Mercy Health Kings Mills Hospital
Mercy Health Kings Mills Hospital in Mason, OH publishes cash prices for 337 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 192 of 337 procedures and above it for 134. By typical cash price it ranks #48 of 139 Ohio hospitals and #7 of 15 hospitals in the Cincinnati, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
5440 KINGS ISLAND DRIVE,Mason,OH 45050 Collected Sep 23, 2026 Source price file Check a bill from this hospital (513) 637-9999
Acute care hospital Nonprofit hospital Emergency department CCN 360374 · CMS hospital register NPI 1790469146
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Mercy Health Kings Mills Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abd W&W/O Cont | $1,104.60 | $1,841.00 | — | 17% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abd W&W/O Cont | $1,483.20 | $2,472.00 | — | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views | $251.40 | $419.00 | — | 26% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC X-Ray Exam Abdomen 2 Views | $264.00 | $440.00 | — | — | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC X-Ray Ankle Rout 3 Views | $218.40 | $364.00 | — | 32% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-Ray Ankle Rout 3 Views | $329.40 | $549.00 | — | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Contrast | $783.00 | $1,305.00 | — | 17% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extremity W/O Contrast | $1,042.20 | $1,737.00 | — | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Fluro Esophagram | $391.80 | $653.00 | — | 11% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Fluro Esophagram | $586.80 | $978.00 | — | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bone Scan Whole Body | $1,535.40 | $2,559.00 | — | at median | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Bone Scan Whole Body | $1,535.40 | $2,559.00 | — | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC Cta Abd & Pelvis W & W/O Cont | $665.40 | $1,109.00 | — | 69% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC Cta Abd & Pelvis W & W/O Cont | $1,479.00 | $2,465.00 | — | — | 40% |
| CT angiography (CTA) of the head CPT 70496 HC Cta Head W & W/O Cont | $665.40 | $1,109.00 | — | 50% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head W & W/O Cont | $1,298.40 | $2,164.00 | — | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 HC Cta Neck/Carotid W & W/O Cont | $665.40 | $1,109.00 | — | 49% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck/Carotid W & W/O Cont | $1,276.20 | $2,127.00 | — | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio Chest W & W/O Cont | $665.40 | $1,109.00 | — | 53% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT Angio Chest W & W/O Cont | $1,298.40 | $2,164.00 | — | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC Cta Heart W/WO Calcium | $475.20 | $792.00 | — | 70% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC Cta Heart W/WO Calcium | $499.20 | $832.00 | — | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium | $213.00 | $213.00 | — | 24% below | — |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart No Contrast Quant Eval Coronry Calcium | $213.00 | $213.00 | — | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd/Pelvis W/O Contrast | $1,266.60 | $2,111.00 | — | 20% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abd/Pelvis W/O Contrast | $1,951.20 | $3,252.00 | — | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pel W Cont | $1,674.60 | $2,791.00 | — | 16% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont | $2,350.20 | $3,917.00 | — | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd/Pelvis W W/O Contrast | $1,929.60 | $3,216.00 | — | 17% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abd/Pelvis W W/O Contrast | $2,713.80 | $4,523.00 | — | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/ Cont | $1,034.40 | $1,724.00 | — | 11% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/ Cont | $1,385.40 | $2,309.00 | — | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Cont | $783.00 | $1,305.00 | — | 25% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Cont | $783.00 | $1,305.00 | — | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Facial Bones W/O Contrast | $665.40 | $1,109.00 | — | 24% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Facial Bones W/O Contrast | $1,120.20 | $1,867.00 | — | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast | $665.40 | $1,109.00 | — | 20% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast | $801.00 | $1,335.00 | — | — | 40% |
| CT scan of the head with contrast CPT 70460 HC CT Brain W/ Contrast | $900.00 | $1,500.00 | — | 10% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Brain W/ Contrast | $900.00 | $1,500.00 | — | — | 40% |
| CT scan of the head without and with contrast CPT 70470 HC CT Brain W/WO Contrast | $1,034.40 | $1,724.00 | — | 13% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Brain W/WO Contrast | $1,248.00 | $2,080.00 | — | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L-Spine W/O Contrast | $665.40 | $1,109.00 | — | 40% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L-Spine W/O Contrast | $989.40 | $1,649.00 | — | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-Spine W/O Contrast | $665.40 | $1,109.00 | — | 38% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C-Spine W/O Contrast | $898.80 | $1,498.00 | — | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast | $900.00 | $1,500.00 | — | 26% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast | $1,265.40 | $2,109.00 | — | — | 40% |
| Chest CT scan without and with contrast CPT 71270 HC CT Chest W/WO Contrast | $1,212.60 | $2,021.00 | — | 20% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT Chest W/WO Contrast | $1,212.60 | $2,021.00 | — | — | 40% |
| Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views | $218.40 | $364.00 | — | 17% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-Ray Exam Chest 2 Views | $299.40 | $499.00 | — | — | 40% |
| Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View | $193.80 | $323.00 | — | 13% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 HC X-Ray Exam Chest 1 View | $272.40 | $454.00 | — | — | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC X-Ray Clavicle | $168.60 | $281.00 | — | 38% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-Ray Clavicle | $251.40 | $419.00 | — | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete | $709.20 | $1,182.00 | — | at median | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitoneal Complete | $744.60 | $1,241.00 | — | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Chest W/O Contrast | $665.40 | $1,109.00 | — | 29% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Chest W/O Contrast | $813.00 | $1,355.00 | — | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Chest W/ Contrast | $879.00 | $1,465.00 | — | 27% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Chest W/ Contrast | $1,107.00 | $1,845.00 | — | — | 40% |
| Elbow X-ray, 2 views CPT 73070 HC Elbow 2 Views | $181.20 | $302.00 | — | 31% below | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC Elbow 2 Views | $271.80 | $453.00 | — | — | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Elbow Min 3 Views | $242.40 | $404.00 | — | 23% below | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Elbow Min 3 Views | $364.20 | $607.00 | — | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Ear/Fossa W/O Contrast | $783.00 | $1,305.00 | — | 9% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit/Ear/Fossa W/O Contrast | $783.00 | $1,305.00 | — | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Facial Bones Min 3 Views | $281.40 | $469.00 | — | 25% below | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Facial Bones Min 3 Views | $281.40 | $469.00 | — | — | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Forearm 2 Views | $180.60 | $301.00 | — | 34% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Forearm 2 Views | $270.00 | $450.00 | — | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hepatobiliary Imaging WO Pharm | $1,066.80 | $1,778.00 | — | 33% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Hepatobiliary Imaging WO Pharm | $1,066.80 | $1,778.00 | — | — | 40% |
| Hand X-ray, 2 views CPT 73120 HC Hand 2 Views | $172.80 | $288.00 | — | 35% below | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 HC Hand 2 Views | $260.40 | $434.00 | — | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-Ray Os Calcis Min 2 Views | $178.20 | $297.00 | — | 34% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-Ray Os Calcis Min 2 Views | $178.20 | $297.00 | — | — | 40% |
| Knee X-ray, 3 views CPT 73562 HC X-Ray Knee 3 Views | $242.40 | $404.00 | — | 31% below | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 HC X-Ray Knee 3 Views | $363.60 | $606.00 | — | — | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC X-Ray Knee Rout Inc Tun Pat Min 4 View | $277.20 | $462.00 | — | 29% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-Ray Knee Rout Inc Tun Pat Min 4 View | $277.20 | $462.00 | — | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Ext W/O Cont | $783.00 | $1,305.00 | — | 17% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Ext W/O Cont | $1,074.60 | $1,791.00 | — | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdominal Limited | $605.40 | $1,009.00 | — | 10% above | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdominal Limited | $635.40 | $1,059.00 | — | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extrem Limited Nonvasc | $624.00 | $1,040.00 | — | 31% above | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US Extrem Limited Nonvasc | $624.00 | $1,040.00 | — | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT Chest Screening Low Dose Wout Cont | $219.60 | $366.00 | — | 25% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT Chest Screening Low Dose Wout Cont | $219.60 | $366.00 | — | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-Ray Tibia/Fibula 2 Views | $186.00 | $310.00 | — | 32% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-Ray Tibia/Fibula 2 Views | $279.00 | $465.00 | — | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC C-Spine Min 4 Views | $368.40 | $614.00 | — | 18% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC C-Spine Min 4 Views | $368.40 | $614.00 | — | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Soft Tissue Neck W/ Contrast | $900.00 | $1,500.00 | — | 24% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Soft Tissue Neck W/ Contrast | $1,230.60 | $2,051.00 | — | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Soft Tissue Neck W/O Contrast | $783.00 | $1,305.00 | — | 15% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Soft Tissue Neck W/O Contrast | $1,318.20 | $2,197.00 | — | — | 40% |
| Neck soft tissue X-ray CPT 70360 HC Soft Tissue Lat Neck | $208.20 | $347.00 | — | 20% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 HC Soft Tissue Lat Neck | $312.00 | $520.00 | — | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Sest. Rest Stress Mult | $4,200.60 | $7,001.00 | — | 5% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Sest. Rest Stress Mult | $4,200.60 | $7,001.00 | — | — | 40% |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast | $783.00 | $1,305.00 | — | 22% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast | $1,068.00 | $1,780.00 | — | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Limited | $244.80 | $408.00 | — | 44% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Limited | $244.80 | $408.00 | — | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Complete | $271.20 | $452.00 | — | 46% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Complete | $732.60 | $1,221.00 | — | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $874.20 | $1,457.00 | — | 46% above | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $874.20 | $1,457.00 | — | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC Fetal Eval 1st Tri Sgl Gest | $696.00 | $1,160.00 | — | 27% above | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC Fetal Eval 1st Tri Sgl Gest | $696.00 | $1,160.00 | — | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Fetal Evaluation-Limited | $700.80 | $1,168.00 | — | 47% above | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Fetal Evaluation-Limited | $700.80 | $1,168.00 | — | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Ribs Unilateral 2 Views | $217.20 | $362.00 | — | 29% below | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Ribs Unilateral 2 Views | $325.20 | $542.00 | — | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-Ray, Ribs, Pa Chest, 3 | $295.20 | $492.00 | — | 23% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-Ray, Ribs, Pa Chest, 3 | $442.20 | $737.00 | — | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Shoulder Complete Min 2 Views | $195.60 | $326.00 | — | 42% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Shoulder Complete Min 2 Views | $292.80 | $488.00 | — | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Sinuses Min 3 Views | $475.20 | $792.00 | — | 31% above | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Sinuses Min 3 Views | $475.20 | $792.00 | — | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 HC Skull Less Than 4 Views | $226.20 | $377.00 | — | 22% below | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Skull Less Than 4 Views | $339.60 | $566.00 | — | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Dysphagia/Swallowing Study | $518.40 | $864.00 | — | 3% above | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Dysphagia/Swallowing Study | $676.80 | $1,128.00 | — | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-Ray Exam of Femur Min 2 Views | $195.60 | $326.00 | — | 28% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-Ray Exam of Femur Min 2 Views | $292.80 | $488.00 | — | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T-Spine W/O Contrast | $783.00 | $1,305.00 | — | 14% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT T-Spine W/O Contrast | $1,099.80 | $1,833.00 | — | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 HC X-Ray Toes Min 2 Views | $169.80 | $283.00 | — | 32% below | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC X-Ray Toes Min 2 Views | $253.20 | $422.00 | — | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB | $766.20 | $1,277.00 | — | 36% above | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB | $804.60 | $1,341.00 | — | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US Transvaginal Obsetrical | $696.00 | $1,160.00 | — | 39% above | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Transvaginal Obsetrical | $696.00 | $1,160.00 | — | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $295.20 | $492.00 | — | 53% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $914.40 | $1,524.00 | — | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum & Contents | $668.40 | $1,114.00 | — | 24% above | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum & Contents | $702.00 | $1,170.00 | — | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC Soft Tissue Neck US | $660.00 | $1,100.00 | — | 15% above | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC Soft Tissue Neck US | $693.00 | $1,155.00 | — | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study | $573.60 | $956.00 | — | 3% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Rad Exam Upr GI Tract Single Contrast Study | $858.00 | $1,430.00 | — | — | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC Humerus Min 2 View | $184.80 | $308.00 | — | 33% below | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Humerus Min 2 View | $277.20 | $462.00 | — | — | 40% |
| Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Views | $168.00 | $280.00 | — | 36% below | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Views | $250.20 | $417.00 | — | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Wrist Min 3 Views | $218.40 | $364.00 | — | 35% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Wrist Min 3 Views | $329.40 | $549.00 | — | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views | $221.40 | $369.00 | — | 28% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-Ray Exam Hip Uni 2-3 Views | $331.20 | $552.00 | — | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View | $177.00 | $295.00 | — | 31% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-Ray Exam Abdomen 1 View | $264.00 | $440.00 | — | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 HC X-Ray Ankle 2 Views | $176.40 | $294.00 | — | 29% below | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC X-Ray Ankle 2 Views | $262.80 | $438.00 | — | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Fingers Min 2 Views | $168.60 | $281.00 | — | 35% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Fingers Min 2 Views | $168.60 | $281.00 | — | — | 40% |
| X-ray of the foot, 2 views CPT 73620 HC X-Ray Foot 2 Views | $181.20 | $302.00 | — | 22% below | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC X-Ray Foot 2 Views | $271.80 | $453.00 | — | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC X-Ray Foot Min 3 Views Complete | $196.80 | $328.00 | — | 36% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-Ray Foot Min 3 Views Complete | $295.20 | $492.00 | — | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 HC Hand Routine Min 3 Views | $190.20 | $317.00 | — | 42% below | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Hand Routine Min 3 Views | $285.00 | $475.00 | — | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC X-Ray Knee 1-2 Views | $190.20 | $317.00 | — | 30% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-Ray Knee 1-2 Views | $285.00 | $475.00 | — | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC L-Spine 2-3 Views | $269.40 | $449.00 | — | 16% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC L-Spine 2-3 Views | $404.40 | $674.00 | — | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views | $347.40 | $579.00 | — | 26% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views | $519.00 | $865.00 | — | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC T-Spine 2 Views | $213.00 | $355.00 | — | 30% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC T-Spine 2 Views | $364.20 | $607.00 | — | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Nasal Bones Min 3 Views | $231.00 | $385.00 | — | 21% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Nasal Bones Min 3 Views | $231.00 | $385.00 | — | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC C-Spine 2-3 Views | $256.80 | $428.00 | — | 23% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC C-Spine 2-3 Views | $382.80 | $638.00 | — | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Pelvis Ap Only | $204.60 | $341.00 | — | 19% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Pelvis Ap Only | $306.60 | $511.00 | — | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Sacrum and Coccyx Min 2 Views | $237.00 | $395.00 | — | 20% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Sacrum and Coccyx Min 2 Views | $237.00 | $395.00 | — | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Acth | $151.20 | $252.00 | — | 15% above | 40% |
| ACTH blood test inpatient CPT 82024 HC Acth | $151.20 | $252.00 | — | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC So1 Sgpt (Alt) | $30.00 | $50.00 | — | 7% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC So Sgpt (Alt) | $36.60 | $61.00 | — | 31% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Sgpt (Alt) | $49.20 | $82.00 | — | 76% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC So1 Sgpt (Alt) | $30.00 | $50.00 | — | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC So Sgpt (Alt) | $36.60 | $61.00 | — | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Sgpt (Alt) | $49.20 | $82.00 | — | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC So1 Sgot (Ast) | $25.20 | $42.00 | — | at median | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC So Sgot (Ast) | $35.40 | $59.00 | — | 40% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino Ast Sgot | $48.00 | $80.00 | — | 90% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC So1 Sgot (Ast) | $25.20 | $42.00 | — | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC So Sgot (Ast) | $35.40 | $59.00 | — | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Transferase Aspartate Amino Ast Sgot | $48.00 | $80.00 | — | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $243.00 | $405.00 | — | 12% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel | $243.00 | $405.00 | — | — | 40% |
| Albumin blood test CPT 82040 HC Albumin | $29.40 | $49.00 | — | 33% above | 40% |
| Albumin blood test inpatient CPT 82040 HC Albumin | $29.40 | $49.00 | — | — | 40% |
| Aldosterone blood test CPT 82088 HC So Aldosterone, Serum | $140.40 | $234.00 | — | at median | 40% |
| Aldosterone blood test inpatient CPT 82088 HC So Aldosterone, Serum | $140.40 | $234.00 | — | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC So Alkaline Phosphatase | $16.80 | $28.00 | — | 30% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Alkaline Phosphatase | $28.20 | $47.00 | — | 18% above | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC So Alkaline Phosphatase | $16.80 | $28.00 | — | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Alkaline Phosphatase | $35.40 | $59.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC So Allergen Specific | $12.60 | $21.00 | — | 46% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each | $13.80 | $23.00 | — | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC So Allergen Specific | $12.60 | $21.00 | — | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Spec Ige Crude Allergen Extract Each | $13.80 | $23.00 | — | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC So Alpha Fetoprotein | $40.80 | $68.00 | — | 33% below | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum | $48.00 | $80.00 | — | 21% below | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC So Alpha Fetoprotein | $40.80 | $68.00 | — | — | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Serum | $60.60 | $101.00 | — | — | 40% |
| Ammonia blood test CPT 82140 HC Ammonia | $117.00 | $195.00 | — | 114% above | 40% |
| Ammonia blood test inpatient CPT 82140 HC Ammonia | $117.00 | $195.00 | — | — | 40% |
| Amylase blood test CPT 82150 HC So Amylase | $19.80 | $33.00 | — | 59% below | 40% |
| Amylase blood test CPT 82150 HC Amylase | $63.00 | $105.00 | — | 32% above | 40% |
| Amylase blood test inpatient CPT 82150 HC So Amylase | $19.80 | $33.00 | — | — | 40% |
| Amylase blood test inpatient CPT 82150 HC Amylase | $63.00 | $105.00 | — | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Citrullinated Peptide Antibody | $25.20 | $42.00 | — | 56% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC So Cyclic Citrullinated Peptd,Ab | $35.40 | $59.00 | — | 39% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Cyclic Citrullinated Peptide Antibody | $25.20 | $42.00 | — | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC So Cyclic Citrullinated Peptd,Ab | $35.40 | $59.00 | — | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC So Anti Nuclear Antibody | $24.60 | $41.00 | — | 55% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies Ana | $133.20 | $222.00 | — | 141% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC So Anti Nuclear Antibody | $24.60 | $41.00 | — | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies Ana | $133.20 | $222.00 | — | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC So Natriuretic Peptide | $79.80 | $133.00 | — | 47% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $181.20 | $302.00 | — | 21% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC So Natriuretic Peptide | $79.80 | $133.00 | — | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide | $181.20 | $302.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC So Body Fluid Culture | $43.20 | $72.00 | — | 35% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture, Aerobic | $91.20 | $152.00 | — | 38% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC So Body Fluid Culture | $43.20 | $72.00 | — | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture, Aerobic | $91.20 | $152.00 | — | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $67.20 | $112.00 | — | 2% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total | $67.20 | $112.00 | — | — | 40% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total | $21.60 | $36.00 | — | 10% below | 40% |
| Bilirubin blood test, total CPT 82247 HC So Bilirubin Total | $35.40 | $59.00 | — | 48% above | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total | $21.60 | $36.00 | — | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 HC So Bilirubin Total | $35.40 | $59.00 | — | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Tissue Level IV | $76.20 | $127.00 | — | 63% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC So Tissue Level IV | $80.40 | $134.00 | — | 60% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC So Tissue Level IV | $80.40 | $134.00 | — | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Tissue Level IV | $221.40 | $369.00 | — | — | 40% |
| Blood culture for bacteria CPT 87040 HC Culture Blood | $90.60 | $151.00 | — | 3% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 HC Culture Blood | $90.60 | $151.00 | — | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood Venipuncture | $11.40 | $19.00 | — | 28% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood Venipuncture | $18.00 | $30.00 | — | — | 40% |
| Blood glucose (sugar) test CPT 82947 HC Glucose, Fasting | $34.80 | $58.00 | — | 48% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose, Fasting | $34.80 | $58.00 | — | — | 40% |
| Blood lead test CPT 83655 HC So Lead | $37.20 | $62.00 | — | 23% below | 40% |
| Blood lead test inpatient CPT 83655 HC So Lead | $37.20 | $62.00 | — | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative | $72.00 | $120.00 | — | 32% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Gonadotropin, Chorionic (Hcg) Qualitative | $72.00 | $120.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC So Blood Typing, Abo | $20.40 | $34.00 | — | 66% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC So1 Blood Typing, Abo | $24.60 | $41.00 | — | 59% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing, Abo | $174.60 | $291.00 | — | 194% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC M30 Abo - Bmt | $202.20 | $337.00 | — | 240% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC So Blood Typing, Abo | $20.40 | $34.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC So1 Blood Typing, Abo | $24.60 | $41.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing, Abo | $174.60 | $291.00 | — | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC M30 Abo - Bmt | $202.20 | $337.00 | — | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Assay of Urea Nitrogen Quantitative | $52.80 | $88.00 | — | 126% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 HC So Bun | $87.60 | $146.00 | — | 275% above | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Assay of Urea Nitrogen Quantitative | $52.80 | $88.00 | — | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC So Bun | $87.60 | $146.00 | — | — | 40% |
| C-peptide blood test CPT 84681 HC So Peptide,C | $33.60 | $56.00 | — | 58% below | 40% |
| C-peptide blood test CPT 84681 HC Assay of C-Peptide | $106.20 | $177.00 | — | 34% above | 40% |
| C-peptide blood test inpatient CPT 84681 HC So Peptide,C | $33.60 | $56.00 | — | — | 40% |
| C-peptide blood test inpatient CPT 84681 HC Assay of C-Peptide | $106.20 | $177.00 | — | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $57.00 | $95.00 | — | 13% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC So Crp | $61.20 | $102.00 | — | 22% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein | $57.00 | $95.00 | — | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC So Crp | $61.20 | $102.00 | — | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC So Clost Diff,Toxin Gene,Amp Prbe | $99.60 | $166.00 | — | 24% below | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $408.60 | $681.00 | — | 213% above | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC So Clost Diff,Toxin Gene,Amp Prbe | $99.60 | $166.00 | — | — | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Inf Agent Det Nucleic Acid Clostridium Amp Probe | $408.60 | $681.00 | — | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC So Carbohydrate Antigen 19-9 | $38.40 | $64.00 | — | 47% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 | $54.00 | $90.00 | — | 26% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC So Carbohydrate Antigen 19-9 | $38.40 | $64.00 | — | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 | $54.00 | $90.00 | — | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC So Ca 125 | $52.20 | $87.00 | — | 44% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 | $274.80 | $458.00 | — | 194% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC So Ca 125 | $52.20 | $87.00 | — | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 | $274.80 | $458.00 | — | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq | $99.60 | $166.00 | — | 29% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC So Iadna Sars-Cov-2-19 Amp Probe Tq | $106.20 | $177.00 | — | 25% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Iadna Sars-Cov-2-19 Amp Probe Tq | $99.60 | $166.00 | — | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC So Iadna Sars-Cov-2-19 Amp Probe Tq | $106.20 | $177.00 | — | — | 40% |
| Calcium blood test, total CPT 82310 HC Calcium Total | $41.40 | $69.00 | — | 31% above | 40% |
| Calcium blood test, total inpatient CPT 82310 HC Calcium Total | $41.40 | $69.00 | — | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC So Cea | $44.40 | $74.00 | — | 49% below | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen Cea | $122.40 | $204.00 | — | 41% above | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC So Cea | $44.40 | $74.00 | — | — | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Antigen Cea | $122.40 | $204.00 | — | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Antibody Varicella-Zoster | $25.20 | $42.00 | — | 56% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC So Varicella Igg Igm | $32.40 | $54.00 | — | 44% below | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Antibody Varicella-Zoster | $25.20 | $42.00 | — | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC So Varicella Igg Igm | $32.40 | $54.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So Chylmd Trach Dna Amp Probe | $23.40 | $39.00 | — | 75% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So2 Chylmd Trach Dna Amp Probe | $67.80 | $113.00 | — | 27% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chlamydia Amp Probe Tech, 1 | $154.20 | $257.00 | — | 67% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC So1 Chylmd Trach Dna Amp Probe | $202.80 | $338.00 | — | 120% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So Chylmd Trach Dna Amp Probe | $23.40 | $39.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So2 Chylmd Trach Dna Amp Probe | $67.80 | $113.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Chlamydia Amp Probe Tech, 1 | $154.20 | $257.00 | — | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC So1 Chylmd Trach Dna Amp Probe | $202.80 | $338.00 | — | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So Lipid Panel | $35.40 | $59.00 | — | 33% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $54.00 | $90.00 | — | 2% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So Lipid Panel | $35.40 | $59.00 | — | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $115.80 | $193.00 | — | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc | $22.80 | $38.00 | — | 37% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc | $54.00 | $90.00 | — | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemogram) | $32.40 | $54.00 | — | 4% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemogram) | $39.60 | $66.00 | — | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $30.00 | $50.00 | — | 53% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $75.60 | $126.00 | — | — | 40% |
| Cortisol blood test, total CPT 82533 HC So Cortisol,Serum | $109.80 | $183.00 | — | 51% above | 40% |
| Cortisol blood test, total CPT 82533 HC Cortisol Total | $121.20 | $202.00 | — | 67% above | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC So Cortisol,Serum | $109.80 | $183.00 | — | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total | $121.20 | $202.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC So Cpk (CK) | $51.60 | $86.00 | — | 46% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase Total | $66.60 | $111.00 | — | 88% above | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC So Cpk (CK) | $51.60 | $86.00 | — | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Creatine Kinase Total | $66.60 | $111.00 | — | — | 40% |
| Creatinine blood test CPT 82565 HC Creatinine,Serum | $40.20 | $67.00 | — | 63% above | 40% |
| Creatinine blood test inpatient CPT 82565 HC Creatinine,Serum | $40.20 | $67.00 | — | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC So Cytomegalovirus, Igg Antibody | $57.00 | $95.00 | — | 17% below | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC So Cytomegalovirus, Igg Antibody | $57.00 | $95.00 | — | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC So D-Dimer, Quantitative | $22.80 | $38.00 | — | 67% below | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative | $117.00 | $195.00 | — | 68% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC So D-Dimer, Quantitative | $22.80 | $38.00 | — | — | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Dgradj Products D-Dimer Quantitative | $165.60 | $276.00 | — | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate | $113.40 | $189.00 | — | 14% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC So Dhea Sulfate | $139.80 | $233.00 | — | 41% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone-Sulfate | $113.40 | $189.00 | — | — | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC So Dhea Sulfate | $139.80 | $233.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So2 Drg Scrn Class List A | $104.40 | $174.00 | — | 9% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So1 Drg Scrn Class List A | $104.40 | $174.00 | — | 9% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC So Drg Scrn Class List A | $104.40 | $174.00 | — | 9% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date | $141.60 | $236.00 | — | 48% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So1 Drg Scrn Class List A | $104.40 | $174.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So2 Drg Scrn Class List A | $104.40 | $174.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC So Drg Scrn Class List A | $104.40 | $174.00 | — | — | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Tst Prsmv Instrmnt Chem Analyzers PR Date | $141.60 | $236.00 | — | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel | $34.80 | $58.00 | — | 27% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel | $34.80 | $58.00 | — | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC So Epstein-Barr Virus Vca | $44.40 | $74.00 | — | 32% below | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC So Epstein-Barr Virus Vca | $44.40 | $74.00 | — | — | 40% |
| Estradiol blood test CPT 82670 HC Assay of Total Estradiol | $147.60 | $246.00 | — | 32% above | 40% |
| Estradiol blood test inpatient CPT 82670 HC Assay of Total Estradiol | $147.60 | $246.00 | — | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone | $133.80 | $223.00 | — | 56% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC So Fsh | $135.60 | $226.00 | — | 58% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Follicle Stimulating Hormone | $133.80 | $223.00 | — | — | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC So Fsh | $135.60 | $226.00 | — | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC So Calprotectin Fecal | $149.40 | $249.00 | — | at median | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC So Calprotectin Fecal | $149.40 | $249.00 | — | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC So Ferritin | $102.60 | $171.00 | — | 35% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin | $120.60 | $201.00 | — | 59% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC So Ferritin | $102.60 | $171.00 | — | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Assay of Ferritin | $120.60 | $201.00 | — | — | 40% |
| Fibrinogen blood test CPT 85384 HC So Fibrinogen | $27.60 | $46.00 | — | 39% below | 40% |
| Fibrinogen blood test CPT 85384 HC Fibrinogen Activity | $30.00 | $50.00 | — | 33% below | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC So Fibrinogen | $27.60 | $46.00 | — | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity | $36.00 | $60.00 | — | — | 40% |
| Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum | $76.20 | $127.00 | — | 13% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Assay of Folic Acid Serum | $93.60 | $156.00 | — | — | 40% |
| Free T3 thyroid hormone test CPT 84481 HC So Triiodothyronine T-3, Free | $156.60 | $261.00 | — | 106% above | 40% |
| Free T3 thyroid hormone test CPT 84481 HC Assay of Triiodothyronine T3 Free | $319.80 | $533.00 | — | 321% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC So Triiodothyronine T-3, Free | $156.60 | $261.00 | — | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC Assay of Triiodothyronine T3 Free | $319.80 | $533.00 | — | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC So T4 Free | $27.60 | $46.00 | — | 35% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine | $76.80 | $128.00 | — | 81% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC So T4 Free | $27.60 | $46.00 | — | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Assay of Free Thyroxine | $96.60 | $161.00 | — | — | 40% |
| Free testosterone test CPT 84402 HC So Testosterone Free | $89.40 | $149.00 | — | 8% below | 40% |
| Free testosterone test inpatient CPT 84402 HC So Testosterone Free | $89.40 | $149.00 | — | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC So1 Ggtp | $42.60 | $71.00 | — | at median | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Glutamyltrase Gamma | $63.00 | $105.00 | — | 48% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC So Ggtp | $96.60 | $161.00 | — | 127% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC So1 Ggtp | $42.60 | $71.00 | — | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Assay of Glutamyltrase Gamma | $63.00 | $105.00 | — | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC So Ggtp | $96.60 | $161.00 | — | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Post Glucose Dose | $45.00 | $75.00 | — | 17% above | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose Post Glucose Dose | $45.00 | $75.00 | — | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test | $67.20 | $112.00 | — | at median | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test | $67.20 | $112.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC So N Gonorrhoeae Dna Amp Prob | $23.40 | $39.00 | — | 75% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC So1 N.Gonorrhea, Dna, Amp Probe | $67.80 | $113.00 | — | 27% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhea, Dna, Amp Probe | $154.20 | $257.00 | — | 66% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC So N Gonorrhoeae Dna Amp Prob | $23.40 | $39.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC So1 N.Gonorrhea, Dna, Amp Probe | $67.80 | $113.00 | — | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.Gonorrhea, Dna, Amp Probe | $154.20 | $257.00 | — | — | 40% |
| H. pylori antibody blood test CPT 86677 HC So H.Pylori. Serum | $151.80 | $253.00 | — | 101% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HC So H.Pylori. Serum | $151.80 | $253.00 | — | — | 40% |
| H. pylori stool antigen test CPT 87338 HC So H.Pylori Stool Antigen | $47.40 | $79.00 | — | 32% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 HC So H.Pylori Stool Antigen | $47.40 | $79.00 | — | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC So Hiv-1, Quantification | $159.00 | $265.00 | — | 56% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Iadna Hiv-1 Quant & Reverse Transcription | $269.40 | $449.00 | — | 25% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC So Hiv-1, Quantification | $159.00 | $265.00 | — | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Iadna Hiv-1 Quant & Reverse Transcription | $269.40 | $449.00 | — | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result | $126.00 | $210.00 | — | 104% above | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result | $126.00 | $210.00 | — | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $44.40 | $74.00 | — | 40% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC So Hiv-1 & Hiv-2 Ab | $47.40 | $79.00 | — | 36% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single | $44.40 | $74.00 | — | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC So Hiv-1 & Hiv-2 Ab | $47.40 | $79.00 | — | — | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC So Hpv Dna Amp Probe | $55.80 | $93.00 | — | 53% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC So1 Hpv, Dna, Amp Probe | $109.80 | $183.00 | — | 8% below | 40% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus Hi-Rsk Typ Poold Rslt | $147.00 | $245.00 | — | 24% above | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC So Hpv Dna Amp Probe | $55.80 | $93.00 | — | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC So1 Hpv, Dna, Amp Probe | $109.80 | $183.00 | — | — | 40% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Iadna Human Papillomavirus Hi-Rsk Typ Poold Rslt | $147.00 | $245.00 | — | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC So1 Glycohemoglobin | $27.00 | $45.00 | — | 41% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated A1c | $70.80 | $118.00 | — | 55% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC So Glycohemoglobin | $82.80 | $138.00 | — | 82% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC So1 Glycohemoglobin | $27.00 | $45.00 | — | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC So Glycohemoglobin | $82.80 | $138.00 | — | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated A1c | $90.60 | $151.00 | — | — | 40% |
| Hemoglobin blood test CPT 85018 HC Blood Count Hemoglobin | $20.40 | $34.00 | — | 26% above | 40% |
| Hemoglobin blood test inpatient CPT 85018 HC Blood Count Hemoglobin | $20.40 | $34.00 | — | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC M81 Hepb Core Antibody Anti-Hbc - Bmt | $10.80 | $18.00 | — | 80% below | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC So Hepatitis B Core Antibody | $63.60 | $106.00 | — | 18% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Antibody Hbcab Total | $66.60 | $111.00 | — | 23% above | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC M81 Hepb Core Antibody Anti-Hbc - Bmt | $10.80 | $18.00 | — | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC So Hepatitis B Core Antibody | $63.60 | $106.00 | — | — | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hepatitis B Core Antibody Hbcab Total | $66.60 | $111.00 | — | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC So Anti-Hbs | $18.00 | $30.00 | — | 63% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surf Antibody Hbsab | $114.60 | $191.00 | — | 137% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC So Anti-Hbs | $18.00 | $30.00 | — | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surf Antibody Hbsab | $114.60 | $191.00 | — | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC M94 Hepb Surface Antigen Hbsag - Bmt | $27.60 | $46.00 | — | 42% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen | $64.20 | $107.00 | — | 36% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC M94 Hepb Surface Antigen Hbsag - Bmt | $27.60 | $46.00 | — | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen | $64.20 | $107.00 | — | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC So Hepatitis C Virus Antibody | $37.80 | $63.00 | — | 41% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC M36 Hepc Virus Antibody Anti-Hcv - Bmt | $41.40 | $69.00 | — | 35% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $89.40 | $149.00 | — | 40% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC So Hepatitis C Virus Antibody | $37.80 | $63.00 | — | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC M36 Hepc Virus Antibody Anti-Hcv - Bmt | $41.40 | $69.00 | — | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody | $89.40 | $149.00 | — | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC So Hcv Ultraquant | $147.60 | $246.00 | — | 23% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC So Hcv Ultraquant | $147.60 | $246.00 | — | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC So Herpes Simplex, Type 1 | $25.80 | $43.00 | — | 56% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Antibody Herpes Smplx Type 1 | $37.80 | $63.00 | — | 36% below | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC So Herpes Simplex, Type 1 | $25.80 | $43.00 | — | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Antibody Herpes Smplx Type 1 | $37.80 | $63.00 | — | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC So Herpes Simplex, Type 2 | $37.20 | $62.00 | — | 44% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Antibody Herpes Smplx Type 2 | $54.00 | $90.00 | — | 19% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC So1 Herpes Simplex, Type 2 | $223.20 | $372.00 | — | 237% above | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC So Herpes Simplex, Type 2 | $37.20 | $62.00 | — | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Antibody Herpes Smplx Type 2 | $54.00 | $90.00 | — | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC So1 Herpes Simplex, Type 2 | $223.20 | $372.00 | — | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC So Crp High Sensitivity | $28.80 | $48.00 | — | 57% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity | $145.80 | $243.00 | — | 116% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC So Crp High Sensitivity | $28.80 | $48.00 | — | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity | $145.80 | $243.00 | — | — | 40% |
| Homocysteine blood test CPT 83090 HC So Homocystine | $42.60 | $71.00 | — | 47% below | 40% |
| Homocysteine blood test CPT 83090 HC So1 Homocystine | $57.60 | $96.00 | — | 29% below | 40% |
| Homocysteine blood test CPT 83090 HC Assay of Homocysteine | $228.00 | $380.00 | — | 183% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HC So Homocystine | $42.60 | $71.00 | — | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HC So1 Homocystine | $57.60 | $96.00 | — | — | 40% |
| Homocysteine blood test inpatient CPT 83090 HC Assay of Homocysteine | $228.00 | $380.00 | — | — | 40% |
| Insulin blood test CPT 83525 HC So Insulin | $23.40 | $39.00 | — | 54% below | 40% |
| Insulin blood test CPT 83525 HC Assay of Insulin Total | $48.00 | $80.00 | — | 7% below | 40% |
| Insulin blood test inpatient CPT 83525 HC So Insulin | $23.40 | $39.00 | — | — | 40% |
| Insulin blood test inpatient CPT 83525 HC Assay of Insulin Total | $48.00 | $80.00 | — | — | 40% |
| Iron blood test (serum iron) CPT 83540 HC So Iron | $45.60 | $76.00 | — | 20% above | 40% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron | $60.00 | $100.00 | — | 58% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC So Iron | $45.60 | $76.00 | — | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron | $60.00 | $100.00 | — | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity | $76.80 | $128.00 | — | 97% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity | $76.80 | $128.00 | — | — | 40% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $62.40 | $104.00 | — | 13% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $62.40 | $104.00 | — | — | 40% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone | $136.20 | $227.00 | — | 43% above | 40% |
| LH (luteinizing hormone) test CPT 83002 HC So L H (Luteinizing Hormon | $159.60 | $266.00 | — | 67% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Luteinizing Hormone | $136.20 | $227.00 | — | — | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC So L H (Luteinizing Hormon | $159.60 | $266.00 | — | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 HC So Lactic Acid | $37.80 | $63.00 | — | 27% below | 40% |
| Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactate | $58.20 | $97.00 | — | 12% above | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC So Lactic Acid | $37.80 | $63.00 | — | — | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactate | $58.20 | $97.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC So Ldh | $26.40 | $44.00 | — | 3% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase Ldh | $42.00 | $70.00 | — | 54% above | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC So Ldh | $26.40 | $44.00 | — | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase Ldh | $61.20 | $102.00 | — | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC So Lipase | $63.60 | $106.00 | — | 9% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase | $68.40 | $114.00 | — | 18% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC So Lipase | $63.60 | $106.00 | — | — | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Assay of Lipase | $68.40 | $114.00 | — | — | 40% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $73.80 | $123.00 | — | 22% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $73.80 | $123.00 | — | — | 40% |
| Lyme disease antibody test CPT 86618 HC So Lyme Disease Total Anitbodies | $50.40 | $84.00 | — | 34% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 HC So Lyme Disease Total Anitbodies | $62.40 | $104.00 | — | — | 40% |
| Magnesium blood test CPT 83735 HC So Magnesium | $19.20 | $32.00 | — | 43% below | 40% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium | $45.60 | $76.00 | — | 35% above | 40% |
| Magnesium blood test CPT 83735 HC So1 Magnesium | $55.80 | $93.00 | — | 65% above | 40% |
| Magnesium blood test inpatient CPT 83735 HC So Magnesium | $19.20 | $32.00 | — | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC So1 Magnesium | $55.80 | $93.00 | — | — | 40% |
| Magnesium blood test inpatient CPT 83735 HC Assay of Magnesium | $64.80 | $108.00 | — | — | 40% |
| Measles (rubeola) antibody test CPT 86765 HC Antibody Rubeola | $25.20 | $42.00 | — | 56% below | 40% |
| Measles (rubeola) antibody test CPT 86765 HC So Rubeola Igg / Igm | $58.80 | $98.00 | — | 3% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Antibody Rubeola | $25.20 | $42.00 | — | — | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC So Rubeola Igg / Igm | $58.80 | $98.00 | — | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC So Mono Antibody | $16.20 | $27.00 | — | 70% below | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Mono Spot Test,Agglutination | $60.00 | $100.00 | — | 13% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC So Mono Antibody | $16.20 | $27.00 | — | — | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mono Spot Test,Agglutination | $60.00 | $100.00 | — | — | 40% |
| Mumps immunity blood test CPT 86735 HC Antibody Mumps | $25.20 | $42.00 | — | 57% below | 40% |
| Mumps immunity blood test CPT 86735 HC So Antibody; Mumps | $32.40 | $54.00 | — | 45% below | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC Antibody Mumps | $25.20 | $42.00 | — | — | 40% |
| Mumps immunity blood test inpatient CPT 86735 HC So Antibody; Mumps | $32.40 | $54.00 | — | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Assay of Prostate Specific Antigen Free | $66.60 | $111.00 | — | 19% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Assay of Prostate Specific Antigen Free | $66.60 | $111.00 | — | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC So Assay of Psa Total | $43.20 | $72.00 | — | 45% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $160.80 | $268.00 | — | 103% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So Assay of Psa Total | $43.20 | $72.00 | — | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total | $160.80 | $268.00 | — | — | 40% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys | $103.80 | $173.00 | — | 6% above | 40% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys | $103.80 | $173.00 | — | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen | $103.80 | $173.00 | — | 14% above | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen | $103.80 | $173.00 | — | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC So Parathyroid Hormone | $130.80 | $218.00 | — | 8% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone | $280.80 | $468.00 | — | 98% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC So Parathyroid Hormone | $130.80 | $218.00 | — | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Assay of Parathormone | $280.80 | $468.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC So Ptt | $20.40 | $34.00 | — | 46% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC So1 Ptt | $28.80 | $48.00 | — | 23% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $62.40 | $104.00 | — | 66% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So Ptt | $20.40 | $34.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So1 Ptt | $28.80 | $48.00 | — | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $62.40 | $104.00 | — | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus Inorganic | $57.60 | $96.00 | — | 61% above | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC Assay of Phosphorus Inorganic | $57.60 | $96.00 | — | — | 40% |
| Potassium blood test CPT 84132 HC Potassium Serum Plasma/Whole Blood | $34.80 | $58.00 | — | 49% above | 40% |
| Potassium blood test inpatient CPT 84132 HC Potassium Serum Plasma/Whole Blood | $34.80 | $58.00 | — | — | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC So Fetal Chrmoml Aneuploidy | $1,592.40 | $2,654.00 | — | 9% above | 40% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC So Fetal Chrmoml Aneuploidy | $1,592.40 | $2,654.00 | — | — | 40% |
| Progesterone blood test CPT 84144 HC Assay of Progesterone | $122.40 | $204.00 | — | 51% above | 40% |
| Progesterone blood test inpatient CPT 84144 HC Assay of Progesterone | $122.40 | $204.00 | — | — | 40% |
| Prolactin blood test CPT 84146 HC So1 Prolactin | $45.60 | $76.00 | — | 48% below | 40% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin | $150.00 | $250.00 | — | 72% above | 40% |
| Prolactin blood test CPT 84146 HC So Prolactin | $203.40 | $339.00 | — | 134% above | 40% |
| Prolactin blood test inpatient CPT 84146 HC So1 Prolactin | $45.60 | $76.00 | — | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC Assay of Prolactin | $187.20 | $312.00 | — | — | 40% |
| Prolactin blood test inpatient CPT 84146 HC So Prolactin | $203.40 | $339.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time | $12.00 | $20.00 | — | 50% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $35.40 | $59.00 | — | 47% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time | $12.00 | $20.00 | — | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $35.40 | $59.00 | — | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC So Drug Test Prsmv Dir Optical Obs | $127.20 | $212.00 | — | 120% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Drug Test Prsmv Read Direct Optical Obs PR Date | $143.40 | $239.00 | — | 148% above | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC So Drug Test Prsmv Dir Optical Obs | $127.20 | $212.00 | — | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC Drug Test Prsmv Read Direct Optical Obs PR Date | $143.40 | $239.00 | — | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 HC Iaadiadoo Influenza | $118.80 | $198.00 | — | 81% above | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC Iaadiadoo Influenza | $118.80 | $198.00 | — | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Iaadiadoo Streptococcus Group A | $73.20 | $122.00 | — | 28% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Iaadiadoo Streptococcus Group A | $73.20 | $122.00 | — | — | 40% |
| Renin blood test CPT 84244 HC So Renin | $85.80 | $143.00 | — | at median | 40% |
| Renin blood test inpatient CPT 84244 HC So Renin | $108.00 | $180.00 | — | — | 40% |
| Rh blood typing CPT 86901 HC So Blood Typing, Rh(D) | $20.40 | $34.00 | — | 45% below | 40% |
| Rh blood typing CPT 86901 HC So1 Blood Typing, Rh(D) | $24.60 | $41.00 | — | 34% below | 40% |
| Rh blood typing CPT 86901 HC M29 Rh - Bmt | $33.60 | $56.00 | — | 10% below | 40% |
| Rh blood typing CPT 86901 HC Blood Typing, Rh(D) | $33.60 | $56.00 | — | 10% below | 40% |
| Rh blood typing inpatient CPT 86901 HC So Blood Typing, Rh(D) | $20.40 | $34.00 | — | — | 40% |
| Rh blood typing inpatient CPT 86901 HC So1 Blood Typing, Rh(D) | $24.60 | $41.00 | — | — | 40% |
| Rh blood typing inpatient CPT 86901 HC Blood Typing, Rh(D) | $33.60 | $56.00 | — | — | 40% |
| Rh blood typing inpatient CPT 86901 HC M29 Rh - Bmt | $33.60 | $56.00 | — | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC So Ra Titer, Quantitative | $9.60 | $16.00 | — | 71% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative | $70.20 | $117.00 | — | 112% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC So Ra Titer, Quantitative | $9.60 | $16.00 | — | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quantitative | $70.20 | $117.00 | — | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC So Rubella Latex Test | $28.20 | $47.00 | — | 43% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 HC Antibody Rubella | $99.60 | $166.00 | — | 103% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC So Rubella Latex Test | $28.20 | $47.00 | — | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Antibody Rubella | $99.60 | $166.00 | — | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sed Rate | $29.40 | $49.00 | — | 22% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sed Rate | $37.20 | $62.00 | — | — | 40% |
| Sodium blood test CPT 84295 HC Sodium Serum Plasma or Whole Blood | $60.60 | $101.00 | — | 123% above | 40% |
| Sodium blood test inpatient CPT 84295 HC Sodium Serum Plasma or Whole Blood | $60.60 | $101.00 | — | — | 40% |
| Stool ova and parasites exam CPT 87177 HC So Ova and Parasites | $15.00 | $25.00 | — | 62% below | 40% |
| Stool ova and parasites exam CPT 87177 HC So1 Ova & Parasites | $66.00 | $110.00 | — | 66% above | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC So Ova and Parasites | $15.00 | $25.00 | — | — | 40% |
| Stool ova and parasites exam inpatient CPT 87177 HC So1 Ova & Parasites | $66.00 | $110.00 | — | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter | $31.80 | $53.00 | — | 10% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Peroxidase Actv Qual Feces 1 Deter | $31.80 | $53.00 | — | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC So Occult Blood Fecal | $45.60 | $76.00 | — | 15% below | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC So Occult Blood Fecal | $45.60 | $76.00 | — | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC So Fta-Abs | $49.20 | $82.00 | — | 15% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Antibody Treponema Pallidum | $76.20 | $127.00 | — | 32% above | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC So Fta-Abs | $49.20 | $82.00 | — | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Antibody Treponema Pallidum | $76.20 | $127.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC M38 Rpr Syphilis Qual - Bmt | $9.00 | $15.00 | — | 62% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC So Vdrl / Rpr | $28.20 | $47.00 | — | 18% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual | $76.20 | $127.00 | — | 219% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC M38 Rpr Syphilis Qual - Bmt | $9.00 | $15.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC So Vdrl / Rpr | $28.20 | $47.00 | — | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qual | $76.20 | $127.00 | — | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Cell Mediated Antign Respnse Gamma Interferon | $97.80 | $163.00 | — | 16% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC So TB Test, Cell Immun Measure | $120.60 | $201.00 | — | 3% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB Cell Mediated Antign Respnse Gamma Interferon | $97.80 | $163.00 | — | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC So TB Test, Cell Immun Measure | $151.20 | $252.00 | — | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC So Testosterone Total | $64.20 | $107.00 | — | 30% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Testosterone Total | $75.00 | $125.00 | — | 19% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC So Testosterone Total | $64.20 | $107.00 | — | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Assay of Testosterone Total | $75.00 | $125.00 | — | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC So Microsomal Antibody | $27.60 | $46.00 | — | 58% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC So1 Microsomal Antibody | $70.20 | $117.00 | — | 8% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibodies Each | $150.60 | $251.00 | — | 132% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC So Microsomal Antibody | $35.40 | $59.00 | — | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC So1 Microsomal Antibody | $70.20 | $117.00 | — | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibodies Each | $150.60 | $251.00 | — | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation | $37.20 | $62.00 | — | 51% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $57.00 | $95.00 | — | 24% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation | $37.20 | $62.00 | — | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $120.60 | $201.00 | — | — | 40% |
| Total IgE blood test CPT 82785 HC So Immunoglobulin,Ige | $51.00 | $85.00 | — | 18% below | 40% |
| Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige | $74.40 | $124.00 | — | 20% above | 40% |
| Total IgE blood test inpatient CPT 82785 HC So Immunoglobulin,Ige | $63.60 | $106.00 | — | — | 40% |
| Total IgE blood test inpatient CPT 82785 HC Assay of Gammaglobulin Ige | $74.40 | $124.00 | — | — | 40% |
| Total cholesterol blood test CPT 82465 HC Cholesterol Serum/Whole Blood Total | $49.80 | $83.00 | — | 36% above | 40% |
| Total cholesterol blood test CPT 82465 HC So Cholesterol | $85.20 | $142.00 | — | 133% above | 40% |
| Total cholesterol blood test inpatient CPT 82465 HC Cholesterol Serum/Whole Blood Total | $49.80 | $83.00 | — | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 HC So Cholesterol | $85.20 | $142.00 | — | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 HC Assay of Thyroxine Total | $76.20 | $127.00 | — | 82% above | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC Assay of Thyroxine Total | $76.20 | $127.00 | — | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Assay of Triiodothyronine T3 Total Tt3 | $132.60 | $221.00 | — | 121% above | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC Assay of Triiodothyronine T3 Total Tt3 | $132.60 | $221.00 | — | — | 40% |
| Transferrin blood test CPT 84466 HC So Transferrin | $45.00 | $75.00 | — | 39% below | 40% |
| Transferrin blood test CPT 84466 HC Assay of L7383transferrin | $76.80 | $128.00 | — | 4% above | 40% |
| Transferrin blood test inpatient CPT 84466 HC So Transferrin | $45.00 | $75.00 | — | — | 40% |
| Transferrin blood test inpatient CPT 84466 HC Assay of L7383transferrin | $96.00 | $160.00 | — | — | 40% |
| Trichomonas test (NAAT) CPT 87661 HC So1 Trichomonas Vaginalis Amplif | $23.40 | $39.00 | — | 73% below | 40% |
| Trichomonas test (NAAT) CPT 87661 HC So Trichomonas Vaginalis Amplif | $67.20 | $112.00 | — | 22% below | 40% |
| Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech | $70.80 | $118.00 | — | 18% below | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC So1 Trichomonas Vaginalis Amplif | $23.40 | $39.00 | — | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC So Trichomonas Vaginalis Amplif | $67.20 | $112.00 | — | — | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech | $70.80 | $118.00 | — | — | 40% |
| Triglycerides blood test CPT 84478 HC Assay of Triglycerides | $48.60 | $81.00 | — | 41% above | 40% |
| Triglycerides blood test inpatient CPT 84478 HC Assay of Triglycerides | $60.60 | $101.00 | — | — | 40% |
| Troponin test, quantitative CPT 84484 HC Assay of Troponin Quantitative | $91.20 | $152.00 | — | 9% above | 40% |
| Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin Quantitative | $91.20 | $152.00 | — | — | 40% |
| Uric acid blood test CPT 84550 HC Assay of Blood/Uric Acid | $53.40 | $89.00 | — | 52% above | 40% |
| Uric acid blood test inpatient CPT 84550 HC Assay of Blood/Uric Acid | $53.40 | $89.00 | — | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy | $27.00 | $45.00 | — | at median | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy | $27.00 | $45.00 | — | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope | $31.80 | $53.00 | — | 36% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope | $31.80 | $53.00 | — | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 HC Non-Auto,Urine W/O Microscopy | $15.00 | $25.00 | — | 7% below | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Non-Auto,Urine W/O Microscopy | $15.00 | $25.00 | — | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 HC Urine Cult./Colony Count | $89.40 | $149.00 | — | 57% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Urine Cult./Colony Count | $89.40 | $149.00 | — | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 HC So Urine,Microalbumin,Quantitativ | $15.60 | $26.00 | — | 69% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 HC Urine,Microalbumin,Quantitativ | $36.00 | $60.00 | — | 29% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC So Urine,Microalbumin,Quantitativ | $15.60 | $26.00 | — | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Urine,Microalbumin,Quantitativ | $36.00 | $60.00 | — | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 HC Hcg (Urine) Pregnancy Test | $51.60 | $86.00 | — | 6% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Hcg (Urine) Pregnancy Test | $51.60 | $86.00 | — | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Cyanocobalamin Vitamin B-12 | $76.80 | $128.00 | — | 3% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Cyanocobalamin Vitamin B-12 | $98.40 | $164.00 | — | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC So Vitamin D Hydroxyvitamin D | $73.80 | $123.00 | — | 22% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 Hydroxy Includes Fractions if Performed | $96.60 | $161.00 | — | 2% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC So1 Vit D 25 Hydroxy W/Frac | $170.40 | $284.00 | — | 81% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC So Vitamin D Hydroxyvitamin D | $73.80 | $123.00 | — | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 Hydroxy Includes Fractions if Performed | $136.20 | $227.00 | — | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC So1 Vit D 25 Hydroxy W/Frac | $170.40 | $284.00 | — | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC So Dihydroxyvitamin D, 1 25 | $127.20 | $212.00 | — | 17% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC So Dihydroxyvitamin D, 1 25 | $127.20 | $212.00 | — | — | 40% |
| Zinc blood test CPT 84630 HC So Zinc, Serum | $20.40 | $34.00 | — | 60% below | 40% |
| Zinc blood test CPT 84630 HC So1 Zinc, Serum | $37.80 | $63.00 | — | 26% below | 40% |
| Zinc blood test CPT 84630 HC So2 Zinc, Serum | $89.40 | $149.00 | — | 74% above | 40% |
| Zinc blood test inpatient CPT 84630 HC So Zinc, Serum | $24.60 | $41.00 | — | — | 40% |
| Zinc blood test inpatient CPT 84630 HC So1 Zinc, Serum | $37.80 | $63.00 | — | — | 40% |
| Zinc blood test inpatient CPT 84630 HC So2 Zinc, Serum | $89.40 | $149.00 | — | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC So Hcg Quantitative | $43.20 | $72.00 | — | 36% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative | $121.20 | $202.00 | — | 79% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC So Hcg Quantitative | $43.20 | $72.00 | — | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative | $152.40 | $254.00 | — | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|LEFT SIDE | $37,431.53 | $62,385.88 | $12,511.55–$12,761.78 | 1% above | 40% |
| Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj|RIGHT SIDE | $45,015.41 | $75,025.68 | $7,071.33 | 21% above | 40% |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr|RIGHT SIDE | $34,409.62 | $57,349.37 | $7,071.33 | 23% above | 40% |
| Arthroscopic rotator cuff repair of the shoulder one side CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr|LEFT SIDE | $34,743.31 | $57,905.52 | $7,071.33 | 24% above | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC Treat Ankle Fx | $520.80 | $868.00 | — | 38% above | 40% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC Treat Ankle Fx | $520.80 | $868.00 | — | — | 40% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC Treat Metatarsal Fx | $520.80 | $868.00 | — | 43% above | 40% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC Treat Metatarsal Fx | $520.80 | $868.00 | — | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion | $2,667.00 | $4,445.00 | — | 29% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion | $2,667.00 | $4,445.00 | — | — | 40% |
| Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne|LEFT SIDE | $8,260.20 | $13,767.00 | $1,902.97–$1,941.03 | at median | 40% |
| Carpal tunnel release, open surgery one side CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne|RIGHT SIDE | $8,495.58 | $14,159.30 | $1,902.97–$1,941.03 | 3% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC Treat Radius/Ulna Fx | $520.80 | $868.00 | — | 27% above | 40% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC Treat Radius/Ulna Fx | $520.80 | $868.00 | — | — | 40% |
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $7,627.14 | $12,711.90 | $1,166.15–$1,189.47 | 128% above | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $5,809.44 | $9,682.40 | $1,166.15–$1,189.47 | 74% above | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $5,111.77 | $8,519.62 | $906.26–$924.39 | 88% above | 40% |
| Cystoscopy with ureteral stent placement one side CPT 52332 Cysto W/Insert Ureteral Stent|RIGHT SIDE | $38,957.72 | $64,929.53 | $3,435.16–$3,503.87 | 292% above | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Tympanostomy General Anesthesia|LEFT SIDE | $8,294.11 | $13,823.52 | $1,512.05–$1,542.29 | 93% above | 40% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 Tympanostomy General Anesthesia|RIGHT SIDE | $18,650.20 | $31,083.67 | $1,512.05–$1,542.29 | 335% above | 40% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 HC Rem Impact Cerumen Irrigat Uni | $456.60 | $761.00 | — | 195% above | 40% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC Rem Impact Cerumen Irrigat Uni | $456.60 | $761.00 | — | — | 40% |
| Earwax removal with instruments, one ear CPT 69210 HC Remove Impacted Cerumen | $456.60 | $761.00 | — | 195% above | 40% |
| Earwax removal with instruments, one ear inpatient CPT 69210 HC Remove Impacted Cerumen | $456.60 | $761.00 | — | — | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus | $19,270.75 | $32,117.92 | $6,877.64 | 11% below | 40% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue one side CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus|LEFT SIDE | $22,832.68 | $38,054.47 | $6,877.64 | 5% above | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $2,250.00 | $3,750.00 | — | 1% above | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $2,362.80 | $3,938.00 | — | 6% above | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $2,250.00 | $3,750.00 | — | — | 40% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn | $2,362.80 | $3,938.00 | — | — | 40% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Anes/Steroid L/S Facet Sg | $1,951.80 | $3,253.00 | — | 11% below | 40% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Anes/Steroid L/S Facet Sg | $1,951.80 | $3,253.00 | — | — | 40% |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible | $16,582.27 | $27,637.12 | $6,308.87–$6,435.05 | 34% below | 40% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible | $11,829.36 | $19,715.60 | $3,489.17–$3,558.96 | 28% below | 40% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd | $6,002.16 | $10,003.60 | $906.26 | 134% above | 40% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography | $16,574.99 | $27,624.98 | $5,891.49–$6,009.32 | 5% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Intro Sal Cont Hyst | $286.80 | $478.00 | — | 25% below | 40% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Cath/Intro Sal Cont Hyst | $286.80 | $478.00 | — | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D Simple | $396.00 | $660.00 | — | 2% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage-Simple | $396.00 | $660.00 | — | 2% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D Simple | $396.00 | $660.00 | — | — | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage-Simple | $396.00 | $660.00 | — | — | 40% |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|RIGHT SIDE | $11,210.12 | $18,683.53 | $3,489.17–$3,558.96 | 6% above | 40% |
| Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible|LEFT SIDE | $11,427.24 | $19,045.40 | $3,489.17–$3,558.96 | 8% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocent/Aspiration Maj Jnt | $714.60 | $1,191.00 | — | 3% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Asp Injection Major Joint | $750.60 | $1,251.00 | — | 8% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocent/Aspiration Maj Jnt|LEFT SIDE | $3,080.64 | $5,134.40 | $299.13–$305.11 | 343% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocent/Aspiration Maj Jnt|RIGHT SIDE | $4,836.84 | $8,061.40 | $299.13–$305.11 | 595% above | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocent/Aspiration Maj Jnt | $714.60 | $1,191.00 | — | — | 40% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Asp Injection Major Joint | $750.60 | $1,251.00 | — | — | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Asp Inj Intermediate Joint | $948.60 | $1,581.00 | — | 54% above | 40% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Asp Inj Intermediate Joint | $948.60 | $1,581.00 | — | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Injection Small Joint/Bursa | $542.40 | $904.00 | — | 10% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Drain/Inject Joint/Bursa | $948.60 | $1,581.00 | — | 92% above | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Injection Small Joint/Bursa | $542.40 | $904.00 | — | — | 40% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC Drain/Inject Joint/Bursa | $948.60 | $1,581.00 | — | — | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|RIGHT SIDE | $23,729.68 | $39,549.47 | $3,188.63–$3,252.40 | 7% below | 40% |
| Knee arthroscopy with meniscus repair (one side of the knee) one side CPT 29882 Arthroscopy Knee W/Meniscus Rpr Medial/Lateral|LEFT SIDE | $37,407.47 | $62,345.78 | $3,188.63 | 47% above | 40% |
| Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|LEFT SIDE | $13,066.01 | $21,776.68 | $3,188.63 | 3% above | 40% |
| Knee arthroscopy with meniscus trim one side CPT 29881 Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg|RIGHT SIDE | $14,488.74 | $24,147.90 | $3,188.63–$3,252.40 | 14% above | 40% |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving|RIGHT SIDE | $14,584.26 | $24,307.10 | $3,188.63 | 12% above | 40% |
| Knee arthroscopy with removal of both torn meniscus parts one side CPT 29880 Arthrs Knee W/Meniscectomy Med&Lat W/Shaving|LEFT SIDE | $18,304.74 | $30,507.90 | $3,188.63 | 40% above | 40% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy | $15,370.24 | $25,617.07 | $5,891.49 | 12% below | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC Laser Capsulotomy | $1,411.20 | $2,352.00 | — | at median | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC Laser Capsulotomy | $1,411.20 | $2,352.00 | — | — | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm | $725.40 | $1,209.00 | — | 36% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm | $10,230.42 | $17,050.70 | $396.16–$404.08 | 1818% above | 40% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC Lyr Clos Sc Tk Ext <2.5 Cm | $725.40 | $1,209.00 | — | — | 40% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,250.00 | $3,750.00 | — | 10% above | 40% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $2,250.00 | $3,750.00 | — | — | 40% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Njx Interlaminar Lmbr/Sac | $1,666.20 | $2,777.00 | — | 3% above | 40% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Njx Interlaminar Lmbr/Sac | $1,666.20 | $2,777.00 | — | — | 40% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj a/S Transforam Lumbar | $2,137.20 | $3,562.00 | — | 3% above | 40% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj a/S Transforam Lumbar | $2,137.20 | $3,562.00 | — | — | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC ED Avulsion Nail Plate Single | $537.00 | $895.00 | — | 68% above | 40% |
| Nail removal (partial or complete), one nail CPT 11730 HC Avulsion of Nail Plate | $537.00 | $895.00 | — | 68% above | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED Avulsion Nail Plate Single | $537.00 | $895.00 | — | — | 40% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 HC Avulsion of Nail Plate | $537.00 | $895.00 | — | — | 40% |
| Occipital nerve block (injection for headaches) CPT 64405 HC Inj Cerv Occipital Nerv | $547.20 | $912.00 | — | 30% below | 40% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Inj Cerv Occipital Nerv | $547.20 | $912.00 | — | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 HC Ins/Repl of Dual Cham Ppm Lead | $9,278.40 | $15,464.00 | — | 40% below | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 HC Ins/Repl of Dual Cham Ppm Lead | $9,278.40 | $15,464.00 | — | — | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance | $1,936.80 | $3,228.00 | — | 12% above | 40% |
| Paracentesis with imaging guidance CPT 49083 HC Abd Paracentesis W Guide | $2,508.60 | $4,181.00 | — | 44% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance | $1,936.80 | $3,228.00 | — | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abd Paracentesis W Guide | $2,508.60 | $4,181.00 | — | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excision of Nail & Nail Matrix | $2,799.60 | $4,666.00 | — | 260% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Excis Nail Matrix Perm Rmvl | $2,799.60 | $4,666.00 | — | 260% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed | $11,871.42 | $19,785.70 | $396.16–$404.08 | 1428% above | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excision of Nail & Nail Matrix | $2,799.60 | $4,666.00 | — | — | 40% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC Excis Nail Matrix Perm Rmvl | $2,799.60 | $4,666.00 | — | — | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Rf Destruct Lum Single | $3,153.00 | $5,255.00 | — | 5% below | 40% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Rf Destruct Lum Single | $3,153.00 | $5,255.00 | — | — | 40% |
| Removal of a breast lump, open surgery one side CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion|LEFT SIDE | $15,433.62 | $25,722.70 | $3,815.67 | 247% above | 40% |
| Removal of a foreign object under the skin, simple CPT 10120 HC Removal FB Skin | $1,397.40 | $2,329.00 | — | 108% above | 40% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Removal FB Skin | $1,397.40 | $2,329.00 | — | — | 40% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon Ca Scrn Not Hi Rsk Ind | $4,704.96 | $7,841.60 | $906.26–$924.39 | 81% above | 40% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Scrn; Hi Risk Ind | $4,705.08 | $7,841.80 | $906.26–$924.39 | 81% above | 40% |
| Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf | $21,477.50 | $35,795.83 | $3,230.98 | 4% above | 40% |
| Short arm cast (elbow to hand) CPT 29075 HC Cast - Short Arm | $282.60 | $471.00 | — | 6% below | 40% |
| Short arm cast (elbow to hand) inpatient CPT 29075 HC Cast - Short Arm | $282.60 | $471.00 | — | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC Pt Static Short Arm Splint | $331.80 | $553.00 | — | 14% above | 40% |
| Short arm splint (forearm and hand) CPT 29125 HC Splint App Short Arm Stat | $490.20 | $817.00 | — | 69% above | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Pt Static Short Arm Splint | $331.80 | $553.00 | — | — | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 HC Splint App Short Arm Stat | $490.20 | $817.00 | — | — | 40% |
| Short leg cast (below the knee) CPT 29405 HC Cast Short Leg | $745.80 | $1,243.00 | — | 96% above | 40% |
| Short leg cast (below the knee) inpatient CPT 29405 HC Cast Short Leg | $745.80 | $1,243.00 | — | — | 40% |
| Short leg splint (calf to foot) CPT 29515 HC Splint App/Short Leg | $363.00 | $605.00 | — | 23% above | 40% |
| Short leg splint (calf to foot) inpatient CPT 29515 HC Splint App/Short Leg | $363.00 | $605.00 | — | — | 40% |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) one side CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc|RIGHT SIDE | $31,541.80 | $52,569.67 | $7,071.33–$7,212.75 | 18% above | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|RIGHT SIDE | $34,409.62 | $57,349.37 | $7,071.33 | 52% above | 40% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls|LEFT SIDE | $34,743.31 | $57,905.52 | $7,071.33 | 53% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Rep Lac Smp Not Face <2.5cm | $941.40 | $1,569.00 | — | 185% above | 40% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC Rep Lac Smp Not Face <2.5cm | $941.40 | $1,569.00 | — | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 HC Punch Biopsy Skin Single Lesion | $606.60 | $1,011.00 | — | 36% above | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Punch Biopsy Skin Single Lesion | $606.60 | $1,011.00 | — | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic | $1,038.60 | $1,731.00 | — | 3% below | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture Lumbar Diagnos | $1,090.80 | $1,818.00 | — | 2% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture, Lumbar, Diagnostic | $1,038.60 | $1,731.00 | — | — | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture Lumbar Diagnos | $1,090.80 | $1,818.00 | — | — | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repr Smp Not Face 2.6-7.5cm | $941.40 | $1,569.00 | — | 167% above | 40% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC Repr Smp Not Face 2.6-7.5cm | $941.40 | $1,569.00 | — | — | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC Simple Rep Wnd Face <2.5 Cm | $462.60 | $771.00 | — | 46% above | 40% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC Simple Rep Wnd Face <2.5 Cm | $462.60 | $771.00 | — | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangential Biopsy Skin Single Lesion | $606.60 | $1,011.00 | — | 101% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Tangential Biopsy Skin Single Lesion | $606.60 | $1,011.00 | — | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging | $3,249.60 | $5,416.00 | — | 87% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Aspirate Pleura W/ Imaging | $3,249.60 | $5,416.00 | $611.32–$623.55 | 87% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 HC Sp Thora for Aspiration | $3,651.00 | $6,085.00 | — | 110% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging | $3,249.60 | $5,416.00 | — | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Aspirate Pleura W/ Imaging | $3,412.20 | $5,687.00 | — | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Sp Thora for Aspiration | $3,651.00 | $6,085.00 | — | — | 40% |
| Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|LEFT SIDE | $44,305.25 | $73,842.08 | $12,511.55–$12,761.78 | at median | 40% |
| Total hip replacement one side CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|RIGHT SIDE | $48,659.45 | $81,099.08 | $12,511.55–$12,761.78 | 10% above | 40% |
| Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments|LEFT SIDE | $54,831.50 | $91,385.83 | $12,511.55 | 28% above | 40% |
| Total knee replacement one side CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments|RIGHT SIDE | $55,510.59 | $92,517.65 | $12,511.55 | 29% above | 40% |
| Total shoulder replacement one side CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder|RIGHT SIDE | $58,683.14 | $97,805.23 | $17,087.06–$17,428.80 | 8% above | 40% |
| Trigger finger release surgery CPT 26055 HC Incise Finger Tendon Sheath | $2,403.00 | $4,005.00 | — | 27% below | 40% |
| Trigger finger release surgery inpatient CPT 26055 HC Incise Finger Tendon Sheath | $2,403.00 | $4,005.00 | — | — | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point 1/2 Muscle | $1,174.80 | $1,958.00 | — | 68% above | 40% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inj Trigger Points 1-2 Musc | $1,233.60 | $2,056.00 | — | 77% above | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inject Trigger Point 1/2 Muscle | $1,174.80 | $1,958.00 | — | — | 40% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC Inj Trigger Points 1-2 Musc | $1,233.60 | $2,056.00 | — | — | 40% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam | $8,181.76 | $13,636.27 | $1,870.01 | 134% above | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $6,993.30 | $11,655.50 | $883.88–$901.55 | 149% above | 40% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech | $8,822.32 | $14,703.87 | $1,870.01–$1,907.41 | 173% above | 40% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus | $7,904.81 | $13,174.68 | $883.88–$901.55 | 182% above | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash | $6,294.42 | $10,490.70 | $883.88–$901.55 | 142% above | 40% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|RIGHT SIDE | $23,927.41 | $39,879.02 | $5,225.18 | 57% above | 40% |
| Ureteroscopy with laser stone breaking and stent placement one side CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt|LEFT SIDE | $26,137.02 | $43,561.70 | $5,225.18–$5,329.68 | 72% above | 40% |
| Vein ablation, radiofrequency, first vein CPT 36475 HC Endovenous Rf 1st Vein | $10,317.00 | $17,195.00 | — | 58% above | 40% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC Endovenous Rf 1st Vein | $10,317.00 | $17,195.00 | — | — | 40% |
| Wart removal, up to 14 warts CPT 17110 HC Destruct Lesions Up to 14 | $758.40 | $1,264.00 | — | 142% above | 40% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC Destruct Lesions Up to 14 | $758.40 | $1,264.00 | — | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Skin and Subcu | $1,323.60 | $2,206.00 | — | 70% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debride Subq First 20 Sq Cm | $2,052.00 | $3,420.00 | — | 163% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Skin and Subcu | $1,323.60 | $2,206.00 | — | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debride Subq First 20 Sq Cm | $2,052.00 | $3,420.00 | — | — | 40% |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep|LEFT SIDE | $31,001.33 | $51,668.88 | $7,071.33–$7,212.75 | 86% above | 40% |
| Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 Optx Dstl Radl X-Artic Fx/Epiphysl Sep|RIGHT SIDE | $34,031.70 | $56,719.50 | $7,071.33 | 104% above | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Administration | $1,185.60 | $1,976.00 | — | 7% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Administration | $1,185.60 | $1,976.00 | — | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Aerosol, Hhn, Mdi, Ippb | $136.80 | $228.00 | — | 22% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Aerosol, Hhn, Mdi, Ippb | $136.80 | $228.00 | — | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Chemo Infusion 1st Hour Chemo | $513.60 | $856.00 | — | 33% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo Infusion 1st Hour Chemo | $513.60 | $856.00 | — | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 HC E/M Crit Care,ER, 1st 30-74min | $3,092.40 | $5,154.00 | — | 5% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC E/M Crit Care,ER, 1st 30-74min | $3,092.40 | $5,154.00 | — | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER Level 1 | $640.80 | $1,068.00 | — | 105% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER Level 1 | $640.80 | $1,068.00 | — | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER Level 2 | $1,218.60 | $2,031.00 | — | 139% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER Level 2 | $1,218.60 | $2,031.00 | — | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER Level 3 | $2,008.80 | $3,348.00 | — | 138% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER Level 3 | $2,008.80 | $3,348.00 | — | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER Level 4 | $2,216.40 | $3,694.00 | — | 67% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER Level 4 | $2,216.40 | $3,694.00 | — | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER Level 5 | $2,730.60 | $4,551.00 | — | 57% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER Level 5 | $2,730.60 | $4,551.00 | — | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Inf 1st Hour Hyd | $478.80 | $798.00 | — | 15% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Inf 1st Hour Hyd | $478.80 | $798.00 | — | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 HC IV 1st Hour Init Drug | $241.80 | $403.00 | — | 44% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV 1st Hour Init Drug | $241.80 | $403.00 | — | — | 40% |
| IV push of a medicine, first drug CPT 96374 HC IV Push Initial Drug | $224.40 | $374.00 | — | 13% below | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IV Push Initial Drug | $224.40 | $374.00 | — | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Im Sub Q | $306.00 | $510.00 | — | 116% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Im Sub Q | $306.00 | $510.00 | — | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuro Facilitation Ea 15 Min | $48.60 | $81.00 | — | 56% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Neuromuscular Re-Education, Ot | $63.00 | $105.00 | — | 43% below | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Neuro Facilitation Ea 15 Min | $51.00 | $85.00 | — | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Neuromuscular Re-Education, Ot | $66.00 | $110.00 | — | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Eval Low Complex | $182.40 | $304.00 | — | 30% below | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Eval Low Complex | $191.40 | $319.00 | — | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Eval High Complex | $196.20 | $327.00 | — | 35% below | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Eval High Complex | $205.80 | $343.00 | — | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Eval Low Complex | $135.00 | $225.00 | — | 48% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Eval Low Complex | $141.60 | $236.00 | — | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Eval Mod Complex | $158.40 | $264.00 | — | 43% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Eval Mod Complex | $166.20 | $277.00 | — | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy per 15 Min. | $60.00 | $100.00 | — | 46% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy Ea 15 | $63.60 | $106.00 | — | 43% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Ot Manual Therapy per 15 Min. | $60.00 | $100.00 | — | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therapy Ea 15 | $63.60 | $106.00 | — | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min | $60.00 | $100.00 | — | 49% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $60.60 | $101.00 | — | 49% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min | $63.00 | $105.00 | — | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $63.60 | $106.00 | — | — | 40% |
| Speech and language evaluation CPT 92523 HC Eval Speech Sound Lang Comprhension | $217.80 | $363.00 | — | 36% below | 40% |
| Speech and language evaluation inpatient CPT 92523 HC Eval Speech Sound Lang Comprhension | $228.60 | $381.00 | — | — | 40% |
| Speech therapy session, individual CPT 92507 HC Speech/Language Therapy | $211.80 | $353.00 | — | 3% below | 40% |
| Speech therapy session, individual inpatient CPT 92507 HC Speech/Language Therapy | $222.60 | $371.00 | — | — | 40% |
| Spirometry (breathing test) CPT 94010 HC Spirometry / Tvc / Mvv | $313.80 | $523.00 | — | 1% above | 40% |
| Spirometry (breathing test) CPT 94010 HC Pif (Copd Assessment) | $313.80 | $523.00 | — | 1% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC Pif (Copd Assessment) | $313.80 | $523.00 | — | — | 40% |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry / Tvc / Mvv | $313.80 | $523.00 | — | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 HC Before / After Bronchodilator | $799.20 | $1,332.00 | — | 40% above | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Before / After Bronchodilator | $799.20 | $1,332.00 | — | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activities 15 Min | $53.40 | $89.00 | — | 56% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities 15 Min | $53.40 | $89.00 | — | 56% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activities 15 Min | $55.80 | $93.00 | — | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities 15 Min | $55.80 | $93.00 | — | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP | $64.56 | $107.60 | — | 81% below | 40% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DIPHTH-ACELL PERTUSSIS-TETANUS 15-23-5 LF-MCG/0.5 IM SUSP | $64.56 | $107.60 | — | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $601.56 | $1,002.60 | — | 9% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $601.56 | $1,002.60 | — | — | 40% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $923.16 | $1,538.60 | — | 3% below | 40% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR | $923.16 | $1,538.60 | — | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $89.76 | $149.60 | — | at median | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $89.76 | $149.60 | — | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $103.56 | $172.60 | — | 6% below | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY | $103.56 | $172.60 | — | — | 40% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.