UPMC Western Maryland
UPMC Western Maryland in Cumberland, MD publishes cash prices for 313 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Maryland median for 298 of 306 procedures and above it for 7. By typical cash price it ranks #1 of 17 Maryland hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
12500 Willowbrook Road Se, Cumberland, MD 21502 Collected Sep 27, 2026 Source price file Check a bill from this hospital (240) 964-7000
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 210027 · CMS hospital register NPI 1609831247
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
UPMC Western Maryland is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Maryland law (Health-General §19-214.1) requires hospitals to give free medically necessary care to patients with family income at or below 200% of the federal poverty level and to cut the bill by 75% up to 250% and 60% up to 300%. With medical debt above 25% of family income in a year, discounts reach up to 500%. Immigration status does not count. Ask the hospital for its financial assistance application. Other states' laws.
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 3 actions for a hospital named UPMC Western Maryland in Cumberland, MD:
- Sep 13, 2024 Warning notice
- Jan 8, 2025 Corrective action plan requested
- Mar 13, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
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 Maryland | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT SCAN ABDOMEN W&W/O CONTRAST | $160.80 | $268.00 | $268.00 | 41% below | 40% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT SCAN ABDOMEN W&W/O CONTRAST | $160.80 | $268.00 | $268.00 | — | 40% |
| Abdominal X-ray, 2 views CPT 74019 PORT ABD W/ ERECT OR DEC VIEWS | $124.80 | $208.00 | $208.00 | 43% below | 40% |
| Abdominal X-ray, 2 views CPT 74019 ABD WITH ERECT OR DECUB VIEWS | $124.80 | $208.00 | $208.00 | 43% below | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABD WITH ERECT OR DECUB VIEWS | $124.80 | $208.00 | $208.00 | — | 40% |
| Abdominal X-ray, 2 views inpatient CPT 74019 PORT ABD W/ ERECT OR DEC VIEWS | $124.80 | $208.00 | $208.00 | — | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE, MIN 3 VIEWS | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 PORT LT OR RT ANKLE COMPLETE | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE | $29.40 | $49.00 | $49.00 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE, MIN 3 VIEWS | $106.80 | $178.00 | $178.00 | — | 40% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 PORT LT OR RT ANKLE COMPLETE | $106.80 | $178.00 | $178.00 | — | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US/ UP/LOW EXTREM ART SING LEV | $375.00 | $625.00 | $625.00 | 44% below | 40% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US/ UP/LOW EXTREM ART SING LEV | $375.00 | $625.00 | $625.00 | — | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT SCAN EXTREMITY W/O CONTRAST | $59.40 | $99.00 | $99.00 | 67% below | 40% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT SCAN EXTREMITY W/O CONTRAST | $59.40 | $99.00 | $99.00 | — | 40% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $321.60 | $536.00 | $536.00 | 44% below | 40% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS | $321.60 | $536.00 | $536.00 | — | 40% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NUC/MED BONE SCAN WHOLE BODY | $223.20 | $372.00 | $372.00 | 82% below | 40% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NUC/MED BONE SCAN WHOLE BODY | $223.20 | $372.00 | $372.00 | — | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US UNILATERAL BREAST | $357.60 | $596.00 | $596.00 | 42% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US RT BREAST COMPLETE | $357.60 | $596.00 | $596.00 | 42% below | 40% |
| Breast ultrasound, complete, one breast one side CPT 76641 US LT BREAST COMPLETE | $357.60 | $596.00 | $596.00 | 42% below | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US RT BREAST COMPLETE | $357.60 | $596.00 | $596.00 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US LT BREAST COMPLETE | $357.60 | $596.00 | $596.00 | — | 40% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US UNILATERAL BREAST | $357.60 | $596.00 | $596.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US RT BREAST LTD | $268.20 | $447.00 | $447.00 | 42% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 ULTRA BREAST UNILAT LTD AREA | $268.20 | $447.00 | $447.00 | 42% below | 40% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US LT BREAST LTD | $268.20 | $447.00 | $447.00 | 42% below | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US RT BREAST LTD | $268.20 | $447.00 | $447.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 ULTRA BREAST UNILAT LTD AREA | $268.20 | $447.00 | $447.00 | — | 40% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US LT BREAST LTD | $268.20 | $447.00 | $447.00 | — | 40% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANG ABD/PEL W/CON INCL NON | $232.80 | $388.00 | $388.00 | 41% below | 40% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANG ABD/PEL W/CON INCL NON | $232.80 | $388.00 | $388.00 | — | 40% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W/WO CONTRAST | $172.80 | $288.00 | $288.00 | 41% below | 40% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W/WO CONTRAST | $172.80 | $288.00 | $288.00 | — | 40% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W/WO CONTRAST | $98.40 | $164.00 | $164.00 | 66% below | 40% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W/WO CONTRAST | $98.40 | $164.00 | $164.00 | — | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST NON-CORONARY | $175.80 | $293.00 | $293.00 | 41% below | 40% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST NON-CORONARY | $175.80 | $293.00 | $293.00 | — | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CABG IMAGING W CONTRAST | $253.80 | $423.00 | $423.00 | 40% below | 40% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CABG IMAGING W CONTRAST | $253.80 | $423.00 | $423.00 | — | 40% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORING | $59.40 | $99.00 | $99.00 | 28% below | 40% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORING | $59.40 | $99.00 | $99.00 | — | 40% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT, ABDOMEN & PELVIS W/O CONTR | $95.40 | $159.00 | $159.00 | 41% below | 40% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT, ABDOMEN & PELVIS W/O CONTR | $95.40 | $159.00 | $159.00 | — | 40% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT, ABDOMEN & PELVIS W/ CONTRA | $184.80 | $308.00 | $308.00 | 41% below | 40% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT, ABDOMEN & PELVIS W/ CONTRA | $184.80 | $308.00 | $308.00 | — | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT,ABD&PEL W/O/&WW CONT 1+ REG | $211.80 | $353.00 | $353.00 | 41% below | 40% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT,ABD&PEL W/O/&WW CONT 1+ REG | $211.80 | $353.00 | $353.00 | — | 40% |
| CT scan of the abdomen with contrast CPT 74160 CT SCAN ABDOMEN W/CONTRAST | $140.40 | $234.00 | $234.00 | 41% below | 40% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT SCAN ABDOMEN W/CONTRAST | $140.40 | $234.00 | $234.00 | — | 40% |
| CT scan of the abdomen without contrast CPT 74150 CT SCAN ABDOMEN W/O CONTRAST | $74.40 | $124.00 | $124.00 | 41% below | 40% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT SCAN ABDOMEN W/O CONTRAST | $74.40 | $124.00 | $124.00 | — | 40% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 MAX FACIAL W/O | $53.40 | $89.00 | $89.00 | 61% below | 40% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 MAX FACIAL W/O | $53.40 | $89.00 | $89.00 | — | 40% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD W/O CONTRAST | $62.40 | $104.00 | $104.00 | 41% below | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT SCAN HEAD W/O CONTRAST | $62.40 | $104.00 | $104.00 | — | 40% |
| CT scan of the head with contrast CPT 70460 CT SCAN HEAD W/CONTRAST | $89.40 | $149.00 | $149.00 | 41% below | 40% |
| CT scan of the head with contrast inpatient CPT 70460 CT SCAN HEAD W/CONTRAST | $89.40 | $149.00 | $149.00 | — | 40% |
| CT scan of the head without and with contrast CPT 70470 CT SCAN HEAD W & W/O CONTRAST | $107.40 | $179.00 | $179.00 | 41% below | 40% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT SCAN HEAD W & W/O CONTRAST | $107.40 | $179.00 | $179.00 | — | 40% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 L-SPINE W/O | $107.40 | $179.00 | $179.00 | 41% below | 40% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 L-SPINE W/O | $107.40 | $179.00 | $179.00 | — | 40% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 C-SPINE W/O | $59.40 | $99.00 | $99.00 | 68% below | 40% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 C-SPINE W/O | $59.40 | $99.00 | $99.00 | — | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN PELVIS W/CONTRAST | $140.40 | $234.00 | $234.00 | 41% below | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT SCAN PELVIS W/CONTRAST | $140.40 | $234.00 | $234.00 | — | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US CAROTID DUPLEX COLOR | $822.00 | $1,370.00 | $1,370.00 | 44% below | 40% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US CAROTID DUPLEX COLOR | $822.00 | $1,370.00 | $1,370.00 | — | 40% |
| Chest CT scan without and with contrast CPT 71270 CT SCAN CHEST W & W/O CONTRAST | $98.40 | $164.00 | $164.00 | 66% below | 40% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT SCAN CHEST W & W/O CONTRAST | $98.40 | $164.00 | $164.00 | — | 40% |
| Chest X-ray, 2 views CPT 71046 XR CHEST TWO VIEWS | $29.40 | $49.00 | $49.00 | 83% below | 40% |
| Chest X-ray, 2 views CPT 71046 PORT XR CHEST TWO VIEWS | $89.40 | $149.00 | $149.00 | 48% below | 40% |
| Chest X-ray, 2 views CPT 71046 XRAY CHEST TWO VIEWS | $89.40 | $149.00 | $149.00 | 48% below | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST TWO VIEWS | $29.40 | $49.00 | $49.00 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 XRAY CHEST TWO VIEWS | $89.40 | $149.00 | $149.00 | — | 40% |
| Chest X-ray, 2 views inpatient CPT 71046 PORT XR CHEST TWO VIEWS | $89.40 | $149.00 | $149.00 | — | 40% |
| Chest X-ray, single view CPT 71045 XRAY CHEST SINGLE VIEW | $71.40 | $119.00 | $119.00 | 35% below | 40% |
| Chest X-ray, single view CPT 71045 PORT XR CHEST SINGLE VIEW | $71.40 | $119.00 | $119.00 | 35% below | 40% |
| Chest X-ray, single view inpatient CPT 71045 PORT XR CHEST SINGLE VIEW | $71.40 | $119.00 | $119.00 | — | 40% |
| Chest X-ray, single view inpatient CPT 71045 XRAY CHEST SINGLE VIEW | $71.40 | $119.00 | $119.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 XR CLAVICLE COMPLETE | $19.20 | $32.00 | $32.00 | 88% below | 40% |
| Collarbone (clavicle) X-ray, complete CPT 73000 PORT XR CLAVICLE COMPLETE | $89.40 | $149.00 | $149.00 | 46% below | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XR CLAVICLE COMPLETE | $19.20 | $32.00 | $32.00 | — | 40% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 PORT XR CLAVICLE COMPLETE | $89.40 | $149.00 | $149.00 | — | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US REPROPERITONEAL/RENAL W/ IM | $393.00 | $655.00 | $655.00 | 42% below | 40% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US REPROPERITONEAL/RENAL W/ IM | $393.00 | $655.00 | $655.00 | — | 40% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY, AXIAL SKELETON | $160.80 | $268.00 | $268.00 | 44% below | 40% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY, AXIAL SKELETON | $160.80 | $268.00 | $268.00 | — | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY, APPENDI SKELETON | $89.40 | $149.00 | $149.00 | 48% below | 40% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY, APPENDI SKELETON | $89.40 | $149.00 | $149.00 | — | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB DET FETAL SING GEST TRAN | $429.00 | $715.00 | $715.00 | 44% below | 40% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB DET FETAL SING GEST TRAN | $429.00 | $715.00 | $715.00 | — | 40% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN CHEST W/O CONTRAST | $107.40 | $179.00 | $179.00 | 41% below | 40% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT SCAN CHEST W/O CONTRAST | $107.40 | $179.00 | $179.00 | — | 40% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN CHEST W/CONTRAST | $140.40 | $234.00 | $234.00 | 41% below | 40% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT SCAN CHEST W/CONTRAST | $140.40 | $234.00 | $234.00 | — | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAMMO INC CAD, BILATERAL | $607.80 | $1,013.00 | $1,013.00 | — | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAMMO INC CAD, BILATERAL | $607.80 | $1,013.00 | $1,013.00 | — | 40% |
| Diagnostic mammogram, one breast one side CPT 77065 DIAG MAMMO INC CAD, UNILATERAL | $464.40 | $774.00 | $774.00 | 44% below | 40% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DIAG MAMMO INC CAD, UNILATERAL | $464.40 | $774.00 | $774.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 DUP EXTREMITY ARTERY BILATERAL | $1,108.20 | $1,847.00 | $1,847.00 | — | 40% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 DUP EXTREMITY ARTERY BILATERAL | $1,108.20 | $1,847.00 | $1,847.00 | — | 40% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 US PERIPHERAL VEINS COMPLETE | $822.00 | $1,370.00 | $1,370.00 | 47% below | 40% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US PERIPHERAL VEINS COMPLETE | $822.00 | $1,370.00 | $1,370.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO W/DOPPLER & COLOR FLOW | $398.40 | $664.00 | $664.00 | 45% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO W DOPP-COLOR BUBBLE | $405.00 | $675.00 | $675.00 | 47% above | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO W/DOPPLER & COLOR FLOW | $398.40 | $664.00 | $664.00 | — | 40% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO W DOPP-COLOR BUBBLE | $405.00 | $675.00 | $675.00 | — | 40% |
| Elbow X-ray, 2 views CPT 73070 XR ELBOW PARTIAL | $19.20 | $32.00 | $32.00 | 88% below | 40% |
| Elbow X-ray, 2 views one side CPT 73070 PORT LT OR RT ELBOW AP & LAT | $89.40 | $149.00 | $149.00 | 44% below | 40% |
| Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW PARTIAL | $19.20 | $32.00 | $32.00 | — | 40% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 PORT LT OR RT ELBOW AP & LAT | $89.40 | $149.00 | $149.00 | — | 40% |
| Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 PORT LT OR RT ELBOW COMPLETE | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW | $29.40 | $49.00 | $49.00 | — | 40% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 PORT LT OR RT ELBOW COMPLETE | $106.80 | $178.00 | $178.00 | — | 40% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN ORBIT W/O CONTRAST | $140.40 | $234.00 | $234.00 | 41% below | 40% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SCAN ORBIT W/O CONTRAST | $140.40 | $234.00 | $234.00 | — | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES COMP | $49.20 | $82.00 | $82.00 | 81% below | 40% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES | $142.80 | $238.00 | $238.00 | 44% below | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES COMP | $49.20 | $82.00 | $82.00 | — | 40% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES | $142.80 | $238.00 | $238.00 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM | $19.20 | $32.00 | $32.00 | 88% below | 40% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 PORTABLE XR FOREARM | $89.40 | $149.00 | $149.00 | 46% below | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM | $19.20 | $32.00 | $32.00 | — | 40% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 PORTABLE XR FOREARM | $89.40 | $149.00 | $149.00 | — | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYS IMAG INC GAL | $315.00 | $525.00 | $525.00 | 82% below | 40% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYS IMAG INC GAL | $315.00 | $525.00 | $525.00 | — | 40% |
| Hand X-ray, 2 views CPT 73120 XR HAND PARTIAL | $19.20 | $32.00 | $32.00 | 88% below | 40% |
| Hand X-ray, 2 views CPT 73120 PORT XR HAND PARTIAL | $89.40 | $149.00 | $149.00 | 46% below | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 XR HAND PARTIAL | $19.20 | $32.00 | $32.00 | — | 40% |
| Hand X-ray, 2 views inpatient CPT 73120 PORT XR HAND PARTIAL | $89.40 | $149.00 | $149.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR CALCANEUS | $19.20 | $32.00 | $32.00 | 88% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 PORTABLE XR CALCANEUS | $89.40 | $149.00 | $149.00 | 44% below | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR CALCANEUS | $19.20 | $32.00 | $32.00 | — | 40% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 PORTABLE XR CALCANEUS | $89.40 | $149.00 | $149.00 | — | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY-NON MEDICARE | $148.80 | $248.00 | $248.00 | 70% below | 40% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP STUDY-NON MEDICARE | $148.80 | $248.00 | $248.00 | — | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAM W/ C.P.A.P. | $734.40 | $1,224.00 | $1,224.00 | 70% below | 40% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAM W/ C.P.A.P. | $734.40 | $1,224.00 | $1,224.00 | — | 40% |
| Knee X-ray, 3 views CPT 73562 XR KNEE 3 VIEWS | $29.40 | $49.00 | $49.00 | 87% below | 40% |
| Knee X-ray, 3 views CPT 73562 PORTABLE XR KNEE AP,LAT,& OBLS | $124.80 | $208.00 | $208.00 | 44% below | 40% |
| Knee X-ray, 3 views one side CPT 73562 PORT XR RIGHT KNEE AP,LAT,OBL | $124.80 | $208.00 | $208.00 | 44% below | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 XR KNEE 3 VIEWS | $29.40 | $49.00 | $49.00 | — | 40% |
| Knee X-ray, 3 views inpatient CPT 73562 PORTABLE XR KNEE AP,LAT,& OBLS | $124.80 | $208.00 | $208.00 | — | 40% |
| Knee X-ray, 3 views inpatient one side CPT 73562 PORT XR RIGHT KNEE AP,LAT,OBL | $124.80 | $208.00 | $208.00 | — | 40% |
| Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE WITH EXTRA VIEWS | $58.80 | $98.00 | $98.00 | 77% below | 40% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE WITH EXTRA VIEWS | $58.80 | $98.00 | $98.00 | — | 40% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT SCAN EXTREMITY W/O CONTRAST | $59.40 | $99.00 | $99.00 | 67% below | 40% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT SCAN EXTREMITY W/O CONTRAST | $59.40 | $99.00 | $99.00 | — | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $321.60 | $536.00 | $536.00 | 44% below | 40% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED | $321.60 | $536.00 | $536.00 | — | 40% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREM NONVASC W/ IMAGES-LT | $53.40 | $89.00 | $89.00 | 46% below | 40% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREM NONVASC W/ IMAGES-LT | $53.40 | $89.00 | $89.00 | — | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN CHEST SCR MED | $107.40 | $179.00 | $179.00 | 35% below | 40% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 LOW DOSE CT SCAN CHEST SCR MED | $107.40 | $179.00 | $179.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBIA AND FIBULA | $19.20 | $32.00 | $32.00 | 90% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 PORT XR TIBIA & FIBULA | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBIA AND FIBULA | $19.20 | $32.00 | $32.00 | — | 40% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 PORT XR TIBIA & FIBULA | $106.80 | $178.00 | $178.00 | — | 40% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST | $547.80 | $913.00 | $913.00 | 50% below | 40% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST | $547.80 | $913.00 | $913.00 | — | 40% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W/WO CONTRAST | $754.20 | $1,257.00 | $1,257.00 | — | 40% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILAT W/WO CONTRAST | $754.20 | $1,257.00 | $1,257.00 | — | 40% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXTREMITY ANY JOINT | $276.60 | $461.00 | $461.00 | 50% below | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXTREMITY ANY JOINT | $276.60 | $461.00 | $461.00 | — | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT ANY JOINT W/WO CON | $601.20 | $1,002.00 | $1,002.00 | 50% below | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXT ANY JOINT W/WO CON | $601.20 | $1,002.00 | $1,002.00 | — | 40% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN | $430.20 | $717.00 | $717.00 | 50% below | 40% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN | $430.20 | $717.00 | $717.00 | — | 40% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CON & W/ CON | $654.00 | $1,090.00 | $1,090.00 | 50% below | 40% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD W/O CON & W/ CON | $654.00 | $1,090.00 | $1,090.00 | — | 40% |
| MRI of the brain, no contrast dye CPT 70551 MRI HEAD; W/O CONTRAST | $259.20 | $432.00 | $432.00 | 53% below | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD; W/O CONTRAST | $259.20 | $432.00 | $432.00 | — | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD W & W/O CONTRAST | $436.20 | $727.00 | $727.00 | 50% below | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD W & W/O CONTRAST | $436.20 | $727.00 | $727.00 | — | 40% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE, LUMBAR W/O CONTRAST | $247.20 | $412.00 | $412.00 | 50% below | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE, LUMBAR W/O CONTRAST | $247.20 | $412.00 | $412.00 | — | 40% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE, W & W/O CONTRAST | $436.20 | $727.00 | $727.00 | 50% below | 40% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L-SPINE, W & W/O CONTRAST | $436.20 | $727.00 | $727.00 | — | 40% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE, THORACIC W/O CONTR | $247.20 | $412.00 | $412.00 | 50% below | 40% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE, THORACIC W/O CONTR | $247.20 | $412.00 | $412.00 | — | 40% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE, W & W/O CONTRAST | $436.20 | $727.00 | $727.00 | 50% below | 40% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C-SPINE, W & W/O CONTRAST | $436.20 | $727.00 | $727.00 | — | 40% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE.CERVICAL W/O CONTR | $247.20 | $412.00 | $412.00 | 50% below | 40% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE.CERVICAL W/O CONTR | $247.20 | $412.00 | $412.00 | — | 40% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $648.60 | $1,081.00 | $1,081.00 | 50% below | 40% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST | $648.60 | $1,081.00 | $1,081.00 | — | 40% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $501.00 | $835.00 | $835.00 | 50% below | 40% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $501.00 | $835.00 | $835.00 | — | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPP EXT ANY JOINT W/O CONT | $276.60 | $461.00 | $461.00 | 50% below | 40% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPP EXT ANY JOINT W/O CONT | $276.60 | $461.00 | $461.00 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE COMP SERIES | $39.00 | $65.00 | $65.00 | 85% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR CERVICAL SPINE 4-5 VIEWS | $142.80 | $238.00 | $238.00 | 44% below | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL SPINE COMP SERIES | $39.00 | $65.00 | $65.00 | — | 40% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR CERVICAL SPINE 4-5 VIEWS | $142.80 | $238.00 | $238.00 | — | 40% |
| Neck soft tissue CT scan with contrast CPT 70491 NECK SOFT W | $140.40 | $234.00 | $234.00 | 41% below | 40% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 NECK SOFT W | $140.40 | $234.00 | $234.00 | — | 40% |
| Neck soft tissue CT scan without contrast CPT 70490 NECK SOFT W/O | $107.40 | $179.00 | $179.00 | 41% below | 40% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 NECK SOFT W/O | $107.40 | $179.00 | $179.00 | — | 40% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $19.20 | $32.00 | $32.00 | 88% below | 40% |
| Neck soft tissue X-ray CPT 70360 PORT XR NECK SOFT TISSUE | $89.40 | $149.00 | $149.00 | 44% below | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE | $19.20 | $32.00 | $32.00 | — | 40% |
| Neck soft tissue X-ray inpatient CPT 70360 PORT XR NECK SOFT TISSUE | $89.40 | $149.00 | $149.00 | — | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYO MULTI | $421.80 | $703.00 | $703.00 | 82% below | 40% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYO MULTI | $421.80 | $703.00 | $703.00 | — | 40% |
| Pelvic CT scan without contrast CPT 72192 CT SCAN PELVIS W/O CONTRAST | $77.40 | $129.00 | $129.00 | 41% below | 40% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT SCAN PELVIS W/O CONTRAST | $77.40 | $129.00 | $129.00 | — | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LIMITED | $124.80 | $208.00 | $208.00 | 44% below | 40% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LIMITED | $124.80 | $208.00 | $208.00 | — | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC (HOMO) COMPLETE | $375.00 | $625.00 | $625.00 | 44% below | 40% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC (HOMO) COMPLETE | $375.00 | $625.00 | $625.00 | — | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OBSTETRICAL | $464.40 | $774.00 | $774.00 | 42% below | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OBSTETRICAL | $464.40 | $774.00 | $774.00 | — | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB <14WKS TRANS SINGLE GEST | $375.00 | $625.00 | $625.00 | 44% below | 40% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB <14WKS TRANS SINGLE GEST | $375.00 | $625.00 | $625.00 | — | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED STUDY | $268.20 | $447.00 | $447.00 | 44% below | 40% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED STUDY | $268.20 | $447.00 | $447.00 | — | 40% |
| Rib X-ray, one side, 2 views CPT 71100 XR RIBS UNI | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| Rib X-ray, one side, 2 views inpatient CPT 71100 XR RIBS UNI | $29.40 | $49.00 | $49.00 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILATERAL | $49.20 | $82.00 | $82.00 | 75% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILATERAL W/ PA CHEST | $106.80 | $178.00 | $178.00 | 46% below | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILATERAL | $49.20 | $82.00 | $82.00 | — | 40% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILATERAL W/ PA CHEST | $106.80 | $178.00 | $178.00 | — | 40% |
| Screening mammogram, both breasts CPT 77067 SCREEN MAMMO INC CAD, BILATERL | $500.40 | $834.00 | $834.00 | 44% below | 40% |
| Screening mammogram, both breasts inpatient CPT 77067 SCREEN MAMMO INC CAD, BILATERL | $500.40 | $834.00 | $834.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULDER COMPLETE | $29.40 | $49.00 | $49.00 | 82% below | 40% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 PORTABLE XR SHOULDER COMPLETE | $89.40 | $149.00 | $149.00 | 44% below | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULDER COMPLETE | $29.40 | $49.00 | $49.00 | — | 40% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 PORTABLE XR SHOULDER COMPLETE | $89.40 | $149.00 | $149.00 | — | 40% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR PARANASAL SINUSES COMP | $49.20 | $82.00 | $82.00 | 78% below | 40% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR PARANASAL SINUSES COMP | $49.20 | $82.00 | $82.00 | — | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL LESS THAN 4 VIEWS | $29.40 | $49.00 | $49.00 | 87% below | 40% |
| Skull X-ray, fewer than 4 views CPT 70250 PORT XR SKULL | $124.80 | $208.00 | $208.00 | 44% below | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL LESS THAN 4 VIEWS | $29.40 | $49.00 | $49.00 | — | 40% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 PORT XR SKULL | $124.80 | $208.00 | $208.00 | — | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM | $694.80 | $1,158.00 | $1,158.00 | 70% below | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM | $694.80 | $1,158.00 | $1,158.00 | — | 40% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGUS CINERADIOGRAPHY | $500.40 | $834.00 | $834.00 | 44% below | 40% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHAGUS CINERADIOGRAPHY | $500.40 | $834.00 | $834.00 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR MIN 2 VIEWS | $106.80 | $178.00 | $178.00 | 46% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 PORTABLE XR FEMUR | $106.80 | $178.00 | $178.00 | 46% below | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR MIN 2 VIEWS | $106.80 | $178.00 | $178.00 | — | 40% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 PORTABLE XR FEMUR | $106.80 | $178.00 | $178.00 | — | 40% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 T-SPINE W/O | $59.40 | $99.00 | $99.00 | 67% below | 40% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 T-SPINE W/O | $59.40 | $99.00 | $99.00 | — | 40% |
| Toe X-ray, 2 or more views CPT 73660 XR TOES | $19.20 | $32.00 | $32.00 | 90% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 XR TOES, MIN 2 VIEWS | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Toe X-ray, 2 or more views CPT 73660 PORTABLE XR TOES | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOES | $19.20 | $32.00 | $32.00 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 XR TOES, MIN 2 VIEWS | $106.80 | $178.00 | $178.00 | — | 40% |
| Toe X-ray, 2 or more views inpatient CPT 73660 PORTABLE XR TOES | $106.80 | $178.00 | $178.00 | — | 40% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $447.00 | $745.00 | $745.00 | 44% below | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $447.00 | $745.00 | $745.00 | — | 40% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGIN PREGNANT UTERUS | $303.60 | $506.00 | $506.00 | 44% below | 40% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGIN PREGNANT UTERUS | $303.60 | $506.00 | $506.00 | — | 40% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN W/ IM (B-SCAN &/OR) | $411.00 | $685.00 | $685.00 | 44% below | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN W/ IM (B-SCAN &/OR) | $411.00 | $685.00 | $685.00 | — | 40% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM | $178.80 | $298.00 | $298.00 | 44% below | 40% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM | $178.80 | $298.00 | $298.00 | — | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $447.00 | $745.00 | $745.00 | 44% below | 40% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $447.00 | $745.00 | $745.00 | — | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI SERIES | $393.00 | $655.00 | $655.00 | 44% below | 40% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI SERIES | $393.00 | $655.00 | $655.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| Upper arm X-ray (humerus), 2 views CPT 73060 PORTABLE XR HUMERUS | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS | $29.40 | $49.00 | $49.00 | — | 40% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 PORTABLE XR HUMERUS | $106.80 | $178.00 | $178.00 | — | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US PERIPHERAL VEINS LIMITED | $196.20 | $327.00 | $327.00 | 78% below | 40% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US PERIPHERAL VEINS LIMITED | $196.20 | $327.00 | $327.00 | — | 40% |
| Wrist X-ray, 2 views CPT 73100 XR WRIST PARTIAL | $19.20 | $32.00 | $32.00 | 90% below | 40% |
| Wrist X-ray, 2 views CPT 73100 PORT XR WRIST AP & LAT | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST PARTIAL | $19.20 | $32.00 | $32.00 | — | 40% |
| Wrist X-ray, 2 views inpatient CPT 73100 PORT XR WRIST AP & LAT | $106.80 | $178.00 | $178.00 | — | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST | $29.40 | $49.00 | $49.00 | 87% below | 40% |
| Wrist X-ray, complete, 3 or more views CPT 73110 PORTABLE XR WRIST COMPLETE | $124.80 | $208.00 | $208.00 | 44% below | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST | $29.40 | $49.00 | $49.00 | — | 40% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 PORTABLE XR WRIST COMPLETE | $124.80 | $208.00 | $208.00 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNILATERAL | $142.80 | $238.00 | $238.00 | 44% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP UNILAT W/PELVIS 2-3 VIEWS | $142.80 | $238.00 | $238.00 | 44% below | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP UNILAT W/PELVIS 2-3 VIEWS | $142.80 | $238.00 | $238.00 | — | 40% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNILATERAL | $142.80 | $238.00 | $238.00 | — | 40% |
| X-ray of the abdomen, 1 view CPT 74018 PORT XR ABDOMEN SINGLE VIEW | $71.40 | $119.00 | $119.00 | 55% below | 40% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN SINGLE VIEW | $71.40 | $119.00 | $119.00 | 55% below | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN SINGLE VIEW | $71.40 | $119.00 | $119.00 | — | 40% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 PORT XR ABDOMEN SINGLE VIEW | $71.40 | $119.00 | $119.00 | — | 40% |
| X-ray of the ankle, 2 views CPT 73600 XR ANKLE PARTIAL | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the ankle, 2 views one side CPT 73600 PORT LT OR RT ANKLE AP & LAT | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE PARTIAL | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 PORT LT OR RT ANKLE AP & LAT | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 XR FINGERS | $19.20 | $32.00 | $32.00 | 91% below | 40% |
| X-ray of the finger(s), 2 or more views CPT 73140 PORTABLE XR FINGERS | $124.80 | $208.00 | $208.00 | 44% below | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGERS | $19.20 | $32.00 | $32.00 | — | 40% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 PORTABLE XR FINGERS | $124.80 | $208.00 | $208.00 | — | 40% |
| X-ray of the foot, 2 views CPT 73620 XR FOOT PARTIAL | $19.20 | $32.00 | $32.00 | 88% below | 40% |
| X-ray of the foot, 2 views CPT 73620 PORTABLE XR FOOT PARTIAL | $89.40 | $149.00 | $149.00 | 44% below | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT PARTIAL | $19.20 | $32.00 | $32.00 | — | 40% |
| X-ray of the foot, 2 views inpatient CPT 73620 PORTABLE XR FOOT PARTIAL | $89.40 | $149.00 | $149.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT, MIN 3 VIEWS | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the foot, complete, 3 or more views CPT 73630 PORTABLE XR FOOT COMPLETE | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT | $29.40 | $49.00 | $49.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT, MIN 3 VIEWS | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 PORTABLE XR FOOT COMPLETE | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the hand, 3 or more views CPT 73130 XR HAND | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| X-ray of the hand, 3 or more views CPT 73130 PORTABLE XR HAND | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND | $29.40 | $49.00 | $49.00 | — | 40% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 PORTABLE XR HAND | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE AP AND LAT ONLY | $19.20 | $32.00 | $32.00 | 90% below | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE AP &/OR LAT ONLY | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE AP AND/OR LAT ONLY | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE AP AND LAT ONLY | $19.20 | $32.00 | $32.00 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE AP &/OR LAT ONLY | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE AP AND/OR LAT ONLY | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBOSACRAL SPINE AP & LAT | $29.40 | $49.00 | $49.00 | 87% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 PORT XR LUMBO SPINE AP & LAT | $124.80 | $208.00 | $208.00 | 44% below | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBOSACRAL SPINE AP & LAT | $29.40 | $49.00 | $49.00 | — | 40% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 PORT XR LUMBO SPINE AP & LAT | $124.80 | $208.00 | $208.00 | — | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBOSACRAL SPINE COMPLETE | $58.80 | $98.00 | $98.00 | 80% below | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBOSACRAL SPINE COMPLETE | $58.80 | $98.00 | $98.00 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR DORSAL SPINE AP AND LAT | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 PORT XR DORSAL SPINE AP & LAT | $106.80 | $178.00 | $178.00 | 46% below | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR DORSAL SPINE AP AND LAT | $29.40 | $49.00 | $49.00 | — | 40% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 PORT XR DORSAL SPINE AP & LAT | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES | $29.40 | $49.00 | $49.00 | 87% below | 40% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES | $29.40 | $49.00 | $49.00 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE AP AND LAT | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 PORT XR CERV | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE AP AND LAT | $29.40 | $49.00 | $49.00 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 PORT XR CERV | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS AP | $29.40 | $49.00 | $49.00 | 85% below | 40% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PORT XR PELVIS AP | $106.80 | $178.00 | $178.00 | 44% below | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS AP | $29.40 | $49.00 | $49.00 | — | 40% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PORT XR PELVIS AP | $106.80 | $178.00 | $178.00 | — | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND COCCYX | $29.40 | $49.00 | $49.00 | 82% below | 40% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM AND COCCYX | $29.40 | $49.00 | $49.00 | — | 40% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| ACTH blood test CPT 82024 ACTH, 90 MINUTES; | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| ACTH blood test CPT 82024 ACTH, 60 MINUTES; | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| ACTH blood test CPT 82024 ACTH, 30 MINUTES; | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| ACTH blood test CPT 82024 ACTH STIMULATION,3 SPEC.; | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| ACTH blood test CPT 82024 ACTH STIMULATION,2 SPEC.; | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| ACTH blood test inpatient CPT 82024 ACTH, 90 MINUTES; | $48.60 | $81.00 | $81.00 | — | 40% |
| ACTH blood test inpatient CPT 82024 ACTH | $48.60 | $81.00 | $81.00 | — | 40% |
| ACTH blood test inpatient CPT 82024 ACTH STIMULATION,2 SPEC.; | $48.60 | $81.00 | $81.00 | — | 40% |
| ACTH blood test inpatient CPT 82024 ACTH STIMULATION,3 SPEC.; | $48.60 | $81.00 | $81.00 | — | 40% |
| ACTH blood test inpatient CPT 82024 ACTH, 30 MINUTES; | $48.60 | $81.00 | $81.00 | — | 40% |
| ACTH blood test inpatient CPT 82024 ACTH, 60 MINUTES; | $48.60 | $81.00 | $81.00 | — | 40% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $3.00 | $5.00 | $5.00 | — | 40% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $3.00 | $5.00 | $5.00 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PANEL | $145.80 | $243.00 | $243.00 | 44% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE/CHRO HAV,HBV;HCV P | $145.80 | $243.00 | $243.00 | 44% below | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PANEL | $145.80 | $243.00 | $243.00 | — | 40% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE/CHRO HAV,HBV;HCV P | $145.80 | $243.00 | $243.00 | — | 40% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Albumin blood test CPT 82040 ALBUMIN | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $3.00 | $5.00 | $5.00 | — | 40% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $3.00 | $5.00 | $5.00 | — | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE URINE | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM | $40.20 | $67.00 | $67.00 | — | 40% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE | $40.20 | $67.00 | $67.00 | — | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Alkaline phosphatase (ALP) blood test CPT 84075 BONE SPEC ALK PHOSE | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $3.00 | $5.00 | $5.00 | — | 40% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 BONE SPEC ALK PHOSE | $3.00 | $5.00 | $5.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT (Rf262) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC IgE QUANT, EACH | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARN | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RYE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRASS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JUNE GRASS (KENT BLUE) IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENNICILLIUM NOTATUM IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIDIUM HERB IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HELMINTHOSPOR HAL IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 THISTLE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLAM ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER ALLERG IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER ALLERG IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATO PTERONYSSINUS | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY.PECAN TREE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE MULBERRY IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MALT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCOA ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PECAN NUT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK ALLEREGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YEAST ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN MEAT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND ALLERGEN IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT ALLERGEN IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TUNA ALLERGEN IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APPLE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRANBERRY IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DANDELION IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FLOUNDER IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 KIWI FRUIT IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELON IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEACH IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEA IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERENNIAL RYE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LADYBUG IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RICE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE FACED HORNET IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPER WASP IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHOLE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ONION IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TRICHOPPHYTON | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EPIDERMPHYTON | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TEA IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED KIDNEY BEAN | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LIMA BEAN | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BEAN | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTON FIBERS | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BREWERS YEAST IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CELERY IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HADDOCK IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PLUM IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Celery IgE Allergen | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Whitefish IgE Allergen | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALMON | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH PIGWEED IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP GRASS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACACIA (t19) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ACARUS SIRO (d70) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALDER (t2) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMARANTH IGE;(CML C725) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AMER CHEESE,IGE;(IBT 31310) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APLHA-LACTALBUMIN (f176);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT (f237) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ARYLSULFLATASE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASCARIS (p1) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDPULLULANS;(m12 | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AUSTRALIAN PINE (t73);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO (f96) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS (g17) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BASIL (Rf269) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BASS BLACK IGE;(IBT--433) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAY LEAF IGE;(IBT 34010) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BAYBERRY(WAX MYRTLE) IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BENZOIC ACID IGE;(CML C703) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BETA-LACTOGLOBULIN (f77);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLACK OLIVE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLOMIA TROPICALIS (d201);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLOOD WORM (i73) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOTRYTIS CINEREA (m7) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAN WHEAT IGE;IBT - 48110 | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT (f18) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI (f260) IGE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BROME GRASS (g8) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BRUSSEL SPROUTS (Rf217);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT (f11) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE (f216) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANARY BIRD FEATH(e201) IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANARY GRASS (g71)IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CARELESS WEED,IGE;(IBT 74 | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN (f78) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CASTOR BEAN (k71) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH IGE ;IBT-43210 | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER (Rf291) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR (Rf212) IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR RED (JUNIPERUS | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHAETOMIUM GLOBOSOM | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPER (Rf279) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLOVE (Rf268) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKATIEL FEATHERS IGE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR (w13) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON MILLET (f55)IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON RAGWEED (Short) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COMMON REED IGE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CURRY (Rf281) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DILL (Rf277) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOUGLAS FIR (Rt207) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ETHYLENE OXIDE (k78) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EUCALYPTUS (t18) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FALSE RAGWEED (w4) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FERRET EPITHELIUM (Re217); | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FINCH FEATHERS (Re214);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT (i70) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH (w17) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME (m9) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC (f47) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GERBIL (Re209) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GIANT RAGWEED (Tall)(w3);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GINGER (Rf270) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN (f79) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOAT EPITHELIA(e80)IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GOAT MILK (Rf300) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HACKBERRY,IGE;(IBT 676) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GUINEA PIG EPITHELIA;(e6) IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT (Rf303) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HAMSTER EPITHELIA (IGE); | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HERRING (f205)IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HONEY (Rf247) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 INSULIN, PORCINE(c70);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 INSULIN,BOVINE(e71)IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JAPANESE CEDAR (t17)IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 JAPANESE MILLET (f57) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LAMB (f88) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LENTILS (f235) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LOCUST BLACK(ROBINIA | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL (Rf206) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MANGO FRUIT (f91) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MELALEUCA (t21) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO (i71) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE (e88) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD (f89) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 NUTMEG (Rf282) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS (f59) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO (Rf283) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ORRIS ROOT, IGE;(IBT 85910S) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OXEYE DAISY (w7) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPAYA (Rf293) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA (f293) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PARMESAN CHEESE,IGE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PARROT/PARAKEET;DROPPIN | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PARROT/PARAKEET;FEATHEE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY (f86) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PASSION FRUIT (Rf294) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER (Unripe) (Rf263);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER CAYENNE IGE;() | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEPPERMINT, IGE;(IBT 32510E) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEPPERTREE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PERCH,IGE;(IBT 45310) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE (Rt213) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINE NUT (Rf253) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE (f210) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO (f203) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 POLLEN ALLERGY PANEL #1; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 POPPY SEED (Rf224) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN (f225) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT EPITHELIA(e82)IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED SNAPPER, IGE;(IBT 46710) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP GRASS (g9) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS (m11);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALT GRASS (Rg203) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SARDINE (rF308);IgE | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SILK (k74) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SQUID (Rf258) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STORAGE MITE (d71) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUGAR CANE,IGE;(IBT 42410) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUMMER SQUASH,IGE;( | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER (Rw204) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED, IGE;(I | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWISS CHEESE, IGE;(IBT | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWORDFISH (Rf312) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 THYME (Rf273) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TROUT (f204) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY FEATHERS (e89) IGE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY MEAT (f284) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA (Rf234) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 VELVET GRASS (g13) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW (t12) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WOOL,SHEEP,IGE;(IBT 87210E) | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD (w5) IgE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ZUCCHINI, IGE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 YOGURT, IGE; | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO | $24.00 | $40.00 | $40.00 | 41% below | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT (f204) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCOA ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTILS (f235) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN NUT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOCUST BLACK(ROBINIA | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK ALLEREGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL (Rf206) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROME GRASS (g8) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN MEAT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO FRUIT (f91) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND ALLERGEN IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZUCCHINI, IGE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT ALLERGEN IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELALEUCA (t21) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA ALLERGEN IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO (i71) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE (e88) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSTARD (f89) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NUTMEG (Rf282) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OCTOPUS (f59) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRANBERRY IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI (f260) IGE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DANDELION IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OREGANO (Rf283) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLOUNDER IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDENROD IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORRIS ROOT, IGE;(IBT 85910S) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT (f18) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OXEYE DAISY (w7) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WORMWOOD (w5) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI FRUIT IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPAYA (Rf293) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA (f293) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARMESAN CHEESE,IGE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELON IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARROT/PARAKEET;DROPPIN | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARROT/PARAKEET;FEATHEE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY (f86) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PASSION FRUIT (Rf294) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAN WHEAT IGE;IBT - 48110 | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERENNIAL RYE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPER (Unripe) (Rf263);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LADYBUG IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPER CAYENNE IGE;() | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOTRYTIS CINEREA (m7) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPERMINT, IGE;(IBT 32510E) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WOOL,SHEEP,IGE;(IBT 87210E) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPERTREE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLOOD WORM (i73) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE FACED HORNET IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERCH,IGE;(IBT 45310) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPER WASP IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE (Rt213) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHOLE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLOMIA TROPICALIS (d201);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE NUT (Rf253) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW (t12) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE (f210) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TRICHOPPHYTON | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK OLIVE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPIDERMPHYTON | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO (f203) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TEA IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POLLEN ALLERGY PANEL #1; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BETA-LACTOGLOBULIN (f77);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPPY SEED (Rf224) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED KIDNEY BEAN | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VELVET GRASS (g13) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA BEAN | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN (f225) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE BEAN | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BENZOIC ACID IGE;(CML C703) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT EPITHELIA(e82)IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTON FIBERS | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BREWERS YEAST IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED SNAPPER, IGE;(IBT 46710) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAYBERRY(WAX MYRTLE) IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP GRASS (g9) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HADDOCK IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA (Rf234) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZOPUS NIGRICANS (m11);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAY LEAF IGE;(IBT 34010) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALT GRASS (Rg203) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SARDINE (rF308);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Celery IgE Allergen | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BASS BLACK IGE;(IBT--433) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whitefish IgE Allergen | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SILK (k74) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY MEAT (f284) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID (Rf258) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BASIL (Rf269) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STORAGE MITE (d71) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUGAR CANE,IGE;(IBT 42410) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS (g17) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUMMER SQUASH,IGE;( | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH PIGWEED IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY FEATHERS (e89) IGE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP GRASS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER (Rw204) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACACIA (t19) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO (f96) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACARUS SIRO (d70) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED, IGE;(I | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALDER (t2) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMARANTH IGE;(CML C725) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWISS CHEESE, IGE;(IBT | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMER CHEESE,IGE;(IBT 31310) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APLHA-LACTALBUMIN (f176);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWORDFISH (Rf312) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT (f237) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARYLSULFLATASE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THYME (Rf273) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASCARIS (p1) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDPULLULANS;(m12 | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUSTRALIAN PINE (t73);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FERRET EPITHELIUM (Re217); | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FALSE RAGWEED (w4) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EUCALYPTUS (t18) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ETHYLENE OXIDE (k78) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT (Rf262) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOUGLAS FIR (Rt207) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DILL (Rf277) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CURRY (Rf281) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON REED IGE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON RAGWEED (Short) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON MILLET (f55)IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR (w13) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKATIEL FEATHERS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLOVE (Rf268) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPER (Rf279) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHAETOMIUM GLOBOSOM | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR RED (JUNIPERUS | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR (Rf212) IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER (Rf291) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH IGE ;IBT-43210 | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASTOR BEAN (k71) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN (f78) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARELESS WEED,IGE;(IBT 74 | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARY GRASS (g71)IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANARY BIRD FEATH(e201) IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE (f216) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT (f11) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YOGURT, IGE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRUSSEL SPROUTS (Rf217);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC IgE QUANT, EACH | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARN | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FINCH FEATHERS (Re214);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT (i70) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIREBUSH (w17) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD GRASS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM MONILIFORME (m9) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE GRASS (KENT BLUE) IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENNICILLIUM NOTATUM IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC (f47) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIDIUM HERB IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GERBIL (Re209) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HELMINTHOSPOR HAL IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GIANT RAGWEED (Tall)(w3);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GINGER (Rf270) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN (f79) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLANTAIN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT EPITHELIA(e80)IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTERS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THISTLE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT MILK (Rf300) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HACKBERRY,IGE;(IBT 676) | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUINEA PIG EPITHELIA;(e6) IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT (Rf303) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAMSTER EPITHELIA (IGE); | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER ALLERG IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW DANDER ALLERG IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HERRING (f205)IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY (Rf247) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATO PTERONYSSINUS | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INSULIN, PORCINE(c70);IgE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 INSULIN,BOVINE(e71)IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY.PECAN TREE IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE MULBERRY IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JAPANESE CEDAR (t17)IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIRCH ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JAPANESE MILLET (f57) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB (f88) IgE; | $24.00 | $40.00 | $40.00 | — | 40% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT ALLERGEN IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA 1 FETOPROTEIN | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA 1 FETOPROTEIN | $24.00 | $40.00 | $40.00 | — | 40% |
| Ammonia blood test CPT 82140 AMMONIA | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $32.40 | $54.00 | $54.00 | — | 40% |
| Amylase blood test CPT 82150 AMYLASE | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Amylase blood test CPT 82150 AMY (CHG-AMY) | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, PERITONEAL FLUID | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, BODY FLUID | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Amylase blood test CPT 82150 AMYLASE, PLEURAL FLUID | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Amylase blood test CPT 82150 AMYLASE ISOENZYMES | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $9.60 | $16.00 | $16.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMY (CHG-AMY) | $9.60 | $16.00 | $16.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, BODY FLUID | $9.60 | $16.00 | $16.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES | $9.60 | $16.00 | $16.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, PERITONEAL FLUID | $9.60 | $16.00 | $16.00 | — | 40% |
| Amylase blood test inpatient CPT 82150 AMYLASE, PLEURAL FLUID | $9.60 | $16.00 | $16.00 | — | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP/CYCLIC CITR PEPTIDE | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP/CYCLIC CITR PEPTIDE | $40.20 | $67.00 | $67.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI CENTOMERE B AB | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA CHOICE REFLEX | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA (ANTINUCLEAR ANTIBODY) | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA, BODY FLUID | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI CENTOMERE B AB | $24.00 | $40.00 | $40.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA CHOICE REFLEX | $24.00 | $40.00 | $40.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA (ANTINUCLEAR ANTIBODY) | $24.00 | $40.00 | $40.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY | $24.00 | $40.00 | $40.00 | — | 40% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA, BODY FLUID | $24.00 | $40.00 | $40.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP-TYPE NATRIUTIC PEPTIDE | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B NATIURETIC PEPTIDE | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP | $48.60 | $81.00 | $81.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP-TYPE NATRIUTIC PEPTIDE | $48.60 | $81.00 | $81.00 | — | 40% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B NATIURETIC PEPTIDE | $48.60 | $81.00 | $81.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PERTUSSIS CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENV CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EAR CULTURE/GRAM STAIN | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL WASHING CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 URETHRA CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASOPHARYNGEAL CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL LAVAGE CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BRONCHIAL BRUSHING CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 GENITAL CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 VAGINAL CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CERVIX CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 EYE CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SINUS CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 INVASIVE LINE CULTURE | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EYE CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CERVIX CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SINUS CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENV CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 EAR CULTURE/GRAM STAIN | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL WASHING CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 URETHRA CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NASOPHARYNGEAL CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL LAVAGE CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BRONCHIAL BRUSHING CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 AEROBIC CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 INVASIVE LINE CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PERTUSSIS CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 GENITAL CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 VAGINAL CULTURE | $64.80 | $108.00 | $108.00 | — | 40% |
| Basic metabolic panel (blood test) CPT 80048 POC BMP | $17.40 | $29.00 | $29.00 | 45% below | 40% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC (BMP) | $17.40 | $29.00 | $29.00 | 45% below | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC (BMP) | $17.40 | $29.00 | $29.00 | — | 40% |
| Basic metabolic panel (blood test) inpatient CPT 80048 POC BMP | $17.40 | $29.00 | $29.00 | — | 40% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL | $9.60 | $16.00 | $16.00 | 45% below | 40% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-TOTAL | $9.60 | $16.00 | $16.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 DERM - CLIENT | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CDS LEVEL IV | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 RENAL BIOPSY, TISSUE, REF | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 MUSCLE BIOPSY TISSUE,REF | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CARIS DIAG PATH CHARGE | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CARDIAC BX TISSUE, REF | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 NERVE BX TISSUE, REF | $97.20 | $162.00 | $162.00 | 44% below | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CDS LEVEL IV | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 MUSCLE BIOPSY TISSUE,REF | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 RENAL BIOPSY, TISSUE, REF | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 DERM - CLIENT | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NERVE BX TISSUE, REF | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CARIS DIAG PATH CHARGE | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK | $97.20 | $162.00 | $162.00 | — | 40% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CARDIAC BX TISSUE, REF | $97.20 | $162.00 | $162.00 | — | 40% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE W/ ARD | $64.80 | $108.00 | $108.00 | 41% below | 40% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE W/ ARD | $64.80 | $108.00 | $108.00 | — | 40% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 CHG - PHLEBOTOMY | $12.60 | $21.00 | $21.00 | 46% below | 40% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 CHG - PHLEBOTOMY | $12.60 | $21.00 | $21.00 | — | 40% |
| Blood glucose (sugar) test CPT 82947 POC GLU | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE (NONFASTING) | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE (NONFASTING) | $6.00 | $10.00 | $10.00 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 POC GLU | $6.00 | $10.00 | $10.00 | — | 40% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $6.00 | $10.00 | $10.00 | — | 40% |
| Blood lead test CPT 83655 LEAD | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Blood lead test inpatient CPT 83655 LEAD | $40.20 | $67.00 | $67.00 | — | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $16.20 | $27.00 | $27.00 | 44% below | 40% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $16.20 | $27.00 | $27.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC ABO TYPING | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 UNIT ABO RECHECK | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING, ABO | $6.00 | $10.00 | $10.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC ABO TYPING | $6.00 | $10.00 | $10.00 | — | 40% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 UNIT ABO RECHECK | $6.00 | $10.00 | $10.00 | — | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 KTV PRE-BUN | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 POC BUN | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Blood urea nitrogen (BUN) test CPT 84520 KTV POST BUN | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 KTV PRE-BUN | $3.00 | $5.00 | $5.00 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 KTV POST BUN | $3.00 | $5.00 | $5.00 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 POC BUN | $3.00 | $5.00 | $5.00 | — | 40% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $3.00 | $5.00 | $5.00 | — | 40% |
| C-peptide blood test CPT 84681 C PEPTIDE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| C-peptide blood test inpatient CPT 84681 C PEPTIDE | $24.00 | $40.00 | $40.00 | — | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACT PROTEIN QUAN (CRP) | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACT PROTEIN QUAN (CRP) | $24.00 | $40.00 | $40.00 | — | 40% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE TOXIN PROBE | $194.40 | $324.00 | $324.00 | 41% below | 40% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE TOXIN PROBE | $194.40 | $324.00 | $324.00 | — | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19-9 | $53.40 | $89.00 | $89.00 | 44% below | 40% |
| CA 19-9 blood test (tumor marker) CPT 86301 CANCER ANTIGEN 19.9 QUAINT | $53.40 | $89.00 | $89.00 | 44% below | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19.9 QUAINT | $53.40 | $89.00 | $89.00 | — | 40% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CANCER ANTIGEN 19-9 | $53.40 | $89.00 | $89.00 | — | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125, CSF; | $53.40 | $89.00 | $89.00 | 42% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $53.40 | $89.00 | $89.00 | 42% below | 40% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125, PLEURAL FLUID; | $53.40 | $89.00 | $89.00 | 42% below | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $53.40 | $89.00 | $89.00 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125, CSF; | $53.40 | $89.00 | $89.00 | — | 40% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125, PLEURAL FLUID; | $53.40 | $89.00 | $89.00 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2 RNA QUALTVE RT-PCR | $194.40 | $324.00 | $324.00 | 24% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 SARS-COV-2 RNA QUALTVE RT-PCR | $194.40 | $324.00 | $324.00 | — | 40% |
| Calcium blood test, total CPT 82310 CALCIUM | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $3.00 | $5.00 | $5.00 | — | 40% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $40.20 | $67.00 | $67.00 | — | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY | $32.40 | $54.00 | $54.00 | 42% below | 40% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER | $32.40 | $54.00 | $54.00 | 42% below | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ANTIBODY | $32.40 | $54.00 | $54.00 | — | 40% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER | $32.40 | $54.00 | $54.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM DNA AMP PROBE | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAM TRACH RNA | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH,DNA,AMP PROBE | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA, URINE | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH,DNA,AMP PROBE | $72.60 | $121.00 | $121.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM TRACH RNA | $72.60 | $121.00 | $121.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA, URINE | $72.60 | $121.00 | $121.00 | — | 40% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAM DNA AMP PROBE | $72.60 | $121.00 | $121.00 | — | 40% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $30.60 | $51.00 | $51.00 | 44% below | 40% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $30.60 | $51.00 | $51.00 | — | 40% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $16.20 | $27.00 | $27.00 | 44% below | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $16.20 | $27.00 | $27.00 | — | 40% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM 3 | $12.60 | $21.00 | $21.00 | 44% below | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM 3 | $12.60 | $21.00 | $21.00 | — | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 POC CMP | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC (CMP) | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 POC CMP | $24.00 | $40.00 | $40.00 | — | 40% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC (CMP) | $24.00 | $40.00 | $40.00 | — | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL,SALIVA,LC/MS/MS; | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Cortisol blood test, total CPT 82533 ADRENAL INSUFFICIENCY PR | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Cortisol blood test, total CPT 82533 CORTISOL RANDOM | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL,SALIVA,LC/MS/MS; | $24.00 | $40.00 | $40.00 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $24.00 | $40.00 | $40.00 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 ADRENAL INSUFFICIENCY PR | $24.00 | $40.00 | $40.00 | — | 40% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL RANDOM | $24.00 | $40.00 | $40.00 | — | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE, TOTAL | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE, TOTAL | $9.60 | $16.00 | $16.00 | — | 40% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK | $9.60 | $16.00 | $16.00 | — | 40% |
| Creatinine blood test CPT 82565 POC CREAT | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Creatinine blood test CPT 82565 CREATININE | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Creatinine blood test inpatient CPT 82565 POC CREAT | $3.00 | $5.00 | $5.00 | — | 40% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $3.00 | $5.00 | $5.00 | — | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Cytomegalovirus (CMV) antibody test CPT 86644 ARC CMV NEG PRODUCT | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 ARC CMV NEG PRODUCT | $24.00 | $40.00 | $40.00 | — | 40% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV | $24.00 | $40.00 | $40.00 | — | 40% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANT | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANT | $24.00 | $40.00 | $40.00 | — | 40% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $24.00 | $40.00 | $40.00 | — | 40% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUGS OF ABUSE SCREEN, QUAL | $103.80 | $173.00 | $173.00 | 13% below | 40% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUGS OF ABUSE SCREEN, QUAL | $103.80 | $173.00 | $173.00 | — | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $12.60 | $21.00 | $21.00 | — | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA AB IGM | $76.20 | $127.00 | $127.00 | 41% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA IGG | $76.20 | $127.00 | $127.00 | 41% below | 40% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS VCA ANTIBOD | $76.20 | $127.00 | $127.00 | 41% below | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VCA IGG | $76.20 | $127.00 | $127.00 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS VCA ANTIBOD | $76.20 | $127.00 | $127.00 | — | 40% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VCA AB IGM | $76.20 | $127.00 | $127.00 | — | 40% |
| Estradiol blood test CPT 82670 ESTRADIOL | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $24.00 | $40.00 | $40.00 | — | 40% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $24.00 | $40.00 | $40.00 | — | 40% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN STOOL | $24.00 | $40.00 | $40.00 | 88% below | 40% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN STOOL | $24.00 | $40.00 | $40.00 | — | 40% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $24.00 | $40.00 | $40.00 | — | 40% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $14.40 | $24.00 | $24.00 | 44% below | 40% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $14.40 | $24.00 | $24.00 | — | 40% |
| Folate (folic acid) blood test CPT 82746 FOLATE | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE | $24.00 | $40.00 | $40.00 | — | 40% |
| Free T3 thyroid hormone test CPT 84481 FT3 THYROID CASCADE | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 FT3 THYROID CASCADE | $24.00 | $40.00 | $40.00 | — | 40% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $24.00 | $40.00 | $40.00 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FT4 THYROID CASCADE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FT4 THYROID CASCADE | $24.00 | $40.00 | $40.00 | — | 40% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE | $24.00 | $40.00 | $40.00 | — | 40% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $24.00 | $40.00 | $40.00 | — | 40% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP | $3.00 | $5.00 | $5.00 | — | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE WITH GLUCOLA | $6.00 | $10.00 | $10.00 | 45% below | 40% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE WITH GLUCOLA | $6.00 | $10.00 | $10.00 | — | 40% |
| Glucose tolerance test, 3 samples CPT 82951 GLUC TOL-3 SPEC | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUC TOL-3 SPEC | $24.00 | $40.00 | $40.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMP PROBE | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHEA AMP DIRECT PROBE | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEIS GONORRH RNA | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHEA, URINE | $72.60 | $121.00 | $121.00 | 44% below | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEIS GONORRH RNA | $72.60 | $121.00 | $121.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHEA, URINE | $72.60 | $121.00 | $121.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHEA AMP DIRECT PROBE | $72.60 | $121.00 | $121.00 | — | 40% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMP PROBE | $72.60 | $121.00 | $121.00 | — | 40% |
| H. pylori antibody blood test CPT 86677 HPYLORI AB IGM | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| H. pylori antibody blood test CPT 86677 H. PYLORI ANTIBODY | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI IgmAb | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| H. pylori antibody blood test CPT 86677 HPYLORI AB IGA | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| H. pylori antibody blood test CPT 86677 HPYLORI AB IGG | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HPYLORI AB IGM | $40.20 | $67.00 | $67.00 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI IgmAb | $40.20 | $67.00 | $67.00 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HPYLORI AB IGA | $40.20 | $67.00 | $67.00 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 H. PYLORI ANTIBODY | $40.20 | $67.00 | $67.00 | — | 40% |
| H. pylori antibody blood test inpatient CPT 86677 HPYLORI AB IGG | $40.20 | $67.00 | $67.00 | — | 40% |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN, STOOL | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL | $48.60 | $81.00 | $81.00 | 44% below | 40% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL | $48.60 | $81.00 | $81.00 | — | 40% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI ANTIGEN, STOOL | $48.60 | $81.00 | $81.00 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA, QUANT BDNA | $259.80 | $433.00 | $433.00 | 42% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-I RNA, VIRAL LOAD | $259.80 | $433.00 | $433.00 | 42% below | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA, QUANT BDNA | $259.80 | $433.00 | $433.00 | — | 40% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-I RNA, VIRAL LOAD | $259.80 | $433.00 | $433.00 | — | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SEROLOGY | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SEROLOGY | $40.20 | $67.00 | $67.00 | — | 40% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV ANTIBODY | $40.20 | $67.00 | $67.00 | — | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB COMBO (EIA) | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB COMBO (EIA) | $40.20 | $67.00 | $67.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN, HBA1C; | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C QUEST | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C | $32.40 | $54.00 | $54.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C QUEST | $32.40 | $54.00 | $54.00 | — | 40% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN, HBA1C; | $32.40 | $54.00 | $54.00 | — | 40% |
| Hemoglobin blood test CPT 85018 HGB | $6.00 | $10.00 | $10.00 | 45% below | 40% |
| Hemoglobin blood test inpatient CPT 85018 HGB | $6.00 | $10.00 | $10.00 | — | 40% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY | $32.40 | $54.00 | $54.00 | 42% below | 40% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY | $32.40 | $54.00 | $54.00 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 PRENATAL HEP B SURFACE ANTIBDY | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITUS B SURFACE AB | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITUS B SURFACE AB | $32.40 | $54.00 | $54.00 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $32.40 | $54.00 | $54.00 | — | 40% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 PRENATAL HEP B SURFACE ANTIBDY | $32.40 | $54.00 | $54.00 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 PRENATAL HEP B SURFACE ANTIGEN | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBSAG | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBSAG | $40.20 | $67.00 | $67.00 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 PRENATAL HEP B SURFACE ANTIGEN | $40.20 | $67.00 | $67.00 | — | 40% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $40.20 | $67.00 | $67.00 | — | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEP C ATB | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITUS C AB SCREEN | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITUS C AB SCREEN | $40.20 | $67.00 | $67.00 | — | 40% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C ATB | $40.20 | $67.00 | $67.00 | — | 40% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITUS C QUANTIFICATION | $259.80 | $433.00 | $433.00 | 41% below | 40% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITUS C QUANTIFICATION | $259.80 | $433.00 | $433.00 | — | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV IGM | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV IGG | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgM TITER | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IGG | $40.20 | $67.00 | $67.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IgM TITER | $40.20 | $67.00 | $67.00 | — | 40% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV IGM | $40.20 | $67.00 | $67.00 | — | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IgM TITER | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGM | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IgM TITER | $40.20 | $67.00 | $67.00 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGM | $40.20 | $67.00 | $67.00 | — | 40% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG | $40.20 | $67.00 | $67.00 | — | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVE CRP | $25.80 | $43.00 | $43.00 | 44% below | 40% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $25.80 | $43.00 | $43.00 | 44% below | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVE CRP | $25.80 | $43.00 | $43.00 | — | 40% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $25.80 | $43.00 | $43.00 | — | 40% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE, SERUM | $48.60 | $81.00 | $81.00 | 42% below | 40% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE, SERUM | $48.60 | $81.00 | $81.00 | — | 40% |
| Insulin blood test CPT 83525 INSULIN | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Insulin blood test inpatient CPT 83525 INSULIN | $24.00 | $40.00 | $40.00 | — | 40% |
| Iron blood test (serum iron) CPT 83540 IRON | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $9.60 | $16.00 | $16.00 | — | 40% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $19.20 | $32.00 | $32.00 | 44% below | 40% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $19.20 | $32.00 | $32.00 | — | 40% |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $19.20 | $32.00 | $32.00 | 44% below | 40% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $19.20 | $32.00 | $32.00 | — | 40% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $40.20 | $67.00 | $67.00 | — | 40% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $32.40 | $54.00 | $54.00 | 39% below | 40% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $32.40 | $54.00 | $54.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, SYNOVIAL FLUID | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 BF LDH | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, PERITONEAL FLUID | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, PERICARDIAL FLUID | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 BF LDH | $6.00 | $10.00 | $10.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, PERITONEAL FLUID | $6.00 | $10.00 | $10.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, PERICARDIAL FLUID | $6.00 | $10.00 | $10.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, SYNOVIAL FLUID | $6.00 | $10.00 | $10.00 | — | 40% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $6.00 | $10.00 | $10.00 | — | 40% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $12.60 | $21.00 | $21.00 | — | 40% |
| Liver function blood test panel CPT 80076 LIVER PANEL | $17.40 | $29.00 | $29.00 | 45% below | 40% |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL | $17.40 | $29.00 | $29.00 | — | 40% |
| Lyme disease antibody test CPT 86618 LYMES IgM | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Lyme disease antibody test CPT 86618 LYMES (BORRELIA BURGDOR) | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Lyme disease antibody test CPT 86618 LYMES IgG | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYMES (BORRELIA BURGDOR) | $40.20 | $67.00 | $67.00 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYMES IgG | $40.20 | $67.00 | $67.00 | — | 40% |
| Lyme disease antibody test inpatient CPT 86618 LYMES IgM | $40.20 | $67.00 | $67.00 | — | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Magnesium blood test CPT 83735 MAGNESIUM | $9.60 | $16.00 | $16.00 | 44% below | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC | $9.60 | $16.00 | $16.00 | — | 40% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $9.60 | $16.00 | $16.00 | — | 40% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA | $32.40 | $54.00 | $54.00 | — | 40% |
| Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONO SCREEN | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONO SCREEN | $12.60 | $21.00 | $21.00 | — | 40% |
| Mumps immunity blood test CPT 86735 MUMPS | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS | $32.40 | $54.00 | $54.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATIC SPECIFIC AG II | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATIC SPECIFIC AG II | $40.20 | $67.00 | $67.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPEC ANTIGEN (PSA) | $32.40 | $54.00 | $54.00 | 40% below | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $32.40 | $54.00 | $54.00 | 40% below | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPEC ANTIGEN (PSA) | $32.40 | $54.00 | $54.00 | — | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL | $32.40 | $54.00 | $54.00 | — | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 THIN PREP | $64.80 | $108.00 | $108.00 | 40% below | 40% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 THIN PREP | $64.80 | $108.00 | $108.00 | — | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE, INTACT | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $24.00 | $40.00 | $40.00 | — | 40% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE, INTACT | $24.00 | $40.00 | $40.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME (APTT) | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 ACT PTT VON WILL | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULANT | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT LUP ANTI PROLONGED | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULANT | $12.60 | $21.00 | $21.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME (APTT) | $12.60 | $21.00 | $21.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT LUP ANTI PROLONGED | $12.60 | $21.00 | $21.00 | — | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACT PTT VON WILL | $12.60 | $21.00 | $21.00 | — | 40% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $3.00 | $5.00 | $5.00 | — | 40% |
| Potassium blood test CPT 84132 POTASSIUM | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Potassium blood test CPT 84132 POC K | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $6.00 | $10.00 | $10.00 | — | 40% |
| Potassium blood test inpatient CPT 84132 POC K | $6.00 | $10.00 | $10.00 | — | 40% |
| Progesterone blood test CPT 84144 PROGESTERONE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $24.00 | $40.00 | $40.00 | — | 40% |
| Prolactin blood test CPT 84146 PROLACTIN | $32.40 | $54.00 | $54.00 | 44% below | 40% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $32.40 | $54.00 | $54.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT ANTI-COAG PHARMACY | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT LUP ANTI | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PT | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $12.60 | $21.00 | $21.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT ANTI-COAG PHARMACY | $12.60 | $21.00 | $21.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT LUP ANTI | $12.60 | $21.00 | $21.00 | — | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PT | $12.60 | $21.00 | $21.00 | — | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 OXYCODONE URINE | $16.20 | $27.00 | $27.00 | 39% below | 40% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 OXYCODONE URINE | $16.20 | $27.00 | $27.00 | — | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B | $40.20 | $67.00 | $67.00 | 43% below | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A | $40.20 | $67.00 | $67.00 | — | 40% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B | $40.20 | $67.00 | $67.00 | — | 40% |
| Renin blood test CPT 84244 RENIN | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Renin blood test inpatient CPT 84244 RENIN | $24.00 | $40.00 | $40.00 | — | 40% |
| Rh blood typing CPT 86901 ARC RH TYPING | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Rh blood typing CPT 86901 BLOOD TYPING RH(D) | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Rh blood typing CPT 86901 UNIT RH RECHECK | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Rh blood typing inpatient CPT 86901 ARC RH TYPING | $6.00 | $10.00 | $10.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 UNIT RH RECHECK | $6.00 | $10.00 | $10.00 | — | 40% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPING RH(D) | $6.00 | $10.00 | $10.00 | — | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEU FACTOR TITER | $16.20 | $27.00 | $27.00 | 42% below | 40% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL TITER | $16.20 | $27.00 | $27.00 | 42% below | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEU FACTOR TITER | $16.20 | $27.00 | $27.00 | — | 40% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR LEVEL TITER | $16.20 | $27.00 | $27.00 | — | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY IgG | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IgM | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY IgG | $24.00 | $40.00 | $40.00 | — | 40% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IgM | $24.00 | $40.00 | $40.00 | — | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 AUTOMATED ESR | $7.80 | $13.00 | $13.00 | 42% below | 40% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 AUTOMATED ESR | $7.80 | $13.00 | $13.00 | — | 40% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN FERTILITY | $46.80 | $78.00 | $78.00 | 41% below | 40% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN FERTILITY | $46.80 | $78.00 | $78.00 | — | 40% |
| Sodium blood test CPT 84295 SODIUM | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Sodium blood test CPT 84295 POC NA | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Sodium blood test CPT 84295 SODIUM, BODY FLUID | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM | $3.00 | $5.00 | $5.00 | — | 40% |
| Sodium blood test inpatient CPT 84295 SODIUM, BODY FLUID | $3.00 | $5.00 | $5.00 | — | 40% |
| Sodium blood test inpatient CPT 84295 POC NA | $3.00 | $5.00 | $5.00 | — | 40% |
| Stool ova and parasites exam CPT 87177 OVA-PARASITE | $64.80 | $108.00 | $108.00 | 44% below | 40% |
| Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITE | $64.80 | $108.00 | $108.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD SCREEN | $7.80 | $13.00 | $13.00 | 45% below | 40% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FOCB POC | $7.80 | $13.00 | $13.00 | 45% below | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FOCB POC | $7.80 | $13.00 | $13.00 | — | 40% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD SCREEN | $7.80 | $13.00 | $13.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS SERUM | $27.60 | $46.00 | $46.00 | 42% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS | $27.60 | $46.00 | $46.00 | 42% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM ANTIBODY | $27.60 | $46.00 | $46.00 | 42% below | 40% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB, PA | $27.60 | $46.00 | $46.00 | 42% below | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM ANTIBODY | $27.60 | $46.00 | $46.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB, PA | $27.60 | $46.00 | $46.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS | $27.60 | $46.00 | $46.00 | — | 40% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS SERUM | $27.60 | $46.00 | $46.00 | — | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $12.60 | $21.00 | $21.00 | 45% below | 40% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 CSF VDRL | $12.60 | $21.00 | $21.00 | — | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST | $56.40 | $94.00 | $94.00 | 43% below | 40% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS TEST | $56.40 | $94.00 | $94.00 | — | 40% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $24.00 | $40.00 | $40.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMIAL ANTIBODY (THYROID) | $35.40 | $59.00 | $59.00 | 41% below | 40% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHY MICROSOMAL AB | $35.40 | $59.00 | $59.00 | 41% below | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMIAL ANTIBODY (THYROID) | $35.40 | $59.00 | $59.00 | — | 40% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHY MICROSOMAL AB | $35.40 | $59.00 | $59.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (THY STIM HORMONE) | $24.00 | $40.00 | $40.00 | 45% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THYROID CASCADE | $24.00 | $40.00 | $40.00 | 45% below | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (THY STIM HORMONE) | $24.00 | $40.00 | $40.00 | — | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THYROID CASCADE | $24.00 | $40.00 | $40.00 | — | 40% |
| Total IgE blood test CPT 82785 IGE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Total IgE blood test inpatient CPT 82785 IGE | $24.00 | $40.00 | $40.00 | — | 40% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $6.00 | $10.00 | $10.00 | — | 40% |
| Total thyroxine (T4) blood test CPT 84436 T4 THYROXINE, TOTAL | $24.00 | $40.00 | $40.00 | 45% below | 40% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 THYROXINE, TOTAL | $24.00 | $40.00 | $40.00 | — | 40% |
| Total triiodothyronine (T3) blood test CPT 84480 TOTAL T3 | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TOTAL T3 | $24.00 | $40.00 | $40.00 | — | 40% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $24.00 | $40.00 | $40.00 | — | 40% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAG AMP PROBE TECH | $72.60 | $121.00 | $121.00 | 43% below | 40% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAG AMP PROBE TECH | $72.60 | $121.00 | $121.00 | — | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES,PERITONEAL FLUID | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES, PLEURAL FLUID | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES, PLEURAL FLUID | $3.00 | $5.00 | $5.00 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $3.00 | $5.00 | $5.00 | — | 40% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES,PERITONEAL FLUID | $3.00 | $5.00 | $5.00 | — | 40% |
| Troponin test, quantitative CPT 84484 TROPONIN | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Troponin test, quantitative CPT 84484 POC TROP | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $40.20 | $67.00 | $67.00 | — | 40% |
| Troponin test, quantitative inpatient CPT 84484 POC TROP | $40.20 | $67.00 | $67.00 | — | 40% |
| Uric acid blood test CPT 84550 URIC ACID | $3.00 | $5.00 | $5.00 | 48% below | 40% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $3.00 | $5.00 | $5.00 | — | 40% |
| Urinalysis with microscope exam, automated CPT 81001 URINE ROUTINE | $14.40 | $24.00 | $24.00 | 45% below | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINE ROUTINE | $14.40 | $24.00 | $24.00 | — | 40% |
| Urinalysis without microscope exam, automated CPT 81003 POC UA | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE GROUP (QUAL W/O SCOPE) | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Urinalysis without microscope exam, automated CPT 81003 URINE SPECIFIC GRAVITY | $6.00 | $10.00 | $10.00 | 48% below | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 POC UA | $6.00 | $10.00 | $10.00 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE GROUP (QUAL W/O SCOPE) | $6.00 | $10.00 | $10.00 | — | 40% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE SPECIFIC GRAVITY | $6.00 | $10.00 | $10.00 | — | 40% |
| Urinalysis without microscope exam, manual CPT 81002 GLUCOSE QL URINE (UGLUC) | $6.00 | $10.00 | $10.00 | 45% below | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 GLUCOSE QL URINE (UGLUC) | $6.00 | $10.00 | $10.00 | — | 40% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $32.40 | $54.00 | $54.00 | 42% below | 40% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $32.40 | $54.00 | $54.00 | — | 40% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, URINE | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN, URINE | $24.00 | $40.00 | $40.00 | — | 40% |
| Urine pregnancy test, read by color change CPT 81025 POC HCG | $16.20 | $27.00 | $27.00 | 44% below | 40% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG | $16.20 | $27.00 | $27.00 | — | 40% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $24.00 | $40.00 | $40.00 | 44% below | 40% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $24.00 | $40.00 | $40.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL 25-OH D3 | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25- HYDROX QUEST | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $24.00 | $40.00 | $40.00 | 43% below | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25- HYDROX QUEST | $24.00 | $40.00 | $40.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL 25-OH D3 | $24.00 | $40.00 | $40.00 | — | 40% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $24.00 | $40.00 | $40.00 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D125-DIHYDROXY | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN 1,1,25 | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D125-DIHYDROXY | $40.20 | $67.00 | $67.00 | — | 40% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 DIHYDROXYVITAMIN 1,1,25 | $40.20 | $67.00 | $67.00 | — | 40% |
| Zinc blood test CPT 84630 ZINC | $40.20 | $67.00 | $67.00 | 44% below | 40% |
| Zinc blood test inpatient CPT 84630 ZINC | $40.20 | $67.00 | $67.00 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUAN | $38.40 | $64.00 | $64.00 | 44% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, QUANTITIVE | $38.40 | $64.00 | $64.00 | 44% below | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUAN | $38.40 | $64.00 | $64.00 | — | 40% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, QUANTITIVE | $38.40 | $64.00 | $64.00 | — | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 STEREOTACTIC LOC GUID/NEED PLC | $607.80 | $1,013.00 | $1,013.00 | 49% below | 40% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 STEREOTACTIC LOC GUID/NEED PLC | $607.80 | $1,013.00 | $1,013.00 | — | 40% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION W/ TEE | $33.00 | $55.00 | $55.00 | 42% above | 40% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION W/ TEE | $33.00 | $55.00 | $55.00 | — | 40% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CAESAREAN SECTION - SCHEDULED | $2,601.00 | $4,335.00 | $4,335.00 | — | 40% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CAESAREAN SECTION-NONSCHEDULED | $5,346.60 | $8,911.00 | $8,911.00 | — | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CAESAREAN SECTION - SCHEDULED | $2,601.00 | $4,335.00 | $4,335.00 | — | 40% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 CAESAREAN SECTION-NONSCHEDULED | $5,346.60 | $8,911.00 | $8,911.00 | — | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION | $433.20 | $722.00 | $722.00 | 14% below | 40% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION | $433.20 | $722.00 | $722.00 | — | 40% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $175.80 | $293.00 | $293.00 | 70% below | 40% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $175.80 | $293.00 | $293.00 | — | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US GUIDE LT OR RT BRST BIOPSY | $357.60 | $596.00 | $596.00 | 73% below | 40% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US GUIDE LT OR RT BRST BIOPSY | $357.60 | $596.00 | $596.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL BIRTH (NO ANESTH W/O C | $3,468.00 | $5,780.00 | $5,780.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL BIRTH W/VACUUM/FORCEPS | $3,757.20 | $6,262.00 | $6,262.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL BIRTH W/EPIDURAL | $4,335.00 | $7,225.00 | $7,225.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAG BIRTH W/EPIDURAL/VAC/FORC | $4,624.20 | $7,707.00 | $7,707.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 VAGINAL BIRTH PREV C-SEC(VBAC) | $4,624.20 | $7,707.00 | $7,707.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL BIRTH (NO ANESTH W/O C | $3,468.00 | $5,780.00 | $5,780.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL BIRTH W/VACUUM/FORCEPS | $3,757.20 | $6,262.00 | $6,262.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL BIRTH W/EPIDURAL | $4,335.00 | $7,225.00 | $7,225.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAGINAL BIRTH PREV C-SEC(VBAC) | $4,624.20 | $7,707.00 | $7,707.00 | — | 40% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 VAG BIRTH W/EPIDURAL/VAC/FORC | $4,624.20 | $7,707.00 | $7,707.00 | — | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD OR COMPS(0-90 MIN) | $322.20 | $537.00 | $537.00 | 38% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMPS (91-151 MIN) | $468.60 | $781.00 | $781.00 | 10% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP(91-150 MIN) | $468.60 | $781.00 | $781.00 | 10% below | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP (151-210 MIN) | $615.00 | $1,025.00 | $1,025.00 | 18% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP(151-210 MIN) | $615.00 | $1,025.00 | $1,025.00 | 18% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP (211-270 MIN) | $761.40 | $1,269.00 | $1,269.00 | 47% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP (271-330 MIN) | $908.40 | $1,514.00 | $1,514.00 | 75% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP (331-390 MIN) | $1,054.80 | $1,758.00 | $1,758.00 | 103% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP (391-450 MIN) | $1,201.20 | $2,002.00 | $2,002.00 | 131% above | 40% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS,BLOOD/COMP (451-510 MIN) | $1,347.60 | $2,246.00 | $2,246.00 | 160% above | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD OR COMPS(0-90 MIN) | $322.20 | $537.00 | $537.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP(91-150 MIN) | $468.60 | $781.00 | $781.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMPS (91-151 MIN) | $468.60 | $781.00 | $781.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP (151-210 MIN) | $615.00 | $1,025.00 | $1,025.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP(151-210 MIN) | $615.00 | $1,025.00 | $1,025.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP (211-270 MIN) | $761.40 | $1,269.00 | $1,269.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP (271-330 MIN) | $908.40 | $1,514.00 | $1,514.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP (331-390 MIN) | $1,054.80 | $1,758.00 | $1,758.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP (391-450 MIN) | $1,201.20 | $2,002.00 | $2,002.00 | — | 40% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANS,BLOOD/COMP (451-510 MIN) | $1,347.60 | $2,246.00 | $2,246.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT-OP ADM | $63.60 | $106.00 | $106.00 | 58% below | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT-IP ADM | $765.00 | $1,275.00 | $1,275.00 | 406% above | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT-OP ADM | $63.60 | $106.00 | $106.00 | — | 40% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT-IP ADM | $765.00 | $1,275.00 | $1,275.00 | — | 40% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUS < 1 HR SINGLE/INIT | $527.40 | $879.00 | $879.00 | 35% below | 40% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUS < 1 HR SINGLE/INIT | $527.40 | $879.00 | $879.00 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY/PHOTIC/BLINK | $421.80 | $703.00 | $703.00 | 67% below | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 PORTABLE EEG, AWAKE & DROWSY | $421.80 | $703.00 | $703.00 | 67% below | 40% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 PORT EEG AWAKE/DROW/PHOT BLNK | $421.80 | $703.00 | $703.00 | 67% below | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY/PHOTIC/BLINK | $421.80 | $703.00 | $703.00 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 PORTABLE EEG, AWAKE & DROWSY | $421.80 | $703.00 | $703.00 | — | 40% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 PORT EEG AWAKE/DROW/PHOT BLNK | $421.80 | $703.00 | $703.00 | — | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $79.20 | $132.00 | $132.00 | 44% above | 40% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $79.20 | $132.00 | $132.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CATEG 1 - BRIEF | $97.80 | $163.00 | $163.00 | 26% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CATEG 1 - TRIAGE | $97.80 | $163.00 | $163.00 | 26% below | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CATEG 1 - BRIEF | $97.80 | $163.00 | $163.00 | — | 40% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CATEG 1 - TRIAGE | $97.80 | $163.00 | $163.00 | — | 40% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CATEG 2 - INTERMEDIATE | $195.60 | $326.00 | $326.00 | 48% above | 40% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CATEG 2 - INTERMEDIATE | $195.60 | $326.00 | $326.00 | — | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CATEG 3 - EXTENDED | $293.40 | $489.00 | $489.00 | 7% above | 40% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CATEG 3 - EXTENDED | $293.40 | $489.00 | $489.00 | — | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CATEG 4 - INTENSIVE | $489.60 | $816.00 | $816.00 | 7% below | 40% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CATEG 4 - INTENSIVE | $489.60 | $816.00 | $816.00 | — | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CATEG 5 - COMPREHENSIVE | $783.60 | $1,306.00 | $1,306.00 | 18% below | 40% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CATEG 5 - COMPREHENSIVE | $783.60 | $1,306.00 | $1,306.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG STRESS TEST | $199.20 | $332.00 | $332.00 | 51% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 LOW LEVEL STRESS | $199.20 | $332.00 | $332.00 | 51% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS CARDIO PHARMACEUTICAL | $199.20 | $332.00 | $332.00 | 51% above | 40% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS NUCLEAR | $199.20 | $332.00 | $332.00 | 51% above | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS NUCLEAR | $199.20 | $332.00 | $332.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS CARDIO PHARMACEUTICAL | $199.20 | $332.00 | $332.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 LOW LEVEL STRESS | $199.20 | $332.00 | $332.00 | — | 40% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG STRESS TEST | $199.20 | $332.00 | $332.00 | — | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH W/ PATIENT | $117.00 | $195.00 | $195.00 | 23% below | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCH W/ PATIENT | $117.00 | $195.00 | $195.00 | — | 40% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCH W/O PATIENT | $117.00 | $195.00 | $195.00 | 22% below | 40% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCH W/O PATIENT | $117.00 | $195.00 | $195.00 | — | 40% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $58.20 | $97.00 | $97.00 | 30% below | 40% |
| Group psychotherapy session CPT 90853 INTENSIVE OUTPATIENT GROUP | $58.20 | $97.00 | $97.00 | 30% below | 40% |
| Group psychotherapy session inpatient CPT 90853 INTENSIVE OUTPATIENT GROUP | $58.20 | $97.00 | $97.00 | — | 40% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $58.20 | $97.00 | $97.00 | — | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION TO 1 HR | $234.00 | $390.00 | $390.00 | 39% below | 40% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION TO 1 HR | $234.00 | $390.00 | $390.00 | — | 40% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUS-PROPH/DX 1 HR | $527.40 | $879.00 | $879.00 | 11% below | 40% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS-PROPH/DX 1 HR | $527.40 | $879.00 | $879.00 | — | 40% |
| IV push of a medicine, first drug CPT 96374 THER,PROPH/DX INJ,IV PUSH SING | $292.80 | $488.00 | $488.00 | 7% below | 40% |
| IV push of a medicine, first drug inpatient CPT 96374 THER,PROPH/DX INJ,IV PUSH SING | $292.80 | $488.00 | $488.00 | — | 40% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER, PROPH/DX INJ,SUBQ/IM | $58.20 | $97.00 | $97.00 | 16% below | 40% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER, PROPH/DX INJ,SUBQ/IM | $58.20 | $97.00 | $97.00 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVAL | $351.60 | $586.00 | $586.00 | at median | 40% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DX EVALUATION | $351.60 | $586.00 | $586.00 | at median | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVALUATION | $351.60 | $586.00 | $586.00 | — | 40% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DX EVAL | $351.60 | $586.00 | $586.00 | — | 40% |
| New patient office visit, about 30 minutes CPT 99203 LEVEL 3 NEW PATIENT (26-45 MI) | $117.00 | $195.00 | $195.00 | 39% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 NEW PAT LEV-3 (26-45 MIN) | $117.00 | $195.00 | $195.00 | 39% below | 40% |
| New patient office visit, about 30 minutes CPT 99203 NEW ANTI-COAG VISIT 26-45 MIN | $117.00 | $195.00 | $195.00 | 39% below | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PAT LEV-3 (26-45 MIN) | $117.00 | $195.00 | $195.00 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW ANTI-COAG VISIT 26-45 MIN | $117.00 | $195.00 | $195.00 | — | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 LEVEL 3 NEW PATIENT (26-45 MI) | $117.00 | $195.00 | $195.00 | — | 40% |
| New patient office visit, about 45 minutes CPT 99204 LEVEL 4 NEW PT (46-90 MIN) | $146.40 | $244.00 | $244.00 | 42% below | 40% |
| New patient office visit, about 45 minutes CPT 99204 NEW PAT LEV-4 (46-90 MIN) | $146.40 | $244.00 | $244.00 | 42% below | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PAT LEV-4 (46-90 MIN) | $146.40 | $244.00 | $244.00 | — | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 LEVEL 4 NEW PT (46-90 MIN) | $146.40 | $244.00 | $244.00 | — | 40% |
| New patient office visit, about 60 minutes CPT 99205 NEW PAT LEV-5 (>90 MIN) | $175.80 | $293.00 | $293.00 | 42% below | 40% |
| New patient office visit, about 60 minutes CPT 99205 LEVEL 5 NEW PT (>90 MIN) | $175.80 | $293.00 | $293.00 | 42% below | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PAT LEV-5 (>90 MIN) | $175.80 | $293.00 | $293.00 | — | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 LEVEL 5 NEW PT (>90 MIN) | $175.80 | $293.00 | $293.00 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW ANTI-COAG VISIT 11-25 MIN | $87.60 | $146.00 | $146.00 | 35% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 LEVEL 2 NEW PT (11-25MIN) | $87.60 | $146.00 | $146.00 | 35% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PAT LEV-2 (11-25 MIN) | $87.60 | $146.00 | $146.00 | 35% below | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW ANTI-COAG VISIT 11-25 MIN | $87.60 | $146.00 | $146.00 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PAT LEV-2 (11-25 MIN) | $87.60 | $146.00 | $146.00 | — | 40% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LEVEL 2 NEW PT (11-25MIN) | $87.60 | $146.00 | $146.00 | — | 40% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 CRISIS PSYCHOTHERAPY | $263.40 | $439.00 | $439.00 | 5% below | 40% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 CRISIS PSYCHOTHERAPY | $263.40 | $439.00 | $439.00 | — | 40% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN | $146.40 | $244.00 | $244.00 | 9% below | 40% |
| Psychotherapy session, 30 minutes CPT 90832 I/P PSYCHOTHERAPY 30 MIN | $146.40 | $244.00 | $244.00 | 9% below | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 I/P PSYCHOTHERAPY 30 MIN | $146.40 | $244.00 | $244.00 | — | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN | $146.40 | $244.00 | $244.00 | — | 40% |
| Psychotherapy session, 45 minutes CPT 90834 I/P PSYCHOTHERAPY 45 MINUTES | $175.80 | $293.00 | $293.00 | 24% below | 40% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN | $175.80 | $293.00 | $293.00 | 24% below | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN | $175.80 | $293.00 | $293.00 | — | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 I/P PSYCHOTHERAPY 45 MINUTES | $175.80 | $293.00 | $293.00 | — | 40% |
| Psychotherapy session, 60 minutes CPT 90837 I/P PSYCHOTHERAPY 60 MIN | $263.40 | $439.00 | $439.00 | 19% below | 40% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN | $263.40 | $439.00 | $439.00 | 19% below | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 I/P PSYCHOTHERAPY 60 MIN | $263.40 | $439.00 | $439.00 | — | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN | $263.40 | $439.00 | $439.00 | — | 40% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING & TOBACCO COUNSL <10MT | $15.60 | $26.00 | $26.00 | 59% below | 40% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING & TOBACCO COUNSL <10MT | $15.60 | $26.00 | $26.00 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PAT LEV-5 (>90 MIN) | $175.80 | $293.00 | $293.00 | 31% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 ESTAB PT (>90 MIN) | $175.80 | $293.00 | $293.00 | 31% below | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 ESTAB PT (>90 MIN) | $175.80 | $293.00 | $293.00 | — | 40% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PAT LEV-5 (>90 MIN) | $175.80 | $293.00 | $293.00 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 ESTAB PT (26-45 MIN) | $117.00 | $195.00 | $195.00 | 31% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB ANTI-COAG VIS 26-45 MIN | $117.00 | $195.00 | $195.00 | 31% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PAT LEV-3 (26-45 MIN) | $117.00 | $195.00 | $195.00 | 31% below | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 ESTAB PT (26-45 MIN) | $117.00 | $195.00 | $195.00 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PAT LEV-3 (26-45 MIN) | $117.00 | $195.00 | $195.00 | — | 40% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB ANTI-COAG VIS 26-45 MIN | $117.00 | $195.00 | $195.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PAT LEV-4 (46-90 MIN) | $146.40 | $244.00 | $244.00 | 31% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 ESTAB PT (46-90 MIN) | $146.40 | $244.00 | $244.00 | 31% below | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 ESTAB PT (46-90 MIN) | $146.40 | $244.00 | $244.00 | — | 40% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PAT LEV-4 (46-90 MIN) | $146.40 | $244.00 | $244.00 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PAT LEV-2 (11-25 MIN) | $87.60 | $146.00 | $146.00 | 31% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB ANTI-COAG VIS 11-25 MIN | $87.60 | $146.00 | $146.00 | 31% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 ESTAB PT (11-25 MIN) | $87.60 | $146.00 | $146.00 | 31% below | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PAT LEV-2 (11-25 MIN) | $87.60 | $146.00 | $146.00 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 ESTAB PT (11-25 MIN) | $87.60 | $146.00 | $146.00 | — | 40% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB ANTI-COAG VIS 11-25 MIN | $87.60 | $146.00 | $146.00 | — | 40% |
| Spirometry (breathing test) CPT 94010 SIMPLE SPIROMETRY | $82.20 | $137.00 | $137.00 | 66% below | 40% |
| Spirometry (breathing test) inpatient CPT 94010 SIMPLE SPIROMETRY | $82.20 | $137.00 | $137.00 | — | 40% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY W/BRONCHODILATOR | $121.20 | $202.00 | $202.00 | 77% below | 40% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY W/BRONCHODILATOR | $121.20 | $202.00 | $202.00 | — | 40% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $292.80 | $488.00 | $488.00 | 102% above | 40% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $292.80 | $488.00 | $488.00 | — | 40% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Maryland | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VAC 24-25(12UP)(MOD)/PF | $115.80 | $193.00 | $193.00 | 45% below | 40% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VAC 24-25(12UP)(MOD)/PF | $115.80 | $193.00 | $193.00 | — | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE | $162.00 | $270.00 | $270.00 | 50% below | 40% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE LIVE | $162.00 | $270.00 | $270.00 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) CPT 90673 FLU VAC TV 2024(18YR UP)RCM/PF | $75.60 | $126.00 | $126.00 | — | 40% |
| Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 FLU VAC TV 2024(18YR UP)RCM/PF | $75.60 | $126.00 | $126.00 | — | 40% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV VACCINE 9-VALENT/PF 0.5ML | $297.00 | $495.00 | $495.00 | 32% below | 40% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV VACCINE 9-VALENT/PF 0.5ML | $297.00 | $495.00 | $495.00 | — | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HMPH B PLY CNJ-TET TOX/PF.5ML | $11.40 | $19.00 | $19.00 | 54% below | 40% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HMPH B PLY CNJ-TET TOX/PF.5ML | $11.40 | $19.00 | $19.00 | — | 40% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W-135 DIP/PF | $127.80 | $213.00 | $213.00 | 56% below | 40% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W-135 DIP/PF | $127.80 | $213.00 | $213.00 | — | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENICL B VAC,4-COMP/PF .5ML SY | $156.60 | $261.00 | $261.00 | 58% below | 40% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENICL B VAC,4-COMP/PF .5ML SY | $156.60 | $261.00 | $261.00 | — | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEMC 20VAL CNJDIP CRMPF 0.5ML | $270.60 | $451.00 | $451.00 | 35% below | 40% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEMC 20VAL CNJDIP CRMPF 0.5ML | $270.60 | $451.00 | $451.00 | — | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOC 21-VAL CONJ-DIP CRM/PF | $271.80 | $453.00 | $453.00 | — | 40% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOC 21-VAL CONJ-DIP CRM/PF | $271.80 | $453.00 | $453.00 | — | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VACC, PREF A AND PREF B/PF | $327.00 | $545.00 | $545.00 | 47% below | 40% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VACC, PREF A AND PREF B/PF | $327.00 | $545.00 | $545.00 | — | 40% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.