Hospital New York-Newark-Jersey City, NY-NJ

Englewood Health

Englewood Health in Englewood, NJ publishes cash prices for 329 common procedures listed here, from its own machine-readable price file updated Feb 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 163 of 324 procedures and below it for 155. By typical cash price it ranks #34 of 55 New Jersey hospitals and #59 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

350 Engle Street, Englewood NJ 07631 Collected Sep 22, 2026 Source price file Check a bill from this hospital (201) 894-3000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 310045 · CMS hospital register NPI 1083612881

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Englewood Health is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W/O &W/Contrast Material	$737.70	$7,377.00	$539.26–$5,901.60	7% above	90%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W/O &W/Contrast Material	$737.70	$7,377.00	$539.26–$5,901.60	—	90%
Abdominal X-ray, 2 views CPT 74019 Radex Abdomen 2 Views	$103.00	$1,030.00	$75.29–$824.00	16% below	90%
Abdominal X-ray, 2 views inpatient CPT 74019 Radex Abdomen 2 Views	$103.00	$1,030.00	$75.29–$824.00	—	90%
Ankle X-ray, complete, 3 or more views CPT 73610 Radex Ankle Complete Minimum 3 Views	$89.40	$894.00	$65.35–$715.20	24% below	90%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Radex Ankle Complete Minimum 3 Views	$89.40	$894.00	$65.35–$715.20	—	90%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Art Pur Press Sngl Lvl Limit	$60.50	$605.00	$44.23–$484.00	66% below	90%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Art Pur Press Sngl Lvl Limit	$60.50	$605.00	$44.23–$484.00	—	90%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT Upper Extremity W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	55% below	90%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT Upper Extremity W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radex Esophagus	$202.60	$2,026.00	$148.10–$1,620.80	3% below	90%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Radex Esophagus	$202.60	$2,026.00	$148.10–$1,620.80	—	90%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone &/Joint Imaging Whole Body	$198.00	$1,980.00	$144.74–$1,584.00	62% below	90%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone &/Joint Imaging Whole Body	$198.00	$1,980.00	$144.74–$1,584.00	—	90%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Unilateral/or Bilateral (One Breast)	$103.80	$1,038.00	$75.88–$1,038.00	—	90%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Uni or Bilat Real Time With Image Complete	$103.80	$1,038.00	$75.88–$830.40	—	90%
Breast ultrasound, complete, one breast both sides CPT 76641 Xpld US Breast Bilateral (Second Breast)	$103.80	$1,038.00	$75.88–$1,038.00	—	90%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Uni or Bilat Real Time With Image Complete	$103.80	$1,038.00	$75.88–$830.40	—	90%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Unilateral/or Bilateral (One Breast)	$103.80	$1,038.00	$75.88–$1,038.00	—	90%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Xpld US Breast Bilateral (Second Breast)	$103.80	$1,038.00	$75.88–$1,038.00	—	90%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Imges	$1,829.90	$18,299.00	$1,337.66–$14,639.20	186% above	90%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abd&Plvis Cntrst Mtrl W/WO Cntrst Imges	$1,829.90	$18,299.00	$1,337.66–$14,639.20	—	90%
CT angiography (CTA) of the head CPT 70496 CT Angiography Head W/Contrast/Noncontrast	$914.70	$9,147.00	$668.65–$7,317.60	69% above	90%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angiography Head W/Contrast/Noncontrast	$914.70	$9,147.00	$668.65–$7,317.60	—	90%
CT angiography (CTA) of the neck CPT 70498 CT Angiography Neck W/Contrast/Noncontrast	$914.70	$9,147.00	$668.65–$7,317.60	35% above	90%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angiography Neck W/Contrast/Noncontrast	$914.70	$9,147.00	$668.65–$7,317.60	—	90%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography Chest W/Contrast/Noncontrast	$1,322.90	$13,229.00	$967.04–$10,583.20	75% above	90%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography Chest W/Contrast/Noncontrast	$1,322.90	$13,229.00	$967.04–$10,583.20	—	90%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$1,572.20	$15,722.00	$1,149.28–$12,577.60	230% above	90%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$1,572.20	$15,722.00	$1,149.28–$12,577.60	—	90%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen & Pelvis W/O Contrast Material	$416.70	$4,167.00	$304.61–$3,333.60	34% below	90%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen & Pelvis W/O Contrast Material	$416.70	$4,167.00	$304.61–$3,333.60	—	90%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen & Pelvis With Contrast Material	$940.50	$9,405.00	$687.51–$7,524.00	25% above	90%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis With Contrast Material	$940.50	$9,405.00	$687.51–$7,524.00	—	90%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen & Pelvis W/ &W/O Contrst	$1,475.40	$14,754.00	$1,078.52–$11,803.20	58% above	90%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen & Pelvis W/ &W/O Contrst	$1,475.40	$14,754.00	$1,078.52–$11,803.20	—	90%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	17% below	90%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	—	90%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	53% below	90%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	59% below	90%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	50% below	90%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
CT scan of the head with contrast CPT 70460 CT Head/Brain W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	2% below	90%
CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	—	90%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/O&W/Contrast Material	$737.70	$7,377.00	$539.26–$5,901.60	21% above	90%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/O&W/Contrast Material	$737.70	$7,377.00	$539.26–$5,901.60	—	90%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	61% below	90%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	62% below	90%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	10% below	90%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	—	90%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Bilat Carotid Ver	$152.80	$1,528.00	$0.01	—	90%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Bilat Carotid Ver	$152.80	$1,528.00	$111.70–$1,222.40	—	90%
Chest CT scan without and with contrast CPT 71270 CT Thorax W/O &W/Contrast Material	$737.70	$7,377.00	$539.26–$5,901.60	4% below	90%
Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax W/O &W/Contrast Material	$737.70	$7,377.00	$539.26–$5,901.60	—	90%
Chest X-ray, 2 views CPT 71046 Radiologic Exam Chest 2 Views Frontal&Lateral	$48.40	$484.00	$35.38–$387.20	57% below	90%
Chest X-ray, 2 views inpatient CPT 71046 Radiologic Exam Chest 2 Views Frontal&Lateral	$48.40	$484.00	$35.38–$387.20	—	90%
Chest X-ray, single view CPT 71045 Radiologic Examination Chest Stero Frontal	$30.40	$304.00	$22.22–$243.20	71% below	90%
Chest X-ray, single view CPT 71045 Radiologic Examination Chest Single View Frontal	$35.70	$357.00	$26.10–$285.60	66% below	90%
Chest X-ray, single view CPT 71045 Radex Chest Special Views	$38.90	$389.00	$28.44–$311.20	63% below	90%
Chest X-ray, single view inpatient CPT 71045 Radiologic Examination Chest Stero Frontal	$30.40	$304.00	$22.22–$243.20	—	90%
Chest X-ray, single view inpatient CPT 71045 Radiologic Examination Chest Single View Frontal	$35.70	$357.00	$26.10–$285.60	—	90%
Chest X-ray, single view inpatient CPT 71045 Radex Chest Special Views	$38.90	$389.00	$28.44–$311.20	—	90%
Collarbone (clavicle) X-ray, complete CPT 73000 Radex Clavicle Complete	$97.00	$970.00	$70.91–$776.00	17% below	90%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Radex Clavicle Complete	$97.00	$970.00	$70.91–$776.00	—	90%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Real Time W/Image Complete	$149.10	$1,491.00	$108.99–$1,192.80	28% below	90%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Real Time W/Image Complete	$149.10	$1,491.00	$108.99–$1,192.80	—	90%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density Study 1/> Sites Axial Skel	$157.70	$1,577.00	$115.28–$1,261.60	11% above	90%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Study 1/> Sites Axial Skel	$157.70	$1,577.00	$115.28–$1,261.60	—	90%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA Bone Density Study 1/>Sites Appendiclr Skel	$79.30	$793.00	$57.97–$634.40	24% below	90%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA Bone Density Study 1/>Sites Appendiclr Skel	$79.30	$793.00	$57.97–$634.40	—	90%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Preg Uterus W/Detail Fetal Anat 1st Gestation	$251.60	$2,516.00	$183.92–$2,012.80	18% below	90%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Preg Uterus W/Detail Fetal Anat 1st Gestation	$251.60	$2,516.00	$183.92–$2,012.80	—	90%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	61% below	90%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	23% below	90%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	—	90%
Diagnostic mammogram, both breasts CPT 77066 Diag Mammo Digtl Bil Inc Cad	$157.50	$1,575.00	$115.13–$1,260.00	at median	90%
Diagnostic mammogram, both breasts inpatient CPT 77066 Diag Mammo Digtl Bil Inc Cad	$157.50	$1,575.00	$115.13–$1,260.00	—	90%
Diagnostic mammogram, one breast CPT 77065 Diag Mammo Digtl Uni Inc Cad	$84.50	$845.00	$61.77–$676.00	49% below	90%
Diagnostic mammogram, one breast inpatient CPT 77065 Diag Mammo Digtl Uni Inc Cad	$84.50	$845.00	$61.77–$676.00	—	90%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$315.30	$3,153.00	$230.48–$2,522.40	—	90%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Dupl Scan Bil Le Graft	$315.30	$3,153.00	$230.48–$2,522.40	4% above	90%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$315.30	$3,153.00	$230.48–$2,522.40	—	90%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Dupl Scan Bil Le Graft	$315.30	$3,153.00	$230.48–$2,522.40	—	90%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Scan Veins Le Bilateral	$364.50	$3,645.00	$266.45–$2,916.00	—	90%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$364.50	$3,645.00	$266.45–$2,916.00	—	90%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$364.50	$3,645.00	$266.45–$2,916.00	—	90%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Scan Veins Le Bilateral	$364.50	$3,645.00	$266.45–$2,916.00	—	90%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr Dop	$420.90	$4,209.00	$0.01	42% below	90%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr Dop	$420.90	$4,209.00	$307.68–$3,367.20	—	90%
Elbow X-ray, 2 views CPT 73070 Radex Elbow 2 Views	$77.20	$772.00	$56.43–$617.60	31% below	90%
Elbow X-ray, 2 views inpatient CPT 73070 Radex Elbow 2 Views	$77.20	$772.00	$56.43–$617.60	—	90%
Elbow X-ray, complete, 3 or more views CPT 73080 Radex Elbow Complete Minimum 3 Views	$89.40	$894.00	$65.35–$715.20	24% below	90%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Radex Elbow Complete Minimum 3 Views	$89.40	$894.00	$65.35–$715.20	—	90%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl	$208.00	$2,080.00	$152.05–$1,664.00	50% below	90%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit Sella/Post Fossa/Ear W/O Contrast Matrl	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Facial bones X-ray, complete, 3 or more views CPT 70150 Radex Facial Bones Complete Minimum 3 Views	$131.10	$1,311.00	$95.83–$1,048.80	6% below	90%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Radex Facial Bones Complete Minimum 3 Views	$131.10	$1,311.00	$95.83–$1,048.80	—	90%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Radex Forearm 2 Views	$89.40	$894.00	$65.35–$715.20	24% below	90%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Radex Forearm 2 Views	$89.40	$894.00	$65.35–$715.20	—	90%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Syst Imaging Including Gallbladder	$249.50	$2,495.00	$182.38–$1,996.00	51% below	90%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Syst Imaging Including Gallbladder	$249.50	$2,495.00	$182.38–$1,996.00	—	90%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Radex Calcaneus Minimum 2 Views	$76.90	$769.00	$56.21–$615.20	33% below	90%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Radex Calcaneus Minimum 2 Views	$76.90	$769.00	$56.21–$615.20	—	90%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysm Sleep Staging 4/> Addl Param W/Cpap Tx	$1,508.20	$15,082.00	$1,102.49–$12,065.60	11% above	90%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysm Sleep Staging 4/> Addl Param W/Cpap Tx	$1,508.20	$15,082.00	$1,102.49–$12,065.60	—	90%
Knee X-ray, complete, 4 or more views CPT 73564 Radiologic Exam Knee Complete 4/More Views	$97.00	$970.00	$70.91–$776.00	32% below	90%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Radiologic Exam Knee Complete 4/More Views	$97.00	$970.00	$70.91–$776.00	—	90%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT Lower Extremity W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	55% below	90%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT Lower Extremity W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdominal Real Time W/Image Limited	$73.70	$737.00	$53.87–$589.60	55% below	90%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound Abdominal Real Time W/Image Limited	$73.70	$737.00	$53.87–$589.60	—	90%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Extremity Non-Vasc Real-Time Img Lmtd Only	$138.90	$1,389.00	$101.54–$1,111.20	2% above	90%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Extremity Non-Vasc Real-Time Img Lmtd Only	$138.90	$1,389.00	$101.54–$1,111.20	—	90%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low Dose CT Scan (Ldct) for Lung Cancer Screening	$208.00	$2,080.00	$152.05–$1,664.00	47% above	90%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low Dose CT Scan (Ldct) for Lung Cancer Screening	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Radiologic Examination Tibia & Fibula 2 Views	$82.70	$827.00	$60.45–$661.60	30% below	90%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Radiologic Examination Tibia & Fibula 2 Views	$82.70	$827.00	$60.45–$661.60	—	90%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrst Material	$414.60	$4,146.00	$303.07–$3,316.80	40% below	90%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrst Material	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Bilateral W&WO Contast Material	$721.30	$7,213.00	$527.27–$7,213.00	—	90%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast Bilateral W&WO Contast Material	$721.30	$7,213.00	$527.27–$7,213.00	—	90%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	at median	90%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$721.30	$7,213.00	$527.27–$5,770.40	at median	90%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$721.30	$7,213.00	$527.27–$5,770.40	—	90%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	35% below	90%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O &W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	23% below	90%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/O &W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	—	90%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Brain Stem W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	38% below	90%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Brain Stem W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Brain Stem W/O &W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	30% below	90%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Brain Stem W/O &W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	—	90%
MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	30% below	90%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spinal Canal Lumbar W/O &W/Contr Matrl	$721.30	$7,213.00	$527.27–$5,770.40	28% below	90%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spinal Canal Lumbar W/O &W/Contr Matrl	$721.30	$7,213.00	$527.27–$5,770.40	—	90%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spinal Canal Thoracic W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	33% below	90%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spinal Canal Thoracic W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spinal Canal Cervical W/O & W/Contr Matrl	$721.30	$7,213.00	$527.27–$5,770.40	28% below	90%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spinal Canal Cervical W/O & W/Contr Matrl	$721.30	$7,213.00	$527.27–$5,770.40	—	90%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spinal Canal Cervical W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	28% below	90%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spinal Canal Cervical W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of the pelvis without and with contrast CPT 72197 MRI Prostate W/O & W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	31% below	90%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	31% below	90%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Prostate W/O & W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	—	90%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O & W/Contrast Material	$721.30	$7,213.00	$527.27–$5,770.40	—	90%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	37% below	90%
MRI of the pelvis, no contrast dye CPT 72195 MRI Prostate W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	37% below	90%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Prostate W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast Material	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Any Jt Upper Extremity W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	at median	90%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Any Jt Upper Extremity W/O Contrast Matrl	$414.60	$4,146.00	$303.07–$3,316.80	—	90%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Radex Spine Cervical Minimum 4 Views	$165.30	$1,653.00	$120.83–$1,322.40	5% below	90%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Radex Spine Cervical Minimum 4 Views	$165.30	$1,653.00	$120.83–$1,322.40	—	90%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	21% below	90%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W/Contrast Material	$469.90	$4,699.00	$343.50–$3,759.20	—	90%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	59% below	90%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Neck soft tissue X-ray CPT 70360 Radiologic Examination Neck Soft Tissue	$82.70	$827.00	$60.45–$661.60	26% below	90%
Neck soft tissue X-ray inpatient CPT 70360 Radiologic Examination Neck Soft Tissue	$82.70	$827.00	$60.45–$661.60	—	90%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Spect Multiple Studies	$853.40	$8,534.00	$623.84–$6,827.20	44% below	90%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Spect Multiple Studies	$853.40	$8,534.00	$623.84–$6,827.20	—	90%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Imaging CT Attenuation Skull Base Mid-Thigh	$3,536.50	$35,365.00	$2,585.18–$28,292.00	91% above	90%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Imaging CT Attenuation Skull Base Mid-Thigh	$3,536.50	$35,365.00	$2,585.18–$28,292.00	—	90%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	51% below	90%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$42.30	$423.00	$30.92–$338.40	68% below	90%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$42.30	$423.00	$30.92–$338.40	—	90%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Nonobstetric Real-Time Image Complete	$133.50	$1,335.00	$97.59–$1,068.00	43% below	90%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Nonobstetric Real-Time Image Complete	$133.50	$1,335.00	$97.59–$1,068.00	—	90%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation	$197.30	$1,973.00	$144.23–$1,578.40	4% above	90%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation	$197.30	$1,973.00	$144.23–$1,578.40	—	90%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat	$197.30	$1,973.00	$144.23–$1,578.40	39% above	90%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat	$197.30	$1,973.00	$144.23–$1,578.40	—	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Uterus Limited 1/> Fetuses	$197.30	$1,973.00	$144.23–$1,578.40	9% above	90%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnant Uterus Limited 1/> Fetuses	$197.30	$1,973.00	$144.23–$1,578.40	—	90%
Rib X-ray, one side, 2 views one side CPT 71100 Radex Ribs Unilateral 2 Views	$111.10	$1,111.00	$81.21–$888.80	at median	90%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Radex Ribs Unilateral 2 Views	$111.10	$1,111.00	$81.21–$888.80	—	90%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Radex Ribs Uni W/Posteroant Ch Minimum 3 Views	$159.70	$1,597.00	$116.74–$1,277.60	20% above	90%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 Radex Ribs Uni W/Posteroant Ch Minimum 3 Views	$159.70	$1,597.00	$116.74–$1,277.60	—	90%
Screening mammogram, both breasts CPT 77067 Scrn Mammo Digtl Bil Inc Cad	$145.50	$1,455.00	$106.36–$1,164.00	12% above	90%
Screening mammogram, both breasts inpatient CPT 77067 Scrn Mammo Digtl Bil Inc Cad	$145.50	$1,455.00	$106.36–$1,164.00	—	90%
Shoulder X-ray, complete, 2 or more views CPT 73030 Radex Shoulder Complete Minimum 2 Views	$74.10	$741.00	$54.17–$592.80	37% below	90%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Radex Shoulder Complete Minimum 2 Views	$74.10	$741.00	$54.17–$592.80	—	90%
Sinus X-ray, complete, 3 or more views CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views	$131.10	$1,311.00	$95.83–$1,048.80	16% above	90%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Radex Sinuses Paranasal Compl Minimum 3 Views	$131.10	$1,311.00	$95.83–$1,048.80	—	90%
Skull X-ray, fewer than 4 views CPT 70250 Radiologic Examination Skull < 4 Views	$82.70	$827.00	$60.45–$661.60	31% below	90%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Radiologic Examination Skull < 4 Views	$82.70	$827.00	$60.45–$661.60	—	90%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography Sleep Staging 4/> Addl Param	$1,063.90	$10,639.00	$777.71–$8,511.20	19% below	90%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography Sleep Staging 4/> Addl Param	$1,063.90	$10,639.00	$777.71–$8,511.20	—	90%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$330.60	$3,306.00	$241.67–$2,644.80	53% below	90%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$330.60	$3,306.00	$241.67–$2,644.80	—	90%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Funcj W/Cineradiograpy/Vidradiog	$98.10	$981.00	$71.71–$784.80	57% below	90%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Funcj W/Cineradiograpy/Vidradiog	$98.10	$981.00	$71.71–$784.80	—	90%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 Radiologic Examination Femur Minimum 2 Views	$73.30	$733.00	$53.58–$586.40	35% below	90%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 Radiologic Examination Femur Minimum 2 Views	$73.30	$733.00	$53.58–$586.40	—	90%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	57% below	90%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine W/O Contrast Material	$208.00	$2,080.00	$152.05–$1,664.00	—	90%
Toe X-ray, 2 or more views CPT 73660 Radex Toe Minimum 2 Views	$80.90	$809.00	$59.14–$647.20	27% below	90%
Toe X-ray, 2 or more views inpatient CPT 73660 Radex Toe Minimum 2 Views	$80.90	$809.00	$59.14–$647.20	—	90%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Transvaginal	$238.20	$2,382.00	$174.12–$1,905.60	7% above	90%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Transvaginal	$238.20	$2,382.00	$174.12–$1,905.60	—	90%
Transvaginal ultrasound during pregnancy CPT 76817 US Preg Uterus Real Time W/Image Dcmtn Transvag	$197.30	$1,973.00	$144.23–$1,578.40	39% above	90%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Preg Uterus Real Time W/Image Dcmtn Transvag	$197.30	$1,973.00	$144.23–$1,578.40	—	90%
Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation	$89.80	$898.00	$65.64–$718.40	59% below	90%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation	$89.80	$898.00	$65.64–$718.40	—	90%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum & Contents	$152.80	$1,528.00	$111.70–$1,222.40	19% below	90%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Scrotum & Contents	$152.80	$1,528.00	$111.70–$1,222.40	—	90%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head & Neck Real Time Imge Docmtn	$236.80	$2,368.00	$173.10–$1,894.40	2% above	90%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head & Neck Real Time Imge Docmtn	$236.80	$2,368.00	$173.10–$1,894.40	—	90%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radex Upr GI Trc Single Contrast Study	$376.30	$3,763.00	$275.08–$3,010.40	62% above	90%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Radex Upr GI Trc Single Contrast Study	$376.30	$3,763.00	$275.08–$3,010.40	—	90%
Upper arm X-ray (humerus), 2 views CPT 73060 Radex Humerus Minimum 2 Views	$94.70	$947.00	$69.23–$757.60	19% below	90%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Radex Humerus Minimum 2 Views	$94.70	$947.00	$69.23–$757.60	—	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$242.40	$2,424.00	$177.19–$1,939.20	21% above	90%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$242.40	$2,424.00	$177.19–$1,939.20	—	90%
Wrist X-ray, 2 views CPT 73100 Radex Wrist 2 Views	$77.20	$772.00	$56.43–$617.60	31% below	90%
Wrist X-ray, 2 views inpatient CPT 73100 Radex Wrist 2 Views	$77.20	$772.00	$56.43–$617.60	—	90%
Wrist X-ray, complete, 3 or more views CPT 73110 Radex Wrist Complete Minimum 3 Views	$97.00	$970.00	$70.91–$776.00	17% below	90%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Radex Wrist Complete Minimum 3 Views	$97.00	$970.00	$70.91–$776.00	—	90%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radex Hip Unilateral With Pelvis 2-3 Views	$35.20	$352.00	$25.73–$281.60	69% below	90%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Radex Hip Unilateral With Pelvis 2-3 Views	$35.20	$352.00	$25.73–$281.60	—	90%
X-ray of the abdomen, 1 view CPT 74018 Radex Abdomen 1 Anteroposterior View	$82.70	$827.00	$60.45–$661.60	25% below	90%
X-ray of the abdomen, 1 view inpatient CPT 74018 Radex Abdomen 1 Anteroposterior View	$82.70	$827.00	$60.45–$661.60	—	90%
X-ray of the ankle, 2 views CPT 73600 Radiologic Examination Ankle 2 Views	$82.70	$827.00	$60.45–$661.60	26% below	90%
X-ray of the ankle, 2 views inpatient CPT 73600 Radiologic Examination Ankle 2 Views	$82.70	$827.00	$60.45–$661.60	—	90%
X-ray of the finger(s), 2 or more views CPT 73140 Radex Fingr Minimum 2 Views	$82.70	$827.00	$60.45–$661.60	26% below	90%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Radex Fingr Minimum 2 Views	$82.70	$827.00	$60.45–$661.60	—	90%
X-ray of the foot, 2 views CPT 73620 Radiologic Examination Foot 2 Views	$50.20	$502.00	$36.70–$401.60	57% below	90%
X-ray of the foot, 2 views inpatient CPT 73620 Radiologic Examination Foot 2 Views	$50.20	$502.00	$36.70–$401.60	—	90%
X-ray of the foot, complete, 3 or more views CPT 73630 Radex Foot Complete Minimum 3 Views	$86.70	$867.00	$63.38–$693.60	26% below	90%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Radex Foot Complete Minimum 3 Views	$86.70	$867.00	$63.38–$693.60	—	90%
X-ray of the hand, 3 or more views CPT 73130 Radex Hand Minimum 3 Views	$89.40	$894.00	$65.35–$715.20	24% below	90%
X-ray of the hand, 3 or more views inpatient CPT 73130 Radex Hand Minimum 3 Views	$89.40	$894.00	$65.35–$715.20	—	90%
X-ray of the knee, 1 or 2 views CPT 73560 Radiologic Examination Knee 1/2 Views	$87.60	$876.00	$64.04–$700.80	25% below	90%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Radiologic Examination Knee 1/2 Views	$87.60	$876.00	$64.04–$700.80	—	90%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radex Spine Lumbosacral 2/3 Views	$125.00	$1,250.00	$91.38–$1,000.00	4% below	90%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Radex Spine Lumbosacral 2/3 Views	$125.00	$1,250.00	$91.38–$1,000.00	—	90%
X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views	$157.30	$1,573.00	$114.99–$1,258.40	2% below	90%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views	$157.30	$1,573.00	$114.99–$1,258.40	—	90%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radex Spine Thoracic 2 Views	$115.20	$1,152.00	$84.21–$921.60	14% below	90%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Radex Spine Thoracic 2 Views	$115.20	$1,152.00	$84.21–$921.60	—	90%
X-ray of the nasal bones, 3 or more views CPT 70160 Radex Nasal Bones Complete Minimum 3 Views	$97.00	$970.00	$70.91–$776.00	15% below	90%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Radex Nasal Bones Complete Minimum 3 Views	$97.00	$970.00	$70.91–$776.00	—	90%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radex Spine Cervical 2/3 Views	$111.10	$1,111.00	$81.21–$888.80	5% below	90%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Radex Spine Cervical 2/3 Views	$111.10	$1,111.00	$81.21–$888.80	—	90%
X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic Examination Pelvis 1/2 Views	$89.80	$898.00	$65.64–$718.40	28% below	90%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Radiologic Examination Pelvis 1/2 Views	$89.80	$898.00	$65.64–$718.40	—	90%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radex Sacrum & Coccyx Minimum 2 Views	$97.00	$970.00	$70.91–$776.00	17% below	90%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Radex Sacrum & Coccyx Minimum 2 Views	$97.00	$970.00	$70.91–$776.00	—	90%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
ACTH blood test CPT 82024 Acth 82024	$122.00	$1,220.00	$95.40–$976.00	175% above	90%
ACTH blood test inpatient CPT 82024 Acth 82024	$122.00	$1,220.00	$95.40–$976.00	—	90%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt (Sgpt) 84460	$26.90	$269.00	$21.04–$215.20	341% above	90%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Xpld-Transferase Alanine Amino Alt Sgp 84460	$52.00	$520.00	$40.66–$416.00	752% above	90%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Xpld-Hcv Fibrosure 84460	$59.20	$592.00	$46.29–$473.60	870% above	90%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt (Sgpt) 84460	$26.90	$269.00	$21.04–$215.20	—	90%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Xpld-Transferase Alanine Amino Alt Sgp 84460	$52.00	$520.00	$40.66–$416.00	—	90%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Xpld-Hcv Fibrosure 84460	$59.20	$592.00	$46.29–$473.60	—	90%
AST (aspartate aminotransferase) enzyme test CPT 84450 Ast 84450	$25.40	$254.00	$19.86–$203.20	326% above	90%
AST (aspartate aminotransferase) enzyme test CPT 84450 Xpld-Transferase Aspartate Amino Ast Sgot 84450	$51.00	$510.00	$39.88–$408.00	756% above	90%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast 84450	$25.40	$254.00	$19.86–$203.20	—	90%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Xpld-Transferase Aspartate Amino Ast Sgot 84450	$51.00	$510.00	$39.88–$408.00	—	90%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel 80074	$95.30	$953.00	$74.52–$762.40	74% above	90%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel 80074	$95.30	$953.00	$74.52–$762.40	—	90%
Albumin blood test CPT 82040 Albumin 82040	$6.50	$65.00	$5.08–$52.00	14% above	90%
Albumin blood test CPT 82040 Xpld-Albumin 82040	$7.00	$70.00	$5.47–$56.00	23% above	90%
Albumin blood test CPT 82040 Testostrn,Fre,Ba,TotX82040	$7.90	$79.00	$6.18–$63.20	39% above	90%
Albumin blood test inpatient CPT 82040 Albumin 82040	$6.50	$65.00	$5.08–$52.00	—	90%
Albumin blood test inpatient CPT 82040 Xpld-Albumin 82040	$7.00	$70.00	$5.47–$56.00	—	90%
Albumin blood test inpatient CPT 82040 Testostrn,Fre,Ba,TotX82040	$7.90	$79.00	$6.18–$63.20	—	90%
Aldosterone blood test CPT 82088 Aldosterone Urine X82088	$93.40	$934.00	$73.04–$747.20	99% above	90%
Aldosterone blood test CPT 82088 Aldos Plasma or Serum 82088	$93.40	$934.00	$73.04–$747.20	99% above	90%
Aldosterone blood test CPT 82088 Aldosterone Plasma Renin Activity ( Aldosteron) X 82088	$282.00	$2,820.00	$220.52–$2,256.00	502% above	90%
Aldosterone blood test inpatient CPT 82088 Aldos Plasma or Serum 82088	$93.40	$934.00	$73.04–$747.20	—	90%
Aldosterone blood test inpatient CPT 82088 Aldosterone Urine X82088	$93.40	$934.00	$73.04–$747.20	—	90%
Aldosterone blood test inpatient CPT 82088 Aldosterone Plasma Renin Activity ( Aldosteron) X 82088	$282.00	$2,820.00	$220.52–$2,256.00	—	90%
Alkaline phosphatase (ALP) blood test CPT 84075 Xpld-Phos 2 84075	$7.50	$75.00	$5.87–$60.00	26% above	90%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline 84075	$14.90	$149.00	$11.65–$119.20	150% above	90%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk.Phos.Bone Specif 84075	$119.50	$1,195.00	$93.45–$956.00	1905% above	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Xpld-Phos 2 84075	$7.50	$75.00	$5.87–$60.00	—	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase Alkaline 84075	$14.90	$149.00	$11.65–$119.20	—	90%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk.Phos.Bone Specif 84075	$119.50	$1,195.00	$93.45–$956.00	—	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld-Resp Allrgy Prof Rg186003	$6.00	$60.00	$4.69–$48.00	at median	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Mold Profile 6 86003	$10.70	$107.00	$8.37–$85.60	78% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Mold Profile 2 86003	$10.70	$107.00	$8.37–$85.60	78% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Mold Profile 3 86003	$10.70	$107.00	$8.37–$85.60	78% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Mold Profile 4 86003	$10.70	$107.00	$8.37–$85.60	78% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Mold Profile 5 86003	$10.70	$107.00	$8.37–$85.60	78% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Mold Profile X 86003	$10.70	$107.00	$8.37–$85.60	78% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Weed Profile 4 86003	$13.40	$134.00	$10.48–$107.20	123% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Weed Profile 2 86003	$13.40	$134.00	$10.48–$107.20	123% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Weed Profile 3 86003	$13.40	$134.00	$10.48–$107.20	123% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Weed Profile 5 86003	$13.40	$134.00	$10.48–$107.20	123% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Weed Profile X 86003	$13.40	$134.00	$10.48–$107.20	123% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Rast 86003	$25.40	$254.00	$19.86–$203.20	323% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #14 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Profile X 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #7 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #15 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #13 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #12 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #11 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #10 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #9 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #8 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #6 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #5 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #4 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #3 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld - Food Allergy Profile #2 86003	$27.30	$273.00	$21.35–$218.40	355% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Component ProfileX86003	$92.80	$928.00	$72.57–$742.40	1447% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Peanut Component Profile 2 86003	$92.80	$928.00	$72.57–$742.40	1447% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Peanut Component Profile 4 86003	$92.80	$928.00	$72.57–$742.40	1447% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Peanut Component Profile 3 86003	$92.80	$928.00	$72.57–$742.40	1447% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld -Peanut Component Profile 5 86003	$92.80	$928.00	$72.57–$742.40	1447% above	90%
Allergy blood test, specific IgE, per allergen CPT 86003 Xpld-Chldhood Allrgy Prof86003	$220.80	$2,208.00	$172.67–$1,766.40	3580% above	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld-Resp Allrgy Prof Rg186003	$6.00	$60.00	$4.69–$48.00	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Mold Profile 6 86003	$10.70	$107.00	$8.37–$85.60	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Mold Profile 5 86003	$10.70	$107.00	$8.37–$85.60	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mold Profile X 86003	$10.70	$107.00	$8.37–$85.60	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Mold Profile 4 86003	$10.70	$107.00	$8.37–$85.60	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Mold Profile 3 86003	$10.70	$107.00	$8.37–$85.60	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Mold Profile 2 86003	$10.70	$107.00	$8.37–$85.60	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Weed Profile 5 86003	$13.40	$134.00	$10.48–$107.20	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Weed Profile 3 86003	$13.40	$134.00	$10.48–$107.20	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Weed Profile 2 86003	$13.40	$134.00	$10.48–$107.20	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Weed Profile 4 86003	$13.40	$134.00	$10.48–$107.20	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Weed Profile X 86003	$13.40	$134.00	$10.48–$107.20	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast 86003	$25.40	$254.00	$19.86–$203.20	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #7 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #15 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #14 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #13 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #12 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #11 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #10 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #9 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Food Allergy Profile X 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #8 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #6 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #5 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #4 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #3 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld - Food Allergy Profile #2 86003	$27.30	$273.00	$21.35–$218.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Peanut Component Profile 5 86003	$92.80	$928.00	$72.57–$742.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Peanut Component Profile 2 86003	$92.80	$928.00	$72.57–$742.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Component ProfileX86003	$92.80	$928.00	$72.57–$742.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Peanut Component Profile 3 86003	$92.80	$928.00	$72.57–$742.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld -Peanut Component Profile 4 86003	$92.80	$928.00	$72.57–$742.40	—	90%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Xpld-Chldhood Allrgy Prof86003	$220.80	$2,208.00	$172.67–$1,766.40	—	90%
Alpha-fetoprotein (AFP) blood test CPT 82105 Maternal Triple ScrX82105	$20.60	$206.00	$16.11–$164.80	7% above	90%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetopro Xtra X82105	$30.40	$304.00	$23.77–$243.20	58% above	90%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Ser 82105	$76.00	$760.00	$59.43–$608.00	294% above	90%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Maternal Triple ScrX82105	$20.60	$206.00	$16.11–$164.80	—	90%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetopro Xtra X82105	$30.40	$304.00	$23.77–$243.20	—	90%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Ser 82105	$76.00	$760.00	$59.43–$608.00	—	90%
Ammonia blood test CPT 82140 Amnonia 82140	$18.90	$189.00	$14.78–$151.20	13% above	90%
Ammonia blood test CPT 82140 Stonerisk Diagnostic Profile X 82140	$127.40	$1,274.00	$99.63–$1,019.20	660% above	90%
Ammonia blood test inpatient CPT 82140 Amnonia 82140	$18.90	$189.00	$14.78–$151.20	—	90%
Ammonia blood test inpatient CPT 82140 Stonerisk Diagnostic Profile X 82140	$127.40	$1,274.00	$99.63–$1,019.20	—	90%
Amylase blood test CPT 82150 Amylase Fluid 82150	$7.50	$75.00	$5.87–$60.00	1% above	90%
Amylase blood test CPT 82150 Amylase Urine 82150	$12.40	$124.00	$9.70–$99.20	66% above	90%
Amylase blood test CPT 82150 Amylase Isoenzymes X 82150	$13.50	$135.00	$10.56–$108.00	81% above	90%
Amylase blood test CPT 82150 Xpld-Total Amylase 82150	$13.50	$135.00	$10.56–$108.00	81% above	90%
Amylase blood test CPT 82150 Xpld - Assay Amylase 82150	$18.40	$184.00	$14.39–$147.20	147% above	90%
Amylase blood test CPT 82150 Amylase Serum 82150	$31.70	$317.00	$24.79–$253.60	326% above	90%
Amylase blood test inpatient CPT 82150 Amylase Fluid 82150	$7.50	$75.00	$5.87–$60.00	—	90%
Amylase blood test inpatient CPT 82150 Amylase Urine 82150	$12.40	$124.00	$9.70–$99.20	—	90%
Amylase blood test inpatient CPT 82150 Xpld-Total Amylase 82150	$13.50	$135.00	$10.56–$108.00	—	90%
Amylase blood test inpatient CPT 82150 Amylase Isoenzymes X 82150	$13.50	$135.00	$10.56–$108.00	—	90%
Amylase blood test inpatient CPT 82150 Xpld - Assay Amylase 82150	$18.40	$184.00	$14.39–$147.20	—	90%
Amylase blood test inpatient CPT 82150 Amylase Serum 82150	$31.70	$317.00	$24.79–$253.60	—	90%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Xpld-Anti-CCP (Anti-Cyclic Citrullinated Peptide) Elisa, Igg 862	$44.50	$445.00	$34.80–$356.00	199% above	90%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP 86200	$47.60	$476.00	$37.22–$380.80	220% above	90%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies Igg/Iga 86200	$54.10	$541.00	$42.31–$432.80	263% above	90%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Xpld-Identra Ra Pan(CCP)86200	$56.20	$562.00	$43.95–$449.60	277% above	90%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Rad- Anti-CCP Ab (Eia) X86200	$117.90	$1,179.00	$92.20–$943.20	692% above	90%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Xpld- Anti-CCP (Anti-Cyclic Citrullinated Peptide) Elisa, Igg	$292.00	$2,920.00	$228.34–$2,336.00	1861% above	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Xpld-Anti-CCP (Anti-Cyclic Citrullinated Peptide) Elisa, Igg 862	$44.50	$445.00	$34.80–$356.00	—	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP 86200	$47.60	$476.00	$37.22–$380.80	—	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies Igg/Iga 86200	$54.10	$541.00	$42.31–$432.80	—	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Xpld-Identra Ra Pan(CCP)86200	$56.20	$562.00	$43.95–$449.60	—	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Rad- Anti-CCP Ab (Eia) X86200	$117.90	$1,179.00	$92.20–$943.20	—	90%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Xpld- Anti-CCP (Anti-Cyclic Citrullinated Peptide) Elisa, Igg	$292.00	$2,920.00	$228.34–$2,336.00	—	90%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Avise Lupus Ana (Antinuclear Antibodies) Iif X 86038	$41.80	$418.00	$32.69–$334.40	214% above	90%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Xpld- Ana (Antinuclear Antibodies) Iif	$44.80	$448.00	$35.03–$358.40	237% above	90%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Fana (Anti Nuclear Ab) 86038	$59.20	$592.00	$46.29–$473.60	345% above	90%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Scleroderma Panel, Cmprh plus-Anti-Nuclear Ab (IFA)X 86038	$69.90	$699.00	$54.66–$559.20	426% above	90%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Avise Lupus Ana (Antinuclear Antibodies) Iif X 86038	$41.80	$418.00	$32.69–$334.40	—	90%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Xpld- Ana (Antinuclear Antibodies) Iif	$44.80	$448.00	$35.03–$358.40	—	90%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Fana (Anti Nuclear Ab) 86038	$59.20	$592.00	$46.29–$473.60	—	90%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Scleroderma Panel, Cmprh plus-Anti-Nuclear Ab (IFA)X 86038	$69.90	$699.00	$54.66–$559.20	—	90%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp 83880	$55.00	$550.00	$43.01–$440.00	22% above	90%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro Bnp 83880	$75.70	$757.00	$59.20–$605.60	68% above	90%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp 83880	$55.00	$550.00	$43.01–$440.00	—	90%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Pro Bnp 83880	$75.70	$757.00	$59.20–$605.60	—	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Cult (Inc Gram)87070	$10.30	$103.00	$8.05–$82.40	4% above	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Gc 87070	$14.20	$142.00	$11.10–$113.60	43% above	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF Profile W/ CultX87070	$30.10	$301.00	$23.54–$240.80	204% above	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Routine Culture 87070	$42.30	$423.00	$33.08–$338.40	327% above	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Cult (Inc Gram)87070	$10.30	$103.00	$8.05–$82.40	—	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Gc 87070	$14.20	$142.00	$11.10–$113.60	—	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF Profile W/ CultX87070	$30.10	$301.00	$23.54–$240.80	—	90%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Routine Culture 87070	$42.30	$423.00	$33.08–$338.40	—	90%
Basic metabolic panel (blood test) CPT 80048 Acute Care Panel 80048	$15.20	$152.00	$11.89–$121.60	56% above	90%
Basic metabolic panel (blood test) inpatient CPT 80048 Acute Care Panel 80048	$15.20	$152.00	$11.89–$121.60	—	90%
Bilirubin blood test, total CPT 82247 Bilirubin-Total 82247	$18.10	$181.00	$14.15–$144.80	214% above	90%
Bilirubin blood test, total CPT 82247 Neonte Bilirbn ProfX82247	$26.90	$269.00	$21.04–$215.20	366% above	90%
Bilirubin blood test, total CPT 82247 Xpld-Bilirubin Total 82247	$49.40	$494.00	$38.63–$395.20	756% above	90%
Bilirubin blood test, total CPT 82247 Xpld-Hcv Fibrosure 82247	$59.20	$592.00	$46.29–$473.60	926% above	90%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin-Total 82247	$18.10	$181.00	$14.15–$144.80	—	90%
Bilirubin blood test, total inpatient CPT 82247 Neonte Bilirbn ProfX82247	$26.90	$269.00	$21.04–$215.20	—	90%
Bilirubin blood test, total inpatient CPT 82247 Xpld-Bilirubin Total 82247	$49.40	$494.00	$38.63–$395.20	—	90%
Bilirubin blood test, total inpatient CPT 82247 Xpld-Hcv Fibrosure 82247	$59.20	$592.00	$46.29–$473.60	—	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow-Clot Only 88305	$56.80	$568.00	$41.52–$454.40	42% below	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Core Bx W/Img in Rad 88305	$94.50	$945.00	$69.08–$756.00	3% below	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cell Block 88305	$102.10	$1,021.00	$74.64–$816.80	4% above	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow-Bx Only 88305	$115.10	$1,151.00	$84.14–$920.80	18% above	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Kidney Bx Lvl IV-Surg Path Gross&Mcrscp Xm 88305	$123.40	$1,234.00	$90.21–$987.20	26% above	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cc Cre Bx Brsw/OimgX88305	$125.50	$1,255.00	$91.74–$1,004.00	28% above	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cc Cre Bx Brst W Img 88305	$125.50	$1,255.00	$91.74–$1,004.00	28% above	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Gross&Micro Exam-Int 88305	$143.90	$1,439.00	$105.19–$1,151.20	47% above	90%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Kidney Biopsy Level IVX88305	$189.30	$1,893.00	$138.38–$1,514.40	93% above	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow-Clot Only 88305	$56.80	$568.00	$41.52–$454.40	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Core Bx W/Img in Rad 88305	$94.50	$945.00	$69.08–$756.00	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cell Block 88305	$102.10	$1,021.00	$74.64–$816.80	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow-Bx Only 88305	$115.10	$1,151.00	$84.14–$920.80	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Kidney Bx Lvl IV-Surg Path Gross&Mcrscp Xm 88305	$123.40	$1,234.00	$90.21–$987.20	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cc Cre Bx Brsw/OimgX88305	$125.50	$1,255.00	$91.74–$1,004.00	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cc Cre Bx Brst W Img 88305	$125.50	$1,255.00	$91.74–$1,004.00	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Gross&Micro Exam-Int 88305	$143.90	$1,439.00	$105.19–$1,151.20	—	90%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Kidney Biopsy Level IVX88305	$189.30	$1,893.00	$138.38–$1,514.40	—	90%
Blood culture for bacteria CPT 87040 Blood Culture 87040	$12.60	$126.00	$9.85–$100.80	77% below	90%
Blood culture for bacteria inpatient CPT 87040 Blood Culture 87040	$12.60	$126.00	$9.85–$100.80	—	90%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture 36415	$4.30	$43.00	$3.36–$34.40	56% below	90%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture	$4.30	$43.00	$3.36–$34.40	56% below	90%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection Venous Blood Venipuncture	$4.30	$43.00	$3.36–$34.40	—	90%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture 36415	$4.30	$43.00	$3.36–$34.40	—	90%
Blood glucose (sugar) test CPT 82947 Gtt Screen 82947	$10.20	$102.00	$7.98–$81.60	126% above	90%
Blood glucose (sugar) test CPT 82947 Xpldbg Glucose 82947	$11.30	$113.00	$8.84–$90.40	150% above	90%
Blood glucose (sugar) test CPT 82947 Glucose-Quantitative.	$11.30	$113.00	$8.84–$90.40	150% above	90%
Blood glucose (sugar) test CPT 82947 Glucose&Prot FluidX 82947	$12.70	$127.00	$9.93–$101.60	181% above	90%
Blood glucose (sugar) test CPT 82947 Glucose Serum 82947	$14.90	$149.00	$11.65–$119.20	230% above	90%
Blood glucose (sugar) test CPT 82947 Xpld-Glucose Quantitative Blood Xcpt Reagent Strip 82947	$38.60	$386.00	$30.19–$308.80	754% above	90%
Blood glucose (sugar) test inpatient CPT 82947 Gtt Screen 82947	$10.20	$102.00	$7.98–$81.60	—	90%
Blood glucose (sugar) test inpatient CPT 82947 Glucose-Quantitative.	$11.30	$113.00	$8.84–$90.40	—	90%
Blood glucose (sugar) test inpatient CPT 82947 Xpldbg Glucose 82947	$11.30	$113.00	$8.84–$90.40	—	90%
Blood glucose (sugar) test inpatient CPT 82947 Glucose&Prot FluidX 82947	$12.70	$127.00	$9.93–$101.60	—	90%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Serum 82947	$14.90	$149.00	$11.65–$119.20	—	90%
Blood glucose (sugar) test inpatient CPT 82947 Xpld-Glucose Quantitative Blood Xcpt Reagent Strip 82947	$38.60	$386.00	$30.19–$308.80	—	90%
Blood lead test CPT 83655 Lead 83655	$21.90	$219.00	$17.13–$175.20	57% above	90%
Blood lead test CPT 83655 XPLD--HEAVY MTL (Lead) 83655	$23.80	$238.00	$18.61–$190.40	71% above	90%
Blood lead test CPT 83655 Xpld-Heavy Metals Profile Blood Lead 83655	$38.40	$384.00	$30.03–$307.20	176% above	90%
Blood lead test CPT 83655 Xpld-Heavy Metal Profile Random-Lead 83655	$92.60	$926.00	$72.41–$740.80	565% above	90%
Blood lead test inpatient CPT 83655 Lead 83655	$21.90	$219.00	$17.13–$175.20	—	90%
Blood lead test inpatient CPT 83655 XPLD--HEAVY MTL (Lead) 83655	$23.80	$238.00	$18.61–$190.40	—	90%
Blood lead test inpatient CPT 83655 Xpld-Heavy Metals Profile Blood Lead 83655	$38.40	$384.00	$30.03–$307.20	—	90%
Blood lead test inpatient CPT 83655 Xpld-Heavy Metal Profile Random-Lead 83655	$92.60	$926.00	$72.41–$740.80	—	90%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test Serum Qual84703	$33.40	$334.00	$26.12–$267.20	286% above	90%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test Serum Qual84703	$33.40	$334.00	$26.12–$267.20	—	90%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Type 86900	$48.50	$485.00	$35.45–$388.00	66% below	90%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Discrepnacy Resolution 86900	$606.50	$6,065.00	$443.35–$4,852.00	325% above	90%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Type 86900	$48.50	$485.00	$35.45–$388.00	—	90%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Discrepnacy Resolution 86900	$606.50	$6,065.00	$443.35–$4,852.00	—	90%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen 84520	$19.50	$195.00	$15.25–$156.00	330% above	90%
Blood urea nitrogen (BUN) test CPT 84520 Post Bun 84520	$19.60	$196.00	$15.33–$156.80	332% above	90%
Blood urea nitrogen (BUN) test CPT 84520 Xpld- Tox Pnl Bun 84520	$19.60	$196.00	$15.33–$156.80	332% above	90%
Blood urea nitrogen (BUN) test CPT 84520 Pre Bun 84520	$19.60	$196.00	$15.33–$156.80	332% above	90%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen 84520	$19.50	$195.00	$15.25–$156.00	—	90%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Pre Bun 84520	$19.60	$196.00	$15.33–$156.80	—	90%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Xpld- Tox Pnl Bun 84520	$19.60	$196.00	$15.33–$156.80	—	90%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Post Bun 84520	$19.60	$196.00	$15.33–$156.80	—	90%
C-peptide blood test CPT 84681 C-Peptide Reactivity 84681	$69.40	$694.00	$54.27–$555.20	190% above	90%
C-peptide blood test CPT 84681 C-Peptide, Ultrasensitive (Endocrine Sciences) 84681	$208.00	$2,080.00	$162.66–$1,664.00	769% above	90%
C-peptide blood test inpatient CPT 84681 C-Peptide Reactivity 84681	$69.40	$694.00	$54.27–$555.20	—	90%
C-peptide blood test inpatient CPT 84681 C-Peptide, Ultrasensitive (Endocrine Sciences) 84681	$208.00	$2,080.00	$162.66–$1,664.00	—	90%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein 86140	$25.40	$254.00	$19.86–$203.20	326% above	90%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Ibd Sgi Diagnostic Crp X 86140	$40.30	$403.00	$31.51–$322.40	576% above	90%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein 86140	$25.40	$254.00	$19.86–$203.20	—	90%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Ibd Sgi Diagnostic Crp X 86140	$40.30	$403.00	$31.51–$322.40	—	90%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Pcr 87493	$159.20	$1,592.00	$124.49–$1,273.60	271% above	90%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Pcr 87493	$159.20	$1,592.00	$124.49–$1,273.60	—	90%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 86301	$23.80	$238.00	$18.61–$190.40	1% below	90%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 86301	$23.80	$238.00	$18.61–$190.40	—	90%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer 125 Antigen 86304	$89.90	$899.00	$70.30–$719.20	276% above	90%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer 125 Antigen 86304	$89.90	$899.00	$70.30–$719.20	—	90%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Sars Cov 2 Rna, Rt Pcr (Rapid) 87635	$26.80	$268.00	$18.47–$191.39	53% below	90%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Sars Cov 2 Rna, Rt Pcr 87635	$64.60	$646.00	$18.47–$191.39	14% above	90%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Sars Cov 2 Rna Rt-Pcr Quest 87635	$119.40	$1,194.00	$18.47–$191.39	112% above	90%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 Sars Cov 2 Rna, Rt Pcr (Quest) 87635	$133.40	$1,334.00	$18.47–$191.39	136% above	90%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 Sars Cov 2 Rna, Rt Pcr (Rapid) 87635	$26.80	$268.00	$20.96–$214.40	—	90%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 Sars Cov 2 Rna, Rt Pcr 87635	$64.60	$646.00	$50.52–$516.80	—	90%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 Sars Cov 2 Rna Rt-Pcr Quest 87635	$119.40	$1,194.00	$93.37–$955.20	—	90%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 Sars Cov 2 Rna, Rt Pcr (Quest) 87635	$133.40	$1,334.00	$104.32–$1,067.20	—	90%
Calcium blood test, total CPT 82310 Xpld-Parathyr-Tot Calc82310	$7.00	$70.00	$5.47–$56.00	18% above	90%
Calcium blood test, total CPT 82310 Calcium Serum 82310	$14.90	$149.00	$11.65–$119.20	151% above	90%
Calcium blood test, total inpatient CPT 82310 Xpld-Parathyr-Tot Calc82310	$7.00	$70.00	$5.47–$56.00	—	90%
Calcium blood test, total inpatient CPT 82310 Calcium Serum 82310	$14.90	$149.00	$11.65–$119.20	—	90%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea & Amyls/Panc FluidX82378	$53.90	$539.00	$42.15–$431.20	147% above	90%
Carcinoembryonic antigen (CEA) test CPT 82378 Cea 82378	$63.20	$632.00	$49.42–$505.60	190% above	90%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea & Amyls/Panc FluidX82378	$53.90	$539.00	$42.15–$431.20	—	90%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea 82378	$63.20	$632.00	$49.42–$505.60	—	90%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Imune Status86787	$24.10	$241.00	$18.85–$192.80	63% above	90%
Chickenpox (varicella) immunity blood test CPT 86787 V Zoster Abs Igm/G X86787	$28.90	$289.00	$22.60–$231.20	95% above	90%
Chickenpox (varicella) immunity blood test CPT 86787 Xpld-V Zoster Ab#2 86787	$28.90	$289.00	$22.60–$231.20	95% above	90%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Igm 86787	$51.50	$515.00	$40.27–$412.00	248% above	90%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Imune Status86787	$24.10	$241.00	$18.85–$192.80	—	90%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 V Zoster Abs Igm/G X86787	$28.90	$289.00	$22.60–$231.20	—	90%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Xpld-V Zoster Ab#2 86787	$28.90	$289.00	$22.60–$231.20	—	90%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Igm 86787	$51.50	$515.00	$40.27–$412.00	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Xpld Chlamydia Trachomatis, Amplified Probe	$72.20	$722.00	$56.46–$577.60	79% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Xpld Chylmd Trach Dna Amp Probe 87491	$92.30	$923.00	$72.18–$738.40	129% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/N. Gonorrhea CT/Gc Pcr Urine X 87491	$92.30	$923.00	$72.18–$738.40	129% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/N.Gon Rna 87491 X	$99.50	$995.00	$77.81–$796.00	147% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Gc/Chlamy Amplfid Dna 87491X	$99.50	$995.00	$77.81–$796.00	147% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT/Gc Chlamy Rna Thrt 87491X	$157.60	$1,576.00	$123.24–$1,260.80	291% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CT/Gc Chlamy Rna Rctl 87491X	$157.60	$1,576.00	$123.24–$1,260.80	291% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 XPLD SureSwab, Vaginosis/Vaginitis Plus 87491	$177.70	$1,777.00	$138.96–$1,421.60	340% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Sureswa, T.Vaginalis Rna X 87491	$214.00	$2,140.00	$167.35–$1,712.00	430% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 High Risk Sti Chlamydia/N. Gonorrhea Thin Prep X 87491	$308.00	$3,080.00	$240.86–$2,464.00	663% above	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Xpld Chlamydia Trachomatis, Amplified Probe	$72.20	$722.00	$56.46–$577.60	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Xpld Chylmd Trach Dna Amp Probe 87491	$92.30	$923.00	$72.18–$738.40	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/N. Gonorrhea CT/Gc Pcr Urine X 87491	$92.30	$923.00	$72.18–$738.40	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/N.Gon Rna 87491 X	$99.50	$995.00	$77.81–$796.00	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Gc/Chlamy Amplfid Dna 87491X	$99.50	$995.00	$77.81–$796.00	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT/Gc Chlamy Rna Thrt 87491X	$157.60	$1,576.00	$123.24–$1,260.80	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CT/Gc Chlamy Rna Rctl 87491X	$157.60	$1,576.00	$123.24–$1,260.80	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 XPLD SureSwab, Vaginosis/Vaginitis Plus 87491	$177.70	$1,777.00	$138.96–$1,421.60	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Sureswa, T.Vaginalis Rna X 87491	$214.00	$2,140.00	$167.35–$1,712.00	—	90%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 High Risk Sti Chlamydia/N. Gonorrhea Thin Prep X 87491	$308.00	$3,080.00	$240.86–$2,464.00	—	90%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile 80061	$61.50	$615.00	$48.09–$492.00	299% above	90%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Advanced Lip Panel 80061X	$61.50	$615.00	$48.09–$492.00	299% above	90%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Nmr Lipoprofile 80061 X	$78.20	$782.00	$61.15–$625.60	408% above	90%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Advanced Lip Panel 80061X	$61.50	$615.00	$48.09–$492.00	—	90%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile 80061	$61.50	$615.00	$48.09–$492.00	—	90%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Nmr Lipoprofile 80061 X	$78.20	$782.00	$61.15–$625.60	—	90%
Complete blood count (CBC) with differential CPT 85025 Cbc With Diff 85025	$23.80	$238.00	$17.40–$190.40	166% above	90%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff 85025	$23.80	$238.00	$17.40–$190.40	—	90%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff S&D 85025 59	$23.80	$238.00	$17.40–$238.00	—	90%
Complete blood count (CBC), no differential CPT 85027 Cbc 85027	$12.00	$120.00	$9.38–$96.00	61% above	90%
Complete blood count (CBC), no differential inpatient CPT 85027 Cbc 85027	$12.00	$120.00	$9.38–$96.00	—	90%
Comprehensive metabolic panel (blood test) CPT 80053 Chem Panel 80053	$40.00	$400.00	$31.28–$320.00	229% above	90%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Chem Panel 80053	$40.00	$400.00	$31.28–$320.00	—	90%
Cortisol blood test, total CPT 82533 Xpld-Cortisol 60 Min 82533	$25.40	$254.00	$19.86–$203.20	35% above	90%
Cortisol blood test, total CPT 82533 Xpld-Cortisol 30 Min 82533	$25.40	$254.00	$19.86–$203.20	35% above	90%
Cortisol blood test, total CPT 82533 Xpld-Cortisol 15min 82533	$25.40	$254.00	$19.86–$203.20	35% above	90%
Cortisol blood test, total CPT 82533 Cortisol Battery BSX82533	$25.40	$254.00	$19.86–$203.20	35% above	90%
Cortisol blood test, total CPT 82533 Cortisol 82533	$36.90	$369.00	$28.86–$295.20	97% above	90%
Cortisol blood test, total inpatient CPT 82533 Xpld-Cortisol 30 Min 82533	$25.40	$254.00	$19.86–$203.20	—	90%
Cortisol blood test, total inpatient CPT 82533 Xpld-Cortisol 15min 82533	$25.40	$254.00	$19.86–$203.20	—	90%
Cortisol blood test, total inpatient CPT 82533 Cortisol Battery BSX82533	$25.40	$254.00	$19.86–$203.20	—	90%
Cortisol blood test, total inpatient CPT 82533 Xpld-Cortisol 60 Min 82533	$25.40	$254.00	$19.86–$203.20	—	90%
Cortisol blood test, total inpatient CPT 82533 Cortisol 82533	$36.90	$369.00	$28.86–$295.20	—	90%
Creatine kinase (CK) blood test, total CPT 82550 Cardiac Prof(Cpk) X 82550	$7.50	$75.00	$5.87–$60.00	at median	90%
Creatine kinase (CK) blood test, total CPT 82550 Cpk 82550	$21.50	$215.00	$16.81–$172.00	187% above	90%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Cardiac Prof(Cpk) X 82550	$7.50	$75.00	$5.87–$60.00	—	90%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk 82550	$21.50	$215.00	$16.81–$172.00	—	90%
Creatinine blood test CPT 82565 Xpld-Cyclic Amp-Creati82565	$6.50	$65.00	$5.08–$52.00	10% above	90%
Creatinine blood test CPT 82565 Microcytic Anemia Panel X 82565 (Creatinine)	$24.10	$241.00	$18.85–$192.80	309% above	90%
Creatinine blood test CPT 82565 Creatinine 82565	$24.10	$241.00	$18.85–$192.80	309% above	90%
Creatinine blood test CPT 82565 Xpld- Tox Pnl Creatne 82565	$24.10	$241.00	$18.85–$192.80	309% above	90%
Creatinine blood test CPT 82565 Rflx Creatinine 82565	$24.10	$241.00	$18.85–$192.80	309% above	90%
Creatinine blood test inpatient CPT 82565 Xpld-Cyclic Amp-Creati82565	$6.50	$65.00	$5.08–$52.00	—	90%
Creatinine blood test inpatient CPT 82565 Xpld- Tox Pnl Creatne 82565	$24.10	$241.00	$18.85–$192.80	—	90%
Creatinine blood test inpatient CPT 82565 Creatinine 82565	$24.10	$241.00	$18.85–$192.80	—	90%
Creatinine blood test inpatient CPT 82565 Rflx Creatinine 82565	$24.10	$241.00	$18.85–$192.80	—	90%
Creatinine blood test inpatient CPT 82565 Microcytic Anemia Panel X 82565 (Creatinine)	$24.10	$241.00	$18.85–$192.80	—	90%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg & Igm X 86644	$19.60	$196.00	$15.33–$156.80	24% above	90%
Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus CulX86644	$20.60	$206.00	$16.11–$164.80	30% above	90%
Cytomegalovirus (CMV) antibody test CPT 86644 Xpld-Cmv Ab 86644	$26.40	$264.00	$20.64–$211.20	67% above	90%
Cytomegalovirus (CMV) antibody test CPT 86644 Donor Cmv 86644	$31.70	$317.00	$24.79–$253.60	100% above	90%
Cytomegalovirus (CMV) antibody test CPT 86644 Xpld-Torch Panel Igg- Cmv Igg 86644	$35.40	$354.00	$27.68–$283.20	124% above	90%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg & Igm X 86644	$19.60	$196.00	$15.33–$156.80	—	90%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus CulX86644	$20.60	$206.00	$16.11–$164.80	—	90%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Xpld-Cmv Ab 86644	$26.40	$264.00	$20.64–$211.20	—	90%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Donor Cmv 86644	$31.70	$317.00	$24.79–$253.60	—	90%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Xpld-Torch Panel Igg- Cmv Igg 86644	$35.40	$354.00	$27.68–$283.20	—	90%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate 82627	$108.90	$1,089.00	$85.16–$871.20	335% above	90%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate 82627	$108.90	$1,089.00	$85.16–$871.20	—	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ketamine Screen 80307	$23.10	$231.00	$18.06–$184.80	68% below	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Oxycodone 80307	$25.40	$254.00	$19.86–$203.20	64% below	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Lsd Urine 80307	$37.60	$376.00	$29.40–$300.80	47% below	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Urine Drug Abuse Scrn 80307	$177.00	$1,770.00	$138.41–$1,416.00	148% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Abuse Panel 8, Serum 80307	$183.30	$1,833.00	$143.34–$1,466.40	157% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Monitoring, Fentanyl, With Confirmation, Urine80307	$272.40	$2,724.00	$213.02–$2,179.20	281% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Monitoring, Panel 1, Screen, Urine 80307	$289.60	$2,896.00	$226.47–$2,316.80	305% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Abuse Panel 9, Urine 80307	$299.90	$2,999.00	$234.52–$2,399.20	320% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Monitor 10-Drug Class Profile (Labcorp Medwatch«) 80307	$311.90	$3,119.00	$243.91–$2,495.20	336% above	90%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Gamma-Oh-Butyric Drug Scrn,Urine	$545.20	$5,452.00	$426.35–$4,361.60	663% above	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ketamine Screen 80307	$23.10	$231.00	$18.06–$184.80	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Oxycodone 80307	$25.40	$254.00	$19.86–$203.20	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Lsd Urine 80307	$37.60	$376.00	$29.40–$300.80	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Urine Drug Abuse Scrn 80307	$177.00	$1,770.00	$138.41–$1,416.00	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Abuse Panel 8, Serum 80307	$183.30	$1,833.00	$143.34–$1,466.40	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Monitoring, Fentanyl, With Confirmation, Urine80307	$272.40	$2,724.00	$213.02–$2,179.20	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Monitoring, Panel 1, Screen, Urine 80307	$289.60	$2,896.00	$226.47–$2,316.80	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Abuse Panel 9, Urine 80307	$299.90	$2,999.00	$234.52–$2,399.20	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Monitor 10-Drug Class Profile (Labcorp Medwatch«) 80307	$311.90	$3,119.00	$243.91–$2,495.20	—	90%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Gamma-Oh-Butyric Drug Scrn,Urine	$545.20	$5,452.00	$426.35–$4,361.60	—	90%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel 80051	$23.80	$238.00	$18.61–$190.40	195% above	90%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel 80051	$23.80	$238.00	$18.61–$190.40	—	90%
Epstein-Barr virus (EBV) antibody test CPT 86665 Xpld-Ep Barr #4 86665	$37.60	$376.00	$29.40–$300.80	82% above	90%
Epstein-Barr virus (EBV) antibody test CPT 86665 Xpld-Ep Barr #3 86665	$37.60	$376.00	$29.40–$300.80	82% above	90%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Xpld-Ep Barr #3 86665	$37.60	$376.00	$29.40–$300.80	—	90%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Xpld-Ep Barr #4 86665	$37.60	$376.00	$29.40–$300.80	—	90%
Estradiol blood test CPT 82670 Estradiol 82670	$138.80	$1,388.00	$108.54–$1,110.40	332% above	90%
Estradiol blood test CPT 82670 Estradiol, Free X 82670	$198.30	$1,983.00	$155.07–$1,586.40	517% above	90%
Estradiol blood test inpatient CPT 82670 Estradiol 82670	$138.80	$1,388.00	$108.54–$1,110.40	—	90%
Estradiol blood test inpatient CPT 82670 Estradiol, Free X 82670	$198.30	$1,983.00	$155.07–$1,586.40	—	90%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh Serum 83001	$89.90	$899.00	$70.30–$719.20	321% above	90%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh Serum 83001	$89.90	$899.00	$70.30–$719.20	—	90%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool 83993	$378.70	$3,787.00	$296.14–$3,029.60	1578% above	90%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool 83993	$378.70	$3,787.00	$296.14–$3,029.60	—	90%
Ferritin blood test (iron stores) CPT 82728 Xpld/Rflx-Assay Ferritin 82728	$16.70	$167.00	$13.06–$133.60	7% above	90%
Ferritin blood test (iron stores) CPT 82728 Ferritin Serum 82728	$45.70	$457.00	$35.74–$365.60	192% above	90%
Ferritin blood test (iron stores) inpatient CPT 82728 Xpld/Rflx-Assay Ferritin 82728	$16.70	$167.00	$13.06–$133.60	—	90%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin Serum 82728	$45.70	$457.00	$35.74–$365.60	—	90%
Fibrinogen blood test CPT 85384 Xpld- Tox Pnl Fibrogn 85384	$16.00	$160.00	$12.51–$128.00	43% above	90%
Fibrinogen blood test CPT 85384 Fibrinogen 85384	$16.00	$160.00	$12.51–$128.00	43% above	90%
Fibrinogen blood test CPT 85384 Hemostasis With Lysis Cff 85384	$19.80	$198.00	$15.48–$158.40	77% above	90%
Fibrinogen blood test CPT 85384 Global Hemostatis With Heparinase Cff MA 85384	$19.80	$198.00	$15.48–$158.40	77% above	90%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen 85384	$16.00	$160.00	$12.51–$128.00	—	90%
Fibrinogen blood test inpatient CPT 85384 Xpld- Tox Pnl Fibrogn 85384	$16.00	$160.00	$12.51–$128.00	—	90%
Fibrinogen blood test inpatient CPT 85384 Hemostasis With Lysis Cff 85384	$19.80	$198.00	$15.48–$158.40	—	90%
Fibrinogen blood test inpatient CPT 85384 Global Hemostatis With Heparinase Cff MA 85384	$19.80	$198.00	$15.48–$158.40	—	90%
Folate (folic acid) blood test CPT 82746 Vitamin B12 & Folat (Rflx or Stand Alone)X82746	$48.80	$488.00	$38.16–$390.40	189% above	90%
Folate (folic acid) blood test CPT 82746 Assay Folic Acid Serum 82746	$48.80	$488.00	$38.16–$390.40	189% above	90%
Folate (folic acid) blood test inpatient CPT 82746 Vitamin B12 & Folat (Rflx or Stand Alone)X82746	$48.80	$488.00	$38.16–$390.40	—	90%
Folate (folic acid) blood test inpatient CPT 82746 Assay Folic Acid Serum 82746	$48.80	$488.00	$38.16–$390.40	—	90%
Free T3 thyroid hormone test CPT 84481 Free T3 84481	$56.80	$568.00	$44.42–$454.40	192% above	90%
Free T3 thyroid hormone test inpatient CPT 84481 Free T3 84481	$56.80	$568.00	$44.42–$454.40	—	90%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 84439	$40.00	$400.00	$31.28–$320.00	286% above	90%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 84439	$40.00	$400.00	$31.28–$320.00	—	90%
Free testosterone test CPT 84402 Testosterone Free 84402	$98.10	$981.00	$76.71–$784.80	250% above	90%
Free testosterone test inpatient CPT 84402 Testosterone Free 84402	$98.10	$981.00	$76.71–$784.80	—	90%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutemyl Trnspti82977	$35.00	$350.00	$27.37–$280.00	323% above	90%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Xpld-Assay of Glutamyltrase Gamma 82977	$70.70	$707.00	$55.29–$565.60	754% above	90%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Xpld-Hcv Fibrosure 82977	$79.30	$793.00	$62.01–$634.40	858% above	90%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutemyl Trnspti82977	$35.00	$350.00	$27.37–$280.00	—	90%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Xpld-Assay of Glutamyltrase Gamma 82977	$70.70	$707.00	$55.29–$565.60	—	90%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Xpld-Hcv Fibrosure 82977	$79.30	$793.00	$62.01–$634.40	—	90%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 1 Hour 82950	$7.50	$75.00	$5.87–$60.00	37% above	90%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Xpld-Post Gluc. 82950	$14.20	$142.00	$11.10–$113.60	160% above	90%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose, 2 Hour Pp 82950	$19.50	$195.00	$15.25–$156.00	257% above	90%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, 1 Hour 82950	$7.50	$75.00	$5.87–$60.00	—	90%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Xpld-Post Gluc. 82950	$14.20	$142.00	$11.10–$113.60	—	90%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose, 2 Hour Pp 82950	$19.50	$195.00	$15.25–$156.00	—	90%
Glucose tolerance test, 3 samples CPT 82951 Glucse Tolrnce 3hr X82951	$25.40	$254.00	$19.86–$203.20	72% above	90%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance 82951	$48.10	$481.00	$37.61–$384.80	225% above	90%
Glucose tolerance test, 3 samples CPT 82951 3 Hr Gtt Gesta DiabX82951	$54.90	$549.00	$42.93–$439.20	271% above	90%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucse Tolrnce 3hr X82951	$25.40	$254.00	$19.86–$203.20	—	90%
Glucose tolerance test, 3 samples inpatient CPT 82951 Lactose Tolerance 82951	$48.10	$481.00	$37.61–$384.80	—	90%
Glucose tolerance test, 3 samples inpatient CPT 82951 3 Hr Gtt Gesta DiabX82951	$54.90	$549.00	$42.93–$439.20	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpld Neisseria Gonorrhoeae, Amplified Probe	$72.20	$722.00	$56.46–$577.60	79% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpld - N.Gonorrhoeae Dna Amp Prob 87591	$92.30	$923.00	$72.18–$738.40	129% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpld-N.Gon/Chylamydiarna87591	$99.50	$995.00	$77.81–$796.00	147% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpld-Gc/Chlamy Amp Dna 87591	$99.50	$995.00	$77.81–$796.00	147% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpld-CT/Gc Gnrha Rna Rctl87591	$157.60	$1,576.00	$123.24–$1,260.80	291% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpld-CT/Gc Gnrha Rna Thrt87591	$157.60	$1,576.00	$123.24–$1,260.80	291% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 XPLD SureSwab, Vaginosis/Vaginitis Plus 87591	$177.70	$1,777.00	$138.96–$1,421.60	340% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Xpld Sureswa, T.Vaginalis Rna 87591	$214.00	$2,140.00	$167.35–$1,712.00	430% above	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpld Neisseria Gonorrhoeae, Amplified Probe	$72.20	$722.00	$56.46–$577.60	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpld - N.Gonorrhoeae Dna Amp Prob 87591	$92.30	$923.00	$72.18–$738.40	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpld-N.Gon/Chylamydiarna87591	$99.50	$995.00	$77.81–$796.00	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpld-Gc/Chlamy Amp Dna 87591	$99.50	$995.00	$77.81–$796.00	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpld-CT/Gc Gnrha Rna Rctl87591	$157.60	$1,576.00	$123.24–$1,260.80	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpld-CT/Gc Gnrha Rna Thrt87591	$157.60	$1,576.00	$123.24–$1,260.80	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 XPLD SureSwab, Vaginosis/Vaginitis Plus 87591	$177.70	$1,777.00	$138.96–$1,421.60	—	90%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Xpld Sureswa, T.Vaginalis Rna 87591	$214.00	$2,140.00	$167.35–$1,712.00	—	90%
H. pylori antibody blood test CPT 86677 Helicobacter Ab Igg 86677	$63.50	$635.00	$49.66–$508.00	228% above	90%
H. pylori antibody blood test CPT 86677 H. Pylori Igm 86677	$94.40	$944.00	$73.82–$755.20	387% above	90%
H. pylori antibody blood test CPT 86677 H Pylori Ab Igg 86677	$94.40	$944.00	$73.82–$755.20	387% above	90%
H. pylori antibody blood test CPT 86677 H. Pylori Iga 86677	$199.80	$1,998.00	$156.24–$1,598.40	931% above	90%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Ab Igg 86677	$63.50	$635.00	$49.66–$508.00	—	90%
H. pylori antibody blood test inpatient CPT 86677 H Pylori Ab Igg 86677	$94.40	$944.00	$73.82–$755.20	—	90%
H. pylori antibody blood test inpatient CPT 86677 H. Pylori Igm 86677	$94.40	$944.00	$73.82–$755.20	—	90%
H. pylori antibody blood test inpatient CPT 86677 H. Pylori Iga 86677	$199.80	$1,998.00	$156.24–$1,598.40	—	90%
H. pylori stool antigen test CPT 87338 H.Pylori Ag Stool 87338	$23.40	$234.00	$17.11–$187.20	48% above	90%
H. pylori stool antigen test inpatient CPT 87338 H.Pylori Ag Stool 87338	$23.40	$234.00	$17.11–$187.20	—	90%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv Rna by Pcr 87536	$240.40	$2,404.00	$187.99–$1,923.20	146% above	90%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv Rna by Pcr 87536	$240.40	$2,404.00	$187.99–$1,923.20	—	90%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv Screen #1 86703 X	$25.40	$254.00	$19.86–$203.20	61% above	90%
HIV-1 and HIV-2 antibody test CPT 86703 Hiv-1 and Hiv-2 Antibody 86703	$31.20	$312.00	$24.40–$249.60	98% above	90%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv Screen #1 86703 X	$25.40	$254.00	$19.86–$203.20	—	90%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Hiv-1 and Hiv-2 Antibody 86703	$31.20	$312.00	$24.40–$249.60	—	90%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Xpld/Rflx Thin Prep (Pap Liquid Base)&Hpv87624	$72.20	$722.00	$56.46–$577.60	87% above	90%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Dna, High Risk 87624	$72.20	$722.00	$56.46–$577.60	87% above	90%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Xpld/Rflx Human Papillomavirus, High-Risk Types	$72.20	$722.00	$56.46–$577.60	87% above	90%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Xpld-Hpv Int/High Risk 87624	$97.00	$970.00	$75.85–$776.00	151% above	90%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Xpld/Rflx Thin Prep (Pap Liquid Base)&Hpv87624	$72.20	$722.00	$56.46–$577.60	—	90%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Dna, High Risk 87624	$72.20	$722.00	$56.46–$577.60	—	90%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Xpld/Rflx Human Papillomavirus, High-Risk Types	$72.20	$722.00	$56.46–$577.60	—	90%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Xpld-Hpv Int/High Risk 87624	$97.00	$970.00	$75.85–$776.00	—	90%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin a 1c 83036	$38.90	$389.00	$30.42–$311.20	248% above	90%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin a 1c 83036	$38.90	$389.00	$30.42–$311.20	—	90%
Hemoglobin blood test CPT 85018 Xpld - Hemoglobin 85018	$6.80	$68.00	$5.32–$54.40	67% above	90%
Hemoglobin blood test CPT 85018 Hemoglobn&HematicrtX85018	$6.80	$68.00	$5.32–$54.40	67% above	90%
Hemoglobin blood test CPT 85018 Hemoglobin 85018	$6.80	$68.00	$5.32–$54.40	67% above	90%
Hemoglobin blood test CPT 85018 Blood Count-Hemoglobin.	$6.80	$68.00	$5.32–$54.40	67% above	90%
Hemoglobin blood test CPT 85018 H/H for Body FluidsX85018	$6.80	$68.00	$5.32–$54.40	67% above	90%
Hemoglobin blood test CPT 85018 Xpldbg Hemoglobin 85018	$6.80	$68.00	$5.32–$54.40	67% above	90%
Hemoglobin blood test inpatient CPT 85018 Blood Count-Hemoglobin.	$6.80	$68.00	$5.32–$54.40	—	90%
Hemoglobin blood test inpatient CPT 85018 H/H for Body FluidsX85018	$6.80	$68.00	$5.32–$54.40	—	90%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin 85018	$6.80	$68.00	$5.32–$54.40	—	90%
Hemoglobin blood test inpatient CPT 85018 Xpldbg Hemoglobin 85018	$6.80	$68.00	$5.32–$54.40	—	90%
Hemoglobin blood test inpatient CPT 85018 Xpld - Hemoglobin 85018	$6.80	$68.00	$5.32–$54.40	—	90%
Hemoglobin blood test inpatient CPT 85018 Hemoglobn&HematicrtX85018	$6.80	$68.00	$5.32–$54.40	—	90%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antb 86704	$37.60	$376.00	$29.40–$300.80	184% above	90%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antb 86704	$37.60	$376.00	$29.40–$300.80	—	90%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody86706	$33.40	$334.00	$26.12–$267.20	170% above	90%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Antibody86706	$33.40	$334.00	$26.12–$267.20	—	90%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen 87340	$32.40	$324.00	$25.34–$259.20	173% above	90%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen 87340	$32.40	$324.00	$25.34–$259.20	—	90%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody 86803	$44.30	$443.00	$34.64–$354.40	170% above	90%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody 86803	$44.30	$443.00	$34.64–$354.40	—	90%
Hepatitis C viral load (HCV RNA) test CPT 87522 Heptimax 87522	$69.40	$694.00	$54.27–$555.20	41% above	90%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Heptimax 87522	$69.40	$694.00	$54.27–$555.20	—	90%
Herpes blood test, HSV-1 antibody CPT 86695 Xpld-Herpes Type 1 86695	$23.80	$238.00	$18.61–$190.40	57% above	90%
Herpes blood test, HSV-1 antibody CPT 86695 Xpld-Torch Panel Igg- Hsv1 Igg 86695	$32.50	$325.00	$25.42–$260.00	114% above	90%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Virus Igm Type186695X	$36.90	$369.00	$28.86–$295.20	143% above	90%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Virus Igg Type186695X	$36.90	$369.00	$28.86–$295.20	143% above	90%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Smplx (Tot Ab)X86695	$36.90	$369.00	$28.86–$295.20	143% above	90%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Igm Titer 86695	$63.10	$631.00	$49.34–$504.80	316% above	90%
Herpes blood test, HSV-1 antibody CPT 86695 Rflx-Herpes Virus 1 Igm Titer 86695	$110.70	$1,107.00	$86.57–$885.60	630% above	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Xpld-Herpes Type 1 86695	$23.80	$238.00	$18.61–$190.40	—	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Xpld-Torch Panel Igg- Hsv1 Igg 86695	$32.50	$325.00	$25.42–$260.00	—	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Virus Igg Type186695X	$36.90	$369.00	$28.86–$295.20	—	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Virus Igm Type186695X	$36.90	$369.00	$28.86–$295.20	—	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Smplx (Tot Ab)X86695	$36.90	$369.00	$28.86–$295.20	—	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 Igm Titer 86695	$63.10	$631.00	$49.34–$504.80	—	90%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Rflx-Herpes Virus 1 Igm Titer 86695	$110.70	$1,107.00	$86.57–$885.60	—	90%
Herpes blood test, HSV-2 antibody CPT 86696 Xpld-Herpes Type II 86696	$35.00	$350.00	$27.37–$280.00	57% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igg 86696 (Reflex if Req.)	$39.70	$397.00	$31.05–$317.60	78% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Xpld-Torch Panel Igg- Hsv2 Igg 86696	$47.70	$477.00	$37.30–$381.60	114% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Xpld-Herpes Vrs Igg Type286696	$54.50	$545.00	$42.62–$436.00	145% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Xpld-Herpes Simplex 86696	$54.50	$545.00	$42.62–$436.00	145% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Xpld-Herpes Vrs Igm Type286696	$54.50	$545.00	$42.62–$436.00	145% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Igm Titer 86696	$63.10	$631.00	$49.34–$504.80	184% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Rflx-Herpes Virus 2 Igm Titer 86696	$110.70	$1,107.00	$86.57–$885.60	398% above	90%
Herpes blood test, HSV-2 antibody CPT 86696 Rflx Hsv 1 / 2-Hsv2-Inhibition 86696	$308.00	$3,080.00	$240.86–$2,464.00	1284% above	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Xpld-Herpes Type II 86696	$35.00	$350.00	$27.37–$280.00	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igg 86696 (Reflex if Req.)	$39.70	$397.00	$31.05–$317.60	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Xpld-Torch Panel Igg- Hsv2 Igg 86696	$47.70	$477.00	$37.30–$381.60	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Xpld-Herpes Vrs Igg Type286696	$54.50	$545.00	$42.62–$436.00	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Xpld-Herpes Vrs Igm Type286696	$54.50	$545.00	$42.62–$436.00	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Xpld-Herpes Simplex 86696	$54.50	$545.00	$42.62–$436.00	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 Igm Titer 86696	$63.10	$631.00	$49.34–$504.80	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Rflx-Herpes Virus 2 Igm Titer 86696	$110.70	$1,107.00	$86.57–$885.60	—	90%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Rflx Hsv 1 / 2-Hsv2-Inhibition 86696	$308.00	$3,080.00	$240.86–$2,464.00	—	90%
High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio Crp-Hs 86141	$70.30	$703.00	$54.97–$562.40	372% above	90%
High-sensitivity CRP (hs-CRP) test CPT 86141 Xpld-C-Reactive Protein High Sensitivity 86141	$107.90	$1,079.00	$84.38–$863.20	625% above	90%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Cardio Crp-Hs 86141	$70.30	$703.00	$54.97–$562.40	—	90%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Xpld-C-Reactive Protein High Sensitivity 86141	$107.90	$1,079.00	$84.38–$863.20	—	90%
Homocysteine blood test CPT 83090 Homocysteine 83090	$49.40	$494.00	$38.63–$395.20	140% above	90%
Homocysteine blood test inpatient CPT 83090 Homocysteine 83090	$49.40	$494.00	$38.63–$395.20	—	90%
Insulin blood test CPT 83525 Insulin 83525	$22.00	$220.00	$17.20–$176.00	67% above	90%
Insulin blood test inpatient CPT 83525 Insulin 83525	$22.00	$220.00	$17.20–$176.00	—	90%
Iron blood test (serum iron) CPT 83540 Ifonf Panel (Rflx or Stand Alone)X 83540	$12.60	$126.00	$9.85–$100.80	69% above	90%
Iron blood test (serum iron) CPT 83540 Iron Only 83540	$12.60	$126.00	$9.85–$100.80	69% above	90%
Iron blood test (serum iron) CPT 83540 Iron & Iron BindingX83540	$12.60	$126.00	$9.85–$100.80	69% above	90%
Iron blood test (serum iron) inpatient CPT 83540 Ifonf Panel (Rflx or Stand Alone)X 83540	$12.60	$126.00	$9.85–$100.80	—	90%
Iron blood test (serum iron) inpatient CPT 83540 Iron & Iron BindingX83540	$12.60	$126.00	$9.85–$100.80	—	90%
Iron blood test (serum iron) inpatient CPT 83540 Iron Only 83540	$12.60	$126.00	$9.85–$100.80	—	90%
Iron-binding capacity (TIBC) test CPT 83550 Xpld-Iron Binding Cap 83550	$16.70	$167.00	$13.06–$133.60	66% above	90%
Iron-binding capacity (TIBC) test CPT 83550 Xpld/Rflx-Iron Binding Test 83550	$16.70	$167.00	$13.06–$133.60	66% above	90%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Xpld-Iron Binding Cap 83550	$16.70	$167.00	$13.06–$133.60	—	90%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Xpld/Rflx-Iron Binding Test 83550	$16.70	$167.00	$13.06–$133.60	—	90%
Kidney function blood test panel CPT 80069 Renal Panel 80069	$16.00	$160.00	$12.51–$128.00	46% below	90%
Kidney function blood test panel inpatient CPT 80069 Renal Panel 80069	$16.00	$160.00	$12.51–$128.00	—	90%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone-Lh83002	$89.90	$899.00	$70.30–$719.20	341% above	90%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone-Lh83002	$89.90	$899.00	$70.30–$719.20	—	90%
Lactate (lactic acid) blood test CPT 83605 Xpldbg Lactate 83605	$14.00	$140.00	$10.95–$112.00	5% above	90%
Lactate (lactic acid) blood test CPT 83605 Lactate	$14.00	$140.00	$10.95–$112.00	5% above	90%
Lactate (lactic acid) blood test CPT 83605 Lactate (Lactic Acid) 83605	$14.00	$140.00	$10.95–$112.00	5% above	90%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate	$14.00	$140.00	$10.95–$112.00	—	90%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactate (Lactic Acid) 83605	$14.00	$140.00	$10.95–$112.00	—	90%
Lactate (lactic acid) blood test inpatient CPT 83605 Xpldbg Lactate 83605	$14.00	$140.00	$10.95–$112.00	—	90%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh Pleural Fluid 83615	$7.50	$75.00	$5.87–$60.00	8% above	90%
Lactate dehydrogenase (LDH) blood test CPT 83615 Xpld-Ldh-Total Ldh 83615	$7.50	$75.00	$5.87–$60.00	8% above	90%
Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh 83615	$19.60	$196.00	$15.33–$156.80	182% above	90%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh Pleural Fluid 83615	$7.50	$75.00	$5.87–$60.00	—	90%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Xpld-Ldh-Total Ldh 83615	$7.50	$75.00	$5.87–$60.00	—	90%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh 83615	$19.60	$196.00	$15.33–$156.80	—	90%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase 83690	$19.50	$195.00	$15.25–$156.00	146% above	90%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase 83690	$19.50	$195.00	$15.25–$156.00	—	90%
Liver function blood test panel CPT 80076 Liver Function Panel 80076	$21.50	$215.00	$16.81–$172.00	16% below	90%
Liver function blood test panel CPT 80076 Xpld-Tox Pnl Liver Pf 80076	$21.80	$218.00	$17.05–$174.40	15% below	90%
Liver function blood test panel inpatient CPT 80076 Liver Function Panel 80076	$21.50	$215.00	$16.81–$172.00	—	90%
Liver function blood test panel inpatient CPT 80076 Xpld-Tox Pnl Liver Pf 80076	$21.80	$218.00	$17.05–$174.40	—	90%
Lyme disease antibody test CPT 86618 Xpld-Lyme Screen Igm 86618	$81.20	$812.00	$63.50–$649.60	315% above	90%
Lyme disease antibody test CPT 86618 Lyme Screen Igm 86618	$81.20	$812.00	$63.50–$649.60	315% above	90%
Lyme disease antibody test CPT 86618 Lyme Screen Igg 86618	$81.20	$812.00	$63.50–$649.60	315% above	90%
Lyme disease antibody test CPT 86618 Lyme Screen Eia IggX86618	$81.20	$812.00	$63.50–$649.60	315% above	90%
Lyme disease antibody test CPT 86618 Lyme Cmplte Eia IggX86618	$81.20	$812.00	$63.50–$649.60	315% above	90%
Lyme disease antibody test CPT 86618 Lyme Abs CSF EiaiggX86618	$81.20	$812.00	$63.50–$649.60	315% above	90%
Lyme disease antibody test CPT 86618 Xpld-Lyme Eia Igm 86618	$81.20	$812.00	$63.50–$649.60	315% above	90%
Lyme disease antibody test inpatient CPT 86618 Xpld-Lyme Eia Igm 86618	$81.20	$812.00	$63.50–$649.60	—	90%
Lyme disease antibody test inpatient CPT 86618 Lyme Screen Igm 86618	$81.20	$812.00	$63.50–$649.60	—	90%
Lyme disease antibody test inpatient CPT 86618 Lyme Abs CSF EiaiggX86618	$81.20	$812.00	$63.50–$649.60	—	90%
Lyme disease antibody test inpatient CPT 86618 Lyme Screen Igg 86618	$81.20	$812.00	$63.50–$649.60	—	90%
Lyme disease antibody test inpatient CPT 86618 Lyme Screen Eia IggX86618	$81.20	$812.00	$63.50–$649.60	—	90%
Lyme disease antibody test inpatient CPT 86618 Lyme Cmplte Eia IggX86618	$81.20	$812.00	$63.50–$649.60	—	90%
Lyme disease antibody test inpatient CPT 86618 Xpld-Lyme Screen Igm 86618	$81.20	$812.00	$63.50–$649.60	—	90%
Magnesium blood test CPT 83735 Magnesium 83735	$8.50	$85.00	$6.65–$68.00	10% above	90%
Magnesium blood test CPT 83735 Urine Magnesi (Random)83735	$10.00	$100.00	$7.82–$80.00	30% above	90%
Magnesium blood test CPT 83735 Urine Magnesi(24hr)X83735	$11.80	$118.00	$9.23–$94.40	53% above	90%
Magnesium blood test CPT 83735 Magnesium 24 Hr X83735	$14.90	$149.00	$11.65–$119.20	93% above	90%
Magnesium blood test CPT 83735 Magnesium RBC 83735	$19.00	$190.00	$14.86–$152.00	146% above	90%
Magnesium blood test CPT 83735 Xpld-Urorisk-Mg 83735	$21.50	$215.00	$16.81–$172.00	179% above	90%
Magnesium blood test CPT 83735 Xpld - Assay of Magnesium 83735	$58.70	$587.00	$45.90–$469.60	661% above	90%
Magnesium blood test inpatient CPT 83735 Magnesium 83735	$8.50	$85.00	$6.65–$68.00	—	90%
Magnesium blood test inpatient CPT 83735 Urine Magnesi (Random)83735	$10.00	$100.00	$7.82–$80.00	—	90%
Magnesium blood test inpatient CPT 83735 Urine Magnesi(24hr)X83735	$11.80	$118.00	$9.23–$94.40	—	90%
Magnesium blood test inpatient CPT 83735 Magnesium 24 Hr X83735	$14.90	$149.00	$11.65–$119.20	—	90%
Magnesium blood test inpatient CPT 83735 Magnesium RBC 83735	$19.00	$190.00	$14.86–$152.00	—	90%
Magnesium blood test inpatient CPT 83735 Xpld-Urorisk-Mg 83735	$21.50	$215.00	$16.81–$172.00	—	90%
Magnesium blood test inpatient CPT 83735 Xpld - Assay of Magnesium 83735	$58.70	$587.00	$45.90–$469.60	—	90%
Measles (rubeola) antibody test CPT 86765 Measles Virus Igg Antbdy 86765	$18.10	$181.00	$14.15–$144.80	22% above	90%
Measles (rubeola) antibody test CPT 86765 Measles Virus Igm Antbdy 86765	$32.70	$327.00	$25.57–$261.60	121% above	90%
Measles (rubeola) antibody test CPT 86765 Xpld-Rubeola Antibody 86765	$35.40	$354.00	$27.68–$283.20	139% above	90%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Virus Igg Antbdy 86765	$18.10	$181.00	$14.15–$144.80	—	90%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Virus Igm Antbdy 86765	$32.70	$327.00	$25.57–$261.60	—	90%
Measles (rubeola) antibody test inpatient CPT 86765 Xpld-Rubeola Antibody 86765	$35.40	$354.00	$27.68–$283.20	—	90%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test 86308	$25.40	$254.00	$19.86–$203.20	116% above	90%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono Test 86308	$25.40	$254.00	$19.86–$203.20	—	90%
Mumps immunity blood test CPT 86735 Mmr Igg Panel X 86735	$48.00	$480.00	$37.54–$384.00	220% above	90%
Mumps immunity blood test CPT 86735 Mumps Ab Igm 86735	$65.20	$652.00	$50.99–$521.60	334% above	90%
Mumps immunity blood test CPT 86735 Mumps (Viral Antibody)86735	$65.20	$652.00	$50.99–$521.60	334% above	90%
Mumps immunity blood test inpatient CPT 86735 Mmr Igg Panel X 86735	$48.00	$480.00	$37.54–$384.00	—	90%
Mumps immunity blood test inpatient CPT 86735 Mumps (Viral Antibody)86735	$65.20	$652.00	$50.99–$521.60	—	90%
Mumps immunity blood test inpatient CPT 86735 Mumps Ab Igm 86735	$65.20	$652.00	$50.99–$521.60	—	90%
PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa 84154	$37.80	$378.00	$29.56–$302.40	79% above	90%
PSA (prostate-specific antigen) blood test, free CPT 84154 Xpld - Assay of Psa Free 84154	$42.00	$420.00	$32.84–$336.00	99% above	90%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa,Free X84154	$76.70	$767.00	$59.98–$613.60	263% above	90%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa 84154	$37.80	$378.00	$29.56–$302.40	—	90%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Xpld - Assay of Psa Free 84154	$42.00	$420.00	$32.84–$336.00	—	90%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa,Free X84154	$76.70	$767.00	$59.98–$613.60	—	90%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa, Post Prostatectomy 84153	$37.90	$379.00	$29.64–$303.20	79% above	90%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Health Index X 84153	$42.00	$420.00	$32.84–$336.00	99% above	90%
PSA (prostate-specific antigen) blood test, total CPT 84153 Xpld-Psa,Free(Tot) 84153	$76.70	$767.00	$59.98–$613.60	263% above	90%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Diagnostic 84153	$83.00	$830.00	$64.91–$664.00	292% above	90%
PSA (prostate-specific antigen) blood test, total CPT 84153 Ultrasensitive Psa 84153	$207.70	$2,077.00	$162.42–$1,661.60	882% above	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa, Post Prostatectomy 84153	$37.90	$379.00	$29.64–$303.20	—	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Health Index X 84153	$42.00	$420.00	$32.84–$336.00	—	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Xpld-Psa,Free(Tot) 84153	$76.70	$767.00	$59.98–$613.60	—	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Diagnostic 84153	$83.00	$830.00	$64.91–$664.00	—	90%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Ultrasensitive Psa 84153	$207.70	$2,077.00	$162.42–$1,661.60	—	90%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep (Pap Liquid Base) Only 88175	$54.80	$548.00	$42.85–$438.40	87% above	90%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap With Additional Testing	$54.80	$548.00	$42.85–$438.40	87% above	90%
Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep (Pap Liquid Base) &Hpv X88175	$54.80	$548.00	$42.85–$438.40	87% above	90%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap With Additional Testing	$54.80	$548.00	$42.85–$438.40	—	90%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep (Pap Liquid Base) &Hpv X88175	$54.80	$548.00	$42.85–$438.40	—	90%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep (Pap Liquid Base) Only 88175	$54.80	$548.00	$42.85–$438.40	—	90%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Pap Smear 88142	$36.90	$369.00	$28.86–$295.20	58% above	90%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Pap Smear 88142	$36.90	$369.00	$28.86–$295.20	—	90%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyr Hor Pth inX83970	$52.00	$520.00	$40.66–$416.00	10% above	90%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyr Hor N-TermX83970	$91.00	$910.00	$71.16–$728.00	92% above	90%
Parathyroid hormone (PTH) blood test CPT 83970 Pth C Terminal X83970	$91.00	$910.00	$71.16–$728.00	92% above	90%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact Fna 83970	$343.30	$3,433.00	$268.46–$2,746.40	623% above	90%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyr Hor Pth inX83970	$52.00	$520.00	$40.66–$416.00	—	90%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyr Hor N-TermX83970	$91.00	$910.00	$71.16–$728.00	—	90%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth C Terminal X83970	$91.00	$910.00	$71.16–$728.00	—	90%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact Fna 83970	$343.30	$3,433.00	$268.46–$2,746.40	—	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thrmboplstn Tm85730	$14.50	$145.00	$11.34–$116.00	110% above	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Xpld-Ptt Mix 5 85730	$14.50	$145.00	$11.34–$116.00	110% above	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Xpld- Tox Pnl Ptt 85730	$14.50	$145.00	$11.34–$116.00	110% above	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Xpld-Ptt 85730	$14.50	$145.00	$11.34–$116.00	110% above	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Xpld-Ptt Mix 4 85730	$14.50	$145.00	$11.34–$116.00	110% above	90%
Partial thromboplastin time (PTT) clotting test CPT 85730 Xpld-Ptt (Lac) 85730	$15.70	$157.00	$12.28–$125.60	127% above	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Xpld-Ptt 85730	$14.50	$145.00	$11.34–$116.00	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Xpld-Ptt Mix 5 85730	$14.50	$145.00	$11.34–$116.00	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Xpld-Ptt Mix 4 85730	$14.50	$145.00	$11.34–$116.00	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Xpld- Tox Pnl Ptt 85730	$14.50	$145.00	$11.34–$116.00	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thrmboplstn Tm85730	$14.50	$145.00	$11.34–$116.00	—	90%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Xpld-Ptt (Lac) 85730	$15.70	$157.00	$12.28–$125.60	—	90%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus 84100	$6.50	$65.00	$5.08–$52.00	19% above	90%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus 84100	$6.50	$65.00	$5.08–$52.00	—	90%
Potassium blood test CPT 84132 Xpldbg Potassium 84132	$6.50	$65.00	$5.08–$52.00	19% above	90%
Potassium blood test CPT 84132 Potassium-Serum.	$6.50	$65.00	$5.08–$52.00	19% above	90%
Potassium blood test CPT 84132 Potassium 84132	$6.50	$65.00	$5.08–$52.00	19% above	90%
Potassium blood test inpatient CPT 84132 Potassium 84132	$6.50	$65.00	$5.08–$52.00	—	90%
Potassium blood test inpatient CPT 84132 Xpldbg Potassium 84132	$6.50	$65.00	$5.08–$52.00	—	90%
Potassium blood test inpatient CPT 84132 Potassium-Serum.	$6.50	$65.00	$5.08–$52.00	—	90%
Progesterone blood test CPT 84144 Progesterone 84144	$102.90	$1,029.00	$80.47–$823.20	329% above	90%
Progesterone blood test inpatient CPT 84144 Progesterone 84144	$102.90	$1,029.00	$80.47–$823.20	—	90%
Prolactin blood test CPT 84146 Prolactin Dilution Study X 84146	$53.10	$531.00	$41.52–$424.80	138% above	90%
Prolactin blood test CPT 84146 Xpld - Prolactin Dilution Study-2 84146	$53.10	$531.00	$41.52–$424.80	138% above	90%
Prolactin blood test CPT 84146 Macroprolactin X 84146	$91.70	$917.00	$71.71–$733.60	311% above	90%
Prolactin blood test CPT 84146 Xpld- Macroprolactin- 84146	$91.70	$917.00	$71.71–$733.60	311% above	90%
Prolactin blood test CPT 84146 Prolactin Level 84146	$94.70	$947.00	$74.06–$757.60	325% above	90%
Prolactin blood test inpatient CPT 84146 Xpld - Prolactin Dilution Study-2 84146	$53.10	$531.00	$41.52–$424.80	—	90%
Prolactin blood test inpatient CPT 84146 Prolactin Dilution Study X 84146	$53.10	$531.00	$41.52–$424.80	—	90%
Prolactin blood test inpatient CPT 84146 Xpld- Macroprolactin- 84146	$91.70	$917.00	$71.71–$733.60	—	90%
Prolactin blood test inpatient CPT 84146 Macroprolactin X 84146	$91.70	$917.00	$71.71–$733.60	—	90%
Prolactin blood test inpatient CPT 84146 Prolactin Level 84146	$94.70	$947.00	$74.06–$757.60	—	90%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time 85610	$15.20	$152.00	$11.89–$121.60	208% above	90%
Prothrombin time (PT/INR) clotting test CPT 85610 Pt Inr & Aptt Batt X85610	$15.20	$152.00	$11.89–$121.60	208% above	90%
Prothrombin time (PT/INR) clotting test CPT 85610 Xpld- Tox Pnl Pt 85610	$15.20	$152.00	$11.89–$121.60	208% above	90%
Prothrombin time (PT/INR) clotting test CPT 85610 Xpld Pt Mix 4 85610	$15.20	$152.00	$11.89–$121.60	208% above	90%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time 85610	$15.20	$152.00	$11.89–$121.60	—	90%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt Inr & Aptt Batt X85610	$15.20	$152.00	$11.89–$121.60	—	90%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Xpld- Tox Pnl Pt 85610	$15.20	$152.00	$11.89–$121.60	—	90%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Xpld Pt Mix 4 85610	$15.20	$152.00	$11.89–$121.60	—	90%
Renin blood test CPT 84244 Hypertension AssessX84244	$73.30	$733.00	$57.32–$586.40	196% above	90%
Renin blood test CPT 84244 Renin 84244	$73.30	$733.00	$57.32–$586.40	196% above	90%
Renin blood test CPT 84244 Xpld -Plasma Renin Activity 84244	$152.30	$1,523.00	$119.10–$1,218.40	516% above	90%
Renin blood test inpatient CPT 84244 Renin 84244	$73.30	$733.00	$57.32–$586.40	—	90%
Renin blood test inpatient CPT 84244 Hypertension AssessX84244	$73.30	$733.00	$57.32–$586.40	—	90%
Renin blood test inpatient CPT 84244 Xpld -Plasma Renin Activity 84244	$152.30	$1,523.00	$119.10–$1,218.40	—	90%
Rh blood typing CPT 86901 Xpld-Rh Type Add 86901	$11.80	$118.00	$8.63–$94.40	74% below	90%
Rh blood typing CPT 86901 Xpld-Transfusion Reaction Eval 5 86901	$11.80	$118.00	$8.63–$94.40	74% below	90%
Rh blood typing CPT 86901 Xpld-Bld Grp/Rh Add1 86901	$11.80	$118.00	$8.63–$94.40	74% below	90%
Rh blood typing CPT 86901 Xpld- Tox Pnl Rh 86901	$11.80	$118.00	$8.63–$94.40	74% below	90%
Rh blood typing CPT 86901 Xpld-Rh Type Add(D&Ic)86901	$11.80	$118.00	$8.63–$94.40	74% below	90%
Rh blood typing CPT 86901 Xpld-Transfusion Reaction Eval 6 86901	$11.80	$118.00	$8.63–$94.40	74% below	90%
Rh blood typing CPT 86901 Rh Group 86901	$11.80	$118.00	$8.63–$94.40	74% below	90%
Rh blood typing CPT 86901 Rh Typing	$105.00	$1,050.00	$76.76–$840.00	127% above	90%
Rh blood typing CPT 86901 Partial D Investigation	$606.50	$6,065.00	$443.35–$4,852.00	1212% above	90%
Rh blood typing inpatient CPT 86901 Xpld- Tox Pnl Rh 86901	$11.80	$118.00	$8.63–$94.40	—	90%
Rh blood typing inpatient CPT 86901 Rh Group 86901	$11.80	$118.00	$8.63–$94.40	—	90%
Rh blood typing inpatient CPT 86901 Xpld-Bld Grp/Rh Add1 86901	$11.80	$118.00	$8.63–$94.40	—	90%
Rh blood typing inpatient CPT 86901 Xpld-Rh Type Add 86901	$11.80	$118.00	$8.63–$94.40	—	90%
Rh blood typing inpatient CPT 86901 Xpld-Transfusion Reaction Eval 5 86901	$11.80	$118.00	$8.63–$94.40	—	90%
Rh blood typing inpatient CPT 86901 Xpld-Transfusion Reaction Eval 6 86901	$11.80	$118.00	$8.63–$94.40	—	90%
Rh blood typing inpatient CPT 86901 Xpld-Rh Type Add(D&Ic)86901	$11.80	$118.00	$8.63–$94.40	—	90%
Rh blood typing inpatient CPT 86901 Rh Typing	$105.00	$1,050.00	$76.76–$840.00	—	90%
Rh blood typing inpatient CPT 86901 Partial D Investigation	$606.50	$6,065.00	$443.35–$4,852.00	—	90%
Rheumatoid factor (RF) test CPT 86431 Ra Titer 86431	$14.90	$149.00	$11.65–$119.20	129% above	90%
Rheumatoid factor (RF) test CPT 86431 Xpld-Identra Ra Pan(Rafq)86431	$24.40	$244.00	$19.08–$195.20	274% above	90%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor 86431	$27.20	$272.00	$21.27–$217.60	317% above	90%
Rheumatoid factor (RF) test CPT 86431 Xpld- Rheumatoid Factor Quantitative Elisa , Igm	$44.80	$448.00	$35.03–$358.40	587% above	90%
Rheumatoid factor (RF) test CPT 86431 Xpld- áRheumatoid Factor Quantitative Elisa, Iga	$44.80	$448.00	$35.03–$358.40	587% above	90%
Rheumatoid factor (RF) test CPT 86431 Xpld-Rad Rheumatoid Factor (Turb) 86431	$51.60	$516.00	$40.35–$412.80	691% above	90%
Rheumatoid factor (RF) test inpatient CPT 86431 Ra Titer 86431	$14.90	$149.00	$11.65–$119.20	—	90%
Rheumatoid factor (RF) test inpatient CPT 86431 Xpld-Identra Ra Pan(Rafq)86431	$24.40	$244.00	$19.08–$195.20	—	90%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor 86431	$27.20	$272.00	$21.27–$217.60	—	90%
Rheumatoid factor (RF) test inpatient CPT 86431 Xpld- áRheumatoid Factor Quantitative Elisa, Iga	$44.80	$448.00	$35.03–$358.40	—	90%
Rheumatoid factor (RF) test inpatient CPT 86431 Xpld- Rheumatoid Factor Quantitative Elisa , Igm	$44.80	$448.00	$35.03–$358.40	—	90%
Rheumatoid factor (RF) test inpatient CPT 86431 Xpld-Rad Rheumatoid Factor (Turb) 86431	$51.60	$516.00	$40.35–$412.80	—	90%
Rubella antibody test (immunity check) CPT 86762 Xpld-Rubella Igm 8676259	$26.40	$264.00	$20.64–$211.20	60% above	90%
Rubella antibody test (immunity check) CPT 86762 Xpld-Rubella Igg 86762	$26.40	$264.00	$20.64–$211.20	60% above	90%
Rubella antibody test (immunity check) CPT 86762 Rubella Titer 86762	$26.40	$264.00	$20.64–$211.20	60% above	90%
Rubella antibody test (immunity check) CPT 86762 Xpld-Torch Panel Igg- Rubella Igg 86762	$35.40	$354.00	$27.68–$283.20	114% above	90%
Rubella antibody test (immunity check) CPT 86762 Xpld-Rubella Antibody 86762	$52.80	$528.00	$41.29–$422.40	219% above	90%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Titer 86762	$26.40	$264.00	$20.64–$211.20	—	90%
Rubella antibody test (immunity check) inpatient CPT 86762 Xpld-Rubella Igm 8676259	$26.40	$264.00	$20.64–$211.20	—	90%
Rubella antibody test (immunity check) inpatient CPT 86762 Xpld-Rubella Igg 86762	$26.40	$264.00	$20.64–$211.20	—	90%
Rubella antibody test (immunity check) inpatient CPT 86762 Xpld-Torch Panel Igg- Rubella Igg 86762	$35.40	$354.00	$27.68–$283.20	—	90%
Rubella antibody test (immunity check) inpatient CPT 86762 Xpld-Rubella Antibody 86762	$52.80	$528.00	$41.29–$422.40	—	90%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate, Auto 85652	$7.30	$73.00	$5.71–$58.40	53% below	90%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate, Auto 85652	$7.30	$73.00	$5.71–$58.40	—	90%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen 89320	$59.20	$592.00	$46.29–$473.60	337% above	90%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen 89320	$59.20	$592.00	$46.29–$473.60	—	90%
Sodium blood test CPT 84295 Sodium- Serum.	$6.50	$65.00	$5.08–$52.00	23% above	90%
Sodium blood test CPT 84295 Sodium 84295	$6.50	$65.00	$5.08–$52.00	23% above	90%
Sodium blood test CPT 84295 Xpldbg Sodium 84295	$6.50	$65.00	$5.08–$52.00	23% above	90%
Sodium blood test inpatient CPT 84295 Xpldbg Sodium 84295	$6.50	$65.00	$5.08–$52.00	—	90%
Sodium blood test inpatient CPT 84295 Sodium 84295	$6.50	$65.00	$5.08–$52.00	—	90%
Sodium blood test inpatient CPT 84295 Sodium- Serum.	$6.50	$65.00	$5.08–$52.00	—	90%
Stool ova and parasites exam CPT 87177 Ova & Parasite X87177	$37.60	$376.00	$29.40–$300.80	267% above	90%
Stool ova and parasites exam inpatient CPT 87177 Ova & Parasite X87177	$37.60	$376.00	$29.40–$300.80	—	90%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool Occult Blood 82270	$6.50	$65.00	$5.08–$52.00	29% above	90%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool Occult Blood 82270	$6.50	$65.00	$5.08–$52.00	—	90%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Immunochemical 82274	$44.80	$448.00	$35.03–$358.40	145% above	90%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Immunochemical 82274	$44.80	$448.00	$35.03–$358.40	—	90%
Syphilis antibody test (Treponema pallidum) CPT 86780 Rflx Fta Abs 86780	$26.00	$260.00	$20.33–$208.00	71% above	90%
Syphilis antibody test (Treponema pallidum) CPT 86780 Syphilis Tp Antibodies (Igg & Igm) 86780	$27.20	$272.00	$21.27–$217.60	79% above	90%
Syphilis antibody test (Treponema pallidum) CPT 86780 Fta 86780	$37.60	$376.00	$29.40–$300.80	147% above	90%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Rflx Fta Abs 86780	$26.00	$260.00	$20.33–$208.00	—	90%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Syphilis Tp Antibodies (Igg & Igm) 86780	$27.20	$272.00	$21.27–$217.60	—	90%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta 86780	$37.60	$376.00	$29.40–$300.80	—	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rflx Rpr 86592	$8.40	$84.00	$6.57–$67.20	71% above	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr (Sts,Vdrl) 86592	$14.50	$145.00	$11.34–$116.00	195% above	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF Vdrl 86592	$22.00	$220.00	$17.20–$176.00	348% above	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rflx Rpr 86592	$8.40	$84.00	$6.57–$67.20	—	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr (Sts,Vdrl) 86592	$14.50	$145.00	$11.34–$116.00	—	90%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF Vdrl 86592	$22.00	$220.00	$17.20–$176.00	—	90%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB Gold Plus 86480	$126.40	$1,264.00	$98.84–$1,011.20	85% above	90%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon TB 86480	$176.10	$1,761.00	$137.71–$1,408.80	158% above	90%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB Gold Plus 86480	$126.40	$1,264.00	$98.84–$1,011.20	—	90%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon TB 86480	$176.10	$1,761.00	$137.71–$1,408.80	—	90%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone 84403	$73.10	$731.00	$57.16–$584.80	146% above	90%
Testosterone blood test, total (not free testosterone) CPT 84403 Xpldtestostrn,Fre,Ba,Tot84403	$73.10	$731.00	$57.16–$584.80	146% above	90%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone 84403	$73.10	$731.00	$57.16–$584.80	—	90%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Xpldtestostrn,Fre,Ba,Tot84403	$73.10	$731.00	$57.16–$584.80	—	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal (Lkm-1) Antibodyá(Igg) 86376	$31.50	$315.00	$24.63–$252.00	97% above	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 Antithyroid Peroxid Ab86376	$40.00	$400.00	$31.28–$320.00	150% above	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 Xpld- Anti-Thyroid Peroxidase Elisa, Igg Specific	$44.80	$448.00	$35.03–$358.40	180% above	90%
Thyroid peroxidase (TPO) antibody test CPT 86376 Antithyro Antbdy PaX86376	$71.50	$715.00	$55.91–$572.00	347% above	90%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsomal (Lkm-1) Antibodyá(Igg) 86376	$31.50	$315.00	$24.63–$252.00	—	90%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Antithyroid Peroxid Ab86376	$40.00	$400.00	$31.28–$320.00	—	90%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Xpld- Anti-Thyroid Peroxidase Elisa, Igg Specific	$44.80	$448.00	$35.03–$358.40	—	90%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Antithyro Antbdy PaX86376	$71.50	$715.00	$55.91–$572.00	—	90%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Normocytic Anemia Panel W/O S.Cr X 84443 (Tsh)	$56.80	$568.00	$44.42–$454.40	194% above	90%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulat Hormn84443	$56.80	$568.00	$44.42–$454.40	194% above	90%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Normocytic Anemia Panel W/ S.Cr X 84443 (Tsh)	$56.80	$568.00	$44.42–$454.40	194% above	90%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Rflx Thyroid Stimulat Hormn 84443	$56.80	$568.00	$44.42–$454.40	194% above	90%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulat Hormn84443	$56.80	$568.00	$44.42–$454.40	—	90%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Normocytic Anemia Panel W/ S.Cr X 84443 (Tsh)	$56.80	$568.00	$44.42–$454.40	—	90%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Normocytic Anemia Panel W/O S.Cr X 84443 (Tsh)	$56.80	$568.00	$44.42–$454.40	—	90%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Rflx Thyroid Stimulat Hormn 84443	$56.80	$568.00	$44.42–$454.40	—	90%
Total IgE blood test CPT 82785 Resp Allrgy Prof Rgn1X 82785	$46.50	$465.00	$36.36–$372.00	146% above	90%
Total IgE blood test CPT 82785 Childhood Allergy Prf X82785	$46.50	$465.00	$36.36–$372.00	146% above	90%
Total IgE blood test CPT 82785 Ige 82785	$81.20	$812.00	$63.50–$649.60	329% above	90%
Total IgE blood test inpatient CPT 82785 Resp Allrgy Prof Rgn1X 82785	$46.50	$465.00	$36.36–$372.00	—	90%
Total IgE blood test inpatient CPT 82785 Childhood Allergy Prf X82785	$46.50	$465.00	$36.36–$372.00	—	90%
Total IgE blood test inpatient CPT 82785 Ige 82785	$81.20	$812.00	$63.50–$649.60	—	90%
Total cholesterol blood test CPT 82465 Cholesterol 82465	$16.70	$167.00	$13.06–$133.60	234% above	90%
Total cholesterol blood test CPT 82465 Xpldcholesterol Serum/Whole Blood Total 82465	$42.70	$427.00	$33.39–$341.60	754% above	90%
Total cholesterol blood test inpatient CPT 82465 Cholesterol 82465	$16.70	$167.00	$13.06–$133.60	—	90%
Total cholesterol blood test inpatient CPT 82465 Xpldcholesterol Serum/Whole Blood Total 82465	$42.70	$427.00	$33.39–$341.60	—	90%
Total thyroxine (T4) blood test CPT 84436 T4 84436	$30.70	$307.00	$24.01–$245.60	289% above	90%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 84436	$30.70	$307.00	$24.01–$245.60	—	90%
Total triiodothyronine (T3) blood test CPT 84480 Total T3 by Ria 84480	$62.10	$621.00	$48.56–$496.80	281% above	90%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Total T3 by Ria 84480	$62.10	$621.00	$48.56–$496.80	—	90%
Transferrin blood test CPT 84466 Transferrin 84466	$16.60	$166.00	$12.98–$132.80	13% above	90%
Transferrin blood test inpatient CPT 84466 Transferrin 84466	$16.60	$166.00	$12.98–$132.80	—	90%
Trichomonas test (NAAT) CPT 87661 Tricomonas Vaginalis Amp 87661	$98.50	$985.00	$77.03–$788.00	144% above	90%
Trichomonas test (NAAT) CPT 87661 XPLD Sure Swab, Bacterial Vaginosis/Vaginitis 87661	$172.70	$1,727.00	$135.05–$1,381.60	328% above	90%
Trichomonas test (NAAT) CPT 87661 XPLD SureSwab, Vaginosis/Vaginitis Plus 87661	$177.70	$1,777.00	$138.96–$1,421.60	340% above	90%
Trichomonas test (NAAT) CPT 87661 Xpld Sureswa, T.Vaginalis Rna 87661	$214.00	$2,140.00	$167.35–$1,712.00	430% above	90%
Trichomonas test (NAAT) inpatient CPT 87661 Tricomonas Vaginalis Amp 87661	$98.50	$985.00	$77.03–$788.00	—	90%
Trichomonas test (NAAT) inpatient CPT 87661 XPLD Sure Swab, Bacterial Vaginosis/Vaginitis 87661	$172.70	$1,727.00	$135.05–$1,381.60	—	90%
Trichomonas test (NAAT) inpatient CPT 87661 XPLD SureSwab, Vaginosis/Vaginitis Plus 87661	$177.70	$1,777.00	$138.96–$1,421.60	—	90%
Trichomonas test (NAAT) inpatient CPT 87661 Xpld Sureswa, T.Vaginalis Rna 87661	$214.00	$2,140.00	$167.35–$1,712.00	—	90%
Triglycerides blood test CPT 84478 Triglycerides 84478	$24.10	$241.00	$18.85–$192.80	265% above	90%
Triglycerides blood test CPT 84478 Xpld-Assay of Triglycerides 84478	$56.30	$563.00	$44.03–$450.40	753% above	90%
Triglycerides blood test inpatient CPT 84478 Triglycerides 84478	$24.10	$241.00	$18.85–$192.80	—	90%
Triglycerides blood test inpatient CPT 84478 Xpld-Assay of Triglycerides 84478	$56.30	$563.00	$44.03–$450.40	—	90%
Troponin test, quantitative CPT 84484 Troponin-T 84484	$17.10	$171.00	$13.37–$136.80	19% above	90%
Troponin test, quantitative CPT 84484 Troponin I, High Sensitivity 84484	$28.10	$281.00	$21.97–$224.80	96% above	90%
Troponin test, quantitative inpatient CPT 84484 Troponin-T 84484	$17.10	$171.00	$13.37–$136.80	—	90%
Troponin test, quantitative inpatient CPT 84484 Troponin I, High Sensitivity 84484	$28.10	$281.00	$21.97–$224.80	—	90%
Uric acid blood test CPT 84550 Xpld- Tox Pnl Uric Acd84550	$22.80	$228.00	$17.83–$182.40	338% above	90%
Uric acid blood test CPT 84550 Uric Acid 84550	$22.80	$228.00	$17.83–$182.40	338% above	90%
Uric acid blood test inpatient CPT 84550 Uric Acid 84550	$22.80	$228.00	$17.83–$182.40	—	90%
Uric acid blood test inpatient CPT 84550 Xpld- Tox Pnl Uric Acd84550	$22.80	$228.00	$17.83–$182.40	—	90%
Urinalysis with microscope exam, automated CPT 81001 Complete Urinalysis Automated W/Microscopy 81001	$25.10	$251.00	$19.63–$200.80	1% above	90%
Urinalysis with microscope exam, automated inpatient CPT 81001 Complete Urinalysis Automated W/Microscopy 81001	$25.10	$251.00	$19.63–$200.80	—	90%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis Nonauto W/Microsocpy 81000	$25.10	$251.00	$19.63–$200.80	468% above	90%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Nonauto W/Microsocpy 81000	$25.10	$251.00	$19.63–$200.80	—	90%
Urinalysis without microscope exam, automated CPT 81003 Complete Urinalysis Automated W/O Microscopy 81003	$16.60	$166.00	$12.98–$132.80	226% above	90%
Urinalysis without microscope exam, automated inpatient CPT 81003 Complete Urinalysis Automated W/O Microscopy 81003	$16.60	$166.00	$12.98–$132.80	—	90%
Urinalysis without microscope exam, manual CPT 81002 Metabolic Screen X81002	$4.30	$43.00	$3.36–$34.40	12% above	90%
Urinalysis without microscope exam, manual CPT 81002 Urine-Reduc Substances81002	$5.40	$54.00	$4.22–$43.20	41% above	90%
Urinalysis without microscope exam, manual inpatient CPT 81002 Metabolic Screen X81002	$4.30	$43.00	$3.36–$34.40	—	90%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urine-Reduc Substances81002	$5.40	$54.00	$4.22–$43.20	—	90%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hr X82043	$27.20	$272.00	$21.27–$217.60	309% above	90%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Random URX82043	$30.10	$301.00	$23.54–$240.80	353% above	90%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 Hr X82043	$27.20	$272.00	$21.27–$217.60	—	90%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Random URX82043	$30.10	$301.00	$23.54–$240.80	—	90%
Urine pregnancy test, read by color change CPT 81025 Pregnancy Test Urine 81025	$30.70	$307.00	$24.01–$245.60	210% above	90%
Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test Urine 81025	$30.70	$307.00	$24.01–$245.60	—	90%
Vitamin B12 (cobalamin) blood test CPT 82607 Xpld/Rflx-Vit B12 + Folate 82607	$50.20	$502.00	$39.26–$401.60	190% above	90%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 82607	$50.20	$502.00	$39.26–$401.60	190% above	90%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Xpld/Rflx-Vit B12 + Folate 82607	$50.20	$502.00	$39.26–$401.60	—	90%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 82607	$50.20	$502.00	$39.26–$401.60	—	90%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D25oh - D2,D3 82306	$120.70	$1,207.00	$94.39–$965.60	255% above	90%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy 82306	$134.70	$1,347.00	$105.34–$1,077.60	296% above	90%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D25oh - D2,D3 82306	$120.70	$1,207.00	$94.39–$965.60	—	90%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy 82306	$134.70	$1,347.00	$105.34–$1,077.60	—	90%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 1,25 Vitamin D3 82652	$78.40	$784.00	$61.31–$627.20	77% above	90%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 1,25 Vitamin D3 82652	$78.40	$784.00	$61.31–$627.20	—	90%
Zinc blood test CPT 84630 Zinc 84630	$22.00	$220.00	$17.20–$176.00	68% above	90%
Zinc blood test CPT 84630 Zinc, RBC 84630	$92.90	$929.00	$72.65–$743.20	609% above	90%
Zinc blood test inpatient CPT 84630 Zinc 84630	$22.00	$220.00	$17.20–$176.00	—	90%
Zinc blood test inpatient CPT 84630 Zinc, RBC 84630	$92.90	$929.00	$72.65–$743.20	—	90%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Xpld-Triple Bhcg 84702	$18.90	$189.00	$14.78–$151.20	9% above	90%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Xpld-Alpha-Feto Hcg 84702	$26.90	$269.00	$21.04–$215.20	55% above	90%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Xpld-Quad Bhcg 84702	$32.40	$324.00	$25.34–$259.20	87% above	90%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gon Qn84702	$36.90	$369.00	$28.86–$295.20	113% above	90%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Xpld-Triple Bhcg 84702	$18.90	$189.00	$14.78–$151.20	—	90%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Xpld-Alpha-Feto Hcg 84702	$26.90	$269.00	$21.04–$215.20	—	90%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Xpld-Quad Bhcg 84702	$32.40	$324.00	$25.34–$259.20	—	90%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gon Qn84702	$36.90	$369.00	$28.86–$295.20	—	90%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast W Device 1st Lesion Stereotactic Guide	$1,615.80	$16,158.00	$1,181.15–$12,926.40	46% below	90%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast W Device 1st Lesion Stereotactic Guide	$1,615.80	$16,158.00	$1,181.15–$12,926.40	—	90%
Cardiac catheterization with coronary angiogram CPT 93458 Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$3,100.50	$31,005.00	$0.01	26% below	90%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$3,100.50	$31,005.00	$2,266.47–$23,253.75	—	90%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External	$411.90	$4,119.00	$301.10–$3,295.20	51% below	90%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversn W/Procd 9296059	$411.90	$4,119.00	$301.10–$3,295.20	51% below	90%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversn W/Procd 9296059	$411.90	$4,119.00	$301.10–$3,295.20	—	90%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Arrhythmia External	$411.90	$4,119.00	$301.10–$3,295.20	—	90%
Catheter ablation for atrial fibrillation CPT 93656 Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$5,495.10	$54,951.00	$1,650.00–$51,974.38	80% below	90%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Ephys Evl Trnsptl Tx Atrial Fib Isolat Pulm Vein	$5,495.10	$54,951.00	$4,016.92–$41,213.25	—	90%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$2,020.20	$20,202.00	$1,476.77–$16,161.60	47% below	90%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision Age >28 Days	$2,020.20	$20,202.00	$1,476.77–$16,161.60	—	90%
Coronary stent placement, one artery CPT 92928 Prq Trluml Coronary Stent W/Angio One Art/Brnch	$1,478.50	$14,785.00	$0.01	89% below	90%
Coronary stent placement, one artery inpatient CPT 92928 Prq Trluml Coronary Stent W/Angio One Art/Brnch	$1,478.50	$14,785.00	$1,080.78–$11,088.75	—	90%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$1,314.20	$13,142.00	$960.68–$10,513.60	71% below	90%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cysto W/Insert Ureteral Stent	$1,314.20	$13,142.00	$960.68–$10,513.60	—	90%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy (Cystourthroscopy)	$464.20	$4,642.00	$339.33–$3,713.60	44% below	90%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy (Cystourthroscopy)	$464.20	$4,642.00	$339.33–$3,713.60	—	90%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st	$19.40	$194.00	$14.18–$155.20	95% below	90%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesion 1st	$19.40	$194.00	$14.18–$155.20	—	90%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath & Saline/Contrast Sonohyster/Hysterosalping	$138.80	$1,388.00	$101.46–$1,388.00	70% below	90%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Cath & Saline/Contrast Sonohyster/Hysterosalping	$138.80	$1,388.00	$101.46–$1,388.00	—	90%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single	$286.50	$2,865.00	$209.43–$2,292.00	17% below	90%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Abscess Simple/Single	$286.50	$2,865.00	$209.43–$2,292.00	—	90%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$410.70	$4,107.00	$300.22–$3,285.60	52% below	90%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$410.70	$4,107.00	$300.22–$3,285.60	—	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Injection Major Jt/Bursa	$168.70	$1,687.00	$123.32–$1,349.60	84% below	90%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspir&/Injection Major Jt/Bursa	$168.70	$1,687.00	$123.32–$1,349.60	—	90%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Injection Interm Jt/Bursa	$515.10	$5,151.00	$376.54–$4,120.80	40% below	90%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Aspir&/Injection Interm Jt/Bursa	$515.10	$5,151.00	$376.54–$4,120.80	—	90%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/Injection Small Jt/Bursa	$515.10	$5,151.00	$376.54–$4,120.80	29% below	90%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspir&/Injection Small Jt/Bursa	$515.10	$5,151.00	$376.54–$4,120.80	—	90%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inj Anes&/Strd Foramen Epidural L/S 1 Lvl W/Img	$1,835.00	$18,350.00	$1,341.39–$14,680.00	39% below	90%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inj Anes&/Strd Foramen Epidural L/S 1 Lvl W/Img	$1,835.00	$18,350.00	$1,341.39–$14,680.00	—	90%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Les Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$1,051.50	$10,515.00	$768.65–$8,412.00	19% below	90%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Exc B9 Les Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$1,051.50	$10,515.00	$768.65–$8,412.00	—	90%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$40.00	$400.00	$29.24–$320.00	87% below	90%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$40.00	$400.00	$29.24–$320.00	—	90%
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W Imaging Guidance	$616.10	$6,161.00	$450.37–$4,928.80	49% below	90%
Paracentesis with imaging guidance inpatient CPT 49083 Abdom Paracentesis Dx/Ther W Imaging Guidance	$616.10	$6,161.00	$450.37–$4,928.80	—	90%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail Matrix Permanent Removal	$221.90	$2,219.00	$162.21–$1,775.20	61% below	90%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail Matrix Permanent Removal	$221.90	$2,219.00	$162.21–$1,775.20	—	90%
Prostate biopsy CPT 55700 Biopsy of Prostate	$989.00	$9,890.00	$722.96–$7,912.00	64% below	90%
Prostate biopsy inpatient CPT 55700 Biopsy of Prostate	$989.00	$9,890.00	$722.96–$7,912.00	—	90%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$420.40	$4,204.00	$307.31–$3,363.20	at median	90%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$420.40	$4,204.00	$307.31–$3,363.20	—	90%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$423.40	$4,234.00	$309.51–$3,387.20	21% below	90%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion	$423.40	$4,234.00	$309.51–$3,387.20	—	90%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$1,051.50	$10,515.00	$768.65–$8,412.00	5% above	90%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/<	$1,051.50	$10,515.00	$768.65–$8,412.00	—	90%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Puncture Lumbar Diagnostic	$941.80	$9,418.00	$688.46–$7,534.40	at median	90%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Puncture Lumbar Diagnostic	$941.80	$9,418.00	$688.46–$7,534.40	—	90%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion	$423.40	$4,234.00	$309.51–$3,387.20	22% below	90%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion	$423.40	$4,234.00	$309.51–$3,387.20	—	90%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$581.90	$5,819.00	$425.37–$4,655.20	67% below	90%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$581.90	$5,819.00	$425.37–$4,655.20	—	90%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast W Device 1st Lesion Ultrasound Guide	$1,252.70	$12,527.00	$915.72–$10,021.60	58% below	90%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast W Device 1st Lesion Ultrasound Guide	$1,252.70	$12,527.00	$915.72–$10,021.60	—	90%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,572.00	$15,720.00	$1,149.13–$12,576.00	—	90%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,572.00	$15,720.00	$1,149.13–$12,576.00	—	90%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 20 Sq Cm/<	$149.40	$1,494.00	$109.21–$1,195.20	72% below	90%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subcutaneous Tissue 20 Sq Cm/<	$149.40	$1,494.00	$109.21–$1,195.20	—	90%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ED Blood Transfusion 36430	$596.60	$5,966.00	$466.54–$4,772.80	28% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 Obsv/OP Blood Transfusion 36430	$596.60	$5,966.00	$466.54–$4,772.80	28% below	90%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/Blood Components	$596.60	$5,966.00	$466.54–$4,772.80	28% below	90%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood/Blood Components	$596.60	$5,966.00	$466.54–$4,772.80	—	90%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED Blood Transfusion 36430	$596.60	$5,966.00	$466.54–$4,772.80	—	90%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Obsv/OP Blood Transfusion 36430	$596.60	$5,966.00	$466.54–$4,772.80	—	90%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/Nonpressurized Inhalation Treatment	$54.50	$545.00	$39.84–$436.00	76% below	90%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pressurized/Nonpressurized Inhalation Treatment Subseq	$54.50	$545.00	$39.84–$545.00	—	90%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pressurized/Nonpressurized Inhalation Treatment	$54.50	$545.00	$39.84–$436.00	—	90%
Chemotherapy IV infusion, first hour CPT 96413 Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug	$588.90	$5,889.00	$430.49–$4,416.75	33% above	90%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug	$588.90	$5,889.00	$430.49–$4,416.75	—	90%
Critical care, first 30 to 74 minutes CPT 99291 ED Visit Critical Care99291	$396.60	$3,966.00	$424.00–$4,328.00	63% below	90%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Visit Critical Care99291	$396.60	$3,966.00	$289.91–$2,974.50	—	90%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED Visit Crtcl Caw/P9929125	$396.60	$3,966.00	$289.91–$3,966.00	—	90%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$129.30	$1,293.00	$94.52–$1,034.40	63% below	90%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$129.30	$1,293.00	$94.52–$1,034.40	—	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R	$32.40	$324.00	$23.68–$259.20	57% below	90%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R	$32.40	$324.00	$23.68–$259.20	—	90%
Electroconvulsive therapy (ECT), one session CPT 90870 Pacu Electroconvu Ther90870	$532.40	$5,324.00	$389.18–$4,259.20	9% below	90%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Pacu Electroconvu Ther90870	$532.40	$5,324.00	$389.18–$4,259.20	—	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit Triage Only 99281	$42.30	$423.00	$93.32–$2,268.00	81% below	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED Visit Level 1 99281	$76.70	$767.00	$93.32–$2,268.00	65% below	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit Triage Only 99281	$42.30	$423.00	$30.92–$317.25	—	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit Level 1 W/P9928125	$76.70	$767.00	$56.07–$767.00	—	90%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED Visit Level 1 99281	$76.70	$767.00	$56.07–$575.25	—	90%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED Visit Level 2 99282	$105.20	$1,052.00	$140.00–$2,268.00	64% below	90%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Visit Level 2 W/P9928225	$105.20	$1,052.00	$76.90–$1,052.00	—	90%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED Visit Level 2 99282	$105.20	$1,052.00	$76.90–$789.00	—	90%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED Visit Level 3 99283	$228.90	$2,289.00	$293.47–$2,268.00	38% below	90%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Visit Level 3 99283	$228.90	$2,289.00	$167.33–$1,716.75	—	90%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED Visit Level 3 W/P9928325	$228.90	$2,289.00	$167.33–$2,289.00	—	90%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED Visit Level 4 99284	$245.50	$2,455.00	$398.00–$2,268.00	55% below	90%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Visit Level 4 W/P9928425	$245.50	$2,455.00	$179.46–$2,455.00	—	90%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED Visit Level 4 99284	$245.50	$2,455.00	$179.46–$1,841.25	—	90%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED Visit Level 5 99285	$260.50	$2,605.00	$436.00–$3,298.00	67% below	90%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Visit Level 5 99285	$260.50	$2,605.00	$190.43–$1,953.75	—	90%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED Visit Level 5 W/P9928525	$260.50	$2,605.00	$190.43–$2,605.00	—	90%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test With Imaging - Cardiac 93017	$161.20	$1,612.00	$0.01	59% below	90%
Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test - Cardiac 93017	$269.00	$2,690.00	$0.01	32% below	90%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test With Imaging - Cardiac 93017	$161.20	$1,612.00	$117.84–$1,289.60	—	90%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test - Cardiac 93017	$269.00	$2,690.00	$196.64–$2,152.00	—	90%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Obsv IV Hydration Only<96360	$535.00	$5,350.00	$391.09–$4,280.00	115% above	90%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED IV Hydration Only<90 96360	$588.90	$5,889.00	$430.49–$4,711.20	137% above	90%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration Initial 31 Min-1 Hour	$588.90	$5,889.00	$430.49–$4,711.20	137% above	90%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Obsv Ivhydrationw/Proc9636059	$535.00	$5,350.00	$391.09–$5,350.00	—	90%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Obsv IV Hydration Only<96360	$535.00	$5,350.00	$391.09–$4,280.00	—	90%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED IV Hydration Only<90 96360	$588.90	$5,889.00	$430.49–$4,711.20	—	90%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED IV Hydration W/Proc 9636059	$588.90	$5,889.00	$430.49–$5,889.00	—	90%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration Initial 31 Min-1 Hour	$588.90	$5,889.00	$430.49–$4,711.20	—	90%
IV infusion of a medicine, first hour CPT 96365 Obsv Admin IV Inf Non Chm96365	$535.00	$5,350.00	$391.09–$4,280.00	104% above	90%
IV infusion of a medicine, first hour CPT 96365 ED Inf Nonchemo Intl<90m 96365	$588.90	$5,889.00	$430.49–$4,711.20	124% above	90%
IV infusion of a medicine, first hour CPT 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr	$588.90	$5,889.00	$430.49–$4,711.20	124% above	90%
IV infusion of a medicine, first hour inpatient CPT 96365 Obsv Initial Inf W/Proc9636559	$535.00	$5,350.00	$391.09–$5,350.00	—	90%
IV infusion of a medicine, first hour inpatient CPT 96365 Obsv Admin IV Inf Non Chm96365	$535.00	$5,350.00	$391.09–$4,280.00	—	90%
IV infusion of a medicine, first hour inpatient CPT 96365 ED Initial Inf W/Proc 9636559	$588.90	$5,889.00	$430.49–$5,889.00	—	90%
IV infusion of a medicine, first hour inpatient CPT 96365 ED Inf Nonchemo Intl<90m 96365	$588.90	$5,889.00	$430.49–$4,711.20	—	90%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr	$588.90	$5,889.00	$430.49–$4,711.20	—	90%
IV push of a medicine, first drug CPT 96374 Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug	$109.20	$1,092.00	$79.83–$873.60	53% below	90%
IV push of a medicine, first drug CPT 96374 ED IV Push Med Initial 96374	$115.20	$1,152.00	$84.21–$921.60	51% below	90%
IV push of a medicine, first drug CPT 96374 Obsv IV Push Medication 96374	$115.20	$1,152.00	$84.21–$921.60	51% below	90%
IV push of a medicine, first drug inpatient CPT 96374 Ther Proph/Dx Njx IV Push Single/1st Sbst/Drug	$109.20	$1,092.00	$79.83–$873.60	—	90%
IV push of a medicine, first drug inpatient CPT 96374 ED Intl Push<15m W/Proc9637459	$115.20	$1,152.00	$84.21–$1,152.00	—	90%
IV push of a medicine, first drug inpatient CPT 96374 ED IV Push Med Initial 96374	$115.20	$1,152.00	$84.21–$921.60	—	90%
IV push of a medicine, first drug inpatient CPT 96374 Obsv Initl Push W/Proc9637459	$115.20	$1,152.00	$84.21–$1,152.00	—	90%
IV push of a medicine, first drug inpatient CPT 96374 Obsv IV Push Medication 96374	$115.20	$1,152.00	$84.21–$921.60	—	90%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED Im/Subq Inj Medication96372	$94.70	$947.00	$69.23–$757.60	13% above	90%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Sq or Im Injection 96372	$94.70	$947.00	$69.23–$757.60	13% above	90%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Obsv Injection Med 96372	$94.70	$947.00	$69.23–$757.60	13% above	90%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Injection L&D	$100.30	$1,003.00	$73.32–$802.40	20% above	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Inj W/Oth Adm 9637259	$94.70	$947.00	$69.23–$947.00	—	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Sq or Im Injection 96372	$94.70	$947.00	$69.23–$757.60	—	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED Im/Sq Inj W/Othr Adm9637259	$94.70	$947.00	$69.23–$947.00	—	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Obsv Injection Med 96372	$94.70	$947.00	$69.23–$757.60	—	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED Im/Subq Inj Medication96372	$94.70	$947.00	$69.23–$757.60	—	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Obsv Inj Med Woth Adm9637259	$94.70	$947.00	$69.23–$947.00	—	90%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im Injection L&D	$100.30	$1,003.00	$73.32–$802.40	—	90%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies	$129.20	$1,292.00	$94.45–$1,033.60	63% below	90%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Studies 7-8 Studies	$129.20	$1,292.00	$94.45–$1,033.60	—	90%
Neuromuscular re-education, 15 minutes CPT 97112 Ther Px 1/> Areas Each 15 Min Neuromusc Reeducaj	$25.20	$252.00	$18.42–$201.60	39% below	90%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ther Px 1/> Areas Each 15 Min Neuromusc Reeducaj	$25.20	$252.00	$18.42–$201.60	—	90%
New patient office visit, about 30 minutes CPT 99203 Osns-New Pt Vsit Basic99203	$18.40	$184.00	$13.45–$184.00	81% below	90%
New patient office visit, about 30 minutes CPT 99203 Office Outpatient New Lev 3	$89.70	$897.00	$65.57–$897.00	8% below	90%
New patient office visit, about 30 minutes inpatient CPT 99203 Osns-New Pt Vsit Basic99203	$18.40	$184.00	$13.45–$184.00	—	90%
New patient office visit, about 30 minutes inpatient CPT 99203 Office Outpatient New Lev 3	$89.70	$897.00	$65.57–$897.00	—	90%
New patient office visit, about 45 minutes CPT 99204 Osns-New Pt Vsit Intm 99204	$35.70	$357.00	$26.10–$357.00	76% below	90%
New patient office visit, about 45 minutes CPT 99204 Office Outpatient New Lev 4	$97.60	$976.00	$71.35–$976.00	34% below	90%
New patient office visit, about 45 minutes inpatient CPT 99204 Osns-New Pt Vsit Intm 99204	$35.70	$357.00	$26.10–$357.00	—	90%
New patient office visit, about 45 minutes inpatient CPT 99204 Office Outpatient New Lev 4	$97.60	$976.00	$71.35–$976.00	—	90%
New patient office visit, about 60 minutes CPT 99205 Osns-New Pt Vsit Extnd99205	$91.00	$910.00	$66.52–$910.00	47% below	90%
New patient office visit, about 60 minutes CPT 99205 Office Outpatient New Lev 5	$106.90	$1,069.00	$78.14–$1,069.00	38% below	90%
New patient office visit, about 60 minutes inpatient CPT 99205 Osns-New Pt Vsit Extnd99205	$91.00	$910.00	$66.52–$910.00	—	90%
New patient office visit, about 60 minutes inpatient CPT 99205 Office Outpatient New Lev 5	$106.90	$1,069.00	$78.14–$1,069.00	—	90%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient New Lev 2	$102.10	$1,021.00	$74.64–$1,021.00	35% above	90%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office Outpatient New Lev 2	$102.10	$1,021.00	$74.64–$1,021.00	—	90%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Min	$18.90	$189.00	$13.82–$151.20	54% below	90%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Telehealth Medical Nutrition Assmt&Ivnt Indiv Ea 15min	$17.00	$170.00	$12.43–$170.00	—	90%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Min	$18.90	$189.00	$13.82–$151.20	—	90%
Occupational therapy evaluation, low complexity CPT 97165 Occupational Therapy Eval Low Complex 30 Mins	$161.10	$1,611.00	$117.76–$1,288.80	25% above	90%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Occupational Therapy Eval Low Complex 30 Mins	$161.10	$1,611.00	$117.76–$1,288.80	—	90%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Evaluation High Complex 45 Mins	$203.30	$2,033.00	$148.61–$1,626.40	61% above	90%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Physical Therapy Evaluation High Complex 45 Mins	$203.30	$2,033.00	$148.61–$1,626.40	—	90%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Evaluation Low Complex 20 Mins	$166.50	$1,665.00	$121.71–$1,332.00	32% above	90%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Physical Therapy Evaluation Low Complex 20 Mins	$166.50	$1,665.00	$121.71–$1,332.00	—	90%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Evaluation Mod Complex 30 Mins	$184.80	$1,848.00	$135.09–$1,478.40	46% above	90%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Physical Therapy Evaluation Mod Complex 30 Mins	$184.80	$1,848.00	$135.09–$1,478.40	—	90%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Tqs 1/> Regions Each 15 Minutes	$26.80	$268.00	$19.59–$214.40	24% below	90%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Tqs 1/> Regions Each 15 Minutes	$26.80	$268.00	$19.59–$214.40	—	90%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Px 1/> Areas Each 15 Min Exercises	$25.20	$252.00	$18.42–$201.60	32% below	90%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Px 1/> Areas Each 15 Min Exercises	$25.20	$252.00	$18.42–$201.60	—	90%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Osns-Est Pt Vsit Extnd99215	$91.00	$910.00	$66.52–$910.00	35% below	90%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Outpatient Visit Est Lev 5	$203.30	$2,033.00	$148.61–$2,033.00	44% above	90%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Osns-Est Pt Vsit Extnd99215	$91.00	$910.00	$66.52–$910.00	—	90%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office Outpatient Visit Est Lev 5	$203.30	$2,033.00	$148.61–$2,033.00	—	90%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Osns-Est Pt Vsit Basic99213	$15.20	$152.00	$11.11–$152.00	86% below	90%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Outpatient Visit Est Lev 3	$102.10	$1,021.00	$74.64–$1,021.00	4% below	90%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Osns-Est Pt Vsit Basic99213	$15.20	$152.00	$11.11–$152.00	—	90%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Outpatient Visit Est Lev 3	$102.10	$1,021.00	$74.64–$1,021.00	—	90%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Osns-Est Pt Vsit Intm 99214	$30.70	$307.00	$22.44–$307.00	74% below	90%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Outpatient Visit Est Lev 4	$94.50	$945.00	$69.08–$945.00	19% below	90%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Osns-Est Pt Vsit Intm 99214	$30.70	$307.00	$22.44–$307.00	—	90%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office Outpatient Visit Est Lev 4	$94.50	$945.00	$69.08–$945.00	—	90%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpatient Visit Est Lev 2	$70.30	$703.00	$51.39–$703.00	27% below	90%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office Outpatient Visit Est Lev 2	$70.30	$703.00	$51.39–$703.00	—	90%
Speech and language evaluation CPT 92523 Eval Speech Sound Product Language Comprehension	$200.30	$2,003.00	$146.42–$1,602.40	31% below	90%
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Product Language Comprehension	$200.30	$2,003.00	$146.42–$1,602.40	—	90%
Speech therapy session, individual CPT 92507 Speech Indi Ther 15min92507	$24.10	$241.00	$17.62–$192.80	75% below	90%
Speech therapy session, individual CPT 92507 Speech Indi Ther 30min92507	$70.50	$705.00	$51.54–$564.00	28% below	90%
Speech therapy session, individual CPT 92507 Speech Indi Ther 45min92507	$73.30	$733.00	$53.58–$586.40	25% below	90%
Speech therapy session, individual CPT 92507 Speech Indi Ther 60min92507	$100.90	$1,009.00	$73.76–$807.20	3% above	90%
Speech therapy session, individual CPT 92507 Speech Indi Ther 90min92507	$157.70	$1,577.00	$115.28–$1,261.60	60% above	90%
Speech therapy session, individual inpatient CPT 92507 Speech Indi Ther 15min92507	$24.10	$241.00	$17.62–$192.80	—	90%
Speech therapy session, individual inpatient CPT 92507 Speech Indi Ther 30min92507	$70.50	$705.00	$51.54–$564.00	—	90%
Speech therapy session, individual inpatient CPT 92507 Speech Indi Ther 45min92507	$73.30	$733.00	$53.58–$586.40	—	90%
Speech therapy session, individual inpatient CPT 92507 Speech Indi Ther 60min92507	$100.90	$1,009.00	$73.76–$807.20	—	90%
Speech therapy session, individual inpatient CPT 92507 Speech Indi Ther 90min92507	$157.70	$1,577.00	$115.28–$1,261.60	—	90%
Spirometry (breathing test) CPT 94010 Spmtry W/Vc Expiratory Flo +-Mxml Vol Vntj	$59.00	$590.00	$43.13–$472.00	68% below	90%
Spirometry (breathing test) inpatient CPT 94010 Spmtry W/Vc Expiratory Flo +-Mxml Vol Vntj	$59.00	$590.00	$43.13–$472.00	—	90%
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$48.80	$488.00	$35.67–$390.40	86% below	90%
Spirometry before and after a bronchodilator inpatient CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$48.80	$488.00	$35.67–$390.40	—	90%
Therapeutic activities (functional training), 15 minutes CPT 97530 Ther Actv Dir Pt Contact by Provider Each 15 Min	$23.80	$238.00	$17.40–$190.40	47% below	90%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Ther Actv Dir Pt Contact by Provider Each 15 Min	$23.80	$238.00	$17.40–$190.40	—	90%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic Separate Procedure	$593.50	$5,935.00	$433.85–$4,748.00	272% above	90%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic Separate Procedure	$593.50	$5,935.00	$433.85–$4,748.00	—	90%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New Jersey	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Obsv Vaccine Admn One 90471	$69.40	$694.00	$50.73–$555.20	4% below	90%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin One Vacc 90471	$69.40	$694.00	$50.73–$555.20	4% below	90%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED Vaccine Admn One 90471	$69.40	$694.00	$50.73–$555.20	4% below	90%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin One Vacc 90471	$69.40	$694.00	$50.73–$555.20	—	90%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Obsv Vaccine Admn One 90471	$69.40	$694.00	$50.73–$555.20	—	90%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED Vaccine Admn One 90471	$69.40	$694.00	$50.73–$555.20	—	90%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED Vaccne Admn Ea Ad'l90472	$69.40	$694.00	$50.73–$694.00	100% above	90%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Obsv Vaccne Admn Ea Ad'l90472	$69.40	$694.00	$50.73–$694.00	100% above	90%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Imadm Prq ID Subq/Im Njxs Ea Vaccine	$69.40	$694.00	$50.73–$694.00	100% above	90%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Imadm Prq ID Subq/Im Njxs Ea Vaccine	$69.40	$694.00	$50.73–$694.00	—	90%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED Vaccne Admn Ea Ad'l90472	$69.40	$694.00	$50.73–$694.00	—	90%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Obsv Vaccne Admn Ea Ad'l90472	$69.40	$694.00	$50.73–$694.00	—	90%

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

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

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

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

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

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

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

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

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

Source file: https://englewood.pt.panaceainc.com/MRFDownload/englewood/englewood