St. Vincent Heart Center of Indiana
St. Vincent Heart Center of Indiana in Carmel, IN publishes cash prices for 296 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Indiana median for 151 of 293 procedures and below it for 115. By typical cash price it ranks #43 of 84 Indiana hospitals and #10 of 16 hospitals in the Indianapolis, IN area, cheapest first. Select a procedure to compare it with other hospitals nearby.
10580 N Meridian Street Carmel IN 46290 Collected Sep 23, 2026 Source price file Check a bill from this hospital (317) 583-5000
Acute care hospital For-profit hospital Emergency department CMS star rating 5 of 5 CCN 150153 · CMS hospital register NPI 1982681748
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/WC | $542.40 | $904.00 | $50.02–$650.00 | 60% below | 40% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/WC | $542.40 | $904.00 | $50.02–$650.00 | 60% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WO/WC | $542.40 | $904.00 | $50.02–$650.00 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS | $270.00 | $450.00 | $4.55–$446.39 | at median | 40% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS | $270.00 | $450.00 | $4.55–$446.39 | at median | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS | $270.00 | $450.00 | $4.55–$446.39 | — | 40% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE COMPLETE 3+ VIEWS BI | $392.40 | $654.00 | $3.88–$436.09 | — | 40% |
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE COMPLETE 3+ VIEWS BI | $392.40 | $654.00 | $3.88–$436.09 | — | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMPLETE 3+ VIEWS UNI | $196.20 | $327.00 | $3.88–$250.00 | at median | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE COMPLETE 3+ VIEWS UNI | $196.20 | $327.00 | $3.88–$250.00 | at median | 40% |
| Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE COMPLETE 3+ VIEWS BI | $392.40 | $654.00 | $3.88–$436.09 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE COMPLETE 3+ VIEWS UNI | $196.20 | $327.00 | $3.88–$250.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXTR ART NON-INVASV BILAT LTD | $685.80 | $1,143.00 | $8.59–$171.74 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 EXTR ART NON-INVASV BILAT LTD | $685.80 | $1,143.00 | $8.59–$171.74 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 EXTR ART NON-INVASV BILAT LTD | $685.80 | $1,143.00 | $8.59–$171.74 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT UPPER EXT WO/C BI | $1,084.80 | $1,808.00 | $33.43–$650.00 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT UPPER EXT WO/C BI | $1,084.80 | $1,808.00 | $33.43–$650.00 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT WO/C UNI | $542.40 | $904.00 | $33.43–$650.00 | 33% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXT WO/C UNI | $542.40 | $904.00 | $33.43–$650.00 | 33% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT UPPER EXT WO/C BI | $1,084.80 | $1,808.00 | $33.43–$650.00 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXT WO/C UNI | $542.40 | $904.00 | $33.43–$650.00 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD & PELVIS W/C OR WO&WC | $542.40 | $904.00 | $77.86–$875.45 | 71% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD & PELVIS W/C OR WO&WC | $542.40 | $904.00 | $77.86–$875.45 | 71% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD & PELVIS W/C OR WO&WC | $542.40 | $904.00 | $77.86–$875.45 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/C OR WO&WC | $542.40 | $904.00 | $62.58–$725.32 | 57% below | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/C OR WO&WC | $542.40 | $904.00 | $62.58–$725.32 | 57% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/C OR WO&WC | $542.40 | $904.00 | $62.58–$725.32 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/C OR WO&WC | $542.40 | $904.00 | $62.35–$760.52 | 55% below | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/C OR WO&WC | $542.40 | $904.00 | $62.35–$760.52 | 55% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/C OR WO&WC | $542.40 | $904.00 | $62.35–$760.52 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/C OR WO&WC | $542.40 | $904.00 | $68.24–$753.21 | 57% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W/C OR WO&WC | $542.40 | $904.00 | $68.24–$753.21 | 57% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W/C OR WO&WC | $542.40 | $904.00 | $68.24–$753.21 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W/C (CCTA) | $542.40 | $904.00 | $84.25–$696.01 | 35% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W/C (CCTA) | $542.40 | $904.00 | $84.25–$696.01 | 35% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART W/C (CCTA) | $542.40 | $904.00 | $84.25–$696.01 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO/C (CALCIUM SCORE) | $231.60 | $386.00 | $12.02–$257.38 | 24% above | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART WO/C (CALCIUM SCORE) | $231.60 | $386.00 | $12.02–$257.38 | 24% above | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART WO/C (CALCIUM SCORE) | $231.60 | $386.00 | $12.02–$257.38 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WO/C | $542.40 | $904.00 | $62.32–$650.00 | 55% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN AND PELVIS WO/C | $542.40 | $904.00 | $62.32–$650.00 | 55% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN AND PELVIS WO/C | $542.40 | $904.00 | $62.32–$650.00 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/C | $542.40 | $904.00 | $65.14–$650.00 | 69% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN AND PELVIS W/C | $542.40 | $904.00 | $65.14–$650.00 | 69% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN AND PELVIS W/C | $542.40 | $904.00 | $65.14–$650.00 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS WO/WC | $542.40 | $904.00 | $71.93–$751.30 | 68% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN AND PELVIS WO/WC | $542.40 | $904.00 | $71.93–$751.30 | 68% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN AND PELVIS WO/WC | $542.40 | $904.00 | $71.93–$751.30 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/C | $542.40 | $904.00 | $44.89–$650.00 | 49% below | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/C | $542.40 | $904.00 | $44.89–$650.00 | 49% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/C | $542.40 | $904.00 | $44.89–$650.00 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO/C | $542.40 | $904.00 | $35.09–$256.66 | 36% below | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO/C | $542.40 | $904.00 | $35.09–$256.66 | 36% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO/C | $542.40 | $904.00 | $35.09–$256.66 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA WO/C | $542.40 | $904.00 | $34.02–$650.00 | 35% below | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL AREA WO/C | $542.40 | $904.00 | $34.02–$650.00 | 35% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL AREA WO/C | $542.40 | $904.00 | $34.02–$650.00 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C | $542.40 | $904.00 | $28.11–$650.00 | 29% below | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO/C | $542.40 | $904.00 | $28.11–$650.00 | 29% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO/C | $542.40 | $904.00 | $28.11–$650.00 | — | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/C | $542.40 | $904.00 | $35.79–$650.00 | 37% below | 40% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/C | $542.40 | $904.00 | $35.79–$650.00 | 37% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/C | $542.40 | $904.00 | $35.79–$650.00 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO/WC | $542.40 | $904.00 | $43.36–$650.00 | 48% below | 40% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO/WC | $542.40 | $904.00 | $43.36–$650.00 | 48% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WO/WC | $542.40 | $904.00 | $43.36–$650.00 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO/C | $542.40 | $904.00 | $35.75–$650.00 | 39% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO/C | $542.40 | $904.00 | $35.75–$650.00 | 39% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO/C | $542.40 | $904.00 | $35.75–$650.00 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO/C | $542.40 | $904.00 | $36.40–$650.00 | 35% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO/C | $542.40 | $904.00 | $36.40–$650.00 | 35% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE WO/C | $542.40 | $904.00 | $36.40–$650.00 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $542.40 | $904.00 | $41.27–$650.00 | 41% below | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/C | $542.40 | $904.00 | $41.27–$650.00 | 41% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/C | $542.40 | $904.00 | $41.27–$650.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTRACRANIAL/CAROTID BI | $1,586.40 | $2,644.00 | $21.32–$379.98 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX EXTRACRANIAL/CAROTID BI | $1,586.40 | $2,644.00 | $21.32–$379.98 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX EXTRACRANIAL/CAROTID BI | $1,586.40 | $2,644.00 | $21.32–$379.98 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST WO/WC | $542.40 | $904.00 | $49.10–$650.00 | 50% below | 40% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST WO/WC | $542.40 | $904.00 | $49.10–$650.00 | 50% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST WO/WC | $542.40 | $904.00 | $49.10–$650.00 | — | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $185.40 | $309.00 | $4.17–$250.00 | 10% below | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $185.40 | $309.00 | $4.17–$250.00 | 10% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $185.40 | $309.00 | $4.17–$250.00 | — | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $162.60 | $271.00 | $2.74–$250.00 | at median | 40% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $162.60 | $271.00 | $2.74–$250.00 | at median | 40% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $162.60 | $271.00 | $2.74–$250.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR CLAVICLE COMPLETE BI | $384.00 | $640.00 | $3.49–$250.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR CLAVICLE COMPLETE BI | $384.00 | $640.00 | $3.49–$250.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE COMPLETE UNI | $192.00 | $320.00 | $3.49–$250.00 | at median | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE COMPLETE UNI | $192.00 | $320.00 | $3.49–$250.00 | at median | 40% |
| Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR CLAVICLE COMPLETE BI | $384.00 | $640.00 | $3.49–$250.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE COMPLETE UNI | $192.00 | $320.00 | $3.49–$250.00 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM B-SCAN COMP | $319.20 | $532.00 | $24.92–$400.00 | 36% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEUM B-SCAN COMP | $319.20 | $532.00 | $24.92–$400.00 | 36% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEUM B-SCAN COMP | $319.20 | $532.00 | $24.92–$400.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO/C | $542.40 | $904.00 | $36.28–$650.00 | 35% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO/C | $542.40 | $904.00 | $36.28–$650.00 | 35% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO/C | $542.40 | $904.00 | $36.28–$650.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/C | $542.40 | $904.00 | $43.30–$650.00 | 42% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/C | $542.40 | $904.00 | $43.30–$650.00 | 42% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/C | $542.40 | $904.00 | $43.30–$650.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ARTERIAL LOW EXT CMPL BILAT | $1,558.20 | $2,597.00 | $28.29–$435.46 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUPLEX ARTERIAL LOW EXT CMPL BILAT | $1,558.20 | $2,597.00 | $28.29–$435.46 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUPLEX ARTERIAL LOW EXT CMPL BILAT | $1,558.20 | $2,597.00 | $28.29–$435.46 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN VEINS EXT;COMP BIL | $1,751.40 | $2,919.00 | $24.89–$739.52 | 34% above | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN VEINS EXT;COMP BIL | $1,751.40 | $2,919.00 | $24.89–$739.52 | 34% above | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX SCAN VEINS EXT;COMP BIL | $1,751.40 | $2,919.00 | $24.89–$739.52 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D CMPL W/D/CF W/CON | $2,351.40 | $3,919.00 | $45.57–$557.60 | 42% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D CMPL W/D/CF W/CON | $2,351.40 | $3,919.00 | $45.57–$557.60 | 42% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D CMPL W/D/CF WO/CON | $2,351.40 | $3,919.00 | $45.57–$557.60 | 42% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D CMPL W/D/CF WO/CON | $2,351.40 | $3,919.00 | $45.57–$557.60 | 42% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D CMPL W/D/CF WO/CON | $2,351.40 | $3,919.00 | $45.57–$557.60 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D CMPL W/D/CF W/CON | $2,351.40 | $3,919.00 | $45.57–$557.60 | — | 40% |
| Elbow X-ray, 2 views both sides CPT 73070 XR ELBOW 2 VIEWS BI | $320.40 | $534.00 | $3.44–$356.07 | — | 40% |
| Elbow X-ray, 2 views both sides CPT 73070 XR ELBOW 2 VIEWS BI | $320.40 | $534.00 | $3.44–$356.07 | — | 40% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW 2 VIEWS UNI | $160.20 | $267.00 | $3.44–$250.00 | 3% below | 40% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW 2 VIEWS UNI | $160.20 | $267.00 | $3.44–$250.00 | 3% below | 40% |
| Elbow X-ray, 2 views inpatient both sides CPT 73070 XR ELBOW 2 VIEWS BI | $320.40 | $534.00 | $3.44–$356.07 | — | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW 2 VIEWS UNI | $160.20 | $267.00 | $3.44–$250.00 | — | 40% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW COMPLETE 3+ VIEWS BI | $516.00 | $860.00 | $4.24–$573.45 | — | 40% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW COMPLETE 3+ VIEWS BI | $516.00 | $860.00 | $4.24–$573.45 | — | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW COMPLETE 3+ VIEWS UNI | $258.00 | $430.00 | $4.24–$250.00 | 1% above | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW COMPLETE 3+ VIEWS UNI | $258.00 | $430.00 | $4.24–$250.00 | 1% above | 40% |
| Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR ELBOW COMPLETE 3+ VIEWS BI | $516.00 | $860.00 | $4.24–$573.45 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW COMPLETE 3+ VIEWS UNI | $258.00 | $430.00 | $4.24–$250.00 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/FOSS/INEAR WO/C | $542.40 | $904.00 | $38.77–$650.00 | 36% below | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/FOSS/INEAR WO/C | $542.40 | $904.00 | $38.77–$650.00 | 36% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT/SELLA/FOSS/INEAR WO/C | $542.40 | $904.00 | $38.77–$650.00 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPL >=3VWS | $273.00 | $455.00 | $5.46–$303.39 | at median | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMPL >=3VWS | $273.00 | $455.00 | $5.46–$303.39 | at median | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMPL >=3VWS | $273.00 | $455.00 | $5.46–$303.39 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR FOREARM 2 VIEWS BI | $367.20 | $612.00 | $3.49–$408.08 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR FOREARM 2 VIEWS BI | $367.20 | $612.00 | $3.49–$408.08 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2 VIEWS UNI | $183.60 | $306.00 | $3.49–$250.00 | at median | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM 2 VIEWS UNI | $183.60 | $306.00 | $3.49–$250.00 | at median | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR FOREARM 2 VIEWS BI | $367.20 | $612.00 | $3.49–$408.08 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM 2 VIEWS UNI | $183.60 | $306.00 | $3.49–$250.00 | — | 40% |
| Hand X-ray, 2 views both sides CPT 73120 XR HAND 2 VIEWS BI | $343.20 | $572.00 | $3.45–$250.00 | — | 40% |
| Hand X-ray, 2 views both sides CPT 73120 XR HAND 2 VIEWS BI | $343.20 | $572.00 | $3.45–$250.00 | — | 40% |
| Hand X-ray, 2 views CPT 73120 XR HAND 2 VIEWS UNI | $171.60 | $286.00 | $3.45–$250.00 | at median | 40% |
| Hand X-ray, 2 views CPT 73120 XR HAND 2 VIEWS UNI | $171.60 | $286.00 | $3.45–$250.00 | at median | 40% |
| Hand X-ray, 2 views inpatient both sides CPT 73120 XR HAND 2 VIEWS BI | $343.20 | $572.00 | $3.45–$250.00 | — | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 XR HAND 2 VIEWS UNI | $171.60 | $286.00 | $3.45–$250.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR CALCANEUS 2+ VIEWS BI | $516.00 | $860.00 | $3.35–$250.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR CALCANEUS 2+ VIEWS BI | $516.00 | $860.00 | $3.35–$250.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEUS 2+ VIEWS UNI | $258.00 | $430.00 | $3.35–$286.72 | 21% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEUS 2+ VIEWS UNI | $258.00 | $430.00 | $3.35–$286.72 | 21% above | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XR CALCANEUS 2+ VIEWS BI | $516.00 | $860.00 | $3.35–$250.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR CALCANEUS 2+ VIEWS UNI | $258.00 | $430.00 | $3.35–$286.72 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGE 4+PAR W/CPAP 6YR/> | $5,865.00 | $9,775.00 | $90.91–$2,647.09 | 81% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGE 4+PAR W/CPAP 6YR/> | $5,865.00 | $9,775.00 | $90.91–$2,647.09 | 81% above | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STAGE 4+PAR W/CPAP 6YR/> | $5,865.00 | $9,775.00 | $90.91–$2,647.09 | — | 40% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS UNI | $229.20 | $382.00 | $4.24–$254.72 | at median | 40% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS UNI | $229.20 | $382.00 | $4.24–$254.72 | at median | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEWS UNI | $229.20 | $382.00 | $4.24–$254.72 | — | 40% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XR KNEE COMPLETE 4+ VIEWS BI | $523.20 | $872.00 | $4.83–$581.45 | — | 40% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 XR KNEE COMPLETE 4+ VIEWS BI | $523.20 | $872.00 | $4.83–$581.45 | — | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE COMPLETE 4+ VIEWS UNI | $261.60 | $436.00 | $4.83–$250.00 | at median | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE COMPLETE 4+ VIEWS UNI | $261.60 | $436.00 | $4.83–$250.00 | at median | 40% |
| Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XR KNEE COMPLETE 4+ VIEWS BI | $523.20 | $872.00 | $4.83–$581.45 | — | 40% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE COMPLETE 4+ VIEWS UNI | $261.60 | $436.00 | $4.83–$250.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOW EXTR WO/C BI | $1,084.80 | $1,808.00 | $33.43–$650.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOW EXTR WO/C BI | $1,084.80 | $1,808.00 | $33.43–$650.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOW EXTR WO/C UNI | $542.40 | $904.00 | $33.43–$650.00 | 31% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOW EXTR WO/C UNI | $542.40 | $904.00 | $33.43–$650.00 | 31% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LOW EXTR WO/C BI | $1,084.80 | $1,808.00 | $33.43–$650.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOW EXTR WO/C UNI | $542.40 | $904.00 | $33.43–$650.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD B-SCAN+/OR REAL T LTD | $329.40 | $549.00 | $19.37–$400.00 | 28% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD B-SCAN+/OR REAL T LTD | $329.40 | $549.00 | $19.37–$400.00 | 28% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD B-SCAN+/OR REAL T LTD | $329.40 | $549.00 | $19.37–$400.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NONVASC LTD | $281.40 | $469.00 | $6.89–$400.00 | 7% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NONVASC LTD | $281.40 | $469.00 | $6.89–$400.00 | 7% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NONVASC LTD | $281.40 | $469.00 | $6.89–$400.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR TIBIA + FIBULA 2 VIEWS BI | $397.20 | $662.00 | $3.55–$250.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR TIBIA + FIBULA 2 VIEWS BI | $397.20 | $662.00 | $3.55–$250.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA + FIBULA 2 VIEWS UNI | $198.60 | $331.00 | $3.55–$250.00 | at median | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA + FIBULA 2 VIEWS UNI | $198.60 | $331.00 | $3.55–$250.00 | at median | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR TIBIA + FIBULA 2 VIEWS BI | $397.20 | $662.00 | $3.55–$250.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBIA + FIBULA 2 VIEWS UNI | $198.60 | $331.00 | $3.55–$250.00 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA AND/OR MRV HEAD WO/C | $582.60 | $971.00 | $42.97–$937.75 | 48% below | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA AND/OR MRV HEAD WO/C | $582.60 | $971.00 | $42.97–$937.75 | 48% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA AND/OR MRV HEAD WO/C | $582.60 | $971.00 | $42.97–$937.75 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO/C | $582.60 | $971.00 | $52.07–$717.48 | 45% below | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO/C | $582.60 | $971.00 | $52.07–$717.48 | 45% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO/C | $582.60 | $971.00 | $52.07–$717.48 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/WC | $582.60 | $971.00 | $80.61–$841.63 | 63% below | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/WC | $582.60 | $971.00 | $80.61–$841.63 | 63% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/WC | $582.60 | $971.00 | $80.61–$841.63 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C | $582.60 | $971.00 | $52.83–$700.00 | 43% below | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO/C | $582.60 | $971.00 | $52.83–$700.00 | 43% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO/C | $582.60 | $971.00 | $52.83–$700.00 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC | $582.60 | $971.00 | $81.95–$842.23 | 55% below | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/WC | $582.60 | $971.00 | $81.95–$842.23 | 55% below | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/WC | $582.60 | $971.00 | $81.95–$842.23 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C | $582.60 | $971.00 | $53.39–$700.00 | 43% below | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO/C | $582.60 | $971.00 | $53.39–$700.00 | 43% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE WO/C | $582.60 | $971.00 | $53.39–$700.00 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO/WC | $582.60 | $971.00 | $82.27–$835.97 | 60% below | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO/WC | $582.60 | $971.00 | $82.27–$835.97 | 60% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WO/WC | $582.60 | $971.00 | $82.27–$835.97 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO/C | $582.60 | $971.00 | $53.22–$700.00 | 42% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO/C | $582.60 | $971.00 | $53.22–$700.00 | 42% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE WO/C | $582.60 | $971.00 | $53.22–$700.00 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO/WC | $582.60 | $971.00 | $81.95–$845.81 | 60% below | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO/WC | $582.60 | $971.00 | $81.95–$845.81 | 60% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE WO/WC | $582.60 | $971.00 | $81.95–$845.81 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO/C | $582.60 | $971.00 | $53.22–$700.00 | 44% below | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE WO/C | $582.60 | $971.00 | $53.22–$700.00 | 44% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE WO/C | $582.60 | $971.00 | $53.22–$700.00 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/WC | $582.60 | $971.00 | $80.61–$841.30 | 60% below | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/WC | $582.60 | $971.00 | $80.61–$841.30 | 60% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/WC | $582.60 | $971.00 | $80.61–$841.30 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO/C | $582.60 | $971.00 | $52.62–$826.64 | 45% below | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO/C | $582.60 | $971.00 | $52.62–$826.64 | 45% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO/C | $582.60 | $971.00 | $52.62–$826.64 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $348.00 | $580.00 | $6.56–$386.74 | at median | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $348.00 | $580.00 | $6.56–$386.74 | at median | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4 OR 5 VIEWS | $348.00 | $580.00 | $6.56–$386.74 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/C | $542.40 | $904.00 | $40.71–$650.00 | 45% below | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/C | $542.40 | $904.00 | $40.71–$650.00 | 45% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/C | $542.40 | $904.00 | $40.71–$650.00 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO/C | $542.40 | $904.00 | $34.21–$650.00 | 35% below | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK WO/C | $542.40 | $904.00 | $34.21–$650.00 | 35% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK WO/C | $542.40 | $904.00 | $34.21–$650.00 | — | 40% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $172.80 | $288.00 | $3.36–$250.00 | at median | 40% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $172.80 | $288.00 | $3.36–$250.00 | at median | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE | $172.80 | $288.00 | $3.36–$250.00 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERFUSN SPECT MULTI | $5,742.60 | $9,571.00 | $56.47–$1,095.24 | 49% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCARD PERFUSN SPECT MULTI | $5,742.60 | $9,571.00 | $56.47–$1,095.24 | 49% above | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCARD PERFUSN SPECT MULTI | $5,742.60 | $9,571.00 | $56.47–$1,095.24 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO/C | $542.40 | $904.00 | $35.02–$650.00 | 35% below | 40% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO/C | $542.40 | $904.00 | $35.02–$650.00 | 35% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO/C | $542.40 | $904.00 | $35.02–$650.00 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULS PELVIC NON-OBSTETRIC COMPL | $343.20 | $572.00 | $22.35–$400.00 | 26% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 ULS PELVIC NON-OBSTETRIC COMPL | $343.20 | $572.00 | $22.35–$400.00 | 26% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 ULS PELVIC NON-OBSTETRIC COMPL | $343.20 | $572.00 | $22.35–$400.00 | — | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEWS | $204.60 | $341.00 | $4.17–$250.00 | at median | 40% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNILAT 2 VIEWS | $204.60 | $341.00 | $4.17–$250.00 | at median | 40% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNILAT 2 VIEWS | $204.60 | $341.00 | $4.17–$250.00 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/PA CHEST>3VWS | $226.80 | $378.00 | $5.05–$252.05 | 7% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/PA CHEST>3VWS | $226.80 | $378.00 | $5.05–$252.05 | 7% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/PA CHEST>3VWS | $226.80 | $378.00 | $5.05–$252.05 | — | 40% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPL 2+VIEWS BI | $391.20 | $652.00 | $3.87–$250.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULDER COMPL 2+VIEWS BI | $391.20 | $652.00 | $3.87–$250.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMPL 2+VIEWS UNI | $195.60 | $326.00 | $3.87–$250.00 | 6% below | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMPL 2+VIEWS UNI | $195.60 | $326.00 | $3.87–$250.00 | 6% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULDER COMPL 2+VIEWS BI | $391.20 | $652.00 | $3.87–$250.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER COMPL 2+VIEWS UNI | $195.60 | $326.00 | $3.87–$250.00 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMP>3VWS | $283.80 | $473.00 | $5.17–$250.00 | at median | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMP>3VWS | $283.80 | $473.00 | $5.17–$250.00 | at median | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES PARANASAL COMP>3VWS | $283.80 | $473.00 | $5.17–$250.00 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 SLP STGNG >6Y PARAM 4+ <6 HRS | $2,769.60 | $4,616.00 | $87.42–$3,559.88 | 5% above | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 SLP STGNG >6Y PARAM 4+ <6 HRS | $2,769.60 | $4,616.00 | $87.42–$3,559.88 | 5% above | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING 4+ PARAM 6YR/> | $5,538.60 | $9,231.00 | $87.42–$2,647.09 | 110% above | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STAGING 4+ PARAM 6YR/> | $5,538.60 | $9,231.00 | $87.42–$2,647.09 | 110% above | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLP STGNG >6Y PARAM 4+ <6 HRS | $2,769.60 | $4,616.00 | $87.42–$3,559.88 | — | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STAGING 4+ PARAM 6YR/> | $5,538.60 | $9,231.00 | $87.42–$2,647.09 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO 2D STRESS W/ECG W/CON | $2,572.80 | $4,288.00 | $61.06–$536.54 | 43% above | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO 2D STRESS W/ECG W/CON | $2,572.80 | $4,288.00 | $61.06–$536.54 | 43% above | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO 2D STRESS W/ECG WO/CON | $2,572.80 | $4,288.00 | $61.06–$536.54 | 43% above | 40% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO 2D STRESS W/ECG WO/CON | $2,572.80 | $4,288.00 | $61.06–$536.54 | 43% above | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO 2D STRESS W/ECG W/CON | $2,572.80 | $4,288.00 | $61.06–$536.54 | — | 40% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO 2D STRESS W/ECG WO/CON | $2,572.80 | $4,288.00 | $61.06–$536.54 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR FEMUR >= 2 VWS BILAT | $390.00 | $650.00 | $4.37–$433.42 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR FEMUR >= 2 VWS BILAT | $390.00 | $650.00 | $4.37–$433.42 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR >= 2 VWS UNI | $195.00 | $325.00 | $4.37–$250.00 | 3% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR >= 2 VWS UNI | $195.00 | $325.00 | $4.37–$250.00 | 3% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR FEMUR >= 2 VWS BILAT | $390.00 | $650.00 | $4.37–$433.42 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR >= 2 VWS UNI | $195.00 | $325.00 | $4.37–$250.00 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO/C | $542.40 | $904.00 | $35.75–$650.00 | 36% below | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO/C | $542.40 | $904.00 | $35.75–$650.00 | 36% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT THORACIC SPINE WO/C | $542.40 | $904.00 | $35.75–$650.00 | — | 40% |
| Toe X-ray, 2 or more views both sides CPT 73660 XR TOE 2+ VIEWS BI | $296.40 | $494.00 | $3.28–$250.00 | — | 40% |
| Toe X-ray, 2 or more views both sides CPT 73660 XR TOE 2+ VIEWS BI | $296.40 | $494.00 | $3.28–$250.00 | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 XR TOE 2+ VIEWS UNI | $148.20 | $247.00 | $3.28–$65.36 | 3% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 XR TOE 2+ VIEWS UNI | $148.20 | $247.00 | $3.28–$65.36 | 3% below | 40% |
| Toe X-ray, 2 or more views inpatient both sides CPT 73660 XR TOE 2+ VIEWS BI | $296.40 | $494.00 | $3.28–$250.00 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE 2+ VIEWS UNI | $148.20 | $247.00 | $3.28–$65.36 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $520.20 | $867.00 | $25.92–$400.00 | 1% below | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $520.20 | $867.00 | $25.92–$400.00 | 1% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD B-SCAN+/OR REAL T COMP | $520.20 | $867.00 | $25.92–$400.00 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US ECHOGRAPHY SCROTUM+CONTENTS | $382.20 | $637.00 | $22.01–$424.75 | 10% below | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US ECHOGRAPHY SCROTUM+CONTENTS | $382.20 | $637.00 | $22.01–$424.75 | 10% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US ECHOGRAPHY SCROTUM+CONTENTS | $382.20 | $637.00 | $22.01–$424.75 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK TIS B-SCAN W/IM | $348.60 | $581.00 | $20.12–$400.00 | 18% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK TIS B-SCAN W/IM | $348.60 | $581.00 | $20.12–$400.00 | 18% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK TIS B-SCAN W/IM | $348.60 | $581.00 | $20.12–$400.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS 2+ VIEWS BI | $362.40 | $604.00 | $3.82–$250.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS 2+ VIEWS BI | $362.40 | $604.00 | $3.82–$250.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS 2+ VIEWS UNI | $181.20 | $302.00 | $3.82–$250.00 | 6% below | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS 2+ VIEWS UNI | $181.20 | $302.00 | $3.82–$250.00 | 6% below | 40% |
| Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR HUMERUS 2+ VIEWS BI | $362.40 | $604.00 | $3.82–$250.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS 2+ VIEWS UNI | $181.20 | $302.00 | $3.82–$250.00 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX SCAN VEINS EXT; UNI/LTD | $1,120.20 | $1,867.00 | $15.98–$525.91 | 77% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX SCAN VEINS EXT; UNI/LTD | $1,120.20 | $1,867.00 | $15.98–$525.91 | 77% above | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX SCAN VEINS EXT; UNI/LTD | $1,120.20 | $1,867.00 | $15.98–$525.91 | — | 40% |
| Wrist X-ray, 2 views both sides CPT 73100 XR WRIST 2 VIEWS BI | $290.40 | $484.00 | $3.54–$322.73 | — | 40% |
| Wrist X-ray, 2 views both sides CPT 73100 XR WRIST 2 VIEWS BI | $290.40 | $484.00 | $3.54–$322.73 | — | 40% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST 2 VIEWS UNI | $145.20 | $242.00 | $3.54–$161.37 | 7% below | 40% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST 2 VIEWS UNI | $145.20 | $242.00 | $3.54–$161.37 | 7% below | 40% |
| Wrist X-ray, 2 views inpatient both sides CPT 73100 XR WRIST 2 VIEWS BI | $290.40 | $484.00 | $3.54–$322.73 | — | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST 2 VIEWS UNI | $145.20 | $242.00 | $3.54–$161.37 | — | 40% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST COMPLETE 3+ VIEWS BI | $516.00 | $860.00 | $4.11–$573.45 | — | 40% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST COMPLETE 3+ VIEWS BI | $516.00 | $860.00 | $4.11–$573.45 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST COMPLETE 3+ VIEWS UNI | $258.00 | $430.00 | $4.11–$286.72 | 1% above | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST COMPLETE 3+ VIEWS UNI | $258.00 | $430.00 | $4.11–$286.72 | 1% above | 40% |
| Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR WRIST COMPLETE 3+ VIEWS BI | $516.00 | $860.00 | $4.11–$573.45 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST COMPLETE 3+ VIEWS UNI | $258.00 | $430.00 | $4.11–$286.72 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP UNI 2-3 VWS W/PELVIS | $274.80 | $458.00 | $5.57–$250.00 | 4% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP UNI 2-3 VWS W/PELVIS | $274.80 | $458.00 | $5.57–$250.00 | 4% above | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP UNI 2-3 VWS W/PELVIS | $274.80 | $458.00 | $5.57–$250.00 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $258.00 | $430.00 | $3.72–$286.72 | 19% above | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VIEW | $258.00 | $430.00 | $3.72–$286.72 | 19% above | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VIEW | $258.00 | $430.00 | $3.72–$286.72 | — | 40% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2 VIEWS BI | $295.20 | $492.00 | $3.45–$328.07 | — | 40% |
| X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE 2 VIEWS BI | $295.20 | $492.00 | $3.45–$328.07 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 VIEWS UNI | $147.60 | $246.00 | $3.45–$55.69 | 8% below | 40% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE 2 VIEWS UNI | $147.60 | $246.00 | $3.45–$55.69 | 8% below | 40% |
| X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR ANKLE 2 VIEWS BI | $295.20 | $492.00 | $3.45–$328.07 | — | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE 2 VIEWS UNI | $147.60 | $246.00 | $3.45–$55.69 | — | 40% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGER 2+ VIEWS BI | $303.60 | $506.00 | $3.38–$337.40 | — | 40% |
| X-ray of the finger(s), 2 or more views both sides CPT 73140 XR FINGER 2+ VIEWS BI | $303.60 | $506.00 | $3.38–$337.40 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 2+ VIEWS UNI | $151.80 | $253.00 | $3.38–$250.00 | 5% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER 2+ VIEWS UNI | $151.80 | $253.00 | $3.38–$250.00 | 5% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR FINGER 2+ VIEWS BI | $303.60 | $506.00 | $3.38–$337.40 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER 2+ VIEWS UNI | $151.80 | $253.00 | $3.38–$250.00 | — | 40% |
| X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 VIEWS BI | $290.40 | $484.00 | $3.40–$322.73 | — | 40% |
| X-ray of the foot, 2 views both sides CPT 73620 XR FOOT 2 VIEWS BI | $290.40 | $484.00 | $3.40–$322.73 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 VIEWS UNI | $145.20 | $242.00 | $3.40–$161.37 | 11% below | 40% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT 2 VIEWS UNI | $145.20 | $242.00 | $3.40–$161.37 | 11% below | 40% |
| X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT 2 VIEWS BI | $290.40 | $484.00 | $3.40–$322.73 | — | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT 2 VIEWS UNI | $145.20 | $242.00 | $3.40–$161.37 | — | 40% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT COMPLETE 3+ VIEWS BI | $390.00 | $650.00 | $3.88–$250.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT COMPLETE 3+ VIEWS BI | $390.00 | $650.00 | $3.88–$250.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMPLETE 3+ VIEWS UNI | $195.00 | $325.00 | $3.88–$250.00 | 3% below | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT COMPLETE 3+ VIEWS UNI | $195.00 | $325.00 | $3.88–$250.00 | 3% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT COMPLETE 3+ VIEWS BI | $390.00 | $650.00 | $3.88–$250.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT COMPLETE 3+ VIEWS UNI | $195.00 | $325.00 | $3.88–$250.00 | — | 40% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND 3+ VIEWS BI | $403.20 | $672.00 | $3.88–$448.09 | — | 40% |
| X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND 3+ VIEWS BI | $403.20 | $672.00 | $3.88–$448.09 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND 3+ VIEWS UNI | $201.60 | $336.00 | $3.88–$250.00 | at median | 40% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND 3+ VIEWS UNI | $201.60 | $336.00 | $3.88–$250.00 | at median | 40% |
| X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND 3+ VIEWS BI | $403.20 | $672.00 | $3.88–$448.09 | — | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND 3+ VIEWS UNI | $201.60 | $336.00 | $3.88–$250.00 | — | 40% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BI | $417.60 | $696.00 | $3.64–$464.09 | — | 40% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BI | $417.60 | $696.00 | $3.64–$464.09 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1 OR 2 VIEWS UNI | $208.80 | $348.00 | $3.64–$250.00 | at median | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE 1 OR 2 VIEWS UNI | $208.80 | $348.00 | $3.64–$250.00 | at median | 40% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE 1 OR 2 VIEWS BI | $417.60 | $696.00 | $3.64–$464.09 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE 1 OR 2 VIEWS UNI | $208.80 | $348.00 | $3.64–$250.00 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3VWS | $240.00 | $400.00 | $4.83–$266.72 | 5% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3VWS | $240.00 | $400.00 | $4.83–$266.72 | 5% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3VWS | $240.00 | $400.00 | $4.83–$266.72 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $346.80 | $578.00 | $6.74–$250.00 | at median | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $346.80 | $578.00 | $6.74–$250.00 | at median | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL 4+ VIEWS | $346.80 | $578.00 | $6.74–$250.00 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS | $238.20 | $397.00 | $4.41–$264.72 | 2% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS | $238.20 | $397.00 | $4.41–$264.72 | 2% above | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS | $238.20 | $397.00 | $4.41–$264.72 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPL >3VWS | $193.20 | $322.00 | $3.92–$250.00 | 5% below | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMPL >3VWS | $193.20 | $322.00 | $3.92–$250.00 | 5% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMPL >3VWS | $193.20 | $322.00 | $3.92–$250.00 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $249.60 | $416.00 | $4.59–$277.39 | at median | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $249.60 | $416.00 | $4.59–$277.39 | at median | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS | $249.60 | $416.00 | $4.59–$277.39 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $258.00 | $430.00 | $3.46–$286.72 | 31% above | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS | $258.00 | $430.00 | $3.46–$286.72 | 31% above | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS | $258.00 | $430.00 | $3.46–$286.72 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM + COCCYX 2+ VIEWS | $219.00 | $365.00 | $3.86–$250.00 | at median | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM + COCCYX 2+ VIEWS | $219.00 | $365.00 | $3.86–$250.00 | at median | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM + COCCYX 2+ VIEWS | $219.00 | $365.00 | $3.86–$250.00 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ASSA ADRENOCORTICOTR HORM;ACTH | $664.80 | $1,108.00 | $14.55–$88.05 | 167% above | 40% |
| ACTH blood test CPT 82024 ASSA ADRENOCORTICOTR HORM;ACTH | $664.80 | $1,108.00 | $14.55–$88.05 | 167% above | 40% |
| ACTH blood test inpatient CPT 82024 ASSA ADRENOCORTICOTR HORM;ACTH | $664.80 | $1,108.00 | $14.55–$88.05 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 #TRANSFERASE;ALANINE AMINO;ALT | $16.20 | $27.00 | $2.51–$12.08 | 41% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 #TRANSFERASE;ALANINE AMINO;ALT | $16.20 | $27.00 | $2.51–$12.08 | 41% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE;ALANINE AMINO(ALT) | $105.00 | $175.00 | $2.51–$12.08 | 282% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE;ALANINE AMINO(ALT) | $105.00 | $175.00 | $2.51–$12.08 | 282% above | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 #TRANSFERASE;ALANINE AMINO;ALT | $16.20 | $27.00 | $2.51–$12.08 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE;ALANINE AMINO(ALT) | $105.00 | $175.00 | $2.51–$12.08 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 #TRANSFERASE;ASPARTATE AMINO | $19.80 | $33.00 | $2.44–$11.81 | 32% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 #TRANSFERASE;ASPARTATE AMINO | $19.80 | $33.00 | $2.44–$11.81 | 32% below | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE;ASPARTA AMINO(AST) | $105.00 | $175.00 | $2.44–$11.81 | 262% above | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE;ASPARTA AMINO(AST) | $105.00 | $175.00 | $2.44–$11.81 | 262% above | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 #TRANSFERASE;ASPARTATE AMINO | $19.80 | $33.00 | $2.44–$11.81 | — | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE;ASPARTA AMINO(AST) | $105.00 | $175.00 | $2.44–$11.81 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $370.20 | $617.00 | $13.68–$108.60 | 17% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $370.20 | $617.00 | $13.68–$108.60 | 17% above | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $370.20 | $617.00 | $13.68–$108.60 | — | 40% |
| Albumin blood test CPT 82040 #ALBUMIN; SERUM | $19.80 | $33.00 | $2.65–$11.29 | 13% below | 40% |
| Albumin blood test CPT 82040 #ALBUMIN; SERUM | $19.80 | $33.00 | $2.65–$11.29 | 13% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN; SERUM | $87.60 | $146.00 | $2.65–$11.29 | 284% above | 40% |
| Albumin blood test CPT 82040 ALBUMIN; SERUM | $87.60 | $146.00 | $2.65–$11.29 | 284% above | 40% |
| Albumin blood test inpatient CPT 82040 #ALBUMIN; SERUM | $19.80 | $33.00 | $2.65–$11.29 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN; SERUM | $87.60 | $146.00 | $2.65–$11.29 | — | 40% |
| Aldosterone blood test CPT 82088 #ALDOSTERONE | $419.40 | $699.00 | $17.19–$92.91 | 104% above | 40% |
| Aldosterone blood test CPT 82088 #ALDOSTERONE | $419.40 | $699.00 | $17.19–$92.91 | 104% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $654.00 | $1,090.00 | $17.19–$92.91 | 218% above | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $654.00 | $1,090.00 | $17.19–$92.91 | 218% above | 40% |
| Aldosterone blood test inpatient CPT 82088 #ALDOSTERONE | $419.40 | $699.00 | $17.19–$92.91 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $654.00 | $1,090.00 | $17.19–$92.91 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 #PHOSPHATASE ALKALINE | $60.60 | $101.00 | $2.45–$11.81 | 89% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 #PHOSPHATASE ALKALINE | $60.60 | $101.00 | $2.45–$11.81 | 89% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $96.00 | $160.00 | $2.45–$11.81 | 200% above | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $96.00 | $160.00 | $2.45–$11.81 | 200% above | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 #PHOSPHATASE ALKALINE | $60.60 | $101.00 | $2.45–$11.81 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE | $96.00 | $160.00 | $2.45–$11.81 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 #ALLERGN SPEC IGE QNT/SEMIQNEA | $24.00 | $40.00 | $1.32–$11.90 | 25% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 #ALLERGN SPEC IGE QNT/SEMIQNEA | $24.00 | $40.00 | $1.32–$11.90 | 25% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE;EA ALLERGEN | $135.00 | $225.00 | $1.32–$11.90 | 603% above | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IGE;EA ALLERGEN | $135.00 | $225.00 | $1.32–$11.90 | 603% above | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 #ALLERGN SPEC IGE QNT/SEMIQNEA | $24.00 | $40.00 | $1.32–$11.90 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IGE;EA ALLERGEN | $135.00 | $225.00 | $1.32–$11.90 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN; SERUM | $352.80 | $588.00 | $5.29–$38.24 | 246% above | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN; SERUM | $352.80 | $588.00 | $5.29–$38.24 | 246% above | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN; SERUM | $352.80 | $588.00 | $5.29–$38.24 | — | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $244.80 | $408.00 | $7.20–$33.22 | 104% above | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $244.80 | $408.00 | $7.20–$33.22 | 104% above | 40% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $244.80 | $408.00 | $7.20–$33.22 | — | 40% |
| Amylase blood test CPT 82150 AMYLASE | $184.80 | $308.00 | $3.07–$14.77 | 256% above | 40% |
| Amylase blood test CPT 82150 AMYLASE | $184.80 | $308.00 | $3.07–$14.77 | 256% above | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $184.80 | $308.00 | $3.07–$14.77 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 #CYCLIC CITRULL PEPTIDE(CCP)AB | $49.20 | $82.00 | $6.39–$29.53 | 7% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 #CYCLIC CITRULL PEPTIDE(CCP)AB | $49.20 | $82.00 | $6.39–$29.53 | 7% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTID(CCP)AB | $220.20 | $367.00 | $6.39–$29.53 | 318% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLIN PEPTID(CCP)AB | $220.20 | $367.00 | $6.39–$29.53 | 318% above | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 #CYCLIC CITRULL PEPTIDE(CCP)AB | $49.20 | $82.00 | $6.39–$29.53 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLIN PEPTID(CCP)AB | $220.20 | $367.00 | $6.39–$29.53 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 #ANTINUCLEAR ANTIBODIES (ANA) | $196.80 | $328.00 | $5.29–$27.57 | 228% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 #ANTINUCLEAR ANTIBODIES (ANA) | $196.80 | $328.00 | $5.29–$27.57 | 228% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $306.00 | $510.00 | $5.29–$27.57 | 411% above | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $306.00 | $510.00 | $5.29–$27.57 | 411% above | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 #ANTINUCLEAR ANTIBODIES (ANA) | $196.80 | $328.00 | $5.29–$27.57 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $306.00 | $510.00 | $5.29–$27.57 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $359.40 | $599.00 | $16.06–$89.51 | 111% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $359.40 | $599.00 | $16.06–$89.51 | 111% above | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $359.40 | $599.00 | $16.06–$89.51 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 #CULT BACT OTH SRC;AER | $157.20 | $262.00 | $2.65–$19.65 | 68% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 #CULT BACT OTH SRC;AER | $157.20 | $262.00 | $2.65–$19.65 | 68% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BACT OTHSRC EX URN/BLD/ST | $244.80 | $408.00 | $2.65–$19.65 | 162% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BACT OTHSRC EX URN/BLD/ST | $244.80 | $408.00 | $2.65–$19.65 | 162% above | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 #CULT BACT OTH SRC;AER | $157.20 | $262.00 | $2.65–$19.65 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BACT OTHSRC EX URN/BLD/ST | $244.80 | $408.00 | $2.65–$19.65 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $217.80 | $363.00 | $3.47–$19.29 | 178% above | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $217.80 | $363.00 | $3.47–$19.29 | 178% above | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $217.80 | $363.00 | $3.47–$19.29 | — | 40% |
| Bilirubin blood test, total CPT 82247 #BILIRUBIN; TOTAL | $81.00 | $135.00 | $1.91–$11.45 | 134% above | 40% |
| Bilirubin blood test, total CPT 82247 #BILIRUBIN; TOTAL | $81.00 | $135.00 | $1.91–$11.45 | 134% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL | $126.60 | $211.00 | $1.91–$11.45 | 265% above | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN; TOTAL | $126.60 | $211.00 | $1.91–$11.45 | 265% above | 40% |
| Bilirubin blood test, total inpatient CPT 82247 #BILIRUBIN; TOTAL | $81.00 | $135.00 | $1.91–$11.45 | — | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN; TOTAL | $126.60 | $211.00 | $1.91–$11.45 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SUR PATH GROSS+MICROS | $487.20 | $812.00 | $12.80–$277.37 | 88% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV-SUR PATH GROSS+MICROS | $487.20 | $812.00 | $12.80–$277.37 | 88% above | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV-SUR PATH GROSS+MICROS | $487.20 | $812.00 | $12.80–$277.37 | — | 40% |
| Blood culture for bacteria CPT 87040 CULT BACT BLD AER ISOL/PRESUMP | $287.40 | $479.00 | $3.97–$23.53 | 120% above | 40% |
| Blood culture for bacteria CPT 87040 CULT BACT BLD AER ISOL/PRESUMP | $287.40 | $479.00 | $3.97–$23.53 | 120% above | 40% |
| Blood culture for bacteria inpatient CPT 87040 CULT BACT BLD AER ISOL/PRESUMP | $287.40 | $479.00 | $3.97–$23.53 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW VENOUS VP | $43.20 | $72.00 | $0.70–$63.69 | 160% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW VENOUS VP | $43.20 | $72.00 | $0.70–$63.69 | 160% above | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW VENOUS VP | $43.20 | $72.00 | $0.70–$63.69 | — | 40% |
| Blood glucose (sugar) test CPT 82947 #GLUCOSE;QNT BLOOD | $50.40 | $84.00 | $1.94–$8.96 | 89% above | 40% |
| Blood glucose (sugar) test CPT 82947 #GLUCOSE;QNT BLOOD | $50.40 | $84.00 | $1.94–$8.96 | 89% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QNT BLD;NO REAGENT STR | $78.00 | $130.00 | $1.94–$8.96 | 193% above | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE;QNT BLD;NO REAGENT STR | $78.00 | $130.00 | $1.94–$8.96 | 193% above | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 #GLUCOSE;QNT BLOOD | $50.40 | $84.00 | $1.94–$8.96 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE;QNT BLD;NO REAGENT STR | $78.00 | $130.00 | $1.94–$8.96 | — | 40% |
| Blood lead test CPT 83655 #LEAD | $126.60 | $211.00 | $4.85–$27.61 | 78% above | 40% |
| Blood lead test CPT 83655 #LEAD | $126.60 | $211.00 | $4.85–$27.61 | 78% above | 40% |
| Blood lead test CPT 83655 LEAD | $198.60 | $331.00 | $4.85–$27.61 | 179% above | 40% |
| Blood lead test CPT 83655 LEAD | $198.60 | $331.00 | $4.85–$27.61 | 179% above | 40% |
| Blood lead test inpatient CPT 83655 #LEAD | $126.60 | $211.00 | $4.85–$27.61 | — | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $198.60 | $331.00 | $4.85–$27.61 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (HCG);QUAL | $189.00 | $315.00 | $3.55–$23.80 | 159% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (HCG);QUAL | $189.00 | $315.00 | $3.55–$23.80 | 159% above | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN (HCG);QUAL | $189.00 | $315.00 | $3.55–$23.80 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 #BLOOD TYPING; ABO | $13.80 | $23.00 | $1.41–$6.82 | 72% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 #BLOOD TYPING; ABO | $13.80 | $23.00 | $1.41–$6.82 | 72% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO | $71.40 | $119.00 | $1.41–$6.82 | 45% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO | $71.40 | $119.00 | $1.41–$6.82 | 45% above | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 #BLOOD TYPING; ABO | $13.80 | $23.00 | $1.41–$6.82 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING; ABO | $71.40 | $119.00 | $1.41–$6.82 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 #UREA NITROGEN; QUANTITATIVE | $58.80 | $98.00 | $1.87–$9.01 | 149% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 #UREA NITROGEN; QUANTITATIVE | $58.80 | $98.00 | $1.87–$9.01 | 149% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE | $90.60 | $151.00 | $1.87–$9.01 | 283% above | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN QUANTITATIVE | $90.60 | $151.00 | $1.87–$9.01 | 283% above | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 #UREA NITROGEN; QUANTITATIVE | $58.80 | $98.00 | $1.87–$9.01 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN QUANTITATIVE | $90.60 | $151.00 | $1.87–$9.01 | — | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $303.60 | $506.00 | $9.84–$47.45 | 121% above | 40% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $303.60 | $506.00 | $9.84–$47.45 | 121% above | 40% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $303.60 | $506.00 | $9.84–$47.45 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $190.80 | $318.00 | $2.45–$11.81 | 177% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $190.80 | $318.00 | $2.45–$11.81 | 177% above | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $190.80 | $318.00 | $2.45–$11.81 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $228.00 | $380.00 | $17.33–$84.98 | 71% above | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $228.00 | $380.00 | $17.33–$84.98 | 71% above | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE | $228.00 | $380.00 | $17.33–$84.98 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUM AG QNT;CA19-9 | $334.80 | $558.00 | $10.26–$47.45 | 131% above | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUM AG QNT;CA19-9 | $334.80 | $558.00 | $10.26–$47.45 | 131% above | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUM AG QNT;CA19-9 | $334.80 | $558.00 | $10.26–$47.45 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUM AG QNT;CA 125 | $357.60 | $596.00 | $10.26–$47.45 | 119% above | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUM AG QNT;CA 125 | $357.60 | $596.00 | $10.26–$47.45 | 119% above | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUM AG QNT;CA 125 | $357.60 | $596.00 | $10.26–$47.45 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID19 AMP PRB HIGHTECH | $119.40 | $199.00 | $20.52–$116.99 | 13% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID19 AMP PRB HIGHTECH | $119.40 | $199.00 | $20.52–$116.99 | 13% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $124.80 | $208.00 | $20.52–$116.99 | 18% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $124.80 | $208.00 | $20.52–$116.99 | 18% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB VIRACOR | $406.20 | $677.00 | $20.52–$116.99 | 284% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB VIRACOR | $406.20 | $677.00 | $20.52–$116.99 | 284% above | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID19 AMP PRB HIGHTECH | $119.40 | $199.00 | $20.52–$116.99 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $124.80 | $208.00 | $20.52–$116.99 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV-2 COVID-19 AMP PRB VIRACOR | $406.20 | $677.00 | $20.52–$116.99 | — | 40% |
| Calcium blood test, total CPT 82310 #CALCIUM; TOTAL | $24.00 | $40.00 | $2.44–$11.76 | 9% below | 40% |
| Calcium blood test, total CPT 82310 #CALCIUM; TOTAL | $24.00 | $40.00 | $2.44–$11.76 | 9% below | 40% |
| Calcium blood test, total CPT 82310 CALCIUM; TOTAL | $88.80 | $148.00 | $2.44–$11.76 | 236% above | 40% |
| Calcium blood test, total CPT 82310 CALCIUM; TOTAL | $88.80 | $148.00 | $2.44–$11.76 | 236% above | 40% |
| Calcium blood test, total inpatient CPT 82310 #CALCIUM; TOTAL | $24.00 | $40.00 | $2.44–$11.76 | — | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM; TOTAL | $88.80 | $148.00 | $2.44–$11.76 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $390.60 | $651.00 | $5.29–$43.23 | 224% above | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $390.60 | $651.00 | $5.29–$43.23 | 224% above | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN (CEA) | $390.60 | $651.00 | $5.29–$43.23 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY VARICELLA-ZOSTER | $280.80 | $468.00 | $3.97–$29.37 | 188% above | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 ANTIBODY VARICELLA-ZOSTER | $280.80 | $468.00 | $3.97–$29.37 | 188% above | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 ANTIBODY VARICELLA-ZOSTER | $280.80 | $468.00 | $3.97–$29.37 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 #CHLAMYDIA TRACHOMATIS AMP PRB | $130.80 | $218.00 | $16.60–$80.01 | 34% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 #CHLAMYDIA TRACHOMATIS AMP PRB | $130.80 | $218.00 | $16.60–$80.01 | 34% above | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 #CHLAMYDIA TRACHOMATIS AMP PRB | $130.80 | $218.00 | $16.60–$80.01 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $305.40 | $509.00 | $6.02–$30.53 | 191% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $305.40 | $509.00 | $6.02–$30.53 | 191% above | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $305.40 | $509.00 | $6.02–$30.53 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $30.00 | $50.00 | $3.68–$17.72 | 28% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $30.00 | $50.00 | $3.68–$17.72 | 28% below | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $170.40 | $284.00 | $3.68–$17.72 | 312% above | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $170.40 | $284.00 | $3.68–$17.72 | 312% above | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 #CBC+DIFF WBC;CMPLT AUTO | $30.00 | $50.00 | $3.68–$17.72 | — | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC+DIFF WBC; CMPLT AUTO | $170.40 | $284.00 | $3.68–$17.72 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $23.40 | $39.00 | $3.06–$14.75 | 21% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $23.40 | $39.00 | $3.06–$14.75 | 21% below | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $128.40 | $214.00 | $3.06–$14.75 | 335% above | 40% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $128.40 | $214.00 | $3.06–$14.75 | 335% above | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 #CBC AUTM HGB-HCT-RBC-WBC-PLTL | $23.40 | $39.00 | $3.06–$14.75 | — | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTM HGB-HCT-RBC-WBC-PLTLT | $128.40 | $214.00 | $3.06–$14.75 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $339.00 | $565.00 | $5.00–$24.08 | 283% above | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $339.00 | $565.00 | $5.00–$24.08 | 283% above | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $339.00 | $565.00 | $5.00–$24.08 | — | 40% |
| Cortisol blood test, total CPT 82533 #CORTISOL; TOTAL | $67.80 | $113.00 | $6.61–$37.16 | 28% below | 40% |
| Cortisol blood test, total CPT 82533 #CORTISOL; TOTAL | $67.80 | $113.00 | $6.61–$37.16 | 28% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL; TOTAL | $316.20 | $527.00 | $6.61–$37.16 | 235% above | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL; TOTAL | $316.20 | $527.00 | $6.61–$37.16 | 235% above | 40% |
| Cortisol blood test, total inpatient CPT 82533 #CORTISOL; TOTAL | $67.80 | $113.00 | $6.61–$37.16 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL; TOTAL | $316.20 | $527.00 | $6.61–$37.16 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 #CREATINE KINASE(CK) (CPK);TTL | $24.00 | $40.00 | $2.65–$14.84 | 38% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 #CREATINE KINASE(CK) (CPK);TTL | $24.00 | $40.00 | $2.65–$14.84 | 38% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE(CK) (CPK);TOTL | $130.80 | $218.00 | $2.65–$14.84 | 237% above | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE(CK) (CPK);TOTL | $130.80 | $218.00 | $2.65–$14.84 | 237% above | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 #CREATINE KINASE(CK) (CPK);TTL | $24.00 | $40.00 | $2.65–$14.84 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE(CK) (CPK);TOTL | $130.80 | $218.00 | $2.65–$14.84 | — | 40% |
| Creatinine blood test CPT 82565 #CREATININE; BLOOD | $57.60 | $96.00 | $1.32–$11.67 | 100% above | 40% |
| Creatinine blood test CPT 82565 #CREATININE; BLOOD | $57.60 | $96.00 | $1.32–$11.67 | 100% above | 40% |
| Creatinine blood test CPT 82565 CREATININE; BLOOD | $88.80 | $148.00 | $1.32–$11.67 | 208% above | 40% |
| Creatinine blood test CPT 82565 CREATININE; BLOOD | $88.80 | $148.00 | $1.32–$11.67 | 208% above | 40% |
| Creatinine blood test inpatient CPT 82565 #CREATININE; BLOOD | $57.60 | $96.00 | $1.32–$11.67 | — | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD | $88.80 | $148.00 | $1.32–$11.67 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY;CYTOMEGALOVIRUS (CMV) | $263.40 | $439.00 | $5.29–$32.81 | 231% above | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ANTIBODY;CYTOMEGALOVIRUS (CMV) | $263.40 | $439.00 | $5.29–$32.81 | 231% above | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ANTIBODY;CYTOMEGALOVIRUS (CMV) | $263.40 | $439.00 | $5.29–$32.81 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGR PRODUC D-DIMER;QNT | $386.40 | $644.00 | $3.97–$23.21 | 217% above | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGR PRODUC D-DIMER;QNT | $386.40 | $644.00 | $3.97–$23.21 | 217% above | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGR PRODUC D-DIMER;QNT | $386.40 | $644.00 | $3.97–$23.21 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROST-SULF(DHEA-S) | $541.20 | $902.00 | $7.93–$50.68 | 269% above | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROST-SULF(DHEA-S) | $541.20 | $902.00 | $7.93–$50.68 | 269% above | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROST-SULF(DHEA-S) | $541.20 | $902.00 | $7.93–$50.68 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TST PRESUMP CHEM ANAL/DAY | $354.00 | $590.00 | $31.70–$141.68 | 210% above | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TST PRESUMP CHEM ANAL/DAY | $354.00 | $590.00 | $31.70–$141.68 | 210% above | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TST PRESUMP CHEM ANAL/DAY | $354.00 | $590.00 | $31.70–$141.68 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $208.80 | $348.00 | $2.14–$15.98 | 225% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $208.80 | $348.00 | $2.14–$15.98 | 225% above | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $208.80 | $348.00 | $2.14–$15.98 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 #AB;EPSTEIN-BARRVRS VRL CAPSID | $148.80 | $248.00 | $6.50–$41.36 | 83% above | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 #AB;EPSTEIN-BARRVRS VRL CAPSID | $148.80 | $248.00 | $6.50–$41.36 | 83% above | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 #AB;EPSTEIN-BARRVRS VRL CAPSID | $148.80 | $248.00 | $6.50–$41.36 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $490.80 | $818.00 | $11.90–$63.70 | 282% above | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $490.80 | $818.00 | $11.90–$63.70 | 282% above | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $490.80 | $818.00 | $11.90–$63.70 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN;FOL STIM HORM;FSH | $413.40 | $689.00 | $7.93–$42.36 | 223% above | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN;FOL STIM HORM;FSH | $413.40 | $689.00 | $7.93–$42.36 | 223% above | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 GONADOTROPIN;FOL STIM HORM;FSH | $413.40 | $689.00 | $7.93–$42.36 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $358.80 | $598.00 | $9.60–$44.76 | 98% above | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $358.80 | $598.00 | $9.60–$44.76 | 98% above | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $358.80 | $598.00 | $9.60–$44.76 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 #FERRITIN | $41.40 | $69.00 | $5.29–$31.08 | 48% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 #FERRITIN | $41.40 | $69.00 | $5.29–$31.08 | 48% below | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $247.80 | $413.00 | $5.29–$31.08 | 211% above | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $247.80 | $413.00 | $5.29–$31.08 | 211% above | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 #FERRITIN | $41.40 | $69.00 | $5.29–$31.08 | — | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $247.80 | $413.00 | $5.29–$31.08 | — | 40% |
| Fibrinogen blood test CPT 85384 #FIBRINOGEN; ACTIVITY | $31.80 | $53.00 | $3.97–$22.16 | 47% below | 40% |
| Fibrinogen blood test CPT 85384 #FIBRINOGEN; ACTIVITY | $31.80 | $53.00 | $3.97–$22.16 | 47% below | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY | $207.00 | $345.00 | $3.97–$22.16 | 245% above | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN; ACTIVITY | $207.00 | $345.00 | $3.97–$22.16 | 245% above | 40% |
| Fibrinogen blood test inpatient CPT 85384 #FIBRINOGEN; ACTIVITY | $31.80 | $53.00 | $3.97–$22.16 | — | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN; ACTIVITY | $207.00 | $345.00 | $3.97–$22.16 | — | 40% |
| Folate (folic acid) blood test CPT 82746 #FOLIC ACID; SERUM | $55.80 | $93.00 | $6.95–$33.52 | 27% below | 40% |
| Folate (folic acid) blood test CPT 82746 #FOLIC ACID; SERUM | $55.80 | $93.00 | $6.95–$33.52 | 27% below | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $255.00 | $425.00 | $6.95–$33.52 | 233% above | 40% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID; SERUM | $255.00 | $425.00 | $6.95–$33.52 | 233% above | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 #FOLIC ACID; SERUM | $55.80 | $93.00 | $6.95–$33.52 | — | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID; SERUM | $255.00 | $425.00 | $6.95–$33.52 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3; FREE | $517.20 | $862.00 | $8.01–$38.62 | 291% above | 40% |
| Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3; FREE | $517.20 | $862.00 | $8.01–$38.62 | 291% above | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3; FREE | $517.20 | $862.00 | $8.01–$38.62 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE | $304.80 | $508.00 | $2.65–$20.57 | 276% above | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE; FREE | $304.80 | $508.00 | $2.65–$20.57 | 276% above | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE; FREE | $304.80 | $508.00 | $2.65–$20.57 | — | 40% |
| Free testosterone test CPT 84402 #TESTOSTERONE; FREE | $78.00 | $130.00 | $12.04–$58.07 | 7% below | 40% |
| Free testosterone test CPT 84402 #TESTOSTERONE; FREE | $78.00 | $130.00 | $12.04–$58.07 | 7% below | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE; FREE | $403.80 | $673.00 | $12.04–$58.07 | 383% above | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE; FREE | $403.80 | $673.00 | $12.04–$58.07 | 383% above | 40% |
| Free testosterone test inpatient CPT 84402 #TESTOSTERONE; FREE | $78.00 | $130.00 | $12.04–$58.07 | — | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE; FREE | $403.80 | $673.00 | $12.04–$58.07 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 #GLUTAMYLTRANSFERAS GAMMA(GGT) | $21.00 | $35.00 | $2.65–$16.42 | 35% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 #GLUTAMYLTRANSFERAS GAMMA(GGT) | $21.00 | $35.00 | $2.65–$16.42 | 35% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE GAMMA(GGT) | $140.40 | $234.00 | $2.65–$16.42 | 331% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE GAMMA(GGT) | $140.40 | $234.00 | $2.65–$16.42 | 331% above | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 #GLUTAMYLTRANSFERAS GAMMA(GGT) | $21.00 | $35.00 | $2.65–$16.42 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSFERASE GAMMA(GGT) | $140.40 | $234.00 | $2.65–$16.42 | — | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $423.60 | $706.00 | $14.55–$195.16 | 38% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $423.60 | $706.00 | $14.55–$195.16 | 38% above | 40% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $423.60 | $706.00 | $14.55–$195.16 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 #NEISSERIA GONORRHOEAE AMP PRB | $130.80 | $218.00 | $16.60–$80.01 | 34% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 #NEISSERIA GONORRHOEAE AMP PRB | $130.80 | $218.00 | $16.60–$80.01 | 34% above | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 #NEISSERIA GONORRHOEAE AMP PRB | $130.80 | $218.00 | $16.60–$80.01 | — | 40% |
| H. pylori antibody blood test CPT 86677 ANTIBODY; HELICOBACTER PYLORI | $382.20 | $637.00 | $5.29–$38.42 | 296% above | 40% |
| H. pylori antibody blood test CPT 86677 ANTIBODY; HELICOBACTER PYLORI | $382.20 | $637.00 | $5.29–$38.42 | 296% above | 40% |
| H. pylori antibody blood test inpatient CPT 86677 ANTIBODY; HELICOBACTER PYLORI | $382.20 | $637.00 | $5.29–$38.42 | — | 40% |
| H. pylori stool antigen test CPT 87338 EIA HELICOBACTER PYLORI STOOL | $203.40 | $339.00 | $6.49–$32.79 | 55% above | 40% |
| H. pylori stool antigen test CPT 87338 EIA HELICOBACTER PYLORI STOOL | $203.40 | $339.00 | $6.49–$32.79 | 55% above | 40% |
| H. pylori stool antigen test inpatient CPT 87338 EIA HELICOBACTER PYLORI STOOL | $203.40 | $339.00 | $6.49–$32.79 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTIFY | $655.20 | $1,092.00 | $40.25–$194.03 | 85% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTIFY | $655.20 | $1,092.00 | $40.25–$194.03 | 85% above | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTIFY | $655.20 | $1,092.00 | $40.25–$194.03 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 #AB;HIV-1+HIV-2 SINGLE ASSAY | $60.00 | $100.00 | $5.29–$31.26 | at median | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 #AB;HIV-1+HIV-2 SINGLE ASSAY | $60.00 | $100.00 | $5.29–$31.26 | at median | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 ANTIBD;HIV-1+HIV-2 SNGL ASSAY | $223.80 | $373.00 | $5.29–$31.26 | 273% above | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 ANTIBD;HIV-1+HIV-2 SNGL ASSAY | $223.80 | $373.00 | $5.29–$31.26 | 273% above | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 #AB;HIV-1+HIV-2 SINGLE ASSAY | $60.00 | $100.00 | $5.29–$31.26 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 ANTIBD;HIV-1+HIV-2 SNGL ASSAY | $223.80 | $373.00 | $5.29–$31.26 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 #HIV-1 AG W/HIV-1 & HIV-2 AB | $58.20 | $97.00 | $8.62–$54.90 | 2% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 #HIV-1 AG W/HIV-1 & HIV-2 AB | $58.20 | $97.00 | $8.62–$54.90 | 2% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $190.20 | $317.00 | $8.62–$54.90 | 219% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $190.20 | $317.00 | $8.62–$54.90 | 219% above | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 #HIV-1 AG W/HIV-1 & HIV-2 AB | $58.20 | $97.00 | $8.62–$54.90 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $190.20 | $317.00 | $8.62–$54.90 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCATED | $250.80 | $418.00 | $3.97–$22.14 | 284% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN; GLYCATED | $250.80 | $418.00 | $3.97–$22.14 | 284% above | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN; GLYCATED | $250.80 | $418.00 | $3.97–$22.14 | — | 40% |
| Hemoglobin blood test CPT 85018 #HEMOGLOBIN | $41.40 | $69.00 | $1.32–$5.40 | 125% above | 40% |
| Hemoglobin blood test CPT 85018 #HEMOGLOBIN | $41.40 | $69.00 | $1.32–$5.40 | 125% above | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $63.60 | $106.00 | $1.32–$5.40 | 246% above | 40% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $63.60 | $106.00 | $1.32–$5.40 | 246% above | 40% |
| Hemoglobin blood test inpatient CPT 85018 #HEMOGLOBIN | $41.40 | $69.00 | $1.32–$5.40 | — | 40% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $63.60 | $106.00 | $1.32–$5.40 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB(HBCAB);TTL | $223.80 | $373.00 | $5.70–$27.47 | 235% above | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB(HBCAB);TTL | $223.80 | $373.00 | $5.70–$27.47 | 235% above | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB(HBCAB);TTL | $223.80 | $373.00 | $5.70–$27.47 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB (HBSAB) | $217.20 | $362.00 | $5.08–$24.49 | 232% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB (HBSAB) | $217.20 | $362.00 | $5.08–$24.49 | 232% above | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB (HBSAB) | $217.20 | $362.00 | $5.08–$24.49 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 #EIA QL/SMQN MULTI STEP;HEP B | $28.80 | $48.00 | $4.40–$23.55 | 53% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 #EIA QL/SMQN MULTI STEP;HEP B | $28.80 | $48.00 | $4.40–$23.55 | 53% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 EIA QL/SEMIQNT HEPAT B SURF AG | $208.80 | $348.00 | $4.40–$23.55 | 242% above | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 EIA QL/SEMIQNT HEPAT B SURF AG | $208.80 | $348.00 | $4.40–$23.55 | 242% above | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 #EIA QL/SMQN MULTI STEP;HEP B | $28.80 | $48.00 | $4.40–$23.55 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 EIA QL/SEMIQNT HEPAT B SURF AG | $208.80 | $348.00 | $4.40–$23.55 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $316.20 | $527.00 | $5.29–$32.54 | 217% above | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $316.20 | $527.00 | $5.29–$32.54 | 217% above | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $316.20 | $527.00 | $5.29–$32.54 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 #HEPATITIS C VIRUS QUANTIFY | $138.60 | $231.00 | $20.26–$97.68 | 38% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 #HEPATITIS C VIRUS QUANTIFY | $138.60 | $231.00 | $20.26–$97.68 | 38% below | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS QUANTIFY | $907.20 | $1,512.00 | $20.26–$97.68 | 305% above | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS QUANTIFY | $907.20 | $1,512.00 | $20.26–$97.68 | 305% above | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 #HEPATITIS C VIRUS QUANTIFY | $138.60 | $231.00 | $20.26–$97.68 | — | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS QUANTIFY | $907.20 | $1,512.00 | $20.26–$97.68 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 #ANTIBODY;HERPES SIMPLEX TYPE1 | $38.40 | $64.00 | $5.29–$30.07 | 24% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 #ANTIBODY;HERPES SIMPLEX TYPE1 | $38.40 | $64.00 | $5.29–$30.07 | 24% below | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 #ANTIBODY;HERPES SIMPLEX TYPE1 | $38.40 | $64.00 | $5.29–$30.07 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 #ANTIBODY;HERPES SIMPLEX TYPE2 | $72.60 | $121.00 | $9.16–$44.12 | at median | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 #ANTIBODY;HERPES SIMPLEX TYPE2 | $72.60 | $121.00 | $9.16–$44.12 | at median | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 #ANTIBODY;HERPES SIMPLEX TYPE2 | $72.60 | $121.00 | $9.16–$44.12 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROT;HIGH SEN;HSCRP | $217.80 | $363.00 | $6.12–$29.97 | 195% above | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROT;HIGH SEN;HSCRP | $217.80 | $363.00 | $6.12–$29.97 | 195% above | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROT;HIGH SEN;HSCRP | $217.80 | $363.00 | $6.12–$29.97 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $548.40 | $914.00 | $8.33–$40.86 | 322% above | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $548.40 | $914.00 | $8.33–$40.86 | 322% above | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $548.40 | $914.00 | $8.33–$40.86 | — | 40% |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $85.80 | $143.00 | $5.29–$26.06 | 20% above | 40% |
| Insulin blood test CPT 83525 INSULIN; TOTAL | $85.80 | $143.00 | $5.29–$26.06 | 20% above | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN; TOTAL | $85.80 | $143.00 | $5.29–$26.06 | — | 40% |
| Iron blood test (serum iron) CPT 83540 #IRON | $88.20 | $147.00 | $2.65–$14.75 | 84% above | 40% |
| Iron blood test (serum iron) CPT 83540 #IRON | $88.20 | $147.00 | $2.65–$14.75 | 84% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $136.80 | $228.00 | $2.65–$14.75 | 185% above | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $136.80 | $228.00 | $2.65–$14.75 | 185% above | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 #IRON | $88.20 | $147.00 | $2.65–$14.75 | — | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $136.80 | $228.00 | $2.65–$14.75 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 #IRON BINDING CAPACITY | $33.00 | $55.00 | $3.97–$19.93 | 25% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 #IRON BINDING CAPACITY | $33.00 | $55.00 | $3.97–$19.93 | 25% below | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $63.60 | $106.00 | $3.97–$19.93 | 44% above | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $63.60 | $106.00 | $3.97–$19.93 | 44% above | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 #IRON BINDING CAPACITY | $33.00 | $55.00 | $3.97–$19.93 | — | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $63.60 | $106.00 | $3.97–$19.93 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $316.80 | $528.00 | $4.11–$19.79 | 213% above | 40% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $316.80 | $528.00 | $4.11–$19.79 | 213% above | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $316.80 | $528.00 | $4.11–$19.79 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN;LUTEINIZ HORM(LH) | $430.20 | $717.00 | $7.93–$42.23 | 203% above | 40% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN;LUTEINIZ HORM(LH) | $430.20 | $717.00 | $7.93–$42.23 | 203% above | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 GONADOTROPIN;LUTEINIZ HORM(LH) | $430.20 | $717.00 | $7.93–$42.23 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID) | $217.20 | $362.00 | $3.97–$26.38 | 141% above | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID) | $217.20 | $362.00 | $3.97–$26.38 | 141% above | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE (LACTIC ACID) | $217.20 | $362.00 | $3.97–$26.38 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 #LACTATE DEHYDROGENASE;LD/LDH | $65.40 | $109.00 | $2.86–$13.77 | 53% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 #LACTATE DEHYDROGENASE;LD/LDH | $65.40 | $109.00 | $2.86–$13.77 | 53% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE(LD/LDH) | $101.40 | $169.00 | $2.86–$13.77 | 137% above | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE(LD/LDH) | $101.40 | $169.00 | $2.86–$13.77 | 137% above | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 #LACTATE DEHYDROGENASE;LD/LDH | $65.40 | $109.00 | $2.86–$13.77 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE(LD/LDH) | $101.40 | $169.00 | $2.86–$13.77 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $174.60 | $291.00 | $3.26–$15.71 | 97% above | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $174.60 | $291.00 | $3.26–$15.71 | 97% above | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $174.60 | $291.00 | $3.26–$15.71 | — | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $241.20 | $402.00 | $2.99–$18.63 | 155% above | 40% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $241.20 | $402.00 | $2.99–$18.63 | 155% above | 40% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $241.20 | $402.00 | $2.99–$18.63 | — | 40% |
| Lyme disease antibody test CPT 86618 AB BORRELIA BURGDORFE;LYME DIS | $213.60 | $356.00 | $5.29–$38.83 | 74% above | 40% |
| Lyme disease antibody test CPT 86618 AB BORRELIA BURGDORFE;LYME DIS | $213.60 | $356.00 | $5.29–$38.83 | 74% above | 40% |
| Lyme disease antibody test inpatient CPT 86618 AB BORRELIA BURGDORFE;LYME DIS | $213.60 | $356.00 | $5.29–$38.83 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $145.20 | $242.00 | $2.73–$15.28 | 205% above | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $145.20 | $242.00 | $2.73–$15.28 | 205% above | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $145.20 | $242.00 | $2.73–$15.28 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 #ANTIBODY; RUBEOLA | $109.20 | $182.00 | $3.97–$29.37 | 39% above | 40% |
| Measles (rubeola) antibody test CPT 86765 #ANTIBODY; RUBEOLA | $109.20 | $182.00 | $3.97–$29.37 | 39% above | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 #ANTIBODY; RUBEOLA | $109.20 | $182.00 | $3.97–$29.37 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB;SCRNING | $162.60 | $271.00 | $2.45–$11.81 | 109% above | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB;SCRNING | $162.60 | $271.00 | $2.45–$11.81 | 109% above | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB;SCRNING | $162.60 | $271.00 | $2.45–$11.81 | — | 40% |
| Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS | $144.60 | $241.00 | $5.29–$29.75 | 90% above | 40% |
| Mumps immunity blood test CPT 86735 ANTIBODY; MUMPS | $144.60 | $241.00 | $5.29–$29.75 | 90% above | 40% |
| Mumps immunity blood test inpatient CPT 86735 ANTIBODY; MUMPS | $144.60 | $241.00 | $5.29–$29.75 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $69.60 | $116.00 | $8.70–$41.93 | at median | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $69.60 | $116.00 | $8.70–$41.93 | at median | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 #PROSTATE SPECIFIC AG/PSA;FREE | $69.60 | $116.00 | $8.70–$41.93 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $69.60 | $116.00 | $6.61–$41.93 | 13% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $69.60 | $116.00 | $6.61–$41.93 | 13% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $352.80 | $588.00 | $6.61–$41.93 | 343% above | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $352.80 | $588.00 | $6.61–$41.93 | 343% above | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 #PROSTATE SPECIFIC AG(PSA);TTL | $69.60 | $116.00 | $6.61–$41.93 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG(PSA);TTL | $352.80 | $588.00 | $6.61–$41.93 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 #PARATHRMN(PARATHYROID HRMN) | $196.20 | $327.00 | $18.52–$94.12 | 2% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 #PARATHRMN(PARATHYROID HRMN) | $196.20 | $327.00 | $18.52–$94.12 | 2% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE(PARATHYROID HORM) | $305.40 | $509.00 | $18.52–$94.12 | 59% above | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE(PARATHYROID HORM) | $305.40 | $509.00 | $18.52–$94.12 | 59% above | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 #PARATHRMN(PARATHYROID HRMN) | $196.20 | $327.00 | $18.52–$94.12 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE(PARATHYROID HORM) | $305.40 | $509.00 | $18.52–$94.12 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $94.80 | $158.00 | $2.65–$13.70 | 90% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $94.80 | $158.00 | $2.65–$13.70 | 90% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $147.00 | $245.00 | $2.65–$13.70 | 194% above | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $147.00 | $245.00 | $2.65–$13.70 | 194% above | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 #THROMBOPLAST PTT;PLSM/WHL BLD | $94.80 | $158.00 | $2.65–$13.70 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PTT;PLASMA | $147.00 | $245.00 | $2.65–$13.70 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC-PHOSPHATE | $98.40 | $164.00 | $2.24–$10.81 | 243% above | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC-PHOSPHATE | $98.40 | $164.00 | $2.24–$10.81 | 243% above | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC-PHOSPHATE | $98.40 | $164.00 | $2.24–$10.81 | — | 40% |
| Potassium blood test CPT 84132 #POTASSIUM; SERUM | $52.20 | $87.00 | $2.17–$10.85 | 83% above | 40% |
| Potassium blood test CPT 84132 #POTASSIUM; SERUM | $52.20 | $87.00 | $2.17–$10.85 | 83% above | 40% |
| Potassium blood test CPT 84132 POTASSIUM; SERUM | $82.80 | $138.00 | $2.17–$10.85 | 190% above | 40% |
| Potassium blood test CPT 84132 POTASSIUM; SERUM | $82.80 | $138.00 | $2.17–$10.85 | 190% above | 40% |
| Potassium blood test inpatient CPT 84132 #POTASSIUM; SERUM | $52.20 | $87.00 | $2.17–$10.85 | — | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM; SERUM | $82.80 | $138.00 | $2.17–$10.85 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $444.60 | $741.00 | $5.29–$47.56 | 223% above | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $444.60 | $741.00 | $5.29–$47.56 | 223% above | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $444.60 | $741.00 | $5.29–$47.56 | — | 40% |
| Prolactin blood test CPT 84146 #PROLACTIN | $41.40 | $69.00 | $9.17–$44.19 | 59% below | 40% |
| Prolactin blood test CPT 84146 #PROLACTIN | $41.40 | $69.00 | $9.17–$44.19 | 59% below | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $407.40 | $679.00 | $9.17–$44.19 | 305% above | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $407.40 | $679.00 | $9.17–$44.19 | 305% above | 40% |
| Prolactin blood test inpatient CPT 84146 #PROLACTIN | $41.40 | $69.00 | $9.17–$44.19 | — | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $407.40 | $679.00 | $9.17–$44.19 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME | $71.40 | $119.00 | $1.32–$9.78 | 169% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 #PROTHROMBIN TIME | $71.40 | $119.00 | $1.32–$9.78 | 169% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $111.60 | $186.00 | $1.32–$9.78 | 321% above | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $111.60 | $186.00 | $1.32–$9.78 | 321% above | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 #PROTHROMBIN TIME | $71.40 | $119.00 | $1.32–$9.78 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $111.60 | $186.00 | $1.32–$9.78 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 #INFCTAGNT IMMUNOAS DIR;INFLZ | $57.60 | $96.00 | $15.83–$37.73 | 10% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 #INFCTAGNT IMMUNOAS DIR;INFLZ | $57.60 | $96.00 | $15.83–$37.73 | 10% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFECTAGNT IMMUN DIR OBS;INFLZ | $88.80 | $148.00 | $15.83–$37.73 | 69% above | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFECTAGNT IMMUN DIR OBS;INFLZ | $88.80 | $148.00 | $15.83–$37.73 | 69% above | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 #INFCTAGNT IMMUNOAS DIR;INFLZ | $57.60 | $96.00 | $15.83–$37.73 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFECTAGNT IMMUN DIR OBS;INFLZ | $88.80 | $148.00 | $15.83–$37.73 | — | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFECTAGNT IMMUN DIROBS;STREPO | $120.00 | $200.00 | $15.83–$37.69 | 54% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 INFECTAGNT IMMUN DIROBS;STREPO | $120.00 | $200.00 | $15.83–$37.69 | 54% above | 40% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 INFECTAGNT IMMUN DIROBS;STREPO | $120.00 | $200.00 | $15.83–$37.69 | — | 40% |
| Renin blood test CPT 84244 #RENIN | $82.80 | $138.00 | $8.21–$50.14 | 25% below | 40% |
| Renin blood test CPT 84244 #RENIN | $82.80 | $138.00 | $8.21–$50.14 | 25% below | 40% |
| Renin blood test CPT 84244 RENIN | $468.00 | $780.00 | $8.21–$50.14 | 322% above | 40% |
| Renin blood test CPT 84244 RENIN | $468.00 | $780.00 | $8.21–$50.14 | 322% above | 40% |
| Renin blood test inpatient CPT 84244 #RENIN | $82.80 | $138.00 | $8.21–$50.14 | — | 40% |
| Renin blood test inpatient CPT 84244 RENIN | $468.00 | $780.00 | $8.21–$50.14 | — | 40% |
| Rh blood typing CPT 86901 #BLOOD TYPING; RH (D) | $13.80 | $23.00 | $1.48–$7.93 | 64% below | 40% |
| Rh blood typing CPT 86901 #BLOOD TYPING; RH (D) | $13.80 | $23.00 | $1.48–$7.93 | 64% below | 40% |
| Rh blood typing CPT 86901 BLOOD TYPING; RH (D) | $75.60 | $126.00 | $1.48–$7.93 | 96% above | 40% |
| Rh blood typing CPT 86901 BLOOD TYPING; RH (D) | $75.60 | $126.00 | $1.48–$7.93 | 96% above | 40% |
| Rh blood typing inpatient CPT 86901 #BLOOD TYPING; RH (D) | $13.80 | $23.00 | $1.48–$7.93 | — | 40% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING; RH (D) | $75.60 | $126.00 | $1.48–$7.93 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 #RHEUMATOID FACTOR;QUANT | $128.40 | $214.00 | $2.68–$12.93 | 163% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 #RHEUMATOID FACTOR;QUANT | $128.40 | $214.00 | $2.68–$12.93 | 163% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR;QUANTITATIVE | $199.20 | $332.00 | $2.68–$12.93 | 309% above | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR;QUANTITATIVE | $199.20 | $332.00 | $2.68–$12.93 | 309% above | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 #RHEUMATOID FACTOR;QUANT | $128.40 | $214.00 | $2.68–$12.93 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR;QUANTITATIVE | $199.20 | $332.00 | $2.68–$12.93 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY; RUBELLA | $214.20 | $357.00 | $5.29–$32.81 | 222% above | 40% |
| Rubella antibody test (immunity check) CPT 86762 ANTIBODY; RUBELLA | $214.20 | $357.00 | $5.29–$32.81 | 222% above | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 ANTIBODY; RUBELLA | $214.20 | $357.00 | $5.29–$32.81 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENT RATE ERYTHROCYTE;AUTM | $128.40 | $214.00 | $2.00–$6.16 | 229% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENT RATE ERYTHROCYTE;AUTM | $128.40 | $214.00 | $2.00–$6.16 | 229% above | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENT RATE ERYTHROCYTE;AUTM | $128.40 | $214.00 | $2.00–$6.16 | — | 40% |
| Sodium blood test CPT 84295 #SODIUM; SERUM | $58.80 | $98.00 | $2.28–$10.97 | 61% above | 40% |
| Sodium blood test CPT 84295 #SODIUM; SERUM | $58.80 | $98.00 | $2.28–$10.97 | 61% above | 40% |
| Sodium blood test CPT 84295 SODIUM; SERUM | $90.60 | $151.00 | $2.28–$10.97 | 148% above | 40% |
| Sodium blood test CPT 84295 SODIUM; SERUM | $90.60 | $151.00 | $2.28–$10.97 | 148% above | 40% |
| Sodium blood test inpatient CPT 84295 #SODIUM; SERUM | $58.80 | $98.00 | $2.28–$10.97 | — | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM; SERUM | $90.60 | $151.00 | $2.28–$10.97 | — | 40% |
| Stool ova and parasites exam CPT 87177 #OVA+PARASITES DIR SMEARS | $33.60 | $56.00 | $3.97–$20.29 | 31% below | 40% |
| Stool ova and parasites exam CPT 87177 #OVA+PARASITES DIR SMEARS | $33.60 | $56.00 | $3.97–$20.29 | 31% below | 40% |
| Stool ova and parasites exam inpatient CPT 87177 #OVA+PARASITES DIR SMEARS | $33.60 | $56.00 | $3.97–$20.29 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FEC SCR COLOREC NEO | $81.00 | $135.00 | $1.32–$9.99 | 125% above | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLD OCCULT FEC SCR COLOREC NEO | $81.00 | $135.00 | $1.32–$9.99 | 125% above | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 BLD OCCULT FEC SCR COLOREC NEO | $81.00 | $135.00 | $1.32–$9.99 | — | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT FECES DX BY FE | $106.20 | $177.00 | $7.86–$36.30 | 105% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD OCCULT FECES DX BY FE | $106.20 | $177.00 | $7.86–$36.30 | 105% above | 40% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD OCCULT FECES DX BY FE | $106.20 | $177.00 | $7.86–$36.30 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY; TREPONEMA PALLIDUM | $87.60 | $146.00 | $2.49–$30.19 | 30% above | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 ANTIBODY; TREPONEMA PALLIDUM | $87.60 | $146.00 | $2.49–$30.19 | 30% above | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 ANTIBODY; TREPONEMA PALLIDUM | $87.60 | $146.00 | $2.49–$30.19 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUALITATIVE | $114.60 | $191.00 | $1.32–$9.74 | 181% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST QUALITATIVE | $114.60 | $191.00 | $1.32–$9.74 | 181% above | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST QUALITATIVE | $114.60 | $191.00 | $1.32–$9.74 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST;GAMMA INTERFERON | $332.40 | $554.00 | $30.61–$141.31 | 125% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST;GAMMA INTERFERON | $332.40 | $554.00 | $30.61–$141.31 | 125% above | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST;GAMMA INTERFERON | $332.40 | $554.00 | $30.61–$141.31 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 #TESTOSTERONE; TOTAL | $96.00 | $160.00 | $9.64–$58.85 | 19% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 #TESTOSTERONE; TOTAL | $96.00 | $160.00 | $9.64–$58.85 | 19% below | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL | $410.40 | $684.00 | $9.64–$58.85 | 245% above | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE; TOTAL | $410.40 | $684.00 | $9.64–$58.85 | 245% above | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 #TESTOSTERONE; TOTAL | $96.00 | $160.00 | $9.64–$58.85 | — | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE; TOTAL | $410.40 | $684.00 | $9.64–$58.85 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EACH | $214.20 | $357.00 | $6.61–$33.17 | 131% above | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES EACH | $214.20 | $357.00 | $6.61–$33.17 | 131% above | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODIES EACH | $214.20 | $357.00 | $6.61–$33.17 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) | $301.20 | $502.00 | $5.29–$38.30 | 269% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULAT HORMONE(TSH) | $301.20 | $502.00 | $5.29–$38.30 | 269% above | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULAT HORMONE(TSH) | $301.20 | $502.00 | $5.29–$38.30 | — | 40% |
| Total IgE blood test CPT 82785 #GAMMAGLOBULIN; IGE | $62.40 | $104.00 | $6.61–$37.53 | 17% below | 40% |
| Total IgE blood test CPT 82785 #GAMMAGLOBULIN; IGE | $62.40 | $104.00 | $6.61–$37.53 | 17% below | 40% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN; IGE | $247.80 | $413.00 | $6.61–$37.53 | 230% above | 40% |
| Total IgE blood test CPT 82785 GAMMAGLOBULIN; IGE | $247.80 | $413.00 | $6.61–$37.53 | 230% above | 40% |
| Total IgE blood test inpatient CPT 82785 #GAMMAGLOBULIN; IGE | $62.40 | $104.00 | $6.61–$37.53 | — | 40% |
| Total IgE blood test inpatient CPT 82785 GAMMAGLOBULIN; IGE | $247.80 | $413.00 | $6.61–$37.53 | — | 40% |
| Total cholesterol blood test CPT 82465 #CHOLESTEROL SERUM/WHL BLD TTL | $21.60 | $36.00 | $1.32–$9.92 | 29% below | 40% |
| Total cholesterol blood test CPT 82465 #CHOLESTEROL SERUM/WHL BLD TTL | $21.60 | $36.00 | $1.32–$9.92 | 29% below | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM/WHL BLD TTL | $98.40 | $164.00 | $1.32–$9.92 | 221% above | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM/WHL BLD TTL | $98.40 | $164.00 | $1.32–$9.92 | 221% above | 40% |
| Total cholesterol blood test inpatient CPT 82465 #CHOLESTEROL SERUM/WHL BLD TTL | $21.60 | $36.00 | $1.32–$9.92 | — | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL SERUM/WHL BLD TTL | $98.40 | $164.00 | $1.32–$9.92 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 #THYROXINE; TOTAL | $38.40 | $64.00 | $2.65–$15.66 | 19% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 #THYROXINE; TOTAL | $38.40 | $64.00 | $2.65–$15.66 | 19% below | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE; TOTAL | $172.20 | $287.00 | $2.65–$15.66 | 263% above | 40% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE; TOTAL | $172.20 | $287.00 | $2.65–$15.66 | 263% above | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 #THYROXINE; TOTAL | $38.40 | $64.00 | $2.65–$15.66 | — | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE; TOTAL | $172.20 | $287.00 | $2.65–$15.66 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3;TTL(TT-3) | $363.60 | $606.00 | $5.29–$32.33 | 200% above | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3;TTL(TT-3) | $363.60 | $606.00 | $5.29–$32.33 | 200% above | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE T3;TTL(TT-3) | $363.60 | $606.00 | $5.29–$32.33 | — | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $246.00 | $410.00 | $5.29–$29.09 | 190% above | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $246.00 | $410.00 | $5.29–$29.09 | 190% above | 40% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $246.00 | $410.00 | $5.29–$29.09 | — | 40% |
| Triglycerides blood test CPT 84478 #TRIGLYCERIDES | $73.20 | $122.00 | $2.65–$13.09 | 105% above | 40% |
| Triglycerides blood test CPT 84478 #TRIGLYCERIDES | $73.20 | $122.00 | $2.65–$13.09 | 105% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $114.60 | $191.00 | $2.65–$13.09 | 221% above | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $114.60 | $191.00 | $2.65–$13.09 | 221% above | 40% |
| Triglycerides blood test inpatient CPT 84478 #TRIGLYCERIDES | $73.20 | $122.00 | $2.65–$13.09 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $114.60 | $191.00 | $2.65–$13.09 | — | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE | $375.00 | $625.00 | $4.66–$28.43 | 209% above | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN QUANTITATIVE | $375.00 | $625.00 | $4.66–$28.43 | 209% above | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUANTITATIVE | $375.00 | $625.00 | $4.66–$28.43 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID; BLOOD | $100.80 | $168.00 | $2.14–$10.31 | 110% above | 40% |
| Uric acid blood test CPT 84550 URIC ACID; BLOOD | $100.80 | $168.00 | $2.14–$10.31 | 110% above | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD | $100.80 | $168.00 | $2.14–$10.31 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR | $135.00 | $225.00 | $2.35–$7.23 | 221% above | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINALS DIPSTICK AUTO W/MICR | $135.00 | $225.00 | $2.35–$7.23 | 221% above | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALS DIPSTICK AUTO W/MICR | $135.00 | $225.00 | $2.35–$7.23 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $101.40 | $169.00 | $1.32–$5.13 | 314% above | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $101.40 | $169.00 | $1.32–$5.13 | 314% above | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALS DIPSTICK AUTO WO/MICR | $101.40 | $169.00 | $1.32–$5.13 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 #CULT BACT QNT COLONY CNT URIN | $21.60 | $36.00 | $2.65–$18.40 | 51% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 #CULT BACT QNT COLONY CNT URIN | $21.60 | $36.00 | $2.65–$18.40 | 51% below | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT BACT QNT COLONY CNT URINE | $223.80 | $373.00 | $2.65–$18.40 | 412% above | 40% |
| Urine culture for bacteria, with colony count CPT 87086 CULT BACT QNT COLONY CNT URINE | $223.80 | $373.00 | $2.65–$18.40 | 412% above | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 #CULT BACT QNT COLONY CNT URIN | $21.60 | $36.00 | $2.65–$18.40 | — | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULT BACT QNT COLONY CNT URINE | $223.80 | $373.00 | $2.65–$18.40 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 #ALBUMIN;URIN MICROALBUMIN QNT | $28.20 | $47.00 | $2.65–$13.18 | 19% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 #ALBUMIN;URIN MICROALBUMIN QNT | $28.20 | $47.00 | $2.65–$13.18 | 19% below | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN;URINE MICROALB QUANT | $226.20 | $377.00 | $2.65–$13.18 | 553% above | 40% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN;URINE MICROALB QUANT | $226.20 | $377.00 | $2.65–$13.18 | 553% above | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 #ALBUMIN;URIN MICROALBUMIN QNT | $28.20 | $47.00 | $2.65–$13.18 | — | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN;URINE MICROALB QUANT | $226.20 | $377.00 | $2.65–$13.18 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $159.60 | $266.00 | $1.32–$19.63 | 196% above | 40% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $159.60 | $266.00 | $1.32–$19.63 | 196% above | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $159.60 | $266.00 | $1.32–$19.63 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 #CYANOCOBALAMIN (VITAMIN B-12) | $57.60 | $96.00 | $7.13–$34.38 | 22% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 #CYANOCOBALAMIN (VITAMIN B-12) | $57.60 | $96.00 | $7.13–$34.38 | 22% below | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) | $252.00 | $420.00 | $7.13–$34.38 | 242% above | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) | $252.00 | $420.00 | $7.13–$34.38 | 242% above | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 #CYANOCOBALAMIN (VITAMIN B-12) | $57.60 | $96.00 | $7.13–$34.38 | — | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) | $252.00 | $420.00 | $7.13–$34.38 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 #CALCIFEDIOL(25-OH VITAMIN D-3) | $53.40 | $89.00 | $14.00–$67.49 | 60% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 #CALCIFEDIOL(25-OH VITAMIN D-3) | $53.40 | $89.00 | $14.00–$67.49 | 60% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL(25-OH VITAMIN D-3) | $408.00 | $680.00 | $14.00–$67.49 | 203% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL(25-OH VITAMIN D-3) | $408.00 | $680.00 | $14.00–$67.49 | 203% above | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 #CALCIFEDIOL(25-OH VITAMIN D-3) | $53.40 | $89.00 | $14.00–$67.49 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL(25-OH VITAMIN D-3) | $408.00 | $680.00 | $14.00–$67.49 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 #DIHYDROXYVITAMIN D 1 25- | $69.60 | $116.00 | $15.87–$87.78 | 61% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 #DIHYDROXYVITAMIN D 1 25- | $69.60 | $116.00 | $15.87–$87.78 | 61% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D 1 25- | $599.40 | $999.00 | $15.87–$87.78 | 236% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D 1 25- | $599.40 | $999.00 | $15.87–$87.78 | 236% above | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 #DIHYDROXYVITAMIN D 1 25- | $69.60 | $116.00 | $15.87–$87.78 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXYVITAMIN D 1 25- | $599.40 | $999.00 | $15.87–$87.78 | — | 40% |
| Zinc blood test CPT 84630 ZINC | $244.80 | $408.00 | $5.29–$25.97 | 196% above | 40% |
| Zinc blood test CPT 84630 ZINC | $244.80 | $408.00 | $5.29–$25.97 | 196% above | 40% |
| Zinc blood test inpatient CPT 84630 ZINC | $244.80 | $408.00 | $5.29–$25.97 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN (HCG);QUANT | $315.60 | $526.00 | $7.01–$34.31 | 296% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN (HCG);QUANT | $315.60 | $526.00 | $7.01–$34.31 | 296% above | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPIN (HCG);QUANT | $315.60 | $526.00 | $7.01–$34.31 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Cardiac catheterization with coronary angiogram CPT 93458 LHC/LV/COR/IMAGING | $18,138.60 | $30,231.00 | $220.47–$2,340.29 | 84% above | 40% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC/LV/COR/IMAGING | $18,138.60 | $30,231.00 | $220.47–$2,340.29 | 84% above | 40% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC/LV/COR/IMAGING | $18,138.60 | $30,231.00 | $220.47–$2,340.29 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE;EXTERNL | $2,382.00 | $3,970.00 | $37.86–$270.41 | 70% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE;EXTERNL | $2,382.00 | $3,970.00 | $37.86–$270.41 | 70% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $CARDIOVERSION ELECTIVE;EXTRNL | $2,553.60 | $4,256.00 | $37.86–$270.41 | 82% above | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 $CARDIOVERSION ELECTIVE;EXTRNL | $2,553.60 | $4,256.00 | $37.86–$270.41 | 82% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE;EXTERNL | $2,382.00 | $3,970.00 | $37.86–$270.41 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 $CARDIOVERSION ELECTIVE;EXTRNL | $2,553.60 | $4,256.00 | $37.86–$270.41 | — | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 EP STUDY W/AFIB ABLATION | $62,587.20 | $104,312.00 | $328.78–$2,348.42 | 125% above | 40% |
| Catheter ablation for atrial fibrillation CPT 93656 EP STUDY W/AFIB ABLATION | $62,587.20 | $104,312.00 | $328.78–$2,348.42 | 125% above | 40% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 EP STUDY W/AFIB ABLATION | $62,587.20 | $104,312.00 | $328.78–$2,348.42 | — | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT LM | $16,439.40 | $27,399.00 | $198.81–$15,990.66 | 5% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT LM | $16,439.40 | $27,399.00 | $198.81–$15,990.66 | 5% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT LC | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT RI | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT RI | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT RC | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT RC | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT LC | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT LD | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery CPT 92928 STENT BM COR VESSEL INT LD | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | 9% above | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT BM COR VESSEL INT LM | $16,439.40 | $27,399.00 | $198.81–$15,990.66 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT BM COR VESSEL INT LC | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT BM COR VESSEL INT RC | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT BM COR VESSEL INT LD | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | — | 40% |
| Coronary stent placement, one artery inpatient CPT 92928 STENT BM COR VESSEL INT RI | $17,118.00 | $28,530.00 | $198.81–$15,990.66 | — | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $4,519.20 | $7,532.00 | $27.51–$6,693.20 | 66% above | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $4,519.20 | $7,532.00 | $27.51–$6,693.20 | 66% above | 40% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY | $4,519.20 | $7,532.00 | $27.51–$6,693.20 | — | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS SIMPLE | $843.60 | $1,406.00 | $15.62–$1,285.51 | 83% above | 40% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABCESS SIMPLE | $843.60 | $1,406.00 | $15.62–$1,285.51 | 83% above | 40% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABCESS SIMPLE | $843.60 | $1,406.00 | $15.62–$1,285.51 | — | 40% |
| Left heart catheterization, diagnostic CPT 93452 LHC/LV/IMAGING | $14,930.40 | $24,884.00 | $179.38–$15,269.00 | 92% above | 40% |
| Left heart catheterization, diagnostic CPT 93452 LHC/LV/IMAGING | $14,930.40 | $24,884.00 | $179.38–$15,269.00 | 92% above | 40% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LHC/LV/IMAGING | $14,930.40 | $24,884.00 | $179.38–$15,269.00 | — | 40% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT/REPLACE PPM A&V LEADS | $14,158.20 | $23,597.00 | $137.37–$11,817.00 | 17% above | 40% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT/REPLACE PPM A&V LEADS | $14,158.20 | $23,597.00 | $137.37–$11,817.00 | 17% above | 40% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSERT/REPLACE PPM A&V LEADS | $14,158.20 | $23,597.00 | $137.37–$11,817.00 | — | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS WITH IMAGING | $1,346.40 | $2,244.00 | $30.94–$1,905.42 | 3% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS WITH IMAGING | $1,346.40 | $2,244.00 | $30.94–$1,905.42 | 3% below | 40% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS+IM ULS | $2,205.60 | $3,676.00 | $30.94–$3,227.00 | 59% above | 40% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS+IM ULS | $2,205.60 | $3,676.00 | $30.94–$3,227.00 | 59% above | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS WITH IMAGING | $1,346.40 | $2,244.00 | $30.94–$1,905.42 | — | 40% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS+IM ULS | $2,205.60 | $3,676.00 | $30.94–$3,227.00 | — | 40% |
| Short arm splint (forearm and hand) CPT 29125 OT APP SHORT ARM SPLINT;STATIC | $181.80 | $303.00 | $10.55–$300.86 | at median | 40% |
| Short arm splint (forearm and hand) CPT 29125 OT APP SHORT ARM SPLINT;STATIC | $181.80 | $303.00 | $10.55–$300.86 | at median | 40% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT APP SHORT ARM SPLINT;STATIC | $181.80 | $303.00 | $10.55–$300.86 | — | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LES | $456.60 | $761.00 | $10.38–$654.69 | 1% above | 40% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LES | $456.60 | $761.00 | $10.38–$654.69 | 1% above | 40% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LES | $456.60 | $761.00 | $10.38–$654.69 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMB PUNCTURE DX(OTH THN FLUORO/CT) | $1,087.80 | $1,813.00 | $16.41–$1,728.79 | 6% above | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMB PUNCTURE DX(OTH THN FLUORO/CT) | $1,087.80 | $1,813.00 | $16.41–$1,728.79 | 6% above | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMB PUNCTURE DX(OTH THN FLUORO/CT) | $1,087.80 | $1,813.00 | $16.41–$1,728.79 | — | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $456.60 | $761.00 | $8.27–$654.69 | 12% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $456.60 | $761.00 | $8.27–$654.69 | 12% above | 40% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $456.60 | $761.00 | $8.27–$654.69 | — | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NDL OR CATH+ IM | $1,674.00 | $2,790.00 | $32.53–$2,630.00 | 53% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NDL OR CATH+ IM | $1,674.00 | $2,790.00 | $32.53–$2,630.00 | 53% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NDL OR CATH+ ULS | $1,980.00 | $3,300.00 | $32.53–$3,227.00 | 81% above | 40% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS NDL OR CATH+ ULS | $1,980.00 | $3,300.00 | $32.53–$3,227.00 | 81% above | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NDL OR CATH+ IM | $1,674.00 | $2,790.00 | $32.53–$2,630.00 | — | 40% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS NDL OR CATH+ ULS | $1,980.00 | $3,300.00 | $32.53–$3,227.00 | — | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SKN SQ TISSUE <=20 SQ CM | $2,681.40 | $4,469.00 | $8.48–$3,713.00 | 245% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SKN SQ TISSUE <=20 SQ CM | $2,681.40 | $4,469.00 | $8.48–$3,713.00 | 245% above | 40% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SKN SQ TISSUE <=20 SQ CM | $2,681.40 | $4,469.00 | $8.48–$3,713.00 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $1,739.40 | $2,899.00 | $9.58–$2,630.00 | 93% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $1,739.40 | $2,899.00 | $9.58–$2,630.00 | 93% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE | $1,739.40 | $2,899.00 | $9.58–$2,630.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INH-INITIAL TX | $112.80 | $188.00 | $2.38–$25.05 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHAL RX PRS/NONPR AIRWAY OBST | $112.80 | $188.00 | $2.38–$25.05 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO/ACUPAP/SPUT/MDI/NEB/EZ/NPI | $112.80 | $188.00 | $2.38–$25.05 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AERO/ACUPAP/SPUT/MDI/NEB/EZ/NPI | $112.80 | $188.00 | $2.38–$25.05 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHAL RX PRS/NONPR AIRWAY OBST | $112.80 | $188.00 | $2.38–$25.05 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INH-INITIAL TX | $112.80 | $188.00 | $2.38–$25.05 | at median | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHAL RX PRS/NONPR AIRWAY OBST | $112.80 | $188.00 | $2.38–$25.05 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AERO/ACUPAP/SPUT/MDI/NEB/EZ/NPI | $112.80 | $188.00 | $2.38–$25.05 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INH-INITIAL TX | $112.80 | $188.00 | $2.38–$25.05 | — | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE FIRST HOUR | $3,762.00 | $6,270.00 | $38.08–$330.48 | 77% above | 40% |
| Critical care, first 30 to 74 minutes CPT 99291 ED CRITICAL CARE FIRST HOUR | $3,762.00 | $6,270.00 | $38.08–$330.48 | 77% above | 40% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ED CRITICAL CARE FIRST HOUR | $3,762.00 | $6,270.00 | $38.08–$330.48 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $838.20 | $1,397.00 | $40.96–$347.16 | 22% above | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE & DROWSY | $838.20 | $1,397.00 | $40.96–$347.16 | 22% above | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE & DROWSY | $838.20 | $1,397.00 | $40.96–$347.16 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE>=12LEADS TRACING | $301.20 | $502.00 | $2.76–$19.71 | 49% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG ROUTINE>=12LEADS TRACING | $301.20 | $502.00 | $2.76–$19.71 | 49% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG ROUTINE>=12LEADS TRACING | $301.20 | $502.00 | $2.76–$19.71 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 | $345.60 | $576.00 | $3.65–$33.30 | 59% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 W/ PROCEDURE | $345.60 | $576.00 | $3.65–$33.30 | 59% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 W/ PROCEDURE | $345.60 | $576.00 | $3.65–$33.30 | 59% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1 | $345.60 | $576.00 | $3.65–$33.30 | 59% above | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1 | $345.60 | $576.00 | $3.65–$33.30 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1 W/ PROCEDURE | $345.60 | $576.00 | $3.65–$33.30 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 | $525.00 | $875.00 | $6.88–$60.50 | 25% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 | $525.00 | $875.00 | $6.88–$60.50 | 25% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 W/ PROCEDURE | $525.00 | $875.00 | $6.88–$60.50 | 25% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2 W/ PROCEDURE | $525.00 | $875.00 | $6.88–$60.50 | 25% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2 | $525.00 | $875.00 | $6.88–$60.50 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2 W/ PROCEDURE | $525.00 | $875.00 | $6.88–$60.50 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 W/ PROCEDURE | $1,047.00 | $1,745.00 | $11.03–$102.81 | 35% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 | $1,047.00 | $1,745.00 | $11.03–$102.81 | 35% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 | $1,047.00 | $1,745.00 | $11.03–$102.81 | 35% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3 W/ PROCEDURE | $1,047.00 | $1,745.00 | $11.03–$102.81 | 35% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3 W/ PROCEDURE | $1,047.00 | $1,745.00 | $11.03–$102.81 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3 | $1,047.00 | $1,745.00 | $11.03–$102.81 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 W/ PROCEDURE | $2,448.00 | $4,080.00 | $20.44–$174.23 | 107% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 W/ PROCEDURE | $2,448.00 | $4,080.00 | $20.44–$174.23 | 107% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 | $2,448.00 | $4,080.00 | $20.44–$174.23 | 107% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4 | $2,448.00 | $4,080.00 | $20.44–$174.23 | 107% above | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4 W/ PROCEDURE | $2,448.00 | $4,080.00 | $20.44–$174.23 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4 | $2,448.00 | $4,080.00 | $20.44–$174.23 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 | $2,997.60 | $4,996.00 | $30.50–$252.81 | 71% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 W/ PROCEDURE | $2,997.60 | $4,996.00 | $30.50–$252.81 | 71% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 | $2,997.60 | $4,996.00 | $30.50–$252.81 | 71% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5 W/ PROCEDURE | $2,997.60 | $4,996.00 | $30.50–$252.81 | 71% above | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5 | $2,997.60 | $4,996.00 | $30.50–$252.81 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5 W/ PROCEDURE | $2,997.60 | $4,996.00 | $30.50–$252.81 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACE ONLY NO I&R | $999.00 | $1,665.00 | $17.55–$125.35 | 31% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACE ONLY NO I&R | $999.00 | $1,665.00 | $17.55–$125.35 | 31% above | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACE ONLY NO I&R | $999.00 | $1,665.00 | $17.55–$125.35 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HR | $500.40 | $834.00 | $11.75–$83.90 | 36% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HR | $500.40 | $834.00 | $11.75–$83.90 | 36% above | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HR | $500.40 | $834.00 | $11.75–$83.90 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION MED ADMIN 1ST HR | $642.60 | $1,071.00 | $14.34–$102.45 | 59% above | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION MED ADMIN 1ST HR | $642.60 | $1,071.00 | $14.34–$102.45 | 59% above | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION MED ADMIN 1ST HR | $642.60 | $1,071.00 | $14.34–$102.45 | — | 40% |
| IV push of a medicine, first drug CPT 96374 INJECT MED IV PUSH INITL SUBST | $306.60 | $511.00 | $11.27–$80.53 | 45% above | 40% |
| IV push of a medicine, first drug CPT 96374 INJECT MED IV PUSH INITL SUBST | $306.60 | $511.00 | $11.27–$80.53 | 45% above | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECT MED IV PUSH INITL SUBST | $306.60 | $511.00 | $11.27–$80.53 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT MED SUBQ/IM ONLY | $157.20 | $262.00 | $4.12–$29.44 | 49% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT MED SUBQ/IM ONLY | $157.20 | $262.00 | $4.12–$29.44 | 49% above | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECT MED SUBQ/IM ONLY | $157.20 | $262.00 | $4.12–$29.44 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 SS ED PSYCH DIAGNOSTIC EVAL | $560.40 | $934.00 | $115.91–$203.36 | 123% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 SS ED PSYCH DIAGNOSTIC EVAL | $560.40 | $934.00 | $115.91–$203.36 | 123% above | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 SS ED PSYCH DIAGNOSTIC EVAL | $560.40 | $934.00 | $115.91–$203.36 | — | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDU 15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT ALT-FUNCTION EXERCISE/15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT ALT-FUNCTION EXERCISE/15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT ALT NEUROMUSCULAR RE EDUCAT | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT FUNCTIONAL EXERCISE EA15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT ALT-NEUROMUSCUL RE-ED/15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-EDU 15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSCULAR RE-EDU 15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT ALT NEUROMUSCULAR RE EDUCAT | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSCULAR RE-EDU 15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT SENSORY MOTOR SKILLS EA15MI | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT SENSORY MOTOR SKILLS EA15MI | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT ALT-NEUROMUSCUL RE-ED/15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT ALT-SENSORY MOTOR SKLLS/15M | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT FUNCTIONAL EXERCISE EA15MIN | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT ALT-SENSORY MOTOR SKLLS/15M | $73.80 | $123.00 | $5.89–$42.06 | 3% below | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSCULAR RE-EDU 15MIN | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT ALT-SENSORY MOTOR SKLLS/15M | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT ALT NEUROMUSCULAR RE EDUCAT | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSCULAR RE-EDU 15MIN | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT SENSORY MOTOR SKILLS EA15MI | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT FUNCTIONAL EXERCISE EA15MIN | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT ALT-NEUROMUSCUL RE-ED/15MIN | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT ALT-FUNCTION EXERCISE/15MIN | $73.80 | $123.00 | $5.89–$42.06 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW | $390.00 | $650.00 | $12.11–$106.19 | 135% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW W/PROC | $390.00 | $650.00 | $12.11–$106.19 | 135% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW W/PROC | $390.00 | $650.00 | $12.11–$106.19 | 135% above | 40% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW | $390.00 | $650.00 | $12.11–$106.19 | 135% above | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP VISIT LEVEL 3 NEW | $390.00 | $650.00 | $12.11–$106.19 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP VISIT LEVEL 3 NEW W/PROC | $390.00 | $650.00 | $12.11–$106.19 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW W/PROC | $814.20 | $1,357.00 | $20.23–$162.17 | 331% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW | $814.20 | $1,357.00 | $20.23–$162.17 | 331% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW | $814.20 | $1,357.00 | $20.23–$162.17 | 331% above | 40% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW W/PROC | $814.20 | $1,357.00 | $20.23–$162.17 | 331% above | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT LEVEL 4 NEW | $814.20 | $1,357.00 | $20.23–$162.17 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP VISIT LEVEL 4 NEW W/PROC | $814.20 | $1,357.00 | $20.23–$162.17 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW | $663.60 | $1,106.00 | $26.31–$201.30 | 161% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW W/PROC | $663.60 | $1,106.00 | $26.31–$201.30 | 161% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW | $663.60 | $1,106.00 | $26.31–$201.30 | 161% above | 40% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW W/PROC | $663.60 | $1,106.00 | $26.31–$201.30 | 161% above | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT LEVEL 5 NEW | $663.60 | $1,106.00 | $26.31–$201.30 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP VISIT LEVEL 5 NEW W/PROC | $663.60 | $1,106.00 | $26.31–$201.30 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NEW W/PROC | $294.60 | $491.00 | $7.89–$73.29 | 110% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NEW | $294.60 | $491.00 | $7.89–$73.29 | 110% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NEW | $294.60 | $491.00 | $7.89–$73.29 | 110% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NEW W/PROC | $294.60 | $491.00 | $7.89–$73.29 | 110% above | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP VISIT LEVEL 2 NEW W/PROC | $294.60 | $491.00 | $7.89–$73.29 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OP VISIT LEVEL 2 NEW | $294.60 | $491.00 | $7.89–$73.29 | — | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT LOW COMPLEX EVAL | $159.00 | $265.00 | $17.54–$125.25 | at median | 40% |
| Occupational therapy evaluation, low complexity CPT 97165 OT LOW COMPLEX EVAL | $159.00 | $265.00 | $17.54–$125.25 | at median | 40% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT LOW COMPLEX EVAL | $159.00 | $265.00 | $17.54–$125.25 | — | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT HIGH COMPLEX EVAL | $279.00 | $465.00 | $18.05–$128.90 | 19% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT HIGH COMPLEX EVAL | $279.00 | $465.00 | $18.05–$128.90 | 19% above | 40% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT HIGH COMPLEX EVAL | $279.00 | $465.00 | $18.05–$128.90 | — | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LOW COMPLEX EVAL | $111.00 | $185.00 | $18.05–$128.90 | 23% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT LOW COMPLEX EVAL | $111.00 | $185.00 | $18.05–$128.90 | 23% below | 40% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT LOW COMPLEX EVAL | $111.00 | $185.00 | $18.05–$128.90 | — | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT MOD COMPLEX EVAL | $159.00 | $265.00 | $18.05–$128.90 | 15% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT MOD COMPLEX EVAL | $159.00 | $265.00 | $18.05–$128.90 | 15% below | 40% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT MOD COMPLEX EVAL | $159.00 | $265.00 | $18.05–$128.90 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT ALT-MANUAL THERAPY/15MIN | $54.00 | $90.00 | $5.28–$37.71 | 37% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT ALT-MANUAL THERAPY/15MIN | $54.00 | $90.00 | $5.28–$37.71 | 37% below | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL LYMPH DRAIN LE/15MIN | $96.00 | $160.00 | $5.28–$37.71 | 12% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY TECHNIQUES | $96.00 | $160.00 | $5.28–$37.71 | 12% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY TECHNIQUES | $96.00 | $160.00 | $5.28–$37.71 | 12% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT ALT-MANUAL LYMPH DRN 15MIN | $96.00 | $160.00 | $5.28–$37.71 | 12% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL LYMPH DRAIN LE/15MIN | $96.00 | $160.00 | $5.28–$37.71 | 12% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT ALT-MANUAL LYMPH DRN 15MIN | $96.00 | $160.00 | $5.28–$37.71 | 12% above | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT ALT-MANUAL THERAPY/15MIN | $54.00 | $90.00 | $5.28–$37.71 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL LYMPH DRAIN LE/15MIN | $96.00 | $160.00 | $5.28–$37.71 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT ALT-MANUAL LYMPH DRN 15MIN | $96.00 | $160.00 | $5.28–$37.71 | — | 40% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY TECHNIQUES | $96.00 | $160.00 | $5.28–$37.71 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT ALT-THER EXERCISE EA15MIN | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT ALT-THER EXERCISE EA15MIN | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT ALT-TX EXERCISE EA15MIN | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT ALT-TX EXERCISE EA15MIN | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES 1-15 | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT TX EXERCISES EA 15MIN | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPEUTIC EXERCISES 1-15 | $48.00 | $80.00 | $5.66–$40.43 | 37% below | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPEUTIC EXERCISES 1-15 | $48.00 | $80.00 | $5.66–$40.43 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT ALT-TX EXERCISE EA15MIN | $48.00 | $80.00 | $5.66–$40.43 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT TX EXERCISES EA 15MIN | $48.00 | $80.00 | $5.66–$40.43 | — | 40% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT ALT-THER EXERCISE EA15MIN | $48.00 | $80.00 | $5.66–$40.43 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO COUNSL 3-10MIN | $30.00 | $50.00 | $2.27–$16.24 | at median | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING/TOBACCO COUNSL 3-10MIN | $30.00 | $50.00 | $2.27–$16.24 | at median | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING/TOBACCO COUNSL 3-10MIN | $30.00 | $50.00 | $2.27–$16.24 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 O/P VISIT LEVEL 5 (MD) | $73.80 | $123.00 | $17.49–$100.08 | 51% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 W/PROC | $613.80 | $1,023.00 | $17.49–$141.38 | 308% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 ESTABLISHED | $613.80 | $1,023.00 | $17.49–$141.38 | 308% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 ESTABLISHED | $613.80 | $1,023.00 | $17.49–$141.38 | 308% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 W/PROC | $613.80 | $1,023.00 | $17.49–$141.38 | 308% above | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 O/P VISIT LEVEL 5 (MD) | $73.80 | $123.00 | $17.49–$100.08 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP VISIT LEVEL 5 ESTABLISHED | $613.80 | $1,023.00 | $17.49–$141.38 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OP VISIT LEVEL 5 W/PROC | $613.80 | $1,023.00 | $17.49–$141.38 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | 62% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | 279% above | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 O/P VISIT LEVEL 3 (MD) | $33.00 | $55.00 | $7.82–$50.43 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TUBE MANAGEMENT | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT LEVEL 3 ESTABLISHED | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 SKIN/INCONTINENCE TX F/UP | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OSTOMY LEVEL III PROCEDURE | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WOUND/FISTULA TREATMENT F/UP | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WOC/ASSESS/15 MIN TRT | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 TRANSPLANT EVALUATION | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OP VISIT LEVEL 3 W/PROC | $333.60 | $556.00 | $7.82–$71.77 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 O/P VISIT LEVEL 4 (MD) | $51.60 | $86.00 | $12.21–$74.57 | 54% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 ESTABLISHED | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 W/PROC | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 W/PROC | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 ESTABLISHED | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND/FISTULA EVAL/TX INIT | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND/FISTULA EVAL/TX INIT | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SKIN/INCONTINENCE EVAL/TX INIT | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 SKIN/INCONTINENCE EVAL/TX INIT | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OSTOMY LEVEL II EVAL/EDUCATION | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OSTOMY LEVEL II EVAL/EDUCATION | $400.20 | $667.00 | $12.21–$105.54 | 261% above | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 O/P VISIT LEVEL 4 (MD) | $51.60 | $86.00 | $12.21–$74.57 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP VISIT LEVEL 4 W/PROC | $400.20 | $667.00 | $12.21–$105.54 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OP VISIT LEVEL 4 ESTABLISHED | $400.20 | $667.00 | $12.21–$105.54 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WOUND/FISTULA EVAL/TX INIT | $400.20 | $667.00 | $12.21–$105.54 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 SKIN/INCONTINENCE EVAL/TX INIT | $400.20 | $667.00 | $12.21–$105.54 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OSTOMY LEVEL II EVAL/EDUCATION | $400.20 | $667.00 | $12.21–$105.54 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 O/P VISIT LEVEL 2 (MD) | $25.20 | $42.00 | $4.09–$29.97 | 51% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 W/PROC | $250.80 | $418.00 | $4.09–$43.00 | 386% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 ESTABLISHED | $250.80 | $418.00 | $4.09–$43.00 | 386% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 W/PROC | $250.80 | $418.00 | $4.09–$43.00 | 386% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OSTOMY LEVEL I/INITIAL CONSULT | $250.80 | $418.00 | $4.09–$43.00 | 386% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OSTOMY LEVEL I/INITIAL CONSULT | $250.80 | $418.00 | $4.09–$43.00 | 386% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 ESTABLISHED | $250.80 | $418.00 | $4.09–$43.00 | 386% above | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 O/P VISIT LEVEL 2 (MD) | $25.20 | $42.00 | $4.09–$29.97 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP VISIT LEVEL 2 W/PROC | $250.80 | $418.00 | $4.09–$43.00 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OSTOMY LEVEL I/INITIAL CONSULT | $250.80 | $418.00 | $4.09–$43.00 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OP VISIT LEVEL 2 ESTABLISHED | $250.80 | $418.00 | $4.09–$43.00 | — | 40% |
| Speech and language evaluation CPT 92523 ST LIMITD SOUND/LANG/COMP EVAL | $132.00 | $220.00 | $42.93–$172.93 | 35% below | 40% |
| Speech and language evaluation CPT 92523 ST LIMITD SOUND/LANG/COMP EVAL | $132.00 | $220.00 | $42.93–$172.93 | 35% below | 40% |
| Speech and language evaluation CPT 92523 EVAL SOUND LANG COMPREHENSION | $264.00 | $440.00 | $42.93–$306.67 | 29% above | 40% |
| Speech and language evaluation CPT 92523 EVAL SOUND LANG COMPREHENSION | $264.00 | $440.00 | $42.93–$306.67 | 29% above | 40% |
| Speech and language evaluation inpatient CPT 92523 ST LIMITD SOUND/LANG/COMP EVAL | $132.00 | $220.00 | $42.93–$172.93 | — | 40% |
| Speech and language evaluation inpatient CPT 92523 EVAL SOUND LANG COMPREHENSION | $264.00 | $440.00 | $42.93–$306.67 | — | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY I | $52.20 | $87.00 | $5.44–$67.78 | 64% below | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY I-ADULT | $52.20 | $87.00 | $5.44–$67.78 | 64% below | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY I-ADULT | $52.20 | $87.00 | $5.44–$67.78 | 64% below | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY I | $52.20 | $87.00 | $5.44–$67.78 | 64% below | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY II | $102.60 | $171.00 | $5.44–$67.78 | 30% below | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY II | $102.60 | $171.00 | $5.44–$67.78 | 30% below | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY II-ADULT | $102.60 | $171.00 | $5.44–$67.78 | 30% below | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY II-ADULT | $102.60 | $171.00 | $5.44–$67.78 | 30% below | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY III | $153.00 | $255.00 | $5.44–$67.78 | 5% above | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY LEVEL III-ADULT | $153.00 | $255.00 | $5.44–$67.78 | 5% above | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY LEVEL III-ADULT | $153.00 | $255.00 | $5.44–$67.78 | 5% above | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY III | $153.00 | $255.00 | $5.44–$67.78 | 5% above | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY IV-ADULT | $190.20 | $317.00 | $5.44–$67.78 | 31% above | 40% |
| Speech therapy session, individual CPT 92507 SPEECH THERAPY IV-ADULT | $190.20 | $317.00 | $5.44–$67.78 | 31% above | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY IV | $190.20 | $317.00 | $5.44–$67.78 | 31% above | 40% |
| Speech therapy session, individual CPT 92507 VOICE THERAPY IV | $190.20 | $317.00 | $5.44–$67.78 | 31% above | 40% |
| Speech therapy session, individual inpatient CPT 92507 VOICE THERAPY I | $52.20 | $87.00 | $5.44–$67.78 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY I-ADULT | $52.20 | $87.00 | $5.44–$67.78 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 VOICE THERAPY II | $102.60 | $171.00 | $5.44–$67.78 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY II-ADULT | $102.60 | $171.00 | $5.44–$67.78 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 VOICE THERAPY III | $153.00 | $255.00 | $5.44–$67.78 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY LEVEL III-ADULT | $153.00 | $255.00 | $5.44–$67.78 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH THERAPY IV-ADULT | $190.20 | $317.00 | $5.44–$67.78 | — | 40% |
| Speech therapy session, individual inpatient CPT 92507 VOICE THERAPY IV | $190.20 | $317.00 | $5.44–$67.78 | — | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY GRAPH/VITAL CAP/FLW | $556.80 | $928.00 | $6.03–$45.40 | 127% above | 40% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY GRAPH/VITAL CAP/FLW | $556.80 | $928.00 | $6.03–$45.40 | 127% above | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY GRAPH/VITAL CAP/FLW | $556.80 | $928.00 | $6.03–$45.40 | — | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT ALT-TX ACTIVITIES EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT ALT-TX ACTIVITIES EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ST TX ACTIVITY DIRECT EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT ALT-THER ACTIVITIES EA15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT ALT-THER ACTIVITIES EA15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT ACTIVITY DIRECT EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT ACTIVITY DIRECT EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT TX ACTIVITIES DIRECT/15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT TX ACTIVITIES DIRECT/15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ST TX ACTIVITY DIRECT EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | 37% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ST ALT-TX ACTIVITIES EA 15MIN | $73.80 | $123.00 | $5.95–$42.51 | 2% below | 40% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 ST ALT-TX ACTIVITIES EA 15MIN | $73.80 | $123.00 | $5.95–$42.51 | 2% below | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT ALT-TX ACTIVITIES EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ST TX ACTIVITY DIRECT EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT TX ACTIVITIES DIRECT/15MIN | $48.00 | $80.00 | $5.95–$42.51 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT ACTIVITY DIRECT EA 15MIN | $48.00 | $80.00 | $5.95–$42.51 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT ALT-THER ACTIVITIES EA15MIN | $48.00 | $80.00 | $5.95–$42.51 | — | 40% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 ST ALT-TX ACTIVITIES EA 15MIN | $73.80 | $123.00 | $5.95–$42.51 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY TX (SEP PROC) | $384.00 | $640.00 | $11.10–$409.66 | 83% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY TX (SEP PROC) | $384.00 | $640.00 | $11.10–$409.66 | 83% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY TX (SEP PROC) | $384.00 | $640.00 | $11.10–$409.66 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH/TET/PERT(DTAP) PED VACC | $49.35 | $82.25 | $20.00–$64.80 | 40% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH/TET/PERT(DTAP) PED VACC | $49.35 | $82.25 | $20.00–$64.80 | 40% below | 40% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH/TET/PERT(DTAP) PED VACC | $49.35 | $82.25 | $20.00–$64.80 | — | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC TRIVAL 0.5ML 6+MO | $47.88 | $79.80 | $15.19–$50.29 | 23% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC TRIVAL 0.5ML 6+MO | $47.88 | $79.80 | $15.19–$50.29 | 23% above | 40% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACC TRIVAL 0.5ML 6+MO | $47.88 | $79.80 | $15.19–$50.29 | — | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA HIGH DOSE VACC >65YR | $179.55 | $299.25 | $37.53–$187.85 | at median | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA HIGH DOSE VACC >65YR | $179.55 | $299.25 | $37.53–$187.85 | at median | 40% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA HIGH DOSE VACC >65YR | $179.55 | $299.25 | $37.53–$187.85 | — | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEAS/MUMP/RUBEL/VARICELLA VACC | $424.32 | $707.20 | $267.62–$625.86 | at median | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEAS/MUMP/RUBEL/VARICELLA VACC | $424.32 | $707.20 | $267.62–$625.86 | at median | 40% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEAS/MUMP/RUBEL/VARICELLA VACC | $424.32 | $707.20 | $267.62–$625.86 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GROUP B VACC | $322.90 | $538.17 | $210.57–$503.44 | 17% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GROUP B VACC | $322.90 | $538.17 | $210.57–$503.44 | 17% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GROUP B VACC | $322.90 | $538.17 | $210.57–$503.44 | — | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VAC(13-VAL CONJ) | $429.30 | $715.50 | $161.77–$580.48 | 8% below | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VAC(13-VAL CONJ) | $429.30 | $715.50 | $161.77–$580.48 | 8% below | 40% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VAC(13-VAL CONJ) | $429.30 | $715.50 | $161.77–$580.48 | — | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL-23 0.5ML VIAL | $166.40 | $277.33 | $73.72–$133.47 | 29% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL-23 0.5ML VIAL | $166.40 | $277.33 | $73.72–$133.47 | 29% below | 40% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL-23 0.5ML VIAL | $166.40 | $277.33 | $73.72–$133.47 | — | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE (SHINGRIX) | $331.10 | $551.84 | $180.15–$445.28 | 15% below | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VACCINE (SHINGRIX) | $331.10 | $551.84 | $180.15–$445.28 | 15% below | 40% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VACCINE (SHINGRIX) | $331.10 | $551.84 | $180.15–$445.28 | — | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA/TETANUS SYRINGE | $120.13 | $200.21 | $17.04–$98.24 | 5% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIPHTHERIA/TETANUS SYRINGE | $120.13 | $200.21 | $17.04–$98.24 | 5% above | 40% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 DIPHTHERIA/TETANUS SYRINGE | $120.13 | $200.21 | $17.04–$98.24 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH/PERT/TET VACC BOOSTRIX | $122.69 | $204.48 | $35.96–$86.67 | at median | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH/PERT/TET VACC BOOSTRIX | $122.69 | $204.48 | $35.96–$86.67 | at median | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH/PERT/TET VACC ADACEL | $131.34 | $218.90 | $35.96–$86.67 | 7% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH/PERT/TET VACC ADACEL | $131.34 | $218.90 | $35.96–$86.67 | 7% above | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH/PERT/TET VACC BOOSTRIX | $122.69 | $204.48 | $35.96–$86.67 | — | 40% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH/PERT/TET VACC ADACEL | $131.34 | $218.90 | $35.96–$86.67 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA ADMIN FEE EXPLOSION | $85.80 | $143.00 | $4.12–$29.44 | 39% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 INFLUENZA ADMIN FEE EXPLOSION | $85.80 | $143.00 | $4.12–$29.44 | 39% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL ADMIN FEE EXPLSN | $85.80 | $143.00 | $4.12–$29.44 | 39% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 PNEUMOCOCCAL ADMIN FEE EXPLSN | $85.80 | $143.00 | $4.12–$29.44 | 39% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADM 1SNG/COMB VACC/TOX | $99.00 | $165.00 | $4.12–$29.44 | 61% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZ ADM 1SNG/COMB VACC/TOX | $99.00 | $165.00 | $4.12–$29.44 | 61% above | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 PNEUMOCOCCAL ADMIN FEE EXPLSN | $85.80 | $143.00 | $4.12–$29.44 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 INFLUENZA ADMIN FEE EXPLOSION | $85.80 | $143.00 | $4.12–$29.44 | — | 40% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZ ADM 1SNG/COMB VACC/TOX | $99.00 | $165.00 | $4.12–$29.44 | — | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADM EAADD SNG/VACC/TOX | $116.40 | $194.00 | $1.76–$12.56 | 193% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADM EAADD SNG/VACC/TOX | $116.40 | $194.00 | $1.76–$12.56 | 193% above | 40% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZ ADM EAADD SNG/VACC/TOX | $116.40 | $194.00 | $1.76–$12.56 | — | 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.