Harper University Hospital
Listed in its price file as “Vhs Harper-Hutzel Hospital INC”.
Harper University Hospital in Detroit, MI publishes cash prices for 362 common procedures listed here, from its own machine-readable price file updated Aug 20, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Michigan median for 323 of 359 procedures and below it for 35. By typical cash price it ranks #94 of 97 Michigan hospitals and #28 of 31 hospitals in the Detroit, MI area, cheapest first. Select a procedure to compare it with other hospitals nearby.
3990 John R St, Detroit, MI 48201 Collected Sep 23, 2026 Source price file Check a bill from this hospital (313) 745-6211
Acute care hospital For-profit hospital Emergency department CMS star rating 1 of 5 CCN 230104 · CMS hospital register NPI 1427360700
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/W CM | $3,935.25 | $5,247.00 | $1.00–$448.64 | 151% above | 25% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN WO/W CM | $3,935.25 | $5,247.00 | $1.00–$448.64 | 151% above | 25% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WO/W CM | $3,935.25 | $5,247.00 | $1.00–$448.64 | — | 25% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN WO/W CM | $3,935.25 | $5,247.00 | $1.00–$448.64 | — | 25% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $627.75 | $837.00 | $1.00–$189.98 | 201% above | 25% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $627.75 | $837.00 | $1.00–$189.98 | 201% above | 25% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS | $627.75 | $837.00 | $1.00–$189.98 | — | 25% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS | $627.75 | $837.00 | $1.00–$189.98 | — | 25% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | 77% above | 25% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | 77% above | 25% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | — | 25% |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UE/LE ART STUD LTD 1-2LV | $1,120.50 | $1,494.00 | $1.00–$358.11 | 263% above | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UE/LE ART STUD LTD 1-2LV | $1,120.50 | $1,494.00 | $1.00–$358.11 | 263% above | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UE/LE ART STUD LTD 1-2LV | $1,120.50 | $1,494.00 | $1.00–$358.11 | — | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UE/LE ART STUD LTD 1-2LV | $1,120.50 | $1,494.00 | $1.00–$358.11 | — | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTRMTY W/O CM | $2,013.75 | $2,685.00 | $1.00–$202.35 | 99% above | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTRMTY W/O CM | $2,013.75 | $2,685.00 | $1.00–$202.35 | 99% above | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTRMTY W/O CM | $2,013.75 | $2,685.00 | $1.00–$202.35 | — | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTRMTY W/O CM | $2,013.75 | $2,685.00 | $1.00–$202.35 | — | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY ESOPHAGUS SNGL CM STDY | $602.25 | $803.00 | $1.00–$178.55 | 113% above | 25% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY ESOPHAGUS SNGL CM STDY | $602.25 | $803.00 | $1.00–$178.55 | 113% above | 25% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY ESOPHAGUS SNGL CM STDY | $602.25 | $803.00 | $1.00–$178.55 | — | 25% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-RAY ESOPHAGUS SNGL CM STDY | $602.25 | $803.00 | $1.00–$178.55 | — | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $2,102.25 | $2,803.00 | $1.00–$518.30 | 124% above | 25% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $2,102.25 | $2,803.00 | $1.00–$518.30 | 124% above | 25% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY | $2,102.25 | $2,803.00 | $1.00–$518.30 | — | 25% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY | $2,102.25 | $2,803.00 | $1.00–$518.30 | — | 25% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI COMPLETE | $233.25 | $311.00 | $1.00–$146.66 | 23% below | 25% |
| Breast ultrasound, complete, one breast CPT 76641 US BREAST UNI COMPLETE | $233.25 | $311.00 | $1.00–$146.66 | 23% below | 25% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI COMPLETE | $233.25 | $311.00 | $1.00–$146.66 | — | 25% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST UNI COMPLETE | $233.25 | $311.00 | $1.00–$146.66 | — | 25% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI LTD | $290.25 | $387.00 | $1.00–$146.66 | 9% above | 25% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST UNI LTD | $290.25 | $387.00 | $1.00–$146.66 | 9% above | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNI LTD | $290.25 | $387.00 | $1.00–$146.66 | — | 25% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST UNI LTD | $290.25 | $387.00 | $1.00–$146.66 | — | 25% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PEL W CONTRAST | $4,926.75 | $6,569.00 | $1.00–$624.21 | 98% above | 25% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PEL W CONTRAST | $4,926.75 | $6,569.00 | $1.00–$624.21 | 98% above | 25% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PEL W CONTRAST | $4,926.75 | $6,569.00 | $1.00–$624.21 | — | 25% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PEL W CONTRAST | $4,926.75 | $6,569.00 | $1.00–$624.21 | — | 25% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W CONTRAST ONLY | $11,167.50 | $14,890.00 | $1.00–$467.14 | 621% above | 25% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD W CONTRAST ONLY | $11,167.50 | $14,890.00 | $1.00–$467.14 | 621% above | 25% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W CONTRAST ONLY | $11,167.50 | $14,890.00 | $1.00–$467.14 | — | 25% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD W CONTRAST ONLY | $11,167.50 | $14,890.00 | $1.00–$467.14 | — | 25% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W CONTRAST ONLY | $5,274.75 | $7,033.00 | $1.00–$467.14 | 251% above | 25% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK W CONTRAST ONLY | $5,274.75 | $7,033.00 | $1.00–$467.14 | 251% above | 25% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W CONTRAST ONLY | $5,274.75 | $7,033.00 | $1.00–$467.14 | — | 25% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA NECK W CONTRAST ONLY | $5,274.75 | $7,033.00 | $1.00–$467.14 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST (NONCOR) W CM | $5,683.50 | $7,578.00 | $1.00–$467.14 | 242% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST (NONCOR) W CM | $5,683.50 | $7,578.00 | $1.00–$467.14 | 242% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (NONCOR) W CM | $5,683.50 | $7,578.00 | $1.00–$467.14 | — | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST (NONCOR) W CM | $5,683.50 | $7,578.00 | $1.00–$467.14 | — | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W CONTRAST | $2,364.00 | $3,152.00 | $1.00–$355.22 | 77% above | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HEART W CONTRAST | $2,364.00 | $3,152.00 | $1.00–$355.22 | 77% above | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART W CONTRAST | $2,364.00 | $3,152.00 | $1.00–$355.22 | — | 25% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HEART W CONTRAST | $2,364.00 | $3,152.00 | $1.00–$355.22 | — | 25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARD SCORING WO CONT | $115.50 | $154.00 | $1.00–$133.29 | 23% below | 25% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARD SCORING WO CONT | $115.50 | $154.00 | $1.00–$133.29 | 23% below | 25% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARD SCORING WO CONT | $115.50 | $154.00 | $1.00–$133.29 | — | 25% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARD SCORING WO CONT | $115.50 | $154.00 | $1.00–$133.29 | — | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CM | $3,798.00 | $5,064.00 | $1.00–$386.86 | 113% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CM | $3,798.00 | $5,064.00 | $1.00–$386.86 | 113% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CM | $3,798.00 | $5,064.00 | $1.00–$386.86 | — | 25% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CM | $3,798.00 | $5,064.00 | $1.00–$386.86 | — | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CM | $3,777.75 | $5,037.00 | $1.00–$624.21 | 32% above | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CM | $3,777.75 | $5,037.00 | $1.00–$624.21 | 32% above | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CM | $3,777.75 | $5,037.00 | $1.00–$624.21 | — | 25% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CM | $3,777.75 | $5,037.00 | $1.00–$624.21 | — | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS WO/W CM | $4,317.00 | $5,756.00 | $1.00–$624.21 | 65% above | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELVIS WO/W CM | $4,317.00 | $5,756.00 | $1.00–$624.21 | 65% above | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS WO/W CM | $4,317.00 | $5,756.00 | $1.00–$624.21 | — | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD & PELVIS WO/W CM | $4,317.00 | $5,756.00 | $1.00–$624.21 | — | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CM | $2,515.50 | $3,354.00 | $1.00–$398.40 | 71% above | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CM | $2,515.50 | $3,354.00 | $1.00–$398.40 | 71% above | 25% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CM | $2,515.50 | $3,354.00 | $1.00–$398.40 | — | 25% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CM | $2,515.50 | $3,354.00 | $1.00–$398.40 | — | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CM | $2,216.25 | $2,955.00 | $1.00–$202.35 | 138% above | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CM | $2,216.25 | $2,955.00 | $1.00–$202.35 | 138% above | 25% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CM | $2,216.25 | $2,955.00 | $1.00–$202.35 | — | 25% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CM | $2,216.25 | $2,955.00 | $1.00–$202.35 | — | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST | $3,303.75 | $4,405.00 | $1.00–$202.35 | 216% above | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST | $3,303.75 | $4,405.00 | $1.00–$202.35 | 216% above | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CM | $3,449.25 | $4,599.00 | $1.00–$202.35 | 230% above | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CM | $3,449.25 | $4,599.00 | $1.00–$202.35 | 230% above | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAST | $3,303.75 | $4,405.00 | $1.00–$202.35 | — | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAST | $3,303.75 | $4,405.00 | $1.00–$202.35 | — | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CM | $3,449.25 | $4,599.00 | $1.00–$202.35 | — | 25% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CM | $3,449.25 | $4,599.00 | $1.00–$202.35 | — | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $2,681.25 | $3,575.00 | $1.00–$202.35 | 188% above | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $2,681.25 | $3,575.00 | $1.00–$202.35 | 188% above | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRST | $2,681.25 | $3,575.00 | $1.00–$202.35 | — | 25% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRST | $2,681.25 | $3,575.00 | $1.00–$202.35 | — | 25% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W CONTRAST | $2,262.00 | $3,016.00 | $1.00–$398.40 | 82% above | 25% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W CONTRAST | $2,262.00 | $3,016.00 | $1.00–$398.40 | 82% above | 25% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W CONTRAST | $2,262.00 | $3,016.00 | $1.00–$398.40 | — | 25% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W CONTRAST | $2,262.00 | $3,016.00 | $1.00–$398.40 | — | 25% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO/W CONTR | $3,900.00 | $5,200.00 | $1.00–$448.64 | 149% above | 25% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO/W CONTR | $3,900.00 | $5,200.00 | $1.00–$448.64 | 149% above | 25% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WO/W CONTR | $3,900.00 | $5,200.00 | $1.00–$448.64 | — | 25% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN WO/W CONTR | $3,900.00 | $5,200.00 | $1.00–$448.64 | — | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CM | $2,042.25 | $2,723.00 | $1.00–$202.35 | 87% above | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CM | $2,042.25 | $2,723.00 | $1.00–$202.35 | 87% above | 25% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CM | $2,042.25 | $2,723.00 | $1.00–$202.35 | — | 25% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CM | $2,042.25 | $2,723.00 | $1.00–$202.35 | — | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CM | $3,090.75 | $4,121.00 | $1.00–$202.35 | 178% above | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CM | $3,090.75 | $4,121.00 | $1.00–$202.35 | 178% above | 25% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CM | $3,090.75 | $4,121.00 | $1.00–$202.35 | — | 25% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CM | $3,090.75 | $4,121.00 | $1.00–$202.35 | — | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,454.00 | $3,272.00 | $1.00–$398.40 | 83% above | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,454.00 | $3,272.00 | $1.00–$398.40 | 83% above | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $2,454.00 | $3,272.00 | $1.00–$398.40 | — | 25% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $2,454.00 | $3,272.00 | $1.00–$398.40 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX CAROTID BI/COMP | $2,167.50 | $2,890.00 | $1.00–$767.35 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX CAROTID BI/COMP | $2,167.50 | $2,890.00 | $1.00–$767.35 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX CAROTID BI/COMP | $2,167.50 | $2,890.00 | $1.00–$767.35 | — | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX CAROTID BI/COMP | $2,167.50 | $2,890.00 | $1.00–$767.35 | — | 25% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX WO/W CONTRAST | $3,814.50 | $5,086.00 | $1.00–$448.64 | 118% above | 25% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX WO/W CONTRAST | $3,814.50 | $5,086.00 | $1.00–$448.64 | 118% above | 25% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX WO/W CONTRAST | $3,814.50 | $5,086.00 | $1.00–$448.64 | — | 25% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX WO/W CONTRAST | $3,814.50 | $5,086.00 | $1.00–$448.64 | — | 25% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $528.75 | $705.00 | $1.00–$99.38 | 197% above | 25% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $528.75 | $705.00 | $1.00–$99.38 | 197% above | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $528.75 | $705.00 | $1.00–$99.38 | — | 25% |
| Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEWS | $528.75 | $705.00 | $1.00–$99.38 | — | 25% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $302.25 | $403.00 | $1.00–$99.38 | 92% above | 25% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $302.25 | $403.00 | $1.00–$99.38 | 92% above | 25% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $302.25 | $403.00 | $1.00–$99.38 | — | 25% |
| Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW | $302.25 | $403.00 | $1.00–$99.38 | — | 25% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE | $359.25 | $479.00 | $1.00–$91.76 | 99% above | 25% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE | $359.25 | $479.00 | $1.00–$91.76 | 99% above | 25% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE | $359.25 | $479.00 | $1.00–$91.76 | — | 25% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE COMPLETE | $359.25 | $479.00 | $1.00–$91.76 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMP | $1,383.00 | $1,844.00 | $1.00–$215.31 | 123% above | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMP | $1,383.00 | $1,844.00 | $1.00–$215.31 | 123% above | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMP | $1,383.00 | $1,844.00 | $1.00–$215.31 | — | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMP | $1,383.00 | $1,844.00 | $1.00–$215.31 | — | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKELETON | $960.00 | $1,280.00 | $1.00–$144.26 | 209% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA AXIAL SKELETON | $960.00 | $1,280.00 | $1.00–$144.26 | 209% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL SKELETON | $960.00 | $1,280.00 | $1.00–$144.26 | — | 25% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA AXIAL SKELETON | $960.00 | $1,280.00 | $1.00–$144.26 | — | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPENDICULAR SKELTN | $450.75 | $601.00 | $1.00–$81.94 | 243% above | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APPENDICULAR SKELTN | $450.75 | $601.00 | $1.00–$81.94 | 243% above | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APPENDICULAR SKELTN | $450.75 | $601.00 | $1.00–$81.94 | — | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APPENDICULAR SKELTN | $450.75 | $601.00 | $1.00–$81.94 | — | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMP W FETL ANATMY | $1,254.75 | $1,673.00 | $1.00–$305.34 | 78% above | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB COMP W FETL ANATMY | $1,254.75 | $1,673.00 | $1.00–$305.34 | 78% above | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB COMP W FETL ANATMY | $1,254.75 | $1,673.00 | $1.00–$305.34 | — | 25% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB COMP W FETL ANATMY | $1,254.75 | $1,673.00 | $1.00–$305.34 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $2,133.75 | $2,845.00 | $1.00–$202.35 | 114% above | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $2,133.75 | $2,845.00 | $1.00–$202.35 | 114% above | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST | $2,133.75 | $2,845.00 | $1.00–$202.35 | — | 25% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST | $2,133.75 | $2,845.00 | $1.00–$202.35 | — | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST | $2,665.50 | $3,554.00 | $1.00–$398.40 | 103% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX WITH CONTRAST | $2,665.50 | $3,554.00 | $1.00–$398.40 | 103% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH CONTRAST | $2,665.50 | $3,554.00 | $1.00–$398.40 | — | 25% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX WITH CONTRAST | $2,665.50 | $3,554.00 | $1.00–$398.40 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LE ART IMAGING COMP BILAT | $370.50 | $494.00 | $1.00–$1,019.71 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 LE ART IMAGING COMP BILAT | $370.50 | $494.00 | $1.00–$1,019.71 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LE ART IMAGING COMP BILAT | $370.50 | $494.00 | $1.00–$1,019.71 | — | 25% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 LE ART IMAGING COMP BILAT | $370.50 | $494.00 | $1.00–$1,019.71 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UE/LE IMG VEINS COMP BILAT | $2,208.75 | $2,945.00 | $1.00–$779.29 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 UE/LE IMG VEINS COMP BILAT | $2,208.75 | $2,945.00 | $1.00–$779.29 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UE/LE IMG VEINS COMP BILAT | $2,208.75 | $2,945.00 | $1.00–$779.29 | — | 25% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 UE/LE IMG VEINS COMP BILAT | $2,208.75 | $2,945.00 | $1.00–$779.29 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D SPECTR/COLOR FLO | $3,001.50 | $4,002.00 | $1.00–$646.30 | 110% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO2D SPECTR/COLOR FLO | $3,001.50 | $4,002.00 | $1.00–$646.30 | 110% above | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO2D SPECTR/COLOR FLO | $3,001.50 | $4,002.00 | $1.00–$646.30 | — | 25% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO2D SPECTR/COLOR FLO | $3,001.50 | $4,002.00 | $1.00–$646.30 | — | 25% |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS | $352.50 | $470.00 | $1.00–$91.76 | 163% above | 25% |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS | $352.50 | $470.00 | $1.00–$91.76 | 163% above | 25% |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS | $352.50 | $470.00 | $1.00–$91.76 | — | 25% |
| Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 2 VIEWS | $352.50 | $470.00 | $1.00–$91.76 | — | 25% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3 VIEW MINIMUM | $317.25 | $423.00 | $1.00–$91.76 | 67% above | 25% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3 VIEW MINIMUM | $317.25 | $423.00 | $1.00–$91.76 | 67% above | 25% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3 VIEW MINIMUM | $317.25 | $423.00 | $1.00–$91.76 | — | 25% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3 VIEW MINIMUM | $317.25 | $423.00 | $1.00–$91.76 | — | 25% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/EAR/FOSSA W/O CM | $3,684.00 | $4,912.00 | $1.00–$202.35 | 267% above | 25% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB/EAR/FOSSA W/O CM | $3,684.00 | $4,912.00 | $1.00–$202.35 | 267% above | 25% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/EAR/FOSSA W/O CM | $3,684.00 | $4,912.00 | $1.00–$202.35 | — | 25% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB/EAR/FOSSA W/O CM | $3,684.00 | $4,912.00 | $1.00–$202.35 | — | 25% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3VW MIN | $528.00 | $704.00 | $1.00–$145.42 | 103% above | 25% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3VW MIN | $528.00 | $704.00 | $1.00–$145.42 | 103% above | 25% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3VW MIN | $528.00 | $704.00 | $1.00–$145.42 | — | 25% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3VW MIN | $528.00 | $704.00 | $1.00–$145.42 | — | 25% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS | $277.50 | $370.00 | $1.00–$91.76 | 56% above | 25% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEWS | $277.50 | $370.00 | $1.00–$91.76 | 56% above | 25% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS | $277.50 | $370.00 | $1.00–$91.76 | — | 25% |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 2 VIEWS | $277.50 | $370.00 | $1.00–$91.76 | — | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMG | $2,133.75 | $2,845.00 | $1.00–$596.11 | 128% above | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMG | $2,133.75 | $2,845.00 | $1.00–$596.11 | 128% above | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMG | $2,133.75 | $2,845.00 | $1.00–$596.11 | — | 25% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMG | $2,133.75 | $2,845.00 | $1.00–$596.11 | — | 25% |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS | $267.00 | $356.00 | $1.00–$108.97 | 83% above | 25% |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEWS | $267.00 | $356.00 | $1.00–$108.97 | 83% above | 25% |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS | $267.00 | $356.00 | $1.00–$108.97 | — | 25% |
| Hand X-ray, 2 views inpatient CPT 73120 HAND 2 VIEWS | $267.00 | $356.00 | $1.00–$108.97 | — | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS 2 VIEWS | $219.00 | $292.00 | $1.00–$91.76 | 42% above | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS 2 VIEWS | $219.00 | $292.00 | $1.00–$91.76 | 42% above | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 OS CALCIS 2 VIEWS | $219.00 | $292.00 | $1.00–$91.76 | — | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 OS CALCIS 2 VIEWS | $219.00 | $292.00 | $1.00–$91.76 | — | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY CPAP 4 | $8,646.00 | $11,528.00 | $1.00–$2,162.30 | 149% above | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY CPAP 4 | $8,646.00 | $11,528.00 | $1.00–$2,162.30 | 149% above | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY CPAP 4 | $8,646.00 | $11,528.00 | $1.00–$2,162.30 | — | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 POLYSOMNOGRAPHY CPAP 4 | $8,646.00 | $11,528.00 | $1.00–$2,162.30 | — | 25% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | 100% above | 25% |
| Knee X-ray, 3 views CPT 73562 KNEE 3 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | 100% above | 25% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | — | 25% |
| Knee X-ray, 3 views inpatient CPT 73562 KNEE 3 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | — | 25% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMP 4 VW MIN | $382.50 | $510.00 | $1.00–$108.97 | 79% above | 25% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMP 4 VW MIN | $382.50 | $510.00 | $1.00–$108.97 | 79% above | 25% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMP 4 VW MIN | $382.50 | $510.00 | $1.00–$108.97 | — | 25% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE COMP 4 VW MIN | $382.50 | $510.00 | $1.00–$108.97 | — | 25% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTRMTY W/O CM | $2,025.75 | $2,701.00 | $1.00–$202.35 | 84% above | 25% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTRMTY W/O CM | $2,025.75 | $2,701.00 | $1.00–$202.35 | 84% above | 25% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTRMTY W/O CM | $2,025.75 | $2,701.00 | $1.00–$202.35 | — | 25% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTRMTY W/O CM | $2,025.75 | $2,701.00 | $1.00–$202.35 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD SNGLE/QUAD/FU | $943.50 | $1,258.00 | $1.00–$215.31 | 100% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD SNGLE/QUAD/FU | $943.50 | $1,258.00 | $1.00–$215.31 | 100% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LTD SNGLE/QUAD/FU | $943.50 | $1,258.00 | $1.00–$215.31 | — | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LTD SNGLE/QUAD/FU | $943.50 | $1,258.00 | $1.00–$215.31 | — | 25% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR JOINT LMTD | $396.00 | $528.00 | $1.00–$144.08 | 8% above | 25% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR JOINT LMTD | $396.00 | $528.00 | $1.00–$144.08 | 8% above | 25% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR SOFT TISSUE LMTD | $933.00 | $1,244.00 | $1.00–$144.08 | 155% above | 25% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR SOFT TISSUE LMTD | $933.00 | $1,244.00 | $1.00–$144.08 | 155% above | 25% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR JOINT LMTD | $396.00 | $528.00 | $1.00–$144.08 | — | 25% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR JOINT LMTD | $396.00 | $528.00 | $1.00–$144.08 | — | 25% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR SOFT TISSUE LMTD | $933.00 | $1,244.00 | $1.00–$144.08 | — | 25% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR SOFT TISSUE LMTD | $933.00 | $1,244.00 | $1.00–$144.08 | — | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $261.00 | $348.00 | $1.00–$158.88 | 25% below | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING | $261.00 | $348.00 | $1.00–$158.88 | 25% below | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING | $261.00 | $348.00 | $1.00–$158.88 | — | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING | $261.00 | $348.00 | $1.00–$158.88 | — | 25% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA/FIBULA 2 VIEWS | $411.00 | $548.00 | $1.00–$91.76 | 123% above | 25% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA/FIBULA 2 VIEWS | $411.00 | $548.00 | $1.00–$91.76 | 123% above | 25% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA/FIBULA 2 VIEWS | $411.00 | $548.00 | $1.00–$91.76 | — | 25% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA/FIBULA 2 VIEWS | $411.00 | $548.00 | $1.00–$91.76 | — | 25% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST | $5,100.75 | $6,801.00 | $1.00–$471.65 | 229% above | 25% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST | $5,100.75 | $6,801.00 | $1.00–$471.65 | 229% above | 25% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST | $5,100.75 | $6,801.00 | $1.00–$471.65 | — | 25% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST | $5,100.75 | $6,801.00 | $1.00–$471.65 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $3,399.00 | $4,532.00 | $1.00–$471.65 | 112% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $3,399.00 | $4,532.00 | $1.00–$471.65 | 112% above | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWR EXT JNT W/O CM | $3,399.00 | $4,532.00 | $1.00–$471.65 | — | 25% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWR EXT JNT W/O CM | $3,399.00 | $4,532.00 | $1.00–$471.65 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $5,553.00 | $7,404.00 | $1.00–$788.67 | 124% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $5,553.00 | $7,404.00 | $1.00–$788.67 | 124% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT WO/W CM | $5,553.00 | $7,404.00 | $1.00–$788.67 | — | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT WO/W CM | $5,553.00 | $7,404.00 | $1.00–$788.67 | — | 25% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CM | $4,088.25 | $5,451.00 | $1.00–$471.65 | 142% above | 25% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CM | $4,088.25 | $5,451.00 | $1.00–$471.65 | 142% above | 25% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CM | $4,088.25 | $5,451.00 | $1.00–$471.65 | — | 25% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O CM | $4,088.25 | $5,451.00 | $1.00–$471.65 | — | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W CM | $5,188.50 | $6,918.00 | $1.00–$788.67 | 66% above | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO/W CM | $5,188.50 | $6,918.00 | $1.00–$788.67 | 66% above | 25% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W CM | $5,188.50 | $6,918.00 | $1.00–$788.67 | — | 25% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO/W CM | $5,188.50 | $6,918.00 | $1.00–$788.67 | — | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,355.00 | $7,140.00 | $1.00–$471.65 | 221% above | 25% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $5,355.00 | $7,140.00 | $1.00–$471.65 | 221% above | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $5,355.00 | $7,140.00 | $1.00–$471.65 | — | 25% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $5,355.00 | $7,140.00 | $1.00–$471.65 | — | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $10,140.00 | $13,520.00 | $1.00–$788.67 | 259% above | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $10,140.00 | $13,520.00 | $1.00–$788.67 | 259% above | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $10,140.00 | $13,520.00 | $1.00–$788.67 | — | 25% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $10,140.00 | $13,520.00 | $1.00–$788.67 | — | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $4,285.50 | $5,714.00 | $1.00–$471.65 | 139% above | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $4,285.50 | $5,714.00 | $1.00–$471.65 | 139% above | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CM | $4,285.50 | $5,714.00 | $1.00–$471.65 | — | 25% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CM | $4,285.50 | $5,714.00 | $1.00–$471.65 | — | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR WO/W CM | $9,002.25 | $12,003.00 | $1.00–$788.67 | 233% above | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI SPINE LUMBAR WO/W CM | $9,002.25 | $12,003.00 | $1.00–$788.67 | 233% above | 25% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR WO/W CM | $9,002.25 | $12,003.00 | $1.00–$788.67 | — | 25% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI SPINE LUMBAR WO/W CM | $9,002.25 | $12,003.00 | $1.00–$788.67 | — | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORAC W/O CM | $4,579.50 | $6,106.00 | $1.00–$471.65 | 183% above | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPINE THORAC W/O CM | $4,579.50 | $6,106.00 | $1.00–$471.65 | 183% above | 25% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORAC W/O CM | $4,579.50 | $6,106.00 | $1.00–$471.65 | — | 25% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI SPINE THORAC W/O CM | $4,579.50 | $6,106.00 | $1.00–$471.65 | — | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERV WO/W CM | $10,088.25 | $13,451.00 | $1.00–$788.67 | 257% above | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE CERV WO/W CM | $10,088.25 | $13,451.00 | $1.00–$788.67 | 257% above | 25% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERV WO/W CM | $10,088.25 | $13,451.00 | $1.00–$788.67 | — | 25% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE CERV WO/W CM | $10,088.25 | $13,451.00 | $1.00–$788.67 | — | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICL W/O CM | $4,551.75 | $6,069.00 | $1.00–$471.65 | 160% above | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE CERVICL W/O CM | $4,551.75 | $6,069.00 | $1.00–$471.65 | 160% above | 25% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICL W/O CM | $4,551.75 | $6,069.00 | $1.00–$471.65 | — | 25% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE CERVICL W/O CM | $4,551.75 | $6,069.00 | $1.00–$471.65 | — | 25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONTRAST | $6,555.00 | $8,740.00 | $1.00–$788.67 | 137% above | 25% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO/W CONTRAST | $6,555.00 | $8,740.00 | $1.00–$788.67 | 137% above | 25% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/W CONTRAST | $6,555.00 | $8,740.00 | $1.00–$788.67 | — | 25% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO/W CONTRAST | $6,555.00 | $8,740.00 | $1.00–$788.67 | — | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $3,776.25 | $5,035.00 | $1.00–$471.65 | 122% above | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $3,776.25 | $5,035.00 | $1.00–$471.65 | 122% above | 25% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $3,776.25 | $5,035.00 | $1.00–$471.65 | — | 25% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST | $3,776.25 | $5,035.00 | $1.00–$471.65 | — | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXT JNT W/O CM | $4,393.50 | $5,858.00 | $1.00–$471.65 | 135% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXT JNT W/O CM | $4,393.50 | $5,858.00 | $1.00–$471.65 | 135% above | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UP EXT JNT W/O CM | $4,393.50 | $5,858.00 | $1.00–$471.65 | — | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UP EXT JNT W/O CM | $4,393.50 | $5,858.00 | $1.00–$471.65 | — | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4 OR 5 VW | $606.75 | $809.00 | $1.00–$145.42 | 107% above | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE CERVICAL 4 OR 5 VW | $606.75 | $809.00 | $1.00–$145.42 | 107% above | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4 OR 5 VW | $606.75 | $809.00 | $1.00–$145.42 | — | 25% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE CERVICAL 4 OR 5 VW | $606.75 | $809.00 | $1.00–$145.42 | — | 25% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISS NECK W CM | $3,138.75 | $4,185.00 | $1.00–$398.40 | 138% above | 25% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISS NECK W CM | $3,138.75 | $4,185.00 | $1.00–$398.40 | 138% above | 25% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISS NECK W CM | $3,138.75 | $4,185.00 | $1.00–$398.40 | — | 25% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISS NECK W CM | $3,138.75 | $4,185.00 | $1.00–$398.40 | — | 25% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISS NECK WO CM | $2,812.50 | $3,750.00 | $1.00–$202.35 | 177% above | 25% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISS NECK WO CM | $2,812.50 | $3,750.00 | $1.00–$202.35 | 177% above | 25% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISS NECK WO CM | $2,812.50 | $3,750.00 | $1.00–$202.35 | — | 25% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISS NECK WO CM | $2,812.50 | $3,750.00 | $1.00–$202.35 | — | 25% |
| Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUES | $280.50 | $374.00 | $1.00–$91.76 | 58% above | 25% |
| Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUES | $280.50 | $374.00 | $1.00–$91.76 | 58% above | 25% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUES | $280.50 | $374.00 | $1.00–$91.76 | — | 25% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUES | $280.50 | $374.00 | $1.00–$91.76 | — | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MC PERF SPECT WM EF MULT | $5,952.75 | $7,937.00 | $1.00–$1,845.79 | 103% above | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MC PERF SPECT WM EF MULT | $5,952.75 | $7,937.00 | $1.00–$1,845.79 | 103% above | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MC PERF SPECT WM EF MULT | $5,952.75 | $7,937.00 | $1.00–$1,845.79 | — | 25% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MC PERF SPECT WM EF MULT | $5,952.75 | $7,937.00 | $1.00–$1,845.79 | — | 25% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL TO THIGH | $6,416.25 | $8,555.00 | $1.00–$2,096.96 | 16% above | 25% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL TO THIGH | $6,416.25 | $8,555.00 | $1.00–$2,096.96 | 16% above | 25% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO THIGH | $6,416.25 | $8,555.00 | $1.00–$2,096.96 | — | 25% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL TO THIGH | $6,416.25 | $8,555.00 | $1.00–$2,096.96 | — | 25% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $2,052.75 | $2,737.00 | $1.00–$202.35 | 106% above | 25% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $2,052.75 | $2,737.00 | $1.00–$202.35 | 106% above | 25% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $2,052.75 | $2,737.00 | $1.00–$202.35 | — | 25% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $2,052.75 | $2,737.00 | $1.00–$202.35 | — | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FU | $439.50 | $586.00 | $1.00–$144.08 | 31% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD/FU | $439.50 | $586.00 | $1.00–$144.08 | 31% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FU | $439.50 | $586.00 | $1.00–$144.08 | — | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD/FU | $439.50 | $586.00 | $1.00–$144.08 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,536.75 | $2,049.00 | $1.00–$215.31 | 170% above | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $1,536.75 | $2,049.00 | $1.00–$215.31 | 170% above | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $1,536.75 | $2,049.00 | $1.00–$215.31 | — | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $1,536.75 | $2,049.00 | $1.00–$215.31 | — | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $1,071.00 | $1,428.00 | $1.00–$215.31 | 91% above | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $1,071.00 | $1,428.00 | $1.00–$215.31 | 91% above | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST | $1,071.00 | $1,428.00 | $1.00–$215.31 | — | 25% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST | $1,071.00 | $1,428.00 | $1.00–$215.31 | — | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMP<14WKS 1STGEST | $1,009.50 | $1,346.00 | $1.00–$215.31 | 96% above | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB COMP<14WKS 1STGEST | $1,009.50 | $1,346.00 | $1.00–$215.31 | 96% above | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMP<14WKS 1STGEST | $1,009.50 | $1,346.00 | $1.00–$215.31 | — | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB COMP<14WKS 1STGEST | $1,009.50 | $1,346.00 | $1.00–$215.31 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 1OR> FETUS | $919.50 | $1,226.00 | $1.00–$215.31 | 187% above | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 1OR> FETUS | $919.50 | $1,226.00 | $1.00–$215.31 | 187% above | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD 1OR> FETUS | $919.50 | $1,226.00 | $1.00–$215.31 | — | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD 1OR> FETUS | $919.50 | $1,226.00 | $1.00–$215.31 | — | 25% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2VW | $321.75 | $429.00 | $1.00–$91.76 | 62% above | 25% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILAT 2VW | $321.75 | $429.00 | $1.00–$91.76 | 62% above | 25% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2VW | $321.75 | $429.00 | $1.00–$91.76 | — | 25% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS UNILAT 2VW | $321.75 | $429.00 | $1.00–$91.76 | — | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI 3V MIN W/PA CXR | $438.75 | $585.00 | $1.00–$145.42 | 86% above | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI 3V MIN W/PA CXR | $438.75 | $585.00 | $1.00–$145.42 | 86% above | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI 3V MIN W/PA CXR | $438.75 | $585.00 | $1.00–$145.42 | — | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 RIBS UNI 3V MIN W/PA CXR | $438.75 | $585.00 | $1.00–$145.42 | — | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VWS MINIMUM | $347.25 | $463.00 | $1.00–$91.76 | 63% above | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2 VWS MINIMUM | $347.25 | $463.00 | $1.00–$91.76 | 63% above | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 VWS MINIMUM | $347.25 | $463.00 | $1.00–$91.76 | — | 25% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2 VWS MINIMUM | $347.25 | $463.00 | $1.00–$91.76 | — | 25% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3VW MIN | $501.75 | $669.00 | $1.00–$91.76 | 115% above | 25% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3VW MIN | $501.75 | $669.00 | $1.00–$91.76 | 115% above | 25% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3VW MIN | $501.75 | $669.00 | $1.00–$91.76 | — | 25% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3VW MIN | $501.75 | $669.00 | $1.00–$91.76 | — | 25% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS | $343.50 | $458.00 | $1.00–$108.97 | 63% above | 25% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL < 4 VIEWS | $343.50 | $458.00 | $1.00–$108.97 | 63% above | 25% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS | $343.50 | $458.00 | $1.00–$108.97 | — | 25% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL < 4 VIEWS | $343.50 | $458.00 | $1.00–$108.97 | — | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $7,163.25 | $9,551.00 | $1.00–$2,062.79 | 122% above | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY | $7,163.25 | $9,551.00 | $1.00–$2,062.79 | 122% above | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY | $7,163.25 | $9,551.00 | $1.00–$2,062.79 | — | 25% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY | $7,163.25 | $9,551.00 | $1.00–$2,062.79 | — | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWAL FUNC W/CINE/VIDEO+CM STDY | $745.50 | $994.00 | $1.00–$178.55 | 98% above | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 SWAL FUNC W/CINE/VIDEO+CM STDY | $745.50 | $994.00 | $1.00–$178.55 | 98% above | 25% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWAL FUNC W/CINE/VIDEO+CM STDY | $745.50 | $994.00 | $1.00–$178.55 | — | 25% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWAL FUNC W/CINE/VIDEO+CM STDY | $745.50 | $994.00 | $1.00–$178.55 | — | 25% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEWS MIN | $233.25 | $311.00 | $1.00–$97.28 | 9% above | 25% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEWS MIN | $233.25 | $311.00 | $1.00–$97.28 | 9% above | 25% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VIEWS MIN | $233.25 | $311.00 | $1.00–$97.28 | — | 25% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VIEWS MIN | $233.25 | $311.00 | $1.00–$97.28 | — | 25% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CM | $3,303.75 | $4,405.00 | $1.00–$202.35 | 213% above | 25% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CM | $3,303.75 | $4,405.00 | $1.00–$202.35 | 213% above | 25% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC W/O CM | $3,303.75 | $4,405.00 | $1.00–$202.35 | — | 25% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC W/O CM | $3,303.75 | $4,405.00 | $1.00–$202.35 | — | 25% |
| Toe X-ray, 2 or more views CPT 73660 TOE(S) 2 VIEWS | $233.25 | $311.00 | $1.00–$91.76 | 85% above | 25% |
| Toe X-ray, 2 or more views CPT 73660 TOE(S) 2 VIEWS | $233.25 | $311.00 | $1.00–$91.76 | 85% above | 25% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) 2 VIEWS | $233.25 | $311.00 | $1.00–$91.76 | — | 25% |
| Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) 2 VIEWS | $233.25 | $311.00 | $1.00–$91.76 | — | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $1,335.00 | $1,780.00 | $1.00–$215.31 | 153% above | 25% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $1,335.00 | $1,780.00 | $1.00–$215.31 | 153% above | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NOT OB | $1,335.00 | $1,780.00 | $1.00–$215.31 | — | 25% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NOT OB | $1,335.00 | $1,780.00 | $1.00–$215.31 | — | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $1,241.25 | $1,655.00 | $1.00–$215.31 | 185% above | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $1,241.25 | $1,655.00 | $1.00–$215.31 | 185% above | 25% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $1,241.25 | $1,655.00 | $1.00–$215.31 | — | 25% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $1,241.25 | $1,655.00 | $1.00–$215.31 | — | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,273.50 | $1,698.00 | $1.00–$215.31 | 91% above | 25% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,273.50 | $1,698.00 | $1.00–$215.31 | 91% above | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $1,273.50 | $1,698.00 | $1.00–$215.31 | — | 25% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $1,273.50 | $1,698.00 | $1.00–$215.31 | — | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS | $1,284.75 | $1,713.00 | $1.00–$215.31 | 144% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM CONTENTS | $1,284.75 | $1,713.00 | $1.00–$215.31 | 144% above | 25% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM CONTENTS | $1,284.75 | $1,713.00 | $1.00–$215.31 | — | 25% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM CONTENTS | $1,284.75 | $1,713.00 | $1.00–$215.31 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK | $870.75 | $1,161.00 | $1.00–$215.31 | 83% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE HEAD/NECK | $870.75 | $1,161.00 | $1.00–$215.31 | 83% above | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK | $870.75 | $1,161.00 | $1.00–$215.31 | — | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE HEAD/NECK | $870.75 | $1,161.00 | $1.00–$215.31 | — | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/SNGL CM STDY | $1,084.50 | $1,446.00 | $1.00–$241.97 | 170% above | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/SNGL CM STDY | $1,084.50 | $1,446.00 | $1.00–$241.97 | 170% above | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W/SNGL CM STDY | $1,084.50 | $1,446.00 | $1.00–$241.97 | — | 25% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W/SNGL CM STDY | $1,084.50 | $1,446.00 | $1.00–$241.97 | — | 25% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS 2 VIEW MINIMUM | $290.25 | $387.00 | $1.00–$91.76 | 57% above | 25% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS 2 VIEW MINIMUM | $290.25 | $387.00 | $1.00–$91.76 | 57% above | 25% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS 2 VIEW MINIMUM | $290.25 | $387.00 | $1.00–$91.76 | — | 25% |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS 2 VIEW MINIMUM | $290.25 | $387.00 | $1.00–$91.76 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 UE/LE IMG VEINS UNI/LTD | $1,245.75 | $1,661.00 | $1.00–$497.93 | 135% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 UE/LE IMG VEINS UNI/LTD | $1,245.75 | $1,661.00 | $1.00–$497.93 | 135% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 UE/LE IMG VEINS UNI/LTD | $1,245.75 | $1,661.00 | $1.00–$497.93 | — | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 UE/LE IMG VEINS UNI/LTD | $1,245.75 | $1,661.00 | $1.00–$497.93 | — | 25% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS | $339.75 | $453.00 | $1.00–$91.76 | 142% above | 25% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEWS | $339.75 | $453.00 | $1.00–$91.76 | 142% above | 25% |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS | $339.75 | $453.00 | $1.00–$91.76 | — | 25% |
| Wrist X-ray, 2 views inpatient CPT 73100 WRIST 2 VIEWS | $339.75 | $453.00 | $1.00–$91.76 | — | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS MINIMUM | $394.50 | $526.00 | $1.00–$91.76 | 102% above | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS MINIMUM | $394.50 | $526.00 | $1.00–$91.76 | 102% above | 25% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3 VIEWS MINIMUM | $394.50 | $526.00 | $1.00–$91.76 | — | 25% |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST 3 VIEWS MINIMUM | $394.50 | $526.00 | $1.00–$91.76 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI W/PELV 2-3 VWS | $233.25 | $311.00 | $1.00–$97.28 | 13% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP UNI W/PELV 2-3 VWS | $233.25 | $311.00 | $1.00–$97.28 | 13% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP UNI W/PELV 2-3 VWS | $233.25 | $311.00 | $1.00–$97.28 | — | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP UNI W/PELV 2-3 VWS | $233.25 | $311.00 | $1.00–$97.28 | — | 25% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $213.00 | $284.00 | $1.00–$99.38 | 34% above | 25% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $213.00 | $284.00 | $1.00–$99.38 | 34% above | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $213.00 | $284.00 | $1.00–$99.38 | — | 25% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW | $213.00 | $284.00 | $1.00–$99.38 | — | 25% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $354.75 | $473.00 | $1.00–$91.76 | 102% above | 25% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $354.75 | $473.00 | $1.00–$91.76 | 102% above | 25% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS | $354.75 | $473.00 | $1.00–$91.76 | — | 25% |
| X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 2 VIEWS | $354.75 | $473.00 | $1.00–$91.76 | — | 25% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) 2 VIEWS | $261.00 | $348.00 | $1.00–$91.76 | 96% above | 25% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) 2 VIEWS | $261.00 | $348.00 | $1.00–$91.76 | 96% above | 25% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) 2 VIEWS | $261.00 | $348.00 | $1.00–$91.76 | — | 25% |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) 2 VIEWS | $261.00 | $348.00 | $1.00–$91.76 | — | 25% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $267.00 | $356.00 | $1.00–$91.76 | 68% above | 25% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $267.00 | $356.00 | $1.00–$91.76 | 68% above | 25% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS | $267.00 | $356.00 | $1.00–$91.76 | — | 25% |
| X-ray of the foot, 2 views inpatient CPT 73620 FOOT 2 VIEWS | $267.00 | $356.00 | $1.00–$91.76 | — | 25% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | 109% above | 25% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | 109% above | 25% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | — | 25% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT 3 VIEWS MINIMUM | $376.50 | $502.00 | $1.00–$91.76 | — | 25% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS MINIMUM | $546.75 | $729.00 | $1.00–$91.76 | 197% above | 25% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS MINIMUM | $546.75 | $729.00 | $1.00–$91.76 | 197% above | 25% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEWS MINIMUM | $546.75 | $729.00 | $1.00–$91.76 | — | 25% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HAND 3 VIEWS MINIMUM | $546.75 | $729.00 | $1.00–$91.76 | — | 25% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEWS | $446.25 | $595.00 | $1.00–$91.76 | 187% above | 25% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1-2 VIEWS | $446.25 | $595.00 | $1.00–$91.76 | 187% above | 25% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1-2 VIEWS | $446.25 | $595.00 | $1.00–$91.76 | — | 25% |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1-2 VIEWS | $446.25 | $595.00 | $1.00–$91.76 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 VIEWS | $434.25 | $579.00 | $1.00–$108.97 | 103% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 VIEWS | $434.25 | $579.00 | $1.00–$108.97 | 103% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 3 VIEWS | $846.00 | $1,128.00 | $1.00–$108.97 | 295% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 3 VIEWS | $846.00 | $1,128.00 | $1.00–$108.97 | 295% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 VIEWS | $434.25 | $579.00 | $1.00–$108.97 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 VIEWS | $434.25 | $579.00 | $1.00–$108.97 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 3 VIEWS | $846.00 | $1,128.00 | $1.00–$108.97 | — | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 3 VIEWS | $846.00 | $1,128.00 | $1.00–$108.97 | — | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $627.75 | $837.00 | $1.00–$145.42 | 104% above | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $627.75 | $837.00 | $1.00–$145.42 | 104% above | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4VWS | $627.75 | $837.00 | $1.00–$145.42 | — | 25% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4VWS | $627.75 | $837.00 | $1.00–$145.42 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS | $361.50 | $482.00 | $1.00–$108.97 | 95% above | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE THORACIC 2 VIEWS | $361.50 | $482.00 | $1.00–$108.97 | 95% above | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS | $361.50 | $482.00 | $1.00–$108.97 | — | 25% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE THORACIC 2 VIEWS | $361.50 | $482.00 | $1.00–$108.97 | — | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3VW MIN | $270.00 | $360.00 | $1.00–$91.76 | 54% above | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3VW MIN | $270.00 | $360.00 | $1.00–$91.76 | 54% above | 25% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3VW MIN | $270.00 | $360.00 | $1.00–$91.76 | — | 25% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3VW MIN | $270.00 | $360.00 | $1.00–$91.76 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | 73% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 2 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | 73% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS | $788.25 | $1,051.00 | $1.00–$91.76 | 242% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS | $788.25 | $1,051.00 | $1.00–$91.76 | 242% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 2 VIEWS | $398.25 | $531.00 | $1.00–$91.76 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS | $788.25 | $1,051.00 | $1.00–$91.76 | — | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS | $788.25 | $1,051.00 | $1.00–$91.76 | — | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 VIEW | $290.25 | $387.00 | $1.00–$108.97 | 76% above | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 VIEW | $290.25 | $387.00 | $1.00–$108.97 | 76% above | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 2 VIEWS | $657.75 | $877.00 | $1.00–$108.97 | 300% above | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 2 VIEWS | $657.75 | $877.00 | $1.00–$108.97 | 300% above | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 VIEW | $290.25 | $387.00 | $1.00–$108.97 | — | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1 VIEW | $290.25 | $387.00 | $1.00–$108.97 | — | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 2 VIEWS | $657.75 | $877.00 | $1.00–$108.97 | — | 25% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 2 VIEWS | $657.75 | $877.00 | $1.00–$108.97 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX 2 VWS | $416.25 | $555.00 | $1.00–$91.76 | 139% above | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM COCCYX 2 VWS | $416.25 | $555.00 | $1.00–$91.76 | 139% above | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX 2 VWS | $416.25 | $555.00 | $1.00–$91.76 | — | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM COCCYX 2 VWS | $416.25 | $555.00 | $1.00–$91.76 | — | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $339.75 | $453.00 | $1.00–$52.70 | 262% above | 25% |
| ACTH blood test CPT 82024 ACTH | $339.75 | $453.00 | $1.00–$52.70 | 262% above | 25% |
| ACTH blood test inpatient CPT 82024 ACTH | $339.75 | $453.00 | $1.00–$52.70 | — | 25% |
| ACTH blood test inpatient CPT 82024 ACTH | $339.75 | $453.00 | $1.00–$52.70 | — | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE-SGPT (ALT) | $28.50 | $38.00 | $4.88–$16.13 | 19% above | 25% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE-SGPT (ALT) | $28.50 | $38.00 | $4.88–$16.13 | 19% above | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE-SGPT (ALT) | $28.50 | $38.00 | $4.88–$16.13 | — | 25% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE-SGPT (ALT) | $28.50 | $38.00 | $4.88–$16.13 | — | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSTERASE AST(SGOT) | $28.50 | $38.00 | $4.88–$16.13 | 30% above | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSTERASE AST(SGOT) | $28.50 | $38.00 | $4.88–$16.13 | 30% above | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSTERASE AST(SGOT) | $28.50 | $38.00 | $4.88–$16.13 | — | 25% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSTERASE AST(SGOT) | $28.50 | $38.00 | $4.88–$16.13 | — | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $450.75 | $601.00 | $1.00–$64.99 | 165% above | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $450.75 | $601.00 | $1.00–$64.99 | 165% above | 25% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $450.75 | $601.00 | $1.00–$64.99 | — | 25% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $450.75 | $601.00 | $1.00–$64.99 | — | 25% |
| Albumin blood test CPT 82040 Serum Albumin | $17.25 | $23.00 | $4.88–$16.13 | 14% below | 25% |
| Albumin blood test CPT 82040 Serum Albumin | $17.25 | $23.00 | $4.88–$16.13 | 14% below | 25% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $20.25 | $27.00 | $4.88–$16.13 | 1% above | 25% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $20.25 | $27.00 | $4.88–$16.13 | 1% above | 25% |
| Albumin blood test CPT 82040 ALBUMIN,SERUM | $41.25 | $55.00 | $4.88–$16.13 | 106% above | 25% |
| Albumin blood test CPT 82040 ALBUMIN,SERUM | $41.25 | $55.00 | $4.88–$16.13 | 106% above | 25% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM QUANT | $58.50 | $78.00 | $4.88–$16.13 | 192% above | 25% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM QUANT | $58.50 | $78.00 | $4.88–$16.13 | 192% above | 25% |
| Albumin blood test CPT 82040 PROTEIN, ALBUMIN ONLY, BLD, AU | $100.50 | $134.00 | $4.88–$16.13 | 402% above | 25% |
| Albumin blood test CPT 82040 PROTEIN, ALBUMIN ONLY, BLD, AU | $100.50 | $134.00 | $4.88–$16.13 | 402% above | 25% |
| Albumin blood test inpatient CPT 82040 Serum Albumin | $17.25 | $23.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 Serum Albumin | $17.25 | $23.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $20.25 | $27.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $20.25 | $27.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN,SERUM | $41.25 | $55.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN,SERUM | $41.25 | $55.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM QUANT | $58.50 | $78.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM QUANT | $58.50 | $78.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 PROTEIN, ALBUMIN ONLY, BLD, AU | $100.50 | $134.00 | $4.88–$16.13 | — | 25% |
| Albumin blood test inpatient CPT 82040 PROTEIN, ALBUMIN ONLY, BLD, AU | $100.50 | $134.00 | $4.88–$16.13 | — | 25% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $126.00 | $168.00 | $1.00–$55.60 | 129% above | 25% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $126.00 | $168.00 | $1.00–$55.60 | 129% above | 25% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $126.00 | $168.00 | $1.00–$55.60 | — | 25% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $126.00 | $168.00 | $1.00–$55.60 | — | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTAL | $47.25 | $63.00 | $4.88–$16.13 | 125% above | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTAL | $47.25 | $63.00 | $4.88–$16.13 | 125% above | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTA | $49.50 | $66.00 | $4.88–$16.13 | 136% above | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTA | $49.50 | $66.00 | $4.88–$16.13 | 136% above | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $112.50 | $150.00 | $4.88–$16.13 | 436% above | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE | $112.50 | $150.00 | $4.88–$16.13 | 436% above | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE TOTAL | $47.25 | $63.00 | $4.88–$16.13 | — | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE TOTAL | $47.25 | $63.00 | $4.88–$16.13 | — | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE TOTA | $49.50 | $66.00 | $4.88–$16.13 | — | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE TOTA | $49.50 | $66.00 | $4.88–$16.13 | — | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE | $112.50 | $150.00 | $4.88–$16.13 | — | 25% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE | $112.50 | $150.00 | $4.88–$16.13 | — | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BENTGRASS | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHICKEN FEATHERS | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HONEY | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GOAT EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHEEP EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GOAT EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHEEP EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SUNFLOWER POLLEN | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BAY LEAF | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE LINSEED | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SUNFLOWER POLLEN | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TOBACCO | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE POPPY SEED | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE POPPY SEED | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALDER TREE | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TOBACCO | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE VANILLA | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE VANILLA | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLGN IGE PENICILLIN G (MAJOR) | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALFALFA | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALFALFA | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CHICKEN FEATHERS | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HOPS | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE ALDER TREE | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HONEY | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BENTGRASS | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE BAY LEAF | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE LINSEED | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HOPS | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLGN IGE PENICILLIN G (MAJOR) | $2.25 | $3.00 | $1.00–$7.12 | 65% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLRGN SPEC IGE EA | $2.45 | $3.26 | $1.00–$7.12 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLRGN SPEC IGE EA | $2.45 | $3.26 | $1.00–$7.12 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SUNFLOWER SEED | $2.45 | $3.26 | $1.00–$7.12 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SUNFLOWER SEED | $2.45 | $3.26 | $1.00–$7.12 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TURKEY FEATHERS | $2.45 | $3.26 | $1.00–$7.12 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE TURKEY FEATHERS | $2.45 | $3.26 | $1.00–$7.12 | 62% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SAFFLOWER | $10.50 | $14.00 | $1.00–$7.12 | 65% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SAFFLOWER | $10.50 | $14.00 | $1.00–$7.12 | 65% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE A FUMIGATUS | $11.25 | $15.00 | $1.00–$7.12 | 77% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE A FUMIGATUS | $11.25 | $15.00 | $1.00–$7.12 | 77% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE POMEGRANATE | $13.50 | $18.00 | $1.00–$7.12 | 112% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE POMEGRANATE | $13.50 | $18.00 | $1.00–$7.12 | 112% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #7 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #02 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #03 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #8 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #04 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #05 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #7 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #06 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #07 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #08 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #09 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #10 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #11 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #12 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #13 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #14 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #15 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #16 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #17 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #6 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #5 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EACH ALLERGEN | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #17 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #16 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #15 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #14 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EACH ALLERGEN | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #13 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #12 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #11 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #10 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #09 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #08 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #07 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #06 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #05 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #04 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #03 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #02 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #4 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #01 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #9 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #3 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #8 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #6 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #5 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #4 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #3 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #2 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #2 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #11 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #10 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #1 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #9 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #11 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #10 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, #1 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, IGE, #01 | $16.50 | $22.00 | $1.00–$7.12 | 159% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE NECTARINE SPEC | $17.25 | $23.00 | $1.00–$7.12 | 171% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE NECTARINE SPEC | $17.25 | $23.00 | $1.00–$7.12 | 171% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLGN SPEC IGE EA ALLERG | $18.75 | $25.00 | $1.00–$7.12 | 194% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLGN SPEC IGE EA ALLERG | $18.75 | $25.00 | $1.00–$7.12 | 194% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLGN IGE EA ALLERG | $24.00 | $32.00 | $1.00–$7.12 | 277% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLGN IGE EA ALLERG | $24.00 | $32.00 | $1.00–$7.12 | 277% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPI & DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. PTERNYSSINUS,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. FARINAE,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW'S MILK,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPI & DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. PTERNYSSINUS,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. FARINAE,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW'S MILK,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN,IGE | $29.25 | $39.00 | $1.00–$7.12 | 359% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GELATIN PORCINE | $32.25 | $43.00 | $1.00–$7.12 | 406% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GELATIN PORCINE | $32.25 | $43.00 | $1.00–$7.12 | 406% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SCALLOP | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GLUTEN | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CODFISH | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HAZELNUT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EGG WHITE | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE CODFISH | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE HAZELNUT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MILK | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHEAT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WALNUT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WHEAT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MILK | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE WALNUT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PEANUT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PEANUT | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SOYBEAN | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHRIMP | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SOYBEAN | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE GLUTEN | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE EGG WHITE | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SHRIMP | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SESAME SEED | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SESAME SEED | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE SCALLOP | $34.50 | $46.00 | $1.00–$7.12 | 442% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COTTON SEED | $54.75 | $73.00 | $1.00–$7.12 | 759% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PUMPKIN SEED | $54.75 | $73.00 | $1.00–$7.12 | 759% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE PUMPKIN SEED | $54.75 | $73.00 | $1.00–$7.12 | 759% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE COTTON SEED | $54.75 | $73.00 | $1.00–$7.12 | 759% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RAT URINE | $55.50 | $74.00 | $1.00–$7.12 | 771% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MOUSE URINE | $55.50 | $74.00 | $1.00–$7.12 | 771% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE RAT URINE | $55.50 | $74.00 | $1.00–$7.12 | 771% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE MOUSE URINE | $55.50 | $74.00 | $1.00–$7.12 | 771% above | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE POPPY SEED | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GOAT EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SUNFLOWER POLLEN | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HONEY | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHEEP EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHEEP EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE POPPY SEED | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE LINSEED | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BAY LEAF | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BENTGRASS | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHICKEN FEATHERS | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALDER TREE | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HOPS | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HONEY | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CHICKEN FEATHERS | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BENTGRASS | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GOAT EPITHELIUM | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE BAY LEAF | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALFALFA | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SUNFLOWER POLLEN | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TOBACCO | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TOBACCO | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE VANILLA | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGN IGE PENICILLIN G (MAJOR) | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE LINSEED | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE VANILLA | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGN IGE PENICILLIN G (MAJOR) | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HOPS | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALDER TREE | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE ALFALFA | $2.25 | $3.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SUNFLOWER SEED | $2.45 | $3.26 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLRGN SPEC IGE EA | $2.45 | $3.26 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SUNFLOWER SEED | $2.45 | $3.26 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TURKEY FEATHERS | $2.45 | $3.26 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLRGN SPEC IGE EA | $2.45 | $3.26 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE TURKEY FEATHERS | $2.45 | $3.26 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SAFFLOWER | $10.50 | $14.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SAFFLOWER | $10.50 | $14.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE A FUMIGATUS | $11.25 | $15.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE A FUMIGATUS | $11.25 | $15.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE POMEGRANATE | $13.50 | $18.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE POMEGRANATE | $13.50 | $18.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #05 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EACH ALLERGEN | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #17 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #16 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #15 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #14 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #13 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #12 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #11 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #10 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #09 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #08 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #07 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #06 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #05 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #04 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #03 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #02 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #01 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #9 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #8 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #7 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #6 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #5 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #4 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #3 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #2 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #11 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #10 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #1 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #1 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #10 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #11 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #2 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #3 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #4 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #5 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #6 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #7 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #8 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, #9 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #01 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #02 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #03 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #04 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #06 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #07 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #08 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #09 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #10 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #11 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #12 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #13 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #14 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #15 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #16 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, IGE, #17 | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EACH ALLERGEN | $16.50 | $22.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE NECTARINE SPEC | $17.25 | $23.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE NECTARINE SPEC | $17.25 | $23.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGN SPEC IGE EA ALLERG | $18.75 | $25.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGN SPEC IGE EA ALLERG | $18.75 | $25.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGN IGE EA ALLERG | $24.00 | $32.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLGN IGE EA ALLERG | $24.00 | $32.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPI & DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW'S MILK,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. FARINAE,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. PTERNYSSINUS,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. FARINAE,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPI & DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. PTERNYSSINUS,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW'S MILK,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN,IGE | $29.25 | $39.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GELATIN PORCINE | $32.25 | $43.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GELATIN PORCINE | $32.25 | $43.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SCALLOP | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HAZELNUT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHEAT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WALNUT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SOYBEAN | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHRIMP | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SESAME SEED | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SCALLOP | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PEANUT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MILK | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CODFISH | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EGG WHITE | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GLUTEN | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE HAZELNUT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MILK | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PEANUT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SESAME SEED | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SHRIMP | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE SOYBEAN | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WALNUT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE WHEAT | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE CODFISH | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE EGG WHITE | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE GLUTEN | $34.50 | $46.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COTTON SEED | $54.75 | $73.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PUMPKIN SEED | $54.75 | $73.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE PUMPKIN SEED | $54.75 | $73.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE COTTON SEED | $54.75 | $73.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MOUSE URINE | $55.50 | $74.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RAT URINE | $55.50 | $74.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE RAT URINE | $55.50 | $74.00 | $1.00–$7.12 | — | 25% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE MOUSE URINE | $55.50 | $74.00 | $1.00–$7.12 | — | 25% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN SERUM | $306.00 | $408.00 | $1.00–$22.89 | 500% above | 25% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN SERUM | $306.00 | $408.00 | $1.00–$22.89 | 500% above | 25% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN SERUM | $306.00 | $408.00 | $1.00–$22.89 | — | 25% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN SERUM | $306.00 | $408.00 | $1.00–$22.89 | — | 25% |
| Ammonia blood test CPT 82140 AMMONIA | $145.50 | $194.00 | $1.00–$19.88 | 124% above | 25% |
| Ammonia blood test CPT 82140 AMMONIA | $145.50 | $194.00 | $1.00–$19.88 | 124% above | 25% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $145.50 | $194.00 | $1.00–$19.88 | — | 25% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $145.50 | $194.00 | $1.00–$19.88 | — | 25% |
| Amylase blood test CPT 82150 AMYLASE,TOTAL | $97.50 | $130.00 | $1.00–$8.84 | 386% above | 25% |
| Amylase blood test CPT 82150 AMYLASE,TOTAL | $97.50 | $130.00 | $1.00–$8.84 | 386% above | 25% |
| Amylase blood test CPT 82150 AMYLASE | $106.50 | $142.00 | $1.00–$8.84 | 431% above | 25% |
| Amylase blood test CPT 82150 AMYLASE | $106.50 | $142.00 | $1.00–$8.84 | 431% above | 25% |
| Amylase blood test CPT 82150 MACROAMYLASE | $167.25 | $223.00 | $1.00–$8.84 | 734% above | 25% |
| Amylase blood test CPT 82150 TOTAL AMYLASE | $167.25 | $223.00 | $1.00–$8.84 | 734% above | 25% |
| Amylase blood test CPT 82150 TOTAL AMYLASE | $167.25 | $223.00 | $1.00–$8.84 | 734% above | 25% |
| Amylase blood test CPT 82150 MACROAMYLASE | $167.25 | $223.00 | $1.00–$8.84 | 734% above | 25% |
| Amylase blood test inpatient CPT 82150 AMYLASE,TOTAL | $97.50 | $130.00 | $1.00–$8.84 | — | 25% |
| Amylase blood test inpatient CPT 82150 AMYLASE,TOTAL | $97.50 | $130.00 | $1.00–$8.84 | — | 25% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $106.50 | $142.00 | $1.00–$8.84 | — | 25% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $106.50 | $142.00 | $1.00–$8.84 | — | 25% |
| Amylase blood test inpatient CPT 82150 TOTAL AMYLASE | $167.25 | $223.00 | $1.00–$8.84 | — | 25% |
| Amylase blood test inpatient CPT 82150 TOTAL AMYLASE | $167.25 | $223.00 | $1.00–$8.84 | — | 25% |
| Amylase blood test inpatient CPT 82150 MACROAMYLASE | $167.25 | $223.00 | $1.00–$8.84 | — | 25% |
| Amylase blood test inpatient CPT 82150 MACROAMYLASE | $167.25 | $223.00 | $1.00–$8.84 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLINATED PEP AB | $109.50 | $146.00 | $1.00–$17.66 | 97% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLINATED PEP AB | $109.50 | $146.00 | $1.00–$17.66 | 97% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYC CITRULLINATED PEP AB | $109.50 | $146.00 | $1.00–$17.66 | — | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYC CITRULLINATED PEP AB | $109.50 | $146.00 | $1.00–$17.66 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB(ANA) | $85.50 | $114.00 | $1.00–$16.49 | 53% above | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB(ANA) | $85.50 | $114.00 | $1.00–$16.49 | 53% above | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $152.25 | $203.00 | $1.00–$16.49 | 172% above | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $152.25 | $203.00 | $1.00–$16.49 | 172% above | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB(ANA) | $85.50 | $114.00 | $1.00–$16.49 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB(ANA) | $85.50 | $114.00 | $1.00–$16.49 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $152.25 | $203.00 | $1.00–$16.49 | — | 25% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES | $152.25 | $203.00 | $1.00–$16.49 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYP NATRIURETC PEPTIDE | $399.00 | $532.00 | $1.00–$46.31 | 416% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYP NATRIURETC PEPTIDE | $399.00 | $532.00 | $1.00–$46.31 | 416% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYP NATRIURETC PEPTIDE | $399.00 | $532.00 | $1.00–$46.31 | — | 25% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYP NATRIURETC PEPTIDE | $399.00 | $532.00 | $1.00–$46.31 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC W/ISOL & | $144.75 | $193.00 | $1.00–$11.75 | 173% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC W/ISOL & | $144.75 | $193.00 | $1.00–$11.75 | 173% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER SOURCE | $216.75 | $289.00 | $1.00–$11.75 | 309% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER SOURCE | $216.75 | $289.00 | $1.00–$11.75 | 309% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, QUANT., FLUID | $577.50 | $770.00 | $1.00–$11.75 | 990% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, QUANT., FLUID | $577.50 | $770.00 | $1.00–$11.75 | 990% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC W/ISOL & | $144.75 | $193.00 | $1.00–$11.75 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC W/ISOL & | $144.75 | $193.00 | $1.00–$11.75 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHER SOURCE | $216.75 | $289.00 | $1.00–$11.75 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE OTHER SOURCE | $216.75 | $289.00 | $1.00–$11.75 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, QUANT., FLUID | $577.50 | $770.00 | $1.00–$11.75 | — | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, QUANT., FLUID | $577.50 | $770.00 | $1.00–$11.75 | — | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $522.75 | $697.00 | $1.00–$11.54 | 937% above | 25% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $522.75 | $697.00 | $1.00–$11.54 | 937% above | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $522.75 | $697.00 | $1.00–$11.54 | — | 25% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $522.75 | $697.00 | $1.00–$11.54 | — | 25% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $105.75 | $141.00 | $4.88–$16.13 | 366% above | 25% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $105.75 | $141.00 | $4.88–$16.13 | 366% above | 25% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $105.75 | $141.00 | $4.88–$16.13 | — | 25% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $105.75 | $141.00 | $4.88–$16.13 | — | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LEVEL IV | $321.75 | $429.00 | $1.00–$55.90 | 195% above | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATH LEVEL IV | $321.75 | $429.00 | $1.00–$55.90 | 195% above | 25% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LEVEL IV | $321.75 | $429.00 | $1.00–$55.90 | — | 25% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATH LEVEL IV | $321.75 | $429.00 | $1.00–$55.90 | — | 25% |
| Blood culture for bacteria CPT 87040 CULT BLOOD AERO/ANAERO | $241.50 | $322.00 | $1.00–$14.09 | 283% above | 25% |
| Blood culture for bacteria CPT 87040 CULT BLOOD AERO/ANAERO | $241.50 | $322.00 | $1.00–$14.09 | 283% above | 25% |
| Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AERO/ANAERO | $241.50 | $322.00 | $1.00–$14.09 | — | 25% |
| Blood culture for bacteria inpatient CPT 87040 CULT BLOOD AERO/ANAERO | $241.50 | $322.00 | $1.00–$14.09 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW BY VENIPUNCTURE | $46.50 | $62.00 | $1.00–$5.65 | 261% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW BY VENIPUNCTURE | $46.50 | $62.00 | $1.00–$5.65 | 261% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $48.75 | $65.00 | $1.00–$5.65 | 278% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $48.75 | $65.00 | $1.00–$5.65 | 278% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION | $60.00 | $80.00 | $1.00–$5.65 | 365% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPECIMEN COLLECTION | $60.00 | $80.00 | $1.00–$5.65 | 365% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW BY VENIPUNCTURE | $46.50 | $62.00 | $1.00–$5.65 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW BY VENIPUNCTURE | $46.50 | $62.00 | $1.00–$5.65 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $48.75 | $65.00 | $1.00–$5.65 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $48.75 | $65.00 | $1.00–$5.65 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION | $60.00 | $80.00 | $1.00–$5.65 | — | 25% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPECIMEN COLLECTION | $60.00 | $80.00 | $1.00–$5.65 | — | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, FASTING PLASMA | $48.75 | $65.00 | $3.93–$16.13 | 103% above | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, FASTING PLASMA | $48.75 | $65.00 | $3.93–$16.13 | 103% above | 25% |
| Blood glucose (sugar) test CPT 82947 BMP LYTES GLUCOSE | $49.50 | $66.00 | $3.93–$16.13 | 106% above | 25% |
| Blood glucose (sugar) test CPT 82947 BMP LYTES GLUCOSE | $49.50 | $66.00 | $3.93–$16.13 | 106% above | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $81.00 | $108.00 | $3.93–$16.13 | 238% above | 25% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $81.00 | $108.00 | $3.93–$16.13 | 238% above | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, FASTING PLASMA | $48.75 | $65.00 | $3.93–$16.13 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, FASTING PLASMA | $48.75 | $65.00 | $3.93–$16.13 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 BMP LYTES GLUCOSE | $49.50 | $66.00 | $3.93–$16.13 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 BMP LYTES GLUCOSE | $49.50 | $66.00 | $3.93–$16.13 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD | $81.00 | $108.00 | $3.93–$16.13 | — | 25% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD | $81.00 | $108.00 | $3.93–$16.13 | — | 25% |
| Blood lead test CPT 83655 LEAD | $36.00 | $48.00 | $1.00–$16.52 | 371% above | 25% |
| Blood lead test CPT 83655 LEAD | $36.00 | $48.00 | $1.00–$16.52 | 371% above | 25% |
| Blood lead test CPT 83655 LEAD QUANTITATIVE | $42.00 | $56.00 | $1.00–$16.52 | 449% above | 25% |
| Blood lead test CPT 83655 LEAD QUANTITATIVE | $42.00 | $56.00 | $1.00–$16.52 | 449% above | 25% |
| Blood lead test CPT 83655 LEAD HEAVY METAL | $63.00 | $84.00 | $1.00–$16.52 | 724% above | 25% |
| Blood lead test CPT 83655 LEAD HEAVY METAL | $63.00 | $84.00 | $1.00–$16.52 | 724% above | 25% |
| Blood lead test inpatient CPT 83655 LEAD | $36.00 | $48.00 | $1.00–$16.52 | — | 25% |
| Blood lead test inpatient CPT 83655 LEAD | $36.00 | $48.00 | $1.00–$16.52 | — | 25% |
| Blood lead test inpatient CPT 83655 LEAD QUANTITATIVE | $42.00 | $56.00 | $1.00–$16.52 | — | 25% |
| Blood lead test inpatient CPT 83655 LEAD QUANTITATIVE | $42.00 | $56.00 | $1.00–$16.52 | — | 25% |
| Blood lead test inpatient CPT 83655 LEAD HEAVY METAL | $63.00 | $84.00 | $1.00–$16.52 | — | 25% |
| Blood lead test inpatient CPT 83655 LEAD HEAVY METAL | $63.00 | $84.00 | $1.00–$16.52 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADTOPN CHRONC(HCG)QL | $105.75 | $141.00 | $1.00–$10.26 | 186% above | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADTOPN CHRONC(HCG)QL | $105.75 | $141.00 | $1.00–$10.26 | 186% above | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADTOPN CHRONC(HCG)QL | $105.75 | $141.00 | $1.00–$10.26 | — | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADTOPN CHRONC(HCG)QL | $105.75 | $141.00 | $1.00–$10.26 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLD TYPE ABO ONLY | $145.50 | $194.00 | $1.00–$7.17 | 591% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLD TYPE ABO ONLY | $145.50 | $194.00 | $1.00–$7.17 | 591% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TRANSPLANT ABO | $171.75 | $229.00 | $1.00–$7.17 | 716% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TRANSPLANT ABO | $171.75 | $229.00 | $1.00–$7.17 | 716% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLD TYPE ABO ONLY | $145.50 | $194.00 | $1.00–$7.17 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLD TYPE ABO ONLY | $145.50 | $194.00 | $1.00–$7.17 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TRANSPLANT ABO | $171.75 | $229.00 | $1.00–$7.17 | — | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TRANSPLANT ABO | $171.75 | $229.00 | $1.00–$7.17 | — | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 BMP LYTES BUN | $39.00 | $52.00 | $3.95–$16.13 | 120% above | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 BMP LYTES BUN | $39.00 | $52.00 | $3.95–$16.13 | 120% above | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 POSTDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | 340% above | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 PREDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | 340% above | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 POSTDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | 340% above | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 PREDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | 340% above | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 BLD UREA NITROGEN QUAN | $83.25 | $111.00 | $3.95–$16.13 | 370% above | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 BLD UREA NITROGEN QUAN | $83.25 | $111.00 | $3.95–$16.13 | 370% above | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BMP LYTES BUN | $39.00 | $52.00 | $3.95–$16.13 | — | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BMP LYTES BUN | $39.00 | $52.00 | $3.95–$16.13 | — | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 POSTDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | — | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 PREDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | — | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 POSTDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | — | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 PREDIALYSIS BUN | $78.00 | $104.00 | $3.95–$16.13 | — | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BLD UREA NITROGEN QUAN | $83.25 | $111.00 | $3.95–$16.13 | — | 25% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BLD UREA NITROGEN QUAN | $83.25 | $111.00 | $3.95–$16.13 | — | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QN | $165.75 | $221.00 | $1.00–$7.06 | 388% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN QN | $165.75 | $221.00 | $1.00–$7.06 | 388% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QN | $165.75 | $221.00 | $1.00–$7.06 | — | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN QN | $165.75 | $221.00 | $1.00–$7.06 | — | 25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN AMP PROBE | $105.75 | $141.00 | $1.00–$47.87 | 9% below | 25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF TOXIN AMP PROBE | $105.75 | $141.00 | $1.00–$47.87 | 9% below | 25% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN AMP PROBE | $105.75 | $141.00 | $1.00–$47.87 | — | 25% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF TOXIN AMP PROBE | $105.75 | $141.00 | $1.00–$47.87 | — | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $253.50 | $338.00 | $1.00–$28.39 | 171% above | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $253.50 | $338.00 | $1.00–$28.39 | 171% above | 25% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $253.50 | $338.00 | $1.00–$28.39 | — | 25% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $253.50 | $338.00 | $1.00–$28.39 | — | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $219.00 | $292.00 | $1.00–$28.39 | 117% above | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 | $219.00 | $292.00 | $1.00–$28.39 | 117% above | 25% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $219.00 | $292.00 | $1.00–$28.39 | — | 25% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 | $219.00 | $292.00 | $1.00–$28.39 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARSCOV2 COVID19 AMP PRB | $38.48 | $51.31 | $1.00–$78.21 | 64% below | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARSCOV2 COVID19 AMP PRB | $38.48 | $51.31 | $1.00–$78.21 | 64% below | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARSCOV2 COVID19 AMP PRB | $38.48 | $51.31 | $1.00–$78.21 | — | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARSCOV2 COVID19 AMP PRB | $38.48 | $51.31 | $1.00–$78.21 | — | 25% |
| Calcium blood test, total CPT 82310 CALCIUM | $67.50 | $90.00 | $4.88–$16.13 | 238% above | 25% |
| Calcium blood test, total CPT 82310 CALCIUM | $67.50 | $90.00 | $4.88–$16.13 | 238% above | 25% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $67.50 | $90.00 | $4.88–$16.13 | — | 25% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $67.50 | $90.00 | $4.88–$16.13 | — | 25% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINO-EMBRYONIC AG | $439.50 | $586.00 | $1.00–$25.88 | 430% above | 25% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINO-EMBRYONIC AG | $439.50 | $586.00 | $1.00–$25.88 | 430% above | 25% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINO-EMBRYONIC AG | $439.50 | $586.00 | $1.00–$25.88 | — | 25% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINO-EMBRYONIC AG | $439.50 | $586.00 | $1.00–$25.88 | — | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB | $34.00 | $45.33 | $1.00–$17.58 | 16% below | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB | $34.00 | $45.33 | $1.00–$17.58 | 16% below | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG | $94.50 | $126.00 | $1.00–$17.58 | 134% above | 25% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG | $94.50 | $126.00 | $1.00–$17.58 | 134% above | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB | $34.00 | $45.33 | $1.00–$17.58 | — | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB | $34.00 | $45.33 | $1.00–$17.58 | — | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG | $94.50 | $126.00 | $1.00–$17.58 | — | 25% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG | $94.50 | $126.00 | $1.00–$17.58 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | 364% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | 364% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | — | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $563.25 | $751.00 | $1.00–$18.27 | 1005% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $563.25 | $751.00 | $1.00–$18.27 | 1005% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $563.25 | $751.00 | $1.00–$18.27 | — | 25% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $563.25 | $751.00 | $1.00–$18.27 | — | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO DIFF (5) | $81.00 | $108.00 | $1.00–$10.61 | 101% above | 25% |
| Complete blood count (CBC) with differential CPT 85025 CBC/PLT/AUTO DIFF (5) | $81.00 | $108.00 | $1.00–$10.61 | 101% above | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT/AUTO DIFF (5) | $81.00 | $108.00 | $1.00–$10.61 | — | 25% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/PLT/AUTO DIFF (5) | $81.00 | $108.00 | $1.00–$10.61 | — | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $75.00 | $100.00 | $1.00–$8.83 | 159% above | 25% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $75.00 | $100.00 | $1.00–$8.83 | 159% above | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $75.00 | $100.00 | $1.00–$8.83 | — | 25% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $75.00 | $100.00 | $1.00–$8.83 | — | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $633.00 | $844.00 | $1.00–$16.97 | 746% above | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $633.00 | $844.00 | $1.00–$16.97 | 746% above | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $633.00 | $844.00 | $1.00–$16.97 | — | 25% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $633.00 | $844.00 | $1.00–$16.97 | — | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $288.75 | $385.00 | $1.00–$22.24 | 749% above | 25% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $288.75 | $385.00 | $1.00–$22.24 | 749% above | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $288.75 | $385.00 | $1.00–$22.24 | — | 25% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL | $288.75 | $385.00 | $1.00–$22.24 | — | 25% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $233.25 | $311.00 | $4.88–$16.13 | 678% above | 25% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $233.25 | $311.00 | $4.88–$16.13 | 678% above | 25% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL | $233.25 | $311.00 | $4.88–$16.13 | — | 25% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL | $233.25 | $311.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test CPT 82565 BMP LYTES CREATININE | $39.00 | $52.00 | $4.88–$16.13 | 64% above | 25% |
| Creatinine blood test CPT 82565 BMP LYTES CREATININE | $39.00 | $52.00 | $4.88–$16.13 | 64% above | 25% |
| Creatinine blood test CPT 82565 CREATININE | $64.50 | $86.00 | $4.88–$16.13 | 170% above | 25% |
| Creatinine blood test CPT 82565 CREATININE | $64.50 | $86.00 | $4.88–$16.13 | 170% above | 25% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $123.00 | $164.00 | $4.88–$16.13 | 416% above | 25% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $123.00 | $164.00 | $4.88–$16.13 | 416% above | 25% |
| Creatinine blood test CPT 82565 POC CREATININE BLOOD | $126.00 | $168.00 | $4.88–$16.13 | 428% above | 25% |
| Creatinine blood test CPT 82565 POC CREATININE BLOOD | $126.00 | $168.00 | $4.88–$16.13 | 428% above | 25% |
| Creatinine blood test inpatient CPT 82565 BMP LYTES CREATININE | $39.00 | $52.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test inpatient CPT 82565 BMP LYTES CREATININE | $39.00 | $52.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $64.50 | $86.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $64.50 | $86.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $123.00 | $164.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $123.00 | $164.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test inpatient CPT 82565 POC CREATININE BLOOD | $126.00 | $168.00 | $4.88–$16.13 | — | 25% |
| Creatinine blood test inpatient CPT 82565 POC CREATININE BLOOD | $126.00 | $168.00 | $4.88–$16.13 | — | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 SCREEN UNIT - CMV | $9.75 | $13.00 | $1.00–$19.64 | 78% below | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 SCREEN UNIT - CMV | $9.75 | $13.00 | $1.00–$19.64 | 78% below | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB | $10.50 | $14.00 | $1.00–$19.64 | 76% below | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB | $10.50 | $14.00 | $1.00–$19.64 | 76% below | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 TRANSPLANT CMV, ANTIBODY | $123.00 | $164.00 | $1.00–$19.64 | 182% above | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 TRANSPLANT CMV, ANTIBODY | $123.00 | $164.00 | $1.00–$19.64 | 182% above | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB | $200.25 | $267.00 | $1.00–$19.64 | 360% above | 25% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB | $200.25 | $267.00 | $1.00–$19.64 | 360% above | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 SCREEN UNIT - CMV | $9.75 | $13.00 | $1.00–$19.64 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 SCREEN UNIT - CMV | $9.75 | $13.00 | $1.00–$19.64 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB | $10.50 | $14.00 | $1.00–$19.64 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS AB | $10.50 | $14.00 | $1.00–$19.64 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TRANSPLANT CMV, ANTIBODY | $123.00 | $164.00 | $1.00–$19.64 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TRANSPLANT CMV, ANTIBODY | $123.00 | $164.00 | $1.00–$19.64 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB | $200.25 | $267.00 | $1.00–$19.64 | — | 25% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB | $200.25 | $267.00 | $1.00–$19.64 | — | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QNT | $91.50 | $122.00 | $1.00–$13.89 | 113% above | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 FDP D-DIMER QNT | $91.50 | $122.00 | $1.00–$13.89 | 113% above | 25% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP D-DIMER QNT | $91.50 | $122.00 | $1.00–$13.89 | — | 25% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP D-DIMER QNT | $91.50 | $122.00 | $1.00–$13.89 | — | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDRST SULFATE | $206.25 | $275.00 | $1.00–$30.33 | 221% above | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDRST SULFATE | $206.25 | $275.00 | $1.00–$30.33 | 221% above | 25% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDRST SULFATE | $206.25 | $275.00 | $1.00–$30.33 | — | 25% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDRST SULFATE | $206.25 | $275.00 | $1.00–$30.33 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE MECON | $55.50 | $74.00 | $1.00–$79.81 | 5% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE MECON | $55.50 | $74.00 | $1.00–$79.81 | 5% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN/MECONIUM | $60.00 | $80.00 | $1.00–$79.81 | 3% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN/MECONIUM | $60.00 | $80.00 | $1.00–$79.81 | 3% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QUAL | $90.00 | $120.00 | $1.00–$79.81 | 55% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QUAL | $90.00 | $120.00 | $1.00–$79.81 | 55% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL ETHYL | $105.75 | $141.00 | $1.00–$79.81 | 82% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL ETHYL | $105.75 | $141.00 | $1.00–$79.81 | 82% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGLE DRUG CLASS | $139.50 | $186.00 | $1.00–$79.81 | 140% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE QUAL | $139.50 | $186.00 | $1.00–$79.81 | 140% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADANE & METABOLITE | $139.50 | $186.00 | $1.00–$79.81 | 140% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE QUAL | $139.50 | $186.00 | $1.00–$79.81 | 140% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGLE DRUG CLASS | $139.50 | $186.00 | $1.00–$79.81 | 140% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADANE & METABOLITE | $139.50 | $186.00 | $1.00–$79.81 | 140% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC DRUGS QUAL | $157.50 | $210.00 | $1.00–$79.81 | 170% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC DRUGS QUAL | $157.50 | $210.00 | $1.00–$79.81 | 170% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN EACH CLASS | $330.00 | $440.00 | $1.00–$79.81 | 467% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN EACH CLASS | $330.00 | $440.00 | $1.00–$79.81 | 467% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR/2 | $519.75 | $693.00 | $1.00–$79.81 | 793% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR/2 | $519.75 | $693.00 | $1.00–$79.81 | 793% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $588.00 | $784.00 | $1.00–$79.81 | 910% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES | $588.00 | $784.00 | $1.00–$79.81 | 910% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $588.00 | $784.00 | $1.00–$79.81 | 910% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES | $588.00 | $784.00 | $1.00–$79.81 | 910% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL ETHYL URINE | $626.25 | $835.00 | $1.00–$79.81 | 975% above | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL ETHYL URINE | $626.25 | $835.00 | $1.00–$79.81 | 975% above | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE MECON | $55.50 | $74.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE MECON | $55.50 | $74.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN/MECONIUM | $60.00 | $80.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN/MECONIUM | $60.00 | $80.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QUAL | $90.00 | $120.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QUAL | $90.00 | $120.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL ETHYL | $105.75 | $141.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL ETHYL | $105.75 | $141.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGLE DRUG CLASS | $139.50 | $186.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE QUAL | $139.50 | $186.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADANE & METABOLITE | $139.50 | $186.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGLE DRUG CLASS | $139.50 | $186.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE QUAL | $139.50 | $186.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADANE & METABOLITE | $139.50 | $186.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC DRUGS QUAL | $157.50 | $210.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC DRUGS QUAL | $157.50 | $210.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN EACH CLASS | $330.00 | $440.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN EACH CLASS | $330.00 | $440.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR/2 | $519.75 | $693.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR/2 | $519.75 | $693.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES | $588.00 | $784.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES | $588.00 | $784.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $588.00 | $784.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $588.00 | $784.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL ETHYL URINE | $626.25 | $835.00 | $1.00–$79.81 | — | 25% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL ETHYL URINE | $626.25 | $835.00 | $1.00–$79.81 | — | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $257.25 | $343.00 | $1.00–$9.57 | 704% above | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $257.25 | $343.00 | $1.00–$9.57 | 704% above | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $257.25 | $343.00 | $1.00–$9.57 | — | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $257.25 | $343.00 | $1.00–$9.57 | — | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM AB | $57.00 | $76.00 | $1.00–$24.75 | 11% below | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM AB | $57.00 | $76.00 | $1.00–$24.75 | 11% below | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM VCA | $64.50 | $86.00 | $1.00–$24.75 | 1% above | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM VCA | $64.50 | $86.00 | $1.00–$24.75 | 1% above | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS, IGG | $233.25 | $311.00 | $1.00–$24.75 | 265% above | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS, IGG | $233.25 | $311.00 | $1.00–$24.75 | 265% above | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG VCA | $234.00 | $312.00 | $1.00–$24.75 | 267% above | 25% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG VCA | $234.00 | $312.00 | $1.00–$24.75 | 267% above | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM AB | $57.00 | $76.00 | $1.00–$24.75 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM AB | $57.00 | $76.00 | $1.00–$24.75 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM VCA | $64.50 | $86.00 | $1.00–$24.75 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM VCA | $64.50 | $86.00 | $1.00–$24.75 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS, IGG | $233.25 | $311.00 | $1.00–$24.75 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS, IGG | $233.25 | $311.00 | $1.00–$24.75 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG VCA | $234.00 | $312.00 | $1.00–$24.75 | — | 25% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG VCA | $234.00 | $312.00 | $1.00–$24.75 | — | 25% |
| Estradiol blood test CPT 82670 ESTRADIOL | $266.25 | $355.00 | $1.00–$38.12 | 240% above | 25% |
| Estradiol blood test CPT 82670 ESTRADIOL | $266.25 | $355.00 | $1.00–$38.12 | 240% above | 25% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $266.25 | $355.00 | $1.00–$38.12 | — | 25% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $266.25 | $355.00 | $1.00–$38.12 | — | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMLAT HORMONE | $277.50 | $370.00 | $1.00–$25.35 | 248% above | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMLAT HORMONE | $277.50 | $370.00 | $1.00–$25.35 | 248% above | 25% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMLAT HORMONE | $277.50 | $370.00 | $1.00–$25.35 | — | 25% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMLAT HORMONE | $277.50 | $370.00 | $1.00–$25.35 | — | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $41.25 | $55.00 | $1.00–$26.78 | 35% below | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $41.25 | $55.00 | $1.00–$26.78 | 35% below | 25% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $41.25 | $55.00 | $1.00–$26.78 | — | 25% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $41.25 | $55.00 | $1.00–$26.78 | — | 25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $181.50 | $242.00 | $1.00–$18.59 | 202% above | 25% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $181.50 | $242.00 | $1.00–$18.59 | 202% above | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $181.50 | $242.00 | $1.00–$18.59 | — | 25% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $181.50 | $242.00 | $1.00–$18.59 | — | 25% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $399.00 | $532.00 | $1.00–$11.58 | 1276% above | 25% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $399.00 | $532.00 | $1.00–$11.58 | 1276% above | 25% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $399.00 | $532.00 | $1.00–$11.58 | — | 25% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $399.00 | $532.00 | $1.00–$11.58 | — | 25% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $277.50 | $370.00 | $1.00–$20.06 | 276% above | 25% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $277.50 | $370.00 | $1.00–$20.06 | 276% above | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $277.50 | $370.00 | $1.00–$20.06 | — | 25% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $277.50 | $370.00 | $1.00–$20.06 | — | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $420.75 | $561.00 | $1.00–$23.11 | 530% above | 25% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $420.75 | $561.00 | $1.00–$23.11 | 530% above | 25% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $420.75 | $561.00 | $1.00–$23.11 | — | 25% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $420.75 | $561.00 | $1.00–$23.11 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE | $402.00 | $536.00 | $1.00–$12.30 | 1218% above | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE | $402.00 | $536.00 | $1.00–$12.30 | 1218% above | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE | $402.00 | $536.00 | $1.00–$12.30 | — | 25% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE | $402.00 | $536.00 | $1.00–$12.30 | — | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $264.00 | $352.00 | $1.00–$34.74 | 620% above | 25% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $264.00 | $352.00 | $1.00–$34.74 | 620% above | 25% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $264.00 | $352.00 | $1.00–$34.74 | — | 25% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $264.00 | $352.00 | $1.00–$34.74 | — | 25% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSERASE GGT | $9.75 | $13.00 | $4.88–$16.13 | 68% below | 25% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSERASE GGT | $9.75 | $13.00 | $4.88–$16.13 | 68% below | 25% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $161.25 | $215.00 | $4.88–$16.13 | 425% above | 25% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $161.25 | $215.00 | $4.88–$16.13 | 425% above | 25% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSERASE GGT | $9.75 | $13.00 | $4.88–$16.13 | — | 25% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYLTRANSERASE GGT | $9.75 | $13.00 | $4.88–$16.13 | — | 25% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $161.25 | $215.00 | $4.88–$16.13 | — | 25% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $161.25 | $215.00 | $4.88–$16.13 | — | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE | $102.00 | $136.00 | $1.00–$6.48 | 372% above | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST DOSE | $102.00 | $136.00 | $1.00–$6.48 | 372% above | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE | $102.00 | $136.00 | $1.00–$6.48 | — | 25% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE POST DOSE | $102.00 | $136.00 | $1.00–$6.48 | — | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3SPEC | $253.50 | $338.00 | $1.00–$17.56 | 345% above | 25% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3SPEC | $253.50 | $338.00 | $1.00–$17.56 | 345% above | 25% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3SPEC | $253.50 | $338.00 | $1.00–$17.56 | — | 25% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3SPEC | $253.50 | $338.00 | $1.00–$17.56 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONOR AMP PROBE | $165.75 | $221.00 | $1.00–$47.87 | 71% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONOR AMP PROBE | $165.75 | $221.00 | $1.00–$47.87 | 71% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | 254% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | 254% above | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONOR AMP PROBE | $165.75 | $221.00 | $1.00–$47.87 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONOR AMP PROBE | $165.75 | $221.00 | $1.00–$47.87 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | — | 25% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMP PROBE | $343.50 | $458.00 | $1.00–$47.87 | — | 25% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGG A | $105.00 | $140.00 | $1.00–$19.80 | 77% above | 25% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGG A | $105.00 | $140.00 | $1.00–$19.80 | 77% above | 25% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGM A | $105.00 | $140.00 | $1.00–$19.80 | 77% above | 25% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGA A | $105.00 | $140.00 | $1.00–$19.80 | 77% above | 25% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGM A | $105.00 | $140.00 | $1.00–$19.80 | 77% above | 25% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGA A | $105.00 | $140.00 | $1.00–$19.80 | 77% above | 25% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGG A | $105.00 | $140.00 | $1.00–$19.80 | — | 25% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGA A | $105.00 | $140.00 | $1.00–$19.80 | — | 25% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGM A | $105.00 | $140.00 | $1.00–$19.80 | — | 25% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGA A | $105.00 | $140.00 | $1.00–$19.80 | — | 25% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGM A | $105.00 | $140.00 | $1.00–$19.80 | — | 25% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGG A | $105.00 | $140.00 | $1.00–$19.80 | — | 25% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL AG | $300.00 | $400.00 | $1.00–$19.62 | 374% above | 25% |
| H. pylori stool antigen test CPT 87338 H. PYLORI STOOL AG | $300.00 | $400.00 | $1.00–$19.62 | 374% above | 25% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI STOOL AG | $300.00 | $400.00 | $1.00–$19.62 | — | 25% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI STOOL AG | $300.00 | $400.00 | $1.00–$19.62 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT | $41.25 | $55.00 | $1.00–$116.09 | 77% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT | $41.25 | $55.00 | $1.00–$116.09 | 77% below | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV/RNA BY PCR | $290.25 | $387.00 | $1.00–$116.09 | 59% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV/RNA BY PCR | $290.25 | $387.00 | $1.00–$116.09 | 59% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 QUANT RNA/DNA | $825.75 | $1,101.00 | $1.00–$116.09 | 352% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 QUANT RNA/DNA | $825.75 | $1,101.00 | $1.00–$116.09 | 352% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT | $41.25 | $55.00 | $1.00–$116.09 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT | $41.25 | $55.00 | $1.00–$116.09 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV/RNA BY PCR | $290.25 | $387.00 | $1.00–$116.09 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV/RNA BY PCR | $290.25 | $387.00 | $1.00–$116.09 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 QUANT RNA/DNA | $825.75 | $1,101.00 | $1.00–$116.09 | — | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 QUANT RNA/DNA | $825.75 | $1,101.00 | $1.00–$116.09 | — | 25% |
| HIV-1 and HIV-2 antibody test CPT 86703 TRANSPLANT HIV 1&2, AB | $126.00 | $168.00 | $1.00–$18.70 | 168% above | 25% |
| HIV-1 and HIV-2 antibody test CPT 86703 TRANSPLANT HIV 1&2, AB | $126.00 | $168.00 | $1.00–$18.70 | 168% above | 25% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SCREEN | $156.75 | $209.00 | $1.00–$18.70 | 234% above | 25% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 SCREEN | $156.75 | $209.00 | $1.00–$18.70 | 234% above | 25% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 TRANSPLANT HIV 1&2, AB | $126.00 | $168.00 | $1.00–$18.70 | — | 25% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 TRANSPLANT HIV 1&2, AB | $126.00 | $168.00 | $1.00–$18.70 | — | 25% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SCREEN | $156.75 | $209.00 | $1.00–$18.70 | — | 25% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1/HIV-2 SCREEN | $156.75 | $209.00 | $1.00–$18.70 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV I AG HIV I HIV II AB | $257.25 | $343.00 | $1.00–$32.86 | 424% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV I AG HIV I HIV II AB | $257.25 | $343.00 | $1.00–$32.86 | 424% above | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV I AG HIV I HIV II AB | $257.25 | $343.00 | $1.00–$32.86 | — | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV I AG HIV I HIV II AB | $257.25 | $343.00 | $1.00–$32.86 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED | $88.50 | $118.00 | $1.00–$13.24 | 128% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCATED | $88.50 | $118.00 | $1.00–$13.24 | 128% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED | $88.50 | $118.00 | $1.00–$13.24 | — | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN GLYCATED | $88.50 | $118.00 | $1.00–$13.24 | — | 25% |
| Hemoglobin blood test CPT 85018 BLOOD HEMOGLBN | $94.50 | $126.00 | $1.00–$3.23 | 491% above | 25% |
| Hemoglobin blood test CPT 85018 BLOOD HEMOGLBN | $94.50 | $126.00 | $1.00–$3.23 | 491% above | 25% |
| Hemoglobin blood test inpatient CPT 85018 BLOOD HEMOGLBN | $94.50 | $126.00 | $1.00–$3.23 | — | 25% |
| Hemoglobin blood test inpatient CPT 85018 BLOOD HEMOGLBN | $94.50 | $126.00 | $1.00–$3.23 | — | 25% |
| Hepatitis B core antibody test (total) CPT 86704 TRANSPLANT HEP B CORE ANTIBODY | $97.50 | $130.00 | $1.00–$16.44 | 121% above | 25% |
| Hepatitis B core antibody test (total) CPT 86704 TRANSPLANT HEP B CORE ANTIBODY | $97.50 | $130.00 | $1.00–$16.44 | 121% above | 25% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL | $142.50 | $190.00 | $1.00–$16.44 | 222% above | 25% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE AB TOTAL | $142.50 | $190.00 | $1.00–$16.44 | 222% above | 25% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 TRANSPLANT HEP B CORE ANTIBODY | $97.50 | $130.00 | $1.00–$16.44 | — | 25% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 TRANSPLANT HEP B CORE ANTIBODY | $97.50 | $130.00 | $1.00–$16.44 | — | 25% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL | $142.50 | $190.00 | $1.00–$16.44 | — | 25% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE AB TOTAL | $142.50 | $190.00 | $1.00–$16.44 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB | $142.50 | $190.00 | $1.00–$14.65 | 239% above | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF AB | $142.50 | $190.00 | $1.00–$14.65 | 239% above | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB | $142.50 | $190.00 | $1.00–$14.65 | — | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF AB | $142.50 | $190.00 | $1.00–$14.65 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 TRANSPLANT HEPATITIS B SURF AG | $97.50 | $130.00 | $1.00–$14.10 | 110% above | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 TRANSPLANT HEPATITIS B SURF AG | $97.50 | $130.00 | $1.00–$14.10 | 110% above | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS BS ANTIGEN | $171.75 | $229.00 | $1.00–$14.10 | 270% above | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS BS ANTIGEN | $171.75 | $229.00 | $1.00–$14.10 | 270% above | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 TRANSPLANT HEPATITIS B SURF AG | $97.50 | $130.00 | $1.00–$14.10 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 TRANSPLANT HEPATITIS B SURF AG | $97.50 | $130.00 | $1.00–$14.10 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS BS ANTIGEN | $171.75 | $229.00 | $1.00–$14.10 | — | 25% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS BS ANTIGEN | $171.75 | $229.00 | $1.00–$14.10 | — | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 TRANSPLANT HEPATITIS C, AB | $39.00 | $52.00 | $1.00–$19.47 | 19% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 TRANSPLANT HEPATITIS C, AB | $39.00 | $52.00 | $1.00–$19.47 | 19% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $138.00 | $184.00 | $1.00–$19.47 | 188% above | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $138.00 | $184.00 | $1.00–$19.47 | 188% above | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C LGG ANTIBODY | $171.75 | $229.00 | $1.00–$19.47 | 258% above | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C LGG ANTIBODY | $171.75 | $229.00 | $1.00–$19.47 | 258% above | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 TRANSPLANT HEPATITIS C, AB | $39.00 | $52.00 | $1.00–$19.47 | — | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 TRANSPLANT HEPATITIS C, AB | $39.00 | $52.00 | $1.00–$19.47 | — | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $138.00 | $184.00 | $1.00–$19.47 | — | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $138.00 | $184.00 | $1.00–$19.47 | — | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C LGG ANTIBODY | $171.75 | $229.00 | $1.00–$19.47 | — | 25% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C LGG ANTIBODY | $171.75 | $229.00 | $1.00–$19.47 | — | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT | $37.50 | $50.00 | $1.00–$58.44 | 72% below | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT | $37.50 | $50.00 | $1.00–$58.44 | 72% below | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT PCR | $863.25 | $1,151.00 | $1.00–$58.44 | 556% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C QUANT PCR | $863.25 | $1,151.00 | $1.00–$58.44 | 556% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUAN | $1,026.00 | $1,368.00 | $1.00–$58.44 | 680% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUAN | $1,026.00 | $1,368.00 | $1.00–$58.44 | 680% above | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT | $37.50 | $50.00 | $1.00–$58.44 | — | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT | $37.50 | $50.00 | $1.00–$58.44 | — | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT PCR | $863.25 | $1,151.00 | $1.00–$58.44 | — | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C QUANT PCR | $863.25 | $1,151.00 | $1.00–$58.44 | — | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUAN | $1,026.00 | $1,368.00 | $1.00–$58.44 | — | 25% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUAN | $1,026.00 | $1,368.00 | $1.00–$58.44 | — | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES I AB IGG | $75.00 | $100.00 | $1.00–$18.00 | 80% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES I AB IGG | $75.00 | $100.00 | $1.00–$18.00 | 80% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGM AB | $110.25 | $147.00 | $1.00–$18.00 | 165% above | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGM AB | $110.25 | $147.00 | $1.00–$18.00 | 165% above | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES I AB IGG | $75.00 | $100.00 | $1.00–$18.00 | — | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES I AB IGG | $75.00 | $100.00 | $1.00–$18.00 | — | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGM AB | $110.25 | $147.00 | $1.00–$18.00 | — | 25% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGM AB | $110.25 | $147.00 | $1.00–$18.00 | — | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES AB SMPLX TYPE 2 | $7.50 | $10.00 | $1.00–$26.40 | 85% below | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES AB SMPLX TYPE 2 | $7.50 | $10.00 | $1.00–$26.40 | 85% below | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGM AB | $110.25 | $147.00 | $1.00–$26.40 | 115% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGM AB | $110.25 | $147.00 | $1.00–$26.40 | 115% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES II AB IGG | $123.00 | $164.00 | $1.00–$26.40 | 140% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES II AB IGG | $123.00 | $164.00 | $1.00–$26.40 | 140% above | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES AB SMPLX TYPE 2 | $7.50 | $10.00 | $1.00–$26.40 | — | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES AB SMPLX TYPE 2 | $7.50 | $10.00 | $1.00–$26.40 | — | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGM AB | $110.25 | $147.00 | $1.00–$26.40 | — | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGM AB | $110.25 | $147.00 | $1.00–$26.40 | — | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES II AB IGG | $123.00 | $164.00 | $1.00–$26.40 | — | 25% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES II AB IGG | $123.00 | $164.00 | $1.00–$26.40 | — | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HI SENSITIVITY | $36.00 | $48.00 | $1.00–$17.66 | 37% below | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HI SENSITIVITY | $36.00 | $48.00 | $1.00–$17.66 | 37% below | 25% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HI SENSITIVITY | $36.00 | $48.00 | $1.00–$17.66 | — | 25% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HI SENSITIVITY | $36.00 | $48.00 | $1.00–$17.66 | — | 25% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QUANT | $182.25 | $243.00 | $1.00–$23.01 | 138% above | 25% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE QUANT | $182.25 | $243.00 | $1.00–$23.01 | 138% above | 25% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE QUANT | $182.25 | $243.00 | $1.00–$23.01 | — | 25% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE QUANT | $182.25 | $243.00 | $1.00–$23.01 | — | 25% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $257.25 | $343.00 | $1.00–$15.59 | 603% above | 25% |
| Insulin blood test CPT 83525 INSULIN TOTAL | $257.25 | $343.00 | $1.00–$15.59 | 603% above | 25% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $257.25 | $343.00 | $1.00–$15.59 | — | 25% |
| Insulin blood test inpatient CPT 83525 INSULIN TOTAL | $257.25 | $343.00 | $1.00–$15.59 | — | 25% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.25 | $43.00 | $1.00–$8.83 | 10% above | 25% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.25 | $43.00 | $1.00–$8.83 | 10% above | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $32.25 | $43.00 | $1.00–$8.83 | — | 25% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $32.25 | $43.00 | $1.00–$8.83 | — | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPCTY | $171.75 | $229.00 | $1.00–$11.93 | 332% above | 25% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPCTY | $171.75 | $229.00 | $1.00–$11.93 | 332% above | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPCTY | $171.75 | $229.00 | $1.00–$11.93 | — | 25% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPCTY | $171.75 | $229.00 | $1.00–$11.93 | — | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $327.00 | $436.00 | $1.00–$12.11 | 430% above | 25% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $327.00 | $436.00 | $1.00–$12.11 | 430% above | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $327.00 | $436.00 | $1.00–$12.11 | — | 25% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $327.00 | $436.00 | $1.00–$12.11 | — | 25% |
| LH (luteinizing hormone) test CPT 83002 LUTEINING HORMONE | $176.25 | $235.00 | $1.00–$25.26 | 132% above | 25% |
| LH (luteinizing hormone) test CPT 83002 LUTEINING HORMONE | $176.25 | $235.00 | $1.00–$25.26 | 132% above | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINING HORMONE | $176.25 | $235.00 | $1.00–$25.26 | — | 25% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINING HORMONE | $176.25 | $235.00 | $1.00–$25.26 | — | 25% |
| Lactate (lactic acid) blood test CPT 83605 POC LACTIC ACID BLOOD CSF | $165.75 | $221.00 | $1.00–$14.57 | 268% above | 25% |
| Lactate (lactic acid) blood test CPT 83605 POC LACTIC ACID BLOOD CSF | $165.75 | $221.00 | $1.00–$14.57 | 268% above | 25% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID) | $172.50 | $230.00 | $1.00–$14.57 | 283% above | 25% |
| Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID) | $172.50 | $230.00 | $1.00–$14.57 | 283% above | 25% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BODY FLUID | $198.00 | $264.00 | $1.00–$14.57 | 340% above | 25% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BODY FLUID | $198.00 | $264.00 | $1.00–$14.57 | 340% above | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTIC ACID BLOOD CSF | $165.75 | $221.00 | $1.00–$14.57 | — | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTIC ACID BLOOD CSF | $165.75 | $221.00 | $1.00–$14.57 | — | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE(LACTIC ACID) | $172.50 | $230.00 | $1.00–$14.57 | — | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE(LACTIC ACID) | $172.50 | $230.00 | $1.00–$14.57 | — | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID BODY FLUID | $198.00 | $264.00 | $1.00–$14.57 | — | 25% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID BODY FLUID | $198.00 | $264.00 | $1.00–$14.57 | — | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE, LDH | $83.25 | $111.00 | $4.88–$16.13 | 247% above | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTIC DEHYDROGENASE | $83.25 | $111.00 | $4.88–$16.13 | 247% above | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE, LDH | $83.25 | $111.00 | $4.88–$16.13 | 247% above | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACTIC DEHYDROGENASE | $83.25 | $111.00 | $4.88–$16.13 | 247% above | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-LACTIC DEHYDROGENASE | $83.25 | $111.00 | $4.88–$16.13 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-LACTIC DEHYDROGENASE | $83.25 | $111.00 | $4.88–$16.13 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE, LDH | $83.25 | $111.00 | $4.88–$16.13 | — | 25% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE, LDH | $83.25 | $111.00 | $4.88–$16.13 | — | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $124.50 | $166.00 | $1.00–$9.40 | 312% above | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $124.50 | $166.00 | $1.00–$9.40 | 312% above | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $124.50 | $166.00 | $1.00–$9.40 | — | 25% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $124.50 | $166.00 | $1.00–$9.40 | — | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $147.00 | $196.00 | $1.00–$11.14 | 212% above | 25% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $147.00 | $196.00 | $1.00–$11.14 | 212% above | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $147.00 | $196.00 | $1.00–$11.14 | — | 25% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $147.00 | $196.00 | $1.00–$11.14 | — | 25% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $31.50 | $42.00 | $1.00–$23.24 | 21% above | 25% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $31.50 | $42.00 | $1.00–$23.24 | 21% above | 25% |
| Lyme disease antibody test CPT 86618 LYME DISEASE | $52.50 | $70.00 | $1.00–$23.24 | 102% above | 25% |
| Lyme disease antibody test CPT 86618 LYME DISEASE | $52.50 | $70.00 | $1.00–$23.24 | 102% above | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB | $31.50 | $42.00 | $1.00–$23.24 | — | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB | $31.50 | $42.00 | $1.00–$23.24 | — | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE | $52.50 | $70.00 | $1.00–$23.24 | — | 25% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE | $52.50 | $70.00 | $1.00–$23.24 | — | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE | $46.50 | $62.00 | $1.00–$9.14 | 132% above | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM, URINE | $46.50 | $62.00 | $1.00–$9.14 | 132% above | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM | $126.00 | $168.00 | $1.00–$9.14 | 530% above | 25% |
| Magnesium blood test CPT 83735 MAGNESIUM | $126.00 | $168.00 | $1.00–$9.14 | 530% above | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE | $46.50 | $62.00 | $1.00–$9.14 | — | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE | $46.50 | $62.00 | $1.00–$9.14 | — | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $126.00 | $168.00 | $1.00–$9.14 | — | 25% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $126.00 | $168.00 | $1.00–$9.14 | — | 25% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $62.25 | $83.00 | $1.00–$17.58 | 152% above | 25% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $62.25 | $83.00 | $1.00–$17.58 | 152% above | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB | $62.25 | $83.00 | $1.00–$17.58 | — | 25% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB | $62.25 | $83.00 | $1.00–$17.58 | — | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN | $60.75 | $81.00 | $1.00–$7.06 | 46% above | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE AB SCREEN | $60.75 | $81.00 | $1.00–$7.06 | 46% above | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN | $60.75 | $81.00 | $1.00–$7.06 | — | 25% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE AB SCREEN | $60.75 | $81.00 | $1.00–$7.06 | — | 25% |
| Mumps immunity blood test CPT 86735 MUMPS AB | $85.50 | $114.00 | $1.00–$17.80 | 241% above | 25% |
| Mumps immunity blood test CPT 86735 MUMPS AB | $85.50 | $114.00 | $1.00–$17.80 | 241% above | 25% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB | $85.50 | $114.00 | $1.00–$17.80 | — | 25% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB | $85.50 | $114.00 | $1.00–$17.80 | — | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 DOXEPIN | $66.75 | $89.00 | $1.00–$25.09 | 16% above | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 DOXEPIN | $66.75 | $89.00 | $1.00–$25.09 | 16% above | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $145.50 | $194.00 | $1.00–$25.09 | 154% above | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $145.50 | $194.00 | $1.00–$25.09 | 154% above | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG, FRE | $160.50 | $214.00 | $1.00–$25.09 | 180% above | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG, FRE | $160.50 | $214.00 | $1.00–$25.09 | 180% above | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 DOXEPIN | $66.75 | $89.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 DOXEPIN | $66.75 | $89.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $145.50 | $194.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $145.50 | $194.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG, FRE | $160.50 | $214.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG, FRE | $160.50 | $214.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $145.50 | $194.00 | $1.00–$25.09 | 188% above | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $145.50 | $194.00 | $1.00–$25.09 | 188% above | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $160.50 | $214.00 | $1.00–$25.09 | 218% above | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN | $160.50 | $214.00 | $1.00–$25.09 | 218% above | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $145.50 | $194.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $145.50 | $194.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $160.50 | $214.00 | $1.00–$25.09 | — | 25% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN | $160.50 | $214.00 | $1.00–$25.09 | — | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $323.25 | $431.00 | $1.00–$56.31 | 141% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $323.25 | $431.00 | $1.00–$56.31 | 141% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $525.00 | $700.00 | $1.00–$56.31 | 292% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PTH) | $525.00 | $700.00 | $1.00–$56.31 | 292% above | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $323.25 | $431.00 | $1.00–$56.31 | — | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $323.25 | $431.00 | $1.00–$56.31 | — | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE (PTH) | $525.00 | $700.00 | $1.00–$56.31 | — | 25% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE (PTH) | $525.00 | $700.00 | $1.00–$56.31 | — | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $185.25 | $247.00 | $1.00–$8.19 | 498% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $185.25 | $247.00 | $1.00–$8.19 | 498% above | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $185.25 | $247.00 | $1.00–$8.19 | — | 25% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $185.25 | $247.00 | $1.00–$8.19 | — | 25% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $73.50 | $98.00 | $4.74–$16.13 | 250% above | 25% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $73.50 | $98.00 | $4.74–$16.13 | 250% above | 25% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $73.50 | $98.00 | $4.74–$16.13 | — | 25% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $73.50 | $98.00 | $4.74–$16.13 | — | 25% |
| Potassium blood test CPT 84132 BMP LYTES POTASSIUM | $49.50 | $66.00 | $4.76–$16.13 | 113% above | 25% |
| Potassium blood test CPT 84132 BMP LYTES POTASSIUM | $49.50 | $66.00 | $4.76–$16.13 | 113% above | 25% |
| Potassium blood test CPT 84132 POTASSIUM | $75.75 | $101.00 | $4.76–$16.13 | 227% above | 25% |
| Potassium blood test CPT 84132 POTASSIUM | $75.75 | $101.00 | $4.76–$16.13 | 227% above | 25% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $87.00 | $116.00 | $4.76–$16.13 | 275% above | 25% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $87.00 | $116.00 | $4.76–$16.13 | 275% above | 25% |
| Potassium blood test CPT 84132 POC POTASSIUM | $101.25 | $135.00 | $4.76–$16.13 | 336% above | 25% |
| Potassium blood test CPT 84132 POC POTASSIUM | $101.25 | $135.00 | $4.76–$16.13 | 336% above | 25% |
| Potassium blood test inpatient CPT 84132 BMP LYTES POTASSIUM | $49.50 | $66.00 | $4.76–$16.13 | — | 25% |
| Potassium blood test inpatient CPT 84132 BMP LYTES POTASSIUM | $49.50 | $66.00 | $4.76–$16.13 | — | 25% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $75.75 | $101.00 | $4.76–$16.13 | — | 25% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $75.75 | $101.00 | $4.76–$16.13 | — | 25% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $87.00 | $116.00 | $4.76–$16.13 | — | 25% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $87.00 | $116.00 | $4.76–$16.13 | — | 25% |
| Potassium blood test inpatient CPT 84132 POC POTASSIUM | $101.25 | $135.00 | $4.76–$16.13 | — | 25% |
| Potassium blood test inpatient CPT 84132 POC POTASSIUM | $101.25 | $135.00 | $4.76–$16.13 | — | 25% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL INFORMA SEQ XY SEQUENCE | $300.00 | $400.00 | $1.00–$802.33 | at median | 25% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL INFORMA SEQ XY SEQUENCE | $300.00 | $400.00 | $1.00–$802.33 | at median | 25% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL INFORMA SEQ XY SEQUENCE | $300.00 | $400.00 | $1.00–$802.33 | — | 25% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL INFORMA SEQ XY SEQUENCE | $300.00 | $400.00 | $1.00–$802.33 | — | 25% |
| Progesterone blood test CPT 84144 PROGESTERONE | $558.00 | $744.00 | $1.00–$28.46 | 775% above | 25% |
| Progesterone blood test CPT 84144 PROGESTERONE | $558.00 | $744.00 | $1.00–$28.46 | 775% above | 25% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $558.00 | $744.00 | $1.00–$28.46 | — | 25% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $558.00 | $744.00 | $1.00–$28.46 | — | 25% |
| Prolactin blood test CPT 84146 PROLACTIN | $231.00 | $308.00 | $1.00–$26.44 | 214% above | 25% |
| Prolactin blood test CPT 84146 PROLACTIN | $231.00 | $308.00 | $1.00–$26.44 | 214% above | 25% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $231.00 | $308.00 | $1.00–$26.44 | — | 25% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $231.00 | $308.00 | $1.00–$26.44 | — | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME | $73.50 | $98.00 | $1.00–$5.37 | 282% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME | $73.50 | $98.00 | $1.00–$5.37 | 282% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $83.25 | $111.00 | $1.00–$5.37 | 332% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $83.25 | $111.00 | $1.00–$5.37 | 332% above | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME | $73.50 | $98.00 | $1.00–$5.37 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME | $73.50 | $98.00 | $1.00–$5.37 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $83.25 | $111.00 | $1.00–$5.37 | — | 25% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $83.25 | $111.00 | $1.00–$5.37 | — | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA DIRECT OBS | $124.50 | $166.00 | $1.00–$16.53 | 132% above | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A IA DIRECT OBS | $124.50 | $166.00 | $1.00–$16.53 | 132% above | 25% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA DIRECT OBS | $124.50 | $166.00 | $1.00–$16.53 | — | 25% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A IA DIRECT OBS | $124.50 | $166.00 | $1.00–$16.53 | — | 25% |
| Renin blood test CPT 84244 RENIN | $74.25 | $99.00 | $1.00–$30.01 | 78% above | 25% |
| Renin blood test CPT 84244 RENIN | $74.25 | $99.00 | $1.00–$30.01 | 78% above | 25% |
| Renin blood test inpatient CPT 84244 RENIN | $74.25 | $99.00 | $1.00–$30.01 | — | 25% |
| Renin blood test inpatient CPT 84244 RENIN | $74.25 | $99.00 | $1.00–$30.01 | — | 25% |
| Rh blood typing CPT 86901 TRANSPLANT RH BLOOD TYPING | $39.00 | $52.00 | $1.00–$7.17 | 88% above | 25% |
| Rh blood typing CPT 86901 TRANSPLANT RH BLOOD TYPING | $39.00 | $52.00 | $1.00–$7.17 | 88% above | 25% |
| Rh blood typing CPT 86901 BLD TYPE RHO(D)ONLY | $49.50 | $66.00 | $1.00–$7.17 | 139% above | 25% |
| Rh blood typing CPT 86901 BLD TYPE RHO(D)ONLY | $49.50 | $66.00 | $1.00–$7.17 | 139% above | 25% |
| Rh blood typing inpatient CPT 86901 TRANSPLANT RH BLOOD TYPING | $39.00 | $52.00 | $1.00–$7.17 | — | 25% |
| Rh blood typing inpatient CPT 86901 TRANSPLANT RH BLOOD TYPING | $39.00 | $52.00 | $1.00–$7.17 | — | 25% |
| Rh blood typing inpatient CPT 86901 BLD TYPE RHO(D)ONLY | $49.50 | $66.00 | $1.00–$7.17 | — | 25% |
| Rh blood typing inpatient CPT 86901 BLD TYPE RHO(D)ONLY | $49.50 | $66.00 | $1.00–$7.17 | — | 25% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $85.50 | $114.00 | $1.00–$7.74 | 148% above | 25% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $85.50 | $114.00 | $1.00–$7.74 | 148% above | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $85.50 | $114.00 | $1.00–$7.74 | — | 25% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT | $85.50 | $114.00 | $1.00–$7.74 | — | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $167.25 | $223.00 | $1.00–$19.64 | 228% above | 25% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $167.25 | $223.00 | $1.00–$19.64 | 228% above | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $167.25 | $223.00 | $1.00–$19.64 | — | 25% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $167.25 | $223.00 | $1.00–$19.64 | — | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $36.00 | $48.00 | $1.00–$3.69 | 50% above | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTO | $36.00 | $48.00 | $1.00–$3.69 | 50% above | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTO | $36.00 | $48.00 | $1.00–$3.69 | — | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTO | $36.00 | $48.00 | $1.00–$3.69 | — | 25% |
| Sodium blood test CPT 84295 BMP LYTES SODIUM | $49.50 | $66.00 | $4.81–$16.13 | 138% above | 25% |
| Sodium blood test CPT 84295 BMP LYTES SODIUM | $49.50 | $66.00 | $4.81–$16.13 | 138% above | 25% |
| Sodium blood test CPT 84295 POC SODIUM | $81.00 | $108.00 | $4.81–$16.13 | 289% above | 25% |
| Sodium blood test CPT 84295 POC SODIUM | $81.00 | $108.00 | $4.81–$16.13 | 289% above | 25% |
| Sodium blood test CPT 84295 SODIUM BLOOD | $85.50 | $114.00 | $4.81–$16.13 | 311% above | 25% |
| Sodium blood test CPT 84295 SODIUM BLOOD | $85.50 | $114.00 | $4.81–$16.13 | 311% above | 25% |
| Sodium blood test CPT 84295 SODIUM | $94.50 | $126.00 | $4.81–$16.13 | 354% above | 25% |
| Sodium blood test CPT 84295 SODIUM | $94.50 | $126.00 | $4.81–$16.13 | 354% above | 25% |
| Sodium blood test inpatient CPT 84295 BMP LYTES SODIUM | $49.50 | $66.00 | $4.81–$16.13 | — | 25% |
| Sodium blood test inpatient CPT 84295 BMP LYTES SODIUM | $49.50 | $66.00 | $4.81–$16.13 | — | 25% |
| Sodium blood test inpatient CPT 84295 POC SODIUM | $81.00 | $108.00 | $4.81–$16.13 | — | 25% |
| Sodium blood test inpatient CPT 84295 POC SODIUM | $81.00 | $108.00 | $4.81–$16.13 | — | 25% |
| Sodium blood test inpatient CPT 84295 SODIUM BLOOD | $85.50 | $114.00 | $4.81–$16.13 | — | 25% |
| Sodium blood test inpatient CPT 84295 SODIUM BLOOD | $85.50 | $114.00 | $4.81–$16.13 | — | 25% |
| Sodium blood test inpatient CPT 84295 SODIUM | $94.50 | $126.00 | $4.81–$16.13 | — | 25% |
| Sodium blood test inpatient CPT 84295 SODIUM | $94.50 | $126.00 | $4.81–$16.13 | — | 25% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE,DIRECT E | $35.25 | $47.00 | $1.00–$12.14 | 19% below | 25% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE,DIRECT E | $35.25 | $47.00 | $1.00–$12.14 | 19% below | 25% |
| Stool ova and parasites exam CPT 87177 OVA&PARASITES SMEARS | $186.75 | $249.00 | $1.00–$12.14 | 328% above | 25% |
| Stool ova and parasites exam CPT 87177 OVA&PARASITES SMEARS | $186.75 | $249.00 | $1.00–$12.14 | 328% above | 25% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE,DIRECT E | $35.25 | $47.00 | $1.00–$12.14 | — | 25% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE,DIRECT E | $35.25 | $47.00 | $1.00–$12.14 | — | 25% |
| Stool ova and parasites exam inpatient CPT 87177 OVA&PARASITES SMEARS | $186.75 | $249.00 | $1.00–$12.14 | — | 25% |
| Stool ova and parasites exam inpatient CPT 87177 OVA&PARASITES SMEARS | $186.75 | $249.00 | $1.00–$12.14 | — | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STL 1-3 | $87.00 | $116.00 | $1.00–$4.44 | 396% above | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STL 1-3 | $87.00 | $116.00 | $1.00–$4.44 | 396% above | 25% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD STL 1-3 | $87.00 | $116.00 | $1.00–$4.44 | — | 25% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD STL 1-3 | $87.00 | $116.00 | $1.00–$4.44 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HGB FECAL IA | $109.50 | $146.00 | $1.00–$21.70 | 140% above | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HGB FECAL IA | $109.50 | $146.00 | $1.00–$21.70 | 140% above | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 POC IMMUNO FECAL OCCULT BLOOD | $115.50 | $154.00 | $1.00–$21.70 | 153% above | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 POC IMMUNO FECAL OCCULT BLOOD | $115.50 | $154.00 | $1.00–$21.70 | 153% above | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HGB FECAL IA | $109.50 | $146.00 | $1.00–$21.70 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HGB FECAL IA | $109.50 | $146.00 | $1.00–$21.70 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 POC IMMUNO FECAL OCCULT BLOOD | $115.50 | $154.00 | $1.00–$21.70 | — | 25% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 POC IMMUNO FECAL OCCULT BLOOD | $115.50 | $154.00 | $1.00–$21.70 | — | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB | $101.25 | $135.00 | $1.00–$18.06 | 116% above | 25% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB | $101.25 | $135.00 | $1.00–$18.06 | 116% above | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB | $101.25 | $135.00 | $1.00–$18.06 | — | 25% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB | $101.25 | $135.00 | $1.00–$18.06 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TRANSPLANT RPR | $84.00 | $112.00 | $1.00–$5.82 | 389% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 TRANSPLANT RPR | $84.00 | $112.00 | $1.00–$5.82 | 389% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF | $90.00 | $120.00 | $1.00–$5.82 | 424% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL-CSF | $90.00 | $120.00 | $1.00–$5.82 | 424% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/RPR QUAL | $115.50 | $154.00 | $1.00–$5.82 | 572% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/RPR QUAL | $115.50 | $154.00 | $1.00–$5.82 | 572% above | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TRANSPLANT RPR | $84.00 | $112.00 | $1.00–$5.82 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 TRANSPLANT RPR | $84.00 | $112.00 | $1.00–$5.82 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL-CSF | $90.00 | $120.00 | $1.00–$5.82 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL-CSF | $90.00 | $120.00 | $1.00–$5.82 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/RPR QUAL | $115.50 | $154.00 | $1.00–$5.82 | — | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/RPR QUAL | $115.50 | $154.00 | $1.00–$5.82 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL AG RESPONSE | $30.00 | $40.00 | $1.00–$84.56 | 76% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL AG RESPONSE | $30.00 | $40.00 | $1.00–$84.56 | 76% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS AG RESPONSE | $78.75 | $105.00 | $1.00–$84.56 | 38% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS AG RESPONSE | $78.75 | $105.00 | $1.00–$84.56 | 38% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL AG RESPONSE | $30.00 | $40.00 | $1.00–$84.56 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL AG RESPONSE | $30.00 | $40.00 | $1.00–$84.56 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS AG RESPONSE | $78.75 | $105.00 | $1.00–$84.56 | — | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TUBERCULOSIS AG RESPONSE | $78.75 | $105.00 | $1.00–$84.56 | — | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE | $120.00 | $160.00 | $1.00–$35.22 | 237% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE | $120.00 | $160.00 | $1.00–$35.22 | 237% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $163.50 | $218.00 | $1.00–$35.22 | 359% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $163.50 | $218.00 | $1.00–$35.22 | 359% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $266.25 | $355.00 | $1.00–$35.22 | 647% above | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $266.25 | $355.00 | $1.00–$35.22 | 647% above | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE | $120.00 | $160.00 | $1.00–$35.22 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE | $120.00 | $160.00 | $1.00–$35.22 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $163.50 | $218.00 | $1.00–$35.22 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $163.50 | $218.00 | $1.00–$35.22 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $266.25 | $355.00 | $1.00–$35.22 | — | 25% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $266.25 | $355.00 | $1.00–$35.22 | — | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EA | $9.37 | $12.49 | $1.00–$19.85 | 80% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EA | $9.37 | $12.49 | $1.00–$19.85 | 80% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $123.00 | $164.00 | $1.00–$19.85 | 167% above | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $123.00 | $164.00 | $1.00–$19.85 | 167% above | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EA | $9.37 | $12.49 | $1.00–$19.85 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY EA | $9.37 | $12.49 | $1.00–$19.85 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $123.00 | $164.00 | $1.00–$19.85 | — | 25% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $123.00 | $164.00 | $1.00–$19.85 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $469.50 | $626.00 | $1.00–$22.93 | 630% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $469.50 | $626.00 | $1.00–$22.93 | 630% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $469.50 | $626.00 | $1.00–$22.93 | — | 25% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $469.50 | $626.00 | $1.00–$22.93 | — | 25% |
| Total IgE blood test CPT 82785 TOTAL IGE | $69.75 | $93.00 | $1.00–$22.47 | 57% above | 25% |
| Total IgE blood test CPT 82785 TOTAL IGE | $69.75 | $93.00 | $1.00–$22.47 | 57% above | 25% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULINS E SERUM | $74.25 | $99.00 | $1.00–$22.47 | 68% above | 25% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULINS E SERUM | $74.25 | $99.00 | $1.00–$22.47 | 68% above | 25% |
| Total IgE blood test CPT 82785 TOTAL SERUM,IGE | $91.50 | $122.00 | $1.00–$22.47 | 107% above | 25% |
| Total IgE blood test CPT 82785 TOTAL SERUM,IGE | $91.50 | $122.00 | $1.00–$22.47 | 107% above | 25% |
| Total IgE blood test CPT 82785 IGE SERUM | $277.50 | $370.00 | $1.00–$22.47 | 527% above | 25% |
| Total IgE blood test CPT 82785 IGE SERUM | $277.50 | $370.00 | $1.00–$22.47 | 527% above | 25% |
| Total IgE blood test CPT 82785 TOTAL - IGE | $281.25 | $375.00 | $1.00–$22.47 | 535% above | 25% |
| Total IgE blood test CPT 82785 TOTAL - IGE | $281.25 | $375.00 | $1.00–$22.47 | 535% above | 25% |
| Total IgE blood test CPT 82785 Total Serum 1GE | $361.50 | $482.00 | $1.00–$22.47 | 716% above | 25% |
| Total IgE blood test CPT 82785 Total Serum 1GE | $361.50 | $482.00 | $1.00–$22.47 | 716% above | 25% |
| Total IgE blood test CPT 82785 TOTAL SERUM 1GE | $376.50 | $502.00 | $1.00–$22.47 | 750% above | 25% |
| Total IgE blood test CPT 82785 TOTAL SERUM 1GE | $376.50 | $502.00 | $1.00–$22.47 | 750% above | 25% |
| Total IgE blood test CPT 82785 IGE | $390.00 | $520.00 | $1.00–$22.47 | 781% above | 25% |
| Total IgE blood test CPT 82785 IGE | $390.00 | $520.00 | $1.00–$22.47 | 781% above | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL IGE | $69.75 | $93.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL IGE | $69.75 | $93.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULINS E SERUM | $74.25 | $99.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULINS E SERUM | $74.25 | $99.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL SERUM,IGE | $91.50 | $122.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL SERUM,IGE | $91.50 | $122.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 IGE SERUM | $277.50 | $370.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 IGE SERUM | $277.50 | $370.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL - IGE | $281.25 | $375.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL - IGE | $281.25 | $375.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 Total Serum 1GE | $361.50 | $482.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 Total Serum 1GE | $361.50 | $482.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL SERUM 1GE | $376.50 | $502.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 TOTAL SERUM 1GE | $376.50 | $502.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 IGE | $390.00 | $520.00 | $1.00–$22.47 | — | 25% |
| Total IgE blood test inpatient CPT 82785 IGE | $390.00 | $520.00 | $1.00–$22.47 | — | 25% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $36.00 | $48.00 | $4.35–$16.13 | 80% above | 25% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $36.00 | $48.00 | $4.35–$16.13 | 80% above | 25% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL | $36.00 | $48.00 | $4.35–$16.13 | — | 25% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL | $36.00 | $48.00 | $4.35–$16.13 | — | 25% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL | $156.75 | $209.00 | $1.00–$9.37 | 372% above | 25% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE TOTAL | $156.75 | $209.00 | $1.00–$9.37 | 372% above | 25% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL | $156.75 | $209.00 | $1.00–$9.37 | — | 25% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE TOTAL | $156.75 | $209.00 | $1.00–$9.37 | — | 25% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODTHYRNIN TOTAL T3 | $343.50 | $458.00 | $1.00–$19.34 | 644% above | 25% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODTHYRNIN TOTAL T3 | $343.50 | $458.00 | $1.00–$19.34 | 644% above | 25% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODTHYRNIN TOTAL T3 | $343.50 | $458.00 | $1.00–$19.34 | — | 25% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODTHYRNIN TOTAL T3 | $343.50 | $458.00 | $1.00–$19.34 | — | 25% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $266.25 | $355.00 | $1.00–$17.42 | 367% above | 25% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $266.25 | $355.00 | $1.00–$17.42 | 367% above | 25% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $266.25 | $355.00 | $1.00–$17.42 | — | 25% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $266.25 | $355.00 | $1.00–$17.42 | — | 25% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS AMP PROBE | $149.25 | $199.00 | $1.00–$47.87 | 103% above | 25% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS AMP PROBE | $149.25 | $199.00 | $1.00–$47.87 | 103% above | 25% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS AMP PROBE | $149.25 | $199.00 | $1.00–$47.87 | — | 25% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS AMP PROBE | $149.25 | $199.00 | $1.00–$47.87 | — | 25% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $36.00 | $48.00 | $4.88–$16.13 | 93% above | 25% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $36.00 | $48.00 | $4.88–$16.13 | 93% above | 25% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $36.00 | $48.00 | $4.88–$16.13 | — | 25% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $36.00 | $48.00 | $4.88–$16.13 | — | 25% |
| Troponin test, quantitative CPT 84484 TROPONIN QUAN | $15.27 | $20.36 | $1.00–$13.42 | 64% below | 25% |
| Troponin test, quantitative CPT 84484 TROPONIN QUAN | $15.27 | $20.36 | $1.00–$13.42 | 64% below | 25% |
| Troponin test, quantitative CPT 84484 TROPONIN - I | $327.00 | $436.00 | $1.00–$13.42 | 669% above | 25% |
| Troponin test, quantitative CPT 84484 TROPONIN - I | $327.00 | $436.00 | $1.00–$13.42 | 669% above | 25% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUAN | $15.27 | $20.36 | $1.00–$13.42 | — | 25% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN QUAN | $15.27 | $20.36 | $1.00–$13.42 | — | 25% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN - I | $327.00 | $436.00 | $1.00–$13.42 | — | 25% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN - I | $327.00 | $436.00 | $1.00–$13.42 | — | 25% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $64.50 | $86.00 | $4.52–$16.13 | 195% above | 25% |
| Uric acid blood test CPT 84550 URIC ACID BLOOD | $64.50 | $86.00 | $4.52–$16.13 | 195% above | 25% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $64.50 | $86.00 | $4.52–$16.13 | — | 25% |
| Uric acid blood test inpatient CPT 84550 URIC ACID BLOOD | $64.50 | $86.00 | $4.52–$16.13 | — | 25% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $49.50 | $66.00 | $1.00–$4.32 | 148% above | 25% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $49.50 | $66.00 | $1.00–$4.32 | 148% above | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO | $49.50 | $66.00 | $1.00–$4.32 | — | 25% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO | $49.50 | $66.00 | $1.00–$4.32 | — | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO AUTO | $33.75 | $45.00 | $1.00–$3.06 | 160% above | 25% |
| Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO AUTO | $33.75 | $45.00 | $1.00–$3.06 | 160% above | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/O MICRO AUTO | $33.75 | $45.00 | $1.00–$3.06 | — | 25% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/O MICRO AUTO | $33.75 | $45.00 | $1.00–$3.06 | — | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO | $49.50 | $66.00 | $1.00–$3.49 | 213% above | 25% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO | $49.50 | $66.00 | $1.00–$3.49 | 213% above | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO | $49.50 | $66.00 | $1.00–$3.49 | — | 25% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO | $49.50 | $66.00 | $1.00–$3.49 | — | 25% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY CT | $176.25 | $235.00 | $1.00–$11.01 | 220% above | 25% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE COLONY CT | $176.25 | $235.00 | $1.00–$11.01 | 220% above | 25% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY CT | $176.25 | $235.00 | $1.00–$11.01 | — | 25% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE COLONY CT | $176.25 | $235.00 | $1.00–$11.01 | — | 25% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN URINE QNT | $204.00 | $272.00 | $1.00–$7.89 | 685% above | 25% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN URINE QNT | $204.00 | $272.00 | $1.00–$7.89 | 685% above | 25% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN URINE QNT | $204.00 | $272.00 | $1.00–$7.89 | — | 25% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN URINE QNT | $204.00 | $272.00 | $1.00–$7.89 | — | 25% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QUAL | $45.00 | $60.00 | $1.00–$8.63 | 81% above | 25% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QUAL | $45.00 | $60.00 | $1.00–$8.63 | 81% above | 25% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QUAL | $45.00 | $60.00 | $1.00–$8.63 | — | 25% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QUAL | $45.00 | $60.00 | $1.00–$8.63 | — | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBLMN(VIT B12) | $288.75 | $385.00 | $1.00–$20.56 | 381% above | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBLMN(VIT B12) | $288.75 | $385.00 | $1.00–$20.56 | 381% above | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBLMN(VIT B12) | $288.75 | $385.00 | $1.00–$20.56 | — | 25% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 CYANOCOBLMN(VIT B12) | $288.75 | $385.00 | $1.00–$20.56 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D/25 HYDROXY | $473.25 | $631.00 | $1.00–$40.40 | 435% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D/25 HYDROXY | $473.25 | $631.00 | $1.00–$40.40 | 435% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D/25 HYDROXY | $473.25 | $631.00 | $1.00–$40.40 | — | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D/25 HYDROXY | $473.25 | $631.00 | $1.00–$40.40 | — | 25% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D1 25-DIHYDROXY | $124.50 | $166.00 | $1.00–$52.53 | 58% above | 25% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D1 25-DIHYDROXY | $124.50 | $166.00 | $1.00–$52.53 | 58% above | 25% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D1 25-DIHYDROXY | $124.50 | $166.00 | $1.00–$52.53 | — | 25% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D1 25-DIHYDROXY | $124.50 | $166.00 | $1.00–$52.53 | — | 25% |
| Zinc blood test CPT 84630 ZINC QUANTITATIVE URINE | $7.50 | $10.00 | $1.00–$15.53 | 69% below | 25% |
| Zinc blood test CPT 84630 ZINC QUANTITATIVE URINE | $7.50 | $10.00 | $1.00–$15.53 | 69% below | 25% |
| Zinc blood test CPT 84630 ZINC URINE | $9.00 | $12.00 | $1.00–$15.53 | 62% below | 25% |
| Zinc blood test CPT 84630 ZINC URINE | $9.00 | $12.00 | $1.00–$15.53 | 62% below | 25% |
| Zinc blood test CPT 84630 ZINC QUANTITATIVE | $57.00 | $76.00 | $1.00–$15.53 | 139% above | 25% |
| Zinc blood test CPT 84630 ZINC QUANTITATIVE | $57.00 | $76.00 | $1.00–$15.53 | 139% above | 25% |
| Zinc blood test CPT 84630 ZINC RBC | $89.25 | $119.00 | $1.00–$15.53 | 275% above | 25% |
| Zinc blood test CPT 84630 ZINC RBC | $89.25 | $119.00 | $1.00–$15.53 | 275% above | 25% |
| Zinc blood test inpatient CPT 84630 ZINC QUANTITATIVE URINE | $7.50 | $10.00 | $1.00–$15.53 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC QUANTITATIVE URINE | $7.50 | $10.00 | $1.00–$15.53 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC URINE | $9.00 | $12.00 | $1.00–$15.53 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC URINE | $9.00 | $12.00 | $1.00–$15.53 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC QUANTITATIVE | $57.00 | $76.00 | $1.00–$15.53 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC QUANTITATIVE | $57.00 | $76.00 | $1.00–$15.53 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC RBC | $89.25 | $119.00 | $1.00–$15.53 | — | 25% |
| Zinc blood test inpatient CPT 84630 ZINC RBC | $89.25 | $119.00 | $1.00–$15.53 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $147.00 | $196.00 | $1.00–$20.54 | 206% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT | $147.00 | $196.00 | $1.00–$20.54 | 206% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADTOPN CHORNC(HCG)QNT | $361.50 | $482.00 | $1.00–$20.54 | 652% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADTOPN CHORNC(HCG)QNT | $361.50 | $482.00 | $1.00–$20.54 | 652% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT | $147.00 | $196.00 | $1.00–$20.54 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT | $147.00 | $196.00 | $1.00–$20.54 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADTOPN CHORNC(HCG)QNT | $361.50 | $482.00 | $1.00–$20.54 | — | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADTOPN CHORNC(HCG)QNT | $361.50 | $482.00 | $1.00–$20.54 | — | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 CHEMODENERV;CN V VII XI | $782.25 | $1,043.00 | $0.22–$1,137.00 | 37% above | 25% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV;CN V VII XI | $782.25 | $1,043.00 | $0.22–$1,137.00 | 37% above | 25% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV FAC/TRIG/CERV MUSC | $889.50 | $1,186.00 | $0.22–$1,137.00 | 56% above | 25% |
| Botox injections for chronic migraine CPT 64615 CHEMODENERV FAC/TRIG/CERV MUSC | $889.50 | $1,186.00 | $0.22–$1,137.00 | 56% above | 25% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV;CN V VII XI | $782.25 | $1,043.00 | $0.22–$1,137.00 | — | 25% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV;CN V VII XI | $782.25 | $1,043.00 | $0.22–$1,137.00 | — | 25% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV FAC/TRIG/CERV MUSC | $889.50 | $1,186.00 | $0.22–$1,137.00 | — | 25% |
| Botox injections for chronic migraine inpatient CPT 64615 CHEMODENERV FAC/TRIG/CERV MUSC | $889.50 | $1,186.00 | $0.22–$1,137.00 | — | 25% |
| Cardiac catheterization with coronary angiogram CPT 93458 CATH L HRT ARTERY/VENTR | $21,557.25 | $28,743.00 | $0.22–$25,868.70 | 117% above | 25% |
| Cardiac catheterization with coronary angiogram CPT 93458 CATH L HRT ARTERY/VENTR | $21,557.25 | $28,743.00 | $0.22–$25,868.70 | 117% above | 25% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH L HRT ARTERY/VENTR | $21,557.25 | $28,743.00 | $0.22–$25,868.70 | — | 25% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH L HRT ARTERY/VENTR | $21,557.25 | $28,743.00 | $0.22–$25,868.70 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVRT ELECTRC/ELECTV | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | 673% above | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | 673% above | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC/SCHED | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | 673% above | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVRT ELECTRC/ELECTV | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | 673% above | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | 673% above | 25% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC/SCHED | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | 673% above | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELEC | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVRT ELECTRC/ELECTV | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELEC/SCHED | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELEC | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVRT ELECTRC/ELECTV | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | — | 25% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELEC/SCHED | $7,608.00 | $10,144.00 | $1.00–$3,791.00 | — | 25% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL RELEASE, OPEN | $1,669.50 | $2,226.00 | $0.22–$5,812.00 | 38% below | 25% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL RELEASE, OPEN | $1,669.50 | $2,226.00 | $0.22–$5,812.00 | 38% below | 25% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL RELEASE, OPEN | $1,669.50 | $2,226.00 | $0.22–$5,812.00 | — | 25% |
| Carpal tunnel release, open surgery inpatient CPT 64721 CARPAL TUNNEL RELEASE, OPEN | $1,669.50 | $2,226.00 | $0.22–$5,812.00 | — | 25% |
| Catheter ablation for atrial fibrillation CPT 93656 CMP EP ABL INTRA AFIB PVI EP3D | $61,358.25 | $81,811.00 | $0.22–$73,629.90 | 71% above | 25% |
| Catheter ablation for atrial fibrillation CPT 93656 CMP EP ABL INTRA AFIB PVI EP3D | $61,358.25 | $81,811.00 | $0.22–$73,629.90 | 71% above | 25% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 CMP EP ABL INTRA AFIB PVI EP3D | $61,358.25 | $81,811.00 | $0.22–$73,629.90 | — | 25% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 CMP EP ABL INTRA AFIB PVI EP3D | $61,358.25 | $81,811.00 | $0.22–$73,629.90 | — | 25% |
| Cervical biopsy CPT 57500 BIOPSY CERVIX - AMB | $2,268.00 | $3,024.00 | $0.22–$3,791.00 | 157% above | 25% |
| Cervical biopsy CPT 57500 BIOPSY CERVIX - AMB | $2,268.00 | $3,024.00 | $0.22–$3,791.00 | 157% above | 25% |
| Cervical biopsy CPT 57500 BPSY CERVIX/EXCISION OF LESION | $4,252.50 | $5,670.00 | $0.22–$5,103.00 | 382% above | 25% |
| Cervical biopsy CPT 57500 BPSY CERVIX/EXCISION OF LESION | $4,252.50 | $5,670.00 | $0.22–$5,103.00 | 382% above | 25% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX SINGLE OR MUL | $5,039.25 | $6,719.00 | $0.22–$6,047.10 | 471% above | 25% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX SINGLE OR MUL | $5,039.25 | $6,719.00 | $0.22–$6,047.10 | 471% above | 25% |
| Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX - AMB | $2,268.00 | $3,024.00 | $0.22–$3,791.00 | — | 25% |
| Cervical biopsy inpatient CPT 57500 BIOPSY CERVIX - AMB | $2,268.00 | $3,024.00 | $0.22–$3,791.00 | — | 25% |
| Cervical biopsy inpatient CPT 57500 BPSY CERVIX/EXCISION OF LESION | $4,252.50 | $5,670.00 | $0.22–$5,103.00 | — | 25% |
| Cervical biopsy inpatient CPT 57500 BPSY CERVIX/EXCISION OF LESION | $4,252.50 | $5,670.00 | $0.22–$5,103.00 | — | 25% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX SINGLE OR MUL | $5,039.25 | $6,719.00 | $0.22–$6,047.10 | — | 25% |
| Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX SINGLE OR MUL | $5,039.25 | $6,719.00 | $0.22–$6,047.10 | — | 25% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY WITH LEEP CERVIX | $8,535.75 | $11,381.00 | $0.22–$10,242.90 | 104% above | 25% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY WITH LEEP CERVIX | $8,535.75 | $11,381.00 | $0.22–$10,242.90 | 104% above | 25% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY WITH LEEP CERVIX | $8,535.75 | $11,381.00 | $0.22–$10,242.90 | — | 25% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY WITH LEEP CERVIX | $8,535.75 | $11,381.00 | $0.22–$10,242.90 | — | 25% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY/VAGINOSCOPY WITH CE | $609.00 | $812.00 | $0.22–$1,137.00 | 61% above | 25% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY/VAGINOSCOPY WITH CE | $609.00 | $812.00 | $0.22–$1,137.00 | 61% above | 25% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY/VAGINOSCOPY WITH CE | $609.00 | $812.00 | $0.22–$1,137.00 | — | 25% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY/VAGINOSCOPY WITH CE | $609.00 | $812.00 | $0.22–$1,137.00 | — | 25% |
| Coronary stent placement, one artery CPT 92928 COR STNT ANGIO INIT | $20,804.25 | $27,739.00 | $0.22–$28,774.00 | 60% above | 25% |
| Coronary stent placement, one artery CPT 92928 COR STNT ANGIO INIT | $20,804.25 | $27,739.00 | $0.22–$28,774.00 | 60% above | 25% |
| Coronary stent placement, one artery inpatient CPT 92928 COR STNT ANGIO INIT | $20,804.25 | $27,739.00 | $0.22–$28,774.00 | — | 25% |
| Coronary stent placement, one artery inpatient CPT 92928 COR STNT ANGIO INIT | $20,804.25 | $27,739.00 | $0.22–$28,774.00 | — | 25% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN | $441.00 | $588.00 | $0.22–$1,137.00 | 358% above | 25% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN | $441.00 | $588.00 | $0.22–$1,137.00 | 358% above | 25% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERUMEN | $441.00 | $588.00 | $0.22–$1,137.00 | — | 25% |
| Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED CERUMEN | $441.00 | $588.00 | $0.22–$1,137.00 | — | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL - AMB | $624.00 | $832.00 | $0.22–$1,137.00 | 163% above | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY ENDOMETRIAL - AMB | $624.00 | $832.00 | $0.22–$1,137.00 | 163% above | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $1,102.50 | $1,470.00 | $0.22–$1,323.00 | 365% above | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $1,102.50 | $1,470.00 | $0.22–$1,323.00 | 365% above | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY ENDOMETRIAL - AMB | $624.00 | $832.00 | $0.22–$1,137.00 | — | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY ENDOMETRIAL - AMB | $624.00 | $832.00 | $0.22–$1,137.00 | — | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $1,102.50 | $1,470.00 | $0.22–$1,323.00 | — | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING | $1,102.50 | $1,470.00 | $0.22–$1,323.00 | — | 25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L SP FACET INJ+IMAG LVL1 | $1,892.25 | $2,523.00 | $0.22–$3,791.00 | 75% above | 25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 L SP FACET INJ+IMAG LVL1 | $1,892.25 | $2,523.00 | $0.22–$3,791.00 | 75% above | 25% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L SP FACET INJ+IMAG LVL1 | $1,892.25 | $2,523.00 | $0.22–$3,791.00 | — | 25% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 L SP FACET INJ+IMAG LVL1 | $1,892.25 | $2,523.00 | $0.22–$3,791.00 | — | 25% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID | $1,956.75 | $2,609.00 | $0.22–$3,791.00 | 37% above | 25% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID | $1,956.75 | $2,609.00 | $0.22–$3,791.00 | 37% above | 25% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID | $1,956.75 | $2,609.00 | $0.22–$3,791.00 | — | 25% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID | $1,956.75 | $2,609.00 | $0.22–$3,791.00 | — | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ&CATH HYSTER/SONOHYST | $953.25 | $1,271.00 | $0.22–$1,143.90 | 92% above | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ&CATH HYSTER/SONOHYST | $953.25 | $1,271.00 | $0.22–$1,143.90 | 92% above | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ&CATH HYSTER/SONOHYST | $953.25 | $1,271.00 | $0.22–$1,143.90 | — | 25% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ&CATH HYSTER/SONOHYST | $953.25 | $1,271.00 | $0.22–$1,143.90 | — | 25% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD | $529.50 | $706.00 | $0.22–$1,137.00 | 61% above | 25% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD | $529.50 | $706.00 | $0.22–$1,137.00 | 61% above | 25% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD | $529.50 | $706.00 | $0.22–$1,137.00 | — | 25% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD | $529.50 | $706.00 | $0.22–$1,137.00 | — | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKIN ABSCESS SINGLE/SIMPLE | $627.75 | $837.00 | $0.22–$1,137.00 | 130% above | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D SKIN ABSCESS SINGLE/SIMPLE | $627.75 | $837.00 | $0.22–$1,137.00 | 130% above | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCE | $932.25 | $1,243.00 | $0.22–$1,137.00 | 241% above | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCE | $932.25 | $1,243.00 | $0.22–$1,137.00 | 241% above | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SKIN ABSCESS SINGLE/SIMPLE | $627.75 | $837.00 | $0.22–$1,137.00 | — | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D SKIN ABSCESS SINGLE/SIMPLE | $627.75 | $837.00 | $0.22–$1,137.00 | — | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCE | $932.25 | $1,243.00 | $0.22–$1,137.00 | — | 25% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCE | $932.25 | $1,243.00 | $0.22–$1,137.00 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIG/TRIG PTS | $1,034.25 | $1,379.00 | $0.22–$1,241.10 | 158% above | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIG/TRIG PTS | $1,034.25 | $1,379.00 | $0.22–$1,241.10 | 158% above | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $1,406.25 | $1,875.00 | $0.22–$1,687.50 | 250% above | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $1,406.25 | $1,875.00 | $0.22–$1,687.50 | 250% above | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIG/TRIG PTS | $1,034.25 | $1,379.00 | $0.22–$1,241.10 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIG/TRIG PTS | $1,034.25 | $1,379.00 | $0.22–$1,241.10 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT | $1,406.25 | $1,875.00 | $0.22–$1,687.50 | — | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT | $1,406.25 | $1,875.00 | $0.22–$1,687.50 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJ MAJ JT WO/US | $529.50 | $706.00 | $0.22–$1,137.00 | 24% above | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIR/INJ MAJ JT WO/US | $529.50 | $706.00 | $0.22–$1,137.00 | 24% above | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $1,977.75 | $2,637.00 | $0.22–$2,373.30 | 362% above | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $1,977.75 | $2,637.00 | $0.22–$2,373.30 | 362% above | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR/INJ MAJ JT WO/US | $529.50 | $706.00 | $0.22–$1,137.00 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASPIR/INJ MAJ JT WO/US | $529.50 | $706.00 | $0.22–$1,137.00 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $1,977.75 | $2,637.00 | $0.22–$2,373.30 | — | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $1,977.75 | $2,637.00 | $0.22–$2,373.30 | — | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION-NEXPLANON | $157.50 | $210.00 | $0.22–$1,137.00 | 5% below | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION-NEXPLANON | $157.50 | $210.00 | $0.22–$1,137.00 | 5% below | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION IMPL CONT CAPSULES | $533.25 | $711.00 | $0.22–$1,137.00 | 220% above | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION IMPL CONT CAPSULES | $533.25 | $711.00 | $0.22–$1,137.00 | 220% above | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION-NEXPLANON | $157.50 | $210.00 | $0.22–$1,137.00 | — | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION-NEXPLANON | $157.50 | $210.00 | $0.22–$1,137.00 | — | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION IMPL CONT CAPSULES | $533.25 | $711.00 | $0.22–$1,137.00 | — | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION IMPL CONT CAPSULES | $533.25 | $711.00 | $0.22–$1,137.00 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/DRAIN/INJ INTRMED JOINT | $1,083.00 | $1,444.00 | $0.22–$1,299.60 | 233% above | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/DRAIN/INJ INTRMED JOINT | $1,083.00 | $1,444.00 | $0.22–$1,299.60 | 233% above | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO/DRAIN/INJ INTRMED JOINT | $1,083.00 | $1,444.00 | $0.22–$1,299.60 | — | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHRO/DRAIN/INJ INTRMED JOINT | $1,083.00 | $1,444.00 | $0.22–$1,299.60 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRO/DRAIN/INJ SMALL JOINT | $1,494.75 | $1,993.00 | $0.22–$1,793.70 | 342% above | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHRO/DRAIN/INJ SMALL JOINT | $1,494.75 | $1,993.00 | $0.22–$1,793.70 | 342% above | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRO/DRAIN/INJ SMALL JOINT | $1,494.75 | $1,993.00 | $0.22–$1,793.70 | — | 25% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHRO/DRAIN/INJ SMALL JOINT | $1,494.75 | $1,993.00 | $0.22–$1,793.70 | — | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5CM < | $2,227.50 | $2,970.00 | $0.22–$2,673.00 | 496% above | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5CM < | $2,227.50 | $2,970.00 | $0.22–$2,673.00 | 496% above | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5CM < | $2,227.50 | $2,970.00 | $0.22–$2,673.00 | — | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5CM < | $2,227.50 | $2,970.00 | $0.22–$2,673.00 | — | 25% |
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT | $12,306.00 | $16,408.00 | $0.22–$14,767.20 | 77% above | 25% |
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT | $12,306.00 | $16,408.00 | $0.22–$14,767.20 | 77% above | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LT HRT W/LTVENT | $12,306.00 | $16,408.00 | $0.22–$14,767.20 | — | 25% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LT HRT W/LTVENT | $12,306.00 | $16,408.00 | $0.22–$14,767.20 | — | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE B9+MRGN TRNK-EXT TO.5CM | $1,237.50 | $1,650.00 | $0.22–$3,791.00 | 71% above | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISE B9+MRGN TRNK-EXT TO.5CM | $1,237.50 | $1,650.00 | $0.22–$3,791.00 | 71% above | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX BENIGN LESION < = .5CM | $5,016.00 | $6,688.00 | $0.22–$6,019.20 | 593% above | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX BENIGN LESION < = .5CM | $5,016.00 | $6,688.00 | $0.22–$6,019.20 | 593% above | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISE B9+MRGN TRNK-EXT TO.5CM | $1,237.50 | $1,650.00 | $0.22–$3,791.00 | — | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISE B9+MRGN TRNK-EXT TO.5CM | $1,237.50 | $1,650.00 | $0.22–$3,791.00 | — | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EX BENIGN LESION < = .5CM | $5,016.00 | $6,688.00 | $0.22–$6,019.20 | — | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EX BENIGN LESION < = .5CM | $5,016.00 | $6,688.00 | $0.22–$6,019.20 | — | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISE FACE-MM B9+MARG TO.5CM | $1,047.75 | $1,397.00 | $0.22–$3,791.00 | 42% above | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISE FACE-MM B9+MARG TO.5CM | $1,047.75 | $1,397.00 | $0.22–$3,791.00 | 42% above | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION FACE | $3,616.50 | $4,822.00 | $0.22–$4,339.80 | 389% above | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISION BENIGN LESION FACE | $3,616.50 | $4,822.00 | $0.22–$4,339.80 | 389% above | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISE FACE-MM B9+MARG TO.5CM | $1,047.75 | $1,397.00 | $0.22–$3,791.00 | — | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISE FACE-MM B9+MARG TO.5CM | $1,047.75 | $1,397.00 | $0.22–$3,791.00 | — | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION FACE | $3,616.50 | $4,822.00 | $0.22–$4,339.80 | — | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXCISION BENIGN LESION FACE | $3,616.50 | $4,822.00 | $0.22–$4,339.80 | — | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,314.75 | $1,753.00 | $0.22–$3,791.00 | 154% above | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,314.75 | $1,753.00 | $0.22–$3,791.00 | 154% above | 25% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,314.75 | $1,753.00 | $0.22–$3,791.00 | — | 25% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,314.75 | $1,753.00 | $0.22–$3,791.00 | — | 25% |
| Pacemaker implant (dual chamber) CPT 33208 INS/RPL PMW/TRNSV LD A-V | $33,392.25 | $44,523.00 | $0.22–$40,070.70 | 105% above | 25% |
| Pacemaker implant (dual chamber) CPT 33208 INS/RPL PMW/TRNSV LD A-V | $33,392.25 | $44,523.00 | $0.22–$40,070.70 | 105% above | 25% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INS/RPL PMW/TRNSV LD A-V | $33,392.25 | $44,523.00 | $0.22–$40,070.70 | — | 25% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INS/RPL PMW/TRNSV LD A-V | $33,392.25 | $44,523.00 | $0.22–$40,070.70 | — | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION, NAIL & MATRIX - PERM | $3,651.75 | $4,869.00 | $0.22–$4,382.10 | 594% above | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION, NAIL & MATRIX - PERM | $3,651.75 | $4,869.00 | $0.22–$4,382.10 | 594% above | 25% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION, NAIL & MATRIX - PERM | $3,651.75 | $4,869.00 | $0.22–$4,382.10 | — | 25% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION, NAIL & MATRIX - PERM | $3,651.75 | $4,869.00 | $0.22–$4,382.10 | — | 25% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $11,193.75 | $14,925.00 | $0.22–$13,432.50 | 108% above | 25% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $11,193.75 | $14,925.00 | $0.22–$13,432.50 | 108% above | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION | $11,193.75 | $14,925.00 | $0.22–$13,432.50 | — | 25% |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION | $11,193.75 | $14,925.00 | $0.22–$13,432.50 | — | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 REMV FOREIGN BODY SUB-Q/SIMPL | $1,038.00 | $1,384.00 | $0.22–$1,245.60 | 178% above | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 REMV FOREIGN BODY SUB-Q/SIMPL | $1,038.00 | $1,384.00 | $0.22–$1,245.60 | 178% above | 25% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMV FOREIGN BODY SUB-Q/SIMPL | $1,038.00 | $1,384.00 | $0.22–$1,245.60 | — | 25% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMV FOREIGN BODY SUB-Q/SIMPL | $1,038.00 | $1,384.00 | $0.22–$1,245.60 | — | 25% |
| Short arm splint (forearm and hand) CPT 29125 APPL/FOREARM SPLINT-STATIC | $592.50 | $790.00 | $0.22–$1,137.00 | 210% above | 25% |
| Short arm splint (forearm and hand) CPT 29125 APPL/FOREARM SPLINT-STATIC | $592.50 | $790.00 | $0.22–$1,137.00 | 210% above | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPL/FOREARM SPLINT-STATIC | $592.50 | $790.00 | $0.22–$1,137.00 | — | 25% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPL/FOREARM SPLINT-STATIC | $592.50 | $790.00 | $0.22–$1,137.00 | — | 25% |
| Short leg splint (calf to foot) CPT 29515 APPL/SPLINT, SHORT LEG | $412.50 | $550.00 | $0.22–$1,137.00 | 153% above | 25% |
| Short leg splint (calf to foot) CPT 29515 APPL/SPLINT, SHORT LEG | $412.50 | $550.00 | $0.22–$1,137.00 | 153% above | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPL/SPLINT, SHORT LEG | $412.50 | $550.00 | $0.22–$1,137.00 | — | 25% |
| Short leg splint (calf to foot) inpatient CPT 29515 APPL/SPLINT, SHORT LEG | $412.50 | $550.00 | $0.22–$1,137.00 | — | 25% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $528.75 | $705.00 | $0.22–$634.50 | 43% above | 25% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $528.75 | $705.00 | $0.22–$634.50 | 43% above | 25% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $528.75 | $705.00 | $0.22–$634.50 | — | 25% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION | $528.75 | $705.00 | $0.22–$634.50 | — | 25% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS 1 TO 15 | $2,234.25 | $2,979.00 | $0.22–$2,681.10 | 1177% above | 25% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS 1 TO 15 | $2,234.25 | $2,979.00 | $0.22–$2,681.10 | 1177% above | 25% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 | $2,626.50 | $3,502.00 | $0.22–$3,151.80 | 1401% above | 25% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS UP TO 15 | $2,626.50 | $3,502.00 | $0.22–$3,151.80 | 1401% above | 25% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS 1 TO 15 | $2,234.25 | $2,979.00 | $0.22–$2,681.10 | — | 25% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS 1 TO 15 | $2,234.25 | $2,979.00 | $0.22–$2,681.10 | — | 25% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 | $2,626.50 | $3,502.00 | $0.22–$3,151.80 | — | 25% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS UP TO 15 | $2,626.50 | $3,502.00 | $0.22–$3,151.80 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,973.25 | $2,631.00 | $0.22–$3,791.00 | 131% above | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $1,973.25 | $2,631.00 | $0.22–$3,791.00 | 131% above | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTR LUMB DIAG | $2,327.25 | $3,103.00 | $0.22–$3,791.00 | 172% above | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTR LUMB DIAG | $2,327.25 | $3,103.00 | $0.22–$3,791.00 | 172% above | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $1,973.25 | $2,631.00 | $0.22–$3,791.00 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE | $1,973.25 | $2,631.00 | $0.22–$3,791.00 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTR LUMB DIAG | $2,327.25 | $3,103.00 | $0.22–$3,791.00 | — | 25% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTR LUMB DIAG | $2,327.25 | $3,103.00 | $0.22–$3,791.00 | — | 25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $528.75 | $705.00 | $0.22–$634.50 | 84% above | 25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $528.75 | $705.00 | $0.22–$634.50 | 84% above | 25% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $528.75 | $705.00 | $0.22–$634.50 | — | 25% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $528.75 | $705.00 | $0.22–$634.50 | — | 25% |
| Trigger finger release surgery CPT 26055 TEND SHEATH INCISION TRIG FING | $1,332.00 | $1,776.00 | $0.22–$5,085.00 | 29% below | 25% |
| Trigger finger release surgery CPT 26055 TEND SHEATH INCISION TRIG FING | $1,332.00 | $1,776.00 | $0.22–$5,085.00 | 29% below | 25% |
| Trigger finger release surgery inpatient CPT 26055 TEND SHEATH INCISION TRIG FING | $1,332.00 | $1,776.00 | $0.22–$5,085.00 | — | 25% |
| Trigger finger release surgery inpatient CPT 26055 TEND SHEATH INCISION TRIG FING | $1,332.00 | $1,776.00 | $0.22–$5,085.00 | — | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNTS 1-2 MUSCLES | $959.25 | $1,279.00 | $0.22–$1,151.10 | 164% above | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PNTS 1-2 MUSCLES | $959.25 | $1,279.00 | $0.22–$1,151.10 | 164% above | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PTS 1/2 MUSC | $1,071.00 | $1,428.00 | $0.22–$1,285.20 | 194% above | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER PTS 1/2 MUSC | $1,071.00 | $1,428.00 | $0.22–$1,285.20 | 194% above | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,452.75 | $1,937.00 | $0.22–$1,743.30 | 299% above | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,452.75 | $1,937.00 | $0.22–$1,743.30 | 299% above | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PNTS 1-2 MUSCLES | $959.25 | $1,279.00 | $0.22–$1,151.10 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PNTS 1-2 MUSCLES | $959.25 | $1,279.00 | $0.22–$1,151.10 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PTS 1/2 MUSC | $1,071.00 | $1,428.00 | $0.22–$1,285.20 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER PTS 1/2 MUSC | $1,071.00 | $1,428.00 | $0.22–$1,285.20 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,452.75 | $1,937.00 | $0.22–$1,743.30 | — | 25% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,452.75 | $1,937.00 | $0.22–$1,743.30 | — | 25% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $13,626.75 | $18,169.00 | $0.22–$16,352.10 | 85% above | 25% |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $13,626.75 | $18,169.00 | $0.22–$16,352.10 | 85% above | 25% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $13,626.75 | $18,169.00 | $0.22–$16,352.10 | — | 25% |
| Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETERO W/LITHOTRIPSY | $13,626.75 | $18,169.00 | $0.22–$16,352.10 | — | 25% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESIONS 1-14 | $659.25 | $879.00 | $0.22–$1,137.00 | 225% above | 25% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESIONS 1-14 | $659.25 | $879.00 | $0.22–$1,137.00 | 225% above | 25% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESIONS 1-14 | $659.25 | $879.00 | $0.22–$1,137.00 | — | 25% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESIONS 1-14 | $659.25 | $879.00 | $0.22–$1,137.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBCUT TIS | $589.50 | $786.00 | $0.22–$1,137.00 | 6% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN & SUBCUT TIS | $589.50 | $786.00 | $0.22–$1,137.00 | 6% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE TO 20SQCM | $3,157.50 | $4,210.00 | $0.22–$3,789.00 | 466% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SUBQ TISSUE TO 20SQCM | $3,157.50 | $4,210.00 | $0.22–$3,789.00 | 466% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBCUT TIS | $589.50 | $786.00 | $0.22–$1,137.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN & SUBCUT TIS | $589.50 | $786.00 | $0.22–$1,137.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE TO 20SQCM | $3,157.50 | $4,210.00 | $0.22–$3,789.00 | — | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SUBQ TISSUE TO 20SQCM | $3,157.50 | $4,210.00 | $0.22–$3,789.00 | — | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $1,515.00 | $2,020.00 | $0.22–$1,818.00 | 101% above | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $1,515.00 | $2,020.00 | $0.22–$1,818.00 | 101% above | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $1,797.00 | $2,396.00 | $0.22–$2,156.40 | 139% above | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMINISTRATION | $1,797.00 | $2,396.00 | $0.22–$2,156.40 | 139% above | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMP | $2,272.50 | $3,030.00 | $0.22–$2,727.00 | 202% above | 25% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMP | $2,272.50 | $3,030.00 | $0.22–$2,727.00 | 202% above | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE | $1,515.00 | $2,020.00 | $0.22–$1,818.00 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE | $1,515.00 | $2,020.00 | $0.22–$1,818.00 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $1,797.00 | $2,396.00 | $0.22–$2,156.40 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADMINISTRATION | $1,797.00 | $2,396.00 | $0.22–$2,156.40 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMP | $2,272.50 | $3,030.00 | $0.22–$2,727.00 | — | 25% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION BLD/BLD COMP | $2,272.50 | $3,030.00 | $0.22–$2,727.00 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB TX | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RN NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RN NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | 129% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER (AMB STAFF) | $471.00 | $628.00 | $1.00–$39.22 | 171% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER (AMB STAFF) | $471.00 | $628.00 | $1.00–$39.22 | 171% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 2W-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | 171% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 1E-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | 171% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 1E-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | 171% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 2W-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | 171% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TX | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RN NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB TX | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI TREATMENT | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RN NEBULIZER TX | $397.50 | $530.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 2W-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER (AMB STAFF) | $471.00 | $628.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 1E-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 1E-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER (AMB STAFF) | $471.00 | $628.00 | $1.00–$39.22 | — | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 2W-NEBULIZER TREATMENT | $471.00 | $628.00 | $1.00–$39.22 | — | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV <=1H INIT | $595.50 | $794.00 | $1.00–$623.37 | 13% above | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV <=1H INIT | $595.50 | $794.00 | $1.00–$623.37 | 13% above | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF SGL/INTL DRUG SUB | $620.25 | $827.00 | $1.00–$623.37 | 18% above | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF SGL/INTL DRUG SUB | $620.25 | $827.00 | $1.00–$623.37 | 18% above | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV <+1HR INITIAL | $901.50 | $1,202.00 | $1.00–$623.37 | 71% above | 25% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV <+1HR INITIAL | $901.50 | $1,202.00 | $1.00–$623.37 | 71% above | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV <=1H INIT | $595.50 | $794.00 | $1.00–$623.37 | — | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV <=1H INIT | $595.50 | $794.00 | $1.00–$623.37 | — | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF SGL/INTL DRUG SUB | $620.25 | $827.00 | $1.00–$623.37 | — | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF SGL/INTL DRUG SUB | $620.25 | $827.00 | $1.00–$623.37 | — | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV <+1HR INITIAL | $901.50 | $1,202.00 | $1.00–$623.37 | — | 25% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV <+1HR INITIAL | $901.50 | $1,202.00 | $1.00–$623.37 | — | 25% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUDITORY ASSESSMENT | $228.00 | $304.00 | $1.00–$80.14 | 3% above | 25% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 AUDITORY ASSESSMENT | $228.00 | $304.00 | $1.00–$80.14 | 3% above | 25% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 AUDITORY ASSESSMENT | $228.00 | $304.00 | $1.00–$80.14 | — | 25% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 AUDITORY ASSESSMENT | $228.00 | $304.00 | $1.00–$80.14 | — | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE E&M 30-74 MIN | $4,590.00 | $6,120.00 | $1.00–$4,182.65 | 127% above | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 CRIT CARE E&M 30-74 MIN | $4,590.00 | $6,120.00 | $1.00–$4,182.65 | 127% above | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE E&M 30-74 MIN | $4,590.00 | $6,120.00 | $1.00–$4,182.65 | — | 25% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRIT CARE E&M 30-74 MIN | $4,590.00 | $6,120.00 | $1.00–$4,182.65 | — | 25% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $1,604.25 | $2,139.00 | $1.00–$1,698.41 | 107% above | 25% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE/DROWSY | $1,604.25 | $2,139.00 | $1.00–$1,698.41 | 107% above | 25% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY | $1,604.25 | $2,139.00 | $1.00–$1,698.41 | — | 25% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE/DROWSY | $1,604.25 | $2,139.00 | $1.00–$1,698.41 | — | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG W/INTERPRET | $232.50 | $310.00 | $1.00–$32.27 | 137% above | 25% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG W/INTERPRET | $232.50 | $310.00 | $1.00–$32.27 | 137% above | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG W/INTERPRET | $232.50 | $310.00 | $1.00–$32.27 | — | 25% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG W/INTERPRET | $232.50 | $310.00 | $1.00–$32.27 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 4WS-EKG-TRACING ONLY | $193.50 | $258.00 | $1.00–$24.20 | 48% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 4WS-EKG-TRACING ONLY | $193.50 | $258.00 | $1.00–$24.20 | 48% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 2W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | 56% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 5W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | 56% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 2W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | 56% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 5W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | 56% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD TRACING ONLY | $220.50 | $294.00 | $1.00–$24.20 | 69% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEAD TRACING ONLY | $220.50 | $294.00 | $1.00–$24.20 | 69% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING ONLY | $253.50 | $338.00 | $1.00–$24.20 | 94% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING ONLY | $253.50 | $338.00 | $1.00–$24.20 | 94% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING | $275.25 | $367.00 | $1.00–$24.20 | 111% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING | $275.25 | $367.00 | $1.00–$24.20 | 111% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACE ONLY | $284.25 | $379.00 | $1.00–$24.20 | 118% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACE ONLY | $284.25 | $379.00 | $1.00–$24.20 | 118% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 4WS-EKG-TRACING ONLY | $193.50 | $258.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 4WS-EKG-TRACING ONLY | $193.50 | $258.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 2W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 5W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 5W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 2W-EKG-TRACING ONLY | $204.00 | $272.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-12 LEAD TRACING ONLY | $220.50 | $294.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-12 LEAD TRACING ONLY | $220.50 | $294.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING ONLY | $253.50 | $338.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING ONLY | $253.50 | $338.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING | $275.25 | $367.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING | $275.25 | $367.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACE ONLY | $284.25 | $379.00 | $1.00–$24.20 | — | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACE ONLY | $284.25 | $379.00 | $1.00–$24.20 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | 142% above | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 OB ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | 142% above | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | 142% above | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | 142% above | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 OB ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | — | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LVL I | $453.75 | $605.00 | $1.00–$488.00 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ER VISIT LVL II | $870.75 | $1,161.00 | $1.00–$600.16 | 149% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 OB ER VISIT LVL II | $870.75 | $1,161.00 | $1.00–$600.16 | 149% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LVL II | $872.25 | $1,163.00 | $1.00–$600.16 | 150% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LVL II | $872.25 | $1,163.00 | $1.00–$600.16 | 150% above | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ER VISIT LVL II | $870.75 | $1,161.00 | $1.00–$600.16 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 OB ER VISIT LVL II | $870.75 | $1,161.00 | $1.00–$600.16 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LVL II | $872.25 | $1,163.00 | $1.00–$600.16 | — | 25% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LVL II | $872.25 | $1,163.00 | $1.00–$600.16 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ER VISIT LVL III | $1,510.50 | $2,014.00 | $1.00–$1,007.53 | 137% above | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 OB ER VISIT LVL III | $1,510.50 | $2,014.00 | $1.00–$1,007.53 | 137% above | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LVL III | $1,514.25 | $2,019.00 | $1.00–$1,007.53 | 138% above | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LVL III | $1,514.25 | $2,019.00 | $1.00–$1,007.53 | 138% above | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ER VISIT LVL III | $1,510.50 | $2,014.00 | $1.00–$1,007.53 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 OB ER VISIT LVL III | $1,510.50 | $2,014.00 | $1.00–$1,007.53 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LVL III | $1,514.25 | $2,019.00 | $1.00–$1,007.53 | — | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LVL III | $1,514.25 | $2,019.00 | $1.00–$1,007.53 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LVL IV | $3,030.75 | $4,041.00 | $1.00–$1,728.60 | 187% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LVL IV | $3,030.75 | $4,041.00 | $1.00–$1,728.60 | 187% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ER VISIT LVL IV | $3,435.75 | $4,581.00 | $1.00–$1,728.60 | 225% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 OB ER VISIT LVL IV | $3,435.75 | $4,581.00 | $1.00–$1,728.60 | 225% above | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LVL IV | $3,030.75 | $4,041.00 | $1.00–$1,728.60 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LVL IV | $3,030.75 | $4,041.00 | $1.00–$1,728.60 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ER VISIT LVL IV | $3,435.75 | $4,581.00 | $1.00–$1,728.60 | — | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 OB ER VISIT LVL IV | $3,435.75 | $4,581.00 | $1.00–$1,728.60 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ER VISIT LVL V | $3,926.25 | $5,235.00 | $1.00–$2,494.39 | 132% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 OB ER VISIT LVL V | $3,926.25 | $5,235.00 | $1.00–$2,494.39 | 132% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LVL V | $4,359.75 | $5,813.00 | $1.00–$2,494.39 | 157% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LVL V | $4,359.75 | $5,813.00 | $1.00–$2,494.39 | 157% above | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ER VISIT LVL V | $3,926.25 | $5,235.00 | $1.00–$2,494.39 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 OB ER VISIT LVL V | $3,926.25 | $5,235.00 | $1.00–$2,494.39 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LVL V | $4,359.75 | $5,813.00 | $1.00–$2,494.39 | — | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LVL V | $4,359.75 | $5,813.00 | $1.00–$2,494.39 | — | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS TRACE ONLY | $1,537.50 | $2,050.00 | $1.00–$192.68 | 111% above | 25% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS TRACE ONLY | $1,537.50 | $2,050.00 | $1.00–$192.68 | 111% above | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO STRESS TRACE ONLY | $1,537.50 | $2,050.00 | $1.00–$192.68 | — | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO STRESS TRACE ONLY | $1,537.50 | $2,050.00 | $1.00–$192.68 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 9WS-IV INF HYD INIT 31-60MIN | $301.50 | $402.00 | $1.00–$158.58 | 16% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 9WS-IV INF HYD INIT 31-60MIN | $301.50 | $402.00 | $1.00–$158.58 | 16% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD INIT 31-60MIN | $328.50 | $438.00 | $1.00–$158.58 | 26% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD INIT 31-60MIN | $328.50 | $438.00 | $1.00–$158.58 | 26% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD INIT 31-60 MIN | $352.50 | $470.00 | $1.00–$158.58 | 35% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYD INIT 31-60 MIN | $352.50 | $470.00 | $1.00–$158.58 | 35% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION,INITIAL,UP TO 1HR | $362.25 | $483.00 | $1.00–$158.58 | 39% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION,INITIAL,UP TO 1HR | $362.25 | $483.00 | $1.00–$158.58 | 39% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 5W-IV INF HYDRATION INITL HR | $417.75 | $557.00 | $1.00–$158.58 | 60% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 5W-IV INF HYDRATION INITL HR | $417.75 | $557.00 | $1.00–$158.58 | 60% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infsion Hydration Initial u | $417.75 | $557.00 | $1.00–$158.58 | 60% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infsion Hydration Initial u | $417.75 | $557.00 | $1.00–$158.58 | 60% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE-THERA INIT TO 1 HR | $444.00 | $592.00 | $1.00–$158.58 | 70% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE-THERA INIT TO 1 HR | $444.00 | $592.00 | $1.00–$158.58 | 70% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION,INITIAL,UP TP 1HR | $581.25 | $775.00 | $1.00–$158.58 | 123% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION,INITIAL,UP TP 1HR | $581.25 | $775.00 | $1.00–$158.58 | 123% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INFUSION INITIAL | $597.00 | $796.00 | $1.00–$158.58 | 129% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INFUSION INITIAL | $597.00 | $796.00 | $1.00–$158.58 | 129% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 9WS-IV INF HYD INIT 31-60MIN | $301.50 | $402.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 9WS-IV INF HYD INIT 31-60MIN | $301.50 | $402.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYD INIT 31-60MIN | $328.50 | $438.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYD INIT 31-60MIN | $328.50 | $438.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYD INIT 31-60 MIN | $352.50 | $470.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INF HYD INIT 31-60 MIN | $352.50 | $470.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION,INITIAL,UP TO 1HR | $362.25 | $483.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION,INITIAL,UP TO 1HR | $362.25 | $483.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infsion Hydration Initial u | $417.75 | $557.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 5W-IV INF HYDRATION INITL HR | $417.75 | $557.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 5W-IV INF HYDRATION INITL HR | $417.75 | $557.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infsion Hydration Initial u | $417.75 | $557.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE-THERA INIT TO 1 HR | $444.00 | $592.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE-THERA INIT TO 1 HR | $444.00 | $592.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION,INITIAL,UP TP 1HR | $581.25 | $775.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION,INITIAL,UP TP 1HR | $581.25 | $775.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INFUSION INITIAL | $597.00 | $796.00 | $1.00–$158.58 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INFUSION INITIAL | $597.00 | $796.00 | $1.00–$158.58 | — | 25% |
| IV infusion of a medicine, first hour CPT 96365 9WS-IV INF TX INIT <=1 HR | $329.25 | $439.00 | $1.00–$305.25 | 10% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 9WS-IV INF TX INIT <=1 HR | $329.25 | $439.00 | $1.00–$305.25 | 10% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF TX INIT <=1 HR | $414.75 | $553.00 | $1.00–$305.25 | 38% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF TX INIT <=1 HR | $414.75 | $553.00 | $1.00–$305.25 | 38% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 5W-IV INF THER/DIAG INITL HR | $438.75 | $585.00 | $1.00–$305.25 | 46% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 5W-IV INF THER/DIAG INITL HR | $438.75 | $585.00 | $1.00–$305.25 | 46% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 2W-IV INF THER/DIAG INITL HR | $456.00 | $608.00 | $1.00–$305.25 | 52% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 2W-IV INF THER/DIAG INITL HR | $456.00 | $608.00 | $1.00–$305.25 | 52% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INIT U/T 1HR | $487.50 | $650.00 | $1.00–$305.25 | 63% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INIT U/T 1HR | $487.50 | $650.00 | $1.00–$305.25 | 63% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF TX INIT <+1 HR | $496.50 | $662.00 | $1.00–$305.25 | 66% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF TX INIT <+1 HR | $496.50 | $662.00 | $1.00–$305.25 | 66% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INIT UP TO1HR | $543.00 | $724.00 | $1.00–$305.25 | 81% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INIT UP TO1HR | $543.00 | $724.00 | $1.00–$305.25 | 81% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THR/PRP/DIA INT TO 1 | $581.25 | $775.00 | $1.00–$305.25 | 94% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THR/PRP/DIA INT TO 1 | $581.25 | $775.00 | $1.00–$305.25 | 94% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INT UP TO 1HR | $581.25 | $775.00 | $1.00–$305.25 | 94% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INT UP TO 1HR | $581.25 | $775.00 | $1.00–$305.25 | 94% above | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 9WS-IV INF TX INIT <=1 HR | $329.25 | $439.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 9WS-IV INF TX INIT <=1 HR | $329.25 | $439.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX INIT <=1 HR | $414.75 | $553.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX INIT <=1 HR | $414.75 | $553.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 5W-IV INF THER/DIAG INITL HR | $438.75 | $585.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 5W-IV INF THER/DIAG INITL HR | $438.75 | $585.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 2W-IV INF THER/DIAG INITL HR | $456.00 | $608.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 2W-IV INF THER/DIAG INITL HR | $456.00 | $608.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INIT U/T 1HR | $487.50 | $650.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INIT U/T 1HR | $487.50 | $650.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX INIT <+1 HR | $496.50 | $662.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF TX INIT <+1 HR | $496.50 | $662.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INIT UP TO1HR | $543.00 | $724.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INIT UP TO1HR | $543.00 | $724.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INT UP TO 1HR | $581.25 | $775.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THR/PRP/DIA INT TO 1 | $581.25 | $775.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THR/PRP/DIA INT TO 1 | $581.25 | $775.00 | $1.00–$305.25 | — | 25% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INT UP TO 1HR | $581.25 | $775.00 | $1.00–$305.25 | — | 25% |
| IV push of a medicine, first drug CPT 96374 5W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 5W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 1WS-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 2W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 4W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 3W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 3W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 4W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 2W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 1WS-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | 43% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJ TX/PRPH/DX IVP INT | $284.25 | $379.00 | $1.00–$179.04 | 54% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJ TX/PRPH/DX IVP INT | $284.25 | $379.00 | $1.00–$179.04 | 54% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJ TX/PROPH/DX IVP INITIAL | $324.75 | $433.00 | $1.00–$179.04 | 76% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJ TX/PROPH/DX IVP INITIAL | $324.75 | $433.00 | $1.00–$179.04 | 76% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON-CHEMO | $366.75 | $489.00 | $1.00–$179.04 | 99% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON-CHEMO | $366.75 | $489.00 | $1.00–$179.04 | 99% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJECTION INTRAVENOUS NONCHEMO | $370.50 | $494.00 | $1.00–$179.04 | 101% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJECTION INTRAVENOUS NONCHEMO | $370.50 | $494.00 | $1.00–$179.04 | 101% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH,SINGLE,INIT SUBST/DRUG | $403.50 | $538.00 | $1.00–$179.04 | 119% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH,SINGLE,INIT SUBST/DRUG | $403.50 | $538.00 | $1.00–$179.04 | 119% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJ TX/PROPH/DX IVP | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INJ INITIAL x1 EA ADD | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INJ INITIAL x1 EA ADD | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug CPT 96374 4WS-IV PUSH INITIAL SUBS/DRUG | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH THER/PROPH/DIAG INITL | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug CPT 96374 INJ TX/PROPH/DX IVP | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug CPT 96374 IV PUSH THER/PROPH/DIAG INITL | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug CPT 96374 4WS-IV PUSH INITIAL SUBS/DRUG | $468.75 | $625.00 | $1.00–$179.04 | 154% above | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 1WS-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 5W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 2W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 5W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 3W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 4W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 3W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 1WS-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 4W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 2W-IV PUSH INITIAL SUBS/DRUG | $264.00 | $352.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PRPH/DX IVP INT | $284.25 | $379.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PRPH/DX IVP INT | $284.25 | $379.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PROPH/DX IVP INITIAL | $324.75 | $433.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PROPH/DX IVP INITIAL | $324.75 | $433.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON-CHEMO | $366.75 | $489.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON-CHEMO | $366.75 | $489.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION INTRAVENOUS NONCHEMO | $370.50 | $494.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION INTRAVENOUS NONCHEMO | $370.50 | $494.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH,SINGLE,INIT SUBST/DRUG | $403.50 | $538.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH,SINGLE,INIT SUBST/DRUG | $403.50 | $538.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PROPH/DX IVP | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INJ INITIAL x1 EA ADD | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH THER/PROPH/DIAG INITL | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INJ INITIAL x1 EA ADD | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 4WS-IV PUSH INITIAL SUBS/DRUG | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 INJ TX/PROPH/DX IVP | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 4WS-IV PUSH INITIAL SUBS/DRUG | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH THER/PROPH/DIAG INITL | $468.75 | $625.00 | $1.00–$179.04 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ THER/DIAG, NON CHEMO | $105.75 | $141.00 | $1.00–$49.15 | 16% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ THER/DIAG, NON CHEMO | $105.75 | $141.00 | $1.00–$49.15 | 16% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ,THERAP/DIAG, NON CHEMO | $123.00 | $164.00 | $1.00–$49.15 | 35% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ,THERAP/DIAG, NON CHEMO | $123.00 | $164.00 | $1.00–$49.15 | 35% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PSYCHOTROPIC INJECTION-ADMINI | $192.00 | $256.00 | $1.00–$49.15 | 111% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PSYCHOTROPIC INJECTION-ADMINI | $192.00 | $256.00 | $1.00–$49.15 | 111% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/PROPH/DX SQ/IM | $220.50 | $294.00 | $1.00–$49.15 | 142% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/PROPH/DX SQ/IM | $220.50 | $294.00 | $1.00–$49.15 | 142% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4WS-INJ SUB-Q / IM THER/DIAG | $220.50 | $294.00 | $1.00–$49.15 | 142% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4WS-INJ SUB-Q / IM THER/DIAG | $220.50 | $294.00 | $1.00–$49.15 | 142% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBCUT/INTRADERM | $265.50 | $354.00 | $1.00–$49.15 | 192% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PSYCHOTROPIC INJECTIONS/ADMINI | $265.50 | $354.00 | $1.00–$49.15 | 192% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM/SUBCUT/INTRADERM | $265.50 | $354.00 | $1.00–$49.15 | 192% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PSYCHOTROPIC INJECTIONS/ADMINI | $265.50 | $354.00 | $1.00–$49.15 | 192% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1E-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 5W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/Proph/DX Injection, SC or | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1E-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1WR-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1ET-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1WR-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1WS-INJ SUB-Q/IM THER DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1WS-INJ SUB-Q/IM THER DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 2W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 2W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 5W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 4W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 1ET-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/Proph/DX Injection, SC or | $267.00 | $356.00 | $1.00–$49.15 | 193% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION INTRAMUSCULAR/SUBCUT | $285.00 | $380.00 | $1.00–$49.15 | 213% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION INTRAMUSCULAR/SUBCUT | $285.00 | $380.00 | $1.00–$49.15 | 213% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ THER/DIAG, NON CHEMO | $105.75 | $141.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ THER/DIAG, NON CHEMO | $105.75 | $141.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ,THERAP/DIAG, NON CHEMO | $123.00 | $164.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ,THERAP/DIAG, NON CHEMO | $123.00 | $164.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PSYCHOTROPIC INJECTION-ADMINI | $192.00 | $256.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PSYCHOTROPIC INJECTION-ADMINI | $192.00 | $256.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 4WS-INJ SUB-Q / IM THER/DIAG | $220.50 | $294.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/PROPH/DX SQ/IM | $220.50 | $294.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/PROPH/DX SQ/IM | $220.50 | $294.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 4WS-INJ SUB-Q / IM THER/DIAG | $220.50 | $294.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PSYCHOTROPIC INJECTIONS/ADMINI | $265.50 | $354.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SUBCUT/INTRADERM | $265.50 | $354.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PSYCHOTROPIC INJECTIONS/ADMINI | $265.50 | $354.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM/SUBCUT/INTRADERM | $265.50 | $354.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/Proph/DX Injection, SC or | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1E-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1ET-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1WR-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1WS-INJ SUB-Q/IM THER DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 2W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 4W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 5W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1E-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1ET-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1WR-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 1WS-INJ SUB-Q/IM THER DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 2W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 4W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 5W-INJ SUB-Q/IM THER/DIAG | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/Proph/DX Injection, SC or | $267.00 | $356.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION INTRAMUSCULAR/SUBCUT | $285.00 | $380.00 | $1.00–$49.15 | — | 25% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION INTRAMUSCULAR/SUBCUT | $285.00 | $380.00 | $1.00–$49.15 | — | 25% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND STUDIES 7-8 | $1,047.75 | $1,397.00 | $1.00–$358.11 | 39% above | 25% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE COND STUDIES 7-8 | $1,047.75 | $1,397.00 | $1.00–$358.11 | 39% above | 25% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE COND STUDIES 7-8 | $1,047.75 | $1,397.00 | $1.00–$358.11 | — | 25% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE COND STUDIES 7-8 | $1,047.75 | $1,397.00 | $1.00–$358.11 | — | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 OTA NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | 67% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | 67% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | 67% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 OTA NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | 67% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | 110% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | 110% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | 110% above | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | 110% above | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OTA NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT NEUROMUSC RE-EDUC EA1 | $157.50 | $210.00 | $1.00–$42.78 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | — | 25% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT NEUROMUSC RE-ED EA15 | $198.00 | $264.00 | $1.00–$42.78 | — | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED/NUT/THER/INITIAL EA 15MIN | $97.50 | $130.00 | $1.00–$95.51 | 112% above | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED/NUT/THER/INITIAL EA 15MIN | $97.50 | $130.00 | $1.00–$95.51 | 112% above | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRTN TH INIT 15MIN | $101.25 | $135.00 | $1.00–$95.51 | 120% above | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRTN TH INIT 15MIN | $101.25 | $135.00 | $1.00–$95.51 | 120% above | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED/NUT/THER/INITIAL EA 15MIN | $97.50 | $130.00 | $1.00–$95.51 | — | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED/NUT/THER/INITIAL EA 15MIN | $97.50 | $130.00 | $1.00–$95.51 | — | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRTN TH INIT 15MIN | $101.25 | $135.00 | $1.00–$95.51 | — | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MED NUTRTN TH INIT 15MIN | $101.25 | $135.00 | $1.00–$95.51 | — | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL HM/WK SITE LOW | $855.00 | $1,140.00 | $1.00–$134.62 | 313% above | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL HM/WK SITE LOW | $855.00 | $1,140.00 | $1.00–$134.62 | 313% above | 25% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL HM/WK SITE LOW | $855.00 | $1,140.00 | $1.00–$134.62 | — | 25% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL HM/WK SITE LOW | $855.00 | $1,140.00 | $1.00–$134.62 | — | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMP | $809.25 | $1,079.00 | $1.00–$131.22 | 245% above | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMP | $809.25 | $1,079.00 | $1.00–$131.22 | 245% above | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMP | $809.25 | $1,079.00 | $1.00–$131.22 | — | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMP | $809.25 | $1,079.00 | $1.00–$131.22 | — | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMP | $700.50 | $934.00 | $1.00–$131.22 | 256% above | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMP | $700.50 | $934.00 | $1.00–$131.22 | 256% above | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMP | $700.50 | $934.00 | $1.00–$131.22 | — | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMP | $700.50 | $934.00 | $1.00–$131.22 | — | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMP | $747.75 | $997.00 | $1.00–$131.22 | 232% above | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMP | $747.75 | $997.00 | $1.00–$131.22 | 232% above | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMP | $747.75 | $997.00 | $1.00–$131.22 | — | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMP | $747.75 | $997.00 | $1.00–$131.22 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | 200% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT MANUAL THERAPY EA 15M | $290.25 | $387.00 | $1.00–$36.34 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | 24% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | 24% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | 24% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OTA THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | 24% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | 95% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | 95% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | 95% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | 95% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OTA THERAPTC EXER EA 15 | $115.50 | $154.00 | $1.00–$38.49 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | — | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 | $182.25 | $243.00 | $1.00–$38.49 | — | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV MED NP 18-39 YRS | $330.75 | $441.00 | $1.00–$230.11 | 114% above | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV MED NP 18-39 YRS | $330.75 | $441.00 | $1.00–$230.11 | 114% above | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV MED NP 18-39 YRS | $330.75 | $441.00 | $1.00–$230.11 | — | 25% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PREV MED NP 18-39 YRS | $330.75 | $441.00 | $1.00–$230.11 | — | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV MED NP 40-64YRS | $294.75 | $393.00 | $1.00–$250.02 | 59% above | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV MED NP 40-64YRS | $294.75 | $393.00 | $1.00–$250.02 | 59% above | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV MED NP 40-64YRS | $294.75 | $393.00 | $1.00–$250.02 | — | 25% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PREV MED NP 40-64YRS | $294.75 | $393.00 | $1.00–$250.02 | — | 25% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PREV MED NP 65-OVER | $326.25 | $435.00 | $1.00–$276.15 | 50% above | 25% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PREV MED NP 65-OVER | $326.25 | $435.00 | $1.00–$276.15 | 50% above | 25% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREV MED NP 65-OVER | $326.25 | $435.00 | $1.00–$276.15 | — | 25% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PREV MED NP 65-OVER | $326.25 | $435.00 | $1.00–$276.15 | — | 25% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV MED EP 18-39 YRS | $330.75 | $441.00 | $1.00–$205.23 | 120% above | 25% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV MED EP 18-39 YRS | $330.75 | $441.00 | $1.00–$205.23 | 120% above | 25% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV MED EP 18-39 YRS | $330.75 | $441.00 | $1.00–$205.23 | — | 25% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PREV MED EP 18-39 YRS | $330.75 | $441.00 | $1.00–$205.23 | — | 25% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV MED EP 40-64YRS | $294.75 | $393.00 | $1.00–$212.69 | 75% above | 25% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV MED EP 40-64YRS | $294.75 | $393.00 | $1.00–$212.69 | 75% above | 25% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV MED EP 40-64YRS | $294.75 | $393.00 | $1.00–$212.69 | — | 25% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PREV MED EP 40-64YRS | $294.75 | $393.00 | $1.00–$212.69 | — | 25% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PREV MED EP 65-OVER | $294.75 | $393.00 | $1.00–$236.35 | 54% above | 25% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PREV MED EP 65-OVER | $294.75 | $393.00 | $1.00–$236.35 | 54% above | 25% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREV MED EP 65-OVER | $294.75 | $393.00 | $1.00–$236.35 | — | 25% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PREV MED EP 65-OVER | $294.75 | $393.00 | $1.00–$236.35 | — | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP BSC | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP BSC | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP INTERM | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP INTERM | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP CMPLX | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP EXTNSV | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP EXTNSV | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation CPT 92523 SP EVAL LNG COM W/EXP CMPLX | $951.00 | $1,268.00 | $1.00–$1,178.32 | 152% above | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP INTERM | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP EXTNSV | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP CMPLX | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP BSC | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP INTERM | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP EXTNSV | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP CMPLX | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech and language evaluation inpatient CPT 92523 SP EVAL LNG COM W/EXP BSC | $951.00 | $1,268.00 | $1.00–$1,178.32 | — | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX INTER | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX EXTNSV | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX CMPLX | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX BASIC | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX CMPLX | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX EXTNSV | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX INTER | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual CPT 92507 SPEECH/LANG TX BASIC | $568.50 | $758.00 | $1.00–$100.54 | 167% above | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX EXTNSV | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX BASIC | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX CMPLX | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX EXTNSV | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX INTER | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX BASIC | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX CMPLX | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Speech therapy session, individual inpatient CPT 92507 SPEECH/LANG TX INTER | $568.50 | $758.00 | $1.00–$100.54 | — | 25% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY W/FVC | $227.25 | $303.00 | $1.00–$98.90 | 10% above | 25% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY W/FVC | $227.25 | $303.00 | $1.00–$98.90 | 10% above | 25% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $763.50 | $1,018.00 | $1.00–$98.90 | 271% above | 25% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $763.50 | $1,018.00 | $1.00–$98.90 | 271% above | 25% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/FVC | $227.25 | $303.00 | $1.00–$98.90 | — | 25% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/FVC | $227.25 | $303.00 | $1.00–$98.90 | — | 25% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $763.50 | $1,018.00 | $1.00–$98.90 | — | 25% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $763.50 | $1,018.00 | $1.00–$98.90 | — | 25% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL PRE/PS | $379.50 | $506.00 | $1.00–$148.37 | 7% below | 25% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL PRE/PS | $379.50 | $506.00 | $1.00–$148.37 | 7% below | 25% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL PRE/PS | $379.50 | $506.00 | $1.00–$148.37 | — | 25% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL PRE/PS | $379.50 | $506.00 | $1.00–$148.37 | — | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | 99% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | 99% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | 99% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | 99% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | 487% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | 487% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | 487% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OTA THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | 487% above | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THERAPEUTC ACT EA 15 | $160.50 | $214.00 | $1.00–$46.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OTA THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | — | 25% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT THERAPTC ACT EA 15 | $473.25 | $631.00 | $1.00–$46.13 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THER - ONE UNIT | $448.50 | $598.00 | $1.00–$451.89 | 92% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THER - ONE UNIT | $448.50 | $598.00 | $1.00–$451.89 | 92% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $456.00 | $608.00 | $1.00–$451.89 | 95% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC | $456.00 | $608.00 | $1.00–$451.89 | 95% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHILEBOTOMY THERAPEUTIC | $483.75 | $645.00 | $1.00–$451.89 | 107% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHILEBOTOMY THERAPEUTIC | $483.75 | $645.00 | $1.00–$451.89 | 107% above | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THER - ONE UNIT | $448.50 | $598.00 | $1.00–$451.89 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THER - ONE UNIT | $448.50 | $598.00 | $1.00–$451.89 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $456.00 | $608.00 | $1.00–$451.89 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC | $456.00 | $608.00 | $1.00–$451.89 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHILEBOTOMY THERAPEUTIC | $483.75 | $645.00 | $1.00–$451.89 | — | 25% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHILEBOTOMY THERAPEUTIC | $483.75 | $645.00 | $1.00–$451.89 | — | 25% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIO STRESS TEST | $847.50 | $1,130.00 | $1.00–$238.72 | 77% above | 25% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIO STRESS TEST | $847.50 | $1,130.00 | $1.00–$238.72 | 77% above | 25% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIO STRESS TEST | $847.50 | $1,130.00 | $1.00–$238.72 | — | 25% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIO STRESS TEST | $847.50 | $1,130.00 | $1.00–$238.72 | — | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Michigan | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE | $46.50 | $62.00 | $1.00–$580.46 | 77% below | 25% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE LIVE | $46.50 | $62.00 | $1.00–$580.46 | 77% below | 25% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE LIVE | $46.50 | $62.00 | $1.00–$580.46 | — | 25% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VACCINE LIVE | $46.50 | $62.00 | $1.00–$580.46 | — | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP (INFANRIX) INJ 0.5ML DOSE | $21.00 | $28.00 | $1.00–$93.86 | 46% below | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP (INFANRIX) INJ 0.5ML DOSE | $21.00 | $28.00 | $1.00–$93.86 | 46% below | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIP/TET/PERT/ (DTAP) | $33.75 | $45.00 | $1.00–$93.86 | 13% below | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIP/TET/PERT/ (DTAP) | $33.75 | $45.00 | $1.00–$93.86 | 13% below | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP (INFANRIX) INJ 0.5ML DOSE | $21.00 | $28.00 | $1.00–$93.86 | — | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP (INFANRIX) INJ 0.5ML DOSE | $21.00 | $28.00 | $1.00–$93.86 | — | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIP/TET/PERT/ (DTAP) | $33.75 | $45.00 | $1.00–$93.86 | — | 25% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIP/TET/PERT/ (DTAP) | $33.75 | $45.00 | $1.00–$93.86 | — | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP+IPV+HIB+VACCINE 0.5ML | $165.75 | $221.00 | $1.00–$380.82 | 6% above | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP+IPV+HIB+VACCINE 0.5ML | $165.75 | $221.00 | $1.00–$380.82 | 6% above | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP+IPV+HIB+VACCINE 0.5ML | $165.75 | $221.00 | $1.00–$380.82 | — | 25% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP+IPV+HIB+VACCINE 0.5ML | $165.75 | $221.00 | $1.00–$380.82 | — | 25% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACC IM IJ | $524.25 | $699.00 | $1.00–$496.78 | 19% above | 25% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 DTAP-IPV-HIB-HEPB VACC IM IJ | $524.25 | $699.00 | $1.00–$496.78 | 19% above | 25% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VACC IM IJ | $524.25 | $699.00 | $1.00–$496.78 | — | 25% |
| DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 DTAP-IPV-HIB-HEPB VACC IM IJ | $524.25 | $699.00 | $1.00–$496.78 | — | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3>6MOS 0.5ML IJ | $44.25 | $59.00 | $1.00–$66.99 | 40% above | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUVAC IIV3>6MOS 0.5ML IJ | $44.25 | $59.00 | $1.00–$66.99 | 40% above | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVAC IIV3>6MOS 0.5ML IJ | $44.25 | $59.00 | $1.00–$66.99 | — | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUVAC IIV3>6MOS 0.5ML IJ | $44.25 | $59.00 | $1.00–$66.99 | — | 25% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VAC 9-VAL | $806.25 | $1,075.00 | $1.00–$975.71 | 141% above | 25% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VAC 9-VAL | $806.25 | $1,075.00 | $1.00–$975.71 | 141% above | 25% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VAC 9-VAL | $806.25 | $1,075.00 | $1.00–$975.71 | — | 25% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VAC 9-VAL | $806.25 | $1,075.00 | $1.00–$975.71 | — | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE INACT 1440 | $123.75 | $165.00 | $1.00–$257.94 | 5% above | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE INACT 1440 | $123.75 | $165.00 | $1.00–$257.94 | 5% above | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE,ADULT | $176.25 | $235.00 | $1.00–$257.94 | 50% above | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE,ADULT | $176.25 | $235.00 | $1.00–$257.94 | 50% above | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE INACT 1440 | $123.75 | $165.00 | $1.00–$257.94 | — | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE INACT 1440 | $123.75 | $165.00 | $1.00–$257.94 | — | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE,ADULT | $176.25 | $235.00 | $1.00–$257.94 | — | 25% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE,ADULT | $176.25 | $235.00 | $1.00–$257.94 | — | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS-B VACCINE ADULT | $147.00 | $196.00 | $1.00–$218.26 | 75% above | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS-B VACCINE ADULT | $147.00 | $196.00 | $1.00–$218.26 | 75% above | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE-ADULT AGE>=20YR | $818.25 | $1,091.00 | $1.00–$218.26 | 874% above | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACCINE-ADULT AGE>=20YR | $818.25 | $1,091.00 | $1.00–$218.26 | 874% above | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS-B VACCINE ADULT | $147.00 | $196.00 | $1.00–$218.26 | — | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS-B VACCINE ADULT | $147.00 | $196.00 | $1.00–$218.26 | — | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACCINE-ADULT AGE>=20YR | $818.25 | $1,091.00 | $1.00–$218.26 | — | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACCINE-ADULT AGE>=20YR | $818.25 | $1,091.00 | $1.00–$218.26 | — | 25% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB VACCINE ACTHIB INJ 0.5ML | $49.50 | $66.00 | $1.00–$41.77 | 18% above | 25% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB VACCINE ACTHIB INJ 0.5ML | $49.50 | $66.00 | $1.00–$41.77 | 18% above | 25% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB VACCINE ACTHIB INJ 0.5ML | $49.50 | $66.00 | $1.00–$41.77 | — | 25% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIB VACCINE ACTHIB INJ 0.5ML | $49.50 | $66.00 | $1.00–$41.77 | — | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VAC HIGH-DOSE | $144.00 | $192.00 | $1.00–$251.12 | 86% above | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VIRUS VAC HIGH-DOSE | $144.00 | $192.00 | $1.00–$251.12 | 86% above | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VAC HIGH-DOSE | $144.00 | $192.00 | $1.00–$251.12 | — | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VIRUS VAC HIGH-DOSE | $144.00 | $192.00 | $1.00–$251.12 | — | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA INJ 0.5M | $129.75 | $173.00 | $1.00–$301.96 | 5% below | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA INJ 0.5M | $129.75 | $173.00 | $1.00–$301.96 | 5% below | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC LIVE | $814.50 | $1,086.00 | $1.00–$301.96 | 499% above | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLA VAC LIVE | $814.50 | $1,086.00 | $1.00–$301.96 | 499% above | 25% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA INJ 0.5M | $129.75 | $173.00 | $1.00–$301.96 | — | 25% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA INJ 0.5M | $129.75 | $173.00 | $1.00–$301.96 | — | 25% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC LIVE | $814.50 | $1,086.00 | $1.00–$301.96 | — | 25% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLA VAC LIVE | $814.50 | $1,086.00 | $1.00–$301.96 | — | 25% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACCINE | $201.00 | $268.00 | $1.00–$528.91 | 3% below | 25% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACCINE | $201.00 | $268.00 | $1.00–$528.91 | 3% below | 25% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC (MENACTRA) I | $243.75 | $325.00 | $1.00–$528.91 | 17% above | 25% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC (MENACTRA) I | $243.75 | $325.00 | $1.00–$528.91 | 17% above | 25% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJ VACCINE | $201.00 | $268.00 | $1.00–$528.91 | — | 25% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJ VACCINE | $201.00 | $268.00 | $1.00–$528.91 | — | 25% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC (MENACTRA) I | $243.75 | $325.00 | $1.00–$528.91 | — | 25% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC (MENACTRA) I | $243.75 | $325.00 | $1.00–$528.91 | — | 25% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL-TT VAC IM IJ | $243.75 | $325.00 | $1.00–$545.47 | 3% above | 25% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENINGOCOCCAL-TT VAC IM IJ | $243.75 | $325.00 | $1.00–$545.47 | 3% above | 25% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL-TT VAC IM IJ | $243.75 | $325.00 | $1.00–$545.47 | — | 25% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENINGOCOCCAL-TT VAC IM IJ | $243.75 | $325.00 | $1.00–$545.47 | — | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GROUP B VACCINE | $264.00 | $352.00 | $1.00–$752.15 | 21% below | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL GROUP B VACCINE | $264.00 | $352.00 | $1.00–$752.15 | 21% below | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENING B VAC IM RCMB IJ | $288.75 | $385.00 | $1.00–$752.15 | 14% below | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENING B VAC IM RCMB IJ | $288.75 | $385.00 | $1.00–$752.15 | 14% below | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GROUP B VACCINE | $264.00 | $352.00 | $1.00–$752.15 | — | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL GROUP B VACCINE | $264.00 | $352.00 | $1.00–$752.15 | — | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENING B VAC IM RCMB IJ | $288.75 | $385.00 | $1.00–$752.15 | — | 25% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENING B VAC IM RCMB IJ | $288.75 | $385.00 | $1.00–$752.15 | — | 25% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL-13 CONJ VAC 0.5ML | $342.75 | $457.00 | $1.00–$718.21 | 30% above | 25% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL-13 CONJ VAC 0.5ML | $342.75 | $457.00 | $1.00–$718.21 | 30% above | 25% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL-13 CONJ VAC 0.5ML | $342.75 | $457.00 | $1.00–$718.21 | — | 25% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL-13 CONJ VAC 0.5ML | $342.75 | $457.00 | $1.00–$718.21 | — | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCO20VACIJ! | $2,316.75 | $3,089.00 | $1.00–$871.00 | 507% above | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCO20VACIJ! | $2,316.75 | $3,089.00 | $1.00–$871.00 | 507% above | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCO20VACIJ! | $2,316.75 | $3,089.00 | $1.00–$871.00 | — | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCO20VACIJ! | $2,316.75 | $3,089.00 | $1.00–$871.00 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 VALENT | $176.25 | $235.00 | $1.00–$371.37 | 11% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 VALENT | $176.25 | $235.00 | $1.00–$371.37 | 11% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACC 23VALENT >2 YRS | $258.00 | $344.00 | $1.00–$371.37 | 63% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACC 23VALENT >2 YRS | $258.00 | $344.00 | $1.00–$371.37 | 63% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PULM-PNEUMOCOCCUS VACCINE | $601.50 | $802.00 | $1.00–$371.37 | 280% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PULM-PNEUMOCOCCUS VACCINE | $601.50 | $802.00 | $1.00–$371.37 | 280% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 VALENT | $176.25 | $235.00 | $1.00–$371.37 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 VALENT | $176.25 | $235.00 | $1.00–$371.37 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACC 23VALENT >2 YRS | $258.00 | $344.00 | $1.00–$371.37 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACC 23VALENT >2 YRS | $258.00 | $344.00 | $1.00–$371.37 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PULM-PNEUMOCOCCUS VACCINE | $601.50 | $802.00 | $1.00–$371.37 | — | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PULM-PNEUMOCOCCUS VACCINE | $601.50 | $802.00 | $1.00–$371.37 | — | 25% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV MAB .5MLIJ | $1,057.50 | $1,410.00 | $1.00–$1,763.99 | 42% above | 25% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP RSV MAB .5MLIJ | $1,057.50 | $1,410.00 | $1.00–$1,763.99 | 42% above | 25% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV MAB .5MLIJ | $1,057.50 | $1,410.00 | $1.00–$1,763.99 | — | 25% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP RSV MAB .5MLIJ | $1,057.50 | $1,410.00 | $1.00–$1,763.99 | — | 25% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | $1.00–$973.14 | 15% above | 25% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | $1.00–$973.14 | 15% above | 25% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | $1.00–$973.14 | — | 25% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC P-A P-B REC IJ | $551.25 | $735.00 | $1.00–$973.14 | — | 25% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM PER 1ML | $657.00 | $876.00 | $1.00–$1,378.54 | 27% above | 25% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM PER 1ML | $657.00 | $876.00 | $1.00–$1,378.54 | 27% above | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM PER 1ML | $657.00 | $876.00 | $1.00–$1,378.54 | — | 25% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE IM PER 1ML | $657.00 | $876.00 | $1.00–$1,378.54 | — | 25% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE-LIVE LIQ 2ML | $166.50 | $222.00 | $1.00–$466.33 | 17% below | 25% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE-LIVE LIQ 2ML | $166.50 | $222.00 | $1.00–$466.33 | 17% below | 25% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE-LIVE LIQ 2ML | $166.50 | $222.00 | $1.00–$466.33 | — | 25% |
| Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE-LIVE LIQ 2ML | $166.50 | $222.00 | $1.00–$466.33 | — | 25% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM 0.5ML | $336.75 | $449.00 | $1.00–$683.58 | 71% above | 25% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HZV VACC RECOMBINANT IM 0.5ML | $336.75 | $449.00 | $1.00–$683.58 | 71% above | 25% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM 0.5ML | $336.75 | $449.00 | $1.00–$683.58 | — | 25% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HZV VACC RECOMBINANT IM 0.5ML | $336.75 | $449.00 | $1.00–$683.58 | — | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE > 7YRS., IM INJ. | $45.75 | $61.00 | $1.00–$134.01 | 15% below | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE > 7YRS., IM INJ. | $45.75 | $61.00 | $1.00–$134.01 | 15% below | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE > 7YRS., IM INJ. | $45.75 | $61.00 | $1.00–$134.01 | — | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE > 7YRS., IM INJ. | $45.75 | $61.00 | $1.00–$134.01 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE > 7YRS.,IM INJ. | $58.50 | $78.00 | $1.00–$154.63 | 19% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE > 7YRS.,IM INJ. | $58.50 | $78.00 | $1.00–$154.63 | 19% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE | $60.75 | $81.00 | $1.00–$154.63 | 16% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE | $60.75 | $81.00 | $1.00–$154.63 | 16% below | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETNUS/DIPTH/PERTUSS VACC-TDAP | $123.00 | $164.00 | $1.00–$154.63 | 70% above | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETNUS/DIPTH/PERTUSS VACC-TDAP | $123.00 | $164.00 | $1.00–$154.63 | 70% above | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE > 7YRS.,IM INJ. | $58.50 | $78.00 | $1.00–$154.63 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE > 7YRS.,IM INJ. | $58.50 | $78.00 | $1.00–$154.63 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE | $60.75 | $81.00 | $1.00–$154.63 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE | $60.75 | $81.00 | $1.00–$154.63 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETNUS/DIPTH/PERTUSS VACC-TDAP | $123.00 | $164.00 | $1.00–$154.63 | — | 25% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETNUS/DIPTH/PERTUSS VACC-TDAP | $123.00 | $164.00 | $1.00–$154.63 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM. SINGLE ADULT IMMUNIZATION | $57.75 | $77.00 | $1.00–$91.83 | 151% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN,SINGLE ADULT IMMUNIZATN | $57.75 | $77.00 | $1.00–$91.83 | 151% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN,SINGLE ADULT IMMUNIZATN | $57.75 | $77.00 | $1.00–$91.83 | 151% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM. SINGLE ADULT IMMUNIZATION | $57.75 | $77.00 | $1.00–$91.83 | 151% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SNGL/COMBO VAC | $84.00 | $112.00 | $1.00–$91.83 | 265% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SNGL/COMBO VAC | $84.00 | $112.00 | $1.00–$91.83 | 265% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2W-ADMINISTER INFLUENZA VACC | $84.00 | $112.00 | $1.00–$91.83 | 265% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 2W-ADMINISTER INFLUENZA VACC | $84.00 | $112.00 | $1.00–$91.83 | 265% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN, SINGLE ADULT IMMUNIZATN | $153.00 | $204.00 | $1.00–$91.83 | 564% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN, SINGLE ADULT IMMUNIZATN | $153.00 | $204.00 | $1.00–$91.83 | 564% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SNGL/COMBO | $158.25 | $211.00 | $1.00–$91.83 | 587% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SNGL/COMBO | $158.25 | $211.00 | $1.00–$91.83 | 587% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN SINGLE ADULT IMMUNIZATIO | $180.00 | $240.00 | $1.00–$91.83 | 682% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN SINGLE ADULT IMMUNIZATIO | $180.00 | $240.00 | $1.00–$91.83 | 682% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN-SINGLE DOSE | $180.00 | $240.00 | $1.00–$91.83 | 682% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-IMMUNIZATION ADMIN | $180.00 | $240.00 | $1.00–$91.83 | 682% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN-SINGLE DOSE | $180.00 | $240.00 | $1.00–$91.83 | 682% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-IMMUNIZATION ADMIN | $180.00 | $240.00 | $1.00–$91.83 | 682% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN,SINGLE ADULT IMMUNIZATN | $57.75 | $77.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN,SINGLE ADULT IMMUNIZATN | $57.75 | $77.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM. SINGLE ADULT IMMUNIZATION | $57.75 | $77.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM. SINGLE ADULT IMMUNIZATION | $57.75 | $77.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 2W-ADMINISTER INFLUENZA VACC | $84.00 | $112.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADMIN SNGL/COMBO VAC | $84.00 | $112.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADMIN SNGL/COMBO VAC | $84.00 | $112.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 2W-ADMINISTER INFLUENZA VACC | $84.00 | $112.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN, SINGLE ADULT IMMUNIZATN | $153.00 | $204.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN, SINGLE ADULT IMMUNIZATN | $153.00 | $204.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADMIN SNGL/COMBO | $158.25 | $211.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADMIN SNGL/COMBO | $158.25 | $211.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN-SINGLE DOSE | $180.00 | $240.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471-IMMUNIZATION ADMIN | $180.00 | $240.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN SINGLE ADULT IMMUNIZATIO | $180.00 | $240.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN SINGLE ADULT IMMUNIZATIO | $180.00 | $240.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN-SINGLE DOSE | $180.00 | $240.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471-IMMUNIZATION ADMIN | $180.00 | $240.00 | $1.00–$91.83 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADDL VACCINE | $36.00 | $48.00 | $1.00–$58.62 | 84% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADDL VACCINE | $36.00 | $48.00 | $1.00–$58.62 | 84% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EACH ADDL ADULT IMMUNIZA | $57.75 | $77.00 | $1.00–$58.62 | 195% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EACH ADDL ADULT IMMUNIZA | $57.75 | $77.00 | $1.00–$58.62 | 195% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADDL VACCINE | $36.00 | $48.00 | $1.00–$58.62 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADDL VACCINE | $36.00 | $48.00 | $1.00–$58.62 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EACH ADDL ADULT IMMUNIZA | $57.75 | $77.00 | $1.00–$58.62 | — | 25% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EACH ADDL ADULT IMMUNIZA | $57.75 | $77.00 | $1.00–$58.62 | — | 25% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://mrfs.hyvehealthcare.com/TenetHealth/272844767_vhs-harper-hutzel-hospital-inc_standardcharges.json