Hospital Phoenix-Mesa-Chandler, AZ

Banner Gateway Medical Center

Banner Gateway Medical Center in Gilbert, AZ publishes cash prices for 297 common procedures listed here, from its own machine-readable price file updated Sep 22, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arizona median for 268 of 290 procedures and above it for 21. By typical cash price it ranks #9 of 53 Arizona hospitals and #8 of 30 hospitals in the Phoenix, AZ area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1900 North Higley Road, Gilbert, AZ 85234 Collected Oct 2, 2026 Source price file Check a bill from this hospital (480) 543-2000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 030122 · CMS hospital register NPI 1699884858

Financial assistance

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

Banner Gateway Medical Center 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Banner Gateway Medical Center in Gilbert, AZ:

Jun 5, 2023 Warning notice
Sep 19, 2023 Case closed
Apr 8, 2025 Met requirements
Apr 30, 2026 Warning notice
May 8, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CNT	$227.42	$1,736.00	$129.45–$1,418.27	85% below	87%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W&WO CNT	$227.42	$1,736.00	$781.20–$1,302.00	—	87%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VW	$214.14	$721.00	$79.00–$540.75	at median	70%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VW	$214.14	$721.00	$324.45–$540.75	—	70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE CMP 3+ VW LT	$88.51	$298.00	$55.43–$333.39	43% below	70%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE CMP 3+ VW RT	$88.51	$298.00	$55.43–$333.39	43% below	70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE CMP 3+ VW LT	$88.51	$298.00	$134.10–$223.50	—	70%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE CMP 3+ VW RT	$88.51	$298.00	$134.10–$223.50	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 ART PHYS 1-2 LEVEL LTD BI	$373.06	$1,463.00	$81.16–$1,097.25	—	75%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 ART PHYS 1-2 LEVEL LTD BI	$373.06	$1,463.00	$658.35–$1,097.25	—	75%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CNT RT	$146.72	$1,120.00	$79.00–$1,339.00	84% below	87%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UPPER WO CNT LT	$146.72	$1,120.00	$79.00–$1,339.00	84% below	87%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CNT LT	$146.72	$1,120.00	$504.00–$840.00	—	87%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UPPER WO CNT RT	$146.72	$1,120.00	$504.00–$840.00	—	87%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS STUDY CNT SINGLE	$150.88	$508.00	$129.45–$735.79	58% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS STUDY CNT SINGLE	$150.88	$508.00	$228.60–$381.00	—	70%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE&/JOINT BODY WHOLE	$1,264.38	$4,375.00	$273.41–$3,281.25	19% below	71%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE&/JOINT BODY WHOLE	$1,264.38	$4,375.00	$1,968.75–$3,281.25	—	71%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMP LT	$141.51	$409.00	$76.07–$379.36	43% below	65%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMP RT	$141.51	$409.00	$76.07–$379.36	43% below	65%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMP LT	$141.51	$409.00	$184.05–$306.75	—	65%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMP RT	$141.51	$409.00	$184.05–$306.75	—	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD RT	$111.76	$323.00	$58.65–$297.34	45% below	65%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD LT	$111.76	$323.00	$58.65–$297.34	45% below	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD LT	$111.76	$323.00	$145.35–$242.25	—	65%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD RT	$111.76	$323.00	$145.35–$242.25	—	65%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN&PELVIS W CNT&PP	$601.16	$4,589.00	$241.82–$3,441.75	64% below	87%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN&PELVIS W CNT&PP	$601.16	$4,589.00	$2,065.05–$3,441.75	—	87%
CT angiography (CTA) of the head CPT 70496 CTA HEAD W CNT&PP	$389.27	$2,561.00	$129.45–$1,920.75	67% below	85%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W CNT&PP	$389.27	$2,561.00	$1,152.45–$1,920.75	—	85%
CT angiography (CTA) of the neck CPT 70498 CTA NECK W CNT&PP	$231.34	$1,522.00	$129.45–$1,418.01	80% below	85%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W CNT&PP	$231.34	$1,522.00	$684.90–$1,141.50	—	85%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W CNT&PP	$314.92	$2,404.00	$129.45–$1,803.00	76% below	87%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W CNT&PP	$314.92	$2,404.00	$1,081.80–$1,803.00	—	87%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN&PELVIS WO CNT	$381.60	$2,913.00	$166.84–$2,184.75	71% below	87%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN&PELVIS WO CNT	$381.60	$2,913.00	$1,310.85–$2,184.75	—	87%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W CNT	$477.10	$3,642.00	$241.82–$2,731.50	76% below	87%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W CNT	$477.10	$3,642.00	$1,638.90–$2,731.50	—	87%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN&PELVIS W&WO CNT	$572.47	$4,370.00	$241.82–$3,277.50	76% below	87%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN&PELVIS W&WO CNT	$572.47	$4,370.00	$1,966.50–$3,277.50	—	87%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W CNT	$189.56	$1,447.00	$129.45–$1,360.20	85% below	87%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W CNT	$189.56	$1,447.00	$651.15–$1,085.25	—	87%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN WO CNT	$151.57	$1,157.00	$79.00–$1,339.00	83% below	87%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN WO CNT	$151.57	$1,157.00	$520.65–$867.75	—	87%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXFACIAL WO CNT	$164.62	$1,083.00	$79.00–$1,339.00	79% below	85%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXFACIAL WO CNT	$164.62	$1,083.00	$487.35–$812.25	—	85%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CNT	$247.15	$1,626.00	$79.00–$1,339.00	73% below	85%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CNT	$247.15	$1,626.00	$731.70–$1,219.50	—	85%
CT scan of the head with contrast CPT 70460 CT HEAD W CNT	$309.02	$2,033.00	$129.45–$1,524.75	74% below	85%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CNT	$309.02	$2,033.00	$914.85–$1,524.75	—	85%
CT scan of the head without and with contrast CPT 70470 CT HEAD W&WO CNT	$370.73	$2,439.00	$129.45–$1,829.25	74% below	85%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W&WO CNT	$370.73	$2,439.00	$1,097.55–$1,829.25	—	85%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR WO CNT	$220.87	$1,686.00	$79.00–$1,339.00	80% below	87%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR WO CNT	$220.87	$1,686.00	$758.70–$1,264.50	—	87%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL WO CNT	$225.06	$1,718.00	$79.00–$1,339.00	80% below	87%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL WO CNT	$225.06	$1,718.00	$773.10–$1,288.50	—	87%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CNT	$208.55	$1,592.00	$129.45–$1,362.80	81% below	87%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CNT	$208.55	$1,592.00	$716.40–$1,194.00	—	87%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US DUPLEX EXTRACRANIAL CMP BI	$426.36	$1,672.00	$166.84–$1,671.18	—	75%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US DUPLEX EXTRACRANIAL CMP BI	$426.36	$1,672.00	$752.40–$1,254.00	—	75%
Chest CT scan without and with contrast CPT 71270 CT CHEST DX W&WO CNT	$299.86	$2,289.00	$129.45–$1,716.75	78% below	87%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST DX W&WO CNT	$299.86	$2,289.00	$1,030.05–$1,716.75	—	87%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VW	$97.02	$443.00	$58.65–$333.39	45% below	78%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VW	$97.02	$443.00	$199.35–$332.25	—	78%
Chest X-ray, single view CPT 71045 XR CHEST 1 VW	$80.59	$368.00	$58.65–$333.39	28% below	78%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VW	$80.59	$368.00	$165.60–$276.00	—	78%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMP RT	$70.69	$238.00	$44.27–$333.39	63% below	70%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE CMP LT	$70.69	$238.00	$44.27–$333.39	63% below	70%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE CMP RT	$70.69	$238.00	$107.10–$178.50	—	70%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE CMP LT	$70.69	$238.00	$107.10–$178.50	—	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL CMP	$210.37	$608.00	$79.00–$517.79	50% below	65%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL CMP	$210.37	$608.00	$273.60–$456.00	—	65%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA STUDY DENSITY 1+SKEL AX	$131.27	$442.00	$79.00–$449.06	57% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA STUDY DENSITY 1+SKEL AX	$131.27	$442.00	$198.90–$331.50	—	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA STUDY DENSITY 1+SKEL APPEND	$52.27	$176.00	$57.55–$333.39	75% below	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA STUDY DENSITY 1+SKEL APPEND	$52.27	$176.00	$79.20–$132.00	—	70%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US UTERUS PREG DETAIL GEST SGL	$267.46	$773.00	$166.84–$827.19	31% below	65%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US UTERUS PREG DETAIL GEST SGL	$267.46	$773.00	$347.85–$579.75	—	65%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST DX WO CNT	$199.91	$1,526.00	$79.00–$1,339.00	78% below	87%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST DX WO CNT	$199.91	$1,526.00	$686.70–$1,144.50	—	87%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST DX W CNT	$249.95	$1,908.00	$129.45–$1,431.00	80% below	87%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST DX W CNT	$249.95	$1,908.00	$858.60–$1,431.00	—	87%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX W/WO CAD BI	$249.78	$599.00	$111.41–$751.74	—	58%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX W/WO CAD BI	$249.78	$599.00	$269.55–$449.25	—	58%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX W/WO CAD LT	$194.74	$467.00	$86.86–$485.06	22% below	58%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX W/WO CAD RT	$194.74	$467.00	$86.86–$485.06	22% below	58%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX W/WO CAD LT	$194.74	$467.00	$210.15–$350.25	—	58%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX W/WO CAD RT	$194.74	$467.00	$210.15–$350.25	—	58%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US DUPLEX ART EXT LWR BI	$497.25	$1,950.00	$166.84–$1,949.57	—	75%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US DUPLEX ART EXT LWR BI	$497.25	$1,950.00	$877.50–$1,462.50	—	75%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUPLEX VEIN EXT CMP BI	$530.40	$2,080.00	$166.84–$1,675.90	—	75%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUPLEX VEIN EXT CMP BI	$530.40	$2,080.00	$936.00–$1,560.00	—	75%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D DOPP&CLR FLW CMP WO CNT	$755.20	$2,678.00	$350.10–$2,497.00	25% below	72%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D DOPP&CLR FLW CMP WO CNT	$755.20	$2,678.00	$1,205.10–$2,008.50	—	72%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VW LT	$65.64	$221.00	$41.11–$333.39	65% below	70%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VW RT	$65.64	$221.00	$41.11–$333.39	65% below	70%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VW RT	$65.64	$221.00	$99.45–$165.75	—	70%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VW LT	$65.64	$221.00	$99.45–$165.75	—	70%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMP 3+ VW RT	$84.35	$284.00	$52.82–$333.39	40% below	70%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW CMP 3+ VW LT	$84.35	$284.00	$52.82–$333.39	40% below	70%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW CMP 3+ VW RT	$84.35	$284.00	$127.80–$213.00	—	70%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW CMP 3+ VW LT	$84.35	$284.00	$127.80–$213.00	—	70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/PF/SEL/IAC WO CNT	$188.33	$1,239.00	$79.00–$1,339.00	79% below	85%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/PF/SEL/IAC WO CNT	$188.33	$1,239.00	$557.55–$929.25	—	85%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR BONES FACIAL CMP 3+ VW	$104.25	$351.00	$79.00–$449.06	59% below	70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR BONES FACIAL CMP 3+ VW	$104.25	$351.00	$157.95–$263.25	—	70%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VW RT	$77.22	$260.00	$48.36–$333.39	56% below	70%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VW LT	$77.22	$260.00	$48.36–$333.39	56% below	70%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VW LT	$77.22	$260.00	$117.00–$195.00	—	70%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VW RT	$77.22	$260.00	$117.00–$195.00	—	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY W/WO GB	$565.28	$1,956.00	$273.41–$1,988.08	43% below	71%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY W/WO GB	$565.28	$1,956.00	$880.20–$1,467.00	—	71%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VW RT	$64.15	$216.00	$40.18–$449.06	43% below	70%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VW LT	$64.15	$216.00	$40.18–$449.06	43% below	70%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VW LT	$64.15	$216.00	$97.20–$162.00	—	70%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VW RT	$64.15	$216.00	$97.20–$162.00	—	70%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+ VW RT	$57.02	$192.00	$35.71–$333.39	53% below	70%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2+ VW LT	$57.02	$192.00	$35.71–$333.39	53% below	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2+ VW LT	$57.02	$192.00	$86.40–$144.00	—	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2+ VW RT	$57.02	$192.00	$86.40–$144.00	—	70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VW LT	$80.19	$270.00	$50.22–$333.39	61% below	70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VW RT	$80.19	$270.00	$50.22–$333.39	61% below	70%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VW LT	$80.19	$270.00	$121.50–$202.50	—	70%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VW RT	$80.19	$270.00	$121.50–$202.50	—	70%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMP 4+ VW RT	$108.40	$365.00	$67.89–$449.06	61% below	70%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE CMP 4+ VW LT	$108.40	$365.00	$67.89–$449.06	61% below	70%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE CMP 4+ VW RT	$108.40	$365.00	$164.25–$273.75	—	70%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE CMP 4+ VW LT	$108.40	$365.00	$164.25–$273.75	—	70%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CNT RT	$138.99	$1,061.00	$79.00–$1,339.00	87% below	87%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOWER WO CNT LT	$138.99	$1,061.00	$79.00–$1,339.00	87% below	87%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CNT RT	$138.99	$1,061.00	$477.45–$795.75	—	87%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOWER WO CNT LT	$138.99	$1,061.00	$477.45–$795.75	—	87%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD	$184.07	$532.00	$79.00–$417.81	53% below	65%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD	$184.07	$532.00	$239.40–$399.00	—	65%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US JT/EVAL FOCAL EXT NONVASC LTD	$105.88	$306.00	$79.00–$265.25	45% below	65%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US JT/EVAL FOCAL EXT NONVASC LTD	$105.88	$306.00	$137.70–$229.50	—	65%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LOW DOSE SCRN CA LUNG WO CNT	$70.48	$538.00	$79.00–$1,339.00	49% below	87%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LOW DOSE SCRN CA LUNG WO CNT	$70.48	$538.00	$242.10–$403.50	—	87%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA&FIBULA 2 VW RT	$77.52	$261.00	$48.55–$333.39	39% below	70%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA&FIBULA 2 VW LT	$77.52	$261.00	$48.55–$333.39	39% below	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA&FIBULA 2 VW RT	$77.52	$261.00	$117.45–$195.75	—	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA&FIBULA 2 VW LT	$77.52	$261.00	$117.45–$195.75	—	70%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO CNT	$438.20	$2,067.00	$166.84–$1,780.00	62% below	79%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD WO CNT	$438.20	$2,067.00	$930.15–$1,550.25	—	79%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST W&WO CNT BI	$480.64	$2,844.00	$520.38–$2,133.00	—	83%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST W&WO CNT BI	$480.64	$2,844.00	$1,279.80–$2,133.00	—	83%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOWER JT WO CNT LT	$261.44	$1,547.00	$166.84–$1,780.00	83% below	83%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI EXT LOWER JT WO CNT RT	$261.44	$1,547.00	$166.84–$1,780.00	83% below	83%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LOWER JT WO CNT RT	$261.44	$1,547.00	$696.15–$1,160.25	—	83%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI EXT LOWER JT WO CNT LT	$261.44	$1,547.00	$696.15–$1,160.25	—	83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOWER JT W&WO CNT RT	$392.25	$2,321.00	$266.89–$2,234.47	81% below	83%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI EXT LOWER JT W&WO CNT LT	$392.25	$2,321.00	$266.89–$2,234.47	81% below	83%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LOWER JT W&WO CNT RT	$392.25	$2,321.00	$1,044.45–$1,740.75	—	83%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI EXT LOWER JT W&WO CNT LT	$392.25	$2,321.00	$1,044.45–$1,740.75	—	83%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CNT	$356.59	$2,110.00	$166.84–$1,780.00	69% below	83%
MRI of the abdomen without contrast CPT 74181 MRCP WO CNT	$356.59	$2,110.00	$166.84–$1,780.00	69% below	83%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP WO CNT	$356.59	$2,110.00	$949.50–$1,582.50	—	83%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN WO CNT	$356.59	$2,110.00	$949.50–$1,582.50	—	83%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CNT	$534.88	$3,165.00	$266.89–$2,373.75	76% below	83%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP W&WO CNT	$534.88	$3,165.00	$266.89–$2,373.75	76% below	83%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRCP W&WO CNT	$534.88	$3,165.00	$1,424.25–$2,373.75	—	83%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W&WO CNT	$534.88	$3,165.00	$1,424.25–$2,373.75	—	83%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CNT	$340.68	$2,004.00	$166.84–$1,780.00	74% below	83%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CNT	$340.68	$2,004.00	$901.80–$1,503.00	—	83%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CNT	$511.02	$3,006.00	$266.89–$2,254.50	73% below	83%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W&WO CNT	$511.02	$3,006.00	$1,352.70–$2,254.50	—	83%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CNT	$316.39	$1,953.00	$166.84–$1,780.00	82% below	84%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CNT	$316.39	$1,953.00	$878.85–$1,464.75	—	84%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR W&WO CNT	$474.66	$2,930.00	$266.89–$2,197.50	81% below	84%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR W&WO CNT	$474.66	$2,930.00	$1,318.50–$2,197.50	—	84%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORACIC WO CNT	$266.49	$1,645.00	$166.84–$1,780.00	85% below	84%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORACIC WO CNT	$266.49	$1,645.00	$740.25–$1,233.75	—	84%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERVICAL W&WO CNT	$479.52	$2,960.00	$266.89–$2,220.00	78% below	84%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERVICAL W&WO CNT	$479.52	$2,960.00	$1,332.00–$2,220.00	—	84%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICAL WO CNT	$319.63	$1,973.00	$166.84–$1,780.00	78% below	84%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICAL WO CNT	$319.63	$1,973.00	$887.85–$1,479.75	—	84%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CNT	$384.64	$2,276.00	$266.89–$1,843.40	80% below	83%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W&WO CNT	$384.64	$2,276.00	$1,024.20–$1,707.00	—	83%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO CNT	$256.37	$1,517.00	$166.84–$1,780.00	80% below	83%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS WO CNT	$256.37	$1,517.00	$682.65–$1,137.75	—	83%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPER JT WO CNT LT	$302.68	$1,791.00	$166.84–$1,780.00	79% below	83%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI EXT UPPER JT WO CNT RT	$302.68	$1,791.00	$166.84–$1,780.00	79% below	83%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPER JT WO CNT RT	$302.68	$1,791.00	$805.95–$1,343.25	—	83%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI EXT UPPER JT WO CNT LT	$302.68	$1,791.00	$805.95–$1,343.25	—	83%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL 4-5 VW	$119.39	$402.00	$79.00–$449.06	57% below	70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL 4-5 VW	$119.39	$402.00	$180.90–$301.50	—	70%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK ST W CNT	$183.62	$1,208.00	$129.45–$1,339.00	85% below	85%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK ST W CNT	$183.62	$1,208.00	$543.60–$906.00	—	85%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK ST WO CNT	$146.83	$966.00	$79.00–$1,339.00	84% below	85%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK ST WO CNT	$146.83	$966.00	$434.70–$724.50	—	85%
Neck soft tissue X-ray CPT 70360 XR TISSUE SOFT NECK	$70.39	$237.00	$58.65–$333.39	60% below	70%
Neck soft tissue X-ray inpatient CPT 70360 XR TISSUE SOFT NECK	$70.39	$237.00	$106.65–$177.75	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM PERF MYOC SPEC WM/EF MULT	$1,037.80	$3,591.00	$946.81–$5,381.65	61% below	71%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM PERF MYOC SPEC WM/EF MULT	$1,037.80	$3,591.00	$1,615.95–$2,693.25	—	71%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CNT	$166.76	$1,273.00	$79.00–$1,339.00	84% below	87%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CNT	$166.76	$1,273.00	$572.85–$954.75	—	87%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON OB LTD	$147.40	$426.00	$79.00–$319.50	54% below	65%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON OB LTD	$147.40	$426.00	$191.70–$319.50	—	65%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON OB CMP	$174.38	$504.00	$79.00–$504.83	58% below	65%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON OB CMP	$174.38	$504.00	$226.80–$378.00	—	65%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US UTERUS PREG 14+WK GEST SGL	$196.87	$569.00	$79.00–$642.05	53% below	65%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US UTERUS PREG 14+WK GEST SGL	$196.87	$569.00	$256.05–$426.75	—	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US UTERUS PREG 0-13WK GEST SGL	$171.27	$495.00	$79.00–$558.99	49% below	65%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US UTERUS PREG 0-13WK GEST SGL	$171.27	$495.00	$222.75–$371.25	—	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US UTERUS PREG LTD 1+ FETUS	$113.83	$329.00	$79.00–$386.95	64% below	65%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US UTERUS PREG LTD 1+ FETUS	$113.83	$329.00	$148.05–$246.75	—	65%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VW RT	$57.02	$192.00	$35.71–$333.39	60% below	70%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VW LT	$57.02	$192.00	$35.71–$333.39	60% below	70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VW LT	$57.02	$192.00	$86.40–$144.00	—	70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VW RT	$57.02	$192.00	$86.40–$144.00	—	70%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 XR RIBS W CXR 3+ VW	$64.15	$216.00	$70.63–$449.06	79% below	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 XR RIBS W CXR 3+ VW	$64.15	$216.00	$97.20–$162.00	—	70%
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI	$292.76	$563.00	$104.72–$605.71	—	48%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCRN W/WO CAD 2 VW BI	$292.76	$563.00	$253.35–$422.25	—	48%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMP 2+ VW LT	$82.86	$279.00	$51.89–$333.39	48% below	70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER CMP 2+ VW RT	$82.86	$279.00	$51.89–$333.39	48% below	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER CMP 2+ VW RT	$82.86	$279.00	$125.55–$209.25	—	70%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER CMP 2+ VW LT	$82.86	$279.00	$125.55–$209.25	—	70%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL CMP 3+ VW	$79.30	$267.00	$58.65–$333.39	53% below	70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES PARANASAL CMP 3+ VW	$79.30	$267.00	$120.15–$200.25	—	70%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 0-3 VW	$100.39	$338.00	$79.00–$449.06	55% below	70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL 0-3 VW	$100.39	$338.00	$152.10–$253.50	—	70%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO 2D REST&STRESS/EKG MNTR WO CNT	$528.75	$1,875.00	$350.10–$2,497.00	48% below	72%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 ECHO 2D REST&STRESS/EKG MNTR WO CNT	$528.75	$1,875.00	$843.75–$1,406.25	—	72%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FNCT SWALLOW W CINE/VIDEO STUDY CNT	$183.84	$619.00	$129.45–$735.79	55% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FNCT SWALLOW W CINE/VIDEO STUDY CNT	$183.84	$619.00	$278.55–$464.25	—	70%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2+ VW RT	$78.70	$265.00	$49.29–$333.39	56% below	70%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2+ VW LT	$78.70	$265.00	$49.29–$333.39	56% below	70%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2+ VW LT	$78.70	$265.00	$119.25–$198.75	—	70%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2+ VW RT	$78.70	$265.00	$119.25–$198.75	—	70%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC WO CNT	$224.14	$1,711.00	$79.00–$1,339.00	80% below	87%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC WO CNT	$224.14	$1,711.00	$769.95–$1,283.25	—	87%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE/S 2+ VW LT	$48.71	$164.00	$30.50–$333.39	54% below	70%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE/S 2+ VW RT	$48.71	$164.00	$30.50–$333.39	54% below	70%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE/S 2+ VW RT	$48.71	$164.00	$73.80–$123.00	—	70%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE/S 2+ VW LT	$48.71	$164.00	$73.80–$123.00	—	70%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$204.14	$590.00	$79.00–$570.66	46% below	65%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$204.14	$590.00	$265.50–$442.50	—	65%
Transvaginal ultrasound during pregnancy CPT 76817 US UTERUS PREG TRANSVAGINAL	$151.20	$437.00	$79.00–$442.63	57% below	65%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US UTERUS PREG TRANSVAGINAL	$151.20	$437.00	$196.65–$327.75	—	65%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMP	$221.44	$640.00	$79.00–$559.08	56% below	65%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMP	$221.44	$640.00	$288.00–$480.00	—	65%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM&CONTENTS	$165.73	$479.00	$79.00–$480.92	57% below	65%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM&CONTENTS	$165.73	$479.00	$215.55–$359.25	—	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US TISSUE SOFT HEAD&NECK	$172.31	$498.00	$79.00–$532.03	48% below	65%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US TISSUE SOFT HEAD&NECK	$172.31	$498.00	$224.10–$373.50	—	65%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI STUDY CNT SINGLE	$179.98	$606.00	$129.45–$735.79	55% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI STUDY CNT SINGLE	$179.98	$606.00	$272.70–$454.50	—	70%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VW RT	$81.08	$273.00	$50.78–$333.39	64% below	70%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2+ VW LT	$81.08	$273.00	$50.78–$333.39	64% below	70%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VW LT	$81.08	$273.00	$122.85–$204.75	—	70%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2+ VW RT	$81.08	$273.00	$122.85–$204.75	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US DUPLEX VEIN EXT LTD/UNI	$278.72	$1,093.00	$79.00–$1,092.72	33% below	74%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US DUPLEX VEIN EXT LTD/UNI	$278.72	$1,093.00	$491.85–$819.75	—	74%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VW RT	$79.00	$266.00	$49.48–$333.39	49% below	70%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VW LT	$79.00	$266.00	$49.48–$333.39	49% below	70%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VW LT	$79.00	$266.00	$119.70–$199.50	—	70%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VW RT	$79.00	$266.00	$119.70–$199.50	—	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMP 3+ VW RT	$81.97	$276.00	$51.34–$333.39	63% below	70%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST CMP 3+ VW LT	$81.97	$276.00	$51.34–$333.39	63% below	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST CMP 3+ VW RT	$81.97	$276.00	$124.20–$207.00	—	70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST CMP 3+ VW LT	$81.97	$276.00	$124.20–$207.00	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PELVIS 2-3 VW RT	$80.19	$270.00	$50.22–$333.39	67% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PELVIS 2-3 VW LT	$80.19	$270.00	$50.22–$333.39	67% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PELVIS 2-3 VW RT	$80.19	$270.00	$121.50–$202.50	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PELVIS 2-3 VW LT	$80.19	$270.00	$121.50–$202.50	—	70%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN 1 VW	$177.31	$597.00	$58.65–$447.75	8% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN 1 VW	$177.31	$597.00	$268.65–$447.75	—	70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VW RT	$65.64	$221.00	$41.11–$333.39	55% below	70%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VW LT	$65.64	$221.00	$41.11–$333.39	55% below	70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VW RT	$65.64	$221.00	$99.45–$165.75	—	70%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VW LT	$65.64	$221.00	$99.45–$165.75	—	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/S 2+ VW RT	$55.24	$186.00	$34.60–$333.39	49% below	70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER/S 2+ VW LT	$55.24	$186.00	$34.60–$333.39	49% below	70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/S 2+ VW RT	$55.24	$186.00	$83.70–$139.50	—	70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER/S 2+ VW LT	$55.24	$186.00	$83.70–$139.50	—	70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VW LT	$65.34	$220.00	$40.92–$333.39	29% below	70%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VW RT	$65.34	$220.00	$40.92–$333.39	29% below	70%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VW LT	$65.34	$220.00	$99.00–$165.00	—	70%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VW RT	$65.34	$220.00	$99.00–$165.00	—	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMP 3+ VW RT	$92.96	$313.00	$58.22–$333.39	20% below	70%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT CMP 3+ VW LT	$92.96	$313.00	$58.22–$333.39	20% below	70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT CMP 3+ VW LT	$92.96	$313.00	$140.85–$234.75	—	70%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT CMP 3+ VW RT	$92.96	$313.00	$140.85–$234.75	—	70%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VW LT	$90.58	$305.00	$56.73–$333.39	56% below	70%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3+ VW RT	$90.58	$305.00	$56.73–$333.39	56% below	70%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VW RT	$90.58	$305.00	$137.25–$228.75	—	70%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3+ VW LT	$90.58	$305.00	$137.25–$228.75	—	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VW RT	$73.36	$247.00	$45.94–$333.39	53% below	70%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VW LT	$73.36	$247.00	$45.94–$333.39	53% below	70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VW LT	$73.36	$247.00	$111.15–$185.25	—	70%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VW RT	$73.36	$247.00	$111.15–$185.25	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LS 2-3 VW	$102.46	$345.00	$79.00–$449.06	47% below	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LS 2-3 VW	$102.46	$345.00	$155.25–$258.75	—	70%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LS 4+ VW	$116.42	$392.00	$79.00–$449.06	66% below	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LS 4+ VW	$116.42	$392.00	$176.40–$294.00	—	70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VW	$84.35	$284.00	$79.00–$449.06	66% below	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VW	$84.35	$284.00	$127.80–$213.00	—	70%
X-ray of the nasal bones, 3 or more views CPT 70160 XR BONES NASAL CMP 3+ VW	$89.40	$301.00	$58.65–$333.39	20% below	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR BONES NASAL CMP 3+ VW	$89.40	$301.00	$135.45–$225.75	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2-3 VW	$87.02	$293.00	$58.65–$333.39	60% below	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2-3 VW	$87.02	$293.00	$131.85–$219.75	—	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VW	$97.71	$329.00	$79.00–$449.06	49% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VW	$97.71	$329.00	$148.05–$246.75	—	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM&COCCYX 2+ VW	$75.14	$253.00	$58.65–$333.39	42% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM&COCCYX 2+ VW	$75.14	$253.00	$113.85–$189.75	—	70%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
ACTH blood test CPT 82024 LAB HORMONE ADRENOCORTICOTROPIC	$19.26	$116.00	$37.93–$183.95	77% below	83%
ACTH blood test inpatient CPT 82024 LAB HORMONE ADRENOCORTICOTROPIC	$19.26	$116.00	$52.20–$87.00	—	83%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB TRANSFERASE AMINO ALANINE NS	$9.79	$59.00	$5.30–$44.25	59% below	83%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LAB TRANSFERASE AMINO ALANINE	$10.79	$65.00	$5.30–$48.75	54% below	83%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB TRANSFERASE AMINO ALANINE NS	$9.79	$59.00	$26.55–$44.25	—	83%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LAB TRANSFERASE AMINO ALANINE	$10.79	$65.00	$29.25–$48.75	—	83%
AST (aspartate aminotransferase) enzyme test CPT 84450 LAB TRANSFERASE AMINO ASPARTATE	$10.79	$65.00	$5.18–$48.75	60% below	83%
AST (aspartate aminotransferase) enzyme test CPT 84450 LAB TRANSFERASE AMINO ASPARTATE NS	$12.62	$76.00	$5.18–$57.00	53% below	83%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB TRANSFERASE AMINO ASPARTATE	$10.79	$65.00	$29.25–$48.75	—	83%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 LAB TRANSFERASE AMINO ASPARTATE NS	$12.62	$76.00	$34.20–$57.00	—	83%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 LAB PANEL HEPATITIS ACUTE	$49.63	$299.00	$47.63–$226.86	48% below	83%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 LAB PANEL HEPATITIS ACUTE	$49.63	$299.00	$134.55–$224.25	—	83%
Albumin blood test CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL	$10.46	$63.00	$4.95–$47.25	29% below	83%
Albumin blood test CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL NS	$10.46	$63.00	$4.95–$47.25	29% below	83%
Albumin blood test inpatient CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL	$10.46	$63.00	$28.35–$47.25	—	83%
Albumin blood test inpatient CPT 82040 LAB ALBUMIN SRM/PLASMA/BLD WHL NS	$10.46	$63.00	$28.35–$47.25	—	83%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE URINE	$20.42	$123.00	$40.22–$194.09	76% below	83%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE NS	$20.42	$123.00	$40.22–$194.09	76% below	83%
Aldosterone blood test CPT 82088 LAB ALDOSTERONE	$44.82	$270.00	$40.75–$202.50	47% below	83%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE NS	$20.42	$123.00	$55.35–$92.25	—	83%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE URINE	$20.42	$123.00	$55.35–$92.25	—	83%
Aldosterone blood test inpatient CPT 82088 LAB ALDOSTERONE	$44.82	$270.00	$121.50–$202.50	—	83%
Alkaline phosphatase (ALP) blood test CPT 84075 LAB ALKALINE PHOSPHATASE NS	$11.62	$70.00	$5.18–$52.50	30% below	83%
Alkaline phosphatase (ALP) blood test CPT 84075 LAB ALKALINE PHOSPHATASE	$11.62	$70.00	$5.18–$52.50	30% below	83%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB ALKALINE PHOSPHATASE NS	$11.62	$70.00	$31.50–$52.50	—	83%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 LAB ALKALINE PHOSPHATASE	$11.62	$70.00	$31.50–$52.50	—	83%
Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA NS	$8.08	$55.00	$5.22–$41.25	32% below	85%
Allergy blood test, specific IgE, per allergen CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA	$8.23	$56.00	$5.22–$42.00	30% below	85%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA NS	$8.08	$55.00	$24.75–$41.25	—	85%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAB ALLG IGE QN/SEMI QN CRUDE EA	$8.23	$56.00	$25.20–$42.00	—	85%
Alpha-fetoprotein (AFP) blood test CPT 82105 LAB AFP SERUM	$8.47	$51.00	$16.68–$79.88	79% below	83%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 LAB AFP SERUM	$8.47	$51.00	$22.95–$38.25	—	83%
Ammonia blood test CPT 82140 LAB AMMONIA	$11.45	$69.00	$14.57–$69.40	82% below	83%
Ammonia blood test CPT 82140 LAB AMMONIA STONE RISK	$19.09	$115.00	$14.57–$86.25	71% below	83%
Ammonia blood test inpatient CPT 82140 LAB AMMONIA	$11.45	$69.00	$31.05–$51.75	—	83%
Ammonia blood test inpatient CPT 82140 LAB AMMONIA STONE RISK	$19.09	$115.00	$51.75–$86.25	—	83%
Amylase blood test CPT 82150 LAB AMYLASE FLUID BODY	$8.63	$52.00	$6.48–$39.00	34% below	83%
Amylase blood test CPT 82150 LAB AMYLASE URINE	$8.80	$53.00	$6.48–$39.75	32% below	83%
Amylase blood test CPT 82150 LAB AMYLASE TOTAL	$8.96	$54.00	$6.48–$40.50	31% below	83%
Amylase blood test CPT 82150 LAB AMYLASE FLUID CYST PANCREATIC	$56.61	$341.00	$6.48–$255.75	334% above	83%
Amylase blood test inpatient CPT 82150 LAB AMYLASE FLUID BODY	$8.63	$52.00	$23.40–$39.00	—	83%
Amylase blood test inpatient CPT 82150 LAB AMYLASE URINE	$8.80	$53.00	$23.85–$39.75	—	83%
Amylase blood test inpatient CPT 82150 LAB AMYLASE TOTAL	$8.96	$54.00	$24.30–$40.50	—	83%
Amylase blood test inpatient CPT 82150 LAB AMYLASE FLUID CYST PANCREATIC	$56.61	$341.00	$153.45–$255.75	—	83%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 LAB AB PEPTIDE CYCLIC CITRUL	$8.67	$59.00	$12.95–$61.68	70% below	85%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 LAB AB PEPTIDE CYCLIC CITRUL	$8.67	$59.00	$26.55–$44.25	—	85%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LAB SCR ANA	$7.79	$53.00	$12.09–$57.58	72% below	85%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LAB SCR ANA	$7.79	$53.00	$23.85–$39.75	—	85%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB PEPTIDE NATRIURETIC PB NS	$20.09	$121.00	$39.26–$187.00	74% below	83%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 LAB PEPTIDE NATRIURETIC PB	$47.48	$286.00	$39.26–$214.50	38% below	83%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB PEPTIDE NATRIURETIC PB NS	$20.09	$121.00	$54.45–$90.75	—	83%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 LAB PEPTIDE NATRIURETIC PB	$47.48	$286.00	$128.70–$214.50	—	83%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULT BACT AEROBIC OTHER	$12.22	$75.00	$8.62–$56.25	80% below	84%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULT BACT AEROBIC OTHER	$12.22	$75.00	$33.75–$56.25	—	84%
Basic metabolic panel (blood test) CPT 80048 LAB PANEL METAB BASIC W CA TOTAL	$62.58	$377.00	$8.46–$282.75	13% below	83%
Basic metabolic panel (blood test) inpatient CPT 80048 LAB PANEL METAB BASIC W CA TOTAL	$62.58	$377.00	$169.65–$282.75	—	83%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY	$9.46	$57.00	$5.02–$42.75	53% below	83%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL NS	$9.63	$58.00	$5.02–$43.50	52% below	83%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL	$10.79	$65.00	$5.02–$48.75	47% below	83%
Bilirubin blood test, total CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY NS	$22.58	$136.00	$5.02–$102.00	12% above	83%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY	$9.46	$57.00	$25.65–$42.75	—	83%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL NS	$9.63	$58.00	$26.10–$43.50	—	83%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL	$10.79	$65.00	$29.25–$48.75	—	83%
Bilirubin blood test, total inpatient CPT 82247 LAB BILIRUBIN TOTAL FLUID BODY NS	$22.58	$136.00	$61.20–$102.00	—	83%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB PATH GROSS&MICRO LVL 4 NS	$42.20	$200.00	$36.08–$331.79	51% below	79%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LAB PATH GROSS&MICRO LVL 4	$59.50	$282.00	$36.08–$331.79	31% below	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB PATH GROSS&MICRO LVL 4 NS	$42.20	$200.00	$90.00–$150.00	—	79%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LAB PATH GROSS&MICRO LVL 4	$59.50	$282.00	$126.90–$211.50	—	79%
Blood culture for bacteria CPT 87040 LAB CULT BACT AEROBIC BLOOD	$44.01	$270.00	$10.32–$202.50	65% below	84%
Blood culture for bacteria inpatient CPT 87040 LAB CULT BACT AEROBIC BLOOD	$44.01	$270.00	$121.50–$202.50	—	84%
Blood lead test CPT 83655 LAB LEAD BLOOD NS	$6.14	$37.00	$12.10–$57.68	76% below	83%
Blood lead test CPT 83655 LAB LEAD BLOOD	$9.79	$59.00	$12.11–$57.68	62% below	83%
Blood lead test CPT 83655 LAB LEAD NON BLOOD	$13.11	$79.00	$12.11–$59.25	49% below	83%
Blood lead test inpatient CPT 83655 LAB LEAD BLOOD NS	$6.14	$37.00	$16.65–$27.75	—	83%
Blood lead test inpatient CPT 83655 LAB LEAD BLOOD	$9.79	$59.00	$26.55–$44.25	—	83%
Blood lead test inpatient CPT 83655 LAB LEAD NON BLOOD	$13.11	$79.00	$35.55–$59.25	—	83%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LAB HCG QL	$31.21	$188.00	$7.52–$141.00	53% below	83%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LAB HCG QL	$31.21	$188.00	$84.60–$141.00	—	83%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPE ABO NS	$46.86	$284.00	$2.99–$213.00	43% below	84%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPE ABO	$46.86	$284.00	$2.99–$213.00	43% below	84%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 LAB BLOOD TYPE ABO DISCREPANCY	$46.86	$284.00	$2.99–$213.00	43% below	84%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPE ABO DISCREPANCY	$46.86	$284.00	$127.80–$213.00	—	84%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPE ABO NS	$46.86	$284.00	$127.80–$213.00	—	84%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 LAB BLOOD TYPE ABO	$46.86	$284.00	$127.80–$213.00	—	84%
Blood urea nitrogen (BUN) test CPT 84520 LAB NITROGEN UREA QN	$13.78	$83.00	$3.95–$62.25	15% below	83%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LAB NITROGEN UREA QN	$13.78	$83.00	$37.35–$62.25	—	83%
C-peptide blood test CPT 84681 LAB C-PEPTIDE	$10.46	$63.00	$20.60–$99.12	82% below	83%
C-peptide blood test inpatient CPT 84681 LAB C-PEPTIDE	$10.46	$63.00	$28.35–$47.25	—	83%
C. difficile toxin gene test (stool PCR) CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP NS	$18.26	$112.00	$36.62–$177.52	75% below	84%
C. difficile toxin gene test (stool PCR) CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP	$18.26	$112.00	$36.62–$177.52	75% below	84%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP NS	$18.26	$112.00	$50.40–$84.00	—	84%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 LAB DET IA TOXIN C DIFF PRB AMP	$18.26	$112.00	$50.40–$84.00	—	84%
CA 19-9 blood test (tumor marker) CPT 86301 LAB IMM AG TUMOR CA 19-9	$9.26	$63.00	$20.60–$99.12	67% below	85%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 LAB IMM AG TUMOR CA 19-9	$9.26	$63.00	$28.35–$47.25	—	85%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB DET IA COV19 PRB AMP	$40.59	$249.00	$51.31–$247.99	37% below	84%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 LAB DET IA COV19 PRB AMP NS	$40.59	$249.00	$51.31–$247.99	37% below	84%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB DET IA COV19 PRB AMP	$40.59	$249.00	$112.05–$186.75	—	84%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 LAB DET IA COV19 PRB AMP NS	$40.59	$249.00	$112.05–$186.75	—	84%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL URINE	$9.30	$56.00	$5.16–$42.00	38% below	83%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL NS	$10.79	$65.00	$5.16–$48.75	28% below	83%
Calcium blood test, total CPT 82310 LAB CALCIUM TOTAL	$10.96	$66.00	$5.16–$49.50	27% below	83%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL URINE	$9.30	$56.00	$25.20–$42.00	—	83%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL NS	$10.79	$65.00	$29.25–$48.75	—	83%
Calcium blood test, total inpatient CPT 82310 LAB CALCIUM TOTAL	$10.96	$66.00	$29.70–$49.50	—	83%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC	$9.46	$57.00	$18.64–$90.31	84% below	83%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC ARUP NS	$11.29	$68.00	$18.96–$90.31	80% below	83%
Carcinoembryonic antigen (CEA) test CPT 82378 LAB AG CARCINOEMBRYONIC MAYO NS	$54.61	$329.00	$18.96–$246.75	5% below	83%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC	$9.46	$57.00	$25.65–$42.75	—	83%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC ARUP NS	$11.29	$68.00	$30.60–$51.00	—	83%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 LAB AG CARCINOEMBRYONIC MAYO NS	$54.61	$329.00	$148.05–$246.75	—	83%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGG	$5.73	$39.00	$12.75–$61.35	72% below	85%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGM NS	$5.73	$39.00	$12.75–$61.35	72% below	85%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGM	$5.73	$39.00	$12.75–$61.35	72% below	85%
Chickenpox (varicella) immunity blood test CPT 86787 LAB AB VARICELLA-ZOSTER IGG NS	$7.79	$53.00	$12.88–$61.35	62% below	85%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGM	$5.73	$39.00	$17.55–$29.25	—	85%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGM NS	$5.73	$39.00	$17.55–$29.25	—	85%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGG	$5.73	$39.00	$17.55–$29.25	—	85%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 LAB AB VARICELLA-ZOSTER IGG NS	$7.79	$53.00	$23.85–$39.75	—	85%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP	$17.28	$106.00	$34.66–$167.13	72% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP NS	$18.74	$115.00	$35.09–$167.13	70% below	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP	$17.28	$106.00	$47.70–$79.50	—	84%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 LAB DET IA CHLAMYD TRAC PRB AMP NS	$18.74	$115.00	$51.75–$86.25	—	84%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID NS	$11.45	$69.00	$13.39–$69.11	71% below	83%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LAB PANEL LIPID	$28.39	$171.00	$13.39–$128.25	28% below	83%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID NS	$11.45	$69.00	$31.05–$51.75	—	83%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LAB PANEL LIPID	$28.39	$171.00	$76.95–$128.25	—	83%
Complete blood count (CBC) with differential CPT 85025 LAB CBC AUTO W AUTO DIFF	$24.57	$142.00	$7.77–$106.50	59% below	83%
Complete blood count (CBC) with differential inpatient CPT 85025 LAB CBC AUTO W AUTO DIFF	$24.57	$142.00	$63.90–$106.50	—	83%
Complete blood count (CBC), no differential CPT 85027 LAB CBC AUTO WO DIFF	$18.34	$106.00	$6.47–$79.50	62% below	83%
Complete blood count (CBC), no differential inpatient CPT 85027 LAB CBC AUTO WO DIFF	$18.34	$106.00	$47.70–$79.50	—	83%
Comprehensive metabolic panel (blood test) CPT 80053 LAB PANEL METAB COMP	$111.39	$671.00	$10.56–$503.25	15% below	83%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 LAB PANEL METAB COMP	$111.39	$671.00	$301.95–$503.25	—	83%
Cortisol blood test, total CPT 82533 LAB CORTISOL TOTAL	$9.63	$58.00	$16.30–$77.64	77% below	83%
Cortisol blood test, total CPT 82533 LAB CORTISOL TOTAL NS	$53.62	$323.00	$16.30–$242.25	31% above	83%
Cortisol blood test, total inpatient CPT 82533 LAB CORTISOL TOTAL	$9.63	$58.00	$26.10–$43.50	—	83%
Cortisol blood test, total inpatient CPT 82533 LAB CORTISOL TOTAL NS	$53.62	$323.00	$145.35–$242.25	—	83%
Creatine kinase (CK) blood test, total CPT 82550 LAB CREATINE KINASE TOTAL NS	$9.13	$55.00	$6.51–$41.25	35% below	83%
Creatine kinase (CK) blood test, total CPT 82550 LAB CREATINE KINASE TOTAL	$26.23	$158.00	$6.51–$118.50	87% above	83%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CREATINE KINASE TOTAL NS	$9.13	$55.00	$24.75–$41.25	—	83%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LAB CREATINE KINASE TOTAL	$26.23	$158.00	$71.10–$118.50	—	83%
Creatinine blood test CPT 82565 LAB CREATININE BLOOD	$9.96	$60.00	$5.12–$45.00	34% below	83%
Creatinine blood test inpatient CPT 82565 LAB CREATININE BLOOD	$9.96	$60.00	$27.00–$45.00	—	83%
Cytomegalovirus (CMV) antibody test CPT 86644 LAB AB CYTOMEGALOVIRUS NS	$8.23	$56.00	$14.39–$68.54	73% below	85%
Cytomegalovirus (CMV) antibody test CPT 86644 LAB AB CYTOMEGALOVIRUS	$8.82	$60.00	$14.39–$68.54	71% below	85%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB AB CYTOMEGALOVIRUS NS	$8.23	$56.00	$25.20–$42.00	—	85%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 LAB AB CYTOMEGALOVIRUS	$8.82	$60.00	$27.00–$45.00	—	85%
D-dimer blood test (blood clot marker) CPT 85379 LAB FDP D-DIMER QN	$41.52	$240.00	$10.18–$180.00	59% below	83%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LAB FDP D-DIMER QN	$41.52	$240.00	$108.00–$180.00	—	83%
DHEA sulfate (DHEA-S) blood test CPT 82627 LAB DEHYDROEPIANDROSTERONE-SULFATE	$11.12	$67.00	$21.91–$105.88	79% below	83%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 LAB DEHYDROEPIANDROSTERONE-SULFATE	$11.12	$67.00	$30.15–$50.25	—	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAYNS	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ MECON DAY	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAY	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ MECON DAY NS	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE DAY NS	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE ETOH DAY	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ SERUM DAY	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ SERUM DAY NS	$31.04	$187.00	$61.15–$295.97	63% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE DAY	$48.14	$290.00	$62.14–$295.97	43% below	83%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LAB DRG SC INST ALYZ URINE PMGT DAY	$74.53	$449.00	$62.14–$336.75	12% below	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ SERUM DAY	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ MECON DAY NS	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE DAY NS	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE ETOH DAY	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAY	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ CORD TIS DAYNS	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ SERUM DAY NS	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ MECON DAY	$31.04	$187.00	$84.15–$140.25	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE DAY	$48.14	$290.00	$130.50–$217.50	—	83%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LAB DRG SC INST ALYZ URINE PMGT DAY	$74.53	$449.00	$202.05–$336.75	—	83%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 LAB PANEL ELECTROLYTE	$26.23	$158.00	$7.01–$118.50	54% below	83%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 LAB PANEL ELECTROLYTE	$26.23	$158.00	$71.10–$118.50	—	83%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA	$8.08	$55.00	$17.98–$86.40	63% below	85%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGG	$8.08	$55.00	$17.98–$86.40	63% below	85%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGM NS	$8.08	$55.00	$17.98–$86.40	63% below	85%
Epstein-Barr virus (EBV) antibody test CPT 86665 LAB AB EBV VCA IGM	$9.11	$62.00	$18.14–$86.40	58% below	85%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGM NS	$8.08	$55.00	$24.75–$41.25	—	85%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGG	$8.08	$55.00	$24.75–$41.25	—	85%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA	$8.08	$55.00	$24.75–$41.25	—	85%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 LAB AB EBV VCA IGM	$9.11	$62.00	$27.90–$46.50	—	85%
Estradiol blood test CPT 82670 LAB ESTRADIOL TOTAL NS	$13.94	$84.00	$27.47–$133.08	78% below	83%
Estradiol blood test CPT 82670 LAB ESTRADIOL TOTAL	$13.94	$84.00	$27.47–$133.08	78% below	83%
Estradiol blood test inpatient CPT 82670 LAB ESTRADIOL TOTAL NS	$13.94	$84.00	$37.80–$63.00	—	83%
Estradiol blood test inpatient CPT 82670 LAB ESTRADIOL TOTAL	$13.94	$84.00	$37.80–$63.00	—	83%
FSH (follicle-stimulating hormone) test CPT 83001 LAB GONADOTROPIN FSH SERUM	$9.30	$56.00	$18.31–$88.50	84% below	83%
FSH (follicle-stimulating hormone) test CPT 83001 LAB GONADOTROPIN FSH SERUM NS	$9.63	$58.00	$18.58–$88.50	84% below	83%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB GONADOTROPIN FSH SERUM	$9.30	$56.00	$25.20–$42.00	—	83%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 LAB GONADOTROPIN FSH SERUM NS	$9.63	$58.00	$26.10–$43.50	—	83%
Fecal calprotectin (stool inflammation test) CPT 83993 LAB CALPROTECTIN FECAL	$41.50	$250.00	$19.63–$187.50	16% below	83%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 LAB CALPROTECTIN FECAL	$41.50	$250.00	$112.50–$187.50	—	83%
Ferritin blood test (iron stores) CPT 82728 LAB FERRITIN	$10.79	$65.00	$13.63–$64.92	86% below	83%
Ferritin blood test (iron stores) CPT 82728 LAB FERRITIN NS	$41.67	$251.00	$13.63–$188.25	47% below	83%
Ferritin blood test (iron stores) inpatient CPT 82728 LAB FERRITIN	$10.79	$65.00	$29.25–$48.75	—	83%
Ferritin blood test (iron stores) inpatient CPT 82728 LAB FERRITIN NS	$41.67	$251.00	$112.95–$188.25	—	83%
Fibrinogen blood test CPT 85384 LAB FIBRINOGEN ACTIVITY	$8.13	$47.00	$9.72–$46.30	83% below	83%
Fibrinogen blood test CPT 85384 LAB FIBRINOGEN ACTIVITY NS	$8.13	$47.00	$9.72–$46.30	83% below	83%
Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN ACTIVITY NS	$8.13	$47.00	$21.15–$35.25	—	83%
Fibrinogen blood test inpatient CPT 85384 LAB FIBRINOGEN ACTIVITY	$8.13	$47.00	$21.15–$35.25	—	83%
Free T3 thyroid hormone test CPT 84481 LAB TRIIODOTHYRONINE T3 FREE	$8.96	$54.00	$16.94–$80.69	78% below	83%
Free T3 thyroid hormone test CPT 84481 LAB TRIIODOTHYRONINE T3 FREE TR DIA	$11.79	$71.00	$16.94–$80.69	71% below	83%
Free T3 thyroid hormone test inpatient CPT 84481 LAB TRIIODOTHYRONINE T3 FREE	$8.96	$54.00	$24.30–$40.50	—	83%
Free T3 thyroid hormone test inpatient CPT 84481 LAB TRIIODOTHYRONINE T3 FREE TR DIA	$11.79	$71.00	$31.95–$53.25	—	83%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB THYROXINE T4 FREE	$7.14	$43.00	$9.02–$42.96	87% below	83%
Free T4 (free thyroxine) thyroid blood test CPT 84439 LAB THYROXINE T4 FREE NS	$10.96	$66.00	$9.02–$49.50	80% below	83%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB THYROXINE T4 FREE	$7.14	$43.00	$19.35–$32.25	—	83%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 LAB THYROXINE T4 FREE NS	$10.96	$66.00	$29.70–$49.50	—	83%
Free testosterone test CPT 84402 LAB TESTOSTERONE FREE	$12.78	$77.00	$25.18–$121.31	71% below	83%
Free testosterone test inpatient CPT 84402 LAB TESTOSTERONE FREE	$12.78	$77.00	$34.65–$57.75	—	83%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL NS	$10.29	$62.00	$7.20–$46.50	64% below	83%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LAB TRANSFERASE GAMMA-GLUTAMYL NS	$10.29	$62.00	$27.90–$46.50	—	83%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB DET IA GC PRB AMP NS	$17.28	$106.00	$34.66–$167.13	71% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 LAB DET IA GC PRB AMP	$17.28	$106.00	$34.66–$167.13	71% below	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB DET IA GC PRB AMP	$17.28	$106.00	$47.70–$79.50	—	84%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 LAB DET IA GC PRB AMP NS	$17.28	$106.00	$47.70–$79.50	—	84%
H. pylori antibody blood test CPT 86677 LAB AB HELICOBACTER PYLORI	$11.47	$78.00	$16.85–$80.26	71% below	85%
H. pylori antibody blood test inpatient CPT 86677 LAB AB HELICOBACTER PYLORI	$11.47	$78.00	$35.10–$58.50	—	85%
H. pylori stool antigen test CPT 87338 LAB DET AG IA IMM H PYLORI STOOL	$12.06	$74.00	$14.38–$68.49	72% below	84%
H. pylori stool antigen test inpatient CPT 87338 LAB DET AG IA IMM H PYLORI STOOL	$12.06	$74.00	$33.30–$55.50	—	84%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB DET IA HIV-1 QN NS	$41.73	$256.00	$83.71–$405.33	66% below	84%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 LAB DET IA HIV-1 QN	$41.73	$256.00	$83.71–$405.33	66% below	84%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB DET IA HIV-1 QN	$41.73	$256.00	$115.20–$192.00	—	84%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 LAB DET IA HIV-1 QN NS	$41.73	$256.00	$115.20–$192.00	—	84%
HIV-1 and HIV-2 antibody test CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL	$6.17	$42.00	$13.71–$65.30	84% below	85%
HIV-1 and HIV-2 antibody test CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL NS	$10.29	$70.00	$13.71–$65.30	73% below	85%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL	$6.17	$42.00	$18.90–$31.50	—	85%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 LAB AB HIV-1&HIV-2 RESULT SGL NS	$10.29	$70.00	$31.50–$52.50	—	85%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 LAB DET AG IA IMM HIV1 W HIV 1&2	$14.18	$87.00	$24.08–$114.69	65% below	84%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 LAB DET AG IA IMM HIV1 W HIV 1&2	$14.18	$87.00	$39.15–$65.25	—	84%
HPV test for high-risk types, one combined (pooled) result CPT 87624 LAB DET IA HPV TYPE RISK HIGH POOL	$17.28	$106.00	$34.66–$214.06	68% below	84%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 LAB DET IA HPV TYPE RISK HIGH POOL	$17.28	$106.00	$47.70–$79.50	—	84%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 LAB HEMOGLOBIN A1C	$7.80	$47.00	$9.71–$46.25	84% below	83%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 LAB HEMOGLOBIN A1C	$7.80	$47.00	$21.15–$35.25	—	83%
Hepatitis B core antibody test (total) CPT 86704 LAB AB HEPATITIS B CORE TOTAL	$8.08	$55.00	$12.05–$57.39	70% below	85%
Hepatitis B core antibody test (total) CPT 86704 LAB AB HEPATITIS B CORE TOTAL NS	$8.08	$55.00	$12.05–$57.39	70% below	85%
Hepatitis B core antibody test (total) inpatient CPT 86704 LAB AB HEPATITIS B CORE TOTAL NS	$8.08	$55.00	$24.75–$41.25	—	85%
Hepatitis B core antibody test (total) inpatient CPT 86704 LAB AB HEPATITIS B CORE TOTAL	$8.08	$55.00	$24.75–$41.25	—	85%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 LAB AB HEPATITIS B SURFACE	$8.08	$55.00	$10.74–$51.15	72% below	85%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 LAB AB HEPATITIS B SURFACE	$8.08	$55.00	$24.75–$41.25	—	85%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN	$10.92	$67.00	$10.33–$50.25	51% below	84%
Hepatitis B surface antigen (HBsAg) test CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN NS	$37.65	$231.00	$10.33–$173.25	71% above	84%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN	$10.92	$67.00	$30.15–$50.25	—	84%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 LAB DET AG IA HBSAG QL/SEMI QN NS	$37.65	$231.00	$103.95–$173.25	—	84%
Hepatitis C antibody blood test (screening) CPT 86803 LAB AB HEPATITIS C	$13.67	$93.00	$14.27–$69.75	64% below	85%
Hepatitis C antibody blood test (screening) CPT 86803 LAB AB HEPATITIS C NS	$37.48	$255.00	$14.27–$191.25	2% below	85%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB AB HEPATITIS C	$13.67	$93.00	$41.85–$69.75	—	85%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 LAB AB HEPATITIS C NS	$37.48	$255.00	$114.75–$191.25	—	85%
Hepatitis C viral load (HCV RNA) test CPT 87522 LAB DET IA HEP C QN	$21.03	$129.00	$42.18–$204.05	76% below	84%
Hepatitis C viral load (HCV RNA) test CPT 87522 LAB DET IA HEP C QN NS	$23.96	$147.00	$42.84–$204.05	73% below	84%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB DET IA HEP C QN	$21.03	$129.00	$58.05–$96.75	—	84%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 LAB DET IA HEP C QN NS	$23.96	$147.00	$66.15–$110.25	—	84%
Herpes blood test, HSV-1 antibody CPT 86695 LAB AB HERPES SIMPLEX TYPE 1	$5.88	$40.00	$13.08–$80.42	81% below	85%
Herpes blood test, HSV-1 antibody CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 NS	$7.79	$53.00	$13.19–$80.42	75% below	85%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB AB HERPES SIMPLEX TYPE 1	$5.88	$40.00	$18.00–$30.00	—	85%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 LAB AB HERPES SIMPLEX TYPE 1 NS	$7.79	$53.00	$23.85–$39.75	—	85%
Herpes blood test, HSV-2 antibody CPT 86696 LAB AB HERPES SIMPLEX TYPE 2	$8.67	$59.00	$19.29–$118.14	74% below	85%
Herpes blood test, HSV-2 antibody CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 NS	$8.67	$59.00	$19.29–$118.14	74% below	85%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB AB HERPES SIMPLEX TYPE 2	$8.67	$59.00	$26.55–$44.25	—	85%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 LAB AB HERPES SIMPLEX TYPE 2 NS	$8.67	$59.00	$26.55–$44.25	—	85%
High-sensitivity CRP (hs-CRP) test CPT 86141 LAB PROT C-REACTIVE SENS HIGH	$8.38	$57.00	$12.95–$61.68	85% below	85%
High-sensitivity CRP (hs-CRP) test CPT 86141 LAB PROT C-REACTIVE SENS HIGH NS	$19.26	$131.00	$12.95–$98.25	65% below	85%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB PROT C-REACTIVE SENS HIGH	$8.38	$57.00	$25.65–$42.75	—	85%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 LAB PROT C-REACTIVE SENS HIGH NS	$19.26	$131.00	$58.95–$98.25	—	85%
Insulin blood test CPT 83525 LAB INSULIN TOTAL	$9.46	$57.00	$11.43–$54.44	65% below	83%
Insulin blood test inpatient CPT 83525 LAB INSULIN TOTAL	$9.46	$57.00	$25.65–$42.75	—	83%
Iron blood test (serum iron) CPT 83540 LAB IRON TISSUE LIVER	$34.53	$208.00	$6.47–$156.00	9% below	83%
Iron blood test (serum iron) inpatient CPT 83540 LAB IRON TISSUE LIVER	$34.53	$208.00	$93.60–$156.00	—	83%
Kidney function blood test panel CPT 80069 LAB PANEL FUNCTION RENAL	$38.18	$230.00	$8.68–$172.50	56% below	83%
Kidney function blood test panel inpatient CPT 80069 LAB PANEL FUNCTION RENAL	$38.18	$230.00	$103.50–$172.50	—	83%
LH (luteinizing hormone) test CPT 83002 LAB GONADOTROPIN LH NS	$9.46	$57.00	$18.52–$88.21	84% below	83%
LH (luteinizing hormone) test CPT 83002 LAB GONADOTROPIN LH	$9.63	$58.00	$18.52–$88.21	84% below	83%
LH (luteinizing hormone) test inpatient CPT 83002 LAB GONADOTROPIN LH NS	$9.46	$57.00	$25.65–$42.75	—	83%
LH (luteinizing hormone) test inpatient CPT 83002 LAB GONADOTROPIN LH	$9.63	$58.00	$26.10–$43.50	—	83%
Lactate (lactic acid) blood test CPT 83605 LAB LACTATE/LACTIC ACID CSF	$14.61	$88.00	$11.57–$66.00	49% below	83%
Lactate (lactic acid) blood test CPT 83605 LAB LACTATE/LACTIC ACID	$19.09	$115.00	$11.57–$86.25	33% below	83%
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTATE/LACTIC ACID CSF	$14.61	$88.00	$39.60–$66.00	—	83%
Lactate (lactic acid) blood test inpatient CPT 83605 LAB LACTATE/LACTIC ACID	$19.09	$115.00	$51.75–$86.25	—	83%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH FLUID BODY	$4.98	$30.00	$6.04–$28.77	85% below	83%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH	$4.98	$30.00	$6.04–$28.77	85% below	83%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH NS	$9.13	$55.00	$6.04–$41.25	72% below	83%
Lactate dehydrogenase (LDH) blood test CPT 83615 LAB LDH CSF	$9.30	$56.00	$6.04–$42.00	71% below	83%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH	$4.98	$30.00	$13.50–$22.50	—	83%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH FLUID BODY	$4.98	$30.00	$13.50–$22.50	—	83%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH NS	$9.13	$55.00	$24.75–$41.25	—	83%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LAB LDH CSF	$9.30	$56.00	$25.20–$42.00	—	83%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE FLUID BODY	$8.63	$52.00	$6.89–$39.00	68% below	83%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE FLUID BODY NS	$9.63	$58.00	$6.89–$43.50	64% below	83%
Lipase blood test (pancreas enzyme) CPT 83690 LAB LIPASE	$31.04	$187.00	$6.89–$140.25	14% above	83%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE FLUID BODY	$8.63	$52.00	$23.40–$39.00	—	83%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE FLUID BODY NS	$9.63	$58.00	$26.10–$43.50	—	83%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LAB LIPASE	$31.04	$187.00	$84.15–$140.25	—	83%
Liver function blood test panel CPT 80076 LAB PANEL FUNCTION HEPATIC	$40.50	$244.00	$8.17–$183.00	50% below	83%
Liver function blood test panel inpatient CPT 80076 LAB PANEL FUNCTION HEPATIC	$40.50	$244.00	$109.80–$183.00	—	83%
Lyme disease antibody test CPT 86618 LAB AB LYME DISEASE IGG IGM	$9.70	$66.00	$17.03–$81.11	72% below	85%
Lyme disease antibody test inpatient CPT 86618 LAB AB LYME DISEASE IGG IGM	$9.70	$66.00	$29.70–$49.50	—	85%
Magnesium blood test CPT 83735 LAB MAGNESIUM URINE	$8.63	$52.00	$6.70–$39.00	38% below	83%
Magnesium blood test CPT 83735 LAB MAGNESIUM NS	$14.61	$88.00	$6.70–$66.00	6% above	83%
Magnesium blood test CPT 83735 LAB MAGNESIUM	$16.43	$99.00	$6.70–$74.25	19% above	83%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM URINE	$8.63	$52.00	$23.40–$39.00	—	83%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM NS	$14.61	$88.00	$39.60–$66.00	—	83%
Magnesium blood test inpatient CPT 83735 LAB MAGNESIUM	$16.43	$99.00	$44.55–$74.25	—	83%
Measles (rubeola) antibody test CPT 86765 LAB AB RUBEOLA TITER NS	$5.73	$39.00	$12.75–$61.35	66% below	85%
Measles (rubeola) antibody test CPT 86765 LAB AB RUBEOLA IGM	$8.23	$56.00	$12.88–$61.35	51% below	85%
Measles (rubeola) antibody test CPT 86765 LAB AB RUBEOLA IGG	$8.82	$60.00	$12.88–$61.35	47% below	85%
Measles (rubeola) antibody test inpatient CPT 86765 LAB AB RUBEOLA TITER NS	$5.73	$39.00	$17.55–$29.25	—	85%
Measles (rubeola) antibody test inpatient CPT 86765 LAB AB RUBEOLA IGM	$8.23	$56.00	$25.20–$42.00	—	85%
Measles (rubeola) antibody test inpatient CPT 86765 LAB AB RUBEOLA IGG	$8.82	$60.00	$27.00–$45.00	—	85%
Mumps immunity blood test CPT 86735 LAB AB MUMPS IGG	$8.23	$56.00	$13.05–$62.16	72% below	85%
Mumps immunity blood test CPT 86735 LAB AB MUMPS	$8.97	$61.00	$13.05–$62.16	70% below	85%
Mumps immunity blood test CPT 86735 LAB AB MUMPS IGM	$9.11	$62.00	$13.05–$62.16	69% below	85%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS IGG	$8.23	$56.00	$25.20–$42.00	—	85%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS	$8.97	$61.00	$27.45–$45.75	—	85%
Mumps immunity blood test inpatient CPT 86735 LAB AB MUMPS IGM	$9.11	$62.00	$27.90–$46.50	—	85%
PSA (prostate-specific antigen) blood test, free CPT 84154 LAB PSA FREE	$9.30	$56.00	$18.31–$87.59	83% below	83%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 LAB PSA FREE	$9.30	$56.00	$25.20–$42.00	—	83%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA TOTAL	$9.30	$56.00	$18.31–$87.59	84% below	83%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA TOTAL	$9.30	$56.00	$25.20–$42.00	—	83%
Pap test (liquid-based, automated screening with review) CPT 88175 LAB CYTOPATH CERV/VAG AUTO&MANUAL	$14.88	$80.00	$26.16–$166.90	63% below	81%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 LAB CYTOPATH CERV/VAG AUTO&MANUAL	$14.88	$80.00	$36.00–$60.00	—	81%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 LAB SCR MANUAL CYTOPATH CERV/VAG	$11.35	$61.00	$19.95–$127.05	58% below	81%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 LAB SCR MANUAL CYTOPATH CERV/VAG	$11.35	$61.00	$27.45–$45.75	—	81%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 2	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP POST 10 MN	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE C-TERMINAL	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 1	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP EA ADDL	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 3	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PARATHORMONE INTRAOP POST 5 MN	$20.58	$124.00	$40.55–$196.62	76% below	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE C-TERMINAL	$20.58	$124.00	$55.80–$93.00	—	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE	$20.58	$124.00	$55.80–$93.00	—	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 1	$20.58	$124.00	$55.80–$93.00	—	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 2	$20.58	$124.00	$55.80–$93.00	—	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP BASELINE 3	$20.58	$124.00	$55.80–$93.00	—	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP EA ADDL	$20.58	$124.00	$55.80–$93.00	—	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP POST 10 MN	$20.58	$124.00	$55.80–$93.00	—	83%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PARATHORMONE INTRAOP POST 5 MN	$20.58	$124.00	$55.80–$93.00	—	83%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL NS	$9.34	$54.00	$6.01–$40.50	51% below	83%
Partial thromboplastin time (PTT) clotting test CPT 85730 LAB PTT PLASMA/BLD WHL	$19.72	$114.00	$6.01–$85.50	4% above	83%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL NS	$9.34	$54.00	$24.30–$40.50	—	83%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LAB PTT PLASMA/BLD WHL	$19.72	$114.00	$51.30–$85.50	—	83%
Phosphorus (phosphate) blood test CPT 84100 LAB PHOSPHORUS INORGANIC	$10.13	$61.00	$4.74–$45.75	55% below	83%
Phosphorus (phosphate) blood test inpatient CPT 84100 LAB PHOSPHORUS INORGANIC	$10.13	$61.00	$27.45–$45.75	—	83%
Potassium blood test CPT 84132 LAB POTASS PLASMA	$9.79	$59.00	$4.76–$44.25	62% below	83%
Potassium blood test CPT 84132 LAB POTASS SRM/PLASMA/BLD WHL	$9.96	$60.00	$4.76–$45.00	61% below	83%
Potassium blood test CPT 84132 POC POTASS SRM/PLASMA/BLD WHL	$9.96	$60.00	$4.76–$45.00	61% below	83%
Potassium blood test CPT 84132 POC POTASS SRM/PLASMA/BLD WHL TLCR	$9.96	$60.00	$4.76–$45.00	61% below	83%
Potassium blood test CPT 84132 LAB POTASS BLD WHL RBC	$13.61	$82.00	$4.76–$61.50	47% below	83%
Potassium blood test inpatient CPT 84132 LAB POTASS PLASMA	$9.79	$59.00	$26.55–$44.25	—	83%
Potassium blood test inpatient CPT 84132 POC POTASS SRM/PLASMA/BLD WHL	$9.96	$60.00	$27.00–$45.00	—	83%
Potassium blood test inpatient CPT 84132 LAB POTASS SRM/PLASMA/BLD WHL	$9.96	$60.00	$27.00–$45.00	—	83%
Potassium blood test inpatient CPT 84132 POC POTASS SRM/PLASMA/BLD WHL TLCR	$9.96	$60.00	$27.00–$45.00	—	83%
Potassium blood test inpatient CPT 84132 LAB POTASS BLD WHL RBC	$13.61	$82.00	$36.90–$61.50	—	83%
Progesterone blood test CPT 84144 LAB PROGESTERONE	$10.46	$63.00	$20.60–$99.36	87% below	83%
Progesterone blood test inpatient CPT 84144 LAB PROGESTERONE	$10.46	$63.00	$28.35–$47.25	—	83%
Prolactin blood test CPT 84146 LAB PROLACTIN	$9.79	$59.00	$19.29–$92.31	82% below	83%
Prolactin blood test inpatient CPT 84146 LAB PROLACTIN	$9.79	$59.00	$26.55–$44.25	—	83%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME NS	$10.90	$63.00	$4.29–$47.25	42% below	83%
Prothrombin time (PT/INR) clotting test CPT 85610 LAB PROTHROMBIN TIME	$16.43	$95.00	$4.29–$71.25	13% below	83%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME NS	$10.90	$63.00	$28.35–$47.25	—	83%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LAB PROTHROMBIN TIME	$16.43	$95.00	$42.75–$71.25	—	83%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 LAB DRG SCR DIRECT OPT OBS ONLY DAY	$10.62	$64.00	$12.60–$60.01	37% below	83%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 LAB DRG SCR DIRECT OPT OBS ONLY DAY	$10.62	$64.00	$28.80–$48.00	—	83%
Rapid flu test (influenza antigen) CPT 87804 LAB DET AG IA INFLUENZA IMM OPT	$8.15	$50.00	$16.35–$78.83	66% below	84%
Rapid flu test (influenza antigen) inpatient CPT 87804 LAB DET AG IA INFLUENZA IMM OPT	$8.15	$50.00	$22.50–$37.50	—	84%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 LAB DET AG IA STREP GROUP A IMM OPT	$8.15	$50.00	$16.35–$78.73	73% below	84%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 LAB DET AG IA STREP GROUP A IMM OPT	$8.15	$50.00	$22.50–$37.50	—	84%
Renin blood test CPT 84244 LAB RENIN NS	$10.96	$66.00	$21.58–$104.74	82% below	83%
Renin blood test CPT 84244 LAB RENIN	$23.24	$140.00	$21.99–$105.00	61% below	83%
Renin blood test inpatient CPT 84244 LAB RENIN NS	$10.96	$66.00	$29.70–$49.50	—	83%
Renin blood test inpatient CPT 84244 LAB RENIN	$23.24	$140.00	$63.00–$105.00	—	83%
Rh blood typing CPT 86901 LAB BLOOD TYPE RHD NS	$13.20	$80.00	$2.99–$60.00	71% below	84%
Rh blood typing CPT 86901 LAB BLOOD TYPE RHD	$13.20	$80.00	$2.99–$60.00	71% below	84%
Rh blood typing inpatient CPT 86901 LAB BLOOD TYPE RHD NS	$13.20	$80.00	$36.00–$60.00	—	84%
Rh blood typing inpatient CPT 86901 LAB BLOOD TYPE RHD	$13.20	$80.00	$36.00–$60.00	—	84%
Rheumatoid factor (RF) test CPT 86431 LAB FACTOR RHEUMATOID QN NS	$8.08	$55.00	$5.67–$41.25	49% below	85%
Rheumatoid factor (RF) test inpatient CPT 86431 LAB FACTOR RHEUMATOID QN NS	$8.08	$55.00	$24.75–$41.25	—	85%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA TITER	$6.47	$44.00	$14.39–$68.54	76% below	85%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA IGM NS	$8.23	$56.00	$14.39–$68.54	70% below	85%
Rubella antibody test (immunity check) CPT 86762 LAB AB RUBELLA IGG	$8.23	$56.00	$14.39–$68.54	70% below	85%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA TITER	$6.47	$44.00	$19.80–$33.00	—	85%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA IGM NS	$8.23	$56.00	$25.20–$42.00	—	85%
Rubella antibody test (immunity check) inpatient CPT 86762 LAB AB RUBELLA IGG	$8.23	$56.00	$25.20–$42.00	—	85%
Sodium blood test CPT 84295 POC SODIUM SRM/PLASMA/BLD WHL TLCR	$7.97	$48.00	$4.81–$36.00	59% below	83%
Sodium blood test CPT 84295 POC SODIUM SRM/PLASMA/WHOLE BLD	$7.97	$48.00	$4.81–$36.00	59% below	83%
Sodium blood test CPT 84295 LAB SODIUM SRM/PLASMA/BLD WHL	$7.97	$48.00	$4.81–$36.00	59% below	83%
Sodium blood test inpatient CPT 84295 POC SODIUM SRM/PLASMA/WHOLE BLD	$7.97	$48.00	$21.60–$36.00	—	83%
Sodium blood test inpatient CPT 84295 LAB SODIUM SRM/PLASMA/BLD WHL	$7.97	$48.00	$21.60–$36.00	—	83%
Sodium blood test inpatient CPT 84295 POC SODIUM SRM/PLASMA/BLD WHL TLCR	$7.97	$48.00	$21.60–$36.00	—	83%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM QL	$10.29	$62.00	$15.92–$75.83	44% below	83%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM NS	$10.29	$62.00	$15.92–$75.83	44% below	83%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM NS	$10.29	$62.00	$27.90–$46.50	—	83%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 LAB BLOOD OCCULT FECES 1-3 IMM QL	$10.29	$62.00	$27.90–$46.50	—	83%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB SCR AB SYPHILIS NS	$5.88	$40.00	$13.08–$63.06	77% below	85%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB AB FTA CONFIRM	$5.88	$40.00	$13.08–$63.06	77% below	85%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB SCR AB SYPHILIS	$7.79	$53.00	$13.24–$63.06	70% below	85%
Syphilis antibody test (Treponema pallidum) CPT 86780 LAB AB TREPONEMA PALLIDUM CONF	$10.88	$74.00	$13.24–$63.06	58% below	85%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB SCR AB SYPHILIS NS	$5.88	$40.00	$18.00–$30.00	—	85%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB AB FTA CONFIRM	$5.88	$40.00	$18.00–$30.00	—	85%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB SCR AB SYPHILIS	$7.79	$53.00	$23.85–$39.75	—	85%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 LAB AB TREPONEMA PALLIDUM CONF	$10.88	$74.00	$33.30–$55.50	—	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL	$7.64	$52.00	$4.27–$39.00	41% below	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL CSF	$9.11	$62.00	$4.27–$46.50	30% below	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 LAB SYPHILIS VDRL/RPR QL DNR TESTNG	$19.70	$134.00	$4.27–$100.50	52% above	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL	$7.64	$52.00	$23.40–$39.00	—	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL CSF	$9.11	$62.00	$27.90–$46.50	—	85%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 LAB SYPHILIS VDRL/RPR QL DNR TESTNG	$19.70	$134.00	$60.30–$100.50	—	85%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 LAB TB MEAS IMMUNITY GAMMA INTERFRN	$27.34	$186.00	$60.82–$378.10	62% below	85%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 LAB TB MEAS IMMUNITY GAMMA INTERFRN	$27.34	$186.00	$83.70–$139.50	—	85%
Testosterone blood test, total (not free testosterone) CPT 84403 LAB TESTOSTERONE TOTAL NS	$12.95	$78.00	$25.51–$122.93	63% below	83%
Testosterone blood test, total (not free testosterone) CPT 84403 LAB TESTOSTERONE TOTAL	$12.95	$78.00	$25.51–$122.93	63% below	83%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB TESTOSTERONE TOTAL	$12.95	$78.00	$35.10–$58.50	—	83%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 LAB TESTOSTERONE TOTAL NS	$12.95	$78.00	$35.10–$58.50	—	83%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL LC-1 EA	$6.47	$44.00	$14.39–$69.30	71% below	85%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL THYROID EA	$6.47	$44.00	$14.39–$69.30	71% below	85%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL EA	$6.47	$44.00	$14.39–$69.30	71% below	85%
Thyroid peroxidase (TPO) antibody test CPT 86376 LAB AB MICROSOMAL LIVER-KIDNEY EA	$9.26	$63.00	$14.55–$69.30	59% below	85%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL THYROID EA	$6.47	$44.00	$19.80–$33.00	—	85%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL EA	$6.47	$44.00	$19.80–$33.00	—	85%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL LC-1 EA	$6.47	$44.00	$19.80–$33.00	—	85%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LAB AB MICROSOMAL LIVER-KIDNEY EA	$9.26	$63.00	$28.35–$47.25	—	85%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE NS	$8.47	$51.00	$16.68–$80.02	86% below	83%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LAB THYROID STIMULATING HORMONE	$40.84	$246.00	$16.80–$184.50	34% below	83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE NS	$8.47	$51.00	$22.95–$38.25	—	83%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LAB THYROID STIMULATING HORMONE	$40.84	$246.00	$110.70–$184.50	—	83%
Total IgE blood test CPT 82785 LAB IG IGE NS	$9.63	$58.00	$16.46–$78.40	65% below	83%
Total IgE blood test CPT 82785 LAB IG IGE	$9.63	$58.00	$16.46–$78.40	65% below	83%
Total IgE blood test inpatient CPT 82785 LAB IG IGE	$9.63	$58.00	$26.10–$43.50	—	83%
Total IgE blood test inpatient CPT 82785 LAB IG IGE NS	$9.63	$58.00	$26.10–$43.50	—	83%
Total cholesterol blood test CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL	$9.13	$55.00	$4.35–$41.25	56% below	83%
Total cholesterol blood test CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL NS	$9.30	$56.00	$4.35–$42.00	56% below	83%
Total cholesterol blood test inpatient CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL	$9.13	$55.00	$24.75–$41.25	—	83%
Total cholesterol blood test inpatient CPT 82465 LAB CHOLESTEROL SRM/BLD WHL TTL NS	$9.30	$56.00	$25.20–$42.00	—	83%
Total thyroxine (T4) blood test CPT 84436 LAB THYROXINE T4 TOTAL	$9.30	$56.00	$6.87–$42.00	70% below	83%
Total thyroxine (T4) blood test inpatient CPT 84436 LAB THYROXINE T4 TOTAL	$9.30	$56.00	$25.20–$42.00	—	83%
Transferrin blood test CPT 84466 LAB TRANSFERRIN	$10.13	$61.00	$12.76–$60.78	83% below	83%
Transferrin blood test inpatient CPT 84466 LAB TRANSFERRIN	$10.13	$61.00	$27.45–$45.75	—	83%
Trichomonas test (NAAT) CPT 87661 LAB DET IA TRICHOMONAS VAG PRB AMP	$17.28	$106.00	$34.66–$214.06	66% below	84%
Trichomonas test (NAAT) CPT 87661 LAB DET IA TRICHOMON VAG PRB AMP NS	$18.09	$111.00	$35.09–$214.06	64% below	84%
Trichomonas test (NAAT) inpatient CPT 87661 LAB DET IA TRICHOMONAS VAG PRB AMP	$17.28	$106.00	$47.70–$79.50	—	84%
Trichomonas test (NAAT) inpatient CPT 87661 LAB DET IA TRICHOMON VAG PRB AMP NS	$18.09	$111.00	$49.95–$83.25	—	84%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES	$12.12	$73.00	$5.74–$54.75	31% below	83%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES FLUID BODY	$12.12	$73.00	$5.74–$54.75	31% below	83%
Triglycerides blood test CPT 84478 LAB TRIGLYCERIDES NS	$12.12	$73.00	$5.74–$54.75	31% below	83%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES FLUID BODY	$12.12	$73.00	$32.85–$54.75	—	83%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES NS	$12.12	$73.00	$32.85–$54.75	—	83%
Triglycerides blood test inpatient CPT 84478 LAB TRIGLYCERIDES	$12.12	$73.00	$32.85–$54.75	—	83%
Troponin test, quantitative CPT 84484 LAB TROPONIN QN	$41.33	$249.00	$12.47–$186.75	15% below	83%
Troponin test, quantitative inpatient CPT 84484 LAB TROPONIN QN	$41.33	$249.00	$112.05–$186.75	—	83%
Urinalysis with microscope exam, automated CPT 81001 LAB UA AUTO W MICRO	$20.84	$91.00	$3.17–$68.25	46% below	77%
Urinalysis with microscope exam, automated inpatient CPT 81001 LAB UA AUTO W MICRO	$20.84	$91.00	$40.95–$68.25	—	77%
Urinalysis without microscope exam, automated CPT 81003 LAB UA AUTO WO MICRO	$2.75	$12.00	$2.25–$10.72	86% below	77%
Urinalysis without microscope exam, automated CPT 81003 LAB UA PH AUTO WO MICRO	$2.75	$12.00	$2.25–$10.72	86% below	77%
Urinalysis without microscope exam, automated CPT 81003 LAB UA KETONES AUTO WO MICRO	$2.75	$12.00	$2.25–$10.72	86% below	77%
Urinalysis without microscope exam, automated CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO	$12.14	$53.00	$2.25–$39.75	37% below	77%
Urinalysis without microscope exam, automated CPT 81003 POC UA AUTO WO MICRO	$24.50	$107.00	$2.25–$80.25	27% above	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA AUTO WO MICRO	$2.75	$12.00	$5.40–$9.00	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA PH AUTO WO MICRO	$2.75	$12.00	$5.40–$9.00	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA KETONES AUTO WO MICRO	$2.75	$12.00	$5.40–$9.00	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 LAB UA GRAVITY SPCFC AUTO WO MICRO	$12.14	$53.00	$23.85–$39.75	—	77%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC UA AUTO WO MICRO	$24.50	$107.00	$48.15–$80.25	—	77%
Urinalysis without microscope exam, manual CPT 81002 POC UA NONAUTO WO MICRO DIPSTICK	$2.52	$11.00	$3.48–$16.58	65% below	77%
Urinalysis without microscope exam, manual CPT 81002 LAB UA NONAUTO WO MICRO	$2.52	$11.00	$3.48–$16.58	65% below	77%
Urinalysis without microscope exam, manual CPT 81002 LAB UA REDUCING SUBSTANCE	$2.52	$11.00	$3.48–$16.58	65% below	77%
Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA REDUCING SUBSTANCE	$2.52	$11.00	$4.95–$8.25	—	77%
Urinalysis without microscope exam, manual inpatient CPT 81002 LAB UA NONAUTO WO MICRO	$2.52	$11.00	$4.95–$8.25	—	77%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC UA NONAUTO WO MICRO DIPSTICK	$2.52	$11.00	$4.95–$8.25	—	77%
Urine culture for bacteria, with colony count CPT 87086 LAB CULT BACT COLONY COUNT URINE	$32.76	$201.00	$8.07–$150.75	39% below	84%
Urine culture for bacteria, with colony count inpatient CPT 87086 LAB CULT BACT COLONY COUNT URINE	$32.76	$201.00	$90.45–$150.75	—	84%
Urine microalbumin (albumin) test CPT 82043 LAB MICROALBUMIN URINE QN	$9.30	$56.00	$5.78–$42.00	63% below	83%
Urine microalbumin (albumin) test inpatient CPT 82043 LAB MICROALBUMIN URINE QN	$9.30	$56.00	$25.20–$42.00	—	83%
Urine pregnancy test, read by color change CPT 81025 POC PREGNANCY URINE	$9.62	$42.00	$8.61–$41.01	82% below	77%
Urine pregnancy test, read by color change CPT 81025 LAB PREGNANCY URINE	$13.28	$58.00	$8.61–$43.50	75% below	77%
Urine pregnancy test, read by color change inpatient CPT 81025 POC PREGNANCY URINE	$9.62	$42.00	$18.90–$31.50	—	77%
Urine pregnancy test, read by color change inpatient CPT 81025 LAB PREGNANCY URINE	$13.28	$58.00	$26.10–$43.50	—	77%
Vitamin B12 (cobalamin) blood test CPT 82607 LAB CYANOCOBALAMIN	$11.95	$72.00	$15.08–$71.83	82% below	83%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LAB CYANOCOBALAMIN	$11.95	$72.00	$32.40–$54.00	—	83%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC NS	$14.77	$89.00	$29.10–$155.32	79% below	83%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC	$14.77	$89.00	$29.10–$155.32	79% below	83%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC	$14.77	$89.00	$40.05–$66.75	—	83%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 LAB VITAMIN D 25 HYDROXY W FRAC NS	$14.77	$89.00	$40.05–$66.75	—	83%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 LAB VITAMIN D 1 25 DIHYDROXY FRAC	$19.26	$116.00	$37.93–$234.88	77% below	83%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 LAB VITAMIN D 1 25 DIHYDROXY FRAC	$19.26	$116.00	$52.20–$87.00	—	83%
Zinc blood test CPT 84630 LAB ZINC	$5.81	$35.00	$11.39–$54.25	76% below	83%
Zinc blood test CPT 84630 LAB ZINC NS	$22.41	$135.00	$11.39–$101.25	8% below	83%
Zinc blood test inpatient CPT 84630 LAB ZINC	$5.81	$35.00	$15.75–$26.25	—	83%
Zinc blood test inpatient CPT 84630 LAB ZINC NS	$22.41	$135.00	$60.75–$101.25	—	83%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QN NS	$11.79	$71.00	$15.05–$71.68	56% below	83%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG TUMOR MARKER QN	$11.79	$71.00	$15.05–$71.68	56% below	83%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LAB HCG QN	$11.79	$71.00	$15.05–$71.68	56% below	83%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QN NS	$11.79	$71.00	$31.95–$53.25	—	83%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG TUMOR MARKER QN	$11.79	$71.00	$31.95–$53.25	—	83%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LAB HCG QN	$11.79	$71.00	$31.95–$53.25	—	83%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST W/WO DEV/IMG SG LSN 1ST LT	$1,341.59	$4,370.00	$812.82–$6,689.00	59% below	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BRST W/WO DEV/IMG SG LSN 1ST RT	$1,341.59	$4,370.00	$812.82–$6,689.00	59% below	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BRST W/WO DEV/IMG SG LSN 1ST RT	$1,341.59	$4,370.00	$1,966.50–$3,277.50	—	69%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BRST W/WO DEV/IMG SG LSN 1ST LT	$1,341.59	$4,370.00	$1,966.50–$3,277.50	—	69%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ED CARDIOVERSION ELECTIVE EXTERNAL	$730.08	$2,340.00	$407.38–$2,921.16	21% below	69%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL	$806.50	$2,340.00	$407.38–$2,921.16	13% below	66%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED CARDIOVERSION ELECTIVE EXTERNAL	$730.08	$2,340.00	$1,053.00–$1,755.00	—	69%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE EXTERNAL	$806.50	$2,340.00	$1,053.00–$1,755.00	—	66%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W BLOCK REGIONAL	$262.63	$762.00	$109.80–$5,681.00	4% above	66%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION W BLOCK REGIONAL	$262.63	$762.00	$342.90–$571.50	—	66%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ/S EPID/SUB C/T W IMG	$573.17	$1,867.00	$460.08–$5,681.00	59% below	69%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ/S EPID/SUB C/T W IMG	$573.17	$1,867.00	$840.15–$1,400.25	—	69%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL LT	$822.45	$2,679.00	$498.29–$5,681.00	31% below	69%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL RT	$822.45	$2,679.00	$498.29–$5,681.00	31% below	69%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL LT	$822.45	$2,679.00	$1,205.55–$2,009.25	—	69%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ/S JT FCT L/S IMG 1 LVL RT	$822.45	$2,679.00	$1,205.55–$2,009.25	—	69%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ SIS/HYSTEROSALPINGOGRAPHY	$153.81	$501.00	$93.19–$5,681.00	34% below	69%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ SIS/HYSTEROSALPINGOGRAPHY	$153.81	$501.00	$225.45–$375.75	—	69%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP LT	$182.36	$594.00	$110.48–$5,681.00	52% below	69%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP RT	$182.36	$594.00	$110.48–$5,681.00	52% below	69%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP LT	$182.36	$594.00	$267.30–$445.50	—	69%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ/S SHTH TNDN SGL/LIG/AP RT	$182.36	$594.00	$267.30–$445.50	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD RT	$257.88	$840.00	$156.24–$5,681.00	55% below	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD LT	$257.88	$840.00	$156.24–$5,681.00	55% below	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD RT	$257.88	$840.00	$378.00–$630.00	—	69%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ASP&/INJ JT/BUR MAJ WO US GD LT	$257.88	$840.00	$378.00–$630.00	—	69%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INS IMP DRUG DELIVERY	$114.68	$417.00	$81.16–$312.75	30% below	72%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INS IMP DRUG DELIVERY	$114.68	$417.00	$187.65–$312.75	—	72%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD LT	$211.52	$689.00	$128.15–$5,681.00	52% below	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD RT	$211.52	$689.00	$128.15–$5,681.00	52% below	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD LT	$211.52	$689.00	$310.05–$516.75	—	69%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ASP&/INJ JT/BUR INTR WO US GD RT	$211.52	$689.00	$310.05–$516.75	—	69%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD LT	$203.54	$663.00	$123.32–$5,681.00	44% below	69%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD RT	$203.54	$663.00	$123.32–$5,681.00	44% below	69%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD LT	$203.54	$663.00	$298.35–$497.25	—	69%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 ASP&/INJ JT/BUR SM WO US GD RT	$203.54	$663.00	$298.35–$497.25	—	69%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ/S EPID/SUB L/S W IMG	$573.17	$1,867.00	$460.08–$5,681.00	58% below	69%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ/S EPID/SUB L/S W IMG	$573.17	$1,867.00	$840.15–$1,400.25	—	69%
Lower-back epidural injection, without imaging guidance CPT 62322 INJ/S EPID/SUB L/S WO IMG	$433.48	$1,412.00	$596.28–$5,681.00	60% below	69%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ/S EPID/SUB L/S WO IMG	$433.48	$1,412.00	$635.40–$1,059.00	—	69%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV RT	$757.06	$2,466.00	$458.68–$5,681.00	31% below	69%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV LT	$757.06	$2,466.00	$458.68–$5,681.00	31% below	69%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV RT	$757.06	$2,466.00	$1,109.70–$1,849.50	—	69%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 INJ/S EPID TRFR L/S FL/CT GD 1LV LT	$757.06	$2,466.00	$1,109.70–$1,849.50	—	69%
Occipital nerve block (injection for headaches) one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT RT	$392.96	$1,280.00	$189.35–$5,681.00	10% above	69%
Occipital nerve block (injection for headaches) one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT LT	$392.96	$1,280.00	$189.35–$5,681.00	10% above	69%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT RT	$392.96	$1,280.00	$576.00–$960.00	—	69%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 INJ/S ANES NRV OCCIPITAL GREAT LT	$392.96	$1,280.00	$576.00–$960.00	—	69%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOMINAL W IMG	$751.84	$2,449.00	$586.96–$6,689.00	49% below	69%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABDOMINAL W IMG	$751.84	$2,449.00	$1,102.05–$1,836.75	—	69%
Skin biopsy, punch, one lesion CPT 11104 BX PUNCH SKIN LSN SGL	$225.03	$733.00	$250.73–$5,681.00	55% below	69%
Skin biopsy, punch, one lesion inpatient CPT 11104 BX PUNCH SKIN LSN SGL	$225.03	$733.00	$329.85–$549.75	—	69%
Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCT LUMBAR DIAGNOSTIC	$492.43	$1,604.00	$460.08–$5,681.00	24% below	69%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 PUNCT LUMBAR DIAGNOSTIC	$492.43	$1,604.00	$721.80–$1,203.00	—	69%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX SKIN TANGENTIAL LSN SGL	$164.24	$535.00	$130.17–$5,681.00	58% below	69%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 BX SKIN TANGENTIAL LSN SGL	$164.24	$535.00	$240.75–$401.25	—	69%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASP W IMG RT	$934.82	$3,045.00	$392.67–$5,681.00	20% below	69%
Thoracentesis with imaging guidance one side CPT 32555 THORACENTESIS ASP W IMG LT	$934.82	$3,045.00	$392.67–$5,681.00	20% below	69%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASP W IMG RT	$934.82	$3,045.00	$1,370.25–$2,283.75	—	69%
Thoracentesis with imaging guidance inpatient one side CPT 32555 THORACENTESIS ASP W IMG LT	$934.82	$3,045.00	$1,370.25–$2,283.75	—	69%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ/S TRIGGER PT/S MUSC/S 1-2	$150.74	$491.00	$189.35–$5,681.00	66% below	69%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ/S TRIGGER PT/S MUSC/S 1-2	$150.74	$491.00	$220.95–$368.25	—	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST LT	$1,247.96	$4,065.00	$756.09–$6,689.00	44% below	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST RT	$1,247.96	$4,065.00	$756.09–$6,689.00	44% below	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST RT	$1,247.96	$4,065.00	$1,829.25–$3,048.75	—	69%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BRST W/WO DEV/IMG US LSN 1ST LT	$1,247.96	$4,065.00	$1,829.25–$3,048.75	—	69%
Vein ablation, radiofrequency, first vein one side CPT 36475 ABL EV RF VEIN EXT 1ST LT S&I	$2,103.26	$6,851.00	$1,274.29–$7,704.00	62% below	69%
Vein ablation, radiofrequency, first vein one side CPT 36475 ABL EV RF VEIN EXT 1ST RT S&I	$2,103.26	$6,851.00	$1,274.29–$7,704.00	62% below	69%
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 ABL EV RF VEIN EXT 1ST LT S&I	$2,103.26	$6,851.00	$3,082.95–$5,138.25	—	69%
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 ABL EV RF VEIN EXT 1ST RT S&I	$2,103.26	$6,851.00	$3,082.95–$5,138.25	—	69%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 1 UNIT	$383.15	$1,435.00	$287.87–$1,474.02	31% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 1 UNIT	$383.15	$1,435.00	$287.87–$1,474.02	31% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 2 UNITS	$479.00	$1,794.00	$287.87–$1,474.02	14% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 2 UNITS	$479.00	$1,794.00	$287.87–$1,474.02	14% below	73%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/COMP 3+ UNITS	$574.85	$2,153.00	$287.87–$1,614.75	4% above	73%
Blood transfusion (giving blood or blood components) CPT 36430 ED TRANSFUSION BLOOD/COMP 3+ UNITS	$574.85	$2,153.00	$287.87–$1,614.75	4% above	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 1 UNIT	$383.15	$1,435.00	$645.75–$1,076.25	—	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 1 UNIT	$383.15	$1,435.00	$645.75–$1,076.25	—	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 2 UNITS	$479.00	$1,794.00	$807.30–$1,345.50	—	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 2 UNITS	$479.00	$1,794.00	$807.30–$1,345.50	—	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLOOD/COMP 3+ UNITS	$574.85	$2,153.00	$968.85–$1,614.75	—	73%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED TRANSFUSION BLOOD/COMP 3+ UNITS	$574.85	$2,153.00	$968.85–$1,614.75	—	73%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INF IV 1ST HR	$351.46	$979.00	$225.29–$1,221.24	20% below	64%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INF IV 1ST HR	$351.46	$979.00	$440.55–$734.25	—	64%
Critical care, first 30 to 74 minutes CPT 99291 ED VISIT CRITICAL CARE 1ST 30-74MIN	$3,207.36	$10,280.00	$502.19–$7,710.00	15% above	69%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ED VISIT CRITICAL CARE 1ST 30-74MIN	$3,207.36	$10,280.00	$4,626.00–$7,710.00	—	69%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE&DROWSY	$626.65	$1,339.00	$191.73–$1,338.91	7% above	53%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE&DROWSY	$626.65	$1,339.00	$602.55–$1,004.25	—	53%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ROUTINE 12+ LEADS	$112.94	$543.00	$16.43–$433.00	13% below	79%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ROUTINE 12+ LEADS	$112.94	$543.00	$244.35–$407.25	—	79%
Electroconvulsive therapy (ECT), one session CPT 90870 THERAPY ELECTROCONVULSIVE W MNTR	$653.48	$1,896.00	$353.64–$3,006.30	30% below	66%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 THERAPY ELECTROCONVULSIVE W MNTR	$653.48	$1,896.00	$853.20–$1,593.00	—	66%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT LEVEL 1	$470.92	$725.00	$54.54–$2,503.00	89% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ED VISIT LEVEL 1	$470.92	$725.00	$326.25–$543.75	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED VISIT LEVEL 2	$674.98	$1,280.00	$88.87–$2,503.00	78% above	47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ED VISIT LEVEL 2	$674.98	$1,280.00	$576.00–$960.00	—	47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED VISIT LEVEL 3	$1,064.42	$1,835.00	$138.24–$2,503.00	54% above	42%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ED VISIT LEVEL 3	$1,064.42	$1,835.00	$825.75–$1,376.25	—	42%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED VISIT LEVEL 4	$1,563.48	$2,935.00	$221.18–$2,503.00	37% above	47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ED VISIT LEVEL 4	$1,563.48	$2,935.00	$1,320.75–$2,201.25	—	47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED VISIT LEVEL 5	$1,666.36	$3,610.00	$332.40–$2,707.50	at median	54%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ED VISIT LEVEL 5	$1,666.36	$3,610.00	$1,624.50–$2,707.50	—	54%
Exercise stress test, tracing only, the hospital charge CPT 93017 TEST CV STRESS TREAD/BIKE&/RX TRACE	$178.08	$848.00	$95.31–$636.00	72% below	79%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TEST CV STRESS TREAD/BIKE&/RX TRACE	$178.08	$848.00	$381.60–$636.00	—	79%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INF IV HYDRATION 31-60MIN	$141.17	$469.00	$77.79–$478.00	25% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 ED INF IV HYDRATION 31-60MIN	$146.33	$469.00	$77.79–$2,503.00	22% below	69%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INF IV HYDRATION 31-60MIN	$141.17	$469.00	$211.05–$351.75	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 ED INF IV HYDRATION 31-60MIN	$146.33	$469.00	$211.05–$351.75	—	69%
IV infusion of a medicine, first hour CPT 96365 INF IV THRPY 1ST HR	$265.48	$882.00	$147.54–$661.50	3% above	70%
IV infusion of a medicine, first hour CPT 96365 ED INF IV THRPY 1ST HR	$275.18	$882.00	$147.54–$2,503.00	6% above	69%
IV infusion of a medicine, first hour inpatient CPT 96365 INF IV THRPY 1ST HR	$265.48	$882.00	$396.90–$661.50	—	70%
IV infusion of a medicine, first hour inpatient CPT 96365 ED INF IV THRPY 1ST HR	$275.18	$882.00	$396.90–$661.50	—	69%
IV push of a medicine, first drug CPT 96374 INJ IVP DRUG INITIAL INCMP TEST	$180.18	$585.00	$77.79–$945.00	10% above	69%
IV push of a medicine, first drug CPT 96374 INJ IVP DRUG INITIAL	$180.18	$585.00	$77.79–$945.00	10% above	69%
IV push of a medicine, first drug CPT 96374 ED INJ IVP DRUG INITIAL	$182.52	$585.00	$77.79–$2,503.00	12% above	69%
IV push of a medicine, first drug inpatient CPT 96374 INJ IVP DRUG INITIAL INCMP TEST	$180.18	$585.00	$263.25–$438.75	—	69%
IV push of a medicine, first drug inpatient CPT 96374 INJ IVP DRUG INITIAL	$180.18	$585.00	$263.25–$438.75	—	69%
IV push of a medicine, first drug inpatient CPT 96374 ED INJ IVP DRUG INITIAL	$182.52	$585.00	$263.25–$438.75	—	69%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SUBQ/IM	$54.21	$176.00	$44.93–$945.00	22% below	69%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 ED INJ SUBQ/IM	$54.91	$176.00	$44.93–$2,503.00	21% below	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ SUBQ/IM	$54.21	$176.00	$79.20–$132.00	—	69%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ED INJ SUBQ/IM	$54.91	$176.00	$79.20–$132.00	—	69%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 STUDIES CONDUCTION NERVE 7-8	$222.31	$645.00	$191.73–$657.01	11% above	66%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 STUDIES CONDUCTION NERVE 7-8	$222.31	$645.00	$290.25–$483.75	—	66%
New patient office visit, about 30 minutes CPT 99203 VISIT OB TRIAGE NEW LEVEL 3	$1,980.45	$2,430.00	$54.54–$1,822.50	987% above	19%
New patient office visit, about 30 minutes inpatient CPT 99203 VISIT OB TRIAGE NEW LEVEL 3	$1,980.45	$2,430.00	$1,093.50–$1,822.50	—	19%
New patient office visit, about 45 minutes CPT 99204 VISIT OB TRIAGE NEW LEVEL 4	$2,383.88	$2,925.00	$54.54–$2,193.75	1104% above	18%
New patient office visit, about 45 minutes inpatient CPT 99204 VISIT OB TRIAGE NEW LEVEL 4	$2,383.88	$2,925.00	$1,316.25–$2,193.75	—	18%
New patient office visit, about 60 minutes CPT 99205 VISIT OB TRIAGE NEW LEVEL 5	$3,190.72	$3,915.00	$54.54–$2,936.25	1310% above	19%
New patient office visit, about 60 minutes inpatient CPT 99205 VISIT OB TRIAGE NEW LEVEL 5	$3,190.72	$3,915.00	$1,761.75–$2,936.25	—	19%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT OB TRIAGE NEW LEVEL 1	$688.68	$845.00	$54.54–$1,318.00	366% above	18%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 VISIT OB TRIAGE NEW LEVEL 2	$1,324.38	$1,625.00	$54.54–$1,318.00	796% above	18%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT OB TRIAGE NEW LEVEL 1	$688.68	$845.00	$380.25–$633.75	—	18%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 VISIT OB TRIAGE NEW LEVEL 2	$1,324.38	$1,625.00	$731.25–$1,218.75	—	18%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT OB TRIAGE ESTABLISHED LEVEL 5	$2,872.88	$3,525.00	$54.54–$2,643.75	1206% above	18%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT OB TRIAGE ESTABLISHED LEVEL 5	$2,872.88	$3,525.00	$1,586.25–$2,643.75	—	18%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT OB TRIAGE ESTABLISHED LEVEL 3	$1,324.38	$1,625.00	$54.54–$1,318.00	844% above	18%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT OB TRIAGE ESTABLISHED LEVEL 3	$1,324.38	$1,625.00	$731.25–$1,218.75	—	18%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT OB TRIAGE ESTABLISHED LEVEL 4	$2,041.57	$2,505.00	$54.54–$1,878.75	751% above	19%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT OB TRIAGE ESTABLISHED LEVEL 4	$2,041.57	$2,505.00	$1,127.25–$1,878.75	—	19%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT OB TRIAGE ESTABLISHED LEVEL 2	$660.15	$810.00	$54.54–$1,318.00	369% above	19%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT OB TRIAGE ESTABLISHED LEVEL 2	$660.15	$810.00	$364.50–$607.50	—	19%
Spirometry (breathing test) CPT 94010 SPIROMETRY W VITAL CAP W/WO VENT	$185.22	$686.00	$101.17–$514.50	4% below	73%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W VITAL CAP W/WO VENT	$185.22	$686.00	$308.70–$514.50	—	73%
Spirometry before and after a bronchodilator CPT 94060 BRONCHDLTN PRE&POST SPIROMETRY W VC	$234.09	$867.00	$191.73–$657.01	24% below	73%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHDLTN PRE&POST SPIROMETRY W VC	$234.09	$867.00	$390.15–$650.25	—	73%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$276.28	$897.00	$81.16–$945.00	1% above	69%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$276.28	$897.00	$403.65–$672.75	—	69%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION 1ST VACCINE	$21.46	$116.00	$37.93–$139.00	61% below	82%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED IMMUNIZATION 1ST VACCINE	$21.46	$116.00	$37.93–$139.00	61% below	82%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION 1ST VACCINE	$21.46	$116.00	$52.20–$87.00	—	82%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED IMMUNIZATION 1ST VACCINE	$21.46	$116.00	$52.20–$87.00	—	82%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED IMMUNIZATION ADDL VACCINE	$8.70	$47.00	$8.74–$139.00	75% below	81%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADDL VACCINE	$8.70	$47.00	$8.74–$139.00	75% below	81%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED IMMUNIZATION ADDL VACCINE	$8.70	$47.00	$21.15–$35.25	—	81%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADDL VACCINE	$8.70	$47.00	$21.15–$35.25	—	81%

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://images.pricetransparency.healthcare/public-mrfs/banner/900220728_banner-gateway-medical-center_standardcharges.csv