2 VIEW RIGHT	$267.92	$394.00	$74.54–$374.30	41% above	32%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEW LEFT	$267.92	$394.00	$174.15–$374.30	—	32%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2 VIEW RIGHT	$267.92	$394.00	$174.15–$374.30	—	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST CARPAL TUNNEL LEFT	$207.40	$305.00	$57.70–$289.75	12% below	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST NAVICULAR RIGHT	$207.40	$305.00	$57.70–$289.75	12% below	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST NAVICULAR LEFT	$207.40	$305.00	$57.70–$289.75	12% below	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST CARPAL TUNNEL RIGHT	$207.40	$305.00	$57.70–$289.75	12% below	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LEFT	$212.16	$312.00	$59.03–$296.40	10% below	32%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RIGHT	$212.16	$312.00	$59.03–$296.40	10% below	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST CARPAL TUNNEL RIGHT	$207.40	$305.00	$134.81–$289.75	—	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST NAVICULAR LEFT	$207.40	$305.00	$134.81–$289.75	—	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST NAVICULAR RIGHT	$207.40	$305.00	$134.81–$289.75	—	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST CARPAL TUNNEL LEFT	$207.40	$305.00	$134.81–$289.75	—	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RIGHT	$212.16	$312.00	$137.90–$296.40	—	32%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LEFT	$212.16	$312.00	$137.90–$296.40	—	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LEFT	$344.08	$506.00	$95.73–$480.70	82% above	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RIGHT	$344.08	$506.00	$95.73–$480.70	82% above	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RIGHT	$344.08	$506.00	$223.65–$480.70	—	32%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LEFT	$344.08	$506.00	$223.65–$480.70	—	32%
X-ray of the abdomen, 1 view CPT 74018 G-TUBE W/CONTRAST	$216.24	$318.00	$60.16–$302.10	1% above	32%
X-ray of the abdomen, 1 view CPT 74018 CROSSTABLE ABD	$223.04	$328.00	$62.05–$311.60	4% above	32%
X-ray of the abdomen, 1 view CPT 74018 ABD FLAT KUB	$247.52	$364.00	$68.86–$345.80	15% above	32%
X-ray of the abdomen, 1 view one side CPT 74018 ABD DECUB UNILATERAL	$247.52	$364.00	$68.86–$345.80	15% above	32%
X-ray of the abdomen, 1 view inpatient CPT 74018 G-TUBE W/CONTRAST	$216.24	$318.00	$140.56–$302.10	—	32%
X-ray of the abdomen, 1 view inpatient CPT 74018 CROSSTABLE ABD	$223.04	$328.00	$144.98–$311.60	—	32%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABD FLAT KUB	$247.52	$364.00	$160.89–$345.80	—	32%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 ABD DECUB UNILATERAL	$247.52	$364.00	$160.89–$345.80	—	32%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEW LEFT	$255.68	$376.00	$71.14–$357.20	21% above	32%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2 VIEW RIGHT	$255.68	$376.00	$71.14–$357.20	21% above	32%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEW RIGHT	$255.68	$376.00	$166.19–$357.20	—	32%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2 VIEW LEFT	$255.68	$376.00	$166.19–$357.20	—	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT HAND THUMB	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT HAND 5TH DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT HAND 4TH DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT HAND 3RD DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 RIGHT HAND 2ND DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT HAND 5TH DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT HAND 4TH DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT HAND 3RD DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT HAND 2ND DIGIT	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views one side CPT 73140 LEFT HAND THUMB	$207.40	$305.00	$57.70–$289.75	5% above	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT HAND THUMB	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT HAND 5TH DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT HAND 3RD DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT HAND 2ND DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT HAND THUMB	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT HAND 5TH DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT HAND 4TH DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT HAND 3RD DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 LEFT HAND 2ND DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 RIGHT HAND 4TH DIGIT	$207.40	$305.00	$134.81–$289.75	—	32%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW RIGHT	$255.68	$376.00	$71.14–$357.20	38% above	32%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2 VIEW LEFT	$255.68	$376.00	$71.14–$357.20	38% above	32%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEW LEFT	$255.68	$376.00	$166.19–$357.20	—	32%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2 VIEW RIGHT	$255.68	$376.00	$166.19–$357.20	—	32%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RIGHT	$257.72	$379.00	$71.70–$360.05	1% below	32%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LEFT	$257.72	$379.00	$71.70–$360.05	1% below	32%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RIGHT	$257.72	$379.00	$167.52–$360.05	—	32%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LEFT	$257.72	$379.00	$167.52–$360.05	—	32%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS LEFT	$257.04	$378.00	$71.51–$359.10	21% above	32%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3 VIEWS RIGHT	$257.04	$378.00	$71.51–$359.10	21% above	32%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS LEFT	$257.04	$378.00	$167.08–$359.10	—	32%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3 VIEWS RIGHT	$257.04	$378.00	$167.08–$359.10	—	32%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW RIGHT	$347.48	$511.00	$96.68–$485.45	76% above	32%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 2 VIEW LEFT	$347.48	$511.00	$96.68–$485.45	76% above	32%
X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA RIGHT	$347.48	$511.00	$96.68–$485.45	76% above	32%
X-ray of the knee, 1 or 2 views one side CPT 73560 PATELLA LEFT	$347.48	$511.00	$96.68–$485.45	76% above	32%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW RIGHT	$347.48	$511.00	$225.86–$485.45	—	32%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 2 VIEW LEFT	$347.48	$511.00	$225.86–$485.45	—	32%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 PATELLA RIGHT	$347.48	$511.00	$225.86–$485.45	—	32%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 PATELLA LEFT	$347.48	$511.00	$225.86–$485.45	—	32%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 3 VIEWS	$335.24	$493.00	$93.27–$468.35	2% below	32%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 3 VIEWS	$335.24	$493.00	$217.91–$468.35	—	32%
X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR 5 VIEWS	$465.80	$685.00	$129.59–$650.75	at median	32%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR 5 VIEWS	$465.80	$685.00	$302.77–$650.75	—	32%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONE	$244.80	$360.00	$68.11–$342.00	4% above	32%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONE	$244.80	$360.00	$159.12–$342.00	—	32%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS	$350.88	$516.00	$97.62–$490.20	23% above	32%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS	$350.88	$516.00	$228.07–$490.20	—	32%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 FILM	$265.20	$390.00	$73.78–$370.50	28% above	32%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 FILM	$265.20	$390.00	$172.38–$370.50	—	32%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX SACRUM	$338.64	$498.00	$94.22–$473.10	29% above	32%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX SACRUM	$338.64	$498.00	$220.12–$473.10	—	32%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
ACTH blood test CPT 82024 ACTH	$270.64	$398.00	$37.85–$378.10	57% above	32%
ACTH blood test inpatient CPT 82024 ACTH	$270.64	$398.00	$175.92–$378.10	—	32%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE ALANINE AMINO	$87.04	$128.00	$5.19–$121.60	172% above	32%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT/SGPT	$99.28	$146.00	$5.19–$138.70	211% above	32%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE ALANINE AMINO	$87.04	$128.00	$56.58–$121.60	—	32%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT/SGPT	$99.28	$146.00	$64.53–$138.70	—	32%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST OR SGOT	$87.04	$128.00	$5.08–$121.60	179% above	32%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST/SGOT	$99.28	$146.00	$5.08–$138.70	218% above	32%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST OR SGOT	$87.04	$128.00	$56.58–$121.60	—	32%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST/SGOT	$99.28	$146.00	$64.53–$138.70	—	32%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS SCREENING PROFILE	$259.08	$381.00	$46.68–$361.95	7% below	32%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS SCREENING PROFILE	$259.08	$381.00	$168.40–$361.95	—	32%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$69.36	$102.00	$4.05–$96.90	93% above	32%
Albumin blood test CPT 82040 ALBUMIN	$69.36	$102.00	$4.05–$96.90	93% above	32%
Albumin blood test CPT 82040 ALBUMIN FLUID	$72.76	$107.00	$4.05–$101.65	103% above	32%
Albumin blood test inpatient CPT 82040 ALBUMIN	$69.36	$102.00	$45.08–$96.90	—	32%
Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN	$69.36	$102.00	$45.08–$96.90	—	32%
Albumin blood test inpatient CPT 82040 ALBUMIN FLUID	$72.76	$107.00	$47.29–$101.65	—	32%
Aldosterone blood test CPT 82088 ALDOSTERONE	$298.52	$439.00	$39.93–$417.05	82% above	32%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$298.52	$439.00	$194.04–$417.05	—	32%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$78.88	$116.00	$5.08–$110.20	79% above	32%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$78.88	$116.00	$51.27–$110.20	—	32%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN	$12.92	$19.00	$5.12–$18.05	54% below	32%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST	$38.08	$56.00	$5.12–$53.20	35% above	32%
Allergy blood test, specific IgE, per allergen CPT 86003 GEORGIA FOOD PANEL	$325.04	$478.00	$5.12–$454.10	1052% above	32%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN	$12.92	$19.00	$8.40–$18.05	—	32%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST	$38.08	$56.00	$24.75–$53.20	—	32%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GEORGIA FOOD PANEL	$325.04	$478.00	$211.28–$454.10	—	32%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN (TM)	$186.32	$274.00	$16.43–$260.30	112% above	32%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN (TM)	$186.32	$274.00	$121.11–$260.30	—	32%
Ammonia blood test CPT 82140 AMMONIA	$236.64	$348.00	$13.92–$330.60	168% above	32%
Ammonia blood test inpatient CPT 82140 AMMONIA	$236.64	$348.00	$153.82–$330.60	—	32%
Amylase blood test CPT 82150 AMYLASE 24 HR URINE	$68.00	$100.00	$6.35–$95.00	11% below	32%
Amylase blood test CPT 82150 AMYLASE URINE	$68.00	$100.00	$6.35–$95.00	11% below	32%
Amylase blood test CPT 82150 AMYLASE FLUID	$78.20	$115.00	$6.35–$109.25	2% above	32%
Amylase blood test CPT 82150 AMYLASE	$82.28	$121.00	$6.35–$114.95	7% above	32%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES	$129.88	$191.00	$6.35–$181.45	69% above	32%
Amylase blood test inpatient CPT 82150 AMYLASE 24 HR URINE	$68.00	$100.00	$44.20–$95.00	—	32%
Amylase blood test inpatient CPT 82150 AMYLASE URINE	$68.00	$100.00	$44.20–$95.00	—	32%
Amylase blood test inpatient CPT 82150 AMYLASE FLUID	$78.20	$115.00	$50.83–$109.25	—	32%
Amylase blood test inpatient CPT 82150 AMYLASE	$82.28	$121.00	$53.48–$114.95	—	32%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES	$129.88	$191.00	$84.42–$181.45	—	32%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$140.08	$206.00	$11.85–$195.70	53% above	32%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$140.08	$206.00	$91.05–$195.70	—	32%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP B-TYPE NATRIURETIC PEPTIDE	$163.20	$240.00	$38.47–$228.00	35% above	32%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP B-TYPE NATRIURETIC PEPTIDE	$163.20	$240.00	$106.08–$228.00	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER	$142.12	$209.00	$8.45–$198.55	84% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT/NOSE	$142.12	$209.00	$8.45–$198.55	84% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GROUP B STREP	$144.84	$213.00	$8.45–$202.35	87% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND	$144.84	$213.00	$8.45–$202.35	87% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE INTRA-OP	$149.60	$220.00	$8.45–$209.00	93% above	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHER	$142.12	$209.00	$92.38–$198.55	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT/NOSE	$142.12	$209.00	$92.38–$198.55	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GROUP B STREP	$144.84	$213.00	$94.15–$202.35	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND	$144.84	$213.00	$94.15–$202.35	—	32%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE INTRA-OP	$149.60	$220.00	$97.24–$209.00	—	32%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL	$163.88	$241.00	$8.29–$228.95	38% above	32%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL	$163.88	$241.00	$106.52–$228.95	—	32%
Bilirubin blood test, total CPT 82247 BILIRUBIN NEONATAL	$59.16	$87.00	$4.92–$82.65	39% above	32%
Bilirubin blood test, total CPT 82247 BILIRUBIN (TOTAL)	$77.52	$114.00	$4.92–$108.30	83% above	32%
Bilirubin blood test, total CPT 82247 BILIRUBIN FLUID	$138.72	$204.00	$4.92–$193.80	227% above	32%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN NEONATAL	$59.16	$87.00	$38.45–$82.65	—	32%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN (TOTAL)	$77.52	$114.00	$50.39–$108.30	—	32%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN FLUID	$138.72	$204.00	$90.17–$193.80	—	32%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV	$152.32	$224.00	$30.39–$212.80	81% above	32%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL IV	$152.32	$224.00	$99.01–$212.80	—	32%
Blood culture for bacteria CPT 87040 CULTURE BLOOD	$144.84	$213.00	$10.11–$202.35	4% below	32%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD	$144.84	$213.00	$94.15–$202.35	—	32%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DRUG SCREEN COLLECTION (AFTER HOURS)	$13.60	$20.00	$3.97–$23.35	2% above	32%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION (VP)	$16.32	$24.00	$4.77–$23.35	22% above	32%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE I	$21.76	$32.00	$6.36–$30.40	63% above	32%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE II	$22.44	$33.00	$6.56–$31.35	68% above	32%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 DRUG SCREEN COLLECTION (AFTER HOURS)	$13.60	$20.00	$8.84–$19.00	—	32%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION (VP)	$16.32	$24.00	$10.61–$22.80	—	32%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE I	$21.76	$32.00	$14.14–$30.40	—	32%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE II	$22.44	$33.00	$14.59–$31.35	—	32%
Blood glucose (sugar) test CPT 82947 URINE FOR GLUCOSE QUAL	$28.56	$42.00	$3.85–$39.90	22% below	32%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUAN BLOOD	$74.80	$110.00	$3.85–$104.50	104% above	32%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$75.48	$111.00	$3.85–$105.45	106% above	32%
Blood glucose (sugar) test CPT 82947 GLUCOSE 24 HOUR URINE	$76.84	$113.00	$3.85–$107.35	110% above	32%
Blood glucose (sugar) test CPT 82947 GLUCOSE URINE	$76.84	$113.00	$3.85–$107.35	110% above	32%
Blood glucose (sugar) test CPT 82947 GLUCOSE SPINAL FLUID	$81.60	$120.00	$3.85–$114.00	123% above	32%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2 HR. POSTPRANDIAL	$81.60	$120.00	$3.85–$114.00	123% above	32%
Blood glucose (sugar) test inpatient CPT 82947 URINE FOR GLUCOSE QUAL	$28.56	$42.00	$18.56–$39.90	—	32%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUAN BLOOD	$74.80	$110.00	$48.62–$104.50	—	32%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$75.48	$111.00	$49.06–$105.45	—	32%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE URINE	$76.84	$113.00	$49.95–$107.35	—	32%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 24 HOUR URINE	$76.84	$113.00	$49.95–$107.35	—	32%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2 HR. POSTPRANDIAL	$81.60	$120.00	$53.04–$114.00	—	32%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE SPINAL FLUID	$81.60	$120.00	$53.04–$114.00	—	32%
Blood lead test CPT 83655 LEAD	$90.44	$133.00	$11.19–$126.35	33% above	32%
Blood lead test inpatient CPT 83655 LEAD	$90.44	$133.00	$58.79–$126.35	—	32%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST	$57.12	$84.00	$7.37–$79.80	42% below	32%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST (URINE)	$118.32	$174.00	$7.37–$165.30	20% above	32%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST SERUM	$161.16	$237.00	$7.37–$225.15	64% above	32%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST	$57.12	$84.00	$37.13–$79.80	—	32%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST (URINE)	$118.32	$174.00	$76.91–$165.30	—	32%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST SERUM	$161.16	$237.00	$104.75–$225.15	—	32%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP	$43.52	$64.00	$4.20–$60.80	21% below	32%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP	$43.52	$64.00	$28.29–$60.80	—	32%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$59.84	$88.00	$3.87–$83.60	85% above	32%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$59.84	$88.00	$38.90–$83.60	—	32%
C-peptide blood test CPT 84681 C PEPTIDE	$201.96	$297.00	$20.39–$282.15	95% above	32%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$201.96	$297.00	$131.27–$282.15	—	32%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP (C-REACTIVE PROTEIN)	$223.04	$328.00	$5.08–$311.60	154% above	32%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP (C-REACTIVE PROTEIN)	$223.04	$328.00	$144.98–$311.60	—	32%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE AMPLIFIED	$293.08	$431.00	$36.52–$409.45	232% above	32%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE PCR	$301.24	$443.00	$36.52–$420.85	241% above	32%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN B PCR	$301.24	$443.00	$36.52–$420.85	241% above	32%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE AMPLIFIED	$293.08	$431.00	$190.50–$409.45	—	32%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE TOXIN B PCR	$301.24	$443.00	$195.81–$420.85	—	32%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE PCR	$301.24	$443.00	$195.81–$420.85	—	32%
CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9	$180.20	$265.00	$20.39–$251.75	88% above	32%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9	$180.20	$265.00	$117.13–$251.75	—	32%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$176.80	$260.00	$20.39–$247.00	26% above	32%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$176.80	$260.00	$114.92–$247.00	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR TRAVEL TEST	$63.24	$93.00	$43.71–$128.28	27% below	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 ID NOW	$117.64	$173.00	$50.28–$164.35	36% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19	$130.56	$192.00	$50.28–$182.40	51% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR (IN-HOUSE)	$199.92	$294.00	$50.28–$279.30	132% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 ID NOW (IN-HOUSE)	$206.72	$304.00	$50.28–$288.80	140% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 LIFE HOPE	$206.72	$304.00	$50.28–$288.80	140% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 QUEST	$206.72	$304.00	$50.28–$288.80	140% above	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR TRAVEL TEST	$63.24	$93.00	$41.11–$88.35	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 ID NOW	$117.64	$173.00	$76.47–$164.35	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19	$130.56	$192.00	$84.86–$182.40	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR (IN-HOUSE)	$199.92	$294.00	$129.95–$279.30	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 LIFE HOPE	$206.72	$304.00	$134.37–$288.80	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 QUEST	$206.72	$304.00	$134.37–$288.80	—	32%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 ID NOW (IN-HOUSE)	$206.72	$304.00	$134.37–$288.80	—	32%
Calcium blood test, total CPT 82310 CALCIUM	$90.44	$133.00	$5.06–$126.35	205% above	32%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$90.44	$133.00	$58.79–$126.35	—	32%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$135.32	$199.00	$18.58–$189.05	36% above	32%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$135.32	$199.00	$87.96–$189.05	—	32%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER VIRUS ANTBDY IGM	$110.84	$163.00	$12.62–$154.85	52% above	32%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER 1GG	$158.44	$233.00	$12.62–$221.35	117% above	32%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER VIRUS ANTBDY IGM	$110.84	$163.00	$72.05–$154.85	—	32%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER 1GG	$158.44	$233.00	$102.99–$221.35	—	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PROBE	$70.72	$104.00	$27.60–$98.80	12% below	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA T APLIF NA PROBE	$104.04	$153.00	$27.60–$145.35	30% above	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH DNA AMP PROBE	$70.72	$104.00	$45.97–$98.80	—	32%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA T APLIF NA PROBE	$104.04	$153.00	$67.63–$145.35	—	32%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE-LAB OUTREACH	$65.96	$97.00	$13.12–$92.15	13% below	32%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CR LIPID PROFILE	$113.56	$167.00	$13.12–$158.65	50% above	32%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID ANALYSIS (II)	$140.76	$207.00	$13.12–$196.65	85% above	32%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE-LAB OUTREACH	$65.96	$97.00	$42.87–$92.15	—	32%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CR LIPID PROFILE	$113.56	$167.00	$73.81–$158.65	—	32%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID ANALYSIS (II)	$140.76	$207.00	$91.49–$196.65	—	32%
Complete blood count (CBC) with differential CPT 85025 CBC/AUTOMATED DIFF	$133.28	$196.00	$7.61–$186.20	116% above	32%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTOMATED DIFF	$133.28	$196.00	$86.63–$186.20	—	32%
Complete blood count (CBC), no differential CPT 85027 CBC	$112.88	$166.00	$6.34–$157.70	100% above	32%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC	$112.88	$166.00	$73.37–$157.70	—	32%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 14	$278.12	$409.00	$10.35–$388.55	95% above	32%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL 14	$278.12	$409.00	$180.78–$388.55	—	32%
Cortisol blood test, total CPT 82533 CORTISOL A.M.	$118.32	$174.00	$15.97–$165.30	15% above	32%
Cortisol blood test, total CPT 82533 CORTISOL FASTING	$121.04	$178.00	$15.97–$169.10	18% above	32%
Cortisol blood test, total CPT 82533 CORTISOL 1/2 HOUR	$121.04	$178.00	$15.97–$169.10	18% above	32%
Cortisol blood test, total CPT 82533 CORTISOL	$121.04	$178.00	$15.97–$169.10	18% above	32%
Cortisol blood test, total CPT 82533 CORTISOL 1 HOUR	$121.04	$178.00	$15.97–$169.10	18% above	32%
Cortisol blood test, total inpatient CPT 82533 CORTISOL A.M.	$118.32	$174.00	$76.91–$165.30	—	32%
Cortisol blood test, total inpatient CPT 82533 CORTISOL	$121.04	$178.00	$78.68–$169.10	—	32%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 1 HOUR	$121.04	$178.00	$78.68–$169.10	—	32%
Cortisol blood test, total inpatient CPT 82533 CORTISOL 1/2 HOUR	$121.04	$178.00	$78.68–$169.10	—	32%
Cortisol blood test, total inpatient CPT 82533 CORTISOL FASTING	$121.04	$178.00	$78.68–$169.10	—	32%
Creatine kinase (CK) blood test, total CPT 82550 CK (TOTAL)	$95.20	$140.00	$6.38–$133.00	85% above	32%
Creatine kinase (CK) blood test, total CPT 82550 CK CKMB	$261.80	$385.00	$6.38–$365.75	409% above	32%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (TOTAL)	$95.20	$140.00	$61.88–$133.00	—	32%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK CKMB	$261.80	$385.00	$170.17–$365.75	—	32%
Creatinine blood test CPT 82565 CREATININE WAIVED	$68.00	$100.00	$5.02–$95.00	229% above	32%
Creatinine blood test CPT 82565 CREATININE	$68.00	$100.00	$5.02–$95.00	229% above	32%
Creatinine blood test inpatient CPT 82565 CREATININE WAIVED	$68.00	$100.00	$44.20–$95.00	—	32%
Creatinine blood test inpatient CPT 82565 CREATININE	$68.00	$100.00	$44.20–$95.00	—	32%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB IGG	$99.96	$147.00	$14.10–$139.65	3% above	32%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB IGG	$99.96	$147.00	$64.97–$139.65	—	32%
D-dimer blood test (blood clot marker) CPT 85379 D DIMERS	$135.32	$199.00	$9.98–$189.05	40% above	32%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMERS	$135.32	$199.00	$87.96–$189.05	—	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 2	$21.76	$32.00	$15.04–$106.73	83% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN III	$40.12	$59.00	$27.73–$147.50	69% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE BARBITURATES	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE OXYCODONE	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE FENTANYL	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE METHADONE	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE ECSTASY	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE MARIJUANA	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE OPIATES	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE COCAINE	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE BENZODIAZEPINES	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE AMPHETAMINES	$96.56	$142.00	$60.90–$155.35	25% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE PCP	$99.96	$147.00	$60.90–$155.35	22% below	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE ALCOHOL	$133.28	$196.00	$60.90–$186.20	4% above	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE LSD	$209.44	$308.00	$60.90–$292.60	63% above	32%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE UA	$677.96	$997.00	$60.90–$947.15	428% above	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 2	$21.76	$32.00	$14.14–$30.40	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN III	$40.12	$59.00	$26.08–$56.05	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE METHADONE	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE FENTANYL	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE OXYCODONE	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE AMPHETAMINES	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE BARBITURATES	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE BENZODIAZEPINES	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE COCAINE	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE OPIATES	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE MARIJUANA	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE ECSTASY	$96.56	$142.00	$62.76–$134.90	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE PCP	$99.96	$147.00	$64.97–$139.65	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE ALCOHOL	$133.28	$196.00	$86.63–$186.20	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE LSD	$209.44	$308.00	$136.14–$292.60	—	32%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN COMPREHENSIVE UA	$677.96	$997.00	$440.67–$947.15	—	32%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$135.32	$199.00	$6.87–$189.05	51% above	32%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$135.32	$199.00	$87.96–$189.05	—	32%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS AB.VCA IGM	$87.72	$129.00	$17.78–$122.55	22% above	32%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS AB-VCA IGG	$87.72	$129.00	$17.78–$122.55	22% above	32%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS AB-VCA IGG	$87.72	$129.00	$57.02–$122.55	—	32%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VIRUS AB.VCA IGM	$87.72	$129.00	$57.02–$122.55	—	32%
Estradiol blood test CPT 82670 ESTRADIOL	$218.96	$322.00	$27.38–$305.90	82% above	32%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$218.96	$322.00	$142.32–$305.90	—	32%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$212.84	$313.00	$18.21–$297.35	69% above	32%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$212.84	$313.00	$138.35–$297.35	—	32%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$189.72	$279.00	$19.24–$265.05	14% below	32%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN	$189.72	$279.00	$123.32–$265.05	—	32%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$92.48	$136.00	$13.36–$129.20	23% above	32%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$92.48	$136.00	$60.11–$129.20	—	32%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$133.28	$196.00	$9.53–$186.20	49% above	32%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$133.28	$196.00	$86.63–$186.20	—	32%
Folate (folic acid) blood test CPT 82746 FOLATE	$103.36	$152.00	$14.41–$144.40	19% above	32%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE	$103.36	$152.00	$67.18–$144.40	—	32%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$154.36	$227.00	$16.60–$215.65	59% above	32%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$154.36	$227.00	$100.33–$215.65	—	32%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4FREEDIRECT DIALYSIS	$69.36	$102.00	$8.84–$96.90	8% below	32%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 INDEX (T7)	$69.36	$102.00	$8.84–$96.90	8% below	32%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4-FREE	$114.24	$168.00	$8.84–$159.60	51% above	32%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 INDEX (T7)	$69.36	$102.00	$45.08–$96.90	—	32%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4FREEDIRECT DIALYSIS	$69.36	$102.00	$45.08–$96.90	—	32%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4-FREE	$114.24	$168.00	$74.26–$159.60	—	32%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$356.32	$524.00	$24.96–$497.80	122% above	32%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$356.32	$524.00	$231.61–$497.80	—	32%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 SGGT/GGT	$83.64	$123.00	$7.06–$116.85	79% above	32%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 SGGT/GGT	$83.64	$123.00	$54.37–$116.85	—	32%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TOLERANCE TEST 1 HOUR	$107.44	$158.00	$4.65–$150.10	143% above	32%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE TOLERANCE TEST 1 HOUR	$107.44	$158.00	$69.84–$150.10	—	32%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 2 HOUR	$196.52	$289.00	$12.61–$274.55	164% above	32%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 HOUR	$259.76	$382.00	$12.61–$362.90	249% above	32%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 2 HOUR	$196.52	$289.00	$127.74–$274.55	—	32%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST 3 HOUR	$259.76	$382.00	$168.84–$362.90	—	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROBE	$70.72	$104.00	$23.96–$98.80	13% below	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA AMPLIF NA PROBE	$97.92	$144.00	$23.96–$136.80	20% above	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA AMP PROBE	$70.72	$104.00	$45.97–$98.80	—	32%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA AMPLIF NA PROBE	$97.92	$144.00	$63.65–$136.80	—	32%
H. pylori antibody blood test CPT 86677 H.PYLORI IgM	$37.40	$55.00	$16.51–$52.25	71% below	32%
H. pylori antibody blood test CPT 86677 H.PYLORI IgG	$37.40	$55.00	$16.51–$52.25	71% below	32%
H. pylori antibody blood test CPT 86677 H.PYLORI IgA	$37.40	$55.00	$16.51–$52.25	71% below	32%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI IgA	$37.40	$55.00	$24.31–$52.25	—	32%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI IgM	$37.40	$55.00	$24.31–$52.25	—	32%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI IgG	$37.40	$55.00	$24.31–$52.25	—	32%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI ANTIGEN EIA	$121.72	$179.00	$14.09–$170.05	3% below	32%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI ANTIGEN EIA	$121.72	$179.00	$79.12–$170.05	—	32%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANT PCR	$360.40	$530.00	$63.21–$503.50	5% above	32%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 BY PCR	$400.52	$589.00	$63.21–$559.55	17% above	32%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANT PCR	$360.40	$530.00	$234.26–$503.50	—	32%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 BY PCR	$400.52	$589.00	$260.34–$559.55	—	32%
HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN	$76.16	$112.00	$13.44–$106.40	31% below	32%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SINGLE RESULT	$179.52	$264.00	$13.44–$250.80	64% above	32%
HIV-1 and HIV-2 antibody test CPT 86703 HIV SCREEN 1 2	$184.96	$272.00	$13.44–$258.40	69% above	32%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREEN	$76.16	$112.00	$49.50–$106.40	—	32%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SINGLE RESULT	$179.52	$264.00	$116.69–$250.80	—	32%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SCREEN 1 2	$184.96	$272.00	$120.22–$258.40	—	32%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV ALIF NA PROBE	$230.52	$339.00	$20.42–$322.05	97% above	32%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV ALIF NA PROBE	$230.52	$339.00	$149.84–$322.05	—	32%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 CR HBA1C	$64.60	$95.00	$9.52–$90.25	20% above	32%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCO-HEMOGLOBIN	$80.24	$118.00	$9.52–$112.10	49% above	32%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 CR HBA1C	$64.60	$95.00	$41.99–$90.25	—	32%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCO-HEMOGLOBIN	$80.24	$118.00	$52.16–$112.10	—	32%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$25.84	$38.00	$2.32–$36.10	12% above	32%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$25.84	$38.00	$16.80–$36.10	—	32%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB IGM	$85.68	$126.00	$11.81–$119.70	5% below	32%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$87.72	$129.00	$11.81–$122.55	3% below	32%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB IGM	$85.68	$126.00	$55.69–$119.70	—	32%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY	$87.72	$129.00	$57.02–$122.55	—	32%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBODY	$106.76	$157.00	$10.53–$149.15	38% above	32%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBODY	$106.76	$157.00	$69.39–$149.15	—	32%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HAA (HEPATITIS ANTIGEN)	$98.60	$145.00	$10.12–$137.75	52% above	32%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN	$112.88	$166.00	$10.12–$157.70	74% above	32%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HAA (HEPATITIS ANTIGEN)	$98.60	$145.00	$64.09–$137.75	—	32%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN	$112.88	$166.00	$73.37–$157.70	—	32%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$146.20	$215.00	$11.19–$204.25	21% above	32%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$146.20	$215.00	$95.03–$204.25	—	32%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV VIRAL LOAD	$302.60	$445.00	$41.98–$422.75	10% above	32%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C-RNA BY PCR	$639.88	$941.00	$41.98–$893.95	132% above	32%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV VIRAL LOAD	$302.60	$445.00	$196.69–$422.75	—	32%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C-RNA BY PCR	$639.88	$941.00	$415.92–$893.95	—	32%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES TITER	$94.52	$139.00	$12.93–$132.05	41% above	32%
Herpes blood test, HSV-1 antibody CPT 86695 HERPO SIMPLEX TYPE 12IQG	$140.08	$206.00	$12.93–$195.70	108% above	32%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES TITER	$94.52	$139.00	$61.44–$132.05	—	32%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPO SIMPLEX TYPE 12IQG	$140.08	$206.00	$91.05–$195.70	—	32%
High-sensitivity CRP (hs-CRP) test CPT 86141 CARDIAC CRP	$142.12	$209.00	$12.69–$198.55	59% above	32%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CARDIAC CRP	$142.12	$209.00	$92.38–$198.55	—	32%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$194.48	$286.00	$17.56–$271.70	42% above	32%
Homocysteine blood test CPT 83090 HOMOCYSTEINE PLASMA	$205.36	$302.00	$17.56–$286.90	50% above	32%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$194.48	$286.00	$126.41–$271.70	—	32%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE PLASMA	$205.36	$302.00	$133.48–$286.90	—	32%
Insulin blood test CPT 83525 INSULIN LEVEL ADD SAMPLE	$71.40	$105.00	$11.20–$99.75	2% below	32%
Insulin blood test CPT 83525 INSULIN LEVEL (1ST SAMPLE)	$114.24	$168.00	$11.20–$159.60	56% above	32%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL ADD SAMPLE	$71.40	$105.00	$46.41–$99.75	—	32%
Insulin blood test inpatient CPT 83525 INSULIN LEVEL (1ST SAMPLE)	$114.24	$168.00	$74.26–$159.60	—	32%
Iron blood test (serum iron) CPT 83540 IRON	$65.96	$97.00	$6.34–$92.15	30% above	32%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$65.96	$97.00	$42.87–$92.15	—	32%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY-TIBC	$78.20	$115.00	$8.57–$109.25	37% above	32%
Iron-binding capacity (TIBC) test CPT 83550 TIBC	$83.64	$123.00	$8.57–$116.85	46% above	32%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY-TIBC	$78.20	$115.00	$50.83–$109.25	—	32%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC	$83.64	$123.00	$54.37–$116.85	—	32%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$202.64	$298.00	$8.51–$283.10	133% above	32%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$202.64	$298.00	$131.72–$283.10	—	32%
LH (luteinizing hormone) test CPT 83002 LH	$183.60	$270.00	$18.15–$256.50	160% above	32%
LH (luteinizing hormone) test inpatient CPT 83002 LH	$183.60	$270.00	$119.34–$256.50	—	32%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$93.16	$137.00	$11.34–$130.15	6% below	32%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$93.16	$137.00	$60.55–$130.15	—	32%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$99.28	$146.00	$5.92–$138.70	100% above	32%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$104.72	$154.00	$5.92–$146.30	111% above	32%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID	$99.28	$146.00	$64.53–$138.70	—	32%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$104.72	$154.00	$68.07–$146.30	—	32%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE	$34.68	$51.00	$6.75–$48.45	64% below	32%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$104.04	$153.00	$6.75–$145.35	8% above	32%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE URINE	$34.68	$51.00	$22.54–$48.45	—	32%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$104.04	$153.00	$67.63–$145.35	—	32%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$186.32	$274.00	$8.01–$260.30	75% above	32%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$186.32	$274.00	$121.11–$260.30	—	32%
Lyme disease antibody test CPT 86618 LYME SEROLOGY	$327.76	$482.00	$16.69–$457.90	217% above	32%
Lyme disease antibody test inpatient CPT 86618 LYME SEROLOGY	$327.76	$482.00	$213.04–$457.90	—	32%
Magnesium blood test CPT 83735 MAGNESIUM	$74.80	$110.00	$6.57–$104.50	66% above	32%
Magnesium blood test CPT 83735 MAGNESIUM 24 HOUR URINE	$76.84	$113.00	$6.57–$107.35	71% above	32%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$80.92	$119.00	$6.57–$113.05	80% above	32%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$74.80	$110.00	$48.62–$104.50	—	32%
Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HOUR URINE	$76.84	$113.00	$49.95–$107.35	—	32%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$80.92	$119.00	$52.60–$113.05	—	32%
Measles (rubeola) antibody test CPT 86765 MEASLES VIRUS AB IGG	$99.28	$146.00	$12.62–$138.70	25% above	32%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES VIRUS AB IGG	$99.28	$146.00	$64.53–$138.70	—	32%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$21.76	$32.00	$5.08–$30.40	61% below	32%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIGEN	$49.64	$73.00	$5.08–$69.35	11% below	32%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$21.76	$32.00	$14.14–$30.40	—	32%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIGEN	$49.64	$73.00	$32.27–$69.35	—	32%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGM	$128.52	$189.00	$12.79–$179.55	133% above	32%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB IGG	$128.52	$189.00	$12.79–$179.55	133% above	32%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB IGG	$128.52	$189.00	$83.54–$179.55	—	32%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB IGM	$128.52	$189.00	$83.54–$179.55	—	32%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA TOTAL FREE	$209.44	$308.00	$18.02–$292.60	155% above	32%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$214.88	$316.00	$18.02–$300.20	161% above	32%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA TOTAL FREE	$209.44	$308.00	$136.14–$292.60	—	32%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$214.88	$316.00	$139.67–$300.20	—	32%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATIC SP ANTIGEN)	$168.64	$248.00	$18.02–$235.60	67% above	32%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (PROSTATIC SP ANTIGEN)	$168.64	$248.00	$109.62–$235.60	—	32%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE	$213.52	$314.00	$40.45–$298.30	40% above	32%
Parathyroid hormone (PTH) blood test CPT 83970 PTH C TERMINAL (MID)	$301.24	$443.00	$40.45–$420.85	97% above	32%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$401.88	$591.00	$40.45–$561.45	163% above	32%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE	$213.52	$314.00	$138.79–$298.30	—	32%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH C TERMINAL (MID)	$301.24	$443.00	$195.81–$420.85	—	32%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$401.88	$591.00	$261.22–$561.45	—	32%
Partial thromboplastin time (PTT) clotting test CPT 85730 HEX PHASE CONF	$56.44	$83.00	$5.89–$78.85	15% above	32%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$65.28	$96.00	$5.89–$91.20	33% above	32%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HEX PHASE CONF	$56.44	$83.00	$36.69–$78.85	—	32%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$65.28	$96.00	$42.43–$91.20	—	32%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$83.64	$123.00	$4.65–$116.85	139% above	32%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$83.64	$123.00	$54.37–$116.85	—	32%
Potassium blood test CPT 84132 POTASSIUM (K)	$63.24	$93.00	$4.66–$88.35	87% above	32%
Potassium blood test inpatient CPT 84132 POTASSIUM (K)	$63.24	$93.00	$41.11–$88.35	—	32%
Progesterone blood test CPT 84144 PROGESTERONE-SERUM	$165.92	$244.00	$20.44–$231.80	73% above	32%
Progesterone blood test inpatient CPT 84144 PROGESTERONE-SERUM	$165.92	$244.00	$107.85–$231.80	—	32%
Prolactin blood test CPT 84146 PROLACTIN	$180.20	$265.00	$18.99–$251.75	52% above	32%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$180.20	$265.00	$117.13–$251.75	—	32%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (PT)	$74.12	$109.00	$4.20–$103.55	90% above	32%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME (PT)	$74.12	$109.00	$48.18–$103.55	—	32%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 COTININE SCREEN	$22.44	$33.00	$12.35–$31.50	69% below	32%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TRICYCLIC ANTIDEPRESSANT (TCA)	$96.56	$142.00	$12.35–$134.90	34% above	32%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 COTININE SCREEN	$22.44	$33.00	$14.59–$31.35	—	32%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TRICYCLIC ANTIDEPRESSANT (TCA)	$96.56	$142.00	$62.76–$134.90	—	32%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA TEST	$65.96	$97.00	$16.22–$92.15	10% below	32%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN	$108.12	$159.00	$16.22–$151.05	48% above	32%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN	$108.12	$159.00	$16.22–$151.05	48% above	32%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A/B ANTIGEN	$137.36	$202.00	$16.22–$191.90	88% above	32%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA TEST	$65.96	$97.00	$42.87–$92.15	—	32%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B ANTIGEN	$108.12	$159.00	$70.28–$151.05	—	32%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A ANTIGEN	$108.12	$159.00	$70.28–$151.05	—	32%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A/B ANTIGEN	$137.36	$202.00	$89.28–$191.90	—	32%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP-A	$65.96	$97.00	$16.20–$92.15	9% below	32%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 GROUP A QUICK STREP	$133.96	$197.00	$16.20–$187.15	86% above	32%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP-A	$65.96	$97.00	$42.87–$92.15	—	32%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 GROUP A QUICK STREP	$133.96	$197.00	$87.07–$187.15	—	32%
Renin blood test CPT 84244 RENIN	$184.28	$271.00	$21.55–$257.45	76% above	32%
Renin blood test inpatient CPT 84244 RENIN	$184.28	$271.00	$119.78–$257.45	—	32%
Rh blood typing CPT 86901 RH TYPING	$52.36	$77.00	$5.14–$73.15	12% above	32%
Rh blood typing inpatient CPT 86901 RH TYPING	$52.36	$77.00	$34.03–$73.15	—	32%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS AB IGG	$76.84	$113.00	$14.10–$107.35	11% above	32%
Rubella antibody test (immunity check) CPT 86762 RUBELLA PREMARITAL	$78.88	$116.00	$14.10–$110.20	14% above	32%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS AB IGM	$88.40	$130.00	$14.10–$123.50	28% above	32%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS AB IGG	$76.84	$113.00	$49.95–$107.35	—	32%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA PREMARITAL	$78.88	$116.00	$51.27–$110.20	—	32%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS AB IGM	$88.40	$130.00	$57.46–$123.50	—	32%
Sodium blood test CPT 84295 SODIUM	$65.96	$97.00	$4.71–$92.15	103% above	32%
Sodium blood test inpatient CPT 84295 SODIUM	$65.96	$97.00	$42.87–$92.15	—	32%
Stool ova and parasites exam CPT 87177 CRYPTOSPORIDIUM	$80.92	$119.00	$8.72–$113.05	at median	32%
Stool ova and parasites exam CPT 87177 COMPREHENSIVE OVA/PARASITE EXAM	$89.08	$131.00	$8.72–$124.45	10% above	32%
Stool ova and parasites exam CPT 87177 OVA PARASITES (O P)	$172.04	$253.00	$8.72–$240.35	112% above	32%
Stool ova and parasites exam inpatient CPT 87177 CRYPTOSPORIDIUM	$80.92	$119.00	$52.60–$113.05	—	32%
Stool ova and parasites exam inpatient CPT 87177 COMPREHENSIVE OVA/PARASITE EXAM	$89.08	$131.00	$57.90–$124.45	—	32%
Stool ova and parasites exam inpatient CPT 87177 OVA PARASITES (O P)	$172.04	$253.00	$111.83–$240.35	—	32%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN	$39.44	$58.00	$4.29–$55.10	4% above	32%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN	$39.44	$58.00	$25.64–$55.10	—	32%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS	$96.56	$142.00	$12.98–$134.90	45% above	32%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS IGM	$233.24	$343.00	$12.98–$325.85	250% above	32%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS	$96.56	$142.00	$62.76–$134.90	—	32%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS IGM	$233.24	$343.00	$151.61–$325.85	—	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR PREMARITAL	$53.72	$79.00	$4.18–$75.05	27% above	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$57.80	$85.00	$4.18–$80.75	36% above	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SPINAL FLUID	$72.08	$106.00	$4.18–$100.70	70% above	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR TITER	$110.84	$163.00	$4.18–$154.85	161% above	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR PREMARITAL	$53.72	$79.00	$34.92–$75.05	—	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$57.80	$85.00	$37.57–$80.75	—	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SPINAL FLUID	$72.08	$106.00	$46.85–$100.70	—	32%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR TITER	$110.84	$163.00	$72.05–$154.85	—	32%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD	$331.84	$488.00	$60.74–$463.60	100% above	32%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD	$331.84	$488.00	$215.70–$463.60	—	32%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL (WOMEN CHILD)	$157.76	$232.00	$25.29–$220.40	20% above	32%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$241.40	$355.00	$25.29–$337.25	84% above	32%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL (WOMEN CHILD)	$157.76	$232.00	$102.54–$220.40	—	32%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$241.40	$355.00	$156.91–$337.25	—	32%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI TPO(ANTITHYRD PERIOX ANTIBOD	$72.08	$106.00	$14.26–$100.70	22% below	32%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTIMICROSOMAL (TPO)	$91.12	$134.00	$14.26–$127.30	1% below	32%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID	$120.36	$177.00	$14.26–$168.15	30% above	32%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSMAL ANTIBODIES	$166.60	$245.00	$14.26–$232.75	80% above	32%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL AUTOANTIBODIES	$212.16	$312.00	$14.26–$296.40	130% above	32%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI TPO(ANTITHYRD PERIOX ANTIBOD	$72.08	$106.00	$46.85–$100.70	—	32%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTIMICROSOMAL (TPO)	$91.12	$134.00	$59.23–$127.30	—	32%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID	$120.36	$177.00	$78.23–$168.15	—	32%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER/KIDNEY MICROSMAL ANTIBODIES	$166.60	$245.00	$108.29–$232.75	—	32%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL AUTOANTIBODIES	$212.16	$312.00	$137.90–$296.40	—	32%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH ULTRASENSITIVE	$118.32	$174.00	$16.46–$165.30	34% above	32%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH ULTRASENSITIVE	$118.32	$174.00	$76.91–$165.30	—	32%
Total IgE blood test CPT 82785 IGE	$186.32	$274.00	$16.13–$260.30	146% above	32%
Total IgE blood test inpatient CPT 82785 IGE	$186.32	$274.00	$121.11–$260.30	—	32%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL	$25.84	$38.00	$4.26–$36.10	10% below	32%
Total cholesterol blood test CPT 82465 CHOLESTEROL-TOTAL	$38.76	$57.00	$4.26–$54.15	35% above	32%
Total cholesterol blood test CPT 82465 CHOLESTEROL FLUID	$56.44	$83.00	$4.26–$78.85	96% above	32%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$63.92	$94.00	$4.26–$89.30	122% above	32%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL	$25.84	$38.00	$16.80–$36.10	—	32%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL-TOTAL	$38.76	$57.00	$25.19–$54.15	—	32%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL FLUID	$56.44	$83.00	$36.69–$78.85	—	32%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$63.92	$94.00	$41.55–$89.30	—	32%
Total thyroxine (T4) blood test CPT 84436 T4 TOTAL	$95.88	$141.00	$6.73–$133.95	89% above	32%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 TOTAL	$95.88	$141.00	$62.32–$133.95	—	32%
Total triiodothyronine (T3) blood test CPT 84480 T3	$96.56	$142.00	$13.90–$134.90	15% above	32%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3	$96.56	$142.00	$62.76–$134.90	—	32%
Transferrin blood test CPT 84466 TRANSFERRIN	$140.76	$207.00	$12.50–$196.65	60% above	32%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$140.76	$207.00	$91.49–$196.65	—	32%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$108.80	$160.00	$5.63–$152.00	173% above	32%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$108.80	$160.00	$70.72–$152.00	—	32%
Troponin test, quantitative CPT 84484 TROPONIN I	$144.16	$212.00	$12.22–$201.40	15% above	32%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$144.16	$212.00	$93.70–$201.40	—	32%
Uric acid blood test CPT 84550 URIC ACID	$74.80	$110.00	$4.43–$104.50	45% above	32%
Uric acid blood test inpatient CPT 84550 URIC ACID	$74.80	$110.00	$48.62–$104.50	—	32%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO	$72.76	$107.00	$3.11–$101.65	19% above	32%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICRO	$72.76	$107.00	$47.29–$101.65	—	32%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS/MACRO ONLY	$37.40	$55.00	$3.94–$52.25	3% below	32%
Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS/MACRO ONLY	$37.40	$55.00	$24.31–$52.25	—	32%
Urinalysis without microscope exam, automated CPT 81003 PROTEIN POINT OF CARE	$35.36	$52.00	$2.20–$49.40	2% below	32%
Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN POINT OF CARE	$35.36	$52.00	$22.98–$49.40	—	32%
Urinalysis without microscope exam, manual CPT 81002 URINE FOR SPECF GRAVITY	$32.64	$48.00	$3.41–$45.60	11% below	32%
Urinalysis without microscope exam, manual CPT 81002 URINE CHEMSTRIP	$36.04	$53.00	$3.41–$50.35	2% below	32%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE FOR SPECF GRAVITY	$32.64	$48.00	$21.22–$45.60	—	32%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE CHEMSTRIP	$36.04	$53.00	$23.43–$50.35	—	32%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN WO CREATININE (RAND URINE)	$83.64	$123.00	$5.66–$116.85	49% above	32%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$91.12	$134.00	$5.66–$127.30	62% above	32%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RANDOM URINE	$91.12	$134.00	$5.66–$127.30	62% above	32%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN WO CREATININE (RAND URINE)	$83.64	$123.00	$54.37–$116.85	—	32%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$91.12	$134.00	$59.23–$127.30	—	32%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RANDOM URINE	$91.12	$134.00	$59.23–$127.30	—	32%
Vitamin B12 (cobalamin) blood test CPT 82607 B12	$103.36	$152.00	$14.78–$144.40	27% above	32%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12	$103.36	$152.00	$67.18–$144.40	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$54.40	$80.00	$29.01–$76.00	42% below	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH TOTAL	$54.40	$80.00	$29.01–$76.00	42% below	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH D3	$54.40	$80.00	$29.01–$76.00	42% below	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH D2	$54.40	$80.00	$29.01–$76.00	42% below	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 1.25 DIHYDROXY	$168.64	$248.00	$29.01–$235.60	81% above	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY	$180.20	$265.00	$29.01–$251.75	93% above	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH	$54.40	$80.00	$35.36–$76.00	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH D2	$54.40	$80.00	$35.36–$76.00	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH D3	$54.40	$80.00	$35.36–$76.00	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH TOTAL	$54.40	$80.00	$35.36–$76.00	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 1.25 DIHYDROXY	$168.64	$248.00	$109.62–$235.60	—	32%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY	$180.20	$265.00	$117.13–$251.75	—	32%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 125 DIHYDROXY	$157.76	$232.00	$37.73–$220.40	17% above	32%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1.25-DIHYDROXY	$171.36	$252.00	$37.73–$239.40	27% above	32%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 125 DIHYDROXY	$157.76	$232.00	$102.54–$220.40	—	32%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1.25-DIHYDROXY	$171.36	$252.00	$111.38–$239.40	—	32%
Zinc blood test CPT 84630 ZINC	$95.88	$141.00	$11.16–$133.95	47% above	32%
Zinc blood test inpatient CPT 84630 ZINC	$95.88	$141.00	$62.32–$133.95	—	32%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TITER	$131.92	$194.00	$9.03–$184.30	10% above	32%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG SUBUNIT TUMOR MARKER	$133.28	$196.00	$9.03–$186.20	12% above	32%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TITER (PREG QUANT)	$133.96	$197.00	$9.03–$187.15	12% above	32%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TITER	$131.92	$194.00	$85.75–$184.30	—	32%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG SUBUNIT TUMOR MARKER	$133.28	$196.00	$86.63–$186.20	—	32%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TITER (PREG QUANT)	$133.96	$197.00	$87.07–$187.15	—	32%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,602.08	$2,356.00	$445.73–$2,238.20	8% above	32%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ENDO-CARDIOVERSION	$1,602.08	$2,356.00	$445.73–$2,238.20	8% above	32%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ENDO-CARDIOVERSION	$1,602.08	$2,356.00	$1,041.35–$2,238.20	—	32%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION	$1,602.08	$2,356.00	$1,041.35–$2,238.20	—	32%
Short arm splint (forearm and hand) CPT 29125 OT-SHORT ARM SPLINT	$234.60	$345.00	$65.27–$337.65	39% below	32%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT	$234.60	$345.00	$65.27–$337.65	39% below	32%
Short arm splint (forearm and hand) inpatient CPT 29125 SHORT ARM SPLINT	$234.60	$345.00	$152.49–$327.75	—	32%
Short arm splint (forearm and hand) inpatient CPT 29125 OT-SHORT ARM SPLINT	$234.60	$345.00	$152.49–$327.75	—	32%
Short leg splint (calf to foot) CPT 29515 SPLINT APPL SHORT LEG	$257.72	$379.00	$71.70–$413.33	33% below	32%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$304.64	$448.00	$210.56–$425.60	21% below	32%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APPL SHORT LEG	$257.72	$379.00	$167.52–$360.05	—	32%
Thoracentesis with imaging guidance CPT 32555 ENDO-ASPIRATE PLEURA W/IMAGING	$1,361.36	$2,002.00	$378.76–$1,901.90	3% below	32%
Thoracentesis with imaging guidance inpatient CPT 32555 ENDO-ASPIRATE PLEURA W/IMAGING	$1,361.36	$2,002.00	$884.88–$1,901.90	—	32%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD OR BLOOD COMP	$895.56	$1,317.00	$249.16–$1,251.15	16% above	32%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD OR BLOOD COMP	$895.56	$1,317.00	$582.11–$1,251.15	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HUMIDIFIER/AEROSOL DAILY	$257.04	$378.00	$71.51–$359.10	36% above	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALER MED ADMIN	$261.80	$385.00	$72.84–$365.75	39% above	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION/DIAG PURPOSE	$285.60	$420.00	$79.46–$399.00	51% above	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 OXYGEN SET UP 0-4 HOURS	$285.60	$420.00	$79.46–$399.00	51% above	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 JET NEB	$293.76	$432.00	$81.73–$410.40	56% above	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROGEN SOLO NEB/JET INITIAL	$347.48	$511.00	$96.68–$485.45	84% above	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HUMIDIFIER/AEROSOL DAILY	$257.04	$378.00	$167.08–$359.10	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALER MED ADMIN	$261.80	$385.00	$170.17–$365.75	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 OXYGEN SET UP 0-4 HOURS	$285.60	$420.00	$185.64–$399.00	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION/DIAG PURPOSE	$285.60	$420.00	$185.64–$399.00	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 JET NEB	$293.76	$432.00	$190.94–$410.40	—	32%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROGEN SOLO NEB/JET INITIAL	$347.48	$511.00	$225.86–$485.45	—	32%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADMIN IV-INFUSION UP TO 1HR	$535.16	$787.00	$148.89–$747.65	19% above	32%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO ADMIN IV-INFUSION UP TO 1HR	$535.16	$787.00	$347.85–$747.65	—	32%
Critical care, first 30 to 74 minutes CPT 99291 ER CHARGE LEVEL VI	$1,126.08	$1,656.00	$313.30–$2,207.22	38% below	32%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER CHARGE LEVEL VI	$1,126.08	$1,656.00	$731.95–$1,573.20	—	32%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG RECORDING	$628.32	$924.00	$174.81–$877.80	6% above	32%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG RAPID 20-40 MIN AWAKE DROWSY	$1,249.84	$1,838.00	$347.73–$1,746.10	110% above	32%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG RECORDING	$628.32	$924.00	$408.41–$877.80	—	32%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG RAPID 20-40 MIN AWAKE DROWSY	$1,249.84	$1,838.00	$812.40–$1,746.10	—	32%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG	$34.00	$50.00	$9.46–$47.50	at median	32%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG	$34.00	$50.00	$22.10–$47.50	—	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 INDUSTRIAL MED EKG	$34.00	$50.00	$9.46–$47.50	82% below	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$87.04	$128.00	$24.22–$121.60	54% below	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG EMPLOYEE	$191.08	$281.00	$53.16–$266.95	1% above	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 INDUSTRIAL MED EKG	$34.00	$50.00	$22.10–$47.50	—	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$87.04	$128.00	$56.58–$121.60	—	32%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG EMPLOYEE	$191.08	$281.00	$124.20–$266.95	—	32%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CHARGE LEVEL I	$154.36	$227.00	$42.95–$230.65	33% below	32%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER CHARGE LEVEL I	$154.36	$227.00	$100.33–$215.65	—	32%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CHARGE LEVEL II	$245.48	$361.00	$68.30–$414.82	32% below	32%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER CHARGE LEVEL II	$245.48	$361.00	$159.56–$342.95	—	32%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CHARGE LEVEL III	$317.56	$467.00	$88.35–$725.31	50% below	32%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER CHARGE LEVEL III	$317.56	$467.00	$206.41–$443.65	—	32%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER CHARGE LEVEL IV	$585.48	$861.00	$162.89–$1,115.44	27% below	32%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER CHARGE LEVEL IV	$585.48	$861.00	$380.56–$817.95	—	32%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER CHARGE LEVEL V	$664.36	$977.00	$179.01–$1,606.02	40% below	32%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER CHARGE LEVEL V	$664.36	$977.00	$431.83–$928.15	—	32%
Exercise stress test, tracing only, the hospital charge CPT 93017 NM RECORDING	$672.52	$989.00	$187.11–$939.55	20% below	32%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST-CARDIO TRACING	$733.04	$1,078.00	$203.95–$1,024.10	13% below	32%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 NM RECORDING	$672.52	$989.00	$437.14–$939.55	—	32%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST-CARDIO TRACING	$733.04	$1,078.00	$476.48–$1,024.10	—	32%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT.	$341.36	$502.00	$94.97–$476.90	18% above	32%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION INIT.	$341.36	$502.00	$221.88–$476.90	—	32%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF1ST HR	$435.88	$641.00	$121.27–$608.95	49% above	32%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$435.88	$641.00	$121.27–$608.95	49% above	32%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF1ST HR	$435.88	$641.00	$283.32–$608.95	—	32%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DIAG IV INF INIT	$435.88	$641.00	$283.32–$608.95	—	32%
IV push of a medicine, first drug CPT 96374 IV PUSH INJ - INITIAL MED	$259.76	$382.00	$72.27–$362.90	25% above	32%
IV push of a medicine, first drug CPT 96374 TX PROPH/DX INJECTION-IV PUSH	$259.76	$382.00	$72.27–$362.90	25% above	32%
IV push of a medicine, first drug inpatient CPT 96374 TX PROPH/DX INJECTION-IV PUSH	$259.76	$382.00	$168.84–$362.90	—	32%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INJ - INITIAL MED	$259.76	$382.00	$168.84–$362.90	—	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION - OTHER	$46.92	$69.00	$13.05–$65.55	53% below	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION-SQ IM	$134.64	$198.00	$37.46–$188.10	35% above	32%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$134.64	$198.00	$37.46–$188.10	35% above	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION - OTHER	$46.92	$69.00	$30.50–$65.55	—	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJ SC/IM	$134.64	$198.00	$87.52–$188.10	—	32%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION-SQ IM	$134.64	$198.00	$87.52–$188.10	—	32%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION 15MN	$70.72	$104.00	$19.68–$98.80	8% above	32%
Neuromuscular re-education, 15 minutes CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15 MINS	$76.16	$112.00	$21.19–$106.40	17% above	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION 15MN	$70.72	$104.00	$45.97–$98.80	—	32%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT-NEUROMUSCULAR REEDUCATION EA 15 MINS	$76.16	$112.00	$49.50–$106.40	—	32%
New patient office visit, about 30 minutes CPT 99203 CHF VISIT-LEVEL 3 NEW	$242.08	$356.00	$67.35–$338.20	54% above	32%
New patient office visit, about 30 minutes CPT 99203 LEVEL 3 INITIAL VISIT	$259.08	$381.00	$72.08–$361.95	65% above	32%
New patient office visit, about 30 minutes inpatient CPT 99203 CHF VISIT-LEVEL 3 NEW	$242.08	$356.00	$157.35–$338.20	—	32%
New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 INITIAL VISIT	$259.08	$381.00	$168.40–$361.95	—	32%
New patient office visit, about 45 minutes CPT 99204 CHF VISIT-LEVEL 4 NEW	$314.16	$462.00	$87.41–$438.90	57% above	32%
New patient office visit, about 45 minutes CPT 99204 LEVEL 4 INITIAL VISIT	$338.64	$498.00	$94.22–$473.10	70% above	32%
New patient office visit, about 45 minutes inpatient CPT 99204 CHF VISIT-LEVEL 4 NEW	$314.16	$462.00	$204.20–$438.90	—	32%
New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL 4 INITIAL VISIT	$338.64	$498.00	$220.12–$473.10	—	32%
New patient office visit, about 60 minutes CPT 99205 CHF VISIT-LEVEL 5 NEW	$382.84	$563.00	$106.51–$534.85	59% above	32%
New patient office visit, about 60 minutes CPT 99205 LEVEL 5 INITIAL VISIT	$416.16	$612.00	$115.78–$581.40	73% above	32%
New patient office visit, about 60 minutes inpatient CPT 99205 CHF VISIT-LEVEL 5 NEW	$382.84	$563.00	$248.85–$534.85	—	32%
New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL 5 INITIAL VISIT	$416.16	$612.00	$270.50–$581.40	—	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 INITIAL VISIT	$146.88	$216.00	$40.86–$205.20	8% above	32%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 CHF VISIT-LEVEL 2 NEW	$157.08	$231.00	$43.70–$219.45	15% above	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL 2 INITIAL VISIT	$146.88	$216.00	$95.47–$205.20	—	32%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 CHF VISIT-LEVEL 2 NEW	$157.08	$231.00	$102.10–$219.45	—	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL EVAL EACH 15 MINS	$71.40	$105.00	$19.86–$99.75	97% above	32%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL EVAL EACH 15 MINS	$71.40	$105.00	$46.41–$99.75	—	32%
Occupational therapy evaluation, low complexity CPT 97165 OT-EVAL LOW COMPLEX 30 MIN	$276.76	$407.00	$77.00–$386.65	63% above	32%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT-EVAL LOW COMPLEX 30 MIN	$276.76	$407.00	$179.89–$386.65	—	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EVALUATION - INITIAL LEVEL III	$294.44	$433.00	$81.92–$411.35	41% above	32%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 EVALUATION - INITIAL LEVEL III	$294.44	$433.00	$191.39–$411.35	—	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EVALUATION - INITIAL LEVEL I	$216.92	$319.00	$60.35–$303.05	24% above	32%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EVALUATION - INITIAL LEVEL I	$216.92	$319.00	$141.00–$303.05	—	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EVALUATION - INITIAL LEVEL II	$242.08	$356.00	$67.35–$338.20	37% above	32%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EVALUATION - INITIAL LEVEL II	$242.08	$356.00	$157.35–$338.20	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 JOINT MOBILIZATION EXTREMITY 15MN	$65.28	$96.00	$18.16–$91.20	33% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL TRACTION 15 MIN	$72.76	$107.00	$20.24–$101.65	25% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT-MANUAL THERAPY EA 15 MINS	$72.76	$107.00	$20.24–$101.65	25% below	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 JOINT MOBILIZATION EXTREMITY 15MN	$65.28	$96.00	$42.43–$91.20	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL TRACTION 15 MIN	$72.76	$107.00	$47.29–$101.65	—	32%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT-MANUAL THERAPY EA 15 MINS	$72.76	$107.00	$47.29–$101.65	—	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE 15 MIN	$82.28	$121.00	$22.89–$114.95	9% above	32%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT-THERAPEUTIC EXERCISES EA 15 MINS	$82.28	$121.00	$22.89–$114.95	9% above	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT-THERAPEUTIC EXERCISES EA 15 MINS	$82.28	$121.00	$53.48–$114.95	—	32%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE 15 MIN	$82.28	$121.00	$53.48–$114.95	—	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$281.52	$414.00	$78.32–$393.30	33% above	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB E M LEVEL 5	$295.80	$435.00	$82.30–$413.25	40% above	32%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CHF VISIT-LEVEL 5 ESTB	$299.88	$441.00	$83.43–$418.95	42% above	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 FOLLOW-UP VISIT	$281.52	$414.00	$182.99–$393.30	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OB E M LEVEL 5	$295.80	$435.00	$192.27–$413.25	—	32%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CHF VISIT-LEVEL 5 ESTB	$299.88	$441.00	$194.92–$418.95	—	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$176.12	$259.00	$49.00–$246.05	17% above	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CHF VISIT-LEVEL 3 ESTB	$191.08	$281.00	$53.16–$266.95	27% above	32%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB E M LEVEL 3	$251.60	$370.00	$70.00–$351.50	67% above	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 FOLLOW-UP VISIT	$176.12	$259.00	$114.48–$246.05	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CHF VISIT-LEVEL 3 ESTB	$191.08	$281.00	$124.20–$266.95	—	32%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OB E M LEVEL 3	$251.60	$370.00	$163.54–$351.50	—	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$230.52	$339.00	$64.14–$322.05	33% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CHF VISIT-LEVEL 4 ESTB	$246.16	$362.00	$68.49–$343.90	42% above	32%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB E M LEVEL 4	$262.48	$386.00	$73.03–$366.70	52% above	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 FOLLOW-UP VISIT	$230.52	$339.00	$149.84–$322.05	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CHF VISIT-LEVEL 4 ESTB	$246.16	$362.00	$160.00–$343.90	—	32%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OB E M LEVEL 4	$262.48	$386.00	$170.61–$366.70	—	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$111.52	$164.00	$31.03–$155.80	11% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CHF VISIT-LEVEL 2 ESTB	$123.76	$182.00	$34.43–$172.90	2% below	32%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB E M LEVEL 2	$214.88	$316.00	$59.78–$300.20	71% above	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 FOLLOW-UP VISIT	$111.52	$164.00	$72.49–$155.80	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CHF VISIT-LEVEL 2 ESTB	$123.76	$182.00	$80.44–$172.90	—	32%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OB E M LEVEL 2	$214.88	$316.00	$139.67–$300.20	—	32%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$305.32	$449.00	$84.95–$539.88	25% above	32%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$305.32	$449.00	$198.46–$426.55	—	32%
Spirometry (breathing test) CPT 94010 SPIROMETRY (PFT)	$159.80	$235.00	$44.46–$223.25	35% below	32%
Spirometry (breathing test) CPT 94010 PRE PULMONARY FUNCTN W MVV	$365.84	$538.00	$101.78–$511.10	49% above	32%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY (PFT)	$159.80	$235.00	$103.87–$223.25	—	32%
Spirometry (breathing test) inpatient CPT 94010 PRE PULMONARY FUNCTN W MVV	$365.84	$538.00	$237.80–$511.10	—	32%
Spirometry before and after a bronchodilator CPT 94060 PRE POST PULMONARY FUNCTN W MVV	$461.72	$679.00	$128.46–$645.05	11% above	32%
Spirometry before and after a bronchodilator CPT 94060 PULMONARY FUNCTION SSI	$625.60	$920.00	$174.05–$874.00	50% above	32%
Spirometry before and after a bronchodilator inpatient CPT 94060 PRE POST PULMONARY FUNCTN W MVV	$461.72	$679.00	$300.12–$645.05	—	32%
Spirometry before and after a bronchodilator inpatient CPT 94060 PULMONARY FUNCTION SSI	$625.60	$920.00	$406.64–$874.00	—	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY	$78.88	$116.00	$21.95–$110.20	10% above	32%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT-THERAPEUTIC ACTIVITIES	$87.04	$128.00	$24.22–$121.60	21% above	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY	$78.88	$116.00	$51.27–$110.20	—	32%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT-THERAPEUTIC ACTIVITIES	$87.04	$128.00	$56.58–$121.60	—	32%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPUTIC	$127.84	$188.00	$35.57–$178.60	29% below	32%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPUTIC	$127.84	$188.00	$83.10–$178.60	—	32%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Georgia	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACCINE	$39.44	$58.00	$11.37–$55.10	6% below	32%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACCINE	$39.44	$58.00	$25.64–$55.10	—	32%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACCINE 1 DOSE	$350.20	$515.00	$100.94–$489.25	15% above	32%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACCINE 1 DOSE	$350.20	$515.00	$227.63–$489.25	—	32%
Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VACCINE	$1,132.20	$1,665.00	$366.72–$1,581.75	44% above	32%
Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VACCINE	$1,132.20	$1,665.00	$735.93–$1,581.75	—	32%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPTHERIA TOX ADSPF	$118.32	$174.00	$34.56–$165.30	15% below	32%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPTHERIA TOX ADSPF	$118.32	$174.00	$76.91–$165.30	—	32%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUSDIPTH TOXACELLUR PERTUSSISPFS	$136.68	$201.00	$43.22–$190.95	40% above	32%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUSDIPTH TOXACELLUR PERTUSSISPFS	$136.68	$201.00	$88.84–$190.95	—	32%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INJECTION IM IMMUNIZATION	$77.52	$114.00	$53.58–$108.30	60% above	32%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INJECTION IM IMMUNIZATION	$77.52	$114.00	$50.39–$108.30	—	32%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EA ADDTL VACCINE	$77.52	$114.00	$53.58–$108.30	99% above	32%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM EA ADDTL VACCINE	$77.52	$114.00	$50.39–$108.30	—	32%

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

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

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

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

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

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

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

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

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

Source file: https://www.coffeeregional.org/wp-content/uploads/2026/06/650543088_coffee-regional-medical-center-inc_standardcharges.zip